#or about their personalities

[pigeonstab]

Everyone is such a pro at characterization. I feel like I shouldn't even be talking about these characters

[daftpatience]

slow down for your disabled friends. thats like a bare minimum kindness that we shouldnt have to ask for. i love that youre so quirky and walking fast is a cool personality trait to you and all that but i bet you can count your physically disabled friends on less than one hand

[bixels]

As gen-AI becomes more normalized (Chappell Roan encouraging it, grifters on the rise, young artists using it), I wanna express how I will never turn to it because it fundamentally bores me to my core. There is no reason for me to want to use gen-AI because I will never want to give up my autonomy in creating art. I never want to become reliant on an inhuman object for expression, least of all if that object is created and controlled by tech companies. I draw not because I want a drawing but because I love the process of drawing. So even in a future where everyone’s accepted it, I’m never gonna sway on this.

[miggylol]

First off, spin this wheel.

You just landed on one of 200 fandoms that have been very popular somewhere on Tumblr over the years. Topics were chosen either from appearing on a @fandom end-of-year recap or from my own long (long, long) site memories before that.

also all of these fandoms are definitely things that really exist in the real world and none of them are Tumblr creations

[curiosity-killed]

There are truly very few forces in the world as strong as the inertia of staying up way too late doing fuckall

[inkskinned]

please i love you i'm begging you bring back suspension of disbelief bring back trusting the audience like. i cannot handle any more dialogue that sounds like a legal document. "hello, i am here to talk to you about the incident from a few minutes ago, because i feel you might be unwell, and i am invested in your personal wellbeing." "thank you, i am unwell because the incident was hurtful to me due to my childhood, which was bad." I CANT!!!!

do you know how many people are mad that authors use "growled" as a word for "said"? it's just poetics! they do not literally mean "growled," it's just a common replacement for "said with force but in a low tone." it's normal! do you hear me!! help me i love you please let me out of here!!!

[riacte]

not romantic not platonic but a secret third thing [what would happen between earth and the moon if the earth stopped spinning as illustrated by xkcd randall munroe]

[phanerozoicfossilgardener]

As a writer I need everyone to know that whenever I write "exchanged glances" my intent is this

[gingersnapwolves]

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

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

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

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

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

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

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

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

And here’s the key point of this story:

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

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

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

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

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

[evidently-endless]

i think we should remind musicians they can absolutely make up little stories for their songs btw. it doesn’t have to be about them at all. you can invent a guy and put him in situations to music. time honoured tradition in fact.

[some-pers0n]

I'm always entertained by people doing those "canon VS fanon" memes where both are misunderstanding characters to such a violent degree 'cause like

[redstonedust]

i think most people accept the idea of "you don't control who you're attracted to" in terms of being gay but imo it can go further. like if you're not attracted to men, but you happen to find a transmasc person attractive, i dont think thats inherently transphobic if you acknoweldge that your attraction is incongruent with their identity. you dont need to run yourself in circles creating qualifiers for your sexuality when we live in a world of infinite gender identites. it's not like you have an inbuilt radar that tells you whether that hot stranger at the bar is a woman or not. man who kissed a twink that turned out to be a butch lesbian that thought he was a butch lesbian. etc.

[apricior]

i remember when i was a child internet safety was like "if you even hint at the country you live in, you're gonna get kidnapped and murdered", and nowadays it is encouraged or even necessary to give corporations every single personal detail if you want to use anything because if they can't sell your information they cry so hard they throw up

[silverview]

psa

[ered]

Here’s my take on the whole audio books vs. reading:

Oral tradition of storytelling predates written ones by millennias, and honestly, which one you like is just a personal preference.

The actual difference is

when listening, you have no idea how to write characters’ names

when reading, you have no idea how to pronounce characters’ names

hope this helps!