Joyless Buzzkill Dropping In With A Hot Take Here But I Fucking Hate The Ron Desantis Is An Omega Meme.

Trans women who have had surgery still need to visit the urologist, not the gynecologist, because the former is familiar with our surgeries and the latter is not. You need to stop lying and spreading misinformation which could get someone killed.

Wow, everything you said is completely wrong. So it's very funny that you think my 'misinformation' is going to 'get someone killed'. That hyperbole is fear mongering and also that's just a really aggressive way to speak to a complete stranger. Especially to accuse me of 'lying'.

So let me clear up your misunderstandings.

Firstly, urologist specialize in the urinary system, which include the bladder and kidneys and also the uterus. They aren't like the male version of gynecologists. For example, urologist treat organ prolapse, where the bladder, uterus, or colon "fall" into the vagina, or will treat fistulas, especially bladder fistulas. (Which is a hole connecting the bladder and vagina.)

Secondly, Vaginoplasties are preformed by reconstructive surgeons not urologist or gynecologist in the vast, vast majority of cases. Also, vaginoplasties are not a trans specific surgery. Severe vaginal injuries, such as those caused by childbirth or disease, are also treated with a vaginoplasty.

It's laughable any ol' off the shelf urologist is "familiar" with the surgery. Plenty of doctors still refuse to preform even the simplest trans-specific healthcare 'because it's not a usual part of their practice they are comfortable preforming' let alone complex reconstructive surgery.

But my original comment wasn't about vaginoplasties, it was about checking the cervix for cancer.

So, thirdly, trans women aren't the only women with neo-cervixies. In addition to the above, people who have undergone hysterectomies of one kind or another often have a neo-cervix as well. Or, for example, if someone has cervical cancer, and needs their cervix removed, they give that person another cervix.

Because the cervix is a very important part of that set of anatomy. It keeps the uterus and other organs from prolapsing (just falling out) and is also something of a barrier that keeps junk out of the uterus. And if you don't have a uterus, it keeps junk out of the abdominal cavity.

The procedure to check a cervix for cancer is the same regardless of if its a neo-cervix or a cervix-cervix.

Meaning, gynecologist are also familiar with the cervix aspect of a vaginoplasty. As well as the rest of the vaginoplasty. Because they treat people who've had vaginoplasties. So, you know, it's perfectly normal to go see a gynecologist to have your vagina looked at.

A basic pap smear is actually simple enough it can be done with an at home kit (though if anything needs to be biopsied they'll need you in the stirrups for that).

So uh, recommending you see a gynecologist for a vaginal specific issue isn't horribly dangerous misinformation, it isn't even misinformation. It's a perfectly normal thing to do.

If a surgeon made you a vagina, that surgeon should tell you what vagina problems to look out for, what health screening you need, and what specialists you should have preform those tests for you. They'll also likely be able to refer you to someone trans friendly if needed.

Getting an at home pap smear test from a general practitioner is not a big deal. There's no need to see a urologist for that. If you need your neo-cervix biopsied there's no reason not to go see a gynocologist since trans women aren't the only ones with neo cervix.

And also most urologist offices aren't going to have speculums and stirrups.

Trans health care is not some big secret only select medical disciplines are let in on.

A general practitioner can prescribe hormones and keep you up to date on the tests you need for that. A plastic surgeon with experience is going to preform the surgeries, MtF or FtM. A general practitioner can send you home with a pap smear kit, or preform one in the office, even. A gynecologist can look at your vagina, because it's not a special or trans exclusive vagina. A urologist can look at a urinary tract or bladder infection or what have you.

Acting like trans health care is some super secret complicated thing is transphobic. That's something transphobic doctors say as an excuse not to treat trans people.

A friend of mine had a complication develop after surgery and needed a local urologist to fix it. The long term fix was surgical, but the urologist could have drained the painful mass that developed while she traveled to see her surgeon. But he refused. So did the doctors at the Emergency Room.

So she got to enjoy a very painful very long very bumpy bus ride from her rural college to the city where her surgeon was so he could take care of it for her.

YOU'RE the one who needs to 'stop lying and spreading misinformation' because your misinformation perpetuates the excuse transphobic doctors use to avoid treating trans people at all.

It is not a trans need to have a painful surgical complication corrected and it is not complicated to drain an abscess. But that doctor refused her, not because the abscess was caused by an unfamiliar surgery, but because she required that surgery because she was trans.

You are telling trans people that our medical needs are complex and overwhelming and scary. That's discouraging. And it's just not true.

Urologist don't have exclusive rights to vaginoplasties. Urologist aren't extra familiar with trans women's health needs. The cervix isn't part of the Urologist's specialty.

Calm down. Going to see a gynecologist for a pap smear isn’t going to kill anyone. And the gynecology field as a whole is making an effort to be more welcoming to trans women because it’s perfectly normal for trans women to see a gynecologist.

Branka is part Newfound land, and I often say her favorite dogs are people.

She’ll walk by dog’s barking and lunging at her on the other side of the street and just give them a glance. She notices a person watching her, she looks at me (to see if I’m paying attention), then looks at the person, wags her tail, and does it again. I ask her, “Want to say ‘hi’? And we go say ‘hi’.”

This doesn’t happens as much anymore now she has cataracts. But she’s thrilled to death when I walk her over to someone she hasn’t yet noticed.

The best doggy

I won a book from a contest at my library. I have dyslexia and they were able to get an audio book for me. Ella Enchanted was the book I picked. I still sometimes listen to the back half when I'm having a rough time.

Do you ever think about how hostile todays world would be for Ella (Enchanted) what with modern advertising? Adblockers MANDATORY lest she enter financial ruin. She couldn’t drive down the road without horse blinders on. I think about it all the time.

Also she’d have to get Mandy to vet all music for her. I feel like she’d just do a lot of movie soundtracks and classical.

Yeah, they never really get into how music with lyrics works for her, do they? I mean, she lives in a world without recorded sound, and medieval(?) music wasn't known for having as many imperative phrases as the modern sort often does.

We know she can resist commands directed at other people that she happens to overhear- the part when she reflexively fastens her mother's necklace around Hattie's neck and then realizes the order was for Olive -but so many songs are just directed at the generic listener.

Would she be stuck with flu symptoms from inability to lick Cardi B's neck, back, etc. until someone came in and countermanded WAP for her?

Two sickly, elderly male macaws paired together in the study had scarcely seen another macaw in their lives, yet formed a deep bond—dancing and singing enthusiastically together through the screen and calling “Hi! Come here! Hello!” whenever one or the other moved out of the video frame.

Guys I'm crying, technology brings disabled people AND parrots together. This is so great.

"A few significant findings emerged. The birds engaged in most calls for the maximum allowed time. They formed strong preferences—in the preliminary pilot study, Cunha’s bird Ellie, a Goffin’s cockatoo, became fast friends with a California-based African grey named Cookie. “It’s been over a year and they still talk,” Cunha says.

"According to Kleinberger, the types of vocalizations the birds used suggested they were mirroring the call and response nature they engage in in the wild—“hello, I’m here!” in parrot-speak."

(courtesy wolvendamien at Bluesky)

I did not know just how bad a deal this was until after scrolling past the poll, which is very fae. Anyway, my first thought was that a foot bone would be a decent one to lose.

Also there are no rules against doing the switch in an ER lobby.

Upon reflection, I wonder if the money being transferred immediately would fuck up my medicaid.

I saw this question posed on tiktok, but I think Tumblr would really enjoy it too.

If a fae creature offered to give one million dollars for a bone chosen at random, how many bones would you allow them to take?

Light clarifications; The fae is not the one choosing the bones. The bone is taken at random. Each bone, no matter the size or importance, is worth a full million dollars. You must also declare the exact number first, you can't go bone-by-bone. You either say 2 or you say 10, you can't work your way up to a higher number. The bones are removed instantaneously, and the money is given immediately as well. You will not get in government trouble for acquiring the money.

Tell me in the tags/replies how many bones you'd let the fae take. And as always, reblog for bigger sample size.

a VERY funny take on book 1 would be that up until Holly’s capture, Butler saw Artemis’ desire to kidnap a fairy and ransom them for gold as like, the 12-year-old equivalent to how Angeline had sunk into a fantasy world to avoid confronting the fact that her husband was most likely dead. The eventual failure of Artemis’ mission (in Butler’s eyes) would bring catharsis and usher in the healthy realization that it was time to move on, and although this was on track… BOOM they get mind-boggling lucky and run into holly, suddenly its_all_frighteningly_real.png, and Butler is embroiled in an inter-civilizational conflict that leads to him having to melee fight a troll at 2 am

The best order to watch Half Life 2 speed runs is this Dev Commentary fallowed by the AGDQ run with it's beautiful, beautiful commentary.

I’m with you Dev’s how is this guy getting shot in the face but not taking any damage? How does he just walk into walls?

Comment section: “Well clearly he's a boat and also a zombie and also doesn't exist,"

Hmm, no, that’s not helpful. But I am intrigued.

I was planning to cast my uterus in glass once I’m finally able to get my hysto, but if anyone wants to pay for my surgery $14k they can have it instead.

Vaspider, I'm scared.

Honey, we’re all scared. Courage is turning your fear into a weapon. I’m afraid, and I use my fear to fight. Use your fear as a weapon. Turn your anger into a blade. The forging of that weapon may take time, but work on it every day. Every day, sharpen your fear. Turn it into a blade. Use it for attack or defense, but make a blade of your fear.

do you ever read a ‘callout post’ where the summary on top is like ‘they EAT BABIES and RUN A COFFEE SHOP FOR MURDERERS and they HATE GAY PEOPLE’ and then you scroll down and actually read the post and it’s like, they posted about lamb chops once, they work at starbucks and one time someone who killed someone had a coffee at that starbucks, and they made a ‘fruit (derogatory)’ joke once