aetherspoon

[aetherspoon]

Daughter of fantasy villains decides to rebel against her parents by actually going through with her arranged marriage to a local golden retriever of a prince instead of running off with some local villain-to-be or conquering said golden retriever’s kingdom and ruling it solo like her parents expect her to. Plus, sue her, she’s into the clean-cut earnest look.

At the same time, local prince charming discovers that he’s actually very into the gothic fiance his parents have landed him with in order to try and establish peace with the local evil lair down the lane, he would never have guessed a spiderweb pattern could look so fetching on a ball gown…?

Meanwhile, two pairs of parents in a tizzy because they both expected their offspring to whole-heartedly reject this union and give them an excuse to conquer their goody-two-shoes/evil neighbours, they’re not supposed to actually like each other-!

[aetherspoon]

And now it is live - welcome to Age of Wonders, a game by The Gathering of Developers back in 1999. Basically a hybrid between Master of Magic and Heroes of Might and Magic, this is a 4X Tactical Fantasy game with a few weird modern features. Like 4k resolution support.

[aetherspoon]

It begins...

>_>

Also, seriously YouTube, I uploaded the file in less than ten seconds, you really need to process videos faster. And not just for the big creators, but the randos that hate ads like myself. By the way, speaking of disliking Google, any suggestions on secondary platforms I can upload videos to? YouTube is the only major Google service I still use, and I don't really have an alternative if they decide to yeet my channel into orbit.

[aetherspoon]

[aetherspoon]

[aetherspoon]

[aetherspoon]

Is your name a non-English name?

[aetherspoon]

Game which initially appears to be a conventional RPG with an unusually extensive tutorial chapter, complete with a helpful tutorial fairy who provides encouragement and explanatory tips and resets you to the nearest checkpoint each time you die. However, the things that kill you become progressively more unfair and unlikely with each reset, and the fairy's explanations increasingly flimsy, until it's revealed that the fairy has been teaching you the game's mechanics incorrectly on purpose in order to trick you into killing yourself. The game then transitions into a time-loop horror scenario where your objective is to figure out how the game's mechanics really work and complete the tutorial properly, thereby passing beyond the tutorial fairy's grasp.

[aetherspoon]

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.

[aetherspoon]

SANTA THE UNION MAN 😭😭

[aetherspoon]

10/10 no comments

[aetherspoon]

I think Gastronauts on Dropout is the cooking show that has made me truly appreciate the skill of professional chefs more than any other cooking show.

Like I don't know if it's because the challenges are so crazy or the fact that the judges don't have any professional input whatsoever (they're all comedians), but the combination of how utterly stoked the judges are to be eating this food and how creative the chefs get to be really works to make you marvel at just how skilled a professional chef has to be.

Other cooking shows always have a level-voiced narrator listing out shit like,

"Rebecca is doing a praline-mint ganache with a Twiffly Street stir-up, combined with a gestelle Santa Maria sponge technique."

And it's fun to pretend like, 'Ah, yes. Of course! A classic of the genre! He'd be a fool not to!' as though I know anything about cooking or baking.

But on Gastronauts, it's a bunch of comedians who would really graciously appreciate some fancy food, watching chefs cook and going, like,

"What is that? What is he doing?? It's like- like a swishy thing! Like a fancy swishy thing!!"

"OH MY GOD YES, HE'S USING ONIONS."

"Ooo! Crunchies!??"

And then the chefs get to come out and formally present their food, which makes them look very smart. And these actors who generally can't afford Michelin star cuisine are just :DDDD!

And it's like, oh yeah. This is about my level, yes. This conveys how normal people who don't eat good food for a living would actually react. And it's super chill. It's good vibes, that show. 👌

[aetherspoon]

I think the reader's response to this post is probably going to either be "That's incredibly minor" or "Holy shit YES I'M ALSO PROUD", depending on people's personal experiences with academia, but:

Today I am incredibly proud of one of my students.

In the interests of disguising identities, let's call them Ceri. Ceri is one of my third year undergrads (meaning their final year, for anyone unfamiliar with UK uni systems.) They transferred to us last year, and within two weeks I was giving them the contact info to get to Student Services and get themself screened for ADHD; they have some mental health struggles, but I clocked pretty quickly that they STRUGGLE with procrastination, and punctuality, and attending 9am lectures in particular. Naturally, as is the way of my people, it took them a further four months to remember to go to the screening. Lol. Lmao. Rofl, in fact.

But, they did it eventually! Their screening lit up like a Christmas tree at the ADHD section, and they got a free laptop and optional one week extensions and a study support worker named Claire. This has helped tremendously, and although mental health + until-then-unsupported ADHD meant their academic profile had slid sideways somewhat, with the new tools available and a couple of resits they passed the year and hit this year running.

Until, that is, the last fortnight.

Now, I take them for a Habitat Management module that has two assessments: an academic poster presentation before Christmas, and a site-specific management plan in May. Naturally this means we are at that happy point in the year for the poster presentations. I give out the briefs at the start of the year, so they've had them since October; I've also been periodically checking in with them all for weeks, to make sure they don't have any major burning questions. The poster presentation was to pick a species reintroduction project, pull the habitat feasibility study out of it, and then critique that study; Ceri chose to look at the hen harrier reintroductions proposed for the southern UK. All good.

Which brings us nicely to today! Ceri's presentation is scheduled for 2.30. At 11am-1pm, I am lecturing the first years on Biodiversity, while Ceri is learning about environmental impact assessment with a colleague I shall call Aeron. This means we are separately occupied during those same hours.

Nevertheless, Aeron messages me at about 12.

"I think Ceri needs to see you after your lecture," he writes. "They're panicking, I genuinely think they might cry. I'm worried. Are you free at 1?"

I say I am. At 1, I get lunch and sit in the common area; Ceri comes to see me. To my personal shame, imagine all of the following takes place while I stuff my face with potato.

Now: this part is going to be uncomfortably familiar to anyone who has ever tried higher education with ADHD, especially unmedicated. It certainly was for me. All I can say is, I never had the courage to take the step here that Ceri did.

"I have to confess," they said quietly, and Aeron was right, they were fighting back tears. "My mental health has been so, so bad for the last fortnight. I've left it way, way too late. I don't have anything to present."

"Nothing at all?" I asked.

"I've been researching," they said helplessly. "I found loads on the decline of the hen harrier. But it wasn't until last night that I finally found a habitat feasibility study to critique. Generally... I've been burying my head about it, and it just got later and later. I thought I should come in for Aeron's lecture, and I should at least tell you."

This part is a minor thing, right? But honestly, I remember being in the grip of that particular shame spiral. I never did manage to tell my lecturers to their faces. I just avoided. I honestly can't imagine having the courage it took them to come in and tell me this, rather than just staying home and avoiding me.

"I think..." they said hesitantly, "I know I can submit up to a week late, for a capped mark. I think I need to do that, and apply for extenuating circumstances. But then I'll have both Aeron's assignment and yours due at the same time."

Which meant they would crumble under the pressure and likely struggle to pass both; so me, being as noble and heroic as I unarguably am, stopped eating potato and said, "Let's make that plan B."

(It was good potato. I am a hero.)

So, we made plan A: I moved their timeslot to 4.30, giving them three and a half hours. The shining piece of luck in this whole thing was that this was the crunch time assignment - if it had been Aeron's, they'd have had to try and write a 3000 report in that time. But for me, all they had to write was an academic poster, and those things are light on words by design. We found them a Canva template, and then we quickly sketched out a recommended structure based on the brief: if it's habitat feasibility, look at food availability, nesting site availability, and mortality risks in the target release site. Bullet point each. Bullet point how well the study assessed each. Write a quick intro and conclusion. Take notes as you go, and present the poster itself at 4.30.

"You think I should try?" they asked doubtfully, looking like I'd just asked them to go mano-a-mano with a feral badger.

"If you run out of time, so be it," I said. "But your brain is trying to protect you from a non-existent tiger. That's why you've procrastinated - it's been horrible, and you've been shame spiralling, and your brain is trying to shield you from the negative experience; but it's the wrong type of help for this situation! So while you're sitting there working on it, hating life, every time your brain goes 'This is hopeless, I can't do it', you think right back 'Yes I can, it just sucks.' And you carry on. Good?"

"Good," they said. "I'm going to mainline coffee and hole up in the library. Enjoy your potato."

And then, of course, I had to go and watch the other students' presentations, so that was the end of me being any help at all. I spent all afternoon wondering if they were going to manage it, or if I would be getting a message at 4.25 telling me they'd failed, and would have to submit late and hope for an EC.

And Tumblrs

Tumblrs

Let me FUCKING tell you

They turned up at 4.15, fifteen minutes early, wearing a mask of grim, harrowed determination and fuelled by spite and coffee, and they pulled up that poster and started presenting and yes, okay, I'll admit their actual delivery was dramatically unpolished and yes, they forgot to include the taxanomic name for the hen harrier on the poster and yes, fine, I admit that there were more than a few awkward moments where they lost their place in their hastily scribbled notebook but LET ME FUCKING TELL YOU -

They smashed it. It was well-critiqued, it had a map, it had full citations, it had a section on the hen harrier's specific ecology and role in the ecosystem, it had notes on their specific conservation measures. They described case studies they'd read about elsewhere. They answered the questions we threw at them with competence and depth. There was analysis. All that background research they'd done came right to the fore. They were even within the time limit by 15 seconds.

You would never have known they'd produced it in three hours, from a quivering and terrified mess fighting the bodily urge to dehydrate via tear ducts. After they left, the second marker and I looked at each other and went "So that was a 2:1, right?"

I caught up with Aeron downstairs and he was beaming. Apparently Ceri had seen him on their way out, and had gone over to talk to him. Aeron said the difference between the Ceri of this morning and the Ceri of then was like two different people; in four hours, they'd gone from their voice literally breaking as they admitted the problem, ashamed and broken, to being relaxed and happy and smiling.

"I reckon I've passed," they apparently told Aeron, pleased. "Maybe even a 2:2. There's things I wish I'd had the time to do better, but I'll be happy if I passed."

They won't know until late January what they got, because we're not allowed to release marks until 20 term days after hand-in, and the Christmas holidays are about to hit. But I'm really hoping I can be there when they're released.

But mostly, I'm just... insanely proud of them. I cannot tell you how happy I am. And I know, I know, obviously this is not a practice I would want to see them do regularly, or indeed ever again, and it only worked because they were fucking lucky with the assignment format, but like... when life is just punching you in the face, and you hit a breaking point... isn't it nice? That just this once, you pull off a miracle, and it's fixed? The disaster you thought was about to ruin you is gone? To get that relief?

Anyway. Super super proud today.

[aetherspoon]

Blogging this tweet because this explains SO MUCH about the mindset of pretty much all the folks I’ve known who’re against single-payer, it’s not even funny…

[aetherspoon]

[aetherspoon]

AN EXTREMELY NICHE VERSION OF RUNNING OUT INTO THE STREET AND GRABBING PEOPLE BY THEIR COLLAR AND YELLING

ADOBE GOT RID OF BACKWARDS COMPATIBILITY IN INDESIGN 20.0

IDMLS ARE NO LONGER BACKWARDS COMPATIBLE

DON'T DO IT

DON'T UPDATE

edit: i retained version 19.5 but completed all changes on 2 projects in ver 20.0 so I just..... have to redo them in 19.5 ('､U_ヽ)＿

also if you copy-paste a text box from 20.0 into 19.5 it turns into a mis-sized graphic object ('､U_ヽ)＿