#Tracheostomy Tube

[surginatalsurgical]

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[denex-international]

Discover the essentials of tracheostomy tubes in our engaging blog! Learn about their uses, different types, sizes, and expert care tips to ensure optimal comfort and health. Get informed and empowered with our comprehensive guide!

[icu-fetish]

After countless surgeries, I'm still paralyzed. My neck is still encased in a medical neck brace. It's rigid, yet surprisingly comfortable. For a long time, I was tethered to a ventilator. It was terrifying, of course. The constant hum of the machine... And the sensation of that long breathing tube inserted into me, it felt like I had been transformed into a plant, dependent on artificial sustenance.

When they extubated me, I felt a slight dizziness. Finally, I could breathe on my own. But the joy was short-lived. Every breath required effort, a constant reminder of my recent dependence on the ventilator. Seeing my struggle, the doctor, without a word, placed an oxygen cannula on my nose to support my breathing. For the next few hours, the doctors monitored my condition closely. Since my breathing was still unstable, they decided to run additional tests to rule out any complications.

The test results confirmed my worst fears. My heart sank as I awaited the bad news. The doctor slowly uttered, "We'll likely have to return to mechanical ventilation." I looked at her with a silent question in my eyes. 'Isn't there another way?' I wanted to ask, but the words got stuck in my throat. I tried to take a deep breath, but each inhale caused pain in my chest. It felt like I would never be able to breathe on my own.

I didn't even know what would happen next. I'd probably wake up, reconnected to the machine. "How long could this last?" I asked weakly, feeling my heart pounding in anticipation of the answer. The doctor shook her head. "It's hard to say." She gave me an injection, and I started to lose consciousness...

My eyes slowly opened. I lay motionless, strapped to the bed by countless tubes. I could feel the hard breathing tube in my mouth. Again, that familiar hum that reminded me of my helplessness. Before me stretched long tubes through which the ventilator rhythmically pumped air into my lungs, sustaining my breath, my life. The light from the lamp cut into my eyes, and the smell of disinfectants filled the room. Tears rolled down my cheeks...

I lay motionless, helpless, and felt forgotten by everyone. Now, I'm fed through a tube inserted directly into my stomach. The sensation of a foreign object in my abdomen causes constant discomfort. A sterile catheter inserted into my urinary tract underscores my vulnerability. Changing the catheter has become a part of my hospital routine, and though I tried to get used to the unpleasant sensation, I would close my eyes, wishing it would end quickly.

Nurses and doctors were constantly around me. They checked the equipment, asked me questions that I could only answer with a glance. My condition was gradually deteriorating, and I relied more and more on the machines that kept me alive. The doctors informed me of the need for a tracheostomy, which caused a new wave of anxiety. I imagined the breathing tube in my throat and felt panic. Would I ever be able to speak again? Would I ever return to a normal life?

Before the procedure, the nurse prepared me for the surgery, checking all the necessary equipment. Her hands were soft as she gently stroked my hand, trying to calm me. "I understand you're nervous," she said in a soft but confident voice. "We're going to make a small incision in your throat and insert a tracheostomy tube. This tube will allow for more effective mechanical ventilation." I realized I had forever lost control of my body...

After the injections, I fell asleep. I must have slept for a long time. I can't even open my eyes. However, I can feel that the breathing tube is no longer in my mouth. Instead, I feel a slight wheeze in my throat. I try to breathe through my nose, but hardly any air gets in there. All my breath is focused on the tracheostomy tube. The incision on my neck is a reminder of the surgery that changed my entire life. A large medical collar is placed around my neck. This is another change I must adapt to. I'm no longer who I used to be.

I still can't speak. Those long days spent with a tube in my throat seem like an eternity. This breathing tube has become a part of me. I feel like an empty shell. Only my body remains, supported by artificial machines.

The white ceiling, the monotonous hum of the machines – that's all I see and hear. I've already realized that I'll just lie here in this bed, a vegetable. But deep down, I still believe that one day I will be able to at least speak again, hear my own voice...

[thisisthevoice]

i think one of the most frustrating things about american healthcare is how afraid americans are of death. no, your husband who has had a massive intracranial hemorrhage and has likely lost the overwhelming majority of his brain function is not going to have "a miracle" and recover. at best (?), he is going to be sent to a trach/vent/peg tube farm to get pressure injuries and suffer for a prolonged period of time

[joyamedicalsuppliesau]

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[pro-crastinate17]

hello!! so im going to try to make a disability inclusive picrew and id like some help making sure i include as much as i can!

the person would be seated and pretty much all of the body would be visible. ill post it when im done!

its mostly focused on phys disabilities, bc i so rarely can find picrews w good diverse mobility aid options, but ofc im including non phys disabilities as well! (sorry for clunky phrasing, im unclear on the preferred term for non phys disabilities so thats the term ive been using)

what i have so far is below the read more. be warned it is a very long list! (every option/category of option i could think of)

if you think i missed something, please recommend it!!! (related note: id much rather get recommended something that is already on the list than miss something!)

category: head

various jaw shapes 

missing jaw 

crooked/misaligned jaw

category: skin

wide range of skin tones, including white/extremely pale (albino) 

freckles, lots of scar variation (including burns), vitiligo, acne, facial hair, eye bags, other skin conditions (trying to make a list)

breathing tubes, masks, bandages 

bindis 

category: eyes 

blue, grey, green, hazel, medium brown, dark brown, black, red 

heterochromia options 

lazy eye options 

clouded eye options 

closed eyes that look like winking and closed eyes that don't 

missing eyes

category: mouth 

general expressions 

variations for color 

variations for cleft lip, scars, facial paralysis 

category: ears 

ear size, shape, missing ears, deformed ears

category: eye/ear accessories 

earrings, earplugs, hearing aids, bone anchored hearing aids, headphones, earmuffs (modifications for missing/deformed ears), cochlear implant

glasses, sunglasses, blue light glasses, eye patches, eye masks/bandages 

category: nose 

various shapes & sizes, bumpy noses, deformed noses  

category: eyebrows 

lots of expression options, thickness options, color options (including white) 

one missing, scarring, eyebrow slits 

category: body 

body types: very skinny, skinny, fat, very fat (options for muscularity too if i can figure out how)

body hair, scarring, freckles, tattoos   

range of missing limbs, deformed limbs, prosthetics   

diabetes patch 

category: hair 

wide range of hairstyles, bangs, and colors 

patchy hair, scalp scarring, receding hairline 

category: head coverings

range of hats, hair accessories, headbands, bandanas    

range of hijabs, turbans, kippot (+ more variation in cultural headwear if theres space)

head bandages 

category: clothes

range of styles and colors 

adaptable to body types (+ breasts), missing/deformed limbs 

category: shoes 

range of styles 

adaptable to body types, missing foot/feet 

category: hand accessories  

gloves, bracelets, rings, nails, wrist braces, splint rings

range of types, adaptable to missing/deformed hands 

category: pins 

range of queer pride flags 

pronoun pins 

animals, fandoms/characters (def muppets, feel free to recommend characters and i'll try to include some of the most popular ones) 

general disability pride, cripplepunk, madpunk, sign union flag, & pin (for systems), specific disabilities (need some help with these, send me specific flags and i’ll include them!) 

category: seat 

chair, manual wheelchair, power chair, spinny chair, throne, rollator, electric scooter 

category: mobility aids 

cane, white cane, crutches (underarm/axillary and forearm), rollator, walker (with and without wheels), electric scooter  

joint braces (shoulder, elbow, knee, ankle, back, others?), joint tape, compression garments 

category: other disability aids

AAC tablets, word cards, glucose monitor, sunflower lanyard, inhaler, medical id bracelet

stoma bag, central line catheter, picc line catheter, heart monitor, breathing tube, feeding tube (nasal and abdominal), tracheostomy 

stim toys/chewelry, stuffed animals, phone 

service animals

[mrsbuckybarnes1917]

13: NEW BEGINNINGS

Previous chapter < MASTERLIST > Next chapter

You and Bucky are finally able to admit your feelings to each other.

Word count 3.4k

Warnings: confessions of love, Sam being the best wingman (pun intended)

It had been a long and difficult week, filled with painful rehab sessions and slow progress. But finally, you were starting to feel more like yourself again. Your voice was still weak from disuse, but you were delighted to hear that the doctors were ready to remove your tracheostomy tube. It was a small victory, but it meant that you were one step closer to recovery.

Despite the progress, you found yourself getting tired easily and napping often. It was frustrating, but you knew that it was all part of the healing process. The physiotherapists had refused to let you wear the speaking valve after they discovered that you had some trouble the previous night, rendering you speechless for the day.

What worried you more was the fact that Bucky, who had been by your side throughout your ordeal, seemed to be spending less and less time with you. You couldn't help but wonder where he went when he wasn't with you. Old insecurities started to resurface, and you found yourself questioning whether Bucky's feelings for you had changed now that you were getting better. The tenderness and care that he had shown you in the beginning seemed to be fading, and it left you feeling lost and confused.

As time ticked on, you couldn't shake the feeling that Bucky was pulling away from you. You suspected that he was going to see Priya, after all, she had made it abundantly clear she wouldn't give him up. The thoughts had you rebuilding the barriers that had come tumbling down after your injury. 

Sam was by your bedside this afternoon. Listening to him chatter about Cass and AJ's most recent antics. He chuckled at the reason that Cass had received detention, but you had zoned out and looked surprised when Sam started laughing. 

He looked at you with concern filling his beautiful brown eyes. “What's up with you? Not feeling good?”

“Sorry,” you mouthed at him. 

“What's wrong, little bug?”

You pulled out your phone and sent him a text. It took a moment for Sam to understand that you had sent the message to him.

“Oh right. Thought you were ignoring me for a second there,” he chuckled, reading the words on his screen.

>>>> I'm okay, just tired.

“Tired, huh? And here I thought you might be lamenting over a certain broody super soldier.”

You gave him a solid deadpan stare, before your eyes involuntarily flicked towards the door, as though the mere mention of him might summon his presence.

>>>> I thought things were better but…

What you wanted to say was ‘I can't shake this feeling that Bucky’s pulling away from me.’

“What do you mean?” Sam asked.

>>>> He's been spending less and less time with me.

You stopped yourself from adding ‘and I can't help but think he's going to see Priya.’ To your surprise, Sam texted you in return.

Sam << Have you talked to him about it?

>>>> No. How do I even bring it up? He’s with her, right?

Your mind said ‘he's choosing her over me.’

Sam dropped his phone with exasperation. “Cricket, that's not true! Bucky loves you more than anything else in the world.”

You rolled your eyes.

>>>> How do you know?

“Because he told me. Isn’t that good enough?”

>>>> I don't know if I can believe that unless it comes from him.

“You need to talk to him. Communication is key in any relationship.”

>>>>  You sound like an online therapy programme.

Sam guffawed.

“Honestly, I'm kinda surprised by how quickly you forgave him for all the shit he gave you. I mean don't get me wrong, I'm glad you two are friends again but...”

You were surprised by Sam's openness. Natasha and May felt the same way, you were sure, but it was shocking to hear it from Sam who was usually more of a diplomat. It wasn't as though you hadn't thought about all the things that had happened between you, but you couldn't seem to let him go.

>>>> I was scared, Sam

>>>> And he was there and I…

You pressed send, even though you didn't know how to express the sentiment. Despite everything that had happened between you, you still craved his presence in your life. Sam put a comforting hand on your leg.

>>>> I thought I was going to die

>>>> I know, I know. Being an Avenger and being scared of death. Dumb, huh?

>>>> Even after everything, the thing that scared me more was that I might never see him again

>>>> I just don't want to push him away again

“I'm all for team Bucket but I think he has some groveling to do. But trust me, he won't go anywhere.”

You scrunched your face in confusion and mouthed ‘team Bucket’ at Sam. 

“You know, Bucky and Cricket, it's a ship name. Look, that was all Tony!” Sam shrugged as you giggled silently. “Just talk to him, okay?”

>>>> Okay, I'll try. Thank you, Sam

“Anytime. Just remember, Bucky cares about you more than you know.”

>>>> I hope you're right. Thank you for being here for me

“Always. Now tell me you’ll talk to Bucky. Everything will work out, I promise.”

>>>> I will. Promise

Sam looked up from his phone to see you holding out your pinky finger for Sam to wrap his around. As you sealed your pinky promise, Sam kissed you on the forehead. “Now get some sleep, you look like you need it.”

*

As you opened your eyes the following morning, you saw Bucky was back at your bedside. He looked tired and worried, and there was a hint of relief in his eyes as he saw you wake up. Clearly he had come back the previous day, but you had fallen asleep before his arrival. He handed you the speaking valve for you to clip onto your tracheostomy tube.

"Why’re you still here, Bucky? Everything’s fine, you should go home and get some rest," you said, voice filled with concern. 

"Trying to get rid of me?" he teased, a cheeky grin gracing his lips and lighting up his tired features.

You rolled your eyes, suppressing a smile. "Mostly because you look homeless right now," you replied.

Bucky chuckled. "Peachy. I give your voice back and it’s straight to the insults."

"Hey, you know you love me!" Your eyes shone with affection.

Bucky blushed and smiled. "Can’t deny that," he admitted.

“Really Buck, you don't have to stay. It's not your responsibility. I'm a big girl, I have to learn to take care of myself,” you said softly, your voice tinged with sadness.

Bucky shifted uncomfortably, his eyes avoiding yours. “You know, you and Steve are exactly the same. He used to say that to me a lot after his mom died,” he observed, finally meeting your gaze.

You nodded, understanding dawning in your eyes. “Yeah, he has a hard time accepting help,” you agreed, a small smile playing on your lips.

“But I'm here for you, Cricket. I want to help you through this,” Bucky said earnestly, taking a step closer to you.

You looked at him, your heart torn between wanting to believe him and the fear of being hurt again. Bucky had let you down before, and you couldn't bear the thought of going through that pain once more.

"What, when you feel like it?" you asked, your tone bitter with the hurt and disappointment you had been feeling.

Bucky's expression fell, and he looked down, shame coloring his cheeks. You could see the regret in his eyes, and a part of you softened at the sight.

"Yeah, that's what I thought," you said sadly, feeling the weight of your emotions pressing down on you.

But then, Bucky looked up, determination shining in his eyes. "Cricket, I promise you, I will always be here for you. Always," he vowed, reaching out to take your hand in his.

You hesitated, unsure if you could trust his words. "Except when you're mad," you pointed out, your voice tinged with skepticism.

Bucky sighed, running a hand through his hair. "Do you even know why I was angry?" he asked, his tone pleading for understanding.

"Because I didn't get you a dumb birthday gift?" you replied, feeling a mix of frustration and confusion.

Bucky shook his head, a small smile tugging at his lips. "Cricket, why’re you like this?" he asked, his eyes searching yours for an answer.

"Like what?" you countered, feeling a surge of defensiveness rising within you.

"You've been lying to me for months," Bucky stated, his voice gentle but firm.

You felt a lump form in your throat, the weight of your secrets pressing down on you. "I don't know what you want me to say," you admitted, feeling vulnerable and exposed.

"What's going on in that head of yours? Just help me understand what you're feeling," Bucky urged, his gaze filled with concern and a hint of frustration.

Bucky's heart sank as he watched you avoid his gaze, preferring to fiddle with the strings on your hospital gown. He had never seen you like this before, so vulnerable and distant. He knew he had to get to the bottom of what was troubling you, no matter how difficult it may be.

Bucky reached out and gently lifted your chin, forcing you to look at him. "Cricket, please talk to me. I can't help you if you don't tell me what's wrong," he pleaded.

Taking a deep breath, you let go of your defenses and allowed yourself to be vulnerable with Bucky. "I’m sad," you whispered, tears welling up in your eyes.

Bucky took your hands in his. “That’s good… that you’re telling me this, not that you’re sad. Can you tell me what’s making you sad?”

“That things aren’t like they used to be… with us.

“And this is because of Priya?” he asked, cautiously. 

You nod, taking a deep shuddering breath, knowing that if he asked you a direct question, the truth would come out and it terrified you. But you’d been hiding it for too long and it was eating you alive.

“You don’t like her?” 

“I didn’t have any specific problem with her… up until your birthday.”

“Yeah, I can understand that.”

You looked up at him curiously.

“I found the gift you got me.” Bucky moved closer to you, so he was sitting beside you on the bed, still holding your hand. “And I read the note.”

“Yeah?” Your heart was pounding with fear and anticipation.

“Yeah,” he nodded. “What you wrote… I… I don't think anyone has ever done anything so special for me before?”

“What, not even Steve coming to Azzano to break you out of a Nazi prison?” you joked, trying to divert attention from yourself.

Bucky chuckled. “Stop deflecting.”

“Sure thing, Mr. Pop Psychology. Who suddenly gave you a masters degree in psychotherapy?”

“What you said… did you mean it?”

You frowned, not a hundred percent sure of what he meant.

“In the message on the birthday card,” he clarified seeing your confusion.

“Every word,” you answered earnestly.

“I’m sorry for what happened… with Priya.” 

“That wasn’t your fault,” you shrugged.

“But I was the one so ready to believe that you didn’t care about me. After everything we’ve been through together, I should’ve given you the benefit of the doubt.”

But another question was plaguing your mind. “How long have you known?”

“Known what?”

“About what Priya did.”

“The same day that you were hurt. I was coming to find you when Steve got your message. I just got back from that mission with Sharon.” His voice tailed off, knowing what your next words would be about.

“Why were you on a mission with Sharon?”

“Because I asked Steve to assign me a different partner,” he mumbled.

You nodded, as he confirmed your suspicions. “Of all the things that’ve happened, I think that’s the most hurtful thing you’ve done.”

“So you just decided to leave? Without saying a word?” He couldn't keep the sourness from his words.

“Who was I supposed to say it to? You were acting like I didn’t exist. You didn’t even say goodbye when you walked away from me. What if something happened out there?” Your eyes filled with tears again. “What if you didn’t come back? What was I supposed to do then, Bucky? Huh? You left me!” Your voice cracked as your tears fell.

“I know, I'm sorry.” He put his arms around you, holding you tightly. He whispered his apologies into your hair as he held you to his chest. “I'm sorry.”

As you composed yourself, you pulled out of his embrace, wincing as the stitches in the side of your abdomen are put under strain. “Please don't,” you pushed away his hand as he tried to help you. “How does your girlfriend even feel about you being here 24-7? She made it pretty clear to me that she wasn’t giving you up.”

“She did what?” Bucky’s voice rose an octave and his eyebrows flew up into his hairline. “When?”

“Didn’t she tell you why we were in the park together?”

“I haven’t seen her since we brought you to the hospital. We’re not…”

“What happened?” you asked, surprised to hear this development.

“We broke up.”

“Why?” 

Bucky took a deep breath, trying to gather his thoughts before speaking. "Because she's not you," he finally said, his voice barely above a whisper.

Your eyes widened in surprise, your expression a mix of confusion and realization.

"What do you mean she's not me?" you asked, your voice tinged with disbelief.

Bucky looked down at his hands, fidgeting nervously. "I mean... she's not you. She's not the one I want to be with. She's not the one who makes me feel safe and loved. She's not the one who understands me like you do."

"I was so scared of losing you, that I ended up acting totally crazy and almost lost you anyway. Bucky, I…” you sighed. “I don't know why this is so hard for me to say… I care about you. You're everything to me… I… I love you."

Bucky's eyes softened as he reached out to gently lift your chin, forcing you to meet his gaze. "I'm sorry, Cricket. I didn't realize... I didn't know how you felt."

You sighed, feeling a weight lift off your shoulders as you finally spoke your truth. "I've been hiding it for so long, Bucky. I've been pretending that everything was fine, but it wasn't. I missed you. I missed us."

Bucky's thumb brushed against your cheek, wiping away a stray tear. "I missed you too, Cricket. I missed us too."

You leaned into his touch, feeling a sense of comfort and familiarity wash over you. “I don't want to hide it anymore, Bucky.”

Bucky's eyes sparkled with emotion as he pulled you into a tight embrace, holding you close as if he never wanted to let go. "I’m so glad to hear you say that, Cricket. I love you too."

In that moment, you felt that your world was complete. Bucky was everything you needed and he felt the same way about you as you did for him. You craned your neck back to look at his face, and as he caught your eye, Bucky cupped your cheek tenderly. Your hearts beat in unison as he leaned in closer. The tension between you palpable, the air thick with desire. And then, in a moment that seemed to last an eternity, his lips met yours in a soft, tender kiss, his heart soaring as you kissed him back. It was like nothing either of you had ever experienced before. The world around you faded away as you lost yourself in Bucky, your bodies pressed together in a sweet embrace. The kiss was gentle and sensual, filled with a depth of emotion that words could never express.

Eventually Bucky pulled back, gasping a little to fill his lungs with the air he had been deprived of. Even as a super soldier , Bucky still needed oxygen. He blinked in confusion, bewildered by the mischievous twinkle in your eye.

"I win that round, huh?" you said, a playful grin on your face.

"What do you mean? How are you not out of breath?" he asked, his heart still racing from the kiss.

You pointed to the tracheostomy tube in your throat, a small smile playing on your lips, a hint of laughter in your voice. "I can breathe through this, remember? So I win this time, Sergeant Barnes. Whoever breaks the kiss is the loser."

Bucky couldn’t help but laugh with you while shaking his head, feeling a sense of relief washing over him. He had always loved your sense of humor, even in a moment as intimate as this.

*

You sat on the edge of the bed, overjoyed that you had been deemed fit to leave the hospital. As you stared out of the window at the bountiful greenery that surrounded the urban hospital building, Bucky approached you quietly, his footsteps barely making a sound on the sterile floor.

"Hey, Cricket," he said softly, taking a seat beside you. "I heard it's time for you to come home."

You turned to look at him, your eyes filled with happiness. "Hey! That was my news!" you joked.

"Do you want me to get the rest of the team to help move you back home?"

You took a deep breath and looked out the window again, contemplating your response. You had been thinking about this moment for a while now, and you knew you had to be honest with Bucky.

"I appreciate the offer, Bucky, but I don't think I want to go home just yet," you said, your voice steady.

"What?" Bucky's face fell dramatically, panic on his handsome features. But you were ready for this reaction. 

"Look, Buck, I'm not saying I don't want to be with you." You put your hand on his thigh. "I just... it's been a lot, you know? I..."

Bucky looked surprised, but he nodded understandingly. "I get it, Cricket. You've been through a lot and maybe you need more time to heal."

You smiled gratefully at Bucky. "Exactly. And I've been thinking... I want to stay in my apartment and teach at the Academy. I've never lived on my own, been self-sufficient. I went from living with my family, to working for S.H.I.E.L.D., to being an Avenger. I just think it's time for me to be me. I want you to have the best of me."

Bucky sighed, pouting and running a hand through his hair. "But we could use your powers on the team. You're a valuable asset, Cricket." 

"I know," she replied, her voice tinged with sadness. “But I need a fresh start. I need to figure out who I am outside of being a superhero or an agent. I want to continue working at the Academy and make a difference in my own way."

Bucky nodded, understanding your need for independence. "I respect that, Cricket. But promise me that if we ever need your help on a mission, you'll be there."

Cricket smiled softly. "Of course, Bucky. I'll always be there when you need me."

Bucky reached out and took your hand, his touch warm and comforting. "I'm going to miss having you around all the time."

You squeezed his hand back, feeling a pang of sadness at the thought of leaving your teammates behind. "I'll miss you too, Bucky. But this isn't goodbye forever. We'll still see each other all the time, I promise."

As you sat in silence, the weight of your impending separation hung heavy in the air. But you knew that this was a necessary step for you to find yourself and for your relationship with Bucky to grow stronger.

"What will this mean for us?" he asked, tentatively.

"Well, I hope, a fresh start. One where we can both communicate better with each other."

Bucky grinned at you sheepishly. "I promise, from this point on, I'll always be here for you, no matter what. Even if I'm mad, or sad, or..."

"Horny?"

Both of you burst out laughing, plenty embarrassed and slightly aroused.

"That one is guaranteed." Bucky grazed his finger over your arm, leaving a trail for goosebumps in its wake.

 "I love you, Bucky."

"I love you too, Cricket," Bucky whispered, pressing a kiss to your forehead before reluctantly letting go.

As you prepared to leave the hospital and start your new journey, you felt a mix of emotions - excitement for the future, sadness at leaving your old life behind, but above all, a sense of hope for what was to come. And as you looked out at the greenery outside the window, you knew that you were ready for whatever challenges lay ahead. Everything felt different now and with Bucky by your side, you were confident that the two of you could face anything together.

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[pillarsalt]

hi! i was wondering your opinions on how hrt affects the body? i hold a lot of radfem beliefs but i am trans (taking testosterone). would being a woman to you have to be completely about chromosomes? for example, trans men years on T do not have the same genetic makeup as cis women. same with trans women on E, their genetic makeup would be very different to cis men, and would more correlate to cis women. does this factor in who you consider female/male or having experience as women?

Hi there, thanks for reaching out.

Firstly, I think you may be a bit confused. Taking exogenous hormones does not affect your genetic makeup. Your dna will stay the same unless you're exposed to something extreme like radiation - this is a good thing because dna mutation is bad for you and causes cancer! Your genetic sex is immutable, a person with XY chromosomes cannot have their dna altered to have XX chromosomes instead.

Hormones will affect the expression of your genes, for example turning on facial hair production in women who are taking testosterone. This is why those patterns of facial hair, even in women, differ from person to person. The genes for it were already there, but hormone replacement therapy uses the endocrine system to change what signals get sent to your genes to tell them what features to express.

Beyond chemically induced genetic expression, there are particular physical features in males that do not occur in males, and vice versa. This is a feature of the /ancient/ evolution of sexual reproduction. Despite the variety of metaphysical beliefs about identity and personhood, the truth is that humans evolved to reproduce between two sexes, and human beings cannot change sex. Every cell of your body has your sex encoded within it. This affects us physically in many ways. I and most feminists believe that this fact should be irrelevant to any person's ability to pursue their passion, be themselves, and love who they love. Even so, recognition of biological sex is something important. This is really critical in a medical context. For example: men who receive a blood transfusion from a pregnant or recently pregnant woman have an increased risk of death by transfusion-related lung injury. Another example: tracheostomy tubes differ in size depending on sex due to dimorphism in average tracheal diameter. A women who is reported as a male risks considerable injury by having a male sized tracheostomy tube forced into her windpipe. A considerable amount of medications differ in dose effectiveness and side effects based on biological sex. Something as straightforward as a heart attack has different symptoms depending on if the patient is female or male. Denial of biological sex is dangerous, and as it stands, medical science has not advanced enough to change the biological sex of an individual. If you are born male, you will stay male for your entire life. You say that a transwoman who has taken estrogen is more genetically similar to a woman, I'm sorry but that simply isn't true. A male person will always be more genetically similar to other males than to a female person.

Determination of sex is very simple, it's about the easiest genetic test to do. They have kits for high school classrooms to try out ffs. We need to leave the "meaningful sex change is possible through medical intervention" thing in the past, all we accomplish with that is giving people false hope and an unattainable goal to fixate on. Sex is real and immutable, I wish it didn't matter, but it does.

And why it matters is, maleness and femaleness have become inseparable from certain stereotypes and assigned qualities by societies in human history. Overwhelmingly, the male people subjugate the female people. Since men, male humans, discovered womens' ability to give birth could be taken advantage of, it was capitalized upon. And this is the foundation of patriarchal society. Religions were founded to justify this as the will of god. To deny that women have historically been persecuted due to their sex is, well, misogynistic. There is no "woman feeling" that makes us targets for child marriages, FGM, trafficking/prostitution, and other horrors from the minute we're born and even before. No, it's the sex we were born with that makes the world think it can decide our fate. In fact, the way that people treat male children differently from female children is so different so early, that we are genuinely unable to study human behaviour unaffected by gendered expectations. This is what feminists are talking about when they discuss "socialization". There is not a single man on the planet who knows exactly what it's like to see the world from a woman's eyes, no matter how feminine that man is. Womanhood isn't something you can achieve or acquire through effort: you were either born a woman or you weren't, just like you were either born with detached earlobes or not. It's so simple.

All that to get to my final point: Yes, I believe the definition of womanhood comes down to biology, because anything beyond that is a meaningless stereotype. Women can do anything, be anyone, look any way they want, go through any experience they do. The one thing they have in common is that they are female adult human beings. There is not way to fail at being a woman or do it wrong, you just are. Womanhood is the experience of having been a female person in this world, and nothing else. There are certain things only female human beings need, like abortion and female contraceptive rights, access to spaces where we can be safe from our subjugators (male human beings), and the ability to define ourselves and fight for our collective rights.

(At this point you may object and point out that male people who identify as trans women are also subject to violence and scorn from men: unfortunately that is often the case, but this does not make male people who identify as women, well, female. We need solutions for them that do not involve requiring women to sacrifice our comfort and safety for the sake of a particular subset of men, because of the inherent risks involved and the fact that women do not owe men anything even when those men have it bad.)

One last thing: my opinion is that prescribing exogenous cross-sex hormones is unethical (so are all elective cosmetic medical procedures but that's a post for a different day). I understand the distress that gender dysphoria inflicts on people, however the ill effects of hrt are too numerous to condone. The huge increase in risk of stroke with estrogen, heart disease and uterine atrophy with testosterone, and the way that trans medicine studies are notorious for losing followup with patients after a year or less... it's short sighted and frankly, financially motivated. The amount of trans patients who are prescribed hormones without access to an endocrinologist, it's honestly infuriating. People deserve the best care possible, not lab rat bullshit where they cut you loose when it's not working out. I won't judge anyone for what they do to themselves to cope with distress, but I want everyone, especially girls, to be aware of the lifetime effects medical decisions may have, and that you also can find happiness within yourself without hurting your body.

Thanks again for your question, be well ✌️

[octoberarts]

[Image Description: A digital drawing of a woman with Pfeiffer Syndrome, standing with her legs crossed over, one arm across her waist and the other up in a confident position. She wears a colourful outfit, most prominently a yellow jacket with rainbow sleeves, but also an orange top, denim skirt and red shoes. Her hair is a mix of purple with pink streaks and is up in two buns. She has a blue hearing aid and tracheostomy tube. /End description.]

I meant to upload this last week for facial equality week...but hey, better late than never! I finally settled on purple for her hair, but I think she'd look good with any colour of hair. I had considered rainbow as well...well, I guess for pride month next month I should do a rainbow haired character!

Image ID in the post again, as I saw a post saying alt text isn't always accessible on screen readers?

[wombywoo]

Not me thinking about Quinn's throat injury, and how he might have had to relearn how to speak. Does he know sign language? I wonder how he feels when he loses his voice, especially when sick. Does Vincent know what happened to him? How do they deal during times when Quinn can't speak? Poor guy, he really needs all the love.

muahaha I have thoughts about this as well 🥰 I <3 suffering

(tw medical stuff) After the injury, he was treated in the hospital with an emergency tracheotomy and put on a ventilator because he couldn't breathe on his own. There were further complications with the surgery due to air trapped around his lungs, so he was kept there for over 3 months. Even after being discharged, he maintained the trach tube at home for about half a year further. It had been just at the start of autumn term, so he was homeschooled for that period and required constant visits to the pediatric hospital (yeah...btw he was 13 🙃)

In that time, he had to relearn how to speak, which was especially difficult because he refused to try in the beginning :( He had a long period of deliberate silence, and only communicated via a dry-erase board, and even that was rare. His father had been diligently taking care of him at the time and did his best to encourage him to speak, but it was...it was difficult for a while. Eventually, Quinn did make small attempts to speak aloud, his voice evidently weak and damaged from both the injury and the tracheostomy. The speaking valve made his voice sound weird, so that took getting used to, and when the tube was finally removed, he required further speech therapy. He was embarrassed about it, and still is, because his voice never recovered fully enough to sound entirely normal again.

When he notices it flagging as an adult, he tends to revert back to silence out of habit; if he has to talk in that condition, it'll be quiet and barely audible. While he never actively learned sign language, there are military hand signals he incorporates if he needs to address something and can't speak. It gets particularly bad when he's sick, so he tends to shut himself away so others don't hear how pathetic (his words) he sounds. He also prefers not to shout often, as it can crack if he raises it to a certain volume. It's a touchy subject for him, so if people point it out, he feels even more ashamed and embarrassed :((

Vincent has taken note of it, and in the beginning, was considerate enough not to comment. They do address all the trauma surrounding it eventually, and Vincent tries not to treat him too differently because of it. But he's sensitive to his moods, so he knows how to manage it more effectively than Quinn does. If he notices Quinn's voice is getting weak, he'll usually step up and talk for him; they have enough telepathic understanding of each other by this point, lol. During the times when he can't speak at all, he'll set him up with a notebook or a board and try to keep him isolated until it passes. They develop a system, and Quinn hasn't felt this reassured about his condition since..probably ever 🥺

[icu-fetish]

Innocence/Vulnerability

The noise of the machines in the ICU was deafening. I tried to focus on my breathing, but it was shallow and ragged. I couldn't move. They put an oxygen mask on me, but my condition continued to deteriorate.

I was given many injections. After that, I fell asleep. When I woke up, I felt a foreign object in my throat. It was a long, plastic breathing tube that connected me to a ventilator. With each breath in and out, I felt the cold air pass through the tube and into my lungs. The rhythmic hissing of the machine reminded me that I had lost control of my own body. After numerous surgeries, I ended up in a coma, tethered to the ventilator.

I'm still here. Yes, I'm alone and completely paralyzed. I still can't even wiggle a finger. I was in a coma for a long time. Too long.

The doctors performed the necessary surgeries. When I finally woke up, I felt something foreign, something lodged in my throat. I couldn't believe they had done a tracheostomy. The complete dependence on the ventilator made me vulnerable and defenseless, causing a feeling of helplessness. I looked at the doctor, and in his eyes, I saw sympathy but also a kind of detachment. "Everything will be fine," he said. But I didn't believe a single word. And now I can't even make a sound.

I felt an unpleasant weight in my nasal cavity. The long nasogastric tube, which was sustaining my life, deprived me of the ability to eat on my own, emphasizing my complete dependence on the medical staff. Although there was no physical pain, the feeling of a foreign body in my body caused discomfort and anxiety. The catheters and other tubes hanging around me intensified the feeling of dependence, as if I were chained to the bed, powerless to change anything.

Most of the time, I listen to the rhythmic breathing of the machines. The doctors and nurses examine me regularly, checking my vital signs.

I am periodically disconnected from the ventilator to clear my airways of mucus. Each cleaning procedure is a reminder of my dependence on the machine. Those few seconds when I am disconnected from the ventilator cause me to feel helpless and afraid of the unknown.

After the tracheostomy tube is cleaned, I am quickly reconnected to the ventilator. The rhythmic hissing soothes me. In this peaceful isolation, I find a certain peace, accepting my vulnerability.

Meet With Two Souls - Ep. 7

Touboui F - Ep. 8

Innocent Love

[cripplecharacters]

what conditions can cause muteness / a permanent inability to speak? i have this old oc i'm remaking who i, at the time, just kinda made mute....without any reasoning behind it, but now that i'm reworking her character, i'm looking for an actual reason for it. it's a permanent 24/7 thing for her, so it's not selective mutism or anything like that...i'm struggling to find an extensive list of causes for her muteness. thank you in advance for answering.

- ⚰️⚰️⚰️

Hi!

There is a lot of reasons why someone might be unable to speak, they can be developmental, neurological, anatomical, etc.!

Some reasons could include;

Autism

Intellectual disability (and all the syndromes that come with it, so potentially thousands of options?)

Stroke, cerebral palsy, TBI, etc. (though most of the time it's not so much inability to speak, but rather the speech not being understood by others)

Expressive aphasia

Vocal cords paralysis/nerve damage (can be traumatic, or due to illness like multiple sclerosis)

Mouth and oropharyngeal cancers

Myotubular myopathy

Spinal muscular atrophy (type 1)

Having a Tracheostomy tube

Cerebellar mutism

Apraxia

Myasthenia Gravis

Of course the disabilities above will also have other symptoms that you should include as well:-) but hopefully one of them works for your character!

If you have more questions, feel free to send them!

mod Sasza + mod Rot