#sar thread

[falesten-iw]

Survival in Gaza is a fight for everyone and everything, not just humans. Every living thing is caught up in this nightmare, from the smallest creatures to the strongest among us. Take this little cat, for instance. She’s from Jabalia refugee camp, Al-Tarens neighborhood, house number 96, sixth street. Yeah, I know her address. She’s one of us, a Palestinian too, sitting alone in the rubble, her fur matted and dusty, with a raw, swollen eye that speaks of all she’s been through. She’s lost her hearing; explosions shake her tiny frame, but she doesn’t even react anymore. And yet, her will to survive? Unbroken.

In so many ways, she’s Gaza in a nutshell. Life here is a brutal, endless test of endurance. The genocide, the bitter cold, the soaring prices that turn basic needs like food, shelter, medicine into unattainable luxuries. These are things my family and countless others can only dream of.

For families in Gaza, survival itself has become a privilege. Nonprofits that once helped have pulled out, forced away by the very forces that keep us oppressed. And the few who stayed? Acting as middlemen, diverting the aid that’s supposed to be for us. Some prioritize their own networks in distributing aid; others resell what little is sent. Some even claim that half of donations get eaten up by "logistics costs." And then there’s aid that supposedly just "never arrives." So, families like mine are left to fend for ourselves, stripped of even the basic dignity that comes with having our needs met.

I look at this little cat, and I’m struck by the fragility of life here. My family’s hanging by a thread, surviving day to day in a world that seems indifferent to everything we’re going through. And yet, like her, we just keep going. Not because we’re strong or resilient, but because, honestly, what other choice do we have?

If this hits home for you, if this little cat’s fight feels like something you understand, please consider helping. Every donation, no matter the amount, goes directly to where it’s needed most. It can mean a bit of warmth, a moment of safety, maybe even a sliver of hope in these times that feel darker than anything.

From a heart that’s been broken too many times, thank you for standing with us.

Vetted and shared by @90-ghost: Link.

Verified and shared by @el-shab-hussein: Link

Listed as number 282 in "The Vetted Gaza Evacuation Fundraiser Spreadsheet" compiled by @el-shab-hussein and @nabulsi : Link

Listed on the Butterfly Effect Project, number 957: Link

Additionally, Al Jazeera News has documented apart of my family's case: Link

If, for some reason, you couldn't donate via GoFundMe, you can donate via PayPal instead.

Please keep the conversion rates in mind when donating through GoFundMe. Every 250 SEK is equivalent to 25 dollars, and 506 SEK equals 50 dollars and so on.

Note: There’s even a raffle for a handmade Palestinian thob if you want to participate : Link

@timetravellingkitty @deathlonging @briarhips @mazzikah @mahoushojoe

@sar-soor @rhubarbspring @pcktknife @thatdiabolicalfeminist @turtletoria

@sawasawako @feluka @appsa @anneemay @commissions4aid-international

@wellwaterhysteria @mangocheesecakes @kyra45-helping-others @7bitter @tortiefrancis

@watermotif @stuckinapril @mavigator @lacecap @determinate-negation

@socalgal @chilewithcarnage @ghelgheli @sayruq @elbiotipo

@el-shab-hussein @heritageposts @communistkenobi @deepspaceboytoy @molsno

@mesetacadre @forevergulag @gazafunds @northgazaupdates2 @freepalestinneee

@komsomolka @muppet-sex @nabulsi @fading-event-608 @buttercuparry

@prierepaiienne @interact-if @unified-multiversal-theory @inkstay

@socialjusticekitten-blog @socialgoodmoms @nowthisnews @socialgoofy @fightforhumanity-rpg-blog

@fightforhumanity-rp @queerandpresentdanger @90-ghost @timogsilangan @punkitt-is-here

@fox-guardian @hiveswap @valtsv @helppeople @ibtisams

@annoyingloudmicrowavecultist @vakarians-babe @plomegranate @queerstudiesnatural @tamamita

@apollos-boyfriend @akajustmerry @marnosc @flower-tea-fairies @tsaricides

@belleandsaintsebastian @ear-motif @brutaliakent @raelyn-dreams @troythecatfish

@4ft10tvlandfangirl @communistchilchuck @fairuz @sarazucker @fairuzfan

@a-nautilus-as-pixel-art @13eyond13 @stil-lindigo @baby-indie-blog

@marnota @vivisection-gf @brutaliakhoa @the-bastard-king @magnus-rhymes-with-swagness

@neptunerings @malcriada @turian @girlinafairytale @abnormalicacid

@sylvianritual @mothblossoms @autisticmudkip @lesbianmaxevans

@nabulsi27 @palestinegenocide @orblesbian @palebluebutler @pallasisme

@riding-with-the-wild-hunt @baby-girl-aaron-dessner @morallyrainyday @jame7t @el-shab-hussein

@jonpertwee @flipton @bell-bones @ragingbullmode @envytherose

@rodent178 @tangledinourstrings @kraigerzz-blog @frogbrainedfool @the-ending-of-dramamine

@redsavesquare @uninvited-eon @glenbot @ultimateumbreon33 @pitbolshevik

@disastersim @airsigh @cowboy-queer @lapastelr0sa @sharingresourcesforpalestine

@rebel-girl-queen-of-my-world @kropotkindersurprise @cruzwalters @la7ma-mafrooma @rosyish

@bookskittychad @streakoflavender @miraclemaya @devilofthepit @paper-mario-wiki

@gay-yosuke @cometcrystal @nb-marceline @cicadaland @charlott2n

@manletwizard @2blushie @antiauteur @acnologia-is-best-dragon @bitchmael

@penelopiaad @hashiramashonkers @laughtracklesbian @legallymean @b0nkcreat

@crapscicle @uwu-pinata @syntheticspades @momxijinping @longlivepalestina

@saberboi-1 @martinmynster @nako-funky @trans-leek-cookie @vaticinatrix

@moomoobug @narwa @twilightobservationtower @estrellasrojas @knxfesck

@lakeeffectbitch @fatbitchneedsfoodbadly @no-thats-absurd @humanmorph

@sandiwchirlinreal @tcda @misspiggyforvogueitalia @gamb0fficial @vincentspork

@gemstonedraws @frankendykes-monster @mizoguchi @kos-mos @ryoki-ph

@blackwoolncrown @nightwussy @freehologramreview @melancholy-hummingborb

@sister-lucifer @nonbinarymerbabe @raventhecoolestpersonever @ebenrosetaylor @wellwaterhysteria

@inkbomber @collectoroflovelythings @k00ldino @sundung @extrabitterbrain

@names-hard @killaltrock @thatdarngreenpixie-blog @angelsarecomputers @to00fu

@secretgoths @cauli-flawa @faraliniste @adrowninggrip @thesavagesnakeplant

@g-l-a-s-s-h-e-a-r-t-s-s @illuminated-runas @silverstone-gp @saintverse @whalefill

@emathyst9 @trasno-personal @turtles-on-turts @dendrosystem

@readingsquotes @bellybuttonblue2 @bees-fart-too @andiv3r-reblogging @sillyseer

@cloudedcari @tachycardial @evileyeamulet @pompompotato @shamemp3

@jihaad @italofobia @stealthjet @pinnyy @sivavakkiyar

@chronicowboy @bi-worm @ydic74the @amorosebeing @golvio

@dailyquests @punkitt-is-here @opencommunion @postanagramgenerator @a-scary-lack-of-common-sense

@paper-mario-wiki @prisonhannibal @a-shade-of-blue @ramshackledtrickster

[amatopunkish]

football players in the year of our lord 2023 be like "wahhh my ego is so fragile that if you ignore me after i thank you for opening the door for me im going to pitifully attempt to insult your appearance"

[talafamily]

My name is Doaa, and I carry the weight of a family trapped in the crucible of war in Gaza. With me are my husband, Wissam, and our three beloved children: 9-year-old Tala, 7-year-old Sajid, and our youngest, 18-month-old Sanad. Our tale is one of endurance, displacement, and the relentless pursuit of safety amidst the chaos of conflict.

The Prelude to War:

Before the storm of October 7th, our lives in Gaza were a tenuous balance between hope and despair. But with the outbreak of war, our world crumbled beneath the onslaught of bombs and gunfire. For 220 days, we lived in constant fear as the violence engulfed our city, leaving behind a trail of destruction and death.

A Perilous Journey:

Our journey began In the heart of Gaza City, where we fled our home In search of safety. Seeking refuge, we found ourselves at Al-Rantisi Hospital, where the threat of attack loomed large. When the hospital became a target, we fled once more, seeking shelter in another hospital, where fear and illness afflicted our bodies and those of our children.

The Trek to Khan Yunis:

With nowhere left to turn, we embarked on a treacherous journey on foot to Khan Yunis. With bombs raining down around us and no food, water, or medicine to sustain us, each step felt like a gamble with our lives. The 7-kilometer trek was a test of endurance, as we braved the dangers of the road in search of sanctuary.

Displacement and Desperation:

Upon reaching Khan Yunis, we found ourselves thrust into a new nightmare. The danger intensified, driving us to flee once more, this time to Rafah. Here, amidst the biting cold, we found shelter in a tent, our only protection from the elements. But even here, the threat of war looms large, casting a shadow over our fragile existence.

A Daughter's Struggle

Adding to our burdens, my daughter Tala has been suffering from hypothyroidism since birth. Her condition weighs heavily on my heart, a constant reminder of the fragility of life and the need for urgent medical care.

The Price of Freedom:

In Rafah, the specter of war still haunts us, threatening to unravel the fragile threads of hope we cling to. The cost of leaving Gaza through the Egyptian Rafah crossing stands at $5,000 per person, an insurmountable barrier to our journey to safety.

A Cry for Help:

We are a family on the brink, teetering between despair and hope as we navigate the tumult of war. We plead for assistance, for a chance to break free from the cycle of violence and rebuild our lives in peace. With your support, we can overcome the trials that have befallen us and emerge stronger on the other side.

Conclusion:

Our journey is far from over, and the road ahead is fraught with uncertainty. But with your compassion and generosity, we can rewrite the ending of our story. Together, we can pave a path to safety and stability for Tala, Sajid, Sanad, Wissam, and me, ensuring that the horrors of war remain nothing more than a distant memory.

@buttercuparry @appsa @schoolhater @sayruq @malcriada @palestinegenocide @sar-soor @akajustmerry @annoyingloudmicrowavecultist @brokenbackmountain @tamarrud @4ft10tvlandfangirl

@queerstudiesnatural @northgazaupdates2

@skatezophrenic

@awetistic-things @camgirlsurvivalguide

@baby-girl-aaron-dessner @nabulsi @sunfortune

@junglejim4322 @heritageposts @heritageposts

@palipunk @dlxxv-vetted-donations

@illuminated-runas

#free palestine #palestine #free gaza

#gaza strip #donations #gazaunderattack

#gofundme #important #...

[dina179]

💔I wish I was dead

In the midst of the ongoing war that has lasted for a whole year, hope for life becomes like a thin thread that fades with each passing day. My young children and I live in an atmosphere of fear, terror and loss, as the sounds of explosions and the screams of injured people haunt us. We are living a nightmare in every sense of the word. In light of these harsh conditions, I have come to wish for death for myself and my children because I have become convinced that death is the only refuge to get away from this miserable life, where psychological and physical pressures increase. Losing hope for a better tomorrow makes life a heavy burden. I am very tired of this life. Is there no urgent solution to save us from this destructive war? Please help me because by standing with me, I am strengthened.

@fancysmudges @brokenbackmountain @nesmamomen @aleciosun @serica @fluoresensitive @khizuo @ibtisams @transmutationist @schoolhater98 @timogsilangan @appsa @buttercuparry @sayruq @malcriada @palestinegenocide @sar-soor @akajustmerry @annoyingloudmicrowavecultist @feluka-blog-blog @tortiefrancis @flower-tea-fairies @tsaricides @riding-with-the-wild-hunt @visenyasdragon @belleandsaintsebastian @ear-motif @ear-motif @brutaliakhoa @raelyn-dreams @troythecatfish @theropoda @tamarrud @4ft10tvlandfangirl @queerstudiesnatural @northgazaupdates2 @skatezophrenic @awetistic-things @camgirlpanopticon @baby-girl-aaron-dessner @nabulsi @lis-ch @junglejim432 @heritageposts @chososhairbuns @palistani123-blog @dlxxv-vetted-donations @illuminated-runas @imjustheretotrytohelp

[literaryvein-reblogs]

Could I request a word list? I’ve scoured the internet for more but can’t seem to find a string of words that fit with “exsanguination” and “cadaver dogs,” in fact, I may not even know what string I am looking for. Help me with my red thread? 🥰🙏🏼🥹

Exsanguination—the action or process of draining or losing blood

Blood sport - a sport or contest (such as hunting or cockfighting) involving bloodshed

Bloodletting - phlebotomy; bloodshed

Bloodshed - the shedding of blood

Bloodwite - a broil or riot in which blood is spilled

Cruentation - the oozing of blood from a corpse after incision or according to superstitious belief in the presence of the murderer

Hemophilioid - resembling hemophilia especially in exhibiting a tendency to uncontrollable bleeding

Hemoptoe - hemorrhage from the lungs

Hemoptysis - expectoration of blood from some part of the respiratory tract

Hemorrhage - to undergo heavy or uncontrollable bleeding

Hemosiderosis - the excessive deposition of hemosiderin in bodily tissues (as of the liver, spleen, or lungs) that typically results from bleeding, the breakdown of red blood cells, or repeated transfusions and is usually not accompanied by tissue damage

Hemostasis - stoppage or sluggishness of blood flow

Phlebotomy - the drawing of blood (as by venipuncture) for transfusion, apheresis, diagnostic testing, or experimental procedures

Venesection - phlebotomy

Venipuncture - surgical puncture of a vein especially for the withdrawal of blood or for intravenous medication

Cadaver Dogs—specially trained dogs that use their sense of smell to locate human remains and alert people to them

related terms:

Airscent dogs

Avalanche dogs

Body dogs

Cadaver detection dogs

Disaster-trained dogs

Field cadaver dogs

Human-remains detection dogs

Police dogs

Rescue dogs

Search dogs

Search-and-rescue (SAR) dogs

Trailing or tracking dogs

Victim recovery dogs

Water dogs

Sources: 1 2 3 4 5 6

Thanks so much for the request! I found this thoroughly interesting as well. With cadaver dogs, definitions varied widely, so I would recommend going through the sources for detailed explanations of the terms' differences and where they overlap. Hope this helps with your writing. Would love to read your work if it does :)

More: Word Lists

[covid-safer-hotties]

Published May 13, 2024

Governments and certain key opinion formers aren’t being open and honest about the risks associated with COVID-19 and their actions will have long-term consequences for public health and trust in science.

One of the criticisms often leveled at members of the Covid-cautious community is that they believe ‘everything is Covid.’ Critics say there is an element of alarmism or neurosis in the concerns this community has about COVID-19 because no pathogen could cause all the harms being laid at its door.

Unfortunately, the newest widely circulating pathogen in the human population uses a broadly expressed ACE2 receptor to infect cells1, meaning it can damage almost any part of the body2. Prior to the COVID-19 pandemic, few people believed coronaviruses could linger in the body, but members of the John Snow Project outlined their concerns in 2021 because there was extensive evidence going back decades to suggest coronaviruses could persist3,4. These concerns have since been shown to be justified, with numerous studies now demonstrating prolonged viral persistence and immune activation5-9.

The combination of a widely expressed receptor and persistent infection means the acute and long-term effects of SARS-CoV-2, the virus which causes COVID-19, can be unpredictable10.

SARS-CoV-2 has also been shown to harm the immune system in various ways11-14, many of which are common to other pathogens. This harm seems to have increased susceptibility to other pathogens such as dengue15 and strep A16,17.

We’ve previously written about government efforts to return to pre-2020 norms and how official messaging that we must all assess our own level of risk has been interpreted by most people to mean that it is safe to engage with the world in the same way one would have done in 2019 and that there will be no additional risk in doing so18.

Most people have resumed pre-pandemic behaviours, but there has been an increase in general ill-health, which can be demonstrated in rising levels of long-term illness19, disability20,21, GP appointments22, chronic absence among school pupils23-27, rising absence among teachers28 and worker shortages in a wide range of industries29. Many commentators theorize about the reasons for these phenomena, blaming a mysterious malaise among workers, indulgent or irresponsible parents, or post-lockdown laziness.

Aiding this apparent mystery is the rather bizarre way in which official figures are reported. A prominent Covid-cautious commentator pointed this out in a thread on X in relation to the UK Office of National Statistics figures on Long Covid30. The ONS analysis states, “The majority of people self-reporting long COVID experienced symptoms over two years previously,” but the way the data is presented skews the risk towards historic Covid-19 cases by using uneven time intervals, a practice which is in breach of UK government policy on how to present time series data31. However, when the data is presented as close to correctly as the raw data allows, the risk of developing Long Covid from a COVID-19 infection seems to remain relatively constant.

Another criticism leveled at the Covid-cautious community is that members are overstating the risk of Long Covid. High quality studies from all over the world point to the very real and significant risk of Long Covid32-34, and there is now evidence to suggest the risk of Long Covid rises with each subsequent infection35.

If anything, Long Covid prevalence is likely to be understated because of the dearth of public health information from official sources. There are still some people who are surprised they can be reinfected by SARS-CoV-2. There are others who know about the risk of reinfection but who falsely believe each subsequent infection will be milder. There are yet more who do not know each infection can carry a risk of long-term illness.

When we get into specifics, how many people know COVID-19 infection can cause headaches and migraines weeks or months later36,37? Or that it can cause fainting38,39? Nausea40? Heart attacks41,42? Cardiac complications in adults and children43,44? Embolisms45? ADHD-like symptoms46,47? Neurological issues48,49? How many people are suffering the long-term sequelae of COVID-19 infection but not drawing the causal link and instead ascribing their new conditions to bad luck or aging?

We’ve previously written about governments creating the space for antivaxx messaging to thrive by not correctly reporting the risks of COVID-19 infection29, but there are greater threats. Every time a Covid-minimizer says, “There’s nothing to worry about, look at everybody else out there living their lives, just resume your old ways,” they are undermining faith in public health measures because their reassurance is based not on the scientific evidence but on instinct, hope and, possibly, a vested interest in maintaining the status quo because they staked their professional credibility on infections being protective. Science and public health progress when we follow the evidence, not when we hold hunches and opinions in higher esteem than evidence.

The huge rise in dengue50, coupled with the evidence that dengue virus uses SARS-CoV-2 antibodies to enhance infection15 and the correlation of COVID-19 cases to dengue cases51 suggests there is an interplay between the pathogens that hasn’t been fully understood. Whooping cough is surging in the UK, with cases up 3,800% on previous years52-55, and adults who have been previously vaccinated or infected are now falling seriously ill. Similar surges have been seen in other countries, and while those who like to blame anything-but-Covid point the finger at lockdowns, which ended more than three years ago in most countries, sensible people would like to understand the interplay between COVID-19 infection and susceptibility to other pathogens.

It would only make sense to pursue ignorance if there was nothing that could be done about COVID-19, but we know that clean air policies can reduce the risk of all infections56, be they bacterial, viral or fungal. The “just get on with it” messaging of those who want people to forget about COVID-19 is a celebration of the sort of ignorance that has slowed and stalled human progress throughout history.

If there is a business case for investment in engineering and architecture that will improve human health, we need to properly understand the harms caused by COVID-19. Sweeping it under the rug, shouting down those with legitimate concerns, pretending the virus doesn’t exist, massaging data to make it appear things are safe, are all counter to this understanding.

It seems those with means have already decided their health will benefit from clean air57, and advanced ventilation and filtration systems are the latest must-have addition to high-end properties58, which suggests there is also an issue of equity involved in understanding COVID-19. The advancement of human knowledge has always empowered the general population, which is why it has often been resisted by those in power. Keep that in mind the next time someone says, “Stop worrying. Just get on with it.” They want your ignorance and incur no cost if you are harmed by being repeatedly infected by COVID-19 or any other pathogen that might be surging in its wake.

For information on how you can protect yourself from COVID-19 infection, please click here.

[shoopsthereitis]

fic masterlist

hi helloo, i'm sar ☾☼

links below for my fics on ao3

minors kindly dni

WIP

☀ 'tis the damn season: 4/? | Jegulus | M |

When their exes start dating and return home for Christmas, Regulus and James agree to fake a relationship to spare themselves the awkwardness of facing their old flames alone. As they navigate the chaos of family, friends and holiday traditions, their pretend affection begins to feel unexpectedly real. By the end of the season, they’re left questioning if they’ve been faking it all along—or if they’ve stumbled into something genuine.

fake dating | mutual pining | slow burn

minor wolfstar, bartylily, + other characters

completed

☀ for real this time: 12/12 | 88k | Jegulus & Background Wolfstar | E |

Fresh out of grad school, James and Sirius are ready for one final, carefree summer at James' family house on the coast of Maine. But things take a turn when Sirius invites an estranged Regulus along, completely unaware of the unresolved tension between him and James from the last time they were all here together. With 2.5 months to go until their move back to the UK, it's a summer of second chances and big decisions. Will James and Regulus be able to handle a summer together and just be friends? fluff & angst, idiots in love, HEA

☀ bleed me dry: one shot | 8k | Jegulus | E | marauders creature fic fest

Dragged to the local bar every Friday night for line dancing, Regulus falls for the mysterious bartender. From their first encounter, there is an air of mystery about him. Regulus can’t help but be drawn in, feeling an undeniable pull that only intensifies with each passing week. Little does he know, the bartender drinks more than just single-shot whiskeys.

☀ yeehaw, baby: series | one shots | Jegulus | E |

Regulus finds himself stranded in small town Montana with a broken down car. Luckily he falls for the handsome cowboy that comes to his rescue. Snapshots of their life.

broken cars and cowboys | 2.9k words

home is not a place, it's where your heart feels most whole | 1.8k words

cowboy like me | 4.9k words

☀ truth, dare, spin bottles: one shot | 5.3k | Jegulus/Rosekiller | E | Strutting Slut Fest

Regulus throws James his perfect birthday party, including cheeky games from their teen years like spin the bottle and truth or dare. At the end of the night things take a turn and James gets more for his birthday than he could have anticipated

☀ some part of me came alive the first time that you called me baby: one shot | 9.8k | Jegulus | M | siriuslyhozierfest

Six years after their breakup, Regulus comes face to face with James in the midst of Sirius being rushed to the hospital for emergency surgery. Their unexpected reunion becomes a catalyst of reflection for Regulus.

☀ what if your eyes looked up and met mine one more time: one shot | 5k | Jegulus | M | The Tortured Poets Fest

It’s been 5 months since Regulus died, and while it feels like the world has moved on, James is still treading the waters of his anguish, struggling to stay afloat. He and Regulus were broken up for two years leading up to his death and James finds himself grappling with the authenticity of his grief. When he thinks he sees a familiar face through a window, he finds himself confronted with emotions he has tried to ignore. Regulus has been dead for five months. When he appears on the streets of London, with no memories of his life, he follows an invisible thread in his gut leading him somewhere unknown. Somewhere he knows he needs to be. It all becomes clear when he sees a face he knows so well. That’s when everything comes into focus.

☀ Like A Secret In Your Throat: one shot | 1.5k | Regulus/Kingsley | E |

Regulus runs into his ex at the Leaky Cauldron and despite knowing something is off, he still invites him back to his flat for a snack.

☀ watching you, watching me: one shot | 2.8k | Rosekiller/Regulus | E |

He gets a rush from watching Evan like this. He considered knocking on the door, begging Evan to take him back, but there’s something about watching Evan that gets Barty worked up. Just observing him. It feels forbidden, and that turns Barty on more than he’d like to admit.

AO3: shoopsminis

a second account that runs mostly on vibes

oneshots, fun fests, etc

fuck JKR, we support LGBTQ here

[help-eman-family]

To everyone reading these words,

Every day we are forced to flee from one place to another, facing death at every turn—me, my children, and my husband who is severely injured.

With your support, I can protect my children and my husband.

I am pregnant, expecting a new baby, and I wish to give birth in a safe place where I can protect this little one coming into the world, as well as my children and my husband, whose lives are hanging by a thread.

@soon-palestine @90-ghost @ @nabulsi @sar-soor

@dimonds456-art @i-am-aprl

@sayruq

@el-shabazzgifted

@troythecatfish @humanvoicebox

@mayameanderings plz share

@faggotfungus @ghost-and-avatar @three-croissants

@sayruq @communistchinaaesthetic @90-ghost @sar-soor @fairuzfakhira @ibtisams @fallahifag @vakarians-babe @palipunk @palestinecharitycommissionsassoc @stil-lindigo @vakarian-shepard @northgazaupdates2

[cheolhub]

could you do number 54 or 99 with seungcheol please!!

SAR’S 3K MILESTONE EVENT

prompt. “c’mere, you can come sit in my lap until i’m done working.”

pairing. seungcheol x f!reader

wc. 824 (i literally don’t know what happened im sorry)

warning. thigh riding, needy!reader, soft dom!cheol, lots of teasing, pet names (baby, princess), allusions to dumbification, ummm idk what else — MINORS DNI 18+

note. hi anon! i chose 54 bc i wanted to write thigh riding LOL i hope u like this T-T it was lowkey kinda rushed </3

you’re pacing, probably creating a draft outside of seungcheol’s study. you’d much rather be in bed doing other things, but god forbid your boyfriend take a step away from work even if it was just for a second. 

seungcheol notices the way you walk past the wide-open door several times, an amused smirk sitting on his face while he continues to work. he understands you’re a bit… worked up right now, but he just needs to finish one more thing and he’s all yours.

it’s when you start obnoxiously sighing every time you pass the door that he breaks out into a full grin, a quiet chuckle escaping his lips. 

“hey, baby?” he calls and your ears perk up when you hear the pet name, practically prancing into the room with hearts in your eyes. 

you smile sweetly at him, “yes, cheollie?” you sing.

he gives you a playful look when he asks, “what are you doing?” as if he didn’t already know. 

“nothin,’” you shrug with a toothy grin. “just waiting for you to fuck me into the mattress like you promised you would’ve 2 hours ago– and by the way… is that still happening?”

he leans back in his chair adjusting his glasses. he hums out his response, voice dropping a bit, “mhm it is, is my pretty baby needy?”

your smile dissipates and pout is quick to form on your lips. “cheol, don’t tease, ‘m already a mess.” 

he coos, “oh, my poor thing.” his words are mocking, but he’s quick to make up for it. “c’mere baby, you can sit in my lap until i’m done working.”

you nearly jump him at that, running over and straddling just one of his deliciously thick thighs on the spacious chair. he smiles at you, mumbling something about how cute you are before his hands find your waist. 

you wrap your arms around his neck, “so, how much longer…?”

“not much, princess. if you’re good ‘n let me work, i can be done within the next 30 minutes.” he tells you, hands sliding up and down your sides which seems to be doing more harm than good to your soaking cunt. 

you sigh, nodding your head before clinging to his body, shoving your head in the crook of his neck as he removes his hands and returns to work. your senses are full of him, his cologne making your head spin and the ache in your beyond agonizing.

you don’t even realize how much time passes by before you’re subtly rubbing against his thigh till he’s humming, hands back on your hips to guide you. you whine into his skin at the feeling of his large hands squeezing your flesh and your pussy pulsing uncontrollably. 

he snickers at your helplessness. “aren’t you just the neediest little thing? can’t even wait 30 minutes for my dick, baby?” 

“b-been waiting all day… need it now.”

“oh, you need it, do you?” his patronizing tone has your hips involuntarily stuttering. “gonna show me then? show me how much this pretty pussy needs to get fucked?” 

you whine, his vulgar words sending shockwaves straight to your cunt, “ch-cheol, please.”

“there’s my girl, i knew you didn’t forget your manners.” he praises with another smile though you couldn’t be bothered with the way your overly-sensitive pussy clenches. he flexes his thigh and your desperate whines turn into even more desperate moans. “gonna cum like this?”

you nod your head, one of your hands slipping to the back of his, threading your fingers through the brown locks. the other comes to roughly grip and pull at his shirt desperately. you attempt to salvage any dignity you may have left when your mouth opens and your teeth sink into his neck to muffle your embarrassing moans. 

seungcheol revels in your reaction to simply grinding on his thigh. he has to admit that this might be the hottest thing he’s ever seen in his life and it’s making him so fucking hard.

“alright, baby, you’re close right? cum for me and i’ll fuck you brainless, can you do that? can you cum for me?” 

at the inviting incentive, you nod, huffing and puffing as you feel your impending orgasm swirl in the pit of your tummy. cheol can hear how close you are in your moans, each getting more pitchy and breathless as they come. 

when the rubber band in your stomach snaps, you jolt in his grasp, incessantly crying out his name followed by some vulgar curses. your hips are slowing down but still bucking against his thigh as you’re coming down from your orgasm. soon after, with cheol rubbing your back, your heavy lids flutter close and you slump against his body, still panting. 

“good girl.” he whispers. “did so well, you know that?”

you mumble into his neck, “fuck me brainless.” the words parrot his previous ones and he can’t help the laugh that escapes him. 

“don’t worry, i will.”

© cheolhub — all rights reserved, please refrain from copying, reposting, modifying or translating my work on any platform.

[falesten-iw]

Bombarded, blockaded, stripped of all lifelines, even UNRWA which is a UN organ unjustly labeled as a terror organization. It's like the world keeps daring Gaza to give up, and Gaza keeps stubbornly refusing, just standing there, bruised and battered but still breathing. And the Gazians? We're experts in endurance, living each day with almost nothing, finding ways to hold on, discovering beauty and strength even when it feels like the world is stacked against us.

And then there's GoFundMe. For some, it's a place to fund a dream project; for Gaza, it's become one of the last threads of hope. Every dollar, every small donation, is like a patch on the wound, a tiny light in the dark. Because for us Gazians, resilience isn't just some inspiring buzzword; it's a necessity. But we can't do it alone. So if you've got $5 or $10 to spare, send it our way. Because right now, support isn't just helpful; it's survival.

Vetted and shared by @90-ghost: Link.

Verified and shared by @el-shab-hussein: Link

Listed as number 282 in "The Vetted Gaza Evacuation Fundraiser Spreadsheet" compiled by @el-shab-hussein and @nabulsi : Link

Listed on the Butterfly Effect Project, number 957: Link

Additionally, Al Jazeera News has documented apart of my family's case: Link

If, for some reason, you couldn't donate via GoFundMe, you can donate via PayPal instead.

Donate on GoFundMe: Link

Donate on Paypal: Link

Note: There’s even a raffle for a handmade Palestinian thob if you want to participate : Link

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[bullet-prooflove]

Crash!Series - Part One: Test Flight

Tagging: @kmc1989 @burningpeachpuppy @acesgunner95 @caffeinatedwoman @unknown6669991 @irishavengersassemble @midnightstarqueen @sportslovers-world @wildcard566 @fanny-123456 @alexlynn16 @district447 @firecountryqueen666 @yousigned-upforthis @@coldmidnightlights  @totalstitchlover19 @chlo-lo14 @toheavenwmydrms @doggirlforever @missyhoneybee @thatanimalmom @wabi-sabi1090

You’re excited this morning, Manny can tell. It’s in the way you move around his kitchen, the bounce in your step, the smile on your face. He’d love to accredit it to this morning’s activities but he knows better.

This is about flying.

You’re test driving a new chopper today, one that’s been donated to the Search and Rescue team by Nozzle. For them it’s outdated but for SAR it’s an upgrade from the current model they use, they’ve chosen you as a former coast guard pilot to put her through her paces before they accept ‘the gift’.

For Nozzle it’s part of a PR campaign to clear up their image after the debacle with the winery. Faye’s company had taken a huge hit after that fire had gotten out of control, they’ve been trying to claw back their reputation ever since.

Manny hates the thought of you being used like that but the thing is he kind of gets it. There aren’t many female pilots out there, especially not working SAR. It helps that you’re photogenic, which is why the public relations team for Search and Rescue have thrust you into the limelight.

“If it boosts awareness and fundraising for Search and Rescue than I’m happy to do it.” You’d told him after Luke Leone had approached you about it. “I don’t give two shits about Nozzle.”

Faye has offered you a job three times, flying rescue for her concierge firefighting service and each time you’ve turned her down. You’re not interested the privatisation of rescue services, you care about saving people, making sure they get home to their families after the worst day of their lives. Manny’s built the same way. It’s part of the reason he loves you, you feel that calling the same way he does.

“I love this mood on you.” Manny tells you as he places his hands on your hips. Your fingers thread through his hair, drawing him closer and he makes a contented noise in the back of his throat as your fingertips trace over that sensitive space at the nape of his neck. “I love how happy you get when you fly.”

Flying is in your blood, it has been ever since you were a little girl up in your father’s crop-duster in Iowa. He’d been Airforce before he’d retired, so had your grandfather, you’d been all set to follow in their footsteps until a Coastguard recruiter came to your high school. It was love from the very moment you climbed into a chopper. You’d dedicated every aspect of your career working towards that goal and once you’d achieved it you’d never looked back.

“Imagine how excited I’ll be when I get back.” You tease, your lithe body arching against his. “I’ll need a little help working out all that adrenaline.”

You always get a little wild after you’ve been flying, it gives you a thrill you can’t get anywhere else and Manny he always reaps the benefits. The last time he’d picked you up from the hanger you hadn’t even made it home. He’d ended up pulling into a secluded layby because you’d spent most of the journey whispering into his ear and caressing him through his jeans. He’d fucked you in the cab of his truck, the windows steaming up as country music played on the radio.

Your phone chimes and Manny pulls away reluctantly because it’s your calendar reminding you that you have exactly thirty minutes to get to the hanger for preflight photographs.

“I have to go.” You murmur, glancing at the notification before slipping the phone back into your pocket.

“I’ll be listening over the radio. ” He tells you, picking up his coffee mug and leaning back against the counter as he watches you pick up your keys and motorcycle helmet.  “We can celebrate tonight after I get off my shift from Three Rock.”

“I would like that very much Captain Perez.” You say, raising up on your tiptoes so that you can press a soft kiss to his mouth.

“Stay safe out there today.” He whispers, his thumb chasing over the apple of your cheek.

“Always.” You promise before giving him one last kiss for the road.

Love Manny? Don’t miss any of his stories by joining the taglist here.

Interested in supporting me? Join my Patreon for Bonus Content!

Like My Work? - Why Not Buy Me A Coffee

[spot-the-antisemitism]

https://www.tumblr.com/stoptheantisemitism/763524232272592896/what-no-illegal-land-sales-happening-in-your

https://www.tumblr.com/stoptheantisemitism/763524236034932736/whats-holding-you-back-no-illegal-settlements

ID 1: A screenshot from a Tumblr feed featuring a post by the user 'stoptheantisemitism'. The post contains a reblogged comment from 'battyhillel' stating 'i can't wait to move to israel...', followed by a response questioning the decision and implicitly critiquing illegal land sales. This response includes hashtags such as #Absolute garbage human being. The post has 19 notes and options for liking, reblogging, or replying are visible. Below the Tumblr thread, there's an ad from Netflix showcasing an image of a person against an orange background.

ID 2: A mobile screen displaying a Tumblr post conversation at the top and a Netflix advertisement at the bottom. The Tumblr post originates from the user 'stoptheantisemitism', and includes an interaction with two comments. The first comment, by 'batyhilel,' expresses eagerness to move to Israel, followed by 'stoptheantisemitism' asking what's holding them back, and inquiring about illegal settlement sales. The post has 19 notes, with options for reactions like reblogging, commenting, and liking. Below the Tumblr post, a Netflix ad promotes 'Heartstopper Season 3', featuring a close-up of a person's face with text 'I THINK YOU...' The layout shows typical social media interaction, blending cultural discourse with entertainment marketing.

Literally in response to me wanting to move to israel…

alright then, lets see their blog, shall we?

ID 3: A social media profile titled 'Zionism is Anti-Semitism' is displayed, featuring a Star of David symbol against a blue and pink circular backdrop. The profile description beneath reads, 'Ethnically Jewish. Come unlearn Zionist Propaganda with me They/Them 27 CT.' Below the title is a prompt button labeled 'Ask me anything.' Two images are included on the profile; one shows text seemingly related to racial or ethnic conflict, and the other appears to show a group of people in physical distress. A blog entry below by a user named 'rimchan' expressed frustration over the comparison of different acts of terrorism, mentioning historical World War II events.

Unironically calling zionism antisemitic

cool /sar.

I can’t with this website forreal.

OH them!

I'm so sorry my nemesis found you

my nemesis the person who somehow the SAME pronouns and the SAME age. They tried to steal my "identifies canards as antisemitic gimmick" tried to get a similar name to mine. They are trying to be knock off antizionist me

when like I DON"T engage nazis and pro-pals in debate, I am an archive of blocking, the are a archive of "jews to harrass by their tankie audience"

and has 4 different ban evade accounts one of which is just "receipts of my 'genocide apologia'". Said 'genocide apologia' is me correcting their misinfo and calling them out

you heard it here first, calling out another jew is LITERALLY the holocaust

Block them and their alts

innocent-fandomite

innocent-fandomite-hater

stop-the-antisemitism

and of course

spot-the-antisemitissm

because the second s implies that I'm a nazi

yes I'm the nazi and not the nazi shit they post on their kahanist alt to make Jews look bad

[willowreader]

Click View on Twitter for this thread about shedding the COVID virus and the implications of the rule change by the CDC.

The article.

[princeofcyberpunk]

chat, is this real? (god i wish it wasn't.)

so uh. according to this thread its very possible that Level-5 is using ai art. thats fucking fantastic. thanks guys. definitely not a spit in the face to your fans who've loved you for years for your unique art direction. no. not at all :) /VERY SAR

it doesn't matter if they're "just using it for concept art" or whatever. they're still using it and its fucking gross. As a Yo-Kai Watch fan of almost 10 years now, I am truly disgusted. I hope they recall this decision and go back to using exclusively real artists, or they'll lose a lot of fans (including myself, which would break my heart. I love Level-5 games to death.)

I'm still most likely going to buy Inazuma Eleven: Victory Road and Decapolice when they come out, because most likely if the use of AI in scriptwriting/sidequests is real those will be rewritten in the English localization by actual people. Still doesn't change the concept art thing but i've been hyped for these games for too long to let that ruin it. If it goes any further than that tho, i'm probably going to tap out. Which sucks so much.

This is lazy at best and downright harmful to real artists at worst.

also why would you want it to look more like the anime bro the yo-kai watch anime was ass. thats just me tho askjfhakjhfkjafk

[thebottomfromhell]

ONE-SHOT

Urogi has a breeding kink, male demon reader. In here the fur in Urogi's legs are pants.

Warnings: Breeding kink, Anal sex, Cannibalism, Predatory-animalistic behavior, Mentioned egg-laying, Mentioned m-preg (no actual m-preg).

You know you got lucky, really lucky, out there.

When he turned you into a demon you lost all your memories, but you knew you loved birds. While you don't really have many bird-like features, just some feathers that you could control as your demon blood art, it was something hard to miss.

You can remeber having some singing for you at your arm-reach at sunrise, maybe you owned some as pets, but that is your only human memory. But look what you found as a demon.

Your feathers are not weapons, it's more a sensoring type of ability, so the buddha's damn second you found a Hashira that managed to get near you unnoticed even with the feathers spread to sense threats, you should have died. But the Upper Moon Four was around, deemed a bigger thread, and decapitated. The Hashira was talented, thank heavens you didn't got to face him, and managed to decapitate the anger clone, Sekido, after he came out, and the pleasure clone, Kakaru, let himself being decapitated for fun, bringing out Aizetsu, the sorrow clone, and Urogi, the joy clone. It seems you were the first demon with feathers he has seen for a while, since he, who has wings and talons, took a big interest for you instantly.

You remember wanting to grab his wings, they looked so majestic and soft that it made your insticts to take and touch clash with the ones that told you to fear Upper Moon Four. Urogi did not share those reservations and instantly grabbed your feathers without even asking, and caressimg his face with them. "They are even softer than mine! I'm going to keep some, ok?" You did not tell him that you could locate him if he did, or that you could feel his touch through the feathers.

You can always feel and find him, whenever he separates from the other clones, you know. And you chase.

"Oh, you've come to see me again!" He doesn't worry about this, he knows he can destroy you easily, and he enjoys your presence (the pun intended, he adores bad puns). "What you got there? Gimme!" To rush up here you had to eat, to not waste time you just grabbed a random human in your way. What was this guy doing just standing in front of his house (was it even his, at this point) beyond midnight is not of your business, just that he was around and you needed to eat to gain speed. Urogi takes the body off your hands and sits crooked over it to start eating, tearing the flesh with his talons and fangs.

"Hish lag sar fullo fats, "he puts more into his mouth without swallowing first" t'sh sho tashte an greeshy!" [His legs are full of fats, it's so tasty and greasy!] His manners are not better than the ones of a wild animal, you can't help but shake with some disgust as some of the chewed flesh falls off the side of his lips as he opens his mouth to add an eyeball to the mix. You laugh it off. "Try to swallow your food, Birdie. It's not like you're going to feed chicks with that." He finally swallows before grining at you, taunting, he opens his wings as he stands up, with them he looks a lot bigger. The intimidating gesture doesn't let you move as he gets closer, his face just a breath away from yours.

"Why, would you like to see me feeding lil' chicks? Don't lie, I have seen the way you look at me, as if you wanted to have mine." Your face heats up as he wounds your pride with that confession, so you feel the need to answer something. That is the reason you came with a comeback you didn't even think through. "Oh no, if anything you would be the one laying eggs, Bird Boy." You both paralyze the second you finish that sentence. What the FUCK did you just said to one of the fifth strongest demons?

Again, you are very lucky, maybe you have a second demon blood art that gives you that much luck, because Urogi just laughs with a blushing face and uncomfortable smile, looking around without making eye contact. "I-I think Sekido is calling, so...... yeah. Good egg- I mean TALK! GOOD TALK!" He basically yeets himself into the sky, he flies really fast he got out of your sight in 7 seconds, only to come back and pass over you, that is where the rest of the clones are. But you survived.

And, the next time you meet Urogi, he's the one that reaches for you. You don't really know what to expect, he is not looking at you, just standing besides you and playing with his hands, blushing. "Hey.... so.... what was your name again?" You tell him, but Urogi still evades your eyes as he blushes harder and scratched the back of his neck. "Y/N.... ok. Yeah, um- about last time.... I kept thinking about it and.... it was hot." What?

He takes a deep breath to gain confidence before grining at you. "And, I know, you like me. A lot. So how about you do me a favor~?" He lunges at you grabbing your shoulders, digging your talons in, making you bleed. Just like that one time, your mouthes are one breath away from each other. He giggles as he lets his tongue out, letting it touch your mouth.

You have no idea if you used to catch birds as human or if your demon insticts are stimulating it, but you can only obey the urge to TAKE. Without thinking you grab Urogi's waist and slam him against a tree. He wraps his legs and wings around you before the impact, making his back recieve fully the hit as your pelvis meets his. This makes him moan as he tears your shoulders as he groans, sounding very close to a moan, and arches his neck. It takes you only seconds to heal as he moves his head over your shoulder "Breed me~".

You feel your dick getting hard with those words, that voice, this position. You keep one hand on his waist while you grope his ass under his clothing. He moves his hips eagerly as he moves his hands to take off your tops. He giggles as he feels your fingers brushing against his entrance, teasing over it. It's already lubricated, though you would need to check if he prepared himself already. "Did you touch yourself here before coming?" You ask softly as you try to insert a finger, it goes in easily, it even feels like it's being sucked in by the wet heat

.

Urogi trembles a bit nervious as he feels you touching his insides under his pants, from the movements of his hips from before that made friction between your pelvis you can feel his dick is getting hard against yours with the clothes in between. "I already told you I kept thinking about it~" he answers cheeky. You take that as an invitation, so you move his pants as he wraps himself closer to you with all his limbs, digging the talons of his hands in your just below you neck and the ones in his feet behind your thighs. "Just like this is fine for now, just give it to me already~"

After leaving some scratches in your legs, ones that heal at the expected speed, Urogi uses his legs and feet to move your clothing off your erection, licking his lips when he feels it against his skin. Both of your hearts begin to race as you line the tip into his ass, pressing without entering. You pause. "Are you ready for me to fuck you, Baby Bird? Ready for me to stuff you full with my seed?"

Urogi bites your shoulder, burrying his face in your skin and almost tearing your bleeding flesh as he moves hil pelvis impatiently. You laugh at as you heal as you spit in one hand and massage your dick to enter smoothly for you too. When your tip starts to slip inside, slowly, Urogi moans against your skin, fangs still deep within, once your member is fully settled inside his hole is that his mouth lets go. "There we go, all inside. Does it feel good?" Urogi just start licking the blood off your shoulder before resting his chin there, panting a bit. Once he gets used to the size of your member he giggles and moves his hips. "I want more, gimme all you've got T/N~".

You thrust hard into him, having all of him clenching around you "Fuckkkk, Urogi. You are so tight and hot..." The sound of your balls hitting his tighs goes along your grunts. Urogi keeps giggling and moaning "Yeah... oh yeah~, just like that mng~ Y/N~" With your hand in his hips you try pounding into different agles, searching for his sweet spot, a really high and loud moan from Urogi is all the signal you need to keep thrusting there. You also start to jerk him off, taking advantage of your demonic strength and his grip in you, never letting his talons off your constantly healing back and legs as you hear him scream. "YESSS~ THERE! Fuckfuckfuck T/N!" He giggles between high moans "Mmmmng~ I want your cum~ ohhgh~ Breed me dumb and pregnant~" He bites you again as you beging to pound harder into him searching for climax, you can feel the smile in his lips. "Shhhit~ you're so hot. You want it in your tummy~? You want me to put a baby inside you?"

You know that as demons, and male ones at that, none of you is fertile, much less can carry a child. But the though of Urogi enjoying so much being so full with you that he is bulging and round-shaped is enough for you to give in into this kink of his. "YESSS fuck YESS~ Gimme argh~ fill me with chicks~...." He keeps moving his hips with you until you cum inside with three loads of hot and thick semen. Urogi arches his back at the first one, scratching you more, he starts giggling with the other two. You start trembling as he moves his wings, making you fall down. "Not enough~ keep your promise and actually fuck me until I look pregnant!"

"God, you are insatiable." You groan in response, Urogi just giggles again as he starts to ride you, still moaning, scratching and talking about being bred. You last less this time due being more stimulated, but he doesn't seem to mind as he keeps up the pace. You turn both of you around to corner him, back against the ground, by the sixth round and use all your strengh. You can feel part of your cum is leaking out of his insides as you thrust, there is a small bulge in his stomach. The talons and fangs keep you in place as you move your pelvis back and forward, Urogi begins to babble at the stimulation. "I'm shooo full it argh~ makes me shoo happy~ Imma cum~ lemme cum plssss~". You thrust as fast and hard as your body lets you, not caring of the bruises you are leaving in Urogi as you grab him and pound into him, they heal in less than a second so thay are hard to notice. "C-C'mon c-can you feel the chicks, b-b-baby bird? Fuck, you are so stuffed argh.... L-look your.... your pregnant.... tummy...."

He does look down, only to bite you hard as he trembles, tighens up and cums into your chest with two full loads, the liquid sticking to your skin as you cum for the last time. You both are panting as you fall down over the Upper Moon, you have to admit he tired you up a bit, but it was worth it. You only have some few seconds to get ready and move inside the cave Urogi found you near by before the sunrise. You have to help him, he is a bit complicated by the state he is in, but still cuddles with you once you are safe. "We need to do this again some time T/N, don't you think? Don't you ever deny me the joy of feeling so full."

There is something in his tone.... it's a threat, you don't want to think what would he do if you rejected him. But.... you don't need to. "I've got you, baby bird." You answer as you cuddle back.

You are indeed very lucky.

[covid-safer-hotties]

Also preserved in our archive (Updated daily!)

Researchers report that a new AI tool enhances the diagnostic process, potentially identifying more individuals who need care. Previous diagnostic studies estimated that 7 percent of the population suffers from long COVID. However, a new study using an AI tool developed by Mass General Brigham indicates a significantly higher rate of 22.8 percent.

The AI-based tool can sift through electronic health records to help clinicians identify cases of long COVID. The often-mysterious condition can encompass a litany of enduring symptoms, including fatigue, chronic cough, and brain fog after infection from SARS-CoV-2.

The algorithm used was developed by drawing de-identified patient data from the clinical records of nearly 300,000 patients across 14 hospitals and 20 community health centers in the Mass General Brigham system. The results, published in the journal Med, could identify more people who should be receiving care for this potentially debilitating condition.

“Our AI tool could turn a foggy diagnostic process into something sharp and focused, giving clinicians the power to make sense of a challenging condition,” said senior author Hossein Estiri, head of AI Research at the Center for AI and Biomedical Informatics of the Learning Healthcare System (CAIBILS) at MGB and an associate professor of medicine at Harvard Medical School. “With this work, we may finally be able to see long COVID for what it truly is — and more importantly, how to treat it.”

For the purposes of their study, Estiri and colleagues defined long COVID as a diagnosis of exclusion that is also infection-associated. That means the diagnosis could not be explained in the patient’s unique medical record but was associated with a COVID infection. In addition, the diagnosis needed to have persisted for two months or longer in a 12-month follow-up window.

Precision Phenotyping: A Novel Approach The novel method developed by Estiri and colleagues, called “precision phenotyping,” sifts through individual records to identify symptoms and conditions linked to COVID-19 to track symptoms over time in order to differentiate them from other illnesses. For example, the algorithm can detect if shortness of breath results from pre-existing conditions like heart failure or asthma rather than long COVID. Only when every other possibility was exhausted would the tool flag the patient as having long COVID.

“Physicians are often faced with having to wade through a tangled web of symptoms and medical histories, unsure of which threads to pull, while balancing busy caseloads. Having a tool powered by AI that can methodically do it for them could be a game-changer,” said Alaleh Azhir, co-lead author and an internal medicine resident at Brigham and Women’s Hospital, a founding member of the Mass General Brigham healthcare system.

The new tool’s patient-centered diagnoses may also help alleviate biases built into current diagnostics for long COVID, said researchers, who noted diagnoses with the official ICD-10 diagnostic code for long COVID trend toward those with easier access to healthcare.

The researchers said their tool is about 3 percent more accurate than the data ICD-10 codes capture, while being less biased. Specifically, their study demonstrated that the individuals they identified as having long COVID mirror the broader demographic makeup of Massachusetts, unlike long COVID algorithms that rely on a single diagnostic code or individual clinical encounters, skewing results toward certain populations such as those with more access to care.

“This broader scope ensures that marginalized communities, often sidelined in clinical studies, are no longer invisible,” said Estiri.

Limitations and Future Directions Limitations of the study and AI tool include the fact that health record data the algorithm uses to account for long COVID symptoms may be less complete than the data physicians capture in post-visit clinical notes. Another limitation was the algorithm did not capture the possible worsening of a prior condition that may have been a long COVID symptom. For example, if a patient had COPD that worsened before they developed COVID-19, the algorithm might have removed the episodes even if they were long COVID indicators. Declines in COVID-19 testing in recent years also makes it difficult to identify when a patient may have first gotten COVID-19.

The study was limited to patients in Massachusetts.

Future studies may explore the algorithm in cohorts of patients with specific conditions, like COPD or diabetes. The researchers also plan to release this algorithm publicly on open access so physicians and healthcare systems globally can use it in their patient populations.

In addition to opening the door to better clinical care, this work may lay the foundation for future research into the genetic and biochemical factors behind long COVID’s various subtypes. “Questions about the true burden of long COVID — questions that have thus far remained elusive — now seem more within reach,” said Estiri.

Reference: “Precision phenotyping for curating research cohorts of patients with unexplained post-acute sequelae of COVID-19” by Alaleh Azhir, Jonas Hügel, Jiazi Tian, Jingya Cheng, Ingrid V. Bassett, Douglas S. Bell, Elmer V. Bernstam, Maha R. Farhat, Darren W. Henderson, Emily S. Lau, Michele Morris, Yevgeniy R. Semenov, Virginia A. Triant, Shyam Visweswaran, Zachary H. Strasser, Jeffrey G. Klann, Shawn N. Murphy and Hossein Estiri, 8 November 2024, Med. DOI: 10.1016/j.medj.2024.10.009 www.cell.com/med/fulltext/S2666-6340(24)00407-0?_returnURL=https%3A%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS2666634024004070%3Fshowall%3Dtrue