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ley-med · 2 months

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Hello.I’m seriously considering the ICU specialty.Can you tell me please some advantages and disadvantages of it ? :) Im pretty coolheaded,love to solve probs and small invasive procedures are ok ,too for me.. How does a life at ICU look like? I was on an ICU placement just once in my life as an internal medicine resident ,as a student ,and the work there really fascinated me.. Intubations,monitors,cardio versions.. Is it possible to specialise just in intensive care but not in anesthesiology?Thank You!

Hi Anon! You prompted me to ramble about one of my favourite things, my job, so sorry, long answer ahead...

To start with your last question, I know there are countries where intensive care and anaesthesiology are different specialities, but here it's one and the same. It is kind of possible to choose one or the other once you are an attending, and work at the right place, but you have to specialise in both. I started this residency because I was interested in intensive care, but my rotations started with anesthesia, and not gonna lie, I absolutely fell in love! Now doing both, I still say anesthesia is the real love of my life, and I can't imagine doing only intensive care without the relief anesthesia brings to it.

The pros of intensive care is that it's rarely dull, and when it's dull, the patient usually gets admitted back to their ward soon (yay!) (or you know, unfortunately there isn't much else to do for them, then the end of the story is near). It's important to like invasive procedures, because as they say, where there is a hole there's a tube, and where there is no hole, there will be... My favourite part about ICU is that we get to see and treat the patient as a whole human being, not just one organ or the other, because humans are a very complex system and you usually can't focus only on one part. Our job is mostly trying to hold up various balances, which will lead to the balance on the fine line between life and death. It is pretty exciting, in my opinion, but most of all, I just love knowing all these things about the human body. (And there is so much more I need to know...)

If you come from internal medicine, that's a huge advantage, but you will need to forget half of what you know. We don't really care about the long term stuff, we are always working in the present. It all needs to be done (almost) immediately, and needs to have an (almost) immediate effect. If we need some longer lasting solutions, we will absolutely consult medicine :) (Though in our hospital, we don't have any internal med wards, so it's usually the intensivists who get consulted for internal med questions anyway... But no we don't know everything, so far from it)

And many times, it's really only supporting the body until it heals on its own, with a little help here and there. Intensive care is really only about buying time...

The cons of intensive care, is that the stakes are always really really high. It's either an enormous win, which is one of the best feelings in the world, but most of the time, it all ends in death anyway, no matter what you do. Sometimes it feels like I just got a first class seat to watch people's suffering, without any way to help. I don't have any statistics at hand, but I would say 70% of our patients don't leave our ICU alive. We do what we can, but we aren't gods, and we can't cheat death. It can be really taxing, because while providing palliative care is just as important as any other kind of care, seeing gruesome death after gruesome death takes its toll, mental health wise. And that's why I say thank god it's a joint speciality with anesthesia, because when it all gets too much, a day in the OR will fill you up with instant successes (hopefully). When my patient wakes up and smiles at me, because they were so afraid but the dreaded surgery is finally over and they are alive? Always makes the world a brighter place.

One of the hardest parts for me, that sometimes you have to play god in this field, no matter how much you don't want to. The number of patients we can admit to the ICU is a definite number, so we have to decide who gets this chance at survival, and who to spare this torture. It's good that I'm still a resident, and the attending will make the final call, but nonetheless it is our responsibility...

On the bright side, this responsibility also brings me into the position of command sometimes, even if I'm only a mere resident. If they call me in for a consult, or if I end up in a situation which turns into an emergency, I am the team leader, and if I say come on we are putting our shoulders into saving this patient, everyone will work under my hands without a complaint.

This is all a teamwork. I think the whole of medicine is, but it applies to the ICU and OR tenfolds. Most ICU nurses aren't made of some delicate thing, it can be hard to earn their help, but without that, you are lost. Intensive care patients need constant supervision, and the nurses are the ones who are with them, they are the ones who know each beat of the patients' heart, they will be the ones constantly administering life saving medicines, and they will save your (and the patients') ass several times. And in cases where they are needed, we are dependent on our surgeons and traumatologists, because no matter how much we support this or that organ, as long as they don't work their magic, it's all a lost cause. (Honestly, sometimes you have to just stand there in awe, when you are thinking it's all lost, and they come up with such an ingenious solution...) Same in the operation room, it's a constant conversation and a very delicate cooperation between anesthesia, surgery, and the nurses.

To sum it up, it's all pretty hard work, with long 12 hour shifts that sometimes feel like 5 minutes because you just can't sit down and everyone is trying to die on you, and in the end you will find that the answer isn't that much different from internal medicine, it's usually either: oxygen, morphine, fluids, and or furosemide; you just have to figure out which one. And at times, figuring out isn't that exciting, it can consist of elevating the PEEP on the ventilation machine every hour or so, and hoping for the best. Those 12 hours will be the longest, with nothing to do, only waiting, and waiting...

#medblr #intensive care #residency #long post #anon #others might have different experiences #this is also pretty specific to my little trauma ICU #i haven't worked anywhere else yet

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inkskinned · 1 year

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you wanted to be a good friend, because you loved your friends, but the truth was that everyone else somehow had a pamphlet on being normal that you never received. most of the time you learn by trial-and-error. you are terrified of the next big mistake you make, because it seems like the rules are completely arbitrary.

you've learned to keep the prickly parts of your personality in a stormcloud under your bed - as if they're a second version of you; one that will make your friends hate you. it feels feral, burning, ugly.

instead, you have assembled habits based on the statistical likelihood of pleasing others. you're a good listener, which is to say - if you do speak up, you might end up saying the wrong thing and scaring off someone, but people tend to like someone-who-listens. or you've got no true desires or goals, because people like it when you're passive, mutable. you're "not easy to fluster" which is to say - your emotions are fundamentally uninteresting to others around you; so you've learned to control them to a degree that you can no longer really feel them happening.

you have long suspected something is wrong with you, but most of the time, googling doesn't help. you are so-used to helping-yourself, alone and with no handbook. the reek of your real self feels more like a horrible joke - you wake up, and, despite all your preparations, suddenly the whole house is full of smoke. the real you is someone waiting to ruin your other-life, the one where you're normal and happy. the real-self is unpredictable, angry.

your real self snarls when people infantilize the whole situation. because if you were really suffering, everyone seems to think you'd be completely unable to cope. but you already learned the rules, so you do know how to cope, and you have fucking been coping. it's not black-and-white. it's not that you are healed during the other times - it's just that you're able to fucking try. and honestly, whenever you show symptoms, it's a really fucking bad sign.

because the symptoms you have are ugly and unmanageable for others. your symptoms aren't waifish white girl things. they're annoying and complicated. they will be the subject of so many pretentious instagram reels. if they cared about you, they'd just show up on time. you care, a lot, so deeply it burns you. you like to picture a world where the comments read if they loved you, they'd never need glasses to see. but since that's a rule you've seen repeated - "one must never be late or you are a bad friend" - you constantly worry about being late and leave agonizingly early. there are no words for how you feel when you're still late; no matter how hard you were trying.

so you have to make up for it. you have to make up for that little horrible real you that you keep locked in a cabinet. you are bad at answering emails so every project you make has to be perfect. you are weird and sensitive so you have to learn to be funny and interesting. you are an inconvenience to others, so you become as smooth as possible, buffing out all the rough parts.

all this. all this. so people can pass their hands over you and just tell you just the once -how good you are. you're a good friend. you're loveable.

#spilled ink #woke up at 530 to write this lmafo #me in a cold sweat:#how do i be normal #edit in the tags:#hey so i've seen y'all talk about like ... wondering if ur ''allowed'' to relate #like if this is about X specific diagnosis #and when i first posted it i really almost labelled it ''please don't assume this is about a specific condition''#because as an artist i am often walking this line of discussing a symptom or discussing my conditions etc #and sometimes yes ! i do want to talk about an experience that is specific to who i am and my condition #but sometimes the effort of the post is about the EXPERIENCE rather than the diagnosis #because yes i am not neurotypical and as a result that influences my work but it is ALSO true that there are many reasons #why someone might experience this particular vague horrible feeling that you are... almost being CHASED by what you ''really'' are.#that you're outrunning your symptoms... that you're not really normal you're just sort of a mockery of a person #.... that's a really isolating and horrible way to feel no matter why you are feeling it. and the nature of this PARTICULAR post is that #it is inherently talking ABOUT that sense of isolation & of feeling not-deserving & of minimizing your own experiences to make urself #palatable for society in a way that others find easy-to-deal-with....#this post is about a certain experience such that my impression is there's a higher likelihood that those who relate #would have more difficulty thinking they ''deserve'' to relate - that it doesn't REALLY belong to them #bc often we are the kind of people who are SO used to being alienated and set aside and ''different'' that we AUTOMATICALLY assume #that things are not ''for'' us... they never have been why would it start now #we are the kinds of people to be ... ''too normal for X diagnosis but too symptomatic to be normal''#[or as this post points out... so good at ''coping''/masking/hiding it that we essentially conform to whatever shape we're poured into]#but i have witnessed others already say in the tags ''thought this was about me but it's about X so it can't be''#and im like ... of course it was about you.#art is not a resource that is diminished by greater appreciation .#you reflect in whatever mirror fits your frame. not just the ones in your bedroom. not just the ones i specifically give you.#there will be - and often are - times that i will talk about my specific conditions... but if you're reading this #regardless of why you're here... we are here together. holding hands through space and time. and i love you for carrying it #and i know you're exhausted. i am too. but i understand. and i see you.

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angryducktimemachine · 5 months

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I think what I personally really enjoy about AroAce Rudyard is that I know, in my heart, that he would not ONCE spend a single thought thinking he was broken. This man is fully convinced everyone else is just being unnecessarily weird, which really resonates with me, who also spend like 22 years of his life not even considering the possibility that there's something "wrong" with me and that everyone else is simply a little overdramatic over love and sex.

#i know it's a different experience for everyone but besides like one or two little 'oh god this will affect my adult life' realizations that #i only had once i REALIZED i was aro and even then that was less a 'this is problem with me' and more a 'this is a problem because of other #people's expectations #anyway Rudyard Funn i love you sgdhsgshdh #love looses #rudyard funn #wooden overcoats #i think if like Georgie tried to explain being aro or ace to him he'd dismiss it too #he'd be like that's ridiculous georgie #he might think about it some more later tho #who knows #younger me thought he was simply a better person for not being silly about love and sex like #and that's very Rudyard #(and i have since grown and realized that I'm not a better person I'm just aroace)

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jojo-schmo · 4 months

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Just Admit It- Part 1

I've been playing around with possible friendship dynamics of the Beast Council for fun!! I love imagining what kind of childhood they could have in the Forgotten Land all together.

What if Carol and Sillydillo are the fun-loving extroverts? Leon is the introverted one who's been smitten by Carol for a really really long time but he's too shy about it? And Gori is the friend who is an excellent observer and will bluntly tell you what he thinks (and maybe has a tendency to get grumpy when things aren't easily going his way).

Somewhat of a prequel to this other doodle comic about Leon and Carol- everyone here is still a kid ^_^

Part 2

#I know beast pack headcanons are so wildly up to interpretation! there's a few canon personality traits and lots of space to fill in betwee #I also just love stories about a group of lifelong friends all doing their best!#so why not play around with them and see what kind of stories about love and friendship they might experience? heehee.#and not all of them are about just Leon and Carol I have other plans!! this is just one of the first ones I have :P #these are quick and very self indulgent but I hope they can still be enjoyable hehe #friend squads for the win!!#also I feel like I draw the beast council a little differently every time I try lol. I'm getting used to them okay they are all so so shape #you should see the first drawings I ever tried to do of them. they are a little rough xD #I'm starting to understand why there's not a TON of content for them. Pretty much everyone except Carol are BUILT DIFFERENT #LEONGAR. WHY is your body and head proportioned like that?! you made me make up my own rules for drawing you!!#sillydillo and your funny little snout! I learned so much studying you! and I have so much work to do with all of you adjakflja #but I guess that's the definition of developing personal art styles huh?#so I guess these funny little stories have the added benefit of getting me more comfortable with the beasts!#ANYWAY that concludes this round of Jojo's director's commentary. like and subscribe #beast pack #clawroline #leongar #sillydillo #gorimondo #beast council #Kirby and the forgotten land #Kirby series #art #caroleon #????#sHOOT I still don't know the ship name I can't commit to one someone please tell me what it is I don't want to make one up ahh #ask me to tag it and I will happily do so sdjakfljdsla

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much-ado-about-whumping · 1 year

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Help for when you’re having a rough time

(If you're looking for my old pinned post with my whump masterlists, you can find it here.)

In light of some deeply sad news in the whump community today, I’m thinking about how many of us here struggle with mental health, sometimes including physical or mental self-harm and suicidality. Since I know lots of folks might be having a hard time right now, I wanted to share some resources that have helped me in rough moments. Please feel free to add on to this post (or make your own, if you want!) with the resources that have worked for you.

First, a note:

Trauma, shame, and suicidality all tend to isolate - they make us feel like we’re all alone in the world, like no one else would understand us, and like the only solutions we have available to us are ones we can think of all by ourselves. In my experience, the antidote to that is connection. If you’re feeling scared or alone, you can hop into my asks or DMs if you want. I’m sure there are other folks in this community who would offer that, too. Many of us have grappled with mental health struggles, including suicidal ideation, and sometimes we can offer each other the care that can be hard to offer ourselves. Don’t be afraid to reach out if you need support.

A quick note about location: I live in the US, but about half the resources in this post are written guides you can access from anywhere. The hotlines and warmlines linked below are US-based. One or two are accessible in Canada or have an online chat or moderated forum that could be accessed anywhere. If you have good local resources from another place, please reblog and add them! (Thank you, @straight-to-the-pain, for flagging this in the notes!)

That said, here’s my absolute first recommendation if you’re feeling generally awful and don’t know what to do:

1. You Feel Like Shit (also available at its original site here)

If you’ve read a lot of ~self care tips~ in your life (and if you’re a bit of a salty bitch like me), you might be sick of being told to eat something and take a nap. (I don’t think we can hydrate our way out of long-term trauma and late-stage capitalistic hell, but thanks.) That said, I’ve found this site REALLY helpful. Personally, I have ADHD and CPTSD, a combination that makes it ROUGH for me to know how to take care of myself sometimes. This site speaks to you calmly, like a non-judgemental friend, and walks you through steps that you might struggle with if you have a hard time with executive function in general, or if you’re ill, grieving, overwhelmed, or otherwise just off your game. I pretty much always walk away feeling at least a little better, even if I don’t complete every step.

There are more suggestions and resources below the cut. Wishing everyone in this community love and care. <3

2. The 15-Minute Rule (info available in many places; after a quick google, I really like this site as a place to start)

One key principle to understanding the resources I’ve put together here is the 15-minute rule. If you’re feeling an urge towards physical or mental self-harm or suicide, studies show that the urge is unlikely to last more than about 15 minutes at its peak intensity. (Sorry I don’t have data on this off the bat - anecdotally, I can tell you that this rule also tracks with my own personal experience.) This means that, if you’re presently feeling overwhelmed by grief or pain that’s turning inwards on you, if you can stay afloat through the next few minutes, the tide of it is likely to ebb. The site I linked above has information about this concept and some great harm-reduction ideas, too. (Another resource on this that I liked in my quick search is here.)

3. Read This First (a compassionate distraction from feelings of self-harm)

I’m gonna be honest; this resource is aimed at folks having urges towards physical self-harm, but it looks like something I would find helpful with urges towards emotional self-harm, too. (It also looks like it could be handy for body-focused repetitive behaviors - BFRBs - like dermatillomania/skin-picking or trichotillomania/hair-pulling).

4. Resources from Pete Walker, psychotherapist and author of Complex PTSD: From Surviving to Thriving

Obviously not everyone reading this will have complex PTSD (also called C-PTSD), but if you’re a person who, in general, tends to beat yourself up a lot, I’d highly recommend checking Pete Walker’s work out. If some of it doesn’t apply to you, that’s okay - take what you need, and leave the rest. This site (and the book it references most heavily) assumes you may have had parents who were emotionally or physically abusive or neglectful. If that doesn’t ring true for you, but other parts of the resources seem helpful, use them anyway! A handy place to start maybe this page on Shrinking the Inner Critic in Complex PTSD (that is, reducing the volume of the voice that screeches unpleasantness at you when you feel ashamed or scared).

As a note: this website looks VERY mid-2000s (which I kind of love). Most of the resources you want will be in the right-hand column full of links. Some of those links will open new pages, and some will automatically try to download a PDF of the article you want to read.

5. Warmlines:

This is something I just learned today - if you’re feeling really lonely and sad, but you’re not in immediate crisis, there are warmlines you can contact! These seem to be numbers where you can call (or sometimes text) to talk with a counselor or trained peer when you need support and connection. I can’t vouch for any of these numbers personally, but as someone who has definitely thought, “It’s not bad enough to REALLY need help,” I think this is a fabulous idea. Here’s a list of warmlines you can check out in the US.

6. Specialized hotlines:

There are lots of good crisis hotlines out there, but some may be better for your needs than others. For one thing, if you’re feeling seriously suicidal, it’s good to know the policies of the hotline you’re calling. In my opinion, everyone deserves bodily autonomy and the right to refuse care; for that reason, I think it’s important to know the policy of the hotline you’re calling as to whether or not they’ll call emergency services without your consent. Everyone has to make their own judgment call on this one, and I’m a little too (lightly!) triggered to go deep into my analysis on this right now, but I wanted to flag that it’s something to be aware of - if you’re going to call a hotline, you can try to look up their policy on calling emergency services before you contact them. You could probably even ask them in the beginning of the call. (A script: “Before we start, can you tell me what your policy is about contacting emergency services on behalf of callers?” If this is true, you can add: “I’m having some feelings of [suicidality/self-harm], but I’m safe and am not in danger of hurting myself or others.”)

With that in mind, here are some hotlines that seem promising to me, in no particular order:

A. For queer and trans folks in general:

Trans LifeLine

Available in the US (1-877-565-8860) and Canada (1-877-330-6366)

Available in English and Spanish

Will NOT call emergency services without your consent (you can read more about this policy on their website, including here)

Peer to peer support for transgender and questioning folks; also, microgrants (small amounts of money) for trans-related needs!

Does not offer text/chat-based support

I’ve never used Trans LifeLine myself, but I’ve heard excellent things about it from peers who have.

The Trevor Project:

Support from trained counselors for queer, trans, and questioning folks

Definitely available in the US; I’m not sure where else.

Offers support via phone (1-866-488-7386), text message (678-678), and online chat (link here - scroll down to Start Chat)

Also offers an online peer support space, TrevorSpace, for folks ages 13-24

Their site says, “In very specific instances of abuse or a clear concern of an in-progress or imminent suicide, Trevor counselors may need to contact a child welfare agency or emergency service.” When you click Learn More, it takes you to their Terms of Service (informative, but in legalese that might be hard to parse if you’re in crisis).

Again, not a service I’ve used myself, but I’ve heard good things!

B. For BIPOC folks (Black folks, Indigenous folks, and people of color more broadly), especially those who also hold LQBTQI identities:

Call Blackline:

Available via phone or text (both at 1-800-604-5841)

Available for people in crisis. Call Blackline can also help connect you with local community organizers and officials if you need to report a negative, inappropriate, or physical interaction with police, other law enforcement, or vigilantes.

From their website:

Call BlackLine® provides a space for peer support, counseling, reporting of mistreatment, witnessing and affirming the lived experiences for folxs who are most impacted by systematic oppression with an LGBTQ+ Black Femme Lens.Call BlackLine® prioritizes BIPOC (Black, Indigenous, and People of Color). By us for us.

Here’s what I found regarding their policy on emergency services:

You do not have to provide any personal information to use the service. All calls remain private and will never be shared with law enforcement or state agencies of any kind.

Of course, a BIPOC person can contact any hotline for support, but for people dealing with racism, anti-Blackness, and other specific bigotries, I can very much see the importance of talking to someone who shares or understands that experience.

C. For folks processing bad psychedelic trips:

Fireside Project:

This one is something I didn’t even know existed! They do call- or text-based support (1-623-473-7433, or 1-62-FIRESIDE) for people processing psychedelic drug experiences, available 11am to 11pm Pacific time. I don’t have a ton more info, but their site seems really interesting and like they’re serving a unique need.

7. A soothing distraction:

One of the glories of the internet is the fact that it enables us to conjure up images of kittens at a moment’s notice. In that vein, I want to offer up a VERY cute distraction: Peptoc is a hotline (1-707-873-7862, or 1-707-8PEPTOC) where you can hear encouraging messages in English or Spanish from kindergarteners. How sweet is that? (Thanks to the wonderful @newbornwhumperfly for this suggestion!)

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Beloved whump community, I want to know about things that help you when you’re struggling. Please feel free to share them if you want.

And, Moya - we’ll miss you so, so much, even those of us (like me) who didn’t know you well. May your memory be an absolute blessing. <3

(I was going to put this in the tags, but oops, it’s going up here - I really hope this post will be helpful to someone, but it was also helpful to me to build. I feel better in a crisis when I can find a way to help - it’s how I soothe myself when I’m sad or scared. I really hope this doesn’t seem preachy or self-aggrandizing - it’s really just me processing-processing-processing. <3)

One more note: if this post makes you think you might want to follow my blog, you're totally welcome, but you should check out my note here first. This is not a DNI list; it's just a heads-up about my content, which could be inappropriate or triggering for some people.

#whump community #how to be a person in the world #ways to stay afloat #suicide mention cw #suicidality mention cw #self-harm mention cw #resources for taking care of yourself #bel talks #touchstones #sorry another disclaimer but also i know my experiences are not universal #my feelings might come from a really different place than other people's feelings #idk for instance if any of the shit in this post would have been at all useful to moya #but I'm sharing it anyway in case it's useful to SOMEONE

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mizartz · 2 years

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The man with his rucksack raises the gun. Danny looks at him, really looks at him, sees his wide eyes and trembling hands and thinks that it serves him right. Danny’s own eyes glow green and bright, blood dripping down his face. “Better make it count,” he snarls.

fanart for close enough to be whole again by @hailsatanacab <3 i am obsessed with this fic!!!

#pixelart #pixel art #danny phantom #danny fenton #dp x dc #(tho there isnt any visible dc here it IS a crossover fic so)#pwease fullview :') i drew this pic too big and tumblr is makin it super blurry lol #cetbwa danny my beloved <3333 i want to hold him in the palm of my hands #and maybe have him experience at least 5 more traumatic events before the end of the fic #i blacked out and drew this in like 6 hours dlhkalkhrelkhs dont look too closely at anything other than danny cuz its messy af #i might draw a couple more lighthearted scenes if i get time #but first i need to go reread cetbwa 20 more times bye #gun tw #blood tw #realizing an hour after posting that i uploaded the wrong gunshaking animation.... ah......................#i had like three different versions and this was definitely not the final one. oh well

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13eyond13 · 9 months

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a headcanon I just realized I have is that Light often has a lot of trouble living in the present moment and L often has a lot of trouble NOT living in the present moment. Light is a huge planner and forward thinker and accustomed to grinding through unpleasant current circumstances in order to achieve optimal future results. L is very keen on living for today and whatever is currently tickling his fancy and giving him the most excitement and pleasure and challenge, and prefers not to dwell heavily on the future nor the past. And I think that both of them normally feel uncomfortable and resentful if they are forced to do the opposite of what they are normally accustomed to doing.

#this kinda goes along with my headcanon that L experiences some kind of time blindness #he's not good at keeping track of time because he's always getting lost in the sauce with his various interests #/ he doesn't usually have to worry about being on a regular person schedule anyway #Light on the other hand keeps a strictly regimented day with every second planned in advance and accounted for and gets very irritable #If it's not #doesn't usually know what to do with himself if he's just made to sit there and chill #Can't imagine not thinking ahead to the consequences of most choices whereas L finds that something he'll worry about later maybe #And can't imagine being so organized about things and finds it depressing/boring to plan that far ahead #they might bicker about it but also find things to admire and appreciate about each other's different outlooks on this #light yagami #l lawliet #lawlight #headcanon #p

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aplpaca · 1 year

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something that might be useful to people, but i recently learned that what i thought had been part of auditory processing issues is actually receptive language issues. cause id always heard audio processing issues described as "difficulty processing what youre hearing", and assumed that having trouble processing the meanings themself was part of it. but apparently audio processing is more accurately described specifically as like, "having difficulty processing which words are being said". and i definitely experience that, but apparently having difficulty connecting correctly-heard words to their meanings is actually a receptive language issues thing rather than an audio processing issues thing.

like, ive described my receptive language issues before as like, if my brain is a lake, then the lake is frozen and the words im hearing are sitting right above the ice and wont sink in. i can perfectly recognize the words, but either it takes longer for the meaning to click, or it doesn't click/permeate deep enough for the meaning to be fully/intuitively understood, or in some cases the meaning just doesnt click at all.

and another way this differs from audio processing issues is that it can apply to written words also. so like, having to read a sentence several times before it stops being just a mental noise and starts meaning something. or having to double check written instructions just as much as id have to ask for clarification on a lot of vocal ones. and i hadnt connected this to the same thing happening with vocal words before but yeah, both part of receptive language issues

#autism #autistic #adhd #actuallyautistic #audio processing issues #receptive language issues #but yeah figured a bunch of other people prob dont know this distinction either #like i hadnt even heard of ''receptive language issues'' until like last night #also i say ''issues'' instead of ''disorder'' in the post bc issues with the things can occur as part of like autism or adhd #without someone being considered having Audio Processing Disorder or Receptive Language Disorder #(tho i think receptive language issues might be more of an autism thing than an adhd? dont know for sure tho)#but like someone who has audio processing issues but doesnt meet adhd or autism or something else would have APD #so ''issues'' covers people with apd or rld but also includes people whose experiences would be considered part of a different condition

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