there are a million TMA time-travel AUs where the S5 crew goes back to an earlier season, but where are my S1 goes to the future AUs???? please????

drew my babygirl <3

pianos just dont drop on ppl like they used to

It’s a very bourgeois style of accident to be honest. Most people can only afford to drop a Yamaha home keyboard on someone

kiss the girl! 💋

(can't wait to meet the soho couples 😇)

kissed the girl. now your turn >: (

“We’ve trained ChatGPT to write off of fanfic” “We are training AI off of cuts in our film catalogue to do editing” “Look at this tech where we put another actor’s face on this young actor because god forbid we recast any character”

I wish to rip and tear and bite and burn and destroy all film and tv execs

…Lizzy

#this is so freaking funny (itspileofgoodthings)

Darcy: she told me she likes to come here :) alone :) kind of forward, but I like it. Dang, I'm good at this :)

Lizzy: what is up with this weirdo

for the love of god, write all the self-indulgent scenes you want.  be utterly  shameless about including every last fantasy.  i know everyone likes to share quotes and quips about how miserably hard writing is, but please please try thinking of it as a joyful act where you get to be a messy human who makes art rather than some pain filled quest for icy perfection.

“authenticity looks an awful lot like self-indulgence but it is the only way to find your true audience”

some sort of love poem

This is the wildest result of one of my comics becoming popular I feel rabid

was just gonna reblog this bomb ass comic again bc it's a mood but the author's addition is hilarious. this is why your english teachers taught you to find meaning in a text

A doctor discovers an important question patients should be asked

This patient isn’t usually mine, but today I’m covering for my partner in our family-practice office, so he has been slipped into my schedule.

Reading his chart, I have an ominous feeling that this visit won’t be simple.

A tall, lanky man with an air of quiet dignity, he is 88. His legs are swollen, and merely talking makes him short of breath.

He suffers from both congestive heart failure and renal failure. It’s a medical Catch-22: When one condition is treated and gets better, the other condition gets worse. His past year has been an endless cycle of medication adjustments carried out by dueling specialists and punctuated by emergency-room visits and hospitalizations.

Hemodialysis would break the medical stalemate, but my patient flatly refuses it. Given his frail health, and the discomfort and inconvenience involved, I can’t blame him.

Now his cardiologist has referred him back to us, his primary-care providers. Why send him here and not to the ER? I wonder fleetingly.

With us is his daughter, who has driven from Philadelphia, an hour away. She seems dutiful but wary, awaiting the clinical wisdom of yet another doctor.

After 30 years of practice, I know that I can’t possibly solve this man’s medical conundrum.

A cardiologist and a nephrologist haven’t been able to help him, I reflect,so how can I? I’m a family doctor, not a magician. I can send him back to the ER, and they’ll admit him to the hospital. But that will just continue the cycle… .

Still, my first instinct is to do something to improve the functioning of his heart and kidneys. I start mulling over the possibilities, knowing all the while that it’s useless to try.

Then I remember a visiting palliative-care physician’s words about caring for the fragile elderly: “We forget to ask patients what they want from their care. What are their goals?”

I pause, then look this frail, dignified man in the eye.

“What are your goals for your care?” I ask. “How can I help you?”

The patient’s desire

My intuition tells me that he, like many patients in their 80s, harbors a fund of hard-won wisdom.

He won’t ask me to fix his kidneys or his heart, I think. He’ll say something noble and poignant: “I’d like to see my great-granddaughter get married next spring,” or “Help me to live long enough so that my wife and I can celebrate our 60th wedding anniversary.”

His daughter, looking tense, also faces her father and waits.

“I would like to be able to walk without falling,” he says. “Falling is horrible.”

This catches me off guard.

That’s all?

But it makes perfect sense. With challenging medical conditions commanding his caregivers’ attention, something as simple as walking is easily overlooked.

A wonderful geriatric nurse practitioner’s words come to mind: “Our goal for younger people is to help them live long and healthy lives; our goal for older patients should be to maximize their function.”

Suddenly I feel that I may be able to help, after all.

“We can order physical therapy — and there’s no need to admit you to the hospital for that,” I suggest, unsure of how this will go over.

He smiles. His daughter sighs with relief.

“He really wants to stay at home,” she says matter-of-factly.

As new as our doctor-patient relationship is, I feel emboldened to tackle the big, unspoken question looming over us.

“I know that you’ve decided against dialysis, and I can understand your decision,” I say. “And with your heart failure getting worse, your health is unlikely to improve.”

He nods.

“We have services designed to help keep you comfortable for whatever time you have left,” I venture. “And you could stay at home.”

Again, his daughter looks relieved. And he seems … well … surprisingly fine with the plan.

I call our hospice service, arranging for a nurse to visit him later today to set up physical therapy and to begin plans to help him to stay comfortable — at home.

Back home

Although I never see him again, over the next few months I sign the order forms faxed by his hospice nurses. I speak once with his granddaughter. It’s somewhat hard on his wife to have him die at home, she says, but he’s adamant that he wants to stay there.

A faxed request for sublingual morphine (used in the terminal stages of dying) prompts me to call to check up on him.

The nurse confirms that he is near death.

I feel a twinge of misgiving: Is his family happy with the process that I set in place? Does our one brief encounter qualify me to be his primary-care provider? Should I visit them all at home?

Two days later, and two months after we first met, I fill out his death certificate.

Looking back, I reflect: He didn’t go back to the hospital, he had no more falls, and he died at home, which is what he wanted. But I wonder if his wife felt the same.

Several months later, a new name appears on my patient schedule: It’s his wife.

“My family all thought I should see you,” she explains.

She, too, is in her late 80s and frail, but independent and mentally sharp. Yes, she is grieving the loss of her husband, and she’s lost some weight. No, she isn’t depressed. Her husband died peacefully at home, and it felt like the right thing for everyone.

“He liked you,” she says.

She’s suffering from fatigue and anemia. About a year ago, a hematologist diagnosed her with myelodysplasia (a bone marrow failure, often terminal). But six months back, she stopped going for medical care.

I ask why.

“They were just doing more and more tests,” she says. “And I wasn’t getting any better.”

Now I know what to do. I look her in the eye and ask:

“What are your goals for your care, and how can I help you?”

-Mitch Kaminski

Source

A beautifully written account of what it is like to be a good doctor, whose only concern is: “how can I help”.

Something that applies as a teacher, too: Treat people like experts in their own lives.

This should always be remembered.

We can't register urls with the word staff in it anymore I wonder who's fault is this

This scene from Unseen Academicals is why I fully believe that the student body of the Unseen University has to be like 90% Not Straight™.

I mean... 🏳️‍🌈🏳️‍🌈🏳️‍🌈

He’s literally me

This man would have done numbers on Tumblr

Wait hold on

alright everyone we’re gonna spell out gay

Give me a G!!!

G!!

Give me an A!!!

A!!!

Give me a T!!!

T!!!

Give me an O!!!

O!!!!

Give me an R!!!

R!!!!!!

Give me another A!!!

A!!!!!

Give me a D!!!

D!!!!!

And give me an E!!!

E!!!!!!!!!

What’s that spell??!!

GATORADE!!!!!!!!

wait

There goes Antigone, off to pray

OPs tags are (chef’s kiss)

As an aside, Jonny Sims Writer Man has stated that this is what makes “horror” separate from other genres: specifically, that lack of agency. That IS the horror aspect

Happy Pride!

Every pride, you must reblog this. No exceptions

I love that four different people on my feed scheduled this joyous person to reblog by 8am on June 1. I look forward to seeing this a dozen more times today.

[video description: mark kanemura lip-syncing and dancing along carly rae jepsen’s cut to the feeling, the chorus just starting im the video. he is wearing nothing but rainbow briefs, a rainbow flag wrapped around his hips, and a rainbow scarf hanging from his neck, while on his head multiple bob-length, colored wigs are stacked, which he plucks off along to the beat and throws off-screen towards the camera. every wig is colored in the scheme of the pride rainbow; the final bob-length wig he dramatically removes with the scarf, revealing a longer wig underneath thats in a rainbow gradient. pulling out a fan and opening it with a snap, he fans himself, then throws that away too, then grabs the last wig and shakes confetti out of it on top of his head. he throws the wig at the camera, and the video ends /end description]

doing my damnedest to free myself of the “just gotta get through this week” “only x more days til the weekend” mindset & learn to appreciate each day for whatever it is lest i be driven to madness

so what if tomorrows monday i have leftovers & maybe this week i will make soup. maybe ill see a cat. maybe each day will show me something worthwhile even if im tired & maybe i can enjoy it

if u are negative on this post im blocking u ! some of us are trying to get better