#cml

[jibunwo]

if a straight guy said this to me i would kill one of us

#like obviously i know zheng siqi is bi. BUT QIAO FENGTIAN SURE DOESNT!!! #mine #cml

[bbyannabeth]

come morning light

chapter eight: the victor

Slowly, Percy pulled Annabeth into his chest. “It’s okay. It’ll be over soon.”

For the first time, not just since they entered the arena, but in her life, Annabeth felt completely safe. She knew which was irrational, considering where they were and that she’d known Percy for a week. But she felt like nothing could touch her for the moment.

She probably could’ve stayed there all day, but a soft chime drew them apart. They stared at the opening in the rocks. “What was that?” Annabeth whispered.

“Sounded like… a parachute.”

read on ao3 | start from chapter one

#ummm i popped off with this maybe #just a little #percabeth #pjo #percy jackson and the olympians #percy jackson #annabeth chase #hoo #heroes of olympus #my fic #gray writes #cml

[maychorian]

Heyo! It's been a while hasn't it?

(Idk if you remember me haha. I was more active here during the writing of cml, and I made that playlist towards the end of the fic)

I just wanted to pop in to tell you I re-read 'Come Morning Light' again. I found myself missing the comfort of your fics, so I had to revisit. I will probably read 'Split Second of Violence' again sometime soon as well. And it won't be the last time I read them either. They both represent such comfort for me 🤲🏻 Both of them were published during especially hard and turbulent times in my late teens and early twenties, and revisiting them is like wrapping myself in a comforting blanket.

Life is a bit easier now, though hard times still comes and goes, right now I'm pretty okay.

I hope you're doing good as well! Just wanted to pop in for nostalgias' sake, and to show my appreciation again 🌻❤

P.S. I see you're into MP100 now 👀 I'll have you know that I absolutely adore that show, and it is one of my all time fav animes. And if you ever were to write something for it, I would loose my mind ✨️🧠✨️💖

Hey, I do remember you! Thank you so much. I'm thrilled that CML still means something to you and especially that the stories are comforting to you. I'm glad you're doing okay.

I ADORE MP100. I actually just started another rewatch last Sunday with a friend, haha. But it's not one those stories that has ever inspired me to write fic. It's just so satisfying to me as is that I don't feel a need for anything else. I feel same about LOTR and ATLA. Never say never, of course. But yeah, It's such an excellent story. My favorite anime of all time.

#askbox #cml

[impermanent-art]

‘Adapta’

Work by Add Fuel in Lisbon.

#addfuel #adapta #underdogsgallery #CML #GAU #graça #art #lisbonart #urbanart #streetart #arteurbano #artecallejero #streetarteverywhere #streetartdaily #streetartphotography #instastreetart #impermanentart #mural #publicart #streetartlisbon #streetartlisboa #lisbonstreetart #lisboastreetart #lisbon #lisboa #portugal #europe #ontour

[living-with-cml]

Today marks 6 years since I was diagnosed with cancer and have been living with it as my constant companion. Last night, I finally did something I always wanted to do, but was never brave enough - or medically stable enough - to act on. The lyrics go deeper for me than just great, poetic music. They signify the journey I've been on from the very beginning - and continue to be on. And they are also why I incorporated one particular song's lyrics into my partially autobiographical story, "I'd Ask You To Be True". The response I got to that story means more than I could ever say. If you feel like celebrating me today, I wouldn't turn down a fic rec, lol. That was a big peek into my story, and this tattoo is just another chapter. After all, "we'll carry on..."

#mcr #my chemical romance #cancerversary #life with cancer #cancer #cml #fanfiction #stranger things #steve harrington #music is therapy #music is life #music is my coping mechanism #writing is cathartic #cancersucks #I am not afraid to keep on living #Defiant to the end #We'll carry on #the black parade #famous last words #welcome to the black parade

[mcatmemoranda]

Blasts shouldn't be seen in peripheral blood.

Rule out leukemia, myelodysplastic syndrome, chronic myeloid leukemia.

Blasts may be other immature hematopoeitic cells. High monocyte count might actually be blasts, not monocytes.

If auto differential is abnormal, get a manual one.

Blasts newly elevated is more suggestive of acute leukemia. Pancytopenia suggests bone marrow failure. Febrile neutropenia is also concerning.

Make sure pt is stable with vitals, oxygen if needed, fluids.

Rule out emergencies and then contact heme/once.

APL is a subtype of AML. AML has 7 morphological categories using a system called fab. APL is the third subtype, M3. It has unique history and treatment. It presents with DIC and has early mortality. People hemorrhage and die. You can prevent it by giving all trans retinoic acid (ATRA). It helps APL cells differentiate into normal cells. APL is curable. Give all trans retinoic acid (ATRA). Diagnose by looking at source of the tumor cells. Look at peripheral blood smear. It separates ALL from AML. Auer rods are seen in AML. APL cells have multiple auer rods and folded nuclei that are very granulated.

CML has maturation of all the white cells, mature granulocytes, basophilia.

MDS (myelodysplastic syndrome) = elderly pts; hypogranular neutrophils, bilobed neutrophils, red cell shape/size changes (anisopoikilocytosis)*.

Do the peripheral blood smear first. Next do a peripheral blood flow cytometry or cell markers. It classifies cells based on the markers they express. Blasts express CD34. If CD34 is elevated, then the pt has increased blasts.

The definitive test to diagnose acute leukemia is a bone marrow biopsy. AML = more than 20% myeloblasts on bone marrow biopsy. ALL = more than 20% lymphoblasts on bone marrow biopsy.

APL has a characteristic genetic translocation--chromosome 15 and 17.

Before talking to heme/onc, also get bloodwork to rule out DIC (fibrinogen level, INR, PTT, d-dimer). If pt is febrile, work up includes blood culture, chest X-ray, urine culture for febrile neutropenia.

Also get CMP, phosphorus, magnesium, calcium, uric acid level to look for tumor lysis syndrome.

Transfuse platelets if platelets less than 10,000 and bleeding. If symptomatic anemia, transfuse RBCs.

Leukostasis = elevated WBCs such that blood flow to organs is impeded. Immature cells clog up the vasculature. Causes hypoxia, pulm infiltrates, SOB, AMS, HA, dizziness. WBC can be 50 to 100 or even less than that in leukostasis.

Other hematologic emergencies: cauda equina (spinal cord compression) is seen in lymphoproliferative disorders (lymphoma-> mass effect on spinal cord); myeloma (alters bone integrity-> compression fractures). Sometimes myeloma deposits can compress the spinal cord. So assess lower extremity reflexes, tone, Babinski sign, saddle anesthesia, rectal tone, bowel or bladder incontinence.

Top 5 clinical pearls

1) blasts are worrisome in peripheral blood, should not be in peripheral blood. Get heme/onc on board fast.

2) get a manual differential, review the film manually

3) acute leukemia can present with pancytopenia and no circulating blasts, OR with just circulating blasts. So either of those should be explored.

4) if you think the pt has acute leukemia, suspect APL, which is a medical emergency that can be treated with all trans retinoic acid immediately.

5) hematologic emergencies: severe cytopenia, febrile neutropenia, DIC, tumor lysis syndrome, leukostasis, cord compression. So screen for these.

*Anisopoikilocytosis is when you have red blood cells that are of different sizes and shapes.

The term anisopoikilocytosis is actually made up of two different terms: anisocytosis and poikilocytosis. Anisocytosis means that there are red blood cells of varying sizes on your blood smear. Poikilocytosis means that there are red blood cells of varying shapes on your blood smear.

So basically: get a peripheral blood smear, which let's you look at the cells. Flow cytometry can further differentiate the specific cell type that is elevated. Bone marrow biopsy is the definitive way to diagnose.

#heme #AML #APL #CML #febrile neutropenia #blasts #leukostasis #monocytosis #M3 #leukemia #all trans retinoic acid #ATRA #Auer rods #Auer rod #hemeonc

[bloodcanceruncensored]

CML: I am the world's longest living Gleevec, TKI, and Kinase Inhibitor survivor

CML: I am the world’s longest living Gleevec, TKI, and Kinase Inhibitor survivor

April 12 2022 was my 65th Birthday! I Really Did Beat Those 1995 Terminal Cancer Odds! I celebrate a milestone 65th birthday, after being diagnosed with #terminal #leukemia over 27 years ago. In January 1995, at the age of 37, I was given 3 years to live after I was diagnosed with a rare form of leukemia called chronic myeloid leukemia #CML which strikes around 9,000 people in the United States…

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#blood cancer #Chronic Myeloid Lukemia #CML #Leukemia #Lived experience #targeted treatments #treatment

[azurethevampire]

I don't think I ever posted this?

This is from autumn 2020. It's supposed to be the beginning scene from chapter 17 of Come Morning Light 😊 (Ignore the fact that Asta looks older and the arm is funky, I'm not that good at drawing humans but I love it anyway xD)

Also in reality I imagine Asta's hair colour to be a bit darker - I messed up the colours when colouring this 😂

#come morning light #cml #my writing related #my art #drawing #asta (oc)

[annathane6]

For those with a passion in skincare and beauty, but a life in a different sector. We’re geared for people from all walks of life. Whether you come from an accounting background, project management, engineering, or any other field, if you have a genuine passion in medical aesthetics, you will succeed! Learn more. https://canadamedlaser.ca/franchise/

#cml franchise #canada medlaser franchise #medical aesthetic #cml

[joshbbaker89]

At CML Academy, we pride ourselves in offering informative and quick courses, fast-tracking your road to success. We handpick the most important components of extended academy courses and condense them into a two-week program, intended for students interested in learning the vitals of medical aesthetics without the fluff. Learn more. https://cmlacademy.ca/

#cml academy #medical aesthetic #cml #canada medlaser academy #cml beauty academy

[jibunwo]

qiao fengtian looking so young is really gonna confuse zheng siqis students huh

#if i were sitting in that lecture hall i would be like hey why the fuck is my professor flirting with this random student ive never seen #before… like um no he doesnt go here. and also he is 30 #mine #cml

[bbyannabeth]

come morning light

chapter six: the games, part two

If Annabeth had to guess, it was nearing noon when they first saw the smoke rising in the air. They thought it was another person stupid enough to build a fire in broad daylight for a split second, but it quickly became apparent that was not the case. This wasn’t a single plume of smoke in the sky.

It was a forest fire.

On the far left side of the jungle, the complete opposite side of the arena where Annabeth and her allies were, thick, black smoke began to cloud the sky. “Gamemakers are getting bored, I see,” Beckendorf said softly.

read on ao3 | start from chapter one

#percabeth #pjo #percy jackson and the olympians #percy jackson #annabeth chase #hoo #heroes of olympus #fic #my fic #gray writes #cml

[maychorian]

Hello there! Pardon my crashing into your inbox.

I just wanted to stop by and say hi, firstly! I hope you're doing well. Second, I just recently dug up Come Morning Light again on ffn after reading it for the first time almost ten years ago, I think eight or nine years to be exact (and the majority of your other fics). I was barely in high school when I first read it and it completely changed my view on how abuse and recovery from a situation like Kuroko's happens. Much of that story has stayed with me over the years and upon rereading it now after so long, I'm realizing that I think it had an incredibly profound impact on who I am today, especially as an adult still working on spreading her wings.

As a fellow writer, I say: Well done. I had a good laugh at your author's note about not being able to find the fics you wanted to reading and deciding to write them yourself. I'm currently in that situation with a very small fandom and I actually dug up Come Morning Light not only for a reread but also for research, since it was the only fic I could think of that has a similar feel to something I want to write eventually here soon.

Anyways, I have rambled on for more than enough. Thank you for your fantastic writing. I hope you have a wonderful week and fabulous day!

Thank you so much! I'm so glad folks are still reading that fic and finding meaning in it. It was really special to me, for sure! I'm thrilled that you found it helpful in some way. Truly the most amazing compliment you can give a writer. I wish you all good fortune in your endeavors!

#askbox #cml

[aswanplummetstoearth]

I want this job so freaking bad

#cml #it’s so close to my house #the pay is perfect #it’s in the environment I want to be in

[living-with-cml]

A rollercoaster that isn’t fun

Sometimes I really miss writing my (loosely) semi-autobiographical, Steve-has-cancer story and the outlet it provided - especially after emotional, rollercoaster weeks like this one. Got my haircut for the first time in 5 years(!) because I actually have enough hair to cut now. Woohoo! Had to have a diagnostic test and they had me get an immediate follow-up ultrasound before I even left the premises. Thankfully, it turned out to be nothing, but cue the mini heart attack. And I’m now gearing up for my leukemia checkup in a couple hours. All has been good on the cancer front, so I’m not really worried. It’s still stressful to go through, though and sometimes I wish I could get off this particular ride. Most unfun ride ever! But thinking positive!

#Cancer #cancersucks #fanfiction as therapy #I'd Ask You To Be True #steve harrington #life with cancer #leukemia #CML

[littleprincessfawn]

t.w. cancer, medical, leukemia

Thought I would start using this Tumblr again because I have recently been diagnosed with leukemia. Specifically chronic myeloid leukemia. And I need somewhere to vent about it that won't be hard or painful for my friends and family.

I'm lucky in that so far it seems like it will be treatable, medicine has been developed. I might not even need to have chemo. 30 years ago my type of leukemia was pretty much a death sentence, but because of that the doctors worked hard and eventually came up with a medicine, tyran kinase (I may have gotten that word wrong) inhibitors, TKIs, that block the message my leukemia cells are sending to reproduce and crowd out my bone marrow and blood with faulty white blood cells. That's my current understanding.

It's been not very long at all. I got really sick with bad migraine headaches at the end of January, but it had slowly been getting bad for awhile. A random medical course of events set connected like a daisy chain that led to me sitting in a neurologists office on the 21st of February 2024 hearing the words 'Philadelphia Chromosome' 'myeloproliferative disorders' 'leukaemia' 'must see a haemotologist right away, as soon as you can'. It's not been one instant diagnosis though instead it's been an unfolding diagnosis, like a flower opening to reveal inner petals. Currently it seems likely to be CML in the chronic (early/asymptomatic stage). But I will find out in 3 days, on the 6th of March, what I have and what stage it is at. 2 days ago I had my first ever bone marrow biopsy, which was pretty chill really.

I think I'm still in shock, a bit. I'm focusing on the silver linings, of which there are many: I'm probably not gonna die from this, I probably have CML and it's probably in chronic stage, I can get treatment out of a pill rather than chemo, I was diagnosed after medicine existed - not before... There's a lot to be thankful for.

But it's still frikkin leukemia. And I'm quietly scared that on Wednesday I'll be told, oh sorry actually it's much worse than we thought and you're gonna die soon.

Either way, I'm scrappy. I'm silly little princess of sweetness BUT I am also wily and strong. I will never give up and I will fight tooth and nail til the end. I'm not the kind to refuse treatment and die with dignity, screw dignity, I want life.

The main reason I'm going to live is because I have a child that I love with all my heart. The second reason is just for myself, I like the world and I wanna become an old wrinkly lady who has lots of goats and books.

I'm trying to stay positive, and I'm succeeding. I'm also in the weird position of needing to tell my close family and friends but also comfort them at the same time. I've gone into crisis mode wanting to protect everyone from me, from this.

I'm okay really. But it is a lot.

#CML #chronic myeloid leukemia #leukemia #leukaemia #cancer survivor #philadelphia chromosome #personal #journal #medical post