#i know online appointment scheduling exists my doctors just refuse to get with the times

[puttingwingsonwords]

why does receiving medical care require making phone calls. what about those of us who were meant to be hermits in a little hut by the sea only communicating in infrequent letters. also an online service to schedule appointments would be nice

[juuls]

Pharmacist/Me = 1 🏆 Doctor/Nursing Staff = 0

Thank you in advance for reading this rant. I’ve been really frustrated and just needed to get this off my chest, and today at least I had a wonderful knight in a white lab coat. 🩺❤️‍🩹🥽🥼💪🏻

Content warnings and squicky squicks: (further down there is) an image of a medical vial with a clipped image of a more benign part of a syringe, health conditions (endometriosis, fibromyalgia), menstrual cycles and associated terms such as bleeding and other things, lack of empathy in my specific healthcare system, hysterectomies, pain, swearing and losing patience. Most important warning: self-administered syringes and injection discussions of legal medications (Depo-Provera) approved of by professionals and properly researched. P.S. this may sound rather Karen-like but I would never do this to someone’s face. Online ranting and acknowledging where I could do better is not the same as screaming in public for bossy requests or comps, etc. Ew.

Another ‘warning’… pharmacists being kick-ass allies and giving a damn about their patients.

I’m really annoyed because (and I know healthcare and scheduling is a clusterfuck right now, but…) for over a month now I’ve been trying to get an appointment in person to get this injectable medication that is, yes, birth control, but is also used for endometriosis in my case. And I have severe endometriosis (exacerbated severely by fibromyalgia, siiiiigh) to the point I bleed enough and lose so much I have to go to the hospital when my care is not properly preventative… like in this case, and the pain is unbelievably severe also to the point I’ve spent time in the hospital, including my 11th Christmas Eve and Day. I started this injectable medication at 13 because it was the only thing that came close to helping reduce my endometrial tissue. Even a hysterectomy wouldn’t help as much, unless they decided to go the super invasive route and remove all the organs (or parts of them) that had become ‘infected’ by the tissue. Again, tissue where it’s not supposed to be, and it causes extreme pain as the tissue tries to flush out of my body each period, even if it’s attached to, like, my pancreas. Just no. That does not work at all. No. That is not fun.

SO. I’m 31, nearing 32, and the doctor’s office knows this. I’ve had the same doctor since I was 10. Been on this medication nearly non-stop for just shy of two decades (with appropriate precautions such as bone density tests) because of the absolute severity of the pain and my inability to function when it hits… which can be months at a time of non-stop bleeding and morning sickness-level nausea and vomiting, migraines and the occasional complete inability to move—in other words, it’s debilitating.

My doctor (even the nurses, as it’s in large print at the top of my file in the system) knows all about this. They’re supposed to call me if I’m overdue by a certain margin (I get they’re busy but months and months???). But my doc’s also a bit of an airhead (albeit a smart one when he focuses) and takes forever to reply to anything on time, even when it’s a severe issue, but not severe enough to go to the hospital. But it’s gotten to the point where the nurses say to go to the ER and then the ER nurses and doctors there get SUPER pissed off (AT ME AND SOMEHOW NOT AT MY DOCTOR/NURSES AND THEIR ORDERS) at the ‘waste of time’, and it’s just a clusterfuck.

Oh yeah, and that ER visit while I was overdue for my injection? Internal intestinal bleeding along with a lovely, even if small, perforation in my fucking uterus from the growth of endometrial tissue. I MEAN COME ON — WHAT IN THE HELL. Totally preventable if they fit me in when I called literally over a month ago.

But I will not change my doctor (the other docs at the practice know what is going on and have offered to take me on, but they don’t have the experience with myself and my conditions or the history, but they can do little else because of professional conduct—it’s between myself and my doc) because he is the only one who treats me with humanity and understands fibromyalgia, endometriosis, pre-MS and pre-RhA/PsA, endo-related IBS, (ulcerative) colitis, and other neurological conditions with any degree of empathy. (See, I told you I’m a mess!) There is no way I’m switching offices in the perpetual shortage of doctors in Canada moving elsewhere for m o n e y (plus Covid-19 being a teen hooligan and constantly coming back to wreck more goddamn shit, including everyone’s sanity, then setting things on fire like the real hooligans in my village have been doing this summer — I mean… what in the hell!?!?), so with all that in mind I actually thank my lucky stars. So I put up with a lot of this shit because he treats me, besides him being an airhead, like an actual human being deserving of compassion and care and quality of life despite my severe disabilities and pain. So.

I’m usually treated really well (even if they often think I’m a nuisance for daring to be severely chronically ill/in pain all the time) so I try to be patient and good and understanding when I can.

But his STAFF (I know they’re busy and I’ve been patient but they’ve been so awful honestly to the point I cried hard enough my dad noticed my red eyes and frustration-tear fracks on my face)! And the doc himself’s inability to reply to notes on time even when urgent and when he knows the circumstances (I admit I am a bit of a hard patient so I can understand if he just kinda ignores me sometimes, honestly). But in this case I was THREE DAMN MONTHS LATE for my injection and they’ve always called in the past when I was coming due if it looked like I hadn’t scheduled an injection, so that I was all on time and squared away and didn’t risk severe pain and damage to my already-fucked hormonal system (learning I couldn’t have kids was absolutely heartbreaking, let me tell you, but even a hysterectomy in that case would solve nothing — this is by far the easiest option, especially considering how my fibromyalgia would fuck with my post-surgery recovery and leave me with lasting pain for years if not decades; sigh).

Anyway. So. After some ridiculous levels of back and forth and some truly remarkable levels of lack of compassion (she kept giving me the exact same, word for word response in a bored tone UGH) considering the severe pain I was in (I was told, in front of OTHER PATIENTS AND STAFF, that I could just wait until I talk to the doctor myself at my next phone appointment and then schedule my injection for my next MONTHLY followup — 4.5 months overdue at that point, it would’ve been — because, and I quote, ‘am used to dealing with pain because of my fibromyalgia and years of dealing with it and other conditions’ which they named in front of others!!!!!!!! what. the. fuck. But I kept my cool because I know all these people, my mom taught their kids music, they’re a fixture of the community, etc. and I refuse to be a Karen…. At least externally.

But here comes the nice part that makes me love our new (okay, he’s been here like 5 years but still, in a small town that’s pretty new lmao) pharmacist that much more. Rasik was aware of my frustration with the doctor and nurses and was even the one who brought to my attention that, at the time, I was 2 months late for my injection and he was a bit concerned since he’s privy to how much pain I exist in without throwing in one or more knives directly into my womb, ovaries, tummy, hips, and other areas my endometrial tissue has taken root. He’s such a sweetheart and he really does care for his patients— the work he does with my father’s diabetes (the tricky one where you’re not obese) management is above and beyond the call of a pharmacist and I will forever be grateful for that alone, never mind how he cares for me.

So I went in today to pick up another medication, after yet another frustrating stop-over at the nurses’ desks, and he suggested I ask for my injectable medication (it’s Depo-Provera, by the way) and the syringe plus the two tips necessary — I’m actually familiar with this since I had to learn epinephrine injections from an early age (not Epipen) and how to give testosterone daily to my ex-husband (sorry not sorry, dude, but congrats on your first kid *grouchy thumbs up*). But yeah! Legally he’s not allowed to suggest I give it to myself, but he was getting super fed up with the nurses and doctors dragging their feet and ‘being assholes with little empathy’ in his own words, so I took the hint and requested my vial plus syringe, as well as the drawing and injection gauge needles…. which he gleefully filled for me, and I reiterated that it was ‘fully my idea, not yours, Rasik, because everyone knows I’m dumb and would never think it’s you if something happened’ (I’m not dumb and I’ve given injections to others many times looool).

Long story short: HERE’S TO PHARMACISTS AROUND THE WORLD, BEING AMAZING AND CARING FOR THEIR PATIENTS AND ‘BENDING BUT NOT REALLY BENDING’ THE RULES TO MAKE SURE THEIR CLIENTS ARE CARED FOR PROPERLY. They are amazing and deserve every last bit of your courtesy, especially when they pull double duty every. single. day. because of Covid and their subsequent boosters. (i.e. boosters in the form of humans who are fucking stupid if they have no medical reason not to get the vaccine… I mean JFC.)

Rasik? You are amazing and I am 100% going to find you some Indian-Canadian (or North Indian; I believe that’s where he’s from originally) treats or desserts or make some myself after slyly asking his assistant what he leans toward liking.

Be kind to one another, yeah, but… my goodness: be kind to those who can truly make a difference in your health, sanity, and even life or death.

Pharmacists, volunteers, and frontline health workers: the true heroes of these times.

Thank you so much. So very much.

💜💙🇨🇦👨🏽‍⚕️❤️‍🩹🙏🏻

P.S. … now I just gotta stab myself intramuscularly after making sure there’s no air bubbles and etc., and swap out to the proper gauge needle (different, smaller, to draw from the vial, larger to inject so that it goes in more quickly and, oddly enough, hurts less haha). I don’t think air bubbles are as much of an issue as when injecting intravenously (ummm I have a doctor uncle and grandma nurse and nurse friends, so shush 😆). But I’ve done this for others and animals so I should be good! :)

I’m a smart enough cookie even if I’ve lost a few nibble-size pieces around the edges. 😉😘 buahaha

Cheers to my pharmacist!!!! You are amazing and I can’t wait for the pain and months and months of bleeding to settle down.

Remind me again why humans are the only mammals (animals?) with monthly fluxes? UGH wtf ever. 🙃

[aion-rsa]

Doctor Who Series 13: Jodie Whittaker Leaving Rumours, the Next Doctor, and the Future

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Jodie Whittaker is fast approaching that three-season milestone at which most Doctors pull the inter-dimensional rip-cord and eject themselves from the TARDIS. Speculation has swirled around her, as it does for most Doctors, from the very start of her tenure, and now, more than ever, there’s the strong scent of Regeneration in the wind. So, will Whittaker leave at the close of series 13? And if so, will any of her companions remain to bridge the gap between eras? Might showrunner Chris Chibnall also hang up his sonic-shaped pen? The BBC is playing its cards characteristically close to its chest, so divining the answers to these questions is not unlike trying to unlock the mystery of the Doctor’s real name.

There was an ample reminder of the BBC’s zeal for secrecy when Who-newcomer and beloved Liverpudlian John Bishop – cast last year as companion Dan – was rebuked for revealing during an online Q&A that his character, too, would be Liverpudlian. If the BBC don’t want you to know that a Liverpudlian might be playing a Liverpudlian, then this is going to be a bumpy ride. But let’s strap in, brace for impact, and see what’s (or Who’s) out there…

Jodie Whittaker on leaving

Everyone has their favourite Doctors, and not-so favourite Doctors. Jodie Whittaker is not alone in having had love and scorn heaped upon her in equal measure, a phenomenon that has touched most actors to have taken on the role, with the possible exception of Tom Baker and David Tennant, who stand as almost deified in their respective eras.

It’s clear, though, that Jodie Whittaker has loved every moment of being the Doctor, and of being embraced by the show’s fandom, telling the Telegraph in November 2020: “If you bump into a Whovian, it genuinely makes both of your days. There’s something emotional, poetic and very humbling about being in the show, because you’re a little tiny jigsaw piece of something that is so precious to so many people.” It’s perhaps understandable, then, that her response to the speculation around her departure was to say: “To even question an end point would be too upsetting.”

Or, to parrot one of her predecessors: “I don’t want to go.”

Where’s the evidence?

Over the last eighteen months, rumours that Jodie Whittaker will be leaving after season 13 have been endlessly shared and repeated. These rumours were reported as fact by some media outlets earlier in the year, though the BBC has steadfastly refused either to confirm or deny them. It does, however, seem more likely than not that 13 will be 13’s last; a supposition based upon the ‘Who Rule of Three’ and the unignorable sound of drums gathering pitch and pace across the internet.

In the hunt for ‘evidence’, dead-ends and red-herrings abound. IMDb currently reveals no projects rumoured or in pre-production for Jodie Whittaker beyond her TARDIS tenure, but, then, actors keeping contractual secrets would be fools to release their schedules onto one of the most comprehensive entertainment databases ever to have existed. So no help there.

The Mirror newspaper recently reported that the front-cover of the 2022 Doctor Who annual would be Doctor-less for the first time in its 57-year-history. Could this be a clue? Not likely. The people at Penguin Random House – the annual’s publishers – made it clear that the thirteenth Doctor will feature heavily throughout the publication.  So whether the new cover is simply a radical redesign, a yielding to the purchasing power of this era of the show’s vocal detractors; or a shrewd marketing move designed to have the product promoted for free in the press, it doesn’t actually tell us very much about the likelihood of the 13th Doctor’s exit.

Peter Capaldi’s Trouser Clue

We might, however, be looking for clues in all the wrong places. Peter Capaldi deduced that he’d be handing over the TARDIS keys to a woman a few days before the BBC officially broke the news to him: thanks to his tailor.       

At a New York Comic Con panel in 2017, Capaldi told the audience: “I went into Paul Smiths, which is a very wonderful clothes shop in London where I buy my suits, and everybody knows me in there. And they said, ‘We just got a call,’ they said, ‘from the Doctor Who office saying, ‘Can we have a pair of [Peter’s] trousers, but with a waist size thirty?’ … And I thought, ‘Well, that can’t really be a man with a thirty-inch waist. That must be a lady then’.”

Staking out Jodie’s tailor probably won’t prove fruitful, though. Knowing the BBC, they’ve probably plugged that potential leak by sub-contracting Jodie’s wardrobe out to a mute grandma living alone in a fortress atop the Himalayas.    

Read more

TV

Doctor Who: the behind-the-scenes causes of regeneration

By Mark Harrison

TV

Doctor Who: Which New Doctors Are Now Canon?

By Chris Farnell

Will the Doctor Regenerate in 2022?

Series 13 will consist of eight episodes, set to begin airing later this year. The Mirror reports that there will be two specials in 2022, although it isn’t clear whether these will be in addition to this year’s 8,  or whether we’ll see a split of 6 episodes in 2021 with the 2 specials being held over for 2022. A special – Christmas Day, New Year’s Day or otherwise – has become the traditional arena for regeneration, so if Whittaker is leaving, it’s likely that her final scene will come at the end of that rumoured second special.

Many think that the greatest evidence for Whittaker remaining as the Doctor until at least 2023 is our proximity to Doctor Who‘s upcoming 60th anniversary. After all, it would seem a shame to bow out before a big milestone, and it could be daunting to saddle a new Doctor with spearheading such a significant celebration. Still, the timey-wimeyness of it all means that even should Whittaker leave in 2022 there’s no reason she couldn’t make an appearance in an anniversary episode, perhaps alongside a few other previous incarnations. And 2022 marks the 100th anniversary of the BBC itself, so it’s hard to imagine that the show won’t be doing something extra special to mark that, given that it owes its very existence and longevity to the broadcaster (Michael Grade notwithstanding). Whenever she leaves, 13 could easily have her cake and eat it.

Will Chris Chibnall leave after Series 13?

When Bradley Walsh and Tosin Cole left at the end of ‘Revolution of the Daleks‘, Mandip Gill’s Yaz stayed behind. Yaz has been one of the new era’s most underdeveloped characters, so it made sense that she would get her chance to shine and grow in a less crowded environment, sharing companion duties only with John Bishop’s newly teased Dan. But as her character and her story seems so intrinsically linked to the Doctor herself, with the promise of more in-depth exploration to come in series 13, when/if the Doctor leaves, will Yaz’s story also draw to a close? Will only Dan remain with a foot in two TARDISes? All speculation at this point, and it very much hinges on which direction the writers take Yaz in this next clutch of episodes.

Showrunner Chris Chibnall – a lifelong fan of the show and, prior to his appointment as big chief, a long-standing writer for both Doctor Who and Torchwood – has been at least as divisive a figure in Who fandom as 80s helmsman Jonathan Nathan-Turner. Rumours regarding his possible departure have circulated with just as much frequency as those surrounding Whittaker. When asked about series 13, Chris Chibnall told the Radio Times: “I do know I’m coming back for a third season. Yeah, absolutely.” Within those words, if you look hard enough, exists the implied absence of certainty around future seasons, but perhaps that’s getting rather too Da Vinci Code about the whole thing.

While the stewardships of previous showrunners Russell T. Davies and Steven Moffat spanned two Doctors each, this doesn’t mean that Chris Chibnall is guaranteed a crack at the 14th Doctor. Should Chibnall leave after season 13, among the writing team perhaps only Pete McTighe – who wrote ‘Kerblam!‘ And co-wrote ‘Praxeus‘ – has the experience to take over as showrunner, given his stint over-seeing the award-winning Australian prison-drama Wentworth. 

How might 13’s Regeneration Happen?

Each of the modern Doctors has met their end in the service of some great sacrifice, either to protect a companion or to save if not the universe then at least a world within it. It’s unlikely that 13’s exit will be any different. It’s simply a question of against whom or what she’ll be fighting when her time comes.

Though it may be too soon for the Master to be directly responsible for the undoing of yet another Doctor so soon after 12’s John-Simm-shaped downfall, it’s likely that the Master will at the very least influence the direction of 13’s regeneration. Sacha Dhawan has expressed enthusiasm at the idea of returning, though nothing, as you would expect, has yet been confirmed. Or denied.

The revelations in ‘The Timeless Children‘, controversial though they proved for some fans, are perhaps too epoch-shaking and era-defining not to play a part in 13’s swansong, and it may well be that the shadowy Division – the Time Lord’s very own version of Starfleet’s Section 31 – will be complicit in the Doctor’s fall.

Another question presents itself: now that the Doctor knows she has infinite regenerations, might it make her more reckless? Might she start to see her body more like an easily changeable suit than a thing of flesh and blood? Might she regenerate multiple times before becoming the 14th Doctor, a la The Curse of Fatal Death, and what on earth would we call the 14th Doctor – who wouldn’t really be the 14th Doctor at all – if that happened?          

Who’s in the running for the next Doctor?

Many of the same actors tipped as possible replacements near the end of Capaldi’s run have reappeared in the Regeneration rumour mill, including firm favourites Michaela Coel, Phoebe Waller-Bridge, Michael Sheen, David Harewood, Richard Ayoade and the indefatigable Kris Marshall. Joining them this time are Line of Duty alumni Kelly MacDonald and Vicky McClure, and It’s a Sin front-man Olly Alexander. It could be that one of them, or none of them get the call. The next Doctor could just as easily be Jo Martin’s fugitive Doctor, who’s been hiding in plain sight all along.

Really though, as with all things connected with the show at this stage of its cycle: Who knows?

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Doctor Who Series 13 will air on BBC One later this year.

The post Doctor Who Series 13: Jodie Whittaker Leaving Rumours, the Next Doctor, and the Future appeared first on Den of Geek.

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[sugirandom]

365 days of writing: day 244

Day 244:

    This morning I spent some time talking to a friend online and then I signed off and got ready to meet with my Japanese-language speaking partner online. Unfortunately Masami never showed up online and didn’t message me so I’m wondering if she was too tired and fell asleep. I’m sure either way I’ll hear from her soon at least via e-mail. After I signed off mom called and we ended up meeting for lunch. Mom was emotional today and mentioned how stressed she was and also about how much she’d miss me despite being excited for me. She didn’t handle it very well last time I was preparing to go to Japan either and I tired to tell her not to stress too much but she’s my mom so I don’t know if that’s possible for her.

   Anyway, things went fine at the doctor’s appointment. My blood work is pretty much the same as years ago where I ‘might’ develop Lupus but right now I don’t show any signs of it. When I got home I played my Sims 4 game for about an hour and a half. I finished up Heath’s teenage years. His father Goopy died of old age just after his birthday and Gina spent a few days heartbroken for losing her soulmate. I’m just glad that Heath made it to Young Adulthood before he lost his father. The family is fairly well-off financially now since Gina has written many books that she gets royalty checks for and Goopy had a job with decent pay.

   Heath ended up falling for his friend from high school, Whitney and after dating for a little while the two got married. I last left off with Heath getting a job in Astronaut field as a technician and Whitney finding out she’s pregnant. As it turns out her aspirations involve having a successful lineage so she was very excited about her pregnancy. I’m sure it will be an interesting game and I intend to play it until I go to Japan where I will have to start a new file if I decide I have the time to play it.

  After Sims 4 I watched two episodes of Dragonall Z, I believe it was 37 and 38 this time. They were both good episodes, I’m certainly seeing the overprotective nature of Chichi now but I’m glad she gave in and allowed Gohan to travel with Bulma and Krillin to Namek. I had my share of feels when Gohan pretty much admitted that he looks up to Piccolo about as much as he does his father. I found out that these two also killed my best bro with feels so at least I don’t have to suffer alone. I also got to hear just a little bit of the Namekian language but it’s not nearly enough to make up for them not letting me hear it at all back in DB. Oh well, after that I watched another episode of Kakegurui and I enjoyed this episode quite a bit, I don’t know why but I really like this clearly somewhat insane member of the student council they have. I’m not even sure why, she’s not at all my normal type...almost the opposite? Oh well, I’ll just embrace it. The male lead is officially self-insert but at least now I know he exists in the manga too and wasn’t just made for the Anime.

Also, big news! My CoE came today and it wasn’t due until tomorrow. Sadly, I probably still have to wait till a week from now to take it to the embassy because of my schedule and Poppy’s schedule. Mom hates driving into D.C. and refused to take me this time so yeah that means I have to wait a bit but it should still be plenty of time. I’m ending the entry here for now. When Poppy comes we’ll probably eat dinner together and then watch some TV. I’m not sure yet what tomorrow will bring, more than likely I’ll be here relaxing on my own.