#taking it with far more grace than some people ive seen on twitter
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amamillalatortilla · 9 months ago
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i think it's funny that most people ive seen liveblog the atla netflix show are like
english speakers: this fucking SUCKS ASS you're better off WATCHING THE OG SHOW!!!!!!! FUCK!!! [lengthy posts about every detail they got wrong]
spanish speakers: ive cried twenty times and im halfway through. i walked out of the room after finishing like a new man. it's not perfect, yes, but fuck, man.......... ..... ... omg cabbage man!!!! :D
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honeylikewords · 4 years ago
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uneasy lies the head (poe dameron)
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In the wake of her passing, the official, if somewhat symbolic, royal title of Alderaan has passed to from Leia Organa to her chosen heir, Poe Dameron. Along with his elected position as the Galactic Senate Represenative for his home planet, Yavin V, Poe is now burdened with the responsibility of a political office he never imagined holding, and is called to attend a summit of the galaxy’s leaders that will be held aboard the Starcruiser Halcyon. 
This piece is based on a few things: one, me liking the idea of Prince of Alderaan Poe, two, my interest in Begrudging Politician Poe, and three, the new details that have come out about the real-life Halcyon experience that will be opening up at Disney World in Florida, which you can read more about here! I’ve been really excited about it for a long time, and just thought it’d be fun to tie one of my favorite characters in to this amazing new experience that will be coming soon! 
(Content Warnings: mentions of Leia’s de@th, some slightly risque flirting between Poe and his wife, and a little bit of making out, but that’s about it! Word count is 5k.)
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Poe stands in front of the mirror, anxiously adjusting the epaulets of his tunic. They don’t seem to sit right on his shoulders, he thinks, passing a hand through their silvery fringe and watching them brush the snow-white fabric of his sleeves. This isn’t his kind of uniform, and when he looks at himself, he sees more a child wearing the spoils of a raid on their parent’s closet than the Senate representative he was meant to be. He tries tightening the high, pale collar of his tunic against his throat, swallowing thickly and watching his Adam’s apple bob beneath the colorless fabric. That didn’t help much dignify the image, he thinks, eyeing himself morosely.
He looks older. His beard is fuller, having let it grow out to appear more… wise, he supposes, and the grey streaks running through it match the ones appearing more and more every day at his temples. His tan fingers tease lightly at the end of his beard, trying to stroke it like he’d seen other, more senior politicians do when lost in thought (or at least trying to come across like they were). It makes him look pretentious.
Sighing loudly, he slumps his taut shoulders and rolls them a few times to loosen the aching muscles. He turns away from the mirror and steps out of the dressing room, entering the stateroom and collapsing onto the edge of the bed, his face in his hands. He hears a door hiss open and looks between his fingers at the emerging figure.
She’s still fidgeting with her hair, which is now lifted from its former looseness into a series of intricate looping braids. Letting out a huff, she takes her hands away, seemingly having resigned herself to leaving the hair as it was. Poe lifts his head a little, resting his chin on his palm as he watches her pat her dress and check the mirror in the dressing room, just as he’d been doing mere moments before.
She looks much, much better than he does. It’s an objective fact. Her air is stately and refined, with her gown framing her regally. The fabric is a delicate, pale blue, trimmed with fine threads of gold that interweave and flow, like braided ivies, trailing up her waist in a way that guides Poe’s wandering eyes to the loveliness of her figure. She seems to belong better to this world, with its mannerisms and socialites, its political politenesses. He never had the patience to be so diplomatic, even though that is his job, now.
He watches her pull a face at herself in the mirror, frowning at some flaw he’s oblivious to, and he stands up, coming to her side and placing his hands on the small of her waist, leaning his head on her shoulder and kissing her cheek amiably.
“You look like a princess,” he purrs, hoping his flattery will encourage her confidence. He hates seeing her unhappy with herself.
“I wish,” she responds, voice tinged with something wan and far away. “I… I really do wish.”
He knows what she’s thinking about: he’d been thinking about it, too. Dropping the air of adulation, Poe reaches for her hand and gently knits their fingers together, pressing their locked hands softly against her belly for reassurance. He meets her eyes in the mirror, and the two share expressions of loss.
“I miss her, too,” he murmurs. “I don’t feel like… like I can do what she did. What she left for me to do.”
He feels his wife squeeze his hand intently, causing him to lift his head up and meet her gaze as she turns to look at him, unfiltered by the mirror. Her eyes, clear and sharp, stare at him as she nods, then kisses his forehead warmly, taking her free hand and brushing it softly across his cheek.
“She chose you for a reason,” she whispers, soft and sincere, just like she always does. “Leia left you her seat and title because you’re the only person fit for the job. She trusted you.”
Her hand dips to his jaw and she lifts his head up from its morose slump. He cannot look away from her, even if he wanted to.
“I trust you, too.”
Poe takes in all the angles of his wife’s face, knowing that no single word of what she said was untrue, but searching for the possibility of a lie anyway in some small giveaway of her expression; after all, how could he be the one fit to carry on in the shadow of his predecessor? How could his shoulders carry the burden of her greatness, much less improve upon it? But there, in her eyes, Poe sees the truth, reflected over and over again: he was chosen for this job, chosen to carry on a legacy he had no option but to strengthen. He is the only one who could, whether he believes it or not.
He straightens his back a little, standing up taller,  and squeezes his wife’s hand in silent thanks, taking a moment to press their foreheads together and breathe in the scent of her. She is wearing perfume-- something they’d never had access to during the scarcity of the war-- and he marvels at how something so small changes the entire atmosphere of her presence. She truly embodies the grace and elegance of the woman who came before both of them, looking every inch the part of an Alderaanian royal.
Glancing back at himself in the mirror, Poe huffs; while she may look, indeed, just the way Leia would want the nation to be represented, Poe does not. He looks stuffy in his garb, at times like an old man in the too-tight clothes of his youth, and, at others, like a scrawny teenager in the baggy trappings of someone he was only pretending to be. She seems to sense his dismay, as she takes the initiative to comfort him, this time.
“You look dashing,” she smiles, adjusting his lapels and the ribbons of decoration on his chest. “Prince Poe Dameron, Senate Representative of Alderaan and Yavin IV. You’ll knock ‘em dead.”
At that, Poe lets out a playful, exasperated huff, rolling his eyes.
“Yeah, I’ll be great,” he grimaces, eyeing his form in the mirror. He raises his voice into a mocking lilt, swaying his head from side to side in an intentionally cartoonish parody of a stuffy bureaucrat. “Oh, Senator Y’Barra, your engagement commission is most dreadful! Shall we discuss its heinousness over tea and crescent crumpets? Garcon, we need more gold-dusted butter for our scones if we are ever to pass this bill!”
She covers her mouth to hide the beginnings of a smile and tries to reprimand Poe, affectionately slapping his chest.
“It’s nice that we’ve been asked to attend the summit, Poe. At least try to make some--”
“Don’t say friends,” he groans. “I don’t want to make friends with these people. They’re politicians; they don’t want to do anything other than profit, and post-war reconstruction is a hell of a time to make money for slime bags like these people.”
That seems to take her back for a moment, and Poe watches her expression shift as she sorts through her thoughts, her lips pursed, eyebrows arched. She then shrugs and nods, acquiescing.
“Probably. But there are probably also people like you: people whose service in the war and dedication to their people, all across this galaxy, led them to this job. People who just want to rebuild. Do better. You’ll find them, dear: you’re an excellent judge of character.”
She taps her fingers against his nose playfully.
“After all, you picked me, didn’t you?”
“If I remember correctly,” Poe teases, lowering his eyes to her lips and smirking, “You were the one to get a crush on me first. All butterflies and nerves anytime I so much as passed you in the halls. More like you picked me, huh?”
Poe catches her face take on the familiar cues of embarrassment and flustering; he can just tell he’s got her all a-twitter, and she pouts her lips, looking down at her shoes shyly as he starts to chuckle. It’s adorable to remember how flighty and skittish she was in those early days, and how enamored of her he himself was, and remains. Getting her all shy like this is a sweet harkening back to that early, giddy tension, and he dips his face down, hovering his lips just above hers, feeling her draw in a breath of neediness and--
“Senator Dameron,” a robotic voice announces through the commlink in the stateroom, freezing Poe in place. “The ferry is beginning docking procedures with the Halcyon. Please proceed to the boarding area. A droid will be sent to collect your luggage as you leave.”
“Ah, shit,” he growls. He’d completely lost track of time.
Dodging back out into the stateroom, Poe glances out the window and sees the looming mass of a gigantic starcruiser, a sharp body of glimmering steel and inky black portholes contrasted against the star field behind it. It is massive-- far larger than any ship Poe had personally piloted in the past-- and spans more than the distance his window could afford a view of. They are extremely close, and within minutes will be aboard the behemoth, where Poe will have to eat, sleep, and breathe senatorial and princely dignity.
He turns away from the window to see his wife making sure everything was packed and prepared for departure, checking the bathroom and dressing room before giving him a confirming nod: everything is where it needs to be. They are ready to go.
They walk towards each other and Poe places his hands on his wife’s arms, stroking up and down the bareness of her shoulders to steady himself. As he feels the warmth of her skin beneath his rough palms, Poe blinks with awareness and gives her a quick squeeze, darting off to the dressing room. He opens a trunk and lifts up the topmost layer of fabric, running back into the stateroom with it carefully laid across both his forearms, then turns his wife to face him and gently lays the upper corners of the fabric on each of her shoulders.
“The cloak,” he mumbles as he fastens the pale silver silk around her neck, “Don’t wanna forget that. A princess is set apart by garments like that.”
“Right,” she hums, admiring his hands as he fusses with her collar. “Sometimes it’s hard to remember that since you’re the prince, now, and I married you, I’m the--”
“Princess, yep,” grins Poe. “Princess Dameron.”
“By marriage only,” she teases.
“And I’m only the prince because she left an essentially honorary title to me,” Poe wits back. “But it suits you, at least.”
“You think?”
“Mm. Now, I think the prince owes his princess one of the tenets of royal responsibility: unadulterated affection towards one’s spouse.”
“Is that a tenet of your responsibilities?,” she smiles, brow cocked.
“I just made it up, but I like to think so.”
Once again, Poe presses his palms against the soft curves of her upper arms, squeezing in the grounding manner he knows she likes, tracing his thumbs along the creamily-smooth fabric now covering her, and he leans in close, admiring how the light shifts against her skin as his shadow draws nearer. He parts his lips, ready to feel the gentle swell of her soft ones against his, when, as if by divine interruption, the hydraulic hiss of the stateroom’s door fills the room and a silver-plated protocol droid peers at him through the now-open door. He grits his teeth to resist letting out a completely undignified expletive aimed at the droid and stares at it pointedly, trying to silently communicate that it had interrupted a private moment.
“It is time to board the Halcyon, Senator,” it chimes in the lilting manner all protocol droids seem to have, seemingly blissfully unaware of his frustration. “Please, come with me to the boarding area.”
Behind the protocol droid, a cargo lifter droid rolls by, seemingly waiting until Poe and his wife leave the cabin to enter. Poe sighs, but can’t resist letting a small chuckle out: both droids, despite their different purposes, both seem polite, in their own sorts of ways, and he always finds that endearing.
Looking to his wife, Poe gives a little bemused half-smile and shrugs his shoulders, as if apologetic but resigned. She takes his hand and turns, nodding to both droids with an impassive but gracious expression, one that Poe notes is more than befitting of an official such as herself. Distanced, but not dour, regal, but not recalcitrant. He loves it.
“Thank you,” she says, coolly polite. “Please, lead the way.”
The protocol droid begins its stiff-jointed hobble towards the boarding area and Poe and his wife trail behind, arms linked at the elbow as Poe fidgets with her fingers. He twiddles her marriage band as they walk, always comforted by the feel of it on her hand. He admires it as they silently proceed; it’s somewhat rough-hewn, made from hammered durasteel, a little uneven and dented in some places from the haste in which it was made, and Poe loves it.
He loves how it contrasts the delicate, fragile jewelry common amongst royals, how it’s not meant to glitter and shine and grab attention, how it ties her to him and he to her, with no regard for image or pomp. It is heavy and solid and made purely for the sake of love and belonging, and she wears it everywhere she goes with pride, as if it was the finest-cut Oshiran sapphire, or the most carefully sculpted gold. It is one of the crown jewels of Alderaan, now, and the thought of it-- of his parent’s simple, quickly-made wedding ring, forged in a time of war, without promise of any moment past the one they were in, now being a royal regalia-- makes his heart ache to bursting with unadulterated love.
Poe tugs her hand up and kisses her knuckles as they finally round the corner into the boarding area; somewhere in the back of his mind, he registers the droid saying something about how their luggage will be sent directly to their stateroom aboard the Halcyon, but he’s hardly listening. He’s looking at his wife, his rock, his tether, as they begin their socialite dance, seeking steadfast comfort in her as he prepares to have to play his part in a world he was never born to be in.
The droid gestures to a corridor formed between the two ships: passengers traipse from the shuttle onto the boarding area of the Halcyon, representatives from a myriad of species in a breadth of costumes and liveries. Poe and his wife exchange glances, knowing that these people will have some hand in forming what comes next in the political landscape of the galaxy, and that they, too, will be instrumental in forging the new governments of the rising Republic.
“Come on,” she smiles, trying to coax him along, tugging his hand and taking a step forward, “It’s gonna be fine. It’s not like my flyboy to get cold feet, hm?”
Poe chuckles and shakes his head, trying to dislodge his clouding worries, and walks in time with his wife, joining the throngs of senators and royals and presidents and diplomats making their way aboard the Halcyon. Some of them exchange pleasantries, others are locked in conversations: some even look at Poe and his wife and nod in acknowledgement, or turn to their compatriots and whisper.
Poe feels an embarrassed heat creep up the base of his neck; he knows rumors have circulated about his particularly unusual position as a representative for a dead planet and a living one, and about how he’d been named the next in line for a royal title he was not born into. He tries not to let it get to him-- let people think that they think, and do your job, Leia had always told him-- but the feeling of alienation and disbelonging hangs over him, shaming him into silence. He tenses, and keeps his eyes fixed forward, which grants him an ever-nearing view of the grand foyer of the massive starcruiser.
The Halcyon is unlike any other ship Poe has ever been on. He’d heard about starcruisers like this, meant to be enormous cruise ships travelling in luxury and style from one planet to another, filled with sprawling cabins and indulgent amenities, and had never even pictured himself aboard one. The thought hardly appealed to him: days, weeks, even, of doing nothing? Just wandering aimlessly around, decadent and opulent in one’s revelry? The mere idea disgusts him. Still, as he steps into the expansive entry for the Halcyon, he finds himself feeling something other than disgust: he feels strangely at home.
The area is bustling as ship workers and bellhops collect luggage and transfer it to droids, as greeters guide guests to check in areas and hand them keycards, as officers check passports and documentation against databases, all lit under the glow of thousands of lights, which reflect off polished durasteel and marble surfaces. Holo projections provide information about travel destinations and the cruise itself in hundreds of different tongues, while a massive projection of the captain glows a familiar blue and greets the boarding politicians.
Poe turns in awe, gazing at the dozens of porthole windows affording views of distant and nearby star clusters, at the navigational crew high above, checking maps and charting courses, and takes a deep, steadying breath in through his nose, squeezing his wife’s hand tight. The hum and thrall of the ship, with its thousands of moving parts and requisite workers, feels exactly like all the ships he’d served on during the Rebellion. He half-believes that if he closes his eyes and turns around, he’ll open them and see Leia there, giving orders and directing the workflow.
The memory sits on his heart, but instead of a heavy, lingering pain, it kindles a warm, growing fire: she lives on in him. She would be proud to see him carrying on the mantle, working to do what no one else has the skill, speech, or stones to do. She is never really gone. Never can be.
Instilled with strength and purpose, Poe looks to his wife, who is staring at the gargantuan hub of activity before her, almost taken aback by how bustling it is. He leans down and gently pecks her cheek, tugging her along and breaking her out of her trance. They’ve got places to be, things to do, royal engagements to avoid, after all. As they begin to move closer to what Poe believes is the reception desk, a Twi’lek in a sleek, almost military-looking white uniform steps in front of Poe and his wife, grinning from green ear to ear.
“Senator Dameron, Princess Dameron,” she greets, bowing at the waist respectfully, “I am Lyna’ame, and I’ll be directing you regarding your stay on the Halcyon. Thank you for honoring us with your patronage.”
“Uh, thank you for having us,” Poe stammers, unsure of how to conduct himself in such a position.
Lyna’ame looks up at him with a quizzical eye, but seems too well-trained to respond with anything more than a polite smile and a nod. She produces from the pocket of her grey-trimmed suit a pair of infochips, extending them towards Poe and his wife.
“You will be staying in the royal suite on Deck B, unit number eighteen,” Lyna’ame smiles. “These chips will act as your keys to the room and to any amenities you should wish to access, and will remind you of upcoming engagements or conferences you should be in attendance of.”
As if on cue, the small screens on the infochips light up and read “19:00: Senatorial Dinner In Ballroom One!” Poe blinks at it, then flashes Twi’lek a cordial but slightly cold smile, taking the chips from her hand and tucking them unceremoniously into his breast pocket.
“Alright, thanks. I think we can get it from here.”
She seems not to register his attempt to tie off the loop of the conversation, continuing anyway.
“You will also have access to all the facilities of the ship, including the swimming areas, dining areas, lounges, bars, activity centres, spas and--”
“I’ll check the brochure in the room,” Poe smiles, searching for an exit. “I appreciate it, but, uh, my wife is very tired--” --Poe nudges her with an elbow and she balks, then understands his intention and mimes a yawn, nodding sympathetically-- “--And I’d love to get her some rest before any hobnobbing, y’know?”
“Of course, your highness,” Lyna’ame says, again accompanied by a civil bow. “The elevators are to the left. Press your infochip to the pad and it will take you to your floor. Your luggage should already be in your room, and please,” she smiles. “Enjoy your cruise.”
Poe bows back, then leads his wife by the elbow to the elevators, where they tap their key card and the doors hiss open. As they board, just the two of them, Poe’s wife turns to face him and raises one eyebrow, haughty.
“Really threw me under the bus there, Poe,” she smirks. “‘Oh, my wife wants to leave this conversation because my wife is awkward and doesn’t know how to handle subordinate behavior from service workers’. Real nice.”
Rolling his eyes, Poe can’t help but smile, and instead of replying, drops his hand to the small of his wife’s back, grazing his fingers there for a moment before dipping slightly lower and--
She jumps, then giggles, hitting him with a shocked but not at all displeased expression.
“Did you just pinch my ass?”
“Maybe,” he smiles. “Why?”
“You just seemed so…” She touches his arm, searching for the right word, chewing her lip thoughtfully. “Severe, before. Lost.”
“Feeling better. Feeling… like I can do this, maybe. Or at least do what I need to do, even if it doesn’t look exactly like how everybody else might expect me to.”
At that she purses her lips and nods, and he can tell she’s happy for him: he’s not entirely out of the woods about this whole ‘galactic representative’ thing, and certainly not used to all the expectations that come with being the heavy head that wears the crown, but he’s going to be alright. At least, he feels like he is, at this moment, and that’s all that matters.
Poe finds himself allowing his smile to grow wider as he dips down and nuzzles her temple, teasing his lips over her ear, tempting and toying.
“I still hate the suit,” he whispers, sending her shivering, “And I don’t want to talk to these people like we’re all buddy-buddy--”
“--Acknowledged, Senator,” she teases, rubbing his arm in the way that lets him know she’s itching to get more handsy.
“But we’re gonna have a private room,” he continues, “And a lock on the door, and at least--” --He checks the infocard, which reads “17:05”-- “--About two hours before anybody’s gonna need us, so I say we shimmy out of these nice duds…”
Poe’s finger trails down the silky rivulets of her collarbones; he has to admit, he does find her massively attractive in this royal robing, but he figures it’ll be less hassle for both of them to assure he doesn’t get too rowdy while they’re wearing some of the best (and irreplaceably expensive) fineries in the galaxy, so he’ll have to bid her pretty little dress and luxurious cape adieu for their stateroom rendezvous. Not that he minds: the dress might be pretty, but the woman underneath is ten times more so. Besides, she can always put it back on again for the dinner, anyway.
“We go see what kind of minibar we’re looking at,” Poe teases, watching her roll her eyes, “Hop in the bath, and see where those two hours take us.”
“Mm, we’ll see,” she demures, patting his chest. He knows she likes to dance around it, never say anything too scandalous where someone else can hear, and he loves that; she extends the tension, making him wait for what he wants. He may not ever have been a patient man before, but she forces him to slow down, savor it, work for it. And that’s delicious.
The elevator doors slide open as Poe leads his wife out into the hall, kissing her jaw as he checks the suite numbers. They shuffle along, exchanging little pecks and touches in the graciously empty hallway (what would the other representatives think, she reminds him in a hushed tone as they pass rooms, if they saw the new prince of Alderaan and Senator for Yavin V hanging off his wife like a pubescent teen?) before arriving at suite eighteen. Poe fumbles in his breast pocket, keeping his lips planted on his wife’s neck, then slaps the infochip haphazardly against the door. It clicks open, and Poe doesn’t even bother to look inside: he just coaxes his wife in, and tumbles in after her.
The lights in the room slowly turn on automatically, rising from a low dim to a sunny brightness, illuminating white-panelled walls and a lush, wide bed, all the furniture sharply clean and sleekly modern, trimmed in shades of black and silver. A massive window shows the endless expanse of space beyond the double-layered transparisteel, and while Poe would normally be more inquisitive and peek around the room to admire it, he’s more than occupied as he pushes his face deeper in the warm, scented crook of his wife’s neck.
“Careful,” she warns as his hand starts to pet at the base of her head, eking dangerously close to the beginnings of her hair roots, “These braids took me hours. I don’t want to have to re-do them, Dameron”
“I get that,” he breathes heavily, “But you look really hot with messy hair and--”
“If we’re going to go to that dinner, I’m not going to go with my hair flying everywhere! I’ll look like a… well, you know!”
“Like a woman well-loved by her husband,” Poe teases, nipping at her jaw. “But, fine, we’ll skip the dinner, and I’ll just keep you all to myself. Nobody else has to see. In fact, I’d prefer they didn’t.”
His eyes glimmer with wolfish promise as he sets his wife down on the edge of the white-blanketed bed, staring at her as her skirts form pools of silver and blue. He’s serious: the summit dinner all but disappears from his mind as he looks at her; how beautiful she is. How elegant. So poised and pretty and his, all his, to love until all the suns swallow themselves and burn out. All these representatives won’t miss him at one measly, lousy dinner, right? Not when he has the love of his life to attend to, surely.
“What’s gotten into you?,” she giggles, kicking off one of her sophisticated shoes as she sits on the bed. “You’re acting like we’re on our honeymoon!”
Poe leans in and places his hands on either side of her hips, bumping his forehead to hers as he takes long, weighty breaths, feeling the heat radiate off of her.
“I just… This is a lot, right?”
“Mm,” she acquiesces.
“And you’re kind of… what I go back to when I’m in too deep. So, right now, all this summit stuff and the Senate and the council? I need that to take a backseat to me being with you. The person I love. And letting that be what guides me in what I need to do for… everybody else.”
She lets out a soft, appreciative “aw”, her eyes softening as she cups his cheek, and Poe leans into her hand, allowing a little lasciviousness to leak into his smile as he stares down at her.
“Plus, it’s kinda… you know, a little sexy, being somewhere so new and ritzy. I’m not used to this kind of stuff. That, and we barely got a honeymoon, if you remember--”
“Yeah,” she recalls, sighing and pinching the bridge of her nose, clearly vexed by the memory, “I remember. The day after we got married, that First Order outpost tried to open fire and you were up and out of bed and back in deployment after less than twenty four hours of being a married man.”
“Duty never sleeps,” he shrugs. “But… We can make up for lost time here, on this big, shiny, fancy-ass ship, huh?”
Poe wiggles his eyebrows with playfully rapacious intent, sending his wife into a fit of good-natured laughs. He adores when she laughs; it sends his heart racing, every inch of him alight with the joy of knowing that her smiles are because of him, the sound of her voice bouncing up and down with glee all caused by some silly little thing he’s said or done. Unable to contain himself, Poe leans down and kisses her, cutting off the sounds of her laughter, a deep, satisfied groan emanating from his chest.
“God,” he rumbles as they part for a quick breath, “I haven’t gotten to do that all damn day.”
“It did feel really good,” she sighs, clasping her arms around his neck. She seems to take pause, etching his face into her memory with her eyes, then comes to a decision: Poe would recognize that resolute gleam in her expression anywhere. “Alright, we’re staying.”
“...You mean it?,” he chirps.
“Yep. You tell them your poor, defenseless wife is laid up ill and needs your constant and most doting attention,” she smiles, kissing the tip of his nose. “Then when you’re done calling the front desk, you come over here and you help me get out of this dress and into that bath you promised.”
“Yes, ma’am,” he chuckles, then catches himself. “I mean, yes, Princess.”
“Mm,” she beams, teasing him with a pinch on the thigh. “Much better.”
They share another deep, drawn-out kiss before Poe manages to wrest himself away from her and off to the side of the room with the comm built into the wall, but glances over at her as he taps at the screen to connect with the front desk. She grins coyly from the bed, kicking one leg out in a pseudo-sultry, semi-silly way from beneath her sumptuous gown. Poe can’t help but feel a swell of endearment.
As the call connects, Poe sighs dreamily to himself; if all else failed, at least he had her, and with her by his side, he was definitely going to enjoy a very, very pleasurable cruise.
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philippagoranson · 7 years ago
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Illness is a threat to human freedom
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Illness as The Human Condition: the possible attribute to citizens of illness.
Is it sound to say that illness is one of the more explicit inquiries concerning the human condition? It all depends on how one perceives life, the living and the dead. Illness is something bound to happen to everyone of us at some time in life as a horizon of possibilities. Hungarian philosopher István Király’s philosophical investigation, Illness – A Possibility of the Living Being – Prolegomena to the Philosophy of Human Illness, on the matter and he clearly states that human, plant or animal illness is one of the unavoidable happenings. Illness as such can be understood as a part of life itself and even as the essence of life. In taking illness seriously, István Király has fully acknowledged the patient as a person by looking for a more in-depth understanding of the patient experience as being part of the human condition. The philosophical investigation undertaken by István Király is founded on the conceptualization of Dasein (Heidegger) as being in time and makes illness a part of our everydayness. Illness as the possibility of being inside of life.
“Illness is, therefore, an experience or outright a danger to existence and its possibility, as well as a way of being that nobody has ever been and will ever be ontologically or existentially exempted from.” i
The possibility of the living as referred to by István Király concerns the distinction of making illness into a reality and something that actually will happen. It is not just a notion or something to be indifferent about. “Illness as a possibility and the possibility of illness pertains to life itself, and – in a specific way, but also to human life, to human existence.” ii
In the culture I am from the word patient comes from the idea of the Latin language meaning to be patient. The patient is understood in a fragmentary disease-centric medical realm that impersonalizes anyone attained by illness. In Hungarian, the word for a patient is beteg coming from the adjective “beteg” meaning ill. István Király also reflects upon what happened to the Hungarian medical discourse when a Medieval Latin medico was forced upon them. It completely altered the existential structure of the original Hungarian idea of the doctor too – orvos, orvoslás – of Finno-Ugric or Turkic origin, meaning the person who knows the “depriving-pilfering forces of illnesses”. This connection has gone lost over time – due to the disease-centric medical culture. The understanding of the human condition of illness is lost.
Illness, as portrayed by philosopher István Király, is not just something that happens as an outside threat. Illness has to be understood as something of the living, something on its own being and “essential motion”.
“Illness proves to be thus, again and again, the possibility of a living being which must be thought of as something which takes part in a most essential and decisive way and respect in the actual and explicit formation and articulation of the way life and the living exists, happens, and articulates in its own abilities and temporality.” iii
Illness is in opposition to the norm of health. Health is the ideal state. Still, one needs to take into account as István Király points out that health is just an outline of what is going on inside –illness as a possibility. The idea of health makes sense to the living but illness is more alive than the structural ideal of health. Health shows itself as a non-being, a complete non-existent and absent person in regard to the possibility of illness as being part of human existence. Health and illness form the possibilities of being the same living being. Illness as the possibility of the living turns the human being towards him/herself and in doing so reconstructs and changes life itself.
“Illness therefore, just like the possibility of illness, refers to man, concerns man, and pertains to man. It does not only concern the human body, the human soul, or the human mind. The person I is ill in his personal existential entirety, in the fullness of his being, and the entirety of the possibilities of these modes of being.” iv
István Király moves closer to illness as the study of motion – or philosophically dynamis (Aristotle). It is only in understanding the “entire horizon” of what is essential to illness that it is even possible to understand why a person is attained by illness. The energy of illness (classic physics) refers to the essence and the dynamic is the outline.
“With respect, therefore, to being, the living beings, and their being, ‘illness’ and ‘health’ are not merely some mutually exclusive ‘states-of-being-alive’, but much rather possible modes of being alive. Modes of being-alive which are articulated, in relation to the horizon-like possibilities, or ousias by the privation (steresis) of these possibilities.” v
The conceptualization of illness needs to expand its horizon. Illness is a challenging phenomenon, for the individual, society and policymaking – and as such something concerning humanity and human freedom.
Illness is a challenge to human freedom!
István Király makes illness the possible possession of the living and makes us understand that even being attained by illness is still being in possession of one’s own life. Illness is explicitly the ill person’s own possession. This reflection István Király creates is when one comes to think of it more closely a real provocation to medical hierarchy and political goals. Medical professionals do not always consider this human rights stance and that citizens need to be better informed.
The Nuremberg Code from the time after World War II is not only meant only for Nazis – it has to be repeated even today. The intentions of informed consent are not always respected. I dwell upon the idea of human rights and illness as the person’s own possession.
The phenomenon Patients Rights does exist but is not respected. The other day I came across a PowerPoint slide from the Patient Experience Summit 2017 Empathy + Innovation in Cleveland, Ohio, by American patient advocate, Grace Cordovano, on Twitter May 23, 2017, giving a short historical recollection on the more contemporary phases of the development of patients’ rights:
1970’s respect patient’s rights
1992 requirements impacting consent, advanced directives etc.
2017 The right not to be harmed
The right not to be harmed was declared already after World War II as a part of the free consent policy due to the Nuremberg Code. It is alarming that first, by 2017, it is proclaimed as a general right not to be harmed in healthcare. There has to be a difficulty in the conceptualization of health and illness concerning these rights. If illness is made the person’s own possession, perhaps these ideas from the ideal world of health might actually come to life – become part of human existence this time round.
Illness makes it possible to build a new “determined, and particularly human, being-here-like relations” as István Király points out. It is both a holistic and an existential approach to the deficiencies that reshape the life of one person at a time. The quest of illness is greater than that. Illness clarifies the problematic meaning of human life on several levels. Illness as such is also related to our cultural, political and societal norms and as such is the human rights perspective.
Patients’ Rights in different countries differ due to different jurisdictions, cultural and social norms.
The World Health Organization has 4 patients’ rights models on patient-physician interaction:
The paternalistic model states that the medical profession judges the best interest of the patient.
The informative model acknowledges the patient as a consumer who can judge what is in her or his best interest. Within the informative model, the medical profession makes sure the patient has the facts right about different medical interventions before choosing.
The interpretative model focuses on the patients’ values and what the patient wants. Within the interpretative model, the medical profession helps the patient understand his or her own values before choosing a treatment.
The deliberative model makes sure the medical profession helps the patient make the right choice in regards to his or her health-related values that are realistic to the clinical situation at hand. In the deliberative model, the medical profession acts as a teacher or friend.
These WHO conceptualizations are paternalistic, with exception of the informative model where the patient is seen as to be able to judge what is in his or her best interest. In the 3 other models, it is still up to the physician to make way for what the patients’ values are. There is still a long way to go on these conceptualizations to make them be in favor of the patient as a citizen and the patient’s values as being a citizen of his or her own illness.
The core issues are the patients’ integrity and privacy in all matters concerning healthcare are to ensure the patients’ integrity the patient needs to be informed of options and risks with treatments or risks on taking part of research and the quality of care delivered. If patients’, that is also to say, citizens – or persons of illness - are not properly informed about their patients’ rights and medical law it is impossible to ensure effective patient protection. In addition, “the creation of effective patient protection laws relies on public knowledge”.vi One does not have to look far to find news about that disobedience could do the healthcare system a great deal of good: “Every day, in every type of healthcare setting, things happen that aren’t in the best interests of people getting care. People realize that they are happening, and, in many cases, they’re happening because the rules say that is what is supposed to happen.” vii
The public – citizens of illness – need to act for a better reality. It is not always ensured since it is still a provocation to the political establishment and the hierarchical structure of the culture of healthcare. This explicitly makes illness a challenge to human freedom on both the public and the private understanding of the human condition.
©Philippa Göranson, Lund, Sweden, June 2017
References:
Bellard, Tim, “"Disobey, please", https://tincture.io/disobey-please-eb10541b48886
Dreger, Alice, “People Really Need to Know When They’re Being Experimented On”, Motherboard, January 31, 2017 https://motherboard.vice.com/en_us
Emanuel, J. Ezekiel & Emanuel, Linda L., “Four models of the physician-patient relationship”, JAMA: Journal of the American Medical Association, April 22, 1992 v 267 nr 16 p 2221 (6) www.antoniocasella.eu/salute/Emanuel_1992.pdf
Cordovado, Grace, Dr. Enlightening Results, Twitter: @GraceCordovano
Király, István, Illness – A Possibility of the Living Being. Prolegomena to the Philosophy of Human Illness (2011) www.kalligram.com
Shaw, David, “The implications of conflicts of interest for informed consent”, The BMJ opinion, January 18, 2017, blogs.bmj.com
Weindling, Paul, “The Origins of Informed Consent: The International Scientific Commission on Medical War Crimes, and the Nuremberg Code”, Bulletin of the History of Medicine 75.1 (2001) 37-71
World Health Organization, “Patients Rights”, www.who.int./genomics/public/patientsrights/en (June 2017)
Footnotes:
i Király, István, 2011, pg. 131
ii Király, István, 2011, pg. 136
iii Király, István, 2011, pg. 144
iv Király, István, 2011, pg. 180
v Király, István, 2011, pg. 166
vi www.who.int./genomics/public/patientsrights/en
vii Bellard, Tim, https://tincture.io/disobey-please-eb10541b48886
0 notes