Medicare, as of today, will no longer cover telehealth visits. I can’t imagine a bigger slap in the face to our patients.

oh to be perfect and normal in an unexplained black void

My TBR is getting longer again instead of shorter. I was doing really well at chipping away at it for a while, but then I do things like add 8 books in one go and here we are again. There are definitely worse problems to have. #BookSky 💙📚

I wrote something today about JD Vance and the rhetoric of "blood libel." religiondispatches.org/jd-vance-tri...

It's not helping! The baddening is here! Somebody quick give the bunnies more hay and treats and maybe we can still save the world!

The world is pretty terrible out there today (as most days recently) so here's a picture of a boy who stole my chair and knows it.

Was this show of force planned before or after he hit himself in the nuts yesterday?

Safety Advice: I keep seeing young trans people on social media talking about therapists disrespecting their pronouns and parents telling them that the therapist has a right to their beliefs. I want to be clear: you have a right to the therapy room being a safe supportive space for YOUR growth.

FOUR books that I had preordered came out today! This is going to be a great month for reading!

Reproductive rights are not a radical stance. Being pro-choice is allowing basic human agency to women. When they act like this is an easy place to compromise, to give a little ground, think about what they're actually asking you to give up.

Us: “We want cheaper food” Them: “Tariffs!” Us: “We want healthcare” Then: “Gold ballrooms!” Us: “abolish ICE” Them: “Six figure signing bonuses to new ICE agents” Us: “We want affordable housing” Them: “A UFC ring on the White House lawn” It’s almost farcical except it’s costing real lives

FDA approved the abortion pill mifepristone 25 years ago. So why is RFK Jr. raising questions about it now? He's trying to roll back abortion access nationwide. I'll keep fighting against attempts to restrict access—because medication abortion is safe and effective. Period.

Greyhounds have such an easy elegance

I'm definitely the first one. And I get very grumpy about it.

As we get closer to Halloween, I'm pulling out my horror TBR. I've been looking forward to this one for a while. #BookSky 💙📚🩸

There's always so many things I plan to do over the weekend, and in the end I read books and do none of them. And then it's Monday morning again.

It's a natural law of the Internet.

I picked this up on a whim and I'm enjoying it far more than I expected to. #BookSky 💙📚🪐

I absolutely needed this. (Compilation video of kittens "helping" people play billiards)

I really hate the whole "fated mates" or "destined to be together" thing, especially when one person knows about it and the other doesn't, or as an enemies-to-lovers trope, because it usually just turns into "you're a manipulative asshole but not even that can keep us apart because Destiny." 💙📚🪐

I told you guys

Finished this last night and I enjoyed it. It's a really ambitious modern retelling of And Then There Were None, with many of my favorite tropes, fun and twisty and suspenseful. #BookSky 💙📚

I don't want it to be winter but I'm suddenly ready to wear baggy sweatshirts and not give a shit about the world.

This is fantastic, but meanwhile in the US, this drug costs tens of thousands of dollars and we've been trying to prescribe it to our PrEP patients since it was FDA-approved back in June, and to date we have gotten exactly 2 scripts approved by insurance. TWO. Make it affordable for everyone.

What a deeply weird book. It's much funnier than I expected it to be but now that I've finished it I'm still not sure how I feel about any of it. I need to sit with it for a while I think. #BookSky 💙📚

Sent a digital publisher's catalogue. In it, a special anniversary edition of a beloved book. They *boast* it's a new translation. Nowhere in the copy do they mention who translated. I zoom in on jacket. Nothing. I look down at writer bio, only the original author. VALUE TRANSLATORS, PEOPLE.

One of my most-anticipated preorders! I can't wait!

I just crushed pills for a patient using a literal mortar and pestle and I feel like an 18th century apothecary now.

I'm just gonna drink tonight and then go do abortions tomorrow.

We are literally at the stage of arresting elected officials for speaking against fascism. We are so fucked.

Whatever you do, please don’t stop reading. Read for joy. Read for education. Read for resistance. Read banned books. Read books by marginalized authors. Read about experiences that differ from your own. Just. Keep. Reading.

They want to control our words more than they control guns. Isn’t that something

I mean, I hope so...but will it?

This is the playbook, folks. If you're not paying attention now and doing something about it, then you're going to have to sit down the rest of your life because democracy is being taken away. Do not be quiet in this moment.

Pro-tip: our new trick is requesting a peer-to-peer EVERY TIME we get an insurance denial (usually for PrEP meds or hormones). 90% of the time the insurance doesn't actually call for the peer-to-peer and just sends an approval instead like, "Oh you REALLY wanted this? Well why didn't you say so!"

A free and democratic society cannot silence comedians because the President doesn’t like what they say. This is an attack on free speech and cannot be allowed to stand. All elected officials need to speak up and push back on this undemocratic act.

Fully vaccinated! Flu and COVID shots, and nobody asked me to justify how I qualified for COVID. (Ignore my little bit of peely sunburn. Nobody's perfect.)

FINALLY I've found the job I really want in life.

It should be illegal to be this cute. 🥰

Officially scheduled for flu and COVID vaccines tomorrow.

So I'm not Christian but last year I bought myself an Advent calendar of dice, because I loved the idea of giving myself a little present at semi-random intervals throughout the winter. This year, they offered TWO Advent dice calendars, a naughty and a nice so I had to buy both.

Current read. I'm about a third through and I love it. I wouldn't necessarily have gone for a Little Mermaid adaptation but I absolutely adored her first book (After the Forest) so I picked this one on the strength of that one. Definitely not disappointed. #BookSky 💙📚🪐

I keep trying to get up from the couch but she won't let me.

You *know* there is a narrative message in the media but it's still terrifying that it was wall-to-wall coverage of Kirk's death 24 hours ago but once they discovered that his murderer was one of his own? B-block story at best.

Whenever someone asks me how I am I always say, “well, I’m not dead yet,” and they are usually alarmed but they laugh and say “well that’s good!” And then I smile and say nothing

I need a timeline cleanse and so do you. The picture on the left was taken ten years ago today when we brought this little peanut home and then nobody slept for about eight weeks. She sure is cute though.

IUDs and birth control pills are NOT abortifacients. And they are exponentially safer than unintended pregnancy when you don't have the resources (physical or emotional) to be a parent.

I do not think that anyone deserves to be murdered, but I do think it would be irresponsible and disingenuous not to view Charlie Kirk's murder through the lens of his own politics. THIS is what his type of attitude towards gun violence breeds, pure and simple. You don't get to erase that just 1/

My neurodivergent trait #573: I have still not mastered answering the question "Are you okay?" convincingly. I can be 100% fine in every sense of the word, but if you ask me that question I literally do not know how to answer in any way that does not sound like a lie. I hate this question.

I have been waiting oh so long to read this. Finally getting into it and it is surpassing all of my expectations. Delicious. #BookSky 💙📚🌈🩸