lugarn
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nsfw // just here to have fun // bad at tagging // minors fuck off
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one of the deans in beijing dance academy rehearses with students
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i mean this in the nicest way possible you guys but you NEED to take better care of yourselves online. getting severely anxious about mass quantities of horrible things you cant change every single day is normal considering the internet’s ability to educate on worldwide issues, it shows that you have empathy and that you truly do care. but relentless knowledge of constant suffering on this scale is NOT something humans are psychologically equipped to handle. it’s okay to shut off. it’s okay to just take a break and enjoy yourself for a while in your own localized space
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hello again (bill clinton limewire voice) my fellow americans
There are a few states that actually have Shield/Refuge laws designed to help trans people fleeing from trans-unsafe states, which also guarantee trans folks access to healthcare. These states are:
California
Colorado
Illinois
Oregon
Vermont
Washington
Minnesota
New Mexico
Maine
Massachusetts
Rhode Island
Connecticut
Washington D.C.
Additionally, some states have "trans sanctuary" executive orders signifying safety for trans folks seeking healthcare. These states are:
Maryland
New Jersey
New York
Living as a resident in these states means you are protected by state's rights and state government to continue or begin receiving trans healthcare. These laws have been codified in their states so everything has been a-ok'd by their state governments.
Stay alive. You got this. I love you.
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whenever rich people are good at something i dont care. yeah anyone would be that good with those resources. if you weren't, that would just be pathetic.
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You’ve heard of “don’t monetize your hobbies”; get ready for "don’t master your hobbies".
Your hobbies are here to help you decompress and have fun. They do not have to be disciplines you toil over for expertise, unless that is something you genuinely enjoy doing.
It’s okay to enjoy language-learning without ever becoming fluent, or even conversational. It’s okay to like playing guitar even if you only know a few clumsy songs. You can read books and never finish them, bowl without ever scoring even halfway to perfect. We’re here to explore and play, and we cannot do that if we’re chasing perfection in everything we do.
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do you all see my vision here
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for me internet friendships are “we don’t talk all the time but I see you’re online and it makes me happy” and I really hope it’s like that for everyone
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Ada Limón, “To Be Made Whole”, On Being with Krista Tippett
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Love in the big city and HIV
So, I have recently watched one of the best dramas of the year, “Love in the big city”, in which HIV is a major theme.
The show portrays really well the stigmatized scenario around HIV: as a person living with the virus, Go Young feels exactly as if he's carrying some kind of curse. He can't accept it, but who can blame him for that, if "Kylie", as he calls the virus, is always around like an inconvenient person? In his sex life, while applying to a job, and even while hanging out with friends.
Society doesn't make it easy for a person living with HIV to accept the condition and that's essential when it comes to healthcare, which is what I want to address today.
First, let me introduce myself: my name is Nico and I'm a Medicine student in Brazil. Here, we have probably one of the biggest public health system in the world, the Unified Health System (a.k.a. SUS). In this essay, I intend to share some general information about HIV, its treatment and prevention, by using some parts of “Love in the big city” to discuss this theme, because although the show did an amazing job when it comes to talking about it, there are some points I found needed some better explanation.
HIV is a sexually transmitted infection (STI) that can also be transmitted by the contact with infected blood (e.g: incompatible blood transfusion; use of shared needles) or from the mother to a child inside the womb or during labor. The virus uses a specific type of immune cell to multiply. Explaining it in a very simple way, he gets inside the cell, uses its components to produce new viral copies and then ruptures the cell membrane to release these new copies in the blood, killing the cell by doing so. For this reason, untreated HIV is very dangerous, since it can cause immunodeficiency (failure of the immune system), making the person susceptible to acquire opportunistic infections, which are diseases that usually don’t occur in people with regular immune systems. When someone has immunodeficiency caused by HIV, this person is diagnosed with Acquired ImmunoDeficiency Syndrome (AIDS). That being said, AIDS and HIV are not the same. There are many people living with HIV that don’t have AIDS, thanks to appropriate treatment.
There are multiple ways a person can discover about having HIV: you can be notified because the person you have had relations with discovered the infection, or by taking blood tests for blood donation, or in the worst case scenario, when you are already suffering from an opportunistic infection. Go Young, for example, discovered it because of the blood tests results while he was in the army. One thing I found very outrageous was that the physician instantly inferred that Go Young was gay because of that, but this is impossible, since anyone can get the virus, regardless of their sexual orientation. This appointment was like a death sentence: the unempathetic doctor as a ruthless judge, blaming the patient and not offering a single word of comfort. (Quite the opposite: he even asked that very intimate question about sex positions. Seriously, I wanted to punch this doctor so hard.)
Nonetheless, even if it was made in a very inappropriate way, diagnosis is still very important, because that is the only way one can have access to treatment. Each patient must be evaluated separately, since treatment may vary due to the different genetic subtypes of the virus and the person’s own body response. Medication can also be adjusted until satisfactory results are accomplished. Overall, all patients are submitted to a lifetime antiretroviral therapy in order to stop the virus from multiplying and to keep immune cells at a higher level. In the series, we can see Go Young asking for any antiretroviral in a pharmacy, but in real life, he would be very specific about the drugs.
If done properly, treatment can provide quality of life and long life expectancy (very similar to people who don’t have HIV), prevent opportunistic infections and, most importantly, transmission! Yes, that is exactly what you read: treatment can result in really low levels of HIV in the blood, which is called “undetectable viral load” if it happens for at least six months. There is even a saying which goes “Undetectable = untransmittable”. In this scenario the patient can even have sex without a condom with their partner, which is what happened with Go Young and Gyu Ho in the series. However, it is important to mention that this only applies to HIV: one can still get other STIs while having unprotected sex.
In addition to condoms and proper treatment, there are other ways of preventing HIV infection. Susceptible people can use the pre-exposure prophylaxis (PREp) medication, which highly reduces the risk of getting HIV from intercourse (and also from blood contact in a less effective way). There is also the post-exposure prophylaxis (PEP), which can prevent infection if taken within 72 hours after possible exposure. Treating other STIs, not sharing needles, using lubricant (less chance of injury during intercourse) and avoiding sex while in use of alcohol or drugs are some other habits we can do ourselves to minimize the risk of acquiring HIV.
Nevertheless, individual actions can help only until a certain point, given that the best prevention is the “combination prevention”, which includes not only behavioral and biomedical approaches, but also structural interventions. Every country should have their own public policies to assist people living with HIV and to prevent transmission. I’m proud to say that, in Brazil, thanks to our public health system, everyone has access to condoms, lubricants, tests, treatment, PREp and PEP - all free of charge. The system also has policies of damage control, providing all of these strategies to the population of risk, such as sex workers and people with a substance use disorder, including kits with individual needles to prevent sharing and, consequently, blood transmission. No wonder we are an international reference for HIV/AIDS treatment and prevention.
To conclude, I also need to remind you that you can actively help in this cause by simply showing support. As we all watched in “Love in the big city”, a person living with HIV faces all kinds of prejudice in society. Go Young carried a heavy burden for years, not being able to share it with anyone until Gyu Ho embraced him. Sometimes, patients have these prejudices themselves and it can deeply hinder treatment. I have seen this myself: a patient that denied the diagnosis and returned to the hospital sometime later with a severe health condition.
You can be the person that will accept and embrace this other person, who is only living with a chronic condition, such as many people who live with hypertension or diabetes, for example. You can be the person that will call out on others for their preconceived opinions. You can be the person who will share high-quality information to your friends, family, fellow workers or students (There are links in the last paragraph with reliable information for those who want to do some further research).
Finally, I can’t stress enough how much I loved “Love in the big city” for addressing so many types of love and so many sensitive topics, including this one, in such a beautiful way. It has been a long time since I had felt so connected to a story, to a character so human like Go Young.
I hope this essay provided a little bit of information to you. I mostly used the knowledge I have learned in college and sites of well-recognized organizations, such as the UNAIDS, the World Health Organization (WHO) and, for the Portuguese speakers, the Brazilian Ministry of Health (Ministério da Saúde). Thank you for reading, and please, feel free to send me any questions you might have, I’ll do my best to answer them. Also, if you notice any English mistakes, please let me know so I can correct them.
#love in the big city#HIV#this post convinced me to watch the show when one thousand comparisons to QAF did nothing#i didn't even know it involved HIV#and HIV is apparently a major theme??#how are people just never talking about this part?
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"omg [asian media] is just like [popular western media]"
"omg [asian media] is just like [the one or two asian media that are disproportionately popular in the west]"
#there's a book club going on right now that's super bad about this#and i have filtered so many tags but the posts still get in somehow#tumblr knows i am a hungry whore for meta
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"omg [asian media] is just like [popular western media]"
"omg [asian media] is just like [the one or two asian media that are disproportionately popular in the west]"
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If you're feeling anxious or depressed about the climate and want to do something to help right now, from your bed, for free...
Start helping with citizen science projects
What's a citizen science project? Basically, it's crowdsourced science. In this case, crowdsourced climate science, that you can help with!
You don't need qualifications or any training besides the slideshow at the start of a project. There are a lot of things that humans can do way better than machines can, even with only minimal training, that are vital to science - especially digitizing records and building searchable databases
Like labeling trees in aerial photos so that scientists have better datasets to use for restoration.
Or counting cells in fossilized plants to track the impacts of climate change.
Or digitizing old atmospheric data to help scientists track the warming effects of El Niño.
Or counting penguins to help scientists better protect them.
Those are all on one of the most prominent citizen science platforms, called Zooniverse, but there are a ton of others, too.
Oh, and btw, you don't have to worry about messing up, because several people see each image. Studies show that if you pool the opinions of however many regular people (different by field), it matches the accuracy rate of a trained scientist in the field.
--
I spent a lot of time doing this when I was really badly injured and housebound, and it was so good for me to be able to HELP and DO SOMETHING, even when I was in too much pain to leave my bed. So if you are chronically ill/disabled/for whatever reason can't participate or volunteer for things in person, I highly highly recommend.
Next time you wish you could do something - anything - to help
Remember that actually, you can. And help with some science.
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at an old job there was a program for helping immigrants naturalize into citizens, and we would have a little party every election because it was always somebody's first time voting. cake, balloons, everything. we went all out because every election day somebody had worked really fucking hard be able to cast that ballot and we wanted to celebrate alongside them.
carry that with y'all in your chest: it's an immigrant's first time voting, every single election day. if you can't be excited for yourselves--i get it, it's hard--be excited for them. vote in solidarity with them.
“I’m tired of voting every 4 years”
You’re 26 and there’s 80 year old black women who remember a time when they couldn’t vote but STILL aren’t tired of it. Maybe it’s a skill issue on your part.
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