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macgyvermedical · 4 months ago

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Wound Care For Adults

So the wife was on backpacking reddit and found that a lot of people can't tell the difference between wounds you need some vaseline and a bandaid for, wounds that need a little home TLC, wounds you need to go to an urgent care for, and wounds you actually need to go to the emergency department for, so we're gonna talk about that here.

Wounds that need some vaseline and a bandaid:

A blister that popped

A non-gaping cut

A skinned knee (small amount of fresh, shallow road rash with nothing embedded)

Keep in mind that you should NOT use rubbing alcohol, iodine, mercurochrome, or hydrogen peroxide on any of these. It will just hurt and potentially kill healthy cells in the wound. Neosporin or other antibiotic ointment is okay if you happen to have it, but the antibiotics themselves don't last long and are generally not worth the extra money.

Wash the wound with plain tap water, pat it dry with a clean cloth or piece of gauze, dab on a little petroleum jelly (Vaseline) and slap a bandage on that beby.

Wounds that need some TLC at home:

A small, shallow burn with nothing stuck to it

A slightly infected open blister or non-gaping cut

Slightly infected road rash or shallow road rash with something embedded in it

Cut gaping less than 1/4 inch (1/2 cm)

Small, shallow burn: Right after you get the burn, run it under cool tap water for 5-10 minutes, even if you think it's already cool. This will help clean the wound and stop the burn from getting any deeper. Do not ice. Do not put oil or butter or vaseline on the wound. Use an over the counter burn gel and a bandaid to hold it in place.

Slightly infected small wound/road rash: You'll know it's slightly infected if there's redness and swelling around the edges (up to 2cm), if there is drainage, and if it smells bad. It will also probably hurt more than you think it should. For this you'll want to do hot compresses about 4 times a day for 20 minutes per time until the infection goes away. To do this, get a pot and get water hot enough that it is uncomfortable to touch. Then put a wash cloth in that water, pull it out, wring it out, and hold it against the wound. It should be uncomfortably hot and just a little painful. When it cools down, dip it back in the pot, wring it out, and do it again. At the end of 20 minutes the whole area around the wound should be pink.

Road rash with something embedded: If there's a tiny stone or pieces of visible dirt on this section of road rash, you'll need to clean it with a moderately forceful stream of water. You can do this with an irrigation syringe you can get from the pharmacy, or you can make your own using a plastic zipper bag. Fill a bag with water, then cut a teeny tiny hole in one of the corners. Squeeze the bag to make a stream of water, then direct that stream at the wound. This will take potentially a lot of water. Keep at it until there is nothing visible in the wound, then treat with vaseline and a bandaid.

A cut gaping less than 1/4 inch: If this is on your face, genitals, or hands and you care about scarring, go to an emergency department. If this is on another part of your body and you're okay with a scar, keep reading. Stop bleeding with pressure. Clean the wound by running clean tap water through it and pat the edges dry. Make some butterfly bandages out of strong tape- I recommend silk medical tape, but in a pinch you could use duct tape or similar.

Starting on one end, tape down one side of a butterfly bandage, pull it across the cut, and tape it to the other side. Move a 1/4 inch down the cut, and tape another one down, then another, until you have taped the length of the cut. Put some kind of breathable bandage on top of this.

Wounds that need to go to an urgent care:

Cut gaping more than 1/4 inch but that you can still stop bleeding with pressure.

Open blister, cut, burn, or road rash that is draining thick, yellow-or-white drainage and is not getting better with hot compresses, but you don't have a fever

Stop any bleeding, clean by running water over the injury, and go to an urgent care or your family doctor if you happen to be able to get in for a same-day appointment.

Wounds that need to go to an emergency department:

Any cut that gapes on the face, palm of the hand, or genitals

Infection with streaks or with which you have a fever/chills, or for which the red area grows by more than a cm in an hour

Burn larger than the palm of your hand or that is more than skin deep

Any wound that was spurting blood or that needed a tourniquet to stop bleeding

Go to the emergency department as soon as possible, they'll take care of it.

#whump reference #writing reference #whump #nursing #medical #first aid #wounds #cuts #burns

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silence-ofthe-llamas · 5 days ago

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More Mech Au-Au!

Swindle-orientated chapter, with sprinkles of TexAid.

Swindle smiled at everyone.

He smiled at those he was happy with, he smiled at those who had pissed him off, he smiled at those he was making deals with, the list was endless.

The only time he didn’t smile was when he was on his own. The door would click closed behind him, the lock automatically engaging, and the facade would slide from his face.

This all had to be worth it. It had to. He’d risked so much already, he was gambling at stakes he couldn’t pay. Failure would mean death, death for all five of them, and as such, failure was unacceptable.

He’d promised Onslaught.

Vortex was a source of pride for him - a prototype mech who had survived against all odds, plumping up his resume handsomely. The only surviving AI from that round and the round that came after - against all odds, Vortex had persisted. He hadn’t self destructed like his own cohort had, he hadn’t lost his sense of reality, he didn’t completely lose himself. He remained exactly who he was, for better or for worse. The discussions of destroying him once he’d begun to show his more aggressive tendencies were terrifying, sending Swindle scrambling for ways to extract Vortex from the mech. They didn’t get this far just to be treated like they were disposable. Had they forgotten that they were real people they’d trapped within the metal? What did it matter that they were slated to die anyway? That didn’t mean they could just be destroyed when they became inconvenient, there was supposed to be a due process. They were owed that much.

Swindle hung up his hat and ran his hand through his hair. Fuck. They’d gotten so lucky with that boy – Felix, right? That was his name, and Swindle has a vague recollection of his name meaning luck. Good for them that he lived up to it – they were lucky that he was persistent and determined, lucky that Vortex seemed to like him. His teammate liked to play with his food, and it seemed he was settling in to give First Aid a good long chew. Which was good! It meant Vortex was unknowingly buying himself some more time whilst he looked for ways to extract him and put him in something else. Anything else would do at this point - shit, he could be his toaster and burn his toast for eternity. At least he’d still be alive and he wouldn’t be left alone again.

Shit. How depressing. How did this become their only option?

Swindle kicked off his shoes, neatly placing them away onto the rack, and shrugged off his jacket

“I want to make them burn in hell.”

He’d done it because he had to. He took no pleasure in what happened to his team after he gave the wrong people the right intel - but it was this, or they’d all be dead. Like, dead-in-the-ground-dead. Skullfucked by maggots dead. Not on ice, not in giant suits of armour with guns and swords bigger than buildings, dead. Dead and forgotten, and it would be all five of them. Nobody alive to fight in their corner, nobody to keep them as safe as they could, nobody to do what needed to be done.

The screams didn’t haunt him like they used to. While they were still alive, skulking around the research centre with tags and monitors and cables and cameras on them at all times, people did terrible things to them. Trepan was the most frightening. He was enraptured with the idea of creating super soldiers. That’s what they’d tried at first - they’d needed warm, fresh, and living bodies - and who would notice if a mercenary group went missing? Everyone would just assume that they had died, and that would be that. They wouldn’t even look for their corpses.

Vortex had been the most difficult one for them to deal with. He was rude, unruly, and dished back what he was given. At one point they’d had to strap him down Hannibal style just to give him his injections - after they’d removed his prosthetic arm when he’d slashed through the restraints and three researchers with the hidden blade, he’d taken to biting down hard enough to rip chunks of flesh from the researchers instead. Vortex would laugh through the blood that dripped down his chin, but he’d always ended up screaming.

Brawl was freakishly quiet. He would press his palms to his temples, his eyes dull and face gaunt. Swindle would never admit how it made his insides churn, how guilt had ravaged him into sleepless nights. They all screamed, they all cried through the agony of it, but it was the worst when they were quiet. His team wasn’t meant to be quiet. They were always doing something, saying something. Vortex was always pissing off Blast Off, winding him up like a younger sibling did to an older one. Brawl was always playing music far too loud in his headphones. Onslaught was much quieter, but he was his own kind of orchestra of sound. A gun being cleaned, turning pages, the squeak of leather.

They weren’t in the research facility. They were shadows of themselves.

Onslaught had always given Swindle his looks though. No blame. No fault given. Thankful. They’d made a promise, after all. They’d agreed that this was what they would do, how it would happen. Anything that gave them longer to figure out what the fuck they were going to do.

The experiments were a failure. All it gave them were broken men. But that only gave them perfectly usable test subjects for something else, for another failing project.

Trepan had asked Swindle personally who he would volunteer as their first test subject. Who did he think had the best chance of success? Who did he think would make the best immortal warrior?

The cockroach, he’d replied. Vortex was fucking impossible to kill. He’d seen him getting himself blown up multiple times. He’d had to pay to fix his face, he’d had to pay to fix his spine, he’d had to pay for that damn prosthetic and every single hospital stay to stitch him back together. And not once had the man been touched by death. If a nuclear bomb were to fall on them, he was convinced Vortex would emerge unscathed and demanding a cigarette.

He was also extremely resistant to control. He despised being told what to do. Onslaught was an exception because he had actually made an effort to build a rapport with him, it was a relationship built on mutual respect and understanding. And Trepan? Every single scientist in this building? Vortex would rend them to dust and ash if they even entertained the thought of controlling him.

It was a hopeful moment, a glimpse into an optimistic future. Vortex would lose his humanity, but they would all regain their freedom.

But good things didn’t favour terrible men.

Fuck, he wanted a cigarette.

The photoshoot with Blurr was overrunning. It was already eleven o’clock at night - they’d been at this since 10 in the morning, working hard to get their perfect shots. The photogenic mechanics (paid actors). The intelligent engineers (more paid actors). The trustworthy medics (yet more paid actors). Their only non-actor was Blurr, but even then he was just their show dog. He wasn’t actually a pilot, not in the traditional sense. He wasn’t deployed, he was paraded.

Blurr would want to talk after, to natter away about something or other, to get a drink together and maybe a bite to eat, but Swindle just wanted to go to bed. He was tired. Exhausted. Going into his teammates lockers to grab a photograph had just dug up old memories from where he’d buried them, and he’d woken up with Vortex’s screams in his native tongue ringing in his ears, unable to get back to sleep. He could still hear it between the sounds of the camera shutter.

First Aid seemed to be a nice enough kid. He got on well with others, he did his job without complaint, and he was efficient. He didn’t dally around when he was to clamber into Vortex, he was quick and to the point - and, Swindle noticed with growing curiosity, he studiously avoided touching his controls.

If only the pilots were smart enough to pick up on that. Shame, really. It was starting to get real expensive to keep this quiet.

So it was with quiet horror that he watched as First Aid was trapped within the cockpit, the medic accompanying him collapsing to the floor as blood spurted up the glass from where his leg used to be.

He found himself hissing through his teeth. Don’t do anything stupid, Tex!

When First Aid stumbled out looking like his first pilot he’d ever had did, Swindle felt a grim mood take over him. How hard was it to fucking behave? To not do something so unbelievably stupid? To not get himself killed? Apparently it was too much for Vortex to fucking control himself.

But First Aid had been okay. The next day he was as chipper and chirpy as ever with full recollection of the previous day. He’d thought it was funny.

And that’s when Swindle knew that the boy was their chance. If he could survive Vortex, if Vortex was allowing him to live, then they had to seize the opportunity they could.

Nobody listened. Nobody fucking listened. They were repatriating children in biohazard bags, not even a hand left intact for their loved ones to hold as they said goodbye, and they weren’t listening to him.

They needed Felix Anwyl in that mech. Now. He was sick of watching lambs being offered up for sacrifice. Vortex was a malicious bastard but even he would get bored of it all eventually - and from where Swindle was standing, he saw a much better chance of getting their brothers online if Vortex settled down and stopped acting like he was possessed by the devil.

Seeing Felix sprinting towards Vortex in a pilots suit that didn’t fit him, Swindle discretely cleared the way. He distracted the officers with him, had them avert their eyes for a second to let him pass. He redirected people, he gave distractions, he delayed who he could to buy First Aid much needed time to get to the mech before that cadet took a single step inside. Vortex would kill them for the intrusion, he’d explicitly had enough of it and was demanding what was his. His words in the morning memos were enough.

Swindle was out of options. He needed to get First Aid into that mech before they stamped the paperwork to render the supposed AI obsolete and for the scrap heap.

He didn’t have a toaster ready for him yet.

Prowl had looked thunderous on the catwalk. So had Pharma. He had to fight to keep his grin at bay - he had to press his hand to his lips to hide it when Vortex began yelling ‘mine’ through the walkie talkie.

Oh, he really liked this one.

Pharma had kicked up the biggest fuss. He didn’t want to lose his precious medic.

Swindle checked his file. First Aid hadn’t been on any major medical assignments since the previous year, and there was no record of why. No particular displeasures, no signs of any faults or major errors, any need to retrain, or competencies lapsing and requiring reassessment. Pharma had just decided to force First Aid away from his job in some bizarre, inexplicable act.

He’d grabbed him by the collar and hissed into his ear that the blood was on his hands. That if he wanted to keep First Aid, then he could be the one to clear the mech out, that he would be the one to write to the families and explain what had happened.

Pharma had opened his mouth and begun to say something about a punishment, but Swindle placed his finger to his lips and shook his head.

“It’s not on his record.” He reminded him, tapping the file. “Do you want to incriminate yourself? Right here?”

And so he’d received the stamp of approval that evening. The ink was still wet as he shook Pharmas hand, the man holding his too tightly.

First Aid seemed to like Vortex too.

Pilots didn’t usually go and hang out with their mechs. They liked to be near them – apparently there was something about the connection that had them bond in such a way that they liked to be close to them, that they’d feel drawn towards them, but First Aid’s seemed to be almost excessive. At every free opportunity, he was there. If you couldn’t find him, the advice was to check Vortex – he’d probably be in the cockpit reading a book or listening to music, or he’d be elbow deep cleaning out the joints from the gunk the clean up crew didn’t manage to get. If it was a meal time and he wasn’t in his room or in the cafeteria, he was with Vortex.

His secondary role on base was still, technically, a medic – but Pharma had made it clear that he wasn’t welcome back in the medical bay. He’d made his bed, so to speak – if he wanted to be a pilot, then he’d be one, but it was at the sacrifice of his oath to medicine, so he wasn’t allowed to perform it. He was left to spin his wheels, to attend training sessions when they could run them for him (it was an open secret that he wasn’t a pilot, but a secret it was) and scratch his arse until the alarm went off and he was marked for deployment.

Swindle didn’t know that Pharma could hold such a grudge. He’d made a mental note to never piss him off.

A few times, when Swindle couldn’t sleep and was on a walk, he’d seen First Aid slipping into Vortex. He’d raised his brows at that.

Swindle didn’t know how Vortex hadn’t squished him yet.

Vortex fell back into the Shatterdome, rain thundering down on his armour sounding like the roar of a passing train. Sparks erupted from the gaping hole where his shoulder used to be, two of his back blades torn free and the remaining hanging on by rapidly breaking cables. The mech fell to its knees, catching itself on its remaining arm, its visor flashing a single message over and over.

OBJECTIVE ONE: PROTECT THE PILOT.

For the first time, Vortex had obeyed the objective embedded into each of their mechs. Protect the pilot. More than that, he’d brought him straight back to them.

Swindle watched him in quiet awe.

Wow. He really liked this one.

When the radio had cut out in a roar of static, Swindle had half expected Vortex to stay out on the front and continue his slaughter like he usually did when his pilot died, but instead he watched as the red dot that symbolised Vortex on the screen instead turned around and began sprinting back to the Shatterdome, ignoring all of the targets around him, ignoring when a quintesson got a good hit on him, barrelling past the other deployed mechs. Mission Control received multiple communications from the other pilots out in the field, confused calls from the crews of the helicopters monitoring from above - Vortex wasn’t responding. Vortex was moving entirely independently - his pilot was unresponsive and his life signal was so weak it could easily have been the electricity from the cables exposed to the elements being detected instead.

His walkie talkie crackled as Vortex looked directly at the large room Mission Control sat in overlooking the hangar. A voice he hadn’t heard in years ground out.

“He dies, everyone dies.”

Swindle swallowed hard, and nodded.

“Tex?” The voice was weak and unrecognisable. Swindle realised it must have been Felix. He was alive and conscious enough to speak - Swindle was already waving off people trying to get permission to do things, motioning for them to just get fucking on with it.

“Get that pilot out!” He hissed at them.

“It’s going to be okay.” Vortex promised. Swindle didn’t know his voice could get so soft.

“Stay put, Tex. Don’t move a muscle and unlock your emergency escape, the medics are here.” Swindle spoke into the walkie talkie. He received a few weird looks from those around him, but he ignored them. He’d field their curiosities later - for now, he had to focus on keeping Felix alive and figuring out how they were going to safely contain Vortex.

Fuck. He wished Onslaught had been activated. He’d know what to do. For a brief moment he wished their positions were reversed. He’d have handled all this shit so much better. Swindle would never tell him or ever admit it, but Onslaught was always the brains of the unit, he always had a plan. He’d probably have had all of them activated by now, brought the whole team back together again.

He chewed his bottom lip until it bled, the taste of copper stinging on his tongue.

The medic had to live. He had to. There was no protecting Vortex if he went on a murder spree - they could just about justify the pilots being pulverised inside of him, the difference between the cost to spec up and build and test a mech that was his equal vs the cost to train a new pilot was extraordinary. Vortex could, in theory, chew through a few hundred more pilots before they’d start to wonder if they should have just built a new mech. But to destroy a whole base?

Yeah. No. It would be significantly more difficult to justify it as a misidentified ‘protect the pilot’ protocol. Sure, he could argue that the base failed to save his pilot, but how would the mech know? Why did the mech identify the Shatterdome as a target? Clearly it was faulty, glitched, and needed to go.

Vortex was not one to be reasoned with. Swindle knew that all too well. There wasn’t going to be the opportunity to talk him down from his decision.

They succeeded, or they failed. That was it. One or the other. Felix survived, or everyone died.

God, he prayed that Felix was as much of a cockroach as Vortex was.

#llama writes #tf mecha universe #texaid #tf swindle #tf vortex #tf first aid #See I fucking love combiners and the whole powered by their bonds thing #and I'll die on the hill of they're ride or die for each other #Would you not burn down a city for your sibling?#pacrim au #maccadam

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mango-mya · 7 days ago

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Btw every time someone depicts Anya as super shy and timid and cowardly an angel loses its wings and then dies

#you guys know she's like that because for the majority of the game you're looking at her through Jimmy's eyes right????? right???#you can see that there's a difference in her behavior when she's talking to Jimmy versus when she's talking to Curly/Swansea/Daisuke #she's literally only like that because she's talking to JIMMY. HER ABUSER. SHE'S TRYING TO AVOID ANY MORE CONFLICT BY BEING QUIET AND NOT-#-TALKING BACK.#that woman is full of joyous whimsy. you people just can't see it #thank you to every artist who depicts her as a sillay little fellow. god bless #mouthwashing #anya mouthwashing #curly mouthwashing #jimmy mouthwashing #swansea mouthwashing #daisuke mouthwashing #also people saying that she's not a good nurse???? what???#she may not have finihed medical school but she's literally been keept Curly- a burn victim and an amputee- Alive using only the tools provi #ded. AKA A LITERAL FIRST AID KIT. Personally i think she's doing a damn good job!!!!!!!!

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whumpypepsigal · 3 months ago

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Whumptober 2024 | Day 21

Body Horror

Speak No Evil (2024): “Can you see?”

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justxplosions · 10 months ago

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People are talking about rescue bots all of a sudden and I need to express how much I would love if they brought those characters into something else. Like imagine the rescue bots returning for some Transformers Prime level stuff? Or even more mature. Imagine they bring in the Protectobots, too? I wanna see Blades become a giant robot I wanna see defensor!!!

#rescue bots #rescuebots #protectobots #heatwave #boulder #chase #blades #dani burns #kade burns #codi burns #cody burns #graham burns #charlie burns #first aid transformers #transformers #streetwise #hot spot transformers

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yinyuedijun · 5 months ago

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thank u to my mooties who told me everything about touyas ending I think I can work it into hell fic except I don't know if I want to write that much fic for such a narratively bankrupt series tbh lol

#the hell fic ending i envisioned which ill just say bc who knows when ill continue it #dabi does have his suicidal destructive showdown with shouto but nearly dies for whatever reason #endeavor saves him and dies in the process. because i think he deserves that <3 #touya is like dying severely because he. well. he burned himself severely down to his eyeballs #but !!!! mc (who is a mom now lol) joins as part of the first aid crew and uses her quirk (which has returned) to heal him #like ACTUALLY heal him. no more scars!#which is symbolically significant because touya reconciles with her and the remaining members of his family #and accepts that he needs antipsychotic medication 💀#anyway its problematic because i do think mc gets together with touya but not for stockholm syndrome reasons #LMAO #yueshuo #cw.kids

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klanced · 1 year ago

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katie your lawyer au tags have me on my knees I never thought guys in suits doing stuff would seem interesting but wow…wow. your mind

Thank u Anon this AU is incredibly indulgent for me.......... ok time 4 more world-building.

I think @heynhay's original idea of Keith & Lance working together at the same firm is best. For both plot reasons but also for my own morale LOL

So everyone works at a fairly large private firm that splits its practice and has some of its associates doing profit-driven law (i.e. corporate or finance) which subsidizes the public interest/service work that the other associates do.

The firm is like "Altea & Daibazaal LLP" or something. Yes I am implying that the firm was started by Alfor and Zarkon. Yes I am implying that Allura and Lotor are nepo babies.

I know I originally said that Keith and Lance were law school rivals but I've changed my mind... (RIP to the law school rivalry dynamics

Instead I'm making it so that Keith and Lance are the same age but Lance has been practicing longer because he went straight into law school after college. Whereas Keith started working after college and got like a Master's degree in Social Work or something before deciding on law school at 26. (I just think Keith is the kind of person who goes to law school later in life.)

Okay onto the specific Klance dynamics... Keith and Lance are both pushing 30 and are also literally lawyers so they are professional and serious about their work... But there is wiggle room for them to still be rivals :p

Lance and Keith are both junior associates at the firm. Lance has seniority because he's been at the firm longer but he's still a year or so away from formally becoming a senior associate.

Lance really, REALLY wants to make partner and he sees Keith as his biggest threat/rival because Keith is Shiro's little brother, and Shiro recently made partner at the firm, so Lance thinks Keith might be a nepo hire. Also some of the senior associates recently left the firm so now Lance is stuck showing Keith the ropes and he's lowkey super bitter about it.

Basically TLDR Lance starts off Not Liking Keith at all for various real or imagined reasons and begins a work rivalry with him. Keith doesn't actually GAF about making partner because he's only planning on working at the firm for a few years to help pay off his student loans, but Lance doesn't know that. However, Keith is a naturally very competitive person, and he also likes having Lance's attention, so Keith immediately goes all in on the rivalry.

Lance, internally: "This Fucking Guy."

Keith, internally: "I am so good at flirting."

The first few months are rough between them. However both are also incredibly productive in their work.

The romcom part of the AU kicks in once the two of them have to start working together on a huge high stakes civil case and they're both like wow.... *twirls hair* he's so competent.............. <3

Anyway misc. things:

TBH I have no idea what kind of law Keith and Lance might private practice... I'm also really torn on what Shiro, Allura, and Hunk would practice hdjsksdhedf

Pidge is hired on a fellowship for either environmental law or data security/privacy law.

Coran does employment law.

Keith went into law school planning on going into public interest/not-for-profit legal aid and swore he would never, ever do corporate law but then he saw his student loans and was like. Hm. Okay maybe some Biglaw is okay. And that's how he ended up at the firm.

Keith:

#lawyer au #voltron #klance #keith #lance #otp: we are a good team #ask #anonymous #katiecanons #the thing is is that like. i want to write them as public interest lawyers soooo bad because that's what i plan on doing.#but the reality is that public interest work is incredibly stressful and depressing and time-consuming #and i genuinely cannot imagine klance having the time/energy to start a relationship if they were both doing civil legal aid #like ngl. i am feeling very discouraged after my first month of law school. i feel very disillusioned by the whole process and the field.#hopefully it's just because i'm stressed and burned out right now and things will become more manageable soon #anyway sorry for not elaborating more on the plot of the au but i have SO much reading left to do

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