Fanart is by Syurii22.
Toyosatomimi no Miko is a character in the Touhou Project series introduced in its 13th installment, Ten Desires.
Miko was once Prince Shoutoku, a Japanese leader in the 600s known for promoting Buddhism and streamlining the Japanese government. In the Touhou lore, she was visited by Taoist hermit Seiga Kaku, who had heard about Miko’s longing for immortality. Seiga introduced her to Taoism, but she rejected it as a religion unfit for placating an entire country. She was intrigued by its promise of immortality, however, and privately converted to it, advocating for Buddhism to keep Japan stable. After drinking an “immortality elixir” (mercury sulfide), however, she was forced to let go of her body and become a supernatural hermit like Seiga, notably taking on the form of a woman, making her a canonically trans character (
).
After convincing a hermit from a rival clan (Mononobe no Futo) to sleep without decaying, Miko followed in suit, waiting for a time where a Taoist Japan would revive her in search of guidance. However, Buddhist monks were able to keep her mausoleum sealed, and the legends surrounding her were slowly brushed off- which led to her transportation into Gensokyo, where the folklore of old is a reality of everyday life.
When she awoke in Gensokyo, it was right after Buddhist monk Byakuren Hijiri opened her own temple, however, leading to a surge of divine spirits across the realm, setting up the events of Ten Desires.
What look like headphones on her are canonically earmuffs- Shoutoku was allegedly able to discern between ten questions asked at once, an ability carried by Miko (although with her enhanced abilities, she can also analyze each person and determine their inner desires (thus the title of the game))- although it means her hearing is highly sensitive and has to be muffled to prevent pain.
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I know what I'm gonna do for my career after this year of kind of bumbling around in the literal first position I applied to and interviewed for. I'm definitely going to go for my Nurse Practitioner - likely focusing on family medicine/all ages rather than babies or adults only. I'm definitely planning on focusing on trans healthcare, probably more focus on trans youth but we'll see. Where I live, you generally need 4500 practice hours or 3 years of full-time clinical bedside experience before you can apply - year 1/1500 hours down. Also, it's kind of spooky that they let us prescribe with only 4500 hours of clinical practice and a handful of pathophys and pharma courses. There's another 1000+ advanced clinical hours just in the program, and you're supposed to have a supervising MD after graduating and wokring, but in terms of patient safety it's kinda... iffy. Just the reality of mid-levels, I guess, it does feel weird being handed that wide of a scope of practice to someone with that few of clinical hours.
There's an opening for an RN at an adult gender clinic in my organization but they want 1-4 years of adult mental health experience - I have 1 year of experience in pediatrics medsurg lol, there's been a number of kids with mental health admissions but that's maybe 5% of admissions. I think I have to change gears to adult mental health, which I LOATHE as an RN. You're expected to be nurse-cop in inpatient mental health it suuuucks, I hated telling people they weren't allowed out for a smoke, I hated feeling like I was manipulating people into taking their meds, for people with memory issues having to redirect them all the time "no you can't leave, come stay with me and we'll play cards" sucked because I was forever telling people they weren't free. The actual patients were fine, even the ones that had a history of violence or whatever, it was feeling like their jailer that sucked and in a lot of ways I fucking was. I identified way more with the patients than the staff, they called it "emotional transference" or something like that cause I yelled at the staff nurses when I was a student lol. Anyway, I really hate it, but if that's what I need...