#Oxygen Therapy Skin Treatment

[lushbeautysaloons]

The Benefits of Oxygen Therapy Skin Treatment

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[cripplecharacters]

How should you write/draw burn survivors? I know this isn't a drawing blog but I don't know of one that I could ask this question to.

Hello!

I'm not a burn survivor myself, so I'll mostly talk about facial differences/visible disability in general and link some stuff made by burn survivors.

First thing, I think it's important to remember that being a burn survivor changes a lot of things - not only appearance. Very important part is the psychological one, but I'm not a burn survivor so I will just let the resources linked below speak.

From the physical aspect, burns can also come with: chronic pain, limited range of motion due to scarring, tightened skin, problems with regulating temperature, itching, skin irritation, and even different nutritional needs during the initial healing process.

There is also specific everyday care associated with burns - something you basically never see in fiction. That could be things like occupational therapy, physical therapy, skincare (like heavy moisturizing and scar massaging), wearing sunblock, wearing splints, or stretching to prevent contractures or tightness.

There are also different types of burns and they (unsurprisingly) differ from each other - for example, electrical burns have a much higher rate of amputation than any other type. Chemical burns can cause eye issues. A burn caused by a fire in a closed space might result in a brain injury due to the lack of oxygen. A much larger portion of people than you (probably) assume have survived burn injuries as small children, and if they were young enough they might not even remember the event at all, unlike older people who might be very affected by the trauma.

Experiences of a person with 80% body surface burns, a person with quadruple amputations from an electrical burn, a person with a facial burn, and a person burnt very recently will be different from someone who has a 5% body surface 2nd degree burn in a spot that’s usually hidden, who has lived with their burn for a decade - despite them all being burn survivors.

When it comes to more thorough research, I recommend going through Phoenix Society’s and Face Equality International’s websites to learn more about both real burn survivor’s perspectives, and face equality as a social justice topic. I think the 3rd link (see below) puts it very well when talking about burn survivors being represented in fiction:

“Most likely, these characters were not created by someone with lived experience. The result is an increasingly garbled game of telephone [...] To avoid contributing to this false narrative, embrace research as part of the process. Explore interviews, first-person accounts, and articles from reliable sources.”

I personally think that the links below should be mandatory reading for writing not only burn survivors, not only people with facial differences, but visibly disabled people in general - because the treatment we get is often so similar the advice still holds up just fine. And if you don't plan on writing any of these, you should still read them to see how prevalent of a problem ableism in media is.

Lise Deguire's Hey Hollywood - scars don't make you evil.

Face Equality International's International Media Standard on Disfigurement.

Niki Averton's Tips for Writing about Burn Survivors.

The main sentiment that you will read from basically any first-hand source is that if you're writing the burn survivor to be either:

evil (just throw the whole character away)

a guy with the "World's Saddest Most Tragic Backstory Ever and It's So Sad and Tragic" (because he revealed he has a scar)

a helpless victim who is there to be The Helpless Victim

...then you're already doing it wrong and need to make some major changes.

From our blog's reblogs and posts, you might want to look at tips for writing a visibly different/disabled character and tips on drawing people with facial differences. Neither are specific to burn survivors but cover the topic of visible disability and facial differences.

Now for tips on drawing burn survivors (that weren't included in the last link);

Reference real people. 99.9% drawings of burn survivors seem to go through the same "increasingly garbled game of telephone" that Niki Averton mentions with how burn survivors are written, in that the newer the drawing, the less in common it has with how real people with burns look like because people reference from each other and none of them ever think to actually check if their depiction is accurate. If you just google "burn survivor" you will very quickly notice that burn survivors don't have that damn red overlay layer put on top of their skin. It just doesn't look like that, and basic research (aka Google Images search) will tell you that - and still, people color a hand with bright red and think that's how it looks like (it doesn't).

In the same vein, maybe don't just draw an able-bodied person and then put some scarring on top (or maybe do exactly that. No burn scar and no burn survivor is the same, and there are people that fit what I just described... but hear me out for a second). Think about how scars interact with their features - do they have both of their ears? Do they still have all of their hair? Do they only have parts of their eyebrow? Do they have all of their fingers? Can they move the same as before their burn, or are their scars limiting their joints? How did their body react to the post-burn hypermetabolism? Lots to think about. Take into account what type and thickness of burns your character has.

Ditch the mask trope. Just ditch it. There's no need to cover your character's scar from the world unless you as the author think it requires to be hidden, is too scary to show, or other ableist trope that seems to always come up with drawings of visibly disabled people, especially burn survivors. The one exception I will mention is a transparent face orthosis/mask (TFO) that facial burn survivors might wear while awaiting a skin graft early after their injury. But as the name suggests, it's transparent and doesn't work for the "scary facial difference, better cover it up and only reveal it in some hyper dramatic scene!" trope because you can see right through it. (I will also mention that TFOs are a very modern thing. Your medieval burn survivor wouldn't be wearing one).

No "body horror", no "gore" tags or trigger warnings or whatever. That's a human being. If you feel the need to warn your followers before they see a disabled person existing, you're better off not drawing them.

Some last notes;

Throughout this ask I used the term "burn survivor" rather than "burn victim" because that is, to my knowledge, the general community preferred phrase. Individual opinions will differ (because no group is a monolith) but "burn survivor" is generally the safest term to use and probably the best if talking about a fictional character.

Similarly, I used "facial difference" rather than "disfigurement". Just as the above, opinions will differ on what is the best to use but I personally, as someone with facial asymmetry and a cranial nerve disorder, heavily prefer the term "facial difference" over "disfigurement". (I am in this case The Individual Opinion Differing because you can notice that in the links above, facial difference and disfigurement are used interchangeably. The general community uses both, some people have specific preferences. I'm some people). When talking about a fictional character, "facial difference", "visible difference" and "disfigurement" are all probably fine. Just stay away from calling a person "deformed".

mod Sasza

[literaryvein-reblogs]

Writing Notes: Hypothermia

Hypothermia - A potentially fatal condition; occurs when body temperature falls below 95°F (35°C).

The danger signs include:

intense shivering;

stiffness and numbness in the arms and legs;

stumbling and clumsiness;

sleepiness, confusion, disorientation, amnesia, and irrational behavior; and

difficulty speaking.

The signs and symptoms of hypothermia follow a typical course, though the body temperatures at which they occur vary from person to person depending on age, health, and other factors.

The impact of hypothermia on the nervous system often becomes apparent quite early. Coordination, for instance, may begin to suffer as soon as body temperature reaches 95°F (35°C).

The early signs of hypothermia also include cold and pale skin and intense shivering; the latter stops between 90°F (32.2°C) and 86°F (30°C).

As body temperature continues to fall:

speech becomes slurred,

the muscles go rigid, and

the victim becomes disoriented and experiences eyesight problems.

Other harmful consequences include:

Dehydration

Liver and kidney failure

Heart rate, respiratory rate, and blood pressure rise during the first stages of hypothermia, but fall once the 90°F (32.2°C) mark is passed.

Below 86°F (30°C) most victims are comatose, and

below 82°F (27.8°C) the heart’s rhythm becomes dangerously disordered.

However, even at very low body temperatures, people can survive for several hours and be successfully revived, though they may appear to be dead.

TREATMENT

Until emergency help arrives, a victim of outdoor hypothermia should be brought to shelter and warmed by:

removing wet clothing and footwear,

drying the skin, and

wrapping him or her in warm blankets or a sleeping bag.

Gentle handling is necessary when moving the victim to avoid disturbing the heart.

Rubbing the skin or giving the victim alcohol can be harmful.

Warm drinks such as clear soup and tea are recommended for those who can swallow.

Anyone who aids a victim of hypothermia should also look for signs of frostbite and be aware that attempting to rewarm a frostbitten area of the body before emergency help arrives can be extremely dangerous. For this reason, frostbitten areas must be kept away from heat sources such as campfires and car heaters.

Rewarming is the essence of hospital treatment for hypothermia.

How rewarming proceeds depends on the body temperature.

Other considerations, such as the patient’s age or the condition of the heart, can influence treatment choices.

Different approaches are used for patients who are:

mildly hypothermic (the patient’s body temperature is 90–95°F [32.2–35°C]),

moderately hypothermic (86–90°F [30–32.2°C]), or

severely hypothermic (less than 86°F [30°C]).

Mild Hypothermia

Reversed with passive rewarming.

This technique relies on the patient’s own metabolism to rewarm the body.

Once wet clothing is removed and the skin is dried, the patient is covered with blankets and placed in a warmroom.

The goal is to raise the patient’s temperature by 0.9–3.6°F (0.5–2°C) an hour.

Moderate Hypothermia

Often treated first with active external rewarming and then with passive rewarming.

Active external rewarming - applying heat to the skin (e.g., by placing the patient in a warm bath or wrapping the patient in electric heating blankets).

Severe Hypothermia

Requires active internal rewarming, which is recommended for some cases of moderate hypothermia as well.

There are several types of active internal rewarming:

Cardiopulmonary bypass - the patient’s blood is circulated through a rewarming device and then returned to the body, is considered the best, and can raise body temperature by 1.8–3.6°F (1–2°C) every 3–5 minutes. However, many hospitals are not equipped to offer this treatment. The alternative is to:

Introduce warm oxygen or fluids into the body.

Hypothermia treatment can also include, among other things:

insulin,

antibiotics, and

fluid replacement therapy.

When the heart has stopped, both cardiopulmonary resuscitation (CPR) and rewarming are necessary. Once a patient’s condition has stabilized, he or she may need treatment for an underlying problem such as alcoholism or thyroid disease.

Source ⚜ More: Notes & References ⚜ Writing Realistic Injuries

[promptsforyourwhumpfic]

The Grand A-Z List of Whump 2/3

This list contains ~174 items listed I to Q

As always, I heavily encourage people to research topics thoroughly when writing as it is important to avoid stereotypes/misinformation. This list's intention is not to glorify/romanticise sensitive topics in any way.

This is a comprehensive list of injuries, Illnesses and tropes - including those from the Whumptober 2023 trope vote!

All submissions are listed in italics, and those who wanted to be tagged will be included at the end. If you have any more submissions: please send them via DM/my ask box.

[A-H] [R-Z] [NSFW List]

List below the cut:

I

ICU

Identity reveal

Ignorance is Bliss

Ignoring an Injury

Immersion foot syndromes (Prolonged exposure to damp and cold)

Immobilization

Immortal healed wrong

Immunodeficiency

Impalement

Improvised medicine/treatment

Indigestion

Infected (Blood, Wound, Tattoo etc)

Infested

Injured caretaker carrying an even more injured whumpee.

Injured whumpee instructs caretaker how to treat them.

Injury Discovery

Injury Revelation

Insecurity

Insomnia

Insults

Internal Bleeding

Interrogation

Interventions

Intimate whumper

Intubation

Involuntary whumper

Isolation

Isolation/Quarantine

Itching

J

Jailed

Jamais vu (The experience of being unfamiliar with a person or situation that is actually very familiar.)

Jealousy

Jet Lag

Jumping (to safety, forced to jump)

Just dying in general.

K

Keeping quiet because the enemy is nearby

Keeping the whumpee awake

Ketosis (body burning fat for energy)

Kidnapped by the opposing team

Kidnapping

Kidney Stones

Killed! (Again and again and again for the lovely immortal whumpees<;3)

Kneeling

Knife through hand and into wall/floor

Knocked Out

L

Lab Rat

Laryngitis

Late realisation

Left for dead

Leprosy

Lichenberg scars/Lightning strike

Limited Medical Supplies

Live-Streamed/Broadcast torture

Lobotomy

Locked Up and Left Behind

Losing a Bet

Loss of appetite

Loss of reality

Lost (In the woods, city etc)

Lost voice

Low Blood Pressure

Lumbago (lower back pain)

Lupus

Lured into a trap

Lying

Lyme's disease

Lymphoma

M

Magical exhaustion

Magical healing

Magic whump (using spells to harm someone)

Manhandling

Major Character Death

Makeshift Splints

Malaria

Malnutrition

Manhandling

Mauled

Measles

Medical trauma

Medieval Torture

Memory Loss

Meningitis

Menstrual Cramps

Mental illness after being kidnapping (and addressing it)

Migraine

Military lovers

Military whump

Mind control/Manipulation

Miscommunication

Missing

Missing Person

Mistaken Identity

Misunderstanding

Mono

Mopping a sweaty brow with a cool cloth

Mudslides

Muffled Scream

Mugging

Multiple Sclerosis

Multiple Whumpees

Multiple Whumpers

Mumps

Muscular Atrophy

Mute

Muzzled

N

Nailed to a wall or floor

Nails digging into palms

Nail marks left in the whumpees skin

Natural Disasters

Nausea

Near-Death Experience

Necrosis

Neglect

Nerve damage

Nerve pain

Nightmares

No anesthesia

No goodbyes

Non-responsiveness

Nonhuman whumpee

Not allowed to die

Not Realizing They’re Injured

Nowhere else to go

Noxious (gas/fumes)

Numb

Numbness/Paralysis

O

Obsession (with finishing the mission, the whumper obsessed with the whumpee etc)

Open Fracture

Orthostatic hypotension (low blood pressure when standing)

Osteogenesis Imperfecta (brittle bone disease)

Outnumbered

Overdose

Overworked

Oxygen Deprivation

Oxygen Mask

P

Packing a wound

Panic attacks

Paralysis (this could be temporary or permanent)

Paranoia

Parent caring for sick child

Parkinson's

Passing out from pain

Passing out in arms

Permanent injuries that affect them long term

Phantom pain

Phobias (could lead to character stumbling and hurting themselves in an attempt to escape their fear)

Photographs/Polaroids ( Especially if they're of the kidnapped whumpee)

Physical Therapy

Piercing ripped out

Pinched nerve

Pinned Down/To The Wall

Plague

PMS

Pneumonia

Pneumothorax

Poisoning

Polio

Possession/possession recovery

Post-exertional malaise

Post-ictal confusion/any other symptoms (after a seizure)

POTS (Postural Orthostatic Tachycardia Syndrome)

Power Fatigue

Praise (especially if it's from the whumper)

Pregnancy (morning sickness, self-conscious, hot flushes, tired and sleepy, general malaise, swollen feet, weird cravings...)

Presumed dead

Prisoner Exchange

Protecting friend from the whumpees own team (bonus points if doing it while injured)

Psychological Torture

Psychological Whump

Psychosis

PTSD

Pulled Muscles

Puncture Wounds

Q

Q-Fever

TAG LIST: Thank you very much to the following people for submitting ideas! (I apologise if some tags did not work, I'm not sure why tumblrs not letting me tag you!)

@I-eat-worlds | @greygullhaven | @letsgowhump | @cyberwhumper @firapolemos05 | @originaldeerhottub | @whumpilicious | @drawing-dinos82 | @carenrose | @stellarinuscronicles | @gottheseasonalblues | @marvelflame2010 | @sowhumpful | @avamcu | @courtneygacha | @lordofthewhumps | @autismmydearwatson | @kuddelmuddell | @the-most-handsome-ginger | @whirls-and-swirls | @painsandconfusion

[a-shade-of-blue]

Masterlist of Vetted Fundraisers from the Palestinians who directly contacted me (11-14 August)

14 August

Muhammad Musa (@mohammedmosa26): Muhammad is 26 years old, and his wife just gave birth to their first child in a shelter center in the middle of this war. They are trying to evacuate out of Gaza. (https://gofund.me/36b6b9a4) (This campaign is vetted by association. Muhammed is Aseel's (@/aseelo680) brother-in-law, see post here. Aseel herself has been vetted by 90-ghost (see here, and here.) (LOW FUNDS: $175 USD raised of $20,000 goal)

Elham, Lana and Ahmed (@elhams-things, @neverhate2024): Elham has two children, Lana and Ahmed. Her mum is bleeding in her eye and she needs surgery to treat it. She also has a new born baby born during this war. Her family also includes her old father, her brother and his wife and his daughter. (https://gofund.me/67a34097) (#71 on the verified fundraiser list vetted by el-shab-hussein and nabulsi.)

Abdullah Salem (@abdullahgaza): Abdullah is a graphic designer and is from a family of 7. His father has a heart condition and needs expensive treatment that is unavailable in Gaza. They are trying to evacuate out of Gaza and has his father receive treatment in Egypt. (https://gofund.me/73a6fe20) (listed as #81 on the Operation Olive Branch verified fundraiser list, and listed as #625 on the Butterfly Effect Project.) 

Nour Ashour (@nourashour33, @noor-y-ashour, @noor-yashour): Nour has two children Nazmi and Muhammad.  Muhammad is 4 years old and suffered from a lack of oxygen at birth and now suffers from muscle relaxation and an inability to move. He needs physical therapy and physiotherapy, but they are unavailable now due to the current war. He has to return to treatment immediately to be able to walk. (https://gofund.me/cc6e4272) (shared by 90-ghost) (LOW FUNDS!! Only £517 raised of £80,000 target!!)

Mohammed salem (@mohammed-salem,@save-salem-family2): Mohammed is from a family of 7. He has lost his house and his source of income due to the bombing. They are trying to evacuate. (https://gofund.me/9233fc30) (vetted by 90-ghost)

Mahmoud Baalou (@freepaleatine95): Mahmoud’s father and mother suffer from diabetes and high blood pressure. They both need treatments which are unavailable in Gaza. His sister was an uni student studying engineering. Mahmoud’s older brother was killed by the Israeli army in 2006. (https://gofund.me/19e0f69f) (shared by 90-ghost.)

13 August

Dina (@dina179): Dina has 3 children: Noor (7), Omar (5), and baby Farah (not even a month old) who was born amidst the bombing. The children are suffering from skin diseases and Noor has contracted viral hepatitis. (https://gofund.me/427fc28d) (#245 on the verified fundraiser spreadsheet vetted by el-shab-hussein and nabulsi.)

Mohammad Al-Turk (@mohammedturk): Mohammad is from a family of 7. His father suffers serious injury to his head and hand due to the bombing. He needs to undergo surgery to save his right hand. They are trying to evacuate out of Gaza. (https://gofund.me/54db81e4) (vetted by nabulsi. It is listed as #96 on the verified fundraiser spreadsheet vetted by nabulsi and el-shab-hussein.)

Whadi Yasser Qanoo (promoted by @harrowharkist): Whadi is a 17 year old student who suffers from cancer. He will die if he does not get treatment, which is not available in Gaza due to the current war. He wants to graduate from high school. He and his family are trying to evacuate out of Gaza. (https://gofund.me/df66515f) ( #11 on the Bees and Watermelons verified fundraiser spreadsheet) (Whadi's instagram: wdy_qnw)

Mahmoud Alkhaldi (@mahmoud-1995): Mahmoud is trying to evacuate his fiancee, his younger brother Mohammed and his wife as well as their 1 and half year son Yasser. They are trying to evacuate out of Gaza. (https://gofund.me/5008971f) (shared by 90-ghost)

Omar Sobhi (@omargazablog): Omar is a uni student trying to save his family and pursue his academic dreams. (https://gofund.me/bba72cc6) (shared by nabulsi.)

11 August

Ghada Banat (@ghadabanat): Ghada is pregnant and on her latest trimester and is expecting to give birth very soon. Ghada is from a family of 14 and has a 9-month-old daughter. They are trying to evacuate out of Gaza. (https://gofund.me/65f2a341) (#239 on the verified fundraiser spreadsheet vetted by el-shab-hussein and nabulsi.) 

Malk and Ahmed Al Zaeem (@malkzaim): Malk is 14 years old. His grandfather suffers a spinal injury but there is limited meidcal resources in Gaza. Malk and is family is trying to evacuate and ensure his grandfather receives essential medical care abroad. (https://gofund.me/f5a14faa) (#129 on the verified fundraiser list vetted by nabulsi and el-shab-hussein)

Suad Ahmad (@suad-ahmad): Suad and her husband have an infant son Khaled who is born during the current war. Her infant son developed a severe fever due to a chest infection. They, along with her family, are stranded in the streets of Al-Bureij, where a bombing attack and ground invasion is imminent according to multiple sources (!) They are trying to evacuate and find medical treatment for Khaled (https://gofund.me/ebaee2af) (vetted by nabulsi)

Lina (@azaxa): Lina is 25 years old and has two children, 2-year-old Saif and 3-month-old Sidra who was born during the current war. Their home has been destroyed and they are trying to evacuate out of Gaza.  (https://gofund.me/4f077ab2) (Vetted by association. This campaign belongs to a friend of @/mohiy-gaza. Mohi's gfm has been shared by 90-ghost. ana-bananya has been able to confirm this connection by reaching out to Mohi, please see linked post.)

Kareem Almadhoon and family (@kareem-family): Kareem suffers from cerebral palsy and severe malnutrition and needs many medications that are not available. Kareem also has three other siblings Lamees, Maryam and Nour. (https://gofund.me/baf38a35) (shared by 90-ghost)

Sameer Al Khaldi (@sameer-17): Sameer is from a family of 17, including 9 adults and 8 children. Before the current war, his was preparing for his daughter’s wedding which was supposed to take place this summer. One of his son was supposed to finish high school this year and was looking forward to study business in uni. They are trying to evacuate out of Gaza. (https://gofund.me/e61eadec) (Vetted by association. This campaign belongs to a friend of @/mohiy-gaza. Mohi's gfm has been shared by 90-ghost. Both @/ana-bananya and @/dlxxv-vetted-donations has been able to confirm this connection by reaching out to Mohi, please see linked post.)

Ahed and Samah (@ahedalshaer): Ahed is a 22 year old dental student and Samah is 18 years old and supposed to be in high school this year. They are from a family of 7 with 3 brothers: Jamal, Hamdan, and Hamada.Their father is diabetic and their mother suffers from chest infections but there are not medicine or treatment available. They are trying to evacuate out of Gaza. (https://gofund.me/ed54855f) (#407 on the Butterfly Effect Project verified fundraiser list)

Ahmed Jihad (@ahmad-syam-blog): Ahmed is newly wedded right before the current genocide happened, and his daughter was born during the ongoing slaughter. They are trying to survive and evacuate out of Gaza. (https://gofund.me/2768b3a3) (#171 on the Bees and Watermelons verified fundraiser list!) (LOW FUNDS! Currently $907 CAD raised of $40,000 goal.)

Malak Al-Mughribi (@malakalmughrabi, malakalmughrabii): Malak and her husband Amjad has a 3-year-old son named Malek. (https://gofund.me/cf2f172e) (This campaign is UNVETTED but seems legit. Her Instagram goes back a decade (See the post she has been tagged in on IG. The earliest she has been tagged in is from 2015, a post she has been tagged in in 2019 is geotagged in Gaza))

Click here for my Masterlist for fundraisers from 13 July - 25 July.

Click here for my Masterlist for fundraisers from 26 July -29 July.

Click here for my Masterlist for fundraisers from 30 July - 1 August.

Click here for my Masterlist for fundraisers from 2 August - 5 August.

Click here for my Masterlist for fundraisers from 6 August - 10 August.

How does vetting and verification work? See post here.

[going-to-ikea-for-the-fries]

COBRA'S MILITARY FILE (OC)

NAME: HOWARD, SCOTT KEOLA

DOB: May 25th, 1985

BIRTHPLACE: Pago Pago, American Samoa.

SERVICE NO: 156-39-43

CALLSIGN: Cobra, Shadow 0-2.

SEX: Male.

MARITAL STATUS: Single.

EDUCATION: High School Education.

LANGUAGES: English, Samoan, Russian.

BRANCH: United States Navy Sea, Air, and Land (SEAL) Teams.(Honorably Discharged.)

RANK: Special Warfare Officer 1st Class (E-6).

PROFESSION: Military Operator/Contractor and Investor for Shadow Company.

TRAINING: Direct action, Counter-terrorism, Amphibious reconnaissance, Unconventional warfare, Hostage rescue, Underwater demolition.

Training Scores

PFT: 298

Rifle Qual: 290

CQB: 22.8s

Disciplinary Record: Clean.

Notes: - 1 domestic decoration (Purple Heart) awarded by the American government for a wound sustained while in active duty, as a result of an act of a hostile foreign force. (2018)

Past Medical History

Height: 6ft3in / 191cm

Current Weight: 260lbs / 117kg

Blood Type: A-

Extensive physical injuries.

1x 3rd Degree Burns (from prolonged exposure to flames) and lacerations after an explosion. Extensive injuries to the skin and soft tissue of the upper left side of his body, including his face. Surgical intervention performed successfully.

15+ Stab Wounds with various degrees of gravity to the torso and upper extremities. 2 instances of antibiotics to stave off infection.

10x GSW. 3x in upper and lower extremities. 4x in upper torso. 3x in lower abdomen.

3x Concussion.

2x Pneumonia. 2 rounds of antibiotics for treatment.

3x Hypoxemia and respiratory distress from smoke/toxic gas inhalation. 3 rounds of oxygen therapy.

6x Food Poisoning.

Evaluated for hearing loss. Result: minimal.

Evaluated for visual acuity. Result: 20/20.

Family History

███████ [REDACTED] ███████

Note: Family medical history shows a tendency for heart disease, strokes/blood clots, and high blood pressure/cholesterol. Continue to monitor.

Social History

Smoking? Not anymore. Quit 10 years ago.

Drinking? Yes, socially. Never binging.

Physically Active? Yes. Swims 2+ hrs, 5 times a week. Boxing, 3 times a week. Cardio, everyday.

Sexually Active? Yes. Clear of STDs and STIs.

Psychological Treatment? No.

Religion? Christian. Non-Practicing.

Associations? N/A.

Medication List + Indications

Lidocaine – Issued for 3rd degree burns, 5 years ago, discontinued use.

Allergies

N/A

Notes

N/A

[glennjaminhow]

Nuts

The ER is packed.

Thanks to Mac’s hideously grotesque features and labored breathing, they get to cut in front of all the other bozos with broken arms and screaming babies. It’s a good thing too because Dennis isn’t sure how much longer he can stand the distorted, puffy face or the Godawful wheezing. The face is one thing; he looks like a monster, but he’s still Mac underneath all the swelling. But the wheezing is another story. He doesn’t like it. It’s loud and annoying and generally unpleasant, and it makes him want to rip his hair right out of his skull.

He wouldn’t look good bald. Everyone knows this.

Dennis attempts to read the news on his phone, but he can’t focus on it. He has a massive headache building right behind his eyes. The lights are too bright, and the constant repetitive noises from the emergency room weigh heavily on him. Instead, he leans back in an uncomfortable plastic chair and rubs his forehead with trembling, cold fingers. He concentrates on keeping his breathing even and deliberate.

He can’t lose it now.

Mac needs him.

The dude’s a Goddamn idiot for continuing to eat those Fancy Nuts.

Some doctor gives Dennis the lowdown, informing him that Mac will have to spend the night here on oxygen with periodic albuterol treatments. He’s got an IV pumping him full of antihistamines to relieve the worst of his symptoms. An allergy test was performed on Mac like he’s some kind of lab rat. The test confirmed that he’s allergic to both peanuts and tree nuts.

Apparently, allergies can develop over time and with age.

As soon as he hears the word ‘age,’ Dennis cuts the doc off.

Mac’s got an oxygen mask covering his mouth and nose. The horrendous swelling is nearly gone. He stares at Dennis with droopy, bloodshot eyes. Mac reaches out with his free hand – the one without the IV and pulse ox attached to it – and smiles unevenly. Dennis takes it and rubs his thumb over red knuckles.

There’s a piercing shriek followed by a strange flushing noise off to their right. Dennis flinches hard, drawing his shoulders up and hunching in on himself. He shakes his head and tries not to scream. Of course these idiots wouldn’t give Mac a private room. Of course he’s stuck out here with the loonies. Of course. When the sound happens again, he bites his tongue so hard it trickles blood inside his mouth.

Mac must notice because he gently squeezes Dennis’ hand.

And no. Just no. Dennis should be the one comforting Mac, not the other way around.

“How’re you feeling?” Dennis asks quietly. He takes a seat in the chair behind him; he doesn’t let go of Mac's hand.

Mac clears his throat. “’m ‘kay. Wanna g’home.” His voice is garbled, thin and painful.

Dennis nods. “I know, bud, but you gotta stay here tonight. The doctors wanna make sure your breathing is okay.”

“M’breathing’s…” Mac wheezes and inhales sharply. “Great.”

He’s about to roll his eyes, but then that fucking shriek-flush happens again, and, Jesus Christ, is someone actively dying on the shitter? The noise makes his skin crawl. He wants to yell. Scream until he’s blue in the face because how dare some toilet-screaming psychopath interrupt Mac’s healing process. Don’t they know he’s suffering from an extreme allergic reaction? Don’t they know he needs to rest and recover? Don’t they know that SCREAMING in a fucking HOSPITAL should be outlawed? God forbid HE be the one screaming.

And he can feel himself slipping. Slipping back into the old Dennis. The old Dennis who absolutely would scream back at a moment’s notice. The old Dennis who isn’t on a cocktail of mood stabilizers to help calm him down. The old Dennis who doesn't listen to reason. The old Dennis who isn’t going to therapy once a week to try and sort out this… his… issues.

He doesn’t want to be that guy anymore. He’s… He’s evolved. He’s…

“You’re okay, Den,” he hears Mac whisper. “You’re good.”

Dennis bites his bottom lip. Nods. Looks into Mac’s swollen brownie eyes. He’s supposed to be here for Mac, but he isn’t doing that. He’s too focused on the hospital making its noises. He’s gotta focus his time, his energy, om keeping Mac safe. On making Mac feel better.

He swallows thickly. Rubs the back of his neck. Takes a deep breath.

“Do you need anything?” Dennis asks. He tries not to acknowledge the faintness of his own voice.

Mac shakes his head. “Jus’ you.”

Dennis rubs his thumb over Mac’s knuckles again and leans back in his seat.

He isn’t going anywhere.

~

Morning comes, but not quickly enough.

Mac’s woken up in regular intervals throughout the night for breathing treatments. Dennis doesn’t sleep, his nerves raw. The shriek-flushing eventually stops, but the constant beeping from monitors and the rustling of sheets and curtains floods his brain. It’s too much. It’s just too much. But he knows there’s an end in sight.

The doctors discharge Mac around 8:30, after a hellish 18 hours of hospitalization. He’s prescribed two EpiPens for the nut allergies, along with extra strength Benadryl and an inhaler for the leftover side effects of anaphylaxis. Dennis elects himself in charge of the EpiPens, which Mac is okay with in his exhausted state. There’s no way he can trust Mac to hold onto something so vital, so crucial to his safety. Mac never worries about himself; he’s always more concerned with Dennis. That’s not gonna fly here. No, Dennis will oversee the EpiPens, just like how Mac oversees Dennis’ eating schedule.

Mac is shaking as Dennis loads him into the passenger seat of the Range Rover. He grabs the plushy blue blanket from the trunk – the one Mac put there for cold mornings and nights during their work commute – and drapes it over Mac, who instantly melts into the fabric. Dennis smiles sadly as Mac buries his face in the quilt. Within seconds of putting the Rover in drive, Mac is sound asleep, wheezing slightly with his chin dipped to his chest. The thirty minute ride is silent, just quiet enough to begin thawing out Dennis’ knotted nerves.

He’s pulling into a parking space at their apartment when Mac coughs himself awake. It’s riddled with mucus, but somehow empty sounding at the same time. He doubles over, saliva pooling on his Dickies. Dennis immediately reaches out and rubs his back, wincing at the redness of Mac’s face, the harshness of his breathing, the heat bleeding through his jacket. When it’s obvious this coughing fit isn’t subsiding on its own, Dennis pulls the inhaler out of his jeans and presses down on the canister once Mac is ready for it. The medicine seems to help quickly. Mac breathes easier and wipes his mouth with the back of his hand.

“Thanks, Den…”

“Let’s just get you up to bed, pal.”

Dennis is not Mac, meaning that Dennis cannot carry Mac. He has too much mass. And excuse him for not wanting to live in the gym and look like some kind of huge freak. He’s svelte and lithe, and, okay, maybe he has lost some weight recently, a loss he’s trying to hide with slightly oversized flannels, but that doesn’t concern anyone. But what does concern him right now is that, fuck, maybe he should’ve been working out more to prepare for emergencies like this. Maybe he should’ve been tacking on mass too instead of getting rid of it.

Maybe then he’d be able to help his buddy out of this jam.

“C’mon, Mac,” Dennis grunts, as he shoulders most of his roommate’s weight. Mac leans heavily against him as they walk inside their apartment building, an arm wrapped sluggishly around Dennis’ neck. He’s beyond grateful for their service elevator at moments like these. They don’t typically use it, not unless they’re carrying a shit ton of groceries or liquor, but it turns out to be a saving grace. Dennis unlocks the door in one swift motion with Mac wobbling and sticking to him like glue.

It’s then that Dennis realizes they have a problem. A big problem.

Their bed is filled with Fancy Nuts. Dennis remembers sleeping on them – or with them? – a couple days ago, back when he and Charlie weren’t sure Mac was gonna pull through this.

“Just… Just sit here for a few minutes,” Dennis says, gently pushing Mac down into the pink inflatable chair.

Mac shakes his head. His brown eyes swell with tears. “Wanna go to bed, Den…”

“I know, baby boy. But I gotta clean our bed.”

A couple tears stream down Mac’s cheeks; Dennis wipes them away.

“Don’t feel good…” Mac whines, hiccupping messily.

Dennis’ insides clench.

He presses a kiss to Mac’s temple and runs his fingers through his hair for good measure. Mac sniffles and leans into the touch.

“I’ll be quick, okay? I just gotta change the sheets and sweep the floor.”

He should mop too, but he can do that later, once Mac is safely tucked into bed.

“You’re slow as shit at everything though,” Mac whimpers.

Dennis rolls his eyes. He removes the nut-filled sheets, blankets, and pillowcases and tosses them into the trash. He can’t handle if anything else happens to Mac, so he isn't taking any chances. He checks all the nooks and crannies of their inflatable couch-bed for nut dust. He sweeps their floor and puts their bed back together again. By the time Dennis is finished, he’s sweating, and Mac has his head in his hands, hunched in on himself and trying not to cry.

“Bedtime,” he whispers as he coaxes Mac up by his elbow.

Mac obliges wordlessly. He stumbles a little bit, catches his balance, and plops face-first into bed. He quickly rolls onto his back when he realizes he still can’t breathe for shit. He pants and coughs dryly. Dennis yanks his boots off and pulls the covers up to his shoulders. He’s about to go sit at the kitchen table to read and try to fully calm himself down when Mac grabs his forearm with clammy fingers.

“Don’t go…”

Dennis sighs and scrubs a hand down his now stubbly cheeks.

“Fine,” he huffs.

He toes off his shoes and lies down on the bed. Mac immediately moves until his head is on Dennis’ chest. Dennis tenses up at first but quickly relents once he realizes how comfortable – how safe – he feels. It doesn’t take long before his eyes start to get heavy and flutter. He tries to stay awake, just in case Mac needs anything, but he gives in not longer after Mac drapes an arm over his middle.

Dennis’ eyes droop closed, surrounded by warmth and peace.

~

The next morning, it’s obvious that Mac still feels like shit.

The dude may have slept most of the day away yesterday, only waking up to take medicine and piss, but he’s still really out of it. He can’t string more than a few words together before he’s zapped of energy for the next several hours, unable to do anything other than lay in bed.

Dennis finally convinces him to take a shower, brush his teeth, and get comfortable, from which Mac emerges soaked to the bone, unable to even dress himself. Dennis gets him into boxers and a baggy t-shirt, has him brush his teeth in bed, and bundles him in blankets. Mac is furiously hot to the touch; Dennis wonders if this could possibly get any worse.

He doesn’t like it when Mac is under the weather. He hates it, if he’s being honest. Mac is such a constant force in his life that him not being annoying is actually more annoying than him being annoying. When Mac is sick, he gets all quiet and mopey. He loses his spark and falls into himself. He will neglect his wellbeing in favor of sitting around with a dangerously high fever or coughing up his lungs until his face turns blue. Last December, Mac caught the flu from Dennis, and he had to be dragged to the hospital because his fever was so high and wouldn’t go down no matter what Dennis tried.

Dennis cleans their apartment from top to bottom while Mac sleeps. He gets rid of every single food item containing peanuts and/or tree nuts, including his own favorite brand of peanut butter. If he wants it in the future (which is unlikely given Mac’s new allergies), he can hide it in his dresser like he does with his cigarettes and razor blades. He tosses out protein bars, miniature Reese’s cups, peanut butter crackers, and almond milk. He isn’t even sure if almonds are a tree nut, but he is sticking to being safe rather than sorry.

He sweeps again and mops every room. He dusts, does several loads of laundry, and wipes every surface. He doesn’t want to take any chances. He can’t take any chances.

When Mac is out of commission, nothing feels right.

He hates this new level of vulnerability he feels creeping over him and slowly morphing him into someone who gives a shit. He hates taking meds twice a day and going to therapy once a week. He hates trying to follow an eating schedule. The only thing he likes about his ‘mental health journey’ (as Mac’s been calling it) is that Mac’s around. Dennis is trying to be… less.

Less explody. Less ragey. Less angry.

Mac is the only one who notices, but he supposes that’s okay.

Dennis is in the middle of folding his pajama when Mac stirs. He stretches out like a cat and smacks his chapped lips. He rubs his eyes with his knuckles and looks all of five years old while doing it. Dennis tries to ignore the way his pulse throbs in his throat.

“What’re you doin’?” Mac slurs, voice raspy.

“I’m compulsively cleaning the apartment,” Dennis answers truthfully.

Mac’s eyebrows furrow. “Why?”

Dennis scoffs. “Why?” he asks incredulously. “Because you almost died! You… You had a reaction to those fucking Fancy Nuts, and now I have to –”

He stops himself. Takes a deep breath. Pinches the bridge of his nose.

Breathe.

There’s no use in getting upset. He can’t change anything that’s already happened.

Just breathe.

“Dude, did you just stop yourself from freaking out on me?” Mac asks.

Dennis inhales deeply and nods.

“That’s awesome!” Mac exclaims, followed by a round of wheezy coughing. “I’m so proud of you, Den!”

He rolls his eyes. Keeps folding his laundry. Tries not to smile.

“D’we have any popsicles?” Mac rasps, moving past it. “My throat hurts.”

Dennis nods. “What kind do you want?”

“Blue.”

His eyebrows furrow. “Blue is not a flavor, Mac.”

Mac looks at him like he’s lost his mind. “Blue’s the best flavor, Den.”

“But it’s not a…” He lets himself trail off. “Right. You’re right.”

Mac smirks. “Course. ‘m always right.”

Dennis grabs a blue raspberry popsicle out of the freezer. He opens it and wraps the exposed stick in a paper towel just in case it starts to melt. Mac sits up ever so slightly and makes grabby hands as Dennis approaches. His fingers linger – just a little bit – as he grabs the popsicle, and Dennis tries not to focus on the lump growing in his throat. Mac looks… different like this. No hair gel. Comically oversized t-shirt. Droopy, bloodshot eyes. It’s the kind of Mac that he likes coming home to daily, versus the one who’s always invading his personal space without permission or the Mac who irritates the hell out of him for no reason at all.

“Can we watch a movie? I’m bored,” Mac pouts. His lips are stained blue.

“I doubt you’ll make it twenty minutes into a movie,” Dennis says. “Why don’t we watch TV instead?”

Mac’s bottom lip juts out. He looks ridiculous. “But I wanna watch Predator, Den.”

He keeps licking and sucking on the popsicle. Dennis tries hard to ignore it.

“Fine.”

So that’s what they do.

Dennis abandons folding laundry for popping in the DVD and settling down in bed. Mac finishes his popsicle, throws the trash on the floor, and immediately sinks down until his head is nestled on Dennis’ shoulder. Dennis pulls the covers over both of them.

It turns out that Dennis is right, as he always is. Mac makes it fifteen minutes into Predator before falls asleep, snoring softly against the skin of Dennis’ neck.

~

Dennis drives out to the bar that night.

Honestly, he’s terrified about leaving Mac alone, but he doubts he’ll even stir while he’s gone. Mac ate a healthy dinner of chicken tenders and fries about an hour ago; he passed out less than five minutes after he finished his plate. Dennis made sure to bundle him up, keep the TV on since Mac has this thing about the dark, and leave a note on his own pillow just in case he wakes while he’s gone.

He doesn’t intend on being away for more than an hour.

Dennis enters Paddy’s to find Charlie covered from head to toe in marshmallow, his hair sticking up straight with the stuff. Dee and Frank have splotches of it on their clothing too. The bar smells of fresh baked goods, but in a weirdly off-putting way. Almost like rancid vanilla. He doesn’t know, nor does he care. This part of the gang – the part without Dennis and Mac – is… dumb as shit, for the lack of a more elegant phrase.

He heads behind the bar with a huff and begins emptying all the bowls of peanuts into the trash.

This, of course, sparks a controversy.

“What the hell do you think you’re doing, dude?” Charlie screeches, waving his arms around like the Goddamn idiot he is.

“Mac’s allergic to peanuts,” Dennis says simply. “So I’m throwing away all the peanuts.”

“Like hell you are!” Frank exclaims, spitting as he speaks. “Free peanuts are the cornerstone of Paddy’s!”

Dennis rolls his eyes. “I thought that was thin limes?”

“Thick limes!” Frank yells. Then he looks confused. “Wait a minute. What side was I on for the lime thing?”

“I don’t care,” Dennis answers. He starts to clean the bar with Clorox wipes, knocking peanut shells to the floor.

“I’m with Charlie and Frank on this one,” Dee interjects because of course she does. Fucking bird.

“Dee… We were, like, talking,” Charlie says.

Frank nods. “No one asked you, bird.”

“Hey, that’s not fair! My opinion is important. Right, Dennis?”

Dennis finishes wiping the bar and moves onto sweeping the floor. “I don’t care,” he repeats.

Jesus Christ, there are so many fucking peanuts and peanut shells down here. This is definitely not a safe environment for Mac.

Mac.

He tries not to think about Mac waking up alone and sick in the apartment.

Dennis starts to speed up his cleaning process while remaining thorough and diligent about making the bar peanut free.

“Are you even listening to us, man?” Charlie asks, stepping in front of Dennis’ trash pile. His battered Vans are caked in marshmallow fluff.

“No.”

“I see what this is,” Dee says. “He’s all worked up about Mac.”

Dennis stops sweeping. “He’s sick. Of course I’m worked up.”

“He’s not sick, asshole. He’s just allergic to peanuts.”

“And tree nuts!” Dennis exclaims. “He’s allergic to peanuts and tree nuts, and this bar is absolutely riddled with them!”

“Aw, look at you taking care of him,” Dee teases, sipping at her beer.

Dennis’ eyes narrow. He chooses not to interact. He chooses not to explode into a rage-filled ball. He chooses to ignore.

He wants to threaten to cut her into a billion tiny, unrecognizable pieces, but he doesn’t.

Instead, he just pinches the bridge of his nose.

Dee continues on making her noises and shit. Charlie and Frank do too. But Dennis doesn’t care.

He mops the floor. Gets rid of their peanut inventory in the storeroom. Takes out the garbage. Washes his hands in the bathroom. Fills the former peanut bowls with chips. Puts on his coat. Listens to 3/5 of the gang scream over each other about some shit he couldn’t care less about. 

“No more nuts,” Dennis announces as he’s about to leave Paddy’s.

They all wave him off.

~

After three days of recuperating, Mac feels well enough to go to work.

Dennis finishes putting anti-itch ointment on the last of Mac’s hives. “Are you sure you don’t want to take it easy for another day?”

“Nah. I feel fine.”

Mac coughs wetly, and Dennis’ eyes widen.

“Mostly fine,” Mac interjects with a shrug.

“Are you sure? You still look really tired, and I don’t want you to over–”

“Dennis, I’m fine.”

He nods. Mac rolls down his shirtsleeve once the ointment is mostly dry.

The drive to work is peaceful. Dennis lets Mac pick the music. Mac is quiet and keeps stealing glances at Dennis when he thinks Dennis isn't watching.

When they arrive at the bar, Charlie is waiting at the front door. "Guys, I have news!" he exclaims.

"Why don't we let Mac get settled in first before we spring the news on him, huh?" Dennis asks, placing his hand on the small of Mac's back and guiding him into Paddy's. He keeps his hand there until Mac is seated on a barstool with zero possibility of danger. He pats his jeans pocket for the thousandth time this afternoon, feeling for Mac's EpiPen. 

"Beer?" Dennis asks Mac, ignoring everyone else around them.

Mac nods. "Sure."

Dennis opens it for him. Mac takes a tentative sip. 

"Can I tell you my news now?" Charlie asks, his voice becoming increasingly high pitched and annoying.

"Sure, pal," Dennis says.

"Great! So it all started when Frank -"

But Dennis isn't listening. Obviously, neither is Mac. Because Mac's eyes are focused on the chip - formerly peanut - bowls in front of him. His eyebrows furrowed slightly, he rubs the rim of the bowl with his index finger and looks sheepishly at Dennis.

Dennis shrugs nonchalantly and takes a swig of his own beer. 

Mac smiles, small and thankful. 

~

"You replaced the peanuts with chips," Mac says as they enter the apartment. He drapes his leather jacket over the pink inflatable chair. 

Dennis swallows thickly. "Uh... yeah. I did."

"And you cleaned our whole apartment."

"From top to bottom."

Mac just looks at him, a kind of look that makes Dennis wildly uncomfortable. "And you did all of that for me?"

"Well it certainly wasn't for me," Dennis says. He toes off his tennis shoes and settles them by the front door. He doesn't like where this conversation is going.

Mac sighs. "Huh."

"What's that supposed to mean?" Dennis asks.

"That was nice of you," is all Mac says.

Dennis' eyebrows furrow this time. "I'm always nice, Mac."

Mac shakes his head. "No, you're definitely not," he says. "But you're getting nicer. Since you started taking your meds and stuff again. I like it."

Dennis nods, skin burning brightly. He kicks his socked toe at invisible dust on the floor, hands stuffed deep into his jeans pockets. "Yeah, well..." He isn't sure what to say next, so he doesn't say anything at all. 

"Thanks, Den... Y'know, for looking out for me and making me feel more better."

Mac takes a seat on the inflatable couch. Dennis follows suit, unsure of what to do or how to make this horrible, bubbly feeling inside him go away. 

"You're welcome, man. I like taking care of you."

"I like taking care of you too."

An uneasy silence falls upon the apartment, the kind of silence that slices Dennis to his core. He doesn't like all this... this tenderness. It makes him feel weak and strange.

But Mac's staring at him, puppy dog eyes shining brightly in the faint Philadelphia night.

Dennis flinches when Mac puts his hand on his forearm.

"Can I kiss you?" Mac asks softly, so softly Dennis almost doesn't register the question.

Dennis nods.

Mac's lips are soft. He tastes like cherry chapstick, the stuff he often steals from Dennis. It tastes sweet, like freshly pulled taffy on a hot summer afternoon. 

He can get used to this. 

[solesoldier]

this is a breakdown and reference sheet of shepard's scars throughout the timeline of the series including where the scars were acquired and any additional physical or relevant psychological details. tw for medical trauma and mentions of sterilization** ahead. major plot spoilers also ahead. full view on images recommended.

MASS EFFECT 1

the use of shields and medi-gel can heal most moderate injuries when used in a timely manner. Scarification is still mostly permanent but proper treatment can speed up the healing process.

¹ˑ   eyebrow scar, acquired from a husk on eden prime. ²ˑ lip scar, a minor injury during basic training after enlisting. ³ˑ   scar tissue from the remains of a severe injury caused by thresher maw acid on akuze. the coloration has mostly faded to her skin tone but the texture is still rough. shepard is very rarely seen wearing tank tops to keep the injury concealed considering how quick people are to want to talk about akuze, which she is not interested in doing.

MASS EFFECT 2 / 3

after undergoing reconstruction through the lazarus project, shepard is missing her previously notable scars. her official cause of death was asphyxiation as she ran out of oxygen while breaking atmosphere; the velocity of falling from orbit burned her body beyond recognition and the force of impact when she finally landed crushed the majority of her bones. her skull was heavily fractured but her helmet miraculously prevented her brain from being severely damaged.

¹ˑ   reconstruction scars, a series of strange scars from newly placed skin grafts which did not have time to properly heal. they give an oddly manufactured appearance to her as they follow natural forms and planes of the body (much like seams on a production mold would). in anything other than bright light, they give off a faint orange glow due to the cybernetics underneath. shepard is highly self conscious about these scars; mental stress seems to make them more prominent. ²ˑ enhanced optics, the first of several implanted cybernetics, these ocular implants allow for quicker visual recognition and scanning and are able to enhance mental processing to a faster rate. these implants allow her to make quick tactical decisions and auto focus on targets for her (adrenaline rush ability). ³ˑ  titanium reinforced skeleton, only around 10% of shepard's skeleton is made of her original bones. titanium was used as a reinforcement material due to the heavy impact of front line combat shepard regularly faces. after full augmentation and skeletal restructuring, shepard weighs significantly more than a regular human of her height and build. ⁴ˑ   heavy muscle weave, (NOT upgraded) her muscles have been perforated with micro-fibers which greatly increase her natural strength and reduce exhaustion and muscle fatigue. these enhancements can be physically upgraded, along with bone and skin weaves, but shepard decisively chooses not to augment herself any further. ⁵ˑ **most organ systems were returned to functionality, with the exception of the epidermis and skeletal system needing to be fully replaced, however her reproductive system is no longer functional. shepard no longer experiences a menstrual cycle and will never be able to conceive children.

POST MASS EFFECT 3

the consequences of choosing to destroy the reapers are both physically present in the galaxy, but also marked upon shepard herself. her body was found among the citadel wreckage, severely injured and barely alive after massive trauma to the body and brain as well as the catalyst disabling her more intricate cybernetics. shepard's 'recovery' is limited by the available resources in the wake of the aftermath; she is in critical care for minimum three months, repairing her cybernetic-reliant organ systems. intensive physical therapy is needed for several months following to adapt to her new prosthetics and regain her strength. recovery is ongoing.

¹ˑ  heavy scar tissue from multiple sources, some injury from the impact of the beam which transported her to the citadel, the majority being from the explosion within the catalyst. ²ˑ reconstruction scars still present but faded, continuing to fade with time. ³ˑ   cybernetic implants now mostly defunct. through gene therapy, transplants, and extensive hospitalization, her body has learned to cope without the more intricate implants. some of the less advanced ones were able to be technologically repaired. ⁴ˑ   amputated arm, replaced with mechanical prosthetic. her right arm was crushed under a bulkhead on impact from explosion; it was amputated on the scene of recovering her body from the wreckage. ⁵ˑ severed leg from initial explosion, replaced with mechanical prosthetic. the wound was mostly cauterized from the heat of the blast, preventing her from dying of blood loss in the wreckage.

[sharjahmassagecenter]

Experience authentic Kerala Ayurveda treatment at Jameela Spa

Based on ancient Ayurvedic principles, Kerala Ayurvedic massage is globally known for its health benefits.

To truly experience the essence of Kerala Ayurvedic massage, it is important to choose a reputed and trustworthy massage center.

In Ajman, Jameela Spa Ajman provides the most authentic Kerala massage treatments. Through this blog post let’s understand the benefits of getting an authentic Kerala Ayurvedic Massage

Benefits Of Kerala Ayurvedic Massage

Reduce Stress Level

The various massaging techniques used in Kerala massage can effectively promote the feeling of calmness and peacefulness. Additionally, the Kerala ayurvedic massages can result in the release of feel-good hormone endorphins. It will help the recipient to feel overall well-being.

Moreover, the gentle pressure, warmth of oil, and other massaging techniques used in Kerala massage can alleviate the tension and knots. Therefore by reducing physical comfort, this massage therapy can effectively reduce stress levels.

Reduce Pain

Kerala ayurvedic massage therapy can reduce pain through various methods. Firstly, the application of pressure employed in Kerala massage therapy can alleviate the muscle tension. Thereby, reducing the pain associated with muscle tension.

Furthermore, This massage therapy can competently enhance blood circulation. So. it ensures the proper delivery of nutrients and oxygens to the cells and the removal of toxins. It will lead to a reduction in inflammation and pain.

Additionally, the techniques used in Kerala massage result in the release of endorphins, the body’s natural pain-relieving hormones. It will help to reduce the perception of the pain.

Enhanced Blood Circulation

The Pressure applied during Kerala massage can aptly enhance blood circulation by dilating the blood vessels. Additionally, this massage therapy can effectively stimulate the lymphatic system. It will assist in the removal of toxins and other waste products. It will also result in improved blood circulation.

Moreover, the warmth of oil used in Kerala massage therapy can increase the tissue temperature, thereby possibly improving blood circulation.

Strengthen Immune System

Kerala Ayurvedic massage can strengthen immunity power in a multitude of ways. Firstly, during an ayurvedic massage, the therapists use different methods to stimulate the marma points — various energy points within the body. It will promote overall well-being. Thereby strengthen the immunity power of the body.

Additionally, the gentle pressure and strokes employed in Kerala ayurvedic massage can stimulate the lymphatic system. It will ensure the removal of toxins and other waste products, consequently leading to improved immunity power.

As you know chronic stress can weaken the immunity power. One main benefit of Kerala Ayurvedic massage is relieving the stress. It will contribute to enhanced immunity power.

Improve Joint Mobility And Flexibility

Needless to say, the muscle stiffness can limit the joint mobility. The warmth of oil combined with different massaging techniques employed in Kerala ayurvedic massage can reduce muscle stiffness. It can lead to enhanced joint mobility.

Moreover, the various techniques used in Kerala massage can effectively relax the muscles, thereby improving flexibility.

Furthermore, enhanced blood circulation ensures proper delivery of oxygen and nutrients to the muscles and joints. It helps in improving their functions and results in enhanced mobility and flexibility.

Improve Skin Health

The utilization of high-quality herbal oils in Kerala ayurvedic massage can adequately moisturize the skin and reduce skin dryness. Additionally, this therapy is effective in removing dead skin cells. As a result, skin appears healthier and shiner.

Moreover, The enhanced blood circulation from Kerala ayurvedic massage can ensure the delivery of sufficient nutrients and oxygens to the skin cells, resulting in improved skin health.

Furthermore, Kerala massage can effectively stimulate the lymphatic system, promoting the removal of toxins and other waste products. This detoxification process can further enhance the skin health.

Detoxify The Body

Kerala Massage can contribute to the detoxification process in various ways. Firstly, this massage therapy results in stimulation of the lymphatic system. It will aid in the removal of toxins and other waste products.

Additionally, Kerala massage can enhance the blood circulation. Thereby, enhancing the detoxification process further.

See, stress can impact the body’s detoxification process. By relieving muscle tension, enhancing blood circulation, and reducing the level of stress hormone cortisol, Kerala massage therapy can significantly reduce stress levels. Thus, this therapy can further enhance the detoxification process of the body.

Improve Energy Levels

Rather than focusing on curing a single issue, ayurvedic therapists prioritize enhancing overall well-being through balancing three doshas — important bodily energies. As a result, the recipient will experience a significant improvement in energy levels.

Additionally, Kerala massage can result in the release of feel-good hormone endorphins and reduce stress levels, leading to improved bodily energy.

Tensed muscles and knots can lower energy levels. Various effective uses in Kerala massage can ease muscle tension and knots. Therefore, it can improve the energy levels significantly.

Needless to say, quality sleep can surely boost energy levels. One amazing benefit of Kerala ayurvedic massage is improved sleep quality. By alleviating muscle tension, releasing feel-good hormones endorphins, and enhancing blood circulation, Kerala massage therapy can aptly enhance sleep quality.

Improve Concentration And Focus

By significantly rescuing stress levels, a good Kerala massage aids the mind to focus and concentrate more. Additionally, this massage therapy can improve the blood flow to the brain, leading to improved concentration and focus.

Physical discomfort can hinder your ability to focus and concentrate. The effective massaging techniques combined with the warmth of oil can reduce muscle stiffness and tension, leading to deep relaxation and calmness. Thus, massage recipients can get enhanced concentration and focus.

Promote Emotional Balance

Various effective massaging methods employed in Kerala ayurvedic massage can offer deep relaxation and peacefulness. Following the principles of Ayurveda, the Kerala massage therapists focus on providing overall webbing for the recipient by balancing three doshas. So that the recipient can experience a positive mental state.

Quality sleep plays a crucial role in managing emotions. Kerala massage can significantly enhance sleep quality by reducing stress levels, alleviating muscle tension, improving blood circulation, and promoting relaxation.

Moreover, the application of pressure in Kerala massage therapy can result in the release of feel-good hormones — endorphins. Thus the recipient can experience the feeling of calmness, peacefulness, and happiness.

Why Choose Jameela Spa Ajaman For Authentic Kerala Ayurvedic Massages?

All our therapists are certified in traditional Ayurvedic massaging methods. They also have extensive experience in the field

We are dedicated to delivering the true essence of Kerala Ayurvedic massage to every customer. Our therapists only use methods deeply rooted in Ayurvedic traditions.

We give utmost importance to ensuring the satisfaction of our clients. Therefore, We customize every massage session according to the needs and preferences of the customers.

Our massage center focuses on delivering overall wellness for every customer, not just physical wellness. Through our efficient Kerala massage treatments, the recipients will experience physical, mental, and emotional well-being.

Conclusion

Kerala ayurvedic massage undoubtedly offers numerous health benefits for the recipients. Looking for authentic Kerala massage in Ajman?

Well, Jameela Spa offers the most authentic Kerala ayurvedic Massage treatments in Ajman City. So call our staff today to schedule your massage session.

[alusa12]

Massage for Psoriasis: Soothing Inflamed Skin and Promoting Healing

Introduction:

Psoriasis is a chronic autoimmune condition characterized by the rapid buildup of skin cells, leading to redness, inflammation, and scaling. While there is no cure for psoriasis, various treatments aim to manage symptoms and improve skin health. Massage therapy is emerging as a complementary approach to alleviate discomfort, reduce inflammation, and promote healing in individuals with psoriasis. In this article, we will explore the potential benefits of massage for psoriasis, discuss the underlying mechanisms, and provide practical insights for incorporating massage into a comprehensive treatment plan.군포출장안마

Understanding Psoriasis:

Psoriasis affects millions of people worldwide, with symptoms ranging from mild to severe. The condition results from an overactive immune response that triggers the rapid growth of skin cells, leading to the formation of thick, red, scaly patches on the skin. Common types of psoriasis include plaque psoriasis, guttate psoriasis, inverse psoriasis, and pustular psoriasis. Psoriasis can cause physical discomfort, itching, pain, and emotional distress, impacting the quality of life of affected individuals.군포출장마사지

Current Treatment Approaches:

Treatment for psoriasis typically involves a combination of topical treatments, phototherapy, oral medications, and biologic therapies. These treatments aim to reduce inflammation, slow down the growth of skin cells, alleviate symptoms, and prevent flare-ups. However, some individuals may experience side effects or find conventional treatments insufficient in managing their symptoms.

The Role of Massage in Psoriasis Management:

Massage therapy offers a non-invasive and holistic approach to managing psoriasis symptoms and promoting skin health. While massage does not treat the underlying autoimmune dysfunction of psoriasis, it can provide significant relief from discomfort and support overall well-being. The benefits of massage for psoriasis include:

Reduction of Inflammation: Massage techniques, such as effleurage and petrissage, can help improve blood circulation and lymphatic drainage, reducing inflammation in affected areas of the skin. By promoting circulation, massage may aid in the removal of toxins and inflammatory substances, contributing to the alleviation of redness and swelling associated with psoriasis lesions.

Moisturization and Hydration: Massage oils and creams used during massage sessions can provide deep moisturization to dry, flaky skin affected by psoriasis. Hydrated skin is less prone to cracking and itching, helping to prevent further irritation and discomfort.

Stress Reduction: Living with psoriasis can be stressful and emotionally taxing. Massage therapy induces relaxation and reduces stress levels by triggering the release of endorphins, serotonin, and oxytocin—natural mood-enhancing hormones. Stress reduction is essential for managing psoriasis symptoms, as stress can exacerbate inflammation and trigger flare-ups.

Pain Relief: Psoriasis lesions can be painful, especially if they crack or become inflamed. Massage therapy can help alleviate muscular tension, reduce pain perception, and promote a sense of comfort and well-being in individuals with psoriasis.

Improvement of Skin Texture: Regular massage can help soften and smooth the skin, making psoriasis plaques less noticeable and improving overall skin texture. Massage stimulates the production of collagen and elastin, essential proteins that support skin elasticity and repair.

Enhancement of Circulation: Massage techniques, such as kneading and friction, increase blood flow to the skin, delivering oxygen and nutrients to the affected areas. Improved circulation supports the healing process and may accelerate the resolution of psoriasis lesions.

Practical Tips for Incorporating Massage into Psoriasis Management:

Consult with a Healthcare Provider: Before starting massage therapy, individuals with psoriasis should consult with their dermatologist or healthcare provider to ensure that massage is safe and suitable for their condition. Certain massage techniques or products may exacerbate psoriasis symptoms or interact with existing treatments.

Choose a Qualified Massage Therapist: Look for a licensed and experienced massage therapist who has training in working with individuals with skin conditions like psoriasis. The therapist should be knowledgeable about psoriasis and able to tailor the massage session to meet the individual's needs and preferences.

Communicate Openly: Inform the massage therapist about your psoriasis diagnosis, including the location and severity of lesions, any areas of sensitivity or pain, and preferences regarding pressure and technique. Open communication will help ensure a comfortable and effective massage experience.

Select Suitable Massage Products: Choose massage oils or creams that are gentle, hypoallergenic, and free of fragrances or additives that may irritate sensitive skin. Natural oils like jojoba, coconut, or avocado oil are hydrating and soothing for psoriasis-prone skin.

Practice Self-Massage Techniques: In addition to professional massage sessions, individuals with psoriasis can practice self-massage techniques at home to promote relaxation and alleviate symptoms. Gentle circular motions or light tapping can be applied to affected areas, focusing on areas of tension or discomfort.

Maintain Consistency: Consistency is key to maximizing the benefits of massage therapy for psoriasis. Aim for regular massage sessions to experience sustained improvements in skin health, symptom relief, and overall well-being.

[moonspower]

"why is having a skin care routine so... tedious?"

✨ @dvarapala be luxurious with him for like a day.

Virote was unloading unopened boxes of products on to the sleek, rosy marble surface of his bathroom, everything meant for Udyati. A stack of sheet masks, lots of eye creams, emulsions, lip masks, body oils. Whatever else he had that he hadn't even thought about opening ( a lot of it was just free swag from his father's associates that got handed off on him. ) ❝Marketing and FOMO. Trust me, it doesn't even have to be complicated. A lot of people have these long ass routines for the ritual of it—like me, for example. Like, I just loooove rubbing stuff on my face! Really, the only routine you need is cleansing, essence, serum, then sunscreen. Exfoliate, like, twice a week. Don't even bother with sleeping masks and night creams and toners. An essence will do just fine instead of a toner, they're lower in acidity anyway.❞

He popped open an unlabeled, white box and found a white label perfume. Probably some free sample he had forgotten about. Giving it a spritz on his wrist, he mostly smelled vanilla and lavender. That went into Udyati's assortment of goodies, too. At some point, she'd be walking away with more perfume than anything else. Not like that's a bad thing, right?

❝These celebrities and influencers will shill Neutrogena in front of the cameras, then leave out the fact they're, like, getting microdermabrasion, lymphatic drainage, ultrasonic, micro current, LED light therapy, negative-ion oxygen therapy. I mean, I get these treatments too so I have a right to judge. Anyway, you wanna come with me on my next spa visit? You'd love getting a water peel! It's really cool, I promise.❞

[top-tier-tickles]

Dark Deception Tickle AU

______________________________________

Chapter 6: Part 3

"Ugh, you careless oaf! Get up, now!" Bierce yelled.

Doug shot awake, bringing his hand up to rub his aching head. Except, he couldn't. His arm didn't move. He tried again. Nothing. A good look around revealed that his arms had been crossed behind his head, restrained with a belt. The same could be said for his ankles, leaving him nearly completely immobile.

That wasn't even the worst of it! His shirt was gone! As well as his shoes and socks, all in a neatly folded pile on a chair. Some small, white pads had been stuck to his skin in various places. One in each underarm, three on his stomach, and two on his feet, one on each sole.

"Heya there, sleepyhead, are you awake now?" The nurse said, standing in the cell door, "Well, good. You snore pretty loudly, y'know?"

She laughed, Doug couldn't muster up a word.

"Welcome to our Intensive Therapy Unit! You're gonna be here awhile. And I really have to thank you to saving us the trouble of bringing you down here ourselves!"

A sudden burst of adrenaline, and Doug fought against the belts, trying to break free. The nurse said nothing, and simply slammed the door shut.

"Oohh, Still a tad unruly, aren't we? Well, no matter. Our rigorous treatment package should take that fight right outta ya! We need to get you prepared, ready, and wrapped up with a bow for Lord Malak!" She continued, "We'll start with some simple nerve stimulation therapy! That'll be fun, won't it?"

The mad misandrist skated back to a comically large lever on the wall.

"But don't you worry! The process is fully automated to guarantee the most effective treatment, see?" The lever was thrown. A defibrillator machine whirred to life, warming up. It wasn't until now that Doug realized that the pads had wires attaching them to the machine.

"Just scream if you need anything! Toodles! Bye-byeee~! Buh-bye!" She quickly skated away and down the hall, leaving Doug to his "treatment".

"Wait! Don't leave me like this! Come ba- AAAAAHAHAHAHAHAHAHA! W-WAHAHAHAIT!"

The machine sent a short burst of electricity through the pads, shocking Doug's nerves into hyperdrive. It would rest for ten seconds before shocking him again, barely giving him any time to collect himself.

"OHO MY GAHAHAHAHAHAHAD! TURN IT OFF! TUHUHUHURN IT OHOHOHOHOHOFF! PLEASE! HAHAHAHAHAHAHA!"

Despite all other forms of tickling he's experienced in this hell, this tickling was much different. He could feel the electric sensations crawling around his body, even places where defibrillator pads hadn't even been stuck. It felt like thousands of tiny fingers digging into his flesh, driving Doug's mind into a spiral of helpless pleas and laughter.

"AHAHAHAHAHAHA! HAHAHAHAHAHAHA! STAHAHAHAHAHAPIT! FUHUHUHUHUHUHUCK!"

The pauses between shocks were a welcome break from the assault on his senses, although they never lasted long. Doug took the opportunity to suck in as much oxygen as he could, and attempt to thrash his way out of the restraints. All efforts were in vain, as his muscles were already exhausted. All he could do was lay there and cackle.

"HAHAHAHAHAHAHA! P-PLEASE! LEMME GOHOHOHOHOHOHO! STAHAHAHAHAHAP!"

One couldn't help but wonder why he'd been granted these 10 second breaks. Perhaps these demons were merciful, in their own sadistic way, but they seemed so hellbent on killing him that it didn't make sense.

Until it clicked.

All the other times he'd been caught by the monsters, he'd been wrecked continuously, not given room to breath or compose himself. Those all ended the same way: Doug slipping away to the death screen to revive himself. These monsters didn't want him to die. At least not until Malak got there.

They were making him last as long as possible.

"HEHEHEHEHAHAHAHAHAHA! HAHAHAHAHAHAHA! HEHEHEHEHELP MEHEHEHEHE!"

Doug writhed about on the table, tears ran down his bright red face. His throat began to hurt from all the laughter, but he knew that it wouldn't stop anytime soon.

No. He couldn't let this happen. He refused to allow it to end like this- not after getting this far.

He held his breath and clamped his mouth shut, biting back the laughter. Yanking his arms forward, he found that the weak belt was tearing. Doug's arms broke free, working fast to undo the belts on his ankles. With his limbs free, Doug grabbed all the wires with one hand, and in one swift motion, ripped them all off of his body.

He jump off of the table, rubbing away the tingling. He quickly put his shirt and shoes back on, and got out of that dungeon as quickly as possible.

"That was close..." Bierce said.

Doug slowed to a stop, he was on the first floor of the ring piece room, the nurses were scanning the area, their backs thankfully turned to him.

"You need to find a way past her. Use your brain!"

This shouldn't be a problem, he knew how to sneak. With the nurses' backs turned, he made his way to the middle of the room, silently teleporting to the other side of the room. He spotted the entryway into the Therapy Center, that's where he needed to go.

His heart was practically beating out of his chest as he snuck behind the giant matron, it was so loud that these nurses wouldn't even need a stethoscope to listen to it.

When the opportunity presented itself, he booked it down the corridor, over the saw and into the catacombs.

"Are you kidding me?! He escaped! This is unacceptable! We will not accept unruly patients!" A nurse's voice came over the intercom, warning Doug that they'll be patrolling the catacombs.

"Some pretty twisted therapy in this place. Be careful you don't actually become a patient...." Bierce warned.

The soul shards were widespread, making the Telekinesis essential to collect them. The walls were a dark brown color, with white graffiti sprayed in various places. "Men are Pigs", "Liar Liar" and "Toxic Love" were just a few of the sayings.

There were lifts that raised him up to the second floor, allowing him a quick escape from any nurses skating after him.

"This is the most handicap-accessible nightmare I've ever encountered!" Bierce commented.

His map lead him to the sparse shards, his telekinetic ability scooping most of them up. Something seemed peculiar about his map, though.

There was an offset room on the map, but there was only a wall. Doug touched it, and just like the others the wall opened up to safety.

More graffiti was sprayed on the walls.

Red pills.

"She was crazy"

"Just another pretty face."

Oh. Oh no.

He went to a wall with a note stuck to it. Another one from his past self. Talking about his wife, and her issues.

She'd had mental problems, but that wasn't her fault. It didn't even start affecting them until Tammy was born, but it wasn't Tammy's fault either. One could blame her family for not properly handling her problems, but he couldn't.

She'd gotten violent on some occasions, even attempting to stab him with a pair of scissors after an argument. And Doug wouldn't be lying if he said he feared for his life at some points. But that could never excuse the kind of husband Doug was.

He left the note where it was, and walked over to the adjacent wall. Another note, this time about her medication.

She was addicted. Plain and simple. She was getting more pills than she should've somehow, and even some new ones with names that looked like they were translated through 50 different languages. He should have stopped it from getting as far as it did, but you can't exactly help someone if they don't want it.

Or, maybe she did want help? He didn't know, he hadn't bothered to try. All he was worried about was him possibly being embarrassed by her and how much money she was costing.

She was crazy. No she wasn't.

Just another pretty face. So much more than that.

Doug stuck the note back onto the wall, and left to collect more soul shards, his mind more clouded than it already was. He rushed to and fro throughout the winding halls, gathering up the last bit of the shards.

"There's no time to waste! Get to the ring piece!"

His map lead him back to the crammed reception room, the ring piece now completely unguarded. Doug snatched it up, and rushed through the exit doors, knowing it wouldn't be long before a demon was on his ass again.

"You've got it! Now get out if this twisted hospital!" Bierce ordered.

Doug hopped up onto another ambulance, happy to be on the easy ride out.

"Malak's not around....Maybe he's demoralized."

The ride through the transportation tunnel was longer than the previous one, but he was happy that he was riding smoothly alongside the other ambulances.

"Reapers! After him, don't let him reach the portal!"

Well, there goes that.

Red-clad Reaper Nurses skated at the same speed as the trucks, one climbed up onto the top, entering a standoff with Doug.

"Lord Malak is on his way here now, Mortal. However, this'll be over long before he arrives. I don't know what drives you to endure so much, but I can see you are lost, and you always will be! Whatever your grasping for so desperately will be just outta your reach! She won't be able to change that either! Regardless, Lord Malak has more pressing matters to deal with than one defiant mortal soul that refuses to descend. We will win his favor by ridding him of your intolerable presence once and for all!"

As she finished her rant, the giant matron rolled up to the back, her hands equipped with giant, buzzing bone saws.

Those weren't made to tickle.

They were made to slaughter.

"Ahhh, There she is. Right on schedule. I think you'll find she's not quite as hospitable as we are... You've eluded us, but you'll never get past her!"

The nurse suddenly unsheathed her needle, stabbing it at Doug, who dodged it just in time. With a blast of Primal Fear, he ripped the needle out of her hands, smacking her off of the ambulance with it.

The knocked-out nurse flew off, rolling right under the Matron's wheeled feet, knocking her off-balance.

"That's it! Do that again!" Bierce said.

Doug teleported to another ambulance, making sure to keep his distance from the reaching bone saws, he grabbed the needle, getting ready to smack a bitch. A nurse clawed her way up, almost immediately flying off when her bagged face was met with the blunt end of her own weapon.

The Matron grunted, indicating that the nurse had hit her again.

"I'LL CRUSH YOU INTO DUST!"

'Alright. That's two, three more should be enough to knock her down.' Doug thought, keeping up the pace with teleporting and grabbing needles.

Stun and smack. That's the game plan. And surprisingly, it worked. Another slap, and another nurse closer to being free.

BAM! That's one.

BAM! Two.

BAM! and three.

With that final projectile nurse, the Matron lost any balance she had left, faceplanting right into the pavement.

The bigger they are, the harder they fall.

The ambulance arrived back to the main entrance shortly, Doug speeding down the corridors to the elevator. It was almost painful to wait for the elevator, but it's hard to sit still when you're about to die.

Nurses were hot on his heels as he burst through the double doors, slipping into an empty room for a quick escape. A note was posted on the wall, another one from E.

E had been following Malak, though only getting dead ends in regards to escaping. Strangely, when they entered this nightmare, they weren't attacked. The nurses were....civil and polite with them.

They were born from the souls or women who hated men, tormenting men who hated women in their life. How poetic.

They offered E some tea, and even the opportunity to join them. Though they weren't angry when they refused, and allowed them free reign of the hospital, and E planned to explore the off-limits areas.

'So, E is a woman... What the hell is so familiar about her?' Doug thought, pocketing the note.

He left the room, only to be met with two nurses blocking the door. They spun each other around, tossing a nurse toward him. Out of pure reflex, Doug dodged and stunned her, pushing her and her friend into the door.

He dashed through the exit, screaming nurses following him, nevertheless, he finally made it through the portal.

Doug returned to the ballroom, sweat soaking his clothes, an immediately feeling Malak's red eye staring down at him.

"You are becoming quite opportunistic, mortal. How fortunate for you that I was already occupied with more pressing matters. That will not happen again." He taunted, his pupil shrinking, "Thanks to you two, dangerous forces are now in motion. You are disrupting my business and I cannot afford to allow your insolence to continue any longer!"

"Next thing you know, he'll be pleading with you! That's because he's losing! Soon, the ring will be mine again." Bierce said, crossing her arms.

4 portals to go...

______________________________________

END OF CHAPTER 6: PART 3

Chp. 1-1, Chp. 1-2, Chp. 2-1, Chp. 2-2, Chp. 2-3, Chp. 2-4, Chp. 3-1, Chp. 3-2, Chp. 3-3, Chp. 4-1, Chp. 4-2, Chp. 5-1, Chp. 5-2, Chp. 5-3, Chp. 6-1, Chp. 6-2, Chp.6-3,

[literaryvein-reblogs]

Writing Notes: Frostbite

Frostbite - damage to the skin and other tissues caused by freezing.

Frostnip - a milder form of cold injury; it is sometimes described as the first stage of frostbite.

Some doctors use a 4-degree classification of injuries:

First-degree: The epidermis (outermost layer of the skin) is reddened, swollen, and may look waxy. There is also a loss of sensation in the affected skin.

Second-degree: The skin is reddened, swollen, and has formed blisters filled with a clear or milky fluid.

Third-degree: Blisters are filled with blood and the skin begins to turn black.

Fourth-degree: The epidermis, dermis, and underlying muscles, tendons, and bones are damaged.

The early stage of frostbite is sometimes called frostnip.

Short-term symptoms include:

loss of feeling or aching pain in the affected part,

followed by redness of the skin and

tissue swelling.

Unfortunately, a victim is often unaware of frostbite until someone else points it out because the frozen tissues are numb.

Long-term symptoms include:

intense pain in the affected part,

tingling sensations,

cracks in the skin,

dry skin,

loss of fingernails,

joint stiffness,

loss of bone or muscle tissue, and

increased sensitivity to cold.

If left untreated, frostbitten skin gradually darkens and blisters after a few hours.

Skin destroyed by frostbite is completely black, looks burnt, and may hang loosely from the underlying tissues.

Freezing of exposed tissues results in the formation of ice crystals inside the cell wall.

A variation of frostbite - mountain frostbite, which affects mountain climbers and others exposed to extremely cold temperatures at high altitude.

Combines tissue freezing with oxygen deprivation and general body dehydration.

TREATMENT

Frostnipped fingers are helped by:

blowing warm air on them or

holding them under one’s armpits.

Other frostnipped areas can be covered with warm hands.

The injured areas should never be rubbed.

While waiting for medical help to arrive, one should, if possible:

remove wet or tight clothing and

put on dry, loose clothing or wraps.

A splint and padding are used to protect the injured area.

The patient should not be allowed to walk on frostbitten toes or feet, as the weight of the body will cause further damage to tissue—unless walking is the only way the patient can get to shelter.

Rubbing the area with snow or anything else is dangerous.

The key to prehospital treatment is to avoid partial thawing and refreezing.

This releases more inflammatory mediators and makes the injury substantially worse.

For this reason, the affected part must be kept away from such heat sources as campfires and car heaters.

The injured person should not be given alcohol or tranquilizers, as these will increase loss of body heat.

Experts advise rewarming in the field only when emergency help will take more than 2 hours to arrive and refreezing can be prevented.

Because the outcome of a frostbite injury cannot be predicted at first, all hospital treatment follows the same route.

Treatment begins by rewarming the affected part for 15–30 minutes in water at a temperature of 104–108°F (40–42.2°C). This rapid rewarming halts ice crystal formation and dilates narrowed blood vessels.

Aloe vera (which acts against inflammatory mediators) is applied to the affected part, which is then splinted, elevated, and wrapped in a dressing.

Depending on the extent of injury, blisters may be debrided (cleaned by removing foreign material) or simply covered with aloe vera.

Except when injury is minimal, treatment generally requires a hospital stay of several days, during which hydrotherapy and physical therapy are used to restore the affected part to health.

Experts recommend a cautious approach to tissue removal, and advise that 22–45 days must pass before a decision on amputation can safely be made.

If frostbitten skin is not treated and its blood vessels are affected, gangrene may set in.

Gangrene is the death of soft tissue due to loss of blood supply.

It may be treated by surgical removal of the affected tissue if caught early; otherwise, the surgeon may have to amputate the affected digit or limb to prevent bacterial infections from spreading from the dead tissue to the rest of the body.

Source ⚜ More: Notes & References ⚜ Writing Realistic Injuries

[fittopfactory-sandy]

Which is better microcurrent or radio frequency

When it comes to facial contouring and skin therapy, there are many different treatments and technologies available. Two popular options are microcurrent and radio frequency. Both of these treatments claim to improve the appearance of the skin and provide anti-aging benefits. But which one is better? In this article, we will compare microcurrent and radio frequency and determine which one is the superior choice for facial contouring and skin therapy.

What is Microcurrent?

Microcurrent is a non-invasive treatment that uses low-level electrical currents to stimulate the muscles and tissues in the face. These electrical currents mimic the body's natural electrical signals, which helps to improve muscle tone and tighten the skin. Microcurrent is often called a "natural facelift" because it can provide similar results to a surgical facelift without the pain or downtime.

How Does Microcurrent Work?

During a microcurrent treatment, two metal probes are placed on the skin and deliver low-level electrical currents. These currents stimulate the muscles and tissues in the face, causing them to contract and relax. This helps to improve muscle tone and tighten the skin, resulting in a more lifted and contoured appearance.

Microcurrent also increases blood flow and stimulates the production of collagen and elastin, which are essential for maintaining youthful-looking skin. The increased blood flow helps to deliver oxygen and nutrients to the skin, while the production of collagen and elastin helps to improve skin elasticity and reduce the appearance of fine lines and wrinkles.

Benefits of Microcurrent

Improves muscle tone and tightens the skin

Increases blood flow and stimulates collagen and elastin production

Non-invasive and painless

No downtime

Can provide similar results to a surgical facelift

What is Radio Frequency?

Radiofrequency is a non-invasive treatment that uses energy waves to heat the deeper layers of the skin. This heat stimulates collagen and elastin production, which helps tighten and firm the skin. Radiofrequency is often used for skin tightening and contouring, as well as reducing the appearance of wrinkles and cellulite.

How Does Radio Frequency Work?

During a radio frequency treatment, a handheld device is used to deliver energy waves to the skin. These waves penetrate the deeper layers of the skin, causing the tissues to heat up. This heat stimulates collagen and elastin production, which helps tighten and firm the skin.

Radiofrequency also helps to break down fat cells and improve lymphatic drainage, which can reduce the appearance of cellulite. The heat from the treatment also helps to improve blood flow, delivering oxygen and nutrients to the skin for a more youthful appearance.

Benefits of Radio Frequency

Tightens and firms the skin

Reduces the appearance of wrinkles and cellulite

Improves blood flow and lymphatic drainage

Non-invasive and painless

No downtime

Microcurrent vs. Radio Frequency: Which is Better?

Both microcurrent and radio frequency have their unique benefits and can provide excellent results for facial contouring and skin therapy. However, there are a few key differences between the two treatments that may make one better suited for your specific needs.

Targeted Areas

Microcurrent is best for targeting specific areas of the face, such as the jawline, cheeks, and forehead. The electrical currents can be adjusted to target specific muscles and provide a more customized treatment. Radiofrequency, on the other hand, is better for larger areas of the face and body, such as the neck, arms, and thighs.

Results

Both microcurrent and radio frequency can provide noticeable results, but they work in different ways. Microcurrent primarily focuses on improving muscle tone and tightening the skin, while radio frequency targets collagen and elastin production. Depending on your specific concerns, one treatment may be more effective than the other.

Pain and Downtime

Both microcurrent and radio frequency are non-invasive and painless treatments. However, microcurrent is often described as a relaxing and soothing experience, while radio frequency can feel slightly warm or hot on the skin. Additionally, there is no downtime with either treatment so you can resume your daily activities immediately after a session.

Microcurrent and Radio Frequency: Can They Be Used Together?

While microcurrent and radio frequency are both effective treatments on their own, they can also be used together for even better results. Some clinics offer combination treatments that use both microcurrent and radio frequency to target different layers of the skin and provide a more comprehensive treatment.

Using both treatments together can help to improve muscle tone, tighten the skin, and stimulate collagen and elastin production for a more youthful and contoured appearance.

Conclusion

When it comes to facial contouring and skin therapy, both microcurrent and radio frequency are excellent options. They both provide non-invasive and painless treatments that can improve the appearance of the skin and provide anti-aging benefits. However, depending on your specific concerns and goals, one treatment may be more effective than the other.

If you are looking to target specific areas of the face and improve muscle tone, microcurrent may be the better choice. If you are looking for overall skin tightening and collagen production, radio frequency may be the better option. For the best results, consider combining both treatments for a comprehensive and effective facial contouring and skin therapy experience.

[brightamoss]

The Power of Blue Light Therapy for Acne: Shedding Light on Clearer Skin

Acne, a common skin condition that affects millions of people worldwide, can be a source of frustration and self-consciousness. However, there is a ray of hope in the form of blue light therapy. This post will let you understand benefits, mechanisms, and effectiveness of blue light therapy for acne. 

Understanding Acne

Acne is a dermatological condition characterized by clogged pores, inflammation, and the presence of blemishes such as pimples, blackheads, and whiteheads. Excess production of sebum, hormonal imbalances, or bacterial overgrowth often causes it. While there are various treatment options available, blue light therapy has emerged as a promising and non-invasive solution.

How Does Blue Light Therapy Work?

Blue light therapy utilizes a specific wavelength of light, typically in the range of 405-420 nanometers, to target the bacteria responsible for acne breakouts: Propionibacterium acnes. When the blue light comes into contact with the bacteria, it triggers a photochemical reaction that produces singlet oxygen, effectively killing the bacteria. Additionally, blue light therapy helps reduce sebum production and inflammation, further aiding in the treatment of acne.

Effectiveness and Benefits

Numerous studies have demonstrated the efficacy of blue light therapy in reducing acne lesions and improving overall skin condition. It is considered a safe and gentle treatment option, particularly suitable for individuals with sensitive skin who may not tolerate other acne treatments well. Blue light therapy is non-invasive, painless, and does not require the use of harsh chemicals or medications.

Furthermore, blue light therapy offers several additional benefits. It does not damage the surrounding healthy skin, making it an ideal choice for targeting specific areas. The treatment is also convenient, with sessions typically lasting only a few minutes, allowing individuals to easily incorporate it into their daily skincare routine. Unlike some oral medications or topical creams, best light therapy acne treatment device has no significant side effects, making it suitable for long-term use.

Blue light therapy presents a breakthrough in acne treatment, providing a safe, effective, and non-invasive option for individuals struggling with this skin condition. By harnessing the power of specific wavelengths, blue light therapy targets acne-causing bacteria and reduces inflammation, leading to clearer and healthier skin. Consider discussing this option with a dermatologist to embark on your journey to blemish-free skin.

[taimoorkhan]

Myocarditis in Emergency Practice

Myocarditis, an inflammatory condition affecting the heart's myocardial tissues, is a significant cause of sudden cardiac death and dilated cardiomyopathy. With diverse etiologies ranging from viral and immune-mediated causes to toxic exposures, diagnosing and managing myocarditis can be challenging. In this blog post, we will explore the important points regarding the etiology, pathophysiology, presentation, diagnostic testing, and treatment options for myocarditis, with a focus on the perspective of emergency physicians.

Myocarditis can be caused by infectious agents (bacterial, parasitic, viral), immune-mediated conditions, and toxic exposures. Viral causes include enteroviruses, influenza, hepatitis viruses, HIV, herpes viruses, and Parvo B-19. Immune-mediated causes include systemic lupus erythematosus (SLE), scleroderma, and giant cell types. Toxic agents such as doxorubicin, antiretroviral medications, clozapine, and cocaine can also trigger myocarditis.

Myocarditis follows a three-step process. In the acute phase, infectious, autoimmune, or toxic agents directly damage cardiac myocytes. Subsequent myocyte destruction triggers immune system activation and secondary inflammation. In the later stages, the immune system mistakenly attacks the myocytes themselves, leading to progressive myocardial damage.

Myocarditis presents with a wide range of symptoms, necessitating a high index of suspicion for timely diagnosis. Symptoms may include dyspnea, palpitations, orthopnea, and chest pain. Dyspnea is the most common presenting symptom, while chest pain can vary from pleuritic to anginal. Patients may exhibit symptoms of congestive heart failure, ranging from fatigue and peripheral edema to cardiovascular collapse. Skin manifestations can be present in cases triggered by medication exposure.

Diagnostic testing for myocarditis overlaps with other cardiopulmonary evaluations. Electrocardiogram (ECG) abnormalities, such as sinus tachycardia, ST-segment elevations, T-wave inversions, AV blocks, widened QRS durations, or prolonged QT intervals, may be observed. Troponin assays may be elevated, but their absence does not rule out myocarditis. Additional blood tests, including CBC, CRP, and ESR, are often abnormal but nonspecific. Imaging studies like chest radiography and echocardiography can provide valuable information.

TThe treatment of myocarditis primarily focuses on supportive care to prevent further damage to the heart. Stabilizing the patient's ABCs (airway, breathing, circulation) is the priority. Supplemental oxygen and non-invasive positive pressure ventilation may be required for hypoxia or pulmonary edema. Heart failure therapy, including diuretics and nitroglycerin, can be administered if systemic perfusion allows. Cardiac dysrhythmias may necessitate treatment with antidysrhythmic medications. Antimicrobial therapy is required for cases associated with bacterial or parasitic infections. In severe cases, advanced interventions such as intra-aortic balloon pumps, extracorporeal membrane oxygenation (ECMO), or ventricular assist devices (VADs) may be necessary.

Myocarditis presents a complex diagnostic and management challenge for emergency physicians. The diverse etiologies, varied clinical presentations, and overlapping diagnostic tests make timely diagnosis crucial. Supportive care, stabilization, and targeted interventions are key elements of treatment. While further research is needed to refine diagnostic and therapeutic approaches, understanding the etiology, pathophysiology, presentation, and treatment options can aid emergency physicians in effectively managing myocarditis cases.