plamnet

[plamnet]

[plamnet]

by far the best ad I’ve gotten on this app entirely because I tried rotating it out of sheer curiosity and absolutely nothing happened

[plamnet]

Life Could Be Dream

[plamnet]

Life Could Be Nightmare

[plamnet]

thinkin about last summer when I flew to meet my friend in the city & was in my low-stim, no-fuss summer airport biker shorts+t-shirt combo, and when I got there I realized she upgraded me to first class to surprise me! noticed I was dressed down compared to the other passengers around me, but I thought, who cares? It's a flight. But when I landed, I was greeted by another surprise, a personal driver. like in a fancy car and a suit. and I was like ha, well now I'm a lil' self conscious about my outfit but who cares?

so the driver takes me to our hotel, and as soon as we pull up I know I'm cooked. A bellhop comes to greet me (with a little hat to match his uniform and everything) and he takes my luggage and leads me into the hotel, where an Actual, live string quaret is playing in the dining room as we pass by on our way to the lobby. there are sculptures on display, on loan from an art museum. And I get to the room and I look at my friend, who is wearing a beautiful dress and beaming. And I say, "perhaps....a short text about the dresscode....."

Because this is the very outfit I was wearing while the bellhop escorted me past the live cello music.

She said, "I wanted it to be a surprise."

And to be fair, I think that the fact I was wearing socks with crocs in a hotel with a live string quartet demonstrated that I was, indeed, surprised.

Anyway now whenever my friends plan outings & we want to know if it's fancy, we say, "is this a Fishin' is Life situation?"

[plamnet]

[plamnet]

Four things that are 100% true and you should think about if you haven't already:

You don't have to be a boy if you don't want to

You don't have to be a girl if you don't want to

You can be a boy if you want to

You can be a girl if you want to

This isn't a joke. This is reality. Have you considered these facts? If not, maybe take a moment to think about it. How's your gender doing? If you don't like it, it can be changed. Hell, even if you do like it, maybe you'd like something else more?

[plamnet]

[plamnet]

"kill them with kindness" wrong. bat attack

🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇🦇

[plamnet]

[plamnet]

haunted ass photo

[plamnet]

For the most part, my approach to prescribing hormones is “sure,” but I will note that the one thing I lean HARD on patients about is smoking. If you’re transgender, and you’re on hormones, the number one thing we want to protect is your cardiovascular health. That’s frankly the number one thing I want to protect in all my patients, but anyone taking exogenous hormones is at higher baseline risk. And the best thing you can do for your heart is DON’T SMOKE. It’s a bitch to quit, and I didn’t even smoke much or long before I quit in my late teens, and I STILL didn’t enjoy quitting and had smoking dreams for years. It’s harder to quit than just about anything else up to and including crack and heroin, and that’s coming from a patient of mine who recently passed in her early 60s who’d done all of those things—for years and years—but eventually was able to quit everything except smoking. And that killed her. She developed severe COPD and eventually called to say her blood oxygen saturation was dipping into the 70s, which is incompatible with life. She was lucid enough to decline medical care, including refusing to call 911 or go to the ER. A week later, after both I and one of our outreach nurses had contacted her to ask her to please go to the ER, I got a notification that she’d been found dead. She had been so frustrated that she wasn’t a candidate for a lung transplant.

One of my oldest trans patients is in her late 50s. She’s had blood clots that went to the lungs. Repeatedly. Smoking raises that risk. Estrogen raises that risk. She’s a veteran with PTSD; of course she smoked.

These aren’t theoretical. These are humans I’ve cared for over years of their lives. I have been rooting for them—my beloved former addict, who spoke without shame about her years of homelessness and drug use in the city; my queer elders, who are slowly trading in their motorcycles for power scooters. I want everyone to live their fullest, best life.

Smoking doesn’t fit into that. Please don’t smoke. I don’t want you to die like that—not now and not later. I want you to have the future that you may not be able to see yet, but exists.

Since I moved home as an out queer, word got out, and there’s a whole apartment complex of lesbians in their 60s to their 80s who come see me—sitting next to their wives in the office, nagging about blood pressure meds, tattling about not having gotten the shingles shot they said they would. To be clear, when I was growing up in town, I knew no lesbians. Not one. I knew one gay kid in my class, which eventually turned into two. We were it. To see these women living decades with their wives and being able to squabble like any couple in my office over who was supposed to bring their home blood pressure cuff in for us to check it… it means the world to me.

[plamnet]

It should be illegal to have a bus stop without a bench I am 1000% serious rn

[plamnet]

They banned Ohio 😔

[plamnet]

is this orange or yellow.

[plamnet]

new fav tweet

[plamnet]

things to say to bugs when science finally unlocks the secrets of human-bug communication:

im not hurting you i am taking you to a safe place

do you eat weird crumbs cause i found some im willing to share

you can bite me if you want but id rather be no-bite friends

i like your big colorful eyes, very stylish

please dont crawl into my sleeves

(sings a duet with a cricket)