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jcsmicasereports · 8 days ago

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Acute Myeloid Leukemia In Pregnancy: Difficult Journey From Diagnosis To Delivery And Treatment by Vina Kumari in Journal of Clinical Case Reports Medical Images and Health Sciences

Abstract

The incidence of Acute Myeloid Leukemia in pregnancy is about 1 in 75,000 to 1 in 100,000. Owing to the therapy attributable risks to mother and fetus, the management of AML in pregnancy is very challenging, both for the parents and the medical fraternity. Furthermore, the diagnosis of leukemia in pregnancy is very difficult owing to vague presenting symptoms like fatigue and weakness which are confused with physiological changes during pregnancy.

Case Report: Primigravida, 33 weeks 6 days gestation age, with history of weakness and fatigue for 15 days and fever, cough and cold for 3 days was referred to our hospital with blood reports of raised total leucocyte count. The lab reports showed thrombocytopenia, anemia and leukocytosis with increased circulating blasts in the peripheral smear. As she was in her third trimester, plan of induction of labor and delivery followed by chemotherapy was taken. She delivered a live healthy baby. Post-delivery, she was advised chemotherapy. She had an immediate remission after the chemotherapy. The disease relapsed after 10 months and she succumbed to the disease due to unavailability of facilities during the COVID pandemic.

Conclusion: AML during pregnancy is rare. There is no fixed protocol for management of AML during pregnancy .The aim of management should be to take care of the initial concerns regarding fetal well-being according to gestation age and commence chemotherapy as soon as possible. This would give the best survival chances to the mother.

Keywords: Acute myeloid leukemia, pregnancy, chemotherapy.

Introduction

The association of leukemia and pregnancy is very rare, rather under-diagnosed and sparsely reported. The prevalence based on diagnosed and reported cases is one in 75,000 to 100,000 pregnancies. Most of the leukemias diagnosed in pregnancy are myeloblastic.

Acute myeloid leukemia (AML) is characterized by excessive proliferation of blast cells of myeloid lineage. This results in hematopoietic insufficiency like anemia and thrombocytopenia. The symptoms are related to complications of the pancytopenia, such as infections or hemorrhagic diathesis. The mentioned initial symptoms of leukemia in pregnancy are easily attributed to physiological changes related to the pregnancy and hence are either missed or diagnosed late. We report a case of Acute Myeloid Leukemia in a pregnant patient, its management and outcome.

Case Presentation

18-year-old primigravida presented at 33 weeks 6 days gestation. She was referred with history of weakness since 15 days and fever, cough, cold since 3 days associated with raised leucocyte count. She belonged to low socioeconomic status, was unbooked and had two antenatal visits during her pregnancy. She visited the facility when she had symptoms of gross weakness.

Her first trimester was uneventful. She was registered at a local hospital but was not compliant. Dating scan, trisomy screening and anomaly scan was not done.

On examination, her pulse rate was 88, blood pressure 100/60, respiratory rate 20 per minute, and temperature 99 degree Fahrenheit. She was pale but there was no jaundice, icterus or edema. She had angular stomatitis, and glossitis indicating malnutrition. Lymph nodes were not palpable.

On per abdomen examination, Uterus was relaxed, 33-34 weeks size and fetal heart 143/min. Ultrasound showed a single live fetus in cephalic presentation with effective fetal weight of 2.4 kg and liquor 12.7cm. Placenta was in upper posterior position. The fetus had overdistended urinary bladder with hydronephrosis of fetal kidneys suggestive of bladder outlet obstruction. Moderate hepatosplenomegaly was present. She was moderately anemic with hemoglobin of 8.3 gm/dl. The leucocyte count was very high 2,66,000/cu mm with neutrophils 4, lymphocytes 1, eosinophils 1 and basophils 1. The blood picture showed marked leucocytosis with blasts cells predominating 86% and 2 myelocytes and 1 metamyelocyte. The blast cells typically showed large nuclei, opened up chromatin, prominent nucleoli and cytoplasmic blebs. This picture raised the suspicion of Acute Myeloid Leukemia in pregnancy. Her platelet count was 96000/cu mm. LDH was raised 995 U/L signifying cell lysis. Liver enzymes were also borderline raised. Dengue serology was found negative. Her blood group was O negative. Serum Creatinine - 1.05 mg/dl and Serum uric acid - 10.9 mg/dl were also raised. The blood picture thus indicated towards normochromic normocytic anemia, thrombocytopenia and leukocytosis. On further examination of the peripheral blood smear, a leukoerythroblastic formula was noted with the presence of predominant blast population (86%).

Peripheral smear showed mostly Monoblasts (red arrow), promonocytes (green arrow) and few myeloblasts (blue arrow) under the oil immersion object 100 X, Leishman stain.

Monoblasts are large cells with abundant cytoplasm, moderately to intensely basophilic, scattered fine azurophilic granules, round nuclei with lacy chromatin and one or more large nucleoli.

Promonocytes have moderate cytoplasm, less basophilic, granulated with occasional large azurophilic granules. Vacuoles are more irregular. Nuclei are delicately folded.

Myeloblasts have large nuclei, fine chromatin, 3-4 prominent nucleoli and few Auer rods in the cytoplasm.

In view of suspected Acute Myeloid Leukemia, she was advised Bone marrow aspiration, biopsy and immunophenotyping, flow cytometry and translocation (15:17) study by oncologist.

The obstetrical examination was normal. All cardiotocographies were reactive. She was started on IV antibiotics, Inj Ceftriaxone 1 gm IV BD and steroids, Inj Betamethasone was given for fetal lung maturity. In view of malignancy with pregnancy, the case was discussed in tumor board on 10/9/19 and a decision for delivery followed by chemotherapy was taken.

She was induced with one dose of intracervical dinoprostone gel following which she went into labour and delivered live baby 2.8 kg weight with good apgar. The baby was shifted to nursery in view of premature delivery and mother was planned to transfer to medical oncology department for Induction chemotherapy.

Repeat investigations three days after delivery, haemoglobin decreased to 7 g/dl, TLC increased to 3,81,000 cells per cu mm with neutrophils 2, lymphocytes 5 and myelocytes 5. The abnormal blast cells had increased to 88% and platelets decreased to 21000 per cu mm (TABLE 1). Serum creatinine also increased to 1.43 mg/dl and e-GFR decreased to 54 ml/min/1.73 m2, indicating compromised renal function. The peripheral picture showed mostly agranuloblasts with moderate to scanty grey blue vacuolated cytoplasmic nuclei showing convolutions and 1-3 nucleoli occasional myelocytes, metamyelocytes seen, findings in favour of Acute myeloid leukemia (M4/M5). On myeloperoxidase staining, only 40 % took up the stain indicating AML-M4 lineage. She was transfused with one packed cell and one single donor platelet, following which her condition improved. She was transferred to medical oncology ward where she received chemotherapy and had immediate remission of the disease.

Discussion

The Incidence of Acute Myeloid Leukemia is 1 in 75,000 to 100,000 pregnancies with maximum 40% presenting in third trimester and 23% and 37% in first and second trimester respectively. In a population based study by Nolan et al [1], out of total acute leukaemia cases, two thirds are myeloblastic and one third lymphoblastic leukemia.

The rarity of disease during pregnancy, might also be due to very low reporting in view of confusing diagnosis. The symptoms of AML can easily be confused with symptoms of anaemia like malaise, easy fatigueability, low grade fever. Thrombocytopenia and anaemia are relatively common findings in pregnancy. Although, Neutropenia is rare and merits further investigation or close monitoring. But in the developing country like India, it is majorly missed. Thus, whenever there is presence of circulating blasts in a blood film, it suggests a diagnosis of haematological malignancy and is an indication for bone marrow biopsy. The other differential diagnosis that should be kept in mind are Thrombotic microangiopathy, HELLP syndrome and Cytopenias of deficiency or immune origin [2].

The tests to be done before bone marrow aspiration are Full blood count, blood film examination, Vitamin B12, folate and ferritin measurement, Coagulation screen, Renal and liver function tests. All these were done for our patient and further bone marrow aspiration was suggested with studies directed at Immunophenotypic, cytogenetic and molecular analysis for accurate subtyping and understanding of prognostic features.

Once diagnosed, a Multidisciplinary approach comprising of hematologists, obstetricians, anesthetists and neonatologists is the key to appropriate management. Consideration should be given to health of both mother and baby. The woman should be fully informed about the diagnosis, treatment of the disease and possible complications during pregnancy , clearly implying that any treatment delays might result in compromised maternal outcome without improving the outcome for the fetus [3].

The risks of Leukemia, disease per se, to pregnancy is miscarriage, foetal growth restriction, perinatal mortality, premature labour and Intrauterine fetal death [4].

Due to the high risk of the disease, there are different recommendations for management of AML in pregnancy in the three trimesters owing to the urgent need of chemotherapeutic agents and the adverse effects of the drugs involved .

If it is diagnosed in the first trimester, the patient should be counselled for elective abortion, medical/surgical and starting of chemotherapy. Between 13- 24 weeks, the Induction chemotherapy should be started while pregnancy is continued [5]. Preterm termination of pregnancy is indicated after fetal viability. Similar conclusions were derived by Nicola et al and Farhadfar in a single centre study of 5 and 23 case of AML diagnosed during pregnancy respectively [6,7].

Between 24 - 32 weeks, chemotherapy exposure to the fetus must be balanced against risks of prematurity following elective delivery at that stage of gestation (Grade 1C). At gestation age more than 32 weeks, the fetus should be delivered prior to Induction chemotherapy.

Chemotherapy with anthracycline based regimens are favored. According to a meta-analysis done by Natanel A Horowitz et al, anthracycline based regimens were associated with maximum remission but overall maternal survival was very low (30%)[8]. Even in our case, although the mother immediately had remission with chemotherapy. There was a recurrence after disease free 10 months and she succumbed to the disease during the COVID pandemic. Quinolones, tetracyclines and sulphonamides are better avoided in pregnancy(Grade 1B).

In one case report by Abdullah et al, a trial of 5- azacytidine has shown promising results [9]. The antifungal of choice in pregnancy is Amphotericin B or lipid derivatives (Grade 2C). If blood transfusion is needed, the blood should be screened for Cytomegalovirus (Grade 1B). Supportive therapy like a course of Corticosteroids given if delivery is between 24 and 35 weeks gestation (Grade 1A) [10]. Magnesium sulphate should be considered 24 h prior to delivery before 30 weeks gestation (Grade 1A).

Delivery should be planned for a time when the woman is at least 3 weeks post-chemotherapy to minimize risk of neonatal myelosuppresion (Grade 1C). Planned delivery is preferred, like Induction of labour (Grade 2C). Caesarean section is indicated only for obstetric indications. Epidural analgesia is better avoided.

The Dose of chemotherapy is calculated on their actual body weight with dose adjustments for weight gain during pregnancy owing to various pregnancy changes.

The Chemotherapy agents have a MW of 250-400 KDa and hence can cross the placenta resulting in detrimental teratogenic effects on developing fetus.Sunny J. Patel et al have done a comprehensive analysis on outcomes in hospitalized pregnant patients with acute myeloid leukemia and come to conclusion that a multidesciplinary, holistic approach leads to quick remission of the disease [11]

After delivery, histopathologic examination of placenta to rule out placental transfer to fetus is advisable. Cytologic examination should be performed in both maternal and umbilical cord blood and neonates should be clinically examined for palpable skin lesions, organomegaly or other masses. If the baby is found to be healthy, a follow up after every six months for two years is recommended. In each visit, physical examination, chest x-ray and liver function tests should be done.

Conclusion

Acute myeloid leukemia in pregnancy is a Rare diagnosis and even rarely reported. With the trend for delaying pregnancy into the later reproductive years, we expect to see more cases of cancer complicating pregnancy. Presently, there are no clear management guidelines to address timing and dosing of anthracycline/cytarabine based regimens especially in pregnancy. The potential drug toxicity to mother and fetus and transplant considerations in intermediate and highrisk patients during pregnancy has not been addressed.

What we also need today is a National registry for leukemia patients, treated in pregnancy. This will help us to answer many unanswered queries and improve maternal and fetal overall survival rates. Although we have few comprehensive studies, but further studies and references are needed. Finally, a Multidisciplinary team is needed to provide comprehensive care to patients.

#Acute myeloid leukemia #pregnancy #chemotherapy #jcrmhs #Clinical decision making #Journal of Clinical Case Reports Medical Images and Health Sciences submissions

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buttonbuckfarm · 7 months ago

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SUBMISSION DEADLINE EXTENDED TO JULY 1!

launching a zine I’ve been dying to make! Submission link: https://forms.gle/o1ZH7X9KQAyKE2Lx8

I STRONGLY encourage those who are disabled, BIPOC, LGBTQ, or members of other marginalized groups to submit! I hugely want to emphasize diverse backgrounds and the things that work for us as opposed to mainstream farm communities.

the finished zine will be available for free online, and - fingers crossed I can make it happen - physical copies will be available to purchase with all funds being donated to Saving Gray Fox Farm (link to GFM!)

Wanna help further? Have experience formatting zines or other documents? shoot me a message to volunteer to help with reviewing and formatting submissions!

Let me know if you have any questions!

[image text: The New Farm Journal Zine, Looking for Submissions

A modern answer to historical farm periodicals prioritizing community, responsible land stewardship, anti-colonialism, and anti-capitalism.

Seeking:

-Information articles & how-to’s / DIYs (the main focus!)

-Insightful anecdotes

-Illustrations (or other art)

Potential topic suggestions: Livestock, food crops, native wildlife, hunting / trapping / fishing, foraging, recipes, homesteading skills, urban farming, rural community building, local food systems (and so much more!)

Submissions due June 1.]

#zine #zines #zine submissions #small farms #farms #farming #homestead

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librarycards · 6 months ago

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Submissions open through June 30, 2024 - Mad Dykes, Queer Worlds

Hello all! I'm editing a special issue of the literary magazine Sinister Wisdom titled Mad Dykes, Queer Worlds. If you're Mad –– regardless of personal label or diagnostic status –– and identify with some aspect of dyke experience (in all its multiplicities!), I want to consider your work for publication.

The title links to Submittable, the platform Sinister Wisdom (and most other magazines) use to process submissions. It's free to use, but can be inaccessible for visually disabled people. If that's you, email Sinister Wisdom for alternative submission options.

I am particularly interested in reading work by young/new/emerging creatives, survivors of psychiatric/medical incarceration, and/or those living outside the Global North/West. Visual art and written work are all welcome!

Note: Sinister Wisdom can't pay $; they compensate in a year-long print subscription and complementary copies of the journal. If you only submit to magazines that pay, consider checking out mine, manywor(l)ds.place; we reopen for general submissions June 1.

Feel free to email me with any further questions. Don't self-reject. ID for the image both in the alt text and below the cut.

Mad Dykes, Queer Worlds

What is Madness, and how do we, as lesbian/queer creatives, wield it? Amid much feminist discourse around the figure of the “madwoman,” mostly as an archetype to be avoided or, in some instances, appropriated, in reaction to rational distress under violently cisheteropatriarchal conditions, comparatively little discussion has focused on the lived experience of psychiatric survivorship, iatrogenic harm, and abuse under the sign of “mental illness” or psychiatric disability. Behind and beyond the figure of the madwoman, or the specter of “hysteria,” are the lived (sur)realities of Madpeople of all marginalized genders.

This issue of Sinister Wisdom seeks contributions by lesbian, queer, and/or trans people self-identified as Mad, mentally disabled, and/or psychiatric survivors. Following the portmanteaue coinages “transMad” (Cavar), “neuroqueer” (Walker, Yergeau, and Michaels-Dillon), and “neurotrans” (Smilges), Madness and (gender)queerness are deeply entangled and often inextricable from each other, both as they manifest “inside” us and in our ways of relating to our words, world(s), lovers, and friends.

What, who, and where are Mad dykes, and how do we find each other in a world increasingly oriented toward cisheteronormative, whitewashed wellness? What are the legacies and ongoing violences of queer/trans pathologization in our communities and beyond? How do we live as transMad people amid cissexist, saneist attacks from the reactionary Right? And how do we share, negotiate, or conceal our experiences of trauma, altered realities, and unfamiliar access needs while also building community?

Please submit works of any, all, or no genres, including reviews and interviews, up to 5,000 words, and a short contributor biography between 25 and 125 words. We are also seeking illustrations and photographs (.jpg or .tif files only, print resolution size at least 300 ppi). Please do not send previously published work.

Deadline for submissions: June 30, 2024

[tagging for spread hopefully! @closet-keys, @rebirthgarments, @fluoresensitive, @heavenlyyshecomes, @trans-axolotl, @fatehbaz @sawasawako @felgueirosa @bioethicists @campgender @candiedsmokedsalmon @sadhoc @osmanthusoolong @boykeats ]

#tia to everyone for sharing!!! i want to get this seen by as many ppl as possible #mine #call for submissions #madness

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pinkeoni · 2 months ago

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Introducing Conversations in Fandom: A Byler Fandom Journal

Title and cover design not final

In my last semester of undergrad, I worked on my school's literary journal. It was a lot of fun working in a group on the project and seeing all of the cool work that went into it, so I wanted to create something like that for the byler fandom.

What I aim to create with this project is a collection of well made fanart, fanfiction, analyses, theories, critiques and other fan creations that showcase unique ideas and promote healthy debate and conversation that pushes the boundaries of fandom work.

With a team of people, these works will be put together in an online journal, creating one piece of art that displays many different fandom voices together.

Below, I have used some of my own work to create an example of what this might look like (click images for better quality):

Does not reflect final layout or journal content

Submissions will open in early November

If this sounds like something you would be interested in, be on the lookout for a post regarding submission rules and guidelines.

If you would like to keep up with this project, I will be using the tag #byler journal for everything related to the journal. You can also follow the official account for this project @bylerjournal for updates and to ask questions.

#byler #byler journal #ive been working on this for a little bit now #when i was supposed to be working on grad school application materials aoifaowhefaj #BUT that app has been submitted now #anyways im excited for this!!#excited to work on and see what people submit!!

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lucky-stick · 2 months ago

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^ my kintypes :3

woof welcome🍀

open to read more ૮・ﻌ・ა

🎲🎰🍀luck🎱🧧🌈

in good theres evil, in evil theres good ☯️

‧₊˚ ☁️⋅♡𓂃 ࣪ ִֶָ☾.🌱⋆࿔*:･🌿<𝟑

hii my name is lucky/aspen

i go by all prns i do like it/its tho keep that in mind and i use any canine themed xenos like dog/wolf/bone/fang/luck/bite ect (you can check my rentry for more)

im alterhuman i wouldnt say im completely non human im like half ish like werecreature kinda

im a kin help blog for all types of kins and alterhumans while also posting my own stuff ^^

anyways i have no DNI since they are kinda stupid and ppl are more likely to interact to piss u off but like maybe anti-therian/otherkin (obviously) and like anything abt wars and stuff cus thats not rlly what my blog is abt and dont flirt or anything romantic/sexual cus i have a wife <3 ^^

im open to all interactions and questions as well as my submissions are always open tho i have school so keep that in mind but you can request anythinggg and ill do it tho i have main things below

kintypes

my other identitys are plantkin, beehearted and otherfix (otherfix is identifying as hyper fixations ill be making a flag soon and like a whole thing tho i wasnt the creator of this term im not sure who is actually)

my blog anniversary: 26 june

likes:

optimism , peace , hope , meeting new people/creatures , sweet things , baking , forests , swimming , camping , road-trips , my wife , yin-yang ,

dislikes:

war , isolation , politicians , fireworks , thunder

other socials:

🦈@seafoamcloud shark/aquatic kin acc (follow if ur a sea creature)

@unlucky-yote secret acc for pics and rants and sneaking out

rentry

tiktok (WIP⚠️)

submissions:

moodboards: open ✅

basic: 9 images

complex: 9 images with pngs

specify if you want square or curved

(with complex you have to tell me a theme and some examples of pngs u want)

#🐾moodboard.png

stimboards: open ✅

9 gifs of desired animal and theme

#🦴stimboard.gif

facts sheets: open ✅

a list of facts for desired animal with 3 gif at the top

#🦮fact sheets.txt

coining/flag making: no requests yet but feel free to ^^

#🪵coining.png

any flags ive coined or terms ive made

#🌿ID packs

other tags:

#🎾 irl dogboi.png

all my irl stuff and gear and maybe walks idk

#🦈sharkboi.html

me being a shark :3

#☘️clover wolps

pictures of my plushie pack :3

#🍀luckys journal.txt

my daily (hopefully) journal rlly random btw

#🦇 the wife.py

anything referencing or including my wife <3

#🌱questions.txt

any asks that are questions

#🪴reblogs.txt

relatable stuff idk lol

🎰 luck is on your side today 🎰

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dollmaidcrystal · 6 months ago

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During a period when Mistress was too focused on work to play with her submissives, I became too tight for her to comfortably fit two fingers into. As punishment, I've been assigned to train on the Motorbunny Buck, Mistress's fucking machine of choice, daily for a month.

Day 1: Is this supposed to be a punishment? This doesn't seem like a punishment at all.

Day 2: I'm already tired of having to run an extra load on the dishwasher every day, since it has the all-important "Sanitize" cycle for cleaning up the Motorbunny attachments.

Day 3: Daily training is starting to pay off. That last session felt good. Really good.

Day 4: Riding the fucking machine is not the punishment, it's having to clean up afterwards every day. I asked Mistress if I could have permission to move the Motorbunny to next to the guest showers. (She said no.)

Day 5: Barely avoided disaster today. I forgot to lock up the door to the dungeon when the municipal water inspector came by to look around the basement. Fortunately, I spotted my mistake while he was still taking his boots off upstairs.

Day 6: Skip day. Mistress was home from work, and she called "dibs".

Day 7: Experimented more with the higher vibration settings today and probably overdid it. I’m going to have to take it easy for the next few days while my poor sissy booty heals.

Day 8: Switched from the spiral dildo to the precision probe. Today's training consists of trying to find exactly where all of my spots are.

Day 9: Skip day. I had a doctor's appointment. Real life takes priority!

Day 10: To make up for skipping a day, I switched to the larger Doc Johnson attachment. It was too large to ride, so I had to use the vertical wedge stand to be taken from behind. Taking something that large felt sooo good.

Day 11: Oh crap. While moving the Motorbunny back upright, I heard a crack. The plastic casing of the adapter plug cracked in half. I jury rigged back together (with some scary sparks!), but that is going to be a problem.

Day 12: A warranty replacement for the adapter is already on its way. I am more impressed by the customer service than how good I felt after today's session.

Day 13: Skip day. Mistress came home from work early because she was feeling sick. My time was spent taking care of her and lecturing her about the importance of diet and daily exercise. Writing this down in my punishment journal, I'm glad she was too sick to notice the irony.

Day 14: After some experimentation, the Motorbunny hits my spots best if I’m leaning all the way forward or arching backwards. I'm pretty sure I should stick to arching back in photosets.

Day 15: Mistress is still sick, which makes these daily training sessions extra hard. When she's healthy, I know that riding the fucking machine is a warmup for being played with later, but now I know it's going to leave me extra frustrated for the rest of the day.

Day 16: I’m starting to crave something in my mouth during these daily rides. I’m not sure how to deal with that. Maybe I should bring a box of Triscuits to the dungeon tomorrow? Will that work?

Day 17: Bringing a ball gag down to the dungeon definitely helps with my oral cravings, but I feel kind of silly doing it. It doesn’t help that 🐶 is staring at me like he’s judging my technique at chewing a ball. "Bloody amateur can't even keep in in her mouth without a safety strap."

Day 18: Mistress had some time to personally supervise my training today. The splash image on this post comes from this session.

Day 19: The warranty replacement adapter just arrived! I think I'll leave the broken one in place and keep the new one as a backup. I said it once, and I'll say it again: I am seriously impressed by the level of customer service Motorbunny has.

Day 20: Pondering upgrades to the Motorbunny using the Bondage Erector Set. Reflective Desires has so many ideas that I want to steal.

Day 21: The cursed LureVibe fucking bear is now making the rounds. I wonder if I should upgrade from Motorbunny to Motorbear. https://lurevibe.com/products/doll-automatic-thrusting-vibrating-swing-machine-female-masturbation-device

Day 22: Mistress is upset that most of the pictures she took makes me look hunchbacked. I need to find a way to ride the Motorbunny that's more photogenic, apparently.

Day 23: Gross! I accidentally put another layer of condom and lube on the attachment and didn’t peel it off before washing. Now I have a layer of cooked on dry lube to scrub off my dildo.

Day 24: I can't figure out how to advance my training. Mistress wants me to train to be penetrated at a wider variety of angles (instead of the one that feels really, really good but looks awful on camera). What even is the best to train for that? Wiggle around on the dildo every day?

Day 25: Following a friend’s advice, I’m trying yoga on the Motorbunny to improve my range of positions. This is a weird experience, and not just because of how hard it is to hold a stretch while being fucked.

Day 26: Skip day. After Pride Weekend, I can't move.

Day 27: Flexibility training continues. I’ve learned I’m not going to be able to move which spots feel good, but I can move the rest of my body. Biggest bang for my buck seems to be in getting more dramatic back arches, followed by working on my range of leg motion.

Day 28: Taking a break from trying to improve my form. Instead, I'm putting in the thickest attachment I can handle and enjoying the ride.

Day 29: I'm putting off today's training to edit and post this punishment journal. I'm hitting post now so I can get back to training.

#rubberdoll #24/7 d/s #d/s real life #sissy sub

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nowoyas · 6 months ago

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I don't think we can put this in the sports column (NSFW) - karasuno/reader

m.list - read on ao3

A/N: wrote this months ago. didn't edit it for ages bc I thought it would suck to edit. it didn't suck to edit it fucking rocked and I'm never questioning myself again hell yeah

Summary: You infiltrate Karasuno's volleyball club for the university paper and take to bed a few of the rumors you've heard.

Warnings: smut, orgy/gangbang, oral sex, fingering, handjobs, double penetration, spitroasting, creampies, reader is referred to with she/her pronouns, uhhhhh marking, exhibitionism, accidental voyeurism, overstimulation, light dom/sub stuff (submissive reader), uhhhhhh there's. there's a lot going on here guys. I wasn't fucking around when I said karasuno gangbang.

Word count: ~7000

It’s the night before your first game since you started this little investigation, and you are pressed flat against the wall outside the gym, a hand firm against your mouth in a desperate attempt to not make a noise.

There’d been rumors, sure. And yeah, you were here to investigate those rumors.

Karasuno is such a good team. They’ve gotta be doing some crazy shit to be that close and play that well, though.

That had been the… family-friendly version of the rumors. The more salacious of them had gone into detail you’d blushed too hard to repeat—images of working out issues with clothes off and loud gasps and—

Okay, chill. You’re a journalist. This is nothing.

(Okay, you’re a journalism major, technically speaking. But you need to get used to these things. It’s not like you’ve never had sex before.)

You had enmeshed yourself in the Karasuno University volleyball team after picking up the scent of those rumors about a month ago. Most of the rumors, you thought, were too stupid to entertain. It’s not like they were actually partaking in witchcraft to win games. That would be completely stupid. You assumed, honestly, that they had just clicked. Yeah, it didn’t really seem like everyone got along—the freshmen were constantly at each other’s throats, the captain had his hands full reigning in half the team comprised of spitfires, and there was at least one guy who seemed to believe his job on the team was to piss off as many of his teammates as possible. The only ones safe seemed to be the seniors and the girls, of which there were three if you counted yourself.

So far, it had seemed to be that there was no version of the rumor that was true—no, there were no blood sacrifices, yes, they did sometimes sleep, no, there were no crazy orgies in place to encourage team bonding, and no, they did not seem to be some sort of micro-cult. Disappointing for your article though it was, they had welcomed you in with almost no resistance, and you had found nothing out of the ordinary. They were just… normal athletes. Maybe a bit more passionate than most, but… normal.

Except. Except.

Here you are, the night before they have a match, listening to wet squelches and distinct slaps and what is undoubtedly moaning, unable to figure out exactly who the moans are coming from except that there’s definitely more than two people involved in whatever’s happening inside that gym, and fighting back the urge to peek through the cracked door and figure out exactly what the fuck is going on. (Or, uh, who the fuck is getting it on.)

Fuck. Are they seriously… seriously fucking in the gym right now?

There’s the burning shame of having caught them. The absolute mortification of knowing that you’re sitting there listening to them have sex with reckless abandon. You should be uncomfortable, but instead, you catch yourself squeezing your thighs together.

A particularly loud moan catches you off guard, and you jerk your finger from your mouth—when had you started biting it to keep quiet?—and flee while you still have the chance.

(As far as anyone else is concerned, when you’re safe within the confines of your single-person dorm room, there’s no proof to say that you snaked a hand down your pants, still thinking of that brightly-lit gym, of the idea of having been caught listening to them, of being pulled inside and—

There’s no proof.)

The day-to-day doesn’t change. You don’t let it. The guys played their match, and they won, and it was great. You’d be lying if you said you weren’t smiling as they won, and your report for the sports column of the university paper was more than glowing. They’re a really fun team to watch, more so now that you know them—even if you’re now taking every effort in your head to not act like a total freak around them.

Honestly, you even think you're doing a pretty good job of it. You pretended not to notice the smell in the gym the morning after The Event—faint though it was, there was undeniably the hint of sex still in the air—you forced down any errant thoughts around them, and you didn't breathe so much as a word to anyone about it. What does it matter if they're having orgies or whatever the night before a game? What does it matter at all?

Luckily, you spend more time talking to the girls than anything—Shimizu and Yachi are becoming fast friends with you, you think out of an eagerness to have another girl around in a large group of guys. They're easier to talk to, too, since you don't recall hearing any particularly feminine moans during The Event. It's possible they have no idea. Possible that they, too, think things are normal. (Or else, they're the source of the orgy rumors, but neither seems much like the type.) They tell you innocuous little things about the team, like that time Hinata and Kageyama were so focused on their little rivalry that they ran clear to the next town before realizing they'd lost the rest of the team, and you get caught up in much-needed girl talk when you go out to eat together. Little debates on birth control, on dating, on whether or not that one psych professor can get it.

By the time the next game rolls around, you've nearly re-assimilated into the concept of a normal life. It’s really not a big deal, anyways—people have sex. It’s normal.

“Well, [name],” Daichi says towards the end of practice one day, about a week before. “You were only going to be here for a few weeks, right? How have you liked it?”

You nod, polite smile decorating your lips. “It’s been really enjoyable! It’s a bit sad that I won’t be around after the next game, honestly. You guys are really fun to be around.”

“Hmm?” Tsukishima says, an eyebrow raised your way. At some point, you seem to have captured the attention of everyone in the room, though you’re not quite sure what you did. You can sense their eyes on you though—a few of the more open guys stare, a few of the more polite ones glance out of the corners of their eyes. You’re stuck in the spotlight as Tsukishima takes a step towards you.

Why does one step suddenly feel so dangerous?

“You know, I’m sure no one here would stop you if you decided to stay.”

Yeah, your blood’s running cold. You get a firm grip on your brain in hopes of not horribly misinterpreting everything that’s going on, but—

“You confirmed the information you were looking for, right? Two weeks ago, hanging around outside the gym before the game.”

Ah.

Your face isn’t sure whether it wants to go pale or erupt in a furious blush. You, for your part, scramble for an answer. “I don’t know what you’re talking about.”

“You don’t? Are you that dense, or are you lying to us?”

A tiny squeak passes from your throat. “W-what’re you��“

“I was expecting something to show up in the school paper by now, but instead we just got a glowing column about how well we played the next day. Not a word of it. Why is that?”

“Oi, Tsukishima, aren’t you laying it on a bit thick?” one of the others says.

“It’s fine,” he replies, looking down at you as you look down at the floor. “Well, [name]? I’m waiting, Miss Reporter.”

The words burn a path down to your crotch, and you are absolutely not losing here, not now. You’ve just decided that. You meet his eye with a determined look. “I run the sports column, not the gossip column, Tsukishima. It hardly matters to me what you guys are getting up to—“

“You’re blushing, though. And you had to have heard before getting wrapped up in this, right? I’m comfortable speaking for everyone here when I say you can really find out the truth, if you want.”

“H-huh?”

He’s boxed you in, your back hitting the wall. Nowhere to run.

“What do you say? Wanna become an honorary member of the volleyball club?”

A sound sort of reminiscent of a boiling kettle leaves you, and you shove him away before you register it. “P-please give me time to think about it!”

A heavy silence.

“Alright, that’s enough. Let’s try not to scare the poor girl, yeah?” Suga says. He places a comforting hand on your shoulder. “If she wants to, she wants to, and if she doesn’t, she doesn’t. [name], if you wanna go for the day, you can.”

“I, um…”

He nods and guides you towards the door. Before you can properly escape, he leans in close: “if you do decide you want to, come see us after practice Friday night and we’ll initiate you. If not, we’ll respect that, okay?”

Initiate.

Friday night.

You swallow, throat feeling suddenly dry.

Just what have you gotten yourself into?

You spend the week caught between a rational panic and another emotion you are not willing to put a name to. Yachi had texted you not long after your escape that night, an apology and a really genuine “no one will be mad if you don’t show Friday”. That was relaxing, just slightly, except the little pang as you realized you actually did want to show. You’ve had a text back drafted to her the past three days, glaring back at you as you agonized over your phone screen:

No problem at all! I just had one question about what this “initiation” would entail. You know, to prepare myself!

You’re pretty sure you’ve deleted and re-drafted the exact same text about fifty times. Normally, you’d text a friend, ask them to help you review what you’re saying to make sure it sounds chill, but who the fuck are you going to tell about this? The implication was clear. Freaked out as you are, you’re not exactly interested in spreading the information, either.

Friday morning is when you actually do get the guts to send it, having spend the week pointedly avoiding everyone, volleyball-related or otherwise. The final draft:

Sorry for being a little AWOL! Had some thinking to do, lol. I just wanted to ask what I can expect if I did show up tonight? You know, so I’m prepared?

She’d responded immediately—not with a text, but with an email and a call, the call coming through less than a minute after you’d gotten a notification of an email from her.

Somehow, your morbid curiosity on what you should know before showing up, if you chose to, turns into an hour-long phone conversation turns into sitting down with an open notebook turns into you reviewing the document she’d emailed you, freshly showered while Yachi goes through your closet.

“You wanna wear something sexy, but kinda cheap. Sometimes they get a bit too excited. After the first time, you don’t really have to participate in this stuff, if you’re busy or just not up for it, but especially for this first time, don’t give them the opportunity to wreck any clothes you care about.”

You nod, make a note on your open notebook, thighs squeezing together impatiently. She emerges from your closet, a bright look on her face as she holds up a miniskirt you’d long since relegated to the very back. “This is a cute skirt! It’s a really strong candidate.”

“Do you think so?” you cringe. “Honestly, I’m worried it might be a bit… y’know, short.”

“[full name].” She gives you a flat look. “You do understand what’s happening tonight, right?”

“…right. I’ll wear the skirt.”

She brightens up in an instant. “Good! Now let me find a matching top…”

When she’s satisfied, your outfit laid out and you almost mentally prepared to actually get dressed for this sort of thing, you expect her to leave the room, but she simply waits.

“Uh, Yachi, I need to…”

“I just thought of something,” she says, face blank. “[name], have you ever been with a girl before?”

Ah.

Your cheeks feel hot. You’ve not exactly tried to hide that you’re bisexual—if nothing else, the bi pride flag on your wall would be indicator enough—but as far as actual experience with girls…

“I’ve… thought really hard about it…? I haven’t really had the opportunity.”

She nods to herself. “Right. Before you get ready, it’ll be easier if I do this now.”

Her lips are on yours before you can fully process it, soft and tasting faintly of pineapple chapstick. She kisses you long and slow, lets you relax into it. When she pulls away, she smiles shyly, like she didn’t just kiss you for the purposes of prepping you for an orgy she’ll be involved in later today. “There. Get that first out of the way before we have to make out in front of the volleyball team.”

She waves on her way out of your bedroom. “Get dressed! I wanna make sure that outfit works for today.”

Right. Get dressed.

Well, if nothing else, you’re definitely sure about being bisexual now.

If not for Yachi, you would have backed out a hundred times already. As it is, she keeps a gentle, reassuring hand on your back as the two of you enter the gym, a good few minutes after the usual practice officially ends. They’ve already finished cleaning up everything from the day, the air already seemingly charged even before the part where they notice you’ve actually shown up.

Yachi closes the door behind you with a sweet smile. “We got her!” she cheers by way of greeting.

The eyes that suddenly land on you—all fourteen pairs, including Yachi—seem heavier than usual. Hungry. You can’t help the nerves that threaten to make you tremble at the promise of what’s to come.

But there’s Yachi again, ever-sweet and cute as she wraps an arm around your side.

“Oh, I see that!” Daichi is the first to say. “Glad to see you’ve decided to join us, [name]. Here I thought we’d scared you off for good!”

You giggle nervously. “Well, I just… you know me! Always gotta over-think things.” That’s good. That’s casual. You’re managing an almost-even tone while you talk. Almost like you’re a normal, real human person.

“I know the feeling,” Asahi sighs.

Suga sets down a chair near the center of the gym, eyes watching you in silent interest.

“I’m guessing since you came with her that you’ve been coaching her, Yachi?”

She nods. “She’s had the whole rundown. Knows what to expect and everything.” She unwinds herself from you in preparation for whatever’s to come next. You try not to jump at the sound of the lock on the door clicking shut.

“Good. Good.” Daichi nods. “Come sit, [name]. No sense in putting it off, right?”

You nod slowly, timidly stepping forward. Yachi follows close behind.

“Limits?” Daichi asks firmly. “Loud enough so we all hear you.”

Another laugh from you, shaky with nerves as you perch on the chair Suga set out for you. You rattle them off, having memorized the list in order for this exact moment. Knowing you, you’d forget something otherwise, and you nearly do.

“Got it. And Yachi told you about the stoplight system?”

“She didn’t really need to,” you admit, a bit quieter. “I’ve got it.”

“Good. Shimizu, Yachi, if you’d get her ready? Ladies first, and all.”

Wordlessly, they descend on you. You were expecting… you don’t know. Not the sudden press of lips, familiar from an hour or two prior, against your own, or Shimizu’s arms so quick to drape over your shoulders from behind. You press your lips back against Yachi’s insistently, perhaps a bit excited, perhaps just trying to get yourself into the right headspace before you think too hard about the twelve guys currently watching you be sandwiched between the girls or Shimizu’s delicate fingers unbuttoning your top.

Your head spins with it already—Shimizu’s perfume, Yachi’s chapstick. Shimizu’s hand pushing your hair out of the way, her lips attaching to your neck gently. “You didn’t mention anything about marks in your limits,” she mumbles against your skin as a little whine escapes you. “Can we take that to mean it’s okay to mark you, or should I be careful?”

Yachi pulls away a bit, and you chase her lips. She pushes you back with a giggle. “She asked you a question.”

“Oh. Right.” You blink owlishly as you play back the question in your head. “Uh, yeah. I mean—it’s—it’s fine.”

“Are you sure? A few of the guys are not going to let up if they know that.”

Despite the exhibitionist dream going on right now, you don’t quite have the strength to admit that you quite enjoy the marks, actually, so instead: “I’m sure.”

“Alright.” Then, both pairs of lips are back—suckling your neck, kissing you until you’re out of breath. There’s no hurry, none at all, and you barely notice when your top is discarded completely, barely even notice the chatter of the guys bickering—when you strain, you just barely figure out that they’re deciding something about who gets a turn with you when.

You try not to shudder too hard at the thought.

Yachi slides a hand up to your bra and underneath it, rolls a nipple between her fingers. Shimizu follows up, finds your wrist and guides your hand beneath Yachi’s waistband to palm at her heat. “Have you ever…?”

You part from Yachi again, shake your head, eyes half-lidded and head swimming as you look up into the gym lights. “Hadn’t gotten the chance before—before today,” you admit.

She huffs a gentle laugh in your ear. “I’ll teach you, then.”

Her hand slides up your thigh, up your skirt. Yachi crawls into your lap, arms around your neck for stability as Shimizu’s fingers find your cunt, already wet. “It’s not that different from taking care of yourself,” she murmurs as two delicate fingers, too pretty to be where they are right now, stroke your slit. “Follow my lead, okay?”

You nod, whining when her fingers find your clit.

She teaches you in gentle, fluttery strokes. You lose track of it all quickly—your fingers buried in Yachi, thumb dancing over her clit as she leans over your shoulder to kiss Shimizu. You find it’s not that hard to adjust, and with every breathy gasp you draw from Yachi, you’re well rewarded by the slender fingers pumping into your cunt.

Needy and slipping into the mythical subspace you’ve only had the pleasure of reading about, you lean forward to plant your lips on Yachi’s neck. “No marks,” she sighs to you. You whine and move on, not letting yourself linger long enough to mark her skin. Seeming pleased with your listening, Shimizu slides a third finger inside you, stretches you out carefully.

“You’ll thank me later.”

She works you up so easily. Is it because you’re pressed between two pretty girls? Is it the ravenous eyes raking over this scene? Or—

Her hand retreats too soon, just as your hips had begun to really move with the friction, and you whine.

“I promise you’ll get there. Just hold on for now, okay?”

You nod, pouting at having been edged, and focus on the way Yachi writhes on your lap.

She’s close, too, you realize.

“So pretty,” you whisper in awe at the look on her face: eyes closed, head tilted back, lips parted just slightly. “You’re so pretty.”

Ah. Clearly she likes the praise, because she flutters around you. You work her more urgently, the wet squelches from your fingers buried in her joining the hushed moans and sighs of the team watching. When she cums, it’s a soft, quiet moan that you could honestly get used to hearing. Her walls flutter ceaselessly around your fingers as she leans down and kisses you again, and you’re sure not to stop until she slumps a little, though, truth be told, your wrist is already sore.

When she climbs off your lap, legs a bit shaky and a sweet, dopey smile on her face, she backs away, exiting the fray entirely. You nod in understanding. The goal, as she’d made very clear, is to make everyone cum at least once, and she’s gotten her fill. Shimizu takes your chin in her hand, tilts your face so she can kiss you, too. After a moment, you pull back. “Um—can I… my wrist… I don’t think I can…”

God, you’re already stupid. By the time you’ve gotten to everyone, you’re gonna be completely brainless, aren’t you?

She nods, helps you out of the chair only to sit you on your knees in front of her, having taken her place. She’s sweet and perfect on your tongue when you eat her out, paying careful, deliberate attention to her clit, and she instructs you in a low tone as she pets your head. It’s a blessing to be between her thighs, a blessing for her to be the first girl you’ve ever eaten out, a blessing to be allowed to draw a quiet moan from her when at last she cums on your tongue.

“Good,” she murmurs to you with a smile when you pull away, cheeks and chin wet with her slick. “I think you’re ready for us to pass you off. Will you be good for them, too?”

You nod, smiling dreamily. She looks over your shoulder and nods before standing and straightening herself out.

Three of your loyal watchers step forward. Seems like the seniors get you next.

You sit nervously, wait for… orders? Guidance? Anything?

You feel like you’re being circled by sharks, honestly. One of said sharks laughs, angelic, and you yelp when Suga’s hands come to rest on your waist. When had he joined you on the floor?

“You’re already tense again. Come on, relax a bit, [name].” His thumbs rub soothing circles into your hips. “See, Asahi’s gonna get nervous, too, if you act like that.”

Daichi pushes Asahi forward, a stern look on his face. Suga pushes you forward, too, until you’re nose to Asahi’s crotch and the prominent bulge in his shorts. “Go on. You took such good care of the girls, and it’s our turn now. Go ahead and open for him.”

You let your mouth hang open. You can be obedient. You can be good.

The bulge in Asahi’s shorts jumps a little as he looks down at you. You’re already deep in this, might as well go all-in—you paw at the waistband of his shorts, waiting for his nod of approval. When you receive it, you grab the shorts and his boxers and pull them down in one swift motion, swallowing thickly when you see the size of the thing.

If all the guys on the volleyball team are this hung, you’re going to be very, very sore in the morning.

You close your eyes, lean in. If you just keep your eyes closed, you don’t have to think about the guys watching you with varying levels of interest, don’t have to think about performing. You stroke him at the base, take as much of his cock into your mouth as you can handle. He lets out a soft groan as you begin to bob your head, and again you feel those hands on your hips. You let Suga do whatever it is he’s planning on, which is how you find your legs being spread a bit, your hips lifted just slightly only for someone—Suga, presumably—to slide his head between your thighs.

There’s a huff of a laugh against your pussy, and you try your best to keep up with sucking off Asahi as you’re yanked downwards to rest on his face. Asahi’s hot on your tongue, and Suga’s tongue is hot on you when he finally lathes his tongue over your sex. Your moan comes out muffled, cutting off into a squeak, almost a gag, when Asahi’s hips buck in response.

A murmured apology, a ruffle of your hair. The gentle affection has your heart and your walls fluttering against your will—Suga pulls away to laugh at you. “She liked whatever you just did, Asahi. Just so you know.”

You whine, roll your hips down in hopes of keeping him from saying anything else incriminating. He punishes you with a harsh suck of your clit, and the three of you fall into a nice rhythm—you taking Asahi’s cock as far into your mouth as you can handle, Suga fucking you on his tongue.

“S-so pretty,” Asahi murmurs when you dare a glance up at his face. He’s been watching you work him intently, sighs and groans filling your ears to let you know you’re doing well. You clench around Suga’s tongue at the praise, go back to work as you dip your head deep. When Asahi cums, he’s low and loud, and you greedily drink up the cum that hits the back of your throat. You’re not far behind, thanks to Suga, writhing on top of him as he forces you to stay seated on his face.

Asahi backs away. Suga slides out from underneath you, moves around to your front to kiss you softly. You shudder at the taste of yourself on his lips, shiver when his tongue slips into your mouth. Against your lips, he mumbles: “you could probably use a little rest already. You’re being really good, you know?”

Daichi chuckles darkly. “Oh, come on. She’ll never be done if we keep letting her rest.”

That’s the only warning you get before your skirt is tugged off. You’re left in nothing but a bra as Daichi begins to slide his fingers between your lips. “You’re doing great. Yachi said you were on birth control—I can assure you everyone here is clean, and she also said you’re okay with no condoms, but I want everyone to hear you say it, if that’s true.”

You whimper. You’re too sensitive for this right now, still shaking from your first orgasm of the night, but his fingers won’t stop moving.

“Well? Yes or no? Don’t make me ask you a third time.”

You gasp—his middle finger dips into your hole, just enough to make your hips buck. “P-please, I—I can—no condoms, please,” you nearly sob, hoping in vain that your bowing to his request will get you some respite.

“You’re so mean, Daichi,” Suga tuts.

You let out a sigh of relief when his fingers leave you, but then you’re being bent over and something hot and thick is sliding through your heat.

“S-sensitive,” you whine out.

“I know,” he replies, and then he’s pressing his way inside you, stretching you out, and you’re letting out a loud keen into the gym. He sits inside you a moment, gives you just long enough to adjust to the stretch before he’s moving. “You really worried us, you know. Do you think it’s polite to disappear without a word all week, [name]?”

“N-no, I’m sorry—“

A single harsh thrust. You cry out. Suga, ever-helpful, kneels down in front of you to give you his lap to rest on. Ever-obedient, you reach out and begin to palm the bulge in his shorts. He takes the chance to unclasp your bra as Daichi sets a slow, almost conversational pace.

You pull Suga out of his shorts, rest your head on his thigh. Focus on jerking him off as Daichi’s pace picks up from slow to harsh. “It’s nice of you to apologize. Don’t do it again.”

“I-I won’t—ah—“

The slow, lazy kisses you’ve taken to pressing against Suga’s cock—pretty and long—don’t mesh well with the bruising grip on your hips, the sharp snap of the captain’s cock in your pussy as he fucks you out. You cling desperately to Suga, jerk him off with no real rhythm as you struggle to take the abuse to your still-sensitive cunt.

By the time Suga’s cum shoots in ropes across your cheek, you’re close again, and Daichi isn’t letting up. “You want it inside, pretty girl?”

“Please,” you whine.

“Good girl,” he croons, and that sends you over the edge a second time, too fast—the fluttering of your walls drags him over with you. Suga takes the chance to stroke your hair almost lovingly as you’re filled up with hot cum, and you whimper as Daichi pulls out of you.

Five down. Nine to go.

You think they might kill you before the night’s over.

They really don’t let you rest—before you even process the retreat of the seniors, three more have stepped forward, and from the corner of your eye you notice the seniors holding back two guys in particular.

(“Dude, it’s our turn—“

“She can’t handle five at once. We already decided before this that you two get to go after them.”)

Ennoshita’s cock hangs heavy in front of you, and with a whimper, you drag yourself to sit up and take it in your mouth. He laughs softly. “You got used to this quickly. Look at you, you’re a mess.”

You’re not really willing to reply to that. You’re so far past embarrassment—if he’s trying to embarrass you, all you’re getting is a surge of heat low in your stomach all over again, as though your body could possibly handle any more right now.

There’s a nudge at your side, someone’s hand sliding up your arm and bringing you to take another cock in one of your free hands. A glance—Kinoshita is on one side of you, Narita on the other, and you are more than happy to take care of them, lack of coordination be damned.

“Take your time,” Narita says in a low voice. “I get this weird feeling the other two are not going to be very gentle with you when they get a turn.”

You shudder, moan around Ennoshita’s cock at the thought. His hips roll into your mouth, and you shoot him a pleading look. You weren’t particularly trying to send him any hints, but he takes some sort of hint anyway—his hand tangles in your hair, really expertly, actually, and he takes just a little bit of the load off you as he begins to fuck your throat, slow and easy, so you don’t have to keep track of getting off three at once. You relax your jaw, let him work, almost enjoy yourself as you twist your wrists around Kinoshita and Narita’s cocks.

Ennoshita is careful with you. Forceful, sure, but careful. You could gag on him—easily, if that was what he wanted—but he never makes you take him too deeply, simply enjoys the feeling of your mouth, your tongue, the way you’re completely lost in your little initiation. As his pace begins to stutter, you try to bob your head with him, unpermitted by his grip in your hair. You’re fully under now, head caught in a delicious space you’ve never quite experienced. Floating, really.

He pulls you off him firmly. “Color?”

You let out a little half-whine, looking up at him with lidded eyes and a quizzical head tilt as you try to remember what the fuck he’s asking you through the fuzz.

“Mm?”

“Damn, she’s totally lost.”

“Think she’ll be okay? Should we—“

A little panic surges in you, and you jolt forward as you finally process what he’s looking for. “G-green! Green. I’m green.”

He nods. “You’re sure?”

“Mm. Floaty. But green.”

“Good. That’s a good girl. You’re gonna keep being good?”

You reply with a whine, a tug forward in hopes of giving him the message to put his cock back in your mouth right now.

He gets the message.

The two in your hands tumble over the edge first, and you moan as you feel them paint you with their cum. You might like being taken advantage of like this. Ennoshita isn’t too far behind. He spills into your mouth with a groan, untangling fingers from your hair and smoothing it down gently. Before he backs away to let the next guys have their way with you, he leans down, keeps an affectionate hand on top of your head. “Good luck.”

“Mm?”

He backs away without explanation, and before you fully process it, you’re being pushed into a new position on your hands and knees. “Finally,” Noya groans from behind you, hands groping your ass almost reverently. “You’re being so good, it was so hard not to come take you while the others were busy with you.”

A whine. You’re more or less losing your ability to speak, between the soreness building in your jaw and the cotton in your head. Something bumps against your pussy, and you flinch with a whimper.

Tanaka is in front of you, watching your face carefully as Noya’s hands roam your body from behind. “Still good, [name]?”

You nod.

“Good,” he says, and then there’s yet another cock in your mouth. You’re starting to lose count. But, hey, Tanaka’s dick is an effective gag to keep you from getting too loud when Noya slides into you with an obscene squelch.

“There you are,” he groans, grip bruising-tight on your hips. “Fuck, you’re tight.”

Tight and sensitive. Noya isn’t particularly thick, but at this angle he’s already pressing against a spot soft and delicious in your cunt. Fuck, he hasn’t even moved yet and you already feel dangerously close.

You rock your hips back against him, desperate even as you take Tanaka’s cock as deep into your mouth as you can manage. You get barely any movement before Noya takes the hint, and then one hand is holding you steady as he snaps his hips, sharp and hard, into you. The other sneaks around, finds your clit with ease and begins to frantically torture it. You cum hard and fast around him, and he lets his head drop backward with a groan, not stopping even as you struggle to hold yourself up and take it.

It’s all so much. So much. So much—

You barely manage to bring a hand up to finish Tanaka in your mouth, desperate to have just one less thing drowning you, and lucky for you, it works—he grits out praises as he spills into your mouth, strokes your hair as you swallow as much of his cum as you can handle.

With your mouth free, Nishinoya pauses just long enough to pull out and flip you onto your back. “Your knees are starting to hurt, right?” he coos, cock throbbing against your entrance again. “But you’re doing so well.”

You whimper. It’s all you still know how to do. He takes in your body, chest heaving and tits shaking from exertion, and slides a hand up your side, pausing to tweak a nipple. Your back arches. “God, you’re perfect. Are your tits always this sensitive, or do you just like being watched?”

“Al-ways,” you moan out, voice broken. His eyes are ravenous as he takes you in, like he doesn’t know where to look.

“Oi, Noya, you’re not the last one that gets her today. Go ahead and fuck her already.”

He doesn’t need telling twice. His arms are shaking as he pins you down by the wrists, shaking as he plunges into you all over again.

Noya is brutal. Dimly, you have the thought that you understand why they held him back as long as possible, though you think it might have made things worse. He leans down, lips against your neck, and groans when you immediately clench around him. “Your neck, too?” he hisses out.

You nod, barely able to catch your breath or un-fuzz your head long enough to talk.

“Fuck,” he breathes, taking the time to suck a few marks into your throat.

“Please,” you whine in reply. That’s all it takes for him to sink his teeth into a soft spot on your neck, and then you’re cumming again with an actual sob as he cums inside you, the second time someone’s cum inside tonight.

Nine… ten? Down. You can’t count anymore. He pulls out of you, lathes his tongue over where he’d bitten you, leaves you laying there to catch your breath.

“Need a break?”

You shake your head, not even bothering to check who’s asking you.

A laugh. “You sure? You look a little dead.”

One eye opened lazily. Yamaguchi. “Can take it,” you slur out. You’re utterly boneless. Exhausted, really. But you’ve got… a number more to get through, and fuck it, you’re in way too deep to give up now, and Yamaguchi’s looking kind of delicious, and—

Next thing you know, you’re slumped between him and Tsukki, one in your ass, the other in your cunt, you openly sobbing as Tsukki hisses condescension in your ear, fingers in your mouth to keep it open while they split you in half—

(“How is she even alive right now? I don’t think any of us made it through the whole thing without a real break.”

“We’re keeping her. We have got to keep her.”)

Next thing you know, you’re jerking Kageyama off onto your face, tongue lolling out to catch every drop of cum you can—

(“Genuinely impressive. Are we sure she’s never done this before?”

“Dude, I’m serious, what do we have to do to get her to come every time?”)

Next thing you know, Hinata is thrusting into you at blinding speeds, and you’re cumming again, moans more like broken sobs—

(“I mean, she keeps saying she’s good, and she’s almost through…”

“She’s just having a good time. Probably been dreaming about something like this since before she showed up for her ‘article’.”)

There’s a few expectant looks as you lay there at last, thoroughly fucked out, unable to even think about moving as the TV static in your brain begins to finally fade out.

Holy fuck.

Are you done? That was the last of them, right? You’re done, aren’t you?

“Now, now, [name],” Tsukishima says, and his tone has you whining. That was everyone. You’re done.

“The rule was that you have to make everyone cum before you’re done,” he explains, like you’re five or something.

“D-didn’t… didn’t I…?”

A few slow shakes of the head from a few guys.

“You’re here, too.”

Your blood runs cold.

“Noo,” you whine. “Can’t.”

“You can’t?” Tsukki crouches down beside you. “You’ve made fourteen people cum tonight, and you’re giving up now? What happened to the slut we’ve been watching all night?”

“Can’ttt,” you repeat, new tears already forming. How many times have you cum already?

He sighs. “You’re really not serious about this, are you?”

“No, I am, I-I—“

“Then you can make yourself cum one last time for us to see.”

You whimper, limply bring a hand to rest between your legs. Should’ve brought a damn vibrator.

You work yourself up as fast as you can handle, cup one breast in your off hand to roll your nipple between your fingers. Slide two fingers in and shudder when you find the mix of cum there.

(“It’s just mean making her do it herself after all that.”

“If she can actually cum again after all that, I don’t even know what to say.”)

Technically, you could probably get away with faking it. …probably. But, well…

The little competitive bitch in you wants to prove them wrong, and, hell, you’ve already put on a show for everyone here, right? So you get into it, best you can. Roll your hips weakly against your hand, sigh and whimper at just how much this all is. Rub your clit as fast as your wrist can still handle, actually fucking thrash as you fall over the edge one last time.

You blacked out.

That, at least, you can figure out. You’re being held against one of any number of potential muscular bodies, cradled, really. Like you’ll break or something.

“How long do you think she has to be out before we call someone?”

“Don’t,” you groan. “’M alive. Barely.”

Fucking hell, your throat is dry. You open one eye to peek at Suga, who’s already got a water bottle ready for you. It’s Asahi holding you, and he shifts to let you tilt your head back as Suga tips the water bottle into your mouth.

Someone is wiping the worst of the cum off you with a damp rag. You squirm, whine as they clean you up. Drink like you’ve spent the past six months in the desert.

“How’re you feeling?” Yachi asks sweetly. Ah. She’s the one cleaning you up.

“Gooood,” you slur out. “Tired. Sore. Don’t wanna be a good girl for the next twennyfour hours at least.”

She laughs. “You know you could have taken a break, right? You didn’t have to get everyone off in one go.”

You simply groan. In the background, a few of the previously unaccounted-for guys are cleaning up the mess where you’d been laid out on the floor. Someone taps something against your lips. You accept it, mostly out of laziness. Sweet. Crunchy. Chocolate-covered pretzel. You wonder if you can get them to move your jaw for you.

“Do you still want to come back after this, [name]?” Shimizu asks.

You nod. Accept another pretzel. Snuggle into Asahi’s arms. You think they picked him for cuddle duty because he’s got good arms. “’Sgood. ‘Mgood.”

She laughs slightly. Drapes something over your naked body.

A black jacket, reading Karasuno Volleyball Team.

“Welcome to the team, then,” she says, tilting her head with an ethereal smile. You blink blearily. Smile back.

You cannot fucking wait for their next match.

Tags: @deeplightgarden @idonthaveanameideayet @dusstory

If you'd like to be tagged, let me know via any contact method what you'd like to be tagged in (eg. character-specific, all works, all smut works, etc.). If your url appears on this list but is not underlined/you didn't get a notification, please ensure your blog is set to appear in search results in your blog settings! If you've got it set not to for some particular reason, consider subscribing on my ao3 for an update notification, as I always crosspost on ao3 simultaneously. After three unsuccessful tagging attempts, you will be removed from the taglist.

As always, thanks for reading! <3

#haikyuu x reader #my fics #haikyuu reader insert #haikyuu reader insert smut #karasuno x reader

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cobainqueer · 7 months ago

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List of Posts about Kurt Cobain

(Kurdt Kobane) by @cobainqueer

Last Update: 29 OCTOBER 2024

Topics: Personal Life; Sexuality, Gender & Expression; Journals, Lyrics, & Assorted Writings; Artwork; Music; Concerts; Tributes; Documentaries; Death & Investigation, and more…

ASKS & SUBMISSIONS OPEN: send in asks, submissions and requests I'll get back to you!

Note all submissions will be credited, unless submitted anonymously or otherwise specified.

NEW Community! All Cobain lovers welcome!

Sexuality, Gender & Expression

Reclaiming the Past: was Kurt Cobain trans? (Medium | Daniel Rowley)

Anyone else get the vibe that Kurt Cobain was polyamorous? (Thread with text and photos)

“I want a dress.”- K.C. (Video post)

“I personally like to wear dresses around the house sometimes.” - K.C. (Video post)

Journals, Lyrics, & Assorted Writings

From Cobain’s Journal: A List - Kurt Cobain, Journals (image & text post)

Just Before I Fall Asleep (semihypnotic state of conciousness) - Kurt Cobain, Journals (image & text post)

I’ve lost my MIND many times, and my wallet many more. — Kurt Cobain, Journals (image & text post)

“May women rule the world.” — Kurt Cobain, Journals (image & text post)

Art

Kurt Filming His Artwork - Kurt Cobain (YT)

In Utero Mixed Media Art - Kurt Cobain

“the male seahorse carries the children and gives them Birth.” - Kurt Cobain, Journals (image & text post)

REVEALED: Kurt Cobain’s Original Artwork | Source: KidsOfDada (article & photos)

Kurt Cobain’s Art: Collages & Sculptures | source: incesticide23 (YT video)

Spoken Word

Aberdeen (Montage of Heck) Kurt Cobain Home Demo

Rhesus Monkey (Montage of Heck) Kurt Cobain Home Demo

Audio from “Kurt Cobain Unseen”

Collaborations & Covers

“The Priest They Called Him” (1992) performed by Kurt Cobain (guitar) & William S. Burroughs (spoken word)

Photos from Kurt’s visit to Burroughs Kansas home in ‘93. A YouTube clip about Kurt’s trip is in this linked post.

Lyrics

Frances Farmer Will Have Her Revenge On Seattle - Nirvana (Lyrics & Music Video)

Opinion: Home Demo & Journal Lyrics (previously unreleased home demo audio leaked to YT, & Cobain’s original lyrics from their journal)

Sappy (Cobain’s lyrics from their journals, music video, and song analysis video)

Spank Thru - Nirvana (lyrics & music videos)

Talk to Me - (17 Nov 1991) Nirvana in Italy (video & lyrics)

Music

Nirvana in Chronological Order (list of Nirvana songs and their respective recording/release dates)

In Bloom - All in Dresses (music video)

Lithium - (official music video & article discussing the context behind “Lithium”)

Polly - (music video)

Smells Like Teen Spirit - (music video)

You Know You’re Right-(official music video - YouTube) (music video - tumblr)

Records, Albums, Singles, & Demos

Fecal Matter - “Illiteracy Will Prevail” (1985/1986) full demo

Come As You Are - (1991) Single EP

Lithium - (21 July 1992) Single EP

All Apologies - (1993) Single

Montage of Heck - Full Album (YT Playlist)

Concerts & Shows

Nirvana LIVE at Green River Community College (26 May 1989) [alt source]

Nirvana LIVE at the Pyramid Club (18 July 1989)

New footage from Nirvana doing a show in a Record Store (1991)

Smells Like Teen Spirit - Nirvana (1991) at TOtP (video of Kurt fucking around singing Smells Like Teen Spirit and essentially pretending to blow a mic)

Nirvana - Live at The College of William & Mary, Williamsburg, VA (07November 1993) Remastered AUD2

Interviews & Radio

What Is Nirvana? (January 1990) Seattle, WA Kurt Cobain, Krist Novoselic, & Chad Channing

Interview with Nirvana at Man Ray, Cambridge, MA (18 April 1990) Kurt Cobain, Krist Novoselic, & Chad Channing

Kurt Cobain LIVE at KAOS (1990/1991?) (YT video) Songs: Opinion, Lithium, Dumb, Been A Son

Early Nirvana Interview About The Growth of Rock Popularity - (June 1992) Sjöhistoriska Museet Sweden, broadcasted on TMF in the Nirvana Special

Kurt Cobain Interview with Jon Savage (22 July 1993) YT

LA Times Interview “Storming Back From The Brink” (August 1993) LiveNirvana

“I have a request for our fans.” — Kurt Cobain

Movies & Documentaries

Nirvana - Behind The Scenes (Full Documentary)

Last Days: Kurt Cobain (FULL MOVIE)

Kurt Cobain: About A Son - (FULL DOCUMENTARY)

HISTORY of EARLY NIRVANA 1980’s Documentary - Daniel Sarkissian (2023) YT

Books

Journals — Kurt Cobain (2002, & 2003)

Kurt Cobain Unseen — Charles R. Cross (2008) [Audio CD]

Here We Are Now — Charles R. Cross (2014)

The Pleasures of Death: Kurt Cobain’s Masochistic and Melancholic Persona — Arthur Flannigan Saint-Aubin (2020)

Tributes

Tearjerker by Red Hot Chili Peppers — Song & Lyrics dedicated to Kurt Cobain

Death & Investigation

Cobain’s Autopsy Report (King County, WA Medical Examiner; cobaincase.com)

Cobain Shotgun & Crime Scene Photos (Seattle Police Department)

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literaturepublishersjournal · 1 year ago

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Images in Medicine Journal: Images in Clinical Medicine

Manuscript Submission

Authors may submit their manuscripts through the journal's online submission portal: https://www.literaturepublishers.org/submit.html

(or) Send an e-mail attachment to the Editorial Office E-mail Id: [email protected]

#clinical images #images in medical science #image journal submission #clinical imaging in medicine #image journal of medicine #literaturepublishers

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jcsmicasereports · 14 days ago

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Sickle cell nephropathy, a complication not to be ignored, through a Moroccan case by Asmaa Biaz in Journal of Clinical Case Reports Medical Images and Health Sciences

Summary

Nephropathy is a major complication of sickle cell disease. Indeed, the kidneys are particularly sensitive organs to this disease.

We report a case of a patient with a major sickle cell syndrome; she was hospitalized in the nephrology department of Mohammed V Military Training Hospital, forend-stage renal failure. The family investigation revealed a composite S/O-Arab heterozygosity responsible for the severity of the clinical disorder.

Key words: Sickle cell nephropathy - End stage renal failure - Sickle cell major syndrome S/O-Arab.

Introduction

Sickle cell nephropathy (SCN) is a major complication of sickle cell disease. It manifest’s in various forms, including glomerulopathy, proteinuria, hematuria, and Renal tubular disorders, and frequently results in end-stage renal disease(ESRD). Hemolysis and vascular occlusion are the main factors promoting the manifestations of this disease. Dialysis and renal transplantation are the last resort for patient with SCN [1].

Through the case of a patient with a major sickle cell syndrome S/O-Arab complicated by end-stage renal failure, we will explain the pathophysiological mechanisms of this complication and emphasize the importance of biological monitoring.

Case report

The patient was 24 years old and was admitted to the nephrology department of the Mohammed V Military Training Hospital for incidental renal failure in the context of an impure nephrotic syndrome revealing sickle cell nephropathy. In his history, we retained a

follow-up since the age of 5 years in another hospital structure for a hemoglobinosis S treated by iterative transfusions with notion of acute renal failure during sickle cell crises.

The biological result showed an anemia at 7.7 g/dL, corrected serum calcium at 82 mg/L, serum phosphorus at 64 mg/L, intact parathyroid hormone 1-84 at 543 pg/L, Alkaline Phosphatase at 201 U/L.

Hemoglobin electrophoresis was ordered to this patient, but due to repeated transfusions, her electrophoretic profile remains uninterpretable. Therefore, hemoglobin electrophoresis (HBE) was performed in the parents as part of the hemoglobin phenotypic study. The HBE of both parents is performed on Capillarys (Sebia®) at alkaline pH followed by electrophoresis at acidic pH on Hydrasys (Sebia®) which showed a heterozygous Hb O-Arab variant in the mother and a heterozygous hemoglobinosis S (A/S) in the father.

Referring to the phenotypic study of Hb performed in the parents, it is concluded that the patient has a composite heterozygosity S/O-Arab explaining the severity of the renal manifestations.

The evolution was marked by the absence of improvement of her renal function and the aggravation of the uremic syndrome motivating her setting in peritoneal dialysis. The patient was treated with erythropoietin ARANESP 30µg/ per 2 weeks with a blood transfusion of 2 packed red blood cells on average every two months.

The patient died at the age of 26 years before benefiting from either a hemoglobin genotyping study or a renal transplant.

Discussion

Sickle cell disease is the most common hereditary hemoglobinopathy in the world. An estimated 300,000 children are born with this disease each year, three quarters of whom are born in sub-Saharan Africa [2]. It is characterized by extreme variability in terms of clinical manifestations, the most serious of which are renal manifestations.

The association S/O Arab is responsible for a major sickle cell syndrome, as in the case of our patient. Indeed, Hb O Arab stabilizes the intracellular polymerization of Hb S and leads to an irreversible sickle cell disease of red blood cells, thus expressing by a more severe clinical disorder. The clinical and biological manifestation of this association is similar to homozygous sickle cell disease and the association Hb S / Hb D Punjab. The onset is usually early, in infancy, and is marked by the classic triad of chronic hemolysis: anemia, jaundice and splenomegaly. Anemia is usually moderate outside of hemolytic attacks (Hb = 7 - 10 g/dL). The evolution is often marked by sickle cell complications. Osteoarticular complications are the most frequent, such as vaso-occlusive crises, septic arthritis and osteoporosis. Pneumonia, leg ulcers and vesicular lithiasis are also reported [3].

Sickle cell nephropathy is a major complication of sickle cell disease. The kidneys are particularly sensitive organs to the disease. Sickle cell disease substantially alters the structure and function of the kidneys and is the cause of several renal diseases and syndromes. Renal damage is more severe in SS homozygous patients than in other major sickle cell syndromes [4]. Approximately 5-18% of patients have SCN, thus increasing the risk of morbidity and mortality of the disease [5].

A number of studies have focused on this pathology, its evolution includes several stages; it starts with hyperfiltration, then the occurrence of microalbuminuria, then macroalbuminuria and finally the progression to renal failure. The prevalence of these complications increases with the age of the patients but can also be seen from a young age.

Two models have been proposed to explain the pathophysiology of SCN. Becker et al. showed that prostaglandin release following ischemic injury causes an increase in glomerular filtration rate (GFR). This increase leads to glomerular injury and eventually manifests as proteinuria and glomerulosclerosis [6]. Alternatively, Nath and Katusic [7] classified the manifestations of SCN into two different phenotypes: the hemolysis-endothelial dysfunction phenotype and the viscosity-vaso-occlusive phenotype. The hemolysis-endothelial dysfunction phenotype affects the renal cortex and leads to hyperfiltration and glomerulopathy; heme released due to intravascular hemolysis predisposes to proteinuria through its accumulation on the glomerular filtration barrier, which disrupts membrane selectivity by exerting cytotoxic effects on podocytes and endothelial cells [8]. On the other hand, the viscosity-vaso-occlusive phenotype is responsible for hematuria, papillary necrosis, and tubular acidosis [9].

Microalbuminuria, reflecting the early stages of renal damage, should be routinely sought in the follow-up assessment in this category of patients.

Decreased GFR, which suggests loss of kidney function, occurs with the progression of sickle cell disease and may be a sign of uncontrolled disease. Sickle cell patients have a higher risk of developing chronic kidney disease compared to the general population.

Specific treatment with an angiotensin-converting enzyme inhibitor or an angiotensin II

receptor antagonist should be considered in these patients in order to slow the progression of the renal disease. The prevention of microthrombosis and thus of renal damage requires the maintenance of a hemoglobin A level of more than 50% by regular blood transfusion as soon as sickle cell disease is diagnosed. The role of hydroxyurea in the prevention and/or treatment of renal function abnormalities in sickle cell disease remains to be studied [10].

Conclusion

Sickle cell nephropathy is a major complication of sickle cell disease. It must be systematically and early sought in all sickle cell patients to reduce the risk of morbidity and mortality of this disease.

The development of new biomarkers has become increasingly essential for the early detection of sickle cell disease in order to improve the survival of patients with sickle cell disease.

Declaration of interest:

The authors declare no conflict of interest.

#Sickle cell nephropathy - End stage renal failure - Sickle cell major syndrome S/O-Arab #JCRMHS #Is Journal of Clinical Case Reports Medical Images and Health Sciences PubMed indexed.#clinical decision making #clinical images submissions

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bylerjournal · 1 month ago

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Official Submission Rules and Guidelines

Please be sure to look over all of the submission guidelines if you are planning on submitting work to the journal.

Type of work allowed

We are looking for well crafted fanart, fanfiction, fanscripts, web weavings, theories, analyses, or critiques of the show that showcase thought provoking and unique ideas within the fandom, promoting healthy conversation and debate and pushing the boundaries of fan creations. If you have a piece of work that you would like to submit but does not fit into any of the previously listed categories, please DM the fandom journal tumblr account, send an ask, or email us.

Maximum of 3 entries per person

This helps create less work for our team, but also helps the journal feel balanced and fair, rather than being taken up by one creator.

We will not accept work made before 2022

You will not need to make anything new for the journal, however we do ask that all work submitted be made during or after 2022. This is to ensure that the work within the journal is up to date on the show and is a commentary and reflection of relevant information.

Collaborations are allowed, but this will count as an entry for each creator involved

For example, you cannot submit three solo works and then one collaboration, but you can post two solo works and one collaboration. Only one collaborator needs to submit this work, but must include bios for each person involved. We understand that sometimes with theory or analysis posts, other creators will occasionally be cited or linked. This does not count as a collaboration, and will not take up one of their submission spots.

Work must focus on Mike and/or Will and should be made through a Byler lens

Since this is a Byler fandom journal, I would like to keep the work Byler related in order to keep it cohesive. The work does not need to focus solely on their relationship, and can focus on just Mike or Will and include other characters, but should be at least through the lens of Byler. For example, you could submit an analysis that is solely about Mike, as long as it is made through the understanding that his story arc will lead him to be with Will in the end. Work will be evaluated on a case-by-case basis for relevancy.

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We aim to create a cohesive journal of work that is well crafted, thought provoking, and unique. If we feel that a work does not belong in our journal, we are entitled to reject it. Do not feel that a rejection is a reflection of your skill as a creator. Your work may just not be what we are looking for right now.

Please be patient!

This is the first run of the journal, so we expect that there will be things we will be learning along the way. Since this is a small time working in their free time, the turnaround for the final product will take some time, and while we can give a loose framework for when we believe the final journal will be available, we will not have a definitive date until later in the process. We thank you for your patience.

Submission Guidelines

Each work that is accepted will be formatted by our editors in a way we believe supports the integrity of the work. For written work, we will proofread for any spelling errors. Proofs will be sent to the original creator to be approved before going into the final journal. We will accept any edits the creator would like to make, within reason. Please include a title for each work, even if not originally titled.

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#byler journal #byler

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candy-floss-consumer · 3 months ago

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Hello every-sprout! My most recent event!fic was supposed to be my last one of the year, but when @zelda-the-sacred-realm announced an artist/writer event for their wonderful comic, I really couldn’t resist!

My event piece is based largely on the presently available chapters of the comic. I saw the weeping goddess statue in Chapter 2, Part 7 and the writing creature in my brain immediately began frothing at the mouth. This short story takes place shortly before the beginning of the main comic, with a lot of foreshadowing toward certain parts of said comic.

I know there is a lot of available information, but I wrote most of this before remembering that the archive existed, haha. (I did take a peak at the post of how ToTK may affect the story, though, given that I chose dondons as their ranch animal of choice.)

*As a note, as there are sentient Lizalfos seen in Chapter 2, Part 5, I played with the idea of different, kinder Lizalfolk who have no desire to be manipulated by the cycle of darkness.

I sincerely hope you enjoy reading it as much as I enjoyed writing it. Looking forward to how the rest of the Sacred Realm legend plays out! Much love 💕

SUMMARY:

Goddess Hylia has shed her tears for many of her children. The Goddess statues dotting Hyrule’s vast landscape and the statuettes held in many hands bring those tears into the mortal realm in order to heal wounds. According to legend, only the pleas of the righteous can bring them forth. But unknown to all, now that her powers have waned, only a Spirit of the Hero can reach her.

Still, the Goddess has other ways to help her people.

[Submission under the cut:]

a bit of warmth to you

a Zelda: The Sacred Realm Event!fic

The tears of the Goddess had always been known to heal. Brought into the mortal realm by the statues made in her image, the myths surrounding the miraculous substance were nigh infinite. Fables that—in ancient times—ensured that any traveller with a shred of faith kept a statuette on their person. For safety. For assurance. For the day that they were brought to their knees.

Or worse.

Pala’s great-grandma still kept one in her pocket on rainy days. On the desolate nights that her mother, Great-Great Grandma Cala, had marked the old cycle of the Blood Moon. Even now Pala could understand why she did it. On nights like those, every kind of ghost story felt real.

She remembered snuggling up to Grams’ side in the old, creaky sofa still kept here in the summer house, a shiver barely touching the tip of her spine. The blinds to the window the sofa was placed adjacent to were cracked open just enough to see a sliver of the moon. Haunting as it was beautiful. Back then, her knees, young and knobby, would knock against her great-grandma’s with every fearful jolt. But Grams never said a word. Her gaze would flicker only from the statuette next to the old, weathered journal on the table to the silent vision of the moon above.

The sight of the eternally weeping goddess still stuck to the back of her mind, despite the many years that had passed since then.

She had gifted one to Pala at the end of her fifteenth summer. And despite Pala herself holding little belief in its power, she could not deny the comfort that the sight of the little statuette brought.

Unlike her great-grandma’s personal carving, this one was made of ivory. Likely sourced from a horn shedding one of their bucks had shucked off two winters before. Dondons were easy like that. Once their horn was detached, the shedding was no more important to them than a mildly interesting rock. Grandpa Dan had always claimed that was why their family had picked up ranching them. The horns were valuable. Easy to obtain if someone did it right. And dondons themselves were amicable animals.

The carving of the statuette was not shoddy by any means. It was actually quite beautiful. Made with more detail and skill than she had expected from her great-grandmother, given her arthritis. But Pala could tell there was a slight difference between hers and the one made of old kokiri wood Grams always carried.

Namely, the lack of tear tracks scorched into its face.

Even now she can picture the strangely perfect markings burnt into aged kokiri wood. Symmetrical. Down to the stray tear on either cheek. An impossible feat for human hands. The ivory statuette tucked away in the pouch at her hip had no such detail.

But she knew better than to ask.

Pala rolled her shoulders, warding off the stiffness she could feel threatening to seep in. She needed to get moving anyhow. Heaven knows what Grams would say if she saw her still loitering around the front door at this hour. The sun was already tipping past the horizon line as it was.

She finished adjusting her breeches, tapping the heels of her boots a few times to get them fitting just right. Once everything was snug, she pushed the door open and stepped out into the cool morning air. It wouldn’t last for long, given the natural humidity in this region, but it was the best way to start the day. It made the gradual increase in heat more bearable. To Pala, at least.

She marched off the porch, grabbing a sputter lantern as she did so. Even with the sun pulling the sky into hues of purple and pink, the old stallhouse in the paddock hardly had an open ‘window’ for it to show through.

Their field in Upper Faron was quite a bit of land. It was less open than the one down near Lurelin, but it still had plenty of room. Most of the crowding came from the native flora. Crawling thickets and towering durian trees made it feel as if someone had built a low roof over the whole place. Not that the dondons cared any. They were short, heavyset animals with plenty of food to eat at their eye level. As far as they were concerned, the local thickets were an all-you-can-eat buffet. Another point of ease in their care, really.

Pala grunted as Lunal, the heifer in the stall closest to her, bumped into her keg with an unhappy snort.

“Fine, fine,” she placated, smoothing her hand over the beast’s blunt snout, “I get it. It’s scrub time.”

Lunal gave her the best estimation of a droll look that a dondon could perform. It was quite impressive actually. Pala shook her head with a laugh, lifting her scrub brush up to the beast’s back and getting to work.

══════════════════

Pala looked down the field toward the river at the sound of a familiar shout. It was now about midday, and the sunlight easily permeated through the surrounding flora, allowing her to see. There, on the other side, was a quickly approaching Lizalfolk woman. As she grew closer, the clearer her features became.

It was Talon. A Lizalfolk fisherwoman who had been a friend of the family for decades. Since around the time Great-Great Grandma Cala was girl, if she remembered right. Pala often thought of her as a sort of maternal figure. She was a mature woman. Confident and sturdy.

Pala watched as she climbed up the small incline in a few short leaps. Almost as if she was in a rush. Pala had never seen her move so quick outside of fishing.

“Get Erta,” Talon grunted as she came to a stop in front of her. The panic that reflected in her eyes was unusual. Pala’s stomach twisted at the sight of it. When she hesitated, Talon frowned. “Now, Palais.”

The intensity of her voice was alarming. But Pala nodded anyway and turned on her heel, rushing to the house.

It felt like an omen. Like a warning. Briefly, she wondered about the town. About Hyrule itself. Hopefully, the royal family had received a warning as well. They were kind, as far as Pala knew. And they ruled well. It didn’t sit right with her that only she and her family would know.

Though she wasn’t sure how they would be told about whatever was happening, but she was sure they could find out somehow. There was no way a bunch of dondon ranchers would be the only ones in Hyrule to be warned.

Besides, didn’t heroes show up in times like this? It certainly felt like they should. Pala had never felt so nervous in her life.

She felt out of breath by the time she made it to the house. The door was already open, the muffled sound of Gram’s low voice easily heard. She sped inside.

Grams turned at the sound of her footsteps. She took one look at Pala’s face and frowned, sighing as she retrieved her cane.

“Talon—” She started. Grams waved her off, already limping toward the door. She glanced back for a moment. She gestured toward the outdoors with her chin.

“Let’s go, Palais.”

Pala nodded. She trotted forward, gently helping Grams walk as she guided her back to the lower hill. Talon remained where she had left her. The frown on her face must have remained the entire duration Pala was gone.

“Talon,” Erta leaned heavily on her cane as she approached the woman.

“Erta,” she returned quickly. She glanced behind herself, her eyes flickering across the empty plain. “You should move the herd early this season.”

Pala blinked in surprise. They had never changed fields so early. Not when the weather was so pleasant. At least, not to her memory.

Her great-grandma gave the fisherwoman a long, hard look.

“Dan won’t like it.”

“He doesn’t have to.” Talon glanced backwards again. “The thought of an adventure will win him over.”

Pala looked too, though she didn’t see anything. It was unlike Talon to be so jumpy. Yet she was. Pala returned her gaze to the fisherwoman as she spoke again.

“Besides,” Her gaze flickered toward the field Granddan was likely in, “The fresh Lurelin air would do him some good, too.”

Talon wasn’t wrong. Every trip back to Lurelin was always an adventure. It was never a guarantee just who someone could meet on the road. Nor could someone really predict the weather or how the terrain had changed in the past six months. Pala distinctly remembered a time when the river had moved, blindsiding the three of them.

The conversation continued, pulling her from her thoughts.

“What about you?” Grams asked. The natural follow up in a situation such as this. Pala glanced at Talon from her place at her great-grandma’s side. She wanted to know the answer, too. The fisherwoman shook her head. Pala frowned.

“Rivers are in my blood. You know that.”

Grams sighed. Her shoulders sunk, her mouth opening as she looked down, “Take care of yourself.”

“I always do.” Talon assured. Then, she turned her eyes to Pala. Her gaze flickers to the hilt of the throwing dagger at Pala’s hip. “Don’t forget what I taught you, Palais.”

A stone sunk into her stomach. Talon’s words felt less like a brief farewell and more like she might never see her again.

“I don’t think I could even if I tried,” she tried to smile, but she was sure it appeared more like a grimace. It was the best she could do. When Talon returned it, Pala didn’t say anything about how sad it looked.

The fisherwoman gave her an approving nod. Then, she looked back to Pala’s great-grandma. Despite the sincerity of her words, they sounded brittle.

“May we meet again, my friend.”

When Pala glanced at her, Grams smile had stiffened. She made the impossible promise anyway.

“Until then.”

══════════════════

Grams had been right. Granddan was not happy about moving the herd. No matter how her great-grandmother had played it off as an adventure like Talon had suggested. Pala had always known that Granddan had been an adventurer when he was young. Peddling dondon ivory and the like as he went searching for anything that piqued his interest. He even claimed that a boy he’d met would one day grow up to be the Hero talked about in the old legends. Grandma Malta had called that particular claim hogwash all the way up to her deathbed, but for the first time in nearly a decade, Pala hoped it was true.

Hyrule might just need a hero right now.

She stayed quiet as she shuffled around the kitchenette, listening in as predictably, Granddan disagreed with the spontaneity of the plan. He didn’t like changing things so abruptly. And to be perfectly honest, neither did Grams. Which was probably what actually bothered him. Something about this entire situation had forced Grams’ hand. She would have never agreed to Talon’s suggestion otherwise.

“You understand this doesn’t make a lick of sense, don’t you?” Granddan asked, the question nearly rhetorical. Pala glanced at the pair just in time to see Grams raise a single, thick brow.

“And since when has ‘sense’ meant so much to you?” She rolled her shoulders, continuing her work and packing things away. “Don’t forget who raised you, boy.”

Granddan grumbled a bit under his breath.

“Guess I’ll have to head into town to send a courier down to Lachlan,” he spoke up, already turning toward the front door. Pala quickly looked back at the counter, hoping she wasn’t caught listening in. Granddan’s snort told her otherwise. She lifted her gaze. There weren’t that many private conversations in their little house, anyway.

“Don’t.” Grams called out before he took more than two steps. Granddan whipped black around, his brows drawn together in consternation.

“Whaddya mean, ‘don’t?’ He’s gotta know we’re coming.” Her grandfather made to turn back toward the door again. Grams wasn’t having any of it.

“I said, don’t.”

“You gotta start making sense sometime, Ma!” Granddan hissed. He gave up, marching over to one of the dining chairs and dropping into it with a heavy thud.

“Don’t you take that tone with me, Danel.” Grams pointed the knitting needle in her hand at him as she spoke. Wisely, Pala continued to stay quiet as the two ‘argued.’ Grams continued, “And it’ll make sense when it makes sense. It isn’t as if Lachlan puts anyone up in our old hut anyhow.”

Pala peered at Granddan, waiting to see what he would say. In the short silence that followed, Grams put her knitting away. When Pala glanced back at her, she saw that she had pulled the old calendar book from Great-Great Grandma Cala. Granddan had clearly caught sight of it. He didn’t say anything, but the frown on his face deepened. He looked to Pala just as she returned her gaze to him.

“C’mon Pala-girl,” Granddan said instead of what he so clearly wanted to, “Ol’ Kilo won’t listen to anybody ‘cept you.”

“Yessir,” Pala said as she, too, turned fully toward the front door. “Though, I think s’just ‘cause he don’t like you all that much, Granddan.”

Granddan sniffed.

“Maybe he would if he made better choices.”

“Don’t put him up in the stall next to the hutch, then.” Grams called out from behind them. Granddan couldn’t deny that she had a point. Pala figured he would refute it despite that. After all, dondons weren’t meant to eat cuccoo eggs. Kilo did it anyway.

“He should know better!” Granddan called back.

Pala thought to herself that Kilo did, in fact, know better. He just liked getting a rise out of Granddan. Just like his sire once did. She briefly wondered if her grandpa actually did know about Kilo’s tricks before quickly discarding the idea. If Granddan knew, he wasn’t letting on.

“C’mon Granddan,” Pala tugged on his arm, “I’ll even let you have Helt’s pasture.” She watched her offer work like a treat, the irritated look in Granddan’s eyes disappearing almost immediately. He patted her on the head.

“You’re a blessing straight from the goddesses, Pala-girl.”

“Course I am. I had you to raise me, didn’t I?”

Granddan laughed.

“That y’did, Pala-girl, that y’did.”

══════════════════

Talon wasn’t there to see them off a few days later. Something about it seemed wrong to Pala, though the fisherwoman wasn’t always around to say goodbye most times anyhow. But a lot of things were different this time around. The way they felt watched when she came to them, her suggestion early move, Grams allowing the early move—nothing added up. Not really. It made Pala worry.

But Grams had been strict in their preparations. There was no time to go searching for her. Worse yet, a storm seemed to be approaching from the west. If they left now, they could probably outrun it. And mauve that had been Talon’s plam all along. Even if it felt like there was something more to it. But leaving now gave Pala no time to do anything else. No time to say goodbye. Not to the townspeople or the other Lizalfolk Pala knew. There just wasn’t enough.

That was what rattled her most.

Pala sighed, checking over the doors and windows in the house one last time. Granddan was out securing the last of the tarps, and the cuccoos were already caged up in the back wagon with Grams. She was the last one left. And terribly, she had the strangest feeling it would be the last time she was. The summer house wouldn’t be here when they got back.

At least not the way it looked now.

She shook her head. Stepping out into the late morning sun, she reached back to pull the door closed. It slotted almost perfectly into the frame. Each half of the latch mechanism lined up, clinking together as she moved the latchbolt into place. Her hand lingered for a moment. The other reached into the pocket with her ivory statuette of Hylia, holding tightly around the well-carved object.

Pala closed her eyes.

The prayer was short. But it didn’t need to be long. All Pala needed was safe passage and the promise of reunion. So that was what she asked for. The statuette sat warm in her hand, though she couldn’t tell for sure if it was the warmth of summer or an answer. She chose to believe the latter.

Her eyes opened.

“C’mon Pala-girl!” Granddan called from the driver’s seat of the front cart. She glanced over at the caravan. The entire herd was present, ready to follow Kilo and Lunal, the dame and darrow. Squinting, she could see that the two were already harnessed up. “Sun’ll only get hotter!”

Well, he wasn’t wrong.

Pala jogged up to the front cart, climbing into the seat next to her grandfather. Looking at the well-trodden path ahead of her, she could easily imagine they were going out on an adventure. Out to save the world, though it really only felt like they were saving the herd. Still, the thought made her feel a bit better about leaving.

Two clicks and a familiar whistle later, they were off.

As the wagon rumbled over the ancient, weathered road, Pala felt the statuette in her pocket pulse once more with warmth. It was of little comfort, though it did soothe her nerves a bit. The distant clouds were suddenly just a bit lighter.

As if everything would somehow be alright.

#zelda the sacred realm #sacred realm #writing challenge #the legend of zelda au #event!fic #submission

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