#physician’s opinion

[stuckinapril]

I want to read books I want to write more I want to play the piano I want to sing in key I want to delve into fashion history I want to travel I want to publish research papers and I want to become a surgeon and I’m supposed to do all that in this one wild and beautiful life

[lornrocks]

Got a little treat where we got to watch saw iii for a bit before we went to dinner and it was a treat because my mom let me explain lore to her while we watched lololol

[jacqcrisis]

its funny how, as a child of two chiropractors, my first thought upon throwing out my back is not to go pay someone for an adjustment that wouldn't actually help anything but line a chiro's pockets, but to do meaningful exercises and stretches to soothe whatever lumbar muscles got pissy yesterday. I could barely stand yesterday, but after doing what you should, I'm already 60% better today.

[2024skin]

can't decide if I want to be a gynecologist or if I want to marry one

[pandemic-info]

via Wes Ely MD :verified:: "Long COVID is Disability Roulette…"

https://www.bostonglobe.com/2023/05/26/opinion/long-covid-turns-three-americans-play-disability-roulette/

[puc-puggy]

#the commenter is... definitely optimistic about the likelihood of striking about this

so just to be clear, I did not mean a strike when I said labor disruption; i meant disruptive actions by an organized labor force.

when unions make public statements like this, what they are leveraging is labor power and their ability to disrupt its smooth function. "you listen to me because i could fuck your whole life up if i so choose." there are a LOT of different forms of labor disruption outside of a strike. strikes are a powerful show of force and as a result are a last resort, but the less dramatic labor disruptions are nothing to thumb your nose at. this announcement is a threat of labor disruption, and when 70% of a labor force threatens disruption, it makes the boss antsy, whether or not the threat is a bluff. that 70% is enough to make them pause and ask if this fight is really worth the effort. BMA is telegraphing hard that it is not. and a union can't bluff too much or the threat becomes meaningless. couldn't tell you if they're bluffing or if they'd be willing to go so far as to strike for it, but they're risking their bluff ratio and doing it in pretty strong language either way.

for example, [hypothetical] the union is not bluffing at all & the cass review gets implemented. they could pay the legal defense of any doctors arrested for protesting transphobic policies. they could put up a picket line outside of a parliamentary building. they could offer union backing for internal staff meetings regarding transphobia, trainings to members on providing the best possible care in spite of restrictions, etc. if they're REALLY not bluffing, they could offer to pay legal fees for doctors that provide prohibited transition care and purposefully build up a case history to overturn the policy. they could even strike. by making a statement, all of this is now on the table. and that's unsettling for the people who really want to hurt trans people but really don't want to fight with 70% of their country's doctors.

I have no idea what forms of labor disruption this union would pursue and i am not a member of it, but most commonly, a statement like this means union members will be able to utilize union resources (particularly legal resources) in the course of lobbying against the cass review, publicly supporting trans people, and condemning transphobia. "i'm protected by my union for fighting something I disagree with" is emboldening and could have a powerful effect on public discourse on its own. can't get in trouble with your boss for pro-trans tweets or statements because your union rep will sit in a room with you both and tell your boss to shut it. how does what you say change when you no longer fear reprisal?

anyway. unions are fucking awesome

In some positive news, the British medical association has passed a resolution against the implementation of the Cass Review, calling it “unsubstantiated.”

Source here.

[thoughtportal]

Opinion Here’s how to get free Paxlovid as many times as you need it

When the public health emergency around covid-19 ended, vaccines and treatments became commercial products, meaning companies could charge for them as they do other pharmaceuticals. Paxlovid, the highly effective antiviral pill that can prevent covid from becoming severe, now has a list price of nearly $1,400 for a five-day treatment course.

Thanks to an innovative agreement between the Biden administration and the drug’s manufacturer, Pfizer, Americans can still access the medication free or at very low cost through a program called Paxcess. The problem is that too few people — including pharmacists — are aware of it.

I learned of Paxcess only after readers wrote that pharmacies were charging them hundreds of dollars — or even the full list price — to fill their Paxlovid prescription. This shouldn’t be happening. A representative from Pfizer, which runs the program, explained to me that patients on Medicare and Medicaid or who are uninsured should get free Paxlovid. They need to sign up by going to paxlovid.iassist.com or by calling 877-219-7225. “We wanted to make enrollment as easy and as quick as possible,” the representative said.

Indeed, the process is straightforward. I clicked through the web form myself, and there are only three sets of information required. Patients first enter their name, date of birth and address. They then input their prescriber’s name and address and select their insurance type.

All this should take less than five minutes and can be done at home or at the pharmacy. A physician or pharmacist can fill it out on behalf of the patient, too. Importantly, this form does not ask for medical history, proof of a positive coronavirus test, income verification, citizenship status or other potentially sensitive and time-consuming information.

But there is one key requirement people need to be aware of: Patients must have a prescription for Paxlovid to start the enrollment process. It is not possible to pre-enroll. (Though, in a sense, people on Medicare or Medicaid are already pre-enrolled.)

Once the questionnaire is complete, the website generates a voucher within seconds. People can print it or email it themselves, and then they can exchange it for a free course of Paxlovid at most pharmacies.

Pfizer’s representative tells me that more than 57,000 pharmacies are contracted to participate in this program, including major chain drugstores such as CVS and Walgreens and large retail chains such as Walmart, Kroger and Costco. For those unable to go in person, a mail-order option is available, too.

The program works a little differently for patients with commercial insurance. Some insurance plans already cover Paxlovid without a co-pay. Anyone who is told there will be a charge should sign up for Paxcess, which would further bring down their co-pay and might even cover the entire cost.

Several readers have attested that Paxcess’s process was fast and seamless. I was also glad to learn that there is basically no limit to the number of times someone could use it. A person who contracts the coronavirus three times in a year could access Paxlovid free or at low cost each time.

Unfortunately, readers informed me of one major glitch: Though the Paxcess voucher is honored when presented, some pharmacies are not offering the program proactively. As a result, many patients are still being charged high co-pays even if they could have gotten the medication at no cost.

This is incredibly frustrating. However, after interviewing multiple people involved in the process, including representatives of major pharmacy chains and Biden administration officials, I believe everyone is sincere in trying to make things right. As we saw in the early days of the coronavirus vaccine rollout, it’s hard to get a new program off the ground. Policies that look good on paper run into multiple barriers during implementation.

Those involved are actively identifying and addressing these problems. For instance, a Walgreens representative explained to me that in addition to educating pharmacists and pharmacy techs about the program, the company learned it also had to make system changes to account for a different workflow. Normally, when pharmacists process a prescription, they inform patients of the co-pay and dispense the medication. But with Paxlovid, the system needs to stop them if there is a co-pay, so they can prompt patients to sign up for Paxcess.

Here is where patients and consumers must take a proactive role. That might not feel fair; after all, if someone is ill, people expect that the system will work to help them. But that’s not our reality. While pharmacies work to fix their system glitches, patients need to be their own best advocates. That means signing up for Paxcess as soon as they receive a Paxlovid prescription and helping spread the word so that others can get the antiviral at little or no cost, too.

{source}

[gojorgeous]

"MINE, MINE, MINE."

pairing: alpha!geto x omega!fem!reader summary: your doctor won’t refill your prescription until you’ve reset your cycle. you’re desperate for that refill, but geto’s not having it. content: MDNI (18+ ONLY), a/b/o dynamics, nsfw, dubcon? (reader doesn’t want a heat but it’s medically necessary (LMAO what)), established relationship, unprotected sex, breeding, praise, pet names, knotting, slight manipulation, dacryphilia, somnophilia, spit, blood, oral (fem!receiving), so much licking and smelling?, geto and reader are just downright feral LMAO, lmk if i missed anything. a/n: have y’all figured out that i have a breeding kink yet… anyway, this is the first a/b/o fic that i’ve ever written but i just read one and was feeling *inspired*. if people want i might do a prequel sort of thing for this that goes more in-depth about how they met and stuff. lmk! also, i have a vampire gojo fic planned hehe get ready bbs. if you want more of my omegaverse fics check out my alpha!gojo fic here! and remember, AGELESS BLOGS WILL BE BLOCKED! divider credit to: @cafekitsune wc: 5.2k

“No.” 

No? You shift in your seat, cold and plastic, sure you must have heard him wrong. 

“I’m sorry?” you ask. You press your tongue to the roof of your mouth, an anxious habit.

“I can’t refill the prescription. I’m sorry, but, frankly, it would be completely irresponsible of me to do so. I’m shocked your previous physician prescribed them for so long.” Fingers find yours and twine them together. Your eyes flash to Geto, but he’s only staring at your new doctor, staring with that furrow in his brow he only gets when he’s worried.

Your new, soon-to-be old, doctor sighs again, running a hand through his thinning white hair. “You need to have a heat as soon as possible, allow your body to recalibrate. Indefinite use of suppressants is dangerous and unhealthy. They are meant to manage your cycles, not stop them altogether.” 

Sweat beads on your palms. He can’t be serious. But it’s his first opinion. Surely there’s another option.

“I-I’m sorry, doctor. I don’t think I’m understanding.” 

Another glance at Geto reveals that he’s frowning now. When his eyes find yours you see the decision there, one he’s already made without you. Your stomach drops.

The doctor sighs and suddenly the walls of the office feel small, tight, suffocating. The twinge of alcohol and chemicals in the air makes your nose scrunch. “Let me say this clearly. I will not refill your prescription for suppressants, nor will any other reputable physician. You have been taking them continuously for far too long. You risk permanent damage should you delay a proper cycle any longer.” The doctor glances to Geto, then back to you. “Go home with your alpha and allow nature to take its course. It’s what’s best.” 

Your eyes widen with realization– you are not leaving this office with what you came for. Your heart pounds and your palms sweat. “Th-that can’t happen, doctor. I need my suppressants. My job- I can’t be out that long a-and Geto can’t either, we–” 

“We will go home,” Geto interrupts, and his tone is final. “Thank you, doctor, for the advice.” 

Geto pulls you to your feet, gently but firmly. He leaves no question about the fact that you’re leaving. You can feel the intensity radiating off him in waves. You ignore it. You turn to your new doctor, silently smiting him. Why did your old one have to retire?

“Doctor, you don’t underst–” 

“Thank you again,” Geto interrupts.

Before you can make another sound, another protest, Geto pulls you through the door, out of the office, and back to the car. He opens the door for you, as he always does, except this time you’re not so eager to accept his chivalry. 

“Suguru,” you bite out. His eyes meet yours, but they are surprisingly gentle. So calm. How is he always calm? 

“Just get in, baby. We’ll talk about it in the car.”

You debate saying no, but you can’t bring yourself to start a fight when he’s being so good. You grumble when you climb in, buckling your seatbelt before Geto can do it for you.

The engine revs to life, but you hardly notice. You’re already scrolling your phone, the search bar reading a simple and straightforward “doctors offices near me”. You scroll right past the first ten, for once in your life wanting a doctor that’s a little sketchy. You scroll further– still not sketchy enough. Someone who’ll give you the prescription you need, even if it’s not necessarily… ethical. Or maybe you could get some on the street? Surely there was some kind of dealing ring for that. There was a dealing ring for everything, right?

“What are you doing?” His voice is soft, but his fingers are tight around the steering wheel, skin stretched tight across his knuckles.

You lift your phone to your ear, dialing the first office that looked relatively shitty enough. “Getting a second opinion,” you answer. 

Suguru plucks the phone so swiftly from your fingers that you hardly even notice it’s gone. You see him end the call and slip it into his back pocket, out of your reach. 

“Hey!” You scramble across the center console, hopelessly grabbing at your lost phone, your last hope. 

Suguru grabs your wrist, restraining you far too easily for your liking. “You’re not getting it back,” he says. His eyes never leave the road. 

Your brows pinch and anger boils in your stomach. “This is not for you to decide. It’s my body.”

He glances at you, unconcerned. Still calm. “And you’re not in a headspace to be making a responsible decision about it, so I’m making it for you.”

Your jaw drops and you pry your wrist free of his grasp. You escape, but you know it’s only because he allows it. “I am of perfectly sound mind, thank you.” 

He shakes his head and sighs. “You’re blinded by desperation.” 

“It’s still not for you to decide!” When you don’t notice any change in his expression, you switch tactics– from anger to honesty. You let your face fall, let your true feelings creep through. “You know how much I hate it, Su.” 

Finally, he cracks. It’s instantaneous, the way he melts for you- the way the soft smile finds his lips and his hand finds yours, twining your fingers together. “I know, but you have to, baby. You heard the doctor.” 

You clench your jaw and avoid the sting of tears behind your eyes. You had heard the doctor, but you weren’t ready. Maybe next month, when you’d had more time to mentally prepare. 

Your skin crawled. You hated it, hated this. You hadn’t had a heat in years, avoiding them like the plague. You hated how vulnerable they made you, how they put you at the mercy of another. It wasn’t that you didn’t trust Suguru– you did. You trusted him more than anyone, anything, but you still hated the feeling of being so completely helpless, so completely out of control, even if it was Suguru you were submitting to. 

For most of your life, you’d successfully hidden your omega status. With the help of suppressants, you’d passed as a beta until your early twenties. Then you met Geto. 

You’d met at work. He was cute, beautiful even, you’d thought, but he screamed alpha– and alphas could be dangerous, especially for hiding, unclaimed omegas like you. You’d stayed away as long as you could and, for a while, you were quite successful. You avoided him in the halls, sat at the opposite end of the table in meetings, replied to emails succinctly but politely. All was well until you’d been trapped in an elevator with him one morning, biting your lip anxiously as you waited to reach the twelfth floor. He’d smelled so good that day, perhaps due to an oncoming rut. You hadn’t been able to resist inching closer, taking deeper breaths. Suguru would later tell you that he’d suspected your hidden status, but he had no reason to question you. At least, not until he had you up against the elevator wall with his face buried in your neck. One deep whiff was all he’d needed to know exactly what you were, even with suppressants in your system.

You’d dated for a little over a year, until you’d decided he was the one. Your fingers dust over the mate mark on your throat, the one that had not only made you undoubtedly Suguru’s, but also the one that had revealed to the world exactly what you were. There was no hiding your true identity with an alpha’s scarred mark on your neck. 

Suguru had never seen you through a heat– no one had. You’d taken your suppressants daily, ever since you met him and even long before that. He’d claimed you on a day like any other, no heat necessary. He hadn’t had a rut in all these years, either. When he felt one coming on all he had to do was pop a single pill and all was well– apparently with none of the nasty side effects that came along with your suppressants. Another unfair privilege of being an alpha you supposed. 

“Sugu, I can’t do this.” Your lip is raw from how much you’ve been chewing on it by the time you reach home. 

Suguru softly shuts the door behind you, lifting your twined hands to his lips, gently kissing your knuckles. 

“Yes you can. I know you can.” 

You shake your head. He doesn’t understand– doesn’t know what this will do to you, how it will break you. While you hadn’t had a heat in years, you had experienced them before. You loathed them more than anything, loathed the way your mind was a slave to your body and not the other way around, loathed the way your whole body pulsed and throbbed, loathed the way it made you feel so… weak. “I can’t. It’s-it’s-” Your hands come up to cover your face. You sigh and feel the blush crawling beneath your cheeks. “It’s embarrassing. Humiliating.” 

There’s silence for a moment, and then a soft sight. Suguru pries your hands from your face gently. When you meet his eyes, he’s all business.

“There’s nothing to be embarrassed about, baby.” 

You shake your head and pull away, pacing. “I don’t want anyone to see me like that, Sugu. Not even you.” 

Strong hands catch your waist, holding you still. “It’s not a question. It’s happening– for the sake of your health.” 

You scoff and shake your head. “It’s not–” 

His thumb presses to your lips with just enough pressure to demand silence. The omega in you coos to listen, to submit– the other part of you reels with annoyance.

“End of discussion.” 

He’s closer now and you can feel waves of his breath skating across your skin. It’s like a drug, one that the primal side of you can never get enough of. Give in, give in, give in, your omega begs. Listen to your alpha… You try not to focus on the fact that he smells good enough to eat. You know what he’s doing– using his dynamic to persuade you, to make you see his way, playing to the omega you can usually hide so carefully.

“Sugu…” you say. You intend to be angry but you trail off when his eyes catch yours. 

“I got you, baby.”

Your heart melts at the words. He waits. Maybe he knows that the smell of his skin on yours is playing tricks on your mind. You wage a battle within. Every instinct urges you to agree and with every passing second it becomes harder to disagree. Perhaps he’s right, perhaps it's time you give in for once. Let him take care of you, your omega purrs. You’re nodding before you realize what you’ve done.

Suguru kisses you quickly, allowing no time for takebacks. When he pulls away he gets to work. He whips his phone from his pocket and you listen to him talking to his boss, your boss, saying that you’ll both be out of work for a week on “family” leave. Your face heats when you realize that your boss now knows exactly what you two are going to be doing for the foreseeable future. Suguru kisses you one last time before he’s out the door, off to get enough food and supplies to last a week. You won’t be leaving your apartment for some time. You don't fail to notice that he doesn’t return your phone before he’s gone.

~

You don’t notice a difference, even after the sun is gone. It’s not surprising, considering you usually take your suppressants at night– it’ll take a little while longer for them to fully exit your system… you hope. When you’re brushing your teeth you stare at the empty prescription bottle longingly. 

You join Suguru in bed. The moment you crawl onto the mattress he pulls you closer into his bare chest. You savor the way your bodies fit so perfectly- like he was meant for you and you alone. His front curls around your back, a leg slotted between your thighs. 

“Feel anything?” he asks. 

You shake your head to hide your swallow. You almost shiver when Suguru buries himself in your neck, inhaling your scent. You feel him harden against your backside. He must be able to smell your approaching heat even before you can. Part of you expects instinct to take hold of him, for him to make a move, but he only presses a kiss to your jaw and holds you tighter. 

“Sleep, baby.” 

For once, you follow orders without a fight.

–

Hot. Too hot. 

When your eyes flutter open, you feel the pounding of your heart, the labor of your breath, and the growing ache between your legs. 

You sit up so fast you see stars, panic flooding your veins. No, no, no, no, no. This was wrong, you’d made the wrong choice. You couldn’t do this. Already, you could feel control slipping from your grasp, your consciousness giving way to something more primal, more feral. You scramble, preparing to stand, to find your phone, to lock yourself away and suffer through this on your own.

“Deep breaths, baby.” 

Only then do you realize Suguru is already awake. He’s behind you, hands on your shoulders, both a comfort and a restraint. 

“Can’t-” Your breaths are ragged and so are your words. “Can’t do this, Sugu-” 

“Yes, you can.” He whispers. He pulls you closer, tighter against him. “You will.” 

You shake your head frantically, tears pooling on your lashes. When you turn, Suguru is staring at your neck, at the mate mark on your throbbing pulse. His jaw is clenched when his tongue darts out to wet his lips. He’s restraining himself, you realize. A glance down reveals he’s already painfully hard in his pants. You wonder how long he’s been sitting there, taking in your scent, waiting for you to wake. No doubt his rut has already been triggered.

His eyes raise to yours and he pauses at the tears that leak down your cheeks. He leans closer, and the scent emanating from his neck makes you groan against your will. His kisses away the tears. Slowly, one at a time. 

“I’ve got you, baby,” he whispers. “I’ve got you.” 

Your body pulls him closer, even as your mind pushes back. “My phone, Sugu,” you panic. “Gotta gimme my phone. C-call a new doctor.” 

He shakes his head and when you start to squirm he only holds you tighter, holds you in place. 

“No, baby.” 

You whimper, seeking the scent gland on his neck against your will. The smell makes your clit throb almost painfully. 

“Sugu, please,” you cry. Tears stream from your eyes, staining your lover’s skin. 

“‘S gonna be okay. Just let it happen. Don’t fight it, love.” 

With each passing moment, you feel your fight slipping further and further away. Suguru rubs at the muscles in your back until you’re slumped against him, pitifully moaning like a wounded animal. It’s not long before your body takes the reins, until you start desperately humping at his thigh, your clit throbbing almost painfully. 

“That’s it. Good girl.” 

Your eyes roll back at the praise and when Suguru grips your waist you cry out at the touch. Everywhere his skin meets yours feels electric. You’re burning, burning, burning. It’s not until Suguru lays you down on your back that you see the sopping patch of slick you’ve left on his thigh. You whimper at the sight. 

“‘S okay, baby. ‘Ve got you.”

Suguru is looking nearly as lost to the lust as you are. Only his willpower and intent keep him from shredding away your panties and breeding your cunt full that very second. He’s never been in the presence of a scent so intoxicating. He’s never been with you, or any omega, through a heat. He thought you smelled amazing before, but now… He is lost to you, lost to the heat he feels emanating from every inch of your skin, to the honeyed scent pouring from your neck, to the slick he sees staining through your panties. His dick twitches in his pants. 

“Love you so much, baby. Gonna take such good care of ya,” he whispers. Instinct drives him forward until he’s plastered his lips to your jaw, licking and biting at the skin. You nearly scream at the sensation. You feel his touch everywhere, all at once. With your last coherent thoughts you know that this heat will be unlike any other you’ve ever experienced. It’s already so intense you can hardly think, and you’ve only just begun.

“Sugu,” you plead. 

The sound of his name on your lips breaks him. His hand dips across your stomach, thumbing past the edge of your panties until he’s running his finger through your slit, gathering your slick and rubbing it against your clit. 

You scream and thrash, so sensitive it nearly hurts, but he only moves to pin you beneath him, forcing you to take everything he gives. 

“Gonna make you feel ‘s good, baby.” he hums. He’s lost to you, to your desires, to your needs. Every piece of him screams to please you, to take care of you, in every way possible.

He continues his messy circles on your clit and until you’re gasping, hole clenching around nothing, begging to be filled. 

“S-Sugu…” you whine.

The growl that rips from his throat has you arching your back and bearing your throat in an act of submission. You hear a tear and watch your panties hit the floor. Your shirt follows and then you’re completely bare beneath your alpha. His eyes go black at the sight, pupils blown so wide you can hardly see a smidgen of their usual brown. There’s a deep rumble in his chest that has you keening and reaching for him, needing him. He doesn’t waste time. His tongue finds your neck, laving sloppily at your scent gland and the sensation is so delicious that you writhe beneath him. 

His fingers slide down your stomach, dipping between your thighs and rubbing at your clit. The touch is somehow gentle despite the complete and total hunger in his eyes, but it has you whining nonetheless. Every place he touches you, which is nearly everywhere, stings so delightfully that your eyes are already rolling back.

But you can’t wait. You can’t. Your body is starved, rabid, and you know what you need.

“Ssssugu… please…” your words are hardly above a whisper, barely a breath, but your alpha still hears you, still knows what you want, what you need. 

“I got you, baby… shhhhh…” He gives a final lick to your scent gland before he’s leaning back on his knees, parting your thighs wide, exposing your leaking cunt. You can feel a puddle of slick beneath your ass, your hole clenching desperately around nothing, aching to be filled. 

Warm hands slide up your skin and settle on your hips, tugging you a little further down the bed. You whimper, but don’t have time to say anything before you feel him slipping through your folds. A glance down reveals his weeping tip, achingly flushed, bumping and rubbing against your clit. When did his pants come off? You don’t know, you don’t care, all that matters is that the sight steals your breath away. 

“Gonna knot you good, princess.” 

You nod, wanting nothing more than for him to make good on his promise. You claw and grip at his arms, chanting his name endlessly. His chest rumbles again and your thighs part further on instinct. Finally, he gives you what you want. You feel him pressing in, fat tip stretching you wide. One of his hands moves to press down on your tummy and the combination has tears pooling in your eyes. 

He slides in slowly. With every inch you think he must be done, that you can’t take any more. But you can, and you do. When he’s finally fully in your jaw is hanging open in ecstasy and your eyes are rolled back in your skull. His fingers brush your clit and your hips jerk. 

“That’s it. So good, baby. So fucking good.” 

Your tears flood over, racing down your cheeks. He’s over you again, loose strands of black hair brushing your skin and forcing a whimper from your throat. He licks away your tears, lapping at your cheeks like you’re a fucking lollipop. His hips start thrusting in time with his licks, and it’s more than you can handle. Your thighs tremble and suddenly you’re begging. Pleading, whining, screaming for more. He gives it to you. One hand finds yours, twining your fingers together as he pounds into you so hard he’s rattling your skull. He’s licking at your scent gland again, driving you further and further toward a cliff you’re afraid to fall from. You think this orgasm might shatter you, might break you so thoroughly you’ll never be put back together again. You can feel it tightening at your core with each thrust, each lick, each kiss. 

“Fuck,” you hear him growl and whimper at the sound of his voice so close to your ear. “‘M gonna bite you, princess. Gonna mark you up and knot you so good you’ll see fucking stars.” You pant beneath him, unable to word how excited you are by his words, how deliciously they roll across your skin and seep into your spine. “Tell me you didn’t take your pill, baby. Tell me I can breed this pussy full and it won’t go to waste.” He’s not talking about your suppressants you know, but rather the contraceptives you take in tandem with them. Of course you took it, but suddenly something makes you wish you hadn't. “‘M gonna flush ‘em down the fucking toilet. Never letting you take that shit again.”

The primal part of you surges forward at the idea. It chants deep in your mind. Yes, yes, yes…

“Suguuu… please…” It seems like those are the only words your tongue can form.

His lips press to yours, shushing you. “Shhh, baby. Don’ worry. I got you.” He licks across your cheek and down across your jaw until he finds your scent gland again. His thrusts pick up again and you think you might pass out from how good you feel, from how tight your muscles are coiling. You can feel his knot pulsing inside you, preparing to fill you to the brim. You’ve never felt more ready for anything. 

“Sugu–” 

And it’s at that moment that he makes good on his promise. His teeth sink into your neck and you feel your bond snap taut like a string, pulsing with the closeness of your connection. It’s pure ecstasy. Suguru’s knot swells, notching tightly inside you and when you feel his cum pulsing into your womb it’s all too much. You think you must be screaming from the pleasure but you only hear the ringing in your ears as your orgasm washes over you. Your muscles clench, your toes curl, your back arches, you see those stars Suguru promised. Heat tingles through your limbs and down your spine and you think you’ve probably just melted into the mattress. But you haven’t, and when your vision returns, you’re panting and staring at the ceiling. 

Suguru is above you and you can feel him still cumming, still releasing rope after rope of thick, hot cum into you. The sensation makes you groan and he laps at your neck, cleaning up the blood from the new mark he’s just given you. Your consciousness trickles back in, the primal piece of you partially sated for the time being. You remember the context of your situation, why you’re here and not at work, what you’re doing. You’re puzzled by why you’d been so panicked by the idea of a heat before. How could you have been so reluctant, so scared, when nothing has ever felt this right?

Suguru is peppering you with kisses now, pulling you tight to his chest and rolling you both onto your sides where you’ll stay until his knot softens. 

“Sleep, princess,” he says and he uses that tone that always compels you to listen, to please. You happily do as he says and when your eyes drift shut it’s not long before you’re lost to a world of comfortable darkness. 

~

You wake to the throbbing again. All of the pent up need Suguru had sated has returned with a vengeance. You need him again, but it appears he already knows that. 

You feel him between your legs, his hair fully loose now and tickling the insides of your thighs. He’s eating you out, slurping up the cum that’s leaking down your thighs and spitting it back onto your cunt. It’s filthy, disgusting, and you love it.

“Sugu–” you gasp and your hips buck. His eyes lock with yours and the smile he gives you nearly makes you come on the spot. He holds your gaze as he licks one last long stripe over your folds. You whimper and clench around nothing. Empty, empty, empty…

“Sorry, baby,” he whispers against your skin. He’s kissing his way up your body now, leaving little circles of spit that cool when they touch the air and make you shiver. “‘Y smelled so good…” 

You whine and whimper, clawing at his back and leaving scratches you think might draw blood. You’re too worried about getting him inside of you to check.

You’re gasping like you’ve never had a breath of air in your life, like you’ve drowned and every touch he gives you fills your lungs with much-needed oxygen. His hands rub gently at your waist, but it’s not enough. You want him to wreck you, ruin you. You say as much. 

“M-more…” you beg and when he hums against your neck you squirm desperately. Warm hands dig into your flesh and suddenly you find yourself flipped onto your stomach. You feel Suguru behind you, pushing your thighs apart with his knees. His hands find your hips again and lift, propping you up with your face still pressed to the pillows. When you whimper he runs a soothing hand up and down your spine. 

“‘S okay, baby. Relax. Lemme take care ‘ve you.” 

Yes, yes, yes, you think. You don’t think you’ve ever wanted anything more. His fingers dig into your skin, holding you still when he feeds his dick into you, one inch at a time. You cry out, tearing at the sheets and begging for more, even when you already feel like you’re splitting in half. When he’s finally seated inside you he drapes himself over your back, brushing your hair over one shoulder to expose your neck. He leans in to lick you again, thrusting sharply the moment his tongue brushes your skin. You wail, pressing your face to the sheets and attempting to rock yourself back against him. One of his hands smooths over the flesh of your ass as he sets a pace, one that makes you bite down on a pillow to muffle your screams. 

“No.” Suguru uses that tone that makes you listen, that one that calls instinctively to the omega inside you, that urges you to please. He reaches for your pillow, tossing it aside and letting his hand curl around your throat as he continues to fuck you, letting his fingers feel the vibrations of every noise you make. “Let me hear you, baby. Always let me hear you.” 

You nod, eager to make him happy, eager to do as he says. You don’t dare restrain a single sound, eyes rolling back. The angle he has you at has your thighs trembling. He’s so deep, so close. You feel his heartbeat against your back, feel his tongue on your skin, his hand on your throat, his cock at your cervix.

When he groans, you groan with him, feeling his dick pulse inside you, his knot beginning to swell. You need it, need it so bad you can hardly stand it. 

“P-please, please, please–”

He swells inside you, locking your bodies together as his orgasm hits. It’s all you need to find your own. You wail into the mattress, cunt clenching and legs trembling until you collapse, flattening against the beg. Suguru follows you down, wrapping his arms around your waist and whispering in your ear.

“Take it all, baby. Good girl. Take it all…” 

You nod, not even sure what you’re agreeing to. All you can feel is his cum flooding your insides, pulsing and pumping so deep into you that you swear your tummy is swelling with the sheer amount of it. Still, your body wants more, clenching and milking him for every last drop, just like he asked.

When you both come down from your orgasms he pulls you into his chest once again, whispering promises of protection and love that lull you into a trance-like state of happiness. When you fall asleep again, he’s chanting a word that your omega repeats right back to him. “Mine, mine, mine.”

When you wake again it’s to the sound of Geto staying true to his word and flushing every last birth control pill you have straight down the toilet. Your omega surges at the idea, but one mewl from you and he’s back in your arms, like you’re somehow the one in charge, not him. With every passing moment, you being to think that might be true- that perhaps a heat does not makes you as weak as you thought. Your alpha submits as much to you as you submit to him.

The week is spent in a frenzy. You do not measure by the numbers on the clock or where the sun is in the sky, rather you know time only as how long it’s been since Suguru’s been locked inside you. If it were up to you, you’d never stop, but Geto forces you to sleep, to eat, to bathe. Of course, he’s never far away when you’re following his instructions and you usually get a kiss and his knot as a reward for being such a good girl. 

It’s ten days later when your heat finally starts to wane. It feels as though every inch of you is covered in him. Bites, hickies, kisses, cum… no part of you has been left untouched. Suguru has had you everywhere. The bed, the shower, the bath, the kitchen. Every surface in the whole apartment reeks of sex and slick. He never keeps you too far from the bedroom, though, where you’ve piled up mountains of his shirts and sheets. Anything that smells like him, anything that can keep you tethered in those brief moments when Suguru goes to fetch you food or water or run you a bath. He takes care of you, just like he promised. 

When you wake completely clear-headed for the first time in well over a week, it’s to Suguru’s arms and lips. He’s got you all wrapped up in him, his arms locked around your waist almost like he expects you to bolt. You almost do when everything comes flooding back to you, this time with a completely clear conscience. But then he kisses your neck and whispers a delightful little, “welcome back, baby” against your neck and suddenly you’re realizing how… revitalized you feel, like a part of you has finally been properly satisfied after years of waiting. You’d always hated this, always hated the part of you that begged and cowered, hated heats- but maybe with Suguru… they really weren’t all that bad.

taglist (DM me to be added!): @lacheri, @la-undercover-latina

link: alpha!gojo fic

please consider leaving a comment, sending in an ask, or reblogging! interacting with authors is the best way to support them! thanks for reading ♡

[ashenxrogue]

if i could go just one fucking week without something cropping up that has me going to the doctor this month thatd be fucking great

first it was a pinched nerve in my left foot and now i have something going on with the webbing between my thumb and index finger on my right hand. right above my thumb looks bruised or like there's blood pooling beneath the skin, is warm to the touch and is swollen for some fucking reason

[reasonsforhope]

"Abortion will again be legal in North Dakota after a state court ruled yesterday [September 12, 2024] that the state’s near-total abortion ban is unconstitutional. The case challenging the ban was brought by the Center for Reproductive Rights and its partners on behalf of a North Dakota abortion provider and its physicians.

Abortion has been illegal in North Dakota since April 2023, when the ban took effect.   

“This is a win for reproductive freedom, and means it is now much safer to be pregnant in North Dakota,” says Meetra Mehdizadeh, staff attorney at the Center. “Hospitals and doctors no longer have their hands tied and can provide abortions to patients with complications.” 

According to the ruling, North Dakota’s abortion ban violates the state constitution due to its narrow and vague exceptions and because the ban violates the right to reproductive autonomy.  

The opinion by Judge Bruce Romanickstated, “The North Dakota Constitution guarantees each individual, including women, the fundamental right to make medical judgments affecting his or her bodily integrity, health, and autonomy, in consultation with a chosen health care provider free from government interference. This section necessarily and more specifically protects a woman’s right to procreative autonomy—including to seek and obtain a pre-viability abortion.”

[Note: In a delicious irony, this is probably one of the state constitutional amendments that passed as a "right to healthcare choice" in an effort to gut Obamacare. Whoops! Backfired! Source)

Tammi Kromenaker, Director of Red River Women’s Clinic, a plaintiff in the case, said, “Today’s decision gives me hope. I feel like the court heard us when we raised our voices against a law that not only ran counter to our state constitution but was too vague for physicians to interpret and which prevented them from providing the high-quality care that our communities are entitled to.” 

“Abortion is lifesaving health care; it should not be a crime. I look forward to a new future in North Dakota and hope our lawmakers will finally give up on their crusade to force pregnancy on people against their will,” added Kromenaker. 

The abortion ban will be enjoined in the coming days and the ruling is likely to be appealed...

The Center is currently litigating several more cases seeking to clarify the “medical emergency” exceptions under state abortion bans and to broaden the circumstances in which physicians can provide abortions. The cases were brought on behalf of physicians and dozens of women denied abortion care despite facing dangerous and severe pregnancy complications. Read about those medical exceptions cases here."

-via Center for Reproductive Rights, September 13, 2024

[omg-erika]

Soft Rinsed - Medical Education and Training as Brainwashing.

by Dr.Harald Wiesendanger– Klartext What the mainstream media is hiding Today’s medical student is tomorrow’s prescription maker. That is why the pharmaceutical industry ensnares prospective doctors from the very first semester. If they practice, the brainwashing will continue relentlessly – in compulsory education. “Students are lulled to sleep early on at university,” writes political…

[novafire-is-thinking]

Medic, Maverick, Maniac, Murderer: Understanding Pharma

First thing’s first: I love Pharma, dearly.

In all the time I’ve spent evaluating his character, I’ve mainly focused on what can be worked out about who he is as an individual: his core sense of self, psychological drives, subjective worldview, etc.

When all else is stripped away, who is Pharma?

This treatise is the product of obsessing over Pharma, analyzing canon (and extras), and reading as many different perspectives on his character from fans across the fandom as I could find. The post is long, so for those of you who balk at the thought of reading a shortfic’s worth of Pharma thoughts, feel free to read the TL;DR (Conclusion) at the end and then decide if the full read is worth your time. Also, a premium reading experience is available in the form of the original Google Doc version.

As you read, keep in mind that this is primarily a mix of psychoanalysis, evidence-based examination, and speculation—not moral, ethical, or sociological commentary. The goal is to examine Pharma’s psychological drives and core values, and each of his appearances in the context of those. All other types of evaluation are up to readers.

Now, take your victim blaming-allergy meds (just in case); remove your black-and-white thinking caps; and leave your personal morality lenses at the door.

Psychological Drives & Core Values

Why does Pharma act the way he does? What gives him a reason to keep living? What are his personal priorities?

At the beginning of the Delphi arc, First Aid establishes Pharma as a “control freak” and someone who “thinks he’s an expert on everything.”

Now, First Aid has a habit of complaining about his bosses, but on both points, there’s canon evidence to back them both.

Expertise and Intellect

Throughout the Delphi and Luna 1 arcs, it’s established that Pharma is a skilled and brilliant doctor.

He once performed a 4-way fuel pump transplant, donating his own fuel pump in the process. (see above panel)

Later, he invented a soundbomb that left an echo laced with a virus and invented an antidote to that virus:

And on Luna 1, he was on the edge of finding a cure for Cybercrosis, based on the fact that Swerve was able to formulate a cure from his notes.

More than being a doctor, Pharma lives for intellectual and scientific achievement as a physician scientist. He feels most alive when he’s able to solve complex medical problems, and when his achievements are recognized by those whose opinion he considers important.

This is Pharma’s 'why.'

And even though he’s arrogant and enjoys praise, it’s not his primary motivation. He doesn’t need it in order to set his mind to whatever he’s interested in, although he’ll seek it from those he values most (i.e. Ratchet).

Pharma sees himself as less of a doctor, and more as a scientific innovator or medical maverick. The practice of medicine is primarily a catalyst for his creativity and intellect; it’s not an end in and of itself like it is for someone like Ratchet or First Aid.

First Aid’s observation of Pharma can be better phrased as, “[Pharma] thinks he’s an expert on everything medical”—because he’s not so driven by achievement and admiration that he’ll grovel at the feet of strangers and get good at something he doesn’t personally find interesting. The only time we see him express a desire for praise is when he’s around Ratchet—someone he holds in high regard for both personal and professional reasons. This makes sense since Ratchet is one of the only people who can give Pharma any kind of competition within what he considers to be his area of expertise.

“Each day we go to our work in the hope of discovering—in the hope that some one, no matter who, may find a solution of one of the pending great problems—and each succeeding day we return to our task with renewed ardor; and even if we are unsuccessful, our work has not been in vain, for in these strivings, in these efforts, we have found hours of untold pleasure, and we have directed our energies to the benefit of mankind.” —Nikola Tesla

Ego

Without question, Pharma has an inflated ego, but having an inflated sense of self doesn’t automatically mean a person is a full-blown narcissist or that they are totally uncaring.

Every personality trait exists on a spectrum. Yes, Pharma is arrogant, but the presence of arrogance doesn’t automatically and completely cancel out all “positive” traits. (For fun, check out studies on Dark Tetrad and Light Triad personality traits.)

People are complex. Arrogance can coexist with genuine kindness, ruthlessness can coexist with deep compassion, etc.

Whether Pharma exhibits genuine kindness is up to each reader’s interpretation of what little canon material exists, but the point is: Pharma’s arrogance doesn’t automatically rule out the possibility of authentic “positive” traits.

Controlling Tendencies

Pharma is comfortable pulling the power card and using it to dump what he sees as uninteresting parts of medical practice on those below him:

“So Fisitron’s writing about the Wreckers’ elbows now, is he?” said Delphi’s Chief Medical Officer. “Come on, First Aid - get to it. You’ve got a Fader in Row 2 downstairs.” He squeezed the air with his finger and thumb. “He’s about this far from shutdown.” —from Bullets by James Roberts

However, there’s nothing in canon indicating he’s power-hungry in a megalomaniacal sense. He’s not Starscream or Megatron; he doesn’t seek political or social power. In fact, he seems perfectly happy hiding away in a lab or medibay by himself so he can direct all his energy toward solving issues and achieving the so-called ‘impossible’ within the field of medicine:

The ways in which Pharma exercises power and control are through his expertise, and his administrative/management skills. That’s it.

Self-confidence

Pharma’s arrogance and controlling tendencies don’t seem to be a mask—like he’s trying to compensate for some sense of lack (in those areas). Yes, he fears failure, and yes, he displays some insecurity when Ratchet questions his competence. But at every other point and in every other way, Pharma is unapologetically self-confident. He’s fully self-assured of his intellectual prowess and problem-solving capabilities; he knows what he knows, and he also knows what he doesn’t know.

Pharma’s arrogance and desire for control don’t stem from a hidden lack of confidence or a hunger for power on its own. They stem from the fact that he genuinely sees himself as the best person for the work he does. He trusts himself above anyone else to solve problems that come his way—medical or otherwise (within limits).

Elitism vs. Superiority

I’ve always read Pharma as having an elitist attitude, but not in the social stratification sense:

elitist (adj.) relating to or supporting the view that a society or system should be led by an elite.

There’s no evidence that Pharma believes an elite class of people should hold the most power. Instead, Pharma’s “elitism” is actually an individualistic sense of superiority. It’s centered on him alone, and is tied to his capabilities as a physician scientist and surgeon.

Pharma sees himself as the best of the best and makes sure everyone knows it—sometimes through his words, but mostly by his conduct in the field of medicine. This, paired with Pharma’s natural temperament, doesn’t exactly make him socially popular—inside or outside of medicine:

One could argue that the “personality” Lockdown is referring to was a result of all Pharma had suffered at Delphi and Luna 1, but just as easily, one could argue he was always a bit difficult to get along with, and that his traumatic experiences merely magnified his already-present psychological patterns. Personally, I like the latter interpretation because it’s a flaw that makes Pharma a more interesting character no matter his mental state.

Everyone reacts differently to real and perceived social rejection. Some are so concerned about it that they’ll try anything to belong; others genuinely don’t care, and they continue as usual; and still others cope by shifting their mindset and developing a sense of pride in being an outsider.

There’s no evidence for this in canon, but I believe it’s within reasonable characterization boundaries to headcanon Pharma as being in the second or third category.

With either of those two mindsets, a sense of superiority can develop, or even be an inciting factor. Either someone sees themselves as genuinely superior to the majority and doesn’t mind when this alienates them from people, or they convince themselves they’re superior because the pain of accepting they were rejected for who they are is too much to handle.

Whatever the case, the point is, having an “elitist” attitude isn’t necessarily rooted in a sociological or ideological belief. Sometimes, individuals just see something in themselves that—to them—justifies a sense of personal superiority. A quick glance at Pharma’s canon appearances makes it clear he holds such a view of himself, at least to some degree.

Morality and Compassion

When Pharma first shows up in canon, he’s working at the New Institute. A lot of questionable things took place there on a regular basis—things Pharma would have been aware of, to some degree. However, his presence at the Institute doesn’t automatically mean he agreed with everything happening. Depending on how strongly someone feels about something, some people are content to disagree in silence. Not everyone who seeks employment considers it a priority that the establishment they work for aligns perfectly with their moral values. After all, there are other reasons to take a job: financial benefits, exclusive educational and career opportunities, pure convenience, etc.

I’m not here to say either way whether Pharma’s willingness to turn a blind eye to the events at the New Institute was wrong or right; that’s up to each reader to decide for themselves. However, Pharma’s choice to remain employed at the Institute for some time can say something about him as a character: his priority as a doctor and person is not to take care of everyone he encounters, or to act as some kind of moral or ethical authority.

This isn’t to say Pharma won’t ever stand up for something he regards as right or push back against something he sees as wrong, “off screen.” It’s just that everything in canon points more to a tendency to choose his battles instead of acting immediately on any moral sense the way someone like Optimus or Ratchet might.

This also isn’t to say Pharma doesn’t care about saving lives, but from what little is shown of him before Delphi, it’s hard to say how much he cared. Ratchet confirms later that Pharma was an excellent doctor for most of his life, but all that tells us is he was an excellent doctor; it says nothing about his internal attitude toward his work or patients.

However, inferences can be made based on doctors in our own world:

Being a doctor—especially one in trauma care—is far from easy. It takes a lot out of a person, and there are very few people who last in the profession for a long time. Most medical professionals fall into one of the following categories:

People possessing a strong will that’s coupled with an unwavering passion for taking care of others (the public’s favorite)

People who naturally have, or develop, an ability to switch their empathy off and on at will, or build walls around it—also possessing a strong will (the ideal)

People who naturally have a limited capacity for empathy (the one the public hates to acknowledge)

People with a strong social and professional support system (the necessary, but underutilized and underappreciated factor)

Of course, even if a person has one or more of the above, burnout can and does still happen, but individuals who have at least one have the best chances of surviving and thriving amidst the demands of the majority of medical professions.

As far as is shown in canon, Pharma never had a strong support system—either circumstantially or by choice—so something else was keeping him in medicine.

Pharma shows concern for both Tumbler (Chromedome) and Hubcap:

But even though he obviously cared enough to step in, neither instance makes a strong case for a capacity for empathy beyond the “average” or “norm.” Performing a job well is a lot different from being personally invested in the work.

Based on everything up to this point, and this later comment from Pharma, about Ratchet…

…Pharma has probably never shared the same I-care-about-everything-and-everyone view of the world. Instead, it’s more likely that Pharma holds a more rational view of his work and patients.

One of the first things learned in medicine, especially in trauma medicine, is that you can’t help or save everyone, and to hold yourself to that standard can destroy you quickly if you have a certain temperament or lack healthy boundaries for your empathy.

“There are times when it may seem as though I view sick or injured people not as living, breathing humans with feelings and emotions and people who love them, but simply as cases, as problems to be solved. And that is absolutely true. It's not that I don't have empathy, but the hard fact is that as a doctor, and especially as a trauma surgeon, too much empathy can get in the way of your job and cause you to make decisions based not on sound medical judgment but on your own emotions. Sure, I've seen things that even years later can still make me choke up when I think of them: a little girl shot and killed, a shattered young Marine who shouldn't have died but did. But you can't choke up in the ER or the operating room. To be effective as a trauma surgeon, you have to put a layer of Kevlar around your heart.” —Dr. Peter Rhee, Trauma Red: The Making of a Surgeon in War and in America’s Cities*

Pharma may have learned this difficult truth earlier than Ratchet and developed a practical way of managing his empathy that comes across as “cold.” He may have always had an ability to put up walls around his spark. Or, he may have always had little to no capacity for empathy.

The fact that the morality lock on Tyrest’s portal prevented Pharma from passing through proves he felt guilty for what he’d done, and JRO confirmed this. Therefore, it’s safe to assume Pharma had some level of empathy for his former patients, suffering moral injury when he felt he had no other option but to start killing them.

Still, looking at Pharma’s psychological drives and his behavior throughout canon, it’s clear compassionate care and morality are subordinate to his other values and interests.

*I highly recommend this book, and learning about Dr. Rhee in general. He’s a huge inspiration of mine, and one of my main sources of inspiration when writing Pharma. Level-headed and capable, strong-willed, selectively empathetic, an excellent scientist, etc. He lives for the thrill of practicing medicine both on the floor and as an expert in his field who pushes trauma medicine to new heights through his research. He also takes great pride in his hands. Seriously—the man spent an entire paragraph and a half talking about his “good hands” and how they were one of two reasons he decided to go into trauma surgery. The other reason was that he “liked action and excitement, liked the feeling of being able to walk into a tough situation and take control.” (Sounds familiar…)

Delphi

First thing’s first: we don’t know how much Pharma did or didn’t know about the DJD before agreeing to take the Delphi assignment.

That far into the war, he would have known something about the DJD and their ways of terrorizing traitors and Autobots, but for whatever reason, he took the assignment anyway. Perhaps Prowl assured him the situation on Messatine would be monitored and that the security team would be enough. Perhaps he underestimated the DJD’s capabilities, or scale of territory, and thought he would be able to handle things on his own. Perhaps Prowl gave him no choice. Maybe it was all of these and more.

Whatever the case, according to JRO, Pharma didn’t hate Delphi before the incident with the DJD.

Word of god remains a touchy subject in fandom, but in this case, it’s important because it says two things:

The DJD left the Delphi medical team alone for some time.

Being on the edges of DJD territory didn’t automatically mean isolation and harassment by their hand.

On the second point, First Aid was free to come and go from Messatine as he pleased, seeing as he attended a medical conference at Kimia five years into his assignment at Delphi:

Five years ago [mid-Delphi assignment], the leader of the Wreckers had cornered him at a medical conference at Kimia, the space station that doubled as a weapons research facility. —from Bullets

And five years after that, he was able to not only contact Springer without delay about one of Agent 113’s bullets he’d discovered in an Autobot badge…

He raced upstairs to his computer terminal and typed in a certain frequency code for the second time in his life. A face appeared on the screen and grinned. “It’s me,” said First Aid. “And you're never gonna guess what I’ve got for you..!”

…but he was also able to meet up with Springer to hand off the bullet:

“Your friend has a funny way of making contact,” First Aid had said when he’d got in touch three days earlier, and he was right.

It’s not known if this handoff happened on or off world, but either way, the DJD didn’t interfere.

At some point, Tarn set his sights on Pharma and the Delphi team. Knowing the DJD, one can only imagine what Tarn used to show off his team’s capabilities and convince Pharma the best option was to cooperate.

In striking a deal with Tarn to keep the DJD away from Delphi, Pharma established his territory and ensured his continued security and the safety of his staff. As long as Tarn got his T-cogs, Pharma could continue on in relative peace. He could work his magic on bots that ended up at Delphi, carry out his management duties, and work on whatever projects or research he may have been conducting in his free time.

For whatever reason, after he first came into contact with Tarn, Pharma didn’t call for help. Communications were still operational, as Pharma wouldn’t have suggested contacting High Command about the Duobots if the team was aware of any comm malfunctions:

Also, First Aid later confirms that communications were fine until the Big Bang (soundbomb detonation):

It’s always possible the DJD was monitoring the radio waves, but secure subspace frequencies exist, such as the Datalog Network First Aid used to send the datalog containing the death statistics:

Speaking of which, assuming First Aid sent the datalog with the statistics right when things started to get ‘weird,’ and before the Big Bang shut down comms, it only took—at most—a few days for them to reach Ratchet and Swerve on the Lost Light:

But back to Pharma not calling for help: for all of Prowl’s intel, contingency planning, and fretting over the security of Autobot territories, I find it hard to believe he would have stuck an Autobot medical team on the fringes of DJD territory without giving them some means of securely contacting the outside in case of issues.

But even if Prowl didn’t give Pharma a secure way to contact him or anyone else, and even if Pharma was convinced the DJD was monitoring regular communications, there were other ways he could have reached out for help. After all, the team wasn’t alone on Messatine. Like Pharma said, Prowl continued to send bots to defend the nucleon mines:

The Autobots had been mining nucleon for millions of years at this point, so I doubt the mined nucleon was just sitting in storage on Messatine; shipments of the stuff would have been sent off-world to wherever the Autobots needed it. Why not send a message for Prowl with someone leaving with one of those shipments? A message meant only to be sent over a call when absolutely certain they were out of range of the DJD’s potential monitoring.

Or, why not order in off-world medical supplies and send a message back with the delivery bot(s)?

There are two possible answers to this. One takes into account JRO’s word on the subject; the other is more intricate and speculative on my part, but it leads to the same place. So whatever your stance is on the validity of word of god, there’s an answer for you.

Answer one (word of god)

Simple as that. Pharma was aware of the scope of the DJD’s capabilities and relentlessness, and determined he was trapped prey.

Answer two (no word of god)

There are a few possible reasons Pharma didn’t call for help right away:

He was convinced all his other options would take too long and/or would still lead to him being put under suspicion. After all, being found to have harvested even a single T-cog from an already-dead patient for the DJD could have raised concerns that would lead to Pharma being investigated and/or having a mark put on his record.

He underestimated the severity of Tarn’s addiction, and was certain he could keep up with the T-cog demand without resorting to other means of harvesting, not realizing Tarn’s quota would increase later on.

He was already paranoid as a result of whatever mind games Tarn had set in motion at their first meeting, making Pharma think escape was futile.

Word of god or no word of god, there are clear reasons as to why Pharma ended up trapped. Most likely, it was a mix of all of the above.

Whatever was going on in Pharma’s mind before, he ended up in deeper trouble. Tarn increased his demand for T-cogs, and Pharma couldn’t keep up. By the time this happened, even if he had wanted to call for help, it was too late to do so without implicating himself. He reasoned his only option was to start killing patients to harvest their T-cogs.

Soon, Pharma was so consumed with fretting over whether he’d be able to meet Tarn’s next demand that he didn’t have time or freedom to do anything else except worry and feel guilty. His whole life revolved around Tarn’s addiction; he was no longer in control, and could no longer enjoy whatever it was about Delphi he’d previously enjoyed. Perhaps the facility itself enabled Pharma to research cures and perform scientific miracles of medicine.

Being at the mercy of Tarn—convinced the DJD would find him no matter what—would have been pure psychological torture on its own, but also knowing that any small chance he did have of getting help would end in him losing everything would have added to his suffering. Pharma became desperate to reclaim control over his life and began planning an escape.

Now, JRO has said that Pharma didn’t originally plan to use the rust plague on the DJD…but canon says otherwise:

Of course, Pharma could have been lying to make himself look better in Ratchet’s view, but based on everything he’d been through up to this point with Tarn, it’s more likely he was telling the truth and had tried to eliminate the source of his suffering first. After all, wiping out the DJD would have been the simpler, cleaner option.

When the Duobots refused to detonate the soundbomb near the DJD, Pharma’s objectives shifted. He had to get Delphi shut down in a way that would:

Convince the DJD the shutdown was legitimate.

Pharma knew chances of escaping the DJD at all were slim to none, but he was desperate. Getting Delphi shut down would cut off Tarn’s supply of T-cogs and allow Pharma to escape Tarn’s immediate control, but the shutdown had to be “legitimate” to prevent Tarn from retaliating and hunting him down later. Leaving Tarn even the slightest chance of regaining control was too risky, so Pharma had to make sure his plan was as airtight as possible. 

Cover up the patient murders.

If the truth got out about Pharma killing patients, he’d lose his medical license and most likely be put away for life. Being cut off from the practice of medicine and his intellectually stimulating work as a doctor would mean losing more than a job and a reputation. It would mean losing everything in which he’d anchored his sense of identity and life’s meaning. His refusal to consider any other options wasn’t just about ego and preserving his image as an excellent doctor; it was about preserving any kind of meaningful future he saw for himself.

Pharma needed a plan that would fulfill all of the above. Turning the engineered virus on the medical facility was the most effective and efficient solution. Anything else would have made him suspicious in the view of either Autobot High Command or the DJD, and neither of those would have ended well for him.

Because of his goal to preserve his reputation and future in medicine, he couldn’t even risk revealing anything to First Aid or Ambulon, who would have seen to his ruin. They became nothing more than loose ends that had to be tied up, and based on the fact that Pharma only prepared one vial of the vaccine, his original plan involved him being the only survivor:

He probably would have had no problem making more of the vaccine for anyone else who survived, but he wasn’t counting on it. He wanted a totally clean slate; in letting his staff die with most of his patients, he would be getting rid of any and all evidence and reminders of his failures. He may have cared about First Aid and Ambulon before things got bad, but somewhere along the way, he decided either it wasn’t worth it to go through the trouble of finding a way to save them without raising suspicion, or he didn’t want to risk them putting together the pieces later on.

Of course, when Ratchet showed up, plans changed.

Ratchet

Ratchet is not the kind of person who seeks first to understand or be understanding. He’s inclined to trust what’s in front of him over anything abstract, and tends to look at the results of someone’s actions over trying to find any kind of ‘why’ behind them. Also, unlike Pharma, he operates from a strong moral sense, and reacts quickly and strongly when something or someone goes against that internal moral sense.

Ratchet’s reaction to finding out what Pharma did may seem hasty and harsh, but it makes perfect sense on a human level. There is no such thing as unconditional love; everyone has personal and moral lines (boundaries), and they’re different for each individual. When the most rigid of lines is crossed, that’s it; walls go up and the offender is cut off, no matter how strong the relationship may have been.

Ratchet obviously knew Pharma well enough to think he could try talking some sense into him, but then Pharma revealed that he’d crossed one of Ratchet’s lines: murdering patients. Any willingness Ratchet may have had to try to understand vanished. By the time Pharma started trying to provide a ‘why’ for his actions, Ratchet’s moral judgment had already shut down any chance of understanding what could have possibly led Pharma to kill patients. It didn’t help that Pharma seemed totally unapologetic and outright proud of his plan. For Ratchet, the ‘why’ didn’t matter anymore. What he saw was what he trusted, and what he saw was a friend who’d become his idea of a monster.

Now, Ratchet and Pharma’s relationship is one of the most confusing IDW relationships I’ve had the pleasure and pain of dissecting.

It is notoriously difficult to determine the depth and strength of a relationship from the outside. However, I’ve decided to go ahead and address it anyway because it has the potential to provide insight into Pharma as an individual.

If I were to sum up Pharma and Ratchet’s relationship in a single word, I would use “ambivalent.” The first time I read MTMTE, the thing that stood out to me most about their relationship was the drastic differences between how they each perceived the relationship.

In one sense, there’s the idea of Pharma basically being Ratchet’s crazy stalker ex, which is tossed around in fandom a lot. While I personally dislike seeing it regardless of context (yes, even as a joke), I do see how JRO’s writing choices set things up in a way that makes it easy to superimpose that trope.

In another sense, there’s the idea that Pharma and Ratchet were always close friends, and that what happened at the end of the Delphi story was a betrayal of both sides that came out of nowhere and whose consequences were taken too far.

I disagree with both. Personally, what I see at the end of the Delphi story isn’t an obsessed ex gone mad, a sudden betrayal, or a badly executed backstabbing. What I see is a breakdown of an already-complicated and poorly-maintained relationship: true feelings being revealed, long-repressed bitterness being forced to the surface, carefully-hidden cracks being split wide open.

Most people don’t have an accurate understanding of how much or how little they truly know the people in their lives, often overestimating how well they know a person until something surfaces and blindsides them.

According to JRO, Ratchet was oblivious to Pharma’s romantic interest, and throughout canon, it’s easy to see Pharma was more invested in the relationship than Ratchet ever was.

The question is, did Ratchet ever care about Pharma at all? And if so, to what degree?

Yes, Ratchet calls Pharma “buddy” and “friend,” but the former was sarcastic, and the latter means something different to each person. Also, in light of the circumstances, Ratchet could have just been saying “friend” in response to Pharma saying it—an emotional appeal more than anything.

However, Pharma must have been aware of Ratchet’s lack of relational investment because during the confrontation at Delphi, Pharma’s first reaction wasn’t to appeal to their friendship (ex: “But you know me!”). Instead, he appealed to their shared profession:

Then there’s the exchange of insults: 

This is what I meant earlier by “true feelings being revealed.” Ratchet may have just been trying to match Pharma’s insult, but it’s unlikely it was merely reciprocal because while Ratchet is snarky at times, he’s sincere in that snark. There’s almost always some truth in his verbal jabs no matter how unserious they seem, and he’s never cruel for cruelty’s sake.

So, if Pharma saw Ratchet as an inferior doctor, and Ratchet saw Pharma as an inferior Autobot…it’s reasonable to assume there was always some deep-rooted competition and conflict preventing them from being super close.

Possible suspicion surrounding Pharma’s conduct as an Autobot paired with a tendency to misjudge the nuances of relationships could explain why Ratchet was so quick to decide Pharma was a lost cause. Maybe Pharma’s actions at Delphi confirmed something from the past that Ratchet had brushed off for whatever reason.

In any case, Ratchet seems to have been largely unaffected by the Pharma he found at Delphi. While leaving Messatine, he emphasizes that he’ll miss Pharma’s talent.

Not “who he used to be.”

Not “what we used to have.”

Just…“his talent.”

Later, on Luna 1, Pharma mentions that he and Ratchet were inseparable, but that could mean a few different things:

Best case scenario: Pharma and Ratchet sought each other out on equal terms.

Worst case scenario: Pharma followed Ratchet around.

Somewhere in the middle: the job forced Pharma and Ratchet to work in close proximity most of the time, and while Pharma intentionally ran into Ratchet more often than necessary, Ratchet also sought out Pharma every now and then.

Whatever the case, working with someone every day doesn’t tell you anything about who they are as a person, and the amount of time spent with someone doesn’t automatically correlate to how deep the relationship is or how well the people know each other. It’s not like either Pharma or Ratchet are shown to be good at expressing their personal feelings outside of extreme circumstances. 

Ratchet does bring up late-night conversations of the past:

But while this indicates there was something deeper between him and Pharma, because neither of them were ever shown to be super open with their true feelings, it’s unlikely the conversations were full of touchy-feely talk. In all likelihood, the conversations were mostly medicine and war-related, with the rare spark-to-spark talk sprinkled in. Also, considering everything up to this point, one has to wonder if those talks ever meant anything to Ratchet, or if he was just digging for something that might stall Pharma’s torture.

Maybe those late-night conversations did mean something to Ratchet, but whatever the case, Pharma didn’t take the bait. He knew Ratchet was trying to stall by making an emotional appeal, and perhaps he was convinced the conversations hadn’t meant that much to Ratchet.

Looking at all of this, it’s hard to believe Ratchet ever cared about Pharma as more than an interesting work friend. But even if he had cared more than he let on, it wasn’t enough to overcome the doubts he had about Pharma’s character.

As for whether Pharma truly cared about Ratchet, I’m convinced he did, but in a mostly unhealthy way, and with a strong undercurrent of one-sided rivalry. At some point, Ratchet had been an equal and a source of challenge, and he probably listened to Pharma pretty often. It’s reasonable to assume Ratchet was one of the only people—if not the only person—able to handle Pharma’s intense temperament and challenge him in a meaningful way, providing some semblance of friendship for Pharma.

However, one last thing that stands out is that, when telling Ratchet why he’s torturing him, Pharma didn’t say anything like, “Because you hurt me” or “Because you turned against me—your friend.” Instead, he said it was for “ruining things at Delphi” and because “you declared war on my body.”

Either Pharma wasn’t being entirely honest, or Ratchet’s friendship didn’t mean as much in the first place as he’d previously implied. It’s possible the ‘Because you hurt me’ was implied in “for ruining things back at Delphi,” but why not say it outright? Perhaps it was a fear of vulnerability and admitting there was ever a relational need at all.

At the end of the day, it’s difficult to say for certain how close Pharma and Ratchet were, but it’s clear they were never on the same page and there were always barriers between them.

Luna 1

Revisiting the matter of Pharma’s morality taking a backseat to other priorities, his time on Luna 1 further underscores this. Again, Pharma chooses his battles and is unwilling to put himself at great risk for the sake of others, but a closer look at the situation with Tyrest reveals there wasn’t really anything he could have done for the Cold Construct population even if he had wanted to. It would have been him against Tyrest, an army of Legislators, and a bunch of Decepticons. Pharma knew his limits, and seeing as his goal was self-preservation, it was perfectly rational for him to go along with Tyrest’s grand scheme.

Besides, it doesn’t look like he was given much of a choice:

Although, knowing Pharma, he still would have demanded to know beforehand what he would get in return for the pain, and evidently, Tyrest held up his end of the deal since Pharma had access to the Luna 1 tech collection.

As for Tyrest’s plan to wipe out the Cold Construct population, there’s nothing indicating Pharma’s decision to turn a blind eye to it was rooted in malevolence or bigotry—just rational apathy: ‘I can’t stop Tyrest, so why concern myself with the outcome?’

Again, you can’t save everyone; Pharma had all he could do to save himself.

But it wasn’t all horrible. I would even go so far as to say Pharma found some happiness on Luna 1. Tyrest didn’t care about him, but he didn’t need Tyrest to care. Everyone else there hated him, but he didn’t need to feel like he belonged or was admired. At this point, Pharma’s only interest was Tyrest’s Luna 1 tech collection, and that meant playing nice so he could keep his reward. Back at Delphi, he probably assumed he’d never again practice medicine the way he’d loved; being brought to Luna 1 was an unexpected, yet welcome, second chance.

Even so, Pharma had his moments of cruelty. Back at Delphi, he had easily-identifiable reasons to kill patients—both the ones whose T-cogs he harvested and the 20 more he tried to kill when he shot the life support machine. But on Luna 1, he had no reason to be cruel, yet he chose to be. By this point, he’d mastered the ability to almost completely ignore or subdue his conscience.

In the case of Ratchet’s torment, one could argue Pharma only drew it out for retaliation purposes; it was personal for him.

As for cutting Ambulon in half, it was obviously meant to be as gruesome as possible, yet also quick. But personally, I don’t think it was about Ambulon; it was more about hurting Ratchet. Due to the fact that Ratchet’s identity is wrapped up in his compassion and his ability to be helpful as a doctor, one of the most effective acts of revenge would be to do something that makes him feel utterly helpless.

Also I wonder if, subconsciously or consciously, Pharma was attempting to recreate the sense of helplessness he felt back at Delphi under Tarn’s watch: “Do you see, Ratchet? Do you now understand how it feels to have control ripped out of your hands? To be totally helpless?”

Next, for some reason, Pharma was invested in the promised execution of Getaway and Skids:

He had no personal connection to either of them that would give him a reason to be interested, so maybe Tyrest told him he could perform the execution and/or have the corpses for medical experimentation. Either way, Pharma would have had a chance to use some of the tech in Tyrest’s tech collection, possibly explaining his excitement.

Of course, any chance of an execution disappeared when the final showdown went wrong.

When Pharma tried to escape to Cyberutopia and discovered he couldn’t pass through the spacebridge forcefield, he gave up. He’d been caught; he would no longer have access to Tyrest’s tech collection; Ratchet and every other self-righteous Autobot would never forgive him; and the morality lock prevented him from escaping. By all appearances, he would never again be able to engage in that which gave him a sense of meaning. He had shrunken his world down to his obsessive interest in a specialized field and one significant, yet unrequited relationship. With both of these lost, his world collapsed. 

Yes, guilt played a part in Pharma’s despondency, but because he seems to have been in denial of said guilt, it’s more likely his despair was primarily due to the fact that he saw no future for himself. He had nothing left to live for.

In light of this, Pharma’s flippant comments to First Aid make sense. He wasn’t being insensitive as much as he was goading First Aid. Pharma’s not stupid. First Aid had a massive rotary cannon on him, and Pharma knew exactly which emotional buttons to push to get him to pull the trigger.

Pharma wanted to die.

Adaptus

First, let me emphasize that Adaptus did not take possession of Pharma’s body. Instead, Pharma was the unwelcome guest:

How Pharma ended up in Adaptus’ new body is a mystery, but whatever the case, Pharma didn’t pass on to the Allspark. Whether or not he had a choice can only be speculated.

First Aid had blasted Pharma’s head clean off, so whatever happened must have been related to the spark. Perhaps some residual spark energy was trapped in a body part that Adaptus repurposed, leaving Pharma tethered to the new body unwillingly.

Still, Pharma managed to assert his will and override Adaptus for a brief moment. Considering Adaptus was basically a god, this is impressive.

Based on Adaptus’ surprise at being interrupted, it seems he didn’t know Pharma was there. Why Pharma hadn’t tried to assert himself sooner is a mystery. Maybe Adaptus’ scheme was entertaining; maybe Pharma actually liked the company; or maybe he’d been waiting for an opportunity to get revenge on Tyrest for everything done to him back at Luna 1.

Sure enough, just like with Ratchet back on Luna 1, Pharma’s vengeful streak came out as soon as there was an opportunity.

Unfortunately for him, this left him vulnerable, and Tyrest took advantage of the confusion:

Conclusion

When someone reduces their world to narrow personal interests and one or a few very special people, their grip tightens around what little they have. They often become obsessive and possessive of the few things that make them feel alive, and their view of the world becomes increasingly more subjective and detached from the outside world. Pharma seems to have fallen into this trap.

Even so, in the context of the circumstances, several of the decisions he made were rational—even if coldly so. Oftentimes, “extreme” rationality and self-preservation are villainized in fiction, and characters like Pharma who don’t automatically put themselves at great risk for anyone and everyone are villainized, or at least looked down on. Their choices are often regarded as less human, but rationality and self-preservation are just as human as compassion and self-sacrifice.

Ultimately, Pharma was trapped and pushed over the edge into “insanity” by Tarn’s cruelty, but his own choices made from a place of pride determined how he fell, and how far he fell. It was a perfect storm of Tarn’s mind games and Pharma’s intellectual arrogance, excessive self-confidence, obsessive nature, and stubborn grip on the kind of future he wanted for himself.

Pharma is yet another Icarus who flew too close to the sun and paid dearly for it, and while JRO/the narrative could have given this Icarus better wings, that doesn’t change the fact that he chose to fly so high.

***

Many thanks to anyone who made it to the end of this monster of a post.

-tosses a Rodimus Star at you-

[scientia-rex]

Hey. HEY. We aren’t good at understanding how bodies work. I spent five years in undergrad (I was indecisive; graduated with six years’ worth of credits), two in my terminal master’s program, four in med school, and three more in residency. I know a whole lot about how bodies work. I am qualified to tell you that we don’t know a lot more than we do know.

This means that, when you encounter a claim, you need to weigh it against what you have experienced.

I have met doctors who were sure fibromyalgia, or “muscle hurty disease,” from the roots of the word, was just women being crazy. Turns out it’s probably at least partly due to autoimmune dysfunction. Or maybe not! Sure would be nice if we knew! But I sure as shit know it’s real, because I have it and so do the women in my family. Our bodies don’t work right, somehow. They don’t work like other people’s bodies work. I experience more pain than I “should” based on what stimuli other people find painful. I have less ability to build and maintain muscle strength. This has not kept me from doing what I love most in the world, which is have opinions, to the point where I went through the horrifically awful process that is medical training in the US just so I could have opinions all day long and get paid for it. I gain nothing from saying I have it, and in fact risk the opinions of my professional peers if I do admit to it, since it is still seen as a disease of mental or moral weakness. I’m perfectly qualified to self-diagnose, as a board-certified family physician.

And yet I believed people in positions of authority for a long, long time who said it was a mental illness and not a bodily one. As if those even can be distinct, when our brains are part of our bodies and our experience of reality is filtered through their circuitry. But I believed that I was somehow to blame for being in pain.

Life has been better since I accepted that I just need to do some things differently. If I lift weights, I need to use machines, I need to start on the lowest possible setting, and I need to increase very gradually. If I do cardio, I need a low-impact model like an elliptical trainer; running outside, every time I have tried it in my life, results in incapacitating shin splints, even if I try to work up slowly. I no longer buy laundry bins that don’t roll. My home is all on one level. I go to physical therapy. I stash freezer dinners that contain (shudder) vegetables, my least favorite thing, so that when I do feel like shit, I have an alternative to starving (or eating a block of cheese that upsets my stomach).

Accommodate yourself. This society isn’t going to help much, if at all. In your good times and days, be the person whose help you’ll need in your worst days.

[jinwoosbabyboo]

You are so good at understanding the characters and I wanted to know your opinion on the whole "MC is rude" discourse especially in regard to her relationship with Sylus. Personally, I DISAGREE big time and could write a whole five-page essay on why I disagree.

I am curious as to how you feel about it though.

Let's talk about it 🗣️

I've seen posts about people saying how rude MC is and I personally feel like the people who say this or agree with it are only saying she's rude because she's not acting how they would act. They're also only reading her on a surface level.

Sometimes I feel like people forget that yes even though MC is supposed to be us we have to remember we're truly spectators to a story that isn't our own.

MC isn't rude this girl saw her home blown up with her childhood friend and "grandmother" inside. She never got a chance to even mourn them properly. She's also a top hunter of course she has her guard up and on top of that she's on her own. Yea she has friends, but she has no family and no memory of her past yet she's still pushing through w/ heart issues.

Lastly ..... and I can't express this enough ..... SHE DOES NOT KNOW THESE MEN. Main story timeline wise MC is not romantically involved with any of them yet. Zayne is probably the only exception, but even then she has many blanks in her memory of her childhood w/ him.

She sees them each for what they are....

Zayne is her primary care physician and estranged childhood friend

Xavier is her mysterious hunter friend/co-worker

Rafayel is her make-shift client who she can't fully read

Sylus is the leader of Onychinus who kidnapped her and now they have some invisible linkage that comes and goes as it pleases.

Even in the memories (If i'm understanding them correctly) they're only showing what can/what will happen if she chooses to be romantically involved with them (they do seem to have a timeline within them), but Main story MC is not there yet.

People also tend to forget MC's main goal isn't to make these four fall in love with her she's trying to figure out her aether core in her heart. She is about business and falling in love is not her main priority so of course she's not swooning and barking like us as players are; she has more important matters to worry about.

[thedragonkween]

King Baldwin IV Headcanons! ♔🤍♕

A/N: So, here we are. I could not resist this mysterious and tormented king's charm. His silky voice makes me dream! These are some headcanons I've collected off the top of my head. The Reader is implied to be female and married to Baldwin IV. Please, do feel free to hit my inbox to ramble about our king because I'm literally dying of pining and yearning.

tags: female!reader x baldwin iv of jerusalem (from kingdom of heaven); reader is married to baldwin iv of jerusalem; fluff; slight angst towards the end

wc: 1150k

reccomended songs to listen to while reading: "Summertime Sadness" by Hildegard von Blingin; "Right Here" by Ashes Remain; "Blood, Sweat, Tears" by BTS (orchestral version)

"Many are the tales of the King Baldwin IV of Jerusalem and of his Queen. Despite the varying accounts of their deeds, each one of them agrees on one aspect: the King of Jerusalem loved his Queen dearly, and the world is richer for it".

Baldwin IV is mysterious, intense, valiant, noble and utterly devoted to you, his Queen. But what does this devotion look like?

Firstly, he would believe in you like no other and would always be ready to give you his best advice whenever the weight of your responsibility becomes too much. Foreign rulers would soon learn of your qualities - there would hardly be a piece of correspondence where the King of Jerusalem does not praise the intellect and insight of his dear wife. He would glance at you from time to time, while you both work at your desks sharing the burden of paperwork, silently thanking God for having sent him not only a beautiful, but reliable life companion as well.

He values your opinions greatly and has the utmost regard for your views on political, military and state matters. Disagreements happen, yet your overall values are aligned, which is why Baldwin understands your vision and where your point comes from. During the discussions regarding complex decisions, he would let you speak and explain, then he would offer his honest thoughts on the matter, should he see another, different way from yours. 

Playing chess is a favorite way of spending quality time together in your chambers, away from the chaos of the court. If you know how to play and are proficient at it, he would delight in the thrill of challenge, as he would finally have found a true equal. If you do not know how to play, he would teach you with patience, taking pride whenever you make an unexpected and astute move. He would be such a nerd while he explains the rules to you and would be delighted to see how your mind works when devising a plan.

"Congratulations, dove. You have a checkmate."

I can also see Baldwin taking you on long rides, if his health allows it. He would sweetly check the reins and saddle on your horse before mounting on his steed and leading you away to enjoy the cool early morning breeze, before the heat of Jerusalem becomes too sweltering. You would have a nice and secluded spot to enjoy and to pretend that you are a couple of young lovers without responsibilities and crowns weighing on your heads.

Your presence brings him safety and comfort, which is what would convince him to remove his mask when he is alone with you and the physicians. He would especially love to rest his head on your la as you gently caress his curls while the physicians tend to his skin. It is a sacred moment. He does not know how he went so long without your presence during this delicate time. Speaking softly to each other, you would distract him from the pain with talk of your hometown, fairy tales from your culture, or even simply reflecting on a happening of that day. On these occasions, you learn how to best take care of him, watching the physician tend to his arm while you tend to the other, delicately dabbing the cloth over his wounded skin. Baldwin feels so protected and safe in your presence. He thinks you are God’s greatest gift to him.

Now, jealousy. Baldwin knows he boasts the honor of having an exquisite flower such as yourself to call his own. As do powerful men and courtiers from distant lands. Many covet your loveliness as one would a precious gem. Should one of these foolish people try to take you from him or even stare at you for too long to be considered proper, they would be met with a pure force to be reckoned with. Should a knight’s eye linger on you for too long, he would be quick to put him in place in his signature glacial, elegant way. Before long, everyone learns not to disrespect the Queen consort of Jerusalem.

“Perhaps you would have understood my point, had you not been so insolently ogling my wife”. He takes out his whip. “On your knees. You will pay for insulting the Queen”.

He would protect you with his life. He swore to protect Jerusalem and, as its Queen, that includes first of all you. Should a courtier doubt your devotion and mistake it for thirst for power, or should he learn of an orchestrated attempt on your life, he would waste no time in employing his best forces in your service to defend you.

His enemies and templars alike fear him, yet with you he is as gentle as the morning breeze that gently caresses Jerusalem. This powerful king who makes armies tremble and kingdoms shake is the same person who holds and kisses your hand (when in public, bringing your fingers to the lips of his mask), who silently admires your loveliness from afar and sighs to himself, who longs for your warmth after a tiring day. 

He would write you letters. Lots of them. And not always when he is away. Maybe he just liked the way the sun reflected in your eyes that morning. Or maybe when you helped a servant, he was moved by your kindness. Your every action inspires him, so much so that he has to let out his thoughts on paper. You have a pretty wooden box brimming with delicate papers penned by Baldwin in your honor. He is not only the King of Jerusalem, but also the king of pining, of yearning. Even when he has you near, he yearns for you.

I love to imagine him letting you accompany him to battle. He would love it too, in theory. You make him so strong, the both of you would be quite the sight, meeting your enemies head on, as one, donning your best armors. Yet, at the same time I cannot imagine him resting easy knowing that a loose arrow, a desperate soldier seeking glory for killing the Queen of Jerusalem, or fatigue and sickness could take you from him. It pains his heart to be parted from you, yet he cannot risk your safety. Instead, Baldwin would trust you with ruling the kingdom. He has absolute faith in your intelligence, willpower and cleverness, especially after all he has taught you about running the realm. He longs for you every second he’s away from Jerusalem, yet his heart is at peace knowing his kingdom is in the most capable hands.

When he feels that his time on this Earth is nearing his end, he calls for his most trusted advisors, including Balian and Tiberias. He would ask them, almost begging, to protect you always, at all costs, when he is no longer there to do so. Balian and Tiberias would exchange a quick glance to each other, vowing to respect their King’s wish until the very end.

“Protect her. Please.” “Always, my Lord”.

Poems, songs and stories would be written in honor of your love even centuries after your passing. Many tales would speak of Baldwin IV of Jerusalem and his Queen. Different pieces of art, such as paintings and ballads, would inspire people from all over the world to find a love as devoted and unshakable as yours. Until the very end.

All in all, to love Baldwin means knowing your time together is limited. As is the time of all creatures on Earth. He would beg you to go on after his passing, to live for him. He shall wait for you and protect you from above. Until the very end.