#stroke risks

[blimbo-buddy]

making a Mouthwashing au where everybody survives but I’m shaking my head while doing it to let everybody know that I love and always prefer the vague open-endedness of the games original ending that includes everybody minus Curly (?) dying. I just want to explore how they’d all continue on in life with their newly gained injuries and disabilities and severe ptsd

[pearlcaddy]

LOCKWOOD & CO. 1.08

[blairamok]

root canal complete, it only took a full blown panic attack in the chair and the ems being call on me but we got there in the end after three doses of tranquilizer👍

[mxtxfanatic]

Yi City Arc: Spooky Edition

Since I'm doing a spooky edition liveblog, that means y'all will be getting some spooky edition metas, and what better place to start than with everyone's favorite Yi City parallels! In this meta in particular, I want to discuss how mxtx weaponizes these parallels to temporarily trick readers into considering the wrong antagonist as the main villain.

I say it here that Jiang Cheng is introduced to us like a villain. In fact, up until this point in the novel, we don't have a villain. Every antagonistic character is dead, and Wei Wuxian has no fetters or obligations holding him back. But then Jiang Cheng enters the narrative, and unlike Lan Wangji's introduction, he is juxtaposed as cruel and bloodthirsty. In traditional English crime and mystery literature, Jiang Cheng would be Suspect #1. However, Suspect #1 in a mystery is almost always innocent of the main crime being investigated. Likewise—though I haven't read a lot of specifically mystery-genre cnovels—in cnovels with plots about protagonists uncovering the truth behind who schemed them into ruin, the first and most obvious antagonist thrown out is almost always just the cover for the true villain still lurking in the shadows. In mdzs, rather than using the characters' own deductions to mislead the audience—Wei Wuxian never suspects Jiang Cheng because none of their actions have ever been secret or hidden from the other—mxtx, instead, uses the Yi City arc.

How does this work?

Well, first she sets up heavy parallels between the major Yi City arc characters:

Wei Wuxian identifies heavily with Xiao Xingchen, particularly through his morality, dedication to justice, and his ending:

— To end up like that due to something that originally had nothing to do with him, that’s seriously...if Xiao Xingchen had been born a few years earlier, or if I had died a few years later, things wouldn’t have turned out like this. If I had been alive, something like this would never have been brushed aside. And I would definitely have become friends with a person of his character!

—Chapt. 30: Morning Dew III, fanyiyi

Inside the coffin home, Xue Yang paced as terrifying abuse flew from his mouth, full of both fury and rapture. “Saving the world! It’s so funny, I’m going to die of laughter. You can’t even save yourself!” Wei Wuxian felt several sharp pains stab at his brain. But this pain did not originate from Ah-qing’s soul. ... That very moment, as Wei Wuxian looked upon Xiao Xingchen’s body, he saw himself. A miserable failure, covered in blood, impotent, fingers pointed at him, furious denouncements shouted in his face. Powerless to reverse the motion of the sky. Powerless to do anything but weep.

—Chapt. 41: Flora IX, fanyiyi

Jiang Cheng, on the flip side of things, shares the same moral and life philosophy as Xue Yang, the villain of the arc.

If you are paying attention and connecting dots, it is at this moment in the narrative where you should start questioning if Wei Wuxian is actually the bad guy (if you hadn’t been already)—especially given how we see Xiao Xingchen so easily scapegoated for Xue Yang’s crimes simply because nobody bothered to verify any of the rumors they heard. However, this is where the red herring comes in: while Wei Wuxian—like Xiao Xingchen—proves to have been victimized by the scheming of others, Jiang Cheng, unlike Xue Yang, is not the main schemer behind Wei Wuxian’s downfall but, rather, an easily manipulated pawn, the perfect archetype of Suspect #1.

Jiang Cheng may have gleefully participated in and benefited from Wei Wuxian’s downfall, and we are even made privy to a slew of motivations for why he would do so, but what he lacked in the end was drive, ability, and initiative, the things that separate Suspect #1 from the true villain while making suspects such good false leads. An obvious answer throwing itself in front of the audience to attract its gaze is the easiest way to distract from the real mastermind sitting off-stage pulling strings. And if you, the reader, get so overconfident in your deduction skills that you stop looking at evidence and start making guesstimations and assumptions, you’re more likely to overlook the curtain in the background with the suspiciously human-shaped shadow inside it. After all, isn’t how Xiao Xingchen was labeled a vengeful murderer by the cultivation world because his sword was used as the murder weapon by Xue Yang proof enough of this?

[shivasdarknight]

as funny as the tree law stuff is, the punishment for that is a fine

and a reminder: If the penalty for a crime is a fine, then that law only exists for the lower class

it's funny, but i doubt it'll amount to much beyond the strikers being subjected to heat stroke because do you really think that LA would side with the strikers?

if you can, donate to the Entertainment Community Fund.

[annacaffeina]

I am once again thinking about the time that I was teasing my brother in law about being from New England and complaining about how cold it was in New Orleans at 45f. He politely explained to me that the entire infrastructure of New Orleans is designed to keep things cool. The floors are cool tiles. The windows and walls are uninsulated, and breezes blow through homes by design. There is as little heat retention and reflection as possible. He correctly pointed out that I would also be cold in 45 if my floors were freezing, cold wind was constantly blowing, and no one's houses had heating.

We have GOT to change the way we talk about weather everywhere. Two kinds of changes are going to happen as a result of climate change, and we need to increase our empathy for both.

Places are going to get weather they have no infrastructure for. New Orleans has no infrastructure for cold. New England has no infrastructure for 100f heat. My bro in law might be tempted to mock me for being wussy about 100f, (thankfully he hasn't) but our infrastructure isn't set up for this. I also worry because hurricanes are being more unpredictable and a single category 1 hurricane could easily cover the entire state of NH, and we DEFINITELY aren't set up for that. Even though a cat 1 wouldn't even bother Florida.

Places are going to get much more extreme versions of the weather they ARE used to! When I was a kid you could count on at least 7 snow days off from school a winter, and a few days when it would get down to -5f or even -10f. Last winter we had one or two snow days, very little snow, and one day when it dropped to -30f! We are not set up for that kind of cold! Rainy places could get a bunch of floods. Hot places are going to get VERY hot. When people complain about their 'normal' weather being too extreme we need to listen and believe them.

It's totally fine to be critical of other people's climates. I would NEVER live in a place that's 100f regularly. But when those people complain about 110f we can't shrug it off. There is no "they should be used to it". Or "if you don't like it why do you live there". Climate change is a world wide problem, and being snarky at others for their weather crisis is shitty.

It's important to take climate change seriously everywhere. It's important to remember everyone is affected. If someone tells you their weather has been weird, or unusually strong, or unbearable, it's important that we take that seriously and believe it for everyone. We cannot brush off climate change as just some regional complaining!

[yifftwiceplz]

// hi yall im gonna do the very rare ebeg

my period is asbolutely destroying me right now and i just noticed i only have wingless pads, which are completely unhelpful iykyk

i also need a couple grocery items including a 7lb bag of cat food which is frustrating to walk all the way there and back carrying that + bags of food

so i'm hoping to just doordash some stuff and take it easy

check out my kofi, theres some items in the shop as well like i have a halloween background pack you can use to spruce up your personal icons (or even use for commissions as long as im credited)

and i have a membership option which gets you chance at free art every month + some other goodies

[fangirling-tussisque-noncaelatur]

[Rooster joins the Dagger Squad at the Hard Deck]

Hangman: Hi, darlin'.

Rooster: Hi, sweetheart.

[Rooster kisses Hangman gently]

Rooster to the Dagger Squad: Hello, everybody.

Dagger Squad: Hi.

Rooster to Hangman: Is there somewhere we could be alone?

Hangman: Can't it wait till later?

Rooster: No.

Hangman: Alright, I'm flexible.

Rooster: ...

Hangman: *smirks* But of course, you know that already!

Dagger Squad: *choke on their beers*

[cedarspiced]

guess who was just diagnosed with polycythemia (too much blood)

this thanggggg 🤟😎

[a-s-levynn]

I am fully unable to function in these temperatures

[gynandromorph]

Next month, I will have quit smoking cold turkey 5 years ago

[mothusband]

stuck with the decision of do i finish my high school education (dont wanna but need to) or do i go back to work come spring (dont wanna but need to). help.

[coochiequeens]

This article is from last year but since I posted about detransitioners earlier this week I think this is relevant

Testosterone Therapy in a Transgender Male Patient as a cause of Acute Ischemic Stroke (P2-5.011)

Christina Tan, Lauren Kim Sing, Ron Danziger, Alex Aw, Chae Kim, Stephen Avila, Vilakshan Alambyan, Angud Mehdi, Michael Gezalian, Maranatha Ayodele, and Shahed ToossiAuthors Info & Affiliations

April 25, 2023 issue

Objective:

To share an intriguing case of a young transgender male patient receiving testosterone therapy who developed locked-in syndrome due to an acute ischemic stroke and to highlight potential risk factors for stroke in the LGBTQI+ community

Background:

There are many studies identifying risk factors for stroke in racially and ethnically diverse populations. However, there is little existing data for stroke risk factors in the LGBTQI+ community. Prior research has shown testosterone therapy in cis-gender men with initially low levels of testosterone increases the risk of stroke, especially in the first 2 years of use1. While testosterone therapy has been shown to increase the risk of venous thrombosis, its role in arterial thrombosis is unclear2. A proposed mechanism for thrombosis with testosterone replacement includes erythrocytosis, but the potential contribution of an independent pro-coagulant effect is yet to be determined3.

Design/Methods:

Literature review and case report.

Results:

An otherwise healthy 23-year-old transgender male on one year of testosterone therapy presented in an obtunded state. Examination revealed complete quadriplegia with sparing of vertical eye movements, consistent with locked-in syndrome. Imaging revealed complete occlusion of the basilar artery with distal reconstitution at the superior cerebellar arteries, and a large bilateral ischemic infarct of the pons. Computed tomography angiography did not demonstrate other large vessel disease or structural vascular abnormalities. Unfortunately, the patient was out of the time window for any acute stroke interventions. A hypercoagulable workup was performed but results were unrevealing and hematocrit was normal. Further investigation with transthoracic echocardiogram, transesophageal echocardiogram, and telemetry were negative for thrombus, patent foramen ovale, and atrial fibrillation.

Conclusions:

Acute ischemic stroke may be an under recognized complication of testosterone therapy in transgender males independent of degree of erythrocytosis. Further research is needed to establish a safety profile of testosterone therapy in this understudied population.

Disclosure: Dr. Tan has nothing to disclose. Mrs. Kim Sing has nothing to disclose. Dr. Danziger has nothing to disclose. Mr. AW has nothing to disclose. Dr. Kim has nothing to disclose. Dr. Avila has nothing to disclose. Dr. Alambyan has stock in Teleflex. Dr. Alambyan has stock in Natera. Dr. Alambyan has stock in Labcorp. Dr. Alambyan has stock in Veracyte. Dr. Alambyan has stock in Vicarious Surgical. Dr. Alambyan has stock in Unity Biotechnology. Dr. Alambyan has stock in Scynexis. Dr. Alambyan has stock in Stryker. Dr. Alambyan has stock in Eli Lilly. Dr. Alambyan has stock in DaVita. Dr. Alambyan has stock in Invitae. Dr. Alambyan has stock in Pfizer. Dr. Alambyan has stock in Bristol-Myers Squibb. Dr. Alambyan has stock in Johnson and Johnson. Dr. Alambyan has stock in Merck. Dr. Alambyan has stock in Medtronic. Dr. Alambyan has stock in AbbVie. The institution of Dr. Alambyan has received research support from Albert Einstein Healthcare Network. Dr. Mehdi has nothing to disclose. Dr. Gezalian has nothing to disclose. Dr. Ayodele has nothing to disclose. Dr. Toossi has nothing to disclose.

[loserelf]

#scare bc turns out youre not supposed to get heart palpitations for more than a week but ive been having them kinda regularly for liekkk at least a year *tucks hair cutely*

[forlornmelody]

Today's List of Nice Things:

My kitty was waiting for me when I got home. And has also nominated himself to be the booster of morale (through play and other silly antics.)

These side effects are awful, but at least I don't have to worry about becoming an addict?

Apparently there were a lot of people who appreciated my gluten-free cookies.

Okay, Don't Want You Like A Friend is growing on me. Took a bit for it to get its feet on the ground, imo.

From now until the end of my time off, I only have a max of one event per day. Some days have nothing happening.

Happy Solstice, everyone! We made it! From now on the days get longer and brighter

[neep-neep-neep]

the worst part is that medicare4all would still be bad. it would be 100% better than what we have now and still be bad. learning that medicare doesn't cover routine vision care or the shingles vaccine made me want to melt God with my eyes. this cat coming in tomorrow has not only Medicare but a supplemental plan and he's still going to self pay for his god-damned eye exam. imagine that there is a population of people who are at risk for degenerative eye conditions that should be caught early and most of them wear glasses anyway and need prescriptions updated and both insurance plans they have will not cover it and it's not like shingles is dangerous for seniors or something right??????? right???? covid19 was not the boomer remover the united states of america hates all of the poor.the elderly and medically frail in particular and that's why we need to let go of these stupid between-generation squabbles we need granddad in the class wa