Where we're going, we don't need roads

that being said. can we not erase the fact the entire conversation began with disabled people talking about being medically abused pretty please. & also, iirc the post that first really blew up about "mean girl nurses" never said "ALL nurses are evil bitches who hate everyone and they deserve to be mistreated" it was saying "women who sought power over other people in high school go into careers where they can wield power over other people, same as men, and there are women who go into nursing and present themselves as kind and caring and maternal, who are motivated by a desire to have unquestioned authority over other people's bodies to make themselves feel powerful, again, same as men who do the same things in masculinized careers." & i just find it "interesting" how all that has been reduced down to "all nurses are mean girls")

i think nuance is always important & doctors and nurses do need better treatment and society frequently praises them while also supporting their abuse. and yet they are also universally recognized as vital important members of society & empowered to have immense control over the lives of people who are systemically vulnerable and seen as leeches who add nothing to society. and yet who has to deal with the impacts of their stress and their trauma and their anger and their burnout? the disabled people under their care.

again. Nuance! but i just cannot help but Side Eye In Cripple some things people say on this topic. it can both be true that nurses (& doctors) experience horrible working conditions and that, in my opinion, that any conversation about burnout and abuse of medical professionals needs to also criticize the authoritarianism of the medical field and how widespread medical neglect and abuse is, lest we simply fall back into "the poor beleagured doctor who is Jesus Christ On The Cross Himself, all-wise and all-knowing and forced to tolerate all these entitled know-it-all ungrateful patients!" which changes nothing for anyone.

like. look at this article. the actual context for the "mean girl to nurse pipeline" (that some women seek out power over people to control them and make themselves feel bigger, and women are likely to do this through caretaking in the role of nurse, teacher, mother, etc.) is not brought up at all. the fixation is entirely on "its mean to call nurses mean girls! they experience a lot of bullying! you don't REALLY know any mean nurses, just poor tired bullied ones!"

First, the phrase itself is unfair to women. Although nursing is a female-dominated field, this phrase focuses on women as being the “mean” ones to worry about.

like. do youuuu fucking see the erasure of medical abuse. the actual bullshit nurses do to real living human beings, which goes massively under-reported. & not just disabled people but people of color as well. god fucking forbid medical professionals are treated as anything but literal saints descended from heaven. god forbid white cisgender women are recognized to have the ability to be cruel and power-hungry and to hurt other people through traditionally feminine roles based on caretaking. like I genuinely do understand that nurses are subject to immense stress, bullying, and violence, and that providing better working conditions for nurses is vital to improving medical treatment for all patients.

but when the actual neglect and abuse nurses can do to their patients is ignored and drops out of the conversation entirely, in the name of complaining about nurses being called "mean"? sorry but it pisses me the fuck off.

(links to some sources on patient abuse under the cut since this is long enough as is)

#m.#reminds me of how the pitt has several scenes i remember being like.#whyyyy are we making so many jokes about drug addicts and mentally ill people and their distress guys 😀#like that one fucking scene of the one doctor berating a drug user for no goddamn reason but it portrays her as#righteous because He Lied For Drugs (literally no way for him to be honest with you)#lying to HIM about giving him a drug that CAN MAKE YOU GO INTO WITHDRAWAL IF YOU TAKE ANY OTHER OPIATES WITH IT (suboxone i think)#WITHOUT TELLING HIM!!!!!!!!!! MASSIVE massive violation of patient autonomy and SAFETY. since she LIED about what drug it was#and the man HIMSELF clearly wanted opiates so he wouldnt be in withdrawal for his daughters wedding#and then she. berates him? for not caring about his daughter???????#and no one seems to be annoyed at this scene but me a fucking pparently#because it was the sweet nice doctor and its her fucking character development to be cruel towards a drug user for doing literally nothing#except trying to seek the care he needed to live his life in the way he knew how#and ofc they presented it as ''well maybe when hes ready he'll get clean now that you were a jerk to him :)''#she shouldve been fucking berated for that. they shouldve had a whole scene telling her how big of a fuckup that was#but nooooo its her cute little character development moment#idc get that poor man some methadone and TELL HIM HOW IT WORKS

It is shocking how recent the idea that "people have the right to decide what medical care they do or don't want" is. The whole modern medical system in the US, for example, was built with the presupposition that doctors give instructions to nurses and patients, nurses follow those instructions and give instructions to patients, and patients do exactly what they're told and be thankful for it. Hell, the Tuskegee "Experiment" didn't officially end until 1972 and the ADA was only passed in 1990. The present day system is the culmination of literal centuries of medical abuse of vulnerable people, and the ways in which the system has improved has been through the ongoing struggles against it by those it abuses. And this is not unique to the US by any measure, just the one whose history I know best.

Lying to patients? It's for their own good.

Giving them a medication without telling them what it is? It's for their own good.

Having a patient imprisoned committed institutionalized against their will? It's for their own good.

Berating a fat patient for existing? Drug users for using drugs? Patients with disabilities needing (legally mandated) accommodations? It's for their own good.

We're only just now starting to grapple with the vast number of people who have been traumatized by the medical system. The last estimates I saw we're around 12% of patients exhibit symptoms consistent with PTSD related to experiences with the medical system, and that number rises sharply for patients of color (especially black patients), disabled and chronically ill patients, fat patients, LGBTQ+ patients, and basically any other marginalized group. Some doctors and nurses have worked intentionally to try to address and mitigate their biases, in many places the number of medical professionals who are themselves members of these groups has been increasing, but the vast majority just never even consider that they could be harming their patients. Like, for fucks sakes, it's 2026 and research is still finding that a substantial portion of graduating medical students still believe that black people have thicker skin and higher pain tolerance (or even can't experience pain at all!?!) and that women are more likely to exaggerate their pain and other symptoms.

I just want to catch spelling errors and accidental double spaces and repeated phrases and whenever I use the wrong too/to or affect/effect and shit. But no. They've shoved AI up the ass of every grammar checking software out there and now they all fucking suck and make the most random, obnoxious, nonsensical suggestions.

I get why people keep saying this (and other versions of it like "Use Adobe alternatives" and "Use Google product alternatives."). But here's the problem: I do not create in isolation. Even my own 100% personal projects are getting sent to other people whether it's editors or printers or beta readers and unless every single person in that train is using the same products, things can get wonky.

Libre Office and Word handle formatting differently on the back end, which can completely break documents if you move them back and forth between the two. So if I write in Libre Office but my beta readers are still using Word, when I send them a manuscript for review there's a good chance things won't look right and my beta reader will not actually be reviewing what I sent them.

:| :| :|

this is what I mean about how right now in the united states (won't speak for elsewhere but feel free to lmk in the notes if you'd like) a lot of us trans adults who are able to access transition care can only do so at the direct expense of trans minors. this clinic would not have opened if they held the line and offered equal access to healthcare to trans minors.

"Martin announced the direct-care clinic, calling it “one of the first times a public health department has ever taken that step.” But when Cabán pushed back, pointing out that trans youth are the ones most under attack right now—noting that there are “almost no providers” left for youth the entire city—Martin indicated the clinic would not serve youth, citing the need to “strike a balance” between providing care and avoiding “clawbacks from the federal government.” This morning, EITM can directly confirm that the age cutoff is 19—matching the Trump administration’s executive order threshold, not the standard legal age of adulthood in New York."

a lot of the structural transphobia we are experiencing is hitting minors even worse. their care gets banned first. if you want a preview of what access to healthcare will look like for us trans adults in 2 years, look at what access looks like for legal minors right now.