#because they never see the patient it's an advice only service

[rowenabean]

Worst part of this job is waiting for the bloody pictures to upload for my dermatology referrals

[solspina]

Rating primarchs based on how good of a boyfriend they would be

full send no context

─── ⋆⋅ ♰ ⋅⋆ ───

Horus : 8/10

He’s a nice guy for the most part, very charismatic and though very goal focused he’s also kind and open to those he’s closest to. Outwardly, he’s very straightforward, stern, and absolutely ruthless to his enemies. There’s humanity within him though, and he won’t keep his friendly, loving demeanor away from those who deserve it. Find him at a celebratory event, drunk with Sanguinius, moments in which he’s full of nothing but laughter and love for his brothers and the one who stands beside him. His love language is quality time.

Leman Russ : 4/10 (negotiable)

Though he knows love, it seems to be quite strictly familial. He’s described often as ruthless and barbaric, naive and braggish. If you can put up with things like that, I’m sure he would be a fine boyfriend. Similarly enough though, he’s had many women try to court him all at once, and successfully. I can’t promise his loyalty if someone better looking comes along, as no one ever taught him the importance of that. Outside of the constant, lingering fear of replacement, he can have his caring and understanding moments, occasionally bringing you gifts from crusades and sieges on other planets. Maybe his loyalty to the emperor would apply to his lover too, if you tell him what it means to you. His love language is gift giving.

Ferrus Manus : 7/10

Rage is his fatal flaw if we’re being honest. Not towards you, but towards battle. Toward you I imagine he would be more straightforward and honest, though trustworthy and strong willed to make your relationship work. Loyalty will never ever ever be an issue with him, but it seems like he spends more time with war and battle than he does you. He spends time with you when he can, though, and he truly does care. Points off for his temper. He gave his brothers personalized gifts, and i’m sure he would go through many lengths to do the same for you. His love language is gift giving.

Fulgrim: 6/10

He’s constantly trying to be perfect, and he wants whoever he’s with to be perfect too. A lot of the time, it gets to his head. He can be incredibly ignorant quite often, and isn’t very considerate of your feelings. You’re more of an idol to him, a model. You’re human, so he sees you as perfect, something he and his people should strive to be like. Youre idealized, and under rose tinted lenses, this looks a lot like love… Lots of acts of service and gift giving.

Vulkan : 10/10

The only man you will ever need point blank period. He’s patient, he’s empathetic, he’s kind, he’s humane. He’s incredibly easy to love, and he truly is beloved. The Salamanders love you too, sometimes listening to your commands as if they were his. You’re respected as long as you’re under his arm. He wants to understand the way humans feel, especially understand the reason they wrap their arms around each other and sleep with their bodies entwined at night. His love language is physical touch.

Rogal Dorn : 6/10

He’s incredibly loyal, and also incredibly honest, but his seriousness can get in the way sometimes. You love him, very much, but there are times you get into petty arguments and he has to go consult Horus and Sanguinius for advice on what to do. He’s also very reserved at times, a lot like a single dad who’s just doing his best to keep his job and go about his day. Acts of service would be his love language.

Roboute Guilliman : 9/10

Guilliman is a great boyfriend, a great tactician, a great warrior, all of the above. The only reason i’d take a point off is because I believe he may be a little arrogant at times. He believes that his way is the right way, but he’s usually willing to listen to you and your concerns. He’s incredibly intelligent, very sympathetic and understanding of human trials and concerns, and he’s a lot like we are modern times. I think he would look for comfort in a significant other, and his love language is likely acts of service.

Magnus the Red : 3/10

Another man that I don’t recommend being with. He’s more arrogant than Fulgrim. When I said Guilliman believes his way is the right way, Magnus takes it a step up. He thinks he’s ALWAYS right. He cares, and he means well, but he’s way too much to put up with. Highly manipulative and self absorbed, don’t put yourself in that situation. He values knowledge more than he does you.

Sanguinius : 10/10

Besides the fact he’s a vampire, you’re probably the most safe with him. He genuinely cares for you and your well-being, and sleeping next to him at night with his wing draped over you is an absolute dream in a universe plagued by war. His sons may fall to their bloodthirst when they’re on the home ship, and Sanguinius is fast to wrap himself around his human partner and protect them from any and all harm. You hold him through his sorrow every time a mass of humans or his sons lose their lives, and you watch him kneel to offer you his loyalty and unconditional love rather than you offering it to him. He gives both physical touch and words of affirmation.

Lion El’Jonson : 7/10

Of course he has his moments where he can come off as aloof and paranoid, but that’s for the most part only on the battlefield. Outside, he’s incredibly charming and charismatic, but in a noble way. When his paranoia gets to him after an argument, he seeks out Sanguinius and Horus for advice, wanting nothing more to fix your relationship and solve whatever went wrong. He become more secretive as time goes on, but old habits die hard. I believe he’d offer acts of service.

Perturabo : 6/10

He’s incredibly smart, but finds relating to you and your human tendencies incredibly difficult. His moods can shift and change rapidly and violently, but I believe he means you no true harm. He would never hurt you intentionally, often opting to back away and give himself space, sometimes for days. He never returns to you without a mechanically engineered gift, though, one of his design. Alongside a very gentle hug and a conversation about how you care about him, what he loves. You love him, not for his usefulness to the emperor, but for him. His love language is definitely gift giving.

Mortarion : 8/10

He’s very confused as to why you would choose him. He’s disgusting, an abomination, he hated everything from psykers to his oppressors, what did anything matter if he would be left to the mercy of another oppressor anyways? All thoughts he had until he met you. He was cold and hateful to you at first, untrusting, and yet you showed him kindness. You showed him kindness over and over again. For once, it wasn’t just a one time thing. You’re the only thing in this universe who sees him as more than a warlord, more than the embodiment of death itself, so for you he has a soft spot. He hates the idea of having a human curl up next to him, absorbing his warmth and disease alike… and yet you do. You remind him that his touch is not deadly, and he too is capable of humanity. He will be more considerate of his decisions, because for once, something matters. His love language is physical touch, because he’s been deprived for so long, you’re the only one who allows him that piece of humanity.

Lorgar : 5/10

Does he love you? Does he not? No… He needs you… Maybe he just needs space actually.He loves you, he really does, and by god he tries his best, but when you’re as impulsive and indecisive as he is, it’s hard to know sometimes. If you’re okay with it working 50% of the time, maybe more maybe less, I’m sure you’ll be fine. His love language is… uh… well?

Jaghatai Khan : 7/10

Loyal, decently humble, and a relatively peaceful man. Outside of war, he has potential to be great to you. When war is his focus, however. Expect no attention, he’s a fierce warrior and needs to focus on his allegiance to the emperor, that’s what comes first. You follow very closely after, though! He’s quick to praise you for the things you do well and gently remind you of a better course of action when it comes to the things you don’t do too well. Acts of service enjoyer.

Konrad Curze : 2/10

DO NOT DATE THIS MAN. Konrad is a walking red flag. The self loathing, the anger, the angst, the general belief in humanity as a fallacy. He’s also incredibly violent, and may cause you serious harm if you ever managed to anger him. He’s a primarch, and you’re a human. Don’t you dare piss him off. I don’t know why anyone would realistically want that. Please continue to paint him as mean angry babygirl with a soft spot in your fics though. If you think you can fix him, you can’t. The emperor already tried.

Angron : 4/10

Before his conversion to chaos, Angron would’ve been a great boyfriend if we’re being honest. He was kind, compassionate, encouraging. He loved you when you were enslaved beside him, but once he became a primarch and lost everything, his beloved included, he became one of the most ruthless and cruel people out there until he succumbed to Khorne. He doesn’t remember you. His love language was words of affirmation.

Corvus Corax : 4/10

A very melancholic and depressed primarch. He’s very angsty and honestly a major drag to be around. He and Konrad, i feel like, would be better boyfriends to each other than either of them would be to you. Corvus isn’t as violent as Konrad, but he definitely carries on the hatred, the sorrow, and the bitterness. He’s also very sensitive, so expect to be met with either violence or a breakdown if you try to leave. 2 extra points because you may get to keep your life, his love language is words of affirmation, always followed by self deprecation.

Alpharius Omegon : 7/10

He’s they’re a great boyfriend to be honest, though very secretive, and that raises many questions. You don’t know that there are two of them. It’s a secret, not even one that you’re allowed to know the answer to. Alpharius is obviously the more dominant brother, the one who you think has a soft side. He doesn’t. That’s not him, that’s Omegon. Omegon is much more gentle, quiet, and quite honestly a little more touchy. Why? because you make him feel seen. Alpharius is used to the spotlight, so giving him every ounce of your attention feels like the usual, though he still enjoys it very much. Alpharius expresses love through acts of service and gift giving, while Omegon expresses love through words of affirmation and quality time. They make up for everything the other lacks, as long as you don’t know the massive secret they’re keeping from you…

[nancysandoval]

NANCY SANDOVAL ( 30. CIS WOMAN. SHE/HER ) is here! They’ve lived in Asbury Park for 3 MONTHS and are originally from NEW YORK CITY, NY. They are UNEMPLOYED and in their downtime love GIVING SHITTY LIFE ADVICE and PULLING THE FIVE-FINGER DISCOUNT. They look a lot like MAIKA MONROE and live at MEADOWLARK APARTMENTS. The song that makes people think of them the most is RAGE BY RICO NASTY.

THE BASICS:

FULL NAME: nancy elizabeth sandoval, née wright

NICKNAMES: nan, nance

GENDER & PRONOUNS: cis woman & she/her

AGE & BIRTHDAY: 30 & july 12, 1994

ZODIAC: ☼ cancer ☾ leo ↑ aries

BIRTHPLACE: carson city, nv

MBTI & ALIGNMENT: enfp & true neutral

+ TRAITS: headstrong, spontaneous, creative, flirtatious

- TRAITS: hedonistic, fickle, manipulative, pessimistic

RESIDENCE: meadowlark apartments

OCCUPATION: broke bitch :( - hit up her depop pls !!!!

LINKS: pinterest / playlist / tasks

BACKGROUND & DETAILS:

surface level: nancy is very messy, sometimes rude, and often nude

deep down: ......... that’s still pretty much accurate lmao

born in nevada, her parents met thanks to a chance encounter while her mom was researching for an upcoming book. nancy was an unexpected surprise in their lives, but fast-forward 5 years and they were sealing the deal, getting hitched in nyc where her mom had the gaudy, mega wedding of her dreams.

photographic evidence of nancy being an angelic flower girl DOES in fact exist

and, as her mother would say, "thank god it does, because you haven't been sweet since."

nancy's formative years were a blur of questionable choices and dangerous stunts, running amok in the streets of new york on her parents' dime and never once considering the consequences. attempts were made to rein her in; freezing credit cards, grounding her (lol), and making hollow threats of sending her away to bootcamp or boarding school.

nothing stuck. over and over, nancy ran to her dad for an easy bailout and extra cash, fueling the growing rift between her parents as they argued about her future.

for real the anthem of her teen years

she hurt herself, she fell in with the wrong crowds, she found drugs and lost her mind a little. an addiction to pills spiraled and worsened, graduating to cheaper and quicker highs as time went on. it was a miracle that she ever graduated high school, see-sawing between sobriety and oblivion while treating rehab like a casual hotel stay, but her mom made sure it happened.

this carried on into her twenties. living under her mother's thumb was not fun. even in a high-rise penthouse with zero "real world" concerns, nancy felt like she was choking on her short leash. no booze, no visitors, no privacy from her parents - what was the point in living?? she tried to keep busy by half-assing therapy sessions, taking up yoga, and delving deep into the world of online academia (just to rack up a bill for the 'rents), but eventually she snapped.

nancy packed her shit and ran away to california. she settled in silver lake, living there for a good three years, but an attempted career in food service had her backsliding into addictive habits. eventually, she checked herself into an in-patient facility with a promise from her dad that he'd be there to congratulate her when the 3 month stay ended.

.... and he was......... but so was his hot young girlfriend that nancy had regular fantasies about bludgeoning to death.

she threw the tantrum of the century, only resurfacing from her rage blackout when she'd driven halfway to new york by herself, and car trouble stranded her in colorado. feeling reckless and spiteful (and just a tiny bit terrified of turning 30), nancy did the most insane thing she could think of - and got married to a guy that she met at a gas station.

okay, she got to know him first...... sort of. enough to find out that his name was cooper sandoval and decide that she could live with that last name, too. sadly, it didn't last. their honeymoon phase inevitably wore off, nancy turned 30 and didn't wake up an old hag, so the most sensible thing to do was call it quits.

it was the dual incompetence of cooper and his family's lawyer that had nancy gunning it to jersey, having to sort through the legalities in person to end their less-than-a-year marriage. and once everything was signed and dotted, she just... didn't leave. she's near enough to nyc now that her mom can visit whenever she gets the itch to be overbearing, and hey! nancy was always a big fan of snooki, so jersey can't be all bad, right?

she's still lowkey desperate to prove her independence (to herself, to her parents, to the world), but she's not totally opposed to roommates or longtime houseguests!!

always picking up random hobbies to keep her hands & mind busy, though they rarely last. her latest kick has been tie-dyeing and bleaching old clothes, so best believe that her place reeks atm

loves to claim that she's a child of divorce when her parents legit split up after she was well into her 20s, but whatevaaahhh

she's hugely into high fantasy & horror - the gorier the better

probably has some fucked up (meaning: bad) hellraiser tattoos

has a knack for ruining relationships, even ones that aren't hers <3

smokes 24/7. even if she doesn't have a cigarette in hand, rest assured that she's mentally taking a drag

POTENTIAL CONNECTIONS:

first and foremost, i love vibin’ off dash chem 💖 plz feel free to hmu at anytime for a completely random thread and i’ll jump!

neighbors  -  anyone else living at meadowlark apartments! nancy is really a terrible and noisy neighbor so yah, count me in for dumb vendettas

friends  -  THE most important connection okok. she’s been in town for ~3mo, which isn't all that long, but nancy's social ass would chat up anyone anywhere there's alcohol avail

work weirdness - nancy's currently unemployed and (kinda) looking for the work, so i wouldn't mind her already having a couple failed job interviews under her belt - or! someone who maybe put in a good word for her somewhere

one night stand / fwb / etc.  -  nancy’s a hoor so yakno.... can be something antagonistic too! luv the idea of a hook-up gone wrong ngl

fellow addicts  -  “recovered” or not. she doesn’t go often, but now and then nancy finds comfort in going to the occasional aa / na meeting. can’t get enough of listening to middle-aged men detail how they ruined their lives - really makes a girl feel good about her own shitty choices 💕

a mentor / unlikely friend  -  idk exactly what i mean by this lmfao, but i’m imagining someone older (or honestly, her age & just more settled) who does not run in the same circles in the slightest, but something just Clicks between them. a good influence really

a square  -  flipside of the last idea: someone nancy gets to corrupt <3

[juneknight]

Take These (Sunflower Seeds)

About this: The Soulmate AU trope where a goose will lead you to your soulmate. (Yes, this is a trope?? When I heard it, I knew I needed to write this, I'm so sorry). Steven Grant/fem!reader. Fluff.

Immersivity: this reader wears high-heels and works as a secretary in a law-firm. She is given no physical description nor name. Any further details which hinder your immersive experience are welcome to be pointed out to me.

*

You press your forehead to the cool glass of your office’s entrance, eyes scanning back and forth. Beyond is a patch of grass nicely landscaped: flower beds filled with hardy geraniums and lobelias surrounded by wood chips, iron benches, bins with special lids to keep the critters out. Bisecting the grass is the concrete sidewalk that leads to the parking lot, and just beyond the lot, one of the busy streets of London. 

Besides typical foot traffic on the sidewalk and through the parking lot, the yard is empty. 

“You haven’t fooled me, you bastard,” you mutter beneath your breath.

Someone clears their throat behind you. Whirling, you see one of the lawyers who had made partner standing behind you, not very patiently waiting for you to move so he could access the door. 

“Oh, sorry, Mr. Giovanni,” you say, stepping out of the way. Your customer-service persona immediately assumes control over your body, speaking through your mouth with a measured politeness that the man doesn’t deserve. “Have a lovely weekend.”

He hums, breezing out the door and down the sidewalk. You watch his peaceful, easy retreat with a scowl. 

“Best bite the bullet and run for it,” one of the other secretaries teases you, slipping past you and out the door. You’ll add that to the list of helpful advice you’ve received. Towards the top, even. 

You reach down to slip your heels off and tuck them into your tote. Out come your tennis shoes. The feeling of wearing them with only your tights to act as socks is a sensation you will only be able to stand for the sixty seconds it takes you to sprint to your car. You must look like a madwoman, your running shoes at sharp odds with your prim work-wear, your tote clutched to your chest like you are about to run across a patch of hot coals. 

Convinced it is now or never, you take a deep breath and rush through the door. 

And you make it to the bins before you hear it: the most obnoxious honk you’ve ever heard. The goose comes barreling from around the corner of the office, cutting off your retreat. 

This fucking goose. 

When your law firm changed locations in the spring, you had been grateful for the shorter commute. The atmosphere was certainly better as well, what with the flowers at least—as a matter of fact, your building’s little thirty-by-thirty plot of grass was some of the only greenery within the surrounding three blocks. 

Perhaps that’s one reason why the goose always comes back. For the atmosphere. 

The second must be because it’s a dark little creature born of sulfur and brimstone with the singular goal in life to torture you. 

You consider yourself a woman of slightly above average resilience. You are the one the girls in the office come to if there is a spider that needs squashed (little do they know you scoop it up in one of the paper cups from the fountain and deliver it to the nearest potted plant—little bastards never did anything wrong besides have a few extra legs). You carry pepper spray. You are capable of asserting yourself when necessary. 

But your fear of geese is new. Something about the throaty honk of this particular goose turns you into a child, shrieking, incapable of defending yourself. If you thought you could bargain with it, you might have tried. Please Mr. Goose, kindly leave me the fuck alone and I promise I’ll donate more to charity, I’ll return my trolley to the designated spot and stop leaving them in the parking lot beside my car, I’ll never tip less than twenty-percent. But a part of you believes that this goose would accept no bargain. There will be no parlay. There will only be blood—yours. 

The goose, its ridiculously wide wing-span spread, comes towards you like a child running into the arms of its mother. 

“Get the fuck away from me!” you shriek. You clutch your tote tighter, dancing between fight or flight. Should you turn and run? Should you punt the thing like a football? Are geese a protected species? No, couldn’t be, there’s so many of them—but then your rushing thoughts come to an end because it is upon you, the air rustling around you from its wings, its honk deafening. It will go for your eyes first, you know it, that’s exactly what a cold-hearted killer would do—

“Hey—shoo!”

The geese swerves away from you so suddenly that you nearly slip, your tennis shoes sliding in the grass after the bird had ushered you off of the concrete pathway. A man comes rushing from the parking lot. There is a black bag strapped across his chest, which he has reached into. He withdraws a handful of sunflower seeds which he scatters in the grass. The goose, to your utter amazement, dives for the seeds, pecking at the ground with the same decisive pleasure it might have used on your eyes.

The man looks at you, and oh. Oh, he is pretty: tanned and tired, hair dark and curly, with dark eyes and a nicely curved nose. The smile he gives you is a little bashful as he offers you his hand to help you back onto the concrete pathway. 

“Are you alright? The bleeding geese in this city—a little too domesticated, if you ask me. Not that I’m helping much, what with the sunflower seeds but—” 

“That goose wants me dead,” you say, pointing at it with a shaky finger. 

The man’s pretty face twists into an expression of such poignant grief that you can’t doubt it for an instant. “I wish I could say he didn’t, but never in my life have I seen a bird so absolutely fixated on choosing violence. I’m Steven.” 

“Steven,” you repeat, testing the name in your mouth. You offer him your hand and your own name. His palms are cold, but you know the saying: cold hands, warm heart.

Reaching into his bag, the man pulls out a small package of sunflower seeds. “Please. It’s dangerous to go alone. Take these.” 

“I couldn’t possibly,” you say, even as you gently accept the gift. 

“They were less than a pound, love, hardly breaking my bank.” 

Love. Such a familiar moniker from a strange man would ordinarily repulse you—but instead, you find yourself softening. This man isn’t like the weirdos you encounter on the tube. 

“Nevertheless,” you say. “Could I buy you coffee? To repay you for the seeds. And for saving my life.” 

He stares at you. “Me—coffee? You want to get coffee, with me?” 

“Very much.” 

“I—alright. Sure. That would be lovely. Did you walk?” 

“Somewhat.” 

“Well at least you came prepared,” he says, glancing at your tennis shoes. “Would you like to pick the place?” 

“There’s one nearby—” 

“Down the block, yes. Very good choice. Not a single goose hangout on the way.” 

You laugh. “It sounds like I’m exaggerating, honestly, but that goose has been hunting me for the last six months, and no one else ever seemed to take it seriously. As a matter of fact, for a few weeks in the beginning, it was sort of a big joke for the ladies in my office to gather in the lobby and watch me try and make it to the street. I’ve had nightmares about that fucking goose, honestly. I—” you stop, suddenly, face growing warm at how childish your next statement sounds. “—this is silly, but I even named it.”

Steven absolutely melts. He stops in the middle of the parking lot, turning to face you full on. “Oh come now. I must know.” 

“Truly?”

“Without question.”

“Well if you insist—I named it Mark.” 

Steven blinks at you. The strangest expression passes over his face. He points back towards the goose and says with absolute conviction, “You know, he does strike me as a Marc.”

“You think?” you reply, delighted. 

“Absolutely, yes—watch your step, love, there you go. Now, I'm all turned about. Which way is that coffee?”

[bil-daddy]

Salutations Mr Bildad, Bildad the Shuhite, Bildaddy sir.

I'm so so sorry to bother you, or be a nuisance, but everything is getting on top of me lately and you give excellent advice.

Basically, the last 12-18 months have been awful - I'm acutely aware that in terms of what's happening in the world I'm pretty blessed 🙏🏻 However within around 12 months experiencing; a miscarriage, 4 bereavements, one parent being rushed into hospital, the other needing surgery (both are doing Ok now thank God 🙏🏻), two surgeries of my own within six months - neither of which have improved what they should have, chronic pain, multiple diagnoses - most of which were unexpected & should have been diagnosed a looonnnnggg time ago, reactions to any& all medications, finding out physio will be necessary for the rest of my life, a very upsetting break up, discovering people who were supposed to be friends can't be trusted...... Let's not forget financial issues due to being unable to work as result of illness etc .... I am losing hope that things are ever going to get better 😔

I'm so so sorry for offloading all this on you but work said they could no longer offer counselling which is infuriating because the counsellor was amazing! Sadly she isn't taking on any private patients for several months so we had to discontinue sessions for the foreseeable 😔

I'm so sorry but I don't really have any other people to talk to right now, my fiancé was my best friend so in a sense it's almost a double loss? Sorry this is pretty pathetic 😪

Yikes. And here I thought @blameless-job had it bad.

So, first off, let me tell you how sorry I am for all your losses. Any of which on their own are extremely painful, but all at the same time? Nobody should have to weather a storm like that. I am so proud of you, just for being here. You're incredibly strong for what you're surviving, even though you shouldn't even have to survive it in the first place.

So don't apologize cause there's nothing pathetic about reaching out for help when you're going through something--or multiple somethings, in your case. In fact, it's exactly the thing you need to do. A lot has been dumped onto your plate, so it makes sense you need to offload it.

I know your former counsellor isn't able to help you at the moment, but maybe they can refer you to someone else, because you deserve a professional (in psychology, not shoemaking and obstetrics) to help you through these tragedies. They might be able to get you a referral.

(If you want to try to find a counsellor on your own, there's NHS Therapy Services in the UK, and SAMHSA National Helpline in the US.)

In the meantime, though, I'll do my best.

If you're worried that things are never going to get better, you shouldn't be. I mean I understand why you are, but the fact is, as dark as this is to say, you might actually be at your lowest point right now. Which means, as awful as things are right now, things can only go up from here.

You got some new diagnoses, which suck to have, especially when they should have been caught earlier, but now that you have a diagnosis, you can start getting treated.

You're six months out from two surgeries and haven't gotten better, but in six more months, or even six weeks, you might start to see some improvement. Plus, once you start the phsyio therapy you now know you need, you can troubleshoot with the physical therapist on how to make more improvements on the issues you had surgery for, as well as the chronic pain. The physical therapist might also be able to refer you to a counsellor as well, if your previous counsellor isn't able to give you one.

But that's just the physical stuff.

It's the emotional stuff that hurts more. Losing loved ones, be it to death, breakup, or just realizing your friends aren't really friends. That kind of pain is even more difficult to deal with.

For the bereavements, it might be helpful remember the good times you shared with these people and the things you loved most about them. They may be gone now, but those memories aren't and they're even more valuable now that they are the parts of your loved ones that are still with you.

And when you're living your life, and you see or hear something that reminds you of them, like a favourite song, or the kind of car they used to drive, that's another way they're still with you.

You might cry the first few, or few hundred times you remember them, but after awhile you'll start smiling more and crying less when you think about them.

For the miscarriage, it's a bit tougher, since you're grieving what could have been, rather than what was. But it's still a loss as valid as any other loss of a loved one, so you have every right to grieve it as such. You have my deepest sympathy for the loss of your child. And the miscarriage is why your fiancé and you are no longer together, you have my deepest sympathy for that, too.

It would be easy for me to say "the trash took itself out" when it comes to ex-fiancés and fake friends, but much harder for you to actually feel that way.

You have the right to grieve the friendships and your relationship ending. To miss them even though they hurt you. To feel hurt, and betrayed, and angry, and still love them anyway, even if you can't be around them anymore. It's okay to hate them, too, if you need to. Not forever. But in the short term, it can be cathartic and exactly what you need.

It'll take time for all these overwhelming and conflicting feelings to fade, and it's possible they'll never completely be gone. But you will learn to live alongside them until you forget they're even there.

You will feel better, I promise you. Een if the light at the end of the tunnel looks like a distant star right now, you'll reach it.

So have an ox rib (platonic) for the journey

Hope this helps, even just a little. Mutuals, feel free to send good vibes @ashbunny2027's way

[religion-is-a-mental-illness]

By: Andrew Doyle

Published: Apr 8, 2024

One of my shortest-lived jobs was as a teacher at a school for girls near Sloane Square in London. I resigned after just two weeks because the headmistress was a religious zealot who had objected to me teaching a text which featured a gay character. In my resignation letter, I explained that I wasn’t prepared to work at a school which fostered such antediluvian attitudes. I stayed on to finish the term, but was delighted when I eventually made my escape.

I had previously worked at a boys’ school, and I soon noticed that there were some broad differences that manifested in an all-female environment. One of the most concerning was that many of the girls were engaged in what can only be described as competitive starvation. During lunch duties, I was warned to keep an eye out for pupils who had taken just a single lettuce leaf from the salad bar. If I saw any girl doing so, I was told I must immediately intercept her and demand that she return and fill her plate.

My first teaching post had been at a co-ed school in which cutting one’s own skin was the fashion. We even had a visiting expert telling us how to encourage these pupils to hold ice cubes in their hands until they felt shooting pains as a substitute for the razor. I remember at the time thinking that this wasn’t the best advice, but I was too green to raise an objection. Besides, this speaker had spent a considerable part of the session reminiscing about a shepherd she had once counselled who had, over the course of many months on the hillside, used a sharp wire to whittle his penis so that it eventually became forked. To this day, I am none the wiser as to the purpose of this anecdote.

But the shift from cutting to starvation was striking. At the former school, pupils were not refraining from food, and at the latter there were very few who were injuring themselves with blades. It was almost as though only one form of self-harm could predominate at any given time. And when a small group started doing it, the trend spread with remarkable rapidity. I hadn’t seen an equivalent back when I was teaching boys.

I have since learned that social contagions are especially common among teenage girls, and that there are numerous historical precedents for this. I have written elsewhere about the Salem witch trials of 1692-93, in which a group of girls began seeing demons in the shadows and accusing members of their own community of being in league with the Devil. Then there were the various “dancing plagues” of the middle ages which seemed to impact young women in particular. In 1892, girls at a school in Germany began to involuntarily shake their hands whenever they performed writing exercises. And when I visited Sweden last year, I was told about a local village where, during the medieval period, the girls all inexplicably began to limp.

It's perfectly clear that the latest social contagion to take hold in the western world is that of girls identifying out of their femaleness, either through claims that they are trans or non-binary. Whereas in 2012, there were only 250 referrals (mostly boys) to the NHS’s Gender Identity Development Service (GIDS), by 2021 the figure had risen to more than 5,000 (mostly female) patients. Gender activists like to claim that this is simply the consequence of more people “coming out” as society becomes more tolerant, and at the same time insist that it has never been a worse time to be trans. Consistency is not their strong suit.

Of course there are no easy answers as to the explosion of this latest fad, but surely the proliferation of social media has something to do with it. Platforms such as TikTok are replete with activists explaining to teenagers that their feelings of confusion are probably evidence that they have been “born in the wrong body”. For pubescent girls who are uncomfortable with their physiological changes, as well as sudden unwanted male sexual attention, the prospect of identifying out of womanhood makes complete sense. These online pedlars have some snake-oil to sell. And while a limping epidemic in a medieval village would be unlikely to spread very far, social contagions cannot be so confined in the digital age.

Much of this is reminiscent of the recovered memory hysteria of the late twentieth-century, when therapist cranks promoted the idea that most victims of sexual abuse had repressed their traumatic memories from childhood. It led to numerous cases of people imagining that they had been abused by parents and other family members, and many lives were ruined as a result. One of the key texts in this movement was The Courage to Heal (1988) by Ellen Bass and Laura Davis, which made the astonishing and unevidenced claim that “if you are unable to remember any specific instances… but still have a feeling that something abusive happened to you, it probably did”.

A common feature of social contagions is that they depend upon the elevation of intuition over material reality. Just as innocent family members were accused of sexual abuse because of “feelings” teased out by unscrupulous therapists, many girls are now being urged by online influencers to trust the evidence of their emotions and accept a misalignment between their body and their gendered soul. We are not talking here about the handful of children who suffer from gender dysphoria, but rather healthy children who have been swept up in a temporary craze.

Activists have been quick to demonise the entire notion of “social contagion” as a “transphobic talking point”, but the evidence for it is now indisputable. The review into paediatric gender treatment by Dame Hilary Cass is due to be published this Wednesday, and is likely to include recommendations that schools stop the “social transitioning” of children. The interim review had already pointed out that enabling pupils to adopt alternative names, pronouns and dress codes was “not a neutral act”. And there is mounting evidence that such an approach consolidates a child’s psychological conceptualisation of herself as a member of the opposite sex. While social transitioning is seen as compassionate, in reality is causes long-term harm.

It would seem that teenage girls will always be prone to these social contagions, but some are more damaging than others. Whereas limping and dancing and trembling can be overcome, the lifelong impact of puberty blockers, cross-sex hormones and surgery will not be so transient. Let’s hope this particular hysteria soon goes the way of all the others.

[brazenautomaton]

okay so refresher: I had a meeting with my psychiatrist I could not make because she moved offices, never gave me the new address, and every phone number I have for her has been disconnected. when I look her up online, the listings are for her old office she moved out of, dead phone numbers, and ONE location that exists -- a clinic thingy where she works a couple of days a week. I don't see her through this clinic, I see her through private practice, but this is the only phone number I have for her (the clinic tried to give me her number-- the one THEY have is disconnected). I leave a message asking her to call me and give me her new number, which the office staff say they will relay. No call. I call again. I leave another message. I get called back by an angry, condescending person telling me that I have to contact her through her private practice and she will never let the doctor know I am trying to contact her. I try again today, her nurse (not sure if it was the same person) said the same again, said I cannot keep calling, she will never deliver this message. I said I don't believe her that this is a policy, she said she would have the supervisor/ manager / whatever call me but she was almost certainly lying.

Now, I know nobody can give me legal advice. But am I on the right track (right enough that talking to an attorney wouldn’t be a waste of time) in thinking this is a potential violation of Article III of the Americans with Disabilities Act? Doctors offices are defined as public accommodations, and discrimination in services doesn't just include those given to paying customers. The fact the office staff keep passing the messages back means that "leave a note for a doctor" is a service provided to members of the public, even nonpatients. Her nurse denying me that service is not based on the fact I am a nonpatient, but her knowledge that I am a patient at another location, despite it being irrelevant to my request (which is "give me your new phone number," a request that would be passed on without controversy if the nurse didn't know of my medical status with an outside party). This isn't even asking for reasonable accommodation, this is asking her to not go out of her way to deny me service everyone else gets due to my medical status.

Should I bother to contact a lawyer or whoever at the DOJ does this kind of thing? On the off chance the supervisor calls back, should I mention this?

[gatheringbones]

hi bones! for life/education/employment reasons I will probably be moving to seattle in a year or so. if you have the spoons and inclination, i'd welcome any advice for someone who wants to do right by hir new community/city but also wants to take care of hirself. (and/or just advice for moving to seattle in general!) i'm a neurodivergent, white, mentally ill butch lesbian, if that affects the advice any. thanks for all the incredible book excerpts and writing thoughts you post!

there’s a breakfast place in Fremont called Roxie’s that does latkes instead of english muffins in their benedicts and where you can get an amazing reuben.

there’s also a Cuban sandwich joint called Paseo’s up the hill where you can get an extremely messy and life changing sandwich. god willing there’s still a Mexican sushi place in Wallingford right down the block from Changes the gay bar.

carry change with you and give it to anyone who asks and remember their face, remember where you saw them, place them on a mental map in a way that reinforces their worth as a full and complete human being. if you don’t have change you apologize with intention. you will have some next time. never offer to substitute food for change; this is a terrible insult.

there’s a queer library at a queer community center called Gay City in Capitol Hill where you can sit and read and check out books and access other community services like therapy and social support.

pay attention to the caste system at work wherever you go in seattle. It’s ever-present and exerts constant psychic force on everyone inside city limits. the people who the city refuses to house or treat flock there because seattle technically offers many services for help and healing, but these services have been allowed to exist in a state of complete overwhelm for decades by city officials who support and value the caste system. the mad the sick and the unhoused are meant to float through third and pine and westlake and the waterfront for the Real people to practice dissociating from. this perpetual dissociation colors the whole city. everyone is complicit. everyone swears not to know what they know and see what they see. everyone receives patient conditioning to sort and categorize the shapes they see moving through the city of seattle as human or inhuman and resisting this conditioning will require all of your attention and insight. you will be asked at every second to betray yourself.

read the archives of the view from Nathan’s bus

read about the Duwamish. go down and buy something from the woodcarvers by the ferris wheel. know that the canoes and masks and religious items inside the restaurant next door were hand carved by a white conservative guy who bought a bunch of books on coastal Salish art and copied as best he could.

there is queer community. the lesbian book club that changed the trajectory of my life isn’t the only one. if you have it in you to look for opportunities and spaces to be around the bodies you need to survive, you will find them.

do not wear headphones while out and about unless absolutely necessary. you need to be able to be spoken to.

go watch the sunset at fremont peak park and if you feel absolutely overwhelmed and alien in the world know that a twenty two to twenty eight year old version of me is sitting somewhere behind you and to your left. look out for a blonde cat and the dinosaur village.

don’t call the cops.

[luveline]

Hi, Jade!! This is probably not the place for this ask, so please feel free to ignore it. But I'm in need of advice or more like a listening ear and you're the one I thought could help. So at almost 24 years old I've never had a relationship, never even kissed and, to keep it short, I see myself as quite a loser in general, and I just met a guy that seemed like a potential romantic interest and he asked me on a date and my mind started racing anyway and I'm scared shitless of all the things that come with a relationship. I'm afraid if I don't address this, I will sabotage the whole thing, but I don't know how.

I'm sorry if this is tmi or not the place for such thing

hi honey don’t be sorry—

I get messages like this every now and then, of course not the exact same, but usually someone who feels down about themselves because of a lack of romantic experiences who’s worried it’ll reflect poorly on them when they do try to be romantic. I don’t personally think it makes you a loser, and anyone who DOES think you’re a loser is a jerk. I don’t mean to be annoying or bossy or rude to you and im sure you know yourself and im not saying YOU are a jerk, and you could even say there’s nothing bad about being a loser anyways, but also you’re not a loser and it’s no reflection of your heart that you haven’t been in a relationship or kissed someone. I think love is awfully difficult. I mean I think it’s great that you have thought to yourself about how you might sabotage this if you don’t address how you’re feeling. I’m not a therapist but I defo think that self reflection is great and it’s like the first step to your solution. I think that it’s natural to be nervous about stuff you’ve not experienced, like, what if he does want to kiss you, and what if you’re not a very good kisser yet! But I also think that anyone worth kissing won’t mind if you’re not very good at it to begin with, or that you’ve never done it before. The only love worth your time is a patient one, full of understanding (but obviously this doesn’t make it less terrifying!!) there are definitely videos you can watch about this, not just kissing but the intimacies of relationships, there are videos about how to hold hands! There’s no shame in not knowing something!! And every one person or relationship is different so it’s not like you’d be the only one learning, your partner will have to learn about you too

altogether I think you’re right in that panicking about this might sabotage it before it’s even happened, and adding weight to things can make them so scary when they aren’t. Milllions and billions of people have fallen in love before us without a manual and im sure they’ll do it again, but you’re not wrong to be worried either!! Depending on how worried you are, you could talk to a friend, the potential partner, you could even talk to a chat service or helpline. tl;dr — it’s okay to be scared about this, but you aren’t a loser, tons of people don’t know a thing about love at your age and you’ll learn as you go. there will probably be things you don’t like, but im sure there will be double good!!

I hope this helps, and I really hope none of it comes off as though im patronising or condescending you because it isn’t my intent at all. I’m not an expert but just from my own life experience this is what I think of it. I really hope things go well for you and that you make decisions that make you happy!!!!

[xoxoauntscripty]

Hiya! I know you don't work in EMS anymore but I was wondering, do you have any tips for someone hoping to get into the field? I've been interested in emergency response pretty much forever (see: since about six) and I'm now in college and eyeing the EMT course with an ultimate goal of paramedic. Thanks for all you did on ScriptMedic over the years, it's a goldmine for both writers and medically interested peeps! I love clicking through the archives and reading everything, it's such a great resource.

Happy new year!

Hey! I'm going to give you the unsexiest advice you will ever get, but it's all things I wish someone had drilled into my head before I started:

The money will suck. The money will ALWAYS suck. It will probably suck more over time, because I've never ever had raises that kept up with inflation. That may not matter to you now but may matter A LOT down the road. And if that's something you can't live with, choose another path NOW.

Take care of your body. Lift weights. Do push ups. Maintain a healthy weight. Your career length depends on your body.

Never, ever, EVER lift with your back - ALWAYS with your knees. I've seen too many careers end from back injuries.

People will be ASSHOLES to you more often than you can possibly believe, and you will have no recourse but to sit there and take it.

No patient can be as abusive as the system.

EMS is, above all else, a customer service job. That means you will need SO MANY soft skills you probably won't have yet. Diplomacy. Getting along with people who won't shut up about topics you hate. Working with jerks or people who don't care about the job the way you do. Putting up with abuse.

EMS training will make you believe the job is supposed to be about intervening in life and death events. This will make up about 1% of your calls. The other 99% isn't a waste of time but it can feel like it if you lie to yourself that your job is about saving lives. (It's not.)

You won't necessarily be broken by the times you try to help and failed. You WILL be broken by the BS admin in the system. By knowing there's a better way and not being able to behave that way.

Your job is not to fix anything, your job is to try. Set your standards of 'I did better than last time.' Because the chances to make real lasting interventions are VERY rare.

Most of the time the most value you can bring to a situation is kindness and compassion. It's also the first thing you want to abandon when you're tired, exhausted, and overwhelmed. This is the hardest work.

Me, before We, before Them, but only in an emergency.

ABC - Ambulate Before Carry.

Mindset, mindset, mindset. Decide who you want to be and what values you want to live by. Because you can survive mistakes, loss, horror, violence, ANYTHING, and live with yourself after, if you can honestly tell yourself you lived by your value system.

Get comfortable with the idea that you will see more death, disease, and horror than any of your non first responder friends. That means it will be hard to talk about what you see. Don't talk about the WHAT, talk about how it makes you feel - "This call made me feel really sad and helpless", not "We went to this house and did CPR and...". Learn how to transmit your experience without transmitting details that keep people trying to understand rather than listening to your experience.

Make a point to seek out and celebrate the good. "Today I was nice to someone who no one has been kind to in a while." "Today I got to help a mom who was really worried about coming home to her kids." "I got to help people sleep easier knowing someone like me was out there for them." Because the negative stories - abuse and hate and neglect and sorrow and loss and pain and fear and just plain exhaustion - those stories are POWERFUL. Counter them on purpose.

If you're hoping helping enough people will make you feel like a Good Worthwhile Person.... It won't. That's one of the hardest lessons I've ever had to learn. Liking yourself doesn't depend solely on doing good things.

Learn something from every call, even if it's something tiny.

Ask old people about their lives when you can. They're fascinating, and usually pretty neglected.

Ask happy married people how to make it work. They love it and you'll love them for it.

Fall in love with your patients, just a little bit.

Your coworkers will fall into 3 categories: naive, burned-out, and burned-in. Aim to be the last, and be VERY careful what you learn from the other 2 groups.

You can learn as much from a partner you can't stand as you can from one you love. Learn who you want to be, AND who you don't.

Learn motivational interviewing. Your job will be SO MUCH EASIER.

Get a shrink BEFORE you start, and ignore anyone who thinks you "shouldn't need help" coping with what you'll see and experience. Seriously. Your mental health matters even more than your physical health.

That's about all I can think of.

I can't in good conscience recommend EMS as a career, but don't let that stop you from following your heart and your dreams.

And if nothing else, you will learn SO MUCH about groups other people ignore - the sick, the elderly, the disabled, the homeless, the lonely. Listen to them. Learn from them. Be with them.

Good luck.

xoxo, Aunt Scripty

[alltimefail-sims]

I remembered your Alexander Goth lookbook and it left me wondering since idk if anyone ask you yet: What's Alex's relationship with his family if that's okay to ask?

Oh I love talking about my son Alexander 😍!!! It's absolutely fine that you asked! This will be a very long answer so I apologize for that in advance!

I imagine that Alexander has a really good relationship with his whole family and that family in general is extremely important to him. He cares deeply about his culture, maintaining family traditions, knowing his family history/ancestry, spending time with his family (immediate and extended), and so on. But on the other hand, his parents are both very famous... and he hates that. He hates that his name brings him so much attention and that he feels like he has to share his parents with the world (my poor boy just wants a normal life tbh). He can also feel woefully normal and average at times next to his eccentric family who fit that macabre and over-the-top aesthetic so well. But the "negative" feelings he has are so so low honestly, because he feels lucky to have the loving family he has.

His relationship with each family member (in his household) is distinctly different.

Both of his parents are extremely supportive in their own ways, but between Bella and Mortimer, I've always thought that Alexander is closest to Bella. I can imagine her always doting over him because he actually lets her (pinching his cheeks, comforting him/reassuring him, calling him little endearing nicknames, that kind of stuff). Bella gives the best advice, and if Alexander needs a shoulder to cry on, Bella is always there! She's also the one who pushes him out of his comfort zone a lot and reminds him that he's perfect exactly the way he is and doesn't need to be so hard on himself (a reminder he needs every now and again).

Mortimer and Alexander's relationship is unique because I think Mortimer shows his love through acts of service (patiently teaching Alexander to play the piano, getting the chain on his bike fixed without saying anything, having Alexander's fish tank cleaned when he notices his son is super busy and hasn't gotten around to it etc.). He isn't a "sayer" but a "doer," so I don't imagine they have a lot of deep conversations - but the love is very much there*** and Alexander knows that! (For the record, I think they're actually more alike than they realize.)

Cassandra is very serious and kind of a moody loner, but I imagine that she is protective over Alexander (and that he is protective over her, too). They fight like siblings do of course, and she teases him relentlessly, but she knows him scarily well (she's just hella observative like that). Unlike Bella who might not want to push him to talk before he's ready, Cassandra will march right up to his room, barge in, and straight up be like "You're moping. You never mope. Tell me what happened." I do feel like he can ask Cass anything without being judged, and if he says something that scares or worries her she won't show it, which he appreciates because he hates worrying people/people fussing over him in general.

***Quick rant about Mortimer: I have always thought that Mortimer loves his family so much and sometimes people think otherwise because they only see the reclusive writer who is constantly working next to the most beautiful, charismatic, outwardly lovey person on the planet...but he is enamored and overwhelmed by the love he feels for Bella, Cassandra, and Alexander! He would do anything for them - he would kill for them, he would die for them - and feels very lucky to have them! He just sucks at PDA but Bella knows how he feels (he tells her when they're alone all the time) and his kids know he loves them! No Mortimer slander will be found on my blog lol!

Anyway I obviously love this family! Other families in town think they're super weird and creepy but really they're the happiest most loving bunch of people who also happen to be spooky as heck (with the exception of Alexander who is the least spooky of the three but supports his family's weirdness wholeheartedly).💕

Thank you for this ask!!!

[painlessdentalimplants]

Dental Emergency: What to Do When You Need Immediate Dental Care

Dental emergencies are really upsetting painful conditions where your day to day life is affected all of a sudden. Knowing how to handle these does make a big difference in avoiding discomfort and pain. Be it a sudden tooth ache, a broken tooth, or worse, proper action taken can save your tooth and reduce discomfort. Following is a guide by a dentist himself on how to act when one needs emergency dental care. But just remember, after following all this, the most necessary step in all of these cases would be to visit the dentist as early as possible so that your pain could be comforted and the right procedure could be started.

Identify the Emergency: First of all, the clue to dealing correctly with your dental emergency is understanding what the cause and problem is.

Severe Toothache: This may be due to infection and may mean a serious condition like an abscess. Remove if any food has been caught between the teeth. This is the least you can do before visiting the dentist. You can also have pain killers.

Fractured Tooth: If the tooth is fractured due to some force, save that part of the tooth for the dentist to see. Avoid using the broken tooth when chewing. Knocked-out tooth: here, time is of the essence. The tooth should be handled only from the crown. Cleaning with water is advised if necessary. Immediately soak the tooth in a container containing cold milk or water with salt after adding a pinch until you see your dentist, who must be visited at the earliest so that the tooth can be placed back in its place. Loose Tooth: If the tooth is mobile and still attached, try to position it to its place if possible. And again, visit us as early as possible so that we can help you with the same. Visit us as soon as possible: Your family Dentist: If you happen to have a family dentist in vicinity, then calling them and explaining the situation as soon as possible is the thing to do. Most dental clinics have emergency services or at least instructions to help in urgent situations. Like we at 32 pearls have an emergency contact number, where patients can call for help in such cases of emergencies. Emergency Dental Care: If your dentist isn’t available because of late hour, then find the dental department of any government hospital. As these places are open 24*7 so you can always seek help there. Pain and Swelling Control

Relieving Pain: Analgesics like Ibuprofen and Acetaminophen be taken to temporary get a relief from the pain and avoid discomfort.

Cold Compress: These are very helpful in managing swelling and can also numb the pain. Apply for 15-20 minutes to the affected area. Modify Your Diet and Activities

Diet: Avoid all hard or extreme-temperature foods; instead, consume soft foods which are easy to chew without further aggravating the problem.

Activities: Avoid chewing on the same side where the problem is located. Any activity needs to be performed with extreme caution so that there isn't an increase in injury or pain of your mouth. Follow up Care

Visit the Dentist: Though the pain might have gone, it is always suggested that one should visit the dentist to cure the main cause of the problem to avoid further complications. Your dentist will sure your pain and also advice you with tips on how to prevent such conditions in future.

Conclusion Though scary, dental emergencies can be a lot different in the knowledge of how to act. The steps involve identification of the problem, informing the dentist as soon as possible, managing discomfort and swelling, and lastly adjusting food and activities to handle it easily. Timely professional treatment can save your teeth from permanent damage. Never panic; just act right on time to take necessary care for your healthy and intact smile. To know more tips and advice on dental care, do visit our clinic, 32 pearls multispecialty dental clinic & implant center, Naranpura, Ahmedabad. Keep yourself updated and keep yourself healthy! We provide teeth whitening, teeth polishing, invisible teeth braces, teeth cleaning, dental tourism, root canal treatment in India.

[hvrhealthcare]

Over the last few years, technology has made sweeping changes in almost all areas of our lives and health care is not an exemption. Health care is now more accessible, productive, and customized thanks to advanced technologies ranging from telemedicine to electronic health records. HVR Health Care is among Hyderabad's top healthcare providers using technology to enhance patient care. This means that if you want to consult a doctor online or need to book a doctor's appointment online knowing how these changes impact healthcare services will help you utilize them accordingly.

Telemedicine: The Future of Healthcare

One of the latest inventions that have changed the way health care is delivered is telemedicine. Through this platform, patients can talk to doctors while staying at home, making it easier for people especially those who are immobile, tied up with work, or live far away from hospitals to access treatment.

At HVR Health Care, we understand how important it is that our patients can get instant access to their doctors in Hyderabad whenever they need it most therefore we have embraced telemedicine. Whether you just need a consult because of a headache or any other minor condition or you need follow-up care after an operation, telemedicine provides convenience and efficiency. It helps patients receive medical advice, discuss symptoms and even get prescriptions without going to the hospital.

Benefits of Telemedicine for Patients

Convenience: You don't have to go to the hospital or wait a long time to see a doctor when telemedicine is available. Besides, you can consult a doctor online at a convenient time for you to say the least which in turn, results in time-saving and stress-free conditions.

Accessibility: Telemedicine removes that barrier by bringing the doctor to the home of the patient, especially for the people living in rural areas where healthcare facilities are meager. It makes sure that everyone can get quality healthcare, regardless of where they live

Cost-Effective: Yes, it cheaper than face to face interactions, but at the same time a lot of people who ordinarily will never have come close to such facilities get to access them. This is also helpful in more savings like transportation and time off work.

Continuity of Care: In particular, telemedicine makes it easy for continuity of care to the physician as it can be done remotely by phone, video, and e-visits for example after a treatment or surgery. This constant attention to your needs is the only way how you end up recovering with no complications that are missed; furthermore, if there are any the doctor is quickly informed about them.

Online Appointment Booking: Streamlining Healthcare Access

The traditional way of booking doctor appointments manually through the phone or at the hospital has been replaced by the online booking option in hospitals which is another advancement of technology that has shaken health care services. At HVR Health Care, we know the importance of patients wanting a hassle-free way to schedule their visit. Our online medical appointment scheduling system is aimed at providing easy access to healthcare, thus making healthcare accessible and convenient for people.

How Online Appointment Booking Benefits Patients

Ease of Use: It is very easy to book a doctor's appointment online. The customer service system is developed in such a way that they do not require any extra assistance from the customer service agents. A few clicks on the Google calendar and you have the doctor appointment without any complications. One thing you have to do is to find a doctor and a time that is convenient for you.

Instant Confirmation: When you book a doctor's appointment online, you will instantly get the confirmation, thus, there will be no cases of errors about having your appointment scheduled wrongly.

Time Management: Online appointment booking lets you select a suitable time for a meeting and thus orders you to be on time. Such flexibility is especially important for those people who are very busy or are loaded with work commitments.

Reduced Waiting Times: Rescheduling a visit over the Internet can result in waiting times being minimized. Knowing your appointment time in advance allows you to plan your visit better and reduces the time spent in the waiting room.

Access to Specialist Care: You can now book to see a specialist online if you need one. This way you get your treatment promptly thus seeing your progress in a medical cure easily. Both cardiologists and neurologists along with gynecologists, can be booked online. The system allows you to search for available specialists that can help you with your problem.

What Patients Need to Know

Through advancements in technology, patients now have more tools to manage their health and gain access to the latest medical information in the rapidly evolving healthcare landscape. Realizing these changes and their potential for better outcomes, more efficient healthcare services, and a more satisfying patient experience is a must. HVR Health Care is the top-rated hospital in Gachibowli, Kukatpally, Miyapur, and Lingampally, and they are committed to using the most advanced technology to give our patients the best care and experience possible.

The doctors in Hyderabad in our team of highly skilled professionals use high-tech equipment for your convenience and complete treatment. Whether you're seeking specialized care or common medical services, HVR Health Care is right there with you, ensuring that you receive quality medical care along with the latest technological advancements.

[stars-tonight]

if you would like a long or short matchup (short will take less time and will only include the character; long will probably include a few headcanons)

Long please!!

1. if you would like a platonic (like friends) or romantic (couple) matchup

1. Romantic please!

2. gender / pronouns

1. Female, she/her/hers

3. if you would like to be paired with a girl or guy

1. Guy please :)

4. your ideal partner (at least three traits)

1. My ideal partner would love me the way that I love them. I think when people say to couples “oh the way he just looks at you you can tell he’s head over heels” is the sweetest thing ever. I would need someone to be understanding and patient with me, I tend to be more introverted, and am prone to forgetting super important things a lot. (Birthdays, answering texts, first day of work, even forgot what day my mom went in for a big surgery-) I also need someone that I can goof off with, and I don’t feel judged by. So the simple answer, someone who is kind, funny, gives me heart eyes on occasion, and incredibly patient.

5. a description of yourself (at least three traits)

1. I am like a little ball of anxiety but people say I don’t show it much. In reality I’m at home, not allowing myself to drink caffeine and meditating, journaling or doing yoga just to get my brain to be quiet. I overthink a lot, and also forget things pretty often too. I am pretty introverted, my battery drains quickly when I’m somewhere new and don’t know anyone. However, I’ve been told I am very patient, sweet and kind with others. I am my own harshest critic, and will work myself beyond burnout if someone doesn’t stop me. I am caring, and have been told I tend to be the mom friend in the sense that I give good advice. I also am heavy on the routine aspect, and hate getting knocked out of it. If anything goes wrong I tend to try to go with the flow, but that requires me to have a quiet minute to myself to breathe properly and hype myself up.

6. hobbies (let’s aim for at least two?)

1. Reading

1. I tend to gravitate towards romance books, hence the hopeless romantic in me coming out

2. I also like memoirs as well

2. Playing my switch

1. Most games I play are similar to animal crossing or stardew valley with no end goal

2. I do like breath of the wild and tears of the kingdom, I’ll play games with stories it’s just hard for me because I’m so exhausted all the time :”)

3. Does watching tv/movies count?

4. Cooking (not as good at baking but I love sweet treats)

7. your love languages (giving and receiving)

1. Giving - words of affirmation and acts of service

2. Receiving - quality time and words of affirmation

8. anything else you want to include (the more detail the better!)

1. I am pretty average height with short brown hair and brown eyes. I am currently going to grad school at night, working at a daycare during the day, and am soon getting a job on weekends so I’m just tired 24/7. However, the grad school is to become a teacher one day, and the daycare tends to remind me why I’m doing all of this, just seeing the kids smile makes me so happy. I love helping other people out, and am a huge people pleaser. I tend to stress myself out more than anything else, and have talked myself into freaking out over something small. I cry at almost everything, happy tears, sad tears, angry tears, but never in public, I hold it until I’m alone most times. I love to workout but I haven’t had the energy as of lately, even if I am known for having a high amount of energy, having things to take care of 24/7 with no break really wears you out. I love to hype people up, and put smiles on peoples faces, even if they’re not always nice to me I kill people with kindness. (I am well known for also being able to be fake to the right people to get myself places, but hate doing it)

headcanons

🥛 yamaguchi gives heart eyes for sure

🥛 even before the relationship starts

🥛 he'll be looking at you from across the room, head propped up on hand, dreamy smile, the whole deal

🥛 tsukishima will have to elbow him to get him to pay attention to anything

🥛 yamaguchi also strikes me as patient

🥛 has to put up with tsukishima after all

🥛 your biggest quiet hypeman

🥛 isn't the type to do big gestures in public

🥛 but when you're at home or it's just the two of you he'll give you a really nice pep talk

🥛 he wears his heart on his sleeve and as a result is great with words

🥛 always knows how to cheer you up, whether it's with words or time spent together

🥛 likes more chill dates or hangouts

🥛 loves reading together, watching shows, or cooking

🥛 will sometimes play video games with you although he's not obsessed with them

🥛 yamaguchi can sometimes also be a ball of anxious energy so he needs someone to calm him down

🥛 just hearing your voice as you talk to him makes him feel better though

🥛 is very pleasantly surprised by anything you do for him

🥛 100% gushes about you to the whole karasuno team

🥛 post-timeskip, he's in school

🥛 will call you every night and chat for hours

🥛 whenever he's on break he is RUNNING back to you

🥛 misses you so much whenever he's away

🥛 because he's also in school, he knows how stressful student life can be

🥛 although he can't imagine how much is on your plate since you do so much during the day too

🥛 always reminds you to take it easy

🥛 if he senses that you're feeling more stressed out than usual, he'll go out of his way to send you encouraging messages

🥛 if he's on break for school and has to go back, and he knows you're having a tough time, he'll probably set up something like a little treasure hunt for you

🥛 every "treasure" is a note from him with a super sweet message like "i love your smile when you're working with the kids"

runner up for you was akaashi keiji!

A/N: there you go, i hope you liked it! a reminder to take a break if you need it! i know it can be hard but make sure you eat, drink water, get some sunshine! hope you feel better soon 🫶

[leeeovitate]

I was always forwards. Quick to move on. Never holding grudges, just okay with whatever. Paced my life like trying to catch a deadline. Getting things done for the sake of it, as long as nobody dies or gets missed out. That led to compromises and then, consequences. Do I regret not saying anything? Not at all. I always laugh it off. I’m just happy to be of help to those in need. Unbothered of things beyond my control. It was a game of endurance for me after I signed myself up for it.

God’s plans, not mine. This entire thing hurt my parents more than me. They’re growing older too. Maybe it’s time to pause and smell the flowers.

Can’t save them patients when I need saving too. Let the next few months be the time for catching up and working on myself. It has been long overdue. Truly grateful for everything that happened. Thank you, Lord for saving me, especially from things I knew nothing about.

🙏🏻🙏🏻🙏🏻

✨Of course, It’s your decision to make but if you ask me, I think you deserve a break because of what you went through. We will still be here, just like the 9 other training programs in the country. I want you to be ready for the time when a person dies because of the mistakes your very own hands made. When you apply I’ll tell them, “Yes, sir. Pinag-isipan niya talaga to.”

-✨💬

✨You’ll be a surgeon. Not in your time but God’s time

-✨💬

✨Thank you for setting a good example to our clerks and pgis. There are very few of you these days. I know you are tired. I appreciate you for always trying. Thank you for always taking good care of our patients

-✨💬

✨Know when to stop making an effort. You can’t be too passionate. If you pour too much resources on someone who’s already dying, you compromise the next patient who has a chance with survival. It’s not that I hate you when I scold you. I want you to be better. Keep that in mind. When you’re ready, don’t waste time and just go for it. Talk to me again when you have decided.

-✨💬

✨Time will tell. I truly wish you find your passions in life. See you in the OR when I’m back.

-✨💬

✨Shit happens. No matter how hard you try to avoid it. It happened to me too and even got the worse outcome. I won’t scold you, just pay it forwards. It’s sad to know that you will be stopping. I pray that you will find the best path for you.

-✨💬

✨Always remember what I told you, my advice to all my residents, in training you only need 2 things: Honesty and good attitude. You already have that. I hope you don’t lose it. You are one of the few residents I trust with my patients, service and pay. I want you to be a good surgeon. Call me anytime when you need help

-✨💬

✨Oh!! I already endorsed you to — for residency after your GS program. That’s how it had always been and still is! Pursue that. You can make it!! God bless!! Take care! You have the correct perspective. I pray you Never lose them! 🙏

-✨💬

Posted this on the February 29th 💕

First OR without the hazmat suits! 😂

Thank you doc Carl for my first AP, my first IJ insertion, my 1st pigtail insertion and 1st CTT 🙏🏻

First knife?

Everybody loves a TVCS intraop referral in the middle of the night.

First IJ feat the kindest radioresident. Thank you doc Carl for documenting 😂 ever supportive

ER/Neuro > OPD/TCVS 😅

The best mentor anyone could ask for.

I entered GS residency wanting to be a pediatric surgeon. It didn’t matter to me when I was hurt or dead tired, but when Dr. Guzman left for training abroad, I was heartbroken. I lost one of the consultants who made residency bearable and the hope for ilonggo children. I’m sorry I disappointed you. I will figure out my passions in life, soon.

The kind of ORs I truly miss. I could never thank doc Lee enough.

The post op course of this particular patient made me very happy. 🙂 GCS 15, ambulatory, almost back to his daily day to day activities. 🙌🏻

I started neurosurgery rotation when I was really in a dark place, with my sunday duties and “basaha sa libro” or dretso tawag nlg na kay Doc Gaw te” responses. Thank you doc for everything you taught me. I’m always excited for ORs, rounds and referrals even if you give me tough love. 😂 Thank you for the textbook and life lessons. 🙏🏻 Thank you for motivating me to study. Our neuro patients kept me waking up early and going back to the hospital when I felt like I couldn’t.

[religion-is-a-mental-illness]

Gender Identity: The Latest Social Contagion - Andrew Doyle

One of my shortest-lived jobs was as a teacher at a school for girls near Sloane Square in London. I resigned after just two weeks because the headmistress was a religious zealot who had objected to me teaching a text which featured a gay character. In my resignation letter I explained that I wasn't prepared to work at a school which fostered such antediluvian attitudes. I stayed on to finish the term, but I was delighted when I eventually made my escape.

I had previously worked at a boys' school and I soon noticed that there were some broad differences that manifested in an all-female environment. One of the most concerning was that many of the girls were engaged in what can only be described as competitive starvation. During lunch duties, I was warned to keep an eye out for pupils who had taken just a single lettuce leaf from the salad bar. If I saw any girl doing so, I was told I must immediately intercept her and demand that she return and fill her plate. My first teaching post had been at a mixed-sex school in which cutting one's own skin was the fashion. We even had a visiting expert telling us how to encourage these pupils to hold ice cubes in their hands until they felt shooting pains as a substitute for the razor. I remember at the time thinking this wasn't the best advice, but I was too green to raise an objection. Besides, this speaker had spent a considerable part of the session reminiscing about a shepherd she had once counselled who had over the course of many months on the hillside, used a sharp wire to whittle his penis so that it eventually became forked. To this day I'm none the wiser as to the purpose of this anecdote.

But the shift from cutting to starvation was striking. At the former school, pupils were not refraining from food, and at the latter there were very few who were injuring themselves with blades. It was almost as though only one form of self-harm could predominate at any given time. And when a small group started doing it, the trend spread with remarkable rapidity. I hadn't seen an equivalent back when I was teaching boys.

And I've since learned that social contagions are especially common among teenage girls and that there are numerous historical precedents for this. I've written elsewhere about the Salem Witch Trials of 1692 in which a group of girls began seeing demons in the shadows and accusing members of their own community of being in league with the devil. Then there were the various dancing plagues of the Middle Ages which seemed to impact young women in particular.

In 1892, girls at a school in Germany began to involuntarily shake their hands whenever they performed writing exercises. And when I visited Sweden last year, I was told about a local village where during the medieval period, the girls all inexplicably began to limp.

It's perfectly clear that the latest social contagion to take hold in the western world is that of girls identifying out of their femaleness, either through claims that they are trans or non-binary. Whereas in 2012 there were only 250 referrals, mostly boys, to the NHS's Gender Identity Development Service, or GIDS, by 2021 the figure had risen to more than 5,000 mostly female patients.

Gender activists like to claim that this is simply the consequence of more people "coming out" as society becomes more tolerant. And at the same time, they insist that it's never been a worse time to be trans. Consistency is not their strong suit. Of course, there are no easy answers as to the explosion of this latest fad. But surely the proliferation of social media has something to do with it. Platforms such as TikTok are replete with activists explaining to teenagers that their feelings of confusion are probably evidence that they have been "born in the wrong body."

For pubescent girls who are uncomfortable with their physiological changes, as well as sudden unwanted male sexual attention, the prospect of identifying out of womanhood makes complete sense. These online peddlers have some snake oil to sell. And while a limping epidemic in a medieval village would be unlikely to spread far, social contagions cannot be so confined in the digital age.

Much of this is reminiscent of the recovered memory hysteria of the late 20th century when therapist cranks promoted the idea that most victims of sexual abuse had repressed their traumatic memories from childhood. It led to numerous cases of people imagining that they had been abused by parents and other family members. And many lives were ruined as a result. One of the key texts in this movement was "The Courage to Heal" by Ellen bass and Laura Davis, which made the astonishing and unevidenced claim that, quote, "if you are unable to remember any specific instances... but still have a feeling that something abusive happened to you, it probably did."

A common feature of social contagion is that they depend upon the elevation of intuition over material reality. Just as innocent family members were accused of sexual abuse because of feelings teased out by unscrupulous therapists, many girls are now being urged by online influencers to trust the evidence of their emotions and accept a misalignment between their body and their gendered soul.

We're not talking here about the handful of children who suffer from gender dysphoria, but rather healthy children who have been swept up in a temporary craze. Activists have been quick to demonize the entire notion of social contagion as a transphobic talking point, but the evidence for it is now pretty much indisputable.

The author of a recent review into pediatric gender treatment, Dame Hilary Cass, has recommended that schools stop the social transitioning of children. The Cass Interim Review had already pointed out that enabling pupils to adopt alternative names, pronouns and dress codes was, quote, "not a neutral act." And there is mounting evidence that such an approach consolidates a child's psychological conceptualization of herself as a member of the opposite sex.

While social transitioning is seen as compassionate, in reality it causes long-term harm. It would seem that teenage girls will always be prone to these social contagions, but some are more damaging than others. Whereas limping and dancing and trembling can be overcome, the lifelong impact of puberty blockers, cross- sex hormones and surgery will not be so transient.

Let's hope this particular hysteria soon goes the way of all the others.

==

The idea of a "gender identity" that's separate from and transcends sex - that is, biology - is as supernatural and magically thinking as the idea of an eternal Xian soul that transcends death.

We are not in our bodies. We are not separate from our biology. We are not ghosts inhabiting meat prisons. We cannot have "the wrong body." We are what our bodies do.

One of the most disconcerting things I've seen over the last few years is (some) atheists who laugh at the notion that some aspect of human existence transcends our human bodies, somehow embrace the equally magical notion that some aspect of human nature transcends human biology. Which means you believe in magical gender spirits. Get help.