I Agree!

I'm hard of hearing and always have the captions on, I'd rather know what the heck someone said is the same as the captions.

Captions shouldn't be censored. If the video says fuck or cum or cunt the captions should say the fucking word.

These tags, tho! But I always thought that meds were made small so they were over and done with more easily than the herbal.

My queers, we really need to put the "no men" thing away. Men are not inherently bad. There are queer men. There are questioning men. There's men that are just plain cool. Denying these men a space at our table is not helping - except the TERFs. I just came off the back of reading a transphobe gleeful rant about the need to have pride without men - They of course mean me. This kind of stuff is damaging to me and I really need us all to take a step back and maybe kill this "men dni, men not allowed" stuff. What you mean is "no men who are going to do mean stuff to me." And frankly those men won't give a shit about that kind of boundary.

But I promise you there's a fleet of good honest men who will see that and be sad they're not allowed in your version of queer spaces.

PATRIARCHY is what you hate. Dni Patriarchs.

!!!

👏🏾Education 👏🏾is 👏🏾a 👏🏾right,👏🏾 not👏🏾 a👏🏾 service 👏🏾

Pass along and use the shit out of them

So today I want to talk about puberty blockers for transgender kids, because despite being cisgender, this is a subject I’m actually well-versed in. Specifically, I want to talk about how far backwards things have gone.

This story starts almost 20 years ago, and it’s kind of long, but I think it’s important to give you the full history. At the time, I was working as an administrative assistant for a pediatric endocrinologist in a red state. Not a deep deep red state like Alabama, we had a little bit of a purple trend, but still very much red. (I don’t want to say the state at the risk of doxxing myself.) And I took a phone call from a woman who said, “My son is transgender. Does your doctor do hormone therapy?”

I said, “Good question! Let me find out.”

I went into the back and found the doctor playing Solitaire on his computer and said, “Do you do hormone therapy for transgender kids?” It had literally never come up before. He had opened his practice there in the early 2000s. This was roughly 2006, and the first time someone asked. Without looking up from his game of Solitaire, the doctor said, “I’ve never done it before, but I know how it works, so sure.”

I got back on the phone and told the mom, who was overjoyed, and scheduled an appointment for her son. He was the first transgender child we treated with puberty blockers. But not, by far, the first child we treated with puberty blockers, period. Because puberty blockers are used very commonly for children with precocious puberty (early-onset puberty). I would say about twenty percent of the kids our doctor treated were for precocious puberty and were on puberty blockers. They have been well studied and are widely used, safe, and effective.

Well. It turned out, the doctor I worked for was the only doctor in the state who was willing to do this. And word spread pretty fast in the tight-knit community of ‘parents of transgender children in a red state’. We started seeing more kids. A better drug came out. We saw some kids who were at the age where they were past puberty, and prescribed them estrogen or testosterone. Our doctor became, I’m fairly sure, a small folk hero to this community. 

Insurance coverage was a struggle. I remember copying articles and pages out of the Endocrine Society Manual to submit with prior authorization requests for the medications. Insurance coverage was a struggle for a lot of what we did, though. Growth hormone for kids with severe idiopathic short stature. Insulin pumps, which weren’t as common at the time, and then continuous glucose monitoring, when that came out. Insurance struggles were just part and parcel of the job.

I remember vividly when CVS Caremark, a pharmaceutical management company, changed their criteria and included gender dysphoria as a covered diagnosis for puberty blockers. I thought they had put the option on the questionnaire to trigger an automatic denial. But no - it triggered an approval. Medicaid started to cover it. I got so good at getting approvals with my by then tidy packet of articles and documentation that I actually had people in other states calling me to see what I was submitting (the pharmaceutical rep gave them my number because they wanted more people on their drug, which, shady, but sure. He did ask me if it was okay first).

And here’s the key point of this story:

At no point, during any of this, did it ever even occur to any of us that we might have to worry about whether or not what we were doing was legal.

It just never even came up. It was the medically recommended treatment so we did it. And seeing what’s happening in the UK and certain states in America is both terrifying and genuinely shocking to me, as someone who did this for almost fifteen years, without ever even wondering about the legality of it.

The doctor retired some years ago, at which point there were two other doctors in the state who were willing to prescribe the medications for transgender kids. I truly think that he would still be working if nobody else had been willing to take those kids on as patients. He was, by the way, a white cisgender heterosexual Boomer. I remember when he was introduced to the concept of ‘genderfluid’ because one of our patients on HRT wanted to go off. He said ‘that’s so interesting!’ and immediately went to Google to learn more about it. 

I watched these kids transform. I saw them come into the office the first time, sometimes anxious and uncertain, sometimes sullen and angry. I saw them come in the subsequent times, once they were on hormone therapy, how they gradually became happy and confident in themselves. I saw the smiles on their faces when I gave them a gender marker letter for the DMV. I heard them cheer when I called to tell them I’d gotten HRT approved by insurance and we were calling in a prescription. It was honestly amazing and I will always consider the work I did in that red state with those kids to be something I am incredibly proud of. I was honored to be a part of it.

When I see all this transgender backlash, it’s horrifying, because it was well on the way to become standard and accepted treatment. Insurances started to cover it. Other doctors were learning to prescribe it. And now … it’s fucking illegal? Like what the actual fuck. We have gone so far backwards that it makes me want to cry. I don’t know how to stop this slide. But I wrote this so people would understand exactly how steep the slide is.

Now this doesn't translate directly for emails, but a lot of it does. If you get an email about something concerning, DON'T REPLY BACK! Double check the sender and then go to the website or whatever and check on it through that, not the site the email sent.

Hey so fun new scam just dropped! I got a call earlier today from someone spoofing the local police department's desk number, asking me if there was a reason I'd missed my jury summons this morning.

Friends, I had not received a jury summons for this month. Which I told him, at which point his previously clear diction suddenly turned into a rapid mumble, only becoming clear for scary words like 'federal' and then asking to confirm my address, at which point I hung up and decided to call the police department later.

When I called the police department the desk officer sounded so tired y'all. All I had to say was "Hey I got a call earlier saying I missed jury duty this morning?" and she immediately sighed and told me that yes it was a scam that was going around and thanked me for calling to confirm.

So this is your periodic reminder that law enforcement agencies will not call you to tell you that you're in trouble. If you need to pay a fine of some sort they will mail you a physical invoice. Anyone calling you saying they're from the police or any other law enforcement organization (up to the CIA and yes I have heard of scammers attempting to impersonate CIA agents over the phone) who then tries to get financial information from you over the phone is a scammer.

I know I actually bang on about this a weird amount, but it is my fervent hope that the information will stick in peoples' brains if they get randomly selected for the adrenaline spike lottery. Scammers use scary words to get you to panic in order to shut down your critical thinking, and if even one person's brain spits out "Tumblr user waterhobbit said the cops/CIA/federal marshalls don't call about this shit" before their bank account routing number is in the hands of assholes I will consider it a job well done.

This ☝️, because we don't have a nifty little best reads to let us know that you liked it and want more, but also be kind.

Fun Story to Share.

I got my (now 18-year-old) daughter into Ao3 back in 2021. I taught her she should always comment - even if the fic looks old or abandoned or whatever. She did.

Well - she got this email this morning:

The fic was written in 2014 and essentially abandoned.

Bethy read and reviewed in 2021 (and was actually the only person who had commented at all).

Today in 2025 - the final chapter was posted by the author and this was her reply to Bethy’s comment.

———

Never question whether a fic is too old to comment on.

This, okay, all of this!

i don't want a career, i want to do crafts

To be honest, this helps with sewing and designing clothes. It gives a point of reference for what you want.

i dont consider myself a 'fashion guru' by any means but one thing i will say is guys you dont need to know the specific brand an item you like is - you need to know what the item is called. very rarely does a brand matter, but knowing that pair of pants is called 'cargo' vs 'boot cut' or the names of dress styles is going to help you find clothes you like WAAAYYYY faster than brand shopping

I adore this, I don't know why but I do 🤩

And if I had the money I would, instead I'll share it.

At the gate for my flight home from visiting friends and there's a woman here with a service Shiba Inu. No pics because he has a Do Not Disturb vest and taking pics of strangers is illegal but I need to stress how ON DUTY this animal is. Ears up. Eyes doing Lazer scans of everything. Examining everyone who passes within 10ft like a security guard. Ass planted on her feet. I have never seen a dog with such intense chivalric guardian energy before. He has tiny eyebrows and they are FURROWED with concentration.