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isaksbestpillow · 3 hours
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really good review on this sudoku app i’m thinking of being vulnerable with (downloading)
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isaksbestpillow · 4 hours
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We're gonna get a long version of that car scene 😭🙏
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isaksbestpillow · 5 hours
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MISS CONGENIALITY | 2000 
bonus:
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isaksbestpillow · 10 hours
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There's a sequel to the Bokura no shokutaku manga that just came out yesterday!!! 😭💕 What a time to be alive. I just bought it so I haven't read it yet but it looks great!
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isaksbestpillow · 12 hours
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isaksbestpillow · 12 hours
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i hate that bad backs aren't viewed as a disability. i hate that "Every back is a bad back" mentality. i hate minimizing back pain by encouraging people to "just take a tylenol". i hate that people who throw out their backs regularly are told to "just sleep it off" or even worse "just exercise, it loosens things up." i hate when people say "my mom has a bad back and she just powers through it."
let people with bad backs be disabled and talk about how much pain we are in, and how much of a disability living with a weak, broken, eroded, degenerative, or paralyzed spine is. let us talk about the horrors and dangers of spinal surgeries. listen to us when we talk about the limited options for pain management and how it is an absolute nightmare to get treated for back pain and receive medication that actually works.
having a bad back is a disability. being in back pain all the time is not trivial. having back pain so bad you can't sit or stand is serious. feeling shooting pain into your legs is a big deal. feeling like no matter how much you stretch or take medicine your back never seems to feel better is a genuine medical issue. listen to disabled people and stop dismissing our pain.
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isaksbestpillow · 12 hours
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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.
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isaksbestpillow · 14 hours
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We ask your questions so you don’t have to! Submit your questions to have them posted anonymously as polls.
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isaksbestpillow · 14 hours
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Omamori
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isaksbestpillow · 14 hours
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Submitted by an anon.
reblogs for bigger sample size appreciated
polls can be submitted to this blog via asks or submssions
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isaksbestpillow · 15 hours
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When you get a new follower and they’re not a porn bot
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isaksbestpillow · 18 hours
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in the hour or so it took me to draw this op turned reblogs off
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isaksbestpillow · 20 hours
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April 2022
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isaksbestpillow · 20 hours
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*if you are on more than one of the medications, choose the primary hormone/hormone you are mostly attempting to raise (like, if you are taking testosterone to transition but also take estrogen medically to treat vaginal dystrophy from T you would be primarily taking testosterone for gender transition)
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isaksbestpillow · 20 hours
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Heng is choosing me. No. Heng is choosing me. Tell him, who you are choosing. I've been his close friend for years. I can name 10 positive things about him.
OSSAN'S LOVE THAILAND (2024)
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isaksbestpillow · 23 hours
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if you don‘t personally own one but your roommates/parents do and you are allowed to use it, that counts as yes
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isaksbestpillow · 1 day
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All I want in life is the motivation of a sports anime protagonist
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