this seems like a good chapter title to chapter ratio, right? and yes this is the entire chapter

❣ Chile in a Photography ❣
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@freakierthanthou
this seems like a good chapter title to chapter ratio, right? and yes this is the entire chapter

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ever since i was a little girl i knew i wanted to put no effort into my appearance
moral scrupulosity ocd affirmations compilation
they should breed dogs that bark at 1/5th volume and with a deep and soothing resonance that calms the nervous system
Real thing that changed how i write: I started asking "what does this character think is wrong with them" and separately "what is actually wrong with them." Those two things are almost never the same. She thinks she's too much. She's actually terrified of being too little. He thinks he's bad at commitment. He's actually just never met someone he trusted enough. The gap between their diagnosis of themselves and the real thing, that's your character arc right there. you don't have to explain it. just write both.

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The reason why McConnell is currently ambiguously dead is because KY law was recently amended to state that a vacant senate seat must be filled by a special election, but previously, the duty to fill a vacant senate seat was by appointment of the current governor. The present KY gov is a Democrat, and has the means to challenge the special elections rule in the state supreme court, under the argument that it is unconstitutional to governor's power as outlined in the KY state constitution. So given the risk of a Dem appointee who would become an incumbent to challenge, or a special election race in the middle of the Mamdani Endorsement DemSoc run on congressional seats, McConnell will remain in quantum superposition between life and death until there is no longer a risk of his republican power being challenged.
Which... you know, really is life in the American Fascist Era in a nutshell: a questionably dead or dying racist lich refusing to reliquinsh the ability to make all our lives miserable
in a normal year I think we'd have talked more about the fact that recently there were 17 earthquakes in a single day apparently centred on Area 51
the "lol" does NOT inspire confidence here
If you're a new writer and you're asking yourself "is this too personal, is this too much, will people think this is weird" that feeling is the exact location of your actual voice. The stuff that makes you want to close the laptop is the stuff nobody else could write. The safe version is always worse. Always. I have never once read something and thought "this would have been better if it was a little less honest." go further. It's always go further.
I had a patient come in the other day because she wanted her IUD replaced. It was at the end of it's life and she loved having her IUD, this was her second one. My MA let me know that the patient was very anxious about getting the IUD replaced, she'd had painful experiences in the past with her other replacements and was dreading this visit for that reason.
I spoke with the patient and she was literally shaking with anxiety. I asked her to describe her prior experiences as well as what she liked about her IUD and what she didn't like. She said that she wished she didn't have to get it replaced so often, so I recommended we place a Mirena instead of just inserting a new Kyleena IUD. She was nervous about this because she didn't want an IUD that was big. I explained that the Mirena and Kyleena are essentially the same size but the Mirena lasts 3 years longer and would likely bridge her to menopause given her age whereas with the Kyleena she'd probably need another replacement to get there. She was okay with trying the Mirena.
I then talked to her about pain control during the procedure as this was what she was most worried about. I asked about her prior experiences and then laid out what I wanted to do to try and improve her experience during this procedure. I told her I planned to give her prescription strength ibuprofen, a heating pad, and a very dense anesthetic block in her cervix to hopefully make it a better experience. If she had had someone to drive her home I would've also given her an ativan because we have studies that show patients who report higher rates of anxiety surrounding a procedure also report higher rates of pain associated with it.
She was down for this plan. I gave her a very dense block, she only felt three small injections and then nothing else. She was shocked when I told her that her old IUD was out and the new one was in. She didn't believe me when I told her it was over.
I don't tell this story because I wanna brag about how amazing of a doctor I am because I'm not. I tell this story because this is the way IUD insertions SHOULD go and I want people to know that IUD insertions do not need to be traumatic. And I want other providers who may insert IUDs to know that a paracervical block should be your standard when it comes to IUD insertions.
When people find out I'm an OBGYN, complete strangers, acquaintances, etc. , the two things they like to tell me immediately are their horrible birth trauma story and their terrible IUD insertion story and I'm trying to at least make the latter one a little less common.
If you place IUDs and aren't doing a cervical block, you need to start. This should be the standard but over 90% of OBGYNs in the US aren't doing them and it's unacceptable. We are traumatizing people and it's entirely avoidable. We are scaring people away from one of the most effective and long lasting forms of birth control in a time when people are losing their ability to end unwanted pregnancies all for no justifiable reason.
"It takes too long:" No it doesn't, that visit took me 20 minutes with a highly anxious patient from start to finish.
"It's not worth it for such a short/small procedure." It's worth it for the patient.
"It's too expensive." You can do a paracervical block with just normal saline. You don't even need lidocaine if you use a generous amount of volume. And if you place Nexplanons I know you stock lidocaine in your office, stop being fucking cheap at the expense of women's pain.
"Patient's don't need it, they'll get over it." I'm telling you they do need it and they aren't getting over it as evidenced by literally everyone wanting to tell me about their terrible IUD insertion experience as soon as they find out I'm an OBGYN.
We should do better. The cervix has nerve endings, stop acting like it doesn't.
Make cervical blocks your standard of care, there's no excuse not to.
My buddy does EMLA before the cervical block, that seems to help reduce pain even further.
I do 20% benzocaine and my patients almost never feel any of the 5 shots ( I do tenac site and then 2, 4, 8, 10.) Buffering the lidocaine and warming it to body temperature makes it work super fast and not hurt at all during infiltration.
Also a block makes insertion easier. No reason not to.
It's wild to me how some providers accept levels of pain for things involving the cervix that would never be remotely tolerated with other things, like, say, dental work.
I have had people freak out and act like it was crazy that I once let a dentist give me a (very shallow) filling without novacaine. Yet it was less painful than itching a bad mosquito bite. The norm in dentistry is to give local anaesthetic before anything that might cause much pain, and use a numbing agent before the injection.
Rarely a dentist might offer to do something without anaesthetic like that one filling, but only if they really know what they're doing and think it's highly unlikely to be painful. And even then if you yell out, they'll stop and numb you if you want. 100% of the time.
I want this to be the norm for basic gynecological care too.
Not meaning to derail at all- because I agree from the bottom of my heart and ALSO have a traumatic IUD insertion story
But I'm pretty sure the reason novacain and even dentistry under sedation is the standard of care in detistry is because upset patients can bite thier dentist VERY easily and human bites SUCK. So I'm petitioning for vagina dentata to be real. We deserve it I think we should bring this risk of being bitten by unsatisfied customer's to practitioner's downstairs. I'm very pro biting in all situations
you are allowed to bring a friend to that procedure who's job it is to bite the doctor if they see you wince
When I got my IUD inserted, I did some research on the pain. The first result was a medical article saying that IUD insertions are painless. It was written and reviewed by several different authors, all of whom appeared to be cis, white men. The second result was a form of people who had experienced IUD insertion talking about how painful and traumatic it was.
Doctors don't do pain control for IUD insertion because they don't believe patients, especially women, when they say they're in pain. We should be a lot angrier about that.

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Text: Sometimes in the dead of night on the way to the kitchen for a glass of water, I see an extra door in the hallway, black and imposing.
It’s not a bad boarding house, as these things go.
We’re not allowed up to the fourth floor, for any reason – but I don’t blame the landlady for wanting her privacy.
Nobody but the landlady answers the strange willow-patterned telephone on the third floor landing.
We all lock our windows on full moon nights.
No couples are allowed, ever. Only single women and girls.
And sometimes, if you go down the hall to the kitchen late at night, there’s a strange black door that’s never there by daylight.
For some reason, it’s hard to get new lodgers to stay. I don’t know why. It’s a little strange, maybe, but the meals are good, Mrs Hallow the landlady is kind, and the rent is ridiculously cheap. I’ll take the strange black door and the phone that rings even when there’s no wire going to it over rats in the walls and cigarette ash in the food any day. My last boarding house was like that. I like it here.
I’d been living here for nearly two years when I lost my job working at the telephone exchange. It wasn’t my fault – they cut the night shift back, and one of the girls cut was me. Mrs Hallow told me not to worry – as I was an old lodger, she’d let me work for room and board while I looked for another job. She’s so nice, I don’t know why people say she’s creepy. It’s not her fault she’s so tall and thin, and her bones show through her fragile old skin.
I worked hard, wanting her to be glad she’d kept me. One of the jobs she gave me, since I was used to working nights, was packing lunches after supper. For the Night Gentlemen, she told me, but didn’t say more. Every night, I packed twenty lunches in twenty tin pails and filled twenty thermoses with strong coffee. I made sandwiches, and boiled eggs, sliced pickles and cheese, and packed a paper napkin into each pail. I was to have everything done by eleven, Mrs Hallow told me, for the Night Gentlemen came at midnight to collect their meals, and I should be in bed by then. By morning, the pails were all gone. By evening, they were all stacked neatly in the kitchen again, clean and ready to be filled. I never saw them come, but I supposed it must be while I was sleeping.
Then I started to worry that my lunches were dull. I baked cookies for the lunch pails, and pies and pasties. I put in different kinds of fruit and vegetables each day. The Night Gentlemen worked late hours, if they came for their lunches in the middle of the night. They needed to eat good food. I looked through Mrs Hallow’s old recipe books and tried new dishes, like german apple pancake and potato dumplings. Mrs Hallow was pleased, and said she would pay me a little wage in addition to my room and board, if I didn’t mind continuing. She was getting too old, she said, to make all those meals every night.
I had been working at the boarding house for nearly six months when I really messed up. I’d burned a whole batch of cookies to a crisp, so I had to start all over, and I didn’t have time to decorate them before evening. It was Valentine’s Day, and I felt so bad that I decided to stay up late to finish them. The Night Gentlemen didn’t come until midnight, so I had time… I thought.
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I don't understand how this is even a defence in the age of drone warfare.
Or even like... Cannon warfare.
Yeah, the Ottomans could have taken this in the fourteenth century.
One siege tower and that shits cooked
prev nailed it
If you're building defenses *during* a zombie apocalypse you gotta use what's on hand, but building this *before* a zombie apocalypse, this is a terrible choice. You'd be better off with a normal (very tall) metal fence, with metal bars that you can see between. Not only would that let your garden, solar panels and home get some FUCKING SUNLIGHT, but you could see and attack zombies through the fence with polearms. And it's easy to find and repair issues with the fence; zombies put a hole in one of these shipping containers (not hard if there's a lot of zombies) and repairs are a much bigger job. Also, you have to kill zombies that are now INSIDE YOUR WALLS.
These walls make the only avenue of attacking zombies shooting down from the walls and towers. Which massively reduces your attack angles, means you can't get any that happen to be attacking from a blind spot, and means that your defence is completely reliant on bullets. If the problem is zombies (which, traditionally, are not known for their marksmanship), this is an awful defence against them. A normal metal bar fence would be much better.
My favourite part is the water tank that's outside the walls.
i'm getting the sense some of you are not actually forklift certified.
well damn . egg on my face
THE PLOT THICKENS @averagejoey2000 explain yourself
I can't believe this is how I'm finding out that I got a scam forklift cert.
I took the cargo ops class at school but my teacher explained that it doesn't give a certification and I'd only be okay for ship's crane and the school forklifts. she said I could take an online exam and get my cert. I paid 60 bucks.
I'm googling and I'm seeing a lot of resources saying that the online programs cover the classroom part of the exam but not the in person practical aspect.
29 CFR 1910.178 (l)(2)(ii)
but I did the in person practical shit at school.
the back of the card even had fancy numbers on it. I couldn't have known that this isn't the one. this website sounded more official than certifyme.net, and there wasn't one with a .gov address.
so, I emailed OSHA, and they said that so long as I live and work in California, there's no such thing as forklift certification. I have to be told how to do it every time I get the job.
Update: I took a certification class in shipboard Material Handling Equipment at my federal job. *now* I'm forklift certified, but only on ships and piers and only for this company, but also rated to forklift explosives and hazardous materials. Also I'm a woman now.
The christian family in these memes (which are absolutely all over facebook these days) genuinely do always look miserable. Who the fuck is relating to these stock mormon farm cultists. That is a couple who made love only once in pitch darkness with bags on their heads then celebrated the pregnancy with a feast of uncooked potatoes and warm tapwater. The baby seems intrigued though. Maybe only by the bottle of pills??
Could not leave this in the tags <3
the awe on her little face, she just realized there is hope

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it will forever be a little insane to me how ilya rozanov, born and raised in russian, total jock/party bro, father-is-police-brother-is-police guy, somehow has never had an ounce of internalized homophobia in his body. canonically just saw being bi as an extra opportunity for hot sex. started experimenting with guys at 16 and simply never questioned it. and like yeah he’s a top but it’s also so clear that he does not see being a bottom as a demeaning or less masculine thing in the slightest. this man goes on to wear leopard shirts and booty shorts and flicks his hands gayfully and makes gay jokes at his jock colleagues and being tender with other men is like second nature to him and He’s actually the one to makes the ‘oh are you scared of being gay?’ ‘cuz I thought you might be gay when you were sucking my dick’ jokes.
this man this mannnn i want to pick his brain apart with a tweezer
this is CRITICAL to my ilya thesis. ilya consistently tries to care for his father and brother, but he's not making his life choices primarily to please them, because he knows he never will (probably has also benefitted from always having svetlana's voice in his ear saying "your father is an asshole who would have punished you either way"). my headcanon is that the post-draft gala scene is him finalizing this realization, actually: he has literally just been declared the #1 hockey player in the whole world and it's not enough for his father not to humiliate him in front of a whole room full of people and his new boss! it's painful but he's also just like "oh, yeah, wow, fuck this, i'm gonna live my new life. boston's nice, right?"
he feels like he has to go home and perform his duties as a son but he doesn't feel like he has to actually be the thing they want him to be because it's impossible.
I'm still thinking about the guy who saw me realize my wheelchair wouldn't fit in the elevator because he (also a wheelchair user) was already inside it and immediately quipped, "This elevator ain't accessible enough for the both of us."