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leapyearkisses · 4 years ago

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Nice Work If You Can Get It - (m/m) Eliseo/Padgett

So after a year of abject depression, I’ve decided I still like my writing so I’m reuploading it. For the time being, requests are not on the table. I have definitely flaked out on some people and I’m really sorry for that. :( Hopefully if people still want to read what’s already done though, this will be okay.

NSFW, MESS, CONTAGION - Eliseo has hired Padgett to get him sick.

___

"All right... close your eyes." Eliseo swallowed and did so, blocking out his bedroom, the red-gold sunset light pouring in from the windows, and Padgett, who was straddling his hips. He could still hear, quite easily, the other man's labored breathing and feel the heat of his thighs... and his crotch. Eliseo was under no illusion that he was in an incredibly compromising position at the moment. He hadn't thought much about the.. particulars when he'd first decided to strike this deal. "Are we really doing this?" he asked, voice weak.

Padgett laughed, voice tumbled and edging on hoarse. "Hey now. Not getting cold feet are we, my lord?" His exhale ghosted over Eliseo's forehead and his tousled black hair touched Eliseo's cheek. Eliseo cleared his throat. "No..." He could imagine the other man's smug look. They'd known each other long enough now that the image rose unbidden to his mind's eye. Padgett's eyes always glittered like opals when he was scheming something. The man surprised him with a tender touch on the shoulder, and Eliseo almost opened his eyes again. "The safe word is 'pumpernickel,'" Padgett said, managing not to chuckle. "We can stop whenever you want... Hhk-" He fought off a gasp. "Decide hh quickly, though." Eliseo shivered. "I'm okay. Let's do it." He didn't want to admit it, but Padgett's reassurance did put him at ease, even if this had been his idea to begin with. He relaxed and tried to lose himself in the late afternoon heat. "Yehh-s, my lord." Padgett leaned forward and took a shaky breath. It stuttered and caught on invisible hooks, sounding at once to be full of potential and then gone again, like a ghost vanishing at the window. Eliseo could feel his body tightening again with anticipation, especially when Padgett gasped and leaned back. "Hh-... hah-- "Huh-ktschht!" A warm rush of air burst in Eliseo's face, almost immediately followed by a watery spray over his forehead, closed eyes, and nose. His instant reaction was to curl back, or try to, and he had his hands braced on Padgett's chest before he could think about it. "Hey now," said Padgett, delayed by a sniffle. His tone was light. "Easy. You specified this in the contract, remember?" He rested his hands lightly on Eliseo's wrists. "How are you feeling about it?" Eliseo found he was holding his breath, but-- Well, that would defeat the purpose of this exercise. He cautiously let it go and then opened his eyes. Padgett was gazing down at him, looking neither smug nor concerned, just curious. "I- this was on instinct," Eliseo murmured. After a beat, he lowered his hands, and Padgett let him go easily. "Yes, I imagine so. It's natural." Padgett smiled then, and then his expression crinkled. "Wh- hh- want to do it again? Hkt-- hhh..." Eliseo forced himself to surrender again to his pillows. "Yes." Again, he closed his eyes. Padgett shifted forward on his lap and oh- but then he was sneezing once more. "Huh- hktsschit!" Again, the spray. This time it dusted over Eliseo's nose and mouth. He fought to keep from thinning his lips and... took a deeper breath. Padgett hadn't moved, was still fighting with his own lungs, reeling in another insistent sneeze like a stubborn trout. "Huh- hh... hh hh huh-" He made an annoyed sound. "Hah-- hah-krttschtts!" Eliseo felt droplets of saliva decorate his cheekbone. Padgett sniffled thickly. "...Bless you," Eliseo murmured. He was feeling hot. Maybe it was Padgett on top of him. The man was running a fever. "You are... doing the job admirably." That earned him a laugh. Padgett shifted his weight to his heels, which did interesting things to his cock's relation to Eliseo's own. "Thanks, I guess? I never would have thought anyone would be hiring for this, much less you." "Circumstances are dire," Eliseo intoned without a hint of irony. "Mmhm." Padgett sniffled again. "You must really hate weddings. Couldn't you have just gone on a hunt or something this weekend instead?" Eliseo sighed. "No. My sister would do anything to ruin my plans if I tried to avoid the party any normal way. But luckily, she's terrified of germs. I think a miserable head cold will be the ticket." Like hell he wanted to sit through another of his sister's weddings. Every time it was some new, world-changing drama. He wasn't even sure whether the groom this time was noble born. No doubt the reception gossip would be scathing. What absolute drivel. "Lucky also that you have me around, hm?" Padgett's next chuckle turned into a bit of a cough. Eliseo patted his knee awkwardly. "I- well, yes. Very. But believe me when I say that I would not wish for you to be so stricken if I had the power to stop it." "Of course, my lord." Padgett rubbed his nose. And though his breath hitched a few times in the following moments, he stayed where he was. Eliseo blinked. "Are we...?" Done? He didn't really think the exposure had been long enough. "I am ready." Padgett blushed a little. Blushed? "Sorry," he said. "I can kind of feel that, uh, the uh, next ones are going to be kind of... wet. I could blow my nose." His voice trailed off, wavering again. His nostrils twitched, and Eliseo did see within the promise of moisture. Perhaps it was the taboo of it, but Eliseo was alerted instantly to a sudden thickening of his cock. It pressed at his trousers with some gusto as Padgett sniffled again. Eliseo swallowed. "No. No, this is good. This will... help." Padgett gave him a considering look, at least as well as he could between soft gasps and squinting against the itch in his nose. "If you're sure, my lord." "Just- call me Eli, like you used to," said Eliseo, stumbling over the words. He wasn't sure where they had come from, but now they were bare between them. Still, perhaps a bit of affection wasn't so odd compared to what they were already doing. Eliseo closed his eyes on Padgett's startled look. "Eli," Padgett said, and he sounded like he'd just come home from a long war to find the hearth kept warm for him. "I will." He leaned forward again, bracing himself. "Now, I'm going to- to hih-- to snhhsneeze, hah- haktschtsch! Hrh- Hnkgstschhiu! More spray this time, more wetness, and Eliseo gasped himself when he felt a thick drip against his chin. Padgett hadn't moved. When Eliseo tentatively looked up, he saw his friend caught in a limbo of urgency. His green eyes were shut, eyelashes fluttering. His nostrils, gently pink now, flared. A clear trail hung from one of them, quivering as Padgett panted. He looked wild and fever bright and teetering on a precipice. Eliseo ignored what it might mean that Padgett's desperate expression, his wet nose - even the mess - suddenly went to his cock. He was hard, looking up at a portrait of a sneeze. Carefully, he placed a hand on Padgett's thigh. "It's okay," he said, words coming of their own accord. "I've got you." Padgett's fingers tightened fitfully in the sheet as he shifted his weight again. He was making soft, irritated noises. His nostrils flared and Eliseo saw another drip lying in wait on the cusp. When the urge became too much, it was like watching a wave finally crash down. Padgett's breath caught; he tensed and leaned back. Eliseo hurriedly closed his eyes again, and none too soon. "Hhhhrektschuckh!" He felt the mess streak his face, fly to spatter his mouth and nose and chin. Padgett moaned and then gasped again, chest swelling with air. "Hah- Huhrttschuh! Hshtt! Hah- hsshtt!" Again, he teetered, teasing the air with shivering gasps. Then, he abruptly folded with a crush of vowels and congestion. "Hggtschiucht!" A baptism, pondered Eliseo's brain as it detached from reality momentarily. Pinned as he was to the bed by Padgett's sex, he couldn't move when he felt himself coming just as abruptly as the sneeze. Somehow the slick wash had become a mounting sense of urgency in each of his muscles, racing from his fingertips and toes to his abdomen, where, quite unbidden, his cock had tugged all that energy into a gut-wrenching orgasm that sent the shockwaves back out with renewed vigor. Padgett whined, and Eliseo took him firmly by the shoulders and drew him in for a messy, off-putting, contagious, blindingly good kiss. "Wow," said Padgett, when they finally broke for air. "Don't ask me why," Eliseo muttered, but he refused to be made a fool of by embarrassment. "C- come here." He shifted to sit up further and put his hands on Padgett's hips. "I want-" He wanted. "This. Yes?" Before he could stop himself, he swept his tongue over Padgett's mouth, under his nose, to rest at the edge of a nostril. He tasted salt. It was not entirely pleasant, but whatever pilot was captaining his body right now didn't care. He could still feel his cock pulsing against his trousers. Padgett moaned. "It feels... odd. But, my lord, you can do what you- I mean, Eli." He was breathless for different reasons now. Eliseo laved the tender skin above Padgett's lips, then licked up his septum. When Padgett shivered, Eliseo kissed him again. Slowly, he cleaned away the mess from Padgett's face. When he was finished, neither of them knew what to say. Eliseo was hard again. Finally, Padgett laughed shyly. "I think you'll be catching your cold, Eli." Eliseo blushed and shrugged. "I should hope so. I am-" He bit his lip. "I'm not ready to stop. Will you stay the night? I'll look after you." Padgett kissed him, tenderly drawing them together. "I would like that, very much."

#lyk writes #eliseo jorvald #padgett foxborough #elipadge #snz

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suddencolds · 4 years ago

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Pretense | Genshin Impact | 2/2

Part 2 of my Gen/shin Imp/act fic w Childe/Zhongli, ft. a cold, a meeting Childe doesn’t want to cancel, and dinner with Zhongli. (Here’s part 1!)

—

Zhongli stands. “Childe,” he says earnestly. “I was beginning to worry that something had happened.”

“Trouble at work,” Childe says dismissively. “It wasn’t anything I couldn’t handle, that’s for sure.” It’s not the full truth, but how can he tell Zhongli that he’s only late because his cold is taking its toll on his usual brutal efficiency? He’s sure that, in conjunction with his lateness, it would only sound like an excuse. “I’m sorry to make you wait.”

“There is no need to apologize,” Zhongli says, unperturbed as ever. “You are worth waiting for.”

Childe grins at him, a little shakily. “Still, it’s cold out. Had I been closer to town, I would’ve sent someone to tell you about the delay. “I didn’t think you would still be here.”

“You are the one who suggested for us to meet here,” Zhongli counters. “It was only natural for me to uphold the agreement until you arrived.”

Childe wonders if he’s like this with everyone—loyal and almost infuriatingly genuine. Surely Zhongli has run into his fair share of people who don’t keep their promises—Childe wonders, not for the first time, if there’s any limit to his seemingly limitless patience.

“Is everything resolved now?” Zhongli asks.

“Yeah. I just ran into some difficulty with recruits. You know how it is,” Childe says. “Business as usual, yet the newcomers can be… difficult to cater to.” He conveniently leaves out the fact that he’s usually the one pushing himself past his limits to impress them—that’s not something Zhongli needs to know. “I had a couple good spars with them, though!” He makes a show out of stretching, stifling a yawn. “If I’m more tired than usual, that’s probably why.”

Zhongli only nods. “If you are tired, we can postpone our walk, and end our meeting early so that you can be properly rested when—”

“No,” Childe says, maybe too quickly. “No, no, it’s okay. You waited all this time for me, and… I’m excited for tonight.” That’s not a lie. He feels better standing next to Zhongli already—something about being in his presence makes him feel strangely comforted.

There’s also the irrelevant, lesser-known fact that Childe hates being alone when he’s ill. But that’s not something he intends to share, either.

“So…” he sniffles as discretely as possible. “...dinner?”

Zhongli smiles to him. “I am looking forward to it.”

They fall easily into step, shoulder to shoulder. Liyue is busy as always, and one of the merchants—carrying something or other, not looking where they’re going—bumps into him, sending him closer to Zhongli. It’s only a moment of contact, but Zhongli is… warm. Childe pulls away quickly so that Zhongli doesn’t feel him shiver.

As always, Zhongli talks, and Childe finds himself more than content to listen. For once, he’s glad that the market is so loud—it makes it so that when he sniffles or clears his throat, it’s not very noticeable.

Halfway through the walk, though, a familiar, sharp prickle settles back in his nose. Zhongli is still talking, so Childe turns away slightly, his breath wavering.

“... hH!”

“The jade plaques are hand-carved, so they are all unique,” Zhongli is saying, oblivious, as they pass a stall that sells jade pendants. “As jade goes, it is priced for its translucency and the evenness in its coloration, though true jade always has imperfections.”

Childe pinches the bridge of his nose in a desperate attempt to stave off the growing urge to sneeze. “A double edged… hH! S-sword,” he comments. “I imagine that if they’re too clear, there’s a chance they… Hiih! … might be counterfeits.”

Zhongli nods sagely. “That’s right. Jade plaques like this are especially valuable, given their history, which makes them a popular relic for dishonest merchants to emulate. It is said that they were originally made to honor Rex Lapis, Lord of Geo, back before his form was—”

Childe jerks away, cupping his hand over his face as a sneeze snaps him forward.

“HiiHH’ISCHHEW!”

The sneeze echoes in his cupped hands, barely muffled, and still… loud. He flushes, embarrassed, as he lowers his hands slowly from his face.

“Bless you,” Zhongli says.

Faintly, Childe realizes that Zhongli is looking at him. Childe refuses to meet his eyes. He’s sure that if he makes eye contact now, Zhongli will be able to see straight through him.

“Sorry, I didn’t mean to interrupt,” Childe says, sniffling again.

Zhongli is quiet for a moment, observing him with his usual scrutiny. Childe wonders if his hesitance is out of disgust.

“Are you alright?” he says finally.

Childe nods. “I’m fine! Must be that…” he looks around. They’re next to one of the food stands that's heavy on its spices, which he assumes is as good of an excuse as any. “...one of the spices here… hhIH… hIHh’NDGt!” He almost winces, turning away to sniffle with one knuckle pressed to his face. “...doesn’t agree with me, ahaha. Nothing to worry about! Uh, you were talking about the Lord of Geo’s forms?”

“Ah. Yes,” Zhongli says. He launches into the history of jade plaques and Rex Lapis’s many forms, and somewhere along the way, Childe forgets what he’s worried about.

The sun’s going down, and uncharacteristically the cool air is making him shiver. He crosses his arms mid-walk in a mostly-futile effort to conserve warmth, but it doesn’t do much. In between his frequent interjections, his voice is starting to sound worse, too—he supposes he’s overused it in talking to the recruits; it’s lucky that Zhongli is content to do most of the talking.

When they get to Wanmin, Zhongli leads him to one of the tables outside.

“Wanmin is well-known for its variety,” Zhongli says. “While it offers Li style and Yue style food, you will find that Chef Mao also fulfills even the most specific of customer requests.”

“Specific customer requests, huh,” Childe says. “Does that mean you’ve ordered something off the menu here, xiansheng?”

Zhongli smiles. “I have ordered everything except for the seafood dishes.”

“I forgot about your aversion to seafood,” Childe admits, laughing. “You will have to tell me the story behind it someday. Besides that, what do you suggest?”

“I think I have something in mind,” Zhongli says untellingly, looking contemplative. “First, sit down.”

Childe obliges. Sitting down is a relief—as much as he would never admit it, their short walk has left him exhausted. He resists the urge to slump forward on the seat. Worse, the persistent itch in his nose from earlier is back.

“Stay here. I will order for you,” Zhongli says, laying a hand on his arm, and Childe—

Childe actually shivers, which is embarrassing, to say the least. Luckily, Zhongli doesn’t seem to notice. “Don’t forget about the mora,” he says, and fishes for a pouch of coins from his pocket. “Here. I’m sure Chef Mao has dealt with his fair share of your forgetfulness.”

Zhongli smiles sheepishly, which is probably more endearing than it has any right to be. “Thank you, Childe. I will be back in a minute.”

As soon as he disappears around the corner to talk to Chef Mao, Childe exhales, lifting a hand to rub his nose. It’s a bad idea. Suddenly the tickle from before is back, and he’s snapping forward with barely any warning, his eyes squeezing shut.

“hHIH’NGDt! hH!..HIHh’GKtt! hhH....”

Stifling isn’t very relieving at all. If anything, it seems to make him more congested. He casts a quick, desperate glance towards the restaurant. It’s still loud outside, the marketplace as raucous at night as it is at day. Surely Zhongli won’t notice if he—

“hIIH…. hIIH’ISChH-u!” Well, it’s not like he has much control over it now. “hHh... hiIH’IZCHhew!” He gasps again, ducking lower to muffle the sneeze in the crook of his arm. “hIIh’IISCHEEW!”

They’re forceful in a way that suggests that this is going to be a really awful cold, but it’s relieving to succumb to the urge at last. He sighs, sniffling hard, and lowers his arm. Zhongli is still ordering, it seems. Childe is suddenly grateful that he’d chosen this moment to step away.

His eyes are watering a little, so he blinks quickly. Finally, Zhongli comes back to sit down across from him.

“That was fast,” Childe says, wincing a little at how congested his voice sounds. “I hope you gave him a tip?”

"Of course," Zhongli says, sliding back the pouch of mora.

They fall back into conversation easily enough after that. It’s only when Zhongli goes quiet that Childe snaps out of his reverie.

“You have been quiet,” Zhongli remarks. “Is something on your mind?”

Childe blinks at him. “Ah. Sorry,” he says, muffling a cough. “I’m still listening. I can talk more if you want me to.”

“No,” Zhongli says. “There’s no need. I was only wondering if it would be better if I refrained from speaking so much.”

Childe frowns. Zhongli has the wrong idea—Childe likes listening to him—but he can’t help but wonder if he’s worse company than usual. “I like listening to you,” Childe insists. “If… it’s okay. I just… I’ve talked a lot today, so...” He looks away, feeling his face grow hot at the admission. “I think I’m, uh, losing my voice, or something.”

Zhongli frowns at him. “Will you have recruits to train tomorrow?”

He tries to recall his schedule for the week. “Don’t think so. Tomorrow’s errands will… hiH!...’NGDshH! be more straightforward. I—” he coughs again. “I hope.”

“That is a relief,” Zhongli says. “Regardless, you should save your voice. Your assurance that you are still interested is enough.”

I’m always interested, Childe thinks, as Zhongli launches back into another story about Liyuen history. His voice is smooth and low and, in every capacity, as comforting as always. Childe falls into it entirely.

It’s only when the food arrives that he finds himself staring down at a bowl of still-steaming soup.

It’s not something he’s had before. He takes an experimental sip. The warmth is immediately comforting; it's exactly the sort of warmth he's been craving all day. He doesn’t have much of an appetite, and he can barely taste it through his congestion, but what he can discern of the flavor is...

“This is delicious, xiansheng,” he says, letting his eyes fall shut in his indulgence. “What is it?”

“Bamboo shoot soup,” Zhongli answers simply. “It should be a good remedy for your cold.”

Childe nearly drops his spoon.

He blinks, surprised. “What?”

Zhongli stares back at him, his eyebrows furrowed. “Your cold,” he repeats. “You have been showing symptoms of it all evening. It is not unlikely that you have a fever as well, if the way you have been shivering is any indication. Were you not aware that you were ill?”

Childe buries his face in one hand. “I knew! Just... was it so obvious?”

“Did you intend to keep it a secret?”

“Not exactly, but…” he sighs. “I didn’t want to cancel our plans over something so trivial. You had already waited so long for me, so it wouldn’t have been fair if I’d just… used it as an excuse to - hIHh!”

Childe feels his breath wavering. He shuts his eyes in desperation, ducking away from the table. This is really the worst timing.

“hIihh… hIIH’NDGxt! snf… s-sorry, I... hIIH’ISSHHEEw!”

He flushes as another shiver racks his frame. It’s… embarrassing, to say the least, to sneeze so openly right in front of someone he admires.

“Bless you,” Zhongli says. When Childe looks up at him, he looks sad, his shoulders hunching as he stares down at his own food. “Childe, are you only here because you felt obligated to uphold your end of an agreement?” His voice is soft, as always. He doesn’t sound accusatory—only uncertain, but somehow, that makes it worse. “I would not have thought any less of you if you had been honest with me.”

“That’s not it,” Childe says, and fuck, he wants to say anything just to get that hurt expression off of Zhongli’s face. “I came because I wanted to see you.” He blinks past sudden exhaustion. Suddenly his breath catches wrong and he’s coughing harshly, hurrying to press his forearm to his face as his shoulders shudder with the effort.

“I… realize I might not be great company right now, though,” he admits, wincing. His voice is really shot.

Maybe it would have been better had he been less selfish. Maybe he should have cancelled their meeting the moment he’d started feeling bad. Or maybe he should get rid of his strange over-reliance on the funeral consultant in the first place.

Zhongli reaches for his hand. Childe wants to pull it away, on instinct, but Zhongli’s grasp is firm and strangely, hopelessly grounding.

“You are always good company,” Zhongli says sternly, with as much conviction as he has when he recites history or recalls fact. “If you wanted to see me, you could have just asked. For you, I would have said yes.”

“You indulge me,” Childe accuses him, sniffling. Zhongli smiles, as if he’s taken it as a compliment.

“Perhaps. Will you let me walk you back home after we finish our meal?”

Childe wants to protest. They had a walk planned, after all, but he’s exhausted, and the trip back to the inn he’s staying in suddenly seems much less arduous when he considers he could be walking back with Zhongli.

“Zhongli, you are proving my point,” he says, cracking a smile. “...If you don’t mind, though, I would love that.”

He’s really going to miss Liyue when he leaves.

#sneeze fic #snzfic #sneeze kink #gen/shin impact #this was hard to write #;;#i am at the edge of my wits writing childe's internal monologue #i'm very soft for these two so i can only hope i didn't #fk up their characterization or anything #my fic

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memedokies · 7 years ago

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(almost) every anon ask since fall 2016

if u havent noticed i am BAD at answering asks so here’s a Big Dump of most of the asks i’ve gotten in the past few months

ps; i’ve excluded pokemon suggestions bc i plan on getting to them at some point

Hihihi!!! What brushes do you use in fire alpaca?? i dont do much in firealpaca (esp not lately lol) but when i did use it a lot i just used the fill bucket and the standard/default brush to fill in gaps n such lol! i dont really draw in it, i used flash/adobe animate for the lineart and just fill in color in firealpaca :3

when did you start animating? uhh when i was around 11 or 12 when i started digital art i guess? i just used photoshop for the longest time then got flash when i was like 15 or so

How did you get flash? i got the creative cloud dealie, its technically required for my school :—-0

hello!! what are you majoring in in vcu?? im thinking about going there for college im in communication arts! omg cool lmk if u come here ill tell u where to get the best bubble tea

how many fps do you use for your wiggly animations? i work at 24 fps in flash on twos but just end up using photoshop’s 0 second frame delay/ “no delay”?

Hey love your animations! What do you animate with? adobe animate 2017! (previously flash)

You mentioned a YouTube channel but I can’t seem to find a link to it? Do you post processes on there? https://www.youtube.com/channel/UCovvoZxlQjFaIA7A3w_94Zw theres not much atm but i plan on posting a lot more, including process/speedpaints!

i really like your art style gosh darn!!! everythings so fluid and stylized and nice aaa (also ur animations are goals) do u have any tips for someone still developing their artstyle???? WAH TYSM!!!!! compile art you already like and incorporate aspects from their styles into yours, BUT dont limit urself to one style! if u like something then try it out! do straight up copies (as PRACTICE, DONT CLAIM IT as your own ofc) of stuff you like to see how they work and what you’re clicking with. spending time on fundamentals is MEGA helpful so keep going back to that too! USE REFERENCES!!! draw …from ur soul…what makes u ..FEEL good

how do you make that burn effect on your lineart? it makes it your pieces look sharper and even more interesting, it’s super cool!! when i used to use flash for lineart and firealpaca for coloring a lot, setting the lineart layer on BURN with the coloring layer seeping a lil past the lineart would get this effect automatically

(like on the whiskers. u can see it gets a brighter brown(?) and the warmer yellow on the ears)

but since then i’ve been using sai+photoshop more so i just do it manually! i’ll use this funny pic of me and my cat as an example lol

^i select the lineart/everything i want the funky color around

^slam that INCREMENT button a couple times

^make a new layer under the lineart

^fill that puppo with ur preferred color! something brighter works best, or even straight up white

that’ll give you something like this

then i open it in photoshop

and i mess with the pink line layer’s blending mode..color burn usually does the trick but depending on the Look you’re going for, saturation, multiply and overlay have some similar effects that look cool.

i also usually get rid of the outermost edge of pink line that’s visible around the lineart, just so it looks a little cleaner? to do that you just select around your lineart, increment/expand selection, and delete/erase in the selection of the pink line layer

uhh yeah! lmk if anyone needs clarification on this, i have some other #TIPS on makin ur art look crusty and funky so…lemme know if you’re interested :—3

What do you use to animate? And, a more specific question, how do you make transparent animated gifs? adobe animate 2017! (previously flash) i export my animation from flash as a png sequence then open it in photoshop, where the background will be transparent and save it as a gif from there nyaaa

if anyone needs more clarification lmk and i’ll make a proper walkthrough :-0

Hello!! Ur art is rlly pretty and so inspirational and nice to look at!! 💗💗 I was wonderin’ if ya had any tips on choosing shapes for characters? Like, when you draw shapes for a certain character, it looks rlly like it fits with the character’s personality n stuff!! ( e.g: Your Love Live! drawings!! The characters look so good in your style.) I’ve always admired how u did that n was hoping for some tips maybe?? Anyways, have a good day!!💛💖💟💜💝💞💖 HOOGA!! TYSM!!! and YEA you basically guessed it, i mainly just think about the character’s personality and translate that into a shape or Pheeling…

especially for anime characters i look at the Very Subtle differences in the character’s original design..or possibly canon implications…for example kotori has slightly different eyes (it also says on her wiki page she has soft droopy eyes!) so i make sure to incorporate that Detãile

anime wiki pages that have details like that is nice, for love live they have cute lil “charm points” which is really cool n helpful! listening to how a character is described in their world can give clues to what differentiates them which you can make more clear in your design

taking into account each characters context is good too, what they do/hobby/personality and how that could affect their appearance/posture/attitude

YEAH its really fun to figure out certain characteristics and make it evident in their appearance! or. idk thats just what i do lol. hopefully this helps!

Have you ever seen the anime jojos bizarre adventure? alas i have not..i have some friends whom are into it so i’ll prob end up watching it sometime lol

sorry if this is obvious but!! are you the creator of Fork and Knife: Food Fighters?? your gif of fork is super cute btw!! yes i am!! wah tysm!!

Hey my little sister found your animation on an online art gallery and she really loved it! omg cool, thanks so much!!

Your style is so lovely!! OHG thanks!

your blog is so precious i love it a lot! your art is so cute too ^u^ waa thanks!!

Your art and animations art really cool! Keep up the good work! You are amazing!! aahg thank you!! :’333

your art is fuckening amazing hh broe…tysm

Oh my gee, I used to follow you on Deviant Art, and now here I am, finding you on accident. You’re still as talented as ever. =w= b hUIOpugh deviantart, my homeland..my origin.. thank you!!!

- O mg I love your art! 💕💕💕 thank you!! heart emojis!!! 💖💖💖

- your art and animations give me so much inspiration, thank you! everything about your style is so fun and it cheers me up omg this validates my top tier goal in life, im so glad!! thank you SO much!

Your style is so charming and adorable ;__; thank you!!

ur art is so gross in the best way possible this is the biggest compliment ive gotten thank u so much. i love making gross squishy awful drawings

IM SO HAPPY I FOUND YOU!!!! IVE BEEN LOOKING FOR YOU FOR AGES!!!!!!!!! I LIVE FOR YOUR BEAUTIFUL ART!!!!!!!!! THANK YOU!!!!!!!!!!!!! BHOLY CRAP THANK YOU!!!

your art style is very cute ! 🌱 oohg thanks!! thanks for the little sprout emoji, i love her

GOOD ART!!!! good art good art good art EVERYWHERE I LOVE IT!!!!!!!!!!!!! OHHGG THANK YUO

how do ya draw such cutely its driving me nuts Nuts NUTS !!! I LOVE SPARKLES AND BRIGHT COLORS AND FUNNY ANIMALS..its my lifeblood..thank u..

You’re a really rad artist! I’m Glad there’s some cool artists that are local! Have a good time at VCU! oh wow thanks!!

Ur shapes r so good thanks i LOVE a nice wholesome shape!

I rlly like ur art style my dude thanks!!

hi! just wanted to let u know that you’re wonderful and i wish u well in everything u do this is making me bVERY HAPPY THANK YOU SO MUCH!!

Im love You!! IM L OVE YIOU

that meowth boy is so good. i love him as he is my son THANK YUO i too, love meowth a Lot

I love how your art is basically lines and curves, it’s very cute oo thanks!

i love your art style so much!! it’s so zesty? i cant think of a better word to describe but its like. zesty & refreshing & rly rly cool !!! THATS A BEAUTIFUL ADJECTIVE I LOVE IT thank u so much!!!

You seem like you would watch Osomatsu-san. I could see you drawin dem bois in you hella rad art style. osomatsu was the wildest ride of my life. tho i dont think i could physically be able to sit down and draw them seriously ever…

Pls make more angry cat comics theyr so halarious plllls 👀 more are on the way!!!!!!

Have you done a meet the artist i sketched one when the meme was still poppin..is it too late lol? maybe i’ll still do it

#asks

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gordonwilliamsweb · 4 years ago

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Could Labs That Test Livestock Ease COVID Testing Backlog for People? Well … Maybe.

In a heated exchange late last month on CNN’s State of the Union, host Jake Tapper pressed Adm. Brett Giroir, the Health and Human Services assistant secretary who oversees COVID testing efforts for the Trump administration, on why the government isn’t requiring commercial labs to increase testing capacity in order to speed turnaround time.

Giroir’s response described a series of steps — some unusual — being taken by the federal government. One focus was on the role veterinary labs, including those with special certification, could play in helping to build capacity. “Five veterinary labs have their CLIA certification to officially test human patients,” he said. “There are a lot of labs who are doing surveillance testing that don’t need the CLIA certification.”

He was referring to certification under the Clinical Laboratory Improvement Amendments of 1988, a federal law that sets the standard for labs that test human specimens.

So that got us wondering: Can labs that test cattle, chickens or your pet Fido run tests on humans? And, if so, what role are they playing in the national pandemic, and how much is it helping?

After all, the issue of expanding lab capacity will likely come up repeatedly as demand for testing increases with mounting case counts. Turnaround times at some labs have grown, with results now taking days to more than a week in some areas, frustrating consumers and public health officials. Delays for test results mean delays for contact tracing and quarantining. The administration’s pandemic response, including testing issues, is also proving to be a hot topic on the campaign trail.

We reached out to HHS for more information about Giroir’s statement.

An HHS spokesperson emailed a list of nine veterinary labs that have received the required certification to do patient-specific human testing, saying Giroir had been mistakenly briefed before the interview that there were only five. A U.S. Department of Agriculture spokesperson said there are 15 National Animal Health Laboratory Network facilities nationwide that have CLIA certification to test human samples. Clearly, there are vet labs in the U.S. with the necessary credentials, but the exact number is a matter of confusion.

As for the surveillance efforts, the HHS spokesperson did not provide specific examples of veterinary labs doing such work but provided a Centers for Medicare & Medicaid Services FAQ saying labs that don’t have CLIA certification can do some types of surveillance if results are not given to specific patients.

Similar Science, Same Machines

Our experts all quickly noted that veterinary labs — especially those that focus on food animals, including cows, pigs and chickens, have long tested for diseases, including many kinds of coronaviruses.

They’re on the lookout for microbes that can affect food safety, such as salmonella or E. coli, or diseases that can devastate the animals themselves, including avian influenza, hoof and mouth disease or African swine fever.

Hence, a lot of testing goes on in the 63 food-animal testing labs in 33 states and four Canadian provinces accredited by the American Association of Veterinary Laboratory Diagnosticians, said its executive director, David Zeman.

“In some states, we have more capacity in the vet labs than in the public health labs,” he added.

Those vet labs, often affiliated with universities or government agencies, use highly sophisticated equipment, including polymerase chain reaction (PCR) techniques, as do labs focusing on human testing. Many of the COVID tests being done are PCR, which can detect the virus’s genetic material.

“It’s the same machines, the same science,” said Zeman.

However, these are large, full-service labs that deal mainly with farm animals, different from the smaller labs generally found at your neighborhood vet. So, sorry, Fido.

A Different Regulatory Chain of Command

Earlier this year, researchers at Iowa State University found that the testing process for the new coronavirus is similar to that used to test pigs for porcine epidemic diarrhea (PED) virus, a disease that killed thousands of piglets in 2013. Because a lot of labs had updated their equipment and processes so they could check for PED, they were in a good position to help with COVID-19 testing.

Except, of course, it’s never that simple.

While the science and technology are the same, the administrative requirements are not.

Veterinary labs must meet standards for accreditation by such groups as the American Association of Veterinary Laboratory Diagnosticians and are overseen by federal and state agricultural agencies.

Human labs also must meet strict standards, including CLIA, and fall under the auspices of other agencies, including the Centers for Medicare & Medicaid Services, the Food and Drug Administration and the Centers for Disease Control and Prevention.

One requirement is that the CLIA lab must have a director who is a medical doctor with specialized experience. Most animal labs are run by, not surprisingly, veterinarians, often ones with Ph.D.s. Some vet labs have formed partnerships with CLIA-certified labs to clear this hurdle. Still, it’s a process that can take weeks, so it’s not an overnight fix, said Zeman.

Running the Numbers

But can these labs really make a difference in the testing backlog?

A June article on the American Veterinary Medicine Association website quoted an official in May saying that the then-seven CLIA-certified vet labs had the capacity to process 12,000 PCR samples with a 24-hour turnaround.

Zeman said he sent out a survey in July to his 63 members in response to an HHS inquiry and found that, on average, each lab — if CLIA-certified — could process 500 to 1,000 COVID samples a day on top of what it needs to do to monitor animals.

“Multiply that by 60 some labs and you have a rough idea of what they could do,” he said. The math adds up to at least 31,500 tests a day.

Currently, more than 700,000 samples are taken daily and sent to all types of labs — mainly large commercial and hospital-based facilities, according to tracking by Johns Hopkins University. The Atlantic’s COVID Tracking Project notes similar testing numbers at the end of July.

More vet labs participating “could ease the burden on these labs, but it doesn’t sound like a game changer in terms of wait times,” said Gigi Gronvall, a senior scholar at Johns Hopkins Center for Health Security.

Some vet labs are working with public health labs to “test a specific segment of the population (university students, routine screening of government workers, etc.),” said Michelle Forman, media manager for the Association of Public Health Laboratories in an email. “So it’s not so much taking existing burden off of the public health labs and commercial labs but it is preventing additional burden from being put on them.”

Giroir said “lots” of labs that are non-CLIA certified labs are helping by doing research or surveillance, but Zeman was not aware of such efforts by such labs in his organization.

Perhaps Giroir was talking about “pooled testing,” in which a number of specimens are tested in a batch, speculated Mark Ackermann, director of the Oregon Veterinary Diagnostic Laboratory in Corvallis, Oregon. Under that method, if any batch tests positive, individual specimens from the batch are then each tested to see who is positive.

Ackermann, whose lab has CLIA certification, pointed to another way vet labs might be helping: Many are making the liquid needed for the vials that hold the swabs taken from patients’ nasal passages.

Our Ruling

Giroir was correct in saying there are some veterinary labs helping out with COVID testing.

But even if all 63 accredited food-animal vet labs in the U.S. and Canada were pressed into processing human COVID tests, an industry survey estimates it would increase capacity by between 31,500 to 63,000 samples per day. While helpful, that would still be only a small portion of the more than 700,000 daily tests being conducted, which some experts say falls short of what is needed.

Additionally, while vet labs are helping in some ways, Giroir provided little evidence to back up his assertion that “lots” of labs that lack CLIA certification are assisting in surveillance efforts.

We rate this statement Mostly True.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

Could Labs That Test Livestock Ease COVID Testing Backlog for People? Well … Maybe. published first on https://nootropicspowdersupplier.tumblr.com/

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dinafbrownil · 4 years ago

Text

Could Labs That Test Livestock Ease COVID Testing Backlog for People? Well … Maybe.

He was referring to certification under the Clinical Laboratory Improvement Amendments of 1988, a federal law that sets the standard for labs that test human specimens.

So that got us wondering: Can labs that test cattle, chickens or your pet Fido run tests on humans? And, if so, what role are they playing in the national pandemic, and how much is it helping?

We reached out to HHS for more information about Giroir’s statement.

Similar Science, Same Machines

“In some states, we have more capacity in the vet labs than in the public health labs,” he added.

“It’s the same machines, the same science,” said Zeman.

However, these are large, full-service labs that deal mainly with farm animals, different from the smaller labs generally found at your neighborhood vet. So, sorry, Fido.

A Different Regulatory Chain of Command

Except, of course, it’s never that simple.

While the science and technology are the same, the administrative requirements are not.

Veterinary labs must meet standards for accreditation by such groups as the American Association of Veterinary Laboratory Diagnosticians and are overseen by federal and state agricultural agencies.

Running the Numbers

But can these labs really make a difference in the testing backlog?

“Multiply that by 60 some labs and you have a rough idea of what they could do,” he said. The math adds up to at least 31,500 tests a day.

Giroir said “lots” of labs that are non-CLIA certified labs are helping by doing research or surveillance, but Zeman was not aware of such efforts by such labs in his organization.

Our Ruling

Giroir was correct in saying there are some veterinary labs helping out with COVID testing.

We rate this statement Mostly True.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

from Updates By Dina https://khn.org/news/giroir-says-labs-that-test-livestock-could-ease-the-covid-testing-backlog-for-people-well-maybe/

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stephenmccull · 4 years ago

Text

Could Labs That Test Livestock Ease COVID Testing Backlog for People? Well … Maybe.

He was referring to certification under the Clinical Laboratory Improvement Amendments of 1988, a federal law that sets the standard for labs that test human specimens.

So that got us wondering: Can labs that test cattle, chickens or your pet Fido run tests on humans? And, if so, what role are they playing in the national pandemic, and how much is it helping?

We reached out to HHS for more information about Giroir’s statement.

Similar Science, Same Machines

“In some states, we have more capacity in the vet labs than in the public health labs,” he added.

“It’s the same machines, the same science,” said Zeman.

However, these are large, full-service labs that deal mainly with farm animals, different from the smaller labs generally found at your neighborhood vet. So, sorry, Fido.

A Different Regulatory Chain of Command

Except, of course, it’s never that simple.

While the science and technology are the same, the administrative requirements are not.

Veterinary labs must meet standards for accreditation by such groups as the American Association of Veterinary Laboratory Diagnosticians and are overseen by federal and state agricultural agencies.

Running the Numbers

But can these labs really make a difference in the testing backlog?

“Multiply that by 60 some labs and you have a rough idea of what they could do,” he said. The math adds up to at least 31,500 tests a day.

Giroir said “lots” of labs that are non-CLIA certified labs are helping by doing research or surveillance, but Zeman was not aware of such efforts by such labs in his organization.

Our Ruling

Giroir was correct in saying there are some veterinary labs helping out with COVID testing.

We rate this statement Mostly True.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

Could Labs That Test Livestock Ease COVID Testing Backlog for People? Well … Maybe. published first on https://smartdrinkingweb.weebly.com/

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chicagopdlover · 6 years ago

Text

A look at a terribly reviewed television show | KNSS 98.7/1330

As the 4th of July approaches, what is your favorite part of the festivities? Just enjoying a day off Hosting or attending a barbecue, picnic, or cookout Attending a fireworks display Fire off your own fireworks Watch a Fourth of July parade A look at a terribly reviewed television show Steve and Ted sample ABC’s “The Proposal” on The Blur 00:13:29 Download Transcript – Not for consumer use. Robot overlords only. Will not be accurate. He came in as the future of the morning Steve back into Ted Woodward at 830. The leader of Starbucks makes his drug days exit today on its feet and even your. For the coffee company Starbucks founder and executive chair 64 year old Howard Schultz officially steps down. Shields is seen as the architect of the modern Starbucks having overseen its expansion from a single coffee shop. Opening in Seattle’s Pike Place Market in 1971. In overtime. Growing the brand to more than 28000. Locations worldwide. In 1982 shall it’s becoming director of operations and marketing of Starbucks and is responsible for the company’s huge financial success. Schultz is known for being socially conscious and politically vocal on tripping York. In fact there has been speculation specials will run for office shields will now become chairman emeritus Hillary bar ski Fox News. Stuff fire department leadership is getting criticism from the firefighters union. Wichita fire department and aerial platform that was assisting in a fire at Saint Joseph Catholic church and and dale Sunday. Was recalled to Wichita before the fire was considered to be under control. In a social media post to the union said in part. The Wichita professional firefighters deeply regret the unfortunate situation to abandon our Brothers and sisters. Other Sedgwick county and surrounding volunteer fire companies during a difficult firefight. Here’s Wichita fire chief Tammy snow. We did not provide the service that we normally do to the citizens and then we regret that. And extremely sorry about that we’re still investigating as to hit the further details on. That’s like it’s been in the papers. Chiefs those said the incident was an error in judgment by staff members and they will be reiterating policies and procedures to staff the leadership. When it comes to offering mutual aid to other departments. Health and human services says they’re working to connect children separated from families of the border to their parents. And get unaccompanied minors with family members or sponsors. Immigration attorneys and advocates say they’re trying to learn more about house separated children will be reunited with their parents. Mark Webber with health and human services says all children apprehended at the border are in their care in shelters that. First thing we do when they come and HHS shelter and then 24 hours isn’t sure they are connected to a parent or family up why. And before their place for the sponsor or other family members he says the parent has to approve I have 32 parents here we’ll Satan. That is categorically. Untrue. Ruben Garcia director of annunciation house translated for a group of parents Monday who’s spoken El Paso about their difficulties contacting their children. Jack skip Rosenthal Fox News. Which are managed file the lawsuit against pizza house alleging the food companies delivery practices or at least partly responsible for a crash. That killed his mother had injured his grandmother Wichita eagle reporting Michael Capps filed a wrongful death and negligence lawsuit against Pizza Hut earlier this month. The lawsuit alleges a pizza chains promised to give customers hot pizza quickly. Is responsible for workers driving when he rear ended Karen and Juanita caps. A soldier who fought in World War II is set to posthumously received the medal of honor. After twenty years in this Stanley fighting for the upgrade army first lieutenant Garland Merle Connor will be honored at the white house with the medal of honor Connor Kentucky native who died in 1998 at age 79. Earned four silver stars won bronze star three purple hearts. And the distinguished service cross for his actions storing 28 months in combat tours in World War II. He’s being honored for his bravery on January 24 1945. When he volunteered to run 400 yards through an intense concentration of enemy artillery and France. He’s credited with stopping more than 150 German troops. And preventing heavy loss of life in his own unit Connery is said to be the second most decorated soldier from World War II. At the White House Jon Decker Fox News. Snell forecast with K innocent staff meteorologist Dan Holliday can morning Dan. Good morning we could see an isolated shower or thunderstorm popped up early on but most of those will be toward north and east. This afternoon breezy and warm with a high 92. Tonight becomes partly cloudy are low 73. And the National Weather Service has issued a heat advisory from Wednesday through Friday tomorrow’s high 101. Triple digit heat may continue through much of this week. I’m KM SS meteorologist Dan Holliday now partly cloudy 75 degrees on southwest wind gusting to 24 miles per hour. 835 now Stephen 10 in the morning here on K and it says it’s cyber entertainment news. The cooler with deliberate and it just are off today with a obituary now one of the fan favorites on History Channel upon stars. Has passed away the old man from pond stars has died at the age of 77 Richard Harrison. With the navy veteran and open the gold and silver pawn store in Las Vegas with a sonogram tell. Your rookie of the year is sure I’m a wonderfully old man because he doesn’t always crowd for very operative word slump don’t. Potency over ponds FaceBook page posted their fans will remember and. As these sometimes grumpy always loving however often wise cracking and of course most notably. Always the voice of reason on the history reality series Paris and was surrounded by loving family this past weekend and died peacefully. We shall we know Fox News. Let’s get a little celebrity news from the world of music the fox celebrity profiles. The siege for a country singer Craig Campbell recently released a new leave piece called see you try and. I’ve read new music sales so. 1 PM crazy excited about it. Get the new music yeah okay let’s fans know what ability known. He says a lot happened during that time that delayed the news and. It’s also on the ground. We don’t record label then close. Sounds of another record company and I and haven’t a couple of singles. Lay of the land James and his sister this time. He’ll be heading out on your friend is grateful to all those who buy a ticket. On this I feel like country music and somebody there to listen I’m one in 101000 in a matter will come have a good time. It’s. But I’m glad. To see. Actually the door again. Fox News. Former white house Press Secretary Sean Spicer working on a new gig if he was on the receiving end of a lot of questions during his six month tenure at the White House. Thank you thank you. Question now former Press Secretary Sean Spicer would be the one doing the questioning and a new TV show Sean Spicer is common ground which has aid pilot episode in the works according to syndicator Dan Maher Mercury. The plans first reported by the New York Times which says the show would feature Spicer inner viewing public figures chatting respectfully on topics ranging from the media to sports to marriage Michael love and not the attorney for porn star stormy Daniels says he was approached to be a guest on that first episode but declined. Lilian woo Fox News. Party B the sad to rise of X accessed and hostility and Sheryl Crow teams up with saint Vincent. I’m Michelle Marino’s Arabian Al Sadr officially married but act yellow wrapper tweeting and a confirmation Monday. That big TMZ story. The two have been married for awhile was true saying that you want to keep that moment private. Announced that wanted to give her proper engagement. So they did it at a later time on staying in marriage was star of the moment the public he and happened in October at that point. Need to marry. XXX tens this year and it was shot and killed last week at the age twenty. As most popular song in the country it’s sad to lead single from his last album rocketed to the top of the billboard went into this week. After an outpouring of grief following his death. According to Nielsen said was streamed nearly fifty million times this week. Anemia and Sheryl Crow recruited saint Vincent for her latest single what I wanna be like you which rails against political corruption. That’s fox rocks on Fox News. The latest round of performers at farm aid has been announced. Chris staple and the latest to join the performers for the 33 annual farm made in Connecticut organizers just announcing Monday the benefit for farmers being held that the extended. 22. Stapleton won a Grammy for best country album in February and he’ll be joining farm aid regulars Willie Nelson John Mellencamp Neil young and Dave Matthews. Other performers include Casey musgrave stirred Jill Simpson and Margo price farm aid is raise more than 53 million for grants to aid family farmers and lobby on their behalf wanna go tickets go on sale Friday through live nation I’m directly Carl Fox News. Twenty years ago on this night was the TV finale series finale of the TV shows step by step. You watch the show Steve Miller who I’m problem but did not who’s on the air for seven years. Patrick Duffy and Suzanne Somers as parents try to. Have a blended family all of it pretty much Brady Bunch of events for the late 1990s again. Hey it was on things on the air for seven years. And the series finale was twenty years ago on this night and they NB Davis on their high noon. You go step by step finished up twenty years ago. Steve fifteen years ago today it came out in Wichita movie theaters the Thomas crown affair. Yup they think at this point ample I enjoyed it. A father doesn’t domino is a big Steve McQueen for me alone. Of them and bullet. And this movie. It is a little bit and we’re pretty much came out same time bull in Canada and in a weird little rich guy alone. Electro Thais stayed in a way. The make up the dress she wore that was the sixties. He looked gorgeous. Gorgeous. Directed by Norman juiced Leah good movement. The book and it did didn’t they did deal that really hadn’t been done a whole lot of these is split screen yeah honestly I hear they would do a split screen so something’s going on the other analyzing the tired dollars and lives and dune buggy or whatever you do this and kind of use that which was pretty revolutionary times. McQueen did all his own stunts playing polo driving a dune buggy along the Massachusetts coastline. Now the moment and Jack Weston and it yeah. But it gas. And gothic Colorado now Jack Westin gases if people missed course good music I’m kilogram. Now he he wanted to he won a couple Oscar for that to renewals in your mind reels of your mind is that famous I know the movement. Pago Steve McQueen Faye Dunaway the Thomas crown affair that came up fifty years ago today. Finally Steve last night on ABC you had the proposal. Show that is just being ruhr ripped by the critics. This is the same people that came up with the bachelor. This is a deal where you got. Of some a woman or man introduced ten contestants trying to win them over. In some in and there’s a mystery person whose identity is concealed. It’s not getting good room in fact it’s getting pummeled. Said one revealer for bolster ABC kicked off this solely pageant and an episode where nearly naked women descend the staircase and painfully high heels. I feel confident than in the pro rained department’s ability to start they showed exactly the by the intended to create. Begging viewers to ignore the ego and another viewer said it. This thing has no dramatic through line the proposal trying to manufacture romances like the chef trying to make me a lot of half of a rice crispy streets. Here’s some of the men such goings on last night on the proposal. Thanks and load lately you know amazing how. This is so high and it really ends. I did this I have to go in I. I. It’s. I feel the intelligence being sucked already are now. Air X I feel dumber by the minute I’m Nicole and I added that. I took about 35 seconds out of that boy whose. Thanks out. Dude the proposal out. The vapid programming that ABC you may not crank out for the summer. Entertainment news in the blurs brought to you Larry good friends at pizza John indoor arena here’s something. Little satisfy you and read time event and on down McKay fifteen and stop in at 208 south Baltimore. And yourself let tasty pizza fire right there at pizza John did nerdy 44 Steven did give an airport. Editor bill Roy that was our business journal new contract for Boeing’s. More work for spirit that’s coming up Stevens in the morning on eight and as answer. FOLLOW US Phone: (316) 869-1330 When texting this station, message & data rates apply. Message frequency is recurring and varies. Reply STOP to cancel. No purchase necessary. Search our Website

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gsualycia7129114-blog · 7 years ago

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titheguerrero · 7 years ago

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Information technology-naive defense lawyers vs. "strident critic of electronic health records"

In recent years, as a result of the 2010 IT-related injury and 2011 death of my mother, I have engaged myself as an independent EHR forensic expert regarding evidentiary and patient harm issues in medical malpractice litigation. Interestingly and disappointingly, I still often find that hospital attitudes towards health IT safety and information transparency have changed little since 2010 or, for that matter, the 1990s when I did my postdoc in medical informatics. Hospitals and defense attorneys often (ab)use the lack of technology experience of judges to delay or prevent evidentiary transparency. I'm thus frequently retained by injured patient's attorneys (or attorneys representing the executors of deceased patients' estates) to help overcome this phenomenon. In doing so, I can find myself under attack in deposition, even before any proceedings begin. For instance, I was recently asked in a deposition, as an attack geared towards injuring my credibility, if an assessment of me published in the literature, that I was a "strident critic of electronic health records" was fair. I replied that it was not a fair assessment, that I was a critic of bad health IT, but juries potentially will hear only the one-liner. I'd formally defined bad health IT in these pages and at my Drexel medical informatics teaching site as follows:

Bad Health IT ("BHIT") is defined as IT that is ill-suited to purpose, hard to use, unreliable, loses data or provides incorrect data, is difficult and/or prohibitively expensive to customize to the needs of different medical specialists and subspecialists, causes cognitive overload, slows rather than facilitates users, lacks appropriate alerts, creates the need for hypervigilance (i.e., towards avoiding IT-related mishaps) that increases stress, is lacking in security, compromises patient privacy or evidentiary fitness, or otherwise demonstrates suboptimal design and/or implementation.

It appears the attorney attacking me in this manner found the phrase "strident critics of electronic health records" online in a Feb. 18, 2013 Kaiser Health News Article by Jay Hancock (that also appeared in the Philadelphia Inquirer) entitled "Health Technology’s ‘Essential Critic’ Warns Of Medical Mistakes." That article is at http://khn.org/news/scot-silverstein-health-information-technology/. It is unfortunate that cherry-picking in an attempt to neutralize a proponent of caution and evidentiary fairness in health IT still occurs in 2017. That 2013 article itself centers on my patient safety-centered critique of bad health IT. At the heart of the article is this:

... Silverstein “is an essential critic of the field,” said Dr. George Lundberg, editor at large for MedPage Today and former editor of the Journal of the American Medical Association. “It’s too easy for those of us in medicine to get excessively enthusiastic about things that look like they’re going to work out really well. Sometimes we go too far and don’t see the downside of things.” A growing collection of evidence suggests that poorly designed software can obscure clinical data, generate incorrect treatment orders and cause other problems. Cases include the Lifespan glitch; a data-entry error that led to the 2010 death of a baby at Advocate Lutheran General Hospital in Illinois; and computers at Trinity Health System, a major Midwest chain, that logged doctors’ orders on the wrong patients’ charts. Computer mistakes voluntarily reported to the Food and Drug Administration include those that researchers said were linked to 44 injuries and six deaths at unidentified institutions. Those problems included tiny fonts causing caregivers to click on the wrong medication; flipped images that led a surgeon to operate on the wrong side of a patient’s head; and lost or misdated test results that caused unnecessary surgery or delayed treatment. The FDA’s Dr. Jeffrey Shuren has said that such cases “likely reflect a small percentage of the actual events that do occur.”

I'd also thought this attack vector - painting me as some sort of fanatical anti-EMR Luddite - obsoleted by the remarkable Jan. 2015 complaint letter about health IT from appx. 40 major medical societies to HHS at http://mb.cision.com/Public/373/9710840/9053557230dbb768.pdf. I commented upon that letter in my Jan. 28, 2015 post "Meaningful Use not so meaningful: Multiple medical specialty societies now go on record about hazards of EHR misdirection, mismanagement and sloppy hospital computing" at http://hcrenewal.blogspot.com/2015/01/meaningful-use-not-so-meaningul.html. Sadly, I was wrong. I perhaps should have asked counsel if they were a supporter of bad health IT that injures and kills people. If the matter comes up again, I very well might. I felt sorry for that attorney, however. I was also asked if I still "kept records" on my 1977 Heathkit H8 computer or words to that effect, with a possible implication that maybe I was hiding things on that machine. This is a computer I still have which said attorney must have seen on my web page of technology interests at http://cci.drexel.edu/faculty/ssilverstein/medinformatic1/ham.htm. I replied to the attorney that I last used the H8 to teach Yale informatics postdoctoral fellows (about computer architecture) in the mid 1990's when I was faculty there, and that it has not been turned on since. I didn't go into how doing so would require me to carefully clean approximately 500 small tin-plated (a costs saving by Health by not using gold) pins and sockets that connect the daughtercards to the motherboard, and probably replace long-unused power supply electrolytic filter capacitors before even applying power.

My late 1970's Heathkit H8 computer, Intel 8080 CPU @ 2 MHz, 64K RAM

I also was not permitted the time to relate to the counselor that the computer is quite primitive, having 64 kilobytes of RAM, with its main mass storage being special hard-sectored (and now nearly unavailable, as opposed to the more common soft-sectored) single-density, single-sided 5.25" floppy disks, each holding about 80,000 characters of information. 80 kilobytes. By comparison, the common cellphone today has 2,000,000 kilobytes = 2 Gb of built-in storage... It's sad, but I almost broke out laughing at the bizarre technology-naive question. These are the type of folks who are defending bad health IT and taking advantage of the lack of knowledge of many judges about the technology. The attorney also for some reason demanded me to affirm that the health IT-related medical malpractice case in which I am substitute plaintiff, that of my late mother, had been dismissed. He didn't ask me the case status, but instead in a declarative manner stated "and that case has been dismissed, is that right?" God only knows where that misinformation came from. IT industry/defense lawyer Listserv gossip perhaps? It was my pleasure to inform him that he was entirely incorrect. After many years of delay, pretrial conference is scheduled for early October, and trial sometime after that, regarding a travesty caused by bad health IT and careless clinicians. In a gross medication reconciliation failure, my mother's critical cardiac medication, Sotalol hydrochloride was inexplicably terminated, resulting in cascading problems leading to disaster. This was despite my mother and myself re-confirming the medication (as we'd done in numerous past encounters) after the ED EHR, PICIS Pulsecheck, served it up to them automatically from its archive as an active medication from the previous visit that occurred just a month prior. -- SS Article source:Health Care Renewal

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leapyearkisses · 3 years ago

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For the director's cut: Could you do Nice Work If You Can Get It? (Eliseo/Padgett)

That fic... Changed me. I'll never forget it TBH.

Yes, I'd be happy to! This one was really fun to write, and it was the beginning of two OCs I am very fond of now (and who I am happy to know made an impression on quite a few people!).

(If anyone enjoys this director's cut thing and wants to see one for another of my stories, ask away. I had a lot of fun!)

Commentary in bold below the cut! NSFW, mess, deliberately sneezing on people, m/m

This story started from a prompt about one character hiring someone to get them sick. An intriguing idea!! But it was one I actually struggled with finding a groove for when I started out. I actually started a few different scenarios with different character dynamics before I figured this one out. I have a 2600-word WIP of a different version of this in my "unfinished" folder.

I can't really write fetish porn without including actual porn lol, so from the beginning it was sexy even without the snz. In this version, the POV character is Eliseo, who is the "naive" character in a way. I pretty much write pairs where one character has the fetish and their partner does not but is indulgent. The one with the fetish is usually embarrassed about it or somehow naively realizing they like this weird-ass thing. Padgett laughed, voice tumbled and edging on hoarse. "Hey now. Not getting cold feet are we, my lord?" His exhale ghosted over Eliseo's forehead and his tousled black hair touched Eliseo's cheek.

Padgett is the confident character, and he brought the humor to this scenario! Eliseo cleared his throat. "No..." He could imagine the other man's smug look. They'd known each other long enough now that the image rose unbidden to his mind's eye. Padgett's eyes always glittered like opals when he was scheming something. Padgett surprised him with a tender touch on the shoulder, and he almost opened his eyes again. "The safe word is 'pumpernickel,'" he said, managing not to chuckle. "We can stop whenever you want... Hhk-" He fought off a gasp. "Decide hh quickly, though." Eliseo shivered. "I'm okay. Let's do it." He didn't want to admit it, but Padgett's reassurance did put him at ease, even if this had been his idea. He relaxed and tried to lose himself in the late afternoon heat. "Yehh-s, my lord." Padgett leaned forward and took a shaky breath. It stuttered and caught on invisible hooks, sounding at once to be full of potential and then gone again, like a ghost at the window. Eliseo could feel his body tightening again with anticipation, especially when Padgett gasped and leaned back. "Hh-... hah--

"A ghost in the window" eehhh this is kind of overworked. I like to write descriptively even when it isn't necessary. "Huh-ktschht!" A warm rush of air burst in Eliseo's face, almost immediately followed by a watery spray over his forehead, closed eyes, and nose. His instant reaction was to curl back, or try to, and he had his hands braced on Padgett's chest before he could think about it.

I had never written anything quite this scandalous as it were. There hadn't been a lot of snzfic I had read where there was direct, purposeful contagion like this or quite so much mess description directly on the skin, the face even. So I was sweating while writing this lol. "Hey now," said Padgett, delayed by a sniffle. His tone was light. "Easy. You specified this in the contract, remember?" He rested his hands lightly on Eliseo's wrists. "How are you feeling about it?"

CONSENT IS THE SEXIEST THING. We get this instinctual edge of revulsion from Eliseo because he has not acknowledged to himself that he likes snz yet and also he has never allowed anyone to do this to him before because why would anyone do this? Eliseo found he was holding his breath, but- Well, that would defeat the purpose of this exercise. He cautiously let it go and then opened his eyes. Padgett was gazing down at him, looking neither smug nor concerned, just curious. "I- this was on instinct," Eliseo murmured. After a beat, he lowered his hands, and Padgett let him go easily. "Yes, I imagine so. It's natural." Padgett smiled then, and then his expression crinkled. "Wh- hh- want to do it again? Hkt-- hhh..." Eliseo forced himself to surrender again to his pillows. "Yes." Again, he closed his eyes. Padgett shifted forward on his lap and oh- but then he was sneezing one more. "Huh- hktsschit!" Again, the spray. This time it dusted over Eliseo's nose and mouth. He fought to keep from thinning his lips and... took a deeper breath. Padgett hadn't moved, was still fighting with his own lungs, reeling in another insistent sneeze like a stubborn trout. "Huh- hh... hh hh huh-" He made an annoyed sound. "Hah-- hah-krttschtts!" Eliseo felt droplets of saliva decorate his cheekbone. Padgett sniffled thickly.

I think artists often point out how funny it is that when they're drawing they mimic the face of the character. I do this with sneeze sounds (IF I'M ALONE). I tend to like softer sounds for my characters, so a lot of sibilance creeps in. "...Bless you," Eliseo murmured. He was feeling hot. Maybe it was Padgett on top of him. The man was running a fever. "You are... doing the job admirably." That earned him a laugh. Padgett shifted his weight to his heels, which did interesting things to his cock's relation to Eliseo's own. "Thanks, I guess? I never would have thought anyone would be hiring for this, much less you." "Circumstances are dire," Eliseo intoned without a hint of irony.

Eliseo is a card. I love him. Of the two of them he is much more my preferred "type." He is similar to my mage character Llewellyn but less fussy. "Mmhm." Padgett sniffled again. "You must really hate weddings. Couldn't you have just gone on a hunt or something this weekend instead?" Eliseo sighed. "No. My sister would do anything to ruin my plans if I tried to avoid the party any normal way. But luckily, she's terrified of germs. I think a miserable head cold will be the ticket." Like hell he wanted to sit through another of his sister's weddings. Every time it was some new, world-changing drama. He wasn't even sure whether the groom this time was noble born. No doubt the reception gossip would be scathing. What absolute drivel.

There's a little "my lord" up there before, but this is kind of where the setting is characterized - Eliseo is a noble and this is a time and place where nobility matters. However, it's also anachronistic, because germ theory is a thing. They're kind of in a pseudo Regency/Victorian world where I just write whatever feels like the most fun. "Lucky also that you have me around, hm?" Padgett's next chuckle turned into a bit of a cough. Eliseo patted his knee awkwardly. "I- well, yes. Very. But believe me when I say that I would not wish for you to be so stricken if I had the power to stop it."

People with shitty immune systems are my jam. Even if it's really unlikely, I love it. Sometimes especially if it's unlikely. Like mister high elf Llewellyn, or if they're a god or angel or something. Or in a world where if you had that bad of an immune system you probably would have died of diphtheria or pneumonia by now. "Of course, my lord." Padgett rubbed his nose. And though his breath hitched a few times in the following moments, he stayed where he was. Eliseo blinked. "Are we...?" Done? He didn't really think the exposure had been long enough. "I am ready." Padgett blushed a little. Blushed? "Sorry," he said. "I can kind of feel that, uh, the uh, next ones are going to be kind of... wet. I could blow my nose." His voice trailed off, wavering again. His nostrils twitched, and Eliseo did see within the promise of moisture. Perhaps it was the taboo of it, but Eliseo was alerted instantly to a sudden thickening of his cock. It pressed at his trousers with some gusto as Padgett sniffled again. Eliseo swallowed. "No. No, this is good. This will... help."

After consent, MESS is the sexiest thing. That's just how it goes. I don't make the rules. Padgett gave him a considering look, at least as well as he could between soft gasps and squinting against the itch in his nose. "If you're sure, my lord." "Just- call me Eli, like you used to," said Eliseo, stumbling over the words. He wasn't sure where they had come from, but now they were bare between them. Still, perhaps a bit of affection wasn't so odd compared to what they were already doing. Eliseo closed his eyes on Padgett's startled look.

I wasn't sure where this came from either. But suddenly they were in love and I was cool with it. Eli btw is pronounced like the name (Ee-lye) but Eliseo is pronounced Ell-ee-zay-oh in my mind. It's of Latin origin and means "God is my salvation" according to that authority Babynames.com lol. Padgett means "attendant" so that was chosen partially because he's Eliseo's employee but also because Padgett is just a SUPER English-sounding name. I really enjoy looking up name meanings and representing different traditions in my characters. I tried to give Eliseo's family members Latin names, too, although they're not mentioned here. "Eli," Padgett said, and he sounded like he'd just come home from a long war to find the hearth kept warm for him. "I will." He leaned forward again, bracing himself. "Now, I'm going to- to hih-- to snhhsneeze, hah-- haktschtsch! Hrh- Hnkgstschhiu! More spray this time, more wetness, and Eliseo gasped himself when he felt a thick drip against his chin. Padgett hadn't moved. When Eliseo tentatively looked up, he saw his friend caught in a limbo of urgency. His green eyes were shut, eyelashes fluttering. His nostrils, gently pink now, flared. A clear trail hung from one of them, quivering as Padgett panted. He looked wild and fever bright and teetering on a precipice. Eliseo ignored what it might mean that Padgett's desperate expression, his wet nose - even the mess - suddenly went to his cock. He was hard, looking up at a portrait of a sneeze.

Sometimes you just have to stop writing for a second and drink some cold water or something. Carefully, he placed a hand on Padgett's thigh. "It's okay," he said, words coming of their own accord. "I've got you." Padgett's fingers tightened fitfully in the sheet as he shifted his weight again. He was making soft, irritated noises. His nostrils flared and Eliseo saw another drip lying in wait on the cusp.

Fingers tightening fitfully in a sheet is a thing I love to describe. If you binge-read everything I've written, you will find that I write snz and sex in a very particular way over and over. Because that's what I like! And I'm super glad readers like it as well! But I can basically only find the motivation to write what I enjoy (when I write at all... .__.), which is why I only write m/m or nb characters and such. When the urge became too much, it was like watching a wave finally crash down. Padgett's breath caught; he tensed and leaned back. Eliseo hurriedly closed his eyes again, and none too soon. "Hhhhrektschuckh!" He felt the mess streak his face, fly to spatter his mouth and nose and chin. Padgett moaned and then gasped again, chest swelling with air.

SCANDALOUS "Hah- Huhrttschuh! Hshtt! Hah- hsshtt!" Again, he teetered, teasing the air with shivering gasps. Then, he abruptly folded with a crush of vowels and congestion. "Hggtschiucht!" A baptism, pondered Eliseo's brain as it detached from reality momentarily. Pinned as he was to the bed by Padgett's sex, he couldn't move when he felt himself coming just as abruptly as the sneeze. Somehow the slick wash had become a mounting sense of urgency in each of his muscles, racing from his fingertips and toes to his abdomen, where, quite unbidden, his cock had tugged all that energy into a gut-wrenching orgasm that sent the shockwaves back out with renewed vigor. Padgett whined, and Eliseo took him firmly by the shoulders and drew him in for a messy, off-putting, contagious, blindingly good kiss. "Wow," said Padgett, when they finally broke for air.

Wow, lol. I have a great imagination. I wish I could make myself write more often. "Don't ask me why," Eliseo muttered, but he refused to be made a fool of by embarrassment. "C- come here." He shifted to sit up further and put his hands on Padgett's hips. "I want-" He wanted. "This. Yes?" Before he could stop himself, he swept his tongue over Padgett's mouth, under his nose, to rest at the edge of a nostril. He tasted salt. It was not entirely pleasant, but whatever pilot was captaining his body right now didn't care. He could still feel his cock pulsing against his trousers.

Also the first time I wrote anything like this, but Eliseo was like go big or go home, so. Padgett moaned. "It feels... odd. But, my lord, you can do what you- I mean, Eli." He was breathless for different reasons now. Eliseo laved the tender skin above Padgett's lips, then licked up his septum. When Padgett shivered, Eliseo kissed him again. Slowly, he cleaned away the mess from Padgett's face. When he was finished, neither of them knew what to say. Eliseo was hard again.

Huahaha Eliseo can have an unrealistic refractory period. I don't really give a shit how accurate this stuff is when it would get in the way of the enjoyment. Not to the point where people are just going in without lube or something crazy like that, but being willing and able to go again is just sexy, so that's fine. Finally, Padgett laughed shyly. "I think you'll be catching your cold, Eli." Eliseo blushed and shrugged. "I should hope so. I am-" He bit his lip. "I'm not ready to stop. Will you stay the night? I'll look after you." Padgett kissed him, tenderly drawing them together. "I would like that, very much."

And then they DEFINITELY banged. I hadn't conceptualized their specific history together at this point, but Eliseo and Padgett were FWB while younger, so the "surprise" at meeting again like this in a sexy fashion is more like "Oh, are we doing this now, as adults with drastically different social standing?" and less "Hey, are you into me??"

I got more than one request to write the direct sequel to this, but I dunno. I usually prefer one character in the pair to be the one who is sneezing, and writing Eliseo sick isn't as fun. Partially because I'm much, MUCH more interested in the shy/embarrassed/"voyeur" dynamic, so someone who gets off on their own sneezes really does nothing for me. I do have a WIP of Eliseo sick that is a direct sequel to Carriage Shenanigans, but I have no idea if it will ever get finished.

Thanks so much for the request for this very fun exercise!

#lyk writes #snz #eliseo jorvald #padgett foxborough #elipadge #director's cut commentary exercise

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