ive never told a joke once in my life people just keep laughing at me - im in my early 20s - they/them - - - art blog is kcrossvine-art - - - ko-fi.com/kcrossvine
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i know a lot of people mock when certain songs are overused on character playlists but I will never judge someone for putting bubblegum bitch on one. If you decided that your little tv guy is miss sugar pink liquor liquor lips who am I to say he’s not
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does anyone else have dark memories of listening to the radio as a child
#yes but theyre all sound effects from disc jockey transitions#and then later it was 60s radio dramas
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whar oh no
i just saw and heard a fucking explosion hello??????
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i just saw and heard a fucking explosion hello??????
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WHAT IS YOUR FAVORITE PARASITE?
hmm. that’s really hard & I could probably provide more interesting answers for each type of parasitism
aside from silly parasitoid life cycles like trigonalid wasps, I really like greater honeyguides as brood parasites.
they are a funky passerine-looking woodpecker relative, and adults have developed a mutualism with humans in which the bird leads humans to beehives, and when the humans take the honey and leave the nest broken the honeyguide eats the larvae, pupae, and bizarrely the wax. they’d be a great bird for the wax-digesting alone, but…
they start out as really hardcore brood parasites. they’re plump little goblins with hooked bills that go around stabbing and biting to death any of its adoptive siblings (all while completely blind), leaving the host family with just the honeyguide to raise. their Biting The World behavior is so strong they’ll clamp onto human hands, as shown.
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A New "Evil Island" Has Been Discovered in the Galapagos - And Yep, The Finches There Evolved to Kick Babies
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favorite parrot activities
pick item up with beak and throw it to the ground
pick item up with feet and throw it to the ground
knocking things over
hitting objects with their beak in search of the loudest noise they can make by doing this
using their beaks as little hole punches on any paper they can get their hands on
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a weird thing is that we got waves of people going "who cares if its cringe or youre annoying! have fun!" but no one really learned how to accept the fact that some people will find you annoying or think your art or your work or posts or anyrhing sucks and thats ok. rather it just became a weird "if people think youre annoying theyre just morally bad. let people enjoy things!". like no i think this yes man only biome sucks and people are allowed to not like artstyles and shows and media and other things
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me ohhhh id really love to make a wish right about now....
the delightful dandelion:
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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.
#i was put on hormone blockers at the age of 8#in florida and with a severely bigotted family#because i started puberty early and it was just understood that itd be better psychologically and also physically to delay it a few years#fear and dread at the rise of facism do not begin to describe my feelings
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Them: stop posting butch and femme Anthony Bourdain
Me:
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