#cost-effective.
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leebrontide · 3 months ago
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Ok so my kid had an ear infection, right? As kids often do.
The doctor scraped out a bit of earwax to have a better look inside.
I was sent a bill for $200 PER EAR for this 5 second procedure which I did not give permission for them to do.
That was key- they did not ASK me if they could do this "procedure". And, as I OWN a medical practice (it's me. The medical practice is me, sitting in my house on video calls) I knew to call them when this bill came in to be like "You did not obtain informed consent for this procedure, and it was not en emergency procedure. You had full ability to gain my consent and didn't. I'm not paying."
And the massive hospital who owned the bill said "yuh-huh you do have to pay."
And I said "I own a practice. I know these laws. I do not owe you money for this."
And they conducted an "internal review" and SURPRISE! Decided I totally owed them money and they had never done anything wrong ever.
And so I called my state's Attorney General office, and explained the situation because, as I mentioned, I know the law. The AG got in touch within a couple days to say they were taking the case and would send the massive hospital conglomerate a knock it off, guys letter.
Lo and Behold, today I have a letter where said hospital graciously has agreed to forfeit the payment.
"How not to get screwed over by companies" should be part of civics class.
Know your rights and know who to call when they're infringed on. This whole process cost me $0 and honestly less effort than I would have expected.
May this knowledge find its way to someone else who can use it.
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applore · 2 years ago
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Flutter App Development Services
Flutter app development services are becoming increasingly popular due to their cross-platform capabilities and fast development time. Businesses can benefit from Flutter's rich set of pre-built widgets and libraries, resulting in beautiful and responsive mobile applications that are both reliable and cost-effective.
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philyuri · 2 months ago
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being a phannie is about winning the rpf lottery at the cost of your mental health
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thebatcreature · 6 months ago
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Unbelievable how people want to be mean to him and he literally looks like this
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willgraham-manwhore · 7 months ago
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we all know they were both bricked tf up in this scene
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krakenattack · 1 year ago
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Mild spoiler for The Last Graduate ahead, but:
Having just reread the whole series, I love how at odds El and the Scholomance are. Like, El's pessimism is a great way of making your narrator unreliable, since El is sometimes right and sometimes wrong always expecting the worst response from everyone around her(a thought worthy of another entire post), but it becomes very funny once she realizes that part of the problem at school is that she can't do small spells? Like, she spends the whole first book being like 'this school is the devil tempting me to evil, it wants me to become a maleficier, I can't even ask for a simple cleaning spell without getting horrible spells for summoning mortal flames and enslaving an army of people, I hate it', and meanwhile the Scholomance is flipping frantically through its catalogue of spells gathered over thousands of years, desperately trying to find a spell in a language El knows that she can also cast with her affinity for working incredibly large and powerful spells. El's over here driving a bulldozer and saying, 'I would like to build a Jenga tower' and the Scholomance is looking at her with the weary despair of a preschool teacher knowing they're going to be suffering through a temper tantrum soon but unable to stop it.
El, a furious teenager who doesn't know as much as she thinks she does: I don't wanna summon a mortal flame! I want my room clean!
The Scholomance, a giant building that cleans its own hallways, floors, dishes and various and assorted other workings with mortal flame: Why is this child testing me
Also hilarious in retrospect is El's blithe statement in the first book about how no one would ever give her that much mana to do these high volume spells bc mana isn't free or easy to acquire and so the school is clearly telling her to turn maleficier and kill her fellow students all while Orion is humming to himself as he kills mals and dumps oodles and oodles of mana into the New York power sharers.
El "I'd rather die than ask for help" Higgins: I won't do these spells bc no one will give me mana
The Scholomance, as loudly as a building who may or may not be partially sentient and who can't speak human languages: Wow, those sure are some HIGH MANA VOLUME spells you got there! If only there was SOMEONE around who would be able to provide you with a NIGH LIMITLESS FLOW OF MANA so that you'd be able to cast them!
Orion: :)
El: *hisses like a feral cat*
Orion: :(
The Scholomance: oh my freaking god
Hilarious. Top tier humor.
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sakurastarkey · 6 months ago
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mostlysignssomeportents · 2 years ago
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Social Quitting
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In “Social Quitting,” my latest Locus Magazine column, I advance a theory to explain the precipitous vibe shift in how many of us view the once-dominant social media platforms, Facebook and Twitter, and how it is that we have so quickly gone asking what we can do to get these services out of our lives to where we should go now that we’re all ready to leave them:
https://locusmag.com/2023/01/commentary-cory-doctorow-social-quitting/
The core of the argument revolves around surpluses — that is, the value that exists in the service. For a user, surpluses are things like “being able to converse with your friends” and “being able to plan activities with your friends.” For advertisers, surpluses are things like “being able to target ads based on the extraction and processing of private user data” and “being able to force users to look at ads before they can talk to one another.”
For the platforms, surpluses are things like, “Being able to force advertisers and business customers to monetize their offerings through the platform, blocking rivals like Onlyfans, Patreon, Netflix, Amazon, etc” and things like “Being able to charge more for ads” and “being able to clone your business customers�� products and then switch your users to the in-house version.”
Platforms control most of the surplus-allocating options. They can tune your feed so that it mostly consists of media and text from people you explicitly chose to follow, or so that it consists of ads, sponsored posts, or posts they think will “boost engagement” by sinking you into a dismal clickhole. They can made ads skippable or unskippable. They can block posts with links to rival sites to force their business customers to transact within their platform, so they can skim fat commissions every time money changes hands and so that they can glean market intelligence about which of their business customers’ products they should clone and displace.
But platforms can’t just allocate surpluses will-ye or nill-ye. No one would join a brand-new platform whose sales-pitch was, “No matter who you follow, we’ll show you other stuff; there will be lots of ads that you can’t skip; we will spy on you a lot.” Likewise, no one would sign up to advertise or sell services on a platform whose pitch was “Our ads are really expensive. Any business you transact has to go through us, and we’ll take all your profits in junk fees. This also lets us clone you and put you out of business.”
Instead, platforms have to carefully shift their surpluses around: first they have to lure in users, who will attract business customers, who will generate the fat cash surpluses that can be creamed off for the platforms’ investors. All of this has to be orchestrated to lock in each group, so that they won’t go elsewhere when the service is enshittified as it processes through its life-cycle.
This is where network effects and switching costs come into play. A service has “network effects” if it gets more valuable as users join it. You joined Twitter to talk to the people who were already using it, and then other people joined so they could talk to you.
“Switching costs” are what you have to give up when you leave a service: if a service is siloed — if it blocks interoperability with rivals — then quitting that service means giving up access to the people whom you left behind. This is the single most important difference between ActivityPub-based Fediverse services like Mastodon and the silos like Twitter and Facebook — you can quit a Fediverse server and set up somewhere else, and still maintain your follows and followers:
https://pluralistic.net/2022/12/23/semipermeable-membranes/#free-as-in-puppies
In the absence of interoperability, network effects impose their own switching cost: the “collective action problem” of deciding when to leave and where to go. If you depend on the people you follow and who follow you — for emotional support, for your livelihood, for community — then the extreme difficulty of convincing everyone to leave at the same time and go somewhere else means that you can be enticed into staying on a service that you no longer enjoy. The platforms can shift the surpluses away from you, provided that doing so makes you less miserable than abandoning your friends or fans or customers would. This is the Fiddler On the Roof problem: everyone stays put in the shtetl even though the cossacks ride through on the reg and beat the shit out of them, because they can’t all agree on where to go if they leave:
https://doctorow.medium.com/how-to-leave-dying-social-media-platforms-9fc550fe5abf
So the first stage of the platform lifecycle is luring in users by allocating lots of surplus to them — making the service fun and great and satisfying to use. Few or no ads, little or no overt data-collection, feeds that emphasize the people you want to hear from, not the people willing to pay to reach you.
This continues until the service attains a critical mass: once it becomes impossible to, say, enroll your kid in a little-league baseball team without having a Facebook account, then Facebook can start shifting its surpluses to advertisers and other business-users of the platform, who will pay Facebook to interpose themselves in your use of the platform. You’ll hate it, but you won’t leave. Junior loves little-league.
Facebook can enshittify its user experience because the users are now locked in, holding each other hostage. If Facebook can use the courts and technological countermeasures to block interoperable services, it can increase its users’ switching costs, producing more opportunities for lucrative enshittification without the risk of losing the users that make Facebook valuable to advertisers. That’s why Facebook pioneered so many legal tactics for criminalizing interoperability:
https://www.eff.org/cases/facebook-v-power-ventures
This is the second phase of the toxic platform life-cycle: luring in business customers by shifting surpluses from users to advertisers, sellers, etc. This is the moment when the platforms offer cheap and easy monetization, low transaction fees, few barriers to off-platform monetization, etc. This is when, for example, a news organization can tease an article on its website with an off-platform link, luring users to click through and see the ads it controls.
Because Facebook has locked in its users through mutual hostage-taking, it can pollute their feeds with lots of these posts to news organizations’ sites, bumping down the messages from its users’ friends, and that means that Facebook can selectively tune how much traffic it gives to different kinds of business customers. If Facebook wants to lure in sports sites, it can cram those sites’ posts into millions of users’ feeds and send floods of traffic to sports outlets.
Outlets that don’t participate in Facebook lose out, and so they join Facebook, start shoveling their content into it, hiring SEO Kremlinologists to help them figure out how to please The Algorithm, in hopes of gaining a permanent, durable source of readers (and thus revenue) for their site.
But ironically, once a critical mass of sports sites are on Facebook, Facebook no longer needs to prioritize sports sites in its users’ feeds. Now that the sports sites all believe that a Facebook presence is a competitive necessity, they will hold each other hostage there, egging each other on to put more things on Facebook, even as the traffic dwindles.
Once sports sites have taken each other hostage, Facebook can claw back the surplus it allocated to them and use it to rope in another sector — health sites, casual games, employment seekers, financial advisors, etc etc. Each group is ensnared by a similar dynamic to the one that locks in the users.
But there is a difference between users’ surpluses and business’s surpluses. A user’s surplus is attention, and there is no such thing as an “attention economy.” You can’t use attention to pay for data-centers, or executive bonuses, or to lobby Congress. Attention is not a currency in the same way that cryptos are not currency — it is not a store of value, nor a unit of exchange, nor or a unit of account.
Turning attention into money requires the same tactics as turning crypto into money — you have to lure in people who have real, actual money and convince them to swap it for attention. With crypto, this involved paying Larry David, Matt Damon, Spike Lee and LeBron James to lie about crypto’s future in order to rope in suckers who would swap their perfectly cromulent “fiat” money for unspendable crypto tokens.
With platforms, you need to bring in business customers who get paid in actual cash and convince them to give you that cash in exchange for ethereal, fast-evaporating, inconstant, unmeasurable “attention.” This works like any Ponzi scheme (that is, it works like cryptos): you can use your shareholders’ cash to pay short-term returns to business customers, losing a little money as a convincer that brings in more trade.
That’s what Facebook did when it sent enormous amounts of traffic to a select few news-sites that fell for the pivot to video fraud, in order to convince their competitors to borrow billions of dollars to finance Facebook’s bid to compete with Youtube:
https://doctorow.medium.com/metaverse-means-pivot-to-video-adbe09319038
This convincer strategy is found in every con. If you go to the county fair, you’ll see some poor bastard walking around all day with a giant teddy bear that he “won” by throwing three balls into a peach-basket. The carny who operated that midway game let him win the teddy precisely so that he would walk around all day, advertising the game, which is rigged so that no one else wins the giant teddy-bear:
https://boingboing.net/2006/08/27/rigged-carny-game.html
Social media platforms can allocate giant teddy-bears to business-customers, and it can also withdraw them at will. Careful allocations mean that the platform can rope in a critical mass of business customers and then begin the final phase of its life-cycle: allocating surpluses to its shareholders.
We know what this looks like.
Rigged ad-markets:
https://en.wikipedia.org/wiki/Jedi_Blue
Understaffed content moderation departments:
https://www.dw.com/en/twitters-sacking-of-content-moderators-will-backfire-experts-warn/a-63778330
Knock-off products:
https://techcrunch.com/2021/12/08/twitter-is-the-latest-platform-to-test-a-tiktok-copycat-feature/
Nuking “trust and safety”:
https://www.reuters.com/technology/twitter-dissolves-trust-safety-council-2022-12-13/
Hiding posts that have links to rival services:
https://www.makeuseof.com/content-types-facebook-hides-why/
Or blocking posts that link to rival services:
https://pluralistic.net/2022/12/19/better-failure/#let-my-tweeters-go
Or worse, terminating accounts for linking to rival services:
https://blog.joinmastodon.org/2022/12/twitter-suspends-mastodon-account-prevents-sharing-links/
That is, once a platform has its users locked in, and has its business customers locked in, it can enshittify its service to the point of near uselessness without losing either, allocating all the useful surplus in the business to its shareholders.
But this strategy has a problem: users and business customers don’t like to be locked in! They will constantly try to find ways to de-enshittify your service and/or leave for greener pastures. And being at war with your users and business customers means that your reputation continuously declines, because every time a user or business customer figures out a way to claw back some surplus, you have to visibly, obviously enshittify your service wrestle it back.
Every time a service makes headlines for blocking an ad-blocker, or increasing its transaction fees, or screwing over its users or business customers in some other way, it makes the case that the price you pay for using the service is not worth the value it delivers.
In other words, the platforms try to establish an equilibrium where they only leave business customers and users with the absolute bare minimum needed to keep them on the service, and extract the rest for their shareholders. But this is a very brittle equilibrium, because the prices that platforms impose on their users and business customers can change very quickly, even if the platforms don’t do anything differently.
Users and business customers can revalue the privacy costs, or the risks of staying on the platform based on exogenous factors. Privacy scandals and other ruptures can make the cost you’ve been paying for years seem higher than you realized and no longer worth it.
This problem isn’t unique to social media platforms, either. It’s endemic to end-stage capitalism, where companies can go on for years paying their workers just barely enough to survive (or even less, expecting them to get public assistance and/or a side-hustle), and those workers can tolerate it, and tolerate it, and tolerate it — until one day, they stop.
The Great Resignation, Quiet Quitting, the mass desertions from the gig economy — they all prove the Stein’s Law: “Anything that can’t go on forever will eventually stop.”
Same for long, brittle supply-chains, where all the surplus has been squeezed out: concentrating all the microchip production in China and Taiwan, all the medical saline in Puerto Rico, all the shipping into three cartels… This strategy works well, and can be perfectly tuned with mathematical models that cut right to the joint, and they work and they work.
Until they stop. Until covid. Or war. Or wildfires. Or floods. Or interest rate hikes. Or revolution. All this stuff works great until you wake up and discover that the delicate balance between paying for guard labor and paying for a fair society has tilted, and now there’s a mob building a guillotine outside the gates of your luxury compound.
This is the force underpinning collapse: “slow at first, then all at once.” A steady erosion of the failsafes, flensing all the slack out of the system, extracting all the surpluses until there’s nothing left in the reservoir, no reason to stay.
It’s what caused the near-collapse of Barnes and Noble, and while there are plenty of ways to describe James Daunt’s successful turnaround, the most general characterization is, “He has reallocated the company’s surpluses to workers, readers, writers and publishers”:
https://tedgioia.substack.com/p/what-can-we-learn-from-barnes-and
A system can never truly stabilize. This is why utopias are nonsense: even if you design the most perfect society in which everything works brilliantly, it will still have to cope with war and meteors and pandemics and other factors beyond your control. A system can’t just work well, it has to fail well.
This is why I object so strenuously to people who characterize my 2017 novel Walkaway as a “dystopian novel.” Yes, the protagonists are eking out survival amidst a climate emergency and a failing state, but they aren’t giving up, they’re building something new:
https://locusmag.com/2017/06/bruce-sterling-reviews-cory-doctorow/
“Dystopia” isn’t when things go wrong. Assuming nothing will go wrong doesn’t make you an optimist, it makes you an asshole. A dangerous asshole. Assuming nothing will go wrong is why they didn’t put enough lifeboats on the Titanic. Dystopia isn’t where things go wrong. Dystopia is when things go wrong, and nothing can be done about it.
Anything that can’t go on forever will eventually stop. The social media barons who reeled users and business customers into a mutual hostage-taking were confident that their self-licking ice-cream cone — in which we all continued to energetically produce surpluses for them to harvest, because we couldn’t afford to leave — would last forever.
They were wrong. The important thing about the Fediverse isn’t that it’s noncommercial or decentralized — it’s that its design impedes surplus harvesting. The Fediverse is designed to keep switching costs as low as possible, by enshrining the Right Of Exit into the technical architecture of the system. The ability to leave a service without paying a price is the best defense we have against the scourge of enshittification.
(Thanks to Tim Harford for inspiring this column via an offhand remark in his kitchen a couple months ago!)
[Image ID: The Phillip Medhurst Picture Torah 397. The Israelites collect manna. Exodus cap 16 v 14. Luyken and son.]
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bethanydelleman · 7 months ago
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Please, for the love of all that is holy, stop saying that Mrs. Bennet is the only one "taking the situation seriously."
She is not.
Screaming about a problem doesn't mean you are taking it seriously. If she was taking it seriously, she'd have given her girls a proper education and advocated for saving for dowries. Her little schemes around Jane don't count as taking it seriously.
No one is taking the situation seriously.
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dweamofsweep · 5 months ago
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You know what, at least they didn’t steal the eyelashes. And the heart shape is cute, and I like the joint seams from the older designs so I can appreciate that. But all the extra lines… I’m not gonna bother
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valtsv · 1 year ago
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If love is not the antithesis to horror, what then is?
honestly i'm not sure but i'm inclined to say comfort
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brainworms-all-night-long · 4 months ago
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So amazing news, my computer just suddenly shut off and won't boot back up so that's all of my unfinished art lost once again yippie!!
Well anyway, here's a thing I've been last working on before I got very rudely interrupted
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These two fuckers have been jumping around my brain for the past week nonstop someone escort them out already
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Something funny because Uzi is from a planet called "Copper-9" get it? Copper nine? Copper to Nine like "[Name] to Earth, you with us"? hillarious I know
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Something something Uzi is a robot that grew organic parts due to bullying and loneliness + some funky genetics stuff, while Nine is an organic guy that stapled robotic parts to himself because he was bullied due to some funky genetics stuff
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disguisedcheezed · 1 month ago
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John really likes to annoy Dirk and see him irritated until Dirk genuinely smiles for once he gets SO MUCH CUTENEES AGRESSION he wants to punch objects to dust and eat it with an inner monologue repeating "KILL HIM KILL HIM KILL HIM"
But for Dirk, he could detect when John is Not actually expressing the real emotions he's showing, until John Genuinely smiles after a crying session which Dirk DID NOT expect. He's getting cuteness agression but the calm way with his inner monologue saying "I'm in heaven." and he just wants to hold John in his arms forever.
> John looks so calm and smiley all the time but he's actually very violent and when he's very mad he would love to punch everything and make them explode to prevent himself from thinking about anything.
> Dirk looks destructive and intimidating but he's actually just a guy who likes to hold someone's hand and blush in anime.
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laelior · 4 months ago
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The ride back from Rift Station is eerily silent.
Liara sits near the back, contemplating the hands folded in her lap. She’s earned the numbness that radiates from her.
Shepard might as well be a statue at the front of the tram, her back ramrod straight and her shotgun slung across her lap, one hand resting on the stock. She keeps a quiet vigil, her eyes continually scanning the track ahead of them for signs of danger. Kaidan hasn’t seen her move once since they’d boarded the tram, in a stark departure from her typical restless energy. He puts it down to deference for Liara’s grief and the unnerving encounter with the rachni.
Kaidan is somewhere in the middle, pacing from side to side while keeping an eye on both Liara and the peripheral sight lines as the tram hurtles along back toward the central station.
The tram lurches around a bend, and the statue at the front of the tram winces. It's subtle, as is the way she shifts her left shoulder. Someone else might not have caught it. But Kaidan does.
He sighs and makes his way to the front of the tram to kneel down in front of her, looking her over critically for the source of her wince.
“Alright, show me where it is,” he says, quietly so as not to disturb Liara.
“Where what is?” She barely looks at him, eyes flicking down to him before resuming their scan of the horizon ahead.
“Whatever injury you’re trying to power through. Let me take a look at it."
“It’s fine. I’m fine. Go check on T’soni, she could probably use it.” She waves her hand, shoeing him away like she would a fly, but Kaidan is having none of it.  Not today. Not after all they’ve been through.
“Liara’s in shock. She needs time to process what happened, not a medi-gel patch. Now quit being stubborn and show me.” He stares her down, unwilling to concede this battle of wills to her and her mulish pride. Before she can protest, he takes the shotgun from her lap and places it on the floor–easily within reach for someone with a normal range of motion. Her nostrils flare in annoyance but she finally meets his gaze.
“For fuck’s sake, Alenko,” she snaps quietly. She moves her left arm away from her side and Kaidan sucks in a breath. There, the plates of her Onyx armor have blackened and cracked, leaving a fist-sized dent right over her ribs.
Carefully, he picks at a piece of ablative ceramic and it flakes away in his hand like so much tissue. The undersuit is tattered, showing the bruised expanses of her skin underneath and two bony knobs sitting close to the surface. “How…?
“One of the commandos. Hit me with a warp and shotgun blast right after.” Her accompanying shrug is not effortless. “Maybe shorted out the medi-gel delivery system, too,” she concedes with a quiet grunt.
He pulls a spare medi-gel pack from his own armor and breaks it open, gingerly applying the clear, viscous substance directly to her skin. His field medic training had never specifically advised this particular method of applying medi-gel, but there had been a number of edge cases that training had failed to cover. She hisses when he presses just a little too hard.
“Sorry,” he murmurs reflexively. He peels off his gauntlet for a gentler touch and sets it next to her shotgun. The medi-gel is cold on his fingers, a sharp contrast to the heat of her skin under his touch.
“These look broken, Shepard.” He hovers two fingers just over her fifth and sixth ribs, careful not to touch.
“I’ve had worse.” It takes all of Kaidan’s self-control not to grind his forehead into his palm.
“The moment we get back to Port Hanshan, you’re going to see Chakwas,” he says flatly. It is not a request. 
“Are you giving me orders now, Lieutenant?” There’s a cold edge to her voice and a look of hard steel in her eyes. Another time, that would have made him back off. But now…now, he meets her hard stare with one of his own.
“I don’t have to. Chakwas can still countermand you on medical matters.” She glares down at him, using that look he’s seen a hundred times now to bend others to her will. But he refuses to break under the weight of it.
And then she does the last thing he expects.
One side of her mouth turns up in a dry, lopsided smile.
Kaidan quickly drops his eyes, feeling a flush start to creep up his neck, and finishes applying the medi-gel. He fumbles to get his armored glove back on once he’s done. He resumes his place in the middle of the tram, but somehow he just knows she’s still smiling that little smile of hers.
When the tram finally slows to a stop at the central station, he’s still not sure who won that round.
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slimynematode · 11 months ago
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ode to sierra sam
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danmeichael · 4 months ago
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shen jiu keeps walking into situations where the dm says "are you sure about that?" and replying "yes" and then juuuuuust scraping past the dc of the interaction.
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