#BUT: achievements gotten from this uti:

[zemnarihah]

also if anyone is a zem uti lorehead u may remember i had a uti abt 2 months ago WELL i was fascinated to hear from my doctor that this one may actually be the same uti that was never fully killed off and was lying in wait. WHICH i wonder if that's why it spread to my kidneys so fast despite all my actual uti symptoms being incredibly mild like maybe it was already real deep in there and then i just reactivated it by having #alotofsexwhiledehydrated

[ear-worthy]

CUTI Podcast Exposes Healthcare's Dirty Secret about Chronic Urinary Tract Infections

 March 8th is International Women's Day

Women have gotten the short end of the proverbial stick in health care for centuries. Is it getting better? Yes, but slowly and with resistance from those manly men who feel society doesn't give them enough respect anymore.

Consider some examples. For decades, the dosage of over-the-counter and prescription drugs was calculated based on only on male physiology. When crash dummies were first developed for auto safety tests, male crash dummies were exclusively used. Heart attacks among women were under diagnosed for decades and still are ignored because the symptoms for women are different.

According to a 2022 NPR report, one study shows that middle-aged women with chest pain were twice as likely to be diagnosed with a mental illness than their male counterparts. Another study found that women and people of color who visited emergency rooms with chest pain waited longer to be seen by a doctor.

How about urinary tract infections (UTIs)?  Women get UTIs up to 30 times more often than men do. Also, as many as 4 in 10 women who get a UTI will get at least one more within six months. Women get UTIs more often because a woman's urethra (the tube from the bladder to where the urine comes out of the body) is shorter than a man's.

Does that data mean that UTIs are a "female problem?" No, it's a health care diagnosis and treatment problem.

According to podcast producer Verity De Cala for Roadhouse Transmissions, "Chronic UTIs (CUTI)  are one of the most neglected health issues facing women today."

 In a three-part documentary podcast series beginning March 8, CUTI will be available for listening. Told through the eyes of the patients, expert researchers and doctors in the field, it's a story that highlights the worst effects of the gender health gap and interrogates how we view women in pain. Why produce such a podcast?

Verity explains: "The Roundhouse is a hub of inspiration where artists and emerging talent create extraordinary work and where young people can grow ​creatively as individuals. We believe in the power of creativity to change lives. By giving young people the chance to engage with the arts ​through our music, media and performance projects, we inspire them to reach further, dream bigger, and achieve more."

Beginning March 8th, ​producer and host Verity de Cala will guide you through this three-part narrative series with every episode carefully soundscaped to capture the complicated world of living with CUTI, the science, and culture that surrounds the illness. Guests include experts in the field: Dr Cat Anderson, Dr Raj Khasriya, Professor Jennifer Rhon, campaign group CUTIC, and stories from women living with CUTI.

Here's how the episodes will be released and the specific topic of each episode: E1 released 03/08/2023 CUTI - Tests, Misogyny and Misconceptions - If something doesn't have a name, can it exist? We look at how misconceptions, misogyny and a lack of research, have not only shaped science, but also the patients experiences... E2 released 03/15/2023 CUTI - Treatment, Antibiotics and Changing Attitudes - Why is it so hard to find the right treatment for CUTI? We look at how CUTI patients find treatment, what it's costing them, the pressures on doctors prescribing antibiotics, and ask - are there any better alternatives... ? E3 released 03/22/2023 CUTI - Coping, Community and UTIs in children - How does living with a UTI affect your daily life? We explore the importance of supportive communities, the work of activists, and investigate the growing problem of UTls in children. Verity details the issues surrounding CUTI. "Imagine battling an illness that doctors tell many women doesn't exist." Verity notes that half of all women will suffer with a UTI at some point in their lives, and luckily for most, it goes away. But for a growing number of women, that simply isn't the case. For these women the symptoms can persist for months, which turns into years, and it becomes a chronic UTI.

For example, research from Penn Medicine concludes that the cranberry juice cure is one of the most commonly believed myths about treating UTIs. According to Penn, "Don’t for a minute think that a bottle of cranberry juice can replace a visit to your doctor or proper medication. It turns out cranberry juice isn’t nearly as effective as many people think."

In these three podcast episodes, you will hear the personal stories of women suffering from CUTI. These women have dealt with outdated testing, extended waits for a diagnosis, and then being told, "your pain isn't real. It's all in your head."

Remember when doctors claimed fibromyalgia and chronic fatigue syndrome (CFS) were identified initially as "all in your head" conditions? Both conditions affected women at a higher rate than men. Not anymore. With more research came awareness that both conditions resulted from a constellation of factors, and treatment protocols have been developed. CUTI reflects the very worst of how health care professionals around the world continue to view women's pain in society. Verity De Cala puts that statement into perspective. "With over 1.7 million women thought to be suffering in the UK, what is it like to fight a CUTI? After all, it's an illness that doctors don't understand, or even worse, don't believe women have."

Although the narrative is based in the U.K., CUTI is a pressing health issue for women in the U.S. and around the world.

Women have filled the knowledge void left by doctors and health care organizations about chronic UTIs with online forums, charities and support groups.

Check out this three-part documentary podcast CUTI to understand how women are suffering for years from a condition that health care professionals didn't fully understand, misdiagnosed, and then provided ineffective treatment options, if they offered any at all other than drinking cranberry juice. 

[icu3po]

“[...] one of the worst fears of the pandemic—that hospitals would become overwhelmed, leading to needless deaths—is happening now. [...] This is such a searingly ugly idea that it is worth repeating: Americans are likely dying of COVID-19 now who would have survived had they gotten September’s level of medical care.”

It’s here folks. I’ve seen it. And yet I’m STILL listening to people talk about having parties and hanging out with people outside of work and extended families. STILL. ಠ_ಠ We were all advised of the sacrifices necessary to avoid this outcome and yet...

It’s not just COVID. This affects anyone who has a medical need. Clinics are closing in order to divert staff to hospitals. As a result, thousands of patients across the country risk falling through the cracks without their needed checkups to maintain chronic conditions such as heart failure, diabetes, hypertension, and COPD. Inevitably those people will become more acutely ill, requiring a trip to emergency room. For example: CHF exacerbation, hypertensive crisis, DKA or HHS, and acute respiratory failure are some of the most common reasons for hospital admission and are all considered “acute-on-chronic” problems.

This time, however, if you need to be admitted, we may not have a bed for you. Neither will any hospital for hundreds of miles. If you’re lucky, you might be transferred to another hospital after hours of waiting in the emergency department. Or, you might be sent home after being stabilized with instructions to just come back if you get worse again.

How about planned surgeries to replace hips and knees, or to remove cancerous tumors? What will be the complications from delaying those procedures? Oncology patients who have a dangerous reaction after starting a new chemotherapy treatment? They are already severely immunocompromised. Can they wait in a bed in a hallway? I’ve cared for oncology patients who are routinely admitted to the hospital every two weeks in order to receive an 8-10 hour chemotherapy infusion. If those patients can’t be guaranteed a bed and a chemo nurse every two weeks for 6 cycles, how will that impact their treatment plan?

I’ve decided to share my unique perspective as an ICU RN in order to lift the veil somewhat and allow you all to grasp the reality of the situation.

🩺A typical Full Code COVID patient in the ICU, in my experience:

•A tube is in their mouth, extending down into their trachea, where it is held in place by a balloon to prevent air leaks. This tube is their lifeline and so it is secured to a device which is adhered to their cheeks to prevent dislodgment. The tube is connected to a machine at the side of the bed which forces air into the lungs at a set pressure, volume, and rate. We use a wand with suction to clean out their mouths every two hours. If needed, we occasionally thread a smaller tube through their endotracheal tube in order to suction out the gunk that makes you cough so it won’t clog up the breathing tube. If we switch modes to allow the patient to control their breathing, COVID patients will try to breathe 30-40 times a minute (normal rate is 12-20). They will also try to take deep breaths and cough. COVID makes tissue in the lungs so fragile that inflating them with high volumes and pressure will cause damage and scarring. We can’t let these patients breathe the way they want to breathe or else they will destroy their lungs and die.

•All of this is uncomfortable for the patient and so they are sedated. Medications to make them sleepy and to prevent agitation are given through continuous IV infusions. These medications also drop the patient’s blood pressure and so they also receive continuous IV infusions of medications called “pressors” which raise blood pressure. These “drips” are titrated up and down constantly by nurses to keep the patient sleepy enough to breathe with the vent, while also maintaining enough blood pressure to perfuse their vital organs.

•These pressor medications are very caustic and can burn and scar peripheral veins, so the doctor will place a central line. This is a long tube that’s threaded into a vein in the neck to almost reach the heart. In order to closely and accurately monitor blood pressures, we will use another long tube that’s inserted into an artery (either wrist or groin). That line continuously measures the average arterial pressure and nurses adjust those pressors based on that number.

•When your body is very sick it has trouble self-regulating to achieve homeostasis. Your kidneys are one of the first organs to suffer damage when you are very sick. Healthy kidneys help regulate blood pressure, electrolytes, and the acid-base balance of your blood. In the ICU we have to regulate all of that for you. We draw blood to check labs frequently, sometimes hourly, to monitor: how well you are getting oxygen in, how well you are breathing carbon dioxide out, how well your body is managing your acid-base balance, your electrolyte levels which will cause cardiac arrhythmias and even brain swelling if they are too high or low or if they change too quickly, blood clotting factors, level of waste products in your blood, etc. The nurse is constantly drawing these labs, reading the results, and giving medications or making ventilator adjustments to correct imbalances.

•Because the patient is asleep and has a tube in their mouth, they are unable to eat or drink anything. We put another tube in the mouth with the vent tubing, but this one goes down the esophagus and into the stomach. We then attach it to suction to remove gastric contents, use a syringe to administer medications, or hook it to a pump with a bag of liquid nutrients called “tube feeding” that will slowly trickle in just enough fluid (20 mL/hr) to ensure your gastrointestinal tract stays active and you have enough calories to meet your basal metabolic needs (the amount of calories your body burns by lying in bed).

•Because you aren’t eating or drinking or moving and the sedation medications are making your bowels sleepy, we give you laxatives to keep you pooping. Since your diet consists of a bag of liquid calories, it comes out of you much the same way. So we even have a tube for that, called a rectal tube (or “fecal containment device”) that’s held in place by a balloon in your butt and your poop just runs into a bag.

•It’s important for us to monitor how much urine your kidneys produce each hour. In order to be as accurate as possible, we insert a tube into your urethra which is held in place by a balloon in your bladder. Urine runs continuously into a bag where it can be assessed and measured.

•We monitor the heart via 5 wires stuck to the chest that give us a continuous visual representation of the electrical activity of your heart. COVID damages cardiac tissue and so arrhythmias and cardiac ectopy are common. If your heart beats too fast it can’t fill with enough blood to maintain your blood pressure, so sometimes we need to add even more continuous IV medications that prevent the heart from galloping off or doing too funky of a beat too often. The heart can sometimes be so damaged that it can’t squeeze effectively either, so we use other IV drips to help the heart beat and prevent it from giving up entirely.

•When we’ve done all we can do and the patient is still not improving, we will try “proning” and/or paralyzing. Medically paralyzing involves giving a continuous IV drip that stops muscles from being able to contract. This removes the extra oxygen demand of muscles, maximizing the oxygen that the COVID-damaged lungs can process. We need to give the least amount of paralytic medication necessary to prevent long-term complications. We are able to check the degree of paralysis by attaching electrodes to the patients face or wrist, sending electrical pulses (like a bark collar does), and then counting the muscle twitches. Paralytics also affect the body’s ability to create tears, so we need to pry open your eyes to administer eye gel regularly.

•Putting a patient in a prone position (on your stomach) helps by increasing blood flow to different areas of the lungs. It takes 5+ people to roll a patient VERY CAREFULLY onto their stomach without pulling out any of their tubes or lines. These are very sick patients and sometimes the movement can be too much of a strain on their heart and lungs. It’s a delicate, time consuming process. Patients remain proned for 16 hours, then returned to their back for a few hours. We may repeat the process again several times over the next 2-3 days, depending on if it is helping or not.

So how does this COVID patient get out of the ICU? Rarely, a patient improves enough to be awake and off sedation with the vent settings allowing breathing at the patient’s own rate. If the patient continues to improve, they are extubated (breathing tube out) and moved to a progressive care unit in the hospital to continue recovery. Unfortunately, the patient will often return to the ICU after only a day or two in the PCU. They deteriorate again because of all those COVID complications: heart damage, clotting (in lungs, legs, brain, etc), worsening pneumonia, etc. They can also develop complications that occur just from being hospitalized, such as: MRSA, cDiff, ventilator-associated pneumonia, bloodstream infection from the central line, UTI from the urinary catheter, peripheral limb ischemia from high doses of pressors, delirium (confusion/hallucinations), or injury related to falling.

•If the patient is still requiring mechanical ventilation after about 10 days, the next step is to have a surgeon create an opening in the neck called a tracheostomy so the ventilator can be attached through the hole in their neck. This way they can have long term ventilator support while continuing to attempt treatment. These patients are then transferred to a long-term acute care hospital where they will have to survive months of therapy to try to optimize their quality of life. After their prolonged hospitalization they will need to learn to breathe on their own again, swallow again, walk again, and learn how to take care of themselves as much as possible again. If they survive all of that then the patient will next move to a rehab center or nursing home. By this point, many do not survive due to new complications, the stress of prolonged sickness and comorbidities, or because the patient and family decided to pursue comfort cares instead.

🩺Some real talk here because knowledge is power:

I encourage EVERYONE (regardless of age or current health status) to fill out a Healthcare Advanced Directive, and choose who will make medical decisions in the event you are incapacitated. Consider your wishes NOW, and make sure you also know what your parents, grandparents, and spouse want. If your family member is hospitalized with COVID-19 and becomes so sick that even BiPAP is not helping, the doctor will ask you to make a decision between invasive mechanical ventilation (and everything that I described above) or “comfort cares.”

The specifics of “comfort cares” is individualized, but it essentially focuses the plan of care to acknowledge the patient’s decision that their quality of life is more important than extending it artificially without reasonable chance of recovery. The doctor prescribes medications to ease anxiety, and pain and the patient eventually passes away naturally without aggressive measures like a breathing tube or chest compressions. Families can be present with their loved one via telephone or Zoom video, though visitor restrictions may be eased for end-of-life patients, depending on the facility.

If you already have existing health complications (comorbidities) that make your chance of recovery from cardiac or respiratory arrest unlikely, you are able to let the doctor know from the beginning whether you are okay with CPR and a breathing tube, or if your wish is to make your code status DNR/DNI. DNR means that if your heart stops beating, you don’t want us to do chest compressions or shock your heart to try to restart it again. DNI means that if you can’t breathe on your own, you don’t want a breathing tube in your throat with a machine to breathe for you. You can choose one or the other, or both. You can also change your mind at any time, revoke your code status, and be considered a Full Code again. Full Code that means that we do everything medically possible to keep you alive, including breaking ribs during CPR, and putting a tube down your throat.

It’s important to not only have in mind what your own wishes are, but to discuss with your loved ones about their wishes. Very often, patients are either unconscious or too sick to communicate clearly and so the doctor will ask the next-of-kin or Healthcare Proxy to make the decision. Don’t make that emotional moment be the first time you think about it. And don’t put your loved ones in that position either. Have a conversation, put it in writing, and free them from the burden of that decision.

Feel free to ask me if you have questions and I will answer them to the best of my ability.

If you choose to share my words, please give credit and/or link to this page. Thank you.

[peonybane]

Agape And Pragma: Prologue

Pairings: OT7 (BTS) x Reader

Word Count: 1.9 k (damn this is short)

Genre: Hybrid AU, Fluff, Angst, Sci-Fi, Smut (maybe)

Summary: Your entire world had be torn asunder by just one lab test. Time heals all wounds, but does it really? What will it take to feel whole again?

Warning: Mentions of cheating, loss of fertility and it’s psychological consequences.

Hybrid Types: Golden Retriever Hoseok, Great Dane Taehyung, and French Lop Eared Rabbit Jungkook... with more to come.

a/n: So, I wrote roughly 10,000 words of this whole thing in one day. This was not suppose to be my first published series, but here we are. The prologue is VERY angsty, but I do think it’s important enough to read as it gives context for everything else.

It was about 60 years ago, the U.N. approved of the Genetic Freedom Initiative. The GFI was meant to set the standard in morality in human genetic research worldwide, allowing researchers to explore every lead… no matter where it took them. But the opposite was achieved— it destroyed the any shed of scientific ethics left in that field. 

At first, it was thought that the initiative would open the doorway to the genetic advancement of the human species for the better. Imagine, genetic diseases just gone. Cystic Fibrosis? Wiped out. Hemophilia? A thing only read about in text books. Tay-Sachs disease? Never heard of it. Even things like Polycystic Ovarian Syndrome, while not necessarily life threatening, became a distant memory. 

Then came the genetic modifications to ‘improve’ the individual. You want your child to be a musical progeny? Here’s a genetic mutation that will increase their ability to differentiate tone and increase hand eye coordination. Want your child to be an Olympic swimmer? Here’s the genetic cocktail for a long wing span and an increase in lung capacity.

Initially, the world thought that genetic modification would not gain much traction as how costly it was. But all that changed when a team of scientists in Japan created not only a new, cheaper alternative to testing for certain genes, with a 97% positive identification rate, but also a method of implementing the genetic modifications with 95% success rate. Sweden was the first country to take this new method and basically gave the tests out for free to expecting couples to see if their child would be born with a life threatening condition. Sweden then heavily subsidized the procedure to alter the baby’s DNA if the parent or parents wished for it. This quickly made it affordable, not just the modification to prevent diseases, but also the ‘improvements.’

The rest of the world soon followed.

It’s funny. Every genocide in history is birth from two things: good intentions and arrogance.

Humanity thought that because it could take control of its destiny— of nature…. We were arrogant. We believed we could play God and throw the rules that were put into place, the rules that were put into place to protect us, back in Mother Nature’s face. Oh how devastating were the consequences. 

After the ‘improvements,’ came the perverting of genetic modification. ‘Enhancements,’ they were called. The modifications were to improve us, and at first they truly were. Better eyesight borrowed from falcons. Sense of balance from cats. Scientists dabbled in bats’ sense of hearing.

Because of the new Genetic Alteration Boom, no one loud enough took a moment to stop and ask, “Is this right? Should we slow down?”

If they had… the genocide could’ve been prevented.

When the first, ‘enhanced’ babies were born, there was an unintended consequence: their appearance was slightly altered to resemble whatever animal their DNA was spliced with (these features having not been noticed on ultrasounds as they were either still underdeveloped or were written off as shadows). Even as scientists tried to keep the results under wraps, knowing that things would not end well, it was already too late. The world was taken by ‘Hybrid Fever.’

Everyone wanted their children to have cute rabbit ears. Or the graceful legs of a gazelle. Or have the wings of an owl. Or the gils of a shark. It didn’t matter. Ethics had died.

Almost 20 years after the first Hybrid was born, Humanity finally discovered the consequences of playing God: a fourth of the world’s population was infertile, all of them Hybrids. 

Generations had been lost. Capable, loving people were robbed of a joy. All because of Humanity’s desire to play God.

When the news came out that Hybrids were infertile, the genetics industry practically committed suicide. The only remnants left appear to be only… government experiments and black market dealings. What are they doing in th—

You stopped reading. Why the hell did Liam think this would be something you’d be interested in reading? Sure you were interested in his field of work but come on. This was depressing as hell and honestly, you knew most of this from your parents.

There was a knock on the door. “Come in.”

In stepped the doctor and you put your phone away, still seething a little at the article your best friend had sent you.

“Hello, how you today, ma’am? Good to see you again.”

“You too, Dr. Yoon. I’m fine, though I was a bit surprised to receive your office’s call to come in. I thought you usually did consultations on the phone?”

The smile on Dr. Yoon’s face died. She became stiff and the air became heavy. She took a moment and pursed her lips. “I’m sorry.”

Dr. Yoon handed you a paper. It had your lab results as well as your pap smear results. You looked at the numbers and the write-ins. No… this couldn’t be right. It couldn’t be! “W-What is this? This isn’t what… I think it is? Is it?”

“Your fallopian tubes have been severely damaged. I don’t think we can fix it.”

“W-Why— What caused this?”

“In your case we think it’s pelvic inflammatory disease… your general practitioner misdiagnosed it was an UTI… but it wasn’t. You only exhibited symptoms similar to UTI. And your GP took your word that you and your partner are exclusive. I think you had chlamydia. But the antibiotics killed it, but not before it reached your fallopian tubes.”

“B-But h-how could… how could’ve I gotten it? My boyfriend and I have been together for two years. And we were clean when started having sex. We went to the same clinic together to get tested!”

But deep down you knew… you knew Taka had been lying to you. Been lying about the business trips. About the late nights at work… all those weekends spent at the office. You just accepted it because… because you just wanted him to be happy. Besides, you were used to being alone. Why would this be any different?

You wanted to be angry, you really did, but all you could do is mourn the loss of your children… children that would never be. The children that you’d been looking forward to almost forever. You had always believed that love and life were the greatest things in the world… how could you not want children… but that dream… that dream now laid dead. 

Dr. Yoon placed her hand on your shoulder. “Is there anyone you want me to call? I don’t want you to be alone right now.”

You shook your head. “No… no I have someone I can call.”

“Alright, dear. Let me know if there’s anything else I can do.”

She nodded her as she stepped out of the room. Immediately, you pulled out your phone, dialing the one number you could think of. You waited a few moments before you heard the familiar voice, “Hey, Shortstack, you miss me?”

“Li—“ you paused taking a deep breath. “Liam? Can you come pick me up?”

The usual playful tone was gone. “Shortstack? What’s wrong?”

“I’m at the OB/GYN. Could you please just come get me.”

You heard the jingle of keys in the background. “What’s wrong? Where’s Taka? Why isn’t he with you?”

All too quickly and sharply, you replied, “Fuck Taka!”

There was a pause. “I’ll be there in 15. Hang tight.”

You hummed a sound on confirmation. Liam cut the call and you left the examination room. After paying for your visit, she sat waiting for Liam, your results clutched in your hand, the other unconsciously rubbing the spot on your stomach where life should’ve been created. You were like a seesaw, swinging between anguish and numbness. Your mind granting you spells of blankness, no thoughts in your head. Nothing to bury yourself even further. 

When Liam picked you up, he managed to pry the results from your hand, the look on your face making it evident that you were in no mood to talk about what was wrong. Looking over the results (being medically trained had its advantaged), Liam cursed, scaring the bejesus out of a pair of old ladies. “I’m going to fucking kill him.”

Before Liam could do anything else, you latched onto his jacket. He looked down at you and into your hollow eyes. “C-Can I stay at your place, just for tonight?”

“Shortstack, you can stay as long as you want. Let’s go.”

You nodded, letting Liam guide you to his car. Once in the car, you let you head rest on the doorframe, closing your eyes as the world around you both whizzed by. 

Once you were at Liam’s place, he guided you into the house. Nothing could shake you out of you stupor, not even the excited sounds of one of Liam’s roommates, Hoseok. He shouted your name in glee, having not seen you in what felt like ages. Before Liam could protest, Hoseok pulled you into a hug, his fluffy tail wagging at a million miles per hour as it smacked against the verdana in the entry way. 

When you didn’t hug back like you normally did, Hoseok pulled away from you, looking down at your face in concern, his tail drooping down and his ears folding back against his head.

“Hobi, why don’t you take her to the couch and start a movie? I think it’s a movie and puppy pile night tonight.”

Hoseok was about to open his mouth to inquire, especially since Taka didn’t like it when they did puppy pile night, so they stopped doing it. Liam shook his head, telling him no silently— that he’d explain later. Liam headed towards the kitchen, getting a tub of ice cream ready.

As Hoseok guided you to living room, he had you sit down. He helped you remove your shoes and wrapped you in a blanket. You were in too much shock to be much of any help. After settling down next to you and pulling you into cuddle (where you proceeded to finally relax), the front door opened and two voices could be heard entering, both wondering where that salty acidic smell was coming from. Liam intercepted them and told them to go join the puppy pile. A few moments later (after removing their shoes and jackets), the other two Hybrids entered the room. The sight before them ensuring that there was to be no questions at the moment.

Jungkook walked over and joined you on your other side from Hoseok, letting his long floppy ears cushion his head against your shoulder as he wrapped his arm around your waist, little cotton tail twitching as he finds a comfortable position to be in. Taehyung join the fold, sitting down on the ground in front of the couch, resting his cheek against your lap, whimpering lowly as he stroked your knee. You slowly brought your hand to his floppy ears, rubbing them. He let out a content sigh, his tail lightly thrumming against the floor. 

The tension in the room began to dull… and the tears started to fall silently. The boys just sat there, surrounding you in their love and comfort, not knowing what was causing you this grief. 

Liam stood in the doorway, leaning against it, watching you all. His heart was breaking for you. There were two things that you wanted nothing more in the world: to be someone’s one and only, and to have children. Both of those dreams were cruelly taken from you.

As always, reviews, comments, asks, and tags are always loved! ~Peony

Next (Chapter 1) --->

Agape and Pragma Masterlist

Masterlist

All rights reserved. © Copyrighted 2019.

[purplesurveys]

1053

1. What did you do in 2020 that you'd never done before? Other than the obvious getting-a-job and other adulting stuff, 2020 was the year of my first cigarette, the first time I had to use eye drops, the first time I got sick for longer than a day, and the first time I tried my hand in embroidery.

2. Did you keep your new year's resolutions, and will you make more for next year? I don’t make any because I usually get tired of maintaining them after a few weeks. But idk, last night I had an idea that I want to try a new restaurant by myself every weekend in 2021. It’s very self-care-y which is what I need these days, and it’s definitely feasible now that I have my own money. Given my track record with resolutions I’m not expecting too much, but I still hope I’m able to hold out for as long as I can.

3. Did anyone close to you give birth? I know a co-worker became a mom this year, but I don’t consider myself close to her. We’re cool with each other, but that’s about it. Her baby is the cutest though.

4. Did anyone close to you die? One of my great-aunts passed away in April.

5. What countries did you visit? I stayed put here. It wasn’t like I could get on an airplane this year anyway. The Thailand and Vietnam trips are going to have to wait.

6. What would you like to have in 2021 that you lacked in 2020? Me back.

7. What date from 2020 will remain etched upon your memory, and why? March 10 (the start of the lockdown); August 2 (my university graduation); September 15 (the breakup and Angela’s birthday); November 9 (my first day as an employee).

8. What was your biggest achievement of the year? Being able to be strong enough to stay.

9. What was your biggest failure? Self-harm, or blaming myself.

10. Did you suffer illness or injury? Yeah I got a UTI early in the year, which gave me a week-long fever. I’ve also gotten hundreds of scratches and play bite marks from Cooper since we got him in June.

11. What was the best thing you bought? My embroidery kits! I bought them on a whim and seriously doubting if I’ll ever enjoy it given my previous hatred for anything sewing/knitting; but I’ve already done two templates and I just ordered two more to do during the holiday break. I haven’t gotten much for myself yet because my first paychecks coincide with Christmas lol, but once the gift-giving is out of the way I want to get myself games on the Nintendo Switch, Airpods, and candles.

12. Whose behavior merited celebration? Andrew has been incredibly supportive and patient, and has stuck by me through the whole year whether I was on top of the world, stressing out over our thesis, or in my inconsolable black hole of sadness. No clue where I’d be without them.

13. Whose behavior made you appalled and depressed? Gabie, at least by August. I don’t know anyone who consistently let me down in the last 12 months.

14. Where did most of your money go? Christmas gifts for others; for myself, Starbucks coffee and pastries.

15. What did you get really, really, really excited about? Graduating college and sharing my graduation photo with everyone. I remember also having been super excited to work on my birthday gift for Gab, which was to make a short video for her using iMovie (which I had never touched before until then). I was the best fucking girlfriend. Also, getting Cooper!!

16. What song will always remind you of 2020? Not sure. Music wasn’t a big part of my life this year. Maybe Why We Ever by Hayley Williams? I put it on repeat too many times in 2020.

17. Compared to this time last year, are you:

i. Happier or sadder? A lot sadder.

ii. Thinner or fatter? Said sadness made me lose my appetite and a whole bunch of weight by the latter part of the year. All of my shorts and jeans have gotten loose around my waist, so I’ve definitely felt the weight loss.

iii. Richer or poorer? I’m richer now, but only because I didn’t have a job before and I do now. My family’s finances have taken a blow due to the pandemic, though. I try to help by chipping in for the electricity bill, and buying my family nice food every now and then. 

18. What do you wish you'd done more of? Love myself, appreciate myself, thank myself. All the self-love crap I didn’t think I deserve.

19. What do you wish you'd done less of? Tolerating bullshit I knew I didn’t deserve but kept going with anyway.

20. How will you be spending Christmas? We’ll be with my mom’s side on the 24th; having family come over to our place on the 25th; and will be going to my dad’s side on the 26th. Gonna be the most hectic three days ever and I’m PUMPED tbh lol. It’ll be the busiest we’ve been all year.

21. What was the most embarrassing thing that happened to you in 2020? Meh, I just hated the times I made mistakes at work as I hate fucking up in general and looking bad in front of colleagues.

22. Did you fall in love in 2020? I stayed in it.

23. How many one-night stands? No thanks.

24. What was your favorite TV program? The Crown was, until it got associated with painful memories and I had to put my viewing indefinitely on hold. My favorite show this year would be either Descendants of the Sun or Start Up; both are amazingly good.

25. Do you hate anyone now that you didn't hate this time last year? I don’t think so. I don’t throw that word around a lot anyway.

26. What was the best book you read? Bret Hart’s memoir was a fun read.

27. What was your greatest musical discovery? Beach House and Chase Atlantic. ALSO, Twice lolololol

28. What did you want and get? My first job.

29. What did you want and not get? Commitment from the one person I asked it from.

30. What was your favorite film of this year? I didn’t watch a lot of movies this year. I actually think I just saw one?? which is really unlike me; but it wasn’t a big year for film anyway. I have yet to see Ammonite, which I already think I’ll love.

31. What did you do on your birthday, and how old were you? I turned 22 and I just stayed at home with family while my best friend and her boyfriend sent over sushi for me.

32. What one thing would have made your year immeasurably more satisfying? If I got to keep my relationship, which I thought had been faring well until she abruptly pulled the plug on everything.

33. How would you describe your personal fashion concept in 2020? Casual and didn’t really evolve too much considering I didn’t go out a lot.

34. What kept you sane? Good Mythical Morning. I owe my life to them. And embroidery.

35. Which celebrity/public figure did you fancy the most? I didn’t develop a crush on him until this month lmaaaaaaao but Kim Seon Ho is so so so so so dreamy.

36. What political issue stirred you the most? The shutdown of ABS-CBN early in the year and the US elections.

37. Who did you miss? My friends in my org.

38. Who was the best new person you met? The people at my workplace that I ended up having a great rapport with.

39. Tell us a valuable life lesson you learned in 2020: From a tweet I retweeted: “You keep bad people around you and make excuses for their behavior because if you decided to hold even one person accountable, you’d have to recognize the offenses you’ve ignored and accepted. You’ll realize how much you’ve invalidated your own pain to ensure the comfort of others.” It was a harsh slap in the face, but I needed to hear it.

[luceatz]

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In developed nations, especially, this could be the degree of the illness. Some residents, though, will have persistent bacteriuria with precisely the same organism for a long time. When the infection was cleared there isn't any risk to friends or relatives and you don't posses a greater chance of getting another infection. https://www.sdrugs.com

The researchers emphasize the demand for improvements in the grade of evidence from low-income nations. Given the prospective risk of diabetic foot ulcers becoming infected, it is crucial to have a strong comprehension of the current antibiotic choices. In such conditions, usage of the antibiotic ought to be stopped immediately.

1 issue with this regimen is the massive quantity of sugar found in cranberry juice, which poses a specific problem for persons with diabetes. If you believe you might have a health emergency, call your health care provider or dial 911 immediately. Pelvic floor relaxation with a massive cystocele may lead to inadequate emptying.

The kind of health therapy utilized depends on the kind of stone begin formed by the individual. By the moment you understand that the symptoms have not gotten better, the outcome of the urine culture needs to be available and your physician can check the outcome and start you on a proper antibiotic if you weren't taking the best one. Your physician will have to monitor your blood while you're on LITHOSTAT.

When the likely pathogens are established, a suitable antibiotic that will achieve good urinary concentrations ought to be prescribed. It appears almost perfunctory, until you consider the infection-causing bacteria's capacity to adapt. Prolonged usage of KEFLEX may end in the overgrowth of nonsusceptible organisms.

Antibiotics are utilized to kill bacteria within the body. Urine specimens have to be collected in a way that minimizes contamination from periurethral or vaginal bacteria. Bacteria are microorganisms that thrive in the health of the planet, but they're not always harmful.

Swarms from other strains, on the flip side, make a visible boundary in the type of a cell-free zone. All strains will probably produce some sum of abdominal tenderness. It's possible there are some people who benefit from the usage of cranberry juice and others who don't.

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It's the very first multivalent vaccine that may potentially protect against three types of toxins secreted by S. aureus. Additionally, gram negative bacteria have become increasingly resistant to traditionally useful antibiotics. This antibiotic can used in conjunction with another antibiotic or as an individual component to take care of bacterial infections.

If a dose is missed, it needs to be taken once possible. Even using only one of the two usually prescribed drugs is as effective normally and might decrease using azithromycin, which is often prescribed in children. You should discuss the advantages and risks of using Bactrim while you're pregnant.

Rifampicin must always be utilized in combination with different antibiotics for prosthesis infections. These infections aren't restricted to hospitals. You also have to be certain to finish any antibiotics you're prescribed even when you feel better before they run out.

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Gram-negative bacterial growth depends upon a moist atmosphere. This isn't a comprehensive collection of all side effects which may happen. Side effects can happen in the event of an allergic reaction.

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These symptoms might not be present in case the patient has an indwelling catheter. Prescribing AVYCAZ in the lack of a proven or strongly suspected bacterial infection is not likely to offer benefit to the patient and increases the chance of the evolution of drug-resistant bacteria. If you do get another infection it's important to let your healthcare group and doctor know you have had an ESBL infection before so they prescribe the proper treatment for you.

It can be used with any typical therapy, and will probably synergize treatments effects with them. Pets experiencing canine vaginitis respond to treatment within 2-3 weeks. If he is febrile, this could be a sign of bacteremia and impending sepsis.

The majority of the moment, cystitis is the result of a bacterial infection, otherwise referred to as bacterial cystitis. Pyridium should always be used together with an antibiotic because it does not eliminate a UTI by itself. Urinary symptoms ought to be utilised in combination with test results to diagnose UTI.

Not drinking enough water is just one of the primary causes of UTI. Inadequate hygiene is just one of the prime causes of UTI. Lower urinary tract infection means infection at or below the degree of the bladder.

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Antibiotic therapy ought to be started empirically, but it might require modification depending on the organism identified in the urine culture. Cephalosporins may be related to prolonged prothrombin time. Various immune mechanisms also may perform a part in the pathogenesis.

The end result is that what you see on the plate is a set of concentric growth rings, which makes it look as a bullseye. Medical procedures connected with the penetration during the outer barriers of the human body, must be run in compliance with all safety regulations. The strip is subsequently withdrawn immediately along the border of the container in such a way as to eliminate any surplus urine.

If you need to use triple antibiotic therapy because the Rifaximin didn't get the job done, your costs are likely to increase substantially. Some manufacturers do offer money-back guarantees of this kind. We'll refund the expense of the medication or replace it depending on your requirements.

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Therefore, it's better to go to the vet at the earliest. Consequently, LITHOSTAT might have the capability to cause cancer in humans. Moreover, if your dog has stomach issues, the antibiotics may aggravate the problem.