expensive teste

tea-and-tipulidae  asked:

So I don't want to be the client that's like "I know you're the expert that went to school for this, but I read about it on the internet so I know more than you." But I also know that sometimes I've disagreed with a vet on something that I'm PRETTY sure I'm right about (declawing, for example). How do I tell a good vet from a bad one? I go to one now that I think is pretty good, but I just wonder if I only think that because they agree with my preconceptions.

In medicine there are many shades of gray and multiple ways of doing something. Without the proper training it can be difficult to determine if something is “right” or not and the internet more often than not gets it wrong. Unfortunately now days it is very easy for something to get put up online that spreads and gets taken as gospel when it is far from the truth. I applaud people that take time to read up and learn but it isn’t the same as being trained in that subject. Reading something on the internet does not ever make anyone more knowledgeable than someone that went to school for a specific degree. Ever.

There a few things to look for though. Does your vet at least offer the very best medicine? That means if your dog is vomiting, a good vet will take a thorough history and suggest blood work or maybe radiographs.

A good vet always provides pain relief when an animal might be in pain.

A good vet will recommend testing a lump and not just look at it and say it’s fine. This is often where the internet and reality diverge. To most people the better vet is the one that simply gives medications and doesn’t bother with “expensive testing”, however without knowing what is wrong with your pet they are actually doing harm. Often the cheaper vets are truly not the better ones, they are simply perceived that way.

Good vets take time to answer questions and make you and your pet feel welcome and cared for. Good vets do this for all of their patients so sometimes will run late  because they are helping a client or have to ask you to email or call in with your other questions so they can move on to the next.

Good vets will refer you out to a specialist if they know they are not the best person to take care of your pet.

Good vets recommend preventative medicine like vaccines, fecal tests, annual blood work, etc.

Good vets truly care about your pet and when they know there is no other option, will suggest euthanasia to end any suffering.

Good vets don’t provide treatments or advice over the phone or internet without seeing your pet because they know they could do harm.

Good vets are often the ones that commit suicide because they simply cannot deal with the hatred and vitriol they are all too often treated to. Instead of sacrificing their morals ,they sacrifice themselves.

whether or not you understand it

pairing: daveed diggs x reader

request: “Reader is pregnant and doesn’t know how to tell daveed cause he has always wanted kids but she is adamant that she doesn’t want to be a mother?

summary: reader finds out she’s pregnant. too bad she and daveed have different reactions to the situation.

warnings: swearing, pregnancy tw, abortion tw, fighting, mentions of victim-blaming

word count: 2,816

a/n: title from ‘trappers’ by daveed diggs! request from my brief “SEND ME ANGST” moment i had yesterday! excited to break some hearts and take some names! let me know what you thiiiiiiink!!

Keep reading

A relevant memory: I was not able to buy insurance due to a pre-existing (and misdiagnosed) mood disorder so I was uninsured when I first started cancer treatment.

I had an 8 hour surgery to remove cancer on my thyroid and lymph nodes that left my vocal nerve paralyzed. This meant I was not able to swallow, or speak well. Within a few hours in my room I was visited by someone from the billing department to ask about how I wanted to set up my payments.

I couldn’t speak clearly so I wrote that I couldn’t deal with that right now but I would later. It was both dehumanizing and entirely stressful to deal with both the unexpected complications from my surgery AND the reality of the huge bill at the same time.

The ACA is not perfect but I am constantly grateful that I am able to buy insurance and won’t be denied this right in the future due to my pre-existing conditions and continuing need for expensive tests.

Having insurance also means I am treated much more normally at hospitals. I still pay huge premiums and copays but as someone who experienced treatment before and after the ACA I can testify it made a huge and important difference.

I am all for improvement but FUCKING HELL please do not forget the very real stories of what it was like before.

2

This is my 3 year old rescue, Skye for guess the breed. Unfortunately, I don’t know what breeds she is (dna tests are expensive), but I hope someone on here could help me out. She’s about 2" 6’ at the shoulders and around 45 lbs, likes to run and howl at anything that passes by outside. I think she’s a hound (probably beagle or foxhound)/terrier mix tbh but who knows. Her mother also looked pretty similar to her as well

Confession #2,666

What am I supposed to do when all the tests come back negative? What am I supposed to do when the doctors say theres nothing they can do and sometimes “this happens and goes away without ever knowing what happened”?

It has been 15 months. At least my VERY FREAKING EXPENSIVE shots are… sort of working. Not as well as they should, however….

Single Payer Healthcare

People who answer “single payer healthcare” every time a problem with the U.S. healthcare system is brought up are part of the problem.  

Mashing the SPH button every time the grownups are talking simplifies the conversation about US healthcare to a useless degree.  SPH is the goal, but just injecting those three magic words into every conversation does nothing to address the complexity and nuance, and only allows the person saying it to feel good.  Most of them are just as uneducated as people who want it to remain a for-profit system.  

If you are in favor of SHP, as every sane person should be, then you need to get your hands dirty and educate yourself on some things.  Here, I’ll start you off: 

1. Torte reform.  Want to curb over testing and over prescribing? Torte reform.  Doctors need to be able to not worry about being sued because they missed your zebra or something unrelated to what you saw them for, and they need to feel comfortable saying, “No, Barbara, you can’t have a zpak for your virus”. TORTE.  REFORM.  

2. The cost of med school.  As it stands, most students leave med school with 300-400k in debt.  As single payer statistically speaking involves a drop in pay, this becomes untenable.  They should not be paying a mortgage when they get out of school.  

3. Residencies are underfunded.  Doctors can sometimes come out of school, with the debt mentioned above, and not be able to match into a residency and finish their training.  

4. Doctor shortage.  2 & 3 would help address this, but if we want to switch to SPH we need more doctors to handle the load, otherwise you’ll be waiting weeks to see one.  Plenty of smart, potentially qualified people go to a different field because they don’t want to take on the crushing debt.  

5. Preventative care.  The whole conversation around this needs to change, to emphasize it over emergency care.  Treating stage 1 cancer is cheaper than treating stage 4.  2, 3, and 4 are related to this.  A heavier primary care load means we need more primary care doctors.  

6. Transparency of pricing.  Everyone involved in the process, especially doctors, need to know what things cost.  This also goes towards over testing (Noticing a pattern? It’s all connected.).  Right now that’s not the case, and to avoid being sued, expensive tests are probably being ordered in excess of what is necessary if there’s an efficient cheap one.  

7. Profit limits.  Now, I tend to lean more capitalist than most of Tumblr does, so I don’t have a problem with some profit being made.  BUT.  There needs to be a limit to how much drug companies, hospitals, and insurance companies can over charge.  That could be a flat %, I don’t know.  But it would definitely help limit the expenses and how much is paid in general (which makes it easier to switch to SPH.).  Drug companies especially.  

8. Doctors need to be educated about how the admin side works (thanks @md-admissions for that one.) so they can be better prescribers and be more aware of what it’s like on the other side of the fence.  Here’s the quick and dirty: Dr. dxs and codes for that.  –> treatments are added in the form of HCPCs –> After the appt, stay, etc. is over the billers charge the insurance company, after going through a whole host of corrections.  Mostly because of the next step, and because you can only use certain ICD codes with certain HCPC codes –> bill goes to a clearinghouse, whose only purpose is to check it for errors.  It’s an automated system that will reject for completely minor things.  Bill is either accepted and sent to the payer, or rejected and sent back to the provider for corrections –> Biller performs corrections and resubmits.  This part can literally go on for months, but it’s eventually sent to the payer, or the exasperated provider gives up –> once at the payer (insurance demon I mean company), they look it and either pay it or reject it.  Often they refuse to give you more reason for the rejection than an arcane code.  If it’s medicare you may or may not get a human-readable report.  It’s a crapshoot if you get a 277 or 999, as far as I can tell.  If the payer rejects it sometimes they won’t even discuss it with the provider, and insist you use the clearing house as a go-between.  They look for any reason to reject and providers lose *millions* to this BS. –> After all of this, the balance is either written off or forwarded on to the pt.  

9. Eliminate clearing houses and insurance companies.  This would happen as a by-product of switching to single payer, but none-the-less, it still addresses the problem of administrative waste that would still need to be watched out for under a SPH system.  Clearinghouses are useless.  People who do the job of checking the coding and whatnot tho (coding is important and necessary, because it allows for tracking of illness for stat reasons but also because that’s how they know what to pay.) could be transitioned to the same job in a SPH system.  

Ok this isn’t exhaustive, but I think it’s a good start.  

So please, SHP people, before you go beating that drum make sure you’re ready to address the complex mess that is American healthcare because I’m tired of listening to your smug assertion of “single payer would fix this” and I agree with you.  It’s lazy and uninformed.  

Okay, let's get some things straight here.

In light of a recent debate with some idiots on another social media platform, I need to rant a little.

Mutts are NOT inherently healthier than purebreds. You can get a dog with half the problems or you can double them. It depends on the dogs that bred.

Breeders are NOT the problem. They go through weeks upon weeks of studying the genetic history of their desired pairing, going through generations of health testing and medical history.

Breeders do NOT turn a huge profit off of “their animals’ reproductive systems.” By the end of health testing for mom and dad, the process of whelping and all the supplies needed for that (and everything needed on hand in case a puppy gets rejected), shots for pups, and so much more, the price they ask for one of their pups barely covers what they’ve already put into them. Breeding is expensive. Testing eyes and hips and elbows is expensive. Testing for the breed’s common genetic defects is expensive. Don’t tell me that breeders are only doing what they’re doing for the money, because that’s the exact opposite of the truth. They do it to better their chosen breed and eliminate as many genetic defects as possible. They do it to give people predictable traits in healthy dogs that will fit the purpose for the animal.

Again, breeders are NOT the problem. There is a clause in most puppy contracts stating that if, for any reason, NO QUESTIONS ASKED, the person buying one of their puppies can no longer care for the dog, they are to return it to them. Breeders’ pups aren’t the ones getting abandoned and tossed into shelters wondering when their people will come back for them. They aren’t the dogs that get lonely and confused and cold.

“Adopt don’t shop” is REALLY STUPID. Shelter animals aren’t right for everyone. People with small children may not want to risk bringing a dog into their homes that could have some unknown past trigger that leads to one of their kids losing their face. That’s just not ethical.

“Adopt don’t shop” is ALSO STUPID because any dog that goes into a home just for the sake of having a home does not necessarily go into the right home. You know what happens to the dogs that go into the wrong home? They get landed right back in the shelter. The guilt trip that is this whole campaign leads to dogs going to the wrong homes and being sent back to where they were before.

I’m all for adoption. But I’m also all for breeders. I want every pet to be able to have a loving home to call their own. I want them to be safe and well cared for. I am for the responsible addition of a loving pet into the right home.

I am for responsible pet ownership.

Adopt or shop, it’s your pet and your choice. But don’t go around bashing people for choosing the other option because you’re a self-righteous prick.

youtube

I can’t put into words how MAD this video makes me. It’s absolutely infuriating.

It’s a portrayal of the “heartless money-hungry veterinarian” that so many people believe is the truth. I’m sure there are a few greedy vets out there - but that is a very small minority. Most vets are overworked and underpaid, paying off hundreds of thousands of dollars worth of 8+ years of schooling and college loans.

People entering this field realize that they will have to work nights, weekends, holidays away from their families and friends. They realize they will be in a huge amount of debt and not making a huge amount of money to pay it off. They realize they will have to deal with sad cases, and emotional (angry or sad) owners. People who chose this career do so because they care about the wellbeing of the animals.

If a medication or a prescription food is being advised, don’t be afraid to ask your vet why. I’m sure they have a good reason for prescribing it and explain whether it’s an option or a necessity.

Most of the time, veterinary staff will TELL you that you can get the medication/food cheaper by taking our paper prescription and going to petsmart, Walmart, Chewy, Amazon, etc. We offer being able to pick it up at our office since it may be more convenient.

Most vets genuinely care about the well-being of your animal (even if they are frustrated with the attitude of the owner). People don’t realize how much medical care costs, since most human medical costs are covered by insurance (and yes, there is pet insurance, and yes, it does help a lot).

The fact that monetary constraints play such a HUGE part in veterinary medicine (compared to human medicine) means that beautiful, ideal treatment plans created by the doctor often can’t be put into use. This is something most human medical doctors will never have to deal with.

Treatments can’t be done for free, because if they were, the hospital would go out of business. There would be no way to pay staff so that they can pay their own rent, and there would be no way to pay the hospital’s bills or for supplies. Without the hospital, no pets would be able to be treated.

Sometimes diagnostics are necessary. If YOU go to the doctor or the hospital, would you be surprised if they want to run bloodwork or take x-rays? They’re not magicians who will immediately know what’s wrong with you from symptoms that could be caused by hundreds of different conditions. And guess what - our patients can’t talk and tell us if they’re nauseous, or that the pain is coming from their back, or their upper abdomen.

Being pushed to run extra tests so that the vet can get extra income is ridiculous. If anything, the owners will be the ones to ask about running “extra” diagnostic tests for peace of mind, and the veterinarian will explain to them that the tests are expensive and won’t give us any more information, but can be run at the owner’s request.

Absolutely no one is pushed to keep their animal alive when they want to euthanize for “extra money”. Veterinary staff often express their recommendation for humane euthanasia in clearly suffering pets.

“Cat MRI’s” and “cat root canals” are not just some scam as portrayed in the video. Animals do get neurological conditions and painful tooth rotting that need to be addressed. I don’t understand how this part even makes sense.

You would never be threatened with “if you don’t do this, your pet is going to die” for money. You would only be told something that serious unless that’s completely true.

I can’t.

anonymous asked:

hey, congrats on the gre score! any tips you can give us on studying since you did so well? i'm finding memorizing words rly hard. tips for each section please! & how was the timing? rushed?

Thank you very much! And sure, I’ll do my best, although I think studying depends wildly from person to person–for example, many of the grad schools I’m applying for explicitly state they don’t consider your math score, so I didn’t spend much time prepping for that. Timing is also quite subjective, because while I have time to check my verbal answers, I always have to guess on 2+ quantitative problems because I’m not that quick with sums.

First, invest in a practice book. I highly recommend Manhattan Prep’s 5lb Book of GRE Practice Problems, which is only $12 on Amazon right now. Not only is it as ridiculously expansive as the name suggests, it includes a diagnostic test, 9+ fully outlined and explained essays, maybe one thousand vocab words, and a solution explanation for each math problem, broken down by type (ie probability, triangles, sets, etc). In addition, a quick google search will pull up free online practice tests (three from ETS, the actual GRE-makers) which mimic the computerized test exactly–and they’re free, so why not at least power through a few sections?

Now, more specifically:

The Written: No one wants to spend 30 minutes writing a practice essay, but at least try to do a few full, typed essays from practice prompts (preferably from a source that also includes full 4, 5, and 6 essays to measure yourself again). Type it somewhere without spellcheck, because you don’t want to be like me and realize during the exam that you can’t remember if millennial has two Ns. Because I feel confident in my writing skills, I usually only outlined the essays for my practice test, but this allowed me to compare my line of reasoning to the examples given. Standardized testing demands a very particular type of logic. If you want to be especially thorough, you could mark up an example 3 or 4 essay with thoughts on what could have made it a 5 or 6–by learning to efficiently recognize others’ shortcomings, you may be better equipped to see your own.

The Verbal: Flashcards. All day, every day, until you despise the English language (but also start to recognize your expanded vocabulary in the wild–just the other day I heard both laconic and taciturn on Buffy). Manhattan prep has online flashcards, but I went ahead and made a huge set on Quizlet (because I love making flashcards). Quizlet allows you to star words you have a lot of trouble on. I found that 200+ words quickly dropped from my list, and I began to recognize others showing up repeatedly on practice tests, which helped me gauge what was really important to know. (Flue? Probably not going to come up. Quixotic? Most definitely.) On any of the passage summary readings that sound like trick questions, I write out what the question/answer is saying in my own words, along with any unspoken assumptions. This saved 5+ points on the test, because a lot of the questions are purposefully written with assumptions that logically follow–but if the question doesn’t ask you to make a conclusion, stay to what the text says to the letter. It’s not testing your ability to be a rational, practical thinker, it’s testing your ability to jump through its evil, evil word-hoops.

The Quantitative: Aside from a basic college algebra review, I haven’t taken a math class in almost six years. The math section is bittersweet: While it does rely more heavily on reasoning than on equations (and unlike math, reasoning is familiar to my day-to-day life), it still expects you to memorize obscure equations. And it forces you to use a tiny on-screen calculator with minimal functions. When the SAT is vastly kinder, you know they’re just screwing with you. (Have I mentioned how expensive this test is? Honestly, that price is a large part of the reason I was determined to get it right the first time. But I digress.) To supplement my prep books, I had a friend tutor me in concepts I’d totally forgotten, and I made a cheat sheet of formulas that the GRE excepts you to know. (Not a literal cheat sheet, GRE police–I know you’re watching me.) Some of those are as follows:

  • Quadratic equation
  • Slope of the line
  • Areas of equilateral triangles + assorted polynomials
  • Area of part of a circle
  • Standard deviation principles
  • THE GODDAMN COMBINATIONS EQUATION
  • Regular/compound interest

That’s not comprehensive, but it’s a start. Tailor it to your own needs, and decide how important math is to you/your top grad schools.

This is the part where I repeat all the cliched stuff about going in well-rested, remaining calm even when the timer flashes the 5 minute mark, and remembering you can retake it in a few weeks. Really, it’s important to remember that this is a test designed to measure skills you don’t actually need to be a smart person. Decide ahead of time the minimum scores you’ll send (check data for your intended schools/programs and national percentiles). And if you have any more GRE/academic questions, I’m absolutely open to support you as best I can!

Fic: As Many As Possible Squeezed In Between

Title: As Many As Possible Squeezed In Between
Author(s): Lavenderprose
Rating: T
Summary: The Nikiforovs welcome their firstborn.

Notes: My contribution to Victuuri Week Day five, the prompt for which was ‘Domesticity’ and, specially, the Yuuri prompt which was ‘Family’. This is VERY VAGUELY omegaverse (I think the universe concepts are mentioned?? once?? aside from Mpreg of course) and is one part of something I hope to continue. It’s the first part of a longer story I hope to write about Viktor and Yuuri going from first-child jitters to fifth-child expertise.

I’m just a fucking slut for pregnancy fics ok don’t question me.

I’m also trying out a new writing style for this one so feedback before I refine it an put it on Ao3 would be great!

Keep reading

"Diabetes Isn't Even That Bad"

Hey type 1 diabetic here. Let me tell you why the statement above is a load of bullshit.

1. Our bodies are waging war against themselves

2. It takes us longer to heal when we get hurt and it takes us longer to recover from illnesses because our immune system is jacked

3. We could die at any moment without warning

4. Low blood sugars feel like you’re going through drug withdrawals

5. High blood sugars feel like your body is drying out like a fucking raisin

6. Afraid of needles? Well tough titties! We need to prick our fingers 3+ times a day, and either pierce yourself every 3 days for a pump site change or take 4+ injections everyday

7. Our organs are slowly failing

8. We have a high chance of going blind

9. We could lose our feet and legs

10. Insulin is expensive as fuck

11. Testing strips are expensive as fuck

12. The constant highs and lows drain us

13. We can’t just eat food right away. We need need to calculate how many grams of carbohydrates are in our food, test our blood sugar, configure in a correction if need be, dose, and by the time we take our first bite; everyone else have already finished

14. Doctors are expensive as fuck

15. Pumps, Meters, and CGMs are expensive as fuck

16. No one ever takes our illness seriously

17. Having children is VERY risky for lady diabetics

18. The constant fear we have when we go to sleep knowing that we might not ever wake up due to low blood sugars at night

19. The bruises and scars all over our body from YEARS of injections, site changes, and finger pricks

20. How our feet and hands are always freezing due to our poor fucking circulation

So tell me again how our suffering “isn’t that bad”

Make another joke about the worst thing that has probably ever happened to us

Laugh again when you say “All of this food is going to give me di-ah-beet-us”

Just know that you sound like a huge asshole to us actual diabetics.

anonymous asked:

its funny cos u dont see that the only reason bill nye said that shit was to pander to the left

I cannot believe I wake up to anti-sjws whining that science doesn’t actually support them anymore amazing. 

So, you don’t seem to understand Bill Nye’s job. Bill Nye’s job is to read off scripts written by someone who does whatever science he’s talking about today. His job is to be able to explain science to the layman, that being you and I. Yes, I’m aware that he has a bachelor’s in mechanical engineering (which was a STEM field last I checked? Don’t yall have a massive thing for STEM fields?) but my dude you don’t need a degree in mechanical engineering to read off a fucking script. I could do it, hell I even have qualifications! I used to be a radio broadcaster! I did the fucking news!

The point of science isn’t to confirm your world views, if we can objectively see that there’s more than two ways to experience gender, then whoops if you still tell people that saying that transgender and nonbinary people don’t exist not only are you still transphobic, exorsexist, and racist you’re just plain wrong. 

Harvard has an article titled Between the (Gender) Lines, has this to say about sex

“Sex determination – the way we are “coded” into a biological sex – is complicated in and of itself. There are far more options than just “male” or “female,” and countless instances of species that can actually transition from one sex to another within a single lifetime.”

They also said that the transgender people’s brains reflect that of the gender they say they are and not the gender that was assigned to them. Maybe also give this a read because the studies Harvard cited are from 1999 and 2000, meanwhile this article talks about some from 2014, so clearly we got some baselines for gender being way more complicated than we were told in middle school.

And then we have examples from actual legends and history about the existence of trans and nonbinary people. Akhenaten from Egypt, Elagabalus from Rome, and Caeneus from Greece. Hell there’s a whole book on people in history who are transgender. There’s a fucking precedent. Hell google “nonbinary genders around the world” and you’ll find cultures that have genders outside the western binary.

National Geographic even ran an article on gender identity and how it correlates, even touching on intersex people in relation to how they experience gender. And even states that gender is varied based on one’s own self-identification and cultural influence, not just the physical stuff. And lets not forget their Gender Revolution bit.

And you can’t use “oh but, your chromosomes!!” because my dude, my dearest dude, you don’t know what ones you have. You have an assumption, a guess, a hypothesis. Because unless you went and dropped the dosh from some expensive tests to find out what your dna says, tests that are only done when your doctor thinks your medical condition has something to do with your chromosomes, you don’t know shit. On top of the fact that chromosomes are only part of what makes one’s gender, not the whole damn thing. That’s like saying you have a cake when all you’ve done is bring the flour. 

So yea my dude, science is an every changing landscape where it gets updated once we know New Things. It doesn’t stay static because you want it to and refusing to see that something is true, according to whatever study you’re doing, is harmful not just to those it would affect but your field overall because of your poor work ethic and stubborn to realize that maybe in the past 20 years we actually learned things

So you end up looking like this

[Image Caption: A man standing in front of a board with “Science is a LIAR Sometimes” with pictures of Aristotle, Galileo, and Newton and paper cut outs of the word “BITCH” in red pasted over them.]

If reporting new scientific findings to the public means “pandering to the left” then I guess science is gonna be way too liberal for yall and you best scoot the fuck on out. 

5

“Love…For Better Or Worse” …Pt. 4

I’m in the studio spending some time with the family. I didn’t plan on coming down here today, since we just got in from Bridgeport late last night, but my little “brothers” begged me and I couldn’t say no. It’s been a while since I’ve hung out with them and I’m starting to feel like I need to be in their lives more. Shit, they look up to me. With them being teenagers and my uncle not being the easiest person to talk to, they definitely need someone else they can get advice from. We’ve been here all day, goofin around, grilling them about shit they have no business doing, and showing them the basics of how to make beats. Mitchell, as expected, was more interested in learning. He’s always had a good head on his shoulders and stays out of trouble. We didn’t find out about him until he was around nine and since he lives with his mother and step-father, he’s not tainted by this rich ass lifestyle. Micah, on the other hand, is spoiled as hell, worse than I was. His grades are good, but he has that “zero fucks given” type of attitude. I feel like he needs the most attention, so I’m definitely going to be around more. Since he decided that texting his little girlfriend was more important than learning the business, I decided to fuck with him in true older brother fashion. Just as I was going through his phone, teasing him about the emojis they send each other, the last person on earth I wanted to be around came storming through the door with security following behind. With the drama that Levi caused, quickly shut down, I figured that anybody who wanted to benefit off that shit would eventually come out the wood works. It’s no shocker that my Ex is standing in front of me. She’s always tried to slide her way back into my life when it seems like my relationship is having issues, so I know exactly why the fuck she’s here.

Keep reading

Someone on craigslist is selling a solid mahogany sideboard (buffet, credenza, whatever) that just needs to be refinished for $55. I’m trying to coordinate a truck rental so we can go get it tomorrow morning. Even with the rental, it’d still be an absolute steal.

Plus, at that price, it would leave me with room in my budget for the rectangular pendant light that I want for the dining room. It currently has a shiny brass candelabra chandelier leftover from the eighties and it’s just terrible. But I’m learning that most lighting fixtures are both hideous AND expensive; I’ve looked at well over 300 options and only found one that I like. I’ve checked the store outlet and it’s going to be like finding the white whale because they only seem to wind up there if they’re returned due to delivery damages.

Little Drunk, Lotta Careless (A Riarkle Future One-Shot)

Fandom: Girl Meets World

Pairing(s): Riarkle

Characters: (Major) Riley Matthews and Farkle Minkus, (Supporting) Topanga Lawrence-Matthews, Cory Matthews, and Auggie Matthews, (Mentioned, mean kinda?) Sophia Mars Minkus (oc)

Rating: T because, like, retrospective thoughts about sex and language.

Description: “The color pink has never seemed so intimidating” Riley finds out she is pregnant for the first time as a Senior in college. (Pregnancy-Test fic)

Author’s Note: This is Riley finding she’s pregnant with Sophia, for those of you who have read Just Go To Sleep, Riles. If you haven’t…GO DO IT!!! It’s basically a sequel!


“Okay, Riley, breathe. Just breathe,” The jumpy brunette muttered to herself, bouncing on the balls of her feet as her gaze flickered over the shelves before her. “It’s just a little plastic stick! Nothing to be freaked out about.”

But it wasn’t just a little plastic stick and there were about a million to choose from and there was definitely something going on to be freaked out about. 

Riley Matthews had never bought a pregnancy test in her life and had only seen one done once before, the time Maya had had her ‘big scare’. How was she supposed to know whether to go digital or not? Cheap or expensive? A single test kit or the pack with, like, ten?

How did other women do this?  

And who the fuck thought to put the goddamn diapers across the aisle from the pregnancy tests anyway? Because whoever it was, was an asshole.

Keep reading

If you want to know how fucked up America’s healthcare system is, I just got my bill for my trip to the doctor last month and after insurance, my bloodwork comes to $711.22. After insurance. And I have pretty good insurance.

  • ppl: idk man... adhd is? not real? like I don't think it's an actual disorder because all doctors wanna do is give kids drugs so they shut up? it's really toxic and not real.
  • adhd ppl: that wasnt our fault. medicine companies paid off doctors to prescribe brand name meds back in the day, and greedy asshole doctors would misdiagnosed kids to get money out of it. we still exist.
  • ppl: okay but like... adults can't really have adhd. you grow out of it right? so you're probably faking it anyway.
  • adhd ppl: not everyone "grows out of it" and by "growing out if it" they mean "getting older and learning more self control over the more obvious symptoms like hyperactivity" not "I am cured my mental illness is gone"
  • ppl: but like, you just need to get organized! put up sticky notes and stuff. if you do that there is no way you can forget. why would you not do something when you know it needs to be done.
  • adhd ppl: executive dysfunction is a symptom of adhd, and often times adhd facilitates a childhood that promotes other disorders such as depression, anxiety, and personality disorders. a lot of adhd children are abused for being "too rambunctious" or for "not trying hard enough" and this contributes to self-loathing and suicidal tendencies. it's also unlikely for simple notes to help because the exdys makes us procrastinate. it's not simply a problem of remembering.
  • ppl: okay but like you should just get meds if you want to feel better!
  • adhd ppl: a lot of adhd medications are high powered stimulants and can often be too hard for people to take. some adhders don't want to take meds bc it makes them feel out of place, or takes away some of the benefits that they've basically built their lives around. not to mention, because neurotypical people buy and sell our medications illegally, we're often made to go through expensive testing over and over just to "make sure" we need them. we also have to have this information if we want to have accommodations made at work or at school.
  • ppl: well you act so childish all the time! it's time to grow up and face the real world. don't use your illness as an excuse :) sweaty.
  • adhd ppl: adhders develop about a year slower than their peers. we also need to stim, have special interests, have a hard time reading big walls of text, often have audio processing and memory problems. these are real things and we need to be taken seriously. we are "grown up". we are grown ups with adhd.
  • ppl: lol whatever my cousin is autistic and those are things THEY do so you're just appropriating them you ableist faker.
Experinences w/ ADHD by your resident inattentive type

I.

I realized I hated – no, despised – school when I was in third grade. I had already been marked by all my teachers as either lazy or stupid by the middle of that winter, but I had yet to acknowledge the general awfulness of the situation.  At the time, I still saw the world through the distorting lense of an oblivious, optimistic nine year old.  That changed the day that my homeroom teacher, Ms. Burke, became frustrated with me handing in crumpled pieces of paper from the bottom of my backpack.  She marched over to my cubby, unzipped my lime green, rolling bag, and dumped its contents onto the floor.  I tried to repress the tears as she barked, “You need to keep your backpack more organized. Clean this up.” I stared down at the pile of unfiled paper, pink Legos, Ticonderoga pencils, and unidentifiable gray powder.  I squatted down towards it, letting my tears fall upon the already overflowing mess.

My classmates, who were disgusted by what they had seen, stopped talking to me after that.  I felt like an alien, a distractible puppy in a world of sensible cats. My teachers, of course, were cat people, so they continued to punish me, doubting both my dedication and intelligence.  I was a bit indignant; I was trying hard, and – for a time – I thought I was smart.  Despite my distractibility in the classroom and the fact that I couldn’t add single digit numbers, I was able to read books far above my grade level and had taught myself basic programming language.  Still, in the scheme of things, the ability to get a mark other than “needs improvement” on a report card seemed far more impressive to me than anything I had ever done.

II.

My sixth grade geography teacher, Mr. M, was the strikingly intelligent and well-spoken principal of the school.  He intimidated me at first, but I began to feel excited at the prospect of going to his class each day, wanting more than anything to learn. On my report card, he described me as a bright, strong student, words that I had never before heard in combination with my name.  For once, I felt like there was a chance that I might succeed.

That spring, my friend, Sidney, bragged to me that she had been accepted to CTY, explaining that it was an academic camp that admitted students based on their standardized test scores.  Boosted by Mr. M’s confidence in me, I decided that if she got into the program then so could I.  When I approached my parents about the camp, they agreed to let me try out.  About a month later, I received a letter from CTY informing me that I received their award of high honors and was admitted to the program.  I returned to school feeling more self confident than ever.  

My confidence, however, was short lived.  A few weeks into seventh grade, my advisor and history teacher, Mr. O told me to stay after class.  “I need to call your parents,” he informed me.  “Your science teacher is complaining that you laugh too much in class and take everything as a joke.  Your math teacher tells me that you never pay attention in class.  Your French teacher says that you never appear to be listening when she speaks, but always know the answer when she calls on you.  You always talk to other students during class during Latin.  You are one of the best students in my class, but it seems that it is the only one you are trying in.”

I felt so horrified that I couldn’t swallow for the rest of the day.  I told Sidney what had happened, and she said, “You might have ADHD.”

When I got home that night, I googled the symptoms.  “Forgetful, misses details, difficulty focusing on one thing, unorganized, seems not to listen when spoken to,” I read.  That’s so me, I thought.  

My mom, on the other hand, did not think that was me at all.  “Are you kidding me?” she rolled her eyes.  “You don’t have ADHD.  Those kids really can’t sit still.  I have seen you spend the entire day reading Harry Potter.  Of course, it is hard for you to focus on things you’re not interested in.”

“I don’t think you have ADHD,” my dad agreed with her. 

III.

I was nothing if not persistent, so by the time I went for my annual check up in June, my dad agreed to ask the pediatrician about how I could get tested.

“Educational testing is expensive,” she informed us, “so I wouldn’t do that unless you really think you have it.  I can give you some forms to hand in to your teachers.  They can evaluate you, then we can diagnose you if you have it.”

The next September, I handed the forms into the administrative assistant at my school, Ms. Blackman.  The leaves turned red and orange, then fell off trees as September turned into October, then November, then December.  Winter break neared, and I would be moving to California in a few weeks.  Finally, I asked Ms. Herlein, the academic resource coordinator, what had happened to my forms.  “Your teachers have them,” she snapped angrily at me.  “We will return them to you when they’re done.”  They never gave them to me or my pediatrician.  

IV.

My closest friend in California, Mia, had ADHD, dysgraphia, and dyslexia.  She was a member of SAFE (student advisors for education), which aimed to “educate, mentor, and support students, parents, and teachers regarding the challenges and strengths of learning disabled (LD) and ADHD students.”  Convinced that I had ADHD, she brought me to a few meetings.  The members of SAFE discussed ways to change the educational system to make it more LD friendly.  At the time, I felt awkward because I didn’t know if I had an LD.  If I could rewind time, I would share what I know now: that teachers should recommend students for testing,  respect accommodations, and listen when a student comes for help. 

V.

The next fall, I moved to DC and started at a new high school.  Since I did well on the placement test and in my eighth grade science class, I was recommended for Honors Biology.  I got a 56% on the first test, so I asked my mom to get me a tutor.  She agreed and asked the teacher, Mrs. C, if she had any recommendations at Back to School Night.  “No,” Mrs. C responded, “students in this class don’t need tutors.  Lauren belongs here, she will be fine.”  Unfortunately, she was wrong, and my performance in the class only went downhill from there.  Guiltily, Mrs. C agreed to meet with me every day in order to help me review the material we learned in class.  She was able to help me raise my grade to an 80%, but my confidence was severely depleted.  

VI.

That summer, we moved back to Baltimore, and I started at another school the next fall. It was an easy transition socially, and I quickly fit in with my classmates, who invited me to parties, sleepovers, and hangouts almost immediately after meeting me.  However, although there was decidedly less work at my new school, I still felt hopeless.  My worst class was Ecology, which everyone else claimed to be an easy A.  The first quarter, I got a 70% in that class.  I’m glad I like partying so much, I thought bitterly, because that’s all the college I’m getting into will be good for.  I complained to my friend Maria about my poor performance, and she responded, “What do you expect? You never pay attention.  It’s your own fault for not trying.”  Her comment made me feel sick to my stomach, and I started spending much of my free time in the library after that, wanting to prove that I could succeed.

The time spent studying, however, did not seem to help.  Near the end of the year, math became particularly challenging for me, as I still struggled with adding and multiplying.  Furthermore, I always felt especially distracted in that class.  I tried to listen to my teacher, Mr. F, but somehow - driven by some subconscious force that I was unaware of - I always found myself talking to whatever student sat next to me.  I began to get C’s on all my tests, so I met with Mr. F after class to ask for help.  After getting one test back, I apologized to him, wanting him to know that I really did care about his class.  “I know, Lauren,” he said.  “Your focus just isn’t always there.  Just work hard, we’ll get those grades back where they should be.”  I thanked him and quickly ran out of his classroom, trying to hide the tears.  As soon as I reached the hallway, I started to bawl.

That night, I told my mom that I wanted to be tested for ADHD again.  “I don’t think you have it,” she said, “but if you think you do, then let’s get you tested.”  She emailed my dad that night, and - although he was still skeptical as well - he agreed to set it up.

VII.

HP, a thin, Asian woman with distinct cheekbones, was a psychologist who would determine what learning disabilities I had (if any).  She administered the WISC, an IQ test with problems ranging from adding basic numbers to completing high level math, assembling blocks in patterns to defining the relationship between two words, naming all the foods you can think of in two minutes to remembering pictures and words.  The test was a grueling, five hour long process.  After we were finished, Dr. P gave me forms for my teachers to fill out about my behavior in the classroom.  That night, when I got home, I kept thinking, what if nothing’s wrong? What if this is how I’m supposed to feel?  I tried to push the thoughts from my mind, but I couldn’t wait to meet with her in two weeks.  

The same night, convinced that the bottle read detergent, I put soap in the dishwasher.  I had already done it twice before.  My mom tiredly came to my room, telling me to clean up the kitchen full of bubbles. “I’m sorry,” I cringed.  “It was an accident.”

“No, Lauren,” she sighed.  “You were just being careless.” She then proceeded to explain the difference between making a mistake and being careless.  Mistakes are hiccups of fate, things you never could have predicted. Carelessness, on the other hand, is synonymous with negligence. She was right, I could have prevented it … or at least, someone else could have. I felt incompetent and disgusted with myself.

VIII.

When we returned to Dr. P’s office, she explained the WISC results,  “The test has four sections: verbal, nonverbal, working memory, and processing speed.  Lauren scored highly in both the nonverbal and verbal section and exceptionally in the working memory section.  Her processing speed, however, was very low - only in the 20th percentile.  She’s been compensating for this with her high scores in the other areas.  Even with the low processing speed, her IQ is 117, which means she is bright.  Still, she just processes things more slowly than other people.  For example, Lauren, what’s 3 x 4?”

“Ummm….12”.

“See how she needed a second to answer the question even though she already knew the answer?” Dr. P asked my mom.  “It’s just that second that makes the difference.”

“What’s 5 x 4?” my mom tried me.

“Umm-”

“20,” Dr. P interrupted.  “See what I mean? We would be able to answer that just off the top of our heads, but she needs a bit longer”.

“So what does that mean?” my mom asked her.  “Does she have ADHD?”

“Considering her scores and the forms filled out by her teachers,” Dr. P responded,  “I would be inclined to make a diagnosis.   I will be writing up an official report with accommodation recommendations, but right now I will go over some options as for what you can do to help her.  One option is tutoring and counseling, which means that someone would teach her strategies for dealing with some of the issues that come up with ADHD.  The other is medication”.

“I don’t want her medicated,” my mom decided.  

That day, on the car ride home, I started crying.  Would things be different for me if I had known this years ago? I wondered bitterly.  

IX.

For the next few weeks, I continually begged my mom to put me on medication.  Each time I brought it up, she told me it was not an option.  Finally, some time in early-October, I got a text message from my mom, saying that she had spoken to a nurse who put her son on medication.  “You can try medication,” she told me later that night.  “But if it doesn’t go well, then we’re taking you off of it”.

Even though my mom had agreed to let me try medication, the problem of getting an appointment with a child psychiatrist, which are in high demand, remained.  Finally, after two weeks, my mom managed to schedule an appointment with BK.  When I met her, she told me, “There are non-stimulant medication options, but they take awhile to build up in your system.  You’ve waited long enough already, I don’t want you to have to wait one more day”.

That night, she sent me home with a prescription for Concerta (extended release Ritalin).  The pill has a colorful coating (cream at 18mg, gray at 27mg, white at 36 mg, red-brown at 54mg) of fast-acting medicine.  This layer dissolves within an hour of being exposed to a wet environment (the gastrointestinal tract).  That exposes a semi-permeable membrane, which slowly - over the course of 7 or 8 hours - allows water to enter the core of the pill.  The liquid displaces the drug, thus releasing it into the system.  

I always hear people talking about the awful side effects of Ritalin, but I don’t really feel that different.  The first few times I took it, I felt sick to my stomach, and it still makes me feel less hungry.  I do not, however, feel antisocial or aggressive, and I certainly have not slipped into psychosis.  Yet, it is not a solution to every problem either.  My processing speed is still slow, I’m still a bit careless, and I continue to have impulsive moments.  It does, however, make a difference.  I can choose what I want to focus on.  I can think more clearly.  I can succeed, but I still feel the effects of my learning disability.

X.

A few weeks ago, I was sitting in my science teacher’s classroom, finishing up a test when another student asked, “Do you have ADHD?”

“I don’t particularly believe in ADHD,” he responded slowly and deliberately.  Ugh, I thought, he doesn’t understand.  There are so many more levels - the processing speed, the uphill battle, the pain - that he just doesn’t understand.  I felt like I was going to throw up knives, but I just sat there quietly and tried to focus.