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.
Just in case
Fantasy culture where instead of bouqets or whatever, a bride carries the carved skull of one of her ancestors, inlaid with jewels, so that their spirit blesses the marriage.
For brides without a family skull, an animal skull can be substituted. Wolf and deer skulls are the most popular, but one queen started a trend of weird wedding skulls when she carried the skull of a draft horse for her wedding to her sixth consort. There were opals set into the eyes.
I want to live by myself when I move out of my parent's place but I'm really afraid of money problems? I'm afraid that the only place I can afford will be in the ghetto and it'll all be torn apart and I'll only be allowed to eat one granola bar a week. I'm really stressing out about this. I don't know anything about after school life. I don't know anything about paying bills or how to buy an apartment and it's really scaring me. is there anything you know that can help me?
HI darling,
I’ve actually got a super wonderful masterpost for you to check out:
Home
what the hell is a mortgage?
first apartment essentials checklist
how to care for cacti and succulents
the care and keeping of plants
Getting an apartment
Money
earn rewards by taking polls
how to coupon
what to do when you can’t pay your bills
see if you’re paying too much for your cell phone bill
how to save money
How to Balance a Check Book
How to do Your Own Taxes
Health
how to take care of yourself when you’re sick
things to bring to a doctor’s appointment
how to get free therapy
what to expect from your first gynecologist appointment
how to make a doctor’s appointment
how to pick a health insurance plan
how to avoid a hangover
a list of stress relievers
how to remove a splinter
Emergency
what to do if you get pulled over by a cop
a list of hotlines in a crisis
things to keep in your car in case of an emergency
how to do the heimlich maneuver
Job
time management
create a resume
find the right career
how to pick a major
how to avoid a hangover
how to interview for a job
how to stop procrastinating
How to write cover letters
Travel
ULTIMATE PACKING LIST
Traveling for Cheap
Travel Accessories
The Best Way to Pack a Suitcase
How To Read A Map
How to Apply For A Passport
How to Make A Travel Budget
Better You
read the news
leave your childhood traumas behind
how to quit smoking
how to knit
how to stop biting your nails
how to stop procrastinating
how to stop skipping breakfast
how to stop micromanaging
how to stop avoiding asking for help
how to stop swearing constantly
how to stop being a pushover
learn another language
how to improve your self-esteem
how to sew
learn how to embroider
how to love yourself
100 tips for life
Apartments/Houses/Moving
Moving Out and Getting an Apartment, Part 1: Are You Sure? (The Responsible One)
Moving Out and Getting an Apartment, Part 2: Finding the Damn Apartment (The Responsible One)
Moving Out and Getting an Apartment, Part 3: Questions to Ask about the Damn Apartment (The Responsible One)
Moving Out and Getting an Apartment, Part 4: Packing and Moving All of Your Shit (The Responsible One)
How to Protect Your Home Against Break-Ins (The Responsible One)
Education
How to Find a Fucking College (The Sudden Adult)
How to Find Some Fucking Money for College (The Sudden Adult)
What to Do When You Can’t Afford Your #1 Post-Secondary School (The Sudden Adult)
Stop Shitting on Community College Kids (Why Community College is Fucking Awesome) (The Responsible One)
How to Ask for a Recommendation Letter (The Responsible One)
How to Choose a College Major (The Sudden Adult)
Finances
How to Write a Goddamn Check (The Responsible One)
How to Convince Credit Companies You’re Not a Worthless Bag of Shit (The Responsible One)
Debit vs Credit (The Responsible One)
What to Do if Your Wallet is Stolen/Lost (The Sudden Adult)
Budgeting 101 (The Responsible One)
Important Tax Links to Know (The Responsible One)
How to Choose a Bank Without Screwing Yourself (The Responsible One)
Job Hunting
How to Write a Resume Like a Boss (The Responsible One)
How to Write a Cover Letter Someone Will Actually Read (The Responsible One)
How to Handle a Phone Interview without Fucking Up (The Responsible One)
10 Sites to Start Your Job Search (The Responsible One)
Life Skills
Staying in Touch with Friends/Family (The Sudden Adult)
Bar Etiquette (The Sudden Adult)
What to Do After a Car Accident (The Sudden Adult)
Grow Up and Buy Your Own Groceries (The Responsible One)
How to Survive Plane Trips (The Sudden Adult)
How to Make a List of Goals (The Responsible One)
How to Stop Whining and Make a Damn Appointment (The Responsible One)
Miscellaneous
What to Expect from the Hell that is Jury Duty (The Responsible One)
Relationships
Marriage: What the Fuck Does It Mean and How the Hell Do I Know When I’m Ready? (Guest post - The Northwest Adult)
How Fucked Are You for Moving In with Your Significant Other: An Interview with an Actual Real-Life Couple Living Together™ (mintypineapple and catastrofries)
Travel & Vehicles
How to Winterize Your Piece of Shit Vehicle (The Responsible One)
How to Make Public Transportation Your Bitch (The Responsible One)
Other Blog Features
Apps for Asshats
Harsh Truths & Bitter Reminders
Asks I’ll Probably Need to Refer People to Later
Apartments (or Life Skills) - How Not to Live in Filth (The Sudden Adult)
Finances - Tax Basics (The Responsible One)
Important Documents - How to Get a Copy of Your Birth Certificate (The Responsible One)
Important Documents - How to Get a Replacement ID (The Responsible One)
Health - How to Deal with a Chemical Burn (The Responsible One)
Job Hunting - List of Jobs Based on Social Interaction Levels (The Sudden Adult)
Job Hunting - How to Avoid Falling into a Pit of Despair While Job Hunting (The Responsible One)
Job Hunting - Questions to Ask in an Interview (The Responsible One)
Life Skills - First-Time Flying Tips (The Sudden Adult)
Life Skills - How to Ask a Good Question (The Responsible One)
Life Skills - Reasons to Take a Foreign Language (The Responsible One)
Life Skills - Opening a Bar Tab (The Sudden Adult)
Relationships - Long Distance Relationships: How to Stay in Contact (The Responsible One)
Adult Cheat Sheet:
what to do if your pet gets lost
removing stains from your carpet
how to know if you’re eligible for food stamps
throwing a dinner party
i’m pregnant, now what?
first aid tools to keep in your house
how to keep a clean kitchen
learning how to become independent from your parents
job interview tips
opening your first bank account
what to do if you lose your wallet
tips for cheap furniture
easy ways to cut your spending
selecting the right tires for your car
taking out your first loan
picking out the right credit card
how to get out of parking tickets
how to fix a leaky faucet
get all of your news in one place
getting rid of mice & rats in your house
when to go to the e.r.
buying your first home
how to buy your first stocks
guide to brewing coffee
first apartment essentials checklist
coping with a job you hate
30 books to read before you’re 30
what’s the deal with retirement?
difference between insurances
Once you’ve looked over all those cool links, I have some general advice for you on how you can have some sort of support system going for you:
You may decide to leave home for many different reasons, including:
wishing to live independently
location difficulties – for example, the need to move closer to university
conflict with your parents
being asked to leave by your parents.
It’s common to be a little unsure when you make a decision like leaving home. You may choose to move, but find that you face problems you didn’t anticipate, such as:
Unreadiness – you may find you are not quite ready to handle all the responsibilities.
Money worries – bills including rent, utilities like gas and electricity and the cost of groceries may catch you by surprise, especially if you are used to your parents providing for everything. Debt may become an issue.
Flatmate problems – issues such as paying bills on time, sharing housework equally, friends who never pay board, but stay anyway, and lifestyle incompatibilities (such as a non-drug-user flatting with a drug user) may result in hostilities and arguments.
Think about how your parents may be feeling and talk with them if they are worried about you. Most parents want their children to be happy and independent, but they might be concerned about a lot of different things. For example:
They may worry that you are not ready.
They may be sad because they will miss you.
They may think you shouldn’t leave home until you are married or have bought a house.
They may be concerned about the people you have chosen to live with.
Reassure your parents that you will keep in touch and visit regularly. Try to leave on a positive note. Hopefully, they are happy about your plans and support your decision.
Tips include:
Don’t make a rash decision – consider the situation carefully. Are you ready to live independently? Do you make enough money to support yourself? Are you moving out for the right reasons?
Draw up a realistic budget – don’t forget to include ‘hidden’ expenses such as the property’s security deposit or bond (usually four weeks’ rent), connection fees for utilities, and home and contents insurance.
Communicate – avoid misunderstandings, hostilities and arguments by talking openly and respectfully about your concerns with flatmates and parents. Make sure you’re open to their point of view too – getting along is a two-way street.
Keep in touch – talk to your parents about regular home visits: for example, having Sunday night dinner together every week.
Work out acceptable behaviour – if your parents don’t like your flatmate(s), find out why. It is usually the behaviour rather than the person that causes offence (for example, swearing or smoking). Out of respect for your parents, ask your flatmate(s) to be on their best behaviour when your parents visit and do the same for them.
Ask for help – if things are becoming difficult, don’t be too proud to ask your parents for help. They have a lot of life experience.
Not everyone who leaves home can return home or ask their parents for help in times of trouble. If you have been thrown out of home or left home to escape abuse or conflict, you may be too young or unprepared to cope.
If you are a fostered child, you will have to leave the state-care system when you turn 18, but you may not be ready to make the sudden transition to independence.
If you need support, help is available from a range of community and government organisations. Assistance includes emergency accommodation and food vouchers. If you can’t call your parents or foster parents, call one of the associations below for information, advice and assistance.
Your doctor
Kids Helpline Tel. 1800 55 1800
Lifeline Tel. 13 11 44
Home Ground Services Tel. 1800 048 325
Relationships Australia Tel. 1300 364 277
Centrelink Crisis or Special Help Tel. 13 28 50
Tenants Union of Victoria Tel. (03) 9416 2577
Try to solve any problems before you leave home. Don’t leave because of a fight or other family difficulty if you can possibly avoid it.
Draw up a realistic budget that includes ‘hidden’ expenses, such as bond, connection fees for utilities, and home and contents insurance.
Remember that you can get help from a range of community and government organizations.
(source)
Keep me updated? xx
cdream got kicked out of the vriska poll (characters who have a shit ton of discourse for being morally grey) because............. he had too much discourse
ITS GREAT LAKES AWARENESS DAY!!!!!
On this excellent day, be aware that this is the largest group of freshwater lakes in the world, covering over 95,000 square miles and reaching depths of over a thousand feet. They are beautiful freshwater seas.
Also when you die in these lakes, the very cold, oxygen-poor conditions at the bottom preserves you perfectly for all eternity. You will not rot and nothing will eat you. You will exist for as long as the Great Lakes do. Many shipwrecks still have the crew on board. Be Aware.
You’re a renowned portrait artist, painting portraits for politicians, celebrities, you name it. Late one night, there’s a knock on your door. A nervous young man stands outside, pale, with elongated canine teeth. He’d like a portrait. Hasn’t seen his own face in over a century.
I fucked up making my blog 6 years ago and didn't notice, and now it's too late to fix. My actual main blog is here: mathematicalfelony
53 posts