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❤️🧡💛💚💙💜

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🏳️‍🌈PRIDE MONTH BINGO IS BACK!🏳️‍🌈

It's officially Justin Timberlake month again and that means next up pride month is coming up! That means our PRIDE BINGO is back for its already third edition.

Sign ups are open until May 25th!

Bingo cards will be sent out gradually, until May 30th. If you haven't received your card by then, hit us up and we'll make sure you get one before June!

Each card is going to be a 3x3 size and you will have all of June to fill out however many squares you want/have time for!

If there are any prompts you are not vibing with, you can always contact us to ask to have them swapped out.

And as is signature to our events, there will be badges again! If you get a bingo, you will receive a non-personalized badge. Everyone who manages a blackout gets an individualized badge. Badges will be done some time in July, but as always, expect you dear mod kimmy to be late as fuck with them but deliver them, no matter how late!

Join us on Discord to connect with other writers for support!

[thewhump]

🏳️‍🌈PRIDE MONTH BINGO IS BACK!🏳️‍🌈

It's officially Justin Timberlake month again and that means next up pride month is coming up! That means our PRIDE BINGO is back for its already third edition.

Sign ups are open until May 25th!

Bingo cards will be sent out gradually, until May 30th. If you haven't received your card by then, hit us up and we'll make sure you get one before June!

Each card is going to be a 3x3 size and you will have all of June to fill out however many squares you want/have time for!

If there are any prompts you are not vibing with, you can always contact us to ask to have them swapped out.

And as is signature to our events, there will be badges again! If you get a bingo, you will receive a non-personalized badge. Everyone who manages a blackout gets an individualized badge. Badges will be done some time in July, but as always, expect you dear mod kimmy to be late as fuck with them but deliver them, no matter how late!

[thewhump]

Medical Specialties: AKA Not All Fictional Doctors Are Surgeons

Ahoy, keyboard pirates!! The Mysterious Stranger, AKA Brittany (author of our beloved Guide to Medical School and official Friend of the Blog™ ) has come back, like a thief in the night, to give a run-down on the different medical specialties. For anyone not intimately familiar with the structure of medicine, this post is invaluable. I’ve re-read it like four times just this morning.

Thank you again, young Brittany-padawan. Take it away!

Hey folks!  Your friendly neighborhood medical student here.  Aunt Scripty was nice enough to post my spiel on medical school, and given the awesome response, I’m doing a follow-up to explain the different specialties and their capabilities.

First of all, before we get started, I’ll refer you to this awesome cartoon to get a brief glimpse of the personalities you run into in each:

http://theunderweardrawer.blogspot.com/2011/03/12-medical-specialty-stereotypes-2011.html 

Are they stereotypes?  Yes.  Your doctor character doesn’t have to follow the personalities you see there at all.  But a lot of doctors who go into those specialties have those traits; it makes sense if you remember that medical students rotate through, or at least see, most of these specialties, and we gravitate towards the specialty where we see similar personalities to our own.  Sort of creates a self-fulfilling prophecy.  Without further ado, these are the major specialties:

Internal Medicine:

Internists are the work horses of the hospital; if you get admitted for something relatively common, like pneumonia or heart failure, odds are the internist will take care of you. (Aunt Scripty’s Note: for an insight into the world of an internist, see A Day in the Life of Pocket-Anon) Heck, even if what you have isn’t common, and they’re calling in specialists to help, it’s often an internist who basically oversees the whole thing, while the specialist drops in to alter this or that detail.  Occasionally, you will see an internist who decides to work in clinics instead, but that job tends to fall to your…

Family Practitioner:

The classic ‘town doctor’ is a family practitioner.  They work in clinics mostly (some do work in hospital like an internist, though, or go to the hospital if one of their patients has to be admitted), and see every kind of patient, including kids and ob/gyn visits if the town is small/their practice is comprehensive enough.  These are the doctors who form the closest relationships with their patients—seeing them for years, delivering their babies, taking care of the rest of the family—and tend to treat either chronic conditions (high blood pressure, diabetes, that kind of thing) or not-too-serious acute issues like mild infection or muscle sprains.  There are some who are also trained for basic surgeries such as appendectomies and C-sections, but those are becoming increasingly rare.  Still, if I had to choose a doctor for the zombie apocalypse, one of those old-school surgery-trained family docs would be among my top choices.

Pediatrics:  Take care of children, from the newborn babies up to the 17 years and 11 month kids.  Can work in either hospitals or clinics and, like family practitioners, often form the longest/closest relationships with their patients.  I try not to go into too much of the personalities of practitioners here, but I will say that pediatricians have among the lowest salaries, but the highest job satisfaction; whether that’s the kind of people the specialty attracts, the patients, or just the fact that even big bad bureaucracies tend to be a little better when there’s a sick kid on the line, I’m not sure.  My guess is a healthy combination of the three.

(Aunt Scripty’s Addition: Neonatologists are a subset of pediatricians, who primarily look after newborns, especially premies, and typically work in NICUs. The distinction isn’t actually splitting hairs; humans have exited the womb weighing as little as 1lb (500g), and neonatologists are the ones keeping them going.)

Surgeon:

Surgery is easy on the one hand—everyone knows they’re the ones who operate on patients—but it’s also difficult because there are so many subspecialties.  Your general surgeon is mostly in charge of basic surgeries, which almost all seem to involve the gut or skin—gallbladders, complex abscess drainage, appendectomies, small bowel obstruction, etc.  I should point out: if your character’s specialty is not ‘surgeon’ (or a few others I’ve listed), and they have to do an emergency surgery for story purposes, they are going to be WAY in over their head.  Which can be a good plot point, and it is possible your doctor can pull it off if there���s a life-or-death situation happening, but it’s going to scare the bejeebers out of them.

Major subspecialties:

—Orthopedics.  Bones and joints and muscles.  Think of them like Thor: they think they can solve all problems with a mighty hammer blow.

—Plastics.  The closest I’ve seen medicine come to art; I’ve seen patients who have just had half their face taken off to remove a cancer, and then plastics comes along and gives them a teeny tiny scar instead.  Basically, if it’s anything to do with making a patient look better, it’s in their scope.

—Trauma.  There’s sometimes confusion between a trauma surgeon and an ER doctor.  Both are trained to help stabilize/evaluate a trauma patient, perform basic procedures, and decide if they need surgery.  If a full-blown surgery is needed, though, the trauma surgeon has to take over and head to the operating room.  The parts in Doctor Strange where the ER doctor’s assisting in/performing operations as a routine thing?  No.  Not in her wheelhouse.

Ob/Gyn:

Basically, anything that deals with the female anatomy is in their scope of practice—Pap smears, STD exams, pregnancy, C-sections, fertility issues, and a lot more.  They’re one of the few specialties that really mixes both surgical and medical work; most others pick one or the other and stick to it religiously, but ob/gyn can flip between surgery (c-section, removing the uterus, tying tubes, and so on) and non-surgical work, so long as it pertains to the same anatomical system.

Emergency Medicine: The most badass of all specialties, which only the exceptionally intelligent, charming, and good-looking can aspire to.*  No, in all seriousness, this is kind of the ‘jack of all trades’ specialty—if someone’s having a crisis that involves any specialty (psychiatric, ob/gyn, infectious, neurologic, etc.)—they come to the ER, and the doctors have to be able to treat them.  Their job basically involves the most exciting fifteen minutes out of any specialty.  That said, I should point out that a good half (at least) of what ER doctors see is not really an ‘emergency.’ (Aunt Scripty’s Note: This is actually closer to 90+%. There’s a developing subspecialty of ER/ICU combinations for docs who want to JUST deal with CRITICALLY ILL PEOPLE until they go upstairs.)  It’s either something that’s serious, but can be managed outpatient with the right medications and follow-up, or it’s simply not serious at all (often because a patient can’t tell the difference; PSA that if you’re not sure if it’s serious or not, please do come and have us check it out!)

*Note that this description may be biased by the author’s experience. (Aunt Scripty’s note: don’t worry, paramedics are all like this too. The plural of anecdotes is data, right?)

Intensive Care: (Note: this section in Aunt Scripty’s addition.) Intensive care is where hospitals store the really, really sick patients. Intensivists are sort of a combination of internal medicine, emergency medicine, and anesthesiology. They’re very, very good with tweaking esoteric machines, but they’re also very, very good at talking about dying–because a lot of their patients will  die, and they do a lot of resuscitating, intubating, and other “emergency” and anesthetic procedures. There are various different ICUs out there: medical, cardiothoracic, pediatric, neonatal, coronary, neuro, neurosurgical, etc.

Neurology:  Treat any disorders of the brain, spine, or peripheral nervous system.  These doctors can work in clinics, treating patients with chronic neurological disorders, or in the hospital, treating more severe/acute problems (mostly strokes, but also including other problems like MS, spinal cord issues, etc.).

Psychiatry: Ok, just to be clear here, psychiatry =/= neurology.  Those are very different things, even though there are sometimes occasions when people will incorrectly send a psych patient to a neurologist or vice versa.  Psychiatrists treat things like depression, anxiety, schizophrenia, and so on—diseases that primarily affect behavior, and where we can’t quite see what the cause and pathology are.  Like a neurologist, though, psychiatrists can either work with hospital patients or in a clinic, or in a nice mix of the two.

Lightning Round:

Hematology/Oncology: Treat blood disorders and cancer.  Note: broken up into surgical and non-surgical groups.

Dermatology: Treat skin disorders

PM&R: (Aunt Scripty’s Note: Physical Medicine & Rehabilitation; I had to look it up.) Help patients with physical rehab and recovery-oriented problems (wound care, chronic spinal cord damage, that kind of thing).

Anesthesiology: Manage anesthesia during surgery; responsible for monitoring/managing surgical patients’ vital signs and keeping them under during the procedure.  Can also be involved in pain management.

Radiology: Interpret imaging of patients (X-rays, CT scans, MRIs, etc.)

Cardiology: Treat the heart

Pulmonology: Treat the lungs

Nephrology: Treat the kidneys

Gastroenterology: Treat the digestive system

Infectious disease: please tell me this is obvious

Urology: Treat urinary tract issues and male reproductive system

Endocrinologist: Treat hormone disorders

Immunologist: Treat immune disorders

Rheumatologist: Treat autoimmune disorders

Pathologists: Interpret tissue samples for disease/disorders.  Usually that’s cells, but also includes autopsies; if you’re doing a crime/mystery story, a forensic pathologist is your best choice for a doctor.

Side Notes:

—This isn’t an exhaustive list, just the most common ones I can think of off the top of my head.  If anyone wants more details on a specialty or thinks something’s missing, let me know!

—So, the age old question: in a post-apocalyptic setting, what kind of doctor do I want?  (Ok, ok, no one asks this question but me.  Whatever.)  Still, in answer: I’d most want an old school family medicine doctor with experience in global health.  Second choice would be an emergency medicine doctor, and if I couldn’t have global health, I’d at least ask for a military background.  A nurse practitioner with EM experience would also be pretty awesome.  Why?  Versatility.  These practitioners treat all patients, with all diseases.  The family medicine doc is better with chronic complaints (asthma, and a. fib won’t disappear with the apocalypse) and may have surgical experience, while the EM doc will be better with acute issues like heart attack, trauma, or infection, but they’ll both be able to cross over.  But the kicker for me is global health.  That means the doctor’s been trained to work in a resource limited setting, and so instead of panicking that they can’t get a lab result or imaging, they’ll be able to figure out a workaround.

—I’ve left out a lot of the surgical subspecialties (neurosurgery, hand surgery, etc.) for space.  Just know that there are a lot, and google for a list if you need a specific one.  Same for pediatrics; you can pretty much add ‘pediatric’ in front of anything in the lightning round—pediatric cardiologist, for instance—and it’s its own specialty. 

—Gender dynamics: there are now an equal number of men and women entering medical school, and have been for the past few years.  That said, the genders often go into different specialties: women are more common in ob/gyn and pediatrics, while men are more common in surgery (particularly orthopedics), urology, and to a lesser extent, ER.  Other specialties tend to be more even, but the older a physician is, the more likely they are to be male, simply because fewer women entered medicine as little as a decade ago.  That also means more men in leadership positions, still.

So that’s it for this post! Thanks again to Brittany, who will surely make an excellent EM doc some day.

xoxo, Aunt Scripty

The Script Medic is supported by generous donations on Patreon. Have you considered donating?

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Whumpee crying, sobbing and letting out chocked “plea—sto—” as their head gets repetitively shoved under water, their lungs burning as they cough and gasp for air each time their head is lifted.

All they want is for it to be over, they don’t even care about the reason this is happening anymore, just please let them breathe, please.

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I feel like we don't talk enough about stress positions in whump and the consequences they have.

If Whumpee has been tied around a pole for a long time, or a hog tie, their limbs will have a hard time getting comfortable with being forward again. They will be numb and it will hurt a lot. I love when their rescuer carefully and slowly unties them, being soft and careful while Whumpee hisses and whimpers in pain due to movement after being tied up in the same position for so long enlists.

Another personal favorite of mine are uncomfortable kneeling positions. Whumpee is kneeling, has a collar in their neck, and their hands cuffed behind them. Chains interlink the restraints and the collar, the end of the chains bolted to the wall so Whumpee can't let their head fall or move their hands too much or they'll choke themselves. It's even better when their thighs are tied to their shins, so their entire body weight is on their knees.

Okay last one. Whumpee has their hands cuffed in front of them and is left hanging in the air. If they were cuffed from behind, it would hurt way more, it would put a great deal of pressure in the omoplates and make it even harder to breathe. I can feel the pain in the shoulders just from writing this.

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Whumpees tied to tables. Their limbs stretched to each corner, spread out leaving them vulnerable.

Tied to a kitchen/dining table. An office desk, lab table. Pool table?

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hurt meme.

“ i got you. it’s gonna be okay, you’re going to be okay.”

“i feel like everyone’s miles away from me.”

“my mind is a dark place. you don’t want to be there.”

“i know this hurts, but you have to stay awake.”

“don’t close your eyes, please don’t close your eyes!”

“i just want to be numb, i don’t want to feel anything.”

“please don’t do this, don’t act like you care.”

“you don’t care, nobody cares, just leave.”

“you’re my friend, of course i fucking care.”

“i can’t give up on you, so please don’t give up on yourself.”

“i love you so much, i forgot what hating myself felt like.”

“i fucked up, why do you not care?”

“i can’t walk, just go on without me.”

“you have broken ribs, take it easy.”

“i have no idea how to do cpr.”

“whose blood is that?”

“apply pressure to the wound, don’t let go.”

“don’t you dare fucking let go!” 

“what the hell happened to you?” 

“are they dead? did you kill them?” 

“do you know what you’ve done?” 

“you’re either with me or against me.” 

“who the hell did this to you?” 

“are you alright? you hit your head pretty hard…” 

“i can’t see!! what’s happening to me?” 

“when was the last time you ate?” 

“what do you mean you’re fine? you are not fine!” 

 “i’m fine, it’s just a flesh wound, i’ll be okay.” 

“for how long? how long were you bottling this up?“ 

“there’s so much blood, you won’t last.” 

“are you… throwing up in there?” 

“why aren’t you eating?” 

“just breathe… you’re okay, i promise, just breathe.” 

“i can’t breathe, i can’t –” 

"i woke up, & you were gone.” 

“just tell me something, was it really worth it?” 

"it’s okay to hurt & breakdown. you don’t have to be strong all the time.”

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Bits

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i took part in the prisoner exchange this year. for the first and last time. oohh, a whump exchange, i said! looks fun! so i wrote the fic and i got out of my comfort zone and in the end i was pretty proud of it.

and then i got nothing. there was literally like two weeks between finishing works and posting and then reveals which i assumed were for pinch hitters but i didn't get shit still.

and thats shit. but it happens, right? except it sucks all the more when the fucking event allows treats. oh how fun! treats! yes, how fun when the giftee i wrote for got five fucking fics and i didn't get a single one.

and to add insult to the injury they didnt even comment on my fic for them.

just fuck that event honestly. i signed up for it excitedly but it was altogether an unpleasant experience. like at the very least id like a comment and some communication from the mods if i wont get a fic.

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doodling because i have big ideas but i don’t want to draw them

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Whump things:

Hand. Over. Their. Mouth.

Whumper grabs the whumpee from behind- one hand over their mouth, the other is across their chest, or maybe twisting the Whumpee’s arm behind their back?

Whumpee is caught by surprise, their eyes are wide and panicked, clawing at the hand, trying to pry it off. You can hear them struggling, breathing furiously, trying to cry out and protest.

Maybe there’s chloroform on a rag held over their mouth, so they pass out in a few moments…?

(I couldn’t find a gif, so please enjoy this movie poster instead 😅).

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Been a while since I drew these guys

[gore version under the cut ;)]

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I genuinely think @staff should give us an official Bot Kill Count where it ticks up every time a bot you reported is officially taken off by the tumblr team and when you hit a certain number you get gruesome little trophies. Gamification can be of the devil but in this particular case I need a little treat for doing my daily chore of taking out the trash

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Demon tail whump ideas-

Cold, always fun. Force their tail under freezing water, or hold ice cubes against it. See how long it takes for it to go numb.

Shock collar, but small, meant to go around the tail

Put heavy jewelry on their tail and make them hold it up. After a while the strain will be agony

Restraining them by something pierced through their tail, such as a knife or doornail. Or put a piercing through the fin and attach it to a chain.

Bite it. Bite their tail.

Tie a cute little bow next to the fin

Get a whip, cane, or riding crop and mark up their back and tail.

Have a bunch of sewing needles and don’t know where to put them? Your demons tail makes an excellent pincushion.

Holy water has plenty of fun possibilities

Grab their tail and tug sharply. Pull around them by it.

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it simply MUST have been said before but just. like. little demon/vampire pet whumpees. that are spritzed with holy water when they misbehave

imagining them feistily hissing in anger but also cowering because it hurts. then whimpering afterwards and begging to be let up onto their owner’s lap to be comforted