#medical writing guide

[eiraeths]

ear’s guide to writing stab wounds

disclaimer!!!: this isn’t to be used as actual medical advice there isn’t enough information at hand to properly treat someone, this is just for writing.

hemostatic (blood clotting) control is the number one priority. minor bleeding can be controlled with direct pressure to the wound. moderate bleeding may require a compression bandage as well as direct pressure. severe penetrating wounds or a nicked artery means wound packing will be necessary as well as direct pressure.

types of stab wounds:

- blunt stab wound means whatever object caused the trauma wasn’t sharp or wasn’t moving fast enough so the skin tears.

- penetrating stab wounds go deep into the skin and into the muscle.

- superficial stab wounds don’t go too far under the skin and look worse than they actually are.

steps to treatment:

1. if the object is still inside the person’s body do not remove it unless it’s to the groin, neck, or axillae (armpit) and the bleeding is hard to control.

2. remove person’s clothes to check for any other wounds and keep the area clear.

3. keep an eye on blood pressure and airway.

4. the wound type and location changes how the rest of treatment will follow.

location:

head: direct pressure is mainstay. head wounds also bleed more than any other part of the body. has the highest mortality rate.

face: severe wounds to the face means the patient has to be seated forward to keep blood out of the airway.

neck: direct pressure is mainstay. if the airway can be secured and is absolutely necessary, wound packing can be applied.

arms: depending on the severity, any of the three treatments can be used.

legs: depending on the severity, any of the three treatments can be used.

abdomen: damage to organs is highly likely. direct pressure should be applied first while surveying if the object was long enough to damage an organ. if so, wound packing may be necessary.

chest: if the wound is deep enough it can cause open pneumothorax (‘sucking’ chest wound) a seal needs to be placed over the wound to keep air from getting inside. if this isn’t done in time the affected lung will collapse.

back: can typically be treated with only direct pressure. wound packing is rarely necessary.

neck, chest, abdomen, and pelvis wounds should never be packed unless absolutely necessary.

treatment types:

direct pressure: key to any wound. can be done with whatever is available even if that means the medic needs to use their own body weight.

tourniquets: applied to the limbs. typically not applied for more than thirty minutes. in some cases, they can be left on for hours, keeping the phrase “life over limb” in mind. complications with tourniquets like nerve damage or ischemia (no blood circulation) are rare. don’t apply over a joint and apply above the wound.

wound packing: done with standard gauze and or hemostatic dressing

wound packing steps:

1. control the bleeding with pressure. use anything available even if it means t shirts or a knee.

2. place a gloved finger inside the wound too apply initial pressure. this will hurt like a bitch. also gives you an idea of what direction the blood is coming from so gauze can be used more accurately.

3. begin packing the wound with gauze. keep pressure on the wound with finger while wrapping gauze around another finger and pushing it in the wound.

4. keep packing the wound until no more gauze can fit in, and then keep direct pressure on for at least three minutes.

5. after the three minutes, use something like a bandage wrap to keep the gauze secure inside the wound.

6. splinting the area to keep it immobilized may be vital to keep the hemorrhage from restarting

7. if bleeding continues medic has to decide if they need to take out gauze and reapply with new gauze or apply more direct pressure. this is usually done by how long it takes to get to further treatment. the longer the wait the more of an incentive it becomes to repack the wound. if it’s just down the road then apply pressure.

most likely complications:

hypoxia, shock, and hypothermia are complications that need to be watched for and treated immediately if they occur.

hypoxia:

occurs when a region of the body doesn’t have enough oxygen in the tissue. can lead to organ damage, brain and heart damage being the most dangerous.

symptoms include: tachycardia (rapid heart rate), difficulty breathing, confusion, shortness of breath, anxiety, headache, and restlessness.

severe symptoms include: bradycardia (slow heart rate), extreme restlessness, and cyanosis (blue or purple tint to skin).

treatment: oxygen

shock:

life threatening condition where the body doesn’t have enough blood volume to circulate through itself. if it goes on for long enough, organ damage and death may occur.

symptoms: rapid, slow, or absent pulse, heart palpitations, rapid shallow breathing, lightheadedness, cold clammy skin, dilated pupils, chest pain, nausea, unfocused eyes, confusion, anxiety, and loss of consciousness.

treatment: if they��re not breathing, cpr is required. if they are breathing, lay on back and raise feet a foot off the ground to keep blood in the vital organs.

blood transfusion and fluids once in a hospital setting.

hypothermia: occurs when the body is losing heat quicker than it can produce. the more blood that’s lost the more likely hypothermia is to occur.

symptoms: differ based on severity

hypothermia:

in mild hypothermia: shivering, exhaustion, clumsiness, sleepiness, weak pulse, tachycardia (rapid heart rate), tachypnea (rapid breathing), pale skin, confusion, and trouble speaking.

in moderate hypothermia: bradycardia (slow heart rate), bradypnea (slow breathing), slurred speech, decline in mental function, shivering slows down, hallucinations, cyanosis (blue or purple tint to skin), muscle stiffness, dilated pupils, irregular heart rate, hypotension (decreased blood pressure), and loss of consciousness.

in severe hypothermia: shivering stops, hypotension (low blood pressure), absence of reflexes, compete muscle stiffness, fluid builds up in lungs, loss of voluntary motion, cardiac arrest (heart stops beating), coma, and death.

treatment: covering with a blanket, hat, and jacket, adding external heat like a hot pack, and if severe and in a hospital setting, warm fluids via iv, warm oxygen, and or a machine to warm the blood in the body.

if you have any questions feel free to ask! i plan on making a guide to gunshot wounds and a more in depth guide to hypothermia later.

[weirdstrangeandawful]

TW: alcohol, substance use, medical

I've always struggled to describe presyncope, near-syncope, and obviously full syncope to people who have never experienced them because I'm experiencing presyncope more often than I'm not.

But today I just realised that it's actually similar to stages of being drunk -- not that I can related because the POTS takes over before I can get past like 10 drinks and I have a horrifyingly high alcohol tolerance so I've never been properly drunk.

Baseline presyncope symptoms: Basically this is before you're experiencing any effects of alcohol but you know you're technically not sober. You are functioning as normal.

Mild presyncope: Yeah, you probably legally shouldn't drive.

Moderate presyncope: You definitely wouldn't want to be doing anything important in this state. You're solidly tipsy, maybe mildly drunk.

Severe presyncope: You're very drunk. People around you can tell you're not sober not matter how hard you try to hide it. With presyncope, this is where you are basically deaf, blind, and stumbling around.

Near-syncope: You're throwing up drunk. There's no way you're walking on your own. Near-syncope looks to onlookers like full syncope (you collapse and look unconscious but you're partially conscious).

Syncope: Passed out (literally what syncope is). With alcohol, you would seriously consider taking someone in this state to the hospital.

This is not at all an exact comparison. Most importantly, there are no pleasurable effects of pre-, near, and full syncope. Basically all of them are even less pleasant than a hangover. We are also expected to function as usual when experiencing anything from baseling to moderate (even severe) presyncope because, well, that's how we feel almost all the time despite the fact that these symptoms would put a healthy person in not just the hospital but probably an ambulance. With near- and full syncope, we're expected to recover quickly. I have regularly been to the ER for repeated episodes of syncope and even then there's very little they can do besides give you fluids and hope for the best...

[shwoo]

Writing this Final Fantasy 7 fanfic is kind of a weird experience, because I try to stick to the tone of the original work, and Final Fantasy 7 can get darker in tone than what I'm used to. Do I warn for "Canon Typical Hojo"???

Actually, I notice that there's quite a few Final Fantasy 7 stories on AO3 tagged with "Content Warning: Hojo", or "Hojo Being Hojo", so I guess I do? Also, "Bad Dad Hojo", which is relevant since the story is about Chadley. Hojo is not winning any father of the year awards in that one scene in Rebirth where he acknowledges Chadley's existence. Enslaving your kid to work in your evil science lab is also not great parenting.

I don't normally dislike fictional characters, but I think I do dislike Hojo. I don't really... want to look at him. Is this one of those "confront characters" I keep hearing about? It was hard to even analyse him so his actions would make sense in the story. I think he's someone who once experienced not being the smartest person in the room, and made it his life's mission to make sure that never happened again.

This story is also making me like MAI, after being indifferent to her for a while. I'm going with Chadley accidentally creating a person while trying to create an AI assistant, with neither of them having realised it yet. That gives them an interesting dynamic! At least to me.

I just hope I have the energy to edit this story into making sense, so I can finish it. And also to keep playing the original game up to when this story is set. The canon story stuff is happening in the background, and I know roughly what happens, but I really should play through it as well.

[witchofthesouls]

(Sixshot implemented his trap and hot, quiet sex in a closet with lactation kink.)

Triage stares at the twitchy Phase Sixer to the broken access panel to the supply closet to the cradle-pen full of sleepy newsparks and back to Sixshot.

He wants no part of the madness that has another Warrior Elite acting bizarre in the mindfuck of a reality where the Commander of the Justice Division has a Conjunx with bitlets.

“Get on the medberth. Might as well do a full workup.”

________

The mask is cold and chipped, but the exposed lower portion of Tarn's face is feverish. Ragged lips tentatively brush over a leaking nozzle, and a warm glossa laps over it before dragging it into a hot mouth. You shudder, mind swimming as Tarn's highly-charged state electrifies the air in the closet. Even with his iron determination not to meld into your field, the direct physical contact drops you deep inside the heady storm of repressed lust and code-driven urges.

Your servos buzz as you stroke his helm and back as he drinks. The growing heat crackles in your palms and fingers, surging across your neuralnet and ignites the carrier-coding straight to your groin-

Your panel shifts with little warning.

You barely managed to choke down the hitching noise from your throat and reroute the cooling fans to the lowest setting as your valve drools, pinging that it's achingly empty and clenching on nothing, wanting to be filled by a spike.

It gets its wish.

It takes very little coaxing to get Tarn's spike out as he shifts, letting go of the teat.

You see the shine of his solvent and your own fuel on his lips as the blunt tip of his spike noses your folds. The piercings have collected small bits of charge, and it sends a sharp shiver up your spinal struts, door wings fluttering as your nodes throb trying to link up with every nudge.

Your folds are slick, lower belly tight from learned anticipation from consistent clanging and a code-deep response to Tarn's edging rut. Even with the wetness and prefluids, there's slight resistance from the outer ring, calipers cycling from being fed bits of charge from the piercings and treads. You wrap your legs around his waist and pull him in. There's that sinful stretch as he sinks into you, valve confused before clenching hard to keep an imprint. You're addled as carrier-coding sings, melting your insides to slag when he finally hilts.

His helm drops down, and Tarn presses an open mouth to the other well, still heavy with fuel. He suckles on the protoform, and fuel leaks from the nozzle, pinging to your overwhelmed systems. You shift and his entire frame groans, vibrating everything, and you desperately cling to the distance noise of a medical examination just outside the door to stop your own engines from throttling at the familiar crackling rush of transfluid at the back of your valve.

You arch back to give him better access, and Tarn takes it. He leaves a wet trail to lap up the dribbling fuel and latches onto the nozzle. The other teat pings out, missing that hot glossa and mouth upon it.

He's so worked up that the charge from his spike easily spits into the nodes within your valve, looping a circuit without friction. There's another rush, and you cling onto him, legs tightening, keeping flushed against his housing as your valve needily ripples.

He's the furnace, and you're the crucible, and you're hanging on by the thinnest chain on your sanity, trying to keep quiet as he drinks and more heat pooling into you as time passes.

You don't know that possesses you, but you start purposely clenching your valve, calipers pushing and pulling along the thick girth. It takes a moment to trace the treads on the entire length, pressing nodes-

Tarn rumbles, shifting to push against you, letting go of the nozzle. His mouth is parted, scarred lips shining with solvent and fuel.

And he's voiceless as his frame hisses steam, rumbling in a low gear.

You wrap a hand around his neck, and he leans into it, putting his weight upon the crate and the wall. Tarn's musculature shifts and flexs beneath your servo, the vibrations and soft clicks of a silenced vocalizer as he noiselessly gasps, pressing harder into the hungry, milking grip.

You also don't know what posesses you to shift your hand upwards, sliding the thumb across his lips and into his mouth-

Between his glossa swirling your thumb and the rhythm of his throat under the rest of your fingers, the dual influx across your servo finally tips you over.

Door wings scrap on the wall as you choke. Your frame purrs in satisfied bliss as more transfluid floods your chamber in thick, heavy bursts. You feel him groan, noise deep within his chassis, and you slip your hand out to grab his shoulder as he sags onto the wall.

The carrier-coding content as you and him pant in the sweltering air, your legs twitching whenever his spike does. Quiet easily settles, but it needs to be broken.

_______

After Triage left, Sixshot blocked the room with his own bulk, glaring at the door. He stretched the entire ordeal as long as he could, allowed extra poking and prodding and testing.

He can tell something is happening. His nose doesn't lie. A condensed storm of ‘facing had been brewing in it, but then again Tarn had been strolling around without giving into it…

Surprisingly, the newsparks barely fussed through the entire thing. Either they're too used to whatever riot that's happening in a ship and medbay, or they're content with their carrier nearby.

Of course, they wake up when a purple fist busts open the closet door. Sixshot immediately sneezes in quick succession at the overwhelming scents of ozone, lubricant, transfluid, and sparkling-grade fuel in scorchingly charged air floods the unit.

Hail Megatron, Praise the Conclave, and may the door rest in pieces, Tarn had managed to rut it out to restore his usual prissy, collected self. That may have been the base's quietest clang session, but Sixshot didn't want the disturbing intimate details of what the leader of the D.J.D. enjoyed in the berth.

Your sensory panels remain unfortunately unclaimed, and you frown at his grimace as you fuss over the cradle-pen full of active, chirping bits.

He can't hold in the snort when you and Tarn play a polite fiction. Sure, the walking fury of a violent lust cocktail was helping his frustrated carrier “find that tubing” inside a closet for the past groon. Oh yeah, sure. Mm-hm.

As long Tarn doesn't bomb the air with his own rampant lust and hunger during meetings and debriefings, it's fine.

[whumpinggrounds]

Writing Disability and the Idea of Cure

Heyyyy it’s me. Wanted to write about this following my post about Writing Deaf Characters.

Please note - this post is intended for people writing about disabled characters, not a nuanced, in-depth discussion of disability and the idea of cures. I’m happy to discuss that too, if anyone wants, but I’m not going to make a big long post about it because my thoughts and feelings are too complex to be summarized in that way. Anyway -

Conceptions of Disability

There are many, many ways of looking at disability. I’m going to highlight two here that are extremely common today in America. They each have upsides, and they each have downsides.

The medical model of disability treats disability as an individual medical problem to be solved. In this framework, disability is a bodily impairment that should be solved through medical means and medical interventions.

The upsides of the medical model include the fact that it acknowledges that disability or its consequences can be uncomfortable, inconvenient, and undesirable in themselves. Someone who experiences chronic pain saying they wish that they weren’t in pain is not ableist, nor is it self-hating, in the view of the medical model. This mode also prompts progress in seeking ways to medically alleviate symptoms.

The downsides of the medical model are that it does not acknowledge inaccessibility or ableism, nor does it allow for joy and identification with disability. The problems associated with disability are located firmly within the disabled individual - the problem is not with the world, but with the disabled person themselves. Disability is always something to be fixed or cured, and choosing to identify with one’s disability or feel proud of it is bizarre at best.

The social model of disability views disability as a social condition, wherein disabled people are impaired by ableism and an inaccessible world. In this framework, disabled bodyminds do not need to change, rather, it is the world and neurotypical, able-bodied people who must adjust.

The upsides of the social model of disability range from encouraging disabled pride to centering the massive harm that ableism and inaccessibility do to disabled people. It recognizes and promotes human diversity, and asks that the world adapt to the people in it, rather than adapting people to the world.

The major downside of the social model of disability is that in many cases, it ignores very real impairments that do affect people’s lives and treats bodily difference as irrelevant. Even if every set of stairs had a ramp beside it, a person in a wheelchair still cannot walk, though they will have the same access to places that people who are able to walk do. This difference matters to many disabled people, and acknowledgement or mourning of that does not mean that the disabled people in question are not liberated, or are experiencing self-directed ableism.

There are many other models of looking at disability! I may do a write up about that later if people are interested. If you want to do your own research, I would advise understanding the charity model, as it can be easy to slip into and is not a good thing. More positive models to explore are Discrit. Alison Kafer’s political relational model, and the general concepts guiding disability justice.

In Whump

Adding this because I’m in the whump community, and it feels very relevant, so -

It is super tempting to inflict serious injuries on an OC for pain and suffering, and then have them recover very quickly with little to no lasting repercussions. Whump is imaginary, and people should do what they want in their writing, however, I would urge people to think about what messages they’re sending with these fast, flawless recoveries.

For instance: What fears do your whumpees have around acquiring disabilities? How does your whumper feel about their target acquiring disabilities? What are your caregiver’s goal’s in helping your whumpee, and what do they believe that “recovery” means?

What About the Idea of Cure?

The idea of cure is deeply complicated, deeply political, and ultimately, deeply personal. Everyone’s perspective on cure is different. For some people, being cured of their disability is a positive thing. For others, it constitutes an erasure of their identity and community.

For some, cures are not possible in their lifetime, or maybe ever. This can be a painful idea or a reassuring one.

Some communities more than others have a majority opinion about the idea of being cured. Most people know that Autistic people reject the idea of being cured, or even the idea that there is something to “cure.” Deaf communities tend to feel similarly. On the other hand, people with cancer, Alzheimer’s, cystic fibrosis, or degenerative muscular diseases may welcome the idea of being cured and the progress being made to cure them.

Some ideas of “cure” center on aborting fetuses that present with the disability in question. This is massively controversial, deeply painful for some, and personal to all. Some communities have public stances condemning the practice of aborting affected fetuses. Notably, this includes the Down Syndrome community and Dwarf community.

What Does This Mean For You And Your Writing?

As I have hopefully made clear, I am not in the business of telling people what to write. Many disabled people feel that it is not appropriate to ever write stories in which disabled characters are cured. My feelings are more complicated than that, but I won’t say that those people are wrong. I also won’t say that they’re right.

The following are some ways to think about disability and cure that might help deepen your characters. I am not commanding anyone to do anything; you can write whatever you want. Hopefully you find this interesting and very hopefully you find it helpful.

If you are writing a story in which a disabled person is not cured: Think about what that really means for them in terms of impact on identity, ability, and their life more broadly. How does their community react to the decision to avoid, or the lack of, medical solutions?

If you are writing a story in which a disabled person is cured: Think about your motivations for writing this particular story. How does this cure take place, and how does the character feel about it? What impact does the loss of their disability have on their life? How would a real-life person with that disability feel, reading your story?

Lastly, if you are writing about a diagnosis and the idea of cure comes up, please do some research into how that community feels about cures/medical intervention. Individuals in your writing may have different feelings about cure than their real life community, but it is worth thinking about why that would be.

If you are writing about a diagnosis and the idea of aborting affected fetuses comes up, please do some research into how that community feels about it. Please also understand that whatever your intentions, what you are writing about is a form of eugenics. 

I promise you that real life opinions exist about all of these things and all of these diagnoses, and I promise you that these opinions are valuable and worth reading. Please think about what you are saying about those communities when you write.

Thank you so much for reading! If there’s something else you’re wondering about, or would like to see, please hit me up! If you want to talk about something in this post, please also hit me up! I am not infallible, nor is everything I’ve written an objective fact. I’m doing my best, and always happy to get feedback. Happy writing!

[wwdits-kink-meme]

y/n type fic - you're the household's new familiar, and as the guide has some expertise from her volunteering, she is the one to inspect you physically. in her unhinged nurse outfit obv. whatever medical kink stuff you like, go wild

-

[mickmundy]

So we see Sniper get flustered quite often, what gets Medic Flustered? (x)

i think medic is a LOT harder to TRULY fluster. to me, part of being "flustered" is being taken by surprise and medic, being the King of unpredictability himself, is hard to surprise/fluster! he fancies himself as a bit of a know-it-all and doesn't really tend to be swayed by Conventional Declarations of romance.. mostly because i think he either misses and/or just doesn't care about the "social cues" of conventional romance. in order to really excite medic and capture his attention, you'd have to take time to Learn Him and what makes him tick... after that, getting a few "A-HOO!-GA"'s out of him is easy breezy!

in order to Successfully Flirt with medic i think you'd need to Learn Him and make sure you add a little "medic twist" to everything you do for him! i've written medic getting flustered in my fics plenty of times, so some of these might be repeats if you've read my stuff, but here's a few way you can medic-ize your flirting! guide courtesy of sniper, of course B) :

buying a bouquet? no! grow him poisonous and lethal plants that you vow to maintain for him because medic has a black thumb (irony) and doesn't have time to tend to them himself? yes!

pet names and tender declarations, of course! medic loves a good nickname for himself no matter what it is, but if you Really want to work him up, go with something a touch on the morbid side. play up his Evil side a little bit; petnames like "devil" and "death" really rile him up, especially if they're said in that breathy scoped voice of sniper's... y///y hoo! he also likes names that appeal to his softer side too, like pigeon and dovey. medic's a complex person after all, he's capable of compassion and carnage! he'd definitely enjoy being told "you're awful (i think you're wonderful)! <3" "you're so cruel (you're a tease)! <3" etc etc! 

unpredictable random moments of tenderness, especially when he has his "guard" down. it's hard to tell when these will hit, but the charm of them (to medic) is that it's SO obviously sincere and vulnerable, there's no way he CAN'T swoon! something whispered in his ear while cooking together, a tender post-op kiss... 

we know medic can be quite tricky, but i think that it's because of this that he values sincerity (spy is like this for me too). people being vulnerable with him despite knowing his nature (and his ability to be Not So Genuine at times) hits home for him; his lover must really trust him to lay themselves so bare for him! and he'll always return the sentiment in kind, in the way He thinks his partner would like to hear! <3 HEHEHEHE

[darthteeth]

URGENT!!!Help Abdul Salam Al-Anqar and his family get through this war in Gaza!!!

(URGENT) THEY ARE AT €3,445 OUT OF €50,000 GOAL

I was asked by @nader5555 to make this, if u cannot donate please please share this post. Copy pasted from a message i was sent:

"Only a Few Hours Left Before We Enter Our First Year of War, Genocide, Starvation, and Displacement A Final Plea from the Heart of Hell: Save Us Before Hope Dies 💔🔥 I am Abdel Salam, and I have nothing left but words written by a trembling hand ✍️. The war has not only destroyed our lives; it has taken everything from us. Our home, which was once our refuge, is now a pile of rubble 🏚️.

My car, my only source of livelihood, was destroyed in a sudden strike 🚗, and the work that sustained us is now a distant memory 💼. Today, I live in an endless nightmare. Under a sun that burns everything in its path 🌞🔥, my family and I sit in a worn-out tent, a tent that shields us neither from the summer heat nor the winter cold ❄️. Insects 🦟 invade the place, diseases consume our bodies 🩺, and my younger siblings cry from hunger and thirst 🍞💧. We have no clean water or a crumb of bread to ease our hunger. Each passing day deepens the weight of this hell we live in.

My Daughter Eman is Dying from Malnutrition 😨 My daughter Eman suffers from malnutrition; I have nothing to feed or treat her with. The deterioration of her health is killing me slowly. Every glance in her eyes, every pain she endures, crushes my heart 💔. How can I explain to her that what was once our hope has now turned into nothing but a mirage? The Night Only Adds to Our Pain 🌙 The night does not bring us rest; it only adds to our pain. We sleep on hard ground, feeling the cold in every bone of our bodies 🥶, with nothing but pieces of cardboard 📦 to cover us. My wife Aya cries in silence 🥺 as she watches our daughter’s future fade before her eyes. My mother Eman suffers from illness and needs urgent medical care 🩺💊.

My Father Ahmed is Sick with Cancer and Needs Emergency Treatment My father Ahmed, who is sick with cancer, needs emergency treatment outside Gaza, and the cost of his treatment is at least $10,000, not including accommodation. As he suffers from severe pain, I cannot provide the treatment he needs due to our dire situation.

My Siblings Are in Constant Suffering ⚰️ My brother Omar was unable to continue his studies due to the situation. My brother Nader could not take his high school exams, and my younger brother Mohammad suffers from brittle bones and needs treatment we cannot afford. Every day we live brings us one step closer to the end. Death surrounds us from every side: if not from hunger 🍽️, then from illness 🦠. And if not from illness, then from the despair that devours our souls. Where is Humanity? Where is the World? 🌍💔 We want to leave the devastated Gaza Strip to escape the machinery of destruction and killing and the severity of hunger and poverty. The cost of travel for each person is $5,000, and we are a family of seven members, bringing the total cost to $35,000.

Where are the compassionate hearts? Are you waiting for us to disappear into the depths of this suffering? Are you waiting until death takes us before you act? We are drowning, and we don’t have enough strength to scream for help 🆘. Will you let this cry go unanswered? 😭 Your donation today is our last thread of hope. With the little support I received, I was able to buy a simple phone 📱 to reach out to you. But the bitter truth is that what I and my family need is much greater. We are not asking for much; just enough to save our lives from this hell 🔥. Every donation, no matter how small, could be the difference between life and death for us 👐. Don’t Let Us Disappear in the Darkness of Suffering 🌑 Don’t let our story end here. Be the light that guides us to salvation 🕯️✨.

With every tear, with every pain, I write this final plea to you, Abdel Salam."

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@schoolteacher

[deoidesign]

A general cane guide for writers and artists (from a cane user, writer, and artist!)

Disclaimer: Though I have been using a cane for 6 years, I am not a doctor, nor am I by any means an expert. This guide is true to my experience, but there are as many ways to use a cane as there are cane users!

This guide will not include: White canes for blindness, crutches, walkers, or wheelchairs as I have no personal experience with these.

This is meant to be a general guide to get you started and avoid some common mishaps/misconceptions in your writing, but you absolutely should continue to do your own research outside of this guide!

This is NOT a medical resource!!! And never tell a real person you think they're using a cane wrong!

The biggest recurring problem I've seen is using the cane on the wrong side. The cane goes on the opposite side of the pain! If your character has even-sided pain or needs it for balance/weakness, then use the cane in the non-dominant hand to keep the dominant hand free. Some cane users also switch sides to give their arm a rest!

A cane takes about 20% of your weight off the opposite leg. It should fit within your natural gait and become something of an extension of your body. If you need more weight off than 20%, then crutches, a walker, or a wheelchair is needed.

Putting more pressure on the cane, using it on the wrong side, or having it at the wrong height can make it less effective, and can cause long term damage to your body from improper pressure and posture. (Hugh Laurie genuinely hurt his body from years of using a cane wrong on House!)

(some people elect to use a cane wrong for their personal situation despite this, everyone is different!)

(an animated GIF of a cane matching the natural walking gait. It turns red when pressure is placed on it.)

When going up and down stairs, there is an ideal standard: You want to use the handrail and the cane at the same time, or prioritize the handrail if it's only on one side. When going up stairs you lead with your good leg and follow with the cane and hurt leg together. When going down stairs you lead with the cane and the bad leg and follow with the good leg!

Realistically though, many people don't move out of the way for cane users to access the railing, many stairs don't have railings, and many are wet, rusty, or generally not ideal to grip.

In these cases, if you have a friend nearby, holding on to them is a good idea. Or, take it one step at a time carefully if you're alone.

Now we come to a very common mistake I see... Using fashion canes for medical use!

(These are 4 broad shapes, but there is INCREDIBLE variation in cane handles. Research heavily what will be best for your character's specific needs!)

The handle is the contact point for all the weight you're putting on your cane, and that pressure is being put onto your hand, wrist, and shoulder. So the shape is very important for long term use!

Knob handles (and very decorative handles) are not used for medical use for this reason. It adds extra stress to the body and can damage your hand to put constant pressure onto these painful shapes.

The weight of a cane is also incredibly important, as a heavier cane will cause wear on your body much faster. When you're using it all day, it gets heavy fast! If your character struggles with weakness, then they won't want a heavy cane if they can help it!

This is also part of why sword canes aren't usually very viable for medical use (along with them usually being knob handles) is that swords are extra weight!

However, a small knife or perhaps a retractable blade hidden within the base might be viable even for weak characters.

Bases have a lot of variability as well, and the modern standard is generally adjustable bases. Adjustable canes are very handy if your character regularly changes shoe height, for instance (gotta keep the height at your hip!)

Canes help on most terrain with their standard base and structure. But for some terrain, you might want a different base, or to forego the cane entirely! This article covers it pretty well.

Many cane users decorate their canes! Stickers are incredibly common, and painting canes is relatively common as well! You'll also see people replacing the standard wrist strap with a personalized one, or even adding a small charm to the ring the strap connects to. (nothing too large, or it gets annoying as the cane is swinging around everywhere)

(my canes, for reference)

If your character uses a cane full time, then they might also have multiple canes that look different aesthetically to match their outfits!

When it comes to practical things outside of the cane, you reasonably only have one hand available while it's being used. Many people will hook their cane onto their arm or let it dangle on the strap (if they have one) while using their cane arm, but it's often significantly less convenient than 2 hands. But, if you need 2 hands, then it's either setting the cane down or letting it hang!

For this reason, optimizing one handed use is ideal! Keeping bags/items on the side of your free hand helps keep your items accessible.

When sitting, the cane either leans against a wall or table, goes under the chair, or hooks onto the back of the chair. (It often falls when hanging off of a chair, in my experience)

When getting up, the user will either use their cane to help them balance/support as they stand, or get up and then grab their cane. This depends on what it's being used for (balance vs pain when walking, for instance!)

That's everything I can think of for now. Thank you for reading my long-but-absolutely-not-comprehensive list of things to keep in mind when writing or drawing a cane user!

Happy disability pride month! Go forth and make more characters use canes!!!

[hellyeahsickaf]

I found an extremely dope disability survival guide for those who are homebound, bedbound, in need of disability accommodations, or would otherwise like resources for how to manage your life as a disabled person. (Link is safe)

It has some great articles and resources and while written by people with ME/CFS, it keeps all disabilities in mind. A lot of it is specific to the USA but even if you're from somewhere else, there are many guides that can still help you. Some really good ones are:

How to live a great disabled life- A guide full of resources to make your life easier and probably the best place to start (including links to some of the below resources). Everything from applying for good quality affordable housing to getting free transportation, affordable medication, how to get enough food stamps, how to get a free phone that doesn't suck, how to find housemates and caregivers, how to be homebound, support groups and Facebook pages (including for specific illnesses), how to help with social change from home, and so many more.

Turning a "no" into a "yes"- A guide on what to say when denied for disability aid/accommodations of many types, particularly over the phone. "Never take no for an answer over the phone. If you have not been turned down in writing, you have not been turned down. Period."

How to be poor in America- A very expansive and helpful guide including things from a directory to find your nearest food bank to resources for getting free home modifications, how to get cheap or free eye and dental care, extremely cheap internet, and financial assistance with vet bills

How to be homebound- This is pretty helpful even if you're not homebound. It includes guides on how to save spoons, getting free and low cost transportation, disability resources in your area, home meals, how to have fun/keep busy while in bed, and a severe bedbound activity master list which includes a link to an audio version of the list on Soundcloud

Master List of Disability Accommodation Letters For Housing- Guides on how to request accommodations and housing as well as your rights, laws, and prewritten sample letters to help you get whatever you need. Includes information on how to request additional bedrooms, stop evictions, request meetings via phone, mail, and email if you can't in person, what you can do if a request is denied, and many other helpful guides

Special Laws to Help Domestic Violence Survivors (Vouchers & Low Income Housing)- Protections, laws, and housing rights for survivors of DV (any gender), and how to get support and protection under the VAWA laws to help you and/or loved ones receive housing and assistance

Dealing With Debt & Disability- Information to assist with debt including student loans, medical debt, how to deal with debt collectors as well as an article with a step by step guide that helped the author cut her overwhelming medical bills by 80%!

There are so many more articles, guides, and tools here that have helped a lot of people. And there are a lot of rights, resources, and protections that people don't know they have and guides that can help you manage your life as a disabled person regardless of income, energy levels, and other factors.

Please boost!

[eiraeths]

hello hi i’m making writing guides on injuries in an emergency setting is there anything specific y’all might wanna see? i work in a pre hospital setting so i’m not writing anything pertaining to in hospital care.

[hayatheauthor]

The Anatomy of Passing Out: When, Why, and How to Write It

Passing out, or syncope, is a loss of consciousness that can play a pivotal role in storytelling, adding drama, suspense, or emotional weight to a scene. Whether it’s due to injury, fear, or exhaustion, the act of fainting can instantly shift the stakes in your story.

But how do you write it convincingly? How do you ensure it’s not overly dramatic or medically inaccurate? In this guide, I’ll walk you through the causes, stages, and aftermath of passing out. By the end, you’ll be able to craft a vivid, realistic fainting scene that enhances your narrative without feeling clichéd or contrived.

2. Common Causes of Passing Out

Characters faint for a variety of reasons, and understanding the common causes can help you decide when and why your character might lose consciousness. Below are the major categories that can lead to fainting, each with their own narrative implications.

Physical Causes

Blood Loss: A sudden drop in blood volume from a wound can cause fainting as the body struggles to maintain circulation and oxygen delivery to the brain.

Dehydration: When the body doesn’t have enough fluids, blood pressure can plummet, leading to dizziness and fainting.

Low Blood Pressure (Hypotension): Characters with chronic low blood pressure may faint after standing up too quickly, due to insufficient blood reaching the brain.

Intense Pain: The body can shut down in response to severe pain, leading to fainting as a protective mechanism.

Heatstroke: Extreme heat can cause the body to overheat, resulting in dehydration and loss of consciousness.

Psychological Causes

Emotional Trauma or Shock: Intense fear, grief, or surprise can trigger a fainting episode, as the brain becomes overwhelmed.

Panic Attacks: The hyperventilation and increased heart rate associated with anxiety attacks can deprive the brain of oxygen, causing a character to faint.

Fear-Induced Fainting (Vasovagal Syncope): This occurs when a character is so afraid that their body’s fight-or-flight response leads to fainting.

Environmental Causes

Lack of Oxygen: Situations like suffocation, high altitudes, or enclosed spaces with poor ventilation can deprive the brain of oxygen and cause fainting.

Poisoning or Toxins: Certain chemicals or gasses (e.g., carbon monoxide) can interfere with the body’s ability to transport oxygen, leading to unconsciousness.

3. The Stages of Passing Out

To write a realistic fainting scene, it’s important to understand the stages of syncope. Fainting is usually a process, and characters will likely experience several key warning signs before they fully lose consciousness.

Pre-Syncope (The Warning Signs)

Before losing consciousness, a character will typically go through a pre-syncope phase. This period can last anywhere from a few seconds to a couple of minutes, and it’s full of physical indicators that something is wrong.

Light-Headedness and Dizziness: A feeling that the world is spinning, which can be exacerbated by movement.

Blurred or Tunnel Vision: The character may notice their vision narrowing or going dark at the edges.

Ringing in the Ears: Often accompanied by a feeling of pressure or muffled hearing.

Weakness in Limbs: The character may feel unsteady, like their legs can’t support them.

Sweating and Nausea: A sudden onset of cold sweats, clamminess, and nausea is common.

Rapid Heartbeat (Tachycardia): The heart races as it tries to maintain blood flow to the brain.

Syncope (The Loss of Consciousness)

When the character faints, the actual loss of consciousness happens quickly, often within seconds of the pre-syncope signs.

The Body Going Limp: The character will crumple to the ground, usually without the ability to break their fall.

Breathing: Breathing continues, but it may be shallow and rapid.

Pulse: While fainting, the heart rate can either slow down dramatically or remain rapid, depending on the cause.

Duration: Most fainting episodes last from a few seconds to a minute or two. Prolonged unconsciousness may indicate a more serious issue.

Post-Syncope (The Recovery)

After a character regains consciousness, they’ll typically feel groggy and disoriented. This phase can last several minutes.

Disorientation: The character may not immediately remember where they are or what happened.

Lingering Dizziness: Standing up too quickly after fainting can trigger another fainting spell.

Nausea and Headache: After waking up, the character might feel sick or develop a headache.

Weakness: Even after regaining consciousness, the body might feel weak or shaky for several hours.

4. The Physical Effects of Fainting

Fainting isn’t just about losing consciousness—there are physical consequences too. Depending on the circumstances, your character may suffer additional injuries from falling, especially if they hit something on the way down.

Impact on the Body

Falling Injuries: When someone faints, they usually drop straight to the ground, often hitting their head or body in the process. Characters may suffer cuts, bruises, or even broken bones.

Head Injuries: Falling and hitting their head on the floor or a nearby object can lead to concussions or more severe trauma.

Scrapes and Bruises: If your character faints on a rough surface or near furniture, they may sustain scrapes, bruises, or other minor injuries.

Physical Vulnerability

Uncontrolled Fall: The character’s body crumples or falls in a heap. Without the ability to brace themselves, they are at risk for further injuries.

Exposed While Unconscious: While fainted, the character is vulnerable to their surroundings. This could lead to danger in the form of attackers, environmental hazards, or secondary injuries from their immediate environment.

Signs to Look For While Unconscious

Shallow Breathing: The character's breathing will typically become shallow or irregular while they’re unconscious.

Pale or Flushed Skin: Depending on the cause of fainting, a character’s skin may become very pale or flushed.

Twitching or Muscle Spasms: In some cases, fainting can be accompanied by brief muscle spasms or jerking movements.

5. Writing Different Types of Fainting

There are different types of fainting, and each can serve a distinct narrative purpose. The way a character faints can help enhance the scene's tension or emotion.

Sudden Collapse

In this case, the character blacks out without any warning. This type of fainting is often caused by sudden physical trauma or exhaustion.

No Warning: The character simply drops, startling both themselves and those around them.

Used in High-Tension Scenes: For example, a character fighting in a battle may suddenly collapse from blood loss, raising the stakes instantly.

Slow and Gradual Fainting

This happens when a character feels themselves fading, usually due to emotional stress or exhaustion.

Internal Monologue: The character might have time to realize something is wrong and reflect on what’s happening before they lose consciousness.

Adds Suspense: The reader is aware that the character is fading but may not know when they’ll drop.

Dramatic Fainting

Some stories call for a more theatrical faint, especially in genres like historical fiction or period dramas.

Exaggerated Swooning: A character might faint from shock or fear, clutching their chest or forehead before collapsing.

Evokes a Specific Tone: This type of fainting works well for dramatic, soap-opera-like scenes where the fainting is part of the tension.

6. Aftermath: How Characters Feel After Waking Up

When your character wakes up from fainting, they’re not going to bounce back immediately. There are often lingering effects that last for minutes—or even hours.

Physical Recovery

Dizziness and Nausea: Characters might feel off-balance or sick to their stomach when they first come around.

Headaches: A headache is a common symptom post-fainting, especially if the character hits their head.

Body Aches: Muscle weakness or stiffness may persist, especially if the character fainted for a long period or in an awkward position.

Emotional and Mental Impact

Confusion: The character may not remember why they fainted or what happened leading up to the event.

Embarrassment: Depending on the situation, fainting can be humiliating, especially if it happened in front of others.

Fear: Characters who faint from emotional shock might be afraid of fainting again or of the situation that caused it.

7. Writing Tips: Making It Believable

Writing a fainting scene can be tricky. If not handled properly, it can come across as melodramatic or unrealistic. Here are some key tips to ensure your fainting scenes are both believable and impactful.

Understand the Cause

First and foremost, ensure that the cause of fainting makes sense in the context of your story. Characters shouldn’t pass out randomly—there should always be a logical reason for it.

Foreshadow the Fainting: If your character is losing blood, suffering from dehydration, or undergoing extreme emotional stress, give subtle clues that they might pass out. Show their discomfort building before they collapse.

Avoid Overuse: Fainting should be reserved for moments of high stakes or significant plot shifts. Using it too often diminishes its impact.

Balance Realism with Drama

While you want your fainting scene to be dramatic, don’t overdo it. Excessively long or theatrical collapses can feel unrealistic.

Keep It Short: Fainting typically happens fast. Avoid dragging the loss of consciousness out for too long, as it can slow down the pacing of your story.

Don’t Always Save the Character in Time: In some cases, let the character hit the ground. This adds realism, especially if they’re fainting due to an injury or traumatic event.

Consider the Aftermath

Make sure to give attention to what happens after the character faints. This part is often overlooked, but it’s important for maintaining realism and continuity.

Lingering Effects: Mention the character’s disorientation, dizziness, or confusion upon waking up. It’s rare for someone to bounce back immediately after fainting.

Reactions of Others: If other characters are present, how do they react? Are they alarmed? Do they rush to help, or are they unsure how to respond?

Avoid Overly Romanticized Fainting

In some genres, fainting is used as a dramatic or romantic plot device, but this can feel outdated and unrealistic. Try to focus on the genuine physical or emotional toll fainting takes on a character.

Stay Away from Clichés: Avoid having your character faint simply to be saved by a love interest. If there’s a romantic element, make sure it’s woven naturally into the plot rather than feeling forced.

8. Common Misconceptions About Fainting

Fainting is often misrepresented in fiction, with exaggerated symptoms or unrealistic recoveries. Here are some common myths about fainting, and the truth behind them.

Myth 1: Fainting Always Comes Without Warning

While some fainting episodes are sudden, most people experience warning signs (lightheadedness, blurred vision) before passing out. This gives the character a chance to notice something is wrong before losing consciousness.

Myth 2: Fainting Is Dramatic and Slow

In reality, fainting happens quickly—usually within a few seconds of the first warning signs. Characters won’t have time for long speeches or dramatic gestures before collapsing.

Myth 3: Characters Instantly Bounce Back

Many stories show characters waking up and being perfectly fine after fainting, but this is rarely the case. Fainting usually leaves people disoriented, weak, or even nauseous for several minutes afterward.

Myth 4: Fainting Is Harmless

In some cases, fainting can indicate a serious medical issue, like heart problems or severe dehydration. If your character is fainting frequently, it should be addressed in the story as a sign of something more severe.

Looking For More Writing Tips And Tricks? 

Are you an author looking for writing tips and tricks to better your manuscript? Or do you want to learn about how to get a literary agent, get published and properly market your book? Consider checking out the rest of Quillology with Haya Sameer; a blog dedicated to writing and publishing tips for authors! While you’re at it, don’t forget to head over to my TikTok and Instagram profiles @hayatheauthor to learn more about my WIP and writing journey! 

[mohammedaldeeb]

A Humanitarian Appeal from the Depths of Suffering🥹:

The War on Gaza, Our Losses, and the Struggles We Endure

In these difficult and painful times😔, I find it hard to find words that truly express the depth of the suffering I, 💔😓

along with my family, am going through. I am writing this message from a place of desperation and need, as a doctor working in a hospital in Gaza. Life here has become a constant battle for survival, and each day brings new challenges that test our will to continue😭.

We were once living a peaceful and stable life🙂, building our hopes and dreams😥, working towards a future for ourselves and our loved ones🥺.

However, the recent war on Gaza has turned our world upside down😢. I have lost my job💔,

and with it, my only source of income, due to the destruction of the facilities where I worked😭.

The physical destruction around us has been devastating😓, and many projects I was involved in to support the families of patients have come to a halt😢. The economic losses are staggering, and the road to recovery seems almost impossible😥.

The war on Gaza has not only taken our peace of mind but has also brought with it an unbearable level of suffering😓.

The cost of living has skyrocketed,

and we are struggling to meet even the most basic needs of daily life😣.

The situation has become unbearable, and it feels like we’re trapped in a vicious cycle of poverty, fear, and despair.

How can a family survive when they cannot even afford food, let alone the necessities of life?😭😥💔

As a doctor, I stand at the frontline, trying to save lives amidst the wreckage of war😢.

I treat the injured, manage critical cases, and do my best to bring comfort to those who need it most. 🥹

However, at the same time, I face personal struggles that are just as overwhelming😢. The hospital is in dire need of medical supplies and personnel, and we are doing all we can to save lives with limited resources. But the pain of seeing my own family suffering while I try to help others is a constant burden.

How can I help those in need when I cannot even provide for my loved ones?😣😣

Today, as I face this immense struggle😔,

I turn to you, dear reader, with a plea for help🙏🏻😥.

This is not just a request for personal assistance🙏🏻🥹, but a desperate call for hope and a chance to rebuild my life and support my family.

I need your help to share my story😓, so that it reaches as many people as possible.

Your support, through donations and sharing this story, will allow me to help my family escape the horrors of war and start a new life abroad, where we can live in safety and dignity🙏🏻🥹❤️.

I need the resources to travel abroad to continue my education l😔and provide a future for my family🙏🏻😓. Pursuing my studies and advancing my career in medicine is my way of ensuring that I can make a lasting difference, both for myself and for the people of Gaza. But I cannot do this alone.

The funds I am seeking will help me cover travel expenses, medical costs for my family, and the basic needs that we are struggling to meet each day😥.

The financial burden is overwhelming😭,

and without your support, I fear that my dreams, and the future of my family, will slip further out of reach😥😭💔.

Every donation, no matter how small, will make a difference.

Every act of kindness, every person who shares this message, will help light the way for us in this dark time🙏🏻😢.

I humbly ask you to help me spread this story. Share this story with your friends, family, and networks. Let it reach those who have the means and the will to help🥹🥺❤️.

Together, we can make a difference. Your kindness, your generosity, and your willingness to stand by us will mean the world💝🥹🙏🏻.

In these dark times, solidarity is the light that can guide us😔💔. Your support is not just an act of charity; it is an act of humanity❤️❤️.

You are not only helping an individual, but you are also supporting a family in dire need of hope and a better future😃❤️.

I will forever be grateful for any assistance you can provide, whether it’s a financial contribution, sharing this story, or offering a kind word of encouragement.

Your help will give us the strength to continue, and it will remind us that in the midst of all this suffering, there is still hope, there is still kindness, and there are still people who care😃❤️.

Thank you, from the bottom of my heart❤️❤️, for your time, your attention, and your compassion.

Together, we can create a future where we can live with dignity, rebuild what has been lost😔, and give our children the hope they deserve💝🥹🙏🏻.

Solidarity is Hope, and Helping is Life💚❤️💛🖤🇵🇸 .

vetted by \

@90-ghost (number 212)

@mangocheesecakes ,

@sayruq

@el-shab-hussein

@nabulsi

[copperbadge]

I'm getting depressingly good at identifying the formula for Pop Academic Books About ADHD.

Regardless of their philosophy it pretty much goes like this:

1. Emotionally sensitive essay about the struggle of ADHD and the author's personal experience with it as both a person with ADHD and a healthcare professional.

2. Either during or directly following this, a lightly explicated catalogue of symptoms, illustrated by anecdotes from patient case studies. Optional: frequent, heavy use of metaphor to explain ADHD-driven behavior.

3. Several chapters follow, each dedicated to a symptom; these have a mini-formula of their own. They open with a patient case study, discuss the highly relatable aspects of the specific symptom or behavior, then offer some lightweight examples of a treatment for the symptom, usually accompanied by follow up results from the earlier case studies.

4. Somewhere around halfway-to-two-thirds through the book, the author introduces the more in-depth explication of the treatment system (often their own homebrew) they are advocating. These are generally both personally-driven (as opposed to suggested cultural changes, which makes sense given these books' target audience, more on this later) and composed of an elaborate system of either behavior alteration or mental reframing. Whether this system is actually implementable by the average reader varies wildly.

5. A brief optional section on how to make use of ADHD as a tool (usually referring to ADHD or some of its symptoms as a superpower at least once). Sometimes this section restates the importance of using the systems from part 4 to harness that superpower. Frequently, if present, it feels like an afterthought.

6. Summation and list of further resources, often including other books which follow this formula.

I know I'm being a little sarcastic, but realistically there's nothing inherently wrong about the formula, like in itself it's not a red flag. It's just hilariously recognizable once you've noticed it.

It makes sense that these books advocate for the Reader With ADHD undertaking personal responsibility for their treatment, since these are in the tradition of self-help publishing. They're aimed at people who are already interested in doing their own research on their disability and possible ways to handle it. It's not really fair to ask them to be policy manuals, but I do find it interesting that even books which advocate stuff like volunteering (for whatever reason, usually to do with socialization issues and isolation, often DBT-adjacent) never suggest disability activism either generally or with an ADHD-specific bent.

None of these books suggest that perhaps life with ADHD could be made easier with increased accommodations or ease of medication access, and that it might be in a person's best interest to engage in political advocacy surrounding these and other disability-related issues. Or that activism related to ADHD might help to give someone with ADHD a stronger sense of ownership of their unique neurology. Or that if you have ADHD the idea of activism or even medical self-advocacy is crushingly stressful, and ways that stress might be dealt with.

It does make me want to write one of my own. "The Deviant Chaos Guide To Being A Miscreant With ADHD". Includes chapters on how to get an actual accurate assessment, tips for managing a prescription for a controlled substance, medical and psychiatric self-advocacy for people who are conditioned against confrontation, When To Lie About Being Neurodivergent, policy suggestions for ADHD-related legislation, tips for activism while executively dysfunked, and to close the book a biting satire of the pop media idea of self-care. ("Feeling sad? Make yourself a nice pot of chicken soup from scratch and you'll feel better in no time. Stay tuned after this rambling personal essay for the most mediocre chicken soup recipe you've ever seen!" "Have you considered planning and executing an overly elaborate criminal heist as a way to meet people and stay busy?")

Every case study or personal anecdote in the book will have a different name and demographics attached but will also make it obvious that they are all really just me, in the prose equivalent of a cheap wig, writing about my life. "Kelly, age seven, says she struggles to stay organized using the systems neurotypical children might find easy. I had to design my own accounting spreadsheet in order to make sure I always have enough in checking to cover the mortgage, she told me, fidgeting with the pop socket on her smartphone."

I feel a little bad making fun, because these books are often the best resource people can get (in itself concerning). It's like how despite my dislike of AA, I don't dunk on it in public because I don't want to offer people an excuse not to seek help. It feels like punching down to criticize these books, even though it's a swing at an industry that is mainly, it seems, here to profit from me. But one does get tired of skimming the hype for the real content only to find the real content isn't that useful either.

Les (not his real name) was diagnosed at the age of 236. Charming, well-read, and wealthy, he still spent much of his afterlife feeling deeply inadequate about his perceived shortcomings. "Vampire culture doesn't really acknowledge ADHD as a condition," he says. "My sire wouldn't understand, even though he probably has it as well. You should see the number of coffins containing the soil of his homeland that he's left lying forgotten all over Europe." A late diagnosis validated his feelings of difference, but on its own can't help when he hyperfocuses on seducing mortals who cross his path and forgets to get home before sunrise. "I have stock in sunburn gel companies," he jokes.

[nothing-more-than]

On a positive note! All my meds can be put through my J port, so I don't have to worry about them not being absorbed anymore. Instead of taking children's Ibuprofen and the dissolvable Tylenol packets, I'll crush regular pills and do those in my J port too, so I don't have to worry about it making me super sick.

I'd mostly been avoiding pain meds the past few days bc the Ibuprofen especially makes me really sick, so it'll be really nice to be able to take everything again!