JHSC dood

my journey to the OR was temporarily delayed because said anesthesiologist was bent at the waist, in hysterics, and took several minutes to collect himself.

* * *

Edit 10/13/22, since this post has broken containment:

Being trans is awesome, but transphobia sucks. If you are trans and need support, you can reach out to:

The Trevor Project's 24/7/365 Lifeline at 866-4-U-TREVOR (866-488-7386) or TrevorText, a text-based support option. 

Trans Lifeline at 877-565-8860

If you are not in need of support but want to help trans folx, I encourage you to donate your money, time, or other resources to one of the following organizations:

National Center for Transgender Equality (NCTE)  (advocacy)

Transgender Legal Defense and Education Fund (TLDEF)  (legal services)

Transgender Law Center (TLC)  (legal services and advocacy)

Sylvia Rivera Law Project (SRLP)  (legal services)

Trans Women of Color Collective (TWOCC)  (advocacy)

Black Trans Advocacy  (advocacy)

Trans Latina Coalition  (advocacy)

Gender Spectrum  (support for families, trans youth, and educators)

Gender Diversity and TransFamilies (support for families, trans youth, and educators)

Trans Youth Equality Federation  (support for families and trans youth)

TransTech Social Enterprises  (economic empowerment)

I struggle to make fandom friends on Tumblr, and sometimes I worry that it is because people in their 20s think they can't be friends with someone in their 40s. That I'm uncool, weird, cringe, intimidating, or just too different from them.

But things don't change as much with age as most think. Older people still are silly, awkward, overwhelmed, enthusiastic, confused, playful, irresponsible, obsessive, dumb, cool, horny, and all these other things young people think we stop feeling or being as we get older. We're just humans. I am really great friends with someone on here more than 20 years younger than me because we have so much in common! You can't tell that we're different ages when we chat.

And also—you can be friends with people who you do NOT have much in common with! Because fundamentally, you always have humanity in common.

Years ago, there was this lady in my community who was maybe 30 years older than me and who I knew was far more conservative than me. I dismissed her as someone I didn't want to spend any time with because she was obviously too different than me. But, I was forced to spend some time with her (long story), and guess what? I became really good friends with her! Because I found out I was wrong about all those things that made her different than me? NO! I was right about that—she was just as annoyingly conservative as I had suspected. BUT that wasn't the whole of her person. She was so much richer than that. There were lots of things I didn't know about her. A few of those things were commonalities, but overall, we still didn't have much in common—but that didn't matter. We could still be kind to each other, help each other, respect each other, even enjoy each other's company if we stuck to topics where we didn't clash too badly. I feel really bad for judging her, and I'm so glad I gave her a chance.

There's a lot of confusion about different "poxes" in this post (which wasn't my intention, and now I feel bad), so here's a general overview (also, obligatory apology for messiness, this was written at like 1 AM):

Smallpox:

Smallpox, caused by variola virus, was a massive problem historically. It existed in the Western hemisphere for thousands of years (genetic evidence of smallpox has been found in Egyptian mummies from ≈1500 BCE, but it was probably around long before then), and it was introduced to the New World during the Columbian exchange, which had devastating consequences for indigenous populations (which were already suffering from colonialist violence, which made epidemics much worse than they already would've been). Historically, smallpox had a case fatality rate between 30-50%, and survivors were often left disfigured or permanently disabled (you've probably seen pictures of smallpox scars, but smallpox can also cause blindness and other complications). Importantly, smallpox only affects humans—it has no animal hosts—which is why it's one of the few infectious diseases to have been completely eradicated. As of May 8, 1980, it officially no longer exists outside of certain designated American and Russian laboratories. (There are, however, concerns that it could be used as a bioweapon, which is why the government still stockpiles smallpox vaccines and antivirals. I wrote my bioethics term paper on this exact issue, and incidentally, it's one of the major reasons why I believe that STEM majors should take ethics courses!)

There were two strains of variola virus: variola major and variola minor. Variola major was much more dangerous, with a much higher mortality rate; variola minor typically didn't cause severe disease. Fortunately, infection with one strain conferred immunity against the other. Both strains are now eradicated. (People sometimes confuse variola minor with other viruses like cowpox and horsepox, but they're different things.)

There were four clinical forms of smallpox: ordinary (classic smallpox, associated with the rash you usually see in pictures), modified (less severe, often occurred in vaccinated people who got infected anyway), malignant (caused a flat rash instead of the usual pustules, associated with immune dysfunction, almost always fatal), and hemorrhagic (caused severe bleeding, and also near-universally fatal.) All of the non-ordinary forms could be difficult to diagnose because they looked so different from typical smallpox. The less serious "modified" form was often confused with chickenpox, and the hemorrhagic form was sometimes assumed to be a completely different disease. Occasionally, historical sources will refer to hemorrhagic smallpox as "black pox," with or without an understanding that it's caused by the same virus as ordinary smallpox.

Other relevant viruses:

Cowpox, caused by cowpox virus (an orthopoxvirus similar to smallpox) causes mild disease in cows, humans, and several other animals. Infection with cowpox virus confers immunity to variola—Edward Jenner noticed this relationship and used material from cowpox lesions to inoculate people against smallpox.

Vaccinia virus, another orthopoxvirus, is the source of the modern smallpox vaccine. It's closely related to both cowpox and horsepox (weirdly, it's actually closer to horsepox), but it's distinct enough to be its own species. Infection usually causes mild symptoms, and, of course, confers immunity to smallpox.

Chickenpox is an entirely different thing. It's caused by the varicella-zoster virus, which is a herpesvirus, not a poxvirus at all! Infection with varicella-zoster does not confer immunity to smallpox or any other poxvirus—chickenpox is from a totally different family.

So why are the names so weird and confusing? Why is everything about all of this so weird and confusing?

There are multiple reasons for this, so bear with me.

Historically, a "pox" was any disease that caused a bumpy rash of pustles/blisters. Chickenpox, smallpox, and the other "poxes" all cause superficially similar rashes—thus the similar names. (Even though we know now that chickenpox comes from a completely different family, this wouldn't have been apparent before the dawn of modern medicine.)

Smallpox was given that name to differentiate it from syphilis, which was known as the "great pox" when it first appeared in Europe. (Fun[?] microbiology fact: There are debates about the origins of syphilis, but the most common theory holds that it originated in the New World, and Christopher Columbus brought it back to Spain. In that way, it's kind of the inverse of smallpox.) Historically, smallpox was also known by a variety of other names in different European, Asian, and African cultures. Again, this gets murky, because historical physicians sometimes struggled to distinguish between similar-looking-but-different diseases.

Other poxviruses are often named after the animals in which they were first identified. This is not a hard-and-fast rule, though, and it can sometimes be misleading (for example, monkeypox virus was first discovered in laboratory monkeys, but it more often affects rodents and other small mammals. The disease formerly known as "monkeypox" was recently renamed "mpox" because the name wasn't accurate.) Also, some poxviruses aren't named after animals at all! It's a weird and inconsistent system (but a lot of virus names are kinda weird and inconsistent).

Related to the above: We don't even know where the name "chickenpox" comes from. I mean, we know it was called a "pox" because it causes a pox-y rash, but we don't know where the "chicken" part originated. There are multiple theories about this, none of which are definitive. The disease itself has nothing to do with chickens.

Basically, a lot of the weirdness is a result of historical naming practices—people identified and named these diseases before modern virology existed, and those names stuck, so now we have similar names for superficially-similar-but-ultimately-different viruses, and names whose origins have been completely lost to time. Later, virologists muddied the waters further by naming newly-discovered poxviruses after the animals in which they were first seen, even when these animals aren't natural hosts or reservoirs of those viruses. It's a mess! And, again, all of this is complicated by the fact that some of these diseases were very hard to diagnose (or distinguish from one another) before modern medicine existed. Now, we can sequence viral DNA and figure out what's actually going on—which viruses caused which symptoms, whether those viruses were closely related, and whether being infected with one disease conferred immunity to another—but historical doctors and scientists didn't have those tools, so they were doing they best they could with very limited information, and that led to a lot of weirdness in terms of how these viruses were named and classified. Our current system inherited some of that weirdness, so here we are.

TL;DR: Poxvirus names are messy. Smallpox is caused by variola virus, which has two strains: variola major (the more severe one) and variola minor (less severe). Cowpox and vaccinia are different viruses in the same family, and being infected with one of them confers immunity to smallpox. Chickenpox isn't a poxvirus at all, but a herpesvirus—it just happens to cause a pockmark-y rash that looks superficially similar to smallpox pustules (and mild forms of smallpox were historically confused with chickenpox).

(P.S. none of this is super relevant to the average person, so don't feel bad if you didn't know any of it. Unless you are a history major inventing new conspiracies about smallpox, in which case you definitely should feel bad.)

Sources & further reading under the cut!

art block is your brain telling you to do studies.

draw a still life. practice some poses. sketch some naked people. do a color study. try out a different technique on a basic shape.

art block doesnt stop you from drawing, it stops you from making your drawings look the way you want them to. and thats because you need to push your skills to the next level so you can preform at that standard

Write a description of an object. write the weather today. Write a made up characterization of a random photo of an actor from the internet as to the character they are in that picture. Write a little story about your pet’s day. Write about spilling soup and make it super dramatic and tragic. Write about someone’s day being ruined and make it funny. Write a meetcute coffeeshop AU of two OCs you’d never put together- maybe from different stories. Write them breaking up.

My orthodontist tells me I can make an appointment with the surgeon. I call the surgeon. They tell me I need a new referral. I call the orthodontist. They do a referral. I call the surgeon. Referral didn't come through. They tell me about their special unique system we have to use. I call the ortho again and walk them through the referral. I call the surgeon. They say the referral was missing some details so they have to do it again. I call the ortho.

The insurance company calls me about repair shops. I give them the name of the repair shop which I already gave them yesterday. They say they're not in their system but I can use them, but I have to call the repair shop to ask them to contact the insurance company. I call the repair shop and they say the insurance company is supposed to email them.

Because there is not a single dinosaur that has ever appeared in Jurassic Park.

Not one. Not in the books. Not in the movies. Not ever.

"Now what John Hammond and InGen did at Jurassic Park was to create genetically engineered theme park monsters." ~Alan Grant

Grant says that in a moment of cynicism. It's part of his arc for the film. But it's not inaccurate. What Jurassic Park has, what it's always had since the very first novel, are "Mostly Dinosaurs".

"And since the DNA is so old, it's full of holes! Now, that's where our geneticists take over!" ~Mr. DNA

It's impossible to recover a fully intact gene sequence from an ancient amber mosquito. Cloning a pure dinosaur would have been completely impossible, and so the park filled in the gene sequence with whatever works. Frog. Lizard. Bird. Whatever they need to get the result they are trying to get.

Every single dinosaur is a chimeric beast made up of mostly dinosaur and a bunch of other stuff that some scientists thought would achieve the appropriate dinosaur-like result.

"Nothing in Jurassic World is natural! We have always filled gaps in the genome with the DNA of other animals. And if the genetic code was pure, many of them would look quite different." ~Dr. Henry Wu

Which, from a writing perspective, is fucking genius. Because now you have a preset excuse for each and every plot hole your movie has.

Like. Why don't the raptors have feathers? Because of the chimera DNA.

Why do dilophosaurs spit venom? Because of the chimera DNA.

Why do T-Rexes have movement based vision? Oh, they don't. But Rexy does. Because of her chimera DNA.

Why is the Spinosaurus so fucking big? Because of the chimera DNA.

Why are the velociraptors mislabeled? Because Hammond's a dipshit.

The doctor scraped out a bit of earwax to have a better look inside.

I was sent a bill for $200 PER EAR for this 5 second procedure which I did not give permission for them to do.

That was key- they did not ASK me if they could do this "procedure". And, as I OWN a medical practice (it's me. The medical practice is me, sitting in my house on video calls) I knew to call them when this bill came in to be like "You did not obtain informed consent for this procedure, and it was not en emergency procedure. You had full ability to gain my consent and didn't. I'm not paying."

And the massive hospital who owned the bill said "yuh-huh you do have to pay."

And I said "I own a practice. I know these laws. I do not owe you money for this."

And they conducted an "internal review" and SURPRISE! Decided I totally owed them money and they had never done anything wrong ever.

And so I called my state's Attorney General office, and explained the situation because, as I mentioned, I know the law. The AG got in touch within a couple days to say they were taking the case and would send the massive hospital conglomerate a knock it off, guys letter.

Lo and Behold, today I have a letter where said hospital graciously has agreed to forfeit the payment.

"How not to get screwed over by companies" should be part of civics class.

Know your rights and know who to call when they're infringed on. This whole process cost me $0 and honestly less effort than I would have expected.

Civics class wouldn't help most people in this case because the AG will not take on all these cases and most people cannot afford an attorney in this instance or more importantly, the hit to their credit.

Were they going to get into a lawsuit over my $400 bill? No obviously not. But they printed up a letter on fancy letterhead to say to stop and it worked. They followed up with me the next day to be sure, and so ask how much money they had saved me.

They use dinky cases like mine to track habitual misbehavior of large scale companies to build cases they could actually go to court over.

And because people are shocked- I never spoke to the AG of my state directly. He operates mainly by overseeing a whole crew of people. And this is what those people do.

This didn’t happen because I’m special because of my tiny therapy practice.

This happened because this is what the AG office is for.

“The problem is systemic” doesn’t mean “and there’s nothing you can do”.

Then you've been trained well by "The System".

Yes, that System you say can't be fought? Where did you get that idea, huh? Who taught you that "small" acts of illegality don't matter? Who made you think that there's no point in fighting back because it will all come to nothing?

Might it be the same entities that benefit if you believe all that?

Gonna pause and let you ponder.

Never. Ever. EVER.

EVER.

Let companies or corporations or hospitals or organizations or any business big or small get away with screwing you over without a fight. Maybe you personally don't win every fight, but you lose 100% of the time you don't try. You'll win more often than you think you will. I know cuz I've done it.

So have others. Attorneys General offices bring lawsuits against businesses all the time. They do so because citizens contacted them to say "someone is doing a crime" and the crime doers did not stop when told and got into way more trouble than if they'd just stopped. FAFO. The Find Out can't happen if you don't even bother to report the Fucking Around.

On that note, as OP said, please know your rights! And, in a situation where you don't but suspect something is hinky, ask! The people of the internet can help! So can librarians! So can many others. Find out what is and is not okay for them to do. If it's not okay, report them! See something, say something.

Don't let the System win by default.

If you believe The System™️ is only for Them™️ and not you, it will only ever be so.