starstuff and music notes

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.

Bringing children to the antigovernment blockades that have immobilized downtown Ottawa and shuttered border crossings is among the activities that could net protesters a $5,000 fine or five years in prison while Canada is under the national Emergencies Act.

The same punishment would apply to anyone participating in the protests directly, or bringing aid such a food or fuel to those involved.

Found this in the original post tags and I just… SIGH

Here’s the thing, anon. Squick isn’t just ‘I don’t like this’, it’s ‘I think this is gross and it makes me deeply uncomfortable but I pass no judgement on those who enjoy it, because I acknowledge that everyone is different and those same people may have the same visceral reaction some of the things I enjoy’ and was originally made popular in the kink community.

So yeah, if you want to say that every time you come across a trope or whatever you find icky then go ahead, say that every time.

Squicks are things I find personally gross but may not be gross to someone else. They don’t upset me or provoke my PTSD, they simply do not pop my corn. Example: Omegaverse. I don’t like it, it makes me uncomfortable and I’m not going to read it, but if you like it, you do you.

Triggers are things which directly provoke my PTSD. This means that my triggers may seem completely normal and innocuous to someone else, because my triggers are so personal and intrinsically linked to a specific event in my life. My reactions to these triggers can include panic attacks and flashbacks to this traumatic event. Sometimes being triggered can affect me for several hours or even days.

If we encourage everyone to lump things that just make them slightly uncomfortable or simply aren’t to their taste in under the word “trigger”, it actually dilutes the meaning of the word. It makes it harder for us all to, for the most part, collectively agree on and understand what exactly is being described when the word gets used.

And that destruction of shared precise definitions is a problem! It is really useful to have the communal language to be able to clearly and quickly delineate between “this grosses me out, no thanks” and “this is going to set off a trauma episode, rattle my brain, and probably throw off the rest of my day/week as a result” while also maintaining your privacy, and to know that you will be understood in what you are saying. Not having it is actually detrimental to the effort of making our communities safe and navigable for people living with trauma. Which is a goal that is much more important to me, personally, than the idea of not being “cutesy” (a word which in this case which sounds a lot like it’s being used as a euphemism for “cringe”).

(See also [and paraphrasing a bit here]: “When I became as much a ‘grownup’ as I intend to become, I ‘put away childish things’ and gave up the fear of childishness* and the the desire to be and/or seem Very Grown Up.” [And also, see the rest of Lewis’s pertinent quote, where he doesn’t mince words about what he thinks of people who use the term “adult” in critique as a term of approval.])

controversial opinion: but they should, i guess

There are currently 400+ people in ICU’s in the province.

Also chronic health problems from Covid19 (”Long Covid”) effects people for months after being infected, even for those who are vaccinated.

There are also disabled and immunocompromised people who can’t get vaccinated and spreading Covid19 around because we’ve just given up is a death sentence for them.

Obviously this doesn’t apply to all people, but for some trans people they were fine being their AGAB until they weren’t.

I used to follow an enby who proudly identified as a woman for years before one day they just went “actually… it changed. I’m not vibing with that any more. I was a woman, but now I’m not and I’m ready to open a different chapter of my life.”

Sometimes people who are genderfluid don’t have fluctuating dysphoria, and just have a changing gender.

Sometimes non-binary people will find that their masc/femme alignment changes.

Sometimes people who were binary feel more non-binary, or oppositely binary.

But it's an experience that just isn't talked about and leaves a lot of detransitioned people feeling lost and alone, like they've been tricked or they're betraying the people who supported them or even that they're betraying the person they were. A lot of those people end up turning to transphobic communities, like radical feminism, to try to find reasoning behind their experiences and to understand why they've found themselves where they have, because they've been told by both cis and trans people that gender is static and unchanging.

Gender changes. Sometimes it's a slow change, that happens over years. Sometimes it's fast and you just suddenly realize "oh, that isn't who I am anymore." Sometimes you go through things that change your perspective of yourself, your identity, your idea of gender entirely. Sometimes you go through something that has left you unable to connect with gender or that has changed you on such a fundamental level that you are someone entirely different from who you were.

In the uncanny depths of the Hundred Acre Wood is the place where the great wizard Christopher Robin plays. If you are fool enough to enter, you will find the enchanted place where he first came into the fullness of his power.

The great wizard is accompanied by Eeyore, a donkey of great power As well as the famous Kanga and that which is called Roo. We shall not speak of Tigger. There is also Rabbit, and Piglet, a mighty duo feared across these lands, and, of course, there is Owl, also known as The Silent Feathered Death. But the greatest of them all is Winnie the Pooh.

God:  Where’s the Sheepkeeper?

Cain:

Just like the anti-Vietnam War protest songs that we associate with the 1960s, or the early nihilism that spawned punk music in the 1970s. But he didn’t *sound* like a punk anarchist; he sounded like a country rock singer. When he released Born in the U.S.A. people completely misinterpreted (or possibly ignored) the lyrics in favor of the tone of the music.

Politicians used his music to promote their ‘Murica Yes! brand, and he had to literally explain that that was not what he was about. He’s over here asking when we’re going to have jobs and heathcare, not stanning the politicians who weren’t helping the people.

It was also kind of a big deal that he had an integrated band, because even as late as the 1980s music was still kind of segregated and MTV was straight up racist. They refused to play and promote black artists and then claimed that were no black artists in the first place. Michael Jackson’s record company had to threaten a boycott of their white artists to get MTV to play his Thriller video.

Plus, the first black/white interracial kiss on TV was in 1968 (OG Star Trek). Also it took us until the 70s to get sympathetic gay characters on screen, and the 90s to get gay characters to kiss onscreen. And all of those firsts were met with outrage.

So keep that in mind when you see Bruce Springsteen not just playing with an interracial band, but engaging in an interracial, gay kiss on stage repeatedly.

https://www.gq.com/story/this-fucked-me-up-bruce-springsteen-singing-about-clarence-clemons

It was a story where… we remade the city. We remade the city, shaping it into the kind of place where our friendship and our love for one another wouldn’t have been such an exceptional thing. - Bruce Springsteen

It wasn’t about showmanship or rejecting bigots or anything it was just. Damn right that was one of the loves of his life and damn right he was going to kiss him onstage

It gets me a little that Bruce has had a divorce, that he’s been married twice, but he loved Clarence for the rest of Clarence’s life and will presumably love him the rest of his own

Clemons said in one interview. “Bruce and I looked at each other and didn’t say anything, we just knew. We knew we were the missing links in each other’s lives. He was what I’d been searching for.” In another version of the story, Clemons says “He looked at me, and I looked at him, and we fell in love.”

I’m having some emotions about it!

“He was elemental in my life,“ Springsteen adds, “and losing him was like losing the rain.”

Not just! I love you pure and deep and true but! I am going to love you like that in front of the whole damn world!

We have fewer narratives about taking risks and making statements for platonic love rather than romantic and supposedly it would be easier to downplay this onstage than romance and! They refused! They fucking refused! In front of hundreds of thousands of people, over the course of years! In the spotlight, in word and deed, I love you!