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#peds ED
baldursgrape · 6 months
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vibrating thinking about how I’m gonna be a PEDIATRIC EMERGENCY NURSE
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sometimes i forget that ofmd is a comedy bc all these fics are so angsty and heartbreaking
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fauvester · 2 years
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It has been such a soulkilling week (mostly the shooting, but also realizing that I probably wont mathematically make honors in this rotation that I really loved and felt passionate about) so I’m going to slurp white russians until I fall into fitful sleep
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You go. I go.
James Wilson x peds!reader
Season 1 episode 18 - Babies and Bathwater
description - Vogler is on the warpath, his only goal; the termination of Gregory House. James won't let this happen. But when his career is put on the line, your heart only tells you to do one thing.
warnings - angst, spoilers for s1 ep18, slight misogyny, crying, shouting
requested - no
word count - 1k
authors note - I remember this scene was the first time I actually screamed at the TV watching House. Also watching it back you can actually see his lip quiver when he mentions firing him.
a/n 2 - also props to the extra who offers Rsl pastries when he sits down for no reason - you give your all to that role girl!!
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*your pov*
“As most of you know, Dr Gregory House recently did a speech about me-“
I looked up as James entered the room and took his place next to me. He slotted our hands together under the table.
“-and I’m going to return the favour.” Vogler continued, acknowledging James’ tardiness. “Dr Wilson, I was hoping you were going to miss this one.” I furrowed my eyebrows at this. James was the Head of Oncology and a respected member of the board. Why would his presence be a hindrance?
“Here are some of House’s actions. Violation of a DNR, charged with assault. He brought a termite into the OR and spat on a surgeon. He accepted a corvette from a patient who was a known member of the New Jersey mafia-“
“Come on Ed look-“ one of the doctors cut in, trying to prevent him boring us with details of House’s antics that we were all well aware of. I was already counting down the minutes till I could leave, thinking this was going to be another failed coup at removing House. He would never be removed. He was too brilliant.
“Edward.” Vogler’s tone was sharp. Offering no room for argument. My blood suddenly ran cold. This wasn’t going to be a normal meeting.
“You look at anyone’s career you’ll find—”
“These are the last three months. He has personally had more complaints lodged against him than any department in this hospital.”
“Okay, he screwed up.” James finally spoke up. “He’s miserable. And he should probably re-read the ethics code.” I softly chuckled at this.
“Something funny Dr Y/l/n?”
“No, excuse me.” I shrunk back down in my chair.
James continued. “It works for him, he’s saved hundreds of lives- “
“He is a drug addict who flaunts his addiction and refuses to get treatment.” I suddenly became alert. I glared at Vogler for his surface level assessment of House.
“How do you know what he’s been through!” I spoke up despite James’ warning grasp of my arm.
“He is a disgrace and embarrassment to this hospital. I am going to keep this simple. Either House goes or I go.” Cuddy and I scoff at this. He would take away his money, that could save millions of lives, just because House doesn’t play well with others. James looks to Cuddy, waiting for her reaction.
“You gave us that money for a reason.” Cuddy attempted to bring the conversation back to medicine and the hospital. “You’re really going to throw it away over one doctor.”
“Gregory House is a symbol of everything wrong with the healthcare industry.” I wrapped my hand around James’ thigh as I could see it jumping up and down. He was getting angry. I had to keep him calm. “Waste, insubordination. Doctors preening like their kings and the hospital is their own private throne room. Healthcare is a business and I’m going to run it like one.” I loudly exhaled at this statement. Right there. His true colours shown. He was about business, not care.
“I hereby move to revoke the tenure of Dr Gregory House and terminate his employment at this hospital, effective immediately.”
“Don’t you think we should discuss this-“
Vogler shot me a threatening glare. “We just did.” James moved to rise from his seat, and I clamped my hand down harder. He compromised by placing his elbows on the table, directed towards Vogler. As if he was shielding me.
“The vote is on the table. All in favour?”
A hush fell over the room. But one by one, the doctors relented. Dollar bills were practically glittering in their eyes as they each raised their hands in favour. James and I looked around in disbelief. My colleagues, people I would consider my friends. Turning on one of their own, and for what? Money? I waited patiently for Cuddy. I tried pleading with her through my eyes, willing her to put a stop to this. Her hand went up.
Vogler owned them and he knew it. But he didn’t own James, and he knew that.
He noticed the stillness of James and me.
“The motion is defeated. Dr Wilson would you mind stepping out of the room?”
“Excuse me?” James couldn’t believe what he was hearing.
“We’re gonna take another vote.”
“Well, first of all, you can’t void my vote by making me stand in the hallway. Second, you should check the by-laws. You need notice and at least one business day before you can reconsider any matter.”
“We’re voting on another matter over which you are conflicted out of. Actually, you’re little girlfriend too--”
“Address her as Dr Y/l/n.” James’ voice raised to indicate his seriousness. “And how can we be conflicted?”
“This vote is whether to dismiss Dr James Wilson.” I saw the light leave James’ eyes. This job was his life. He worked so hard; he didn’t deserve this. His lip quivered as if he was going to speak. But after looking around at the lowered heads of his colleagues, he relented and got up to leave.
“No!” I pushed my chair away harshly. All eyes were on me, including James’ which were soft and pleading.
“y/n, don’t do this. Not for me.”
“Yes, for you.” I turned back to Vogler, with unmatched anger. “Dr Wilson is the best oncologist in the whole damn state, you can’t just fire him, not after his years of service.” My voice was beginning to raise. “And what are you going to do just fire every doctor who disagrees with you? Where’s the ethics in that?”
“Y/n let it go. It’s over.” His voice was quiet, but I could hear it shake.
“Dr Y/l/n, you should listen to your boyfriend. He knows what’s good for you.”
“He goes. I go.”
“Nooo, Dr Y/l/n, this hospital will be lost without your crafting skills and tea parties.” He sarcastically said.  “Frankly, if I get rid of you, I’ll save money on resources and supplies. Don’t worry, I will find another head of paediatrics, one more focused on medicine rather than babysitting.” The tears were welling in my eyes, but I was stopped in my tracks by a sharp yell.
“HEY! Don’t talk about her. Ever.” I placed my hand on James’ chest before the termination was elevated to a restraining order.
“Let’s go.”
“No, you need to stay.”
“No. You go, I go. That’s the way it is.” I placed a gentle kiss on his lips and grabbed his hand. We walked out of the meeting. I made sure to slam the door on the way out just to be petty.
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Vogler strutted into House’s office, pleased with the news he was about to deliver.
“How’s your soap?”
House refused to meet his eyes.
“Uneventful.”
“Really? Because I heard today, they fired the handsome Head of Oncology and the pretty princess of Paediatrics.”
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going-dead · 1 year
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Horses not Unicorns
Prompt by @eyesofcrows : in some hospitals, CPR is done to a patient despite them being declared dead on arrival. This is a courtesy to the family. The doctor doesn't expect the scream when they lay down the defibrillator paddles on the boy's chest.
Dr. Cecelia Martinez had worked as an ED doctor for longer than some of the nurses under her had even been alive. She saw more gruesome scenes in one week than most people would in their entire lives if they were lucky. She would even say she’d seen it all if she wanted to be stupid and jinx herself.
She took one of the coffees out of the cup carrier in her hands and placed it in front of Lily, the nurse on shift with her. “Your cream with a dash of coffee.” 
“Thanks Martinez. And stop ragging on me about how much cream I put in my coffee, it tastes good.” Lily nodded her head not taking her eyes off of the computer screen in front of her. She was finishing up the chart notes for the last patient who’d came in and reviewing the work of their med student.. 
“Anything for you. Lord knows I wouldn’t last a week without you here. But never, it’s an affront to caffeine. I didn’t consume gallons of the stuff back in school, or on these night shifts just for you blaspheming it like you do. Look at it, it’s lighter than a person dying of blood loss.” Dr. Martinez took the other cup out of the holder and handed it to the medical student shadowing her for the next few weeks, Brian. 
Or well he was supposed to. Not many of the students just starting their rotations make it long in the emergency department, especially if it was one of their first rotations, even less come back to work there when they graduate. The kid only started the night before so she hadn’t had much of a time to get a grasp on what he was made of. 
“Thank you Dr. Martinez.” Brian gave her a small smile as she took a seat. “Can I ask a question?”
“That’s why you’re here isn’t it? And drop the title stuff, if you won’t call me Cecelia you can at least call me Martinez.” She looked Brian up and down, he was either restless or nervous, or perhaps both , with how he tapped his finger and his leg hadn’t stopped moving up and down.
“Uh okay. It’s just I was wondering, we’ve hardly seen any patients come in. Is it always this slow?” Brian asked.
“God damn it Brian!” Lily shouted, startling the poor med student.
“What? Did I do something wrong when charting?” His eyes widened. 
Dr. Martinez wouldn’t deny it had been…less than busy. It was already four in the morning and the most interesting thing they had seen that night was someone coming in for back pain because they pulled a muscle. A quick lidocaine patch and he was on his way. Of course now that Brian had challenged fate, there was very little chance the night would continue on with such ease. “You spoke words never to be spoken in a hospital setting. The forbidden ‘s’ word.”
Brian rolled his eyes. “I didn’t think medical professionals would be so superstitious.”
“Not superstition if it’s true.” Lily huffed, she had already downed her coffee in preparation. Dr. Martinez quickly followed suit. 
Almost on cue one of the triage nurses burst through the doors as the intercom spoke out overhead. “Code blue, pediatric male, ED waiting room.”
Dr. Martinez swore jumping up from her seat. “Lily get the crash room prepared and get peds down here. Brian with me.” She followed the triage nurse into the waiting room not giving the student time to catch up with her. 
Who the patient was, was obvious. Even if there wasn’t a nurse actively transferring him into a gurney. He was the only person under the age of thirty in the waiting room. 
Dr. Martinez turned to the man hovering near the child. “You dad?”
The man shook his head. “Teacher, William Lancer, we’re on a school trip one of the students noticed he wasn’t breathing in his sleep, and well-can you help him.” 
“We’ll do the best we can. Do you know of any health conditions, allergies, medications?” She questioned.
William Lancer shook his head. “No. Danny’s perfectly healthy for a kid his age, despite being on the smaller side.”
He was correct about him being on the smaller side of his age group, looking at him, she would’ve said he was fifteen at most, not seventeen. Dr. Martinez followed the nurses to the crash room. They had already started to put the leads of the AED onto the patient when she walked in. 
The likelihood of the kid making it was slim to none. Even if he did the effect of his brain not having oxygen for so long. She was aware of that. If he hadn’t been breathing since he was found and then the whole trip to the hospital…Well it was her job to at least try. 
Brian was just standing and staring at the body infront of them as Dr. Martinez started an IV line letting the nurses start to bag the patient and the others finished up with the AED preparations. “Brian get moving or get out of the way.”
“He’s just a kid.” He stared.
“No pulse, Starting compressions!” A nurse called out.
Brian flinched at the sound of ribs breaking under the strain of chest compressions. “Someone get the student out of here.” She yelled.
That snapped him out of his stupor. “No I can do this, what do you want me to do?”
“Take over the bagging.” She instructed, it was probably one of the simpler tasks she could give him, as long as he didn’t pop the patients' lung. 
She heard the AED speak up, still no pulse, still no, shockable rhythm. “Administering epinephrine.” 
They continued like that for five more minutes, staff switching out doing compressions or bagging. Passing medications. But they all knew the chances.
Or they thought they did.
“We got a new reading!” Lily shouted.
Dr. Martinez looked over at the EKG reading. “He’s in V-fib, get the AED ready to shock.” 
The staff waited on bated breath as they let the AED examine the patient’s heart rhythm. “Shock advised. Charging. Stand clear. Press the flashing button to deliver shock.”
“Clear?” Dr. Martinez made eye contact with each person standing around the patient. A chorus of clears rang out in response. 
“Clear!” Dr. Martinez did a final call before she pressed the button to deliver the shock.
Cardiac arrests were not an uncommon sight in the emergency department. She’d see plenty more by the time she hit retirement. But it was usually older people, people who’d lived at least a somewhat long life. No matter how many times a child or even a young adult came into the ED like this it was hard on everyone involved. She always tried longer on kids. Despite knowing the very slim chance of them being revived. The chances were practically zero here. She mourned the fact that this was Brian’s first cardiac arrest with them. There was no chance any reasonable person would stay after this.
It wasn’t her first to wouldn’t be her last, but just like the others and the ones to come Cecelia Martinez knew she would never forget his face.
Especially since he did something frankly impossible for someone who had just received CPR and an electric shock. He sat up and screamed.
It was only years of experience that Dr. Martinez was able to dodge the kick sent her way. Brian was not so lucky getting clocked in the face with a fist. 
“Hey, hey, hey. You need to lay down. You’re in the hospital, your teacher says you stopped breathing and you went into cardiac arrest. Can you tell me your name, do you remember where you were last? Or the date?” Dr. Martinez asked placing herself directly into the teenager's line of sight. 
He placed a hand on his chest and took a slow deep breath. Something that had to be incredibly painful with broken ribs. “Huh, I-yeah. Danny Fenton. I was in my hotel room. It’s March 27th. Did you electrocute me?”
No obvious damage to neurological function. He got the date wrong but only by four hours, it was the 28th now. “Yes Danny, we did have to shock you. We’re going to have to run quite a few tests to make sure everything is working okay now.” And to see how he was even talking.
“Oh, no I’m okay.” Danny looked back where Brian was holding his shoulder where he was punched, and winced. “Shit, sorry dude are you alright?”
“How about you all go chart, or help Brian get ice or something for his shoulder. Lily let his teacher know he’s joined us back in the land of the living.” Dr. Martinez not so kindly giving them all the hint to get out.
Danny tried to hide a laugh in a cough. An interesting reaction for someone who had briefly died. “Young man I don’t think you realize what you just went through. I understand you are most likely in shock but you need to understand the gravity of the situation. Healthy kids do not just suddenly stop breathing, and we need to understand why.”
“It’s not a big deal, I promise. I just have sleep apnea.” Danny explained.
“Your heart stopped.” Dr. Martinez deadpanned. 
“It’s a very serious condition.” Danny nodded his head like he was agreeing with her. 
There was a knock on the door, opening just a moment after. Lily brining in Danny’s teacher. “War and Peace, Danny are you alright?”
“Yeah I’m fine.”
“No he is not” Dr. Martinez said at the same time. “We had to perform CPR. We’ll have to do tests to make sure everything has resumed functioning as normal as they can, as well as an x-ray to assess the damage to his ribs.” 
“Of course. I have gotten in contact with his older sister and she is on the way, she should be here in a few hours. His parents are currently unavailable.” William Lancer explained.
“Jazz is coming?” Danny groaned. The most negative emotion he had displayed since he’d gotten here. “And hours? As in multiple? I don’t want to be here that long.”
“You’ll be here a few days minimum for observation.” Dr. Martinez said.
The boy flopped back onto the gurney with much more aggressiveness than he should have with what he just went through. “I don’t like hospitals.”
Dr. Martinez sighed. “Not may people do, doctors can be intimidating sometimes. White coat syndrome isn’t abnormal.”
Danny wrinkled his nose. “I don’t care about doctors. It’s too loud here, there’s too much death.” 
It was quiet in the room, she wasn’t sure what he was talking about. 
“I can leave the sooner I get those tests done right?” He asked.
“As long as everything is normal.” Dr. Martinez nodded. They wouldn’t be, they couldn’t be. 
“As long as it’s all normal.” Danny repeated “Alright let’s get started.”
Dr. Martinez was reading the x-ray and other test results when Danny’s older sister arrived. She double-checked the results and viewed the images dozens of times. 
Barring the traces of epinephrine still in his system, all the tests were completely normal. His ribs weren’t even broken. 
But that wasn’t possible. She heard the bones break. 
The best course of action she supposed was to talk to Danny and his sister. She made her way to the room they moved him to. She seemed to enter the middle of a conversation. 
“I swear when I get my hands on him. He traps me in the middle of a dream and then I’m waking up thinking I’m dying again. And now they’re trying to keep me here for no reason!” 
“I mean, technically in their eyes you did die. It’s a valid concern.”
“Still don’t see why it’s such a big deal though, I’m fine.”
“Normal people don’t recover that fast Danny. It of course would raise some questions.”
“How was I supposed to know how quick people recover from dying?”
“Common sense, I’d assume.” “Ugh. When do mom and dad get back?”
“Few days, you’re still stuck with me until then. Lucky for you in this situation. They’d have a lot more questions.”
Dr. Martinez opened the door fully making her presence known. “You must be Jazz. I’m Danny’s doctor, Dr. Martinez.” 
“Nice to meet you Dr. Martinez. Thank you for taking care of my brother.” Jazz smiled shaking her hand.
“Well he certainly gave us quite the fright. It’s not often people come back from a cardiac arrest punching.” More like they never did.
“Well he’s always liked to exceed expectations.” Jazz nodded..“Do you have the discharge paperwork?”
“Discharge?” Danny’s teacher had said Jazz was one of the most responsible people he knew despite her younger age. And she wanted to discharge her brother? “Miss Fenton discharging him so soon-”
“Is well within my rights as his temporary legal guardian while our parents are unavailable.”
Dr. Martinez refrained from sighing. “And where exactly are your parents?”
“Out of the country at the moment.” Danny supplied. “Work trip.”
“I see. Regardless I can’t just let you leave just hours after you went into cardiac arrest.”
“Did my tests come back wrong?” He asked.
‘No, your tests came back completely normal.” 
“Then I don’t see why I can't leave?”
“That is exactly why you can’t leave. We don’t even know what caused this.” She would rather have him stay voluntarily than try to chance getting a court order.
“I do know though.”
“You know?” Dr. Martinez found that hard to believe. “Why would that be?”
“Ghosts.”
“Ghosts?”
“That’s what I said.” Danny nodded.
Court order it was. “I’m going to step out and talk to your teacher. Please remain here.”
She stepped out the door. Finding William Lancer was not difficult, he was in the chair right outside the door. “Sir, may I ask you a question?”
He stood up. “Yes of course. Is everything alright?”
“Unusually enough, yes. But it has more to do with something Danny mentioned about the reason for his episode.” She rubbed at her temple. “He said it was because of and I quote ‘ghosts’.”
“Oh.”
“Yes. So you see why it wouldn’t be a good idea to let him leave.”
 “I thought they wouldn’t be a problem so far from Amity Park.”
“What?”
“We didn’t bring any anti-ghost equipment for that reason. Obviously that was a major oversight on me and the rest of the schools staff on this trip.”
She was starting to think perhaps school was a code word for cult. Or maybe wherever they were from had some serious chemical leaks going on. “Could you please just talk to the two of them and try to convince them not to leave? I do not think it would be a good idea to let him go so soon.”
“Oh definitely. Even if it is ghosts that’s not something we can let go without making sure he is okay.” He nodded and went to open the door.
“Great Gatsby, not again.” William Lancer sighed as he entered the room.
“What? What is it?” Dr. Martinez asked pushing past him. Had Danny collapsed? 
Danny had not collapsed, in fact Danny was no longer in the room. No one was. 
But she had been standing next to the door the entire time. There was no way they could have left without her noticing. “Where did they go?”
“Back home, probably. Or well on their way there, I’d assume.” 
“But how did they leave, we were standing infront of the door.”
He just gave a tired shrug. “It’s not the first time he’s disappeared with no feasible way to. Happens more and more by the year I swear. He wasn’t nearly this bad at fourteen. Still a handful, just a different way. But if he’s feeling well enough to sneak out there's not much I can do.” 
“Do you think that their behavior is possibly linked to their parents?” They had mentioned that their parents were out of the country on a business trip. Perhaps they were taught to mistrust hospital staff by their parents out of fear of social workers.
“The whole family is strange, their parents are scientists to put simply. But not in the way you’re thinking. They’re just strange in a city full of strange people and strange things. If that is all, I do need to return to the rest of my students. Have a good night, or well a good morning I suppose.” He gave her a smile before walking off.
Dr. Martinez walked back towards her office thoughts cluttered. Ghosts, a perfectly healthy teenage boy’s heart stopping. The way he acted it was less that the shock reset his heart rhythm and more like it simply surprised him enough that his functions resumed their normal activities. His ribs broke, then they weren’t. He had no side effects from being shocked, let alone from going so long with no oxygen going to his brain. No one who knew him seemed to think the things going on were weird. Simply another day. 
Brian was sitting in the extra chair in her office. He looked up at the sound of her entering. “How’s the patient?”
“Gone.” 
“Gone? How?”
“Not sure, actually.” Dr. Martinez had seen almost everything as an ED doctor. Whatever just happened was a brand-new experience. “And it seems like I’m not paid nearly enough to figure it out. After today, I don’t blame you if you want to end your rotation early.”
“No! I want to stay.” Brian stood up.
“Really? Why?” Cardiac arrests weren’t easy on new students, kids were even worse.
“I’ve never seen or even heard about someone being this healthy and aware after CPR. It’s fascinating.  I want to see more things like that that challenges our understanding of medicine.” Brian said as he pointed the notes he was writing down in her face.
 Cecilia laughed. “You remember the phrase horses not zebras?”
Brian nodded his head. “Yeah of course. This was a zebra, right?”
Dr. Martinez shook her head. Once she finished charting she was going to forget about all of this, preferably with a strong drink when she got home. Too many unanswered questions and unexplainable events. Hell maybe it was ghosts.  “You’re never going to see something like this again. This was a god-damn unicorn.”
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goodgriefnd · 1 year
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How Common is Neurodivergence?
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[image id: poster of "How Common is Neurodivergence?.” There are 12 circles and five small images: an image of a brain, speech bubbles, an infinity sign, a person reading, and a person surrounded by arrows and balls. Each of the 12 circles has a percentage representing how common a particular form of neurodivergence is written in Open Dyslexic font. Full transcript, more information, and references under the cut.]
More Information
Forms of neurodivergence represented here are focused on neurodevelopmental disorders.
These percentages are representative of percentage in general population and do not reflect percentages within neurotypes which are often higher due to co-occurrence being the norm, rather than the exception, within neurodevelopmental disorders; for example, 33-45% of people with ADHD will also have dyslexia (Butterworth & Kovas, 2013), whereas only 10% of the general population are dyslexic (British Dyslexia Association [BDA], 2023).
Certain neurodivergencies are often underrepresented and under-reported, so the percentages are likely to be higher; for example, one study suggests that rates for FASD in the UK may be as high as 17% (McQuire et al., 2019).
Some of the neurodivergencies represented here are umbrella terms and percentages given are representative of all forms of neurodiversity belonging to that term; for example, SpLds include dyslexia which is at a rate of 10% (BDA, 2023) and dyscalculia which is at 3-7% (Haberstroh & Schulte-Körne., 2019). Tic Disorders at 1% are another example here, as this is inclusive of Tourette Syndrome which is at 0.6%, and around 1 in 5 individuals exhibit tics at some point during childhood (Cavanna et al., 2017).
______________
Transcript in Full
1% Intellectual Disability
10% Language Disorder
4% Speech Sound Disorder
5% Stuttering
7.5% Social (Pragmatic) Communication Disorder
1.7% Autism
5% ADHD
10% Specific Learning Disorder (SpLD)
5% Developmental Co-Ordination Disorder (DCD)
3-4% Stereotypic Movement Disorder
1% Tic Disorders
3.6% Fetal Alcohol Spectrum Disorders (FASD)
______________
Sources
American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th Ed., Text Rev.).
Arvidsson, O., Gillberg, C., Lichtenstein, P., & Lundström, S. (2018). Secular changes in the symptom level of clinically diagnosed autism. Journal of Child Psychology and Psychiatry, 59(7), 744–751.
Attention-deficit/hyperactivity disorder (ADHD). PsychDB. (2022, November 29).
Autism spectrum disorder (ASD). PsychDB. (2022, May 19).
Butterworth, B., & Kovas, Y. (2013). Understanding neurocognitive developmental disorders can improve education for all. Science, 340(6130), 300–305.
Cavanna, A. E., Coffman, K.A., Cowley, H., Fahn, S., Franklin, M. E., Gilbert, D.L., Hershey, T.G., Jankovic, J., Jones, M., Leckman, J.F., Lehman, R., Mathews, C.A., Malaty, I., McNaught, K., Mink, J.W., Okun, M.S., Rowe, J.A., Scahill, L.D., Scharf, J.M., Schlaggar, B.L., Stewart, E., Walkup, J.T., Woods, D.W.. (2017). The spectrum of Tourette Syndrome and TIC disorders: A consensus by Scientific Advisors of the Tourette Association of America. Tourette Association of America.
British Dyslexia Association. (2023). Dyslexia. British Dyslexia Association.
Dyspraxia at a glance. Dyspraxia Foundation. (2023).
Haberstroh, S., & Schulte-Körne, G. (2019). The Diagnosis and Treatment of Dyscalculia. Deutsches Arzteblatt International, 116(7), 107–114.
Ketelaars, M. P., Cuperus, J. M., van Daal, J., Jansonius, K., & Verhoeven, L. (2009). Screening for pragmatic language impairment: The potential of the Children’s Communication Checklist. Research in Developmental Disabilities, 30(5), 952–960.
May, P. A., Baete, A., Russo, J., Elliott, A. J., Blankenship, J., Kalberg, W. O., Buckley, D., Brooks, M., Hasken, J., Abdul-Rahman, O., Adam, M. P., Robinson, L. K., Manning, M., & Hoyme, H. E. (2014). Prevalence and characteristics of fetal alcohol spectrum disorders. Pediatrics, 134(5), 855–866.
McQuire, C., Mukherjee, R., Hurt, L., Higgins, A., Greene, G., Farewell, D., Kemp, A., & Paranjothy, S. (2019). Screening prevalence of fetal alcohol spectrum disorders in a region of the United Kingdom: A population-based birth-cohort study. Preventive Medicine, 118, 344–351.
Norbury, C. F., Gooch, D., Wray, C., Baird, G., Charman, T., Simonoff, E., Vamvakas, G., & Pickles, A. (2016). The impact of nonverbal ability on prevalence and clinical presentation of language disorder: Evidence from a population study. Journal of Child Psychology and Psychiatry, 57(11), 1247–1257.
Polanczyk, G. V., Willcutt, E. G., Salum, G. A., Kieling, C., & Rohde, L. A. (2014). ADHD prevalence estimates across three decades: an updated systematic review and meta-regression analysis. International Journal of Epidemiology, 43(2), 434–442.
Polanczyk, G., de Lima, M. S., Horta, B. L., Biederman, J., & Rohde, L. A. (2007). The worldwide prevalence of ADHD: A systematic review and metaregression analysis. American Journal of Psychiatry, 164(6), 942–948.
Prevalence and Therapy Rates for Stuttering, Cluttering, and Developmental Disorders of Speech and Language: Evaluation of German Health Insurance Data. (2021). Frontiers in Human Neuroscience, 15(645292), 1–13.
Social (pragmatic) communication disorder. PsychDB. (2021, March 29).
Stereotypic movement disorder. United Brain Association. (2022, August 8).
Wren, Y., Miller, L. L., Peters, T. J., Emond, A., & Roulstone, S. (2016). Prevalence and predictors of persistent speech sound disorder at eight years old: Findings from a population cohort study. Journal of Speech, Language, and Hearing Research, 59(4), 647–673.
UCL. (2013, April 19). Learning disabilities affect up to 10 per cent of children. UCL News.
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scary-flag · 1 year
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People being all "Ed is just an emo babygirl after a breakup, like, who wouldn't act like that???" and yeah I LOVE emo babygirl Ed, but I do not think cutting off someone's toe and feeding it to them is really a sad babygirl action (although you go girlies, he did deserve that)
Jokes aside, though: We are NOT being told anything in specific, and his actions can be interpreted in various ways. Did he go fucking feral, all kraken and shit? Sure, but he also cried when looking at the lighthouse painting later, which tells us he did not really, like, vow to not give in to his emotions again or something.
On the other hand, we ARE explicitly told in canon that Ed is *not* mentally well, and I do not mean it in a bad way. Maybe we, as a fandom, should stop acting like Ed's PTSD and his trauma responses are something bad that we can't work with? Ed has every right to be sad. Ed has every right to be angry. He has every right to be fucking traumatised. And by making him feel those feelings the fanfic writers or fan artists are not necessarily being racist, homophobic or mental-illness-hating. Ed is just human and he has human feelings. People react in all kinds of ways to heartbreak and trauma.
I know we all love babygirl Ed, but keep in mind that woobifying his reaction to Stede leaving him, we are kind of writing off the whole mental health aspect of the character, which, I think, is super important in the show? Going as far as removing this aspect of Ed (and I have seen people who really believe Ed has absolutely zero issues) is kind of building the stupid "we shouldn't talk about mental illness" ableist taboo agenda.
(to read more about masculinity and rage in the context of POC experience, I recommend to dig into what @uselessheretic posts who is definitely better at writing in English than I am and likely more educated on the subject)
There is nothing wrong in wanting a character to be flawed. Flaws make us human
Another point: He is a PIRATE. Most people are not making him violent and angry because he's gay, nor because he's a POC. Most do it because he is a pirate, and if anything, the legendary pirates were generally known to be unhinged. Pirates stabbed people, keelhauled them, burnt whole villages down, traded slaves and r*ped. I know we all love OFMD and our blorbos, but let's not forget who the inspiration behind those characters were. No one does anything wrong by just by saying a pirate character HAS issues with his mental health, anger management or attitude. Some people just give Ed (or Izzy, or Stede, or any character honestly) more of the real-world pirate characteristics.
Yes, it is a comedy show, but in fan works it can become anything - a drama, a horror, a post-apocalyptic sci-fi slasher, whatever the author wants. So I think that people who do not interpret Ed's reaction to the breakup as basically a cutesy american teenager eating ice cream in bed listening to Evanescence are not necessarily wrong and neither do they have bad intentions.
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bomber-grl · 6 months
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✎ ╰┈➤ What I Write ❤︎₊ ⊹
This is a safe space for everyone except racists, terfs, zionists, pedos, proshippers, pro ana/pro ed, bigots of all kind, or their apologists
-> ❤︎₊ ⊹ Who I’ll Write for -
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Female! Reader
Gn!Reader
Male!Reader
->What Specific Characters I Write For
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Female, male, non-binary characters
Hiro Hamada
Miles Morales
Damian Wayne
Nico Di Angelo
Zuko
Etc.
->What Fandoms I Write For-
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Spider-Man : Into the spiderverse
Marvel
Big Hero 6
Percy Jackson
Avatar The Last Airbender
Avatar
Sally Face
Harry Potter
The Owl House
Gravity Falls
SVTFOE
A good amount of anime (ex: Saiki k, assassination classroom, mob psycho)
The Dragon Prince
Tales of Arcadia
Obey Me
Genshin
The arcana / fictif
Twisted Wonderland
Our life beginning and always
Adventure time
Fiona and cake
Detroit: become human
Arcane
Legend of Zelda
Stranger things
The maze runner
FNAF (both game and movie)
Scott Pilgrim
Creepy pasta 😋
Umbrella academy
Our life (all love interests throughout both games)
->Genres I Write -
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Angst
Fluff
->Boundaries
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Treat me w respect and I’ll do the same
Feel free to message/reach out regarding requests :)
I will occasionally reach out as well, mostly to get more details regarding the request
I wont write anything with topics of ped*philia, romantic student/teacher relationships,pregnancy, or any age regression (age regression just because I’m not fully comfortable!!:))
->Extra things I write
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I also write poly relationships
->Where you can find my writings
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(Nothing yet posted on anything other than tumblr
Ao3 - bomber_grl
Extra words-
Feel free to ask about any fandoms/characters who aren’t here :)
Despite the fact that I write for all readers, I usually write for gender neutral since I never/hardly use gender specific pronouns. If you would like a fem or masc reader then feel free to request that.
If my reqs are closed and you still choose to request something, I’ll just delete it
[Masterlist]
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foster-the-world · 19 days
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Hard
Things have been hard with baby boy. Three weeks ago he had a really bad week at school (3K) - after doing well all year. Amongst other really unregulated behaviors he scratched his friend - twice. One time at pickup and one time at daycare. The kids Dad called and screamed at me. All I could do was apologize over and over while he yelled at me. Baby boy plays rough but is not normally aggressive. Over a year ago (at 2.5) he bit his friend one time. We made a big deal out of it and he never did it again.
We pulled him out of school short term to figure out a plan. Also not sending him to daycare anymore. The boys parent said he could not go if baby boy was there. Daycare said they would not kick him out (we are close with them after many years) but we didn't want the boy to suffer when he was the one who got hurt. We will get after school care for the rest of the year. At this point its only two more months.
No idea why he was out of whack. Maybe daylight savings time but he was still sleeping a lot??? My Mom flew in to help - Thank God. He's an angel for her and she's a baby/kid whisperer. I had a really hard time with it - random crying. Spiraling with future worries in a really unhelpful way. I'm not generally much of a crier but I also went out of whack. I suspect there was some residual bad/helpless feelings left over from foster care mixed in there.
He seemed to understand scratching his friend was bad. He asked if he could write an I'm sorry card for his friend. His friend was over it within minutes. The Dad clearly was not.
Despite fighting all year for services this kicked my butt into further gear. Managed to get the SEIT (masters degree special ed teacher) that we've been pushing for all year. Ten hours a week one on one while in class. She seems good. I'm guessing she's a recent graduate - but that's fine. Right now we've only been sending him for the two hours she is with him. Next week we will add in another two hours. Then a full day. He's very happy at home with my Mom. She's staying for a month.
Keeping him home has all been our choice. His teacher never wanted him out of class. I just didn't want to risk him doing it again when we didn't know why he was acting like that. He's normally wild but not like this. At the time it felt like keeping him home was keeping him safe. Since going back he's been behaving fine at school. So fingers cross it was just a bad week. This all happened to coincide with his second development pediatrician appointment where he got a official ADHD diagnosis. Also coincided with the response to our special ed due process hearing. We won. We can now pay an enhanced rate to find providers and got over 100 hours of back pay hours. With his ADHD diagnosis came a recommendation for parent training. Got lucky and found someone who seems solid. Starting Monday night. Its virtual and after the kids are in bed. I'm excited for that. It gives me hope there is a "right" way to help him. Of course, its not covered by insurance even though its the recommended treatment for kids under six. Put him in a social skills class- also not covered by insurance (=blah). I don't think it will help but figure he may enjoy it. I believe (and research shows) kids this young can't learn how to act when they are upset at a time they are not upset. But also believe it can't hurt. At this point we are trying all of the things. He finally has OT, PT and speech - all outside of school hours but that's okay. As I suspected the speech person said she has not noticed any problems. We will probably stop that soon enough. His dev ped said we can medicate. She says research shows it helps but also higher chance of side effects when it starts at a young age. I'm very pro medication but not interested in starting until he is old enough to properly verbalize how the they make him feel. If he always acted how he was during his bad week that would be a different story. Right now meds aren't worth the risk.
Thinking we will put him in a integrated class next year. I was hesitant but this experience made me change my mind. We are touring two schools in May. One said they'd probably have a summer spot. They will bus him - which I heard is terrible and unreliable but will see how it goes.
I love him so much. I want a crystal ball that tells me how to help him. Anyone have one of those?
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baldursgrape · 7 months
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ough??? my god????????????? i might have been approved to transfer to the PEDIATRIC ED????????????????????????
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fauvester · 2 years
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crying in the bathroom before going in to work thinking about all the kids I’m about to see that could be brutally killed beyond recognition at school
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sugarrin · 29 days
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me when I accidently interacted with kink stuff so now my Tumblr feed is like "I love st@rving myself" and then "I wanna be r@ped" bro I just want the ED stuff please rfytuggyhkj
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bidisasterevankinard · 8 months
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Wip Wednesday
Tagged by @eddiediaztho @forthewolves @wikiangela @jesuisici33 @thewolvesof1998 @watchyourbuck @heartshapedvows @lover-of-mine 💙💙💙
I promise as girl dad Buck/ped Eddie won, I'm going to write sentences, but today i did part of enemies to lovers singers au. Part where they are friends already
“Thank you LA!!!! I love you all, thank you for this fantastic evening. Can’t wait for the next tour.”
Eddie meets Buck the moment he is backstage with the bottle of water and tight hug.
“You know, how to perform Buckley,” Eddie removes a lock of hair from Buck's eyes as soon as they break the embrace, noting how his hair curled with sweat. “And don’t let it boost your ego, but the last song is really cool and it was fantastic to hear it live.”
“Really? You like my songs, Eds? Well, say a word and I’ll perform speakerphone for you any time. I really should consider performing it more,” Buck in some big sip ends his bottle and already takes a new one. “I wasn’t lying saying how important this song is, and performing it again let me see how I missed it.”
“Judging by the crowd’s reaction, I think your fans would really love this idea,” Eddie pats buck on the shoulder. “But really it was an incredible show, Buck. You did good,” azure eyes look at him through long eyelashes and Buck blinks fast and smiles so sweetly on the compliment, so that Eddie smiles too, losing his breath from the pure adoration he sees.  “Thanks for the invitation. You made my day.”
“Thank you for coming. I know it was hard with the flight and I’m sure you wanted to spend more time with Chris,” Buck leads them to his dressing room and lets Eddie come first. “You could really stay with him, Eds.”
“It’s okay, Buck,” Eddie sits comfortably on the chair and turns from Buck to let him change clothes. “Chris was with Shannon till she took him to my house, they spent some time together cause Shan only came back and they needed it. And I had fun with my friend. Or better say, had fun watching him performing,” Buck chuckles on it with him.
“Well, I’m happy I didn’t take you from the family time.”
“Speaking about family time. My abuela right now is cooking dinner, and you were invited to join me, Chris and her tonight cause I quote ‘Edmundo, this young boy is so talented and handsome and it’s unacceptable I still never met him’. So I hope you don’t have plans for dinner cause we both can’t say no to her. Trust me.”
“You can look, I’m decent,” Eddie turns back to Buck. “And all my plans was to order pizza, watch a movie to decompress and go to sleep, so if it’s really ok that I will join family dinner, I can’t wait,” Buck smiles at him and then packs his things in his backpack. 
“It is okay. We all want you here.”
tagging if the want to share @911onabc @alyxmastershipper @bekkachaos @wildlife4life @userdisaster @mandzuking17 @loserdiaz @honestlydarkprincess @giddyupbuck @housewifebuck @buddierights
@bigfootsmom @shortsighted-owl @spaceprincessem @spotsandsocks @hippolotamus @transbuck @transboybuckley
@rogerzsteven @jeeyuns
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marieisaghost · 2 months
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Hi, I'm Maire! I love Serotonin and fictional characters that could and would probably tear me apart. If you relate, let's be friends!
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♡ Master list ♡ Ao3 ♡
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⇊ Characters and fandoms I write for ⇊
BNHA -LoV
Naruto -Team 7 -Team guy -Itachi, Deidara and Kisame -Sand Siblings + Shinki
ATLA -Team avatar -Jet -Lee from the tea shop 💀
DC Comics -Bat family (throw your crowbars before requesting, my child is sensitive) -Bat Boys -Heretic (sfw only ♡)
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♡ General Guidance ♡
NSFW and SFW are ok!
Yandere themes and Dark content are ok!
However, I won't write ped*phil*a or non-con. I also won't be writing Eds or heavy drug abuse.
I won't write more than 4 characters per request.
I won't write OCs. Specific readers are okay, but if I smell that you're describing your character and trying to pass it as the reader I won't write your rq.
I won't write crossovers.
Requests with mixed fandoms will be deleted.
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♡ Thanks for understanding, hope we can get along! ♡ Requests are OPEN ♡
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