#this post seemed to turn serious
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cve-th3mvsic · 4 months ago
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to anybody and everybody who has a uterus, still gets their period, and uses pads when they’re on their period:
do you ever think you’re like, at the end of your cycle or that your period is done, and you should be done bleeding, (and you’re also js secretly desperately hoping in your mind that you’re done bleeding right now because you’re just so done with it and don’t wanna wear the damn pad anymore), so you decide to not wear a pad/not put on a new one because there wasn’t anything on it before and you’re like almost sure that you should be done, but then later, the next time you use the bathroom, you realize, whoops!! you’re wrong. you are still bleeding, and, just to your luck, you bled through your underwear. and now you’re extra upset because you really hoped that you were done and you really didn’t wanna have to put a pad on, but it bled through and now you have to put a pad on again. and what’s even worse, it didn’t just get on your underwear. it might’ve even gotten on your pants/shorts, or your inner thighs. so now you probably feel gross, and you feel like you have to shower asap.. because who would want to keep the blood on their inner thighs? 
it’s such a disappointment. especially when it’s a lot of blood.
(i don’t mean this in a pissed tf off kind of tone, i’m just bummed out about it. this happened to me today, which is why i’m posting this. i wanna know if anybody else relates)
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also, i’ve seen lots of people say that apparently, to some people in society, talking about periods/menstruation is considered a weird thing to do. the people that i’ve seen say that have also said that we should normalize talking about periods.
we should 100% normalize talking about it.
we’re fucking humans and it happens to us. we bleed down there. it’s a normal thing for us people with a uterus. hate to break it to ya, but we can’t change that. and ya know, if i could i would. if i could choose to not have a period anymore, i wouldn’t have it. — it should not be weird to talk about periods, or what it’s like having a period. that shouldn’t be considered weird.
like be for real.
the human body is a strange thing (in my opinion), but definitely not strange enough to be something i wouldn’t talk about.
i think that this kind of thing/topic may be something that not many people would have the confidence or guts(?) to talk about .
to the people who may be too scared to talk about the struggles of having a period and what it’s like: i’ll say it for us. i’ll talk about it.
we bleed down there. it’s not very fun. when it starts, it’ll probably get on our underwear if we don’t put a pad on or use some other kind of feminine product to stop it from doing so. (i only use pads, so i dunno what it’s like using a tampon or whatever the other options there are). sometimes, it bleeds through our clothes. like our underwear or shorts/pants. it might be embarrassing if someone sees it, but hey, shit happens. if it does, we shouldn’t be judged for it. it happens, it’s not fun. but it’s not weird.
i mean, honestly, (in a similar scenario), if i peed my pants, hell yah i’d be embarrassed. but dude, i couldn’t get to the bathroom soon enough to go pee and prevent that. yah that sucks, but don’t judge me for it. and don’t compare me to a kid or call me a kid if i pee my pants either. i couldn’t get to the bathroom soon enough to pee, that doesn’t make me a child. i just couldn’t hold it in. big deal. it’s not funny, and it shouldn’t be.
and if you don’t wanna hear about this, cool. you don’t have to.
and ya know, there’s an option of simply scrolling past the post. of simply not reading it. you can ignore this. scroll away. it’s fine. i mean, if you’ve read to here at this point, you did choose to do so.
so if you read this and got uncomfortable, maybe don’t read it. if you’ve become uncomfortable by reading this, maybe you could have not clicked the “Keep reading” button to prevent that.
(i mean, sometimes curiosity kills the cat, but still)
if you did get uncomfortable by reading this, don’t mention it here please. please don’t reply to this post about it. it’d be nice. go talk to someone else about it. i cannot force you to not reply, but i can ask you.
you have your opinions too, and that is 100% okay. we all have opinions. we should be able to share them.
but if they include that you think that the stuff mentioned in this post is weird or gross, please do not reply to this post. i ask you very kindly.
i mean this respectfully, i don’t wanna hear about it. if you disagree with me and what i posted, please go somewhere else to talk about it. i’d rather you not tell me. i cannot stop you, but i’d like you to know that i do not want to hear about your opinion if it is negative. again, respectfully, please go somewhere else to discuss your opinion if you disagree or have a very strong and negative opinion on this.
i do not tolerate any kind of hate. i will not tolerate if you decide to reply to this post, (in any way, whether it’s a reply in the messages thingy or a reblog), with hate or discrimination. if you reply with hateful words or discrimination, you will be blocked. i don’t know if you care about that, but please, take your negative opinion(s) elsewhere. it is not okay to discriminate.
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tossawary · 1 month ago
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This is petty fandom salt, BUT... I've been chewing on this phenomenon that I've been calling "Fandom's Darling". It is related to things like "Author's Darling" and "Mary Sue / Gary Stu" and "Protagonist Halo" and all that jazz, where one character gains a peculiar narrative weight in a story.
"Author's Darling" is when a writer has a favorite character, and the world and all other characters sort of get... warped to put the Darling in the spotlight. It's most noticeable in TV shows with multiple writers, when a character you personally like suddenly has their previous characterization destroyed to make another character look good somehow. Every other character might become weirdly incompetent. The Darling's feelings are treated as The Most Important Feelings in any given situation. The logic of the fictional world seems broken past suspension of disbelief in order to validate this one character's beliefs or skillset or some other fantasy. And so on.
"Fandom's Darling" is what I've been calling the pattern where a fandom essentially crowns a New Protagonist for their fanfiction stories (it's often a side character rather than the original protagonist, but it can also happen to protagonists). This character becomes the self-insert for all sorts of indulgent fantasies, gaining special powers or backstories, and/or becoming the focus of extreme whump, and/or hooking up with all the various hotties, starring in all sorts of tropey AUs, and so on. They're not always an obvious Mary Sue version of themselves, but the character's original personality and interpersonal relationships tend to get warped or dropped completely, and other characters tend to become a little flat around them. I call it "Fandom's Darling" because it's not just one self-indulgent fantasy fic (you do you! Have fun!) with characterization choices that I don't vibe with (I have neither the time nor the desire nor the authority to police anything, I am just venting), but rather a prolific mini-fandom of sorts revolving around this empty doll / fanon version of the chosen vessel character, so it becomes a little unavoidable.
I am salty about this (mildly frustrated) (imagine a soft sigh of disappointment before I just go do something else) because you are FUCKED if you actually liked the canonical version of this character and their interpersonal relationships. It's almost worse than liking an obscure character that no one cares about. There's about a thousand fics starring your fave, but maybe only about a dozen of them are actually rooted in any kind of recognisable canon.
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The thing no one ever considers while writing up character analyses about Merlin is that. he must have been sooooooo sleepy.
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brown-little-robin · 2 months ago
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oh I just realized that my interest in anime and my interest in clowns are linked by the concept of "exaggerated silliness". hmm!!!
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byberbunk2069 · 7 months ago
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youtube
King of Wands/Song So Mi moodboard or whatever
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kogetaikid · 3 months ago
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TW: Enraged only child. (Thanks for making me have to type this out, world! /nbh)
Y’know what?!
FUCK SIBLINGS!!!!!
Please reblog if:
You’re an only child who wishes they had a sibling
You cry yourself to sleep because you’ll never have siblings
You’re an only child who’s glad they don’t have siblings
You’re an only child, but feel really neutral about it, and don’t care (in that case, I’m happy for you.)
Please reblog if:
You’re an only child living in a big house
You’re an only child living below poverty line
You’re an only child living in a middle class household
You’re an only child with divorced parents
You’re an only child with a happy family
You’re an only child with only one parent
You’re an only child who was adopted
Please reblog if:
You’re a teen and an only child
You’re and adult and an only child
You’re an only child with a lot of friends
You’re an only child with no friends
You’re an only child with one best friend
Please reblog if:
You were born an only child
You have a deceased sibling
If your parents had some sort of health complications that made them unable to have another child
YOU GUYS ARE EPIC AND JUST AS WORTHY OF LOVE, IF NOT, NEED IT A LITTLE MORE THAN YOU THINK!!!
NOT ALL OF US ARE SPOILED OR HAVE IT EASY!!! THERE ARE MANY ONLY CHILDREN OUT THERE THAT HAVE HAD SOME FUCKING SHITTY CHILDHOODS!!!!
THIS HAS BEEN A PSA
(PS: Probably just posting this out of a sleepless rage, but lately I’ve just been reminding myself how much I distract myself from my problems and how others distract me, but at the end of the day, it’s never gonna stop me from hating myself for being conceived, so the least I can to is try to find people like me.)
(PSS: Anything I missed? Let me know!)
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agapestricken · 10 days ago
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alright, yeah, manja may be kind of sly... BUT have you also considered that she's a seven foot tall partially moth-like woman with luxurious, long black hair and glowing yellow eyes? like she's honestly gorgeous and i'm tired of pretending like she's not okok (LMAO i'm just joking as i know this account is still new so i haven't talked about her much 💀 but even with the, uhhh, body horror thing's manja's got going on — she is stunning)
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unproduciblesmackdown · 8 months ago
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truly lmao 2024 lambda literary award finalist wynnstannery
#have probably already heard of these awards w/o absorbing it but has a sizable [twitter acct you follow follows this acct] overlap for one#wikipedia blurb ''to recognize the crucial role lgbtq writers play in shaping the world...celebrate the very best in lgbtq literature''#Lol! naturally everyone set to laugh abt Individually being lambda award finalist Authors amidst 40+ anthology contributors. sure#and of course oh absolutely crucial cam stone page. we did make the back of book blurb too after all#born of [crucially soph nothingunrealistic (a) investigates that akd role which (ai) leads to me also checking it out. later (b)#investigates this Call For Submissions For All Trans F&F Zine which (bi) leads to me going ''oh so true cam stone Needs to be there'']#all originating in The Wrong Fake ''Fans'' Show Up For Billions By Way Of Beloved Character Winston lmao#b/c fr imagine the trans f&f zine Doesn't have a Did You Know That???? page abt a delightful akd role & canon nonbinary f&f character#but this amidst Plenty of ''fake'' ''wrong'' ''fans'' messing around w/the concept of Fast & Furious as a Work throughout#as i said & got the feedback of [hell yes You Get It] that the premise Guarantees you get a very Varied & inherently Playful response#not b/c playfulness need be ''unserious'' but it sure need not be ''serious.'' like f&f itself; as part of [the premise guarantees it]#& that the Range of ways ppl can approach this broad concept is like the Range of ways ppl can approach the broad concept of Gender lol#& not Unearnest but needing no Gravitas / ''serious'' ''legitimacy'' guaranteed in turn to ''validate'' your efforts#and your not being the ''right'' or ''expected'' audience getting the perhaps straight(tm)forwardly intended experience here lmao#so in many ways it did feel very resonant / relevant to wynnstannery#embracing [the one use of: editor's note!] and [the one use of: the word ''autistic''!]#2 trans 2 furious#which is probably gonna get a physical reprint sooner than later; pdfs still available despite the lack of link there#was already The Intention if vaguely so; now with the added ''can put the 2024 Lambda Award Nominee / Finalist on the cover lol''#page 54 (i believe) brought to you by a couple of quantnoisseurs; rushed to finish last minute then ft. some post deadline edits lmao#classic....nonzero other works i've Heard Of! nice#which: sure does seem like the focus here is like ''did you hear about these books? :)'' as many ''awards'' can ultimately be#like i Am hearing about them now. had seen abt Being Ace on twitter interesting interesting. hi honey i'm homo hell yeah#do we have one or two f&f films left? put cam stone cameo in there for real. Fast furious worth the effort worth the cost#& just shoutout to the like bifurcation of Akd Role Types. [intense in a relatively restrained affect way. some dramatic flair for sure]#and [spontaneous! vivacious! bright! playful! pretty emotionally open!] that's right lmao
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firstroseofspring · 2 months ago
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thinking pondering to me john torres is like. what if u met a woman. with confidence and dignity and a strong moral backbone. you meet and she makes a distinct impression with her honesty and her frankness and she seems like she's always sure of what she wants and what she needs and she's so different from anyone else you know and thats exciting and she's exciting and she likes you specifically you. and you don't think much of you but it feels good to be liked by someone like that. you love her of course. you marry her. of course!
#diary#miral of course miral this post as all other posts on my blog is about miral. head in my hands#john torres and his projected insecurities and shitty behavior you will always be infamous.#im so deeply rooted in my headcanons for them i have au's . girl the universe isnt even that well established ?#call me b'elanna torres the way i'm turning miral and john over in my head to figure out what the heck happened#in my head john and miral are like. john voice she's never stuttered in her life she always knows what to do she's very serious strong head#on her shoulders. my kind of woman.#meanwhile miral is like. act first pray on it later was that a mistake? well what is a mistake really this is my path now#and i'll have to see how to handle what has been done. seeing as now it can't be changed shrugs. the honorable thing to do.#i also think they see a lot of their flaws as like-#consequences of their cultures and not like personal flaws which can sometimes be true but also sometimes they are very much flaws in the#person.#miral is a little too sure of herself bordering on arrogance and likes control. john is like ahh klingons and their surefootedness :)#<- a little correct but also very wrong.#john is very like. at his worst a cold shoulder bad at personal confrontation kind of a pushover quick to resent but usually just seems#serious and occasionally quiet . normally social tho! so miral is like. a consequence of his upbringing that can't be changed. i will#take him as he is.#which is a nice sentiment and would normally be applied well unless you are these two specifically.#what happens when its 10 or even just five years later and you're getting tired of the cowardice? what happens when its five years later and#you can't go a day without arguing? what happens then.#did you confuse her arrogance for poise for assertiveness? did you confuse her recklessness with courage? whos wrong her or you?#miral voice is he a fool does he not care? he's content to just stand by? cower?#i think from the klingon pov a man who isn't willing to fight for you and your relationship must be devastatinggggg#not literally of course here but also literally. lol#but yeah what does it do to you when the person you love won't even argue with you anymore just totally pulls away? leaves. head in my hands#who do you think fell first. idk but i know who fell harder! :) <- tears in my eyes#i really like pathways where they made miral like a chatty woman and had her offer to host parties for b'elanna and her friends it was so#sweet i should read it again.#i like her to be a little crazy though <3 :)
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medicinemane · 2 months ago
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Honestly a lot of the time, it's not even about people having to agree with me, it's about needing to know that they actually heard and listened to what I had to say even if it didn't persuade them
Just... some basic indication that there's enough respect to give a shit about what I said, and also to make sure that they disagree because they actually disagree and not cause they just didn't bother listening
It's all I really ask
#I forgot what this was about part way through writing about it; but then I remembered it's about Ukraine#like I just need to know that you actually understand what's happening there and what people are going through#you want me to care about your thing? show me you have any any any grasp of what's going on in Ukraine#it's uh... it's too many friends where if I'm just honest... this is about them#people I adore but people where... I don't know if they ever even once listen to what I have to say#...though maybe it's better this way... at least if they just ignore me I can say they just don't understand what's going on#that they're just being fed lines by other people or don't care#...if... they... knew the shit Ukrainians go through and still didn't care... would be a lot harder to respect them#would take a certain level of callous to do that and... these are people I care about very much so#...but I don't know; eats at me... you know#...and even on less serious topics... boy I wish you'd ever listen to me#if it weren't for the fact you say you like me... I'd be pretty damn sure you can't fucking stand me and I do nothing but annoy you#...I don't know if you've... ever... listened to anything I've said on any subject#when you do; you usually correct me... even though; brilliant as you are... you're erm... not always right#I don't get it... I don't get you... every word I say seems to be wrong... I'm so stupid and you're so smart#and yet you get real upset when I want to die... so you must actually like me and our communication styles don't match up#thank god you never seem to read my tags... or... much of anything else I say#truthfully I'd follow you anywhere; and you can treat me any way you want#but man I don't think my thoughts or opinions matter to you even a little... I think I just exist to be your rubber duck#...that's how it feels anyway#but all that aside... just wish you'd listen to me on Ukraine cause it actually matters#this post started out about some other people too... and sure... I like them well enough; and they're maddeningly wrong#like sputnik levels or wrong#drives me nuts; like you're not stupid and you're not cruel so why do you act so stupid and cruel?... turn you brain on#but uh... I actually just don't care about them that much#where as you... I could put it into words... but I won't#it's just a shame... like forget any of the stuff about me; it's just you're so kind... wish you'd care about what's going on in Ukraine#...I gotta stop or I'll go on all night; and I'm already too tired#mm tag so i can find things later
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yesplsnothankyou · 3 months ago
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I only come on tumblr when I'm at the very end of my rope and barely hanging on by a quickly disintegrating thread and I don't know what that tells you about me
#boygenius#lah posting#I took the drugs again#I'm worse but better#I will not stagnate#i have therapy tomorrow#it's gonna be another one of those times when I spend the whole time crying#I don't have anyone anymore that i can rely on to hold space for me when I cry#i can hold space for my own emotions now thank you very much#i'm extremely proud of that fact because six months ago that hill felt absolutely insurmountable#but it really helps when there's occasionally someone else to help with that#sorrow shared is half the sorrow and joy shared is double joy#and all that#but i'm really scared for how this is going to end#i'm in really fucking deep at this point#and it's only getting deeper#i don't want to lose my person or the farm or our plans for the future#but it can't go on like this#no matter what i do#and i can't make him realise and i can't do it for him#but i'm afraid that instead of facing the music and turning shit around he's going to choose a much worse way of dealing with things#If this ends i don't think i could ever date again#i know that's dramatic but i'm being very serious about this#i keep thinking i'm dating someone completely different each time but then every time without fail after a year or two#they get into a deep funk and can't seem to do anything but stew and complain and be mean and ruin any chance of being in a good mood#every single time to the point where i wonder if that's just what happens to people who date me#and i can't stand it because while i'm far from toxic positivity i take pride in choosing to not behave like that when things dont go my wa#but i can't risk letting this keep happening again. I genuinely think i can now be happier loving myself than i'd ever be trusting romance.#I've come so far in my healing and I can't keep letting people derail me who have no idea how to self-regulate or have self-compassion#I'm getting sick again. I can feel it happening in my body
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bleu-sang · 1 year ago
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I wish I had someone to talk about how much amatonormativity traumatized me
Not only when I was a kid and grew up scared that my parents would abandon me because people would keep asking me if they "started a new life" but didn't get it was romantically speaking and really thought they were gonna leave town and forget about me
Or not just because as a teen everyone started dating and caring about romantic shits that I couldn't understand and I felt this suffocating pressure that I had to become like them if I wanted to be accepted/normal
But mostly because I am terrified to be seen as an object that can be used and discarded without my consent because I "just don't know" what I'm "missing out" or I "just didn't find the right person yet" or I "just had bad experiences and need to get over it with someone new"
The only message I seem to get from amatonormativity is that my life is worthless if I don't have someone to share it with (romantically & sexually) and that romance and sex can be forced upon me if I don't act like I want them
And it's so scary. It's so so scary.
To know that my life has no value and that I deserve to experience traumatic stuffs to "cure" me
To know that anyone could want that from me and that it wouldn't be acceptable to say "no" because my body is disposable and belongs more to others than it does to me since I just "don't know" that I want to say "yes" yet
And all I'm left with is a bunch of trust issues because anyone I meet could turn on me at any moment and it would be socially acceptable.
Anyone could discard me to "start a new life" with someone that want the same things as them (romance and sex)
Anyone I meet could hit on me and ask stuffs from me that I cannot give them and I would almost always be the bad guy for rejecting them and I know that they could force me and that I wouldn't be taken seriously if anything happened
I don't know, maybe it's just the invisible poc aroace trans neurodivergent otherkin fem-looking ghost in me who's too used to be not acknowledged talking but I think something is deeply wrong with this society and I will not feel safe until it's done right.
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paleangels13 · 3 months ago
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Helloo, I still exist did anyone even notice I was mostly gone lol
Anyone interested in ehhh...slightly unhinged work-related talk?
No?
Well. Too bad
Anyone that knows me irl please ignore the tags – I'm embarrassed ✨🥰
#I said ignore the tags#please ignore them#I'm serious#alright soooo...i started this new job about 1 1/2 months ago... It's not great or anything neither is the payment but it's alright#also I can walk there from home bc it's so close by which is nice I guess#anywayyy it's a grocery store owned and run by a family (my boss and his wife + their 2 (3??) adult children)#now my boss is kinda hard to figure out I always think he's annoyed which makes me insecure but I think that's just how he is idk lol#but he isn't rude or anything (at least I never noticed??)#his wife seems nice and so does (one of) their daughter(s(?))#his son – who is idk probably in his early 30s?? could also be late 20s but I can't guess people's age – is the manager#he's nice as well I think and he even jokes around with (some of) the employees from time to time#either way...this is all rather irrelevant. Point is some part of me has decided to be uhhh weird about him in the past week ig#and I don't think that feeling was there before?? Idk I don't consider him attractive or anything (at least I don't think I do??) + he's#married (?? He's definitely taken) and has two children I think judging from his profile picture in our work-app at least and like I said#he could also be quite a bit older (I mean...yk)#anywayyy i am being weird about him and something within me turned into teenager mode or whatever and iiiiiiii don't know what to do lol#not that it's really a big deal I suppose it's just that he's my boss' son and my supervisor/manager/superior/?? which makes thoughts#outside of work weird (:#no i will not elaborate#alright tag rant over I'm not sure I really wanna post this this feels awkward to post publicly hah :')#will probably delete later#someone send help#((:
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shoechoe · 1 year ago
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im not particularly into romantic ships !! (but i like contributing 2 ask games) sooo hmm... whats ur favorite canon friendship or dynamic ? or one u'd like to see in jjba?
Don't worry- I like this ask too.
I wouldn't say I have one canon (non-romantic) character dynamic in particular that I would consider my favorite, but I can list a few of them in no particular order:
-Polnareff and Abdul (I also think the ship is pretty cute)
-Diavolo and Doppio (I find this one the most fun to think & talk about for obvious reasons)
-Trish and Bruno
-Yasuho and Josuke (8) (this one was sort of implied-romantic, but I'll count it)
-Josuke (4) and Okuyasu
-Jolyne, Foo Fighters & Hermes
I also really would've liked to see what an interaction between Doppio and Trish would've looked like- both of them were criminally underused and it's a shame.
I get very excited about character dynamics, but I don't really care much for romantic ships myself either. When I say I "like" a ship, most of the time what I mean by that is if a mutual or friend is into it, I'll nod and give a thumbs up from the sidelines or maybe think "oh, that's kind of cute, sure". The only times I get the "shippy" feelings that I assume are the main appeal of shipping is if I care about one or preferably both characters very, very much, which just doesn't happen often. (Also, I get kind of irrationally territorial about characters I care about to that level, so I'd probably only trust ship art from me and a few people lol.)
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brittlebutch · 1 year ago
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one of the many reasons Aabria is such a good GM is because of the very keen eye she keeps on the social dynamics and interactions that happens at the table and i absolutely Love her for it
#N posts stuff#ppl have been talking about it a lot for the interaction between Thorn and his followers -> the mostly joke the Player was making#about giving Ava advantage on an intimidate check turning into a Serious confrontation about the dynamic Thorn has w/ those followers#which is an Excellent example but i'm watching a court of fae ep and she does it really well here as well; in and After the convo rue & hob#have about the Goblin Court Marriage -> there's an overt Disparity in how Rue views courts and how Hob does that colors a kind of#miscommunication between them; Rue and Hob know each other as kindred spirits in feeling Alienated from their courts#but Rue tends to see themself as wholly Separate from their court (barely part of it at all) whereas Hob still clearly Does take a staunch#Identity as a Member of the Goblin Court -> so when Rue talks about the marriage and Hob's role in it they see it as something Hob is being#manipulated or Commanded into caring about whereas Hob pretty clearly seems to take it as a Personal wound - Rue doesn't care#about the dynamics or standing of their court bc they're Separate but Hob DOES care about those things bc he's still Part Of it#even if he still feels alienated from it at the same time; they take a different approach in how they feel in that alienation#which is why Rue's sentiment of 'take care of yourself' seems to leave Hob on the verge of tears; bc he doesn't Share that approach#and Aabria seemingly takes serious notice of this because the Immediate next convo is between Rue and an NPC who calls Rue out#for that disparity -> saying they're a Fool if they think that Everyone around them doesn't feel the Weight of their court behind them#ie; even though Rue sees themself as Separate they're still reaping a social Privilege in Being a member of their court anyway#a 'you can't have it both ways' kind of call out that is So choice and i love it a lot; rue having to Immediately confront#their own perceptions like that even tho they still wont quite Acknowledge it; tasty i love it <3#btw i've decided to start being SO annoying about my thoughts on subjects; this is bc i take So so many notes on them & i like to share :3#but my Fic Writing words have been screwed to hell lately so. one billion analysis posts upon ye instead
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screambirdscreaming · 11 months ago
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Look, I get where you're coming from, but I think you've swung too far in the other direction here. NSAIDs and acetaminophen are, in most places as far as I'm aware, the only options available for non-prescription pain medications. They're available without prescription because, if used infrequently and within the recommended dosages, they are relatively safe and low in side effects. HOWEVER. it is very difficult to get a prescription for pain medication, and even if you do, those medications also come with dose limits and side effects. So the bottom line is that many, MANY people are relying on NSAIDs and acetaminophen for the primary management of chronic pain. And in that context, it is absolutely possible to severely hurt yourself. Which I think people absolutely deserve more knowledge and awareness of - even if they find it somewhat alarming.
This is especially true where people are brushed off by doctors to "just use advil" for pain that is quite frankly, too severe and ongoing for advil to safely handle. The dismissive way in which doctors treat NSAIDs gives the impression that they are harmless, and many people are desperate for relief. This leads people to use NSAIDs heavily and without precautions, causing lasting harm to themselves which could have been averted, or at least mitigated, by taking steps towards safer use - like those outlined in the original post. NSAIDs work on several biochemical pathways at once - they reduce inflammation, relax muscles, decrease pain signalling of nerves, and slightly inhibit blood clotting, and they also increase the production of stomach acid and decrease the production of protective mucus lining the stomach. This function is pretty much baked in, there's no way around it. So it's not an issue of "some people's stomachs are sensitive to NSAIDs," it's an issue of "NSAIDs cause some damage directly to the stomach lining every time you take them". It's not very much damage from one dose, and if that's the only dose you take for a while, it'll heal right back up. But if you keep taking them, multiple doses back to back, for days or weeks on end.... the damage starts to add up. Or even if you don't use them that much, but take maybe a dose every day to help with muscle soreness after work... or a couple times a month, for migraines or period cramps.... point is, if the damage to the stomach lining is happening faster than it can heal, you start to get problems - but you probably won't notice anything is wrong until it gets pretty bad.
Being careless until you get a proto-ulcer, or an ulcer, or acid reflux, or a bleeding lesion in the duodenum - is not a great tactic. And I will tell you, pretty much everyone I know who is careful about taking their NSAIDs with food or antacids, has become careful after suffering AT LEAST one of the above. And many people end up, as OP said, unable to take NSAIDs at all, because the chronic damage to the stomach is too easily aggravated. Which is not great! So it's good to get in the habit of safer use, before you find yourself in a situation of heavily using pain meds without realizing they could cause lasting damage! Because the underlying issue is stomach acid causing damage to the stomach lining, you can: - take NSAIDs with food, or after eating, so the food dilutes the stomach acid - take NSAIDs with an antacid, like tums (although avoid aluminum-based antacids with ibuprofen) - take NSAIDs with an H2 blocker, a relatively fast-acting medicine that reduces acid produced by the stomach - take a daily PPI medication, which reduces acid produced by the stomach over the long term
Now, H2 blockers and PPIs are other (non-prescription) medications which have their own potential for side effects and interactions - so do your research if you want to add either of them to your medication regimen. But they can be very helpful, especially for healing up if damage has already been caused. Now all that being said. Acetaminophen is a COMPLETELY different story. And what pushed me to reply to this post was the way you were lumping together information on max dosages, which I think is dangerously misleading, even if the numbers are not technically incorrect. See, the risk with NSAIDs is chronic damage from long-term use, but they are relatively safe drugs in the acute sense. For Ibuprofen in particular - the bottle will tell you not to take more than 400mg at once, but if pressed a doctor will say you can take up to 800mg and it's perfectly safe if you don't make too much of a habit of it, and hypothetically you could even take a much higher dose than that and not die, although you wouldn't have a very good time. So, while it is certainly not recommended to take more than 800mg at once or more than 1600mg a day to avoid long-term consequences.... it happens. Which can perhaps teach a person the wrong lessons about dose safety. The risk with acetaminophen is acute toxicity. If you take too much at once, it causes liver toxicity, and then liver failure, and then death. This process can be stopped, but not reversed, so survival depends strongly on early diagnosis and treatment. You might think that the toxic dose in enough higher than the treatment dose that it'd be difficult to overdose accidentally - but that's not necessarily the case. From a National Institute of Health summary on Acetaminophen toxicity: "Acetaminophen toxicity is the second most common cause of liver transplantation worldwide and the most common cause of liver transplantation in the US. It is responsible for 56,000 emergency department visits, 2,600 hospitalizations, and 500 deaths per year in the United States. Fifty percent of these are unintentional overdoses." Sure, relative to the total population, overdoses aren't *that* common - but if 50% are accidental, I think people need to be better informed. The major issue with acetaminophen is that it is present as an active ingredient in many, many multi-drug medications, which people often don't realize. So an overdose can occur if, for example, a parent who has already given their child a Tylenol to get their fever down also gives them a dose of cough syrup - each alone at the recommended dose, but it adds up. (Children are at a greater risk of overdose on anything, because toxic dosage is relative to body size, and kids are small.)
So yes, acetaminophen is a great drug and relatively safe if you know how much you are taking. Always check the active ingredients on any medicine you take, especially if you're taking multiple things at once. And for acetaminophen especially, don't take more than the recommended dose at once, don't take more than the maximum dose per day, and wait at least 4 hours between doses - even if the effect has worn off. Don't push it!
Every time I see another ibuprofen post on this site I'm like STOP
STOP
Stop.
Take that after a meal. Take it with a big glass of water. Don't take it on an empty stomach EVER. Don't take it with alcohol. You will destroy your stomach. You will end up with an ulcer. You will vomit blood. I'm not exaggerating.
Yes, you. Yes, it will happen to cute little you. With your cute little bottle of miracles. Ibuprofen really does that to your body.
Love, an adult person over 35 who can't take NSAIDs anymore
#if you live in a place where doctors are accessible + affordable + helpful + take you seriously#then yes you have no reason to be afraid of using medications off the shelf as labeled and going to a doctor for anything serious#would that we all lived in such a situation!#it is my experience that generally everyone is pushing the limits of what can be done with the meds they can access#in which case you absolutely need to know where the hard boundaries on safety lie#and what the safer use practices are to mitigate harm up to those hard boundaries#I'm sorry if my information on what's available etc is US centric; i know what i know#I tried to avoid using “OTC” as a term because it has at least two distinct meanings and I didn't want to deal with disambiguating#Also I was EXTREMELY baffled by the claim that propylene glycol was more toxic than acetaminophen so i did a bit of searching#and there seems to have been a nasty issue where the propylene glycol used in some cough syrup was contaminated with ethylene glycol#which is extremely toxic. and a bunch of kids got poisoned.#not to disregard how awful that is but drug contamination is a WHOLE other can of worms.#also for any of you meds nerds who were wondering about ''stomach safe nsaids'' and why i didn't get into that#those all got recalled. because it turns out mucking with the mechanism of action of nsaids to make it not do the stomach damage thing#makes them give you heart problems instead!#multipurpose enzymes are a bastard. hard to wrangle.#it'd be neat if we eventually got medications that targeted prostaglandin receptors rather than production - we could be much more selectiv#but we're not there yet#long post#long tags
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