#care management platform

[emorphistechno]

Greater patient-centered treatment, better health outcomes, and lower costs. The three healthcare entities—healthcare systems, healthcare providers, healthcare recipients, and Medicare—strive to achieve this. Care management is essential for maximizing healthcare transformation initiatives. It is obvious that developments in care management solutions will improve the provision of healthcare. You may have read about care management in one of our earlier posts, Care Management Software Solution Development and its Benefits, which discussed how healthcare is undergoing a digital transition. But what exactly is care management? Another question you might have is how it differs from previous digital health efforts.

Discover the latest trends in care management solutions and learn how they are shaping the future of healthcare. Stay ahead of the curve with our insights and navigate the complex world of healthcare with confidence.

[bowithoutadaemon]

Uff I already don't wanna go to uni tomorrow.

Especially the ethics seminar. Literally all docents and profs that give the ethics seminars at my uni are perfect examples of white cishet guys that think they are hilarious and who's favorite hobby is debating people for fun about why they are allowed to say offensive shit because they are "just joking"/"just challenging your narrowminded worldview".

Like I haven't heard anything good about literally any of them. And sadly it's the only subject where there aren't 3 to 5 new docents each semester because all of these fuckers have long running contracts instead of just being hired for a single semester at a time. :/

[boycritter]

im putting this blog on my college applications

[angelsaxis]

do people here realize twitter and tumblr are equally bad or

[toytulini]

The nasty goop that seems to make up The Jons, Lex's PR team that he foists upon Ivy as a "gift" in The Harley Quinn Show, thats the fucking ooze that covers the feeds of instagram and fb to make them unfuckingusable, and probably tiktok too

[malcriada]

Help save Bilal's family!

i want to talk about my friend Bilal @bilal-salah0. for over a year now, Bilal has been living in germany, trying to adjust to his new living situation in a foreign country, learning a new language and working full time. 

when the war started, he was far away from home and his family and has been living in daily fear for their lives ever since. 

being forced to work long hours and promoting his family’s fundraiser at the same time, he has taken on more responsibility than anyone ever should. still, he managed to raise money for their evacuation fund and helped take care of his family’s daily needs with the money he was making while working. 

in a cruel twist of fate, all of this got taken away in an instant. he lost his job and his apartment and even his residence permit. which means he is at danger of deportation from germany that could happen as soon as next week!

i have been in daily contact with Bilal for a while now and connected him with some of my friends in germany. together, we are trying our utmost to make sure he can stay in the country. anyone who knows german bureaucracy knows what kind of hell it is. but we won't give up.

without his job, he was forced to dip into the money of his family’s evacuation fund to cover their daily expenses like food and shelter. this meant he had to raise his goal from €70,000 to €100,000. this was not an easy decision for him to make, he even asked for my advice on whether or not to do it, because he did not want anyone to think he was scamming people. 

even in such a desperate situation, Bilal does not want to be seen as someone who would ever take advantage of people's generosity

his family is comprised of 18 members, 10 of them are adults and 8 are children under 16 years old, some of them newborns who were born amidst the chaos of war and displacement.

currently, he is sitting at:

€71,817 / €100,000

donations have been slowing down ever since he reached his original goal. i cannot stress how important it is that they pick back up!

WE ARE RUNNING OUT OF TIME! HE NEEDS TO REACH HIS GOAL BY AUGUST 15TH!

THAT MEANS HE HAS TO RAISE NEARLY 30K IN THE NEXT TEN DAYS. THIS CANT WAIT.

his campaign has been verified and can be found on @/el-shab-hussein’s and @/nabulsi’s list of vetted fundraisers here (#132, line 136) so PLEASE don't hesitate to share and donate.

With such a tight deadline, i cant do this on my own. So i implore you to PLEASE share this wherever you can– on your whatsapp groups, on your discord servers, please share his story on other platforms wherever you have reach! Please share his story wherever you can, so that we can ease this burden from his shoulders.

[ID: a gfm link with a picture of two small children sitting in the sand in front of a cooking pot. they are looking up a the camera, eyes half-closed. the title reads "Donate to Help Evacuate My Family from Gaza to Safety, organized by Bilal salah" End ID]

tagging for reach under the cut, please let me know if you'd like to be removed:

@meaganfoster @briarhips @dirhwangdaseul @mahoushojoe

@schoolhater @pcktknife @sawasawako

@feluka @terroristiraqis @irhabiya @commissions4aid-international @wellwaterhysteria

@deepspaceboytoy @post-brahminism @khanger @kibumkim @neechees

@mangocheesecakes @kyra45-helping-others @7bitter @tortiefrancis

@toiletpotato @fromjannah @vague-humanoid @criptochecca

@aristotels @komsomolka @xinakwans @heritageposts @nibeul

@ot3 @amygdalae @ankle-beez @communistchilchuck @dykesbat

@watermotif @stuckinapril @mavigator @lacecap @yugiohz

@socalgal @chilewithcarnage @ghelgheli @sayruq @northgazaupdates2

@vakarians-babe @wayneradiotv

@psychotic-gerard @mavigator @communistkenobi @socalgal @chilewithcarnage

@ghelgheli @determinate-negation @papasmoke @omegaversereloaded

@xinakwans @givemearmstopraywith @loombreaking @killy @deathlonging

@palms-upturned @blackpearlblast @littlegermanboy @loveaankilaq @sar-soor

@fridgebride @27-moons @tamarrud @familyabolisher @fleshdyk3

@decolonize-solidarity @palipunk @gothhabiba

[astrxealis]

leon theme i spent my early morning hours working on even tho i have to wake 6 am !!! 🫵🆒✨ (it is 10 minutes to 5 am)

[whyndancer]

He did make the senator into a mutant (and it was the senator that turned into goo). Magneto did that much by himself and realized that doing more would likely kill him. He kidnapped Rogue so that he could use her for a vehicle for his power to run the mutant making machine so he didn't have to risk his own life. The device he had Rogue hooked up to was in the Statue of Liberty which was in range of a Summit of world leaders, and his plan was to turn them all into mutants at once, regardless of their individual beliefs or politics. As it was a Big Function, you know damn well there were people there who were just doing their jobs too. Y'know, like janitors, or caterers or other service workers who had absolutely nothing to do with the politics of it. The point was that Magneto didn't care who got hurt by his plans. He wanted his grand revolution.

[emorphistechno]

A Care Management Software Solution can offer significant valuable and benefits to healthcare organizations and patients. By developing such solution, unlock new possibilities for growth, efficiency and collaboration in healthcare delivery

[buttercuparry]

I know I sound like a broken record by now: repeating the same things others have said before but I think banality of it all is the point of my post. The fact that I have nothing new to say– not about the genocide in Gaza, not about the dwindling attention of allies, is HORRIFYING. 

It has been 11 months of a genocide that the UN calls “war on children”. Malnutrition, diseases, lack of suitable medical care have caused Gazan children to lose their childhood; to lose their lives entirely!  

There is no hope left for a future unmarked of pain and my friend Siraj Abudayeh ( @siraj2024 ) , who is father to three sons describes it as a “feeling of oppression”.  He laments that his children have been forced away from their schools, hopes and dreams  by colonizers and where before there were ambitions to excel in either studies or sports, all they know now is helplessness, fear and anger. 

Siraj has told me how his children- Abed, Muhammad and Amir have confessed to their father about how they have begun to  feel guilty for surviving at all now ; after having lost so many of their friends to the genocide they are experiencing survivor's guilt and it breaks my heart to hear that. Abed, the eldest son, is ONLY ELEVEN!!  Can you imagine an eleven year old feeling guilty because he has managed to survive while his friends haven't ? And what kind of survival it is– Half starving, drinking unclean water, forced into tents where sand mites pester him throughout the day?

I am not sure what happened or why the engagement with fundraisers has dropped so drastically lately but there is nothing more atrocious, more horrible than apathy when children are suffering.  It is so strange that we can quote James Baldwin so easily and yet have failed to understand what he meant when he said,

"The children are always ours, every single one of them, all over the globe; ...whoever is incapable of recognizing this may be incapable of morality. ”

We have the power that is not afforded to Gazans and therefore it is on us to be attentive no matter how repetitive these posts feel. It is ridiculous and dehumanizing that during a genocide one has to worry about making a post original enough to maintain attention. And yes I know that we won't be able to stop the horrifying banality of Israel’s evil in a day but WE CAN help provide FIVE families that are dependent on this fundraiser with a lifeline during times such as these.  

Please we have managed to get this far after struggling for so long, it cannot be that we will fail Siraj when he is so close to the end goal of 82k !!

So DONATE AND BOOST. Find it in yourself to not just reblog but circulate the fundraiser among your colleagues, friends and family. Share it in your whatsapp chats and discord servers. Share it on every other platform that you may have a reach on.

Currently at $72,987 CAD of the short term goal of 75k. We have 2k left to raise by tomorrow. 

Vetting at 219

[caelum-in-the-avatarverse]

Fandom can do a little gatekeeping. As a treat.

So I finally decided to archive-lock my fics on AO3 last night. I’ve been considering it since the AI scrape last year, but the tipping point was this whole lore.fm debacle, coupled with some thoughts I’ve been thinking regarding Fandom These Days in general and Fandom As A Community in particular. So I wanna explain why I waited so long, why I locked my stuff up now, and why I’ve come to the conclusion that I’m a-okay with making it harder for people to see my stories.

Lurkers really are great, tho

I’m a chronic lurker, and have been since I started hanging out on the internet as a teen in the 00s. These days it’s just cuz I don’t feel a need to socialize very often, but back then it was because I was shy and knew I was socially awkward. Even if I made an account, I’d spend months lurking on message boards or forums or Livejournals, watching other people interact and getting a feel for that particular community’s culture and etiquette before I finally started interacting myself. And y’know, that approach saved me a lot of embarrassment. Over the course of my lurking on any site, there was always some other person who’d clearly joined up five minutes after learning the place existed, barged in without a care for their behavior, and committed so many social faux pas that all the other users were immediately annoyed with them at best. I learned a lot observing those incidents. Lurk More is Rule 33 of the internet for very good reason.

Lurking isn’t bad or weird or creepy. It’s perfectly normal. I love lurking. It’s hard for me to not lurk - socializing takes a lot of energy out of me, even via text. (Heck it took 12 hours for me to write this post, I wish I was kidding--) Occasionally I’ll manage longer bouts of interaction - a few weeks posting here, almost a year chatting in a discord there - but I’m always gonna end up going radio silent for months at some point. I used to feel bad about it, but I’ve long since made peace with the fact that it’s just the way my brain works. I’m a chronic lurker, and in the long term nothing is going to change that.

The thing with being a chronic lurker is that you have to accept that you are not actually seen as part of the community you are lurking in. That’s not to say that lurkers are unimportant - lurkers actually are important, and they make up a large proportion of any online community - but it’s simple cause and effect. You may think of it as “your community”, but if you’ve never said a word, how is the community supposed to know you exist? If I lurked on someone’s LJ, and then that person suddenly friendslocked their blog, I knew that I had two choices: Either accept that I would never be able to read their posts again, or reach out to them and ask if I could be added to their friends list with the full understanding that I was a rando they might not decide to trust. I usually went with the first option, because my invisibility as a lurker was more important to me than talking to strangers on the internet.

Lurking is like sitting on a park bench, quietly people-watching and eavesdropping on the conversations other people are having around you. You’re in the park, but you’re not actively participating in anything happening there. You can see and hear things that you become very interested in! But if you don’t introduce yourself and become part of the conversation, you won’t be able to keep listening to it when those people walk away. When fandom migrated away from Livejournal, people moved to new platforms alongside their friends, but lurkers were often left behind. No one knew they existed, so they weren’t told where everyone else was going. To be seen as part of a fandom community, you need to submit to the mortifying ordeal of being known, etc. etc.

There’s nothing wrong with lurking. There can actually be benefits to lurking, both for the lurkers and the communities they lurk in. It’s just another way to be in a fandom. But if that is how you exist in fandom--and remember, I say this as someone who often does exist that way in fandom--you need to remember that you’re on the outside looking in, and the curtains can always close.

I’ve always been super sympathetic to lurkers, because I am one. I know there’s a lot of people like me who just don’t socialize often. I know there’s plenty of reasons why someone might not make an account on the internet - maybe they’re nervous, maybe they’re young and their parents don’t allow them to, maybe they’re in a bad situation where someone is monitoring their activity, maybe they can only access the internet from public computer terminals. Heck, I’ve never even logged into AO3 on my phone--if I’m away from my computer I just read what’s publicly available. 

I know I have people lurking on my fics. I know my fics probably mean a lot to someone I don’t even know exists. I know this because there are plenty of fics I love whose writers don’t know I exist.

I love my commenters personally; I love my lurkers as an abstract concept. I know they’re there and I wish them well, and if they ever de-lurk I love them all the more.

So up until last year I never considered archive-locking my fic, because I get it. The AI scraping was upsetting, but I still hesitated because I was thinking of lurkers and guests and remembering what it felt like to be 15 and wondering if it’d be worth letting a stranger on the internet know I existed and asking to be added to their friends list just so I could reread a funny post they made once.

But the internet has changed a lot since the 00s, and fandom has changed with it. I’ve read some things and been doing some thinking about fandom-as-community over the last few years, and reading through the lore.fm drama made me decide that it’s time for me to set some boundaries.

I still love my lurkers, and I feel bad about leaving any guest commenters behind, especially if they’re in a situation where they can’t make an account for some reason. But from here on out, even my lurkers are going to have to do the bare minimum to read my fics--make an AO3 account.

Should we gatekeep fandom?

I’ve seen a few people ask this question, usually rhetorically, sometimes as a joke, always with a bit of seriousness. And I think…yeah, maybe we should. Except wait, no, not like that--

A decade ago, when people talked about fandom gatekeeping and why it was bad to do, it intersected with a lot of other things, mainly feminism and classism. The prevalent image of fandom gatekeeping was, like, a man learning that a woman likes Star Wars and haughtily demanding, “Oh, yeah? Well if you’re REALLY a fan, name ten EU novels” to belittle and dismiss her, expecting that a “real fan” would have the money and time to be familiar with the EU, and ignoring the fact that male movie-only fans were still considered fans. The thing being gatekept was the very definition of “being a fan” and people’s right to describe themselves as one.

That’s not what I mean when I say maybe fandom should gatekeep more. Anyone can call themselves a fan if they like something, that’s fine. But when it comes to the ability to enjoy the fanworks produced by the fandom community…that might be something worth gatekeeping.

See, back in the 00s, it was perfectly common for people to just…not go on the internet. Surfing the web was a thing, but it was just, like, a fun pastime. Not everyone did it. It wasn’t until the rise of social media that going online became a thing everyone and their grandmother did every day. Back then, going on the internet was just…a hobby.

So one of the first gates online fandom ever had was the simple fact that the entire world wasn’t here yet.

The entire world is here now. That gate has been demolished.

And it’s a lot easier to find us now. Even scattered across platforms, fandom is so centralized these days. It isn’t a network of dedicated webshrines and forums that you can only find via webrings anymore, it’s right there on all the big social media sites. AO3 didn’t set out to be the main fanfic website, but that’s definitely what it’s become. It’s easy for people to find us--and that includes people who don’t care about the community, and just want “content.”

Transformative fandom doesn’t like it when people see our fanworks as “content”. “Content” is a pretty broad term, but when fandom uses it we’re usually referring to creative works that are churned out by content creators to be consumed by an audience as quickly as possible as often as possible so that the content creator can generate revenue. This not-so-new normal has caused a massive shift in how people who are new to fandom view fanworks--instead of seeing fic or art as something a fellow fan made and shared with you, they see fanworks as products to be consumed.

Transformative fandom has, in general, always been a gift economy. We put time and effort into creating fanworks that we share with our fellow fans for free. We do this so we don’t get sued, but fandom as a whole actually gets a lot out of the gift economy. Offer your community a story, and in return you can get comments, build friendships, or inspire other people to write things that you might want to read. Readers are given the gift of free stories to read and enjoy, and while lurking is fine, they have the choice to engage with the writer and other readers by leaving comments or making reclists to help build the community.

And look, don’t get me wrong. People have never engaged with fanfic as much as fan writers wish they would. There has always been “no one comments anymore” wank. There have always been people who only comment to say “MORE!” or otherwise demand or guilt trip writers into posting the next chapter. But fandom has always agreed that those commenters are rude and annoying, and as those commenters navigate fandom they have the chance to learn proper community etiquette.

However, now it seems that a lot of the people who are consuming fanworks aren’t actually in the community. 

I won’t say “they aren’t real fans” because that’s silly; there’s lots of ways to be a fan. But there seem to be a lot of fans now who have no interest in fandom as a community, or in adhering to community etiquette, or in respecting the gift economy. They consume our fics, but they don’t appreciate fan labor. They want our “content”, but they don’t respect our control over our creations.

And even worse--they see us as a resource. We share our work for free, as a gift, but all they see is an open-source content farm waiting to be tapped into. We shared it for free, so clearly they can do whatever they want with it. Why should we care if they feed our work into AI training datasets, or copy/paste our unfinished stories into ChatGPT to get an ending, or charge people for an unnecessary third-party AO3 app, or sell fanbindings on etsy for a profit without the author’s permission, or turn our stories into poor imitations of podfics to be posted on other platforms without giving us credit or asking our consent, while also using it to lure in people they can datascrape for their Forbes 30 Under 30 company? 

And sure, people have been doing shady things with other people’s fanworks since forever. Art theft and reposting has always been a big problem. Fanfic is harder to flat-out repost, but I’ve heard of unauthorized fic translations getting posted without crediting the original author. Once in…I think the 2010s? I read a post by a woman who had gone to some sort of local bookselling event, only to find that the man selling “his” novel had actually self-published her fanfic. (Wish I could find that one again, I don’t even remember where I read it.)

But aside from that third example, the thing is…as awful as fanart/writing theft is, back in the day, the main thing a thief would gain from it was clout. Clout that should rightfully go to the creators who gifted their work in the first place, yeah, but still. Just clout. People will do a lot of hurtful things for clout, but fandom clout means nothing outside of fandom. Fandom clout is not enough to incentivize the sort of wide-scale pillaging we’re seeing from community outsiders today.

Money, on the other hand… Well, fandom’s just a giant, untapped content farm, isn’t it? Think of how much revenue all that content could generate.

Lurkers are a normal and even beneficial part of any online community. Maybe one day they’ll de-lurk and easily slide into place beside their fellow fans because they already know the etiquette. Maybe they’re active in another community, and they can spread information from the community they lurk in to the community they’re active in. At the very least, they silently observe, and even if they’re not active community members, they understand the community.

Fans who see fanworks as “content” don’t belong in the same category as lurkers. They’re tourists. 

While reading through the initial Reddit thread on the lore.fm situation, I found this comment:

[ID: Reddit User Cabbitowo says: ... So in anime fandoms we have a word called tourist and essentially it means a fan of a few anime and doesn't care about anime tropes and actively criticizes them. This is kind of how fandoms on tiktok feel. They're touring fanfics and fanart and actively criticizes tropes that have been in the fandom since the 60s. They want to be in a fandom but they don't want to engage in fandom 

OP totallymandy responds: Just entered back into Reddit after a long day to see this most recent reply. And as a fellow anime fan this making me laugh so much since it’s true! But it sorta hurts too when the reality sets in. Modern fandom is so entitled and bratty and you’d think it’s the minors only but that’s not even true, my age-mates and older seem to be like that. They want to eat their cake and complain all whilst bringing nothing to the potluck… :/ END ID]

-

“Tourist” is an apt name for this sort of fan. They don’t want to be part of our community, and they don’t have to be in order to come into our spaces and consume our work. Even if they don’t steal our work themselves, they feel so entitled to it that they’re fine with ignoring our wishes and letting other people take it to make AI “podfics” for them to listen to (there are a lot of comments on lore.fm’s shutdown announcement video from people telling them to just ignore the writers and do it anyway). They’ll use AI to generate an ending to an unfinished fic because they don’t care about seeing “the ending this writer would have given to the story they were telling”, they just want “an ending”. For these tourist fans, the ends justify the means, and their end goal is content for them to consume, with no care for the community that created it for them in the first place.

I don’t think this is confined to a specific age group. This isn’t “13-year-olds on Wattpad” or “Zoomers on TikTok” or whatever pointless generation war we’re in now. This is coming from people who are new to fandom, whose main experience with creative works on the internet is this new content culture and who don’t understand fandom as a community. That description can be true of someone from any age group.

It’s so easy to find fandom these days. It is, in fact, too easy. Newcomers face no hurdles or challenges that would encourage them to lurk and observe a bit before engaging, and it’s easy for people who would otherwise move on and leave us alone to start making trouble. From tourist fans to content entrepreneurs to random people who just want to gawk, it’s so easy for people who don’t care about the fandom community to reap all of its fruits. 

So when I say maybe fandom should start gatekeeping a bit, I’m referring to the fact that we barely even have a gate anymore. Everyone is on the internet now; the entire world can find us, and they don’t need to bother learning community etiquette when they do. Before, we were protected by the fact that fandom was considered weird and most people didn’t look at it twice. Now, fandom is pretty mainstream. People who never would’ve bothered with it before are now comfortable strolling in like they own the place. They have no regard for the fandom community, they don’t understand it, and they don’t want to. They want to treat it just like the rest of the content they consume online.

And then they’re surprised when those of us who understand fandom culture get upset. Fanworks have existed far longer than the algorithmic internet’s content. Fanworks existed long before the internet. We’ve lived like this for ages and we like it.

So if someone can’t be bothered to respect fandom as a community, I don’t see why I should give them easy access to my fics.

Think of it like a garden gate

When I interact with commenters on my fic, I have this sense of hospitality.

The comment section is my front porch. The fic is my garden. I created my garden because I really wanted to, and I’m proud of it, and I’m happy to share it with other people. 

Lots of people enjoy looking at my garden. Many walk through without saying anything. Some stop to leave kudos. Some recommend my garden to their friends. And some people take the time to stop by my front porch and let me know what a beautiful garden it is and how much they’ve enjoyed it. 

Any fic writer can tell you that getting comments is an incredible feeling. I always try to answer all my comments. I don’t always manage it, but my fics’ comment sections are the one place that I manage to consistently socialize in fandom. When I respond to a comment, it feels like I’m pouring out a glass of lemonade to share with this lovely commenter on my front porch, a thank you for their thank you. We take a moment to admire my garden together, and then I see them out. The next time they drop by, I recognize them and am happy to pour another glass of lemonade.

My garden has always been open and easy to access. No fences, no walls. You just have to know where to find it. Fandom in general was once protected by its own obscurity, an out-of-the-way town that showed up on maps but was usually ignored.

But now there’s a highway that makes it easy to get to, and we have all these out-of-towner tourists coming in to gawk and steal our lawn ornaments and wonder if they can use the place to make themselves some money.

I don’t care to have those types trampling over my garden and eating all my vegetables and digging up my flowers to repot and sell, so I’ve put up a wall. It has a gate that visitors can get through if they just take the time to open it.

Admittedly, it’s a small obstacle. But when I share my fics, I share them as a gift with my fellow fans, the ones who understand that fandom is a community, even if they’re lurkers. As for tourist fans and entrepreneurs who see fic as content, who have no qualms ignoring the writer’s wishes, who refuse to respect or understand the fandom community…well, they’re not the people I mean to share my fic with, so I have no issues locking them out. If they want access to my stories, they’ll have to do the bare minimum to become a community member and join the AO3 invite queue.

And y’know, I’ve said a lot about fandom and community here, and I just want to say, I hope it’s not intimidating. When I was younger, talk about The Fandom Community made me feel insecure, and I didn’t think I’d ever manage to be active enough in fandom spaces to be counted as A Member Of The Community. But you don’t have to be a social butterfly to participate in fandom. I’ll always and forever be a chronic lurker, I reblog more than I post, I rarely manage to comment on fic, and I go radio silent for months at a time--but I write and post fanfiction. That’s my contribution.

Do you write, draw, vid, gif, or otherwise create? Congrats, you're a community member.

Do you leave comments? Congrats, you're a community member.

Do you curate reclists? Congrats, you're a community member.

Do you maintain a fandom blog or fuckyeah blog? Congrats, you're a community member.

Do you provide a space for other fans to convene in? Congrats, you're a community member.

Do you regularly send asks (off anon so people know who you are)? Congrats, you're a community member.

Do you have fandom friends who you interact with? Congrats, you're a community member.

There’s lots of ways to be a fan. Just make sure to respect and appreciate your fellow fans and the work they put in for you to enjoy and the gift economy fandom culture that keeps this community going.

[nighttimeaboardthepearl]

Just found a character.ai chat with Heinz from some time ago in my screenshots again and remembered I already thought about sharing this back then👉👈

I love that the ai actually remembered his background as a scientist and inventor and made it a bit more personal in this way, also Heinz is just so good at flirting and his way with words has me absolutely weak🥵❤️‍🔥

[arsenenicholas]

https://goodlawproject.org/crowdfunder/nhs-cyp-guidance/?fbclid=PAZXh0bgNhZW0CMTEAAaadkVMoRUHpcFptnjlifnc1xJ0i7YGVi78tfv2vEXVaVIQDPTEp1-ozNcY_aem_AfqNP9xEERFn6GRCZCIP7B2RriLi8ZN7pVAFzmNwdvqIXW0nmc1mTe5Hq0UV3xC6VPWdYe1x64wHk7O6-HPOhIdf

Please share, tag someone who could bring this to a lot of people, and post to other platforms. Not originally mine, idk who is the source of the screenshots.

Image ID under cut

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In thick white text on black background-> NHS ENGLAND ARE PLANNING A HONEYPOT WHERE THEY SEND ALL KIDS ON GIDS WAITLIST TO CAHMS TO HAVE THEM BE ASKED IF THEY ARE TAKING BLOCKERS/HRT VIA PRIVATE OR DIY ROUTES

Text is broken and in the middle is an excerpt from a leaked nhs document-> a) For medication sourced directly (e.g via the internet), explain the increased risks of harm due to the unregulated nature of these medicines/products. These may include the use of counterfeit chemicals, unsafe/unknown ancilliary ingredients or variability of potency etc. More information can be found here (link to nhs website). // b) Do not initiate or continue prescribing puberty surpressing hormones or gender affirming hormones. The General Medical Council's guidance to medical professionals on 'bridging prescriptions (a course of endocrine intervention managed by a healthcare professional outside of the specialised gender service while an individual is waiting to be seen) does not apply to care offered to young people under 18 years of age. // c) If the child/young person or their carer disregards your advice and you consider that this puts the child/young person at increased risk, then a safeguarding referral might also be appropriate in line with standard safeguarding approaches. Discuss with your line manager and your organization's safeguarding team.

Thick white text on black background continues-> ANY WHO SAYS YES AND DO NOT DESIST FROM DOING SO WILL BE THREATENED WITH SAFEGUARDING REFERRAL (TAKEN INTO STATE CARE)

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In black text on white background, from the news article linked above-> It seems to us - and to those inside the NHS who have leaked the document to us - that what purports to be an "assessment" in fact an exercise in bringing very significant pressure to bear on trans youth and their families to cease private treatment, backed up with a threat of a safeguarding referral to social services if they do not. // We are concerned about what appears to be a misleading exercise in gathering data on which trans youth are obtaining private treatment from abroad, for the purposes of seeking to cause or compel them to stop treatment.

In the same thick white text on black background as previous image-> So an internal NHS document has been leaked basically asking trans kids on excruciatingly ling waiting lists to come to a 'mental health assessment' where the NHS will harvest their personal information & threaten their families with a social services referral if they're found to be on private blockers/hormones & refuse to come off them. // This country is for dogs i swear.

[girlscience]

alien be upon ye

[prokopetz]

I think one of the biggest obstacles to getting a social media platform off the ground in 2023 is that big sites like Twitter and YouTube have created an expectation that registering an account should automatically come with effectively unlimited storage and bandwidth for whatever media you care to post, which creates a hard entry barrier for any platform without major financial backing. Like, we can wax rhapsodic about early 2000s forum culture all we like, but one of the main unwritten rules that allowed smaller forums to survive was never turning image hosting on for free accounts – either you made people figure out their own solutions for hosting images, or you charged a fee. If you were lucky, a forum with free registration might have let you host a banner for your signature on their servers, but that was it! Unless someone manages to convince large numbers of folks that a text-only social media platform is worth participating in, I'm not sure there's any good way forward for smaller outfits at this point.

[giannaln4]

GIANNA'S KINKTOBER '24 SEASON

ㅤㅤㅤㅤㅤ⇢ ˗ˏˋ Kinktober day seven.

Dry Humping (1k words)

summary: You simply couldn't wait to be in a private place to show Lando how proud you were of him, so you decide to do it even though you are very aware of the people around you.

warnings: NSFW, +18, smut, MDNI, stablished relationship, very heavy makeout, dry humping, public sex-ish. lmk if i should add anything else!

The music that thrummed through the huge speakers was loud, and the people cheering any time a new song came were even louder. The air was so thick with coloured lights and a layer of smoke that you couldn’t quite distinguish your surroundings, and there were drunk people stumbling on their own feet anywhere you looked. Lucky for you, you found yourself in the VIP area with your boyfriend, some other drivers, and a few friends.

You were all out celebrating Lando’s newest win, and you couldn’t be happier for him, so of course you had to go out to commemorate such an achievement.

Everyone was already feeling the alcohol they had been consuming since you got there, including you two, as you found yourselves sitting on one of the bigger couches, passionately making out and him gradually placing you onto his lap. It was heavy, and you didn’t care one bit; it had gotten to the point where everyone around you disappeared, even with the loud reminders of the people that were currently around you.

The VIP area was on a high platform and was secured with side rails to avoid any incident, so whatever you had going on there couldn’t really be seen from the lower ground. That included any cameras and phones that were constantly being pointed in your direction.

All they could really see were your faces basically devouring each other, which wasn’t exactly new to the public. What they couldn’t see, however, were your hips starting to rock against Lando’s and his hands grabbing you with such force only to bring you closer to him.

As expected, you were way too out of it to fully analyse what you were doing, and if you did know and were aware of it, it was clear you didn’t care; you just wanted to show him how proud you were of his fantastic race. You came straight to the club after leaving the track, so you didn’t have any alone time afterwards, and all you got to say was “I’m so proud of you,” muffled by the hundreds of cheers coming from his team and the fans.

But that was long forgotten, and all you could do right now was hold onto his shoulders as you continued humping his hard cock still stuffed inside his pants, your combined saliva falling from your chin and into your chest as the kiss got messier. 

“You did so- so good,” you managed to say between kisses. “I can’t even describe how hot you looked coming out of the car with the number 1 cardboard in front of it.”

“Yeah?” He asked, squeezing your hips as his lips left yours, trapping your lower lip between his teeth until you were too far from his face. 

“Mhm, all I could think about was having that one finger inside me.”

“Shit, baby, you are driving me insane.”

You got closer to his ear, and with a very seductive voice, you whispered. “So you are gonna go even more insane when I tell you I’m not wearing any underwear right now.”

“Fuck.”

He held you even tighter as you started to drag your hips harder, a moan scaping his lips. Your dress was rolled up, and it was now covering only your thighs, but it was pretty obvious what you two were doing to anyone at surface level.

With your pussy being completely uncovered, the feeling of the hard fabric of his jeans was heaven to you, and the thought of all your juices going straight to his jeans, pretty much the only layer between you, made you eager to come.

One of his hands came under your dress and sneaked between your folds; he just wanted to feel you, and God, he almost let it all out when he realised how wet you were.

“So wet for me, baby.” He whimpered, leaving your core and placing his hand back on your side.

You were both feeling so desperate that he also started thrusting up into you, making the sensation for you not only better but easier. A thin layer of sweat was forming on your bodies, only adding to the hot atmosphere the club naturally had.

Luckily, your moans were being muffled by the loud music and the people around you, so no one could even hear you no matter how loud you were being, and right now, it was a little embarrassing how loud you were being.

Your legs were already getting tired, but you were so close that you knew you only had to chase your orgasm for a little longer. His hands that were previously on your hips were now everywhere, feeling every inch of any uncovered skin he could find as he moved along with you.

“Mhm, Lan.” You moaned, moving a little faster than before, making him squirm under you.

“Yeah? You gonna cum in my pants in front of all our friends?” He whispered. All you could do was nod in response, and you could feel his smirk on your neck. "I wanna rearrange your guts and turn you into a mess, baby. I’m making you all mine as soon as we are back at the hotel." 

“Ah,” another loud moan left your lips.

"You want that, don't you?" 

“Please, let’s get out of here.”

As soon as he heard you say that, his hands fell back on your hips to make you drag them even faster, harder, as his own picked up his desperate pace. He could feel your body starting to give out; that could only mean you were about to snap.

With a few more thrusts, he felt your orgasm hitting you, making you drop your head on his shoulder as he chased his own release, which came a few seconds later.

“Shit,” he whimpered as his cum stained his clothes, the warm and thick fluid coating both of you.

You pressed your foreheads together as you tried to catch your breath, a laugh escaping both of you as you came down from your high. 

“We can never come back here,” Lando whispered as he kissed you again. Not as desperate, but just as hungry for more. 

“Are you done-?” You heard Oscar yell above the noise as he came close to you, making both of you look at him in pure embarrassment as Lando pushed you off his lap, revealing his cum-stained jeans. “Oh my God, you are done... Okay, we are getting out of here.”

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