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Need a tag don’t get excited sighs
How dare you leave this Jason Todd discourse in the tags.
I think a lot about how, if the glorious violent revolution happens, every kid with significant medical needs in a hospital where power gets cut will die.
You can decide you're willing to sacrifice your own life, but you don't get to tell everybody else on the planet that they're acceptable collateral damage.
This gets notes every time it drifts into leftist circles. But here’s the thing: I am a doctor. I have cared for children in hospitals. Vast, intricate supply chains that rely on functioning world governments with trade agreements are necessary to the provision of modern medical care. There is no way to work it so those kids can win if electricity, water, food, or medical supplies like sterile intravenous fluid bags or EKG stickers get interrupted. Forget even permanent disruption, a temporary disruption of the sterile tubing necessary for surgery would mean a lot of kids die of appendicitis. The generators we have as back-up are meant to last minutes, not weeks. And you can say “under my new system, the total violence done would ultimately be less than the violence done by the state,” but it’s easier to say that about a hypothetical kid than one lying on a gurney in front of you. When you’ve been responsible for a life—when you’ve lost a patient, when you’ve been through a Code Blue for a one-year-old—there is nothing you would not do in order to protect that life. I think all the time about what Devil’s bargains I would make for various situations; it’s one of the fucked up things I do. I can tell you that I would kill anyone who tried to cut power to my hospital, or I would die trying. There is no alternative.
The world is too interconnected to allow one part of it to go down. When Puerto Rico got slammed by hurricanes and the US did fuck all about it, we had a nationwide shortage of bagged IV fluids. I was working in hospitals through that. Things we normally do as part of routine medical care, like giving the puking kid with the migraine IV Zofran and Reglan, got a whole lot harder. I was working inpatient during COVID, when there were sudden shortages of pain and anxiety medications we relied on, like opioids and benzodiazepines. There was a nationwide shortage of lidocaine last year and we had to save it for biopsies of suspect cancers. Surgery requires not only a surgeon but an entire team of people and complex equipment to safely sterilize tools, most of which are now based around laparoscopic surgery that requires camera tools instead of the old-school open surgeries. You could not even say “but the surgeons can still operate” because no. They can’t. Not safely. Not with ether instead of succinate and fentanyl. I could deliver your baby after the apocalypse, but who’s staffing the blood banks when you have a post-partum hemorrhage and I don’t have three trained nurses with a kit of specialty meds to slow the bleeding? I still remember the time during the worst of COVID when I couldn’t fly a patient from our rural hospital to an urban hospital that could have done the operation he needed, because the hospitals were completely full. I had to buy time with heavy-duty IV antibiotics (the one and only time I’ve been allowed to use a -penem) while he lay there in agony for 12 hours until a bed came open and we could transfer him. If we couldn’t treat the pain and keep the infection from killing him long enough to operate, he would have died then and there, in front of us, while we stood there helplessly.
So how many kids are you OK with watching die from a ruptured appendix? That’s what comes in to the ED at two in the morning and within half an hour if you’re lucky has an ultrasound proving the diagnosis and a surgeon getting scrubbed in. If there isn’t ultrasound, ultrasound techs, pain medication, anesthesiologists, ventilation machine for when you’re under, light-up scopes with blades to allow for intubation bc then there’s direct visualization of the vocal cords, paralytic medications to keep you still, medications to keep you asleep, monitoring machines that read your blood pressure ans CO2 levels and pulse oximetry while you’re under, computer scheduling for OR time, post-op recovery nurses, gurneys, autoclaves, specialized small metal tools for the surgery—if there are interruptions in training or production of any of these and a whole lot more, anyone could die of a surgical problem, but it hurts worse when it’s a kid. Watch breast cancer come back into vogue, as we lose mammograms. You ever treated a woman who’s ignored breast cancer so long it’s now a fungating mass? Go Google what that looks like. Two cases have walked into my office and they are both dead now. One was schizophrenic. Without modern global supply chains, we don’t have lorazepam or morphine for humane death, let alone psych meds. How many people would deteriorate? Get specific. Which friends would you be willing to watch die? Which of their kids are expendable?
What kind of violent revolution are you planning where you are able to look a patient in the eye and tell them, “Your death is necessary to my vision,” and not understand that you are the villain?
You get to decide whether you want to end your own life for this glorious future. You do not get to decide to end my life or my patients’ lives or anyone else’s. You are not God and you do not get to make plans as if you are, as if you have the One Correct Vision and the rest of us just need to fall in line and follow the prophet. Fuck you. You think the Black kid whose treatment team I was on while he writhed in pain on a hospital bed because he had a kidney transplant and it was rejecting wouldn’t tell you to go fuck yourself about your violent revolution? Our society is no longer able to tolerate large-scale disruptions. We have built too much and we would lose too much. We are too big to fail, and although it’s easy to see that as a bad thing, what I keep seeing, over and over, is that transplant team. How the nephrologist and the resident and the nurses and techs and pharmacists and therapists were working together to keep that kid alive. The scientists who did the research, relying on impossibly complex systems that have taken hundreds of years to build. Collaboration is how we survive.
We cannot allow the vulnerable to die and call that progress. We cannot turn the lights out on any hospitals, because the people in the ICU on ventilators will stop breathing and die within minutes. Would you want that to happen if it’s your mother in that ICU? Would you tell your mother the answer to that? What if it was your child? What about your favorite sibling? How many of other people’s families are you willing to sacrifice for the sake of something that stands a virtually 100% chance of going up in flames immediately, when we look at prior attempts at creating a new government out of war and chaos? The massive impacts of even “small” shortages on patients is not theoretical and has killed patients since I’ve been an attending, starting three years ago.
You do not own the right to anyone else’s life.
And if you think you want a violent revolution, see how you do with your next toothache without pain meds, lidocaine, dental expertise, and composite that lets you keep the tooth and keep chewing. How long would you have to suffer to crack?
”What kind of violent revolution are you planning where you are able to look a patient in the eye and tell them, “Your death is necessary to my vision,” and not understand that you are the villain?”
hey sorry not to be an asshole but I saw someone say that a sports team posting about pride month was "pandering" and I need you to log off and touch grass because now more than EVER it's important that large institutions (and especially those that could easily be right wing like sports teams) show the fuck up for queer and trans people. especially trans people. so no it is not "pandering" to take a stand for a marginalized group of people that are currently under attack for trying to play sports. be so fucking for real
here's a tip about war: Don't fight the people who are on your side
A thing I have recently learned that is relevant to this conversation:
Every single Major League Baseball team has a Pride Night in June, except one: the Texas Rangers. Why they choose not to have a pride night is their business but there is one team who saw that and decided to take it personally.
And for the last few years, the Baltimore Orioles have scheduled their pride night during a home game in June when the Texas Rangers are visiting.
There may come a day when the Orioles are not playing a home game vs the Rangers in June. If that happens, I sincerely hope another team will step up and schedule their Pride night with equal pettiness.
I am not immune to best friends who are in love with each other
it's actually so funny how challenging it is to write bona fide graphic, horny smut. like people don't give smut writers enough credit. you are constantly running out of words to describe the same 2-4 body parts and same 4-6 motions. you are constantly attempting to do interesting and dynamic things in the prose with this extremely limited set of words. you are looking at your prose for the nastier bits and wondering if it actually sounds hot or if it just sounds goofy. you are then toning down your prose and then wondering if it now sounds tasteful or if it's just boring. you do ctrl+F for the word "cock" and there are 37 instances of it in the doc but you hate the 1-2 acceptable synonyms so there's nothing much you can do about it
Genuinely, smut is the hardest thing to write out of anything I write, always, without question.
Honestly no matter how this shakes out, the win I'm taking today is there are many MAGA Elon fanboys who are no longer Elon fanboys, and many MAGA Elon fanboys who are no longer MAGA fanboys
Noooooooooooooooooooooo Elon don't split the Republican partyyy 🤣🤣🤣🤣 Don't recreate the Bull Moose Party of 1912 which split the Republican base and threw the election to the Democrats securing Woodrow Wilson the 28th presidency 🤣🤣🤣🤣 Don't exploit the egregious flaws of the American 2-party system in the direction of shooting your own foot and dissolving the Republican stronghold between Old Racist Republican and Brainrot Alt-Right Republican because your ego got pissed on nooo 🤣🤣🤣🤣🤣.
Happy Pride Month to everyone who gets this joke, laughed at it, or isn’t a homophobic or transphobic etc asshole.
Happy Pride Everyone.
Stay Gay.
This is so wholesome
Update: he finally got the cat to the vet to see if she had a microchip
I was already on board with his sweet wholesome open-to-love-and-nurturing heart but I was fully unprepared for getting to that last tweet and seeing how off the hook HOT dude is
https://twitter.com/pariszarcilla?lang=en heres his twitter is here there is also additonal cat photos of his children.
CAT DAD IS BACK
aww, the kids grow up so fast. ;-;
HHHHHHHH I LOVE CAT DAD!
This is, by far, the single most adorable fucking thing I have ever seen.
update:
I love that he kept …. All of them.
I’ve reblogged the earlier part of this thread before, and the new stuff makes it even better.
This is the Tumblr equivalent of a warm hug on a cold day.
You’re welcome.
I remember this thread, but I never saw the grown-up pics ❤
@every-n-anything
All hail Catdad
I saw Catdad for the first time today, and my day instantly became exponentially better.
I’M CRYING!?
CATDAD HAS REVIVED MY WILL TO LIVE
I live for cat dad-
Cat dad has saved us all
CAT DAD!!
I had not seen the updates. I am so happy that the Cat Gods smiled upon this person and their new family :)
He’s got more recent pictures (and is also an INCREDIBLE artist), but this is the fam circa May 2020 :>
It’s been over a year? Where is cat dad? Where is he?
Fear not, CatDad is still happily with us:
Cat Dad 2022 pic.
It’s been far too long since I saw these guys. “Heartwarming” doesn’t begin to touch it. :)
CAT HERITAGE POST
And as of two days ago (31st May 2025)
Pancake passed away some time ago, but is included here via the photo Cat Dad is holding.
When I talk about humans getting invested in anything with even a trace of a story, this is the stuff I’m thinking about.
Good addition to the list of words here
Video description:
Two older gentleman, Marc and Craig Wasserman of Pot Brothers at Law. They are outside, facing the camera. At the top is an overlay with the words, "THE ONLY 29 WORDS YOU SAY WHEN YOU ARE PULLED OVER!" The video cuts in mid-sentence.
Man 1: "--announcement. The script. The only 25 words we've been preaching for 10 years has changed. We've added four more words. It is now 29 words, and it goes like this.
"What do you say, big brother, when the cops come up to you and pull you over?"
Man 2: "Why'd you pull me over?"
Man 1: "And when they ask any questions at all, what do you say?"
Man 2: "I'm not discussing my day."
Man 1: "And they keep asking questions, what do you say?"
Man 2: "Am I being detained, or am I free to go?"
Man 1: "And if detained, what do you have to say?"
Man 2: "I invoke the fifth, I want my lawyer."
Man 1: "And then if they keep questioning you, what do you do?"
Man 2: "Shut the fuck up."
Man 1: "You use those 29 words politely. Now, why did we add those four words?"
Man 2: "Because if you invoke the fifth without saying you want a lawyer and they keep asking you questions and you break, you've waived your right. Once you ask for a lawyer, they have to stop questioning you, and if they don't and get you to break then, we could potentially get all that thrown out of court."
/end video transcription
You are not safe from this. You, the person reading this, are not safe from this. No matter how educated or open minded you think you are, you are not safe from this. The moment you think you are safe from it is the moment you become the most susceptible.
Its similar to why you cannot put bad people in a class of their own. The moment you do that you stop being able to see the bad things that the people closest to you do a la "my best friend couldn't have said that racist thing, they're not evil."
The moment you think you are immune from this type of backslide into right wing nonsense is the moment you stop questioning yourself enough to keep yourself from backsliding into right wing nonsense a la "I mean im not antiscience, im vaccinated, I just think that fluoride in our water supply is imparting children's ability to learn as fast as they otherwise could without it."
Remember, being progressive means progressing, its about always moving forward. The moment you rest on your laurels and stop putting in effort to keep the progression is the moment you start becoming left behind.
#I'm a millenial and I have caught myself saying things#it can and will happen to you#the trick is to notice#the trick it to keep being curious#the trick is to resist calcifying your brain#keep thinking and keep moving#nothing made by humans is perfect#we can always improve#that perfect plan you thought would fix it all when you were 20#will age like everything else#and the goalposts do move because there will always be bad actors#reinventing all the old evils so they look new and harmless again