#Medical File

[thebibliosphere]

Still not over the head of cardiology, who said she wouldn't formally diagnose me with dysautonomia because she didn't want me to think of myself as disabled.

As if good vibes and a can-do attitude can stabalize autonomic dysfunction.

[amarriageoftrueminds]

View on Twitter

Since it came up recently, link to that therapist on twitter 👆 who was discussing Bucky's terribile therapist in TFATWS and how they should’ve been. 

Transcript:

"As a therapist myself I've had a lot of feelings about Bucky's therapist on TFatWS, and have decided I need to rant a little to let it all out. I've worked w/active duty, trauma survivors, and court ordered clients, so here's some therapeutic conjecture on Bucky's therapy:

Aesthetically her office and presentation don't fit for someone who has been through the trauma that he’s been through. A client like this would need something non-threatening and safe- the whole vibe is overly formal and official in an office building, not at all therapeutic.

6 months working together she calls him Mr. Barnes and then James-he has identity issues and is struggling with who he is, so I think that one of the 1st things they would have done is figure out what he is comfortable being called, by whom and what that means for him.

He is still full out lying to her about pretty much everything including PTSD sx—I’m not saying clients never lie if they have good therapists, but if after 6 months he still doesn’t feel like he can be truthful at all then they haven’t built any trust/ solid therapeutic rapport

The pen and notebook thing-that’s clearly a trigger for him, there’s no reason to antagonize him and take notes in session like a punishment, it’s a power play on her part and it only emphasizes his lack of control in being forced into therapy (she should know his hx w/notebooks)

The whole little arm motion she made when she said “they need to make sure you don’t…” – that made so much light of what has happened to him, he probably feels like his arm is only good as a weapon and things like that will not help him accept it as part of his body

The rules, UGH the rules—from how they were talking about them clearly not something he actively created for himself, more like directives that he’s been ordered to adhere to—something fed to him and reinforced, feels like a way to sign off on liability only

THE AMENDS—this is probably my biggest issue. Amends are for people who need to take accountability for their actions and the repercussions of those choices. He had NO choice. He was a victim of horrific crimes against him, and framing it in a way that he needs to make up for

the crimes that others used him for is abhorrent. The lack of trauma informed care as astounding in the way it is being framed that he has to atone for sins that weren’t his. Its clearly reinforcing the idea in his head in ep 2 when he says “HYDRA were my people".

NO, HYDRA were your captors. They were not your people. That type of thinking needs to get deconstructed and challenged. He can dedicate himself to bringing good into the world and righting wrongs that happened WITHOUT taking on the responsibility of those actions.

Her whole attitude and demeanor were condescending and demeaning. I know some people have said “I love how she calls him out on his bullshit!” That’s not what I see happening. I call my clients out on their shit all the time—this was not that.

And I can only do that with clients ONCE we’ve built the type of relationship where it’s going to be therapeutic for them to hear it, and it’s done intentionally and with purpose. She just came off shaming and mean because they don’t seem to have any form of therapeutic rapport.

She said “you have no history, no family”- there is no therapeutic reason for that, and she’s wrong. He most likely has family alive (he used current tense when talking about his sister) and he was close to Shuri and TChalla, his history is vital to understanding him

When she said “Look, I know that you have been through a lot, but you’ve got your mind back. You are being pardoned. These are good things. You’re free.”—Yeah this feels really dismissive and like toxic positivity. “I know you’ve been through a lot BUT BE HAPPY!!??”

He certainly doesn’t seem to feel like he’s free (especially having therapy mandated), and you can’t just tell someone they’re free. I felt like she was pretty much just like, “shake it off, look to the future!” which feels really shitty when you’ve experienced excessive trauma.

HELLO breach of confidentiality, just introducing herself to Sam as his therapist and confirming it to Walker and the whole police station, it doesn’t matter if they know he’s in therapy you do not break someone’s privacy like that, he still deserves some control over his tx.

Ordering Sam into a session, NO, he’s not your client and you don’t know him well enough to know if that’s appropriate or if it would be harmful to either, and you haven’t asked your client for his consent to have another person in his session

Forcing a trauma victim who was stripped of his bodily autonomy for 70 years into a physically intimate exercise with a coworker that he’s barely interacted with in the last several months? NOPE, just reinforcing to Bucky she has control over him the way his handlers used to

To me, I think she is more focused on signing off on his psychological eval that he isn't a liability rather than any actual healing or attention to his trauma. This unfortunately isn’t unusual in the military where “mental health treatment” is focused on being mission ready.

They are making sure he’s ready to be an “asset” w/ mandated therapy, which he shouldn’t even be forced to do as part of his pardon because he shouldn’t have needed a pardon at all because he was a victim of horrific war crimes, brainwashing, and dehumanization for 70 years.

I’m just saying, if that was me he would be on my big squishy couch, bright open windows, bowl of Hershey kisses, random fidget toys, and two therapy dogs laying all over him while we work through that trauma and he builds back his identity and finds the calm he wants so badly.

And yes he would probably need someone who would see through his BS, call him out when he needs it, not be overly "touchy feely", but only if he feels safe and there is trust, where he gets to work on what HE wants, not what others think he needs.

Anyway thanks for coming to my TEDTalk, I❤️my work and I think being a therapist on retainer for the Avengers would've been a fucking trip, they all needed a team of mental health professionals at their disposal 24/7 and things would've been so much better🤣

ps. They can be a good therapist and just not be a fit for the client, that happens regularly. We know when to make it part of the conversation and when to refer out. Nothing good is going to come out of a contemptuous therapeutic relationship, mandated or not.

pps. That whole situation and the scene with Zemo was so rough. I can't imagine how much it brought back the violation, humiliation, anger, and helplessness of when he was the WS. I'm just imagining him having a therapist he trusts and being able to process that afterwards 😭😭😭"

[fortjester]

screenshot of a poll by @kobolde from may of 2023 that i took for tlt meme purposes and left to rot in the depths of my files for over a year lol

[miabuysvideotapes]

Sketches of the mercs in a 1950s cartoon art style

[zarla-s]

I never posted this old space-themed TF2 comic here before did I? enjoy heavy and medic bickering... IN SPACE!!! This was before Meet the Medic so no one really knew what Medic would be like, he’s too grumpy here! But how could I have known, haha.

I wanted to have the other three in here as well but I thought it’d make the last panel too busy. If you’re curious, Soldier and Demo would have crashed their rocket into a planet and would be pressing Engie to fix it, hehe.

[patreon]

[windwenn]

The transgenderification beam is back baby

[hoodoptish]

some strange doodles ok

[butchfortress]

HALLOO I am absolutely in love with your art, it's so adorable and very clean (if that makes any sense at all djjdjfh)

If your requests are still open, could we get some hugging heavy and medic? Or just medic being the madman that he is.

Once again, I absolutely LOVE your art it makes my day whenever I see it, keep up the good work!! And I hope you are doing well !

AW THANK YOU <33 i feel terrible that this has been sitting in my inbox for so long but im glad to hear my work is making a positive impact!!! and i'm doing good, ty :o]

[izzystizzys]

Echo’s world has gone decidedly… wobbly. Blurry. Fuzzy at the edges, and what-will-you-else. He can’t feel his fingertips, is his first thought. Kriffing overdid it on the glowing green shots, is his second.

“Holy kriff, Echo, that manhole-cover underneath you is moving!”, Fives exclaims, third. Or more like slurs into Lt. Jesse’s shoulder, who is himself moaning indistinctly into the Captain’s pauldron, who is in turn swaying back and forth gesturing at Commander Cody.

And it really is - the manhole cover, that is, once Echo stumbles off it with a shriek. Jumping up into the now open air with sudden force, steadying and then scraping across paveme-

“Are those kriffing hands?!”

In an instant, seven highly drunk pairs of fists and one blaster, courtesy of Commander Cody (the only one present who’s sober enough to be legally handling it) are aimed in a circle around the cover slowly being shuffled to the side, then the hands reaching up to palm at the edges of the hole -

- and are slowly being lowered again when two white-red painted helmets are heaved into view, along with chest-deep groaning and grunting. Two armored Corries collapse in a heap at Commander Cody’s feet, who stares down at them in open-mouthed shock.

Slowly, Echo blinks. Slowly, he raises a hand to snap his fingers in front of his face. No, still there. Slowly, Fives grabs for a piece of flank underneath his blacks and twists. Echo yelps, and slaps his hand away hard enough to hurt himself. “OI!”

“B’have, boys”, Captain Rex makes a brave attempt to slur out as he sways on his feet, still staring down at the trembling heap of armor at their feet. Whoa, Echo didn’t know they had those kinds of funky armor designs in the Guard. Very avant-garde.

“That’s blood, Ey’ika”, says Appo.

Oh.

Slowly, Hardcase raises his right foot, inching towards-

“Don’t even think about it”, Commander Cody snaps, and Hardcase’s foot whips back to the ground next to its companion. Fives chortles. “Yeah, genius, those are Commander kamas - they’d put you down in a second flat!”

“Why would two Corrie Commanders go crawling out of holes in front of 79’s, huh, genius?!”, Hardcase retorts, somewhat justly, Echo feels. Next to him, Commander Cody frowns, and kneels carefully. “Good question, trooper. Fox, can you hear me? Fox’i-“

Which is when one of the bodies - Commander Fox, Echo realizes with a shudder, The Marshall Commander Fox - convulses on the ground, and an arm rears up to nail Cody face-first with the back of a hand, sending him sprawling back into the pavement with an undignified squawk.

“Thorn”, the sad figure that is the highest decorated clone in existence groans, still faceplanted into pavement, “Thorn, I’m hallucinating Cody. Thorn, tell him to shut up.”

“Shuddup”, Commander Thorn heaves, loyally. Cody makes an affronted noise, braced back on his shebs. “Sdubid Codeh.”

Commander Fox’s visor scrapes against the ground with his nod, a sound that sends the surrounding vod’e cringing. “Yeah, you go, Thorn. You’re my favorite.” A considering pause. “Oh, kark. I need to call in medevac - Fox to Stabby, Fox to Stabby - the kriffing Narglatches are back on the lower levels.”

The Commander’s comm crackles to life, as he heaves himself over with a punched-out moan - oh, yup, that dark patch’s definitely not paint, and are those teeth marks?! On plastoid??

“I’m going to wring Senator Hliii’s neck, and then I’m going to twist him into a human kriffing meat-lasso to catch every last one of his little pets with”, sounds through Fox’s comm, who just hacks out a laughcough in response. “Pinging your location now. Where’s Thorn?”

“Pr’snt”, slurs Thorn.

“Concussed”, adds Fox, “We crawled out forty levels to behind 79’s, so no one would see us.”

Awkward silence follows.

“Uh, about that”, begins Rex, only to be interrupted by a deep groan from Fox.

“Oh, you’ve got to be kriffing kidding me! As if Cody’s ugly mug wasn’t - WHAT THE KRIFF ARE YOUR KRIFFING ARC KARKHEADS DOING IN MY HALLUCINATION, REX?!”

“Shuddup, Rex”, Thorn moans bravely.

[saintundying]

rewatching the first 10 minutes of s1ep1 since the end of s2 and i'd forgotten that in the first five minutes they hint HARD that the end-goal for daniel was being turned. that's absolutely what he meant with "worthy of my story now". louis would let him hear his cautionary tale, they'd tell him they let him live out a full human life, and then turn him. it's absolutely how louis sold letting the interview happen to armand. louis just always had another card up his sleeve.

louis knew something was wrong with his life and he hid his fears behind the one person he knew armand could be distracted by.

[novafire-is-thinking]

How To [Actually] Write a Combat Medic

…according to combat medics and those who know them - Part 1/?

* * *

I’ve learned that the best way to get inspiration for characters in certain careers is to find firsthand accounts from people within those careers.

So, in researching for Pharma and Flatline, I found some combat medic skits on YouTube, and I am LOSING MY MIND at some of these comments:

Of course, not all medics are like this, and these commenters only represent a small part of the combat medic population…but I’m rolling with it because, at least in Pharma’s case, one of my goals has always been to keep a little bit of the Unhinged around.

It’s nice to know I can back that writing choice with reality. lol

[funkyjunkyfangz]

who even are these guys.

[gophergal]

Emesis Perfect Blue

Saw @louthewizard 's post requesting this crossover. Had to throw my hat in the ring since I love both of these movies

[rottoons]

sniper why do u get 4 girlfriends???????

this is an official image btw i know what u r

[is-on-its-way]

Scully wouldnt be a surgeon after season 8 or whenever you think the show ended. Firstly logically that would take too long to swap into that career shed need to train and everything and I just think surgery would get excruciatingly boring for her. The same thing every day day in day out…

but I can believe she would jump right back into practice internal medicine. That would not be boring, she could speak to people figure out whats wrong with them like new puzzles every day. she would, of course, be drawn to and infamous for finding the most bizarre and off putting cases. Things other doctors throw their hands up at. The people doctors dont have time for so they say youll he fine and send them off with a prescription for aleive and valium. So much so when a weird one comes in the nurses or ER drs automatically page her. If its not weird its not interesting she would be bored OUT OF HER FUCKING MIND with normal peoples problems. gastritis and angina and such. It would make her a dream doctor by the way, all the people, all the women, who get told theyre just anxious and theres nothing wrong with them… and their pain doesnt matter or is inside their head… she would listen, she would hear them, and you better believe she would search for the truth.

[spnscripthunt-inactive]

We're doing our last fundraiser for RIP Medical Debt and our goal is to raise $5,000 so we can erase $500,000 in medical debt here in the USA.

Just one $10 raffle entry erases $1,000 in medical debt with no tax burden to the recipient.

If you want the John Oliver segment to explain how this works:

All the details, including direct donation links to RIP and the link to submit your receipt to enter the raffle:

Raffle closes on November 5, 2023 at 11:59pm (EST)

Update 11/02/2023 @ 6:14 PM (Eastern): "$7,179.50 of $5,000 goal"

We added a separate tier of X-Files scripts and added a question on the Google form so we can pull those entries out for a separate drawing:

2X05 Duane Barry (Blue)

2X25 Anasazi (White-Full)

4X05 The Field Where I Died (White; Blue-Pages only)

4X14 Leonard Betts (Salmon-Pgs; 2nd Blue-Pages only)

5ABX19 Folie a Deux (Blue-Full)

🚨FOUR MORE RAFFLE PRIZES ADDED🚨

Supernatural: the complete blu-ray box set, donated by HanmeiCui (Twitter)

12.19 "The Future" (pink draft) signed by Jensen Ackles, Jared Padalecki, and Misha Collins donated by Kreespa (YouTube)

Curse Box (7.5") made by @thegreencooler

There'll Be Peace When You Are Done essay collection donated by @fangasmspn and signed by J2M, Gil McKinney, and Meg Donnelly.

Necklace made by @thegreencooler "Hey, Lunatic" - Amethyst flakes like a shattered bunker wall with a steel Men of Letters pendant. Adjustable: 17.5 - 22 inches.