Feb 23
The week hasn't even really started and I'm already overwhelmed.
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The week hasn't even really started and I'm already overwhelmed.
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I have been fuming for the past few days. Why? Because I have just been told that my primary is leaving the practice soon. AGAIN. This will be the third fucking nurse practitioner I am passed through within three years, that leaves the practice. I know they probably have their own reasons.
But I am done with nurse practitioners. I'm done. I'm fucking done. I have multiple chronic illnesses that have to be managed consistently, and having to re-explain what I have and how it affects me and what I want to do about it is fucking exhausting. It's fucking exhausting and I'm not doing it anymore.
This time they're either pairing me with an MD, Or a Naturopath. No one else. I will not change doctors again after this time. And if I do have to go to a different practice, I am getting my whole ass medical record from this practice getting the nurse practitioner to sign it, and giving it to the new practice like that. Figure it out!!!
I'm not explaining why I have something. Im not explaining why I think I have something. I'm just going to tell you. And I fucking expect you to just believe my previous doctor. I'm done. I'm done.
I can't continue for the rest of my life, explaining my chronic conditions to people who don't want to be serious about it. Who don't want to integrate my health with my specialists. Who just tell me to go on a fucking diet. I can't.
My endo told me that if I don't post a banger a day on tumblr my estrogenosis levels will go down and I will grow up a tank top and my maternal problems will turn from kink into misoginy help me tumblr.
The sucker that knows what it is touching.
I'm talking about the male octopus's arm, which it uses to find the female octopus's ovary, which is hidden deep inside her mantle cavity, which is the large muscular "bag-like" body behind her head & eyes. Visually, there is no way for the male octopus to see it as it's dark, enclosed, & filled with moving tissues, gills & organs. Yet the male always finds it. How? By relying on chemical sensing & touch navigation through his specialized mating arm called the hectocotylus. The female's reproductive tract releases progesterone & related steroid signals, which diffuse into her mantle cavity. His hectocotylus suckers contain chemoreceptors that can "taste" these hormones & are drawn to them like a magnet. Octopus arms contain 10s of millions of neurons & can perform complex movements without a central brain.
Think of the male's mating arm (they have no penis) as a super sensitive fingertip that detects stronger and stronger hormone signals, guiding it to the right spot—no eyes needed. It's like following the smell of cookies to the kitchen, except the arm is doing the smelling.
All this stuff about ‘oh women are XX’, ‘oh men are XY’ is really pissing me off. And women are now being tested for a Y chromosome gene before competing at the Olympics.
And yeah this is a failure of basic education, but I work in genetics, my PhD is in genetics, I’ve worked in clinical genetics. Genetics and ‘Sex’ is so so so much more than 46,XX and 46,XY, genetics is wild and interesting and god I wish it wasn’t concentrated down into that.
There are so many people out there who present as women and are walking around with just 45,X or 47,XXX, a significant number without even realising! Some people are born with some cells with XX, some with just X, some with XY and literally myriad combinations and proportions! And even if someone has 90% XY cells and 10% X they may still present phenotypically female!
The proportion of how many ‘male’ cells and ‘female’ cells measured in the blood doesn’t even reliably predict how someone develops! (This is called mosaicism and I’ve literally done a research project on it)
Some people have 46,XY but because of so many reasons like genes (SRY), or hormone production or ability to respond to hormones - like being completely insensitive to testosterone - their body presents as phenotypically female.
Sometimes the Y chromosome is inherently unstable and literally falls off as you get older!!! So you have people walking around with 45,X cells when earlier in life they had 46,XY!
TLDR; man = XY, woman = XX is a VAST oversimplification.
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my endocrinologist got into an accident. I hope he’s okay. He’s the only doctor who wasn’t trying to make a pretty penny off of my parents by cutting out my thyroid.
transfem Shinji isn't a fan theory, it's textual. i dunno bout you, but i have never seen a cishet man wear a bra with an off-the-shoulder crop top before. whatever chemicals they put in LCL at NERV must include some powerfully endodisruptive xenoestrogens
Done with last rotation of this year and last module✅
Glad to announce that after a long year of hard work , I can finally say that it was a success I passed and I’m officially a sixth year medical student ( time to change that bio lol )
None of it was easy , but you know what, you can accomplish whatever you want with hard work and commitment .