health and effectivity

anonymous asked:

Hi! As a trans person, do you ever find you're concerned about possible health side effects of hormone therapy?

hmmmm so far, I had little side effects with hormonal therapy aside the first year of treatment. My health status is quite complex and I have a chronic illness so it was leaving me worried as to what would be the effect of such a treatment…but so far : I am very happy about the results and how little side effects I got. 

I think it’s most definitely worth it. 

2

Mental Illness with Makeup:
Bipolar Depression
When I create a look/creature, it is almost always based on emotion and I do my best to convey how I feel during that time in my life. It is a very interesting diary, I suppose. Lately, I have been constantly going back and forth from hopefulness to hopelessness and I am very tired. I created these two creatures, one in October and one today (April 27,2017). I miss how I felt and I try to find as much light as I can nowadays.

Look, we need to talk about this Ok

This wasn’t some happy go luck episode, this wasn’t the sweet cool Starco episode everyone is trying to make it out to be or whatever. This was intense. This kid as been traveling and fighting for 16 years.

Marco traveled to every single dimension,(without sicors), He faced hundreds of monsters, he learned amazing things. He blew out every single flame of every single clone

Marco grew up guys. he grew UP. He built a life for himself. he lived for 16 years alone in the roughness of uncivilisation, with only himself to look out for. Constiantly tracking down clone after clone after clone.  He becomes a warior.

And yet, when he arrives at her doorstep, he doesn’t  attack her, and she doesn’t attack him. Infact, when he arrives, she’s already forming his scissors

She’s content, She’s plaesed. She has accept his work, and delcared  him worthy of the responiblility of having dimensional siccors. 

And marco has a similar reaction as well, he doesn’t immedetly take the scissors, doesn’t blow out her light as soon as possible. No, he sits down, gets comfy. he relaxs and tells his tales to her.

“you barley escaped me on the exploding flames of endor. And when I lost your trail in the mist of the never zone, I thought I’d never find you.”

They know eachother. This isn’t the first time he’s seen her. The REAL her since their first encounter when he was fourteen. They’e meet before, they’ve battled, and ran and talked formed an odd frenship out of their bond.

And then He rises to blows out her flame, and she lets him. She stands there, content as he softley, blows it out

“Not bad for a human. I underestmated you.”

And then, Star bust in….

And of cousre, Marco is happy to see her. He hasn’t seen her in over, and I’ll say it again, 16 years (reminder, normal people go to school for 12 years! First grade to senior. Marco has been working for those things, longs than the normal person goes to school.)

Now, I’m not here to go through this episode slide by slide, so lets move on. Marco finds out he’s only been gone from earth for 8 minutes, he get annoyed, ut then Star encourages him to come back home with her, so that everything can go back to normal.

Here’s the thing guys. Marco has spent the last 16 years matureing, fighting, living, He’s been spending the last 16 years BUILDING A LIFE. he doesn’t want to go back. he likes his life.

He likes the adventure, his sword and his dragon-motercikle pet thingy. The likes the life he’s build for himself here.

And this scares her. She pleads with him. BEGS him even. “But, what about your parents, your freinds….Me?” Star puts Marco in a position where he has to pick between his life, what he likes and her.

And here’s where this show gets really deep. he looks at his pet.

Guys you can feel that stabbing pain in your heart right? Right?  Oh man and then he looks at Hekapoo. This girl he’s chased for 16 years. 

“Don’t look at me, those siccors are yours now…you can come back here, anytime you want.”

So he makes his decision

But before he goes, he bids them goodbye. He asks Hekapoo to look after his pet. His one compainion on the road. And she agrees. 

Then he turns to her. Like when he entered, he greets her like an old freind, because that’s who she is. She’s not someone he resents, She’s some one he trusts. Someone he has faith in and who he know he can depend on.

“Likewise”

I mean, I’m sorry, but have you SEEN the way they’ve been looking at eachother this entire time? Their eyes, relaxed, smiles oh so small.Serriously, go back through the pictures I have here. you’ll see what I meant Mabye I’m crazy, but it almost seems like they’re in love. 

ha hah hah just kidding…sort of.

 Back to buisness.

Look at this. This is her thing. She’s been doing this to him since they first meet. It’s a way she “shows [her] affection” in the words of Toph

It’s what she does. He has something simillar to that as well

“Later H-poo.”

“Don’t call me that!”

They know eachother. They’ve know eachother for 16 years. They’ve been teasing eachother all that time while he’s been chasing her and she’s been slipping through his fingers. I don’t know about you, but that sounds like some wicked love story. 

But it’s not, because she’s some, immotal being and he’s a human and he’s ment to be with Star…That’s fine. I get that but still!

I meanserriously, when Hekapoo  creates siccors, she makes them individually for the owner, and look at marco’s

The blade’s are thick, and kind of resemble a sword, given how that’s the wepon he’s been using all this time, and it’s part of his pasword..but look at the that little flame where the blade conects to the handle? Doesn’t that look like her flame crown?

no, actually, it doesn’t. But it DOES  look like her clone’s crowns. The clone’s he’s been chassing and fighting al these years. She placed a bit of herself in his siscores because she was that important to him. (or at least she was important to his mission)

.

.

.

Ok, Ok, Ok….now here’s 

The most important stuff. 

Marco is back in his 14 year old body. He’s back on earth’s time line, and Star thinks its all fine and dandy…but it’s not.

Marco isn’t the same guys. He’s been gone for 16 years. He’s 30 years old mentally. Watch as he takes in his room, observing it like some alein place.

And he walks over to his computer, almost scared to touch it. These last few years, Marco’s probablby survied off of whatever he could kill or make with his own two hands. This kind of advancement…it might make him feel uncomftorble, like he’s cheating at life. 

“Password..? I don’t remember my password.”

For last 16 years, Marco has  probabbly been sleepin gon rocks, on the ground in caves. watch how catius he is lowering himself onto his bed. After two years, most soilders in the army can’t handle sleeping on beds because they’re “too soft” Imagine how marco feels. I mean, his sandwitch is still warm, as if none of his life had ever happened

This isn’t some crazy Narnia junk where Pete, Edwin, Lucy and Susan half forget what their life was like in narnia when they de-age after walking through the wardrobe. Where they go back to being kids mentally as well, as though their entire adventure was a dream.

NO.

Marco remembers it all. And this is HUGE. The show brodened on that. they showefd how uncomftorble he looked as he stood in his room all alone, because it was essential to show the effects that were left on him. 

This isn’t some happy Starco episode. this isn’t some cool ‘lets drool over adult marco’ episode either. This is some dark, bittersweet life. And you guys need to stop trying to weasle out of these facts.

The World’s Simplest, Most Secret, and Maybe Most Effective Health and Healing Spell

You will need:

  • A glass of water.
  • Alternatively, a plastic bottle of mineral water.

Timing:

Any health or healing purpose, any place.

The spell:

  • Hold a glass of water between your hands. Because water is pure, you can use it as a magical space and imprint it with whatever you need.
  • For a specific health or healing purpose, say what you most need. For example, say: “My headache is lifting and I am full of energy.
  • Empower the water for health, vitality, and strength for the days or hours ahead.
  • Keep your hands cupped around the glass for about two minutes and then slowly sip the water, thinking about the empowerment.
  • If you always feel tired in the morning, fill a glass of water before you sleep, endowing it with energy and enthusiasm for the day ahead. Drink the water as soon as you wake, saying: “I fill myself with the enthusiasm and joy for the day ahead.


“1001 Spells: A Complete Book Of Spells For Every Purpose,” by Cassandra Eason

So, I decided to make this post for you guys and I hope you find these tips as helpful as I did :) 

1. Never compare yourself to others, but really, NEVER do it.

From my personal experience, I can tell you there’s nothing more destructive than comparing yourself to another person. Every single one of us unique and has their own amazing skills. Maybe one of your friends aces Physics class but you rule when it comes to Chemistry class or a foreign language. Also never let anyone make you feel like you’re not awesome because you are. As Eleanor Roosevelt would say “No one can make feel inferior without your consent.” So don’t let them and wWhat you do, do it for you.

2. See what you’re missing and do it.

If you pay attention and make fantastic notes, but still you don’t reach your desired goal and you know you can do better, check what is missing. Maybe is studying for the exam. Maybe is handing in the homework. Maybe it can be related to a poor sleep or nutrition. You gotta identify what is wrong and do something to change it.

3. Sit up front.

Again, I have experienced this and when I sit in the back I completely lose my focus and immediately start to talk with my friends and doodling on the back of my notebook. Look for the seats right in the front, you’ll be able to pay more attention to what the teacher/lecturer is saying and you’ll be more likely to get done your work fast.

4. Time management.

As a big procrastinator, I can tell you that not having a schedule or not planning your tasks can be really harmful to your grades. I know sometimes Season 4 of Sherlock sound more fun than Spanish reading but you need to prioritize. Make a list, from the most important task to the least, that way if you do not complete everything, you will have ready the most essential duties. Be strong and work hard, then relax.

5. Eat well and sleep well.

As I wrote in one of the past points, sleep and food can be a really influent factor in your school performance. If you only eat junk food and sleep four hours, you’ll be more likely to fall asleep in class or even to suffer a lack of focus and energy because of not nurturing your body properly. I know sometimes homework takes more time that we expected to get done but if it’s not school work or something really important, you should try not to stay awake (even more if your reason to lose hours of precious sleep is to be scrolling down Instagram or Tumblr, which can be done next day). Eat your veggies and get 8-hour sweet dreams.

6. Stay hydrated.

Drink at least 2 liters of water per day. It increases energy and relieves fatigue, promotes weight loss, flushes out toxins and will get you closer to the perfect skin we all want.

7. Pray

Personally, this has been really important to me, especially when it comes to a big exam or a contest. Praying always gives me peace and makes me feel more confident. I invite you to try it, you’ll see the difference. Also, studies have demonstrated that prayer helps you to have more self-control and makes you less vulnerable to the negative physical health effects associated with stress.

8. Pretend that you’ll have to teach the material you are learning, that way you’ll pay more attention and be more likely to memorize it fast.

Always do your best and remember that good thing take time.

PSA: Mass Effect & PTSD

Hey guys!

I’m here today to talk about one of my favorite things….and one of my least favorite things. Both have a pretty big effect (heh) on my life. 

Mass Effect is probably my top video game of all time. FemShep is one of my top characters in any medium. You know why? She suffers from the same mental illness I do and she STILL saves the galaxy. She doesn’t give up. It’s really inspiring. I’m proud of Bioware for showing the human side of her, especially in ME3. We get to see her crumble a little, and we get to see her deal with her symptoms in ways I imagine a lot of soldiers do. (My PTSD isn’t combat related, but I do have several close friends and family members with combat, and non-combat PTSD.)

It’s also super awesome that you guys are writing about PTSD in your fanfics! I love that fans are willing to explore that part of Shepard’s story. With everything Shepard has been through (regardless of their origin story), it makes sense that it would have an effect on them, no?

But I also think we can do better. Here’s some things to keep in mind: 

1) PTSD is more than just nightmares. This trope is understandable, as this is the symptom Mass Effect features throughout the third game. Don’t get me wrong– a lot of people with PTSD suffer from nightmares, but there are more symptoms than just that. Nightmares are actually kind of rare for me. Other symptoms include, but are not limited to: shaking, muscle tension, trouble communicating (unable to form complete words, phrases, or sentences), flashbacks of the event, avoidance behaviors (isolating yourself or avoiding certain people or places connected to the event, or having trouble forming relationships in general), nausea, loss of appetite, dry-heaving, and hyperventilating (feeling like you can’t breathe.) The last one especially would be difficult for Shepard, as you know…they died by suffocating in space. 

2) Post Traumatic nightmares vary person to person. When I do have them, they aren’t always directly connected to the traumatic event. Maybe it’s just the way my brain works. My dreams tend to take on more symbolic forms based on my underlying feelings surrounding my mental illness. (This week they have all had themes around my inability to communicate or feeling trapped in my situation.) The way I tell the difference between a regular nightmare and a post traumatic one is how I feel afterwards. Post traumatic nightmares leave me feeling wide awake and unable to fall back asleep. They’re harder to wake up from (I lucid dream a lot.)

3) Post Traumatic episodes are EXHAUSTING. This is probably the most misunderstood thing in Mass Effect fanfiction. I see it a lot. You know, Shep has a fucked up day, they lose a dear friend and/or nearly dies, and/or something they experience brings up trauma from their past. Their love interest finds them and they bang. Everything is a–okay. WHAT!? During a post traumatic episode, your body is on high alert. You’re experiencing the purest forms of fight or flight. Your heart is racing. Your adrenaline is up. All your muscles are tensed up and ready to run away or fight for your life. You have tunnel vision. Keep in mind this can happen at any point after the event, and often in contexts that are only mildly stressful to the every day person. Your mind/body isn’t concerned with what happens afterward, only that you survive what it thinks is danger. You probably aren’t going to be up for sexy times afterward. You will probably only want to sleep, but that might not happen because your fear of post traumatic nightmares, or your mind is still keyed up even though your body is exhausted. Also, all that emotional energy is going to be used up. You might feel numb or depressed. You might have thoughts of killing yourself, or fearing for your future. Now, I’m not saying Shep won’t try for sexy times after an episode, but it’s going to look different than normal sex. Maybe they’re using it to distract their partner from their pain. Maybe they use it to ground themselves in their current reality. Timing matters. Is it in the middle of an episode? Is it after? Does Shep mind being touched when they’re experiencing symptoms? These are all things to keep in mind. 

4) Coping mechanisms differ person to person. Some people drink. Others have sex. Some push themselves into their work. Others make art. Some get counseling/therapy. Some exercise. Others take prescription medication. How your Shepard copes and to what degree really depends on how well educated they are about their condition and the emotional support system they have. How well they cope probably changes for better or for worse depending on what point they are in their story. 

Hope you find this helpful. Feel free to reply with questions. (I’m not a mental health professional, but I can speak to my own experiences and that of my loved ones.)

Common Effects of Torture

I’m going to start with an important and underappreciated point: the effects of torture are hard to research.

For a mixture of reasons, including shame and fear of reprisals, many people are uncomfortable admitting that they were tortured. Fewer still have the opportunity or are willing to participate in research. Sample sizes in studies are often ridiculously small, so small that it can be difficult to reach any conclusions.

On top of that, picking a control group can be difficult. If the majority of torture victims are depressed does comparing them to a health or depressed population make more sense? If the majority of torture victims suffered serious head injuries should they be compared to people with mild brain damage?

The research is hard. We’re only just beginning to get a clear picture of the short and long term effects of torture, on individuals and communities. Sometimes clear evidence just isn’t there.

Sometimes, for some techniques, it is. So long as you don’t call it ‘torture’. Information on sleep deprivation, sensory deprivation, starvation, dehydration and extreme temperatures are all available.


What this means is that treatment is often a hit and miss affair. Studies trying to find better ways to treat torture victims often can’t find enough volunteers to get meaningful results.

All of that said, here is a non-exhaustive list of some of the things a character who has survived torture and physically healed might experience.

Depression 

Anxiety 

Suicidal thoughts

Hypervigilance

Persistent memory problems

Difficulty learning new skills

Difficulty relating to others

Chronic pain

Post Traumatic Stress Disorder 

Addiction

Insomnia

Long term Personality Change

Social Isolation

Panic attacks 

Much of the research on treating torture survivors focuses on PTSD which appears to be a more common response for torture than for other traumatising events.

It’s worth mentioning that although clear evidence on torturers is even more difficult to come by there’s a growing body of evidence suggesting that torturers are often traumatised by carrying out torture.

Anecdotal evidence suggests torturers develop many of the same psychological symptoms as their victims, including PTSD, depression, addiction, social isolation and long term personality changes.

[Sources, ‘Mental health interventions and priorities for research for adult survivors of torture and systematic violence: a review of the literature’ Torture Journal vol 26 iss 1 2016 W M Weiss et al

‘Why Torture Doesn’t Work: The Neuroscience of Interrogation’ Harvard University Press S O’Mara

‘Dysfunctional Pain Modulation in Torture Survivors: The Mediating Effect of PTSD’ The Journal of Pain vo 18 2017 R Defrin et al

‘Testimonial Therapy: Impact on social participation and emotional wellbeing among Indian survivors of torture and organized violence’ Torture Journal vol 25 iss 2 2015 M M Jorgensen et al]

Disclaimer

Things I support:

  • dysphoric people (trans or not)
  • getting dysphoric people access to better healthcare
  • getting transitioning people access to better healthcare
  • getting trans people healthcare which presents treatment for dysphoria and transition as options and does not pressure anyone to do anything
  • scientific research into the health risks and long-term effects of various aspects of transitioning (binding, hormone therapy, psychological patterns, etc.)
  • safety and autonomy of trans people
  • detransitioned people

Things I do not support:

  • males in female spaces
  • female spaces being compromised into free-for-all “gender neutral” spaces (while male spaces are left untouched)
  • medically transitioning children
  • lesbians & gay men have to be “open to” dating transwomen/transmen respectively or they’re transphobic
  • lesbians & gay men should “re-examine” their “genital fetishes” (i.e. DIY conversion therapy)
  • presenting medical transition as the only route for dysphoric people
  • pressuring dysphoric and/or gender-nonconforming people to identify as trans
  • erasing gender-nonconforming women like joan of arc from women’s history by claiming they were transmen
  • erasing gay figures like marsha p. johnson from gay rights history by claiming they were trans
  • rapists, murderers and predators who hold (or held) positions of influence in the trans movement (biko, rivers, alok, etc etc)
  • “centering” males in female reproductive rights
  • silencing female issues to cater to transwomen’s feelings
  • silencing victims of male trans people in the interest of “not making transwomen look bad”
  • violent and/or intimidating protests, no-platforming, other intimidation tactics, as an attempt to ban women’s writing, silence women’s dissenting voices, and erase women’s achievements
  • people identifying as trans based on gender stereotypes, outdated notions of “brain sex,” or nebulous feelings rather than sex dysphoria
  • transwomen being allowed to pretend they were not socialized male
  • transwomen being allowed to pretend they do not, and have never held male privilege
  • transmen’s experiences with female socialization and sex-based oppression being silenced and transmen being thrown under the bus in order to make the previous two points appear legitimate
  • pushing false statistics, lies, and strawman arguments to demonize anyone who questions trans theory
  • “TERF”
  • subsequent TERF witch-hunts, block lists, demanding that no one so much as hear what radical feminists have to say and instead blindly accept a strawman version of what we believe
  • ostracizing and bullying of anyone who expresses curiosity about radical feminist ideas, reveals that they’ve read radical feminist blogs, or so much as reblogs memes from radical feminists
  • denial of basic biology
  • denial of basic sociology
  • denial of sex-based oppression

We’re taking questions about social media & mental health

As researchers and advocacy groups examine the impact of social media usage on mental health, they are discovering both positives and negatives. While social media fosters community and allows people to connect in ways that are possible only because of the Internet, social media can also come with risks– bullying, harassment, and language of hate. This Tumblr Issue Time discussion brings together panelists from media, advocacy, and healthcare to discuss the relationship between social media and mental health, explore the positive effects it has on community, and examine solutions for how you might mitigate or address some of the negative risks. 

Our panelists will answer your questions in an Issue Time right here on @postitforward on Tuesday, May 30th. Ask anything you’d like. 

The Ask box is open now!

You can read more about our panelists after the jump,

Keep reading

slimetime or memefactory or something: :)
everyone: wow.. now theyve done it. their best post. time to hit those 100,000 notes am i right
me: (posts an intricate 10 page essay on the health effects of sucking toes)
everyone:                                    i get 1 anon saying im weird

Double standard much, blue hellsite?

glassslippers-and-tinywhiskers  asked:

Could you discuss delayed desexing and the alternatives like an ovary sparing procedure? It seems clear that in breeds like the GSD it benefits their health, but do we know much in regard to smaller breeds? (I know this topic can be controversial so if you'd prefer not to delve into it, or already have I understand) Also I've been loving the breed posts, thank you for taking the time to write them up!

I don’t at all mind discussing the topic when everyone remains civil about it. It’s very interesting and an aspect of veterinary medicine that’s bound to change as we gather more information. I’m happy to discuss it as long as all participants refrain from making personal insults.

It’s a long discussion folks. I’d grab a cuppa tea if that’s your thing. Also, unfortunately I can’t hide it under a ‘read more’ because it’s an answer to an ask, and Tumblr will eat the hidden part if I do. I will try to make it look pretty if you’re not interested.

Traditionally in dogs we have performed desexing (spey) by performing an ovariohysterrectomy, removing both ovaries and the uterus. Some alternatives have been suggested including tubal ligation, hysterectomy (removing only the uterus), ovariectomy (removing only the ovaries) or doing nothing. This is good. Science as a process should periodically review data, question the knowledge base and make recommendations based on new research. Otherwise it’s just dogma.

I don’t think you can claim that it is ‘clear’ that leaving the ovaries benefits the health of breeds like the GSD. The practice is still controversial at best, with some veterinarians outright labeling it at malpractice. There is some breed variability in terms of what relative benefits and risks might be expected, but I really wouldn’t call it ‘clear’.

Originally posted by wolfyoubemyvalentine

Before I talk about various cancer risks, let’s talk about relative risks of non-cancerous conditions.

With an ovariohysterectomy (traditional spey)that is properly performed, there is zero risk of pyometra. Stump pyo can occur if remnants of the uterus or ovaries are left behind. Cruciate tears are affected by multiple factors, but desexed dogs seem more prone to them than entire dogs. Weight gain and obesity is more common in desexed dogs.

The relative risk of pyometra in non-desexed dogs is about 25%. Risks typically increase with age.

With an ovary sparing spey (hysterectomy), only the uterus is removed. Pregnancy is prevented. Pyometra can still occur if any uterine or cervix tissue remains (a stump pyo). With the apparent influence of oestrogen, these dogs may be less at risk of cruciate disease and are less at risk of obesity.

With an ovariectomy, only the ovaries are removed. This renders the dog infertile and removes the influence of oestrogen. The uterus will atrophy and shrink down without stimulation from female hormones, rendering the risk of pyometra basically zero. It may still increase the risk of obesity and cruciate disease like the traditional spey.

Considering that pyometra is often lethal, while cruciate disease is painful but treatable, personally I would err on the side of preventing pyometra. Also keep in mind that obesity in dogs can be moderated with owner control of the diet, and obesity will predispose to cruciate injury. I would recommend removing at least the ovaries.

Male dogs have less surgical options. Vasectomy can be considered, but these dogs are basically entire but infertile.

An entire male dog is more at risk of perineal hernia, benign prostatic hyperplasia, perianal adenoma and inter-male aggression. A castrated male dog is relatively more at risk of, again, obesity, cruciate ligament disease, and possibly diabetes.

With the information above, and I haven’t brought cancers into the equation yet, you might wonder of preventing obesity in desexed dogs might reduce the incidence of cruciate disease and subsequently other conditions that we know are more common in obese dogs, namely cruciate ligament disease and diabetes. You might conclude that there is little benefit to leaving a dog entire if you’re able to control its weight.

I think that’s a reasonable assumption so far, though it’s clear to me that the benefits of traditional desexing are more pronounced in females.

Originally posted by heartsnmagic

Now lets talk about cancers.

There are multiple types of cancer. Some are more devastating than others. Some are more common than others. In terms of highly malignant cancers that show up relatively commonly in dogs, the ones we talk most about, and of most interest in this topic, are mammary cancer, haemangiosarcoma (HSARC), Mast Cell Tumor (MCT) and osteosarcoma (OSC).

  • Mammary cancer is extremely common in entire female dogs. In European countries where prophylactic desexing is not routinely performed mammary tumours make up 50-70% of all cancers seen. They are relatively rare in countries with a high desexing rate but extremely predictable in dogs desexed late in life or not at all. Speying earlier appears more protective compared to being left entire: speying before the first heat reduces risk to 0.05%, before second heat to 8%, and before 3rd heat to 26%. after the third heat there is negligible reduction in risk of mammary cancer compared to intact dogs.
  • Osteosarcoma may be three times (3x) more common in desexed large breed dogs.
  • Mast Cell Tumors maybe up to three times (3x) more common in desexed dogs of certain breeds. Lymphoma may be up to 10% more common in desexed dogs of certain breeds.
  • Haemangiosarcoma may be more common in neutered dogs of some breeds, but less common in neutered dogs of other breeds.

There isn’t much consensus across ALL dog breeds in ALL situations. There are numerous retrospective studies, and more coming out all the time (Science!) but more data needs to be analysed.

What is fairly clear is that there is a dramatic reduction in otherwise common mammary cancers by early desexing of females. There is probably some benefit in reducing other cancer risks to later desexng, or not desexing, dogs also.

So do you? Or don’t you?

There’s certainly more incentive to desex female dogs, as even pyometra on its own is a sneaky, life threatening condition. I recommend desexing most female dogs in their senior years if they haven’t already been done for this reason alone.

Assuming you do chose to desex, and I’m talking about procedures that involve at least removal of the gonads, it becomes a matter of when. If you don’t remove the ovaries then you have no benefits from desexing other than infertility. There’s no significant benefit in leaving the ovaries compared to leaving the dog entire.

For a small dog, OSC is incredibly rare. HSARC is rare. MCT can happen to anything. We weight up those relatively low risks compared to the very high risk of mammary cancer and pyometra, and I would advise speying before the first heat. With males timing is not as critical unless behavioural factors are involved.

For a larger dog, I personally think it’s worth delaying desexing to between the first and second heat. I would get too nervous about mammary cancers to wait beyond the second heat but there may be some benefit in preventing osteosarcoma by delaying surgery until more skeletal maturity, and same for cruciate injuries.

(I have a theory that osteosarcoma occurs in its predilection sites due to increased bio-mechanical forces in these areas, so waiting for skeletal maturity before removing the gonads might be helpful.)

On the other hand, screening for hip dysplasia and desexing if the dog definitely has it so you can perform a JPS also has benefits, because you’re addressing pathology the dog definitely has right now.

There are so many unknowns in these hypothetical scenarios. This makes it a challenge to make recommendations when clients just want the ‘right’ answer.

The best plan for the individual dog may depend on breed or breed mix (genetic testing would be ideal, but an added cost) or any known predispositions within the family or bloodlines.

So, this explanation is getting rather long, but there’s so much interesting information on this topic and it’s growing all the time.

Originally posted by mensweardog

TL:DR there is probably a benefit to delayed desexing in dogs prone to OSC, cruciate injury and HSARC. Some of the other risks may be mitigated by weight control. There is minimal if any benefit, and definitely some risk, in delaying desexing for small breeds.

But this field may change as more information is gathered. It will be worth watching over the next decade.

NB: shelters and rescues will always desex as young as possible, because their primary aim is population control. They are justified in doing this and their cases shouldn’t be considered in these scenarios.

(Majority of these statistics come from ‘The spay/neuter controversy’ presented at the OVMA by John Berg, DVM, DACVS and ‘ Long-term health effects of neutering dogs: comparison of Labrador Retrievers with Golden Retrievers‘ by Hart, Hart, et al)

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7 healthy tips for a better night’s sleep

It’s back to school time! Here’s a healthy reminder to get your sleep on - consistently & intentionally - this semester. 

Sleep is critical for mind and body health. Without it, the effects can be severe. Below, neuroscientist Claudia Aguirre provides 7 healthy tips for a better night’s sleep:

1. Aim for power hours. Sleep the recommended amount for a restorative night. That is: between 9 and 12 hours for school-aged children, 8 to 10 hours for teenagers, and 7 to 9 hours for adults. [Animation by TED-Ed + Josephine Mark]

2. Ban the blue. Filter the blue light of your electronic device and sleep better. Studies show that blue light from electronic devices can delay sleep onset and affect overall circadian rhythm. [Animation by Javier Saldeña/TED-Ed]

3. Spoon. Sleeping on the side may help the brain clear waste more efficiently than sleeping on the back or belly. [Animation by TED-Ed + Josephine Mark]

4. Breathe deep. Deep breathing triggers the body’s relaxation response. What’s more, inhaling can drive cerebrospinal fluid flow to help clear brain waste and oxygenate the brain. [Animation by TED-Ed + Josephine Mark]

5. Don’t overdo it. Science is still working this one out, but there are some cases where too much sleep can pose a health risk. Better set that alarm. [Animation by Alan Foreman/TED-Ed]

6. Exercise. Lab experiments show that regular exercise can protect the brain from sleep deprivation-induced memory deficits. [Animation by Andrew Zimbelman/TED-Ed]

7. Keep cool. You just might get a better night’s rest if you sleep in a cool room (or stick your feet out). [Animation by TED-Ed + Josephine Mark]

For more health tips from experts, check out 7 TED-Ed Lessons for a healthier you.

Author bio: Claudia Aguirre is a neuroscientist and the author of several TED-Ed Lessons, including What would happen if you didn’t sleep? and Does stress cause pimples? Check her work and research out on Twitter & Facebook & Instagram.

I remember, when I was breaking up with one of my exes years ago, he listed all the ways I made his life better when trying to convince me not to go. And I asked him, “but how do you think you make my life better?” and he was taken aback. “I don’t know,” he said. He’d never thought about it.

When I date people, I devote a lot of effort to making their lives better. When I’m with women, I read about health issues that effect lesbian demographics (higher rates of breast cancer, obesity, and depression.) When I’m with men, I read about health issues that effect straight men (coronary issues, blood pressure, and emotional issues esp. around anger.) When I date people of color, I research POC health/discrimination/etc. issues, especially issues around dating white people (mental/health effects of internalized racism, institutionalized racism, the types of micro-aggressions I may be likely to commit.) When I date people with less money, I pay for shit. When I date people who are messy, I organize their shit (even though I’m also really messy.) When I date people with physical limitations, I massage their shit (weird Emma past: I went to massage school.)

But, especially with men, this energy feels so unidirectional. Women are frequently more reciprocative, but men often seem completely uninterested in helping me improve my life in any way. They often care about impressing me, by having nice shit, or looking good, or pulling in bank. But, they almost never take a look at my life and ask themselves “what is Emma missing, and how could I fill that role?”

Medicine

Countless chemicals
thrown
down my throat,
counteracting
the dances of
contortionists
in my synapses.
Each capsule swallowed
shifts the balance
of God
and body:
my stomach blends,
sleep sprints
for miles around
but never touches me,
and dread
grinds its teeth
on the inside
of my veins.
A garden of
snake venom
is blooming in me
and everything
I touch
just so I
can feel somewhat
gray
instead of bruised
but the cycle
of percolated blood
continues
and I become the
hand
I bite
every
single
day
until there is
nothing left
with which to reach
bastard salvation
but misshapen
teeth marks.