#Prevents Deconditioning

[immaculatehomehealthcare]

Geriatric physical therapy is a specialized form of physical therapy that focuses on the unique challenges brought by old age. It differs from regular physical therapy programs where it caters to general problems pertaining to the muscle, joint, ligament, tendon, or bone. In addition, the decrease in muscle strength, coordination, balance, and reaction time as well as the low tolerance for physical activity of seniors are taken into consideration.

[sleepysleepysleepybaby]

me: ive been bedbound for six months

dr: have u tried getting up?

me:

dr: being upright is good for u to prevent deconditioning

me:

dr:

me: it was in fact the first thing i tried

[heytheredelulu]

Marvel Fanfiction Masterlist

| Smut ❤️‍🔥 | SFW Spicy 🌶️ | Angst ❤️‍🩹 | Fluff ✨ |

Imagines

Bucky Barnes x Reader 💙

Little Devil 🌶️

You’re tempting him to sin.

Ruin Me 🌶️

Say less.

Bucky @ Ulta 🌶️✨

You dragged him with you.

Five Senses ❤️‍🩹✨

You walk him through the grounding method.

I Gotta Take This 🌶️

Bucky wants to make an excuse to slip out of the mission briefing.

Simple

Bucky Barnes enjoys the simple things in life.

To Have and to Hold and to Fuck Whenever I Want

You really think a little bit of blood is going to keep your husband from having you?

Steve Rogers x Reader ❤️

Like Sin 🌶️❤️‍🩹

Your possessive boyfriend accuses you of cheating on him with his best friend- and you decide to rile him up.

Loki x Reader 💚

Yearn for You 🌶️✨

You’ve been friends since childhood, after all this time could he truly feel nothing for you?

Winter Rose Drabbles

The Winter Rose, an ex HYDRA assassin trauma bonded with Bucky Barnes in the aftermath of their deconditioning. They’re walking the fine line of love and friendship and both of them are too afraid to cross it.

Bucky Barnes x Winter Rose 🥀

Wounds ❤️‍🩹✨

Wash Over Me ✨

Fuck the Line 🌶️❤️‍🩹

One Shots

Bucky Barnes x Reader ��

Temptation ❤️‍🔥

You text your boyfriend a nude selfie while he’s working and now he can’t stop thinking about it.

Good Girl ❤️‍🔥

So close you could taste it- but only if you begged him well enough.

Wants and Needs ❤️‍🔥

You come home late from girls night knowing Bucky will still be up. You want need him and you’re finally going to let him know.

Little Bookworm ❤️‍🔥

Your boyfriend can’t think of anything more adorable than watching you read. One night while you’re in the shower he picks up the book you left on the nightstand: “Haunting Adeline by H.D. Carlton” and thumbs through it, very quickly realizing just what kind of books his sweet little bookworm is really into.

Watch Me ❤️‍🔥

Anon request: “could you do something enemies/rivals where bucky accidentally finds out that you have a mirror kink during a training session?”

Unbreakable ❤️‍🩹❤️‍🔥

You’ve always wanted to be a mother but your husband is too tormented by his past to believe he could ever be a good father. For so long you’ve accepted that it will never be in the cards for you- after all, it’s only a small price to pay to continue to live the life you’ve built with the man you love. But what happens when you finally admit that you want what he refuses to give you? Will you push him away with your confession or will you finally make him realize that he’s not the man he believes himself to be?

Unbreakable- The After Years ✨🌶️

The conclusion to your story.

Stucky x Reader 💙❤️

Untitled - In progress ❤️‍🔥

Multipart fics

Bucky Barnes x Reader 💙

Ready to Comply Part One ❤️‍🔥

Tony Stark's shy, curvy intern finds herself fighting for her life when the quiet and reserved ex-assassin she's been pining after for nearly a year has been activated by HYDRA and given the order to kill her to prevent the completion of the new tech she's been developing alongside Tony Stark and Stark Industries.

Ready to Comply Part Two ❤️‍🔥

The second installment of Ready to Comply.

Ready to Comply Part Three - In progress ❤️‍🔥

Teaser

Current Taglist (Taglist is open):

@littleone2001 @suz7days @truthfulliarr @lilacka @writtingrose @samsgoddess @loveisallyouneed1125 @vicmc624 @millercontracting @wildernessflora @mydorkyboys @blackhawkfanatic @honestlywork @ladyvenera @cavity-exe @ihavetwoholesforareason @km-ffluv @shortnloud @mrs-katelyn-barnes @somnorvos @22rhianna2006 @fanfictionreaderfan @misshale21 @angelbaby99 @deans-spinster-witch @kezibear @acornacreacure @wintrsoldrluvr @terry2227

To be added to my taglist for upcoming works, leave me a reply on this post.

[reimeichan]

What Does Healing With DID Mean?

I've seen a few posts recently where people talk about and explore what it means to heal and recover when you have DID. I thought I'd weigh in to that discussion a bit, based on the research I've read, the professionals I've talked to, and my own experiences.

Healing looks different for everyone. But what exactly does that mean? Healing does not inherently mean "achieving normality", as normality is a vague concept that may not even be achievable in some cases. As such, healing needs to be defined individually; what it means to heal and recover will thus naturally differ from person to person, system to system. Someone may wish to have access to all their memories and decrease amnesia. Someone else may wish to fully deprogram and decondition triggers they have instilled in them from years of trauma and abuse. Still another may describe healing for themselves as being able to live in a way that they actually look forward to the future. And these are just small examples of goals that people may have to define their healing experience.

And, similarly, the ways they may reach those goals may look different. One system may wish to fully fuse into a singular self in order to decrease amnesia, while another system may rely more on note-taking and other external ways to help their memory while keeping their parts separate. Or, maybe one system finds it beneficial to treat their alters individually in order to learn how to trust and work together, while another finds that treating themselves as individuals actually increases animosity between each other and prevents cohesion between parts. Or one system finds it beneficial to learn how to be at peace with being multiple and living with dissociation, as dissociation isn't inherently bad, while another strives to minimize dissociation as much as possible so that they do not slip back into maladaptive habits.

Whatever the case may be, it's up to the system and, potentially, their mental health team, to help them define and decide what their recovery goals are and how to achieve them. And that may mean that goals may shift, and tactics may change, as the system discovers what works for them and what they truly want, but it doesn't mean that any one "goal" or "tactic" is any more "correct" than another.

Ultimately, that means that while we as a community can try our best to give advice for what's been helpful for us to try to help others from potentially hurting themselves further, at the end of the day it's up to the individual and to the system to figure out for themselves what's actually beneficial and helpful for them, and what's preventing them from reaching their recovery goals. Instead of condemning each other for "healing incorrectly" or "being anti-recovery", I think it would be more helpful if we uplifted each other instead by encouraging good practices between each other and within ourselves.

[perplexingluciddreams]

I wish I have a place to sit that actually supports my hypotonic body properly. Every place I sit hurts my body and makes additional pain and damage.

My muscles get so fatigued, especially on the left side. And it makes such a deep hot ache in the muscles.

The best option I have is bed, sitting very reclined (closer to lying down than sitting) with pillows behind. I still slide down and have bad posture and it exacerbates pain.

I have a specialised chair downstairs, which my OT got for me. Unfortunately, it still doesn't work for me despite adjusting every possible thing on it several times. In fact, I can't even sit in it because it makes me so sore. I hoped for so long that I would get something like this to help me, and it still doesn't work at all. I know I am fortunate to even get this option, but it is really upsetting and disappointing that it doesn't help me. Not to mention how much of a struggle it is to get downstairs in the first place (not only because of this issue, but many compounded issues).

I have trouble holding my head up for a long time, so I put it back a lot which means I struggle even more to make my eyes look at computer screen (because have motor control issue with make eye gaze go to where I want and focus on the right thing).

I also can't lift my arms to use them, even for only a wee bit more than a handful of seconds at a time, without many days of pain. I rest my phone on my chest or stomach and prop it up with my left hand (causing left arm pain), using my right hand to tap the screen or type with swipe-to-type.

I rest my arms as best as I possibly can, but that involves using other muscle groups as substitutes (arching my back to raise my chest, taking deep breaths and holding it to again raise my chest/stomach, etc.), so I get sore and fatigued in my entire torso from the simple task of using my phone.

Any other place I sit during the day (toilet/toilet seat, bath lift, bath, stair lift, downstairs chair) is even MORE work for my already weak and deconditioned and fatigued muscles, so it causes more fatigue and pain. I am too weak and have too low muscle tone to support my own body weight.

I don't have words to emphasise how limiting it is to not be able to support your own body properly. I struggle even to sit in a chair - that most people would consider highly supportive and comfortable - for 20 minutes. And then I spend days recovering from that.

I know I post several positive things about physio achievements recently, which is all still true! But walking is such a different thing, because active movement is aided by momentum (and AFO braces to support my wobbly ankles and bendy knees). Being still is an entirely different thing, because gravtivy fully takes over and pulls my floppy body down with its own weight.

I would have so much more energy and ability to do things if I didn't need to spend so much precious effort on simply keeping my body as well supported as possible, to prevent present and future pain (and recover from past pain).

I just want to be comfortable.

[those70scomics]

Update

Today, six months have passed since I've come home from the hospital!

I've made a lot of progress during this time. I have muscles again 💪 😁. Instead of needing a Walker to walk, I'm climbing stairs and getting in half-hour walks with 3.5 lb weights on each ankle. Working on stamina is my current focus in physical therapy. But I'm also continuing with strength-training and balance.

I came home with a frozen right shoulder (staying in the hospital a month, while life-saving, also deconditions the body big-time). My shoulder unfroze with stretching a month ago, and now I'm rebuilding the muscles around it.

I also came home with a feeding tube in my stomach. That came out two months ago, and I'm eating a variety of foods, working with a specialist nutritionist.

I had a liver drain, too (that suuuucked), but that was removed a few weeks after I got home.

My surgical wound was the Grand Canyon. It's healed a lot but still has months to go. It prevents me from doing certain things, including working on my laptop. Can't finish the batch of comics that just need dialogue boxes. 😅

But I'm using my tablet to write, continuing to work on *Those Who Play with Demons*. This T7S fic is going to break my chapter record. I'm such a sweet summer child when I let my imagination run free, thinking all these story and character elements can fit into 1/5 of the chapters they actually need. This one's breaking the hundred-chapter barrier easily. (But it's organized is such a way that I haven't done previously.)

The characters of Point Place have never experienced what my story is doing to them. 😈😇

Although I have a ways to go to regain all the things I can regain without a colon, my health is very good! And I'm going to keep moving forward.

Another surgery is on the menu, but that probably won't be for a year. I'm seeing my surgeon next month to talk about it. This one won't be done in a life-saving emergency situation like my first one. All the work I'm doing is, in part, to be in the best shape possible for the next (and last, let's hope) surgery that will put my small intestine back where biology intended. 😂

When the time comes, I'll make a post here. No disappearing without a word (barring unforeseen events). I shouldn't be in the hospital longer than three to five days. But, again, I'm talking a year from now.

Thank you to everyone who's given me kind words and friendship during this journey. It all helps with my healing, and I appreciate all of you. 🤗❤️

[freebooter4ever]

i have been attempting to clean (with many breaks to prevent passing out) and was determined to take the extra AC out of the window and was like 'i can do this im a big strong woman!' and like....momentarily forgot that my weak little deconditioned arms can barely lift an iron skillet after months of being ill....

Anyway now the AC is sitting on my floor and im texting friends like "help!" 😅

[normal-with-adhd-is-a-joke]

Once again thinking about how a lot of severely depressed people would benefit from some form of physical therapy (PT).

When I was diagnosed with CFS a rheumatologist sent me to aquatherapy. This was based on an outdated scientific study regarding CFS and it's actually recommended that people with moderate-severe CFS don't do excess physical activity at all and it ended up making me significantly worse. However, that was probably the least stressful exercise experience I had ever had.

I was in a pool that was mostly empty except for a few other people doing PT. We were all some form of disabled doing slow, gentle exercises to prevent deconditioning and increase mobility. Because it was prescribed by a doctor, I had access to this pool for free during my time in PT and could even have gotten assistance from insurance getting transportation. I had a set amount of time, number of activities, and type of activities I needed to do and could ask my physical therapist questions if I forgot or was confused. If the activities were too taxing I could ask for them to be reduced or modified, no judgment.

PT gets rid of a lot of the barriers that keep people from exercising. Lack of access to equipment or exercise facilities is barrier (yes, I know you can exercise at home, having a designated exercise space is still helpful). Not knowing where to start is a barrier. Fear of injury is a barrier. Being self-conscious is a barrier. Feeling overwhelmed by your options is a barrier.

I really think doctors need to view people who have been severely depressed as potentially deconditioned. A lot of "simple" exercises become very difficult if you haven't meaningfully moved your body in over a year. If you're hospitalized for even a week unable to do much they send you to PT to make sure you're getting the help you need to not suffer from the effects of deconditioning, but depressed people who have been housebound for months are expected to bounce back as if nothing happened. It's also ridiculous to expect someone who can't even motivate themself to shower to create, plan, and follow an exercise regime on their own. Sometimes when you're really depressed you just need to have your tasks laid out for you in a simple way so you can just go through the motions without thinking.

[sopranoentravesti]

Constantly fighting against deconditioning and trying to slow the osteopenia/ prevent osteoporosis is so frustrating and unrewarding when no matter what I do to build strength and endurance it’s like “walk 100 feet —> need to sit from being winded walk another 50 feet—> need to sit because winded” ad nauseum (literally).

Like I’m sure it would be worse if I stopped, and like, I’m doing better than I was before I got crutches/ my Rollator but my endurance is eroding and I just wish I could build myself up and see results from exercise / set and meet sustainable goals.

[kimberlychapman]

I have long covid, which I've also since had diagnosed as ME/CFS with PEMs. The NHS LC programme tells patients that GET (graded exercise therapy) is known to be bad for us, but then pushes us to slowly build up exercise goals, a little at a time, with pacing. So....like...they want us to gradually increase our exercise. It's GET with different branding and they can't understand why so many people remain so sick ffs.

But Labour's all "hey let's try giving unemployed disabled/sick people weight loss shots about it" so yeah, this bullshit is still core to the system.

And if you tell a HCW that exercise hurts you, if you explain your PEMs, they blame it on "deconditioning". Ummmm nope I didn't go from 100-200+ squats daily and aerobics 1-2 times per week to not being able to shower without being knocked out for days. Nobody gets that "deconditioned" overnight. It was covid.

But there again, hardly anyone in the UK qualifies for vaccines and the newly-announced private-pay ones are hard to find, schedule, and afford. Labour would rather take Lilly money to promote weight-loss jabs than provide actual-harm-preventing covid jabs.

Why have sensible health policy when you can pretend fat people broke the economy instead?

Me: Exercise does not cause weight loss. This is a fact that has been demonstrated so robustly in research that even doctors, who hate and fear evidence, are grudgingly starting to admit this.

Someone reading that post: Cool, but have you considered that exercise leads to weight loss?

Me: I am going to eat you

[termeszetgyogyaszat]

Does Cold Weather Intensify Back Pain?

As the chilly winter season sets in, many people notice an increase in their musculoskeletal complaints, particularly back pain. Walking through frosty streets, a biting wind can intensify discomfort in the lower back, or mornings may bring a stiffness that makes getting out of bed a challenging ordeal. But does temperature alone truly cause back pain, or does it act indirectly? If cold isn’t the direct cause, why do we perceive pain more acutely during winter?

To address these questions, it is crucial to understand the physiological background of the spine and its supporting structures (muscles, ligaments, tendons), blood vessels, joints, and how pain is perceived. Additionally, it is essential to explore the effects of cold weather on circulation, hormonal balance, psychological state, and vitamin D levels. Behind this phenomenon lies a complex interplay of factors that contribute to the heightened pain experience in winter. This comprehensive article explores why back pain feels more severe in the cold and offers preventive and management strategies.

Cold Weather and Musculoskeletal Complaints

During colder months, it is common to hear people complain of intensified back or other musculoskeletal pain. This observation is not new; beliefs about the relationship between cold weather and pain have existed for centuries. In recent decades, modern medicine has sought to explain the phenomenon. While cold rarely serves as the primary cause of pain, studies confirm that low temperatures and weather changes can trigger or exacerbate certain musculoskeletal issues, especially in susceptible individuals.

Changes in Spinal Support Structures During Cold Weather The spine’s stability relies on surrounding muscles, tendons, and ligaments, which require optimal temperature conditions for proper function. Cold weather causes these structures to stiffen, reducing their flexibility. Stiff muscles are less capable of absorbing stress, placing disproportionate pressure on the spine. This can irritate sensitive nerve endings, resulting in pain.

Vascular Responses to Temperature Drops Cold weather not only stiffens muscles and ligaments but also alters the circulatory system’s functioning. Blood vessels constrict (vasoconstriction), reducing blood flow to peripheral tissues, including muscles, tendons, joints, and spinal areas. This impaired circulation weakens oxygen and nutrient supply, rendering tissues more sensitive and prone to injury. This process contributes to a more intense perception of pain.

Cold and Joint Inflammation For individuals with existing degenerative joint conditions or inflammatory processes (e.g., arthritis, rheumatoid arthritis), cold and atmospheric pressure drops can exacerbate symptoms. In cold weather, the fluid in joint capsules becomes thicker, restricting joint mobility and increasing the likelihood of swelling, stiffness, and pain. For back pain, this particularly affects small spinal joints and adjacent ligaments and muscles.

Why Does Pain Feel More Intense in Winter?

Several factors contribute to the heightened perception of pain during the colder months. Temperature alone is not enough to explain this phenomenon; instead, it is rooted in a combination of physiological, lifestyle, and psychological influences.

Reduced Physical Activity and Muscle Strength In winter, people tend to move less due to cold, slippery roads and early darkness, reducing motivation for outdoor physical activities. This lack of movement weakens muscles and increases stiffness. Deconditioned muscles are less effective at maintaining spinal stability, making even minor movements more likely to result in pain. Sedentary habits, such as extended hours on the couch, exacerbate vulnerability to back pain.

Heightened Sensitivity of Pain Receptors Cold weather increases the sensitivity of pain receptors (nociceptors). Studies indicate that in colder environments, these nerve endings activate more easily, intensifying existing discomfort. This heightened sensitivity may represent a protective mechanism by limiting movement and reducing the risk of further injury.

Altered Circulation and Nervous System Responses Reduced peripheral circulation during winter not only impacts muscles and tendons but also the nervous system. Nerves become more reactive to stimuli that might otherwise go unnoticed. Furthermore, cold weather acts as a stressor for the body, activating the sympathetic nervous system and amplifying pain perception.

Vitamin D Deficiency, Festive Diets, and Psychological Factors The lack of sunlight in winter months results in reduced vitamin D synthesis in the skin, contributing to weakened bones and intensified musculoskeletal pain. Additionally, festive seasons often involve indulgent, calorie-dense meals high in refined sugars, saturated fats, and alcohol, which can promote inflammatory processes in the body. The dark, gloomy days also increase the risk of seasonal affective disorder (SAD), a condition that negatively impacts mood and intensifies the experience of pain. Emotional well-being and pain perception are closely linked, as they share common neurobiological pathways.

Preventing Winter Back Pain

The good news is that increased back pain during winter is not an inevitable outcome. Awareness and proactive steps can help mitigate or prevent these issues. Below are strategies for maintaining back health during colder months.

Layered and Appropriate Clothing Keeping the body warm is vital in cold weather. Layered clothing allows optimal temperature regulation, and protecting the back, lower back, and limbs is especially important. Modern functional sportswear efficiently wicks moisture away while retaining warmth. Back warmers and even battery-powered heated vests can provide extra protection, especially for outdoor workers. These measures prevent muscles from becoming excessively cold, reducing stiffness and vulnerability to injury.

Anti-inflammatory Diet and Healthy Nutrition Diet plays a key role in controlling inflammation. Foods rich in omega-3 fatty acids, lean proteins, and vegetables help reduce inflammation, strengthen the immune system, and maintain a healthy weight, which minimizes stress on joints and the spine. Limiting refined sugars, excessive alcohol consumption, and saturated fats is also beneficial. Incorporate fish, lean meats, whole grains, nuts, leafy greens, and fruits into your diet. Vitamin D supplementation is essential during winter to combat deficiencies caused by reduced sunlight exposure.

Regular Exercise and Proper Warm-ups Remaining active during winter is crucial to counteract sedentary habits. If outdoor conditions are unfavorable, consider indoor activities such as gym workouts, swimming, or home exercise routines. Regular exercise maintains muscle strength and flexibility, reducing back pain risk. Always include warm-up and stretching exercises to prepare muscles for physical activity. Specific back-focused exercises like yoga, Pilates, or therapeutic exercises strengthen core muscles and stabilize the spine.

Preventing Injuries Through Caution Cold, icy roads increase the risk of falls, which can result in severe back injuries. Prioritize safe, non-slip footwear. For physical tasks like snow shoveling, warm up beforehand and take regular breaks to avoid strain. Sudden or intense movements can lead to back pain or acute injuries. Ensuring that living spaces are adequately heated can also help prevent muscle stiffness, which is more likely in colder environments. Warming up vehicles before travel can also be beneficial if heated car seats are unavailable.

Treatment Options and Seeking Professional Help

If preventive measures fail or chronic back pain persists, seeking professional help is essential. Proper diagnosis and tailored treatments can alleviate symptoms and prevent further complications.

Medical Evaluation and Treatment Orthopedic and rheumatological consultations assess musculoskeletal health. Physicians evaluate degenerative spinal changes, inflammation, and muscle-related issues while ruling out severe conditions such as acute herniated discs or spinal stenosis. Based on the diagnosis, treatments may include anti-inflammatory medications, pain relievers, topical warming creams, patches, or even injections.

Physiotherapy, Therapeutic Massage, and Chiropractic Care Conservative treatments like physiotherapy, therapeutic ultrasound, TENS (transcutaneous electrical nerve stimulation), shockwave therapy, or laser therapy improve circulation, relax muscles, and reduce pain. Tailored physiotherapy and back exercises strengthen muscles, restore proper posture, and prevent future injuries. Therapeutic massage relieves muscle tension, improves circulation, and alleviates pain. Chiropractic or manual therapy can address spinal joint dysfunctions when performed by trained professionals.

Long-term Improvements Through Lifestyle Changes Sustainable lifestyle adjustments should accompany treatments. Regular physical activity, healthy eating, quitting smoking, and maintaining a healthy weight reduce spinal stress. Psychological factors are equally important. Stress management, relaxation techniques (e.g., meditation, breathing exercises, yoga), and quality sleep all contribute to pain reduction. Chronic pain often forms a vicious cycle: poor mood and inactivity exacerbate pain, which further impacts mood and activity levels. Breaking this cycle is critical for long-term improvements.

Conclusion: Fact or Myth About Winter Back Pain?

Cold weather alone is rarely the direct cause of back pain. However, winter conditions — including temperature drops, reduced sunlight, altered circulation, reduced physical activity, dietary indulgences, and psychological challenges — create an environment where pain feels more intense.

Thus, the answer is not straightforward. It’s not merely fact or myth; instead, it’s a nuanced interplay of factors where both physical and emotional components play significant roles. Proactive self-care, lifestyle adjustments, and seeking professional help can significantly alleviate winter-related back pain and improve overall quality of life. Understanding and addressing these contributing factors can make even the coldest days more manageable, allowing you to embrace the winter season with less discomfort.

[rival-the-rose]

Well. This morning I had my monthly occupational therapy evaluation. And in the last month I've lost 50% of my grip strength and 30% of my pinch strength. Despite doing PT specifically to prevent deconditioning, no increase in pain (and objective improvement in joint angles), and me not noticing that level of decrease. I think that me not noticing is an argument that it is deconditioning (despite all the exercises I'm doing). But it could also be the first signs of diseases I really don't want (and that we decided not to test for yesterday). So I'm pretty sad and freaked out right now.

[samriddhikatariya]

HUMAN FORM (EXERCISE 3 DRAFT 1) Imagining what the Human Form would be 80 years in the future.

Food:

A diet centred on lab-grown, plant-based, and algae-derived foods could streamline human physiology but may have drawbacks. Reduced dietary variety might harm gut microbiome diversity, leading to digestive issues or inflammatory diseases. Heavy reliance on engineered foods could also create deficiencies in nutrients like B12 and iron, causing fatigue and weakened immunity if unaddressed. Less physical labor due to automation may lower bone density and muscle strength, increasing osteoporosis risk. Lastly, synthetic foods might carry unknown long-term health risks, potentially impacting hormone balance or cellular health

2. Water:

In 80 years, water scarcity could shape human physiology, with a focus on conserving hydration. Desalinated, recycled, and slow-release hydration sources may replace traditional water intake, yet chronic low hydration could raise kidney stone risks by 20%. Reduced sweat production and subtle metabolic changes might help conserve water, but reliance on artificial hydration may lead to electrolyte imbalances and dehydration risks. Limited hydration could also impact skin health, causing dryness and early aging. Psychological stress from regulated water access might affect mental health, creating anxiety around resource scarcity.

3. Housing:

In 80 years, housing conditions shaped by urban density, climate adaptation, and smart technology could lead to changes in the human form. With a growing population living in compact, vertical spaces, the need for large muscle mass may decline due to reduced physical space for movement. Increased indoor living could lead to lower vitamin D levels, raising the risk of bone weakness and mental health issues by up to 25%, as studies link prolonged low-light environments to anxiety and depression. Energy-efficient, sealed housing designs may reduce fresh air flow, affecting lung health and making respiratory issues more common. Humans may gradually adapt to these compact, tech-heavy living environments, though this could come with physical health compromises and increased mental strain.

4. ⁠Education:

In 80 years, education will likely rely heavily on virtual reality (VR) and artificial intelligence (AI), reshaping human cognition and physiology. With over 80% of learning through digital platforms, increased screen time may raise nearsightedness and digital eye strain. This shift could reduce attention spans and critical thinking skills by up to 20%, while decreased physical activity may lead to muscle weakness and poor posture. Additionally, reliance on AI might impair memory retention, with studies indicating a 10-15% decline in recall ability. Overall, while education may become more efficient, it could result in physical health issues and greater dependence on technology.

5. Healthcare:

In 80 years, healthcare advancements like personalized medicine, telehealth, and genetic engineering could reshape the human form and health outcomes. With 60% of diseases potentially preventable through tailored treatments, average lifespans might extend by 5-10 years. However, increased reliance on technology could lead to a 15% rise in obesity rates due to sedentary lifestyles. Constant health monitoring may heighten anxiety, with studies linking health tracking to a 20% increase in anxiety levels. While healthcare advancements may enhance disease resilience, the trade-offs could include rising mental health issues and physical deconditioning from reduced activity.

6. Social Equity:

In 80 years, efforts to enhance social equity could improve access to healthcare, education, and nutrition, potentially reducing health disparities by 30% and promoting better overall health. However, heightened stress from ongoing systemic inequalities may increase mental health issues, raising anxiety and depression rates by 15%. While better nutrition could improve physical development, the stress of social inequity might contribute to chronic conditions like hypertension and obesity, affecting 25% of the population. Overall, while social equity advancements may lead to healthier individuals, the psychological and physiological effects of inequality could still present significant challenges.

7. Gender Equality: In 80 years, progress in gender equality could enhance health outcomes and influence the human form. Closing gender disparities in healthcare and education may lead to a 20% reduction in mortality rates, with overall life expectancy increasing for all genders. Improved social participation could reduce obesity rates by 15%. However, evolving gender roles might heighten mental health issues, with studies indicating a 10-20% rise in anxiety and depression due to identity stress. While gender equality may promote physical health, the psychological impact of adapting to new societal expectations could lead to increased stress and burnout, presenting ongoing challenges.

 ⁠8. Work & Income: In 80 years, the evolution of work and income—largely driven by automation and remote technology—could reshape human health and physiology. As up to 60% of jobs become automated, increased sedentary behavior may lead to a 20% rise in obesity rates. Conversely, the prevalence of gig and remote work could enhance flexibility and work-life balance, potentially improving mental health and reducing stress by 15%. However, persistent economic disparities may affect approximately 30% of workers, leading to income instability and associated chronic stress, which can increase risks of hypertension and anxiety. Thus, while advancements in work structures could promote better mental well-being for some, significant physical health challenges and socioeconomic inequalities may still pose serious concerns.

9. Energy / Electricity:

In 80 years, advancements in energy and electricity, particularly through renewable sources, could improve air quality by 25%, reducing respiratory and cardiovascular diseases. However, increased reliance on smart devices may lead to higher digital eye strain and sedentary behavior, potentially raising obesity rates by 15%. The psychological effects of constant connectivity could heighten anxiety and stress, with studies linking excessive screen time to a 20% increase in anxiety symptoms. While cleaner energy sources may enhance overall health, challenges may arise from physical health issues and mental well-being problems due to technology dependence.

10. ⁠Peace & Justice:

In 80 years, advancements in peace and justice could significantly enhance human health, with research showing that peaceful societies experience up to 30% lower rates of mental health disorders and violence-related injuries. Improved access to justice may foster social cohesion, boosting overall mental well-being. However, living in a monitored society could increase anxiety and stress as individuals navigate social norms. Additionally, while equitable justice may improve health outcomes, persistent inequalities could still affect marginalized communities, leading to chronic stress and health disparities. Therefore, progress in peace and justice may enhance general health, but mental health challenges and inequalities could remain significant issues.

11. ⁠Transportation:

In 80 years, advancements in transportation, particularly electric and autonomous vehicles, could reduce air pollution-related illnesses by up to 40%, lowering rates of respiratory and cardiovascular diseases. However, increased reliance on automated transport may lead to a 20% rise in obesity rates due to reduced physical activity, as well as musculoskeletal issues from prolonged inactivity. Additionally, the shift could impact community interactions, potentially increasing feelings of isolation and decreasing social cohesion. While improved transportation could enhance air quality and public health, challenges may arise from decreased physical activity and social connectivity.

12. Political Voice:

In 80 years, increased political voice and civic engagement could improve public health and reduce health disparities by up to 25% through equitable access to resources. Empowered communities may advocate for better healthcare and policies promoting healthier lifestyles. However, heightened political activism could increase stress and anxiety, with studies showing a 15% rise in mental health issues linked to political conflict. Additionally, the pressure to remain politically active might lead to burnout among engaged individuals. While enhanced political voice may foster community health and equity, the psychological challenges of activism could remain significant.

13. Air Pollution:

In 80 years, reductions in air pollution due to stricter regulations and cleaner technologies could decrease respiratory diseases by up to 30% and lower premature mortality rates linked to poor air quality by 20%. Studies indicate that cleaner air may improve cognitive function and overall quality of life. However, lingering effects of past pollution could lead to chronic conditions like asthma and cardiovascular issues in up to 15% of the population. Additionally, psychological impacts from historical pollution may contribute to increased anxiety and stress regarding environmental concerns. While advancements in air quality could enhance public health, historical pollution legacies may still pose significant challenges.

14. Noise Pollution:

In 80 years, efforts to reduce noise pollution through urban planning and technology could improve mental and physical health, potentially decreasing stress-related illnesses by up to 25%. Studies suggest that lower noise levels may enhance sleep quality and cognitive function, reducing cardiovascular disease risks. However, chronic exposure could still affect 10-15% of the population, leading to hypertension and anxiety. Additionally, living in quieter environments might increase sensitivity to sudden noises, heightening stress responses. Thus, while reducing noise pollution may enhance overall health, residual effects could still present challenges for some individuals.

15. ⁠Non-Human life:

In 80 years, increased efforts to preserve non-human life could positively impact human health. Research indicates that biodiversity loss can raise zoonotic diseases by 25%, underscoring the need for healthy ecosystems to prevent pandemics. Engagement in conservation may also improve mental health, reducing stress and anxiety by up to 30% through nature exposure. However, conflicts between human expansion and wildlife habitats may still lead to biodiversity loss, causing food insecurity and health disparities for 15% of the population. Thus, while promoting non-human life may enhance public health, challenges from habitat destruction could present significant risks.

16. ⁠Chemical Pollution:

In 80 years, improved regulations and technology aimed at reducing chemical pollution could lower exposure-related diseases by up to 30%, potentially decreasing rates of certain cancers, respiratory issues, and reproductive health problems. However, long-term exposure to historical pollutants might still affect 10-20% of the population, contributing to chronic conditions like endocrine disruption and autoimmune diseases. Additionally, awareness of chemical pollution risks may increase anxiety and health concerns in affected communities. Therefore, while efforts to mitigate chemical pollution may enhance public health, the legacy of past exposures could present ongoing challenges.

17. ⁠Water bodies & Supply:

In 80 years, advancements in water body conservation and supply management could reduce waterborne diseases by up to 50%, improving public health and decreasing gastrointestinal illnesses. Access to clean water may enhance hydration and nutrition, benefiting cognitive and physical health. However, climate change and pollution could still affect water quality for 10-15% of the population, leading to chronic health issues from contaminated supplies. Additionally, awareness of water scarcity may increase stress and anxiety in affected communities. Therefore, while improvements in water management could enhance health outcomes, challenges related to water quality and availability may continue to pose risks.

18. Waste management:

In 80 years, improvements in waste management practices could reduce waste-related diseases by up to 40%, enhancing public health and decreasing exposure to hazardous substances. Effective recycling and composting may lower landfill use, improving air and water quality and reducing respiratory illnesses. However, about 10-15% of the population may still face health risks from improper waste disposal. Additionally, increased awareness of waste issues could contribute to eco-anxiety among communities concerned about sustainability. Therefore, while advancements in waste management could improve health outcomes, challenges related to waste exposure and mental health may continue to pose significant risks.

19. ⁠Land use & Streets & Public Spaces:

In 80 years, improved land use and design of streets and public spaces could enhance urban health, potentially increasing physical activity by up to 30% and reducing obesity rates. Enhanced green spaces might lead to a 20% decrease in anxiety and depression symptoms. However, gentrification could displace low-income communities, exacerbating social inequalities and causing chronic stress. Additionally, increased foot traffic may contribute to noise pollution, negatively impacting mental health. Therefore, while better land use could promote healthier lifestyles, challenges related to social equity and environmental stressors may continue to exist.

20. ⁠Ocean pollution:

In 80 years, improvements in addressing ocean pollution could reduce seafood-related illnesses by up to 40% as cleaner oceans support healthier marine ecosystems. Reduced plastic and chemical pollutants may lower the risk of neurological disorders linked to toxin bioaccumulation. However, about 10-15% of coastal populations may still face health risks from legacy pollutants and contaminated seafood. Additionally, increased awareness of ocean pollution could heighten environmental anxiety among communities. Therefore, while efforts to combat ocean pollution could improve health outcomes, challenges related to residual contamination and environmental stress may persist.

21. Effects of climate change:

In 80 years, the effects of climate change could increase heat-related illnesses by up to 50% due to rising global temperatures. Studies suggest a potential 30% rise in cardiovascular diseases linked to intensified air pollution and extreme weather events. Food and water scarcity may affect around 20% of the global population, leading to malnutrition and related health issues. Additionally, mental health impacts, such as anxiety and depression, could rise as communities face climate-related disasters. Thus, while climate adaptation efforts may mitigate some risks, the persistent effects of climate change could pose significant challenges to public health and well-being.

22. ⁠Urban Agriculture & Greenification:

In 80 years, urban agriculture and greenification could enhance public health by improving access to fresh produce and potentially reducing obesity rates by up to 30%. Studies indicate that urban green spaces may decrease mental health issues, such as anxiety and depression, by 20%. However, challenges like gentrification could displace low-income communities, worsening social inequalities. Additionally, urban agriculture might pose risks from soil contamination and pesticide exposure, impacting about 10-15% of urban populations. Thus, while these initiatives may improve health outcomes, they may also lead to social and environmental challenges.

23. ⁠Gender & Sexuality:

In 80 years, evolving views on gender and sexuality could improve mental well-being, potentially reducing anxiety and depression rates among LGBTQ+ individuals by up to 30% due to greater acceptance and supportive environments. Studies indicate that supportive policies can decrease suicide rates in marginalized groups by 25%. However, backlash against these changes may lead to increased stigma for about 10-15% of the population, resulting in ongoing mental health challenges. Thus, while advancements in gender and sexuality rights could enhance health outcomes, social resistance may remain a significant issue.

24. ⁠Diversity & Inclusion:

In 80 years, a focus on diversity and inclusion could enhance social cohesion and mental well-being, potentially reducing workplace stress by up to 30% and decreasing turnover rates by 20% due to increased innovation and employee satisfaction. However, resistance to these changes might create divisions, leading to heightened conflict and stress for about 10-15% of individuals feeling marginalised. Thus, while advancements in diversity and inclusion could improve health and productivity, challenges related to social tensions may persist.

25. Accessibility:

In 80 years, enhanced accessibility measures could improve the quality of life for individuals with disabilities, potentially reducing social isolation and depression rates by up to 40% as inclusive environments promote participation. Studies indicate that better accessibility may increase employment opportunities for people with disabilities by 25%, enhancing financial independence and mental well-being. However, if initiatives fail to address the needs of all marginalized groups, about 10-15% of individuals may still face barriers. Thus, while advancements in accessibility could foster inclusion and improve health outcomes, persistent gaps may continue to pose challenges.

26. Sustainability:

In 80 years, a focus on sustainability could improve public health, potentially reducing chronic diseases linked to pollution and unhealthy lifestyles by up to 30% as communities adopt greener practices. Research suggests sustainable urban planning may enhance air quality, leading to a 20% decrease in respiratory illnesses. However, the transition could disrupt traditional industries, affecting about 10-15% of the workforce, and raise eco-anxiety among some individuals. Thus, while advancements in sustainability could significantly enhance health outcomes, economic and psychological challenges may arise during the transition.

[miss-kitty-fantastic]

It's absolutely wild how many poorly conducted (or straight up fraudulent) studies get published and given significant airtime. And the damage they do if often irreparable.

I'm all for science. Big believer in the scientific method and the value of well conducted scientific research. But they NEED TO DO SOMETHING to prevent this kind of dodgy bullshit from ever seeing the light of day - because it snowballs - and winding it back is near impossible.

I recently read "The Doctor Who Fooled the World" by Brian Deer. It's all about Andrew Wakefield they guy who started the whole "MMR causes autism" panic. And the story is insane. His initial stance was that giving all three vaccines together was the problem - and he was pushing for them to be delivered separately - because *ding ding* he held a patent for an individual vaccine! The guy straight up falsified results make it look like MMR was causing harm - and even then it didn't hold up, because he couldn't show how giving them separately would be any better.

And the amount of time it took for his study to be flagged as dodgy, for him to be flagged as dodgy... by then it was too late.

And then there's the whole Chronic Fatigue Syndrome PACE trial - a study looking into the effectiveness of Graded Exercise Therapy + Cognitive Behavioural Therapy on ME/CFS. This bullshit study solidified the idea that ME/CFS is all in the patients' heads, that its simply a result of "false beliefs" and "deconditioning". It forced harmful treatments on desperate patients, and it set ME/CFS research back by decades

There were a whole host of things wrong with that trial - but the worst of them is that they changed the criteria for what would be considered as "recovery" half way through.

There's a measure called a physical function score - the higher the score, the more functional you are. In order to qualify for the trial ME/CFS patients needed a score 65 or lower, and the plan was that a score of 85 would constitute "recovery". But half way through the trial they lowered the recovery threshold to 60!

...so if you scored 65 you were simultaneously disabled enough to participate in the trial AND also already "recovered"!

It's because of this study that GET + CBT is still being pushed a valid treatments here in Australia. In order to qualify for disability benefits, you have to have undertaken these "treatments" first, even though GET isn't just ineffective, it literally makes us worse.

Anyway all of this is to say, they really really need to do something about making sure dodgy studies are caught BEFORE they're published.

"don't go grocery shopping when hungry" doesn't work for me because Not Hungry Me cannot conceive of a universe in which food is needed so she buys like a cup of pomegranate seeds and some fancy cheese and thinks that'll get us through the week.

[whimpernotes]

I'm noticing two things about the (presumably endo) fatigue and they are:

1. that it's always around 15:00 when it starts

2. if i don't give in and lie down it takes longer to lift. This is very counterintuitive to me..I'm used to responding to afternoon dips with exercise. Coffee does nothing but it never has so that's unsurprising. I wonder if I could take adhd stimulants without becoming deeply unpleasantly obsessive about stupid things + a nervous wreck these days.

Need to prevent it from getting worse. Really really want to avoid deconditioning both because it's just bad in general but also because I have a pretty big endo + myoma surgery planned and I don't want to go into that with 20 new problems from lying down a lot. 🫤

[chargetheintruder]

Just an update.

This week's been a trip. Past two weeks actually. But to keep this short and simple. Okay, that was sarcasm, this is a vent, my apologies.

-- I spent 8 days--until this Monday actually--in the local hospital. Turns out my stomach issues had become critical, to the point that my regular and barbaric use of naproxen sodium to calm my pain down to an audible groan, had caught up with me, given me peptic ulcers in my duodenum, and had nearly bled me out internally. I spent the first 3-4 days just getting stable and getting the needed blood transfusion.

-- The last 4 days were ungodly rough: having doctors and nurses descend on me 3 and 4 at a time barking at me and bullying me into doing a Void Check just so they could take my Foley Catheter away. Like a damned idiot, I went along with it just to shut them up.

NEVER do this. If you have an implanted catheter in you for urinary tract purposes, keep and maintain what you have as long as you can. Because these doctors and nurses DON'T care about your needs if they're demanding this. Sure, they'll say it's about preventing "debris" (for people who have already had kidney stones pre-catheter) and it's about preventing "infections" (and again, if you have the catheter in you you've likely had UTIs anyway with or without the things).

They're feeding you a line of sadistic nonsense is what I'm saying. They're wanting you to transition to a) fucking diapers, and b) to NEVER having clean clothes or clean underwear again in your life. This is just THEIR administrators talking through them, the bosses of the doctors and nurses demanding a Suffering Tax and demanding that your life gets ruined over this. NEVER do this.

-- So, the bastards at the hospital dragged a "six hour" Void Test into ten and a half hours, just to make damned sure I wet myself at least twice, even if I still had nearly a liter of fluid in me that had to be removed by Strike (temporary) catheter anyway. And again, they insisted on diapers. And on this Monday they also insisted on trying to bully me into going into a Nursing home, which would mean I lose everything I have, including ALL income. ALL over the diaper issue. And yes, the joke gets better, check this out.

-- I had actually found out what was wrong with me. Thanks to an Occupational Therapist who was way more into doing her actual job, versus using it as an excuse to play Gaslight, Gatekeep, Girlboss. It turns out I was lucky enough to get an MRI scan done of my lower torso and lumbar spine . . . and yeah, turns out I had multiple old injuries and two stenoses (dangerous narrowings) in my lumbar spinal column, roughly at L2 and L3. No wonder I was in pain and losing mobility and control and feeling down there and in there. And yet . . . the bastards had to use the Diapers thing to Gatekeep me out of seeing the doctor anytime soon. The doctor didn't want to see anyone so "deconditioned" or without control. Indeed if I were fully paranoid I'd swear the whole thing was a ruse just to cough up as much bullshit as possible just so they could force me into a Nursing Home, where I really would be destitute and helpless.

-- Point is I refused to be bullied a second time in four days, and insisted on going home. And two of the nurses snapped in return, retaliating against me by cutting off all access to a) the doctor I was working with and also b) cutting off all access to the Social Worker I was working with. Then they just rushed me the fuck out the door on Monday, sending me home with next to no resources, only 8 of the damned adult diapers, and oh, a butt load of prescriptions, but none of them covering PAIN from either muscle spasm or the spinal injury I had just had confirmed.

-- I spent Tuesday and Wednesday bickering and ranting with my other Social Worker about trying to a) get more diapers and supplies, and b) trying to see the neurology doctor anyway, like this year? And as my luck and misery would have it, I've ran out of diapers long before what was supposed to be my appointment this morning, Today, Thursday, with the neurologist to see if I can get my back repaired somehow. And well . . .

My social worker swore up and down Wednesday that she'd gotten it, that she'd gotten the insurer's ride system to work out. She said they would call me at or before 9:30 a.m. so I could get the ride to my 10:40 a.m. appointment. Nobody ever called or showed up.

-- So yeah, another sadistic adventure in self-control and humiliation failed, I guess. I had to stop eating entirely to keep from pooping or farting for today. Hadn't eaten since noonish on Monday of this week. I had to drink less than a liter of water a day to keep me from wetting myself constantly. I didn't take in water except for taking my meds, morning and night. AND this on only Tylenol (acetaminophen) for pain relief. The bastards were supposed to prescribe me some anti-muscle spasm pain relief too but that never happened, it got OMITTED. So I had to put up with pain spiking up to a NINE on a scale of one to ten (ten being "worst pain I've ever had").

-- So yes, I've been quiet online because I've had to yell at people a LOT in real life lately over real shit. And also an engineered lack of clean, safe underwear that Carle Hospital in general and Carle Urology Department in particular, felt they so, so so had to shove down my throat.

-- And this afternoon, I've cheated. Fuck it. I've taken low doses of the naproxen sodium again, even if it does bleed me to death internally. And I've low-key told myself to "fuck this peptic ulcer diet" because I raided the vending machines, snagged a Pepsi and cheap potato chips (HALF of what I'd normally get, but still), and literally ate for the first time since noonish on Monday.

-- And why? What good did I do to earn this reward? The ride service to the neurologist's never happened. I missed another appointment. Why would I reward myself . . . ?

-- Because I got the chance to and finally DID IT. I VOTED. Granted, it's a Vote By Mail Ballot, so now I have to stay alive long enough to get the thing counted, but still. I finally found a thing to do that wasn't shoved down my throat by bullies at Carle Hospital, and did it. The deed's done.

So yeah. This isn't me here. In terms of my failures. Some of this IS that the healthcare providers can't be bothered to get off their privileged asses and do things? Like this YEAR? Never mind TODAY? Yeah.

Slight Update: And now I have some proof I am being actively gaslit. Yes, by my current Social Worker. She finally called me back at the last possible minute today to apologize for the ride service. She made up some excuse that while they did show up, they didn't have the "right phone number" and were given my "old phone number" as a contact number. Which is . . . interesting when you consider that Medicaid didn't even cover people's using Carle at all back in 2018 to 2019, back when I was in Champaign and still had and used my old phone number. Carle never had my Old Phone Number to give out? YEP. So this chick basically screwed that detail up intentionally to make me mess up.

It's official. My needs and my concerns as a human being just don't count at Carle Hospital or at any of their services. Nope, all they do is line management: their only concern is getting and keeping people IN LINE for every last irrelevant thing they can push, while they ignore clear and present problems that are killing people, like me.

So what's the alternative? OSF HealthCare, which changes its name every few years to slip out of lawsuits, and is basically the "non-profit Catholic Organization" in town that both a) sends you to jail for not being able to pay your bills to them, and b) is ran by a "one size MUST fit all" mentality. Much of C-U (Champaign-Urbana) sees the entity that's been Provena/Covenant/Mercy/OSF as being the place where only the most mediocre doctors and nurses ply their trade. Nobody with any sense wants to be caught there. (and for the longest time, it was the only place in town that consistently accepted Medicaid clients, pre-Obama)