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#but also if you have a skin infection which is severe i need to give you penicillins first line!!!
bisexualspace · 3 months
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something that bothers me every day at work are medication 'allergies' that just aren't true allergies
And i don't blame the patient's because its just poor education on our part on what classifies an allergy (probably should avoid the drug in future) vs a side effect/adverse reaction (we can use the drug in future unless theres an equally effective alternative with some supportive meds)
nausea/vomiting/diarrhea after taking a medication is almost certainly not an allergy, especially with antibiotics (antibiotics of all sorts are known to cause this as a side effect!)
the reason it bothers me is because so many people get slapped with 'penicillin allergy' which means you can have THE most effective antibiotics for several conditions (skin infections, chest infections, meningitis, gut infections are often in part treated with penicillins). Us using an alternative is possible but largely far less effective! And just because someone hasn't sat down and explained that its not an allergy!!
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jaybirdswriting · 9 months
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Injuries For Your Characters To Receive When You’re In The Mood For Angst (And How To Treat Them.)
A: A bite wound. (Wash the wound with soap and water, then cover the area with a bandage. Afterward your character will need medical care from a doctor to make sure that they aren’t going to get rabies or an infected bite area.) 
B: A sprained wrist. (Your character should ice the area and avoid activities that cause pain. It’s also important to compress the area with bandages (But not so much that it cuts off circulation!) and keep it elevated.) 
C: A stab wound to the stomach. (This is an emergency room visit because abdomens have a lot of vital organs. Just straight to the ER.) 
D: A concussion. (A concussion is brain trauma so your character really should be checked out by someone at the ER. Afterward they should take it mentally easy and possibly take pills for pain.) 
E: A black eye. (An ice pack on the swollen area should help.) 
F: A broken ankle. (Your character will probably need to go to the Doctor to get their leg splinted. After leaving the hospital they’ll need to take it easy on their foot until it’s healed.) 
More Undercut
G: A bloody nose. (Stay standing or sitting and tilt your head forward so blood doesn’t go down your throat. Then your character should pinch their nose until the bleeding stops.) 
H: Being scratched. (Clean the area with water and then use antibiotic ointment on the cut. Then cover the area with a bandage and keep watch for signs of infection.) 
I: A broken tooth. (Your character has a dentist visit in the cards.) 
J: Getting their hair yanked. (Your character would probably be fine. It would just hurt in the moment.) 
K: Accidentally biting their own lip. (Clean the area with a wash cloth and water.) 
L: A migraine. (Your character should turn off the lights and lay down for a bit. Possibly take a pill made for migraines as well if your character has any. Sipping on coffee and putting an ice pack on their forehead can help as well.) 
M: A broken back. (Your character will likely need a back brace for six to twelve weeks and to take it easy on physical activity.) 
N: A broken finger. (The finger will need to be immobilized until it heals, and casts that go the elbow are common because they stop the hand and finger from moving. Which gives it the best chance to heal.) 
O: A slash to the neck. (Your character is going straight to the emergency room.) 
P: A punch to the face. (Put an ice pack on the bruised area.) 
Q: A slash to the face. (Would need to be cleaned and bandaged and possibly stitched up depending on the depth of the cut. Would also bleed a ton because of the blood vessels in the face that are close to the surface of the skin.) 
R: A broken rib. (There’s actually not a lot you can medically do to treat a broken rib. Instead you’d be looking at icing the painful area and doing breathing exercises so you don’t develop pneumonia. Also rest will help.) 
S: Rugburn. (This can be treated with a little cold water, antibiotic ointment, and a bandage.) 
T: An electric shock. (If the shock caused fainting, severe burns, confusion, difficulty breathing, or heart problems, your character would need a trip to the emergency room. If not the burns could be treated with bandages and antibiotic ointment.) 
U: A dislocated shoulder. (Some gentle maneuvers might pop the shoulder back into place. If not your character will need to see a doctor. Regardless of how it’s fixed your oc should take it easy on their shoulder for a bit.) 
V: Stubbing their toe. (Apply ice and if it’s bad then your character should elevate their leg.)
W: A busted ear drum. (A busted ear drum can heal on it’s own a lot of the time. It might need surgery in a severe case.) 
X: A bullet wound in the shoulder. (Despite how small this injury is treated in a lot of media, this is probably going to be an emergency room visit. The bullet could either be fully removed or left inside depending on the circumstances. They could also either be sent home with an open or closed wound. Either way the wound will need to be cleaned afterward and it’s possible your character will have emotional trauma from being shot.) 
Y: A split lip. (An ice pack could help.) 
Z: A broken nose. (For a minor fracture that hasn’t caused a nose to become misshapen, it may be fine to not see a doctor. In that case you’ll need to ice the area and probably take pain meds. If the nose is crooked the bone might need to be manually realigned.) 
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cripple-council · 5 months
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@mundymae gave some great tips on this post about showering while physically disabled, here are some that i can think of rn! (some might be on the other list but i’m too lazy to double check lmao)
1. grab bars!!! great for ppl with balance issues and ppl who easily faint
2. low water temp, hot showers (especially with the door closed) can make u feel faint and also relaxes ur body, making it easier to dislocate/sublux shit
3. shower chair/shower table/changing table, shower chairs are great for ppl with chronic pain, ppl who can’t stand for a long time, ppl who faint easily etc. shower tables / changing tables are rarely mentioned, but are great for ppl who are severely mobility impaired who can’t use regular shower chairs/stools. there are also shower tables that function as bathtubs, which sadly is a luxury many times when u are severely disabled.
4. hand held shower heads, they are easier to use especially while sitting down, so u can make sure u clean yourself as much as possible. personal hygiene is difficult with the other ones that u can’t hold in ur hand, bc u can’t easily clean ur genitals and shit like that.
5. bring something cold to drink, water or those liquid iv’s or sport drinks, those can be very useful especially if u have hot water.
6. anti slip mats, these are great in showers AND bathtubs. what they’re for is pretty obvious based on its name, but when u are physically disabled (and these are great for ppl who aren’t as well) it is EASY to slip when loosing ur balance, when ur light headed or feel faint.
7. if it is possible for you i recommend those things/barriers on the floor that keep water from going everywhere, bc again, it is very easy to slip when getting out of the shower.
8. keep your phone close if you live alone or are alone when showering, and if possible, do not lock the bathroom door. if you have an emergency it is super important to be able to get help quickly and easily. if you live alone, it can be good to give a friend or family member your house/apartment key so they can help you. this has saved me many times after falling in general and not being able to get up by myself.
9. keep your mobility aids and disability aids close so you can use them after showering, if you use braces or compression socks it can be good to get to them quickly.
10. something i like to do is getting clean underwear and clothes out before showering so i can get dressed easily without having to dig out a bunch of clothes after showering when i’m exhausted.
11. sponges, sponges, sponges!!! especially on sticks. they are amazing when u can’t reach everywhere yourself.
12. if you are exhausted or in pain or whatever but really need to shower, only clean the most crucial areas. arm pits, skin folds, genitals, ass, where ever shit gets nasty. do not waste your energy on areas that aren’t absolutely necessary.
13. a tip for fellow fat disabled ppl, i mentioned it above but make sure to clean ur skin folds AND dry them properly after. if needed, powder or use creams. skin folds can easily get nasty with fungal infections and it hurts, it smells, and it’s not pleasant. areas to look out for: arm pits, under breasts, under stomach, groin and between toes.
14. keep everything u use to clean urself close, shampoo, conditioner, soap and whatever else u use. i have everything on a shelf right in front of me, i do not need to bend over or stretch to reach anything.
15. if your bathroom has a window it can be nice to open it to get some fresh air in there, otherwise i find that keeping the bathroom door open works fine too.
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bangtanficsforyou · 1 year
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They Reject You (maknae line)
Pairing: maknae line x reader (fuckboi! Jimin x Reader, Co-worker Taehyung x Reader, Idol Jungkook x Reader)
Warnings: swear words here and there.
Word count: 4.6K
Park Jimin
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"Well if it isn't my favourite girl." A voice slurs slowly, right next to your ears which makes you flinch in surprise.
"Jimin, gosh, what's wrong with you?" You say in an annoyed manner, immediately recognising the person. "Also, maybe keep some distance?"
Jimin pouts exaggeratedly and puts extra effort into widening his eyes for special effects. "Don't you find me being this close to you, heart racing-ly desirable?"
"Heart racing-ly? That's a new one," you snort and roll your eyes. "But to answer your question; no. It is not heart racing-ly desirable." 
"Lie all you want but we all know the truth," Jimin smirks and you can't help but wonder how on earth he manages to remain this cocky even when drunk.
"Cut the crap and stop wasting my time." You turn around to leave, not wanting to give Jimin the time of your day. From your previous experiences, you know that Jimin only ever causes trouble.
"I'm not feeling good, Y/N," he whines, all cockiness suddenly gone from his tone as he pleads gently. "Don't leave me."
You contemplate for a split second before huffing in defeat. "What do you mean by you're not feeling good?" 
"I don't know," he shrugs with a sad frown. "I just don't feel good."
Instinctively, you place your palms on his forehead only to find his skin to be burning hot. 
"Jimin!" You exclaim, your feelings of indifference instantly turning into that of concern. "You have high fever."
"That might explain why I was feeling so hot," he nods. "But I thought that was because of how attractive I am."
Any other time, you would have retorted with a comeback but right now you pay no attention to his words. "Come with me, we need to get you back to your room. You need rest." 
Much to your surprise, Jimin doesn't throw a protest and lets you hold his hand as you make way for the both of you through the partying crowd. 
Thankfully his room is only upstairs (one of the many pros of being a frat boy living in a frat house) and you don't have much trouble getting there.
Making Jimin sit on the bed, you look for medicines that can help with his fever. "How long have you been feeling unwell?"
"For about an hour."
You have half a mind to lecture him on how drinking should be the last thing he should have done while feeling unwell, but you decide to keep it in. Maybe when he's sober and in a better health condition, you will give him an earful.
Right now, it's more important to understand the severity of the situation.
"Did you stay out for too long at night? Or stayed with wet clothes on? Or something that might have led to you having a fever?" 
Jimin's drunk mind feels perplexed by the series of questions you're throwing his way. "Does it matter?" 
"Yes, it does," you respond shortly.
As a nursing student, you know how important it is to know the source of any sickness. If his fever can be tracked down to any possible cause, you'd have this reassurance that there's most likely nothing to worry about. However, if the fever seems to have appeared out of nowhere, there are chances that it may be a symptom of some underlying infection.
Your response makes Jimin think. Has he done anything in recent days that could have led to this? At first, nothing comes to mind. But after a few moments of intense brainstorming, something clicks in his brain.
"Does having two hours of shower sex count?" He queries seriously.
Your hands momentarily falter on their journey of looking for the first aid box but you recover quickly. 
"Should have expected something like that from you," you grumble in annoyance.
"Don't be mean," he complains in a whine. "It's not my fault that the sex was so good. Plus, she kept asking for more and you know I can't say no to that."
You slam the drawer shut and aggressively open the box, having finally found it. You take out a tablet and hand it over to Jimin with a glass of water. 
Once Jimin has taken the medicine, you arrange the pillows for him and take a blanket out. "Go to sleep. Let your body have some rest."
"Are you leaving?" He asks in a quiet voice, reminding you of a small child asking a question they already know the answer to.
"I don't think I have any purpose being here. I'll ask Jungkook to stay with you in case you need something."
"Jungkook won't take care of me the way you do," Jimin replies with a huff, thoroughly displeased with the idea of you leaving him.
"That's not my issue," you shrug.
Jimin switches to his last option, one that works every time and on everyone; his famous, irresistible puppy eyes. "Do you not have any sympathy for me?"
You scoff, your patience running thin. You really don't want to have a fight or speak your mind while he's having a fever, but if he continues to prod you this way, he will be responsible for the inevitable outburst.
Jimin feels unhappy with your lack of response and he attempts once again. "Won't you do this much for me? Please?"
That's it. The way his soft voice pulls at your heartstrings does it for you.
"Can you, for once, not think only for yourself?" You snap.
Now that was not the reaction Jimin was expecting. "What do you mean?"
"Don't try to play dumb," you roll your eyes and cross your arms. "Don't tell me you have no idea how I feel about you."
Although drunk, Jimin's mind registers the seriousness of your words and he immediately looks sheepish. "I don't."
Well, that's a lie and both you and Jimin know it.
A sarcastic smile appears on your face. "I'll spell it out for you, again. I like you Jimin."
Jimin looks down and starts fiddling with the end of the bedsheets as he nods, having no other response. 
You sigh, wondering why you expected any other, perhaps a more thoughtful reaction from him. Feeling disappointed with yourself, you make your way out without another word.
On your way, however, you make sure to find Jungkook and ask him to look after Jimin. 
Once you're out of the frat house and have booked a cab to your rented apartment, you sit on a small bench and take a deep inhale to relax. Sadly and much to your frustration, the emotions that have come to the surface refuse to let you have your peace of mind.
You really should have stayed away from Jimin, from the very start.
Your brain chimes at you and it reminds you that perhaps there's no one else to be blamed but you. You are the one who has been entertaining Jimin all in the name of not entertaining him. 
It was a frat party much similar to that of today's when Jimin had first tried to add your name to the long list of girls he has had sex with. You were surprised, caught off guard and admittedly a little flattered by his flirtatious actions but irrespective of that, you weren't willing to be a part of his list.
You had asked him to fuck off and to leave you alone. Which he had done at the time but only to return later with much more determination to win you over. By then, you weren't feeling flattered by his repeated attempts, you were annoyed. Something, which Jimin found amusing.
The more he tried, the more your annoyance flared and so did Jimin's amusement. It went like this for a couple of weeks.
Things started to change when you stumbled upon a drunk Jimin sitting alone on the terrace. That was the first time the both of you had a proper conversation with each other. It made you realise that the whole fuckboy thing he has going on, is only a small part of him. You realised that there's much more to the guy than what meets the eye.
From then on you stopped treating him like a guy whose sole identity was that of the 'campus fuckboy'. 
That doesn't mean that his actions stopped annoying you. But you sure found it more tolerable.
However, exactly when your feelings for him turned romantic, remains debatable. Was it the night when he drunkenly kissed you? Or was it when he drunkenly confessed that he enjoys your company more than anyone else's? You don't know. 
But you do remember, exactly when you realised that your feelings for him don't fall under the category of platonic. It was when you saw Jimin making out with a petite blonde in a bar. The pain and jealousy that shot through your veins was an indication enough for you to see how your feelings have bloomed into something more.
You, upon realising, did not hesitate to confess. His response to your confession was simple. He does not do relationships and he sees you as a friend.
You could do with that. You weren't expecting Jimin to return your feelings or to commit to you. After all, you were well aware of his lifestyle and how he likes having lovers instead of a lover. 
The only reason you had confessed to him was in hopes that he would stop trying to bed you and realise that it isn't just fun and games for you anymore.
Unfortunately, Jimin didn't stop with his antics.
Annoyed and angry, you had decided to cut Jimin off. But of course, he wouldn't have that. He would, in some way or the other, sneak into your daily life and cause a ruckus as if it were his birthright. 
Truth be told, you weren't hurt by his rejection as much as you were by his total disregard for your feelings and how his actions and choices could affect you. 
The events from today serve as another example of the kind of emotional turmoil he stirs within you. The question is how long will you put up with this?
Your cab honks to announce its arrival and it causes you to break out of your thoughts. You give a small nod to the man in the driving seat and get up. As you walk towards the cab, you make up your mind. 
You're not going to entertain him any longer. 
Kim Taehyung
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You: that's very mean of you 👿
You type with a wide grin plastered on your face.
Tae 🐻: mean? me? Never 🥺
You: putting that emoji won't help you 👿
Tae 🐻: ☹️
Tae 🐻: I sent you the snap of the chocolate because it reminded me of you 😔
You: that was NOT your intention 😤
You: you do this every time and then i start craving chocolates 😭
Tae 🐻: then have some 🙇
You: i have to complete the excel sheet by today :(:
You: which mean i can't go out
You: and if I opt for ordering online, I'll end up ordering a bunch of other stuff along with it and that won't be good for my wallet 
Tae 🐻: awwww
Tae 🐻: It's okay! I'll bring you chocolates tomorrow 
Tae 🐻: from your favourite brand 😉
You: you sweetheart 🥺
Tae 🐻: says the sweetest ❤️
A bashful giggle escapes from your lips when you read his text. He sure has a way with words.
You: now let me do my work
You: shoo
Tae: ☹️
Tae: I'm being chased away 
Tae: but okay xD
Tae: I'll let you get back to it. 
You bite on your lower lip to stop smiling like a fool and try to focus your attention on the computer screen. Keyword; try.
The butterflies in your stomach and the fluttering of your heart make it extremely difficult for you to think about anything else that's not Taehyung.
Gosh, he really is the greatest distraction of them all.
--------------------------------------------------------------
The next day, you find a big pack of chocolate from your favourite brand, on your desk. Attached to it is a note that reads for my favourite girl ;). You smile involuntarily and wonder what you ever did to deserve someone like Taehyung in your life. 
You sit on your chair and while the computer boots, you take a small bite from the chocolate bar. As you relish the sweetness that spreads in your mouth, you can't help but think of Taehyung and how much he has come to mean to you, in the few months that you have known him. 
When he first joined the company he was shy, barely talking to anyone and having a hard time socialising with his co-workers. It took him about a couple of weeks to get comfortable and once he did, there was no going back. He somehow became everyone's favourite. 
However, the way you two became friends is a bit different. 
Four months ago, on a fortunate day, there was a huge mishap with the data files. Small groups were formed to work on the mistakes and correct them as necessary. As fate would have it, you and Taehyung were a team. And the amount of jokes you two made about your higher-ups, were perhaps the only source of energy for you both to carry on with the work and ultimately, finish it. 
And those three intense working days were enough for the two of you to become friends. 
It started with having small conversations via text, which then turned into full lengthy regular conversations. In the midst of all of that, when the flirting began, you have no clue. All you remember are those nights when you stayed up late, talking to him and smiling into your pillow, feeling like a teenager. 
He would sneak little compliments and warm affectionate words that would have you looking like a tomato in a matter of seconds.
Most importantly, he has become one of your closest friends. He has been there whenever you needed him and has confided in you whenever he faced challenges. The bond you two share is something you treasure deeply. He has become such an integral part of your life that there hardly goes by a day when the two of you don't talk to each other.
It's one of those 'more than friends' but 'not really dating' scenarios.
You had never given much thought about giving a label to what the two of you were. You were happy having him the way you do. But recently, you can't help but think of taking things to the next level. You find yourself wondering what it would be like to call him your boyfriend. 
As the all too familiar windows tune plays, notifying you of the booting process being completed, you decide to subtly ask him about it. 
----------------------------------------
"Did you like the chocolates?" That's the first thing Taehyung asks as you take the seat opposite to him.
"Do you think I would not like it?" You answer his question with a question of your own. Because honestly, that's a very silly question to ask. Anyone who knows you knows how much you love chocolates.
Taehyung grins, his boxy smile making an appearance. "I mean, it would still be nice to hear it from you."
"Well, then, I loved it." 
He nods, satisfied with your answer. Placing one of his hands on his chest, right above his heart, he bows. "I'm honoured to know that."
You chuckle softly, endeared at his actions. "How was your day so far?"
He rolls his eyes. "Eh, the usual. Mina got some files messed up and I had to do twice the work to fix that."
"That sucks," you grimace. "Work has been so tiring lately, I wish we could take a small break from all this shit."
"Oh, that reminds me–" Taehyung exclaims suddenly, startling you, "–I have got these free tickets to a movie, would you like to go with me?"
Excitement bubbles in your stomach. "Sure! I'd love to."
"Then it's set! I'll let you know of the date and time later, okay?" 
You nod, feeling giddy at the thought of watching a movie with him. It won't be the first time for sure, but it has been a while since the two of you last did something like this. Work hardly leaves any spare time for rest and fun.
However, the thought of spending some alone time with him, makes your mind go back to what you had decided while you were devouring the chocolate. You clear your throat before bringing the topic to the table. "Tae?"
"Hmm?"
"What are we doing?"
He looks up from his food, with a confused smile. "What do you mean by that? We are eating lunch." 
You shake your head softly, and make your question more obvious. "What are we?" 
You see as his confusion clears out and his smile fades. A look of discomfort appears on his face as he swallows the food. "Well, we are friends." 
"Are we just friends though?" You raise a brow in question, not willing to accept his answer. 
A soft sigh escapes his lips when he realises he can't really back out of this or push the conversation away for some time later. "You aren't just a friend to me. I like you. I like you a lot."
You stay quiet, sensing that there's a but coming. 
"But I don't think I'm ready to be in a relationship." He adds, figuring out that there's no way to put it subtly. 
That wasn't the answer you were expecting and naturally, you feel disheartened by his words.
Taehyung notices the way your face has dropped and he immediately feels guilty. "I know I should have told you this before. My intentions weren't to string you along, I genuinely do like you–"
"Then why?" You cut him off, confused and unable to understand what could be the issue if he really likes you the way he claims to.
"I am scared it will distract me from my career."
Your first instinct is to counter his statement and say, it doesn't work that way. That relationships are not a distraction. But you hold yourself back from saying so. 
If he believes that having a relationship will distract him, you cannot force or persuade him to believe otherwise. If anything, you understand where he might be coming from. He has only recently joined the company and you know he has experienced financial issues while growing up. You can see why he might be scared of something making him lose his focus. Having an established career is what he wants and what seems to be his priority.
Although you have been hoping and looking forward to putting a label, you know you can't expect that from him anymore. You could try and ask him to reconsider his choices but what good would that do? 
Even if he were to get into a relationship, he would most likely still have that thought in the back of his mind and will keep worrying about getting sidetracked. What's the point of committing to someone if you can't really enjoy it to the fullest? What is the point of calling someone yours, if you can't fully feel the beauty of it? You see none.
"Maybe, we can wait for each other?" He suggests meekly, too scared to see what your reaction to the question is.
Now, waiting for each other and whatnot sounds really romantic in movies and romcoms but you have to remind yourself that this is not a movie. In real life, irrespective of the intentions the individuals may hold, somewhere along the line, something usually happens that causes chaos and turns things sour. 
"How about we just let things flow and see where it takes us?" You suggest as that seems like the best possible choice at the moment.
Taehyung nods knowing he's in no place to bargain. He will take whatever you will give him. However, it bugs him to no end when you spend the rest of the lunch in silence and with a frown on your face.
Jeon Jungkook
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"Can you sit still for a moment?"
The person in question, aka Jungkook, pays no attention to your words and hollers when something exciting occurs on the screen of his mobile phone. 
You sigh and place your palms on both of his cheeks and make him look up. However, the adorable sight of his squished cheeks, pouty lips and doe eyes wide in surprise, has you snorting. When you let go of your hold, he frowns, offended by your laughter.
"What's so funny about my face?" He grumbles.
You shake your head and apply blush on his cheeks. "You just looked like a real bunny for a second there, couldn't help but laugh at that."
He pouts. "That's supposed to be cute, not funny."
A fond smile appears on your face at his displeasure. "You're both cute and funny, I guess."
Jungkook grins at you, now satisfied. "Now make me cuter."
"I'll be able to do that if you stay still for a moment," you retort. 
Jungkook huffs and closes his eyes. "Fine! I'll stay still."
You hum in response and get to work. 
Being Jungkook's make-up artist was fairly easy. You just had to make his beautiful face appear flawless for the cameras. Nothing too difficult. Jungkook was friendly and so were the other BTS members. The pay was, of course, more than satisfactory.
Recently, however, being Jungkook's make-up artist hasn't been easy. It hasn't been easy being this close to him and keeping the fluttering of your heart under control. It hasn't been easy to see his eyes this up close and not let yourself get lost in them. It hasn't been easy to notice that small mole under his lips and resist the urge to kiss it. Oh no, it hasn't been easy at all. 
One might call you unprofessional and to be honest, you don't have much to defend yourself with. Rather, if someone questions your professionalism, you'd challenge them to take your job and not fall for the guy.
You think it's simply impossible.
But you see, that's the simple part. Falling. The consequences of falling, however, are where the complications begin. 
The very first question that comes to mind is; what are the chances that they might feel the same? Then one realises that there's no way to answer this for sure as it's only the other person who's aware of what they feel. Which leads to a major dilemma; to confess or not to confess. 
Confessing your feelings is a very vulnerable thing to do. It feels like exposing yourself at one's mercy. Like a delicate bud that you hand over and whether the flower will bloom or wilt, totally depends on the other person. 
It's beautiful yet scary.
For a long time, you haven't been willing to be that vulnerable with Jungkook.
All anxieties that come with confessing aside, you can't ignore the fact that he's a world-famous idol.
You are not worried about word getting out about you falling for him. You hardly think that it will cause a stir. If anything, the fans will probably make memes out of it and will agree with you on how impossible it is to not fall for the guy. The memes will be all over the internet for a few months and after that, they will be gone and will resurface every once in a while. That doesn't seem like much to you and you think you can handle it.
What does worry you is word getting out and you getting fired and not getting a job henceforth (you're pretty sure that the agencies won't take up on your 'don't fall for Jungkook' challenge). 
This particular fear is what has been holding you back from letting Jungkook know of your feelings. 
However, the thing with love is, you cannot bury it no matter how hard you try. It's like the sun that comes out to shine no matter what. Love blooms in the heart and it refuses to stay hidden for too long behind whatever fears the mind comes up with.
After all, in the battle of mind and heart, when has the former ever won? 
Once you're done with the finishing touches, you let Jungkook know that you're done.
Jungkook opens his eyes and they automatically land on yours. The sharp spike in your breathing rate and the loud thumping of your heartbeat, makes you look away immediately.
You clear your throat and take a slow deep inhale to calm your racing heart. "I'll put the lip balm and foundation in the kit. Just in case you need it."
"You say that every time before a performance as if you're not going to be backstage," he chuckles in amusement.
"Jungkook, the performance is in fifteen," Taehyung says loudly from the other side of the room.
It's like a switch being flipped on. Jungkook's eyes widen and he gets up from his seat instantly. Bidding you a quick goodbye, he exits the room in a hurry. 
You sigh in relief, finally feeling like you can breathe again. Taking a seat on the chair previously occupied by Jungkook, you stare at your reflection in the mirror. You notice the red hue on your cheeks and your lips part in awe at how flustered you look. Almost, as if you have run a mile. 
Something about this moment makes you come to a quick decision. For a long time, you have been toying with the idea of confessing but have always backed out every time you had a chance. But not anymore. 
You grab a small piece of paper and a pen and write down what you have been wanting to tell Jungkook.
You make it direct and simple and put it in Jungkook's handbag. 
The moment you zip the chain, you feel this urge to take the chit out and throw it in the dustbin but you somehow, withhold yourself from doing so. 
You are aware that he won't notice the chit until he's back in his dorms. The bag contains all the skin care products (handpicked by you) he uses before going to bed. Which also means you would have to wait until tomorrow when you're back to work to know Jungkook's answer. 
Seems like it's gonna be a sleepless night for you.
----------------------------------------------------------------
The next day, you go to work with nervous excitement. While in the car, you couldn't wait for your destination to arrive yet at the same time dreaded it. It's this mixed feeling where you can't decide what you want but in the end, realise that it's better to just get over it.
However, while you're walking towards Jungkook's make-up room, Namjoon calls your name.
"Y/N," he shouts to get your attention. Once he notices he has it, he walks up to you. "My dressing room is the other way." 
"I know that," you say with a small frown, wondering why he is telling you this.
"Oh," Namjoon realises that you're unaware of the changes. "You don't know, do you?"
You shake your head, your confusion only increasing. "Know what?"
"Jungkook has requested a new make-up artist. So now, you're in charge of my make up," he replies. 
Namjoon's words ring in your ears and you feel the world around you fade. You knew that there was always the chance that he doesn't feel the same way. You knew if that were the case it'd hurt but you'd accept it. However, you didn't expect Jungkook to do this. 
It feels like the unbloomed flower has been stomped by someone and you're left to feel the crushing pain. 
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A/N: if you wish to support me and want to have early access to all my works, consider visiting my patreon!
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whaliiwatching · 9 months
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Caught up to the fic!! Absolutely fascinated by all the queer/punk/poc history here, since I don't know much myself. Very sweet chapter as well.
Unrelated question - mostly - but why is it common fanon to depict Noir as the more scarred up of various spiderpeople? Naturally everyone has their fair share of fights, though the only we see sustaining any marks is Peter B and his misaligned nose. Personally, I've taken it as Noir Peter not healing as cleanly due to it being Spider God stuff over Weird Radioactive Healing Factor stuff. Thoughts?
thank you so much!! i’m glad you liked it, & hope the ending was satisfying for ya <3
short answer: hot
long answer, plus a map of my idea of noir’s scars: under readmore :)
i’m not a devout spidey comic/movie fan or a doctor. this is based on conjecture and minimal research!
when i came up with my unmasked noir ideas, i wasn’t influenced by fanon—i hadn’t seen any other fan art, not even when itsv came out. but i can think of a good few reasons that scarred noir is a popular headcanon: evidence of what he’s been through makes him feel more tangible/relatable, the visual difference enhances his thematic individuality as distinct from other spider-people (especially other Peter Parkers), self-consciousness can explain why he doesn’t take off his mask in itsv even around other spiders.
all perfectly valid and interesting reasons! but the first two reasons are doylist and the last one is missing a crucial question: why does he have scars? unless a wound is severe, gets infected, or gets lucky, it won’t usually scar. facial injuries especially need to be really bad to leave a mark. and of course most if not all other spider-people have the healing factor. so what gives??
i like the spider god’s curse influences healing factor idea; it opens up some nice angsty possibilities regarding an inability to Be “Fixed;” no matter how much he tries, he can’t erase/forget what’s happened to him. but i also enjoy the bandaging someone up after a fight genre of fic, and am annoyingly pedantic, so my personal working theory is that the healing factor is not a doctor with ten plus years of experience and an accurate understanding of human anatomy. when a bone really badly breaks, it has to be reset or it’ll heal wrong. to me, the healing factor doesn’t know what ‘right’ is, only ‘fast’ and ‘effective.’ it’s an accelerant, not a substitute for medicine.
so let’s establish the baseline. modern spideys either receive modern medical attention or the injury is superficial enough that they don’t require it. even poverty-stricken peter parkers get rushed to the hospital, because fictional doctors Don’t Care About The Money and/or peter is dolled up in spider gear and who’s going to ignore a visibly beat-up celebrity hero?? plus i honestly believed peter b’s nose was just genetics or smthn. my nose is misaligned and it’s never been broken to my knowledge
to compare, noir lives in 1933 and, far as i can tell, doesn’t rlly garner the same fame and respect from the public as modern spideys do. in the 30s, medicine was meh (they had x-rays but didn’t rlly consider radiation much of a threat, penicillin was still in its infancy, polio was a huge threat, etc) but was also, more importantly, far too expensive for most people suffering during the Great Depression. whatever treatment noir receives after a fight, if any, would look way different from ours. that means his healing factor, which can’t differentiate scars from normal skin or a misaligned bone from a whole one, would be inefficiently assisted or left alone. it would leave its history behind.
on the infectious disease side of things, it’s probably much easier for even noir to recover from less physical ailments like the flu and pneumonia—spider healing factor likely remembers and codes for immunity better than regular immune systems—but without modern drug therapies he’d still be worse for wear, ie internal scarring. mans would have a shorter-than-average parker lifespan if not for the pseudo-immortality of the Spider God
anyway. all this to say, here’s my personal map of parker’s scars. crop tank and daisy dukes to keep tumblr off my ass <3
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(tbh this is more for my reference than anyone else’s, i’m sick of looking through my art of Just His Forearms to keep my details consistent, but maybe someone will find it interesting lol)
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sneez · 1 year
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more of my oc tervis (any pronouns), the creepiest most miserable little weirdo in town. which is saying something [id under cut]
/ ID: four digital drawings.
The first image is a series of drawings of Tervis on a paper-textured background. A heading at the top reads 'Tervis (Humble)'. One is a coloured headshot of Tervis looking to the left; they have a gaunt face, short receding hair, a scar bisecting their lip and right eyebrow, greyish skin, and are wearing a red shawl around their neck. An arrow pointing at their right eye reads 'one blue eye (mostly blind)'; another arrow pointing at their left eye reads 'one brown eye'. They have a serious, hostile expression. The second drawing is an uncoloured full-body sketch of Tervis. Next to this is the same drawing but coloured and with more polished lineart. Tervis is a thin, hunched figure wearing a long, dark brown robe, a greyish bag on their back, and a red shawl around their head and neck. They are barefoot, and are leaning on a walking staff with both hands. An arrow pointing to the walking staff reads 'needed for walking, useful for hitting'. Tied to the belt around their waist are several long scrolls of paper with writing on them. An arrow pointing to the scrolls reads ''blessings' they paste on infected houses'. Tervis is looking warily out at the viewer from beneath their eyebrows. An arrow pointing to their head reads 'scar from getting hit in the face with a brick (also knocked out a tooth)'. Alongside these drawings are a series of bullet points giving information about Tervis. These read:
   indeterminate age, indeterminate gender
   religious fanatic (unclear which religion)
   lives alone somewhere in the steppe
   dislikes everyone but is nicer to children than anyone else
   has every disease
The second image is a fake screenshot from the video game Pathologic. Tervis is looking out at the viewer; the background shows scenery from the steppe. The text on screen reads:
CHANGELING: I still don’t see what you could have done that would make you personally responsible for this plague. TERVIS: Responsible… no, not merely responsible! This is my plague, cast upon my head alone. I am the originator; my sin is at the root of all. I have ventured into the town. I have seen the canker there. No matter how many houses I bless, my sickness sinks deeper. The rotted limb is the death of the body… Surely you understand me. You are a healer, are you not? CHANGELING: What is it that you are asking me to do? TERVIS: Let me be the lamb, worker of miracles! My blood shall wet the earth, and bright flowers shall grow… My putrefaction will provide the soil within which new life will burgeon, pure and free of sin and decay. Let it be done. I am ready. My failing flesh is but little sacrifice; in death my weakness will be my strength. Soon these torments will be at an end.
Below are two dialogue options:
You’re insane!
What makes you so sure your death would solve anything?
The third image is a fake screenshot from the video game Pathologic 2. Tervis is looking out at the viewer, and has been painted in semi-realistic style. The text on screen reads:
Tervis: Why do you force me to live? Damn you! Your cure is poison to me. Now I shall never be blessed. You should have left me to bleed.
Below are three dialogue options:
Don’t be absurd. I wasn’t going to watch you die.
What makes you think you deserve suffering?
I wish I had.
At the bottom of the image is a line of dialogue which Tervis has just spoken:
The air is foul. There is rot in this place. The stench of corruption shall be – what was it? What was it? The stench of corruption shall be… swept aside…
The fourth image is a coloured scene depicting Tervis and Clara. They are central in the composition; around them is the steppe, which has been rendered in a loose, painterly style. Tervis is kneeling, their walking staff cast aside, and are reaching out their hands to Clara in a desperate, pleading gesture. They are crying, their face contorted in an expression of agonised ecstasy. Clara stands beside them, one hand reaching out, the other held above Tervis’s head as though about to touch their brow. She has a solemn, pained expression. Behind her head, a break in the dark clouds gives the impression that she is haloed by sunlight; rays of the same light fall onto Tervis, illuminating their face and red robe. End ID. /
#artwork#pathologic#tervis!!!!!!!!!!!! :-D#sorry i know ive already posted that fake p2 screenshot i just wanted to keep all my tervis images in one place. please forgive me#i am having. So Much Fun. i would explode and die for tervis shes the worst i adore her#making fake screenshots is so enjoyable i love trying to match the fonts and copying all the little ui details it's so fun highly recommend#i have a lot of tervis lore which i am still developing but hopefully these drawings give you some idea of his character#hes just a mess really. hes got every imaginable problem#that last drawing is her getting sacrificed in the humble ending. she is SO happy about it#also if you didnt see my last post tervis was originally a warhammer 40k oc (which he still is ive just made a bonus pathologic tervis now)#but ive tried to keep a lot of 40k stuff in her design like the blessing scrolls and the uh. Posture#that's also my reasoning for why nobody knows what his religion is. the watsonian explanation is they are just spouting incomprehensible#disjointed passages from some obscure scripture which nobody can identify (and who would want to try really. tervis is not good company)#but the doylist explanation is that it's literally just the cult mechanicus. just ignore all the references to the weakness of the flesh and#the glory of the machine it will all be fine nothing weird here at all#anyway :-) i could talk about tervis forever but i will stop now#i hope you are all well my dear friends! i am on holiday now wahoo#i am also aware that i have several messages to answer which i will do very soon i am so sorry for being so slow as usual#i love you all i am giving you individual kisses on your individual heads. mwah
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bogleech · 2 years
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“phobia safe” tick facts post
*LINKS* CONTAIN TICK PHOTOS, POST ITSELF DOES NOT!
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Ticks are some of my favorite animals, but some species are a public health threat. It’s important to understand dangerous things, but also understand them as a part of nature, so this will be a little like my bug facts post for just ticks specifically. Links are provided as information sources but most will contain photographs of actual ticks, in case that isn’t something you want to see unexpectedly.
-----TICK SAFETY AND MYTH-BUSTING------
Ticks are arachnids. If it has six legs, antennae or wings, it is not a tick. A tick has a rounded body and eight obvious legs, with no other appendages.
Mites are their closest relatives. Many large mites can be mistaken for ticks, but will have differences in body shape and leg arrangement.
Know their shape. Even if just a photograph does make you squeamish, you will want to know what a tick looks like before you might go hiking or camping. Their flattened bodies are seed-like, their mouthparts stick out the front end in roughly a rectangle, and the eight legs are gently “curled” or “curved.” A tick never has sharply jointed legs like a spider or insect!
Ticks can be dangerous in two ways. some tick species actually produce venom that can cause paralysis, while others can be vectors for viruses, bacterial infections or protozoan parasites.
Ticks cannot transmit just any disease. A pathogen has to adapt specifically to take advantage of ticks as vectors, and are thus referred to as tick-borne illnesses. Here’s a list of them. A tick must also pick up a disease somewhere, so for instance, every individual lyme tick does not always harbor lyme disease!
Ticks don’t fly or jump, but wait in ambush. To find its next host, a tick goes “questing” (video) and will typically perch on foliage with its forelegs outstretched, especially grasses and dry shrubbery.
Taller grass doesn’t necessarily worsen tick populations. If there are ticks in your yard, you won’t reduce them by mowing more frequently. However, shorter grass makes it easier to avoid ticks, since taller grass gives them more vertical space to climb.
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*Giemurou from Tensou Sentai Goseiger is, of all things, a tick-themed Kappa
Ticks are attracted to CO2. In another post I talked about how “dry ice” is sold in some places for camping coolers, but that it happens to attract ticks like mad. If it’s legal to purchase in your area, a little dry ice can even be used to attract and trap ticks in your own yard.
"Our” ticks attach firmly and must be removed carefully. The ticks that tend to attack humans are “hard ticks,” which feed long-term by embedding their mouthparts in the skin, where they may remain for several days.
DO NOT smother, burn or squeeze an attached tick. This can force the tick to regurgitate directly into the host’s blood stream, increasing the likelihood of infection. See the previous link for a graphic on safer removal.
If you remove an attached tick, take it to a doctor. Keep the tick as intact as possible in a tight container, and call a doctor or hospital as soon as you can. Many places can have a tick tested for infectious agents.
Watch out for their eggs, too. Tick eggs are tiny, sticky and laid in blobby clumps resembling fish roe!
Hard ticks swell after feeding. A flat tick is a tick that hasn’t bitten anyone yet. A round, bloated tick is a tick that has recently finished a blood meal, and sometimes a female that has gone on to mate and fill with eggs.
Ticks are NOT related to fleas. I’ve seen some people use the two interchangably. Fleas are actual insects, and dealing with them is a very different matter.
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*What were dubbed as "vampa beetles” from Dragonball Super: Broly are actually giant ticks!
-------TICK BIOLOGY FACTS-------
I think I’ve covered everything you need to know about ticks for your physical well being, but I think it’s equally important to understand and respect dangerous wildlife as a part of nature, so the following is just for educational fun.
It’s not their fault they’re such a problem. As with so many other things, the threat of ticks has been greatly exacerbated by human recklessness. Deforestation and climate change have greatly expanded their range while a loss of natural predators has boosted their populations.
Sloths have special giant ticks. Many ticks find a sloth’s body inhospitable, but one of the largest on Earth feeds on sloths exclusively.
There are two major types of tick, but one just doesn’t bother with us. “Soft ticks” are named for their leathery appearance, and often look “headless” with their mouthparts underneath the body. Some species will bite humans and can transmit disease, but the majority of soft ticks target birds, bats or certain reptiles. These ticks also feed for only a few seconds or minutes at a time, rather than attaching to skin!
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*“Daniel” the tick Yo-kai appeared in Yokai Watch 4! I am now almost out of pop culture ticks that don’t look like the real thing. That was fast :(
At least one known tick practices maternal care; it also “goes vegan” as it matures. Antricola marginatus is a soft tick found in bat caves, and as an adult, it switches from feeding on blood to eating bat droppings on the cave floor. However, since the young still require a blood meal to develop, the mother will regularly carry them all the way up the cave wall to feed on bats, wait for them to climb back onto her dish-shaped body, then return to the cave floor so she can eat more poop. Ticks can be incredibly long lived without food. One researcher kept a small colony of soft ticks for 27 years without feeding them blood ever again. This only ended with his retirement from the lab; we still don’t know how much longer they might have survived. Ticks invented their own unique sensory organs. The “haller’s organs” are a tiny pit in each of a tick’s front legs, which detect not only the CO2 produced by host animals but can measure surrounding temperature and humidity. Ticks also have a “mystery” anatomical feature. In this microscopy photo of a tick’s mouthparts, you’ll see two porous depressions highlighted in pink. These are present only on female ticks, and we don’t know what they do. A tick’s “head” and “body” are one big segment, sometimes with eyes. This is also in my general bug facts post! What people think is the “head” of the tick is just a capsule housing all the mouth parts. A tick is anatomically more like one big walking “head” and some species have a pair of little, well developed eyes on their sides. Immature ticks have six legs. Eight legs aren’t really a requirement to be an arachnid, just the maximum number any true arachnid normally has. A new pair of legs develop with the tick’s first molt, shortly after its first blood meal.
Ticks can be beautifully patterned. Link goes to two rhinoceros ticks with amazing markings!
 Ticks are a part of the nutrient cycle. You’ll often hear that a given creature is important as food for other animals, but it does go a bit deeper than that: by feeding on the blood of larger animals, ticks are “taking back” nutrients “locked away” in those animals, making them available again not only when the ticks are eaten by other predators, but even when the surviving ticks pass away and decompose! The total biomass of parasites like ticks is a constant supply of energy returning to the local food web each and every day. Parasites in general guide evolution and shape ecosystems. Everything about a given animal is an adaptation to deal with its environment, and as parasites are present in all environments, they have an influence on every aspect of their host species. Ectoparasites like ticks drive the evolution of such behaviors as social grooming, mud-wallowing, mate selection, migration and even where or when an animal grazes.
The best tick control will always be natural predation. Anything that will eat small arthropods will eat a tick, and anything that will eat a tick-infested mammal is both directly eliminating ticks and regulating their long term blood sources. You may know that opossums eat ticks, but it’s probably not any more than any other omnivore or insectivore, and most important of all may be snakes!
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gracien-system · 11 months
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How to be safer when doing self harm.
We've seen a lot of posts talking about how there needs to be more resources for folks who self harm on how to do it safely, and how resources are overly focused on prevention rather than harm reduction. We realized that we have the knowledge to at least contribute to the "how to do this safer" side, and... well, this post is our attempt at that.
I will note that we are not medical professionals -- our mother was, for about 5 years, though, and so was our great grandmother. We've also done enough research to feel confident that we can give at least a general guide and pointers on how to reduce the risk of long term damage from self harm, but we're human -- if we make a mistake, and you happen to know that it's wrong, point it out in the notes. We'll reblog your version.
With all that being said, the info's under the readmore.
When it comes to self harm, there are a lot of methods that people use -- however, physical self harm generally has a few common presentations.
Cutting, scratching, and burning, are the 3 we're going to cover here. We'll go in order, top to bottom.
1: how to be safer when cutting
The first thing you want to do is pick your blade. A razor blade is much different to a knife, and both are different to a shard of glass, even though the aftercare remains similar.
The general guidance we can give is this: make sure whatever implement you use is as sharp as possible, and avoid serrated blades as much as you can. A simple kitchen or pocket knife is probably the safest option you have.
Whatever you use, make sure you sterilize it to the best of your ability beforehand. Dunk it in hydrogen peroxide or alcohol (pouring either over the entire length of the blade works, too.), or take a lighter and run it down the entire length of the cutting edge (this will fuck up the heat treat of the blade, and make it much harder to keep it sharp in the future, so I wouldn't recommend it for anything you'd like to reuse, but it is and option if necessary).
When you cut, pick your location carefully. Avoid the wrists and lower arm (there are a lot of veins and nerves you could accidentally damage or sever, which is a bad time.) a nice rule of thumb (though it may not work for everyone) is "if you can take your other hand and feel bone on both sides of the arm, it's probably too low". Make sure you don't cut lengthwise -- if you accidentally catch a vein going lengthwise, you'll almost certainly end up in the ER or worse, whereas going horizontally has a much lower chance of something catastrophic happening.
Other places to avoid cutting are: inner thigh (nearby artery), and the groin (extremely high bloodflow region).
While cutting, to avoid infection, it's important that if you set your blade on a hard and non-sterile surface, you wash it with alcohol or peroxide before using it again.
Try to avoid cutting deep -- muscle damage is hard to heal from, and nerve damage is harder still. Skin deep wounds will scar, but muscle deep ones usually require stitches.
Once you're done, wash the wounds and your hands with soap and hot water, then a disinfectant. Dry them with a towel or paper towel, then put bandages over them (or bandaids, if they're small enough.)
How to apply a bandage: get cotton pads, gauze, or something similar, as well as tape. Press the gauze against the wound, then tape it to the surrounding skin. Change once every 4-6 hours (or until you can see blood on the exposed side, whichever is sooner.) until the bleeding has stopped, then once every 6-8 hours until it has healed.
You've minimized your chance of infection, scarring, and permanent damage. Good job. We're proud of you. /gen
2: how to be safer scratching.
With scratching, you want to make sure that you wash your hands thoroughly before and after, especially under your fingernails. A good way to make sure that your fingernails are clean is to take some soap, put it in the palm of your hand, then scratch the palm for a few seconds under running water. Do this with both hands.
If you draw blood, make sure to disinfect and bandage the wound. If you don't, make sure to wash it afterwards.
Scratching carries of a lot less risk of permanent damage as opposed to a lot of other methods, but has a much higher chance of infection if you draw blood and didn't disinfect your hands. Just be careful, and you should be fine. We're proud of you. /gen
3: how to be safer burning.
We can't advise on the method as much as we would like to, here, because there are a lot of ways to burn yourself. We're going to assume lighter, but the advice we give should be applicable to most localized 1st and 2nd degree burns. If you give yourself a 3rd degree burn of any sort, no matter how localized, you need to see a doctor as fast as possible.
1st degree burns are comparable to a (mild to moderate) sunburn -- uncomfortable, potentially risks infection if not cared for properly, painful, and just generally not a great time, but not very dangerous if treated properly. Standard protocol with all burns is to wash the affected area(s) in cool water for 30 seconds to a minute immediately after the burn. With 1st degree, it's your choice whether you want to apply something like allo or lotion to it, afterwards. It might help reduce pain and/or help it heal faster, but it's your call. Just make sure to keep the area clean and cool.
2nd degree burns are more serious. Depending on how big the area burned is, you might want to see a doctor, but that's up to the individual. If you want to treat it yourself, wash for 30 seconds to a minute in cool water, then apply a lotion or allo to it. Once you've done that, apply a bandage over the area, and let it heal.
We aren't an expert in identifying what is first, second, and third degree, in terms of burns -- but there are plenty of resources our there to help you with that. If someone adds one to this post, we'll edit this to include it.
Congrats, you've minimized the risk of long term damage. We're proud. /gen
Closing notes
We know there's a lot out there that would like to say that recovery is an on/off switch. It isn't. The best way to recover is to minimize the harm as much as you can today, and and work towards other coping mechanisms as you can. Don't believe that you're lesser, somehow, for needing an intermediate step, or intermediate steps.
We hope you have a wonderful rest of your day/night, and we wish you good luck -- both in your recovery, and in your life.
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i-eat-worlds · 2 months
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okay worlds i need your medical knowledge again.
i have a character in an apocalypse setting with no professional surgeons or doctors or hospitals in reach. they have a burn from below the left hip to the ankle, covering almost the whole leg. they have access to pharmacies, medicines and bandages, as well as five other people to care for them. i'd like the burn to be third degree, but I also need them to survive.
what is the worst degree of burn I can give them? is a skin graft possible for someone with limited medical knowledge to perform? what are the treatments, how long would it take them to get out of critical condition, and how would I ensure they survive without a professional doctor?
burn traits right now are flexible. if I can't burn their whole leg that's okay lol
thank you worlds I appreciate you <3
- @whump-kia
Thanks for the ask Kia!
disclaimer: I am not a medical professional, I’m just a nerd. Take all of this with a grain of salt. Or several.
Okay, so the severity of burns is determined by a two factors: How much skin in burned (measured by the percentage total body surface area burned. You’ll see it abbreviated as TBSA) and how deep those burns are (first degree or superficial, second degree or partial thickness, or third degree or full thickness).
The burn you’ve described (in my unprofessional opinion) would be about 18-15 % TBSA. Keep in mind that the burns wouldn’t be only third degree, their edges would be second degree, and it would sorta “fade in.”
It’s also important to take into account which areas were burned. Burns to the face, hands, genitalia, or major joints are more severe. Your injury includes a knee, which is another area of concern.
Other important things:
For a variety of reasons, burns consume a lot to fluids. Your character is at risk for dehydration and hypovolemia. In non-apocalyptic environments, they’ve be given copious amounts of IV fluids to replace what they’ve lost. This is primarily a concern in the first 24 hrs.
Hypothermia is also a concern. One of the skin’s big jobs it to insulate the body. If a large surface area has been damaged, your character will start to loose heat. They make things called “burn sheets” to help with this. They’re sterile and are designed to insulate and not stick to burns. If your character has access to a pharmacy they might have some of these.
Cytokines are a proteins that affect the immune system. They’re released when the body experiences a significant injury, like a burn. Sometimes, too many are released, causing a condition called cytokine storm. This results in feelings of fatigue and nausea, a fever, and a drop in blood pressure. This is seen around 48-72 hours after injury.
Eschar is a hardened tissue that can develop with severe burns. If the burn encircles a limb, the eschar can put pressure on the limb, cut off blood flow, and cause compartment syndrome. This doesn’t always happen-the skin can also slough off. This is sometimes called “skin slip.” I would not google photos of this unless you are brave. Infection is another big issue. Infected burns will be purulent, smell awful, and be extra painful. Burns are prone to tetanus, so I hope your characters booster it up to date. Infection can eventually lead to sepsis.
———
Treatment:
In the environment you’re in, treatment is going to consist of having your character drink lots of fluids, keeping the burn covered in clean, sterile dressings, and providing pain medication if available.
Their mobility is going to be limited, and they’re going to need help to meet a lot of their basic needs: toileting, nutrition, etc.
Without access to a hospital, there’s not a whole lot that can be done. You mentioned skin grafting, and that’s basically a hard no. It’s extremely painful, creates another open wound, and carries a high risk of infection. A surgeon doing a skin graft in this situation is unadvisable, a non-surgeon attempting this procedure is highly unadvisable. It’s best to keep them warm, hydrated, and comfortable, and keep the burns clean and covered.
———
If you want a better, more probable good outcome, I would change a couple of things. First of all, I would reduce the amount of surface area the burn takes up. Having the burns of just on the thigh and the calf would remove the knee from the equation and make the injury less severe. Furthermore, I’d make most of the burns second degree. You can have some smaller areas of full thickness burns, but second degrees will heal quicker, and, because they leave nerve endings intact, they’ll hurt more! More superficial 2nd degree burns should heal in one-three weeks, and deeper 2nd degree burn might take as many as nine weeks. If the burn takes longer than two weeks to heal, it will likely scar.
Hope this was helpful!
Sources:
Blood on the Page by Samantha Keel (cannot recommend this book enough)
StatPearls: Burn Evaluation and Management
StatPearls: Burn Evaluation and Resuscitation
Cleveland Clinic: Second Degree Burns
Cleveland Clinic: Third Degree Burns
Physiopedia: Burn Shock
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magnuficent76 · 7 months
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Okay god some fun facts about Melaine and zir's transformation because. I'm insane basically. Under cut because this does delve a little into body horror/fucky wucky medical malpractice territory !
◆ People think Mephisto is unhinged for turning himself into like 3/4s machinery counting the organs they replaced, but they never consider Melaine being just completely off the doorframe with the amount of shit she does to herself.
◆ She was always obsessed with the idea of a perfect lifeform, and she found it in bugs. Even before she lost Jonah she was actively working towards doing some fucked up experimentation on herself. It started with an obsession with dissecting things, then came the whole doing chemistry to achieve things never before dreamed of... girl hobbies.
◆ The mutagen ze eventually creates essentially works by reactivating particles in the skeletal structure (which are usually less active by the time you reach full maturity and die slowly with aging), and then giving steroids. The bone had to puncture out of the skin [which ze removed zirself and then left exposed with only some fucked up cloth around it for it not to get infected] and then reajust itself with both the humerus, cardio and ajul, since ze was basically making up new body parts for herself. The body didn't react all too well to the first transformation however so ze had to perfect the formula before moving on to zir arms and legs, so human experimentation was on the menu again babyyyyyy.
◆ Ze grew the green eye on the left side on her lab inside a jar, with the intention of mixing human eye capabilities with the mobility of a mantis eye, thus why the pupil is so small constantly. In order to actually install it, she had to burn the original eye [to make taking out its dried shell off the socket easier] and put in the new one really fast, so the nerves would still be fresh and could easily latch onto the new receptor. It was scary, being blind temporarily while it was healing, but it was worth it ! For science !!!
◆ I like to think that although her experiments are all obviously unethical, there's not ever miscommunication for what ze is doing. Melaine finds locally sourced freaks around the planetary system and asks them "hey, wanna be half bug" and depending on the answer, she brings them to her lab and give them more bones than they know what to do with. Most of them stick around, mainly because its free shelter, but also because Melaine is just... a nice boss. They get free superpowers at the cost of a little humanity, and then they also get a brand new spankin' job ? With paid vacation nonetheless ! Most of the big companies don't even offer that ! So ze has a bunch of goons around the lab at all times. Helps keeping the whole operation hidden too, all things considered.
◆ Her skin is REALLY weird now. Its a halfway mix of scales and really smooth human skin, since the keratin plaques growing on a lot of parts of her body are distributed kind of unevenly for now. The "metamorphosis", according to her, "Was never meant to be linear, and its okay that its not perfect yet. Larva need to grow into adults before the true glory of their form is revealed". It DOES hurt a bit to have them form but hey, anything for science.
◆ Nowadays, ze keeps zir head mostly covered with zir's cover-up hat thingie, since the chemicals ze uses are NOT good for the scalp, but the actual hair isn't really being mutated much at all. Sure, ze keeps it shorter nowadays for convenience, but ze still cares a LOT for it. Appearance may not be why ze started the mutations, but you bet your ass it means a lot to zem.
◆ RAVENOUS apetite. Due to her basically growing like every single day (and her current form is only technically an "intermediate" stage), she needs really high quantities of calories in order to remain stable, but sometimes she just... forgets. Technically she can go several days without needing to eat, even if it stalls the metamorphosis slightly, but its still considered safest for her to at least have one big meal every day. She forgets though– more often than she'd like to admit– because she's busy with other work. She runs around the lab every single day in order to keep up with progress on people's own projects, as well as keeping up with family, and just doing regular work as a doctor [More people would rather be treated by the giant mantis lady than die out in a desert, I imagine], so she just... doesn't remember her own necessities. More often than not her minions have to drag her to bed in order to get her to stop working on something.
◇ ...She used to have Jonah cook for her. Her food never tasted as good as when he made it for her, so maybe she just resents eating anything else that isn't made by him.
And das all heehoo !!!!!!!
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ordinorultor-if · 12 days
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Some Physical Descriptions, pt.2
Hilda/Hilmar Hardrada
Imagine a stereotypical viking. Now give them an ice saw and cover them in scars. That's H. Built like a brick-shithouse with height to match, H is imposing in spite of their friendly nature. The fact that they have a penchant for wearing furs, thus adding volume to their silhouette, compounds this.
H's torso and arms are crisscrossed by all sorts of cut and stab scars, but their most noticeable scar is a graze wound on the right side of their head, which prevents their golden hair from growing there. Their scars aren't the only man-made mark on their body, however - they, and both of their younger siblings, have a kraken tattooed over their heart, in memory of their mother.
From what they say (and what a half-Ostrowegian MC can remember), H mostly takes after their father.
It's not a perfect match, but a good way to imagine H is Eivor from AC Valhalla. Best part is there's male and female variants for both characters, lol.
Dagrun/Dagobert Hardrada
D looks about like you'd imagine a mage to - thin and lanky, a penchant for dark-colored hooded robes, pale-skinned, and long haired, with their jet-black hair reaching all the way to their waist. When engaging in combat, they, like H, make use of chainmail and padded leather, though unlike H, D also makes use of a breastplate.
Despite their lack of room organization, D makes certain their person is immaculate. Many times has their elder sibling tried to catch them with even a speck of dirt on them, and many times have they failed.
Since D lacks both the frontline combat style and... adventurous... lifestyle of their older sibling, they are mostly mark-free, with two major exceptions: their lower-right arm, which is almost entirely scar tissue, and the space over their heart, which, just like both of their older siblings, is tattooed with a kraken in memory of their mother.
Much like how H claims to mostly take after their father in terms of looks, D (allegedly) mostly takes after their mother.
Charlotte/Charles de Alençon
C is basically Wolverine the shortest of the cast, but they're still fierce - they're even the second-most muscled RO, after H.
C is a more martial focused person due to their circumstances, and they have the looks to match. Much like B, they wear leather armor even at home (and change into plate when preparing for battle), and they keep their hair relatively short, only growing it slightly down their back (a little past their armpits, if I had to give an exact spot). Charles also declines to grow much facial hair (which he gets teased about, if B is also male.)
Despite the constant need to defend their territory, C actually has relatively few battle scars. In fact, their most notable scar is actually of medical origin, the result of a surgery performed as a young child to try and prevent improper bone growth in their left arm.
Florence/Ferdinand Anglouême
F is... the way I'd describe them is 'average but pretty'. Despite this, F is the one who probably cares the most about appearances. Much like D, they're never seen with a single speck of dirt on their body, and this extends to their outfit. F actually wears rather fine clothes, befitting their status as a duke/duchess.
Ferdinand is one of the two ROs to have facial hair. Unlike Hilmar's beard, however, Ferdinand's mustache is rather well contained, and he takes great care to make sure it's prim and proper. If you want an idea of what Ferdinand looks like, Aaron Taylor-Johnson in Anna Karenina isn't the worst illustration, different hair color aside...
F has several scars on their body, with several concentrated where their neck meets their left shoulder, underneath their right armpit, and around their groin. They also have a handful on their nose and some other extremities. These scars are the result of plague, which infected both them and their father, claiming the latter's life.
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todderwodders · 2 months
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Can I get a letter from The Urge to a member of his family?
I'm writing Letter Fic!
Veronica, You wrote to me several days ago, of which I am sure you are aware. How strange it is, that we do not live in the same house - that you are now a wife and a mother. I know I see you often, but I feel it is is not enough, especially upon the arrival of your first child. I ask that you let me visit, at least for a little while, perhaps a tenday or so, while the babe is still fresh and in need of as much care as yourself. I noticed when I came last that you struggled with your swaddling. I thought it best not to speak on this matter, as you are still new and I did not want to be as cruel as to take away your confidence in caring for Flora. But you wrote to me asking for advice, and so advice I shall give, to the best of my ability. Below are small notes of how to care for a babe best, in my experience, and as we are family I feel that these things may help, given that the child's temperament is like the same as yourself an your siblings. That is to say: beautiful, sweet, but sometimes very particular children. This I make no complaint of, as I am a very particular man, and who amongst us does not like things just so?
When bathing the girl, be sure that the water is comfortably and soothingly warm to your touch. She requires the water to be of the same temperature as an adult would, least she catch cold. Your maid, however well intentioned, has not had a babe of her own, and either does not think this important or considers her needs less keenly than you. She should not be chilled, even though it is summer. Infants have a terribly difficult time adjusting to temperature from one extreme to another, and this is something to keep in mind. Also, do not allow the use of any harsh soap, as her skin is still fragile from the womb and prone to infection, boils, and other such maladies. A smile wipe down with a clean cloth, in clean, warm water, shall do her well. (The below passage is underlined repeatedly) Second, do not feed the child honey. There is some insane trend within the Uppercity lately, wherein a Noble or Patriar feeds their child a spoonful of honey to assuage a cough or a hiccup. Do not listen to anyone but myself on this: feed her only milk until her first teething, and no honey, fish, or other such nonsense. This is far flung advice, as she is only a month old, but always order boiled and mashed veg, perhaps sprinkled with some salt, and slowly introduce other foods as she grows older. This is both to prevent accidental poisoning as well as watching for allergic reactions to otherwise innocent foodstuffs within infants, whose airways and stomachs are delicate. I will write more to you later. If you will allow it, I can attend to the girl for several days so you may rest within the night, but I will not press. I love you, Father
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Do you mind talking about your bottom surgery experience? Someone said that theirs hurt very very badly and caused infections...
oh i totally phrased that weird. i haven’t actually had bottom surgery but i plan on it. i’m pre-t and pre-op but i plan on all of it.
but i have done a ton of research and i will tell you what i’ve learned from other people’s experiences and several studies. if you need me to cite my sources i can but i won’t do that right now to save myself some time. the statistics are not exact, but i have taken a general consensus from a large number of studies.
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phalloplasty (skip to bottom for statistics) is the more invasive surgery and the one that typically causes the most complications. when done correctly, it creates a more realistic, larger penis that may be able to be used for penetration. basically, surgeons take a nerve, a blood vessel, and a graft of skin from another area of the body (typically forearm or thigh) and it is used to create a neophallus (the penis that is created). issues often arise with the donor site getting infected. something that is also typically (but not always) done with this surgery is urethral lengthening and rerouting. it takes the existing urethra, and by using a thin strap of skin from the donor site, is extended and rerouted to the tip of the neophallus to urinate out of. sometimes the body will reject the created urethra which will also cause complications typically fixed with another surgery. those are some of the most major complications but i recommend you look into it.
tl;dr: about a 32% urethral complication rate, about a 7% donor site complication rate.
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metoidioplasty is a simpler, less invasive surgery but creates a much smaller neophallus that cannot be used for penetration and may not give the owner the ability to urinate while standing, even with a urethroplasty (urethral lengthening). surgeons cut out one’s clitoris that is enlarged from testosterone (bottom growth) and move it higher to an area that resembles where a cis man’s penis is. again, urethroplasty is common but not required for this surgery, but it looks a little different in this surgery. instead, the urethra is just rerouted to the tip of the neophallus, which leaves a lot less complications.
tl;dr: about a 10% urethral complication rate, about a 8% wound rate.
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7imbs · 2 months
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HEADCANON 01: INJURIES
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I wanted to do a full breakdown of all of the injuries that I have for Jessica, she sustained the most physical damage from everything that happened and a lot of it has a last effect even YEARS after the events of the game on not only her mental health but her body that result in constant PT or a need for aides in terms of walking for a decent chunk of time following the interviews. I put this under a read more because it is INCREDIBLY long in terms of a list but a lot of it impacts how she acts and functions in her post game verse so if you wanna give it a read I would weep.
1.) Black Eye on her left eye. Following the game once jess wakes up in the mines it is evident her left side is the one with more damage, dirt and bruises on it from being dragged and the window. It is assumed after she is cleaned up by the medics on site that she has a black eye due to her left eye being swollen and significantly bruised in her interview. This is one of two more minor injuries that she sustained that heals significantly faster and does not have as strong of a lasting effect on her. With her concussion it does have her left eye slightly more sensitive for a few weeks following the incident and she often just covers it with cute eye patches due to light or lays in bed with her eyes closed but it is not to a degree it often is an issue. 2.) Several Lacerations along her body and face: This is probably the second out of the two more minor injuries that she has. The most notable of these lacerations are the large cut on her left cheek which had to be sew closed, the three large scratch marks on her chest that also had to be sew closed and incredibly bruised and bloodied knees and palms. While her knees and palms were not sewn shut she did have to have multiple numbing creams used and several hours were spent removing pieces of wood, glass shards and rock fragments from both her palms and hands. These procedures were enough to also cause her to be on antibiotics due to several pieces being so far embedded into her body they could not get them out without surgery and were not caught until she was starting to further lose feeling in her hands and knees. This was a minor infection but it quickly got nipped in the bud and she was fine.
3.) Minor frostbite, frostnip. Limited clothing in extreme temperatures caused minor frostbite along her fingers, toes and different parts of her legs and arms. This is one of the longer parts of the healing process, her skin blistered during the rewarming process and added additional scars and blemishes that she struggled to even look at. It took about 6 months for the worst parts of her skin to full blister and heal over with a lot of physical therapy for the numbness of her fingers, because of this she honestly took a page out of Dol.ly pa.rto.n's book and wore a lot of skin tone gloves with fake nails to try and help her conceal the worst of it. This was the biggest struggle for her. She did a lot of physical therapy for her hands and her feet during the year after the event to a degree where she almost felt like she lived at the PT office. On top of that she also did whirlpool therapy which helped her with the deadskin and with the blistering issues that she was having but also made her really stressed out around water because of it. The first two months following this she was essentially just sitting or laying down and had to have someone help her do 90% of things so she was not standing or using her hands or feet too much causing her symptoms to worsen. She was also on additional antibiotics to help with any signs of infection though her frostbite was minor it was still a worry. She has had minor nerve damage because of the issues with in her finger tips and toes which gave her a huge loss of feeling for several months. Most of the feeling came back but often times she will have her fingers or toes go numb which causes her to drop things or lean against things for support while she tries to return proper blood flow to her body.
4.) Whiplash, this one might seem random but she was grabbed by her head and then the back of her shirt when she was ripped out of the window, for most of the sequence she was violently dragged by her feet, ripped out of a crawling position or aggressively pulled in an opposing direction causing her head and neck to have whiplash. On top of the intense amount of noise next to her ears the whiplash combine with that caused Tinnitus, the addition of the whiplash and concussion caused short term memory issues, issues with sleeplessness aside from the PTSD, issues with vision for a few weeks and constant neck pain which required physical therapy and a chiropractor.
5.) Major Concussion. This should be obvious, she hit her head and she hit it hard AT LEAST two different times, the first when she was dropped on to the elevator shaft and the second being when the elevator shaft fell and hit the bottom of the mines. Due to this she passed out for SEVERAL hours and had a severe concussion. She struggles to put together words, to concentrate on the questions asked of her in the interview and often circles back to the small amount of things she can remember while going into a circle of statements. She also struggles with her balance for a few weeks following the due to dizziness. She also struggles with light sensitivity for several weeks after as well due to her her anxiety and fatigue also increase for at least a year following the event. Due to all of her injuries she also struggles to either stay asleep or sleeps too long so she often makes sure she has alarms set on her phone for the first year following per her doctors suggestion. Additionally she often gets brain fog, frustration and confusion for the first two years and her short term memory problems stay with her the rest of her life due to how hard the concussions were.
6.) Spinal Cord Injury, again due to the fall onto the elevator shaft and the elevator shaft falling and hitting the bottom of the mines hard she struggled with a spinal cord injury. At first it was not completely noticed due to adrenaline and shock in her body. It is an incomplete spinal cord injury which means she still has feeling and it did not cause paralysis but for two years caused Muscle weakness in her legs and hands, and severe breathing problems that required an inhaler and a ventilator while she healed but eventually after a few years everything seemed to pan out in her favor because of how much of her life became involved in medical treatment and physical therapy. For awhile she also went back and forth between being able to feel her feet and not and it was due to pressure put on her spine from the injury so a back brace was given as well as several different medical treatments to help straighten her spine before a surgical procedure was done to help with whatever the issue was.
While these are the generalized physical issues Jess suffered following the Lodge Incident she also suffered with a lot of issues related to PTSD, Short Term Memory, Anxiety, Brain Fog, Delayed thinking and processing as well as issues with night terrors, emotional instability, and sleep issues
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macgyvermedical · 1 year
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Great question @iputmybloodintothis !
For the purposes of this post I'm assuming you mean urinary catheters. Other types of catheters, including IV/central line catheters, chest tubes, etc... can be covered on request.
The answer is that we have examples of urinary catheters going back to 3000 BCE. There were catheters found in Pompeii and ancient Egyptian archeological sites.
These were what we would today call "straight caths"- catheters that were inserted to drain the bladder and then immediately removed. This is because there are lots of problems that come up as we age that prevent urine from passing out of the bladder. Some of these include bladder paralysis, bladder stones, urethral strictures or inflammation (swelling or scarring shut of the tube that sends urine from bladder to toilet), or prostate enlargement.
It's also a pretty simple concept for olde timey medical folks- person can't pee, but they really have to pee, so we're gonna stick a tube up where the pee comes out to get the pee out. The ability to do this would have been life saving.
Despite being life saving, they were not comfortable. Ancient catheters were made of reeds, straw, or onion leaves. Hopefully this was an occasional problem for an individual, and not a multiple-times-per-day one.
Over the course of history, reed or straw-type disposable catheters gave way to metal re-usable ones. These came in silver, brass, copper, gold, and lead. They were not particularly malleable, but could be curved to fit the individual who was using them.
In 1752, Benjamin Franklin's brother needed a catheter due to urinary obstruction from bladder stones. The inventor created a silver coil catheter that would have been one of the first flexible catheters available. Below you can see the catheter he invented. The top tube is actually a tightly wound silver spring, which would be covered with gut to make it waterproof. The bottom tube is an insert that would be used to give rigidity while inserting or applying the gut. It is also thought that Franklin himself used this later in his life.
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In the late 1800s, the first flexible rubber catheters were created. They unfortunately tended to break down when exposed to urine, leaving debris behind in the bladder. This got a little better once rubber vulcanization and latex rubber were invented.
It wasn't until 1935 that the modern Foley catheter was invented. The Foley catheter is named after it's inventor Fredric Eugene Basil Foley, who designed a catheter with a balloon on the part inside a patient's bladder. The balloon was filled with sterile water or saline, and was inflated to keep the catheter in place. Prior to this, if continuous drainage of a bladder was needed, an ordinary rubber straight catheter would be stitched or taped to the labia or head of the penis.
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Today catheters are either made of latex or (more commonly where I am) silicone. People who are paralyzed or have chronic problems emptying their bladders may self-straight cath several times per day. People who need continuous bladder drainage (say, during or just after a surgery where they are unable to get out of bed temporarily, after bladder/prostate surgery, for precise intake/output measurements, when a patient has severe skin breakdown and is incontinent) usually have a foley catheter inserted. Today they look a lot like this:
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As far as unconscious/confused people go, they pretty much just pee. Catheters carry a risk of infection, so unless there is a very specific reason for one, we often don't put one in unless the person couldn't pee without it, or them peeing the bed would be detrimental to them physically (severe wounds, need for perfect immobilization, surgeries, etc...).
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ilikeyoshi · 1 month
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there's a post about doctors who suck and won't diagnose you but also won't treat your symptoms without a diagnosis, which they won't give you, and it's a Good Post that i have no doubt reflects op's lived experience, which is why i'm making my own post because it got me thinking about stuff that ultimately isn't relevant to that post or what it's discussing, so i'm just saying it here instead!
to be clear i don't disagree with that post at all, and none of this is meant to disagree with or "well actually" that post! it's just something the post reminded me of that i wanted to talk about separately.
mostly i wanna talk about diagnoses of elimination, and diagnoses that genuinely DO take a long time to make. my personal experience with this is fibromyalgia, so that's what i'll be talking about mainly.
but basically, my fibromyalgia diagnosis took two full years, from the very first appointment with my GP about my symptoms to the diagnosis itself. it took so long because fibromyalgia cannot be seen or tested for. there's no way to look at someone's body and go, yup, that's fibromyalgia.
so what happens instead is a process of elimination. that first year was spent working with my GP, where we tried very intentional dietary and lifestyle changes, a lot of bloodwork, etc. we eventually found signs of potential autoimmune disease, which then got me a referral to a rheumatologist. the second year was spent working with her, doing all kinds of tests—xrays, ultrasounds, skin biopsies. all of this took even longer than normal because my area is VERY heavily populated, so appointments were pushed out for months at a time.
what we found is: i have a couple symptoms of A LOT of autoimmune diseases, but not enough to sensibly make a diagnosis. this was important because a common treatment for autoimmune disease is immune system suppressants, which would make me VERY susceptible to illnesses and infections. when diagnosing autoimmune disease, it is extremely important to not give a patient these meds until AFTER you're positive it IS an autoimmune disease, because the risks and side effects are so severe and dangerous. you HAVE to be certain that being at elevated risk of infection is BETTER than the autoimmune symptoms, or else you're literally making that person's life worse with medicine.
the fact is, no autoimmune diagnosis fits my symptoms very much, and if it IS autoimmune, it's so mild right now that immune system suppressants would be WORSE for me than my symptoms as they are. but since we ruled out autoimmune disease as a likely cause, we officially ruled out everything that can be tested, and thus i was given the diagnosis of fibromyalgia.
what i want to say is that there ARE situations in which your diagnosis or treatment options need to be delayed, and that these situations are DIFFERENT from what the op of that post is talking about. something really important the op said was "[asshole doctor] won't treat your symptoms without a diagnosis, but [asshole doctor] won't give you a diagnosis either." this is a real problem, but i want you to know the difference between THIS and something like what i went through with my fibromyalgia diagnosis.
my fibromyalgia could not be diagnosed until and unless testing for everything else that could be causing my symptoms turned up negative. i could not be given immune system suppressants until we were certain i had an autoimmune disease and that the negative effects of those suppressants were worth the benefits.
but KEYLY: on day one in rheumatology, i was prescribed pain killers. these helped A LOT with the chronic pain of my fibromyalgia, and i still take them to this day. i was listened to and believed, i was repeatedly reassured that just because yet another test came back inconclusive, it did not mean my symptoms weren't real or that my doctor doubted their legitimacy. every time we hit a dead end, we immediately made a plan for where to go and what to try next. i was never sent away without instructions on my next steps.
the fact is, sometimes it's just not reasonable or ethical or POSSIBLE to get a diagnosis fast, or to get certain treatments fast or at all. medicine is complicated, and doctors are only experts in connecting the dots; they aren't miracle workers who can just know what's wrong with you off the bat. for medicine to WORK, you need to have patience and be as thorough as possible. (you also need a fuckton of money or merciful insurance, unfortunately, and that sucks and isn't right or humane.)
BUT! there is a difference between these things taking a long time because they NEED to, and taking a long time because a doctor DOESN'T BELIEVE YOU. and i want you to have as much info as possible so if this happens to you, you can access which thing is happening. generally, in my experience, doctors who were helping me through a very difficult diagnosis would respect and believe in my symptoms. they would, whenever possible, treat my symptoms. they would ALWAYS tell me what the next steps were, and we never retreaded things like "am i eating the right things" or "am i exercising the right way". they explained to me WHY they couldn't diagnose yet, or WHY they couldn't try this form of treatment. it was never "no," but instead "not now, and here's why."
the best doctor in the world couldn't have diagnosed my fibromyalgia quickly, because that's not how diagnosing fibromyalgia works right now. there's nothing that shows up in tests or scans that tells doctors, yup, this is fibromyalgia. sometimes, we just gotta investigate everything else first. but i had REALLY good doctors who, despite not being able to diagnose me quickly or fix all my symptoms, listened to me, believed me, and did everything within their power to get me here.
so if you're ever in this situation, please keep this in mind. a doctor won't always diagnose you quickly, but there are lots of differences between a doctor who won't diagnose because they need more information, and a doctor who won't because they don't believe you.
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