#somehow it keeps getting more complicated
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thelonelyshore-if · 18 hours ago
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sfw for ravi to keep me from going insane pls
Nonnie I'm soooo sorry this is so late I've been going through it. But here's Ravi's alphabet, I hope it brings you some joy <3
A = Affection (How affectionate are they? How do they show affection?)
Ravi keeps his distance. It isn't that he doesn't want to be affectionate, but…he hesitates. Especially with physical affection. He isn’t sure it’s a good idea to get to that close to someone, in a very literal sense. When he is affectionate, though, he likes holding hands and slow dancing together when there isn’t any music. He’s a big fan of just holding hands while you’re having a conversation. Having that little tether of connection is big for him.
B = Best friend (What would they be like as a best friend? How would the friendship start?)
Infuriating. He'd be infuriating…though he's a fiercely loyal friend. He tends to act on his whims and he can be smug and superior, even with his friends. But he'd love to talk magic and do puzzles together. Much like Croft, if you want to befriend him chances are you're going to have to be the one pursuing it on the front end…unless you somehow attract his attention. Such as, if you wash up on shore in the middle of the night. 
C = Cuddles (Do they like to cuddle? How would they cuddle?)
Ravi loves to cuddle and avoids doing it whenever possible. Too intimate, too close.
D = Domestic (Do they want to settle down? How are they at cooking and cleaning?)
Ravi's house is pristine. He's an okay cook but not actually all that skilled. He wants to settle down in theory (especially with the right person), but probably not in practice. 
E = Ending (If they had to break up with their partner, how would they do it?)
He'd just ghost you! You'd never see him again. And if he ran into you in public he'd do his best to avoid you. Full on pretending you don't exist. Unfortunately Ravi isn’t very good with Big Feelings or with confrontations.
F = Fiance(e) (How do they feel about commitment? How quick would they want to get married?)
The idea of marrying the person he loves is enough to make Ravi shut down completely. He'd love to do it. He never could do it. There's no chance.
G = Gentle (How gentle are they, both physically and emotionally?)
Physically he's very very gentle, barely risking touching you at all. He's also…decently emotionally gentle, but he's complicated. As seen in game he can be kind of a dick. But he can be so soft and tender when he wants to be.
H = Hugs (Do they like hugs? How often do they do it? What are their hugs like?)
Ravi loves hugs, and doesn’t mind them from friends. Hugs from crushes or a partner are even better, but he'll be much more stressed about them. His hugs are brief, though there's always the lingering impression he wants them to last longer. 
I = I love you (How fast do they say the L-word?)
It would take him a while (like. years) if left to his own devices, but I could see a near-death situation making him say it much sooner. 
J = Jealousy (How jealous do they get? What do they do when they’re jealous?)
Eh Ravi doesn't really get jealous. He finds it funny when other people try to flirt with his partner or whatever. He trusts the person he's with, and jealousy just isn't really his thing. 
K = Kisses (What are their kisses like? Where do they like to kiss you? Where do they like to be kissed?)
Scared. Passionate. Hesitant at first, more uncontrollable the deeper it gets. He likes being kissed on the face and the hands especially, he likes kissing his partner on the hands, too.
L = Little ones (How are they around children?)
Ravi doesn't really get kids, but he likes them. He usually just treats them how he'd treat adults…which sometimes can get him in hot water when he lets a kid or teen do something irresponsible that they Are Not Old Enough To Do. He just assumes kids know their parents’ rules and will follow them lol. 
M = Morning (How are mornings spent with them?)
Very much so like the first morning with him in the game!! Except you’d presumably wake up in bed together. But he’d wake up, press a gentle kiss on your forehead. Go start breakfast (unless he’s too sleepy for it), prepare you your favorite drink (even if it’s water), and then he’d wait for you to get up. His brain is shut down early-morning so he’d sit in silence and read the paper unless you prompted conversation, but he doesn’t mind a comfortable silence.
N = Night (How are nights spent with them?)
Just as low-key as the mornings, tbh. Share dinner together, and then he’d try to prompt some sort of shared activity. Doing a puzzle together, going for a hike or a drive, even just watching a movie. Eventually he’d shower–probably on his own, it would take a lot to get him comfortable showering with you–and then time for bed! He doesn’t sleep much, but he’d love to just lay with his eyes closed, holding you.
O = Open (When would they start revealing things about themselves? Do they say everything all at once or wait a while to reveal things slowly?)
Ravi’s very open, so long as you aren’t expecting the truth c:
P = Patience (How easily angered are they?)
Not very, but it’s definitely possible to push his buttons. He prides himself on his control, but is kind of addicted to anything that makes him lose said control. Ravi is very, very level-headed. It takes a special sort to get him angry.
Q = Quizzes (How much would they remember about you? Do they remember every little detail you mention in passing, or do they kind of forget everything?)
Ravi remembers everything. He really isn’t the type to forget even the smallest detail. It’s almost a little unsettling how much he manages to remember.
R = Remember (What is their favorite moment in your relationship?)
Ravi’s first date is a hike in the woods c:
S = Security (How protective are they? How would they protect you? How would they like to be protected?)
He’s incredibly protective! Especially when it comes to the fog. That being said, he presents said protectiveness in a very particular way. He believes it’s more meaningful to teach someone to protect themself than rush in to be their knight in shining armor. Minor spoiler, but Ravi will be one of the biggest proponents of MC learning to control their magic. And he’d be flattered if MC was very protective of him, but also amused. In theory, he’s one of the safest people in Easthaven–he can take care of himself.
T = Try (How much effort would they put into dates, anniversaries, gifts, everyday tasks?)
Ehhhhh it fully depends on the day lol. It’s something he’d like to do, but honestly he doesn’t always think about that sort of thing. Ravi’s a romantic guy, but it’s definitely in his own way, and these kind of details can fall to the wayside.
U = Ugly (What would be some bad habits of theirs?)
He’s a liar. He’s incredibly set in his ways. He’s arrogant, and likes feeling superior. Also he’s not above putting his cold hands under your shirt in an attempt to warm them up.
V = Vanity (How concerned are they with their looks?)
In an attractiveness sense, Ravi’s concerned on an average level. He wants to look good, sure–doesn’t everyone? But more importantly, he’s very self-conscious about his scars. He doesn’t let anyone see them, other than the ones on his hands and face, and even those make him feel anxious. Though I suppose it does have less to do with being judged and more to do with what those scars mean to him…
W = Whole (Would they feel incomplete without you?)
Yes. If given the chance, MC will become his entire world.
X = Xtra (A random headcanon for them.)
Ravi is scared of dogs. He doesn’t like coffee but loves the smell–he prefers tea. His favorite season is winter, even though he hates driving on ice. He has at least one puzzle that he’s used puzzle glue on and every so often considers framing and hanging on his wall. He hasn’t yet because it feels kind of tacky. When he was a teenager he used to sneak out and fall asleep in the graveyard.
Y = Yuck (What are some things they wouldn’t like, either in general or in a partner?)
He really will struggle with a MC who is hell-bent on getting out of town. He can work with a skeptic, as much as they drive him insane. He finds it kind of funny and kind of hot, in an odd way. Ravi finds stubbornness sexy lol. But if the person he’s fallen in love with wants to leave him? It terrifies him in a way he can’t explain. How can he in good faith help them do it? And wouldn’t it be equally bad to try and stop them?
Z = Zzz (What is a sleep habits of theirs?)
He frequently falls asleep with his glasses on.
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animezinglife · 21 hours ago
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@goforth-ladymidnight, I recently read one that was excessively Fae in nature called The Thorns Remain.
It's a slower-paced story and won't be for everyone, but if you want the true tricksters, weird magic, mind games, and riddled speech, that might be a good option. J.J.A. Harwood is the author. The Fae isn't necessarily a love interest, but the situation is...sadistically intriguing.
I've never understood why SJM doesn't lean more into iron. It would even the playing field and raise stakes quite a bit more in general, and it would add intensity and depth to the fact Elain wears an iron engagement ring.
I obviously don't want anything to happen to Rhys and consider his and Feyre's story to be wrapped up with a nice little bow on top, but how interesting could that have been to have the "most powerful High Lord in history" at risk of being taken out by something that's so prevalent in his mate's/wife's world?
What about ballistas and "modern" war equipment from the human world being heavily armed and guarded with iron?
Maybe that could be a wicked advantage of Autumn: their fire burns so hot (so fast) that it poses a massive risk to the integrity of these arms. Or Winter, perhaps, could throw enough ice around the iron to either cease its function altogether or defend against iron's effects.
The biggest problem in my opinion with the series is we have no worldbuilding or grounding whatsoever. We've been in Night for how many years and still have no sense of what technologies they have or don't have (Toilets? Electricity? I'm so confused), modern clubbing mixed in with this all somehow, and fashion could either be something very Fae or a sweater and leggings from 2006.
Anything goes in fantasy, but only if you keep it consistent and ground it.
My biggest issue above all else with the Fae?
With the exception of Lucien, Eris, and perhaps Helion, none of them seem smarter than humans. I don't know if their brains just develop much more slowly or what (which, again, would be a contradiction given how young Lucien is for their world), but it's a little concerning.
My continuous complaint about ACOTAR and SJM in general is that she never rolls up her sleeves and digs deep. She doesn't get her hands dirty, and everything stays at a surface level.
Instead of ancient bad blood, political intrigue, and trickery among rivaling courts, I feel like I'm reading a Real Housewives recap.
Instead of having any sense of the very real (I'm assuming) turmoil within the Night Court between Illyrian dissenters, the Court of Nightmares, and Velaris, we get, "Yeah, growth takes time and we'll throw Azriel/Cassian/etc. at it and see if that works." Velaris is great for the people living in it.
Is life great for the lesser Fae living in the CoN? Illyrian women? Young males pushed a little too far? It IS realistic that Rhys wouldn't be able to solve every issue---it's one of his wiser moments to recognize that and not push too hard---yet I also wish there was more on this.
That, and the fact that we're supposed to assume these centuries-old Fae are A-okay with a human woman born yesterday now being their High Lady.
If we brought in more worldbuilding with the tensions between humans and Fae, the threat of iron, faebane, etc., then that could add some interesting, complicated layers.
You truly cannot compare the two, but if you value depth and were to read both The War of Lost Hearts and ACOTAR...there is absolutely no comparison.
You're emotionally exhausted and fulfilled throughout the former for good reason, and you have a nearly perfect sense of what their world looks like, the powers at play, and even worse, you're attached to most of them. There are no saints in that series, and even the more clear-cut heroes face significant, meaningful, grounded backlash.
That series also has Fae, though they're not your traditional sorts either. They're more warlike and hardened.
Sorry this is a long post, I had to rant a bit.
The thing that bothers me the most about the ACOTAR series is the fae. I love fae, I love stories with fae in them, there are so many interesting things you can do with them. So many ways you can make them unique and yet still retain the basis of what fae are. And yet Sarah J Maas just... doesn't.
SJM really just took everything interesting about the fae and threw it in the bin. The fae to me have always been fantastical, "other", they just don't feel human, they feel different, they feel strange. But ACOTAR's fae are just so bland and boring. They don't feel different to the humans. In fact they feel like humans but with magic and pointy ears. It genuinely pains me how SJM threw everything interesting about the fae away.
I personally love the concept of the fae not being able to lie. There is so much fun and interest in that concept. It is something that is challenging to navigate. Every fae character cannot directly tell a lie therefore you have to get creative with what they say, you have to twist words around so that they can lie without actually lying.
That idea is initially presented to us but Feyre learns pretty early on that that isn't true. That the fae in ACOTAR can lie. Even if SJM wanted to take away the concept that fae can't lie, she didn't even play around with Feyre's misconception about them. Feyre could've gone through part of the first book believing everything that the fae said to her to be true. To me, that sounds like an interesting concept and i would've loved to read about it. I can't remember exactly how quickly Feyre is told the fae can lie but it's not even slightly an issue.
Another thing about the fae is that they're mischievous. They love playing tricks, whether it's something mild or completely cruel. But ACOTAR's characters lack that mischievousness, the cunning. They aren't tricksters like fae usually are. Correct me if I'm wrong but I can't seem to remember a time when someone attempted to trick Feyre. Amarantha made a deal with Feyre, but it was straightforward, there was no trick to it. Rhysand didn't trick her into the bargain either. It would've been interesting to see the fae attempting to trick Feyre, to get her to enter into a bargain that seems good but they worded it in a way that it is actually bad.
Instead the ACOTAR characters, specifically the males, are all presented as your typical "alpha male". Rhysand is presented to us as cunning but to me he doesn't feel like that of a cunning fae but a cunning human. Tamlin can literally shapeshift and yet SJM doesn't do anything of interest with that. Luicen was slightly mischievous in Book 1 but even then it is how you expect any normal character to be, he does not play tricks like that of the fae. I might be nitpicking with these but i truly wish we had gotten more trickster like characters.
As much as everyone likes to hate on Book 1, there were interesting fae in that book. The Bogge, the Naga, the Puca (I suppose this one did trick Feyre), the Suriel. Alis was interesting, she was described as having bark like skin. I want more diversity in the characters looks. Our main cast and most of the major side characters all look normal, human but with pointy ears or wings.
Their appearance isn't necessarily the issue. It's the fact that the fae are meant to be seen as difderent to the humans and yet they barely are.
So many interesting things about the Fae, from their behaviour to their culture and magic and rituals, all the funky little things humans do to ward off or stop the fae, down the drain. And if I'm being completely honest, I believe SJM isn't a competent enough writer to pull off the complexities that make the fae, fae. It feels almost disrespectful to call these characters fae.
(I am no expert in fae mythology. But from all that I've seen and read, these characters just aren't it.)
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spotaus · 2 months ago
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Late Night quick thing (New Age Sillies)
Bad news: That joke post about including Reset + Orchid is definitely not canon. (I legit got sad thinking about Reset being in a universe where Orchid isn't- because their stories are so so intertwined- but Nightmare 100% would NOT risk the whole twins exploding Error's soul thing.)
Good news: This means I COULD include Kane (Reset's older brother who usually dies in timelines where Reset is born) and use it to develope his character a bit more! Also! Perhaps a Blue × Dream kiddo is finally in the stars for me to design?
#new age au#really enjoying the idea of Reaper + Geno having an heir at some point (and them sending that heir over to Night's kingdom for#exposure to other places as well as to hang with his third cool knight dad who's hard at work 🙏)#Kane has little to no development besides being a perfect angel (foil to Reset's eventual turn to poor choices) so I'd love to do#to him what I do to every oc of mine. (Namely: Throw them into the Kingdom and see what they do.)#oh! and I could see Blue and Dream (beloved boys) listening to the warnings of possible complications if they try to have a lil babybones#and Dream deciding he'd take the risk and carry the growing soul#(<- though tbf this is MANY years into the future and they'd be well established knights of the realm)#i'm not evil so they *would* manage to avoid the twins curse and have a singular beautiful babybones#they'd get raised partially on the move but stay behind with Night and Error if the two had a more dangerous mission#and grow up to be an obnoxiously powerful warrior following after their dads#(but they'd probably be hesitant to follow into the footsteps of being a knight and might go on a quest with friends before choosing a#final path for themselves)#<- Most spoiled rotten kid ever. courtesy of Nightmare and Error and all their extended family <3#oh last note. Ancha has me cracking up w/ ideas for Cross potentially meeting someone and I was beamed w/ an old ship request post I saw and#I think it'd be funny to include Lust in here somehow... (probably call him smth else as a nickname but y'know-)#like. He works in the city around the castle as some sort of... idk tailor? and he's been making things for Nightmare for years without#knowing because Ccino always was discreet about the orders and providing measurements + always tipped well so it was none of his business#but one day it's like. before a big announcement ceremony or smth and Ccino drags Cross in by the scruff because no one can get him to get#clothes that actually fit aside from armor (hc he steals the others clothes a lot and wears 1 shirt until it's threadbare)#so Ccino makes him go to Lust and Lust is able to get him fitted for sone new outfits because. well. Lust doesn't do much but he's very very#handsome and Cross is super easily flustered and shy around new people and he's awkward and aughhh.#and then he thinks about the interaction for the next month before deciding he's going to ask Ccino to go back there again.#and Lust likes dressing Cross up in new outfits (everyone thinks it's great Cross is loosening up and meeting new friends cuz Lust introduce#s him to people in town) and it takes forever for Cross to get over his worries and ask Lust out to a ride on his horse (romantic. of course#) and Lust agrees because he's charmed.#and the best part would be Cross *actually* manages to keep it a secret. like. no one finds out until one morning Killer bursts into Cross'#room to wake him for surprise training and it's Cross. the weird Dog. and- holy shit did Cross have someone over???#Cross pulls the cool ones frfr 🙏#it's just a casual thing between them with little plot relevance or drama I think. just a chill lil relationship 🙏
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azaracyy · 9 months ago
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today, cupimon prays for your happiness too.
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heckhellstuff · 9 months ago
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My AUs ? Incomprehensible
Here's a doodle dump of bestie Guide Ranging from few days to 6+ months old
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I have so so so much more But my dumb little AU went off the rails so badly i have no idea if anyone would listen to my insanity- Guide mentioning she used to lead an Inquisition gave me terminal brainrot and whatever this is crawled out
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cherry-treelane · 3 months ago
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everytime i feel bad and stressed about my life i remember that i might be in a troubling situation and having a bad time but im not season 4 fiona gallagher in the clink after leaving crack on the counter which my 3 year old baby brother happened to ingest resulting in a fatal near-death experience thats wracked me with never-ending guilt and forever altered my life
#this storyline was stupid you expect me to believe two-apples-tall liam gallagher came close to the crack AND managed to ingest it?#the crack which is lined up on the kitchen counter?#Also i don't believe that fiona would be irresponsible enough for liam to have been able to be close to the crack#that was an ooc moment and not like “its ooc cause thats the point shes going thru a tough time”#morelike “so ooc that it seems like a discrepancy that was overlooked for the sake of drama and shock value#as an older sister i feel like being watchful of your younger sibling if crack is in their general vicinity is an unstoppable instinct#its just not a plausible situation sorry like this is coming from someone who wholeheartedly embraces the realistic idea#of fiona falling short sometimes and being very human by struggling to consistently maintain her doting attentiveness#but anyways it's complicated cause Fiona clearly put it somewhere he cant reach#so how did he get access to it????#its like getting mad at a parent for putting a glass of wine on the counter#not comparing that to literal cocaine obviously this whole situation was nonetheless messed up#but just for some perspective... the writers were clearly doing cocaine themselves if they thought that#liam was bungee-jumping onto the counter and showing off his skills as an apparent budding olympics gymnast#not justifying anything but. listen.#the fact that it was on the counter FOR A REASONNN shows that fiona was careful to keep it out of reach and NOT do something insane like#putting it on the table#liam somehow magically having access to it defeats the purpose of it being on the counter.#if they really wanted for it to be believable that liam managed to snort it they should've put it on the table#but we already know that situation wouldn't be believable in its entirety cause we know that fiona would literally never leave it there#WHICH IS MY POINT. LIKE THIS SITUATION IS JUST ANNOYINGLY UNBELIEVABLE. FIONA WOULD NOT DO THIS AND HOW DID LIAM EVEN GET TO IT??#theres like 39482939 overlooked discrepancies just for the sake of getting to the shock#just to circle back Fiona would literally never let liam go near crack no matter how far gone and fucked up she was#I KNOW THIS BECAUSE I AM AN OLDER SISTER.#its just so UGHHHHH anyways obviously i still think in canon yeah Fiona was at fault shouldve been more careful and watchful#no matter how you look at it its clear that a risk like this just cannot be taken and she had to be blamed to an extent#but me personally? i reject it because it didnt feel natural to me at all there were 394939 other ways to frame a Fiona downfall#And i loved all the other ways her spiral was shown like getting messed up and ending up in Sheboygan#all the shit she got into with robbie + the impulsive urge to ruin the good thing she had going with mike#so human and believable and deeply flawed unlike the liam situation which was horrifically OOC and unrealistic
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mariocki · 7 months ago
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Pathfinders to Venus (ABC, 1961)
"What a paradise this place is. The way Earth must have been before man spoiled it with sprawling towns and filthy machines."
"If it hadn't been for man's filthy machines we wouldn't be here."
"That's true. And the pity of it is that after us will come rocket after rocket to ravage this planet. They'll gouge the minerals out of the earth, destroy the forests and eventually they'll go to war over it."
#pathfinders to venus#1961#children's television#classic tv#abc#malcolm hulke#eric paice#guy verney#reginald collin#gerald flood#george coulouris#graydon gould#pamela barney#hester cameron#stewart guidotti#brigid skemp#hugh evans#bob bryan#astor sklair#robert james#third and final sequel to the sadly missing Target Luna serial; this one picks up immediately after the previous story‚ Pathfinders to Mars#and sees our heroic group once again strongarmed into space exploration by the trickery of George Coulouris (bf's hatred for the character#reached new strengths during this series). this serial delves further into the sci fi fantasy vibe: where Space saw some remnants of#interstellar travel discovered and Mars had some plants and stuff‚ this one has full on alien contact with the native Venusians (handily#very much humanoid). this one also allows the real world to intrude more simultaneously tho; the Cold War‚ having hummed along happily very#much in the background so far‚ gets faced head on here as US and Soviet interests finally start to complicate the plans of our plucky (and#somehow‚ so far‚ entirely apolitical) British explorers. good old Mac Hulke gets a couple of very strong and very prescient environmental#messages in too‚ prefiguring his work on Doctor Who in the 70s (and right you were Mac‚ tho did you have to give those lines to the maniac#character who keeps almost getting everybody killed because of his blind insistence on seeking out some great Spacey Truth..)#these serials have been a lot of fun and I'd highly recommend them to any fan of old tv or old sci fi or DW or the like
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lucalicatteart · 2 years ago
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Poll adventure (paventure? lol) Day 3: read the small story tidbit below the poll for more details, OR just vote based on initial impression
(✦ see past poll results + further information HERE (link) ✦)
The winning option of yesterday's poll was that the adventurer should throw a coin into the mysterious well ….
"After nearly ten minutes rummaging through the disorganization at the bottom of his backpack, he finally approaches the well once again, meager coin pouch in hand. He meticulously balances a little golden coin on the tip of his thumb, positioning it just so for an elegant coin flip… With a flick of his hand, the coin wobbles off, anticlimactically dropping into the darkness.. He pouts, leaning in to listen for a plonk as the coin hits the water but… nothing…. silence.. A few minutes pass and he shrugs, moving to pick up his bag and just continue his journey elsewhere, when suddenly a faint noise echoes from the well.. an almost cartoonish plopping sound, like wet feet slapping against stone..? The pitter patter grows closer and closer…then stops abruptly. The adventurer cautiously slinks over to the well, only to find.. a creature of some sort, clinging to the walls, staring up at him blankly. - What should he do next?"
#paventure posting#polls#choose your own adventure#(I saw a few people tag these as that and I guess it makes sense. hmm)#DAY 3!!! vote to choose this little man's fate#Sad that people did not want to go into the well.. :( Maybe we can still go in depending on how things go with#The Creachure. I mean I know I could just make whatever happen anyway since I'm the one doing it but. It has to feel natural lol#it would be obviously just me doing what I want if I was like 'oh uh we went to throw the coin in the well but he tripped and#fell and then somehow didnt die and whoops he's in the well anyway!!'' lol#I care more about things being realistic and natural than following whatever ideas seem interesting. If it was voted for him to explode#into a million pieces sadly I would simply have to explode him. audience says#let me know if the formatting of this is weird?? also? I wasn't sure where to put the slightly longer bit of text#so I kept it under a reas more just to the post looks neater. I thought it'd seem weird with a bunch of text blocks sandwiching the poll#and too much going on. But I also feel like it's organizationally weird if all the details are at the end? eh..#bt then at least it's optional. not everyone will want to read more. And it's not like.. amazing text lol#I'm slapping them out off of the top of my head with minimal editing because I have to get it done and I know if I make it too complicated#or become concerned with like things being Perfectly Revised then I will absolutely not be able to do it once a day#Same with the obvious sketchy ms paint art lol. But so like. I dont feel as bad about kind of having the text be options#*optional since it's not like 'omg this is so good u have to read this' it's like.. eh.. passable amount of detail ghbj#ANYWAY. and 'paventure' (poll + adventure) is just temporary so I have a way to tag this on the blog/keep up with the posts#in a organized way. I think 'padventure' is more obvious but that's already the name of other things and I didnt want the tags to be#confusing or like.. post in some random tag that people already use for something else#but the only thing I found when googling 'paventure' is like. .some venture capital business from PA. and who cares about that lol#explanation probably not needed but I think it sounds a bit silly so I'm justifying myself to myself lol#ANYWAY. lov his silly hat. I want to draw him more. I want to name him. I COULD DO A POLL TO CHOOSE A NAME#but that wouldn't fit in with any of the days lol. maybe if I make it a week actually doing it or something at the end of the week#I could do a bonus poll or something. ??? idk.. ANYWAY.. new day!
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snowthornes · 1 year ago
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@yuuugay tagged me to do a Thing 🦖 thank you for the tag, it was fun!!! As usual, I spent way too much time on this shdgjsd
Tagging @hampsdesu @amyreads and @snail-of-fire — I'm curious about your trope preferences, but no need to do it if you'd prefer not to 🥰💐
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running-in-the-dark · 1 year ago
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the most infuriating thing in a book is when there's someone who's constantly lying about things they said to the main character, things that happened and stuff like that, and it causes problems. and yet the main character doesn't at any point think to use their fucking smartphone (that they definitely own because it has been mentioned several times) to record any conversations they have.
like I'm sorry but that's just ridiculous. at least write in a reason why they can't do that (phone is broken and they can't get a new one for some reason, the other person keeps surprising them in some way that makes it impossible to start recording, they can't find their phone because the other person hid it, etc.) or that the recordings are gone when they want to use them as proof (phone gets destroyed later, other person deletes recordings, etc.) or literally any reason why they don't think to do it.
security cameras are also a thing that I'm pretty sure everyone knows you can just buy for your own home at this point. they're not expensive. they're not hard to get.
honestly if this happens for let's say the fifth time and it's causing you massive problems, maybe... just maybe... you're a bit of an idiot for not at least trying to get some sort of proof.
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deathsbecome · 3 months ago
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ok as i ponder some verse updates. poll.
*it would be significant enough where pre existing dynamics would probably need to be
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sabersandsnipers · 1 year ago
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Drabbles: Just One Bed
Featuring: Astarion, Gale, Halsin, Lord Gortash
Inspiration courtesy of @creativepromptsforwriting
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Astarion
There’s only one pillow. So you and Astarion have to share. Neither of you want the annoyance of waking up with neck pain. And after arguing for a bit, you realize neither of you is winning.
Despite trying his best to keep distance between you, it’s incredibly difficult while trying to share a pillow. His body cradles yours. His lips nearly touch the back of your neck. For a while he manages to keep his hands to himself, but as his eyes grow heavy, his arm snakes its way around your waist.
Your body feels like its on fire despite his cold skin. You’re worried the rapid beat of your heart will keep him awake.
Somehow sleep eventually finds you. In the middle of the night, you roll over to find a more comfortable position. When you wake up, you find your face buried in Astarion’s chest.
He himself hasn’t slept since you rolled into him. He’s kept his arm slung over you, though, and has listened to your steady breathing all night.
When you attempt to move away from him, his grip around you automatically tightens. You freeze, waiting for him to realize you’re awake, but he doesn’t let go. He doesn’t want to. He can’t remember the last time he felt this relaxed. Your body is warm and soft, and he never wants to leave this bed.
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Gale
The bed is roomy, which you’re grateful for. There should be plenty of space for you two. There’s no blanket though, so Gale roots through the closet for one.
Gale clears his throat, and you turn your attention to him holding up a rather small blanket. One that definitely would not cover the whole bed.
“You have it,” he hands it to you. “I’ll be fine.”
You hesitate. “Are you sure?”
“Most definitely,” he replies, already making his way to the bed.
You climb in next to him, pulling the blanket up to your chin. It’s barely big enough to cover your own person. You look to Gale, who’s turned away from you. He looks so exposed, and frankly, uncomfortable.
“Gale?” you say.
“Hm?” he turns to look at you.
“Do you want to share?” you ask. You hold up the blanket so he can slide in.
He doesn’t need to be asked twice. He scooches over to you, and you let the blanket drop around you two. You let out a sigh of contentment as the warmth of Gale’s body presses against you. You usually run cold, so you’re grateful he accepted your offer.
He wraps his arms around you, because there’s no other way for you two to get comfortable. In the night, he even drapes a leg over you. You don’t mind, you even find yourself nuzzling into him, seeking every bit of warmth you can.
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Halsin
A rainstorm tears your tent in the night. The cold splatter of rain on your face wakes you. Your bedroll is soaked, along with most of your belongings. You groan, getting out of bed so you can seek shelter with a companion. 
Out of all the tents before you, Halsin’s calls to you. You know it’ll be the warmest. Before you can talk yourself out of it, you make your way to his tent. 
You poke your head in. “Halsin?”
He wakes, an alarmed look on his face. “What is it?”
“My tent ripped. Can I stay with you?” A shiver slinks through your body. 
He nods. “Of course.”
He opens his bed roll a bit, and you see he’s naked. Your jaw drops. You hesitate, part of you feeling like you’re crossing a line. 
But then another shiver hits you, and you practically run into his arms. You sigh as you slide into the warmth of his bedroll. 
Halsin groans. “You’re freezing.” 
  “I know.” You don’t hesitate to press up against him, soaking in all his warmth. 
  “You’ll warm up soon,” he says, rubbing your back. Then his voice hits your ear. “You’d warm sooner if you removed your clothes as well.” 
Your stomach drops. You know if you do this, your companionship is going to get a bit complicated. But the thought of his hot skin against yours is too tempting.
He helps you out of your clothes, your heart fluttering the whole time. When you’re fully naked, he pulls you into his chest. Your heart pounds, but you relax against the heat of him. 
He fully cocoons you, wrapping a thick leg around you to pull you even closer. You feel your body start to warm, and the shivers start to cease. You try to ignore how perfectly lined up you are to him. You know sleep will be impossible like this, but it’s worth it to spend the night in his warm embrace.
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Gortash
You may have had one drink too many. The wine Enver provided for you was far too good to go to waste. And waste you did not.  The last thing you remember is the soft cushioning of a bed before darkness took you. 
The harsh morning light wakes you. The first sensation that hits you is that of a pounding headache. The next is that of a pair of strong arms encircling you. 
Confusion hits you. You don’t remember going to bed with anyone. You feel your underwear is on, so nothing happened with whoever is in the bed with you. 
You slowly turn your body to see who this mystery person is. You’re met with the strong face of Lord Gortash. Butterflies fill your belly. He simply invited you over for dinner, and here he is letting you sleep in his bed. 
He’s sound asleep, his soft breathing evidence of the relaxed state he’s in. He’s sleeping shirtless, and you tentatively place your palms against his strong chest. You feel the strong muscles rippling under his skin. 
He stirs slightly and you quickly hide your face against his chest. He shifts, his chest hairs tickling your skin. His powerful arms hold you so gently.
With your headache forgotten, and Enver’s body sending waves of warmth through you, sleep finds you again.
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musingsofadisastergay · 1 year ago
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one time when i was bored i made up my own version of hanahaki
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capsi-cuminme · 2 months ago
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Blowing Off Steam
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summary: in which you're very stressed, and sparring is the only way you can destress. you're having trouble finding a partner though, so logan volunteers to help.
pairing: logan howlett x fem!reader
word count: 1.7k
warnings: mild swearing, fingering, some dirty talk, lots of horny thoughts, 18+ MDNI
author's note: ahhhh sweaty logan on a fighting mat is all i need. anyways, thank you guys sm for the response on my other fic, as a gift i bring you smut ;)
•──✦──•
You’re stressed. You’ve been overworking yourself, you know it, and you need to relax, destress. Your body feels wound up with tension and energy, and you’re unable to release it. It’s not like you have super complicated abilities that mess with your mind and make you lose your shit, no - that’s Jean’s set of troubles, not yours. Your ability is simple enough - super strength. 
So what is it that isn’t simple then? Right. Someone you can actually truly train with and exert yourself out with. There aren’t a load of people who can physically keep up with your strength, not except Colossus, and even he’s just a kid. So when, at times, you want to blow some steam by training, you have next to no one to do it with. 
Or, you didn’t, not until Logan came along. You’ve sparred with him a couple of times, but only for excessively short periods of time, due to you not being able to keep your shit together because of his overwhelming attractiveness. Honestly, you don’t think it’s your fault that you’re unable to focus; his arms look like he could rip apart logs of wood with them, his shoulders are so wide that they’re practically made for people to rest their ankles on, and his demeanor - his understated, wolfish demeanor makes you go insane. 
And as if all these things weren’t bad enough on their own, they tend to get exponentially exemplified whenever you guys spar. Obviously, fighting makes him breathe hard and stuff. So your life becomes even tougher. 
Really, you aren’t trying to be horny around him all the time. But that’s the thing. You’re pent up, stressed, overworked. Being a member of the X-Men means that it gets really hard to get laid due to several factors, and then when your coworkers are so hot? God help you. 
As you sit on the gym’s bench, staring at the sparring mats, you strain your mind to think of someone to spar with. You could ask Colossus, the kid’s always more than ready and could give you some competition on one of your bad days. But there’s too much of a risk. You’re already restless with energy, itching to let yourself go; in case the kid isn’t prepared or you get too excited, you’d end up hurting him, which is something you can’t risk. 
You could maybe go to Ororo and Scott, ask them to come at you together? The two of them together would successfully tire you out. Maybe they’d become a bit more than you’re mentally willing to handle. You don’t want to have to strategise at every step. 
God, you just need someone who can handle whatever you throw at them without having to think too much. Unfortunately for you, there’s only one person in the mansion who can do that. 
“Oh hey Bub, what you doing here? Got no classes to teach?” The somehow smooth but gravelly voice breaks you out of your train of thought as you turn to look at Logan, entering the gymnasium. 
Internally rejoicing at his choice of clothes - the white wifebeater under the oversized jacket - while simultaneously praying that he isn’t here to stay, you get up from your seat to speak to him. “Oh, nothing much. Just wanted to blow off some steam.”
“And you’re blowing off steam by… sitting on the bench?” He raises an eyebrow, looking at you questioningly. 
You sigh through your nose, smiling exhaustedly. “No, genius. I was confused about what I should do to destress.”
Your prayers go down the drain as you notice his eyes light up at the prospect of a sparring partner. Nodding to the mats, he asks, “You wanna go?”
Tongue in cheek, you review your options for a moment. Go to bed frustrated and stressed, or fight an extremely attractive man who’s also able to keep up with you. 
“Sure, let’s go.” 
And that’s how you find yourself attempting to elbow Logan in the face. He dodges and takes a step back, but not too far. Turning, you see the grin etched on his face. Taking it as a challenge, you feign a movement to the right, but attack from the left. Your arm aims for his face, but he deflects it by pushing your momentum to one side, stepping away and behind you and putting you into a headlock.
“What’s up?” he murmurs into your ear. “Can’t figure out what to do? Are you really that tired, huh?” 
You felt his chest heave from behind you, his warm breath tickling your ear. Body humming with excitement and mind buzzing with the thrill of finally being in an equal match, you grit your jaw, throwing your head back against his. As much as you enjoy the tone of his voice, you hope it hits him in the mouth just so he can shut up, because being aroused is not something you’re looking forward to. 
Yes you’re horny, maybe even a little perverted, but you truly don’t have any ulterior motives. 
Logan hisses as his grip on you loosens. Shimmying your way out of his grip, you lunge at him, arms ready to swing, but instead of throwing a punch when you get near, you use your leg to swipe at his legs, resulting in him landing on his back.
Silently rejoicing, you straddle him, pulling your arm back to land a punch on his jaw, but unfortunately he grabs hold of your arms before you can do that. As a result, you’re left heaving on top of him, arms immobile, face right above his. You don’t miss the way he breathes, sweat trickling down his forehead, eyes glinting with something you can’t fully identify. You also don’t miss the dampness of your underwear, the electricity you feel where you’re sitting on him. You realize you’re playing a dangerous game. Just as you’re about to make a move to get up, Logan suddenly moves you by the grip he has on your arms, slamming you onto the mats with considerable force. He looms on top of you, looking down. You squeak in indignant surprise, but he pins your arms on both sides of your face, lodging his thigh between yours. You gasp, not expecting the sudden escalation of events. “Darling, you know I’ve got a heightened sense of smell, right?” he asks, drawling. “I can smell your arousal, practically feel how you’re soaking down there.” Eyes wide and mouth agape, you stare up at him, not sure what to say, how to apologize. “Logan, I- I’m sor-” “Don’t have to say a word, Darling, I’m the same as you,” he emphasizes his point by rolling his hips against yours. You whimper quietly, feeling his erection pressing against your clit. “If I’m not interpreting this correctly, you can stop me,” he hums, getting closer to your face. Waiting for your approval, he looks at you. You close the distance between the both of you, borderline moaning as you feel his tongue grazing against your lips, asking to enter your mouth. More than willing, you grant him entry freely, whimpering as his tongue explores your mouth. You break the kiss, short of breath, but your distance doesn’t last long. Logan is sloppily making out with you as he grinds against you. Your bodies move hurriedly, in urgent need of release. 
“Lo,” you gasp between the kisses, “need you so bad, please.” He complies, hands leaving your arms as he gets on his haunches and quickly unbuttons your pants, pulling them down. His hand moves to your pussy, thumb pressing against your clit, gauging your reaction. Your eyes widen due to the unexpected movement, and you gasp. Satisfied with your response, he rubs short, quick circles against your clit, stimulating you as he slowly pushes in one finger. You moan, hands reaching down to stop the sudden intrusion. It’s been a while since you’ve done this, so your body’s sensitivity is at an all-time high. Logan doesn’t care, swatting away your hands, slipping in another finger. He moves them in shallow thrusts, stretching you out while looking for the spot that’ll finally get you wound up enough for his liking. You bite your lip to keep yourself silent, staring at the way Lo’s fingers pump in and out of you, making a mess out of your cunt. Suddenly, his fingers press into that spot that you’re never quite able to reach yourself, making you let out a loud moan. “Lo, Lo please, right there please, don’t stop-” you break your own voice off with an even louder whimper, eyes closing due to the pleasure. Logan watches you with keen eyes trained on your face. He speeds up his fingers and thumb, enjoying your reaction thoroughly, as it ignites something deep within him. He palms himself lightly, hissing as he realizes how hard he is. “Shit, darling, you make me insane,” he mumbles, guiding one of your hands to the bulge in his jeans, making you feel him. Your mouth falls open with a little “oh,” as you feel him. You try to palm him to relieve some of his tension, but fail as his fingers pump in and out of you, driving you closer and closer to the edge. “O- oh God, Lo, I’m cumming, please please please-” you moan loudly as your orgasm crashes over you, thrashing on the mat. Logan holds down your hips, continuing his languid movements, easing you out of the feeling in waves. As you finally relax, catching your breath, you look up at him, unsure of what comes next. Usually by this point, guys tended to take their own pants off. Logan’s were still very much on. Before you could verbalize your confusion, he speaks. “I think we’ve blown enough steam off in the gym,” he chuckles. “I don’t want Charles to gim’me looks the entire month. I say we take this upstairs bub, what d’ya say?”
You stare up at him, wondering why he’s even asking, when there’s only one possible answer you could make out through the haziness of your mind. “Yes, let’s go.”
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hanasnx · 9 months ago
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MINORS DNI 18+
! ── BABY DADDY!JASON TODD who can't come around more than once or twice a year. His way of life isn't sustainable for a home, and it certainly isn't safe for a daughter. You and him decided it was best to part ways before that positive pregnancy test, and since he discovered a kid he helped make it didn't change his level of involvement. He's got a lot of eyes on him, and he can't draw attention to anything important to him.
! ── Your daughter adores him. She squeals with delight every time he visits, running full barrel towards him so he can scoop her up. Unbeknownst to her your concern with how he found you again, and how he broke in to the apartment. Apparently running and hiding is not enough when you face the Red Hood. You reluctantly greet him with a half-assed kiss on the cheek, wrapping your arm around his neck to incline him towards you. Your daughter on his hip takes full advantage of hugging you both at the same time, and pressed against your former lover makes you tight-lipped.
! ── He's dangerous for a number of reasons that span beyond what any angry enemy of his would do if they found out where he's been going. You're most afraid of what he's able to make you do the longer you're with him. Only able to hold onto your anger for so long until he melts that cold exterior and somehow convinces you to let him warm your bed again.
! ── He's got it down to a science. As soon as you give him that scathing look, he tells your daughter to run along because "Mommy and Daddy have to talk." while she thoughtfully strokes his chin with her little hand, only to nod with an audible sigh, shaking out her wild hair she won't let you brush. With a little push to her back, she scampers off to her room and he stands to his full height. "I just wanted to see her." he tells you, with that pleading tone you've fallen for countlessly because he knows you're going to say: "It's not safe." for the thousandth time.
! ── He'll tower over you, incline towards you while you scold him under your breath. A hushed argument ensues that your daughter tries to listen in on, and can only hear bits and pieces about how she's not owned, and her dad should get to see her. Stuff she doesn't understand, especially because she can't understand his lack of presence being such a complicated thing when she has no sense of object permanence. If a dad refuses to be there more, it's a problem. You want to cut Jason out completely. That's not fair, as he'll tell you, to the daughter you get to keep.
! ── It's in the way he stands next to you. He's so much taller than you, broader, and muscled. He bulks up more and more every time you see him. He doesn't use his size to intimidate you, rather takes advantage of something else. Big hands stuffed in his back pockets make his leather jacket sit on his wide shoulders exquisitely. His hair is windblown from his motorbike and just the smell of him has a dangerous Pavlov effect on you. Like your eyes want to flutter as they roll into the back of your head and lightning shoots straight down to your core, stinging at the memory of what it's like to be filled by him. The longer you're with him, the thinner your resolve becomes. It evaporates in front of you as he sweeps a hand through his hair, and his posture slacks. "C'mon." he drags out the word playfully, advancing on you. Your hand interrupts him, bracing on his firm chest to keep him from coming closer. "Can't we talk about something else? You're getting me all worked up. Missed you."
You roll your jaw, that resolve slipping. Addicted to him, you're reticent as his tongue darts out to wet his lips while he's eyeing yours. "Jay..." you murmur, and he can hear the defeat in your voice.
! ── "Lucky we got a sitter, huh?" Jason's smug voice cuts through the wet sounds of sex that fills the room. "Now I get some time with my other little girl." That sick delight causes you to reach back, weakly banging your fist against his thigh. He snickers, wolfish and husky resounding from the back of his throat. "Mommy's been missing me, huh? Can feel her clenching down on me like a fuckin' vice."
His thick cock hurts stretching you out, but you needed that pain. There's something about Jason that keeps you saying yes, and it pushed through your requirement of foreplay, unbuckling that belt in haste, comfort be damned you wanted that dick. You're on all fours and he's giving it to you from the back, just how you like it, fucking you like a dog while his hand tangles all up in your hair. He yanks you back by it, and you can't even think of what to say other than mindless pleasured babbles.
"You let me do this every time I come over. Seems like you fuck with me or something." It's true, regardless of the cruel insults you've thrown at him to get him to stay away from you, it's all because you can't say no to him. It's the reason you got pregnant, it's the reason you can't run away far enough, and it's the reason you fuck him every time he comes to visit the kid he helped make.
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mostlysignssomeportents · 2 months ago
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Epic Systems, a lethal health record monopolist
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Epic Systems makes the dominant electronic health record (EHR) system in America; if you're a doctor, chances are you are required to use it, and for every hour a doctor spends with a patient, they have to spend two hours doing clinically useless bureaucratic data-entry on an Epic EHR.
How could a product so manifestly unfit for purpose be the absolute market leader? Simple: as Robert Kuttner describes in an excellent feature in The American Prospect, Epic may be a clinical disaster, but it's a profit-generating miracle:
https://prospect.org/health/2024-10-01-epic-dystopia/
At the core of Epic's value proposition is "upcoding," a form of billing fraud that is beloved of hospital administrators, including the "nonprofit" hospitals that generate vast fortunes that are somehow not characterized as profits. Here's a particularly egregious form of upcoding: back in 2020, the Poudre Valley Hospital in Ft Collins, CO locked all its doors except the ER entrance. Every patient entering the hospital, including those receiving absolutely routine care, was therefore processed as an "emergency."
In April 2020, Caitlin Wells Salerno – a pregnant biologist – drove to Poudre Valley with normal labor pains. She walked herself up to obstetrics, declining the offer of a wheelchair, stopping only to snap a cheeky selfie. Nevertheless, the hospital recorded her normal, uncomplicated birth as a Level 5 emergency – comparable to a major heart-attack – and whacked her with a $2755 bill for emergency care:
https://pluralistic.net/2021/10/27/crossing-a-line/#zero-fucks-given
Upcoding has its origins in the Reagan revolution, when the market-worshipping cultists he'd put in charge of health care created the "Prospective Payment System," which paid a lump sum for care. The idea was to incentivize hospitals to provide efficient care, since they could keep the difference between whatever they spent getting you better and the set PPS amount that Medicare would reimburse them. Hospitals responded by inventing upcoding: a patient with controlled, long-term coronary disease who showed up with a broken leg would get coded for the coronary condition and the cast, and the hospital would pocket both lump sums:
https://pluralistic.net/2024/06/13/a-punch-in-the-guts/#hayek-pilled
The reason hospital administrators love Epic, and pay gigantic sums for systemwide software licenses, is directly connected to the two hours that doctors spent filling in Epic forms for every hour they spend treating patients. Epic collects all that extra information in order to identify potential sources of plausible upcodes, which allows hospitals to bill patients, insurers, and Medicare through the nose for routine care. Epic can automatically recode "diabetes with no complications" from a Hierarchical Condition Category code 19 (worth $894.40) as "diabetes with kidney failure," code 18 and 136, which gooses the reimbursement to $1273.60.
Epic snitches on doctors to their bosses, giving them a dashboard to track doctors' compliance with upcoding suggestions. One of Kuttner's doctor sources says her supervisor contacts her with questions like, "That appointment was a 2. Don’t you think it might be a 3?"
Robert Kuttner is the perfect journalist to unravel the Epic scam. As a journalist who wrote for The New England Journal of Medicine, he's got an insider's knowledge of the health industry, and plenty of sources among health professionals. As he tells it, Epic is a cultlike, insular company that employs 12.500 people in its hometown of Verona, WI.
The EHR industry's origins start with a GW Bush-era law called the HITECH Act, which was later folded into Obama's Recovery Act in 2009. Obama provided $27b to hospitals that installed EHR systems. These systems had to more than track patient outcomes – they also provided the data for pay-for-performance incentives. EHRs were already trying to do something very complicated – track health outcomes – but now they were also meant to underpin a cockamamie "incentives" program that was supposed to provide a carrot to the health industry so it would stop killing people and ripping off Medicare. EHRs devolved into obscenely complex spaghetti systems that doctors and nurses loathed on sight.
But there was one group that loved EHRs: hospital administrators and the private companies offering Medicare Advantage plans (which also benefited from upcoding patients in order to soak Uncle Sucker):
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649706/
The spread of EHRs neatly tracks with a spike in upcharging: "from 2014 through 2019, the number of hospital stays billed at the highest severity level increased almost 20 percent…the number of stays billed at each of the other severity levels decreased":
https://oig.hhs.gov/oei/reports/OEI-02-18-00380.pdf
The purpose of a system is what it does. Epic's industry-dominating EHR is great at price-gouging, but it sucks as a clinical tool – it takes 18 keystrokes just to enter a prescription:
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2729481
Doctors need to see patients, but their bosses demand that they satisfy Epic's endless red tape. Doctors now routinely stay late after work and show up hours early, just to do paperwork. It's not enough. According to another one of Kuttner's sources, doctors routinely copy-and-paste earlier entries into the current one, a practice that generates rampant errors. Some just make up random numbers to fulfill Epic's nonsensical requirements: the same source told Kuttner that when prompted to enter a pain score for his TB patients, he just enters "zero."
Don't worry, Epic has a solution: AI. They've rolled out an "ambient listening" tool that attempts to transcribe everything the doctor and patient say during an exam and then bash it into a visit report. Not only is this prone to the customary mistakes that make AI unsuited to high-stakes, error-sensitive applications, it also represents a profound misunderstanding of the purpose of clinical notes.
The very exercise of organizing your thoughts and reflections about an event – such as a medical exam – into a coherent report makes you apply rigor and perspective to events that otherwise arrive as a series of fleeting impressions and reactions. That's why blogging is such an effective practice:
https://pluralistic.net/2021/05/09/the-memex-method/
The answer to doctors not having time to reflect and organize good notes is to give them more time – not more AI. As another doctor told Kuttner: "Ambient listening is a solution to a self-created problem of requiring too much data entry by clinicians."
EHRs are one of those especially hellish public-private partnerships. Health care doctrine from Reagan to Obama insisted that the system just needed to be exposed to market forces and incentives. EHRs are designed to allow hospitals to win as many of these incentives as possible. Epic's clinical care modules do this by bombarding doctors with low-quality diagnostic suggestions with "little to do with a patient’s actual condition and risks," leading to "alert fatigue," so doctors miss the important alerts in the storm of nonsense elbow-jostling:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5058605/
Clinicians who actually want to improve the quality of care in their facilities end up recording data manually and keying it into spreadsheets, because they can't get Epic to give them the data they need. Meanwhile, an army of high-priced consultants stand ready to give clinicians advise on getting Epic to do what they need, but can't seem to deliver.
Ironically, one of the benefits that Epic touts is its interoperability: hospitals that buy Epic systems can interconnect those with other Epic systems, and there's a large ecosystem of aftermarket add-ons that work with Epic. But Epic is a product, not a protocol, so its much-touted interop exists entirely on its terms, and at its sufferance. If Epic chooses, a doctor using its products can send files to a doctor using a rival product. But Epic can also veto that activity – and its veto extends to deciding whether a hospital can export their patient records to a competing service and get off Epic altogether.
One major selling point for Epic is its capacity to export "anonymized" data for medical research. Very large patient data-sets like Epic's are reasonably believed to contain many potential medical insights, so medical researchers are very excited at the prospect of interrogating that data.
But Epic's approach – anonymizing files containing the most sensitive information imaginable, about millions of people, and then releasing them to third parties – is a nightmare. "De-identified" data-sets are notoriously vulnerable to "re-identification" and the threat of re-identification only increases every time there's another release or breach, which can used to reveal the identities of people in anonymized records. For example, if you have a database of all the prescribing at a given hospital – a numeric identifier representing the patient, and the time and date when they saw a doctor and got a scrip. At any time in the future, a big location-data breach – say, from Uber or a transit system – can show you which people went back and forth to the hospital at the times that line up with those doctor's appointments, unmasking the person who got abortion meds, cancer meds, psychiatric meds or other sensitive prescriptions.
The fact that anonymized data can – will! – be re-identified doesn't mean we have to give up on the prospect of gleaning insight from medical records. In the UK, the eminent doctor Ben Goldacre and colleagues built an incredible effective, privacy-preserving "trusted research environment" (TRE) to operate on millions of NHS records across a decentralized system of hospitals and trusts without ever moving the data off their own servers:
https://pluralistic.net/2024/03/08/the-fire-of-orodruin/#are-we-the-baddies
The TRE is an open source, transparent server that accepts complex research questions in the form of database queries. These queries are posted to a public server for peer-review and revision, and when they're ready, the TRE sends them to each of the databases where the records are held. Those databases transmit responses to the TRE, which then publishes them. This has been unimaginably successful: the prototype of the TRE launched during the lockdown generated sixty papers in Nature in a matter of months.
Monopolies are inefficient, and Epic's outmoded and dangerous approach to research, along with the roadblocks it puts in the way of clinical excellence, epitomizes the problems with monopoly. America's health care industry is a dumpster fire from top to bottom – from Medicare Advantage to hospital cartels – and allowing Epic to dominate the EHR market has somehow, incredibly, made that system even worse.
Naturally, Kuttner finishes out his article with some antitrust analysis, sketching out how the Sherman Act could be brought to bear on Epic. Something has to be done. Epic's software is one of the many reasons that MDs are leaving the medical profession in droves.
Epic epitomizes the long-standing class war between doctors who want to take care of their patients and hospital executives who want to make a buck off of those patients.
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Tor Books as just published two new, free LITTLE BROTHER stories: VIGILANT, about creepy surveillance in distance education; and SPILL, about oil pipelines and indigenous landback.
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If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:
https://pluralistic.net/2024/10/02/upcoded-to-death/#thanks-obama
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Image: Flying Logos (modified) https://commons.wikimedia.org/wiki/File:Over_$1,000,000_dollars_in_USD_$100_bill_stacks.png
CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0/deed.en
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