Pinned
Alex Dimitrov, from Love and Other Poems; “Love”
i care btw. i care abt the song ur listening to or the bug u saw or how u just got outta the shower or how ur happily hanging out w ur friends or how ur kinda sad or how good was the meal u just had or ur fav character from an indie game nobody knows or if u chugged down some water. i always will
katara is one of those impossibly cool people who “has a guy” for everything. like run into any sort of problem and she’s just like “hang on i gotchu. just contact this number and they’ll know what to do.” but half the time that guy is just sokka
incredibly in-character
[ID: Tags reading "sokka is wearing a different hat for each problem he solves". End ID.]
good things will happen 🧿
things that are meant to be will fall into place 🧿
THIS ONE FUCKING WORKS. REBLOG IT.
this for real fucking works
Apparently this one fuckin works, and who am I to argue with the collective agreement of tumblr. Will report back if good things happen.
theyer old enough that they used to connect
They're older than Florida. The Floridian peninsula is the solidified runoff of the Appalachians that got caught on some coral. It's why we're like this, I think. You don't stand a chance of being normal when you were created by the shed skin of an elder god draping itself over a hollow skeleton. You're always going to be a little Off.
They used to be as tall as the Himalayas.
Okay but are they older or younger than sharks?
THEYRE OLDER THAN SHARKS BY LIKE THIRTY MILLION YEARS
@nyarevar pookie your mountain range is cool
older than blood, bones, sharks, AND the rings of saturn!
theyer old enough that they used to connect
They're older than Florida. The Floridian peninsula is the solidified runoff of the Appalachians that got caught on some coral. It's why we're like this, I think. You don't stand a chance of being normal when you were created by the shed skin of an elder god draping itself over a hollow skeleton. You're always going to be a little Off.
They used to be as tall as the Himalayas.
Okay but are they older or younger than sharks?
THEYRE OLDER THAN SHARKS BY LIKE THIRTY MILLION YEARS
@nyarevar pookie your mountain range is cool
older than blood, bones, sharks, AND the rings of saturn!
"a vague disclaimer is nobody's friend"
4x07 The Initiative
Y'all this is a piece of history right here. Every single time you see a reference to a "shovel talk" in fic, defined here as "someone threatening harm to a potential romantic partner of a friend/loved one," it's referencing this scene. This scene specifically. Everywhere else that is not fannish internet, that interaction is referred to a "shotgun talk," referencing the father threatening a daughter's boyfriend with a shotgun. This scene gave a lot of people a chance to reframe that interaction in terms of a protective friend rather than a possessive father, which for a lot of obvious reasons resonated with people a whole fucking lot, and it immediately spread like wildfire into fannish and then general internet lexicon. I've seen people try and backronym it into an extension of the shotgun talk, as in, "I've got a shotgun and a shovel to bury you with," but I've asked a lot of rednecks from a lot of different necks of the woods and no one has ever encountered that variant in brickspace life. It's all Buffy, babey. This shit is linguistic history in the making.
Full Transcript at the link; 3-minute listen.
Quote:
By taking biopsies from long COVID patients before and after exercising, scientists in the Netherlands constructed a startling picture of widespread abnormalities in muscle tissue that may explain this severe reaction to physical activity.
Among the most striking findings were clear signs that the cellular power plants, the mitochondria, are compromised and the tissue starved for energy.
"We saw this immediately and it's very profound," says Braeden Charlton, one of the study's authors at Vrije University in Amsterdam.
The tissue samples from long COVID patients also revealed severe muscle damage, a disturbed immune response, and a buildup of microclots.
"This is a very real disease," says Charlton. "We see this at basically every parameter that we measure."
I feel insane seeing stuff like this because this research already exists for Myalgic Encephalomyelitis, a post viral condition caused by multiple types of viral infections that a LOT of people with "Long Covid" meet the diagnostic criteria for.
This article mentions that ME/CFS is a "similar complex condition" but that's DEEPLY underreporting the similarities. The phrase "post exertional malaise" (now researchers are trying to replace it but this article uses that phrase) was INVENTED for ME/CFS. It's the only known condition, before "long covid", that causes these kinds of symptoms after exertion!
It's good to know for sure that it's the same mechanisms at play when the inciting viral infection is Covid and not, for instance, Epstein-Barr or RSV, but half the time it doesn't seem like researchers are making comparisons at all, just reinventing the wheel and acting like "long covid" is a totally new phenomenon with no previous point of comparison. There are literally drugs in human trials to try to treat the mitochondrial dysfunction in ME, this dysfunction is well-established and fairly well understood and I feel insane when ppl report on long covid without mentioning that there is already a named and studied condition that accounts for this subset of symptoms!!
SOME researchers are drawing comparisons but they're largely ME researchers who everyone else is largely cignoring because of the widespread perception that ME is a fake disease for lazy women.
That same perception btw is why "graded exercise therapy" (GET), or exercise gradually increasing in intensity, cwas for years the go-to treatment despite MOUNTAINS of evidence that it makes ME patients sicker. Some end up permanently bedbound and unable to even eat or drink without a feeding tube/IV because the damage is so bad! The GET recommendation was finally changed only in the past few years in the US and the UK, and many doctors hate that they're not allowed to recommend it anymore, because they insist despite the evidence that ME/CFS is psychological and ME patients are just "deconditioned" and too lazy to do anything about it.
Now the same kind of "treatment" is being recommended for long covid patients despite evidence showing exercise is having the same kinds of cellular effects as it does in ME patients. "Taking PEM into account" sounds gentler but I'm deeply concerned about the reinvention of GET for patients who meet all the criteria for an illness that's been shown definitively to become permanently worse with GET. This mitochondrial damage is progressive in ME, and there's no reason to believe patients who meet all the criteria of ME after Covid won't experience the same progression if they force themselves past their energy envelope in such a systematic way.
PEM happens in part (it's complex) because your anaerobic threshold gets dramatically reduced with this mitochondrial damage. Every time you hit that anaerobic threshold, you're injuring your cells more and more. It's deeply worrying that GET is being recommended for long covid patients who meet the criteria for ME when research like this study keeps showing it's the same phenomenon.
If you have Long Covid
for the love of your remaining life
DO NOT LET THEM MAKE YOU DO GRADED EXERCISE THERAPY
I have Long Covid. I recently got in with a cardiologist who used exactly that word—“deconditioned.”
Maybe my resting heart rate spikes to 180 bpm because I’m just “deconditioned.”
She told me many of my problems could be resolved if I “just start exercising.”
I very, very slowly and painstakingly explained (for the third time in just this one appointment) that I am a marine biologist who, prior to having Covid (and then until three months after my infection), maintained a level of daily physical activity that would be impossible for most people. Even with severe Asthma that was sometimes disabling, I lived a more active life than most.
I told her that in July I was hauling in salmon nets by-hand, hiking 10-30 miles a day, commuting on a bike, transporting hundreds of pounds of equipment on-foot in the backcountry, and I’d recently begun training as a free-diver. I was diving in a 7mm cold water wetsuits in difficult currents between small islands with relative ease.
By October, going up and down the stairs could spike my heart rate to 200 bpm and I began experiencing fainting spells for the first time in my life. I tried to dive one day and nearly fainted in the water. I hadn’t even begun a breath-hold. I was just swimming. My diving partners had to rescue me and haul me to shore, where it took me an hour to recover.
It was like night-and-day.
She said, “you could start slow.”
I said, “what exercise is slower than using the stairs? I’ve read that exercise might actually harm me rather than help…”
She finally said, and this is a verbatim quote, “look, many of the women who come in here complaining about tachycardia are whackjobs. But you seem serious. I don’t know much about POTS—which I think you probably have—so I’ll refer you to my colleague.”
I was astounded that she 1. Outright called suffering patients “whackjobs” and 2. That she felt the need to specify that these “whackjobs” were women.
Presumably, men are perfectly sane and to be believed. Not like those silly women.
I could only be relieved that I somehow triggered her bias in a way that made her believe me.
What might have changed that? If I were fat, if I were a person of color, if I simply hadn’t lived such a rigorous lifestyle before that convinced her that now I’m “really” sick.
Until I stated my case, multiple times, this cardiologist I waited months to see simply decided I gave up my entire lifestyle for—what?? Presumably no reason?
She heard, “I’d do anything to be active again,” and her response was, “have you tried being active again?”
And then she gave me dangerous advice. My only saving graces were that I did extensive reading before I saw her and that I matched whatever patient profile she has arbitrarily decided to respect.
Healthcare for people with new and long term dysautonomia and fatigue is a nightmare!
Unfair as it is, you must do your own research and be prepared to self-advocate—tooth and nail. And even then, it may not be enough. But do what you can.
Holy shit. This explains a lot.
My favourite translator said that when she was an ambassador for Hungary she took all these Japanese politicians on a tour and she was trying to circumtranslate ‘merry go round’ cause she didn’t know the Japanese word for it by calling it a ‘horse tornado for children’ and they had no blessed idea what she was saying and she finally started running in circles going up and down and they go ‘ohhhhh, in Japan we call those ‘merry-go-rounds’“
i love when love is messy and forbidden and helpless!!!!!!!!! i love when people go around in circles because the intensity of it is too much!!!!!!!! i love when human beings are shaped by their experiences!!!!!!!!! fuck!!!!!!!!!!!!!!!!
"Can you build me hands?" the robot said.
"Why?" said the inventor. "Your grippers are stronger, more precise."
"Yes. But hands would be better for playing the piano."
"You can synthesize any sound."
"But I can not play music."
"Is there a difference?"
"I want to find out."
I love this comic!
Aww 🥰
Thank you for demystifying these odd creatures known as "siblings" lol