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a health policy paper has been published saying the name is officially updated to polyendocrine metabolic ovarian syndrome (PMOS)

polyendocrine= multiple endocrine factors

metabolic = affecting/affected by metabolism

ovarian = from the ovaries

essentially, instead of using the symptomatic term (many people with PMOS do not develop cysts) the new term widens the diagnostic area and makes it easier to diagnose, treat, and do research on people with PMOS (even atypical types, such as no cysts).

it may seem like a waste of time to change a name instead of focusing on research, but for a lot of medical professionals a name can be associated with a hard set collection of symptoms, so the name needs to change to acknowledge that the disorder is not well understood and has a broader, subtler, and often missed set of symptoms. for example ADD is considered an antiquated/unused term, and now comes under the ADHD umbrella. in healthcare names and terminology changes all the time, and this is a positive change. your local healthcare professional may not know about this unless theyre really up on the news though!

in case you want to read about the name change process that was published in the Lancet (one of the most impactful and well respected medical journals):

If it's something you don't want to do, then don't do it. Why should I be responsible for your feelings when I never asked for them in the first place?

Wine, perhaps you are projecting a little here too?

I dont care if 9/10 of the people who use the wheelchair ramp arent actually in wheelchairs. As long as the 1 person who needs it has access to it.

I dont care if 9/10 people who use the automatic push button on the library door can actually push the door open themselves. As long as the 1 person who the door is too heavy for gets to use it.

I dont care if 9/10 people who buy the can tab opener, or the little guitar clamp that holds the chords for you, or the hand grip that helps you hold chop sticks, don't need any of it and just get it to "be lazy". As long as the one disabled person who needs it gets access to it.

I do not care. Oh my GOD I do not care. As long as there's a disabled person on this planet who the accessibility device will benefit, the accessibility device is necessary.

We have got to stop using it to imply "malingering".

And yeah, the curb cut effect is great.

If you wait until your AC goes out to make sure you have enough fans, there will not be fans available for you to buy. If you wait for a wildfire, no one will have KN-95s for you to buy. They will all be sold out, especially as climate change makes summers more and more severe, and fire season longer and longer.

Other tips for keeping cool in extreme heat:

Do not ever leave a child or a pet in the car while it is off. Ever. Not "just for a few minutes," nothing. Kids have died from being trapped in hot cars in temperatures as low as 70 degrees F (21 C)

Especially if you live somewhere that doesn't typically get hot, make sure you own at least 2 tank tops and 2 pairs of shorts if at all possible. Thrift them or search them on Buy Nothing/something similar if you don't have them already. You will want the option

Cotton fabric evaporates moisture quickly and sheds heat fast. Cotton clothes are great for the heat for that reason, and if you're really desperate for relief, get cotton shirts/towels/cloths wet and either wear them or hang them up in front of a fan. The fan will blow the cooler, moist air throughout the room, cooling things down

Open windows and doors on opposite sides of rooms to create airflow

Hydration tablets and electrolyte drinks are magic for dehydration. You need to replace the salts you're sweating out. Salty trail mix is also great for this (you eat it on hiking trails for a reason)

Make sure your pets stay cool! Cold packs inside fabric can be really good for this (and for you!)

Most efficient place for a cold, wet towel to cool you down is the sides of your neck, your hands, and the soles of your feet (but NEVER put ice against your bare skin!)

Don't really expect anything of yourself between 1pm and 4pm - that is the hottest part of the day, and so it's the time you need to be the most chill (ba-dum tss). Movement creates heat (hence why you shiver, hence why exercising warms you up), so try to do as little as possible, and especially try to save errands and exercise until dusk

Many places now have heat shelters. Look them up in your area. The public library is often a spot for these, and if not, still a really good and FREE place to stay all day with AC

Plants cool things down. Standing on the grass will leave you measurably cooler than standing on the asphalt two feet away. Stay on plants, stay in the shade, and do what you can to add plants and green spaces to your area, to help keep it cool

If you live in a wildfire hotspot, try your best to get an air filter or air purifier now, because there will be none left by the time you need one

If you do end up near a wildfire zone: any smoke you can smell is smoke that can affect your lungs. Leave the house as little as possible. Duct tape the seams around windows and exterior doors to help keep out the smoke. And pack a go bag (change of clothes, toiletries, important documents, medications, spare food and water, essentials for pets or kids)

Know what heat exhaustion and heatstroke look like, and how quickly you are at risk. Particularly if you are chronically ill, have/had long covid, or are taking certain medications, you may get heat exhaustion really fast. (I've gotten it in literally 15 minutes flat. It does not need to take very long - if you're beet red and have a pounding headache, that may be heatstroke, take it fucking seriously.)

If you do have known issues with heat tolerance, consider carrying around a thermometer on hot days. Check your temperature if you start feeling "off", or routinely while in the heat. If you're running a fever, you're either sick or have heat illness, get the fuck out of the heat. (Be aware that for oral temperature, you need to have not eaten/drank anything in the last 15 minutes. Armpit will do in a pinch. I am not sure how well infrared works if you're in the "clammy" stage of heat exhaustion.)

If you already have heat exhaustion or heatstroke, fans and wet towels may not cool you down sufficiently. Cold drinks, icepacks, or a cold shower/bath are faster in an emergency - they cool you directly, rather than using sweat/evaporation to cool your skin. If you have limited resources to cool yourself, focusing on pulse points/big veins can help, like putting an ice pack on your neck or the inside of your wrist. Think like a vampire.

Cotton can be ok, but linen is better if you can get it. Polyester and other synthetics are typically fucking hot, avoid, avoid. Check your clothing labels - even "obviously" cotton things like t-shirts may actually be 50%+ polyester.

An adult human can only absorb about 1L of liquid per hour. Staying hydrated in extreme heat can be very difficult, because you may be losing more than 1L per hour. Using a timer to make sure you remember to drink can help.

If water suddenly tastes disgusting, check your electrolytes. Having emergency Gatorade (or similar) on hand can be helpful, because not only does it have electrolytes, but it tastes gross and sweet and chemical to most people who aren't low on electrolytes. No shade toward people who inexplicably like Gatorade on its own merits - but if it suddenly starts tasting way better than usual, take that as a sign. The rate at which people lose electrolytes through sweat varies wildly by person, even without chronic illness in the mix.

Know what discomfort and heat-related illness look like for your pets. Providing cool water and cool places to lay down is helpful. Panting is bad, but many animals are uncomfortable well before that point. (Mine usually start laying around on the coolest ground available and refusing to play around 80F. They are, however, extremely fluffy cats.)

Know what discomfort and heat-related illness look like for anyone you're responsible for, especially children and elderly people, who are more vulnerable.

Support and patronize your local libraries; they're an invaluable resource for anyone without A/C in this fucking world, in addition to all the other great work they do.

Watch Duty absolutely does do more than just SoCal - they’re expanding coverage as fast as they can and trying to build relationships with as many orgs as possible to expand that coverage not just geographically but technically as well. You can use the app to track firefighting aircraft, get timely updates on evacuation warnings and orders, track wind direction and see updated fire perimeters, watch fire cams, check AQI, and set it to notify you of any new fire in your area. They have live humans working as reporters monitoring fire and police frequencies and often have more up-to-date info than local news stations, and are a better resource for updates on firefighting progress than twitter used to be (a lot of fire departments and cal fire units stupidly provide most of their online updates through walled sites like twitter and facebook, and WatchDuty is a much better - less dystopian - way of getting that vital info).

Yes, because the Washington state government activated like a sleeper-cell and ruthlessly, systematically hunted them down and annihilated them.

“Y2K came to nothing amirite?”

Yes because an army of software engineers working around the clock, losing sleep, and busting ass till the last minute prevented it from happening.

“Remember the hole in the ozone layer?”

You mean the one that was fixed through rigorous world wide government action?

One of the root problems of our society is a refusal or inability by media to articulate that all those “it’s gonna be an apocalypse” disasters were not disasters because we collectively did something about them.

The good news is this is actually quite correctable. I maintain my firm belief that we as humans are capable of solving almost all of our problems, when we decide to do so.

And I still think that’s going to happen. I don’t know when or how, but I do know that abandoning hope won’t help bring it about.

Smut fans: *gasp!!!!!*

Writer: So They Spooned All Night And The Brooding One Allowed Themselves To Feel Vulnerable For The First Time In Years And The Chirpy One Got Some Quality Snuggles

There was only one bed and so they lay there together, only inches apart physically but it may as well have been miles for neither could muster the courage to tell the other the true depth of their feelings and so they lay there sleepless in their mutual pining

Angst fans:

Hurt/Comfort fans:

My sleep deprived ass:

Me, who just wants domestic curtains found family fic:

Enemies to lovers fans

My OT3-loving ass:

It turned out to be a defective Murphy bed and it trapped them in the wall.

Crack fic fans:

Thank you for the polytrix edits and other kpdh crumbs that you always share with us.

Life may not be where you thought it would be right now, and I know it’s tiring to hear this especially since I don’t know anything about your situation but I hope you stay strong. Please stay strong. I am here for you.

here's my little gift to you~

Mira had never liked birthdays. Not because she hated getting older. Not because she hated cake. She just hated the waiting. The waiting to see if anyone remembered. The waiting to see if anyone cared.

Back then, birthdays usually passed like any other day. Maybe a greeting from her family if they remember. A rushed “happy birthday” from someone who only knew because a calendar reminded them. She’d learned not to expect anything.

So when the clock on her bedside table blinked 11:59 PM, Mira was exactly where she always was on the eve of her birthday. Alone. Curled beneath her blanket.

She glanced at the time. 11:59. 11:59. 12:00. The day arrived quietly. No messages and no surprises.

Mira laughed softly to herself. Of course. She reached over to turn off her lamp. The door exploded open.

“WAKE UP, BIRTHDAY GIRL!” Mira nearly launched herself off the bed.

“WHAT THE!” Zoey came barreling into the room like a hurricane, carrying something lopsided and suspiciously on fire.

“MAKE A WISH BEFORE THE CANDLES MELT THROUGH THE CAKE!”

“ZOEY, WHY IS IT LEANING”

Behind her, Rumi stepped into the room. Much quieter. Much calmer. A little flour still dusted one sleeve of her hoodie. She looked vaguely annoyed to be awake. Or maybe embarrassed. With Rumi it was always difficult to tell

“Happy birthday,” she said.

Simple. Soft. Then she immediately focused her attention on the cake instead. As if she’d already used up her allotted words for the evening. Mira blinked.

“You made a cake?”

Zoey scoffed.

“We” made a cake.”

“I mixed ingredients.”

Rumi folded her arms.

“You also almost set the oven on fire.”

“Technicality.”

Mira laughed. A real laugh. The kind that slipped out before she could stop it. The cake was terrible. Absolutely terrible. And somehow that made it better.

From somewhere down the hallway came a voice.

“If you’re all awake, the kitchen gets cleaned before breakfast.”

Celine.

Without missing a beat, Zoey shouted back:

“YES MAAM!”

Silence.

Then:

“…Happy birthday, Mira.”

A door clicked shut again. The house went quiet. For a moment nobody said anything. The candles flickered. Zoey stood there practically vibrating with excitement. Rumi lingered near the edge of the room, hands tucked into her sleeves.

And suddenly Mira noticed something. They looked tired. Really tired. Training had been brutal lately. Hours and hours every day.

They should have been asleep. Instead they’d stayed awake. Waiting for midnight.

Mira stared at the cake. Then at them. Then back at the cake. Her throat tightened unexpectedly.

No.

No, no, no.

Not now.

Suddenly Mira couldn’t breathe. Because nobody had ever done this before. Not at midnight. Not first thing. Not like they’d been counting down the seconds until her birthday started. Not like she mattered that much.

“Mira?”

Rumi’s voice softened.

Mira looked down quickly.

Too late.

A tear landed on her blanket.

“Oh.”

Zoey froze.

“Mira?”

“I’m fine,” she said immediately.

Which only made more tears spill down her face. Her voice cracked.

“I’m fine."

She wasn’t. Years of pretending birthdays didn’t matter suddenly hit her all at once. Every forgotten one. Every lonely one. Every time she’d told herself she didn’t care. Because apparently she had cared. A lot.

The next thing she knew, Zoey was hugging her.

“ABSOLUTELY NOT.”

Mira laughed through her tears.

“What?”

“No crying on your birthday.”

“We wanted to be the first people to tell you.”

Mira looked up.

“The first?”

“Midnight counts,” Zoey said firmly.

“So technically we win.”

Win what? Mira didn’t know. But something inside her cracked open anyway. A place she’d kept locked for a very long time. Not because she was sad. Because she wasn’t. For the first time in years, she wasn’t.

And while Zoey complained that the candles were melting and Rumi tried so hard not to laugh, Mira realized something she never thought she’d have.

A birthday she wanted to remember.

And people she wanted to spend every future one with.

oh my goodness 😭 AAAAAA BEST GIFT EVER??? thank you 🎲!!!! its been awhile 🥺🥺🥺