thoughtsofagremlin

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I hate not being able to like hang out or do things for/with male friends without someone (usually family) joking about us dating or saying it’s a ‘girlfriend’ thing. I know this stems from the whole ‘men and women can’t be just friends’ thing but,,, like,,, I’m not into men, and even if I was we are very much Just Friends. All I am doing is helping out a friend or doing something with a friend. Purely friendship. I get that some activities done together may be seen as date activities, but when I make it clear repeatedly we are not dating it’s just annoying to joke about us dating.

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If I wanted to trans your gender I would’ve done it already. Unless you have something to tell me?

needs 1 trillion likes tbh

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FUCK. honestly just FUCK. We missed a very important day yesterday.

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I had a patient come in the other day because she wanted her IUD replaced. It was at the end of it's life and she loved having her IUD, this was her second one. My MA let me know that the patient was very anxious about getting the IUD replaced, she'd had painful experiences in the past with her other replacements and was dreading this visit for that reason.

I spoke with the patient and she was literally shaking with anxiety. I asked her to describe her prior experiences as well as what she liked about her IUD and what she didn't like. She said that she wished she didn't have to get it replaced so often, so I recommended we place a Mirena instead of just inserting a new Kyleena IUD. She was nervous about this because she didn't want an IUD that was big. I explained that the Mirena and Kyleena are essentially the same size but the Mirena lasts 3 years longer and would likely bridge her to menopause given her age whereas with the Kyleena she'd probably need another replacement to get there. She was okay with trying the Mirena.

I then talked to her about pain control during the procedure as this was what she was most worried about. I asked about her prior experiences and then laid out what I wanted to do to try and improve her experience during this procedure. I told her I planned to give her prescription strength ibuprofen, a heating pad, and a very dense anesthetic block in her cervix to hopefully make it a better experience. If she had had someone to drive her home I would've also given her an ativan because we have studies that show patients who report higher rates of anxiety surrounding a procedure also report higher rates of pain associated with it.

She was down for this plan. I gave her a very dense block, she only felt three small injections and then nothing else. She was shocked when I told her that her old IUD was out and the new one was in. She didn't believe me when I told her it was over.

I don't tell this story because I wanna brag about how amazing of a doctor I am because I'm not. I tell this story because this is the way IUD insertions SHOULD go and I want people to know that IUD insertions do not need to be traumatic. And I want other providers who may insert IUDs to know that a paracervical block should be your standard when it comes to IUD insertions.

When people find out I'm an OBGYN, complete strangers, acquaintances, etc. , the two things they like to tell me immediately are their horrible birth trauma story and their terrible IUD insertion story and I'm trying to at least make the latter one a little less common.

If you place IUDs and aren't doing a cervical block, you need to start. This should be the standard but over 90% of OBGYNs in the US aren't doing them and it's unacceptable. We are traumatizing people and it's entirely avoidable. We are scaring people away from one of the most effective and long lasting forms of birth control in a time when people are losing their ability to end unwanted pregnancies all for no justifiable reason.

"It takes too long:" No it doesn't, that visit took me 20 minutes with a highly anxious patient from start to finish.

"It's not worth it for such a short/small procedure." It's worth it for the patient.

"It's too expensive." You can do a paracervical block with just normal saline. You don't even need lidocaine if you use a generous amount of volume. And if you place Nexplanons I know you stock lidocaine in your office, stop being fucking cheap at the expense of women's pain.

"Patient's don't need it, they'll get over it." I'm telling you they do need it and they aren't getting over it as evidenced by literally everyone wanting to tell me about their terrible IUD insertion experience as soon as they find out I'm an OBGYN.

We should do better. The cervix has nerve endings, stop acting like it doesn't.

Make cervical blocks your standard of care, there's no excuse not to.

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EVERYONE(!) I’m blazing this post because at this pace we might barely hit 1,000,000 signatures—or just fall short. PLEASE reblog this post, no matter where you are from, so we can reach as many EU citizens as possible and end this horrible practice!

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Farewell online privacy

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Nah, that’s podiatry and pediatrics. Bisexuality is the quality of a phrase being pleasing to the ear through harmonious combination of words while pansexuality is a harsh disagreeing mixture of sounds that are unpleasant to the ear.

99% of queer discourse stops right before they define the true difference between bisexual and pansexual!

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Saw the word Detune and thought it said Deltarune, which is funny because I don’t even play that game.

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Funniest bit I’ve ever committed myself to was writing a fanfic about a game I’ve never played entirely based on my friend’s info dumping about said game. I even had them peer review it so it was more accurate.

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Ice cold takes from a Transgender Woman:

Men are not inherently Evil

Everyone has the capacity for evil

Transgender Men are men

Transgender Women are women

Excluding Cisgender Men from your spaces requires Transgender Men to out themselves if they want to engage (Same for Women)

Anyone can be Non-Binary, there is no "look" or requirement

Non-binary masculine presenting people should be welcome in queer spaces, many are just treated as men and predators

Non-binary feminine presenting people should be welcome in queer spaces without being seen as "Woman-Lite"

Edited the wording on the first point because too many terfs keep thinking I'm their friend.

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Credit to: user

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Men will be so afraid of making friends with lesbians and for what? I too have a tool kit in the back of my car and a fear of talking to women, don’t worry.