Alchemy
Wait no I take that back Blizzard RTS’s probably have bad design in them to
like they probably founded “fuck it, just throw in rpg elements”
Current mood: PART 4 HYPE
I like anime, MTG, and video games. 17 y/o male. Not a furry despite the name.
Wait no I take that back Blizzard RTS’s probably have bad design in them to
like they probably founded “fuck it, just throw in rpg elements”
I play sc2 and it’s safe to say you’re wrong. They do through in rpg elements into the campaign, but they add to the experience.
We just bought a cute sofa from an antique shop, while being very obviously a couple and looking like a butch/femme salt and pepper shaker set, and the shop owner wanted to know how long we’d been, and I quote, “hanging out.”
I’ll still laughing at this the next morning.
*gets down on one knee in front of gal pal* *takes out ring* Will you hang out with me?
There was one time I was out shoe shopping with my partner and I was debating buying these cute pastel green shoes. The saleswoman was like “well why don’t we ask your friend here?” I said “oh actually this is my partner.” The woman stared at us blank faced for a few awkward seconds before forcibly smiling and saying, “partner in crime?”
JAW….DROP….
In a store once with a girl I used to date, browsing through all these different mattresses. One of the sales ladies came over and talked about all the beds with us for quite some time while we told her what we were looking for. It was painfully obvious we were a couple, like literally holding hands and calling each cute pet names out loud. Finally the sales lady laughs nervously and says “sooo.. wow, what kind of roommate setup is that that forces you two to have to share a bed!?”
I just sort of stared at her for second at a complete loss and said “… the dating kind…”
Reblogging again for that last one
This patient isn’t usually mine, but today I’m covering for my partner in our family-practice office, so he has been slipped into my schedule.
Reading his chart, I have an ominous feeling that this visit won’t be simple.
A tall, lanky man with an air of quiet dignity, he is 88. His legs are swollen, and merely talking makes him short of breath.
He suffers from both congestive heart failure and renal failure. It’s a medical Catch-22: When one condition is treated and gets better, the other condition gets worse. His past year has been an endless cycle of medication adjustments carried out by dueling specialists and punctuated by emergency-room visits and hospitalizations.
Hemodialysis would break the medical stalemate, but my patient flatly refuses it. Given his frail health, and the discomfort and inconvenience involved, I can’t blame him.
Now his cardiologist has referred him back to us, his primary-care providers. Why send him here and not to the ER? I wonder fleetingly.
With us is his daughter, who has driven from Philadelphia, an hour away. She seems dutiful but wary, awaiting the clinical wisdom of yet another doctor.
After 30 years of practice, I know that I can’t possibly solve this man’s medical conundrum.
A cardiologist and a nephrologist haven’t been able to help him, I reflect,so how can I? I’m a family doctor, not a magician. I can send him back to the ER, and they’ll admit him to the hospital. But that will just continue the cycle… .
Still, my first instinct is to do something to improve the functioning of his heart and kidneys. I start mulling over the possibilities, knowing all the while that it’s useless to try.
Then I remember a visiting palliative-care physician’s words about caring for the fragile elderly: “We forget to ask patients what they want from their care. What are their goals?”
I pause, then look this frail, dignified man in the eye.
“What are your goals for your care?” I ask. “How can I help you?”
The patient’s desire
My intuition tells me that he, like many patients in their 80s, harbors a fund of hard-won wisdom.
He won’t ask me to fix his kidneys or his heart, I think. He’ll say something noble and poignant: “I’d like to see my great-granddaughter get married next spring,” or “Help me to live long enough so that my wife and I can celebrate our 60th wedding anniversary.”
His daughter, looking tense, also faces her father and waits.
“I would like to be able to walk without falling,” he says. “Falling is horrible.”
This catches me off guard.
That’s all?
But it makes perfect sense. With challenging medical conditions commanding his caregivers’ attention, something as simple as walking is easily overlooked.
A wonderful geriatric nurse practitioner’s words come to mind: “Our goal for younger people is to help them live long and healthy lives; our goal for older patients should be to maximize their function.”
Suddenly I feel that I may be able to help, after all.
“We can order physical therapy — and there’s no need to admit you to the hospital for that,” I suggest, unsure of how this will go over.
He smiles. His daughter sighs with relief.
“He really wants to stay at home,” she says matter-of-factly.
As new as our doctor-patient relationship is, I feel emboldened to tackle the big, unspoken question looming over us.
“I know that you’ve decided against dialysis, and I can understand your decision,” I say. “And with your heart failure getting worse, your health is unlikely to improve.”
He nods.
“We have services designed to help keep you comfortable for whatever time you have left,” I venture. “And you could stay at home.”
Again, his daughter looks relieved. And he seems … well … surprisingly fine with the plan.
I call our hospice service, arranging for a nurse to visit him later today to set up physical therapy and to begin plans to help him to stay comfortable — at home.
Back home
Although I never see him again, over the next few months I sign the order forms faxed by his hospice nurses. I speak once with his granddaughter. It’s somewhat hard on his wife to have him die at home, she says, but he’s adamant that he wants to stay there.
A faxed request for sublingual morphine (used in the terminal stages of dying) prompts me to call to check up on him.
The nurse confirms that he is near death.
I feel a twinge of misgiving: Is his family happy with the process that I set in place? Does our one brief encounter qualify me to be his primary-care provider? Should I visit them all at home?
Two days later, and two months after we first met, I fill out his death certificate.
Looking back, I reflect: He didn’t go back to the hospital, he had no more falls, and he died at home, which is what he wanted. But I wonder if his wife felt the same.
Several months later, a new name appears on my patient schedule: It’s his wife.
“My family all thought I should see you,” she explains.
She, too, is in her late 80s and frail, but independent and mentally sharp. Yes, she is grieving the loss of her husband, and she’s lost some weight. No, she isn’t depressed. Her husband died peacefully at home, and it felt like the right thing for everyone.
“He liked you,” she says.She’s suffering from fatigue and anemia. About a year ago, a hematologist diagnosed her with myelodysplasia (a bone marrow failure, often terminal). But six months back, she stopped going for medical care.
I ask why.
“They were just doing more and more tests,” she says. “And I wasn’t getting any better.”
Now I know what to do. I look her in the eye and ask:
“What are your goals for your care, and how can I help you?”
-Mitch Kaminski
THE important question.
This.
Anonymous asked:
dougbeyermtg answered:
*reads question*
*opens manila folder* *looks at detailed secret chart*
*chuckles to self*
*chuckles more*
*chuckling becomes cackling*
*oh so much hoarse, open-mouthed cackling at the ceiling with balled fists*
*notices anon standing there* *abruptly stops laughing* *slams folder shut*
*coughs* *composes self*
Oh, I don’t know. I guess one could say we plan things out… a ways ahead.
*tents fingers*
*looks back at folder* *opens folder and looks at chart again*
*resumes cackling*
*grabs chart and crushes it against chest*
YES, ONE COULD SAY THAT, COULDN’T ONE?!
*wanders away scream-laughing in hysterical fashion, smearing chart over face and crumpling it into hair*
*climbs onto surprisingly nearby pegasus* *kicks heels* *flies off*
*shrieks of laughter trail off to the horizon*
As before, we are a band of 6 playing D&D 3.5e. We are: an elven rogue (me), a psion who I think is a sorcerer, a ranger, a dim-witted half orc barbarian, a pixie, and a wizard.
DM: You all successfully escape the island with the supposed elven slaves. Thanks to the rogue, you have a chart, and know that it will be 4 days before you reach the docks of the next town.
We take time to finally introduce ourselves to everyone else in the party. I am at the helm of the ship, and one of the elf captives is up in the crow’s nest.
DM as captive, interrupting our introductions: Hey, can one of you come up and take a look. I think I see something.
Pixie: Be right there.
DM: When you get up there, the lookout asks you to take a look through the telescope. He also holds it for you, so you don’t have to struggle with that. You see another ship approaching your position fast, and you can feintly see some well-armored humans. You also notice that the other ship has no sails. Roll a d20 for perception, please.
Pixie rolls 25 after mods.
DM: You suspect that the other ship will reach yours in 2 hours, and you are very sure that the ship chasing you is the same one from the docks where you stole your ship.
Pixie, shouting down to all of us: Hey guys. You remember the humans from before? They’re back. We have may be 2 hours to figure out something.
We decide to wait for them to catch up. In the meantime, we are adjusting the barrels and other objects around the ship to give us a slight advantage in the coming fight. The ranger is now in the crow’s nest, the barbarian is getting psyched up and acting as a barrier to hide the wizard. I let one of the captives take the helm, and hide.
Me: I want to ready an action, so that the instant someone comes into attack range, I can get a sneak attack.
Ranger: Me too.
DM: The ship is now really close. Ranger can confirm that it is the same humans as before, except now many more of them are ready to fight. The front of their ship is now equal to the back of yours and…
Pixie, cutting off the DM: I fly straight to the ship, as stealthily as I can. *passes stealth check*
Everyone: WHAT?
DM, knowing where this is going: You make it to their ship, and no one knows you are on board. You hear a loud, unnatural noise from below, even over everyone’s shouting.
Pixie: I investigate the noise. *passing every single stealth check with ease*
DM: You fly down into the belly of the ship, and there you find a weird device, roll for use magic device.
*Pixie, again, passes by a lot*
DM, having enough: You notice that this device is powering the ships unnatural speed, and you disable it. Make another stealth check.
Pixie finally fails
DM: Thank god. A woman in strange clothing notices you and brandishes her weapon.
Pixie: I flee back to my ship. *passes the check again*
DM: The ship stops moving. You make it back. But 5 minutes later, you are in the same situation. The human ship caught up to you.
Me: You are gonna do it again, aren’t you?
The pixie manages to disable the engines 3 more times. The DM is not happy.
DM: THIS time, your ship stops in it’s tracks in the middle of the ocean. There is a path of ice between your ship and the human ship. ROLL FOR INITIATIVE.
Needless to say, the DM really wanted us to have a ship on ship battle.
You are transported into a High Fantasy RPG! You can’t leave until you defeat the final boss.
Along the way you’re going to have to clear out dungeons, solve puzzles, do quests, fight monsters, fix political problems - all the elements one would expect.
The good news is that you get to choose...
Bruce lee, and my homie Mackenzie.