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Joined 2 years ago
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Cake day: December 3rd, 2024

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  • At the high school I went to, first period started at 7:20AM, and school ended at 2:20PM. Though I was in a zero hour choir class, so that started at 6:10AM. I’ve seen really strange start times, though. I heard of a school in the US that started at 7:14AM for whatever fucking reason. Oh, and then there were Wednesdays which were late start days, though I think they moved those to Mondays now, based on the traffic by the schools at that time of day? Can’t remember what time that started, but I’m pretty sure it was like just after 10AM, same 2:20PM end time. None of it makes sense.


  • As a (training) phlebotomist (someone who draws blood), working with patients who struggle with needles requires an immense amount of empathy and a calm demeanor. I find that not all phlebotomists are great at calming patients, and some definitely don’t handle it the best. I don’t want to hurt or distress my patients, so I do my best to be as calm and collected as possible. Unfortunately, those are also the most stressful draws for me, as they could be accompanied by syncope (fainting) or panic attacks. For patients where that may be an issue, it’s best practice for them to lay down in an exam room so that they aren’t injured if syncope were to occur.

    But I will certainly say that if you have a spot that you’ve found works well, communicate that to the phlebotomist! It helps both of us, because it helps us find a viable vein quicker, and it feels less stressful when we go for the poke. You also have the right to ask us to stop at any point. We cannot draw blood from a patient who doesn’t consent. It can help to have someone with you, but if you aren’t able to arrange that, I can at least say that I will do the best job I can to calm you and keep you grounded. You can also ask to be laid down if you prefer.

    My experience is limited to that of the provider, as I have no trouble with needles myself, but I try my best to understand and be empathetic to those who struggle with it themselves. One of the people in my cohort actually has a needle phobia (but only when the needle is going in them), so I’m trying my best to learn how to best calm them so I can be better with patients in the future.

    I guess the point of me making this comment is to say that, as medical staff, we empathize with you, and want to do our best to make the draw as easy, quick, and painless as possible for you. We (or at least I) want to make sure that we do everything we can to help you through a stressful situation ❤️



  • Sophienomenal@lemmy.blahaj.zonetoLinux@lemmy.mlDisabling bloatware
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    3 months ago

    Sorry, I’ve revised my comment, so it’s more complete now. As my comment states above, it’s because by default, the digital clock widget (which is placed by default on the task bar–y’know, where it shows the time) has “Show events” enabled by default, which has a dependency on Akonadi. If you uncheck that (and keep in mind that you are using the digital clock widget unless you’ve specifically removed it), and make sure not to use any of the KDE PIM Applications stated above, then Akonadi will never start


  • Sophienomenal@lemmy.blahaj.zonetoLinux@lemmy.mlDisabling bloatware
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    3 months ago

    If you’re using the digital clock widget, that uses Akonadi, and will launch it on startup. It’s used to (optionally) sync calendar events between compatible apps. There are also a handful of KDE PIM Applications that use it (think Kontact, KMail, KAddressBook, KOrganizer). If you want it disabled, you will need to stop using any Akonadi-enabled app. More information can be found at the KDE userbase for Akonadi. In particular, stop using any KDE PIM Application, as they cannot function without it, and disable calendar syncing from the digital clock. That will ensure the service is never started.

    To fix the digital clock problem:

    To ensure that Akonadi is not started, check that no applications require it at login. In particular, open the Plasma clock applet preferences, go to Calendar and uncheck Show events to prevent Plasma from requesting information from Akonadi and thus allowing it to start.



  • That is baseless bullshit. I have been using the same 10mL 40mg/ml vial for over a year and there is no “contamination”. If you’re drawing with a huge needle (think 18G), then u can core the vial, but I draw with a 30G needle and there is essentially zero risk of that. All you need to look out for is if the solution turns cloudy, which indicates that the oil (castor, cottonseed, sesame, or sunflower oil, usually) is breaking down, and the estradiol is precipitating out of solution. Unless you get a really bad/old vial, or you leave it somewhere that it isn’t protected from UV, or that isn’t properly temperature controlled (estradiol precipitates out of solution at cold temperatures), that won’t happen during the time you have the vial. Shelf life is 3-5 years for well formulated estradiol.

    The reality of the situation is that insurance and pharmacies only operate on a monthly basis, so they dispense you a new one each month. It’s laziness and wastefulness.


  • There will be a point where I try this out, but I can only do that after getting an orchiectomy, as I need my estradiol levels high enough to suppress my testosterone production. I do not want to go back to taking an anti-androgen, as I despise the side effects. But one “natural” thing I will certainly not be doing is simulating menopause. There is absolutely no reason for me to do that, and the health effects of menopause are quite bad (hence why HRT is available in the first place).

    I don’t believe in the motivation that “natural is best”. As stated in another comment, that’s an appeal to nature, and it isn’t backed up by any science (this is of course due to the lack of research on trans folks). The reality of the situation is that I’m looking for the most feminization in the fastest way possible. I know that monotherapy works, so I am following the recommendations for it based on the research that has been done. That’s the best that I can do with an evidence-based approach. Our bodies are different from cisgender women (though far more similar than most think), so I don’t believe that a hunch based on how cis womens’ bodies operate is enough to justify an unstudied hormone regimen.

    This whole post reads to me as “this is how it works for cis women, so obviously that’s the most effective way,” and that fundamentally ignores the reality of evolution. Humans did not evolve in a perfect way. There are many fundamental flaws in our biology that are only there because we never evolved in a way that made them better. The menstrual cycle is a byproduct of random mutation that has happened over the course of millions of years. It was not created by some form of intelligent design. There is no reason to draw the conclusion that appealing to nature will give us the best results for what we want. That’s simply a baseless claim without empirical evidence to support it.

    But then, you may ask, why do I want to try it eventually? It’s because I’d only look to do it after I’ve gotten the feminization I want, and after my gonads are removed. I would try it because I am aware that there are negative effects of it, and I would choose to experience those as a way to feel more valid in my experience as a woman. Not that it is not due to me believing that it would be in any way “more effective.”

    I do have things to say about the low doses of estradiol that are prescribed by administration routes other than injection, though. I am apprehensive to believe a significantly lower estradiol level would result in the same levels of feminization as cisgender levels. At the very least, we know the side effects of estradiol are reduced in low doses, and that brings me to question if the positive effects are as well. We also know that low estradiol levels (especially as low as during menopause) have negative health effects. This is why I will always recommend injections, as it is so much easier to get high (and consistent) estradiol levels, and you can do monotherapy with injections to avoid the need for an anti-androgen. But I am also firmly under the belief that you should not dose yourself too high. This is supported empirically, as it increases the risk for estradiol-related illnesses, such as breast cancer.

    This post also seems to ignore progesterone, which is most certainly responsible for cisgender womens’ libido. During the luteal phase, serum estradiol levels are actually not very high (not nearly as high as during ovulation), and it’s progesterone that is vastly increased. I’ve noticed my libido being higher while on progesterone, and I cycle 14 days on, 14 days off. I also aim to achieve cisgender levels of progesterone, and the only feasible way to do that is through rectal administration, as oral has to deal with the first pass effect.

    Besides this, I feel like this post ignores the fact that many cisgender women take birth control or HRT specifically to reduce or even eliminate the effects of their cycle. There are many objectively negative parts of having to deal with a menstrual cycle. One that I am particularly sensitive to is mood swings. It’s why I can’t inject estradiol valerate, as the fluctuation in hormones is too high and triggers huge mood swings in me. If I have the option to not trigger wild mood swings that have significantly negative effects on my life, I’d choose that. Mood fluctuating with hormones is a normal thing that cisgender women experience, but if it becomes as much of a problem as it was for me, that’s quite unhealthy. I’d much rather choose to keep my mental state more stable, especially as I already have Bipolar I Disorder. As would many cisgender women, mind you.

    As you can gleam from this comment, I’m not a huge fan of appeals to nature. Something is not inherently better simply because it’s what is “natural.” That being said, it is completely valid and understandable to want to experience the effects of the menstrual cycle to feel more in tune with yourself as a woman. But that also undermines the fact that cisgender women generally do not like the effects of their menstrual cycle, and many cisgender women would rather not experience it (with the exception of pregnancy, of course, but not all cis women want that either).