#let's get put there and give it 20%

[gideonisms]

Post gideon's resurrection and post lobotomy-undoing harrow carries around extremely accurate diagrams of gideon and her many features so that in case they ever get in a similar situation she will definitely remember who gideon is

[hauntingblue]

Rewatching act 2.... yeah ISHA WATCH OUT FOR THE CYCLE ISHA!!!!! NOOOOO

[cepheusgalaxy]

That episode wouldve been perfect if the pacing was a liiiitle bit slower

[girlivealwaysbean]

it's not sinking in that today might be the last day in my house and town for many months to come

[keeps-ache]

there is nothing that will grow your ego faster than a little dog following you around instead listening of anyone else. my puppy now

[brittlebutch]

it's actually so fascinating to me that Brennan has created a character that maintains a pretty relaxed and mild-mannered demeanor and has said multiple times that the absolute Core of her is "FEAR" and how often we see this Fear manifest specifically in Avoidance; it really nails a relationship to that mentality where your brain fully Stops recognizing the emotion properly out of like, sheer self-defense from the stress of having to carry it all the time

I think this is also perfectly showcased in the way we tend to see Tula swing so suddenly from 'level and steady' to 'snarling Panic' and then back again - Just because your brain has detached itself from the Conscious Recognition of the emotion doesn't mean it can Actually stop itself from experiencing it. So the Fear is always there and always acting as a stressor, but because of that inability to Identify it there's no way to recognize or address it before that final straw hits and your bodymind jumps Straight into Full Meltdown Mode; but then once again, once you drop even a Little bit below that Peak Terror your brain ceases to process the emotion; it's like the most exhausting form of Poor Object Permanence in the world

And even if Tula is aware of this happening to her, that doesn't really make it any easier to deal with / address. Even if you're able to spot the symptoms Around the emotion -- chest pain, irritation, nausea, whatever -- because the Emotion Itself is basically impossible to find, you can't really Successfully Pin Down what the problem is OR a way to cope with it. If you can't figure out That You Are Anxious, then figuring out What Is Making You Anxious is impossible, which makes Find A Way To Make Peace With That incomprehensible. That's where the Avoidance comes in: you can no longer identify what might be a Dangerous Situation, which means that Anything New has a big potential to be Really Bad in a variety of ways (ranging "I don't Feel Good" to "Fully Lashing Out bc you've entered Fight/Flight and can't get out of it" to "Actual Outside Danger This Time") and that means the Only Way you know how to be Safe is to just Avoid Doing Anything New and Only stick to Familiar Situations, because anything unfamiliar is a monster of a gamble you don't know how to prepare for or cope with

[jackalhadrurusluvr]

they should just give me a job

[milo-is-rambling]

Me vs outlining a perfect plan for my day in my head which I can be the only one allowed to change the schedule vs my mom asking me to do 2 simple tasks

[pepprs]

idk how to reconcile my new self with my old self. also i fucking hate waiting. GRAGHHHHHHHHHHHHHHH

[authorwithissues]

Looks like it's time to graduate from a student bank account to an adult bank account

[todayisafridaynight]

god i wish i was drawing funny shit cause a new favorite workaround i found for rgg characters without canonical tattoos is just to hit their back with the PHATTEST censor/mosaic filter imaginable as if you're looking at some confidential shit

[atlasbeetles]

if i see that fucking "don’t forget that someone else’s outdoor cat is your indoor cat" post one more goddamn time im gonna start throwing bricks at people its very simple. you cant just fucking do that. its not that easy. die or ill kill you myself

[gingersnapwolves]

So today I want to talk about puberty blockers for transgender kids, because despite being cisgender, this is a subject I’m actually well-versed in. Specifically, I want to talk about how far backwards things have gone.

This story starts almost 20 years ago, and it’s kind of long, but I think it’s important to give you the full history. At the time, I was working as an administrative assistant for a pediatric endocrinologist in a red state. Not a deep deep red state like Alabama, we had a little bit of a purple trend, but still very much red. (I don’t want to say the state at the risk of doxxing myself.) And I took a phone call from a woman who said, “My son is transgender. Does your doctor do hormone therapy?”

I said, “Good question! Let me find out.”

I went into the back and found the doctor playing Solitaire on his computer and said, “Do you do hormone therapy for transgender kids?” It had literally never come up before. He had opened his practice there in the early 2000s. This was roughly 2006, and the first time someone asked. Without looking up from his game of Solitaire, the doctor said, “I’ve never done it before, but I know how it works, so sure.”

I got back on the phone and told the mom, who was overjoyed, and scheduled an appointment for her son. He was the first transgender child we treated with puberty blockers. But not, by far, the first child we treated with puberty blockers, period. Because puberty blockers are used very commonly for children with precocious puberty (early-onset puberty). I would say about twenty percent of the kids our doctor treated were for precocious puberty and were on puberty blockers. They have been well studied and are widely used, safe, and effective.

Well. It turned out, the doctor I worked for was the only doctor in the state who was willing to do this. And word spread pretty fast in the tight-knit community of ‘parents of transgender children in a red state’. We started seeing more kids. A better drug came out. We saw some kids who were at the age where they were past puberty, and prescribed them estrogen or testosterone. Our doctor became, I’m fairly sure, a small folk hero to this community. 

Insurance coverage was a struggle. I remember copying articles and pages out of the Endocrine Society Manual to submit with prior authorization requests for the medications. Insurance coverage was a struggle for a lot of what we did, though. Growth hormone for kids with severe idiopathic short stature. Insulin pumps, which weren’t as common at the time, and then continuous glucose monitoring, when that came out. Insurance struggles were just part and parcel of the job.

I remember vividly when CVS Caremark, a pharmaceutical management company, changed their criteria and included gender dysphoria as a covered diagnosis for puberty blockers. I thought they had put the option on the questionnaire to trigger an automatic denial. But no - it triggered an approval. Medicaid started to cover it. I got so good at getting approvals with my by then tidy packet of articles and documentation that I actually had people in other states calling me to see what I was submitting (the pharmaceutical rep gave them my number because they wanted more people on their drug, which, shady, but sure. He did ask me if it was okay first).

And here’s the key point of this story:

At no point, during any of this, did it ever even occur to any of us that we might have to worry about whether or not what we were doing was legal.

It just never even came up. It was the medically recommended treatment so we did it. And seeing what’s happening in the UK and certain states in America is both terrifying and genuinely shocking to me, as someone who did this for almost fifteen years, without ever even wondering about the legality of it.

The doctor retired some years ago, at which point there were two other doctors in the state who were willing to prescribe the medications for transgender kids. I truly think that he would still be working if nobody else had been willing to take those kids on as patients. He was, by the way, a white cisgender heterosexual Boomer. I remember when he was introduced to the concept of ‘genderfluid’ because one of our patients on HRT wanted to go off. He said ‘that’s so interesting!’ and immediately went to Google to learn more about it. 

I watched these kids transform. I saw them come into the office the first time, sometimes anxious and uncertain, sometimes sullen and angry. I saw them come in the subsequent times, once they were on hormone therapy, how they gradually became happy and confident in themselves. I saw the smiles on their faces when I gave them a gender marker letter for the DMV. I heard them cheer when I called to tell them I’d gotten HRT approved by insurance and we were calling in a prescription. It was honestly amazing and I will always consider the work I did in that red state with those kids to be something I am incredibly proud of. I was honored to be a part of it.

When I see all this transgender backlash, it’s horrifying, because it was well on the way to become standard and accepted treatment. Insurances started to cover it. Other doctors were learning to prescribe it. And now … it’s fucking illegal? Like what the actual fuck. We have gone so far backwards that it makes me want to cry. I don’t know how to stop this slide. But I wrote this so people would understand exactly how steep the slide is.

[defilerwyrm]

There’s this guy in town who owns this little house, and a while back he rescued a street dog that was going to get put down. Turned out she was pregnant.

Problem is, he has mental health & drug issues and couldn’t afford to get them all spayed & neutered, so now there are 6 grown bitches with 15 puppies total, and they’ve dug under his fence in multiple places but he can’t afford to fix it so they go roaming all around town. (When I say can’t afford it, I mean his house is currently running on a generator because he can’t afford his electric bill.) He’s also a day laborer so he cannot take multiple full days off work to take them to the vet an hour away. He’s in a really rough spot.

He’s not a bad person. He’s just overwhelmed.

And this little conservative town with 6 churches for 300 people, have they tried to help their neighbor? Have they adopted the puppies he’s been trying to give away? Have they offered resources?

NOPE! All they wanna do is talk shit about him and complain about the dogs but never lift a finger of their own. And they come to his house to yell at him and cuss him out about the dogs, which does not exactly engender in him a cooperative attitude, as you might imagine.

So after a while of this going on, my mom gets fed up with all the NIMBY bullshit and starts talking to the guy, because she’s done animal rescue for 20-odd years and has Connections. He’s resistant at first, but when he realizes she’s not being an asshole to him on account of his addiction or the dogs, he decides to let her help.

She gets to work organizing and networking. Finds a non-profit that will cover vaccinations, spay/neuter, and flea treatments for all the dogs. Talks the next-door neighbor into paying for materials to fix the fence, since this guy can do the work of it himself. Gets him in touch with another non-profit that will adopt out the adult dogs.

Less than 2 weeks after she decided to do something, all puppies have been to the vet, 10 puppies and 4 adult dogs have been adopted out, and the second non-profit is coming by next week to pick up the remaining 7 dogs to ship them out for adoption.

I’ve learned a lot of things from my mom—some good, some bad—but I think the most important positive message she lives as an example of is this: sometimes, when something needs done and no one else is willing, you gotta stand up and say “I’ll do it.”

[nexttothelamp]

.....

[phagodyke]

there's an artist I rly like not naming names but one of their ocs looks EXACTLY like [redacted person ik irl] and it always makes me double take whenever they draw them bc for a second im always like ohhh.. that's them..... but they wouldn't do that... it makes me feel soo strange