Come N Get It 🗣

For the most part, my approach to prescribing hormones is “sure,” but I will note that the one thing I lean HARD on patients about is smoking. If you’re transgender, and you’re on hormones, the number one thing we want to protect is your cardiovascular health. That’s frankly the number one thing I want to protect in all my patients, but anyone taking exogenous hormones is at higher baseline risk. And the best thing you can do for your heart is DON’T SMOKE. It’s a bitch to quit, and I didn’t even smoke much or long before I quit in my late teens, and I STILL didn’t enjoy quitting and had smoking dreams for years. It’s harder to quit than just about anything else up to and including crack and heroin, and that’s coming from a patient of mine who recently passed in her early 60s who’d done all of those things—for years and years—but eventually was able to quit everything except smoking. And that killed her. She developed severe COPD and eventually called to say her blood oxygen saturation was dipping into the 70s, which is incompatible with life. She was lucid enough to decline medical care, including refusing to call 911 or go to the ER. A week later, after both I and one of our outreach nurses had contacted her to ask her to please go to the ER, I got a notification that she’d been found dead. She had been so frustrated that she wasn’t a candidate for a lung transplant.

One of my oldest trans patients is in her late 50s. She’s had blood clots that went to the lungs. Repeatedly. Smoking raises that risk. Estrogen raises that risk. She’s a veteran with PTSD; of course she smoked.

These aren’t theoretical. These are humans I’ve cared for over years of their lives. I have been rooting for them—my beloved former addict, who spoke without shame about her years of homelessness and drug use in the city; my queer elders, who are slowly trading in their motorcycles for power scooters. I want everyone to live their fullest, best life.

Smoking doesn’t fit into that. Please don’t smoke. I don’t want you to die like that—not now and not later. I want you to have the future that you may not be able to see yet, but exists.

Since I moved home as an out queer, word got out, and there’s a whole apartment complex of lesbians in their 60s to their 80s who come see me—sitting next to their wives in the office, nagging about blood pressure meds, tattling about not having gotten the shingles shot they said they would. To be clear, when I was growing up in town, I knew no lesbians. Not one. I knew one gay kid in my class, which eventually turned into two. We were it. To see these women living decades with their wives and being able to squabble like any couple in my office over who was supposed to bring their home blood pressure cuff in for us to check it… it means the world to me.

Oh and quick note for writers:

One difference between this strike and the last one is that there are a lot more fellowships targeted at early career tv writers than there used to be (there have always been some, but the fellowship model is way more commonplace these days)

Studios are about to make a ton more of these opportunities and advertise them widely as a way to break into the industry, and they will be very specific about the fellowship not technically counting as a writers room or a tv job

THIS IS A TRICK TO GET YOU TO SCAB

Sharing any written content with a studio (even if they route it through a 3rd party "foundation" or development org or something) IS SCABBING

What you do in regards to the strike is your business, but the WGA has been very clear that anyone who scabs will be BANNED FROM JOINING THE UNION FOR LIFE. That means even if you get hired, that's no health & pension and no union protections for your entire career. This shit is serious

So please please double check and dig into any new submission opportunities you see in the next weeks. Playwrights especially be careful - many studios are finding their writers through play scripts these days so be very careful about how and where your work is being shared

No writing going to the studios means NO WRITING of any kind

(if you see suspicious fellowship stuff being passed around let me know, I'd love to keep an eye on that for my peeps)

could you imagine being a man, a sis gender man, who is really into sounding other men. It's just the only way for you to get off really. But one day you meet a man that you really like, and you just connect with him on a whole other level. And you guys finally get to the point where not only are you in the bedroom with each other, but you're starting to get more open with each other too. About all the things like. The only issue is, is that this man is transgender. He does not have a penis he has never pursued any sort of bottom surgery. So he still has the whole set, the labia menorah menorah the majora Little China adequate Torres. And he also has a urethra. Now he's willing to indulge in your special weird little thing. You're sounding. And you guys finally get to the bedroom and you have your little sounding pole or whatever it is they use. But you realize some thing very quickly. Do you know where the clitorises you know where the clitoris is, but where… Is the urethra? Riddle me this Batman

i've tried answering this ask in three different ways and each time it deleted whatever i added. labia menorah menorah the majora Little China adequate Torres. Every time i try to find a new angle to work on this answer with i read another sentence that makes me wince so hard i forget 3/7ths of the english language. labia menorah menorah the majora Little China adequate Torres. i literally am trying to think of any kind of response but verbally i keep repeating it. "labia menorah menorah the majora Little China adequate Torres." it's like a spell. it's fucking addicting. it's the only way i know a human being sent it because that was for fucking sure speech to text happening right there for a single sentence. labia menorah menorah the majora Little China adequate Torres.

IT IS VERY REAL!! ALWAYS BE AWARE.

Don’t take them off when you immediately see it. Wait until you get to a different destination bc they’re trying to distract you by getting it off then abducting you. Same thing goes if you find something on your windshield, it’s a distraction so they have time to get you.    

I must not mock Gen Alpha. Mocking Gen Alpha is the mind killer. Mocking Gen Alpha is the little-death that brings total generational solidarity obliteration. I will engage with Gen Alpha lovingly. I will permit them to be cringe. And when they grow up I will turn my eye to their accomplishments. Where mocking has gone there will be nothing. Only generational solidarity remains

i like to pretend i already died and asked god to send me back to earth so i can swim in lakes again and see mountains and get my heart broken and love my friends and cry so hard in the bathroom and go grocery shopping 1,000 more times. and that i promised i would never forget the miracle of being here

dream logging in to twitter dot com to post the most love infused psychologically damaging photo dump:

When you see a PSAT meme you don’t understand, so you realize you got that question wrong

dont let people tell u ur attraction to fire is "abnormal" or "hazardous" prometheus doesnt have his liver eaten every day for u to ignore the allure of arson