#therapy for stroke patients

[whatshouldwecallchronicillness]

My PT when I don't to my home exercises...

[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.

[divinecarephysio]

Top 10 Conditions Effectively Treated by Physiotherapy

Physiotherapy is a highly effective treatment for a wide range of conditions, helping people recover from injury, manage pain, and improve mobility. While physiotherapy may not always "cure" a condition in the traditional sense, it can significantly reduce symptoms, improve quality of life, and even restore function. 

Here are the top 10 conditions that can benefit from physiotherapy:

1. Back Pain

Back pain, particularly lower back pain, is one of the most common reasons people seek physiotherapy. Physiotherapists can use manual therapy, strengthening exercises, and postural training to reduce pain, improve mobility, and prevent future injuries.

2. Neck Pain

Neck pain and stiffness, often caused by poor posture or injury, can be treated with physiotherapy. Techniques like manual therapy, stretching, and strengthening exercises can help alleviate pain and improve mobility.

3. Osteoarthritis

Physiotherapy plays a vital role in managing osteoarthritis, particularly in the knees, hips, and spine. Through strengthening exercises, manual therapy, and education on activity modification, physiotherapy can reduce pain and improve joint function.

4. Sports Injuries

Sports-related injuries, such as sprains, strains, ligament tears, and tendonitis, can benefit from physiotherapy. A physiotherapist can provide rehabilitation exercises, manual therapy, and injury prevention strategies to help athletes recover and return to their sport.

5. Post-Surgical Rehabilitation

After surgery, such as joint replacement or ligament repair, physiotherapy is essential for regaining strength, flexibility, and mobility. Customized rehabilitation programs help restore function and speed up recovery.

6. Stroke Rehabilitation

Physiotherapy is crucial for stroke patients to help them regain lost motor function, improve balance, and enhance coordination. Targeted exercises and techniques, such as gait training and neuromuscular re-education, can significantly improve mobility and independence.

7. Chronic Pain Conditions (e.g., Fibromyalgia)

Chronic pain conditions like fibromyalgia or myofascial pain syndrome can be managed through physiotherapy. Techniques such as exercise therapy, manual therapy, and education on pain management can help reduce symptoms and improve daily functioning.

8. Postural Problems

Poor posture, often due to sitting for long periods or muscle imbalances, can lead to pain and discomfort. Physiotherapists can develop personalized exercise programs to correct posture, strengthen weak muscles, and alleviate pain in areas like the neck, shoulders, and back.

9. Plantar Fasciitis

This condition causes heel pain due to inflammation of the tissue that connects the heel bone to the toes. Physiotherapists can use stretching exercises, manual therapy, and orthotics to relieve pain and help restore normal walking patterns.

10. Sciatica

Sciatica, characterized by pain radiating down the leg from the lower back, is often caused by a herniated disc or nerve compression. Physiotherapy can help alleviate symptoms through spinal manipulation, stretching, strengthening exercises, and posture correction.

Bonus: Balance and Gait Problems

Conditions like vertigo, vestibular disorders, or Parkinson’s disease can affect balance and coordination. Physiotherapists use specialized techniques, such as vestibular rehabilitation or balance exercises, to improve stability and reduce the risk of falls.

[thebibliosphere]

Another story from my recent adventures in physical therapy:

So the rehab facility is a big open gym with private assessment rooms around it, so when you’re on the floor, you’re surrounded by other patients and their PTs doing work.

I’m at the neuro center, so most of the people in there are recovering from complications from strokes or other brain injuries, and as such have limited mobility—as opposed to me, who has excess mobility.

I was doing some stability building exercises by the wall, while my PT used the mirror to show me when I’m over extending and correcting my movement when I caught the eye of a teenage girl in the mirror who was watching me with blatant interest, which was when we heard her say to her PT “I can’t wait to do that!”

Which is when my PT turned to me and said, “Hey, do you mind being a teachable moment?” And I was like sure, which is when my PT turned to face this kid clearly in the process of regaining her mobility and going, “This is not what you’re aiming for. This is a whole other problem. Nobody wants this. We’re trying to stop her from bending like that. This is not the vibe.”

While making expansive hand gestures like I was a natural disaster she was trying to ward people away from.

Which feels very much like a vibe right now.

Anyway. It made the kid laugh so 👍

[stemcelltherapyinindia]

[goldenmaplephysiotherapy]

[wife-of-all-dilfs]

flower therapy | f. odair

masterlist

summary: after being rescued from the capitol’s torturous clutches, your boyfriend, finnick odair, assists you with recovering from haunting memories and ptsd.

pairing: finnick odair x reader

warnings: finnick being major boyfriend material, soft reader, mentions of torture, ptsd, panic attack, hurt/comfort, fluff

notes: the way i lowkey triggered myself into a panic attack while writing this?? i’m okay now though 😀

word count: 1.3k

Post-traumatic stress mental rehabilitation. That is what the psychiatric doctors of District Thirteen suggested after you were rescued from being captured and tortured in the Capitol. Their methods sounded daunting and all too familiar—sterile white rooms, memory flash cards, persistent strangers who would force you to relive your trauma so you could 'work through it'.

Finnick did not like the sound of that one bit. So, he offered an alternative.

Post-traumatic stress mental rehabilitation. The label was a mouthful. Finnick preferred to call it "flower therapy". Twice a week, you and Finnick were authorised to spend two hours above ground where you would sit in a nearby meadow, make daisy chains, and occasionally open up about what happened in the Capitol.

You liked to call it "the power of flowers". Stupid, but saying it always formed a little smile on your face and there was no harm in simple joy considering the cruelties you had endured. Most of the time, you were silent and would lie in Finnick's arms while making flower crowns. He was always patient; he understood you needed time. Day after day, he proved his unconditional love, and you thanked the universe for blessing you with such an incredible man.

"Oh no," you whispered.

"What is it?"

You dangled your broken daisy chain in front of you and Finnick.

"Oh no," he echoed.

Your back rested against his chest and his arms enveloped your body as he held his own effortlessly crafted yellow chain in your lap. Apparently, years of weaving fishing nets creates a master of making daisy chains.

"Here," he said, positioning his own flower crown on your head. "Beautiful."

Smiling, you turned your head to face him. "I'm going to tell everyone I made it."

The flowers sat like a golden halo atop your head, beaming just as bright as the smile Finnick had bloomed at the sight of you. Beauty was everything that you were; not just outwardly, but within the confines of your mind too. Flowers and sunlight were interwoven with your soul, making up the essence of who you were—loving and warm-hearted. One of the many reasons Finnick had fallen in love with you.

He would forever want to remain in your garden, tending to and protecting every petal that blossomed.

His thumb swiped affectionately across your cheek. "Of course you are, you thief," he murmured, grinning. "You owe me."

Your stomach flooded with butterflies and you leaned in, tenderly kissing him with soft pink lips. Finnick cupped your cheek, stroking the baby hairs of your hairline with his fingers as he smiled against your mouth. Even your lips tasted like sweet nectar to him.

After you pulled away, you settled back into his embrace, sinking into those arms that shielded you from any and all harm.

"Okay, I suppose you're forgiven," Finnick said, the smile present in his voice.

You toyed with his fingers while wearing a glowing smile of your own, his arms lovingly wrapped around your body. Oh, you loved him so endlessly.

As the sun began to lower, a mixture of orange and pink clouds blanketed the sky. The trees surrounding the meadow cast large shadows throughout the area, making it appear much darker than it really was. A subtle shift in the once tranquil atmosphere rippled through the meadow, happiness now becoming a distant and unreachable feeling.

The broken daisy chain crumpled in your hands no longer shined in the sun like a beautiful mess. It instead looked tangled. Chaotic. Darkened by the dimming light and transformed into something sinister that resurfaced haunting memories of the Capitol—twisted IV tubes filled with unknown substances, chains that removed layers of skin, decaying white roses that covered the floor of your cell.

Heaviness clutched at your heart, suffocating you from within.

Finnick sensed the sudden shift, loosening his hold around you as he whispered, "What's wrong?"

"I—I don't know," you stammered, the air thinning around you.

The wilting daisies started to taint your hands with darkness, creeping slowly up your arms and causing them to tremble. Finnick, who noticed your fixation on the daisy chain, gently took the flowers from your grasp and set them aside.

It was too late; the panic had already set in.

He turned your body to the side in his lap, forcing you to face him. Your eyes flickered with worry. No amount of pain could compare to the heartbreak he felt seeing you like this.

"Hey. Hey, look at me," he urged, his tone soothing. "Breathe with me, alright? In..." He inhaled deeply through his nose. "And out."

But it was no use. Air was caged within your lungs, burning like fiery hot whirlwinds inside your chest. It was all you could do to force rapid shallow breaths out of your mouth.

"No, no!" A tear fell from your eye as you fervently shook your head. "Finn, I ca—I can't."

"Yes, you can, baby," he said, pushing aside the hair that obscured your vision. His eyes searched the area, looking for anything that could help distract your frantic mind. That is when he spotted a small flock of birds perched on one of the tree branches, instantly recognising their black feathers and sharp beaks. "Look. See those birds? They're mockingjays."

Finnick pointed up at the tree, gaining your attention which then shifted to the birds that were gawking down at you with curious tilting heads. Mockingjays. Katniss. Rebellion. Hope. You focused all your attention on the little black birds and listened to Finnick's reassuring voice.

"They'll repeat any tune you make," he continued, his hand rubbing soothing circles on your back. "Can you do that for me? Try and whistle something for them?"

Attempting to control your ragged breathing, you jerkily nodded. Songs from the world before the war overtook your mind. At first, it was overwhelming as your mind scrambled for a suitable melody, fuelling your panicked state. But then you heard something familiar and focused on the familiar tune, one that was from your childhood.

Hush-a-bye, don't you cry,

Go to sleep, my little baby,

When you wake you shall have,

All the pretty little horses.

It was a lullaby your mother sang whenever you were upset. Seemed fitting considering the situation. You managed to whistle the first few notes, albeit a little wobbly of course, hardly noticing the air that was starting to flow more freely into your lungs.

"That's it, sweet girl."

Once the mockingjays began echoing the song throughout the forest—far more beautifully than your broken whistles—you continued the melody until the end. When you finished, the birds continued to repeat the tune, singing your mother's lullaby over and over in the trees of District Thirteen.

Whilst sat cradled in Finnick's embrace, you quietly hummed along as he stroked soft patterns on your arm. Darkness and pain were long forgotten now. Your body no longer trembled with fear nor did your breathing. Memories of the Capitol's brutality were locked away and hidden in the back of your mind, diligently guarded by the man whose arms you lay in.

Golden beams filtered through the tree trunks; the sun was now lowered enough to let the warm light in, illuminating both you and Finnick. He pressed a gentle kiss to your temple, wrapping you up even tighter in his arms now that he was certain the worst had passed.

You clutched onto his arm and blew out a final stabilising breath, finding comfort in the strength and protection he held. The side of your head rested against his chest, the beats of his heart harmonising like a drum with the mockingjays' song.

You wanted to apologise but knew his response would be dismissive. You wanted to tell him how deeply you loved and appreciated him but knew your words would fail you.

So, you remained silent.

"You're safe," Finnick whispered into your hair. "Right here, right now. I promise."

Right here, right now, you repeated in your mind. In Finnick's arms, you were safe. You were loved.

tags: @tayrae515

[lake-shark]

finished my first OTA fieldwork yesterday 🎉

[redstringredeye]

What if in another universe we were a therapy office receptionist and you were a patient who looked like a perv who strokes orchids and what if we kissed 🥺

[dollgxtz]

Roleplay with Zayne...

✧˖° Just a thought but…I see people say doctor x patient roleplay with Zayne would be hot but I can’t help but think he would be too busy pointing out plot holes and taking it a little too serious LOL.

Word Count: 446

Tags: zayne x gn!reader, sfw, funny, fluff <3

You lounged on the edge of the bed, your leg crossed just enough to hint at something more, as Zayne adjusted the stethoscope hanging around his neck. The pristine lab coat he usually wore to work fit him perfectly, and his usual serious expression made him look like this was genuinely an examination.

He clicked the end of his pen and looked at you expectantly, his clipboard poised in hand. “Shall we begin?” he asked in that smooth, professional tone.

You let your lips curl into a sly smile. “Doctor, I’ve been feeling…strange lately. Like, really tense. I think I need a hands-on examination.”

Zayne tilted his head, his brow furrowing slightly. “Hmm. Tension could be due to several factors. Could you be more specific about the location? Is it muscular, neurological, or psychological?”

You blinked, caught off guard for a moment. “Oh, it’s…all over,” you replied, recovering quickly and leaning forward, lowering your voice to a suggestive whisper. “Maybe you could check for yourself?”

Zayne stroked his chin thoughtfully, his gaze narrowing in concentration. “‘All over’? That’s highly unusual,” he said, tapping his clipboard. “Are you experiencing fever or chills? Perhaps this is an early indication of a systemic issue—though I must question why you waited until now to seek assistance. This could have been an emergency.”

You stared at him, incredulous. “Zayne…you’re not supposed to focus on the symptoms,” you said, trying to stay patient. “You’re supposed to—”

“Not focus on the symptoms?” he interrupted, looking genuinely alarmed. “How can I, as your doctor, ensure accurate treatment without proper diagnostic attention?”

You opened your mouth to argue but decided it wasn’t worth it. Instead, you inhaled deeply, trying a different tactic. “Okay, fine,” you said, waving a hand. “Maybe it’s… stress-related. Maybe I’ve been so busy I haven’t had time to…relax.”

Zayne nodded solemnly, as if this was the most logical explanation. “Stress is a common factor,” he said. “I could prescribe a course of action to alleviate that. Let’s see… meditation? Yoga? Perhaps I should refer you to a licensed therapist to explore these deeper issues—”

“The therapy I need,” you interrupted sharply, cutting him off, “involves you. Right now. In this room.”

He blinked at you, his face perfectly blank for a moment. Then, slowly, he nodded. “Unorthodox,” he admitted, “but I suppose direct intervention could be beneficial. Very well. I’ll need you to lie down.”

Finally. Some action. You let out a relieved sigh, leaning back and sliding onto the bed. “Oh, gladly—”

“Now,” Zayne said, grabbing his clipboard again and flipping to a fresh page. “Tell me about your sleep schedule. Do you consume any caffeine past 3 PM?”

“…”

“…”

[axelsagewrites]

Greetings!

I hope you don't mind me sliding in your ask box! I want to request Ivar x fem!reader, who suffers from a condition named vaginismus.

Vaginismus is a condition where the vagina cramps so hardly, that penetration is very painful. It can get treated by mental therapy and slowly getting comfortable with sex. It's mostly caused by traumatic events.

I seek for some wholesomeness combined with Ivar. You don't have to focus on any smut part if you'll feel uncomfortable, sole comfort would be enough!

Feel free to decline! Remember to drink enough and have a lovely day! ❤️

Ivar the Boneless*Does It Hurt?

Pairing: Ivar x f!reader

Word count: 1830

Warnings: insecurities, mentions of painful sex, mentions of shitty exes, make out, fingering, f!receiving oral, p in v sex, Ivar wanting to get revenge on the crappy ex, smut 18+

Masterlist Here

Being with Ivar was the best decisions you’d ever made there was only one small issue. You'd never actually *been* with him. its not that you hadn’t had sex before, but it always just seemed to hurt. You’d tried in the past to just push through the pain, usually at the guy’s request, but you were done being in constant pain for someone else’s benefit. Which is partially why the rumours about Ivars’s bedroom mishap didn’t bother you.

You knew it was something he was insecure about and you’d assured him countless times it didn’t bother you. so, one night when you were making out sitting in his lap and you felt something hard pressing into you. You were a bit shocked to say the least. It must have all been nerves but now you were the one who was nervous. It’s not like you didn’t want to do it with Ivar you were just scared.

Ivar’s hand slowly trailed up your leg, stroking over your thigh, till he was squeezing your hip as you moaned into the kiss. You had been with Ivar for a while now, but you had never been *with* him. your hands crept down his shoulders till you were squeezing his muscular arms. Despite the taunts some people liked to make you could feel something hard grinding against your leg.

He broke the kiss but only to trail some down your neck, going between nipping and kissing the sensitive skin. It felt like bliss. His hands slowly began to tug at your skirts, pulling them up so he could feel the soft flesh of your thighs but when you felt him try push them apart you couldn’t help but clamp up, your body going rigid.

Ivar paused his movements, pulling away to face you after a moment, “Is everything okay my love?” he asked. There was a mix of emotions behind his eyes; insecurity, lust but most presently concern.

“I-I,” you began to stutter making Ivar move his hand from your leg to cup your jaw.

He stroked his thumb gently across your skin, “Have you never…?” he asked, voice trailing off.

You took a deep breath before shaking your head, “I have its just,” you said as you sat up in bed, Ivar moving to sit beside you are holding your hand, “It hurts whenever I have before,”

“Hurts how?”

You sighed as you decided you may as well just tell him. the last guy you had told just rolled his eyes and left to find someone else for that night, but Ivar waited patiently as you explained, “Whenever I’ve tried to have sex it just kind of hurts? I don’t know how to explain it. It’s not that I don’t want you,” you said, squeezing his hand, “it just feels like it won’t go in and when it does it just- “

“Hurts?” he said cutting off your rambles, “it’s okay love. We don’t have to- “

“But I want too, I swear I do- “

“I believe you,” he cut you off, moving to hold your face gently. Ivar placed a soft kiss to your lips instantly calming you down, “Is it just when things are going in?” he asked, and you nodded. His eyes moved to scan your frame as his hand moved to rest on your thigh, “We could always try something else,” he said, eyes moving to meet yours with a glint behind them.

You felt your cheeks begin to heat up, “I know men don’t actually like that stuff- “

“What idiot told you that?”

“This guy I used to- “you paused when you saw Ivars’s jaw tense, “It was a long time ago but some of the things he said just kind of stuck with me I guess,”

“Like what?”

You took a deep breath before spilling out, “That guys don’t like that kind of stuff and it was my problem not his. How it was my job to get him off and not the other way around and if I was broken then there were other ways to do that- “

Ivar took your hands tightly in his, making you pause, “No. it is not a job or a chore or anything else. You are not broken. You are just different,” he said, moving one of his hands to rest over your heart, “We both are. That’s what you used to tell me,” he said, his voice low. “You were there for me when no one else was. I want to be there for you. whether we have sex or not and whatever sex is to us. We take it at our pace, okay?”

“Okay,” you whispered back, half on the verge of crying as Ivars other hand moved to cup your cheek, pulling you in for a gentle kiss.

Well, it was supposed to be gentle, but you found your lips moving faster and soon you’d moved to straddle his lap as his hands gently squeezed your hips. You could feel his bulge through his trousers and you grinded against it softly making him groan into your mouth.

“Lay on your back,” he mumbled against your lips. you went to speak but he cut you off with a kiss, “trust me,” something about his eyes staring into yours entranced you and soon you were laying down as his lips travelled down your jaw and neck.

You were still in your dress, but his hands soon pulled it up till it was around your waist as he kissed down your collarbones. You felt your body tensed as Ivars’s hand inched closer to your core. “We’ll go slow, okay? tell me if you want me to stop,” he whispered. You nodded quickly and sucked in your breath when you felt his fingers push against your clit.

He moved them in slow circles as his lips sucked at the sensitive skin of your neck. Little moans escaped your lips, and you heard Ivar chuckle when your hips began to buck. You whined when he pulled his fingers away but watched with fixed eyes as he shuffled down your body till his hot breath fanned over your cunt.

Ivar began to kiss your inner thighs, leading a trail up to your core. When his tongue licked up your cunt you couldn’t help but gasp. It soon turned into a moan however when his mouth wrapped around your clit. Your hand quickly found his hair, tugging on it gently which only seemed to spur his movements on as he groaned against your cunt sending shivers down your spine.

You could feel a strange new sensation growing in your stomach. “Please,” you murmured, “Don’t stop,” you began to beg, and Ivar had no intensions of stopping anytime soon. he moved down till you could feel his tongue poking at your hole, easing in so he could gently fuck you with his tongue while his nose rubbed against your clit.

The sensation had you gripping his hair tightly, your hips bucking inadvertently as you grinded gently on his face. Ivar locked his arms around your thighs, stopping you from wiggling away as he continued his merciless assault on your cunt till, he felt your thighs squeezing around his head.

A stream of profanity and his name fell from your lips as you felt yourself crash over the wall. Ivar didn’t move however till he was sure you’d ridden out your peak. When he did pull back his eyes were dark as he moved to kiss your lips hard as you moaned into the kiss.

His fingers trailed up your slit before gently pushing the tip of his finger in, “Tell me if it hurts,” he whispered as he pushed further in, curling his finger inside of you making you moan. it hurt a little but not enough to want to stop. You might scream if he stopped as he began to slowly fuck you with one finger before slowly adding another.

His thumb moved to rub circles over your clit, and you could feel another peak quickly approaching, “Ivar?” you mumbled against his lips.

“Yes love?” he asked, pulling away with panting breath.

“I want you to fuck me,” you said, taking him by surprise as his eyes went wide.

He quickly tried to cover up his reaction, “Are you sure?”

“Please don’t make me beg,” you pouted but it just sparked a joy behind his eyes.

“Maybe I’d like it if you did,” he said, pulling his fingers out which made you whine until you saw him pushing his trousers down, releasing his painfully hard cock.

He moved till his tip was lined with your hole when he paused, “Tell me if- “

“I will, I promise,” you said, grabbing his face and making him look you in the eyes, “I trust you,”

His eyes went soft for a moment before he nodded and slowly began to push in. he stopped when he saw you hissing as you adjusted to his size but kept going at your encouragement. “Fuck,” he gasped as he pushed the last bit in, “You feel so good,”

You waited a moment, adjusting to the size before moving your hips. Ivar quickly got the hint and began to set a gentle pace. That was till your legs moved to wrap around his waist and Ivar began fucking you faster, his head resting in the crook of your neck as he moaned your praises in your ear.

His hand moved between your bodies, finding your clit as he rubbed fast circles into your abused nerves. Your hands gripped his shoulders tightly, nails digging into his skin which only made it harder for him not to cum right then and there. But he did his best to hold off. You however felt your second orgasm quickly approaching and soon your cunt began to squeeze around his cock as you hit your peak, mumbling his name over and over as you did.

The sight of it, the feeling, it was too much for Ivar as he gripped onto the bed tightly as he pumped his final few thrusts before spilling inside you. Ivar collapsed on top of you in a panting heap. His head was resting on your chest as you rubbed his back gently. “Did I hurt you?” he mumbled through half closed eyes.

“No Ivar, it was perfect,”

Ivar lifted his head with a soft smile, “No you were perfect,” he moved to lay next to you, pulling his shirt over his head to use to clean you up before you settled into bed to cuddle. It was a perfect silence. Well for a few moments, “Who was he?”

“Who was who?”

“The man you were seeing before,” Ivar said making you turn to look at him.

Your eyes scanned his face, but he could hide his emotions when he wanted to, “Why?” you asked sceptically.

“No reason. Just think we should have a little talk is all,”

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[cupids-chamber]

@. People I would cheat on my boyfriend with.. . ♡ Part 1 / Part 2 / Part 3 / Part 4 / Part 5 / Genshin version ## Low quality and low effort slides because finals sucks!

. ROOK HUNT ;

Odd smile or grin, I mean Rook always has this ridiculous oui oui bitch smirk grin on his motherfucking face, but today? It was different. It was more huter-y if that’s even a word. 

The moment you turn away, Rook’s glaring at your pc as you open the slides, as if it’s his mortal enemy.

Bro looks like a fucking hitman with the looks he’s putting out. His facial expression radiates wtf energy.

Aww so sweet, so cute mon cherie..—Now change the fucking slides.

"What's on the next slide my sweet?"

Run bitch run.

Why are you hiding your screen

what is there to hide

you have nothing to hide

what do you even need to hide.

Why hide.

Communication is key :)

. VIL SCHOENHEIT ;

Lowkey glaring at you while you explain the slides, like 'excuse you fuckass am I not good enough for you?'

Will start getting passive aggressive, calm? What is calm? Is there anything truly ‘calm’ in this world?... He’s patiently waiting.. For the slides to load… Standing, posing like your mom outside your door with a sandal core. 

Slowly becoming a nagging housewife as he insults your slow as fuck computer. 

Begins fucking scrolling immediately, legit scoots you over.

Truthfully you're more surprised he didn’t question the picture you choose for the cover but his pacing is lowkey scaring you? You did this on a dare.. And you put a 50 slide gap.. And Vil was going through each slide fast… Hell you even put a compliment on each slide. 

Stroking your little beauty queens ego always worked… except now.. He’s been remarkably quiet.. And that is surprisingly more unnerving and unsettling than anything else VIl could possibly do.. 

Well you’ve done it now.. He’s mumbling.. With gritted teeth, he’s not even glaring.. And frankly you don’t want to see his facial expression. 

And then he starts laughing.. But not laughing in like “LMFAOO LOL SO HILARIOUS”  but more of a lowkey “I’m going to kill you”

“Potato… care to explain a few things?” 

“I- ugh.. um.. have an appointment”

“Not anymore”

. LEONA KINGSCHOLAR ;

Kitty’s got claws, bro finna commit a crime.

Just looks at you and smiles. ‘I control my emotions, my emotions don’t control me’ core 

Was therapy working? Probably not his lazy ass avoids them like the common flu.

You saw his expression soften for a moment and you lean in and give him a hug. Effectively distracting him.. and then you scroll like God’s given you 20 fucking seconds to live and breath.

“WHAT THE FUCK HERBIVORE??” and then the screen fades to Malleus.. 

And then it automatically scrolls to Rook...

"..."

Oh you fucked up.

© cupids-chamber, do not repost, plagiarize, translate, or adapt my work without prior permission and or confirmation.

[divinecarephysio]

Langley’s Best Physiotherapy Clinic: Advanced Therapies at Divine Care Physio

Divine Care Physio is a top physiotherapy clinic in Langley, focused on helping patients recover from injuries and health issues through a range of advanced therapy techniques. The clinic features a team of skilled physiotherapists dedicated to providing personalized, effective treatment. 

Here's an overview of what Divine Care Physio offers:

Experienced Physiotherapists:

A team of highly skilled and dedicated professionals committed to delivering tailored care.

Expertise in treating various conditions, from acute injuries to chronic pain and post-surgical rehabilitation.

Physical Therapy:

Focused on restoring function, improving strength, and reducing pain.

Utilizes targeted exercises, manual therapy, and specialized techniques to ensure effective recovery.

Helps restore mobility and enhance overall health.

Acupuncture Therapy:

A time-tested method using fine needles to relieve pain, reduce inflammation, and promote healing.

Effective for musculoskeletal conditions, stress relief, and injury recovery.

A non-invasive treatment that stimulates the body's natural healing process.

Shock Wave Therapy:

Uses high-energy sound waves to treat deep tissues and promote healing.

Ideal for conditions like tendinitis, plantar fasciitis, and shoulder injuries.

Non-invasive and accelerates tissue repair by stimulating blood circulation.

Laser Therapy:

Focused light energy used to reduce pain, inflammation, and swelling.

Promotes tissue repair and regeneration, especially for joint pain, arthritis, and soft tissue injuries.

A gentle, non-invasive treatment option for faster recovery.

Personalized Treatment Plans:

Each patient receives a customized treatment plan tailored to their specific needs.

Ongoing support and adjustments to ensure optimal results throughout the recovery process.

Comprehensive Care:

Offers a wide range of therapies to address various health conditions and injuries.

Focus on long-term recovery and improving quality of life.

Welcoming and Comfortable Environment:

The clinic is designed to provide a comfortable space where patients feel supported and cared for.

Focus on creating a positive experience throughout each patient’s journey to recovery.

For those seeking physiotherapy in Langley, Divine Care Physio is an excellent choice for comprehensive, results-driven solutions. With a focus on advanced therapies and personalized care, the clinic ensures that every patient receives the attention and expertise they need to heal effectively.

[stormz369]

☕💖 Can I Get Your Number? ☕💖 Ch 10

Jason Todd x (f)Chubby!Reader

A/N: whaaaat? 2 chapters in 2 days? What can I say; everyone's reactions have kept my attention right here (where it belongs!) Thank you all for the incredible feedback! 😍

written with a female reader in mind, first person pov, no use of Y/N, will probably get NSFW later, let me know if there's anything else I should tag this with!

warnings: angst, unofficial therapy, previous attempted assault and other violence mentioned briefly (non-descriptively), Jason has trouble with his feelings

wc: 2.1k

Chapter Selection

Jason plopped onto the couch beside me, offering me a plate stacked high with steak, mashed potatoes, and grilled asparagus.

 “Thanks baby! What do you want to watch tonight?”

He hummed softly, considering, and named one of the shows I was introducing him to. I queued up the next episode and tucked my toes under his leg. He chuckled, wrapping a blanket around my feet. “God, you're always cold, aren't you?”

“Just my feet.” I shrugged, eating happily.

We sat quietly together, watching our show while we ate, and I reveled in the casual domesticity of it. Everything felt so right about this… Jason's hand brushed against mine as he took my empty plate and set it on the table for me. His eyes slowly met mine before glancing back down at my lips.

“... Doll?” His voice was barely a whisper. I paused the show, worried I'd miss whatever he said next. “... You said … we would talk about things? … We'd figure this out together, yeah?”

I nodded, leaning forward a bit. “Yeah, is there something you want to talk about?”

Jason nodded slowly, looking down at his lap. “... Yeah, but … I don't know how to say this … it's awkward…”

I nodded slowly, offering him my hand. He shakily took it, rubbing his thumb over the back of my hand. “Do you … I want … fuck, I should have prepared something…”

His knees came up to his chest as he chewed on his lower lip. Humming softly, I lead his hand to my lips, kissing his knuckles. “Just breathe, Jay. There's no judgment here, take your time. … Do you think you can give me the topic?”

He shivered a bit, watching me. I took slow, deliberate breaths and he eventually matched his breathing to mine. “... Topic, right … um … intimacy…?”

I nodded, smiling gently, and placed another kiss to his hand. “Good topic; are we talking physical? Emotional? Something else?”

“... Both? … Mostly physical?”

I nodded again. “Ok. … Is this ok?” I gestured to his hand in mine, held against my cheek. He nodded quickly, a nervous look flashing through his eyes.

“Yes! Yes, that's good, I … this isn't a bad thing, I … It's just …”

“An awkward and uncomfortable conversation?” He nodded again. “That’s ok. We can do hard things. … Just to be clear; is there anything we've done already that wasn't good, or that you want to stop doing?”

He shook his head quickly; “no! No, everything has been incredible. I … god, you are so patient, I just …” he took a deep breath, shutting his eyes tightly; “I-wanna-do-more-but-I-don’t-know-how-much-more-exactly-and-I’m-worried-I’m-gonna-mess-it-up!” 

I blinked a bit and giggled softly, stroking his hand gently. “O- ok. I think I caught that. … It sounds like the boundaries of your comfort zone have shifted?” he nodded. “And you'd like to figure out where they are now?” Another nod. “Ok. How would you like to proceed?”

A panicked look crossed his face before he hid against his knees. “... I was … kinda hoping you could tell me how to do this …”

I nodded slowly. “Ok … well, normally I might suggest we just try things and see what works, but-” he whined softly. “I'm guessing you'd rather have some idea of where the lines are before I touch you any more than this?”

He slowly nodded, grumbling into his thighs. “... God, what the fuck is wrong with me???” He groaned, thudding his forehead against his knees. “This is not that hard! Why can't I just-”

I gently squeezed his hand between both of mine. “Jay, no baby. Listen to me; … do you remember that week where you were in Blüdhaven and your phone broke?”

He nodded. “And then we had our first date.”

“Right. And you took me home after. … No rational woman would allow a man she has met once to take her home after a first date. Not in this city. You know why I did? … Because I didn't want to take the bus home in the dark the night after I was almost attacked on my way home from work. I was afraid, and it makes perfect sense that I was afraid. Right?”

He nodded, frowning, and pulled me into a hug. “... I wish I could have done more … I … I'm so sorry…”

My arms wrapped around his shoulders, and one hand made its way into his hair. “I'm ok now. Nothing happened; Red Hood saw to that. … I'm telling you this because if it makes sense that I had trouble taking the bus after that, even though taking the bus is not hard, doesn't it also make sense that you would have trouble with this?”

Jason's arms tightened around me; “... why does it make sense?”

“You’ve said that your childhood was … less than ideal. When a person's key development years are plagued with pain and fear, it makes perfect sense for new situations to be extra scary, even when they know that it's a good new situation. … I know we haven't talked about too many details, but I can guess at some of it, and if any of my guesses are even partially correct then of course this is a lot for you. … We're walking blindly into the dark, of course you don't want to run full speed ahead straight into a wall.”

He chuckled softly, slowly nodding. “... We've just gotta find the light switch?”

“Exactly!” I grinned. “And until we do, we'll inch around the room with our hands held out.”

Jay nodded, hugging me close. “Ok … how do we do that?”

“Well, I have some ideas … they're probably gonna seem really silly though.”

“Silly is fine.”

The paper in my hands was a mess of red and orange. We had printed out some of those body outlines they use in therapy; color coding them to correspond to where we were ok with being touched. Red for no, orange for not yet but I want to get ok with this sooner rather than later, yellow for ask first, and green for yes. Jason took a few home to think about overnight.

I'd come to his place so we could give them to each other. We'd sat on the couch, having tea to settle Jason's nerves before going over them. He went to the bathroom and I got up to throw out my tea bag. I hadn't meant to snoop through his trash; it was just there, crumpled up on top.

I felt him behind me, frozen in the doorway. I slowly turned, looking up at him, and smiled gently. “... Jay?”

He flinched, stepping back toward the bathroom. “... Um … that isn't … I … changed my mind?”

I nodded slowly, holding out my hand for him. He shakily stepped toward me, staring at the floor. We inched toward the couch; Jason's breathing was ragged like he'd been for a long run. “... Jay, can I see the one you were going to give me?”

He slowly looked over at the pristine paper he'd placed face down on the table. After a moment he flipped it over. The head and neck were green, the arms were green, the torso was yellow, the legs were orange, and the crotch was orange. I smoothed out the crumpled paper in my hands, laying them side by side. Green head, green hands, and red everywhere else.

“... Baby? What happened?”

He stared at them, frowning deeply. “... I just changed my mind, princess. Promise.”

“... Jay, … no. … The facts of your life are facts whether I know them or not. You feel the way you feel, whether you tell me about it or not. You don't have to tell me anything you aren't ready to tell me, but I cannot act in your best interest based off of lies. So please, do not lie to try to make me more comfortable. Not ever.”

He clenched his jaw, squeezing his eyes shut. “... I … this is where I want to be,” he pointed to the new one. “... But realistically, … I'm probably closer to this…” he moved his hand toward the crumpled one.

I nodded; “... Can I hug you?”

Jason looked over at me and slowly nodded. I wrapped my arms around his shoulders, stroking his hair gently. “... Jay, it's ok that you're not where you'd like to be. I will do whatever you need to help you get there. But I can't help if you're pushing past your comfort zone like that. … I don't want to hurt you, baby.”

He sniffled softly, hugging me tight, and we sat like that for a long while. Eventually he pulled back, not looking up at me. “Got another one of those?”

I nodded, kissing his forehead, and found him one of the spares we'd printed. “Want me to give you a few minutes alone?” He nodded slowly, staring at it. “Ok, I'm gonna walk down to the corner store, I'll get us some snacks, and you think about where you realistically are with this. Ok?”

Jason nodded again, gently squeezing my hands as he hesitantly looked up into my eyes; there was so much emotion swirling on his face - fear, and adoration, and a desperate need pooled in his eyes as he whispered; “... I … I love you…”

My heart swelled and cracked open. He looked so delicate, looking up at me like that, and all I wanted was to hold him in my arms and take care of him. I gently cupped his unmarred cheek, remembering how he would flinch when I reached toward the scarred side, and slid my thumb over his soft skin. “I love you too, Jason. With all my heart, I love you.”

His eyes darted across my face, drinking me in. A soft smile slowly slid in place, and I thought that might be hope filling his eyes. He kissed my palm before releasing me, and I leaned back, getting ready to go so he could think about the paper.

Jason texted me when he was done, and I returned to the apartment with several large bags of snack foods and drinks. He looked up at me slowly when I opened the door, smiling weakly. “Hey sweetie, what are you thinking over there?”

“... I really hate this, but it's accurate.”

I nodded, sitting next to him. I laid out the snacks and drinks I'd brought so he could take what he liked. “Can I see it?”

His hand trembled as he passed it to me. Green head - except for a yellow patch on his scarred cheek-, green hands, yellow lower arms, orange upper arms, red from the chest to thighs, yellow calves, green feet. I nodded, smiling softly. “I'm so proud of you, Jay.”

“... You're … what?” he frowned, confused.

“I'm proud of you. Introspection is difficult, but you did it anyway. And now we have something to work with.” He looked flabbergasted, staring at me like I'd grown another head. I chuckled softly and offered him my drawing; significantly more green than his, but I of course had my own ‘no’ ‘no, but maybe soon?’ and ‘ask first’ areas.

Jason looked over mine, nodding a bit. “... So … it looks like this area is green for both of us,” he pointed to the face on my drawing; “... Maybe we could … do something about that?”

I chuckled softly, gently cupping his cheek. “Jay, is that your way of asking without asking if you can kiss me?”

He blushed brightly, looking away a bit. “... If it is?”

“Then you're adorable~”

He slowly looked at my lips again, taking my hand that wasn't on his face and bringing it to his other cheek. I was almost afraid to breathe; he had never let me touch this scar before. Said it was from a particularly bad day, and he didn't really want to talk about it. Now it was under my hand…

Jason's eyes finally met mine, he looked so vulnerable and needy. I took a deep breath, gently stroking his cheeks with my thumbs, and he sighed softly. “... That ok?”

He nodded, whispering; “yeah, that's good … can … can I?”

I nodded. “You saw my colors, you know where you can touch.”

He nodded again, gently cupping my cheeks, and slowly pulled me forward. Our lips barely grazed each other before he stopped; his hands were trembling against me. I gently guided him toward me, pressing a little more firmly into the kiss. He slowly relaxed into it, but continued to let me lead. Eventually I pulled back to breathe, reveling in the soft, whiny moan that poured from his lips as we parted.

Next ->

Divider by: @saradika-graphics

Taglist (open):

@jawdropforkpop @krys0210 @snowy-violet @superthoughts @wordsfromshona @mystic60 @iwannabealocalcryptid @morstuavitamea-a @frosty--giants @arisa191 @prized-jules

[probablyasocialecologist]

The methodology for the Cass review was established by a team from the University of York including Tilly Langdon, who has previously been involved in promoting Gender Exploratory Therapy – an approach which, despite its neutral-sounding name, discourages children from identifying as trans and has been likened to conversion therapy. Her approach included setting a very high bar for evidence to be considered in the review, ruling out 100 of the existing 103 studies into the use of puberty blockers and hormones to treat trans children. The reason given for excluding all these studies was that they did not incorporate a double blind approach – in other words, they did not involve giving puberty blockers to some patients and placebos to others. This might sound like a reasonable objection on the face of it – until one considers that puberty is a dramatic physical and psychological process, and people can easily tell when it’s happening to them, so a double blind simply wouldn’t work in practice. The Cass review called for more research and, again, few would disagree with this. The suggestion that treatment should be withheld in the process, however, is not neutral. It presupposes that the harm done by puberty blockers (demineralisation of bones, which is usually temporary in the short-term treatment recommended and is similar to what occurs in pregnancy) is more severe than the harm done to a trans child by going through the wrong sort of puberty. The latter is linked to high rates of self-harm and suicidal ideation, together with the need, in many cases, for extensive surgical procedures. Confusingly, the review states that children taking puberty blockers showed “no changes in gender dysphoria or body satisfaction”, which suggests that the author didn’t actually understand what puberty blockers do at all. They don’t make children feel better – they just delay a process that makes them feel worse. This is one of several oddities in a report that lacks internal consistency. It states that there is no established definition of social transition, for instance, and does not offer one, but goes on to talk about it as if there were. It also talks about autistic ‘girls’ identifying as trans in increasing numbers, treating this as mysterious and as cause for concern, despite acknowledging elsewhere that more and more girls are being diagnosed as autistic, so one would expect more diagnoses to be present within any subsection of the young female-assigned population.  Perhaps the most worrying of the review’s conclusions – which should concern people far beyond the trans community – is the suggestion that as far as NHS treatment is concerned, trans people should be treated as children until they are 25. The rational for this is that 25 is the age when (on average) the brain stops developing. As any neurologist will tell you, the brain is in fact never static, and within ten years or so of that age, it begins to shrink. Deciding who has the capacity to make decisions based on brain age could have unintended consequences for the likes of Cass (64).  That aside, what would setting the age of true adulthood at 25 mean for everybody else? If we couldn’t allow people to consent to medical treatment at 24, should we ask them to risk dying for us? If not, then at a stroke we could lose a quarter of our armed forces. Likewise, we would have to give serious thought to what to do about a third of parents who might not be considered competent to look after their newborn children.  And then there are issues like contraception. Right-wingers have long contended, on one pretext or another, that teenage girls shouldn’t have the right to take the pill without their parents’ consent. This is where the review’s suggestion starts to look less like a double standard and more like the thin end of a very nasty wedge.