a mid-20s, bi civil engineer with a lot of emotions about comics, star trek, and dogs.
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you kind of have to be genuinely insanely isolated from even thinking about real world racism to be seeing these ""slurs for robots/AI users 🤪"" and not have alarm bells going off about how clearly they're based on real world violent slurs for people of color. the fact that you didn't think about it is itself a problem, not a defense!!
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It must be said that just because a story was part of Post Crisis doesn't necessarily mean that it was good and just because a story was part of N52 doesn't necessarily mean that it was bad.
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“shark infested waters” bro they just live there
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If i may ask, why has your kid had a lawyer since birth?
Honestly, because I had unprotected sex with one
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we need to stand up against strong as fuck ice mummy
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okay once and for all
no nuance, no "oh but im allergic/its something different/whatever the fuck" either pick a side or dont answer
#probably rice because it's a fundamental go to#I love fried rice and I will always love fried rice#but it would be difficult
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* insect in the venacular sense, so including spiders etc
#I think body temp bc I would love to never be at risk of heat stroke or hypothermia lol#lots of avenues would open up for me in the eay of hiking#the bug thing IS tempting bc I AM allergic to wasps/probably also bees#but it's not a severe allergy so like. the temp one
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this also isn’t recent but i’ll post it anyway
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Obi-Wan never told you what happened to your father.
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tumblr is a pretty tolerable place when you have thousands of people blocked and hundreds of content filters active at all times
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Can I speak my truth. I don’t think Brienne is even a little gay. I think she’s a kinsey zero who false positives on everyone’s radar. I think if you dropped brienne into new age 2024 she would get treated as a lesbian in her day to day life but whenever a woman liked her she’d be like. Ummmmmmm I’m really sorry but I don’t. Feel like that. I think she’d give lesbianism the good old college try bc of the direness of her male love life and come down firmly on the side of not attracted to women. I think she is quintessential pnw woman who you think is a slam dunk homerun lesbian based on everything about her who drops the word husband on you. I think she gets clocked on sight and mentions a partner named Jaime which makes people go. Okay. Partner i know that game. Jamie easily the name of a lesbian. Easily. And then she drops the he pronouns and you go. Well. Could still be a weird lesbian. And then Jaime is a business major in a frat with generational wealth. And HE is the kinsey five in the relationship.
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put your makeup on do your hair up pretty and meet me tonight in that roku city...
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So today I want to talk about puberty blockers for transgender kids, because despite being cisgender, this is a subject I’m actually well-versed in. Specifically, I want to talk about how far backwards things have gone.
This story starts almost 20 years ago, and it’s kind of long, but I think it’s important to give you the full history. At the time, I was working as an administrative assistant for a pediatric endocrinologist in a red state. Not a deep deep red state like Alabama, we had a little bit of a purple trend, but still very much red. (I don’t want to say the state at the risk of doxxing myself.) And I took a phone call from a woman who said, “My son is transgender. Does your doctor do hormone therapy?”
I said, “Good question! Let me find out.”
I went into the back and found the doctor playing Solitaire on his computer and said, “Do you do hormone therapy for transgender kids?” It had literally never come up before. He had opened his practice there in the early 2000s. This was roughly 2006, and the first time someone asked. Without looking up from his game of Solitaire, the doctor said, “I’ve never done it before, but I know how it works, so sure.”
I got back on the phone and told the mom, who was overjoyed, and scheduled an appointment for her son. He was the first transgender child we treated with puberty blockers. But not, by far, the first child we treated with puberty blockers, period. Because puberty blockers are used very commonly for children with precocious puberty (early-onset puberty). I would say about twenty percent of the kids our doctor treated were for precocious puberty and were on puberty blockers. They have been well studied and are widely used, safe, and effective.
Well. It turned out, the doctor I worked for was the only doctor in the state who was willing to do this. And word spread pretty fast in the tight-knit community of ‘parents of transgender children in a red state’. We started seeing more kids. A better drug came out. We saw some kids who were at the age where they were past puberty, and prescribed them estrogen or testosterone. Our doctor became, I’m fairly sure, a small folk hero to this community.
Insurance coverage was a struggle. I remember copying articles and pages out of the Endocrine Society Manual to submit with prior authorization requests for the medications. Insurance coverage was a struggle for a lot of what we did, though. Growth hormone for kids with severe idiopathic short stature. Insulin pumps, which weren’t as common at the time, and then continuous glucose monitoring, when that came out. Insurance struggles were just part and parcel of the job.
I remember vividly when CVS Caremark, a pharmaceutical management company, changed their criteria and included gender dysphoria as a covered diagnosis for puberty blockers. I thought they had put the option on the questionnaire to trigger an automatic denial. But no - it triggered an approval. Medicaid started to cover it. I got so good at getting approvals with my by then tidy packet of articles and documentation that I actually had people in other states calling me to see what I was submitting (the pharmaceutical rep gave them my number because they wanted more people on their drug, which, shady, but sure. He did ask me if it was okay first).
And here’s the key point of this story:
At no point, during any of this, did it ever even occur to any of us that we might have to worry about whether or not what we were doing was legal.
It just never even came up. It was the medically recommended treatment so we did it. And seeing what’s happening in the UK and certain states in America is both terrifying and genuinely shocking to me, as someone who did this for almost fifteen years, without ever even wondering about the legality of it.
The doctor retired some years ago, at which point there were two other doctors in the state who were willing to prescribe the medications for transgender kids. I truly think that he would still be working if nobody else had been willing to take those kids on as patients. He was, by the way, a white cisgender heterosexual Boomer. I remember when he was introduced to the concept of ‘genderfluid’ because one of our patients on HRT wanted to go off. He said ‘that’s so interesting!’ and immediately went to Google to learn more about it.
I watched these kids transform. I saw them come into the office the first time, sometimes anxious and uncertain, sometimes sullen and angry. I saw them come in the subsequent times, once they were on hormone therapy, how they gradually became happy and confident in themselves. I saw the smiles on their faces when I gave them a gender marker letter for the DMV. I heard them cheer when I called to tell them I’d gotten HRT approved by insurance and we were calling in a prescription. It was honestly amazing and I will always consider the work I did in that red state with those kids to be something I am incredibly proud of. I was honored to be a part of it.
When I see all this transgender backlash, it’s horrifying, because it was well on the way to become standard and accepted treatment. Insurances started to cover it. Other doctors were learning to prescribe it. And now … it’s fucking illegal? Like what the actual fuck. We have gone so far backwards that it makes me want to cry. I don’t know how to stop this slide. But I wrote this so people would understand exactly how steep the slide is.
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