ASTRO BASICS

This list includes doctors in the United States, Australia, Canada, and Europe!

Even if you're not the target demographic, please share for any of your friends who may be.

And if you or someone you know would like to be added to the list, there's a place for that!

Attn: People With Cervixes!

When was your last Pap smear?

Because I am tired of seeing young people (think 40 year olds!) die horribly of an almost completely preventable disease, and I haven't seen the obligatory Tumblr PSA about it, so I'm making my own.

1. CERVICAL CANCER IS REALLY BAD

Cancers that have a good prognosis are usually cancers that can be caught early--like skin cancer, which is easily seen, and therefore usually treated very early. Cervical cancer does not give you symptoms until you have very advanced disease, which means unless someone is regularly testing your cervix, you will likely not be diagnosed early. More than half of people diagnosed with cervical cancer present with advanced disease. 75% of them will be dead within 5 years. For comparison, when caught in the earliest stage, there is a 90% 5 year survival rate. Treatment for those diagnosed is chemo and radiation, and believe me, those are not fun. If you do happen to be in the lucky 25% of survivors, if your cancer comes back, you have an 85% chance of dying within a year. Also! We think of cancer as something that happens to old people, but the average age of diagnosis for cervical cancer is 50.

2. WHO GETS CERVICAL CANCER?

Cervical cancer used to be the most common cause of cancer-related death in women in America, but at this point it's basically a disease of People Without Pap Smears--developing countries, immigrants, low socioeconomic status, BIPOC, rural communities, LGBTQ, etc.

3. HOW DO PAP SMEARS SAVE YOUR LIFE?

A Pap smear is a screening test for two things: HPV, and your cervical cells. HPV is the most common sexually transmitted disease in the world. Literally half of the people in America have some strain of HPV on their body. Most HPV infections go away on their own (in people with healthy immune systems), but some strains are Very Bad, and some people are just Very Unlucky, and the HPV starts causing your cervical cells to turn cancerous. 91% of all cervical cancers are caused by HPV. So a Pap smear looks to see if your have HPV, and if so, is it one of the bad ones? And also, do you have any cancerous cells hanging about in your cervix? And! It takes 10-30 years for HPV to turn those cells into cancer, which means you have a really really long time to catch it before it becomes cancer and cut those pre-cancer cells out!

4. WHAT ABOUT THAT VACCINE?

The thing my dad said I shouldn't get because it might make me a slut. Yes! There is an HPV vaccine! You should get it! It protects you against the nine most common cancer-causing types of HPV. It's recommended starting at age 11, and you can get it up to age 45 now! (It used to be 26, but as of 2020, it's now extended.)You can get it from most primary care doctors, or from Planned Parenthood, CVS, Walgreens, etc. If you get the vaccine you still need Pap smears.

5. I HEARD YOU CAN ONLY GET THE VACCINE IF YOU'RE A VIRGIN

Fake news. While the vaccine does not treat old infections of HPV, it does prevent new ones, so while the benefits are theoretically decreased in those who have already been sexually active, it does not mean you will not benefit from having it!

6. WHO GETS PAP SMEARS?

Everyone with a cervix starting at age 21, until you lose your cervix or until you're 65. You should get them every 3-5 years (depending on your exact age and what test your doctor does).

7. BUT I GOT THE VACCINE

Nice! You still need Pap smears.

8. I HAD ONE AND IT WAS HORRIBLE/I'M SCARED OF THE EXAM

Talk to your doctor about this in advance! Good gynecologists (and other providers) will work with you to minimize discomfort as much as possible. They can use a small speculum and lots of gel, prescribe anti-anxiety medications to take in advance, and some people will even use numbing creams and/or laughing gas.

9. BUT I DON'T HAVE/CAN'T SEE A GYN

Most primary care physicians can do them! So do a lot of urgent care centers!

10. BUT I'M A LESBIAN

HPV can be transmitted through oral/genital contact, hand/genital, and even hand-to-hand-then-genital, so you still need Pap smears.

11. BUT I'M A VIRGIN/ASEXUAL

You still need Pap smears. HPV can be transmitted not just through penetrative sex, but also through oral/genital, hand/genital, and hand-to-hand-then-genital, and also 9% of cervical cancers are not caused by HPV.

12. BUT I'M A TRANSGENDER MAN

If your cervix was removed, then congrats! You do not need Pap smears. Otherwise, unfortunately, you are still at risk for cervical cancer and need to be screened.

13. BUT I'M A TRANSGENDER WOMAN

Neovaginas do not need Pap smears! Congrats! Consider getting the vaccine, though, to prevent spreading HPV to others.

14. BUT I'M A CIS-GENDERED MAN

Congrats! You do not need Pap smears! You should still consider the vaccine though, not only to prevent the spread of HPV to others, but also because HPV causes 50% of all penile cancers as well.

In summary: please please please go get your pap smear. Go get vaccinated. The spread of HPV can be prevented, and cervical cancer can be caught and treated before it even becomes cancer.

DON'T FEAR THE SMEAR

Lately, I’ve noticed It’s getting harder to find every Aleka’s Attic song online. So I made this shareable folder on drive with every song (officially released and unreleased) that we got the chance to find back in the day (x)

Literal definition of spyware:

Also From Microsoft’s own FAQ: "Note that Recall does not perform content moderation. It will not hide information such as passwords or financial account numbers. 🤡

book recs masterpost

an ever-updating masterpost of books i've recommended. please check these before you ask for recommendations in case they've been covered —

fiction

"the tragedy still happened, but it was important that the love was there"

japanese literature

korean literature [1], [2]

gothic writing

spooky adult horror gothic

some favourites

marathi books

some ruskin bond

indian fiction [1], [2], historical fiction, stories, [3], [4]

non-fiction

general assorted ones i like

some favourites

about people living through crises

on geopolitics, foreign policy, international affairs

on political philsophy

vaguely sociology

biographies

on economic history

on the silk route

on prisons, convict labour

on afghanistan, soviet invasion, terror

capitalism

on language and linguistics

on the ancient and prehistoric world

just a bunch on india

the indus valley

indian aestheticism, art

gupta empire

sangam literature

on the northeast

india and southeast asia

nur jahan, mughal women | more

islamic conquest and state-making

on kashmir

assorted nonfiction

colonisation and aftereffects

on nationalism

on cities

on mumbai

on bollywood in bombay

on cities

on delhi

on kolkata

essays

history, migration, labour

art, reading, travel, gender, sports

nature, climate, some history

political economy, environmental and urban history, cartography and space

my comfort books

light reading

books that have got me out of my slumps

on art, photography, aesthetics, design [1], [2], [3]

on the environment

just some story and essay collections

sorry if you've already answered this 700 times, in which case totally feel free to ignore. but how do you lengthen your attention span? is it as simple as watching/reading progressively longer things?

First of, I am by no means an expert, but I'm happy to help as much as I can! There are a lot of great articles, books, and podcasts on the topic if you want any further info.

The most important thing to realize is why are attention spans are getting worse:

Information overload and distractions make it difficult to focus. (Ex. social media and text notification going off while you are doing other tasks)

Intentional multitasking gets your brain used to doing more than one thing at once so it becomes very difficult to make it do only one thing (Ex. having the tv on in the background while doing other tasks)

Consuming a lot of media focused on having minimal downtime and immediate gratification decreases our patience and ability to do slower tasks (Ex. watching a lot of action packed movies and short TikToks)

Getting constant small hits of dopamine from social media decreases our ability to do tasks that don't give us dopamine hits (Ex. getting likes from a post or messages from friends)

The solutions to most of these come down to two things: (1) Do only one thing at a time (2) Limit distractions from that task (3) Reduce immediate gratification

So some example of ways to do that would be:

Read a book without your phone being on hand to distract you.

Watch TV without multitasking.

Reduce time on social media, especially social media focused on short videos.

Spend a day or part of a day without technology.

Spend time with friends without looking at your phone.

Watch slow-form content like unedited lecture or panel videos where people are just speaking at their normal pace without cutting pauses.

Listen to music albums all the way through instead of shuffling and skipping.

Eat meals without multitasking (ie mindful eating)

Make yourself a cup of tea and sit on a park bench or by the window and watch some birds.

People-watch at the coffee shop.

Write long emails or letters to friends and family instead of short texts.

Call and have a conversation with a loved one without multitasking.

Meditate.

Take a walk and enjoy nature.

Don't scroll through your phone while waiting in a line.

Read long posts when you come across them on your dashboard.

Have an ebook on your phone to read whenever you would normally scroll through social media.

Don't go on your phone/online for a certain amount of time before bed.

If you are having trouble doing these things, try to do one tasks but increase the stimuli of that task. For example, read a book while listening to the audiobook at the same time. Or listen to music while watching a lyric video. These are great baby steps!

Another great baby step is (like you said in your question) doing things for progressively longer amounts of time! Set a timer for a certain number of minutes and then read without distraction for that amount of time. That way it won't feel like it is never ending and you can track your progress.

Obviously not all of these will be for everyone and some of these are too hard for people with ADHD or serious attention issues, but they are a good place to start!

I hope that helps 💕

Alternatives to Harmful Crisis Lines

What’s the issue with mainstream crisis lines? 

In January 2022, an article came out that exposed the fact that the Crisis Text Line was selling personal data to for-profit companies. The Trevor Project also was mentioned in this article for sharing data with Google and Meta. 

They aren’t the only crisis lines with issues: this article that also came out in January 2022 talks about how the National Suicide Prevention Lifeline is ignoring the testimony from their Lived Experience Committee about stopping involvment with cops, and is working with the Federal Communications Comission to try to get permission to use a newer type of mass surveillence technology during their calls. 

Quote from the article: “Basically, Vibrant/NSPL argued that everyone who calls, texts, or chats through the new 988 number should have their personal information and exact current geolocation to within three meters exposed to NSPL call centers automatically, immediately, and by default.” 

Beyond these ethical issues around data collection, a huge problem with almost every single crisis line is their policies of “active rescue”: basically, what this means is that crisis lines will track your location and send police to your location if they think you’re at risk of harming yourself. This happens hundreds of thousands of times every single year. This is extremely dangerous, especially for Black people using these lines. There are examples of people being shot because of calls made to hotlines where police showed up. Police showing up also leads to forced psychiatric incarceration. I personally have had the police called on me twice through a crisis line that I thought was anonymous; they showed up, entered my room without my consent, and searched me without my consent. They literally made everything in that moment worse. 

If people want to learn more about the history of police involvment and crisis lines, here’s an article.

Avoid hotlines that call the cops: 

Crisis Text Line

Trevor Project 

National Suicide Prevention Lifeline

NAMI helpline

LGBT National Hotline

SAMHSA National Hotline

List of State Crisis Lines that all call cops 

Alternatives that do not share data or call the cops 

Pretty much every national and mainstream crisis line calls the cops. A general rule of thumb is that unless it specifically mentions that it doesn’t call the cops on their website, it does. I also haven’t done a ton of research on the data sharing side for the lines I’m listing below, but if anyone has any more info please let me know and I’ll update the list.

National: 

Trans Lifeline: 877-565-8860, 24/7

THRIVE: text message line at 313-662-8209, 24/7

Promise Resource Network: (833) 390-7728, 24/7

Project Return Peer Support Network: (888) 448-9777 English or (888) 448-4055 Spanish, hours are Monday through Friday 2:30 PM to 10:00 PM and Saturday and Sunday 10:00 AM to 6:00 PM

Wildflower Alliance Peer Support Line: 888-407-4515, hours are 7pm to 9pm Monday through Thursday and 7pm-10pm Friday through Sunday

Key Consumer Organization: 800-933-5397, hours are 8am - 4:30pm, Monday - Friday.

MBRLC Peer Support Line:  877-733-7563, hours are 4 pm-7:45 pm every day. 

Check out this page for a directory of warmlines by state. These are much less likely to call the cops, but it’s good to check with each individual one about specific policies.

If anyone has more info, please add on!

meal ideas!

low energy ("do not ask me to do any prep work at all, so help me god")

mozzerella cheese wrapped in pepperoni ("pizza tacos"!)

hummus and pretzels or naan (putting the naan in the microwave for like 10 seconds...heavenly)

canned chili (with shredded cheese and sour cream if you have it! boom done!)

instant miso soup (warm and lovely!)

cheese and cured meat, olives, canned fish, crackers, dried fruit, or whatever easy "charcuterie" type items you like

alternate bites of apple and spoonfulls of peanut butter (mixing honey or chocolate chips to the peanut butter is my favorite)

a "deconstructed sandwich": bites of lunch meat, pickles, cheese, cherry tomato, etc (I love roast beef and white cheddar for this)

yogurt and granola or fruit

medium energy ("I'll boil water but don't ask me to chop shit")

boiled eggs and fresh veggies (put a little salt on top of the eggs for pizzaz!)

buttered noodles (take it up to level 10 and add roasted garlic; takes 30 mins in an oven, only one swoop of the knife required)

baked potato with toppings (I like cheese, bacon, broccoli, green onion, and sour cream)

quesadilla (add some canned beans, cilantro, or avocado!)

pot roast (requires a lot of time but not a lot of actual work. I love it with peas!)

cuban sandwich (bread, swiss, pickle, mustard, ham... my favorite thing to panini-ify by far)

pan-fried tofu with scallion sauce (this sauce goes well with everything and tofu is no exception)

pancakes or waffles! (I love mine with jam)

ham, pickle, and cream cheese roll-ups

fried eggs (with toast and lots of butter...so comforting)

fruit smoothie (bananas, frozen strawberries, yogurt...or whatever!)

I hate salad but could write essays on this copycat olive garden salad (throw it in a bowl! chopping required if you use onion)

spaghetti (controversial maybe but angel hair > spaghetti noodles)

pasta salad (olives broccoli fresh mozerella... those little mini pepperonis... yeah)

high energy ("I don't mind chopping some things up!")

stuffed shells with spinach

chicken and roasted garlic (oh my god.....one of my all time favorites)

beef tacos (I like mine with cilantro and onion, and when I'm feeling especially high energy I love a tomatillo salsa)

chicken alfredo

tom kha gai (a thai soup and my absolute favorite! you just need access to galangal)

lasagna! (freezes well and then boom! low energy meal for later)

pad thai! (not as hard as you'd think, as long as you have access to tamarind paste!)

potstickers! (this is a lovely group activity if you want to cook with housemates!)

rice and beans

bang bang shrimp (ogughfhgfuh I love it. you can also do bang bang tofu!)

minestrone soup (so many nice veggies!)

fried rice (put whatever you have on hand in there! broccoli, peas, carrot, and beef is my favorite combo)

broccoli cheddar soup

spring rolls and peanut sauce

skewers (such as beef, onion, zucchini, bell pepper... you don't need a grill, oven works!)

roasted turkey with garlic parmesean asparagus

pork chop with mashed potatoes

other tips:

whenever you think of a meal you'd like to make, take 3 seconds to google search it, take a screenshot of the image results, and put it in a "food ideas" folder. instant visual menu!

if you're on instagram, there are a bajillion different recipe accounts that post videos! a few of my favorites: jipsoon_kitchen, eatwitzo, cordandthekitchen, chungeats, tiffy.cooks, two_plaid_aprons

Here’s an invaluable writing resource for you.