#navigating the US medical system

[jmtorres]

Hi, this is random, but would you mind sharing more about your gut issues/long covid? (I.e. diagnosis, treatment). I have chronic fatigue, and gut issues that are definitely linked to that, but all of my doctors are being extremely useless about it. (No worries if this is not the kind of info you want to share with a total stranger on the internet)

(This is in reference to my comment on this post)

@reptilerex I appreciate you recognizing the sensitivity of this ask, I am going to go ahead and answer it because I feel like the likelihood that you or someone you know (or even others of my readers) are struggling with long covid and finding adequate medical help vastly outweighs the minuscule probability that you've hacked into HIPAA records and are planning to dox me lol

so in the immediate aftermath of my first bout of covid (despite vaxxing and masking regularly, I'm up to two now 😭) my obvious symptoms were fatigue – going to the grocery store would wear me out for 2+ days – and a 20 year-old scar from a car accident reopened, which sounds like some scurvy ass bullshit, and I do wonder if the fact that my friend @niqaeli, who knew that long covid symptoms are highly correlated with MCAS symptoms and was encouraging me to start MCAS otc treatments like vitamin C supplements, helped. (worth noting that while I didn't hear anything about old scars reopening as a covid/post covid thing before it happened to me, but when I told people about it, they were like "oh yeah, that happened to me or someone I know" SO often) My doctor sent me to a wound specialist for that, and they kept poking it trying to figure out if there was some embedded shrapnel that they hadn't realized was in there originally, but ultimately it just healed back over much redder and angrier than the first time.

so then, the fatigue. My doctor had me wait three months because it wasn't officially long covid until three months. obnoxious as hell. I found out the DMV accepts long covid for a disability placard reason and got my doctor to write me a DMV form about how I couldn't walk hardly any distance. she was willing to do that before the three month mark.

I was Johnny on the spot coming back three months after, the first thing she did was send me for a chest x-ray because the obvious/expected reason for fatigue is you're not getting enough O2 in your blood. There was nothing wrong with my lungs and we were kind of at a dead end until I presented my doctor with more options.

I mean, I was kind of like, my PCP is being useless, I have a PPO, why can't I just go directly to a specialist, but it turns out specialist won't take you without a referral because reasons. I had heard rheumatologist is as good at figuring out weird vague shit so I tried to book there but when I told them long covid, they said that wasn't their department. They said I needed to go see an immunologist which sounded wrong to me, but there was a pretty good HIV specialist immunologist in the area that I tried to book with who said no that's not what long covid is. someone recommended a Long Covid Specialty clinic in a city that is 2 to 5 hours away depending on traffic and I knew I wasn't making that drive in my current condition so was like somebody local gotta help me.

so I went back to my PCP and said to her that I had learned from disability communities online that sometimes a rheumatologist can be helpful. And she said OK we can do some blood tests for inflammation markers to see if I can justify a referral to a rheumatologist. (and I thought of my weird scar issue and thought gee I better have some weird inflammation markers)

So I had some inflammation markers pop and I got a referral to a rheumatologist, and they were actually willing to see me. The rheumatologist ordered so many tests, like an unbelievable number of tests. I think they drew like eight vials of blood. Plus other samples. The rheumatologist was basically like let's look for anything and everything.

I had a borderline response on Calprotectin. To quote from the explainer in the test notes:

Calprotectin in Crohn's disease and ulcerative colitis can be five to several thousand times above the reference population (50 mcg/g or less). Levels are usually 50 mcg/g or less in healthy patients and with irritable bowel syndrome.

so I wasn't high enough to qualify for IBD outright from that test results, but I was high enough that it flagged to the rheumatologist, and I had reported a family history (brother has IBD), so he said that was enough to diagnose and started prescribing me for that.

The thing is, rheumatology is an ass backwards way to get an IBD diagnosis and I was having another symptom that I hadn't reported because I was a dumbass and this is the apocryphal frog boiling slowly thing. I was having fairly regular loose stool/diarrhea. if I had told my PCP that could I have gotten a referral to a gastroenterologist and gotten a less ass backwards diagnosis?

I hadn't told my PCP about loose stools for two reasons:

I didn't think it was relevant to the fatigue, and in fact, I still didn't think it was relevant when the rheumatologist called it, and I was really surprised when taking medication for IBD did actually turn out to help the fatigue

I knew I was lactose intolerant, so I thought it was already explained. However, the rheumatologist and I had this exchange:

Him: so do you still drink regular milk or just Lactaid?

Me: Lactaid

Him: then you shouldn't still be having diarrhea

Me:…

I can't remember the first med he started me on because I was only on it for a couple of weeks before we had to switch. (it helped a lot when I could tolerate it but about every three days I had to throw up and then I felt awful and didn't take the med for a couple of days and you can guess how that went.) the one that I went on long-term that actually worked without side effects for me was mesalamine/lialda. I also started experimenting with some dietary changes, the low FODMAP diet is intended for IBS not IBD, but you are still expected to have IBD triggers so I was playing around with that.

for a few weeks, I had incredible improving energy. It was crazy.

then I made what I can only now think of as a mistake in trying to be proactive about my care. because I had stumbled ass backwards into an IBD diagnosis and I felt like I should have gastroenterologist confirm it, and I went to go see my brother's gastroenterologist. he wanted to do a colonoscopy and he asked me to go off the mesalamine for six weeks so that he could see what my colon was like without treatment and it was the worst fucking six weeks of my life. Hated it. colonoscopy results: he didn't see anything fucking wrong and would not diagnose IBD or prescribe mesalamine based on what he found. I said, but the mesalamine improves my symptoms, what does that mean? He said, it means keep seeing your rheumatologist.

I went back to the rheumatologist and told him about the whole debacle with the gastroenterologist and he was like "so how did he explain your inflammation readings?" like CHECKMATE. And he concluded that any lesions I had must be in the small intestine, not the large intestine and so were not seen by colonoscopy.

I kept taking mesalamine. My improvement was slower after the break from it which sucks but I did get back to normal lab work within six months, hallelujah.

Follow up: MORE stuff that might have been avoided if I had gastroenterologist regularly, had gotten an IBD diagnosis from a gastroenterologist, or had mentioned my shitty symptoms in the immediate: the gallbladder bullshit this summer

I had my second round of covid in May and I didn't notice a lot of fatigue coming out of it, though I was more cautious with myself the second time around, but I was sort of holding my breath for what horrible nonsense is going to come out of this now? so then I had what I thought was a really bad case of Gerd that didn't go away for two weeks even though my Gerd usually resolves in like a day. I went to my PCP twice during this period and then ultimately ended up at the ER when I realized my pain was in my side not central anymore and I was worried about appendicitis. It wasn't appendicitis. It was my gallbladder. and it came out that night. overall, I am very happy with how the hospital handled the emergency for instance, I didn't realize until two weeks later that I seriously could've died because they were so calm about it the whole time but like they don't do same-day surgery unless death is on the line, let's be real.

but here's things that could have been helped if I had better gastroenterology care:

I didn't find this out until I was researching gallstones after the fact, and I would like to think a gastroenterologist would have warned me whereas the rheumatologist wasn't super aware of it but: IBD can lead to gallstones because one of the ways a cholesterol gallstone forms is, if you get an imbalance of bile and cholesterol in your gallbladder; your body wants to recycle bile by reabsorbing it at the end of your small intestine, but if you have IBD, sometimes it loses the bile instead of reabsorbing it, and then you get an overabundance of cholesterol, turning into a gallstone the size of a golf ball

I told my PCP it was a case of Gerd that wouldn't go away, but I didn't tell her I was also having diarrhea. Diarrhea is not a Gerd symptom. Maybe if I had just fucking told her she might've recognized or could've sent me to somebody who would have recognized it as a gallbladder symptom before it turned into an immediate emergency

tl;dr don't hide your gut symptoms from your doctor because you "think" you know what's wrong with your guts or that it's not related to your other problems or you're embarrassed or what the fuck ever just tell them that you're shitting yourself because it might turn out to be important

[sleepinglionhearts]

It's election night! That means I, who try not to voice too many of my thoughts and opinions because this is supposed to be my fun blog, have things to say!

You know, all things considered, if The Orange Menace wins the election, the one thing I am absolutely going to be tear-my-hair-out angry about, completely insane about, would be to start seeing posts from the sorts of people who were very anti-vote, "it doesn't matter anyway" complaining about Harris losing.

Like they weren't, yknow, part of the problem.

I cannot tell you how disappointing it is to live in Texas, to know that sometimes the voter margins are so, so slim, to see in my county alone that the numbers could probably have shifted very solidly blue if only there were More Than 30% Voter Turnout!!

And for all of those who will be surprised! Surprised about the consequences of The Orange Guy winning! And upset about it! In the same vein of conservatives who get upset because, say, the abortion ban affected them, "why didn't anyone warn me" etc, etc, SURPRISED!

I already went through this in 2016, in college, with OTHER QUEER AND POC STUDENTS ALL LAUGHING OFF THE ORANGE WIN THEN, and then somehow being shocked that he made things worse?

And I know I can't put the blame entirely on them, but with the things I hear from my younger coworkers even, the attitudes they or their friends have, it's like. Aha. Ohoho. I know where this comes from. I've seen this attitude somewhere.

Hate that.

[thenarrativefoil]

needed a refill on the cetirizine prescription I've been on for 3 years now and the doc's nurse had the audacity to prescribe a single month's supply (I usually get 3 or 6 month supplies) and say "make sure to come in for your next appointment"

like???? I'm not???? allowed to take my medication if I don't come in for an appointment????? the medication that is available in every pharmacy, and is one of the most commonly stolen drugs bc of its prohibitive cost and wide availability????? i am doing the medical system a FAVOR by getting these drugs the "correct" way and they wanna act like they can take away my right to this nessecary medication???? the fucking AUDACITY on these bitches.

also!!!!!! I had to beat the office up to get this appointment!!!!!! IT'S NOT A NESSECARILY SCHEDULED APPOINTMENT CHECK IN, IT'S BECAUSE I'VE DEVELOPED BED-RIDDING JOINT PAIN, DAILY RASHES, AND EXCESSIVE FORGETFULNESS. WHICH THE DOCTOR DID NOT INITIALLY TAKE SERIOUSLY. AND HAS NEGLECTED TO DO *ANYTHING* FOR ME IN THE T W O M O N T H WAIT TIME TO GET INTO THIS FUCKINGGG APPOINTMENT.

for the past THREE YEARS this prescription has been automatically refilled by the office every 3-6 months. what the FUCK changed.

[osterby]

Just in general, if you get any communication from a company, bank, government agency etc. that asks you to follow up on it that you're not 100% certain on, contact them at a phone number or address that was not included in that communication. For phone calls, this sometimes means hanging up on your bank or doctor's office only to call them right back and have the same person answer the phone; I have never had a real person working for a legitimate company get annoyed with this, most have thanked for me it.

Some scams are very clever and look legit, some legit things feel like scams, and sometimes you'll just be less familiar with a type of communication or way of doing business and won't have the context to tell if it's sketchy or not. Make sure before you give them any info or verify any info that they have on you.

Making this a random PSA since I’d never heard about this until I encountered it:

When you close on a house, you will receive scare-mail from scammers that use a lot of alarming language and look like they’re from your bank. These are scams.

Mortgage information is public information. So these scammers will have access to your name, your address, and the name of the bank your mortgage is with.

They love to send vague letters that explain nothing but make it SOUND like you’re in trouble if you don’t call them

And if you they can’t win you over with scare tactics, they’ve attached a not-a-check to maybe make you think they’ll give you money.

I blurred out my personal info but actually I WILL include the phone number, in the hopes that people who receive a letter like this and Google the number might see this info. Scam number is 1 800 916 8689

So if you see this kind of letter, or your parents, or grandparents, or loved ones, it’s a scam.

I told Patches she can eat it

[snapcracklepop-myjoints]

i wrote this in the notes of another post originally and am copy + pasting it here because im right but "tell the cops nothing, tell the doctors everything" is such a stupid ass fucking abled take. doctors engage in policing idk how to explain to yall that some people cannot in fact just tell doctors everything without it putting them at risk

like im not gonna go into the myriad of ways this is bs but like a quick example is i cant tell my doctors about my substance use issues because if i get that listed on my medical records it will actively endanger me. It will impact how I'm treated in emergency situations and will get me labeled as "drug seeking" when i try to get other issues dealt with.

i dont say this to scare people but because this is actually important information for people to have. if a medical professional claims this isnt an issue, they are NOT "one of the good ones". they are either straight up lying or theyre utterly unaware, which is frankly not better. doctors are cops. never forget it

like YES tell ur doctor abt being sexually active but stop saying "tell the cops nothing and the doctor everything" before i start killing in cold blood

I KNOW THE ORIGINAL QUOTE. This is about how people misquote it, as well as how they view the phrase as meaning "all medical professionals". ALSO! emts are not the neutral figures you think they are. please stop spewing your lack of understanding on the topic all over my tags, its embarrassing. Paramedics kill people and engage in policing stop fucking shilling for them indiscriminately

finally, THIS POST IS ABOUT DRUGS. FIRST AND FOREMOST IT IS ABOUT DRUGS. THIS WAS WRITTEN BY AN ADDICT. the way yall are talking about addicts and drugs users in the tags is so fucking dehumanising. you are part of the problem. Id suggest non addicts shut their traps please and thank you.

similarly, before you comment, ask youself: am i an addict ? do i have an understanding of how addicts, particularly otherwise disabled addicts, have to navigate healthcare systems ? if not, consider SHUTTING THE FUCK UP. hope this helps !

read the notes before you leave a comment im so fucking serious. reblogs are off because none of you know how to act and i have zero patience at this point. if you think im being bitchy pls consider the fact that your stupid comment does not exist in a vacuum and i have received and deleted countless stupid notes and abusive asks on and about this post and your stupid comment exists within that context and i am fucking tired.

[smoov-criminal]

i just rbed a post about something similar but. i need my white disabled to folks to be more aware of the privileges they have when navigating the healthcare system. every bit of medical ableism one can experience can be made even worse by being a poc. some of us can't threaten to report a doctor to the ethics board, or refuse care from healthcare workers who aren't masking, without jeopardizing our access to care in general or even our physical safety. we are more likely to be seen as drug seeking, or marked as noncompliant, or experience medical abuse and neglect. that's not to say these things don't happen to white disabled people, but i just think it's important to recognize how dangerous receiving medical care can be for disabled poc specifically. please keep this in mind when giving advice on navigating healthcare.

[zenathezee]

My adventure of trying to emulate Mr. Incredible continues:

Today someone asked if they could do something that would be financially great for them, without doing a thing they don't want to do that would be a financial loss

I said they could do the thing they want if they do the thing they don't want to do

I also said that we do not verify if they did the thing they don't want to do and instead leave it up to the individual company if they choose to verify

I also gave them the instructions on how to do the financially good thing after they totally, pinky promise, scout's honor, do the thing they don't want to do

[genderqueerdykes]

im not sorry the truth of the transmasculine experience is ugly. i'm not sorry that we have to frequently discuss sexual and physical violence and abuse. i'm not sorry that we have to discuss violent physical abuse and death. i'm not sorry that we have to discuss homelessness, mental illness, addiction, disabilities, and other challenges in life.

we struggle. we do not instantly gain male privilege the second we come out. even if we pass. when someone knows we're trans we're treated like a woman no matter what. we can sometimes get lucky and pass with strangers but eventually people around us find out because people tell each other without our consent.

we face all kinds of abuse due to the fact that people feel entitlement to our bodies, regardless of what our AGAB is. they feel entitled to our faces, our hair, our entire appearance. they focus on the face that we're ruining something "pretty". they threaten corrective sexual violence to remind us that we're "just women". it happens constantly. this is not an isolated incident and virtually nobody wants people to talk about it when it comes to transmasculine people.

trans men often get injured for one reason or another. usually because someone wants to make them "prove" they're a man, to "toughen them up" or to "prove to them that they're a woman". sometimes this results in sexual assault. other times it results in physical assault. and sometimes people just kill trans men. all because they hate that a "woman" can transition into a man.

it's an ugly part of our reality but it needs to be discussed because otherwise people use the lack of that conversation as ammunition to say transmascs don't struggle.

transmasculine people struggle to stay housed. transmasculine people get kicked out of their living situations very often for many reasons. it's hard for transmascs to get jobs because often times people want either a man or a woman for a specific position and fuss over what they think the transmasc's gender is. misgendering is a huge issue at work. going stealth at work can be painful. being in the closet at work can be painful

transmascs are often disabled and struggle to get care due to people not taking AFAB patients' pain and symptoms seriously. this is a huge issue with any kind of AFAB person or any woman. all woman and AFAB people struggle with having their symptoms taken seriously when seeking serious medical attention to the point of possibly being undiagnosed for life, thus being unable to get on disability. trans women face this just as much as AFAB cis women, it's a huge issue in the medical industry

transmasculine people struggle to say on their hormones (or access them at all). testosterone is a controlled substance in many countries which means that you need a prior authorization to get the medication and need to consistently see a provider to get blood tests and check ups. it can be difficult to do so if you are low income and sometimes certain pharmacists will intentionally find ways to withhold hormones due to their own prejudices

transmasculine people struggle to get pregnancy support and care. it is very difficult for transmasculine people to figure out how to navigate their pregnancy, either due to their HRT provider not knowing much about pregnancy, or having a gynecologist who's not familiar with transmasculine health.

transmascs get denied from spaces made for men constantly. even if they pass, if word gets around that they're trans they can easily be kicked out of a space. transmasculine lesbians are often removed from lesbian, transmasc and/or non binary spaces. transmasc butches are often ostracized from all communities their identities correlate to. trans men and transmasc enbies are seen as a threat to women.

there is ugliness in every pocket of the queer community when it comes to how cisheteronormative society treats us. we all face disgusting treatment that needs to be addressed. it's important to consider how this system affects everyone underneath it. we need to talk about the positive things, it's good to help those are questioning, but we also must discuss what struggles we face in order to humanize ourselves and show that we people, too. none of us have it easy.

[aventurineswife]

(Original Idea)

@smokess

It’s been a few weeks since you first arrived in the Devildom. You’ve already made your way through a few of the rougher patches: learning the magic laws, getting used to demon food, and navigating the maze that is the House of Lamentation. But there are still moments when things catch you completely off guard, and today happens to be one of them.

You’ve just been called to the dining room for breakfast, but as you walk in, your thoughts are still buzzing from yesterday’s events. You’re trying to put together how you ended up in this bizarre world full of demons with their own customs, traditions, and... strange ways of doing things.

As you sit down, the brothers—Lucifer, Mammon, Leviathan, Satan, Asmo, and Beel—are already seated, along with Diavolo and Barbatos, who were visiting from the palace. The atmosphere is relaxed, almost too relaxed. They’re chatting, mostly about the latest human technology (Mammon is in a heated debate with Levi over the newest video game release) and general happenings in the Devildom.

But then, as you reach for your plate, your body betrays you.

You start sneezing, repeatedly. It’s not that unusual for you—back on Earth, you’ve had bad allergies before, especially in the spring. But here? You didn’t realize that it was possible for pollen from another dimension to mess with your system.

"Huh, bless you, I suppose." Lucifer comments, his tone a bit dry. He raises an eyebrow as you snatch a napkin and try to muffle another series of sneezes.

"Are you okay?" Beel asks, his voice sincere, though it’s impossible to ignore that he's already eyeing the plate of food in front of you, the steam rising from it. He’s always hungry, always concerned about food, and while you’re trying to focus on the allergy attack, his concern doesn’t help.

"I-I think it’s just my allergies," you manage to choke out between sneezes, your hand scrambling to find something to wipe your nose with.

Barbatos, ever the composed butler, immediately gets up and makes his way over to you with a tray of what looks like...some kind of odd, green liquid in a cup.

"Please drink this, MC. It should help soothe your reaction. We have a lot of unique flora in the Devildom, and they can affect humans in different ways."

You eye the drink with a mixture of suspicion and gratitude. At this point, you don’t really have any other choice.

“What... what’s in this?” you ask, sniffing it carefully.

“It’s a blend of herbs from the underworld,” Barbatos says with a calm smile. “Completely harmless. It should help with your symptoms. But you might want to avoid consuming anything too exotic until your body gets used to the local flora.”

You take a cautious sip. Surprisingly, the liquid doesn’t taste too bad, and within moments, your sneezing fits subside.

"Thanks, Barbatos," you say, giving him a grateful smile, but you're still mentally processing the fact that you might have to get used to demon herbs now.

“So, MC,” Diavolo begins, his voice loud and friendly as always, his large frame leaning toward you with genuine interest, “I wanted to ask, what kind of... ‘treatments’ do humans undergo back home?”

The question catches you off guard. You look around, noticing the brothers are now all paying attention—Diavolo's curiosity seems to have sparked a sudden group interest.

“Treatments?” you ask, hoping you understand the question right.

“You know, for things like... well, if you get sick, or need vaccinations?” Diavolo gestures, his enthusiasm barely contained. “It’s always interesting to hear how humans take care of themselves!”

You blink, processing the concept of vaccines. You realize that in the Devildom, none of these demons are likely familiar with things like flu shots or allergy medication... or even common human ailments like cold and flu. It’s a foreign concept here.

“Uh, well, humans get vaccinated—shots, you know, to prevent diseases? We also go to the doctor for stuff like fevers or injuries.” you say slowly, unsure if they understand what you're saying.

The room goes quiet. Then, unexpectedly, Mammon snickers.

"Wait, so ya all just get stuck with needles?" he asks, looking at you with wide, alarmed eyes. "Why would ya let someone do that to ya? Sounds like torture!"

You let out a small laugh, trying to explain it in a way they'd understand. "It’s for our protection. Without vaccines, we could get really sick from things we can easily avoid."

The demons all exchange looks of utter confusion. Satan looks thoughtful, though, his hand resting under his chin. “That’s... fascinating. So you just... accept being injected with something? No magical potions or healing spells?”

“Nope,” you answer, shaking your head. “Just medicine and stuff we get from the Earth. No magic involved.”

Diavolo claps his hands together in an amused gesture. “How strange! I wonder if that would work in the Devildom... Barbatos, what do you think?”

Barbatos, ever the pragmatic butler, raises an eyebrow. “I’m not entirely sure, My Lord. But I believe it would require a rather significant amount of effort. Perhaps we should stick to what we know works.”

You chuckle nervously, trying not to feel too alien. It’s weird being the only one who understands what vaccines even are, let alone periods, or allergies...

The conversation shifts after a while to other aspects of human life, which you’re not exactly prepared for. After some time, the talk turns to... well, other human customs—especially biological ones.

"So... do humans have... um... I don't know how to say this," Asmo starts, clearly not sure how to word it delicately. "Do humans, uh, have... ‘monthly’... discomforts?”

You freeze mid-bite, the word monthly hanging in the air like an uncomfortable weight. You’ve always been pretty private about your cycle, especially now that you’re in a room full of demons who probably know nothing about it.

“I, uh... it’s called a period,” you mutter, hoping the subject won’t get too awkward.

"A period?" Satan asks, leaning forward, eyes wide with curiosity. "Like... punctuation?"

“No!” you exclaim, mortified. "I mean... it’s a human thing. A... biological process." You sigh, trying to explain without sounding too embarrassed. "It’s a monthly occurrence where... my body, um, prepares for something it doesn’t need. So, it... uh... sheds the lining in the uterus."

The demons stare at you blankly. Even Lucifer, usually composed, looks momentarily baffled.

“And that... happens to you... every month?” Levi asks, horrified. “How do you... I mean, that sounds awful!”

You nod. "It can be uncomfortable. It’s like a... natural part of being human."

Barbatos, ever the tactful one, steps in smoothly, his voice calm. “It seems humans have a great deal to manage in their biology. Fascinating.”

“Right? And we’re just expected to deal with it,” you add, still feeling embarrassed but relieved that they’re not asking too many more questions.

Later, the conversation veers into a discussion about where you came from, your homeland, and your nationality. It’s a tricky subject, especially since most of these demons have never even heard of your country, let alone your hometown.

“So, you’re from Earth, right?” Lucifer asks, tapping his fingers on the table, as if contemplating the situation. “But Earth is so vast. How do you classify your people?”

You pause, unsure how to approach it. “Well, there are countries, and people belong to different nations. I come from a country called...”

The name of your country seems to hang in the air, but as you mention it, the demons exchange confused looks. They’ve never heard of it.

“Wait, so what’s that country like?” Mammon asks, genuinely curious. “What’s ya... currency? What’s the most popular food?”

You try your best to explain, but each question leads to another, and soon you realize how very, very different Earth is from the Devildom.

But as weird and overwhelming as this all is, you realize that these moments of confusion and surprise are part of what makes your time here so unique. The demons may not understand everything about you, but they're clearly invested in learning—whether it’s how to handle your allergies or what a "period" is.

And really, at the end of the day, it's that curiosity and willingness to understand each other that makes the Devildom feel a little more like home every day.

[ceilidho]

fear of god

prompt: There's someone outside the spacecraft. You don't remember them being part of the crew. Part 1 masterlist

-

In the end, gazing out of the ship's portholes into the dark vastness of space proves to be less comforting than the architects must have originally anticipated. You can attest to this more than most.

Every morning, you get up an hour earlier than the rest of your crew and make your way to the galley to make your morning cup of coffee. A pack of instant crystals into your favorite mug and hot recycled water from the kettle. Sometimes you stay to have breakfast, but often you take your coffee with you to the main viewing deck for your morning sojourn. 

There, you sit curled up in the navigator’s chair and stare out of the flight deck window until your breathing levels out. Early morning meditations. With the sun only visible through the rear porthole, the Milky Way stretches out before you, immeasurably vast. Ancient cosmic entities, some already long dead. 

Stars fill your field of vision like an intricate latticework of varying brightness. The watery glass warps at the edges, bending the far off light. All things with their propensity for brightness and decay.

A deep, steady hum fills the room. It’s cathartic to be alone. Sometimes, when you look out into the depths of space, you imagine yourself as a cartographer of old, labeling everything beyond this point: “here there be dragons.” 

Farah is the first person to join you, the ship’s maintenance technician already washed and dressed, floral cumberbund cinched around her midriff and her headwrap pinned in place. She greets you with a firm nod upon her entry, never one to mince words. In the months since your ship set off on its course for Jupiter, you’ve exchanged all of ten words, most of your conversation one-sided. 

She glides in like she’s been up for hours, likely running through her routine maintenance checklist. Monitoring propulsion, life support, and all critical systems. You wouldn’t doubt if she had been, descending into the bowels of the ship and cataloging every minute difference from the day before. Nothing if not thorough. 

Graves sweeps in not twenty minutes later, his uniform pressed and ironed. When he glances your way, you shrink under his gaze, self-conscious about something unidentifiable. He is every bit the commander you met briefly back on Earth, never a hair out of place. If he were less intimidating, he’d be insufferable. 

“Morning,” you murmur, the mug still close to your lips making your voice reverberate. He doesn’t respond. You wonder if he even heard you greet him. It likely wouldn't matter.

Medic has a different connotation this far from Earth. Hierarchy out in space is typically determined by way of one’s importance to the ship, and the scope of your role does not, unfortunately, include maintaining the ship. What that means, unofficially, is that you speak when spoken to, and not for any other reason. 

In the months to come, there may be moments or days when your usefulness is acknowledged, usually much to your colleagues’ chagrin. Though it’s not likely that any of the crew will encounter foreign pathogens while on a hermetically sealed ship in the middle of space, they’re all still susceptible to falls and cuts and worse. Nikolai, the chief engineer on board, had sprained his wrist during the first week of the mission, lending you immediate purpose and validation. 

You make way for the second officer when he finally deigns to make an appearance, sliding quietly out of his seat and stepping to the back of the cockpit, back pressed to the wall closest to the door. 

“Morning, everyone,” he greets, peppier than the three of you despite his rumpled appearance. His thick mustache twitches with the force of his smile. “Ready to seize another day?”

“Jesus Christ, Keller, let’s tone it down ‘til about ten o’clock, alright?” Graves sighs. He pinches the bridge of his nose as if to ward off a headache.  

“Our clocks are off, commander,” Alex jokes, coming over to give him a little shake by the shoulder. It would be insubordination from anyone else. “I’m about ready to eat lunch.” 

“Let’s just get through formation and then you can go fill up the bottomless pit you call a stomach.”

The morning briefing never takes up too much time. It’s as much of an excuse to have coffee together as it is to go through the day’s schedule. Graves spends most of the time reviewing the flight course, charting where the ship will be by day’s end. 

“Almost through the belt,” Alex remarks, staring down at the monitor in front of him. It’s an incomprehensible jumble when you try to peer over his shoulder, but he must be able to make sense of it. 

The crew had been on high alert since entering the torus-shaped region between Mars and Jupiter a month back. For the most part, they needn’t have been so on edge—the average distance of the asteroids in the circumstellar disc between the two planets tended to be quite substantial—but a collision the previous day had reinstated their earlier anxiety. 

“Can we switch from manual yet, Farah?” Graves asks from his seat at the helm of the ship. 

She shakes her head, lips tightening with frustration. “I still have to figure out what’s going on with cruise control—it’s not responding correctly.”

“Was that from that little ding the other day?” you ask, blurting out the question without thinking.

Farah’s expression is flat when she glances over at you. “That ‘little ding’ nearly took out our communications system altogether.” 

You wince at that, staring down at your feet instead. Better to just shut your mouth than make a fool of yourself. Had you not blurted out the question, you might have even surmised the nature of the situation given the comm specialist’s notable absence from the cockpit. 

When Nikolai eventually ambles in with a thermos of coffee and deep troughs under his eyes, Farah looks up and frowns. “Where’s Hadir?”

The man shrugs, nonplussed. “Cargo?” he grunts, rolling the toothpick between his teeth around the words. 

She sighs. “I’ll go find him.”

No one says anything when she leaves, the double doors sliding open and shut automatically at her approach, and she doesn’t bother saying goodbye. 

“Dismissed, I guess,” Graves sighs, collapsing into his chair and spinning around to face the stars proliferating in front of him. 

The informality digs at you sometimes because you know you can’t indulge in it. The times you’ve attempted to, you’ve been rebuffed. Sometimes unintentionally, but often to remind you of your place.

This isn’t a crew you’ve ever worked with before. From conversations you’ve overheard, you’ve gleaned that they’ve all worked together in different capacities before, years of familiarity breeding an easy trust and companionship between them. Two of them might even be lovers—though Farah maintains a neutral facade at all times, the same can’t be said for Alex, the man always hovering nearby, eyes going soft at the sight of her. 

You’re the only odd man out. The newcomer. And though you sit with them in the mess for meals and partake in conversation and pass jokes like small stones from hand to hand, you know deep down, in the dark well of your heart, that you are not one of them. You are a passenger that they picked up along the way. A straggler. 

This wasn’t supposed to be the case. When you signed on to the mission months ago, the circumstances were wholly different. A newer ship, a different crew, some of which you’d worked with before. Then ownership changed hands and budgets were cut. Slashed to ribbons even. You had a chance to tour the ship before the launch date, and even down on Earth with all the glitz and glam available to trick the eye, you hadn’t been convinced of the vessel’s ability to withstand the extreme conditions of space.  

But by then, you were locked into a contract so iron-clad that the consequences of breaking it seemed worse than simply seeing the mission through. 

Most days, you feel like you’re waiting for something to give. You pass through halls that echo with low creaks and a deep, rhythmic thrum. Sometimes the walls of the ship groan so loud that you wait with baited breath for the hull to implode around you, to feel the metal crush the delicate eggshell of your body beneath its weight. 

It’s not any better to just stay in your room, your quarters too cramped to nurture anything other than claustrophobia. A recent, unfortunate side effect of spending months on such a small ship. You’ve become accustomed to crews numbering in the tens and hundreds, ships so colossal in size that even months spent aboard weren’t enough to explore all of its nooks and crannies. Cargo holds with excavators and backhoes for excavations on Mars and humvees for getting around the rough terrain. 

This ship barely holds six people and the payload you’ve been hauling to Europa. Pipes hiss in the corridors. Once a week, the radiator splutters or the intercom overhead crackles, kicking your heart into hyperdrive. 

You leave formation more out of sorts than ever. Vaguely aimless. With nothing to do, you grab breakfast in the galley and eat at the counter, too uncomfortable to venture over to the mess. Your days consist mainly of hovering around the ship or sitting quietly in the medbay, waiting for something to happen. A morbid preoccupation. 

The stairs clunk under your feet as you make your way down towards the medbay. You’ve long grown used to the sharp sound of your boots against the metal floor. 

Rationally, you know they don’t dislike you. You might even venture to say that you get along with the majority of them, particularly the chief engineer and Farah’s brother. The big man likes that it only takes a single drink to get you plastered, often howls with laughter when you stumble out of the mess after drinking with the crew, always the first to turn in for the night. Farah herself is only frosty because she works twice as hard as anyone else, burning the midnight oil on the regular. 

You swallow half-truths like stones to help settle your stomach. 

It doesn’t replace real companionship though; it approximates, but doesn’t quite replicate it. You feel its absence most acutely in the sidelong glances you sometimes get of real affection: Alex grazing his pinkie across Farah’s when he thinks no one is looking; Farah’s eyes softening at the sight of her brother; Graves and Nikolai reminiscing about something a decade past, hardly even aware of your presence in the room. 

It’s something you’ve endured before, but never for such an extended period of time. Prolonged isolation prickles at the mind, feathering the edges. It purples space; passes through the vents. The crew rarely goes on spacewalks (hardly any need for it), but sometimes you swear the ship’s oxygen has a faint sulfuric undertone, like rotten eggs. It permeates the air wherever you go. 

Someone knocks at the window just as you walk by.

You pause mid-sip, the mug raised to your lips and just pressing into your bottom lip, not yet tilted. 

“Hello,” you hear through the thick-paned glass, the voice muffled through the layers of glass and plastic partitions. “Could you let me in, please?”

Though your reflex is to look up, you don’t for some reason. The muscles in your neck stay locked instead. Shoulders stiff, weighed down by an unnatural force. 

The thing outside the ship knocks again. “Love? Can you hear me?”

Your head turns towards the porthole, the hand holding your mug drifting away from your mouth. It tips in your hand and a drop leaks down the side. Your lips tingle, almost numb. 

There’s a man outside the porthole, clear as day. He hovers outside the window, a hand raised in a friendly wave and full lips splitting to reveal perfect, white teeth when he smiles. He’s dressed in a spacesuit, no different than any of the crew on a spacewalk. Through the helmet, you can make out dark eyes and dimples. A close cropped beard.

It’s not a face you’ve ever seen before though. You think you might’ve remembered someone so handsome working on the ship with you.

Something needles inside of you though. A sickening feeling, like something you’ve forgotten but you desperately need to remember. 

“Hi there,” the man says, voice as charming as you’ve ever heard, so velvety rich that you feel the blood heat your cheeks. “Glad you were passing by. Mind letting me in?”

[trans-axolotl]

oh having thoughts today about the way that some psych survivors and tbh the disabled community in general distance themselves from the label of “drug seeking patient.” cause it’s like—I think it’s totally okay to be drug seeking, actually, and I wish it was easier to just go up to doctors and ask for the drugs you need and then just get them. I wish that there was easy access to a safe supply of a whole lot of drugs and there’s nothing morally wrong with trying to seek that through the medical system.

and i very much do understand how having that label plastered on your medical record can be incredibly harmful in terms of preventing access to care, I know very deeply how destructive medical records can be on our lives, especially when we’re already marginalized. I know that sometimes we need to fight to have our medical records represent a certain narrative so that we are able to keep accessing the care we need. And I support doing whatever you need to do in the medical system to get the care you need, including lying to doctors, trying to get stuff taken off your medical record, saying things about your drug use to your doctor that isn’t the way you talk about it the rest of the time, cause this shit is impossible to navigate. I’m never going to attack someone for being upset that this shit gets put into their record—I know how destructive and violating it can feel to have the things that professionals say about you dictate all your access to lifesaving care after that.

I guess I’m just saying that regardless of whatever pragmatic steps we need to take when it comes to navigating our own medical records and care, I don’t want us to lose sight of the bigger picture of solidarity with people who use drugs and that we focus our anger on the root of the problem, which is that no one should be denied access to treatment and medication, including controlled substances and Adderall and opiates, regardless of what labels are applied to us, regardless if we’re using drugs for “recreational” or “medical” use (like the two can even be neatly separated in the first place lmfao). And that we keep an eye out for propaganda that encourages us to throw people who use drugs under the bus, that blames us for (artificially created) medication shortages or bullshit DEA policies that create all these restrictions in the first place. the disabled community cannot discard the many people who use drugs, criminalized or otherwise, from our community.

[sapphicfandompirate]

Did any of the Strawhat's even go to school?

Chapter 1134 has sparked discussions on the state of the Strawhat's education, so I figured I would do a little analysis on my thoughts on it based on canon.

Luffy- Feral jungle child. Makino probably taught him to read and write, and attempted to teach him manners. Jury is out on whether or not Garp actually taught him anything. Doesn't seem to know much history. Does know beetles, and probably a lot of survival skills, including hunting.

Zoro- Ok this is the real reason why I made this post.

A dōjō (道場, Japanese pronunciation: [doꜜː(d)ʑoː]) is a hall or place for immersive learning, experiential learning, or meditation. This is traditionally in the field of martial arts. The term literally means "place of the Way" in Japanese. -Wikipedia

Isshin Dojo (一心道場, Isshin Dōjō?) is a kenjutsu school, a school of Japanese swordsmanship. Its owner is Koushirou, who is a skilled swordsman and father of the deceased Kuina. It is the place where Zoro trained his Three Sword Style and in the anime is the only dojo Zoro did not take down the sign of. -One Piece Wiki, Emphasis added by me

As a member of the Isshin Dojo Zoro has attended school! Koshiro taught him primarily swordsmanship and meditation, but someone taught him reading, writing, and math and I'm just going to guess it's Koshiro as well. Seems to know a bit of sword-related history, but not much world or local history.

Nami-Stole education books. Not formally educated. Everything was probably taught by Bellemere and the rest was learned on the fly. Probably knows the basics of mainstream world history. Is capable of formulating advanced equations, and has vast sailing, navigation, cartography and weather knowledge. Studied at Weatheria during the timeskip, but it doesn't seem like a formal institution.

Usopp - Orphaned street rat. Unknown who taught him to read, write, and do math. Possibly Banchina before she passed away. Somehow he knows chemistry and engineering? Might have borrowed books from Kaya? Mostly self-taught it seems.

Sanji- Definitely has a formal education, up until he ran away. Noble child who had a variety of tutors. Learned whatever noble children learn plus a variety of fighting techniques and fields of science. Then was taught cooking by Zeff. Boy definitely knows how to do math. Anyone who cooks for a large group of people can at least multiply on the fly, or has a calculator taped to the wall. One Piece appears to use the metric system, so at least he doesn't have to figure out how to quadruple a recipe that originally called for 1 2/3 cups of flour.

Chopper - Professionally taught by Dr. Kureha (and Dr. Hililuk). They are both referred to as Doctors, but it is unknown what sort of medical knowledge is actually needed for that title, or if there is like a degree or anything. Assumably one of them taught him reading, writing, math, and chemistry in addition to medical stuff. Also read all of the books in the Torino Kingdom during the timeskip. According to the wiki, Kureha established an academy during the timeskip.

After establishing a medical academy, she taught and trained at least eighty students who became skilled enough to join the Isshi-20, expanding their members to a hundred under her leadership.

Robin- Got a degree in archaeology at the age of 8. Has all of the reading, writing, and history skills, including dead languages. While she taught herself how to read the poneglyphs, I think it's safe to say that Professor Clover taught her regular history, math, science, reading, and writing. Robin went to school!

Franky - Apprenticeship under the shipwright Tom. His state of education was unknown before meeting Tom at age 10. Should know all of the basic skills (reading, writing, math) in addition to carpentry, and shipbuilding. Tom's Workers is referred to as a shipbuilding company, so I don't think it counts as a school? Knows at least enough medical knowledge to turn himself into a cyborg with scraps from a ghost ship after being runover by a train. And Survive. Somehow.

Brook- APPARENTLY??? Stated that school makes him nostalgic, which implies he attended. Also knows a variety of things usually nobility would, namely various musical instruments and fencing. He also knows sailing, and various other things to be a battle convoy leader and pirate captain. I have questions for this man.

Jinbe - Dojo again, this time the Fish-Man Karate Dojo. Later joined the Neptune Army. So, since a dojo counts as a type of specialized school, he's attended a school as well as had military training! Knows basic historical stuff, especially that pertaining to fishmen and human-fishman relations. Seems to know other basic life skills (reading, writing, math, ect)

So, in conclusion:

Went to school: Zoro, Robin, Brook, Jinbe

Private Tutors: Sanji

Vocational Training under a Professional: Sanji, Chopper. Franky, Nami,

Self Taught with some instruction by a parent or other adult (non-professional): Luffy, Nami, Usopp

Out of the ten members, 4 of them attended a school of some sort and several others had some sort of professional training or supervision of study.

Feel free to add on if I missed anything!

[buckets-and-trees]

Uncertain and Sure

Characters/Pairings: Bucky Barnes x female!Reader Word Count: 550 Summary: Immediate follow up to Desperate. The moments after you're retrieved from the safehouse.

Content Warnings: insecurity, brief reference to past kidnapping and sex pollen ordeal

Notes: No one really asked for this (at least not recently), but the idea of it was inspired by an ask @sergeantbarnessdoll sent me with a gif of a certain kissing scene featuring one Sebastian Stan. Good lord that man can kiss. Written spur of the moment.

Previous | Series

↠ Masterlist | Aspen's Ask Box | Field Guide to the Forest

You fidgeted with the zipper on the standard-issue jacket you’d changed into at the safehouse while Sam and Bucky radioed into the home office in New York. It wasn’t your first quinjet ride, but it was your first ride – first anything – after having spent an intense twelve hours with Bucky Barnes where he let you use him to get over a sex pollen infection, confessed deeper feelings for each other, and then explored the new intimacy of that connection physically and emotionally in the safehouse.

“Strap in,” Sam turned and reminded you before slipping into the pilot seat while Bucky adjusted the navigation from the co-pilot seat.

You nodded and took your spot in one of the jump seats. You felt the intensity of Bucky’s look before your eyes flickered up to meet his. Looking over his shoulder, he gave you a tight-lipped smile, and you returned it, your chest tightening as he looked away. You told yourself it was the pull of the quinjet’s liftoff, not any insecurity creeping into your mind.

After shuffling you into the shower to clean up, Bucky had encouraged you to sleep when you hadn’t been otherwise engaged, but your body was still so tired. Your eyes closed, and you let your head fall back against the seat. Bucky had reassured you that was to be expected after everything you’d been through, that from his limited but field-reliable expertise you seemed to be through the worst of it but that the medical team would examine you when you got back, and that you would recover after more rest, but you still hated how exhausted your body felt. Weak.

Weak and strung out and vulnerable.

Uncertain.

You gasped and your eyes flew open when a warm hand covered yours.

“Hey,” Bucky soothed. Kneeling in front of you, he brought his vibranium hand up to cup your cheek.

Damn Bucky and his Winter Soldier or White Wolf silent approach skills.

“Hey,” you whispered back.

“The look on your face had me worried. I need you to know, I’m not going anywhere. What I said and what we did – what we shared – at the safehouse after the pathogen had cleared your system? That wasn’t just getting caught up in the fallout of a mission for me. I’m not going anywhere.”

And you saw the depth of feeling in his eyes. He meant it. The unease in your chest began to fall away, and that must have registered on your face, because his expression softened.

Bucky brought his other hand up, and then cradling your head in both hands, he leaned in for a sound kiss. His lips claimed yours unapologetically, and you sunk into the kiss. Warmth, want, safety, desire. You felt all of it immediately.

A low whistle interrupted your kiss, and Sam hollered, “I knew it! I told Steve y’all were made for each other!”

“Yeah right,” Bucky argued.

“Took you two long enough to get out of your own damn way,” Sam responded, and you laughed.

Bucky opened his mouth to respond, but you put your hand on his cheek and turned his head back to you. “Never mind him,” you said, “just give me another kiss and then go make sure we get home, Barnes.”

He smiled and pressed his lips to yours again.

READ THE NEXT ROMP WITH THIS COUPLE: INSATIABLE

↠ Main Masterlist | Aspen's Ask Box | Field Guide to the Forest

I do not do tag lists, but FOLLOW @buckets-and-stories and TURN ON NOTIFICATIONS to be updated any time I publish a new work!

[covid-safer-hotties]

Also preserved on our archive

An astonishingly simple and comprehensive guide to avoiding airborne illness while traveling. Many of these tips work for trips to the pharmacy or grocery store too. Stay safe out there!

By Korin Miller

Whether you’re traveling domestically or heading abroad, feeling your best at your destination means you’ll get the most out of your trip. Unfortunately, COVID-19 is still out there, and cases are expected to climb again as we head into the winter months. By now you’re likely aware of basic COVID prevention strategies, but air travel presents unique challenges that can be tricky to navigate.

Luckily, you can take steps to lower the odds of picking up the illness on your next flight. To help you do just that, we asked doctors and health policy researchers how they lower their COVID risk while flying. Here’s what they recommend.

Wear a mask—before you’re even on the plane Many of us know this already, but it’s worth recalling: Research has found that wearing a well-fitting, high-quality mask like an N95 or KN95 lowers your chances of picking up COVID-19 by 83%, according to the Centers for Disease Control and Prevention. But when you wear a mask during your travels matters, says William Schaffner, MD, an infectious disease specialist and professor at the Vanderbilt University School of Medicine.

“You really want to use your mask consistently around others, whether you’re in the airport or on that plane,” he says. Thomas A. Russo, MD, professor and chief of the Division of Infectious Diseases at the University at Buffalo’s medical school, agrees. “Think about the whole process when you fly—going through the airport, checking in, boarding the plane, and being on the plane—you’re going to interact with people from all parts of the world… There’s a risk you might get COVID,” he says.

You can help protect yourself by always keeping your mask on—and wearing a relatively new one. Compared to a mask that’s gotten a lot of use, a fresh one will fit more snugly around the nose, cheeks, and chin and, in turn, catch particles more effectively.

Put the air vent to good use If you prefer not to wear a mask, you should take steps to protect yourself in other ways. For example, after you get to your seat, adjust the vent so the air blows over your face, suggests Sheldon H. Jacobson, PhD, a University of Illinois Urbana-Champaign professor and researcher whose work includes using data-driven risk assessments to inform public health policy.

Dr. Jacobson says most airplanes use high-efficiency particulate air (HEPA) filters that catch microbes. Plus, cabin air is refreshed every few minutes, and a good portion comes from outside the aircraft. As a result, what blows out of the vents is pretty fresh. This strategy also keeps the air around you moving faster, meaning there’s less time for you to inhale any possible germs in the cabin, according to Dr. Jacobson. Still, if the person sitting next to you is coughing and sneezing, it’s best to wear a mask if you have one, he says. The filtration system can only do so much in that instance—and it’s not always on before takeoff and after landing.

Be mindful about how you eat and drink If you can, Dr. Russo suggests eating before you get to the airport to lessen the number of times you’ll need to remove your mask when you’re around other people. If you need to dine at the airport, Dr. Schaffner recommends looking for seating away from crowded areas.

When masks were still required for air travel, the suggested strategy for eating and drinking on board was to wait until your fellow fliers finished their snacks and refreshments. But now, Dr. Russo points out, the people around you may not mask up at all. Instead, he suggests dropping your mask, taking a sip or bite, and immediately pulling it back up. This lowers the odds you’ll breathe in viral particles that may be floating around, he explains.

Plan your vaccine around your trip Dr. Schaffner and Dr. Russo recommend getting the updated COVID-19 vaccine about two weeks before your trip. “It’s a good strategy,” Dr. Russo says. It usually takes 14 days or so for your body to build up immunity to COVID after getting vaccinated, according to the World Health Organization. This means your body should be ready to fight the virus by the time you fly, Dr. Russo says. Immunity also fades over time, making the timing of your shot important, he says.

Wash your hands…a lot Experts say you’re more likely to get COVID-19 from breathing in infectious droplets and particles than from touching things. But there’s still a chance you could get sick if you happen to touch a contaminated surface and then your eyes, nose, or mouth.

“What we’ve learned is that transmission from this virus from inanimate objects is very low, but it’s not zero,” Dr. Russo says. That’s why he recommends good hand hygiene while flying. You should wash your hands with soap and water, making sure to scrub for at least 20 seconds, and do so often: before and after security, whenever you use the bathroom, and before eating or touching your face. Hand sanitizer is also a good option in a pinch, Dr. Russo says. But he stresses that keeping your hands clean shouldn’t replace masking up. “It’s much, much less helpful than wearing a mask,” he says.

[lets-try-some-writing]

Hi! I was wondering if you had any headcanons for the bots' fears/phobias? Specifically TFP

The only one I have is that Bumblebee is, ironically, afraid of bees for no reason other than I thought it would be funny. I'd like to hear your takes!

Hmm I think their fears would go something like this:

Arcee: Terrified of blood.

She's seen too much energon over the course of her long life. Watching so many good mecha die and losing both her partners has left her with a strange apathy to energon. She's grown used to it. But blood? Human blood is vibrant and so different and yet so similar. When she sees blood, it ignites old horrors and memories she's long tried to suppress. Her servos shake when one of the children ends up getting a cut large enough for her to notice. It's all too similar for her to handle.

Bulkhead: Afraid of Deep Water

Bulkhead is a big mech, one lacking in serious dexterity. He's a combat and manual labor unit and he knows it. When he was young, he fell into a solvent pool, and while unharmed, he was so heavy that he couldn't get out on his own. He was trapped there for almost a whole cycle, and now that he knows what lurks in Earth's waters, he's terrified of falling in and possibly being crushed to death by either the pressure or something that lurks in the deep. He hasn't fallen in any deep water yet, but he's terrified that it may happen and much prefers the desert.

Bumblebee: Scared of Being Alone

The fear of being alone stemmed all the way back from Bumblebee's sparklinghood. Growing up in a time of war meant that he was often left to his own devices cooped up in a base or safehouse while the grown mechs went off to war. He came to despise being left alone, and so joined the war effort both to help and to be with them. The fear of being alone only grew after he lost his voice to Megatron. When he's alone, he sometimes hears the Warlord taunting him. This can lead him to spiral badly, and so he relies heavily on others for support. This is part of the reason he bonded so well with the children.

Ratchet: Paranoid of Biological Agents

Being a Doctor, Ratchet has seen many things. Not a lot bothers him anymore, save for scraplets. But in his mind, that's not even a fear. It's common sense. But with that said, the Cybonic plague awoke in Ratchet a fear he'd never realized lurked within him. After that great plague, he now fears biological agents above all else. Not necessarily germs, but anything that could become a weapon of war. Contaminated items especially. In that regard, he is an increadible germaphobe when it comes to his supplies and will grow frantic if anything is brought into his medical bay that reeks of disease.

Ultra Magnus: Fear of the Dark

Being inside the Magnus armor means that Ultra Magnus, or perhaps Minimus, is entirely reliant on the armor's optical systems to see. The fear of the dark developed the first time he lost his sight and was completely incapable of maneuvering the armor, effectively leaving him open to any and all attacks since he couldn't use his personal field or even his senses to navigate. He has told no one about his fear, but when the lights go out, he often panics and instinctually enters a state of fight or flight out of a pure primal fear that something may harm him even within his armor. The team doesn't understand. Only Optimus knows why Ultra Magnus goes to recharge with a nightlight.

Smokescreen: Frightened by Fires

Smokescreen's fear stems from his time in the Archive. It is a new fear, one he has not fully realized. But seeing Iacon burning and the Archive coming down around him, destroying the home he'd known for so long... it changed him. At the time he was too busy being enthralled in the thrill of potential battle to care. But now, whenever he sees fire in close proximity, he automatically flies into a combat position, often lashing out at the first thing that moves simply because he associates fire with foes. Anything greater than a candle unsettles him.

Wheeljack: Unsettled by Connections

He doesn't talk about it. Ever. However, from what Bulkhead knows, Wheeljack got very attached to his ragtag family back when he was young and promptly lost them all one at a time. He tried to get attached to fellow workers before the war, but every connection fell through. Now he doesn't bother and actively flees anything that could feel like it weighs him down. He's scared of caring enough to actually cry when someone dies. Bulkhead is a rare exception to his rule of no connection, and it is simply because Bulkhead has lasted this long and all but demanded friendship.

Optimus: Petrified of Being Lost

The fear began when he was still Orion Pax. At the time, he got lost almost every time he travelled, and often, he ended up in frightening back alleys and dangerous situations. The fear evolved after he became Prime and now Optimus does not fear being lost in his journeys. Rather, he fears becoming lost within the grasp of the Matrix and the madness of war. It is such a real fear that often, Optimus will throw himself into days long studies after patrols, reviewing everything he knows about Cybertron and the corruption of the Council just so he can reaffirm who he is.

Just so he won't lose himself to the tempting thought of letting go of his morality.

[gauguinhater69]

Guys, I’ve had Thoughts.

House’s childhood isn’t really explored in a whole lot of depth during the show. The only details we get are some brief mentions of his father’s abuse and the fact that House grew up moving around a lot due to his father serving as a Marine Corps aviator.

I’m pretty sure the only countries that are directly mentioned in the show as being places that House grew up in are the States, Japan, the Philippines, and Egypt. Both of House’s parents are American, as far as I am aware? He also mentions having a Dutch grandmother in One Day, One Room, but I can’t remember if that’s ever mentioned again or if he just said that for the plot. Regardless, this makes House a Third Culture Kid (or TCK).

Third Culture Kid is a term used to describe people who grow up in a culture that's different from their parents' culture or the culture of their country of nationality. TCKs are often children of expatriate workers, including members of the military (like House), or they can also be the result of transnational marriages. TCKs often develop an identity that's based on relationships with people rather than places. 

I feel like this aspect of House’s upbringing explains a lot about his character and why he is The Way He Is. However, I think it was kind of glossed over in canon and could have been dealt with in a really interesting way, but instead they were just kind of like, “Haha, he read manga because army.”

Whether it was intentional by the writers or not, a lot of the ways House thinks, acts, and interacts with other characters is reflective of a TCK childhood. As a TCK myself, I unironically find House to be one of the best-written TCK characters I have ever come across, despite it not being explicitly discussed in the show (genuinely the only other TCK character in mainstream media that I can think of at the moment is Cady Heron from Mean Girls, who is not a good example, sorry girl).

The most compelling aspects of House’s personality, which I believe make him a well-developed representation of what it’s like to grow up as a third culture kid, include:

A complex relationship with authority and rules: TCKs often grow up in environments where they must navigate different sets of rules and authority figures, which could lead to a heightened skepticism about institutional authority. House's disregard for rules, his insubordination, and his tendency to challenge authority figures such as Cuddy, Vogler, Dr. Nolan, and even Wilson at times seem like an indication of a deeper mistrust of systems and structures. House appears to almost compulsively rebel against structure and situations where he is not completely in control, even if he knows that people are trying to help him, as seen in his time at Mayfield.

Alienation of self and others: I feel like this in particular is very central to House’s character and the show. He is constantly pushing the people who care about him away, like Stacy, Cuddy, Wilson, and the Ducklings. He avoids relationships (both romantic and platonic) and emotional connections with the people around him and believes that he is better off relying on himself alone. Many TCKs experience a sense of never truly fitting in anywhere and tend to alienate themselves (whether on purpose or not) because of it.

Detachment and critical thinking: House’s whole thing as a diagnostician is being able to see things from unconventional angles, and his sharp, often brutal, critical thinking is a reflection of this adaptive skill. However, this also contributes to his emotional detachment, as he prioritizes logic and objective analysis over subjective or cultural norms, distancing him from emotional involvement. Being exposed to a variety of different cultures, people, and cultural norms often contributes to TCKs developing the ability to view situations from multiple perspectives and come up with unusual solutions. This could also contribute to House deep desire to figure everything out, this includes the medical mysteries he solves, but also he needs to understand the actions and motivations of all the people around him. He wants to understand and know everything because this gives him a sense of control.

Deep need for control: Growing up in different places, where cultural norms and expectations may have shifted, could have made House feel like he had to assert control over his immediate surroundings to maintain some sense of stability. The trauma he experienced, particularly with his father’s abuse and emotional neglect, likely influenced this desire for control, as he may have associated control with safety and predictability. In addition to this, many TCKs create rigid systems or behavioural processes to compensate for a lack of “home”. House’s fractured sense of identity and personal trauma, which developed as a result of his experiences as a TCK, likely contributed to his need for control in all aspects of his life.

I also think these are all reasons why House is so drawn to Wilson. While Wilson is absolutely as much of a freak as House, he is the most stable and constant thing in House’s life (even more than his job as a doctor is). While medicine is extremely important to House, he works at the hospital on and off, unable to continue his practice while he is at Mayfield, and he ultimately gives up medicine entirely for Wilson. Through all the ups and downs of House’s life, Wilson is there, no matter how hard House tries to drive him away.

House values his relationship with Wilson above pretty much all other things in his life, because Wilson is one of the only constants in House’s life, which is something that House had been lacking before Wilson. House likely had developed the idea that relationships are fleeting due to his constant upheavals as a child, and this may be part of the reason why he is constantly pushing others away to try and save himself the pain of losing people.

However, Wilson keeps coming back no matter what. Despite the fact that House is rude and brash, despite the unhinged pranks, the borderline criminal acts, after House stole Wilson’s prescription pad, after House played a role in the death of Wilson’s girlfriend, again and again Wilson comes back.

I’m going insane, and I think this is very nearly incomprehensible. Does anyone else see the vision?