#people have always been treated and they have always been helped by that treatment

[saintsenara]

the wizarding world really just does not care about anything huh? i mean. what would have happened if tom had been institutionalized due to his magic?

thank you very much for the ask, anon!

i need to actually get around to writing the big meta i have on the idea - which i know a few people have asked me about - that hogwarts applies some level of selection [that is, that - despite what lupin says in deathly hallows - it doesn't teach the majority of magical children in britain, whether they're born to magical or muggle families] when it comes to who it admits, and that muggleborn potential pupils who fall short of its criteria never get the letter-delivery meeting that we see the canonical tom riddle receive.

which would mean that, had tom been committed to a psychiatric hospital as a child, i think the wizarding world would have quietly struck his name off the list for potential admittance to hogwarts and continued on untroubled.

which is obviously grim.

although i think it's worth saying that, while there is a lot about 1930s psychiatric care which was legitimately inhumane - and the sort of one flew over the cuckoo's nest-style dystopian vibe, which makes the idea of poor wee tom being stuck in a hospital seem so terrifying, isn't entirely inaccurate - there's also, as odd as it sounds, a chance that he might have been genuinely helped by the psychiatric treatment of the time period.

we picture the psychiatric treatment of the early twentieth century as straitjackets and padded cells and lobotomies - violent and dehumanising procedures with no clinical benefit - because [as is often the case today in the way mental illness is spoken about both clinically and culturally] the medical community tended to regard anything accompanied by psychosis [schizophrenia, schizoaffective disorder, bipolar disorder, and so on] as intensive, untreatable and unmanageable [and to - therefore - institutionalise patients with these symptoms permanently].

but at the same time, mental illness which wasn't accompanied by [long-term] psychosis [depression, anxiety disorders, addiction, ptsd and so on] was increasingly seen not only as treatable, but as curable - and clinicians' aims were for patients to be treated temporarily either in the community or in modern hospitals which looked very different from the padded-cell asylums which were holdovers of the victorian/edwardian era, and to live independently after their course of treatment was done.

this was largely due to the prevalence of "shell-shock" and "soldiers' neuroses" - which we would nowadays understand as types of post-traumatic stress disorder - among men who had served in the first world war. these men - often from "respectable" backgrounds, with no history of mental illness in their families - were a very different demographic of patient than either the destitute "lunatic" or the hysterical woman of the victorian and edwardian imagination. they were also needed back in the trenches - but with their symptoms under control enough that they weren't considered dangerous to their fellow soldiers.

and treatments for shell-shock were - as a result - considerably more humane than the contemporary treatment of psychosis. emphasis was put on holistic treatments - especially the chance for men who had been shivering in the trenches to get a period of real rest - and on talking.

[british army officers were ordered - for example - to attempt to reduce shell-shock cases by encouraging their men to process their experiences of the war in individual and group settings.]

after the end of the war, the treatment of long-term shell-shock combined with the growing interest in "analysis" - which, while the image i'm sure many of us have of it is of sigmund freud suggesting the patient wanted to fuck his own mother, actually looked rather a lot like the various branches of psychotherapy do today - into courses of treatment for conditions like depression, anxiety, and ptsd [especially those caused by childhood trauma] which aren't actually terrible...

the way the young tom riddle speaks about magic in canon absolutely sounds like psychosis to someone who doesn't know he's a wizard - and so, yes, there is a very high chance that he would have been institutionalised to be stuck in restraints for the rest of his life.

but it's also the case that, since he was a child when mrs cole was trying to have him "looked at" by doctors, this increasing disciplinary focus on the psychological motivations for behaviour - especially in childhood; child psychology and the causes of juvenile delinquency were things the psychiatric community was increasingly interested in during the 1930s - might, instead, have had his belief that he could do magic put down to a fantasy which he had invented on account of his numerous [and treatable] neuroses.

and while it's not the case that he's making up being a wizard... it very much is the case that he's neurosis-central. you've never seen a more unbalanced ego.

and that actually being prompted to confront his childhood trauma [especially his grief over his mother's death] - even when the strange, freudian flavour any psychotherapy would undoubtedly have had is taken into account - would probably have done rather more to actually help him than hogwarts' "ignoring children's emotional needs is fine" approach...

#asks answered #asenora meta #tom riddle #lord voldemort #on medicine #the tl;dr of this is that there's a huge amount of presentism in the way the history of medicine is talked about #people have always been treated and they have always been helped by that treatment #and this can coexist with the fact that other people have been harmed by the treatments to which they were subjected

[pub-lius]

my biggest problem with a people’s history of the french revolution by eric hazan is that he keeps like. implying that lafayette defected to the enemy (meaning Austria and Prussia), but like. mf was immediately arrested bc he was seen as the cause of the revolution. the only people who saw him as a conservative were in france

#marquis de lafayette #lafayette #lowkey feel like the french revolution has so many figures who are misrepresented by people bc they were more conservative/liberal #like robespierre got the same treatment as lafayette but like reversed #i feel like the american revolution wasn’t so controversial as to have the same effect #and on top of that people have been working since it happened to counter balance whenever that happened #obviously some figures are still glorified but like there’s always been a lot of historians treating them as less one dimensional #but based off the books i’ve read about the frev at least one party is portrayed as one dimensional #and they’re always the villain too #like no one in the frev is overglorified GWKWBWKWN #they’re either a complex person or a one dimensional villain #like hazan shows different elements of robespierre’s character but doesn’t do the same to lafayette #the last author i read (forgor her name lol) showed all parts of marie antoinette and king louis’ characters #she did touch on robespierre a little bit showing his qualities but she didn’t go in depth on any of the revolutionaries really #but like brissot and co were portrayed as just bad guys who never did anything good ever #idk im just kinda used to authors at least attempting to show good and bad #even if its just ‘one time he helped an old lady cross the street and then he slaughtered someone’s entire family’ #no hate to hazan tho this book is awesome #i just wish it wasn’t trying to push such a black and white narrative in this particular instance #for the most part he doesn’t do it with anything else #but tbf i did start reading this bc i needed a more leftist sympathetic book to counteract the strongly royalist one i read before #imma tag this as #books #and #resources #in case anyone wants my thoughts on this book #this rant was longer than anticipated HEKWHWJ

[nexus-nebulae]

stupid fucking broken body

#low health #i haven't had a single second of feeling no pain in my entire memory #i can't do a single thing without hurting #not even laying completely still in bed completely flat and straight #i can't even lay like a goddamn corpse without being in pain what kind of fucking bullshit body is this #i did a symptom assessment and the symptoms list was more than twice as long as my phone screen #and the text was fucking TINY too aha #there isn't a single part of my body that works like it's supposed to and that's not an exaggeration #so many people always assume it's hyperbole but it never ever is #everyone always assumes i hyperbolize and dramaticize and exaggerate and play it up for pity #or whatever other insidious shit they always assume I'm doing #to a point where I'm starting to HAVE to play it up now because nobody will fucking listen #and if the only thing that works is 'im literally fucking dying' then fuck me i guess #they treat me like a boy who cried wolf without ever even bothering to fucking check if i was right #and I'm surrounded by fucking wolves now but everyone's so busy ignoring what i say they can't even see the fucking wolves #i first started getting joint pain when i was FOURTEEN and i have gotten *how many treatments?* #ABSOLUTELY FUCKING ZERO. #i have NEVER received a single fucking DIAGNOSIS much less any FUCKING HELP #and it has been OVER SIX YEARS #and i have been telling my doctors over and over that i am rapidly deteriorating and won't be able to MOVE for much longer #and they WON'T EVEN SET ME UP WITH AN APPOINTMENT WITH THE SPECIALIST CLINIC. #i am so fucking angry and so fucking tired and I'm quite literally reaching my fucking breaking point #i haven't had this bad of a mental state since my ABUSIVE GASLIGHTING TRANSPHOBIC ABLEIST EX #and if THIS is making me revert back to THAT then IT'S FUCKING SEVERE AND I SHOULD HAVE GOTTEN HELP YEARS AGO #i am fully and wholly being genuinely neglected and left to die #and the ONLY person who seems to genuinely give a shit about me is about just as restricted by circumstance and health #so we can barely even help each other even if we want to

[reasonsforhope]

Story from the Washington Post here, non-paywall version here.

Washington Post stop blocking linksharing and shit challenge.

"The young woman was catatonic, stuck at the nurses’ station — unmoving, unblinking and unknowing of where or who she was.

Her name was April Burrell.

Before she became a patient, April had been an outgoing, straight-A student majoring in accounting at the University of Maryland Eastern Shore. But after a traumatic event when she was 21, April suddenly developed psychosis and became lost in a constant state of visual and auditory hallucinations. The former high school valedictorian could no longer communicate, bathe or take care of herself.

April was diagnosed with a severe form of schizophrenia, an often devastating mental illness that affects approximately 1 percent of the global population and can drastically impair how patients behave and perceive reality.

“She was the first person I ever saw as a patient,” said Sander Markx, director of precision psychiatry at Columbia University, who was still a medical student in 2000 when he first encountered April. “She is, to this day, the sickest patient I’ve ever seen.” ...

It would be nearly two decades before their paths crossed again. But in 2018, another chance encounter led to several medical discoveries...

Markx and his colleagues discovered that although April’s illness was clinically indistinguishable from schizophrenia, she also had lupus, an underlying and treatable autoimmune condition that was attacking her brain.

After months of targeted treatments [for lupus] — and more than two decades trapped in her mind — April woke up.

The awakening of April — and the successful treatment of other people with similar conditions — now stand to transform care for some of psychiatry’s sickest patients, many of whom are languishing in mental institutions.

Researchers working with the New York state mental health-care system have identified about 200 patients with autoimmune diseases, some institutionalized for years, who may be helped by the discovery.

And scientists around the world, including Germany and Britain, are conducting similar research, finding that underlying autoimmune and inflammatory processes may be more common in patients with a variety of psychiatric syndromes than previously believed.

Although the current research probably will help only a small subset of patients, the impact of the work is already beginning to reshape the practice of psychiatry and the way many cases of mental illness are diagnosed and treated.

“These are the forgotten souls,” said Markx. “We’re not just improving the lives of these people, but we’re bringing them back from a place that I didn’t think they could come back from.” ...

Waking up after two decades

The medical team set to work counteracting April’s rampaging immune system and started April on an intensive immunotherapy treatment for neuropsychiatric lupus...

The regimen is grueling, requiring a month-long break between each of the six rounds to allow the immune system to recover. But April started showing signs of improvement almost immediately...

A joyful reunion

“I’ve always wanted my sister to get back to who she was,” Guy Burrell said.

In 2020, April was deemed mentally competent to discharge herself from the psychiatric hospital where she had lived for nearly two decades, and she moved to a rehabilitation center...

Because of visiting restrictions related to covid, the family’s face-to-face reunion with April was delayed until last year. April’s brother, sister-in-law and their kids were finally able to visit her at a rehabilitation center, and the occasion was tearful and joyous.

“When she came in there, you would’ve thought she was a brand-new person,” Guy Burrell said. “She knew all of us, remembered different stuff from back when she was a child.” ...

The family felt as if they’d witnessed a miracle.

“She was hugging me, she was holding my hand,” Guy Burrell said. “You might as well have thrown a parade because we were so happy, because we hadn’t seen her like that in, like, forever.”

“It was like she came home,” Markx said. “We never thought that was possible.”

...After April’s unexpected recovery, the medical team put out an alert to the hospital system to identify any patients with antibody markers for autoimmune disease. A few months later, Anca Askanase, a rheumatologist and director of the Columbia Lupus Center,who had been on April’s treatment team, approached Markx. “I think we found our girl,” she said.

Bringing back Devine

When Devine Cruz was 9, she began to hear voices. At first, the voices fought with one another. But as she grew older, the voices would talk about her, [and over the years, things got worse].

For more than a decade, the young woman moved in and out of hospitals for treatment. Her symptoms included visual and auditory hallucinations, as well as delusions that prevented her from living a normal life.

Devine was eventually diagnosed with schizoaffective disorder, which can result in symptoms of both schizophrenia and bipolar disorder. She also was diagnosed with intellectual disability.

She was on a laundry list of drugs — two antipsychotic medications, lithium, clonazepam, Ativan and benztropine — that came with a litany of side effects but didn’t resolve all her symptoms...

She also had lupus, which she had been diagnosed with when she was about 14, although doctors had never made a connection between the disease and her mental health...

Last August, the medical team prescribed monthly immunosuppressive infusions of corticosteroids and chemotherapy drugs, a regime similar to what April had been given a few years prior. By October, there were already dramatic signs of improvement.

“She was like ‘Yeah, I gotta go,’” Markx said. “‘Like, I’ve been missing out.’”

After several treatments, Devine began developing awareness that the voices in her head were different from real voices, a sign that she was reconnecting with reality. She finished her sixth and final round of infusions in January.

In March, she was well enough to meet with a reporter. “I feel like I’m already better,” Devine said during a conversation in Markx’s office at the New York State Psychiatric Institute, where she was treated. “I feel myself being a person that I was supposed to be my whole entire life.” ...

Her recovery is remarkable for several reasons, her doctors said. The voices and visions have stopped. And she no longer meets the diagnostic criteria for either schizoaffective disorder or intellectual disability, Markx said...

Today, Devine lives with her mother and is leading a more active and engaged life. She helps her mother cook, goes to the grocery store and navigates public transportation to keep her appointments. She is even babysitting her siblings’ young children — listening to music, taking them to the park or watching “Frozen 2” — responsibilities her family never would have entrusted her with before her recovery.

Expanding the search for more patients

While it is likely that only a subset of people diagnosed with schizophrenia and psychotic disorders have an underlying autoimmune condition, Markx and other doctors believe there are probably many more patients whose psychiatric conditions are caused or exacerbated by autoimmune issues...

The cases of April and Devine also helped inspire the development of the SNF Center for Precision Psychiatry and Mental Health at Columbia, which was named for the Stavros Niarchos Foundation, which awarded it a $75 million grant in April. The goal of the center is to develop new treatments based on specific genetic and autoimmune causes of psychiatric illness, said Joseph Gogos, co-director of the SNF Center.

Markx said he has begun care and treatment on about 40 patients since the SNF Center opened. The SNF Center is working with the New York State Office of Mental Health, which oversees one of the largest public mental health systems in America, to conduct whole genome sequencing and autoimmunity screening on inpatients at long-term facilities.

For “the most disabled, the sickest of the sick, even if we can help just a small fraction of them, by doing these detailed analyses, that’s worth something,” said Thomas Smith, chief medical officer for the New York State Office of Mental Health. “You’re helping save someone’s life, get them out of the hospital, have them live in the community, go home.”

Discussions are underway to extend the search to the 20,000 outpatients in the New York state system as well. Serious psychiatric disorders, like schizophrenia, are more likely to be undertreated in underprivileged groups. And autoimmune disorders like lupus disproportionately affect women and people of color with more severity.

Changing psychiatric care

How many people ultimately will be helped by the research remains a subject of debate in the scientific community. But the research has spurred excitement about the potential to better understand what is going on in the brain during serious mental illness...

Emerging research has implicated inflammation and immunological dysfunction as potential players in a variety of neuropsychiatric conditions, including schizophrenia, depression and autism.

“It opens new treatment possibilities to patients that used to be treated very differently,” said Ludger Tebartz van Elst, a professor of psychiatry and psychotherapy at University Medical Clinic Freiburg in Germany.

In one study, published last year in Molecular Psychiatry, Tebartz van Elst and his colleagues identified 91 psychiatric patients with suspected autoimmune diseases, and reported that immunotherapies benefited the majority of them.

Belinda Lennox, head of the psychiatry department at the University of Oxford, is enrolling patients in clinical trials to test the effectiveness of immunotherapy for autoimmune psychosis patients.

As a result of the research, screenings for immunological markers in psychotic patients are already routine in Germany, where psychiatrists regularly collect samples from cerebrospinal fluid.

Markx is also doing similar screening with his patients. He believes highly sensitive and inexpensive blood tests to detect different antibodies should become part of the standard screening protocol for psychosis.

Also on the horizon: more targeted immunotherapy rather than current “sledgehammer approaches” that suppress the immune system on a broad level, said George Yancopoulos, the co-founder and president of the pharmaceutical company Regeneron.

“I think we’re at the dawn of a new era. This is just the beginning,” said Yancopoulos."

-via The Washington Post, June 1, 2023

#mental illness #schizophrenia #schizoaffective #psychotic disorders #psychology #neurology #autoimmune #autoimmine disease #neuroscience #medical news #medical research #catatonia #immunotherapy #immune system #clinical trials #good news #hope

[hierarchyproblem]

I used to volunteer at a charity that gave out food to homeless people on the evenings. They got a lot of donations - excess stock from the amazon warehouse, that kind of thing - so they also distributed supplies to homeless shelters and womens' shelters and stuff. My job was loading and unloading the vans, sorting donations, and cleaning the big warehouse that they rented. I got on especially well with one of the other guys there; he was an old-school anarchist and a wilderness outdoors type who spent half his time living out of a tent in the middle of nowhere in Scotland, so he had stories and shit. I think he was in a kind of long-term homeless-by-choice situation; when he wasn't up in his mountains sometimes he'd squat in the warehouse and store his stuff there while he was between other accomodation. The charity was cool with that, he'd been with them for a long time and they knew the deal and they had the space.

Except one day one of the directors or whatever came down and threw his shit out onto the street and told him to be gone by the end of the day or he'd call the police. No idea what precipitated that and I never saw this guy again. Writing this out it seems insane: surely he must've done something to precipitate that? Nobody so much as suggested that at the time. I heard what had happened from one of the drivers, and he said the fucked up thing about it was that this chair of trustees (or whatever his role was) was prestigious and well-off enough he could've got any hotel in the city to put this bloke up indefinitely just by asking! But he chose to fuck up this guy's living situation as far as I could tell just to flex his property rights.

I always knew, obviously, that charity is at best a superfical treatment only of the symptoms of capitalist society, and totally orthogonal to the revolutionary change that'd be needed to actually fix the social and economic problems of this shitty society. Of course. But this is what opened my eyes to how much abuse and exploitation goes within the charity sector itself. This is the worst I've heard of, but the same principles are rife: poor conditions, long hours, ducking your workplace rights if you're "just helping out occasionally," poor pay for paid staff and volunteers treated like they're disposable. It shows too how easily a charity for homeless people can end up writing off the people they're set up to help, especially if they refuse to passively accept the little that's on offer. Not every charity has all of these problems, but a lot have at least some. And the guys at the top end up running it like a business 'cause that's how everything's expected to be run; if you've got upper-management experience that's how you see the world.

I don't volunteer there anymore and I'd think very carefully before giving any of these organisations your time or your money. There's homeless people in your area I bet - give them your cash directly and spend the time chatting with them if they like.

#draft purge

[meadowscarlet]

practice makes perfect ━━━ jj maybank.

pairings: jj maybank x fem!kook!reader.

summary: you wouldn't say that you were good at kissing; in fact, you had no idea how it worked. sure, you've kissed a few guys, but not without the tongue and more; just a simple peck and it's embarrassing but what else can you do but ask jj—a pogue you shouldn't be seen with but who you grew close, since you know he's an expert at this—for help?

warnings: nsfw, dry humping, riding, brief jealous!jj, uses of pet names, praising and cursing.

author’s notes: this was clearly rushed but oh well made this in honor of obx s3 !!! do not copy, post on another site, translate or claim any of my works as your own or you will be reported! nav.

It was only supposed to be kissing.

Not that JJ was complaining; in fact, almost everyone knew how completely infatuated he was with you. Obviously, you were clueless of it, constantly misunderstanding JJ's flirting for simple teasing since you two are clearly friends and are simply not a match. Many people were baffled as to how you came to be friends with someone so polar opposite of you.

JJ is wild—always in the mood to party—and spends his evenings drinking beer with John B and Pope in the midst of large crowds of people listening to loud music and grinding drunk couples till they become more drunk, careless with just about anything, and have nasty hangovers the next day—someone you shouldn't like. He was the kind of boy that your parents would warn you to stay away from, the type who would just tarnish your good reputation and influence you to do things that aren't really “good.”

It wasn’t surprising, he was a pogue and you’re a kook; those shits never get along.

You were too perfect, something JJ would find too disgustingly boring and spotless like any other kook he met. They were all condescending, flaunting their richy asses, too proper, and thought highly of themselves and treated others like shit, but surprisingly, you weren't like that. You radiate a beautiful aura that makes it seem as though there is nothing about you that anyone could possibly dislike.

Maybe it, and not simply your beauty, is what drew JJ to you. But he wasn't the only one who seemed captivated with you and captivated to you irresistibly.

He would notice it, guys giving you lingering looks that would piss JJ off at first he was just being protective, of course you’re his precious friend so it would be automatic to him to feel protective but he would notice how he wasn't as seriously upset whenever Kie received this treatment or his jaw wouldn't clench; that was another special quality about you; you had this power over JJ that he wasn't aware of before.

You had him wrapped around your pretty little finger.

So when you asked JJ to teach you how to kiss, he immediately replied yes without any hesitation. At first, it was awkward because you appeared peculiarly twitchy and JJ was concerned because you had been quite quiet and had barely responded to him. When the words escaped your lips, all reason left JJ's mind, and his response came quickly and without consideration.

“Could you—like, well, teach me how to kiss?” you asked sheepishly, looking adorably embarrassed. “Properly.”

“Yeah, sure, love.”

JJ learned two things when his lips touched yours.

One: your lips was the sweetest fucking thing he had ever tasted. At first you were reluctant, even shy, but JJ taught you how to wrap your arms around his neck, pull him closer, and kiss him. The way your soft lips caressed his drove him insane. He showed you how to do it by licking your bottom lip, which made your lips part and allowed him to further explore your mouth until he forced himself to stop before he could get ahead of himself.

You’re here to teach her how to kiss, not make out with her, you asshole, he thought quietly, and he found himself feeling sour about it.

Second: JJ can't help but think about the fact that you just asked him to teach you how to kiss expertly so you could kiss other guys, and for some reason, that thought makes him want to explode. The idea that you were going to kiss another guy made him feel a rush of unflinching rage. The only thing that ever made him feel jealous was the idea of another guy touching you, kissing you like he is doing right now, or worse, fucking your pretty self.

You drew away from the kiss, appearing out of breath, with swollen lips and sparkling eyes; you are so gorgeous, JJ could gaze at you for hours.

“What is it?” you asked, finding him staring at you in dazed. “Did I do it wrong?”

“No—it’s perfect,” JJ said and without thinking, he added, “You’re perfect.”

You grew flustered but asked, “So I did good? No problem?”

“There’s one problem,” JJ frowned. Unconsciously, he drew you closer to him and pulled you to sit on his lap as your chests brushed against each other and you both were breathing heavily. “I can’t stop,”

You were quiet for a moment and JJ was ready to curse himself for being too attached to your addictive self and couldn’t help himself when you suddenly shifted on his lap, your crotch brushed against his already hard dick from his shorts, and he knew you could feel it since your eyes gleamed with unexpected need, he had to restrain himself from groaning.

A shiver wracked through your body. “Then don’t stop.”

That’s all it takes for JJ to snap. He snaked his hands under your skirt, pulled you dangerously close to him, and found a way to cup the supple skin of your ass. You moaned in surprise as he attacked your lips with a hot, rough kiss, and you unconsciously started rocking your core against his clothed dick. He runs his hands through your hair, he slightly tugs on it, causing you to moan once more. As he left your lips, he skimmed his teeth against your jaw to your neck and began kissing on the soft skin of it.

“You have no idea how fucking long I’ve waited for this,” he whispered against your neck.

He was driven wild by the whimper that escaped your luscious lips. As you began to grind firmly against JJ's clothed dick while tightly grasping his shoulder, JJ could see you were getting frantic. His eyes grew dark as he guided you against his lap with his hands on your hips, grinding you back and forth as he continued to teach you.

JJ murmurs, “Come on pretty girl,” and then he trails his hot mouth down your neck and into your ears, biting on your earlobe to make you mewl with pleasure. “I can feel how soaking wet you are even when you’re not naked, ride me, come on, let me feel you more.”

He could feel you were doing well as his hands guided you into grinding against his crotch. He then continued kissing your neck, almost marking you and giving you the impression like it would definitely leave a mark. JJ was happy to think about this. Suddenly remembering how this happened in the first place—you asking him to teach you how to kiss—he tightened his hold on you till he felt you whimper against him, riding his clothed hard dick almost desperately, JJ could feel his anger bubbling at the thought of you doing this with someone else.

“You’re not kissing anyone else after this, do you hear me?”

You briefly looked at him, confused. “What—?”

JJ’s eyes darkened with jealousy. “Tell me I’m the only one who can make you feel like this.”

He could feel the desire through you, and he fucking loved it. You were grinding against him, and JJ had to restrain himself from tearing your clothes and his just so he could fuck you deep and hard.

You were close, he could feel it, you were clinging to him tightly, rubbing up on his dick almost like you were bouncing on him. He glanced up at you, your eyes briefly closing in ecstasy, your pretty lips half open, and your beautiful face transforming into something vibrant.

“Yes,” you gasp. “Only you, JJ—fuck—only you.”

The corners of his mouth turned up slightly into a pleased smile. “Such a good girl. I can’t wait to fuck you.”

You grew flustered but your eyes sparkled in mischief. “Teach me that?” But JJ was already pulling you much closer with a hungry look in his eyes.

“I’ll teach you everything, pretty girl.”

#♡ — ani’s works. #jj maybank x reader #jj maybank one shot #jj maybank smut #jj maybank imagine #jj maybank x fem!reader #jj mayback imagine #jj maybank x y/n #jj maybank x you #jj maybank fanfiction #jj maybank #outer banks x fem!reader #outer banks x y/n #outer banks smut #outer banks x reader #outer banks imagine #outer banks fic #outer banks

[hanafubukki]

Can be seen as a part 2 to this fic (after some time has passed that is) or can be read as a stand-alone.

“Leave me alone human!”

“For someone who is chained to the ground and gravely injured, you’re pretty loud.”

“I’ll rip you from limb to limb.”

“Why don’t you get better first before we get there hmm?”

General Lilia Vanrouge screeched at you in the fae language, some of which you knew were curses. Ah yes, you can’t wait to make fun of your Lilia when you get back to your time. His cursing while playing video games had you easily recognizing some of them now.

Luckily for you and your ears, the General wore himself out. The wounds from the iron and those of the battles weakened him.

It didn’t help that he also had a fever as a result. You were put in this cell to help him recover. Humpty Dumpty- well, King Henrik, implied it was the least you could do.

A random human that was pick up by his men, who was using valuable resources that could go to his soldiers instead. Never mind the fact that you helped treat said soldiers and gather said resources.

The Knight of Dawn had clenched his fist, about to speak up on your behalf. But you simply grabbed his hand and shook your head. It wasn’t worth it. King Henrik would just make his life harder for talking back, and you didn’t want that. The Knight of Dawn dealt with enough, you didn’t want to add onto his troubles.

…But you also didn’t realize that meant staying locked up in this cell with General Lilia Vanrouge either.

The General wasn’t exactly happy when he first met you, and you couldn’t blame him. You just weren’t used to the open hatred from familiar eyes you would see everyday. Eyes that were always friendly to you, now burned you.

The first time you tried to provide him treatment, he had fought back until his wounds weakened him to an unconscious state. You had silently treated him then. Not a soul a witness to your tears.

As the weeks passed, the General gradually stopped fighting back, probably due to his weakening state…it didn’t shut his mouth though funny enough.

You were only let out for a change of clothes, a bath, a proper meal, and a bed to sleep in every few days. Even then, King Henrik made it seem as if that was too good for you.

You later found out it was due to the Knight of Dawn’s request that you were even allowed such accommodations. Your heart ached at the idea of what he must have gone through to get you this, as you knew King Henrik did not treat him well.

You breathed softly, you wished you could return home soon.

You were dressing a wound on Lilia when you felt him stir.

“Melea…Le…B…”

You took a wet cloth and wiped his forehead.

He must be dreaming about his family.

You knew all would be well in the future, but that didn’t mean current events didn’t affect you.

It hurt you to see so many struggle in a useless war, due to greed from one man.

Lilia clutched at his stomach, his sharp claw like nails reopening the wounds you had painstakingly bandaged.

You quickly grabbed his hands and sucked in a breath of pain. His nails dug into your skin, drawing blood. His grip could break your bones to tiny, incomprehensible pieces, but you held on.

You knew he wanted to be free and return home, to protect his loved ones. You were determined to heal him for that very reason.

“Damn it Lilia Vanrouge! You will get through this! You have so much to look forward to. So many people who love you! Now, stop being a prick and let me go so I can treat you!”

Surprisingly, he let you go. You ignored your bleeding, aching hands in order to reseal his wound.

“…will you be in that future?”

You froze, turning and looking into feverish eyes.

“Yes.”

General Lilia Vanrouge fell into a deep sleep for the next 10 days.

You were returning to Lilia’s cell when a knife was held to your neck.

“Human, where is the fae you captured?”

Ah, it seems rescue finally arrived for Lilia. It took them long enough.

You looked up into hardened, familiar eyes. Baul Zigvolt would have been a sight for sore eyes if he didn’t, you know, have a knife to your throat.

“I would gladly show you if you take that knife away.”

“You-”

“Besides, I was heading right in that direction. If you don’t want to be caught, you better hurry.”

You continued walking, listening to Baul grumble about frustrating humans. You couldn’t help the slight smile on your face as you remembered similar words said by his grandson.

You led Baul quickly and quietly to the cell that practically became a second home to you. No one in sight. You had noticed, unlike the men that the Knight of Dawn commanded, the men directly under King Henrik were…well, just like him: sleazy and lazy.

They let their guards down thinking The Right General of the Fae was too weak and couldn’t take any of them on. They even implied you were nothing but a sacrificial lamb should said Fae get angry, but of course, they would rescue you at a price.

It took you all you could not to spit in their faces or smash their heads on the wall. The self defense lessons Silver and Sebek taught you provided security that you would forever be grateful for.

It was due to this fatal thinking that Baul was able to infiltrate the base, as the men went to seek entertainment elsewhere.

When you arrived, you opened the cell door quietly so as to not hurt sensitive ears. The sun was high enough for the cell to be well lit.

You heard Baul hiss in anger before rushing to his general’s side. Lilia didn’t seem surprised to see him, telling you how he must have always known rescue would come for him.

“General!”

“Careful! You’ll-”

Baul recoiled from the burns the iron chains struck at him.

“I tried to warn you.” You shook your head. You sat next to Lilia, taking his hand in yours. From the corner of your eye, you could see Baul tense but Lilia motioned for him to remain calm.

You picked at the lock. Another thing to be thankful for, your lock picking skills, which you learned quickly from days you were locked outside of Ramshackle Dorm because Grim forgot the key or the door just wouldn’t open.

“You got it in one go this time.”

“I told you I had surprises up my sleeves. I just needed the right tools.”

“Hmm, so you say.”

Baul looked at both of you as if you both at grown two heads each. Lilia noticed his look and waved towards his feet. Where chains that should have been locked were open.

“Any longer, Baul, and I would have rescued myself.”

Baul stammered before apologizing. You turned away to hide your smile.

Within moments, the atmosphere changed. General Lilia Vanrouge had to escape and return to his men.

“Leave.”

“What?”

“You have to leave. You need to return to your troops."

Lilia clenched his jaw, looking at you. You couldn't return with him; you both knew that. It didn't stop him from trying, but you shook your head before he could even open his mouth.

"I can't go with you."

A human amongst the fae would not last long, at least not now. There was too much hatred.

You took the cuffs that had been his tormentor for so long and locked them around your hands. You chose to ignore the angry growl Lilia tried to hide at the sight of the cuffs now imprisoning you.

"I'll make it look like you escaped, now go."

"They'll hurt you."

You shook your head.

"The Knight of Dawn would never let that happen."

He knew you were right. The Knight of Dawn had visited several times, helping you treat his wounds and restrain him when the fever would have him lash out at you.

The Knight of Dawn had honor, as a fellow general and soldier, Lilia respected him for it. Lilia pulled one of his magic stones off his belt before offering it to you.

"Take this. Smash it to the ground if you need help, I'll find you."

You agreed and watched the two soldiers turn to leave. General Lilia Vanrouge hesitated before speaking, "You told me you would be in my future."

"I will be."

"You better keep that promise, YN."

"I will."

General Lilia Vanrouge and Baul Zigvolt vanished from your sight.

I'll see you both soon.

Part 3 (each part takes place after some time has passed) or can be read as a stand-alone.

Author’s Notes: I can’t believe this became a 1.5k fic, the way this bat fae drives me crazy. 😂💞🌺

#twst x reader #twisted wonderland x reader #twst lilia vanrouge x reader #lilia vanrouge x reader #lilia vanrouge #twst lilia vanrouge #twisted wonderland x you #twst x you #Lilia Vanrouge x you #lilia x you #lilia x reader #baul zigvolt #twst knight of dawn #general lilia vanrouge #general lilia vanrouve x reader #general lilia vanrouge x reader

[chaethewriter]

You're dead to me [4]

dad!Jake Sully x human!daughter!reader

In which Jake Sully leaves his life on earth to settle down with the Omatikaya people as Toruk Makto. Having a family that consists of four kids with Neytiri, everything seems to work out just fine, but what if the past comes back for him? And his babygirl is right there in front of him?

warning: english isn't my first language, angsty, vulnerable Jake, PTSD, night terrors

Word count: 3k

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Jake Sully felt like gripping his dreadlocks out of his head. He barely showed it when he felt conflicted and unfocused, usually able to hide it well. But right now he couldn't keep the facade up the entire time, acting like everything was fine and it seemed like Neytiri caught on to his behavior as well. He was pacing around the pod as he thought of you, the young warrior that was giving him the silent treatment and he wanted to know why. "Ma Jake," a hand is placed on his shoulder and he stopped his frantic pacing, turning his head to the side to come face to face with his mate, "what is up with you lately? You have been so tense these days." Ever since he met you a few days ago, you didn't leave his mind, wondering what it was with you that made him want to treat you as his own. Was it your name? The fact you were so young? Could it be possible that you really were his daughter? Then why didn't you say anything? Is he officially turning delusional right now? Neytiri wrapped her arm around him as she helped him sit on the woven carpets, her cheek leaning against his shoulder, "talk to me, speak to me." It felt nice to know he could rely on someone, but this wasn't an ordinary problem he could talk about. He never really spoke about his life back on planet earth to anyone, because it was his past life. His present self is on Pandora, so he focused on learning the Omatikaya ways and his focus was on his future. But he always wondered how you were and what you were up to. If you were well and living your life to the fullest. He wished he could have been there to watch you grow up. But now that this warrior was here, he had to know. Was it you? His sweet babygirl? The one who would ask for cuddles everytime you saw him? The one that sat on his lap on his wheelchair as they went outside? His sweet child? Answers is what he needed, but he didn't want to be a bother or seem delusional. What if he made all of this up, because he missed you? "I don't know how to say this, yawne, I'm so conflicted. So guilty." He expected her to reply, but she stayed quiet. She wanted him to explain at his own pace without interfering. His hand dug down to take his hunter's knife in his grip, as he hold it upside down. Neytiri watched his grip on the knife as she squints her eyes. She noticed how something is dangling from the end. She saw it a few times around the pod, knowing it was Jake's. Yet she didn't want to pry him into telling her what it was. He would tell her himself eventually and the time to tell was now. A bond is formed around trust and she trusts him. The locket tiny is in comparison to their size. She watched how he untied the small chain from the thumb hole at the end of the handle. He struggled a bit, because of how tiny the knot was. Pulling at the chain with his fingernails, once he pulled the chain away from the hunter's knife he sheathed the sharp object back to his hip. He pulled Neytiri closer to him as he sucked a ton of air into his lungs, preparing himself for the one big thing he hid from his family this entire time. He had a lot of explaining to do.

Neytiri awaited what he was about to show and tell her. He clicked the photo locket open with his fingernail, revealing a picture of an adorable little girl that are you. Your head was tilted to the side as you flashed a bright cute smile, your chubby cheeks making you ten times more adorable. "This is my daughter, from back on earth." His index finger traced your face as he started feeling even more guilty for never telling his mate. What would she feel at the moment? Betrayal? He watched as Neytiri's expression retorted into an upset one. His hand grabbed a hold of hers, shaking his head as if he could know what she was thinking, "there was no one special back on earth. Only you, ma yawne. I adopted her after her parents passed. I raised her since she was a baby like she was biologically mine." The way Jake spoke about his daughter with pride made a smile creep onto her face, "she's adorable for a human." Jake rolled his eyes in response, of course, she would say something like that. "But why did you stay?" The question came out of nowhere, one he definitely wasn't expecting and one he definitely couldn't answer clearly, "what?" Jake didn't really ask her that question to his mate, he was surprised. "Why did you stay here on Pandora, instead of returning to earth?" The question was overwhelming him, as his lips were pursed and his hand went to his face, burying his nose into his palms. He thought back to his life as a human: he felt miserable, lost, and an alcoholic as he mourned. He was paralyzed, full of PTSD and night terrors as an ex-military. Yet he had one thing that made his life a good one: you.

His head was pounding as his vision was blurred, his ears ringing in pain. When he opened his eyes to look around, all he saw was blood. His dead comrades are covered in blood, bombs, and explosions going off around him. His head feels fuzzy as he turns to his right, coming face to face with your biological father, lying dead on the ground. Even though his eyes were wide open, they were dull and lifeless. Jake lets out a scream, but he couldn't look away. Then your biological dad's body opened his mouth, "you should have jumped in front of the bullet for me. You don't deserve to live, you had nothing. I had everything, a family, a daughter yet to be born. You stole her for me, you don't deserve this life! You don't deserve her!" The words felt like a knife stabbed him in the heart, someone holding onto the handle to twist it around some more to intensify the pain.

Daddy..

The words were faint.

Daddy..!

Who was that?

Why did it feel so familiar?

"Daddy!!" He was shaken to the core as your hands frantically shook his shoulders. He opened his eyes as he was met with your teary eyes. You were seated on his chest in your cute Disney pajamas, the ones he bought you, as you shook his body, "daddy was crying, me woke up and scared." You babbled as you leaned in to wrap your arms around Jake. "Daddy hurt?" Jake immediately wrapped his arms around you as tight as he could, squeezing you in his arms as he shook his head, "I'm not baby," he reassured you, but those words kept ringing in his head. He didn't deserve you.

The next night he drank, drank all he could to distract himself from the pain. He doesn't deserve you. It's his fault. He doesn't deserve to be your dad. He was drunk when he wheeled himself home in his wheelchair, feeling all dizzy as he unlocked the front door. He put you to sleep before he left, so surely you would still be sleeping right? Wrong. When he opened the door, he was met with your teary eyes yet again. He felt a pang in his chest. He kept hurting you, yesterday and now today as well. "Daddy is back? Couldn't sleep without daddy." You babbled as you walked towards him with a plushie in your arms. It was old and about to fall apart. He always told you how you should throw it away since you were gifted a lot of other plushies that you got from people you knew. You always told him no, because it's the plushie you got from him. He drank a lot yes, but seeing you it felt like he already sobered up. He picked you up from under your armpits and put you on his lap, "Yes babygirl I'm back, worry no more." You smiled at him as you pressed your lips against his, "I love you daddy!!" He was scared to say it back, he didn't deserve you to love him. Instead he just held you close, one arm on your head as the other was wrapped around your back.

I love you too my baby, I really do. I'm sorry I can't do better.

Jake finally opened up to Neytiri. About his night terrors, the guilt that ate him up from the inside how he watched you grew up and not your biological parents. How your biological dad, his comrade, died during the war they fought in. How he should have taken the bullet and died to give you your real dad. How your mom died during your birth and that's how you got into his arms. Then he talked about you. That he fell in love with you the moment you were in his arms. He told her what you were like and how you were the light of his life during his dark human times. How you always wanted to bake with him, but it ended up in a flour fight because none of you could cook. So in the end he would order pizza and sit on the couch with you on his lap, eating as you watched a Disney movie with him. She didn't know what flour was, or pizza and Disney, but eagerly listened to his words with a smile. Her mate was smiling as he was talking about you and it made her love you. "And she never wanted me to go shopping without her, to protect me from bad people. She would climb to stand on my lap to get something from the top shelf as I held her short legs." You truly were his angel and Neytiri could see how much you meant to him, but one thing was bugging her.

"But why is your sky daughter distracting you now out of all days, after so long of not seeing her? what is the entire story, ma Jake?" Neytiri really did know him the best, better than he knew himself. He couldn't lie to her, so he told her the truth, the thoughts that have been eating him alive from the inside. What the Tsahik, her mother, told him. The conflicts he had the day he met you, how you gave him the cold shoulder. The dots connected in his head, this wasn't coincidental, Eywa doesn't do coincidences like these. And Neytiri seemed to agree with the look she gave him, "why don't you talk to that demon child?" She hissed as she spoke, the girl she called cute moments ago not looking so cute anymore once she connected that little face to the young warrior that disrespected her mate. If you really were his daughter, she still wouldn't think twice to teach her a lesson. Are sky people all born with that disrespect, ignorance and selfishness? She remembered when she met Jake, he was ignorant like a baby and making noise for no reason. Jake rubbed his temple, the situation getting even more complicated than he thought it would get. His mate who hates sky people together in a room with the sky girl that could be his daughter. Oh Eywa, how was he supposed to handle this? "Ma yawne please don't call her that. And yes, I tried, many times. But every time I try to look for her, she always manages to just slip past my fingers." A huff left his lips as the entire situation frustrated him to the core. He didn't want to jump to conclusions, or get his hopes up. So he needed to get her to talk. He was deep in thought, but then he got an idea as if a light bulb lit up above his head. "I-I need to go somewhere!" He frantically got up from his sitting position, feeling utterly stupid that he didn't think of this before. Ask Norm. Neytiri shook her head with her lips pursing, a small smile forming, hoping everything will turn out well for him. Because even though she hated sky people, she wanted the best for him.

"You can't run away forever," Norm says as a matter of fact as he watched you sharpening your katana on one of the lab tables with his arms crossed, the map of files under his armpit. A groan leaves your lips as you sent him a frown. Norm only smiles, ", you know you have to face him eventually." He took a seat next to you, and he put the map down on the same table you were working on. Norm read your file the same day you had your checkup, the fighting without a mask. Stupid idea by the way. Being a close friend to Jake Sully, he couldn't help but be curious as he spoke to you about it. That's when you told him the whole story. He felt for you but nagged you to eventually talk to him to make up for all the lost time. And to this day he is still nagging you. You let out a groan as you slammed your forehead against the metal table, "Norm, please! Why is everyone forcing me to talk to him?!" "Because he's your dad?", he says as a matter of fact and you frown at his smug face, "whatever mister know it better, I'm going to get some fruits from the forest." You got up from your seat and sheathed your katana into the safety strap on your hip. You walk towards the door as you took your mask off it, putting it against your face. "Think about it while you're gathering those fruits! Maybe Eywa will knock some sense into you when you walk through mother nature." With an annoyed hiss, you took off.

At the same time, Jake Sully made his way toward the lab. The two of you just missed each other as you went the other way. He slammed the first door open, the door disinfecting him as he took the oxygen mask off the wall. He then opened the second door and immediately took a whizz of the Pandorean air through the mask, attaching it at his hip, "NORM!" His voice boomed through the room, but there was no response in the common area. He stepped further inside the room in an awkward position. He couldn't fit inside the room, so he had to bend his back, yet his head still hit the roof. One of his hands was placed on the roof to keep his balance. "Norm!" He screamed yet again, huffing in annoyance as no one seemed to answer him. No scientist was in sight. Was everyone busy? He decided to walk around the room, well it wasn't really walking in his instance as one step was already almost across the room. His head cocked to the side as his eyes met the map on the table. It was the map from a few days ago, the one Norm gave him and was ripped from his hands by you. He knew he shouldn't do it, but curiosity took over. The same curiosity when he first got into the forests of Pandora. His knees hit the cold floor as he sat down. He took the map in his hands, it being the same size as his palm as he flipped the page with his finger. It was all in Na'vi, as the resistance didn't mind integrating into their culture. The first page was the checkup, with notes all around the text, about Seb, Raja and you. He continued flipping, a page about Seb. He didn't care about him, so he continued flipping and flipping. He grew frustrated as he couldn't find your information. Then he reached one of the last pages.

(Y/N) (L/N) SULLY.

His eyes widened, his heart cracking and beating in his throat all at the same time. Your birth date was the same, your birthplace was the same, and the names of your biological parents. As well as his name right under it. He felt dizzy all of a sudden. His breath hitched in his throat. It really was you. "Norm, I'm back." You walked into the room once you put your mask away, a lot of fruits in your arms that humans could digest. "I was so kind to bring fruits for everyone, you better tha-," when you got into the room, you weren't met with Norm, Max, or any other of the scientists that stayed on Pandora. No, you were met with Jake Sully. Your father. You dropped the fruits you were holding on the floor and at the same time the map fell out of his hands. Jake Sully got up from the floor, proceeding to hit his head against the ceiling at the way he suddenly got up. But he didn't feel the pain, he couldn't feel anything except his heart beating so fast with his eyes focused on his daughter, "my babygirl.." the way he spoke your nickname in his English accent made your heart beat in your throat. He took a step towards you, but you backed away, "don't, don't touch me." Your lips pursed as the tears welled up in your eyes. "My baby-" "I SAID DON'T!!" your scream filled the room, "Don't say anything, Jake Sully." Your voice was harsh as you spoke his name, your expression furious yet so upset.

And he felt his heart break.

A/N: thank you sm for reading. I appreciate the comments you all leave me. Thank you for all the support! I also thought of writing a Neteyam x reader after this, so let me know if you would like to read that. <3

Taglist in the comments cause it doesn't fit here [legit felt like I was tagging like 200 people, so annoying I can only tag 5 per comment]

Y'all have some interesting usernames

#Jake sully #jake sully x human!reader #jake sully x daughter!reader #dad!jake sully x reader #dad!jake sully #dad!jake x daughter!reader #dad! jake sully #sully family x reader #sully family #neteyam x reader #neteyam #neteyam x sister!reader #lo'ak x sister!reader

[millaaster]

How They Treat You During Periods - Jujutsu Kaisen

Pairing: Gojo Satoru, Geto Suguru, Nanami Kento, Itadori Yuji, Fushiguro Megumi x Reader (Separate)

Summary: How some of the JJK men react to and treat you during periods!

Words: 1051

CW: SFW; Fluff; Domestic Fluff; Crack; Periods; Blood mentions.

AN: this a complex topic because everybody who menstruates has a different organism and a different dynamic, so this is very based on my own experiences, but i tried thinking about situations that could include more people ok :')

Please, do not repost or translate.

GOJO SATORU - More chill than you thought he would be. The first time you talked about it was when you had cramps during a date and tried to talk him out of doing anything.

He just came right out "Hey, there's nothing to be shy about! I'm just definitely not letting my woman suffer in front of me just to save face!" 

He sits you down, holds you close and asks if you're ok. "If you don't have medicine on you, we can stop by a store to get it while heading to your place". Escorts you home, makes you tea and tucks you in to nap. 

After you've been together long enough he's started getting real good at tracking your cycles and adjusting whatever plans you have. "Hm... honey, I've been thinking of taking some days off and heading to the beach, but next week would be no good for you right? Should we wait a little?" 

He stuffs you in candy and treats if you're feeling down (sure he'll snatch some of those...). 

One day you get a message from him:

"Babe SOS   Do we have any first aid home?  My nose is kinda bleeding...hehe"

"Toru!! You ok??  There should be some cotton balls in the bathroom" 

When you get home you find him with a whole ass tampon stuck up his nostril...."Satoru!!! What the hell are you doing?!?"

"Oh hey, honey! Sorry, couldn't find the cotton balls but figured this was even better and it DOES work wonders!", he tells you with a proud grin on his face... 

GETO SUGURU - Suguru may seem a little indifferent, but it's just that he doesn't want to step over your independence. He's trying not to overdo things and will only act after you actively ask for something.

That being said, if that's what you want, he's an expert in doing your chores and cleaning the house for you. 

He was once doing the laundry and you caught him staring at your sheets.

"Something wron-" you gasp, realizing there's a big blotch of blood in it.

"Babe! You don't have to wash this one!" you cry, feeling your face burn red.

"What are you talking about? I was just trying to remember how to take off blood stains", lifting it out of your reach as you try to grab it. "Was it vinegar or lemon..." he mumbles, walking over to your kitchen cabinets. 

He secretly enjoys that you get mellower and needy with him. You won't have to ask twice if you demand an extra tight hug. 

Loves aromatherapy and gave you a whole kit with a diffuser and oils that ease pain and help with relaxation. If you don't use it he'll pout and nag non stop until you turn it on. "Suuuguu...you're giving me more headaches than my uterus right now dear..." "If you had it on from the start there would be no ache whatsoever, dummy!" 

He's now GREAT with massages. You've always complained about how your back and thighs ache when you're menstruated, so he took some lessons to help you out with that. 

NANAMI KENTO - With Nanami it's princess treatment all the way! This man thinks it's freaking amazing how you'll have to deal with this for so long in your life, through work and everything, and that you're badass for that. I mean, you're literally bleeding!!! That's concerning enough to happen to someone he loves. 

So he'll put all the effort he can to minimize any discomfort you have on those days. As soon as it became a regular thing for you to stay over at his place, he purchased all sorts of tea, heat pads and asked you to tell him what pads or tampons he should buy to stock some. 

He loves to have dates at home, so it's a win-win situation when you stay in; he cooks you something warm and lays around with you all day. "Is this position all right love?" While rubbing gently your stomach. 

He also loves to give you useful gifts, so once he even went as far as to surprise you with a new care kit from a high end brand in a box full of products to pamper you. 

The best to have around if you're out too. Never gets bothered if you have to go to the restroom too often and makes sure the place you're attending has good access to those. 

ITADORI YUJI - Freaks out a little when you tell him you don't feel like going on a date because you're on your period. He forgot such things were a very real thing if he was dating you. Has the mindset that, as his S/O, your period is his period too!! 

You're totally lost for words when he first tells you that.....he just means he feels responsible for your well being throughout this time. 

Definitely asks Nobara for help on how to help you feel better. 

He's a really active guy and always wants you to tag along and spend time with him, so he researched a lot about exercises that'll be better to practice during that time. 

At some point in your relationship will text you:

"yo babe, I'm at the pads aisle what's your pussy size??" 

FUSHIGURO MEGUMI - Also chill about it. An absolute angel when it comes to being patient to you, who turns into a SAINT if you're on your period. 

He just knows that there are better times to deal with any stressful matters than now, so it's only love with this guy for a few days. 

He prefers to talk to you in person instead of texting, but if you mention being on your period, you'll get the sweetest messages all day long popping up on your phone to check out how you're doing.

"Love, did you eat well?" "Hey, do you need anything?" "Sunshine, hope you're having a good day"  “Never forget you’re amazing”

Secretly, has also consulted Nobara and his sister to get some tips on what he could do.

Gets his dogs to cuddle with you in bed, to keep your belly warm, if he's busy around the house. 

He has a playlist with hours and hours of comfort movies you watch together when you don't want to leave the sofa/bed. He even watches your favorite shoujo with you if you ask!

A/N: also, yes, I do think Gojo and Geto being good parents (to Tsukimi, Mimiko and Nanako) have helped them learn about periods.

Interactions are always appreciated ☆* have a lovely day!

#milla a writes #gojo satoru x reader #geto suguru x reader #nanami kento x reader #itadori yuji x reader #fushiguro megumi x reader #jjk fluff #jujutsu kaisen fluff #jjk x reader #jujutsu x reader #jujutsu kaisen x reader #jujutsu kaisen #gojo x reader #geto x reader #nanami x reader #yuji x reader #megumi x reader

[bitterchocoo]

A Blessing or A Curse?

Jing Yuan | M. Reader as Baizhu [Genshin Impact]

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"The doctor will see you now~"

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For centuries, immortality has been seen as a curse by the Xianzhou natives. An abomination.

How could they not? When they saw it with their own eyes, what immortality had brought to those who wished for it. How it changed them. Twist their minds until they're merely a shadow of their former self. What had become of those who got Mara-struck.

But...

Amongst those who look down on immortality with disdain. There's one who sees immortality as a blessing rather than a curse.

.

.

.

.

.

Hey, have you heard? There's a Doctor that could cure any illness! It's like a miracle! He works in a Pharmacy in the Alchemy Commission called, Bubu Pharmacy. The Doctor's name is—

"Doctor [Name]?"

"This new prescription, though not as fast-acting. Will allow gradual recovery and build-up of strength making it well suited to someone who's been suffering from a long illness. The needed ingredients can also be found around the Exalting Sanctum."

"Thank you, Doctor!"

The man thanked the doctor for the new prescription with a smile on hie face. The previous prescription used ingredients are hard to get in the district and now with the new prescription, finding the ingredients for the medicine would be a lot more easier.

He then left the pharmacy with the prescription in hand, leaving the doctor alone with his...

Snake.

"You actually found replacements for those ingredients." She says as she watched the man leave. "Of course, what kind of Doctor would I be if I couldn't?" He replied softly, his eyes scanning the documents in his hand.

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One day, Doctor [Name] have an unexpected visit.

"Ah, General! To what do I owe the honor of your visit? Are you perhaps injured?" The doctor greeted him with a faint smile on his face. Jing Yuan laugh at [Name]'s words. "No, Doctor. I'm perfectly healthy."

"That's good to hear." "He better be, or else our work would have been for nothing!!"

"Good to see you too Changsheng." The General chuckles. The snake huffs as she rested her body around [Name]'s shoulders. The two old friends sat at a nearby table, chatting away and catching up with one another.

For as long as he could remember, [Name] had always been a kind soul, ready to help at any given time despite being a short-life species. That didn't concern him at all as he studies medicine and the art of healing.

The day [Name] retuned with a white snake around his shoulder was the day that changed everything. For the Luofu and for his friends. Almost like a miracle, the people began to heal ad recover in a rapid pace. Thanks to the Doctor's treatment. They've began to wonder as to how that could be? A short-life species? Having an ability akin to a Vidyadhara? Impossible! And yet..

As [Name] continues to heal and treat his patients... the sicker he became..

It wasn't that it's noticeable, no.. far from it..

He appears as healthy as ever, although a few coughs and wheeze here and there but as an old friend of his, Jing Yuan can't help but show concern for the Doctor.

.

.

.

.

.

"Life, death... and the world around us all follow a set of laws... Hehe, but if you never test the limits, how can anyone know where the boundaries of these laws are?"

He should have known..

He should have known that.. his friend was..

..Researching on something forbidden..

How could this be...?

A kind and gentle man.. wanting nothing but to help and treat others.. began searching for the thing his motherland sought to destroy..? And he's been doing this from the starts..?

Why..? Why must he..

He felt betrayed. Betrayed by an old friend.

Immortality is a curse! Can't the Doctor see that! All of those soldiers, all of those people that were lost from it! Is he blind!! Why!? Why must he search for such abomination!!

And yet.. and yet...

His reason.. the Doctor's reason... [Name]'s reason...

..It's still pure..

He wanted to help.. to treat and heal others..

Changsheng.. her ability to heal is simply out of this world.. but the price.. the price that needs to be paid to do such an act.. isn't that just prove how terrible the power of Abundance is? And yet..

[Name] saw this as a blessing.

It's a gift.

A gift he'll accept with open arms.

Once he received immortality.. he could continue on to help others and.. he won't have to pass down the contract to anyone ever again..

His objective is simple...

To prevent suffering.

But.. is immortality truly the only way? To him, yes. As it would prevent any more people from dying young thanks to the contract. But to someone like Jing Yuan? The General of the Luofu? The man who had seen what immortality had done to others?

Is Immortality a blessing..? Or.. a curse..?

He doesn't know anymore.

#seme male reader #top male reader #x male reader #hsr #hsr x male reader #hsr x reader #honkai star rail #honkai star rail x male reader #honkai star rail x reader #hsr jing yuan #jing yuan #jing yuan x reader #jing yuan x male reader #baizhu #genshin baizhu #genshin impact #genshin #x reader

[brucewaynehater101]

Just read a fic about Tim finally getting post patrol ice cream and his own renovated room after admitting to never getting any unlike his siblings and now I'm imagining an AU

Imagine this, Tim is tired, pulling an all nighter, because he did too poor a job at pretending as Robin, and it's too late to do damage control. Not in front of villains or heroes alike

But the people

They've caught onto how the third robin receives less than the first two

Robin acts less like a child, less like a son to Batman, and more like a 'Business Partner's as he said with his own words. Like a handler

Robin who has to put work into keeping Batman from overexerting himself, from cruelly punishing those who fall victim to him

Robin who receives less praise or care from Batman and cares for both himself and his "Boss" as he said with his own words

And it gets worse after the mantle passes down to Stephanie and Damian because the people notices how even as Batman treats them better than the third, now rebranded as Red Robin—

—Red Robin is still as much a Business Partner to batman as he always has been since the Dark Knight's loss of his second bird

And as much as tries to keep things buried, word is spreading that Red Robin is black sheep of the batfamily, and he won't be able to hide it for much longer

Have fun with this idea lol

I know the fic you're talking about! "with the exception of..." by DSS1101. That's a good one!

"Home Decor" by sElkieNight60 is about Duke remodeling his room as part of the new Wayne member tradition. This brings up feelings in Tim cause his bedroom still looks like a barely used guestroom.

The concept you've mentioned gives similar vibes to a hc/au post I read about how JJ (Joker Junior) isn't known by anyone but the goons/Rogues, Barbara, Jim, and Bruce. All the other Bats don't know. In consideration of Tim, electric shock weapons are immediately put away when Red Robin arrives on scene (I love that idea so much).

I think, with the Gothamites around when Bruce was going on his grief spiral almost killing spree, people feel a kinship with Tim. They couldn't have stopped Batman and, with part guilt and part relief, it seems only a child could. They watch this child, who seems to be sacrificing everything for a brutal and cruel man, and how he pulls Batman back into the symbol he's supposed to be. It brings out the protective and parental instinct of a lot of people.

This cues civilians, goons, and rogues alike trying to assist Robin in small ways. Tim as Robin had people offering him food (in sealed containers), giving him compliments, handing him scarves or hats (how could Batman let a child out in this weather without a hat?!?!?), and more. They tried to give him small moments to be the child he was pretending he wasn't. He obviously wasn't getting decent parenting at home if Batman was just his boss and his real folks were letting him out to fight.

There's a kind of guilty gratefulness towards the third Robin and a protectiveness of him. All young Bats are treated with care by civilains and some goons, but Robin three was special. He willingly became the barrier between Batman and Gotham. A lot of folks owe their ability to work (and not have exorbiant medical debt and medical conditions) to Tim. He saved them by damning himself. He needed the support Batman obviously wasn't providing.

Tim, as intelligent as he is, doesn't realize the affect he has on Gotham's older population. The younger ones will react with slightly more respect towards him than the other Bats, but they weren't around to see what Tim's sacrifice did for everyone.

Tim, with his self-doubt and hero-worship of his predecessors, thought his treatment throughout Robin was the work of those who came before him. Of course Gothamites trust and help out Robin when Dick and Jason built that foundation.

He's not exactly wrong, but it isn't to the extent they actually do for Tim.

Unfortunately for Tim, Damian and Jason do know that his Robin was treated with such reverence. They don't know why, but their Robins did/do not get treated that way. They chalk it up to Tim being the "perfect" and "can do no wrong" Robin. It's one point of contention they are unable to clear up due to Tim not knowing about it and the other two not wanting to explain their jealousy.

Steph was not treated as well as Damian and Jason when she was Robin. She, in this AU, was not treated as much of a crutch as Tim is. Despite that, her Spoiler/Batgirl/whatever persona gets some of the protectiveness that Tim's personas do. Bruce was more healed with Steph, but he was still an ass. That was obvious to any Gothamite watching.

Steph, because she was around at the time and talks with Gothamites to know what rumors are floating around, becomes aware after her death of why Tim's Robin is held up with such respect. This allows, unknowingly to Tim, for them to reach more understanding. With her knowledge of Tim's time as Robin, she's able to point out how he was being an ass, what he should've done instead, and that she herself was sorry for some of her actions.

When more and more individuals cue into Tim's black sheep position in the Batfam, this could go two ways.

One, Tim is targeted more due to his lack of support.

Two, Gothamites and Rogues increase their aid to Red Robin and become slightly cold to the Bats for their treatment of him.

#dc comics #dc universe #tim drake #thank you for the ask!!!! #it's my hc that Tim's robin went through hell #part of the reason tim is great at making friends (even with people who have hurt him) is because he's trying to build Bruce's support grou #steph brown #jason todd #damian wayne #bruce wayne

[afeelgoodblog]

The Best News of Last Week - May 15, 2023

🧲 - Magnetic Marvels: Researchers Flip the Switch on Depression

1. New Zealand Government announces prescriptions charges will be free.

The $5 prescription fee at pharmacies will be scrapped in July. This is set to save about 3 million people a year money, and in particular 770,000 people aged over 65. It will make most prescriptions in New Zealand free.

Free access to medicines is also hoped to ease pressure on the over-burdened health system by helping people get medicines sooner.

2. Platypuses return to Sydney's Royal National Park after disappearing for decades

Platypuses have been relocated to the Royal National Park in Sydney, after they disappeared from the park's waterways about 50 years ago. A joint project by the University of New South Wales, NSW National Parks and Wildlife Service and the World Wildlife Fund has reintroduced five females to the Hacking River, with a group of males to follow next week.

3. 74-year-old musician Otis Taylor gets Denver high school diploma decades after being expelled for hair

A musician who was expelled from a Denver high school over 50 years ago received his diploma. Otis Taylor was kicked out of Manual High School in 1966 because of his hair. This was decades before laws ending racial hair discrimination. Denver Public Schools wanted to right a wrong.

4. Researchers treat depression by reversing brain signals traveling the wrong way (with magnets)

A new study led by Stanford Medicine researchers is the first to reveal how magnetic stimulation treats severe depression: by correcting the abnormal flow of brain signals. Powerful magnetic pulses applied to the scalp to stimulate the brain can bring fast relief to many severely depressed patients for whom standard treatments have failed.

The FDA-cleared treatment, known as Stanford neuromodulation therapy, incorporates advanced imaging technologies to guide stimulation with high-dose patterns of magnetic pulses that can modify brain activity related to major depression. Compared with traditional TMS, which requires daily sessions over several weeks or months, SNT works on an accelerated timeline of 10 sessions each day for just five days.

5. Electricity generation through solar, wind and water exceeded total demand in mainland Spain on Tuesday, a pattern that will be repeated more and more in the future

The Spanish power grid on Tuesday tasted an appetizer of the renewable energy banquet that is expected to flourish in the coming years. For nine hours, between 10 a.m. and 7 p.m., the generation of green electricity was more than enough to cover 100% of Spanish peninsular demand, a milestone that had already been reached on previous occasions, but not for such a prolonged period.

6. RI Senate passes bill making lunch free at all public schools

Free lunch for all public school students in Rhode Island is one step closer to becoming a reality.

Tuesday night the Rhode Island Senate overwhelmingly passed a bill by a vote of 31-4 that would do just that. If the companion bill in the House were to pass, that takes effect July 1. The bill would make breakfast and lunch free for all public school students in the state, regardless of their household income.

7. Critically endangered red wolf pups born at North Carolina Zoo

The North Carolina Zoo in Asheboro celebrated the arrival of “not one but TWO litters” of the world’s most endangered wolf – the red wolf – in late April and early May.

A total of nine pups were born – three to parents Marsh and Roan, and six to Denali and May – the zoo announced on May 9.

----

That's it for this week :)

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#best news of last week

[tinyavenuesailor]

Crack Fic! Where Everyone thinks Merlin is the reasonable one.

Everyone loves Merlin and thinks he’s the sweetest person, who couldn’t hurt a fly. So, they’re all annoyed when they see how Arthur treats him. The King is constantly overloading his manservant with work, ordering him to do massive tasks and coming up with ridiculous excuses to keep Merlin from taking a break. So, the knights and others constantly try to find ways to pull Merlin away from Arthur’s side and give him a break but Arthur always finds a way to mess up their plans.

Gwen and the other maids sometimes try to help Merlin with his chores

Gwen: Arthur you can’t actually expect Merlin to clean the entire throne room by himself

Arthur: *shrugs* Yes. I’m hardly asking him much

Gwen: It usually takes five maids to thoroughly clean the throne room. It’s ridiculous to ask one person to do so much work and then, to place Lancelot as a guard to make sure none of us can help him. 

Arthur: Lancelot wouldn’t have to guard anything if you all weren’t so ready to disobey my orders. I said Merlin will clean the throne room ALONE and that is final

Gwen: I never knew you could be such a cruel person and to Merlin of all people

*Gwen storms off*

Gwaine, Leon, Percival, Elyan and some of the other knights try to steal Merlin away to the tavern to relax

Gwaine: Come on Princess. I’m sure you can survive one night without Merlin 

*Gwaine tries to pull Merlin to their side but Arthur grabs hold of Merlin and pulls him back*

Arthur: Need I remind you, Merlin is my manservant and doesn’t have time to play around. He still has very important duties to complete

Elyan: What could he possibly have to do at this time? Most servants have gone home for the day?

Arthur: Well Merlin is the King’s manservant as I keep reminding you and still have very important things to do

Gwaine: Like what?

Arthur: *pauses* For one, he needs to clean the mess he made in the closet

The knights: *trying to process the bullshit Arthur just told them* 

Arthur: *crossing his arms, 100% serious, daring them to challenge him*

Merlin: It’s fine guys really, probably next time *pulling Arthur and himself back into Arthur’s chambers and locking the door*

Or when something terrible happens to Merlin like the time he got kidnapped and everyone went into full panic

Arthur: *staring hard at Lance* Merlin’s been kidnapped?

Elyan: They ambushed us out of nowhere and before we knew it they were off with him.

Leon: Don’t worry sire, I’ll gather a search party immediately to have him found.

Gwaine: We’ll make them sorry they ever thought to mess with our Merlin

Arthur: *holding up a finger and turning to Lance again* Merlin’s been kidnapped?

Lance: ..... That is the story

Gwaine: Princess, have you not been listening. We need to hurry every second counts. 

Arthur: I heard, just wondering why he couldn’t have chosen a better day to get himself kidnapped

*Everyone gawks at Arthur in disbelief*

Basically, everyone thinks that Arthur doesn’t appreciate Merlin and that their cinnamon roll deserves better and formed a protection squad to help Merlin get the treatment he deserves.

Meanwhile in Reality....

Arthur knows about Merlin’s magic. He is fully aware of how powerful Merlin is and finally sees that his manservant isn’t an idiot. He’s just a bloody madman.

===In the throne room=== 

*Arthur and Merlin both staring at a dark purple swirling vortex on the floor*

Arthur: *takes a deep breath* Merlin, why is there a hole in my throne room?

Merlin: Well, it's not a hole. It’s a sort of gateway to the dark dimension.

Arthur: Oh, okay. Why is there a gateway to the dark dimension in my throne room?

Merlin: ..... I can fix it

Lancelot: Arthur, I heard you- *looks down at the menacing purple gateway on the floor and then back to Arthur and Merlin* 

Lancelot: Should I go guard the door?

===After Gwaine, Elyan and Percival tried to take Merlin out for drinks===

Merlin: You know we both could use a break. I am a bit hungry. Been a while since I had a drink too

Arthur: Well maybe, we can join them after you explain why my Uncle is tied up in my closet

*Arthur opens his closet doors revealing a tied-up and gagged Agravaine making muffled noise*

Merlin: You told me to get evidence that he was working with Morgana

Arthur: And your solution to that was to kidnap him?

Merlin: What better way to hear it than from the man himself? 

Arthur: What’s going to happen when people realize he’s missing

Merlin: Don’t worry, one memory wipe spell and he’ll be back tomorrow in his chambers like nothing ever happened

Arthur: You told me those spells were dangerous

Merlin: *laughs* Well, yeah, I’m not using it on us

Agravaine: *making muffled and panicked pleads to Arthur*

Lancelot: Sorry, Arthur, Gaius told me that Merlin needed m- *sees a tied-up Agravaine* 

Lancelot: *nods* I’ll go stand guard

=== Arthur, the first to find Merlin after his “kidnapping” ===

Arthur: *folds his arms and looks behind his manservant to see a trail of bodies* Kidnapped?

Merlin: Well they did try to kidnap me. I just decided not to resist. 

Arthur: *sighs* Is everyone dead?

Merlin: I was supposed to leave someone alive?

Arthur: *rolls his eyes* Come before I have to explain how my “innocent”, “weak” manservant took out a group of mercenaries.

Lancelot: *already standing guard* 

#merlin bbc #merthur #merlin #Arthur Pendragon #chaotic merlin #arthur knows #and he's the reasonable one #featuring doesn't ask questions but always completes the mission lancelot #arthur having to listen to someone complain that he needs to be more considerate of Merlin for the fourth time that week #While he watches Merlin and Lancelot in the background carry around a bag the size of a human body #Arthur: Sorry to interrupt you but I suddenly need to go check on my uncle to check if he's still breathing

[fancycat-thesilvertux]

Okay, so I’m a fan of Brain Dead - these two overworked boys who need hugs, melatonin, and to sleep in a comfortable pillow fort while wrapped in soft blankets like burritos (bonus points if it’s actual tortilla-pattern blankets) - and I’m also a fan of petty revenge like -

Tim accidentally getting married to Ghost King Danny because Red Robin got captured and used as a sacrifice by a cult to summon the Ghost King to reign destruction but mishap someone forgot to read up on their runes so the “sacrifice” was actually a “sacrificial bride”, meaning magical contract between GK!Danny and Tim.

And Danny, when he gets summoned and realizes what happened, is like, nope. Takes down the cultists, does abscond with Red Robin just to explain the situation and how right now, the dude is his Queen Consort or co-king because magically enforced marriage at least they don’t have to copulate that would have been even worse. And Tim is just computer crashing as he gets an information dump on how one, there’s another realm that’s, two, filled with dead people who, three, is ruled by a guy his age and who, four, Tim is now married to because, five, cultists really need to do their hOMEWORK WHAT THE HELL -

And did I mention that the contract lets them know no secrets between them? So Danny knows who Tim is meaning he knows who the Batfam is but that’s okay since Tim knows who Danny is and oh wow that explains a lot about Jason now with the ecto-contamination by impure ectoplasm -

And Tim really doesn’t want to tell the Batfam what happened since he still has insecurities regarding his place in the family which isn’t helped by their treatment - and Danny is seething because him and Tim actually get along pretty well as friends and Tim has quickly worked his way into Danny’s Obsession of Protecc because Danny will always protect those he cares about and he doesn’t like how Tim gets treated especially when it came to learning about Tim’s missing spleen.

Now here’s the funny part of this AU - because of the marriage contract between Danny and Tim, Tim gets the perks of being Queen Consort/co-king in having power over ectoplasmic beings, so when Jason’s going in on Tim who has been stressed from the situation despite Danny and Tim’s new friends in Sam, Tucker, Valerie, Jazz, and Dani (and Dan if you want to include him) doing their best to help him destress which he greatly appreciates, is still operating on little to no sleep, AND just found out that somebody replaced his extra strong coffee with decaf, Jason who calls Tim “Replacement” one last time -

“SHUT THE FUCK UP!” Tim snarled at Jason, his eyes glowing a scarily familiar green to the Batfam. Jason’s own eyes began to glow green in response, but instead of his feeling angry, the Pits encouraging him to hurt, Jason can feel the Pits actually COWERING back instead this time, and an incredible urge to not say another peep.

Meanwhile the rest of the Batfam is also freaking out because holy shit when did Tim take a dip in the Pits?!

#dc x dp #dc x dp au #tim x danny #I’m just a sucker for this kind of thing

[pinkyqil]

Can you do one where r’s teammates thinks she’s oblivious to Ingrid “having a crush” on her and making fun of her but turns out they are dating

She's mine already // Ingrid engen x r

Part 2

You and Ingrid had been dating for a while now which none of your teammates knew about. Always thinking how adorable it was whenever you chased around her in partice.

always being there whenever she needed help or assistance. It was very cute to other's who didn't know about your relationship. at the same time a lot of people would think.

you had a crush on her by the way you give her heart eyes whenever she's around or when she's brought up in conversation.

and you'd just end up complimenting her, praising her like she was oxygen you couldn't live without.

Today "your supposed crush on Ingrid was quite noticeable to everyone on the team" the girls thought your crush had you madly obsessed with Ingrid. Only if they knew.

"You know instead of admiring her from a far you should just confess". Lucy told you as her cubby was next to your

"Huh what her you talking about". you asked her a little confused on what she was talking about.

"You're lover girl act is very noticeable". She said

"Mate I'm need you too elaborate cause I treat everyone the same way".

"Guys lover girl over here says that she treats everyone the same". lucy said out loud in the locker rooms.

"No you don't Ingrid over there gets a different treatment from everyone else cause of your crush you got on her". esme the usual quite one said this time as she always observed the way you were with Ingrid.

"True we notice the little notes you pass to her and the snacks you get her after practice and game days". Frido added

"Your crush is very obvious". Patri said around this time.

"Who said I had a crush on her when she's obviously already mine". You spoke out lound revealing your relationship with Ingrid to your teammates.

"Wait what you and Ingrid have been dating all this time". Patri said really loud most of your teammates now had the look of shock around there faces. They mistaken a relationship to a crush.

"Wow that surprising". Some else said

"Yep I always thought you had a crush on her".

"I mean she is my girlfriend so you can count it as a crush too". You said

"You ready to go lovie". you asked Ingrid who was getting really shy around the surrounding conversations.

In the coner of the room there was a jealous mapi léon who also liked Ingrid but hadn't had the chance to ask her out because of you.

"Yeah let's go". she said grabbing your hand

"Bye everyone". You guys greeted out your teammates before leaving.

Safe to say she yours already or so you thought.

A/n: hope you all enjoyed reading this and to the anon who requested I hope it reaches your expectations there's obviously gonna be another part, with a little twit of shenanigans in it so stay tuned and as always feedbacks and fic requests are appreciated have a lovely Sunday 💌

#ingrid engen #ingrid engen x reader #ingrid engen imagine #norwnt #norwnt x reader #norwnt imagine #woso imagine #woso fanfics #woso x reader #woso fic #woso oneshot #woso imagines #woso one shot #woso fluff #woso blurbs #woso drama #barcelona women #fc barcelona femeni #barca femeni #barcelona femeni x reader #barcelona femeni imagine #barcelona femeni #fcbfemeni x reader #fcb femeni x reader #fcb femini #fcb femení #barca women #pinkyqilfic #woso #woso community

[scientia-rex]

I've been trying to figure out what the deal is with prediabetes so I can write a meaningful response to an ask I got about it, and I just keep going wait--okay--here's one paper--but here's another one--here's a Cochrane review--but here's a different meta-analysis--and here's newer data from an RCT...

It's nuts! It's bananas. And anybody who says we have good, crisp, clear guidelines around what prediabetes even IS, much less what to do about it, is FULL OF SHIT.

What I really need to know in order to feel more confident about my handle on whether to medicate pre-diabetes is the population incidence. Not prevalence. Because if I take the most optimistic studies about medication as an intervention, specifically, I could be looking at about a 30-40% reduction in risk of progression to diabetes. But! How many people is that, actually? Because medication is not without its harms! We need to compare number needed to treat with number needed to harm, we need to have high-quality evidence that says yes, if we give this medication to everyone who meets X level of criteria for pre-diabetes (it's different in different sources AND it's changed repeatedly over our lifetime!), we will see a level of benefit sufficient to justify making these other people who would not have progressed to diabetes without it endure the hassle and side effects of taking a medication for the rest of their lives.

AND HERE'S THE REAL FUN PART: we don't really know where tissue damage begins! We thought we did! 6.5-7ish A1c. But it turns out there is a marked risk of retinopathy beginning at 5.5! Which is considered normal. AND ALSO we should probably be thinking of it as at least three separate disease based on our current ability to measure--A1c is a broad marker that collapses multiple forms of dysregulated blood sugar, and when we use more fine-grained tests, we see meaningful distinctions that probably affect preferred treatments between people who have impaired fasting glucose, people who have abnormal values on an oral glucose tolerance test, and people who have both. We should treat these groups differently because they reflect different underlying pathways: elevated fasting glucose means your liver is breaking down too much glycogen while you sleep, which is one issue, while elevated post-prandial glucose means your skeletal muscles (OR SOMETHING ELSE they're not totally sure) are behaving abnormally in response to insulin. IT'S NOT THE SAME THING and people with both impaired fasting glucose and abnormal post-prandial glucose are at higher risk of progression to diabetes/tissue damage than people with just one of those. AND WHILE WE'RE AT IT, what is diabetes? What's the best cutoff? What's the best measure? How many underlying pathophysiologies are getting collapsed into the same group????

THE MORE I LEARN ABOUT THIS THE MORE QUESTIONS I HAVE and experts are all being serenely confident while contradicting each other so I have to actually dig in the data a lot harder than I usually do. I've been meaning to do this for months, but one of the presenters this morning made a comment about the benefits of putting prediabetics on metformin that made me go "hm, do I need to start doing that?" and I've gone from my kneejerk answer being "no, we studied this and it doesn't help" to "I don't fucking know and neither does anyone else."

...as always, Cochrane is probably right.

#the attending dr. kristophine