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NASA Data Sonification: Black Hole Remix

The planet Saturn makes noise. The planet emits signals through plasma waves, which can be converted into sound.

So, in 2017, after recovering the Cassini spacecraft that literally fell through Saturn, scientists recovered the recordings the spacecraft made of the planet.

And you know what it sounds like?

The world is too interconnected to allow one part of it to go down. When Puerto Rico got slammed by hurricanes and the US did fuck all about it, we had a nationwide shortage of bagged IV fluids. I was working in hospitals through that. Things we normally do as part of routine medical care, like giving the puking kid with the migraine IV Zofran and Reglan, got a whole lot harder. I was working inpatient during COVID, when there were sudden shortages of pain and anxiety medications we relied on, like opioids and benzodiazepines. There was a nationwide shortage of lidocaine last year and we had to save it for biopsies of suspect cancers. Surgery requires not only a surgeon but an entire team of people and complex equipment to safely sterilize tools, most of which are now based around laparoscopic surgery that requires camera tools instead of the old-school open surgeries. You could not even say “but the surgeons can still operate” because no. They can’t. Not safely. Not with ether instead of succinate and fentanyl. I could deliver your baby after the apocalypse, but who’s staffing the blood banks when you have a post-partum hemorrhage and I don’t have three trained nurses with a kit of specialty meds to slow the bleeding? I still remember the time during the worst of COVID when I couldn’t fly a patient from our rural hospital to an urban hospital that could have done the operation he needed, because the hospitals were completely full. I had to buy time with heavy-duty IV antibiotics (the one and only time I’ve been allowed to use a -penem) while he lay there in agony for 12 hours until a bed came open and we could transfer him. If we couldn’t treat the pain and keep the infection from killing him long enough to operate, he would have died then and there, in front of us, while we stood there helplessly.

So how many kids are you OK with watching die from a ruptured appendix? That’s what comes in to the ED at two in the morning and within half an hour if you’re lucky has an ultrasound proving the diagnosis and a surgeon getting scrubbed in. If there isn’t ultrasound, ultrasound techs, pain medication, anesthesiologists, ventilation machine for when you’re under, light-up scopes with blades to allow for intubation bc then there’s direct visualization of the vocal cords, paralytic medications to keep you still, medications to keep you asleep, monitoring machines that read your blood pressure ans CO2 levels and pulse oximetry while you’re under, computer scheduling for OR time, post-op recovery nurses, gurneys, autoclaves, specialized small metal tools for the surgery—if there are interruptions in training or production of any of these and a whole lot more, anyone could die of a surgical problem, but it hurts worse when it’s a kid. Watch breast cancer come back into vogue, as we lose mammograms. You ever treated a woman who’s ignored breast cancer so long it’s now a fungating mass? Go Google what that looks like. Two cases have walked into my office and they are both dead now. One was schizophrenic. Without modern global supply chains, we don’t have lorazepam or morphine for humane death, let alone psych meds. How many people would deteriorate? Get specific. Which friends would you be willing to watch die? Which of their kids are expendable?

What kind of violent revolution are you planning where you are able to look a patient in the eye and tell them, “Your death is necessary to my vision,” and not understand that you are the villain?

You get to decide whether you want to end your own life for this glorious future. You do not get to decide to end my life or my patients’ lives or anyone else’s. You are not God and you do not get to make plans as if you are, as if you have the One Correct Vision and the rest of us just need to fall in line and follow the prophet. Fuck you. You think the Black kid whose treatment team I was on while he writhed in pain on a hospital bed because he had a kidney transplant and it was rejecting wouldn’t tell you to go fuck yourself about your violent revolution? Our society is no longer able to tolerate large-scale disruptions. We have built too much and we would lose too much. We are too big to fail, and although it’s easy to see that as a bad thing, what I keep seeing, over and over, is that transplant team. How the nephrologist and the resident and the nurses and techs and pharmacists and therapists were working together to keep that kid alive. The scientists who did the research, relying on impossibly complex systems that have taken hundreds of years to build. Collaboration is how we survive.

We cannot allow the vulnerable to die and call that progress. We cannot turn the lights out on any hospitals, because the people in the ICU on ventilators will stop breathing and die within minutes. Would you want that to happen if it’s your mother in that ICU? Would you tell your mother the answer to that? What if it was your child? What about your favorite sibling? How many of other people’s families are you willing to sacrifice for the sake of something that stands a virtually 100% chance of going up in flames immediately, when we look at prior attempts at creating a new government out of war and chaos? The massive impacts of even “small” shortages on patients is not theoretical and has killed patients since I’ve been an attending, starting three years ago.

You do not own the right to anyone else’s life.

But with the exception of certain veterinary settings where the animal’s health is the immediate priority, why is it so important to us that animals do exactly what we want exactly when we want it? Why do we have to invent all these tools and contraptions to force them to behave?

When a whale swam away from a session, that was that. The trainer just waited for them to decide to come back. If they flat out refused to participate in behaviors, they still got their allotment of fish. Nothing bad happened. Not even when 20-30 people were assembled for a procedure, and the whale chose not to enter the medical pool. No big deal. Their choice and comfort were prioritized over human convenience.

It’s almost shocking to return to domestic animal medicine afterwards and watch owners use shock collars and chokers and whips to control their animals. It’s no wonder that positive reinforcement was pioneered by marine mammal trainers. When you literally can’t force an animal to do what you want, it changes your entire perspective.

And they're assholes. They do things not because it benefits them or because it's instincts, but because it torments their enemies. They kill slowly and torturously for fun.

We believe elephants are people because they have invented caring for the remains of the dead.

only to get ppl replying to me and saying “well if you dressed more fem then ppl wouldn’t be intimidated by you. you signed up for this”

Do you ever think about how Jason only ever gets to experience Dick as an extension of the breakdown of Dick and Bruce's relationship at that time? Granted, depending on the comic era, Dick maybe doesn't show up as much as he should, or Jason acts like an antagonistic little shit, but overall, Dick's falling out with Bruce overshadows all of it.

And, like, yeah, it's funny to joke that only Jason knows that Dick went through a shitbag teenage phase and that no one ever believes him. (Gaslight, Gate Keep, Gotham ✌) And Jason is irate about it because how can they not see through what is clearly The World's Best Big Brother Act? How can no one else see it's fake?

(Unless it's not fake, and Jason just wasn't worth loving... No, fuck off, he doesn't care, he doesn't. Leave him alone.)

But at the same time, what if Jason's the only one who realizes it's a trauma response?

What if Jason's in the middle of a therapy session or reading one of the self-help books we see him ordering, and he just has to take a moment to breathe because, of course, it's a fucking trauma response. Of course, it is.

Dick's not pretending to be anything. He was, in fact, so severely affected by Jason's death that he over-corrected and now refuses to let himself be anything other than the Perfect Big Brother. Because he can't. Because when he's not perfect, when he's not there for them, they die.

Suddenly the golden retriever's cheerfulness is less grating and more worrying. Dick's need for perfection is less an annoying personality trait to compete with and more an exhausted cry for help that no one else seems to see. Not even Dick.

Because Jason realizes now that he might have never managed to live up to the Golden Boy mantle, but Dick will never get to put it down, either. Because he can't let himself. Because bad shit happens when he does.

So what if that's what he hopes Dick reads between the lines in the email he sends him in GK?

Like, one family makes their toddler sit on the stairs for three minutes when he hits his brother or whatever. The stairs are well lit and he can see his family the whole time, he’s just not allowed to get up and leave the stairs or the timer starts over. He fucking hates it just because it’s framed as a punishment.

Another family use a baseball cap. It’s just a plain blue cap with nothing on it. When their toddler needs discipline he gets a timeout on a chair and has to put the cap on. When they’re out and about he just has to wear the cap but it gets the same reaction. Nobody around them can tell he’s being punished because it’s in no way an embarrassing cap, but HE knows and just the threat of having to wear it is enough.