#Wound Care Documentation Best Practices

[zerovapes]

In the realm of healthcare, accurate and comprehensive documentation is crucial for delivering effective patient care. This is particularly true in wound care, where Clinical Documentation Improvement (CDI) plays a significant role.

[night-raven-tattler]

What's your ideal type?

Summary: What would be the best traits for their potential partner to have?

Characters: Octavinelle dorm (Azul, Jade, Floyd) × GN!Reader (separate, romantic)

Other parts of the series: Heartslabyul, Savanaclaw, Scarabia, Pomefiore, Ignihyde, Diasomnia

Warnings: none

By opening the document, you agree to Mx Tattly's terms of source confidentiality.

-ˋˏ’✄┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈┈

Azul's ideal type would be...

Someone witty. Azul is a smart guy who likes being entertained. While his way of achieving that is less... for lack of better words, aggressive than the tweels', he enjoys a good mental game. If you can carry a good conversation with him, he'll remember you.

Someone who doesn't pressure him into making decisions. He is someone whose independence is very important to him. On top of that, his signature spell literally revolves around choice as a concept, so he understand the importance of it. Someone as stubborn as Azul will keep his distance if anyone tries to influence his free will.

Someone who appreciates music. He's a pianist and a good singer, which are skills that require a lot of practice and hard work, something Azul is known for. He will appreciate any genuine praise, but if you ask him to teach you more about music or, Sevens forbid, you want to duet with him, all of his three hearts are yours.

Someone who doesn't mock him, not even when teasing him. If you really know Azul, you know how bitter he is towards the people who have brought suffering onto him. The words they said are ingrained into his brain, controlling his choices for years after they were spoken to him. I'm not saying to constantly uplift him, but bringing up old wounds will only push Azul away with low chances of getting any closer again.

『••✎••』

Jade's ideal type would be...

Someone whose next move he can't accurately predict. It's kind of easy to catch the attention of any of the tweels, but it's also easy to lose it. The key to keeping Jade's eyes on you is to make him believe he's had you all figured out, then do something unexpected. Being a little unpredictable, even when you think you're outside of Jade's vision, will pique his curiosity.

Someone who plays along his little tricks and schemes. Jade is not an honest person: he always has some ulterior motive, hidden behind carefully worded questions and statements that he uses to poke and prod for information. If you try to help him and his twisted game of detective, he will certainly find you amusing, if not helpful.

Someone who goes exploring with him. Just like his brother, Jade has a fascination for the land above water, and he loves learning things about the fauna and flora. Someone who understands his appreciation for nature and genuinely embraces his curiosity will have a bit more of his appreciation.

Someone who doesn't try to understand him. Jade is very careful not to reveal too much about himself. Being awfully private with himself, he won't open up to just anyone. So he will appreciate someone who doesn't try to pry into his business too much. At the end of the day, Jade can be many things: a bartender, a vice housewarden, an informant, but he'd like to be seen as "just Jade" sometimes.

『••✎••』

Floyd's ideal type would be...

Someone who isn't intimidated by him. It's a surefire way to catch his attention. Even if you just pretend to not be intimidated by him, he'll stick around and try to push all of your buttons, test your limits, squeeze all that he finds interesting out of you.

Someone willing to teach him more about land folks. Everyone knows that Floyd has quite the interest about land folks and their customs. He wants to know more, so don't be afraid to throw random land people things towards him every once in a while. If it's something he didn't know about, he'll tell you to prove it. Congrats, he won't leave your side for a couple of hours.

Someone who doesn't compare him to Jade. Since he's the more polite and responsible one, Floyd gets compared to his brother pretty often, and some people even assume he's the younger twin. It is exhausting to have his other half be given as example on how to behave time and time again. If you reassure him he doesn't have to be like his twin, that being Floyd is just fine, it'll pull at his heartstrings.

Someone who takes his mood swings in stride. From people thinking he is a threat to people who just find him annoying and hard to work with, no one really takes Floyd's mood swings seriously. That doesn't mean he'll open up if you asked him "are you okay" and "what happened". Still, it would be the first time someone outside of his family reacted like that to him. It will baffle him, in a good way.

[thecraftybaroness]

This time, Emmrich saw a worn-out and sleeping Rook. A small writing thought I had with some tender thoughts and falling asleep beside one another.

Rook is Loved As Well

The candle on the table had burned low, wax pooling and cooling in uneven rivulets down its base. The Library in the Lighthouse was quiet, save for the faint rustling of paper beneath the slow rise and fall of Sabriel’s breath.

Emmrich stood at the stair leading down to the Eluvian having just returned from spending a few days in Nevarra. What he saw caught his breath somewhere between fondness and quiet sorrow.

She had fallen asleep at the table again.

She was seated on the floor. Her head rested on the curve of her arm, cheek pressed against a missive she had likely meant to finish. The ink had smudged faintly beneath her fingers, caught between the act of turning a page and the pull of exhaustion. Around her, documents and reports lay scattered, some marked with careful annotations, others abandoned beneath the weight of sleepless nights.

She always gave everything. Every ounce of herself, every breath, every moment. If she could not be wanted, she would be needed. And if she could not be needed, she would have the fires of her life be used until there was nothing left.

He knew.

He understood.

For these recent years, he had thought his life would be spent in service to something greater. The potential for lichdom had extended the sense of that timeframe out beyond into forever. With that path closed to him, he thought he had made peace with it—or at least, he had convinced himself he had. He would make the best of however much life he had remaining. Love, a future beyond duty—those were things reserved for other people. Younger people. Luckier people.

Not him.

Not her.

Not until her.

Until she had turned toward him in the aftermath of battle, blood-streaked and weary, but still standing. Until he had seen the way she carried the weight of others, how she knew when to push and when to stay silent, how she remembered the smallest details about the people around her—not just as soldiers, but as people. Until he had realized, with a slow, aching certainty, that she had done the same for him.

And somewhere in between the quiet conversations and sharp-edged banter, between the unspoken understanding and the rare moments she allowed herself to lean against him—he had begun to want.

It had terrified him, at first.

But gods, he loved her.

Not just her strength, but her kindness. Not just her sharpness, but her warmth. The way she could hold the weight of the world on her shoulders but still remember to check if someone had eaten. The way she could bring their group together, make them laugh, make them feel like they belonged. The way she gave, and gave, and gave, as if she did not know how to do anything else.

She was the kind of person people followed into battle without hesitation.

She was also the kind of person who would kneel beside a wounded friend and stay there, steady and unmoving, until she was certain they were alright.

How could he not love her?

How could anyone not love her?

Emmrich handed his gear and staff to Manfred who quietly nodded and carried them up. 

Emmrich exhaled, running a hand through his hair before stepping forward. He reached out, brushing a loose strand of hair from her face. She barely stirred, but something in her expression eased, as if even in sleep she knew she was safe. That he was home. 

His expression softened.

With practiced care, Emmrich slid an arm beneath her shoulders, the other beneath her legs, lifting her carefully. She made a small, indistinct noise, her head tipping against his chest, but she did not wake. She trusted him. She had learned how, even when resting.

And gods, he loved her for it.

He carried her up the stairs to her room, moving slowly, mindful not to wake her. The blankets were cool beneath his hands as he pulled them back, settling her down with the same quiet reverence he reserved for the rare moments he could protect her—not in battle, not in strategy or sacrifice, but in something as simple as rest.

Kneeling beside the bed, he reached for her boots, carefully unfastening each buckle before sliding them and her socks off. The callouses on her feet spoke of long hours spent on the road, of relentless motion, of a lifetime spent walking forward with no space to stop. He pressed his fingers lightly along her ankle, soothing a knot of tension before tucking them beneath the blankets.

Still, she slept on.

Emmrich sat there for a moment longer, watching her breathe, watching the way her fingers twitched slightly before settling, the way her face—so often sharp with focus—had softened into something defenseless in sleep.

She gave so much to others.

Maybe, just maybe, she was learning how to let them give something back.

Rising, he moved through the familiar motions of peeling off his coat and traveling gear. Pulling off his own boots and donning a set of sleeping clothes he had started keeping in her room. He slipped into bed, if one could call it a bed, beside her. The cushion dipped as he shifted closer, careful not to jostle her, but allowing himself the quiet comfort of her warmth.

Sabriel stirred, just barely. A slow, sleepy sigh. A shift toward him, as if even in unconsciousness she reached for him.

Emmrich breathed, something small and aching and full settling in his chest.

Gently, he slipped an arm around her, drawing her close, tucking her against him. His fingers brushed lightly, instinctual, protective.

She let out a slow breath, relaxing into the warmth of him, and in that quiet surrender, he felt something loosen in his own chest.

You don’t have to burn yourself away to be loved.

It was not spoken, but it did not need to be. It was there in the hush of candlelight, in the quiet press of arms around her, in the unspoken promise that had settled between them long before either had dared to give it words.

And as the last of the candle burned down, Emmrich let himself sleep, steady beside her.

- - -

This is a companion fluff writing to one I wrote here where Rook wants to make sure Emmrich knows he is deeply loved:

[levvthan]

his apprentice. | dottore x m! reader

NSFW CONTENT BELOW - MDNI

words: 8,308

summary: "Terms and conditions, page 6." He took a brief moment to peer back down at you, grin wider than ever. "I acknowledge and consent to any assignments prepared by Il Dottore which may involve living organisms, such as humans, animals or oneself will be seen through and finalised."

By the Tsaritsa's orders, not much to Dottore's liking, you where sent to work under his wing acting as his apprentice.

!! content: masochism, pain, oral sex, anal sex, multiple orgasms, smut, recorded sex, mentions of needles, razors, self-harm

"Scalpel." Dottore asked you to hand him the blade on the metal tray you grasped in your hands.

Deep in concentration, he was working on a patient, a deceased patient with perfect organs to be specific. Unfortunately, 046 had only recently passed away due to... a 'self-injury'. At least, that's what it said on paper. It wasn't in Dottore's best interest to allow the other harbingers, and of course the fair Tsaritsa herself, catch wind that his patients where committing suicide. There's no problem in bending the truth, right? As a result, he noted on his documents that the patient had suffered from a grave wound, and that 046 where ruined goods who needed to be put down. And of course, he did not fail to mention that the patient where now to be farmed for there organs. 

You on the other hand, also shared a significant interest in science with the Doctor. Had already been affiliated with the Fatui for a while, you'd finally gained the Tsaritsa's attention. Aside from your usual duties acting as a informant, experimenting with chemicals and whatnot on the side became one of your most profound hobbies. The Tsaritsa became so fascinated with your work that she ordered you to work under Dottore's wing, acting as his apprentice. Though with this being said, Biology was not your strong suit. Yes, you where intelligent but never made it far enough to practice in more of a professional setting. Even so, you where indeed captivated by the human body, how it works, its functions and even death. This was the perfect opportunity for you to extend your knowledge, able to watch Dottore's sleigh of hand work away at the carcass.

"I won't ask you again. Scalpel, now." Dottore promptly clicked his fingers, ushering you to concentrate on his face when he leaned up. Blood painted his frame, head to torso. The only thing keeping his face clean was the flimsy surgical mask he was wearing, he tore it down below his chin - his stance telling you that he was irritated. It seemed that you did that a lot actually.

"Hmm.. are you sure? Wouldn't a larger blade prove beneficial?" 

"Who are you to question me?" His voice raised as it bounced off of the labs walls, yet you didn't flinch, you didn't even move, you remained stoic with a raised eyebrow as you did as he instructed. This particularly bothered him, not the handing of the tool but how unbothered you where. Silently judging him. Not even intimidated by his presence. By all means, he never wanted an apprentice or an assistant though he could not refuse the Tsaritsa's orders. Deep down it had damaged his ego, but that was to not ever be revealed. 

"You really do get on my fucking nerves." Dottore grimaced, raising his medical mask with scalpel now in his hand. He turned back to his patient, only just to turn again to face you.

Archons, you really knew how to get under his skin. There where a lot of ways on how you did it, you never made conversation unless the topic was something snide. Never even defending yourself when he'd call you every name under Teyvats sun. If you where to put your finger on it, what irritated Dottore the most was the fact that he couldn't distinguish if you really where just an irritating asshole, or if it was just a facade you put on just to displease him.

"My apologies, sir. May you care to explain? I'm not sure how I have annoyed you." An innocent question really, raising an eyebrow and tipping your head at an angle.

To be quite frank, he was stunned that you had talked back to him. Though he knew he shouldn't be as it was practically the norm with you now. But he hadn't grown used to it, he always made sure he had the final word with everyone. But with you, it was more complicated. You loved to snap back, to push him further. Shifting his gaze to glare at you with his piercing eyes, hand on his hip as he ripped off his mask this time and balled it in his fist.

"You love this don't you? You absolutely adore testing my patience!"

Of course you where aware of what you where doing, you made him seethe but his reactions always amused you as per usual.

"Doctor, I am now merely just observing you work and asking questions." A sly smile formed on your face, absolutely irking him.

The Doctor huffed, that was it, he was done with you for the day. Instructing one of his clones to fill in and tutor you other than himself, so that he could retreat to his other duties aside from dealing with you for the day. Archons, if you could laugh as hard as ever right then you would of. He looked borderline enraged. Who where you to come down here under his will, and irritate him to the point where he couldn't even concentrate? A thorn in his side, a distraction to his work. Yet despite his complaints, the Tsaritsa firmly insisted he was to tutor you as long as deemed fit.

"May I remind you that Tsaritsa did mention that you where the only one eligible to tutor me, not your clones." You observed as he removed his surgical gloves, the rubber slapping together as he snapped them off as it filled the thick silence. He brought his fingers to pierce his bridge atop his nose, jaw forcefully clenched. 

"Confirm just one thing for me first, L/N." Dottore sighed raising a finger, "Do you achieve anything by witnessing my frustration with you?"

"The only thing I'd like to achieve is success. By being your apprentice I'll be able to do this, surely?" 

A strain of curses left Dottore's mouth. Watching his every twitch of annoyance as he marched away, the tall wooden doors what lead from the lab to a corridor where shoved open as quickly as they had slammed shut. Though it wasn't a bother, it just proved your point that he was unstable. Success. With your tutoring session being cut short perhaps it was time to turn in for the night, you had been watching him hack away at that carcass for a while now anyway.

The room you had been allocated wasn't too far from Dottore's personal chambers actually, given that the building was massive. Plus, the space was pretty nice. Fancy patterns where engraved into the wood panelling along the walls, a cold hue of many different shades of blue resembling Snezhnaya and it's snowy plains. You had made some minor adjustments though, some houseplants and a small work station setup in the corner. Not to mention, your bed was extra comfortable with multiple fluffy blankets and feathered pillows. In the night, when it was extra cold, you had no need for a heater when cuddling up underneath your duvet would suffice.

You closed the door behind you, taking off your shoes as to not get the floor dirty. Sighing as you finally had some privacy, it was time to unwind as you grabbed a few towels and a bottle of your favourite wine. One of Dottore's clones, Zander to be specific, had gifted it you the other day - knowing it was your favourite. You had grown accustomed to living like this for the past three months, it was luxurious to say the least. Not only did you have a expensive bedroom, but also your own en-suit.

As you went to run your bath, your mind lingered on the former conflicts you've experienced with Dottore. You only but giggled when you recalled the horrifying look on his face when the Tsaritsa had first informed him of her plans. To say the topic pissed him off was an understatement, his whines and complaint where like music to your ears. It was funny really, you loved seeing him all worked up and irked by your presence. That man was smug, a know it all. The satisfaction was empowering to you really, knowing you could go as far as you liked and he couldn't even do anything about it. 'Oh I was just asking a question Doctor', 'My apologies if I have upset you, Doctor', 'Being my tutor I thought you'd have more patience with me.'.

Bubbles and steam began to rise within the bathtub which was when you undressed yourself, setting your glass of wine to the side. Wandering over to the mirror, you dropped your shirt onto the bathrooms chilly floor. Gazing at your figure, your finger traced the scars on your chest, eyes peering down at the smaller ones coating your thighs. All in places where no one could see, having a particularly nasty one just beneath your peck. You wondered what Dottore would say if he saw them. There where too many to claim that they where battle scars, including the placement seemed far too calculated. Would he be concerned? Would he comfort you? Though, you didn't harm yourself because you where sad. In fact, you loved pain. Just a little cut, bruise or even a harsh squeeze when you touched yourself at night was enough to make you cum. Perhaps, tonight was one of those nights.

Settling in your hot bath, you hadn't failed to bring a little tool along with your wine in order to make your evening alone more pleasurable. A small, light incision was made on your chest. Hand already wrapped around your hard cock, you began to stroke yourself gently. Teasing, your mind wandered back to Dottore. The way his brows furrowed as he worked, the way his hands moved so elegantly, the way he shouted at you and called you horrible names. All his failed attempted to make you feel like shit, his words unknowingly fuelled your desire for him. Replaying your thoughts as if it was a movie, your hand worked faster as you pictured that he was the one tugging on your cock. You thought about what he would say if he where to find out you where touching yourself, imagining him nude as he loomed over your smaller frame. He would definitely laugh at you, calling you a pathetic whore while degrading you further. Faint whines and whimpers passed between your lips, your face became flushed as you pressed down harshly on the open wound you had inflicted on yourself moments prior. You moaned out his name as he still lingered on your mind as you reached your high. Cum painting your chest, you let out a shaky breath before sinking lower into the warmth of the bath. 

With that being done, you cleaned yourself off promptly after relaxing for a little while longer and finishing off your wine. It tasted unusual to say the least, a slightly sour aftertaste. Swirling the glass, you peered down at the remaining drops filling it. Strange, it usually tasted rich and tannic. Had that bastards clone gifted you stale wine? But how could that even be possible, unless the bottle had been opened beforehand?

There wasn't much else to do other than take yourself to bed and ponder, skin now soft, you began to feel rather sluggish. Silk button up pyjamas, your feet touched the icy wooden floor as you went to turn the light off. Room now dark, the only source of light was the moonlight what loomed through the window. Your mind still remained on Dottore and the wine, though they kept traveling further and... further away until it was submerged by fog.

Thud. 

A sharp gasp escaped your lips, a singular bright white light strained your eyes as you where abruptly awoke by having water pour down your face. The last thing you had remembered was... well fainting. Your eyes puffy, head pounding, you where in a stone cold room where Dottore normally practiced on his patients. When did you get here? Struggling, you realised your arms and legs had been restrained as you lied on top of a hard mattress. How many hours had it been? In a daze, your sluggish mind attempted to recall the events of the moments before you fell asleep, but there was nothing to remember. 

"How was your sleep, hm?" Dottore hummed, clipboard in hand. "You've been out for a while now. Seems like that wine really did the trick."

Remaining silent, his footsteps echoed as he positioned himself behind your head. You attempted to move, turning your head until you winced at a sharp pain. Bastard, you knew not him nor his damned clones where to be trusted, but a bottle of Mondstat's finest alcohol was all too tempting. All you could do was watch his calculated movements as you wriggled under the restraints. You went to curse at him, only to be denied when you noticed a cloth covering your mouth. Biting down in attempt to discard it, it was tightly fastened around your head - thus struggling was no use.

"What's wrong F/N?" He cooed as he leant down to face you, his gloved hands holding your head in place. You where truly stuck in Dottore's grasp as he loomed over you. Gazing up, he had taken off of his mask and placed it on a nearby tray. His eyes met yours, staring into your own with anticipation.

"I really should not be doing this to my dear apprentice." Taking a step back, he chuckled as he trotted along with his speech, "Though it was all too easy, I guess I just cant help myself."

By all means, it'd been common knowledge that you had a knack for being snide. You where more than aware at how it made him tick, perhaps your insufferable comments had finally pushed him too far. But you could appreciate his dedication, this was a new low - even for him. Lacing that wine with whatever he had put in it. As sadistic as he is, you'd never imagined that he would do something as crude as to drug you and strap you down to a surgical bed, like a patient. The Tsaritsa gave him strict rules and boundaries preventing him from laying a finger on you, yet he was defying the Cryo goddess herself. Yet again, you aren't one to lie about having fantasied about something like this before. But it was all too real for your liking, so it seemed.

A piercing scrape echoed through out the stone cold room. Dottore had prepared a selection of utensils what sat neatly on his metal tray. Setting them down beside you and taking his long fluffy coat off, it appeared to you that he was prepping for... an experiment. Watching intensely as he gracefully twirled a scalpel in his hand, you eyed yourself in it's reflection as he positioned it over your eyes. Though you weren't fazed, you knew he couldn't do anything to you without putting himself in a vulnerable position with the Tsaritsa.

"So, F/N. How do you like it, working for me?" He tipped his head in curiosity, allowing you to answer by removing the cloth from your mouth.

"Dottore you fucking-" Slap.

His cold hand had crossed your face, leaving you utterly stunned in shock. It felt as if he had been preparing that one for a while now. Wincing, he stuffed the cloth back into your mouth much deeper this time. Practically choking on the wrenched thing, wide eyes peering up at his shit eating grin. Oh yes, he was enjoying this already.

"I thought you would've been more cautious, the wine was a gift from Zander after all." He tutted, his icy fingertips stroking your chin as he observed how your brows knitted together. "Who knew you where such a sucker for liquor?" 

You didn't want to hear his ramble, yet that was the only thing you could do. He shuffled to the side, paper tray what'd been set to the side no longer remaining idle. He took the first page on his stack, eyes narrowing when you realised it turned out to be the contract you had signed months prior. Clearing his throat, his finger hovered beneath a sentence. It was hard to read from the angle you where positioned at, yet the inking was rather small so you would've struggled to read it even if you where sitting the right way up. 

"Terms and conditions, page 6." He took a brief moment to peer back down at you, his stance confident which was not a good sign at all. "I acknowledge and consent to any assignments prepared by Il Dottore which may involve living organisms, such as humans, animals or oneself will be seen through and finalised."

Gut wrenching dread turned you pale. Putting the emphasis on 'oneself', how in the hells did you miss that? A satisfying chuckle from him did not soothe your anxieties as he found glory in your disturbed expression, he knew exactly what you where thinking. His voice grew deep, his cold breath hitting your neck when he leaned down ever so closer to your skin. "Looks like someone isn't as insightful they claim they are." 

"Now, we shall begin! Unless you don't want to?" Dottore asked sincerely, taking your silence as consent knowing you couldn't respond anyway. "Oh! And I will be recording this by the way, you know the drill by now, having to document these experiment of ours for the fair lady." Directing your attention to the already setup camera atop a tripod to your left.

All he did was take in the expression you held. Full of dread, you'd seen him work before and it was far from anything pretty - he was going to torture you and he even had the audacity to record it. Did he really just want to make you suffer? To kill you? No, he could've done that already by now according to that wrenched contract. 

"I never knew you had such wonderful soft skin." He hummed in approval, raising your sleeves leaving your arms bare as the cold nipped away at them.

Your breath hitched as you felt his gloved fingers run from your wrist to your bicep. All you could do was stare forward, the glaring white light dazzled your eyes but it was far better than giving Dottore the satisfaction on watching his movements. His touch shockingly moved to something more harsh, prodding and squeezing the fat and muscle on your arm. You didn't want to admit that you where actually enjoying this, it'd been a long time since someone had touched you in this manner. 

"Now, I'm going to take a sample of your blood." Already a syringe in Dottore's hand, he tapped the tip as you took a deep breath. "No need to be tense F/N, all you need to do is relax." 

Not even giving you a warning, your eyes twitched as you felt the long needle cut through your skin. Though you couldn't help but direct your attention to watch. The syringe turned crimson, as it slowly drained blood from your arm. Meanwhile, Dottore was having his own fun watching you timidly squirm. It humoured him really, you'd been so sly - a know it all since the day you first met. Yet, now here you where caged in his grasp. He finally had you just where he wanted.

He raised the syringe from your arm, back onto his tray where he wrapped it in a small plastic bag. A small sigh escaped his lips when he stood up, only for you to tense again as his hands travelled to unbutton your shirt. Gloved hands fumbling with the buttons, the cold now nipping away at your chest rather than your arms. Torso littered with scars, your wrists where so soft yet your chest looked wicked. Shivering under Dottore's touch, watching intensely as the words you had to say remained muffled. Though it intrigued Dottore, he allowed you to speak by removing the cloth.

"What are you going to do to me?" Attempting to redirect his attention with strained breath and questions, chest rising when he retrieved a scalpel. 

Your weary tone had surprised the sadistic man stood over you, a deep callous laugh. He had only ever heard you speak in a plain manner, now he was getting somewhere. 

"Just making a few observations." He hummed, "Say, where did you get all these scars from?"

Removing his glove Dottore slowly traced the thin open wound with his slender finger you'd made yesterday, scarlet coating his fingertip as he reopened it. With anticipation, you gazed as he unexpectedly popped it into his mouth. The unexpected action left you with another surprise, blood rushing to your cock as the sense of arousal began to flow through your body. Tongue swirling while the copper taste flooded his mouth, of course he had taken note of your change in attitude. With a pop he released his finger from his mouth, a trail of saliva dribbled down his hand. 

"Would you look at that... my theory was correct all along." His voice low, deeper than you'd ever heard. Drawn out breaths, his hand made it's way closer to your pelvis.

The smug smile on his face made you want to scream, but you couldn't help but find yourself wanting to discover what was next to come. 

"Surely, you wouldn't mind? It's apart of my experiment after all." Finger hovering over the waistline of the bottom half to your nightwear. 

The pit of your stomach burned as you longed for his touch already. It was that your lust had been captured by him, touching yourself every night could never satisfy you to the fullest. No amount of fingers on your hands stuffed inside you could ever guide you astray from the true needs of wanting his cock. Yes, he knew your dirty secret, he'd known it all along. He had just been preparing for the right time to strike, the moment you where most vulnerable.

He pulled your silk pants down, your growing tent now visible in your undergarments. Dottore's crimson eyes only took but a glance, before meeting your own. 

"And only days ago you where claiming I was the sadistic one." He humiliated you, how pathetic you where under his touch. 

Your muffled whines didn't fall on deaf ears, though he kept the cloth in your mouth knowing your speech weren't to be trusted. Tugging your nightwear fully off, your body had been exposed. How twisted, his apprentice now nude beneath him with only underwear covering your most private areas. Observing the additional scarring what coated your thighs, Dottore bit his lip ever so slightly before giving one a brief squeeze. He felt how tender you where, prodding and poking with his slender fingers further as pre-cum stained the cloth covering your cock. You could've came there on the spot, face now red you never knew how much you'd wanted this.

"I've heard you, countless of times in that bathroom of yours. This place may be fancy but the walls are... rather thin." He dipped his head down to your neck, your breath hitching as his surrounded you with warmth. 

A small yet enticing lick, then nibble, until his lips sucked a sweet love bite into your neck. The next one was not so soft, much to your liking, making you whimper as you twitched under his touch. He didn't stop there, he coated your neck and collarbones until they where purple. Until you thought he was finished, he teased a dreary breath, a forceful bite as his teeth snagged at your delicate skin sent you into a paralysis of shock - eyes rolling backwards. Your cock straining, as a long interlude of whines escaped your mouth - muffled by the cloth. The warm sensation, hot and sticky, soiled your undergarments as you fell limp. Dottore only but slowly adjusted himself to observe the unexpected mess you had made, fascinating. 

"Hmm." Pondering, he stripped you of his touch as he retrieved his clipboard. "Subject is most definitely a masochist." The jotting of his pen and his slow breaths made you turn to face him, recovering from your high whilst gazing up at his frame. He finally set it to aside, before then going to remove the cloth what was now drenched in your saliva.

Dottore had half expected you to hurl harsh words at him, though to his surprise you had none to share. You only panted, licking your chin in attempted to recollect strayed spit. Sharing a short lived stare into each others eyes, the signs where already there. You both knew it, your half lidded eyes with your tent already pitched after a small breather.

"Oh, you're a dirty little thing aren't you?" He let out a length chuckle, which you adored as it sent lustful shivers down your spine. "Are you sure you haven't humiliated yourself enough already? This video is going to be reviewed by the Tsaritsa after all."

Eager nods, fully submit. With all due respect, damn the Tsaritsa. You where enjoying this far too much now, what's the harm in experimenting a little further? 

∘₊✧──────✧₊∘

Your eager nods had not gone unnoticed, though Dottore couldn't but help chuckle at the state of you. Who knew you could be persuaded this easily? Only your tutor of course, he wasn't one to be toyed with and you had clearly been too naïve to realise. Now he has you wrapped around his finger, fully submit underneath his will. 

"Tell me, F/N, why did you really want to work down here? Far far away from civilisation, surely there's more to it." Dottore lingered around you, observing your withering state. "There's far more efficient courses above land, such as the Sumeru's Akademiya, or maybe even Liyue."

A genuine question really, and it made sense. Though, wasn't it obvious?

"I... I want to work... here, with you." Hitching breath, dreary eyelids, your answer peaked his interest. 

"And why is that?" He was only but a fraction away from your face, looming over you as stray azure hairs fell from the tuck behind his ears. His hot, soft breaths only inches away leaving you longing for him to grow closer.  

A momentary pause, you weren't sure if you should reveal your secret. Even though Dottore already knew, and had known for quite some time by now, it was all still embarrassing to put into words. Your face flushed, cheeks rosy as the soil in your pants earlier began to dribble. Dottore was growing impatient, he wanted to hear it in your own words, he needed nothing but for you to spill the truth he already knew. The Tsaritsa needed to know what a filthy whore you where, the one filthy whore she had became so fascinated with as of late. Grabbing you by the jaw, you clenched as he had forced you to sit up. His grip was harsh and controlling. A soft moan escaped your lips making his brows furrow, not that it was to his disliking though.

"Answer me." Dottore detested against your dreary silence, his eyes pierced into your own - a mixture of lust and dominance. The truth was he wanted you as much as you wanted him, but there was only one way he could allow himself. He could never let himself be perceived as needy, as wanting to for fill his pleasures, he needed you to give him an excuse. The grip he had on your jaw made its way down to your throat, your breath unsteady as you felt his grip become ever so heavier. 

"I..." Teasing with your words, even when you're trapped in his grasp you still managed to make him tick. You didn't fail to notice his eye twitching as he bit his lip in anticipation for your words, "I need for you to fuck me, Dottore." 

That was it, your consent had been given and there was now going back. Dottore had finally become undone, a low growl could be faintly heard as he slammed you back to lie down. Wincing, you watched as his movements grew more aggressive rather than elegant and taunt. Still being restrained you couldn't do much but watch as he unbuttoned his dark blue shirt in a rough manor. Chest hairs matching the colour what lied on his head, complimented by a faint snail trail leading down to his obvious bulge. He where a lot more buff that you'd imagined, his waist a lot more synched too as his belt hung loosely from his hips. The sight of his torso alone where enough to make you hard again, your eyes danced as you took in the sight of him. 

Dottore took a mental note of how you admired him, it prompted his cock to grow stiffer as his fingers grew closer to the buckle of his belt. He fumbled with it shortly, his slender fingers slowly but surely teasing you as you watched. That was until, he had an idea. He stopped in his tracks. You where practically throbbing, foaming at the mouth even, his change in direction startled you. Fishing something out of his pocket, a key. Not just any key, a key to the restraints wrapped around your wrists and ankles. Oh, if this weren't already getting good. 

"I trust you won't do anything stupid." Dottore muttered, keys chiming as you excitedly waited for your release. "Don't make me regret this."

Rubbing your wrists, peering down at your red ankles, you sat up as you turned to face Dottore. He relaxed his hand on the edge of the bed, his spare one hovered over your thigh as it palmed your crotch. His piercing eyes peering up at your own. It was as if he where waiting for something, something only you could deliver. A kiss, more of a peck really is what it'd been. But he abruptly tore his lips away from yours, strange. It seemed he wanted to kiss you, and more than just briefly. But the thought of such an intimate act would be crossing a line in his book - he hesitated.

"Nuh uh, that won't do." Your voice now capturing Dottores ears, sounding a lot more confident now you weren't restrained. Was that a good idea? It made him shiver to be quite frank, the way your finger had directed his face back in front of your own, "Let's give that another try." Dottore looked perplexed at first, but was shortly amused by your sudden dominance. 

Lips clashing together softly, you held the back of his head this time - soft silky hair in your palm. He tasted sickly sweet, a taste no one would ever had guessed. Lips only slightly chapped, yet still finding yourself satisfied with the way he leaned into your touch. It was one of the most passionate kisses you had ever given. Your lips danced together in harmony, your tongue asking for permission to enter his mouth. Soft grunts from Dottore turned you dreary, he was practically melting. This man had strapped you down, drugged you, even got you to cum without touching your cock once, yet here he is groaning as your tongue coated itself in his own saliva.

You had expected him to scold you for being so cocky this soon but he where enjoying it far too much. Perhaps he was a sucker for kisses? While he was distracted with the passionate moment you both where sharing, your hand sneakily travelled to his waist. Gripping him lightly at first, the moan he let out prompted you to tug him closer as you swerved around on your bottom, so that he where stood in-between your legs as you where perched on the surgery table. Not breaking the kiss once, your thumbs rubbed circles on his pelvis. Dottores tongue now finding its was into your own mouth, he took back his dominance over you far too easily. You whimpered as you felt his hands fall on top of your own, guiding them towards his belt buckle. Already feeling the heat from his clothed tent, the fact you where so close to his cock made you harshly bite down on your lip. 

"What are you waiting for?" Dottore purred against your neck, his breath hot and heavy as you drew the faintest bit of blood. 

Fingers fumbling with the buckle, you finally had a grasp on his zipper. Slowly tugging it down, wanting this moment to last forever. All that remained now was his underwear sheathing his dick, it was right there in your grasp, your needy finger went to tug at the waistband until the unexpected nip Dottore made at your neck caught you off guard. It where already bruised from the session beforehand, making you wince as you lost track at what your hands where doing. 

"Ngh, that hurts." Whining, you earned a chuckle of approval from the man above you. 

"Oh? And isn't that what you like?" He questioned before biting down even harder.

"Mhm..." Was all you could answer as he worked away from your neck, lower and lower down to your chest. You where practically purple by the time he had finished, his lips travelling leaving a prompt nip upon your jawline. 

His teasing and torment made the want of acting on your whims build up, you wanted - no needed to go a step further. Dottore on the other hand wanted it slow, he was to take the lead, but you had other plans. You hadn't agreed to a mere make out session, you lusted for pure intimacy between the two of you. Thus you becoming reckless, growing impatient. 

The position you where in granted you easy access in wrapping your legs around his hips, encasing him in your grasp. Caught off guard Dottore grunted as he fell into you, unexpectedly realising you where quick to fish your fingers into his underwear. Feeling his hard cock twitch as you examined it with your touch, the warmth seized the coldness of your own hand. It felt good, far too good, your hand wrapped around his length as your idle fingers swiftly tugged down his waistband. Dottore on the other hand was shocked, but not surprised. It was common knowledge you where devious, but he hadn't expected you to wield the confidence in taking over so quickly. 

His hands what laid behind you prompted his body from tumbling on top your own, glancing up his face only centimetres away from your own. He took in your distracted expression, sensing the impulse you held. Though the way you acted so eagerly, driven by the crave you had for his presence, made him want the same just as much. You where spontaneous, rude, snide, it was all clear to him now that it wasn't annoyance what made him seethe over you. It was sexual tension - what you had purposefully created. All the times you had 'dropped something' and bent over, ass up in all its glory for him to witness. The way you would gracefully twirl your wine glass, giving him a shameless wink. Even the things you'd do to yourself in the bathroom, calling out his name - though you hadn't planned on him knowing about this one. Dottore was done with your little games, he where now to be in charge of the tension, if you wanted to fuck then he would most defiantly fuck.

Your hand still being wrapped around his aching cock, his underwear now wrapped around his thighs beneath his balls. Beginning to pump him but failing to notice his change in stance. 

"Eager little thing!" Dottore scolded you, his hand coming into contact with your face once again - leaving a harsh red mark. 

Squirming at the sting the impact left, you hadn't expected him to detest your sudden shift in confidence being too caught up in your desires. It turned you on all the bit more, Dottore learnt not to be dissatisfied with your reaction but to embrace it. If not even pain could falter your furtive self, then he'd have to use more forceful ways. 

His hands gripped your shoulders, swerving and pinning you down harshly back onto the surgical bed. It stunned you, his strength being unmatched. Watching with eager eyes as his own fingers found there way to his cock, he began stroking himself at the sight of your pained body. You went to sit back up, to assist him, yet he wanted none of that. 

"How difficult is it for you to follow a simple order?" Voice now deep, his spare hand now pinning you down below him.

Biting your lip as your cock ached, needing to spring free from your own underwear. You knew you had to confirm your submission to get what you wanted, it was the only way he'd ever accept you.

"Please..." Lighter than a whisper you pleaded with faint whines, your expression the softest Dottore had ever seen it. He could tell your pleads where genuine, it sent him into awe, he'd never seen you like this before - who knew you could appear so elegant?

"What was that?" But he longed to hear you again, for you to beg for his touch. He began to touch himself ever so lightly again, in front of you in all his glory.

"I want you... to touch me... please..." You signalled at your throbbing member trapped beneath your clothing, the man above you more occupied with is own pleasure than yours, "Dott-... Zandik..."

What was that? 

You eyed him sneakily, keeping the submit expression you held. Watching the sudden change in expression at the sudden use of his name, his eyes wide as his body momentarily wobbled - moving hand jolting. He ushered his head away from you, to the side, as he bit his lip forcefully. His chest now heavy, he groaned, before the unexpected release of his seed spilled from his cock. It not even giving the chance for him to redirect the stream, or for you to move yourself. It happened all too quickly, his cum painted your chin and chest as it drizzled down your skin in a slow manor. The two of you only but observed what had just happened, you sat up - collecting yourself. But you where still left unsatisfied, even if Dottore had just humiliated himself with not even being able to last five minutes. 

You didn't do anything but utter his name, his real name. Was that really all it took to get him there? Though, before you even had figured it weren't best to jab at this unexpected outcome, your eyes caught his own as he faced to look at you. Half lidded eyes, he examined the way you where still hard, still flush, and now complimented by his cum. 

He pounced on you, hungrier than ever. Lips dancing with one another again. It sent you back into your daze, it was clear he had never left his. All he needed was a momentary breather for his cock to spring back into action, and for you to look at him the way you had. 

A moaning mess as his hand palmed your strained dick, it'd taken so long for things to get to this moment. A build up of excitement, of lust, it all brewed inside of you. He was finally touching you, the man you had longed to have for what felt like centuries. His fingers hurriedly inviting themselves into your own pants, the exact way you did to his own. Tearing them down, his hand teasing your cock before giving you a light squeeze. A moaning, whimpering mess he had made of you as he lowered the surgical bed you lied on with his foot on the pedal.

"You like this really, don't you?" Dottore questioned you as he broke the kiss. Peering up at his starving grin, his eyes more crimson than ever as his stray hairs framed his face. "Getting under my skin all the time, tch- and here you are whimpering, and begging me to fuck you." 

His spare hand raised to grip your face, squashing your cheeks together, before his index finger swiped his cum what plastered your chin. He then went to grip your jaw, you obliged before he forcefully stuck his slender finger down your throat - coated in his own cum. It was still warm, briefly choking on his finger as your tongue swirled as it took in the sour taste. He thoroughly enjoyed watching you taste him, his finger deep in your mouth complimented by your saliva. Your hums of approval vibrating his hand, he swiftly removed it with precision. 

With a satisfied expression plastering his face, Dottore released your face as he gave the side of your head a tap of approval. Body tensing when his finger had travelled downwards, to your chest, to your abdomen, to your pelvis... all the way down to your member. Without even a second of hesitation, he pulled your nightwear down to your knees and then fully off. Observing the dried mess you had made earlier, still warmer than ever. Tossing them to the side, the cold air nipped away at your neglected area, watching in exhaustion as Dottore clambered onto the bed. He spread your legs, his finger examining the scars what coated them for a short while, until he was practically lying on top of you. You felt like prey captured by it's beast, as the finger you had previously coated in your saliva made its way down to your neglected hole.

Whimpering as he teased you, he spread your ass with his hand before pushing his finger deep inside. Dottores eyes capturing the way your cock twitched, your head pulling back as your face scrunched... just the utter lewd sight of you made Dottore fill with bliss, the same as yourself. He wanted you to savour every second of your pleasure, the humiliation of your tutor fingering you all while it was being recorded. Slowly his single finger building up to two... then three... which made your moans grow louder and louder. He longed for you to regret coming here, medalling with his career. Making him look like fool, pissing him off every living second you where down here working for him. Yet, he was giving you exactly what you wanted. Dottore motioned his three fingers in a scissoring like manor, stretching you out in preparation for something greater.

Becoming a hot, moaning mess underneath him. His fingers roughly penetrating you, brushing against your prostate, it was all too much.

"I- I'm gonna-" Gasps and heavy breaths, you felt the pit of your stomach burn before your second release, but, that never came. Dottore had denied your orgasm, swiftly pulling his fingers from your hole as sheer disappointment washed over you. 

He giggled, taking in your desperate face. Your prepped ass before him, your twitching cock aching for more. 

"Are you ready?" He had asked you, all you could do was nod. No words left to be said, just pleads for him to fill you.

Watching with desperate eyes, the way he lifted your thighs to rest behind over shoulders sent shivers down your spine. The way his hands felt so right against your skin, to then travel down to his own cock as he aligned it with your hole. You took a sharp breath , on release you both shared a glance what felt like minutes, but alas it was only for a second. Until he invited himself in, you wrapped around his length perfectly. Your heart pounding, biting down on your lip as he finally had entered you. Dottore let out a few strangled moans of his own, unexpected to how good you felt, pushing himself in until he could go no further.

He went slow at first, savouring every second. The way the sound of your moans danced against his ears made him grip your thighs tighter, until he left crimson marks upon your skin. He began to fuck you harder and harder, letting himself become a slave to his desires. Before you knew it he was pummelling himself into you like there where no tomorrow, it seemed he needed this as much as you did. 

You reached down to stroke your untouched cock, moans and whimpers filling the laboratory as they bounced off the walls. You touched yourself with vigour, Dottore watching the sight unfold before him. He licked his lips, collecting lost saliva from his desperate pants, before an idea struck his mind. Raising one of his hands, leaving your left thigh absent, he deeply pressed down on the recent wound he had made. 

"Ah!" Was all you could let out as you flinched, it stung - it burned. But it felt all too good.

Dottores hand pressed down harder, sweat now finding its way down from his body onto you. 

"You filthy, fucking whore." The way he sounded, you'd never heard this tone before. It made you quiver as the overstimulation finally hit you. 

He went harder, deeper, hitting your prostate too many times. His hand squeezing your wound harder, blood now starting to coat his palm. The right hand he had on your other thigh left, edging its way over to your cock what you grasped. Dottore grabbed your wrist ushering you away from yourself, replacing it with his own. The way his hand tugged on you, the way he was manhandling you like you where his toy. He squeezed, stroked, even spat to create a makeshift lubricate as he picked up his pace. 

You where nearing your end, barley hanging on your moans now shrivelled and weak - Dottores too. Both close to your release, you wanted to savour this tender moment. Despite the lustful fog what clouded your head your hand reached up, and touched his face. Your finger caressed his cheek and then his lip, thought Dottore didn't have time to react to your sudden touch of affection. Quickly leaning up to kiss him so passionately. His moans vibrated against your lips as he opened his mouth, his body tensing along with your own. His cum filled you, painting your insides hot and sticky. Your own release coating his stomach as he laid above you, skin dripping with sweat red and flush. You didn't dare break the kiss, only enjoying the intense moment you both where sharing. 

Dottore didn't want to acknowledge what'd happened, the sudden feelings piercing his heart. But there he was kissing you as his cum spilled inside of you. His grasp on you lightening when he let go, pulling away slowly. He pulled out his cock shortly after meeting your eyes, redirecting his gaze to watch the aftermath leak out of your hole. On the other hand, you only leant back down as a sigh left your lips.

∘₊✧──────✧₊∘

The room now silent, until you felt Dottore redirect his body to stand. He looked as if he had lost something, you'd figured he would be more satisfied with this turnout of results.

"Dottore?" You spoke out, he handed you a wipe before he began to clothe himself. Ignoring you, you sighed and cleaned yourself off before reaching for the nightwear you formerly had on.

"No need to put those back on, I have your usual clothes here." Voice coarse, he gifted you the normal outfit you wore for work. 

Moments passed, you put the clothing on and brushed yourself down. Though you still felt sticky, you needed a shower. But first, you had to know something.

"Are you... alright?" Working up the courage to question your tutor, he was now fumbling with the camera he had set up what captured your intimate moment together. 

He ignored you again.

Sitting up, lifting yourself off of the table. You wobbled, having to catch yourself from falling. Legs feeling almost numb, quite frankly your ass was pounding and sore - not that you minded.

"You shouldn't be standing." He warned you as he watched you struggle over to him, voice stern.

"Then carry me back to my room." Giggling as a sigh then escaped your lips. Letting yourself fall into him as he caught you in his arms, he couldn't help admire you.

Still cheeky, after you'd been through all that. Maybe there was no changing you.

A/N: this fic was posted to my AO3 around three years ago as a request from a friend :p

[covid-safer-hotties]

Also preserved in our archive

By Betsy Ladyzhets

Since early in the pandemic, people with Long COVID have faced challenges in applying for disability benefits, including from their employers, insurance providers, and the U.S. Social Security Administration. Applications often take a long time and are denied even for people who clearly have debilitating symptoms, leading to years-long, arduous appeals processes. The same has been true decades prior to 2020 for people with other infection-associated chronic diseases.

To learn more about the disability insurance system, Betsy Ladyzhets spoke to Barbara Comerford, a long-time disability lawyer based in New Jersey who specializes in these cases. Comerford has represented people with myalgic encephalomyelitis (ME, also known as chronic fatigue syndrome or CFS), for more than 30 years, including high-profile cases like that of journalist Brian Vastag.

Comerford discussed how the process works, her advice for putting together applications and appeals, how Long COVID has impacted her practice, and more. This interview has been lightly edited and condensed for clarity.

Comerford’s tips for disability benefit applications:

Comerford recommends that people applying for benefits extensively document their symptoms. Medical tests such as neuropsychiatric testing and cardiopulmonary exercise testing are her recommended method for documentation, though she acknowledges that these tests can be expensive. Comerford suggests that applicants should be careful to find lawyers and medical providers who have experience with these cases and won’t dismiss their symptoms. During the appeals process, Comerford recommends requesting a company’s administrative record and combing through it for any evidence that they abused judgement, cherry-picked evidence, or made other errors in assessing the case. Make sure to follow deadlines for filing appeals, as cases are closed if documents are not submitted on time.

Barbara Comerford: Should we focus on disability insurance, or do you want to focus on social security disability, or both?

Betsy Ladyzhets: Both, because people [with Long COVID] are applying for both.

BC: Right. And often, people think they should only apply for one, [but they should apply for both.]

Most of the disability plans that people have are often through their employer. Those plans are known as ERISA plans, that refers to Employee Retirement Income Security Act. It was created in the 1970s… Congress created this regulatory scheme, and then immediately created a zillion loopholes that corporations can drive a truck through. Later, ERISA covered all employee benefits in general.

Insurance companies wound up selling policies to corporations saying, “You can get the best people if you offer incentives.” And what’s a better incentive than, if someone gets sick, they can collect a substantial percentage of their salary until full retirement age? These are the sorts of perks that… People think, “If something happens to me, I’ll be protected.” The promise of these policies is that they will give people, usually, between 50% and 80% of their pre-disability income if they satisfy the requirements. Well, that’s a big if.

I’ve been doing this for 38 years. And I can tell you that 38 years ago, these [disability claims] were not problem cases. I used to do them for free for my litigation clients… But over the years, and really starting after 2001 with September 11, all hell broke loose. They [insurance companies] began to get very aggressive. Every time there is an economic downfall, whatever it is, they get extremely aggressive. So you can imagine, with the onset of the pandemic, they knew what was coming.

I did, for many years, advocacy for ME/CFS cases. I represented thousands of people… A lot of my colleagues say, “Long COVID social security cases are almost impossible,” because they don’t know what to do with them. My office hasn’t found that to be the case. I think the difference is, you have to document these cases with as much objective documentation of symptoms that people have… Get neuropsych testing, cardiopulmonary exercise testing, and other tests.

I started doing webinars and seminars [about disability benefit applications] in 2020, because I knew this was coming. At that point, they weren’t calling it Long COVID, they were just saying, some people with COVID weren’t getting better. But I knew it was going to turn into another ME/CFS disaster.

BL: How have you found the rise of Long COVID has impacted your practice? Do you find you’re more in demand now?

BC: We’ve always had a high volume of cases. Quite a few of them were ME/CFS cases. We did a case, Vastag v. Prudential, in 2018. Brian Vastag, who was a science writer for The Washington Post, was my client, and I could not get over how aggressively Prudential was just dismissing him because it was an ME/CFS case.

And the same is happening with Long COVID. We do cases all over the country on Long COVID and ME/CFS. It’s my livelihood, so it’s important for me, but it also makes me a little crazy that people get treated the way they do and that they have to hire people like me.

One of the things that people get upset about is that they have to spend money to medically document their symptoms. And worse than that… I see these Long COVID clinics, with doctors who are completely ignorant on Long COVID, who surreptitiously write notes in the chart that they think it’s a psychiatric case. I don’t know how familiar you are with this.

BL: Unfortunately, I’m very familiar.

BC: It’s awful. Not only is it really hard on my clients… It triggers them to read things that might not be what they said or might not be pleasant. And the number of times that I have seen that and it has sabotaged cases! I have to reconstruct the cases and have the clients contact the clinic [and get them to make corrections].

Mental/nervous limitations exist in all of these [insurance] policies… They can limit someone’s payments to two years if the case is a psychiatric case or mental/nervous limitation with a DSM diagnosis.

BL: I wanted to ask also — there’s been a lot of research on Long COVID at this point, and there was a report this summer from the National Academies specifically in response to a request from the Social Security Administration about Long COVID as a disability, in which they found that this disease can result in inability to work, poor quality of life, all that stuff. Have you seen that report, or other research, like the growing body of research on these diseases, have an impact?

BC: I was asked to comment on that [report]. Part of the problem with Social Security’s initiatives in this regard is that every social security case goes through what they call “sequential evaluation process.” You have to go through five steps to determine whether or not someone’s disabled. And among those steps is [matching people to a “medical listing of impairments,” but the list doesn’t include major symptoms for ME/CFS and similar diseases].

Years ago, there was a ME/CFS ruling called 99-2p. It offered guidelines [for ME/CFS cases that don’t fit the typical Social Security process]. After that, I was asked to present to the national association of Social Security judges, there were 500 judges in the audience. And I asked, “By show of hands, how many of you are familiar with 99-2p?” Two hands went up.

Despite the guidelines, in practice, [the judges aren’t familiar with these diseases]. Until there is a time when we can come up with a firm diagnostic criteria for Long COVID, and we can say, “This is what you have to document for this illness.” … And it can’t just be a positive COVID test, because many people got sick before testing was prevalent or they got sick after people stopped documenting that they were positive.

The other problem for Long COVID cases is it’s not like cancer or a broken leg or herniated disc or something that people are accustomed to. Those people are not told they’re crazy. Those people are not told they’re imagining it. Those people are not told, “Well, we just don’t buy it.” This is what happens with [Long COVID] and ME/CFS. The psych component that they try to pigeonhole these cases into is really a master stroke by the insurance industry that spends billions of dollars trying to persuade people that anyone who files for these benefits is a crook or fraud.

BL: It’s infuriating, especially when you see how deeply people’s quality of life is impacted by these diseases.

BC: Yes, every part of their life is impacted.

BL: I see what you’re saying about needing diagnostic criteria. In this time where we don’t have that yet, what would you want to see the Social Security Administration or other government agencies do to make it easier for all these people who are applying for benefits with Long COVID and ME/CFS?

BC: They should [reevaluate] the sequential evaluation process, which has been there forever, and look at medically determinable impairment in the context of Long COVID and ME/CFS. These diseases can be documented by things like neuropsych testing.

I’ll quickly go through the five-step sequential evaluation process. The first step is, “Is the person engaged in substantial gainful activity?” That is something you can do predictably, something that will last at least 12 months, and something that leads to gainful work, where you get paid and you can report for a job either part-time or full-time. In Long COVID cases… you have to document that this person is not engaged in substantial gainful activity because they don’t know tomorrow if they’re going to be able to get up and get out of bed and take shower, never mind report for work.

If you satisfy step one, they go to step two. There, they ask, “Do you have the ability, in light of your disability, to perform basic work-related activity?” Sitting, standing, reaching, pushing, pulling, reading, concentrating, things of that nature. And, “Does the disability negatively impact your ability to do these things?” [You need medical evidence, which can come from] a physician’s evaluation from a Long COVID clinic, for example.

If you have that, you go to step three, which is where that horrible “medically determinable impairment” crap comes in. There isn’t {a specific listing} yet for Long COVID, although they’re talking about it. Frankly, we’re still waiting for them to do one for ME/CFS, so I’m not holding my breath. That’s the only step in the process where, if they don’t satisfy it, you can still move on to the next step.

The fourth step is, “Is this person capable of performing the work that they performed for the last five years?” Until June of this year, it was the last 15 years… So we go through each job they had, all their symptoms and limitations and why they can’t do [the job anymore]. If we document successfully that they can’t perform their past relevant work for the last five years as a result of their disability, we can then go to step five.

Step five, the burden shifts to the Social Security Administration. Social Security has to document that, in light of a person’s age, education, and work experience, that there is no work in the national economy that they could perform. [To do this], Social Security has a big graph called the “medical vocational guidelines.” And essentially, the younger you are, the more skills you have, the more education you have, and the more skills that are transferable, generally you are found not disabled. But the graph is not supposed to be used for cases that involve what we call non-exertional and exertional complaints together. Pain, fatigue, things of that nature are all part of the non-exertional limitation.

That is how we lift ME/CFS and Long COVID cases out of that graph. Despite the fact that many of our clients are very young, many of them are highly educated, many of them have developed skills that are not only transferable, but are also in high demand in the national economy — [we say that] because they can’t predictably perform sustained work of any kind, the grid should not be used to find them not disabled. But with all of this, every one of these cases, medical documentation of limitations is crucial. I can’t emphasize that enough.

BL: I know a lot of people in Long COVID community, they’ve already sent in their applications, and then it gets denied, and then they have to appeal. What is that process like, and how would you suggest people go about finding someone like you?

BC: It’s really important to do some research. You want to know if the doctor or attorney you’re dealing with has experience in these cases… I do [webinars and one-on-one education] for lawyers all the time, because I’d rather them hear what has to be done, and understand what happens if they don’t do it.

If I’m giving people advice on appeals… If it’s coming from a United States employer, you’re going to be governed by ERISA. That’s important because people might file a claim without knowing the exact company policy. Despite the fact that federal regulations require employers to give that information to employees, when someone gets sick and files a [short-term] disability claim, they are immediately cut off from the employee benefits portal [that has all the exact policy information]. So then I’ve got to write a letter to the employers, and fight to get that information.

You can’t even get discovery in these cases… Sometimes they will award benefits, and then six months in they’ll say, “We no longer believe you’re disabled.” Under ERISA, [employers and insurance companies] get all the advantages.

BL: It seems like people should know, if you’re filing against an employer, to save that policy information before you lose access to it.

BC: When you get the notice of a denial, you can request a complete copy of the administrative record. You are entitled to see everything that the insurance company had on the case, and under federal regulations, they have 30 days to produce it.

And then you have 180 days to appeal that [denial]. People say that’s a long time. It’s really not. Because you’ve got to go through thousands of pages of documents. You’ve got to document where they abuse their discretion. It’s not enough to have medical evidence… [The standard you have to push back on is that] the insurance company or the employer has a “reason” to deny the claim.

The lawyer’s job or the claimant’s job is to show all the examples they found in the administrative record that show [mistakes or poor judgement on the part of the insurance company or employer]… Sometimes, you will see reports of experts that they’ve retained to review the case, and the expert will say, “I think it’s a payable claim.” And then the next thing you find is them looking for another doctor who’s a little more receptive to their suggestions. If we see they’ve ignored the opinion of one of their experts, that’s an example of abuse of discretion and arbitrary, capricious conduct. Cherry picking the evidence is another thing you often see in these cases.

BL: So it’s not just sending your own medical records, you have to show that the company has messed up.

BC: The insurance company or the employer, whoever is paying, you have to show that they abused their discretion.

BL: Is there anything else, any other advice or resources you would give people?

BC: This is really important. If it’s an ERISA case and they do not get that appeal in within 180 days, they’re foreclosed from pursuing it any further… [It’s a big mistake] if you blow those time deadlines.

All articles by The Sick Times are available for other outlets to republish free of charge. We request that you credit us and link back to our website.

[prismaticpichu]

How To Improve Your Sephiroth’s Day

a step by step guide written by Zack Fair

1. Compliment his hair! ~ There are little things in the world that the average Sephiroth cares about more than that flowing silver mane. He tends to spend approximately of 7 - 50 minutes brushing it meticulously every morning, and hearing that dedication pay off is a certified way to get your Seph’s day started on the right foot! Just be sure to not go too overboard with the compliments; Sephiroths naturally attract a lot of fans, thus turning a lot of that praise hollow. Try to tie it naturally into a conversation if you can - just a quick “nice hair today!” will do the trick. Remember, be genuine! Compliment Sephiroth, not the SOLDIER.

2. Lend him a helping hand with paperwork ~ Sephiroths tend to get absolutely swamped with documents and reports on the daily. Take some of that pressure off by chipping in yourself! Now, fair warning, he may resist a little at first - Sephs are very stubborn and self-sufficient. There are three good ways to work around this issue. 1) Put your arm over the documents until he gets fed up 2) Take the papers anyway or 3) create a diversion that may or may not include hiding his cell phone in the bathroom, allowing yourself enough time to steal the documents and shorten his workload. Whatever you do, though, do NOT insist that he needs help. This will cause your Sephiroth to balk and work even harder.

3. Have a good sparring session ~ The majority of people are far too intimidated to ask their Sephiroth to spar, thus leading to him having to practice alone. Suggesting a good match on your accord will brighten his day tenfold! Just be sure to be careful: Sephiroths are VERY skilled at fighting and he will kick your butt. Additionally, be sure to never practice atop canons; he has bad history with them and prefers other environments.

4. Join your Seph for dinner! ~ The signs are subtle, as Sephiroths tend to appear very independent and aloof, but little things mean more to your buddy than knowing he has someone to share meals with. Invite him over for a little bit, make sure he’s comfortable and doesn’t feel too overwhelmed. Pasta is recorded to be his favorite food, so make sure you whip some up for maximum enjoyment! Add some shrimp and fish if available. Try to avoid topics related to ShinRa and instead drum up some conversation about astrophysics and biology. Once engaged, your Sephiroth will do most of the chatting! He doesn’t get much time to talk about his favorite topics, so Sephiroths find pockets of freedom like this very special.

5. Tell him how much he means to you ~ The only thing that means more to a Sephiroth than shared meals is knowing that he is loved and wanted. Outwardly cold and distant, Sephiroths have developed hard exteriors as a mean of protecting themselves from past wounds. Ensuring that your Sephiroth is cared for and wanted is the #1 best thing you can ever do for him. Show you mean it by giving his hand a squeeze, or even his shoulder if he’s not armored up. If you’re really lucky, he may just even let you pull him in for a hug. While extremely powerful and intelligent and intimidating, Sephiroths are still gentle souls who deserve love and protection just like anyone else. And once you have unlocked your buddy’s heart and gained his trust, there isn’t a more loyal and kind friend you can ask for.

For more information and tips on how to make your Sephiroth’s life better, please visit https://wwwsaveaseph.org

Zack Fair

SOLDIER First Class

Professional sleeper, eater, and best friend

[y-junghyeok]

Synopsis: Sometimes, having friends can be a hindrance.

Timeline: At least a few years before the main story.

Characters: Gojo Satoru, Ieri Shoko.

Relationship: Best friend for Ieri. Friends with a romantic undertone for Gojo.

Satoru has a big, smug, and insufferable grin on his face.

"Stop that," you grumble, "you are distracting Shoko from healing."

"Distracting Shoko or distracting you?" He drawls, "Because from what I'm seeing she's pretty focused for me."

He's not lying. You can't accuse him of it when Shoko pays neither of you any attention while she practices her cursed techniques on you. Her work is a miracle and you can feel it happening in your body. Flesh mends together where they've been torn before, blood no longer flows out of your body freely, and clarity returns to your eyes when pain isn't penetrating every one of your thoughts.

The blessing of being alive is almost enough for you to ignore how grim the clinic is, with the ominous, minimal lighting and the degenerate Satoru standing at the doorway. You never have any affection for anywhere people distribute medical care, but to voice it out loud would be ungrateful.

You don't even want to touch upon how cold it is here. With your coat discarded to the side for the healing process, you can only grin and bear it. At least, you're alive. Tired and weary to the bones but alive. Better here than in the morgue.

You've frequented there far too many times in the few years you've been active and every time you came there is worse than the last. The thought ills you a little... until you catch the Satoru simpering at the corner of your eyes.

"Whatever," you sigh, "if you aren't going to help with anything then leave, you don't need any treatment anyway."

"How do you know that?" Satoru asks. "I might have gotten gravely ill while you weren't paying attention."

"Then go make your final goodbyes," you say, "if your own reverse cursed technique can't save you then no one can."

Satoru snickers, "You're too cold~"

Another retort stings at the tip of your tongue, but Shoko straightening up from where she has spent healing you takes your attention. A quiet thank slips out of your mouth, but Shoko shows no sign of registering it.

"There, done," she says. "You should refrain from overusing your cursed techniques to give your body time to rest."

You reach for your stray coat and put it on now that there is no longer a need to stay exposed, all while watching Shoko going over your medical information attached to your clipboard. She scribes something in you can't quite catch, but any attempt at sneaking a glance is squatted by her walking away from you.

"How soon can I be back in action?"

"At least a week's time," Shoko answers while slipping your newest documentation into a blue folder and shoving it into her cabinet. A tinge of disappointment picks at your heart. "I did what I can to heal your flesh wounds, but I can't do anything about your fatigue."

All you can hear from her words is that nothing can impede you from going back into action. The news is good enough that you have forgotten about your earlier failure at taking a peek at your record.

"If my flesh wounds are healed then I can go back to work tomorrow," You stagger up on your feet and stretch to relieve your body from the long period of rigidity. Being liberated from your stiff position keeps you unaware when Shoko knocks her empty clipboard on your head.

You let out a yelp of surprise, but quiet down when noticing her staring at you.

"I said a week's time," Shoko reprimands you with a straight face. "Don't even think about sneaking out before that. We don't need you to get into unnecessary danger because you're exhausted."

"You're being overdramatic, I get enough sleep," you argue. "Besides—"

"Gojo," Shoko nods towards you but her eyes are on Satoru.

Instantly, you are airborne. Except you aren't. Your feet no longer touch the ground, but you're far from being elevated. Satoru scoops you up with such ease that you don't even notice him coming. Your shock keeps you temporarily paralyzed, unable to compute how to respond to your new situation.

"Keep an eye on her," Shoko says, "Don't let her out of your sight."

"Roger that!"

Satoru's chime is too happy for you to feel well about whatever is going on. Your survival instinct kicks in, but you only manage to stammer out, "H-Hey, what's going on?!"

But you receive no answer from either of them. You can only watch in stunted silence when Shoko nods at Satoru and he nods back in affirmation. In your next blink, the two of you are outside of the clinic, but you feel no elation from feeling the warmth of sunlight on your skin again.

"Satoru, let me down!"

Only now do you manage to formulate a proper response. Your squirming in his arms should have been what it takes for Satoru to put you down, but it bothers him little. When that shows to be futile, you slump in his hold, arms crossed.

"What in the world are the two of you even planning?"

"Nothing sinister," he shrugs, "Ieri thought you might be pushing it with how many cases you're picking up. Like any good friend, she doesn't want you to turn up in the morgue one day so she petitioned Yaga to intervene."

"And Yaga asked you?" You ask in disbelief. "Don't you have enough to deal with?"

Satoru grins again, "I'm actually the contingency plan. They didn't want me to intervene unless you refuse to cooperate," he says, "but don't worry about being bedbound, you'll accompany me on my mission."

"But that'd mean—" Pieces click together in your mind. Whatever you've meant to say, it vanishes to leave places for your newest enlightenment. "I see."

He sets you down on your feet now that you show further signs of resistance. However, even on even ground, you feel nowhere near balanced with Satoru.

"It's roundabout, but it's no trouble since I like the company~"

"Can't force me to rest but can force me on a mission where I don't do anything," you mutter, "they didn't have to do all of this to force me to take it easy."

"Would you rest if they didn't do this?"

"No."

Satoru smiles at you in a way that you know he has won the conversation without even instigating an argument. You groan. Half of you want to force your way back to work, the other half knows they'll only double down if you do. In the end, you resolve to put your frustration on the dust underneath your feet.

Down there, a spark of genius ignites inside your mind.

"What if you sit back and let me—"

"No."

"Satoru."

"No~"

[flipping-the-coin]

[Patient Report: OP-7845-91653]

[Authorization Requirement: Alpha]

[Document Status: Sensitive - 99% preserved]

[Listed Authorized Individuals: Primal Steward Ratchet]

[Overseeing Medical Personnel: - Primary Physician: CMO Ratchet - Secondary Assistant: First Aid]

[Session: #001]

═════════════════

I was called to perform an emergency checkup on patient OP-7845-91653 roughly half a groon after mid cycle. The call was sent by the patient's Conjunx [Note: Conjunx status still not legalized] and I arrived within the following twenty Kliks.

Upon arrival the patient's Conjunx was rather hostile but escorted me into the residence [Note: Residence unregistered - cannot be listed]. Signs of an intense and frantic struggle were evident within the hab in large part due to the damaged furnishings and the various claw marks on the walls. Initial observations led me to consider extreme paranoia and schizophrenia as possible mental ailments.

The patient was in a catatonic state upon my arrival. He was practically feral and curled up in a ball in the center of the living room. He remained unresponsive until I attempted to begin repairing the wounds he inflicted on himself in his madness. Possibly due to the tools or my presence, he flew into a rage the moment I attempted to work on his injuries. The patient needed to be pinned by his Conjunx and sedated by me in order for any sort of progress to be made.

At that point I tended to what wounds I could and then spoke at length with the patient's Conjunx about what symptoms he presents on a regular basis. According to what information I was given, patient OP-7845-91653 will be a long term care project. He suffers from extreme paranoia, minor schizophrenia, partial bipolar disorder, extreme PTSD and trauma, stimuli sensitivity, dissociation, and field management disorder of the third degree. The source of these issues has so far proven to be because of [Subject: Optimus Prime - See file for affiliation description].

For the time being, the patient will need to be put onto strong medication to dull his severe responses to external stimuli. My current prescription is sedatives [Chemical composition YD-7869], sensory blockers [Patch type SUO-3602], and therapeutic exercises [Sensory Adjustment Therapy - Type 90897]. My assistant will deliver the prescription medication within the next cycle and report on any changes in the meantime. The patient's next checkup will be in a stellar cycle and will continue to have similar checkups regularly until confirmed to be more stable.

[Personal Note: I never thought I would live to see the day when the face I knew so well could be contorted in such fear. Optimus never showed such expressions, he was always stoic and controlled in every action and word. Orion though? Whatever happened to him while he was sharing a frame with Optimus... it damaged him so deeply that I fear he may not recover.

He is... terrifying to say the least. The friend I knew before the war seems all but gone now. It is my hope that with time I can fix this... that I can ensure what little remains of Optimus is kept safe and preserved. I know this is not the correct way to think of my friend, but how can I not? He looks so much like Optimus it makes my tanks churn.

I may not be the best Doctor for this case. I cannot remain impartial like this. However at the moment I am quite possibly the only Doctor on Cybertron who can handle a situation this severe. So for the time being... I will endure and do what I can. Its what Optimus would have wanted, and it is what I owe my old friend after everything, even if his Conjunx is a mech I would rather see shredded bit by bit publicly.]

═════════════════

[Assistant First Aid's Report:

Medication was delivered without issue! Mr. Pax's Conjunx was a bit scary, but thankfully he took the package and didn't do anything else. I wasn't able to get a good look at the situation so far, but maybe next time I deliver a package I can check up on Mr. Pax properly.]

[donnerpartyofone]

horrorphones...

Like many of the cretinous shut-ins who follow this blog, I hate phone calls. If you call me on the phone without an approved appointment I will assume that you are experiencing a deadly emergency. You will scare the shit out of me and I may not even be relieved if there is no deadly emergency. For me to talk on the phone, I practically always have to write a little script, even if we are very close personal friends. I must have a physical list of talking points in case my mind goes totally blank from the enormous pressure and I forget my entire life. I usually have to have at least one drink for calls lasting longer than a minute or two. I would probably be most comfortable conducting all social business from behind a Late Show desk on which I could reassuringly tap my stack of helpful cue cards. I will write you very long personal letters. I will text and DM with you at all hours of the night. I just cannot talk to you on the phone. The phone fries my brain. Actually, I feel extremely nervous even after a phone call, even if everything went well, even if it was super fun. I kind of have to sleep it off.

Unfortunately, not all people communicate in non-phone ways. I have one best friend (I'm an adult, I don't put the top people in a hierarchy as if they all serve exactly the same purpose and some are better than others; I have a couple of verified "best friends") who is just too much of a free spirit to be really into the internet, or to be brooding over long written documents. I gotta talk to her on the phone or she won't feel loved, she'll feel detached and isolated. I love to talk to her, but I still need to get in the like phone zone in order to not act like the total fucking outer space alien that I actually am. Being me is very taxing.

But now I have this old friend, see. An old friend and also a friend who is old. Actually I have no idea how old he is, he was old when I met him. He gave me my first post-college job (my first "real job" ever, I was and remain an unemployable mess) at his comic book store, where I stayed for many years. The whole crew there was very tight. He is a cool, smart, funny, cultured, frustrating, infuriating, offensive, secretly caring and wonderful sort of person. We went through a lot together, including several years of a random customer stalking and harassing me. We dealt with the police together. We served the dregs of society together. Sometimes we hated each other. But he is a major reason that I survived my 20s.

Several years ago he was in a freak accident where he was pinned under a heavy piece of furniture in his apartment for days. It could have killed him. He already had a well-developed case of Parkinson's, I don't know if that's related. Through a series of different events, he wound up moving into an assisted living place on the other side of the country, near one of his brothers. I'm sure he hates it. Every year on Halloween, which is a little bit before his birthday, I send him a hand-drawn card featuring classic comics characters doing all sorts of demented things, along with a little update letter. One year I got a letter back asking me to call him. OH NO, I thought. I didn't call.

Yesterday was a big, very challenging, in some ways very rewarding day. When I was finally all out of tasks I decided to turn my brain fully off and become spectacularly stoned. I was well zooted when my fucking phone rang. I quickly Googled the number, and I'm pretty sure it was the assisted living facility where my friend is. I didn't pick up. They called back once, but left no message. I felt pretty bad, though I also knew that in my current state it would have been a huge disaster if I answered. What if he died? I thought, knowing that he has a lot of siblings and I wouldn't have been that phone call, and also if it were important they would have left a message or kept trying. I forced myself not to worry about it by popping a couple of Benadryl and making it an early night.

I think I have to call back though. I might regret it if I don't. I have been thinking about this for a long time. I have all sorts of worries. What if he's incoherent now? What if we can't understand each other? What if I have nothing to say? What if he IS coherent but he wants to say terrible things about politics (a life-long constant for him, I don't know if he even cares as much about politics as he does about trolling people)? But also what if he like dies and I have to sit around thinking about how selfish I am for never calling him for all eternity? I'm sure I'm the only person making him original personalized art for his birthday every year, but does that really get me out of everything else?

So the point of this post is to somehow force myself to call him. I have way too much shit to do and I am preparing for a lot of stressful social things with strangers and I need to stop being unemployed and I am cramping up a storm. But I think I also have to make the phone call. Maybe I will do such a bad job that I never have to do it again! Pray for me, pray for the sweet saving grace of personal failure.

[lordgrimwing]

Repercussions

“Everybody, calm down, quiet down. I’m sure there is a perfectly reasonable explanation for this.” Finrod said, raising his hands to bring order back to the assembled counselors, committee chairs, co-chairs, and secretaries. He looked down from his seat—not quite a throne but for all the two elves before him felt that he towered over them it might well have been—he affixed the sources of the current concern with a steady gaze. 

“Please,” He said. “Explain why you brought an Avari out of the Hither Lands, contrary to the decree of Palisor and the very oaths you swore when you journeyed to that realm?”

Gil-galad thought that was going a little far. After all, he hadn’t gone anywhere near Palisor and certainly hadn’t made any promises about what he would or would not do there. In fact, he hadn’t known what was happening until it was all practically done. 

Elrond swallowed beside him, clearing his throat.

“Glorfindel–” He named the ellon recovering in the Hall of Healing, trying his best to make the audience understand that the Avari was not some faceless, nameless wildling–“suffered near-fatal wounds defending Pengolodh’s documenting team from a great beast that sought to eat us. Without our intervention, he would have perished long before his people found him.”

“Intervening is exactly what you swore not to do.” Finrod’s voice slipped into the moment of silence when Elrond took a breath.

Rude, again, Gil-galad thought, standing shoulder to shoulder with the healer. Of course, he supposed, as crown prince, Finrod could get away with saying such things when he was irked—and he was most assuredly irked today. The presence of the Avari in Elrond’s care became a slightly less kept secret yesterday when Glorfindel awoke and made a quite public scene in the hall as he panicked and tried to flee. The following upheaval in the capital as people tried to determine if Palisor had any suspicion and then figuring out how to minimize information going to the less than benevolent realm must have thrown the high family’s schedule into complete disarray. Perhaps Finrod usually went to the bathhouse around this time. Gil-galad suspected he’d be irked too if his regularly planned bath was interrupted. Completely understandable. 

Elrond kept his eyes respectfully downcast throughout the chastising, but his tone stayed level and confident when he spoke again. “Had we not been there, he would not have fought the creature or been wounded. Leaving him to die would not have changed that and was no way to repay him.”

Finrod settled back in his chair, fingers of one hand drumming on his knee. His expression, while still troubled, looked more contemplative now and his next question sounded genuine. “And what do you intend to do with him now? He cannot stay in the halls indefinitely.”

Elrond looked up at him now that the mood had shifted, though most elves outside the high family would still not dare to meet the prince’s gaze. Gil-galad reckoned that was a result of growing up with two of the high princes as fathers. “Once he has recovered, and should he desire, I shall arrange for him to sail home.”

Finrod blinked slowly. “Ereinion,” He said suddenly.

Gil-galad almost jumped in surprise at finally being addressed. He’d begun to hope he could get away from this interaction without being acknowledged. Alas. He straightened his shoulders, mentally and physically preparing for a comment on the inappropriate use of his ships. Could he lose the fleet because of thes? Círdan would be so disappointed. “Yes, my lord?”

“As you were once Elrond’s patron, you will assist me in addressing any complications—foreign or domestic—his good-will generates until such time as the Avari leaves.”

“Of course, my lord. I am your humble servant.” Gil-galad said, inwardly groaning. His political career was always highlighted by the way he avoided doing anything that might bring him to the attention of the high family. Spending valar knew how long serving directly under Finrod jeopardized his life’s mission of remaining unnoticed. He and Elrond would have strong words after this. Or words, at least. Or at the very least he’d ask Elrond to please let him know before doing anything of this sort again. Okay, he’d likely just kiss him (but he’d mean to have words).

With that, Finrod apparently considered the matter closed for the time being. With little further adieu, he dismissed the troublesome pair to return to their duties.

[ask-de-writer]

Return to the Master Story Index

Return to CLASSICAL FANTASIES

THE FISHERMAN'S LEG (Part 1 of 20)

A sequel to Dee 1/2 Demon

by

De Writer (Glen Ten-Eyck)

6373 words (work in progress)

© 2023 by Glen Ten-Eyck

All rights reserved. This document may not be copied or distributed on or to any medium or placed in any mass storage system except by the express written consent of the author.

TUMBLR EXEMPTION

Blog holding members of Tumblr.com may freely reblog this story provided that the title, author and copyright information remain intact, unaltered, and are displayed at the head of the story.

Fan art, stories, music, cosplay and other fan activity is actively encouraged.

~~ ~~ ~~ ~~

Patsu came back from trying to buy the young ladies of the Shop of Repairs some lunch. Dee looked up from the careful hammering of the work piece on her anvil. “Eggs and vegetables, Patsu san? What of the prawns that we wanted?”

Patsu sighed, “I got us a pair of chicken leg quarters too. As for seafood,” she shook her head, “Minami san was not in the fish market. While I waited, four other customers came, waited and left.

“As I was leaving, he came running up from trespassing your Chiasu Estate property, Dee. You know, where we have workers rebuilding the old boat house that was torn down so many years ago. He accused me of trespassing in his open shop!

“I pointed out that he was the one doing trespassing on OUR property and that I'd been waiting to buy some nice prawns!

“He blew up at me and said that he would never sell us or our mothers any sort of seafood at all, now or ever!”

Miko looked up from the calligraphy that she was writing and laid aside her brush. “That is an unfair business practice, Patsu san. By the laws that let him have the only fish market in the village, he must serve all who come and have the money to buy, unless they are being disorderly.”

As she was jointing and cutting up the chicken to add to the chopped vegetables already in the pot, Patsu observed, “He really does not seem to care about the law anymore. Ever since he came back from the war that captured the whole island of Corutsu for Lord Umayu, he has been a different man. Sometimes I wish that we had not healed him of his gangrenous leg wound.”

Dee took the pot with their lunch and focussed her Aspect of Fire on it, drawing on the heat of the forge's fire, it began to steam and smell pretty good. Satsuna, who was the best cook among them, took over with seasoning things. Soy sauce, honey, a touch of vinegar and some crushed cloves of garlic all went in and were stirred carefully.

With a bow, she gave the pot back to Dee. “Thicken it please, Dee san.” Smiling, Dee raised the delicate seeming inner eyelids over her golden vertically slit pupiled eyes and focused her Aspect of Fire on it once more. Lovely scented steam arose as their lunch thickened from a thin soup to a smooth sauce with the chicken, and vegetables in it.

Looking up the street, Patsu set up another bowl of rice topped with the fresh sweet and sour chicken and vegetables. At the glances from the others, Patsu pointed with her chop sticks.

“Sunma san is coming and Chansa is following her, like usual!”

“Healing Chansa's broken leg a few years ago was a fine thing that we did.” Satsuna smiled at the memory of helping another orphan to keep her “smallest herd of goat in Sabo.”

Sunma happily bounced into the Shop of Repairs, followed by her goat! Chansa looked about eagerly because when her mistress brought her to this shop, there was always a tasty treat for a hungry goat! And goats are always hungry.

Dee watched happily as Patsu got up and brought in an armful of freshly picked, bright green kudzu leaves, a favorite of Chansa's.

The goat, seeing Patsu for the first time that day, promptly reared up, head over sideways and did a leaning lunge of a head butt at Patsu! Patsu countered that by a friendly fist between the horns, only hard enough to stop the butt.

She commented, “Still remember smelling me all over those bandages and leg splints from when we fixed your leg, huh, Chansa san? Here. Fresh kudzu for you.”

Their greeting ritual done, Chansa took a few leaves from Patsu's hand and started to happily graze up the rest. Miko offered, “We seem to have served up an extra bowl of lunch, Sunma san. Will you join us?”

Dee quietly poured another cup of tea. Sunma was just kneeling to her place at the table when a large hand was laid heavily on the neck of her stout working shift! Fisherman Minami roughly dragged her back from the table!

As he did so, he snarled, “This is a shop! A place of business! Take your vile goat and go!”

Two things happened at once! Chansa, seeing her mistress so mistreated, charged! She hit the backs of his knees with a head down, full power butt! His legs were folding as Patsu's foot hit his mid section in a forceful cross footed kick!

As her knee lifted from the kick, Patsu slammed the back of his head with a two handed rabbit punch! That bounced his forehead solidly onto her upraised knee! He folded to the ground, unconscious.

Patsu leaned out the wide door of the Shop of Repairs and called out, “Constable! Constable!”

As Constable Canra came in, she explained, “Fisherman Minami has broken Magistrate Lim's order to not interfere with our business, trespassing both our shop and the Chiasu Estate where we are having the old boat house rebuilt. In addition, he has laid violent hands on Sunma san, trying to order her and her goat Chansa to leave. Both are invited guests and are here to share lunch and tea with us.”

While she was talking, a large, almost squarely built man entered and offered Dee a torn open package. Satsuna saw it and exclaimed, “Chalk!? Did it get into the mortar?”

He bowed to her and replied, “Sadly it did. We were having our noon rice over in the shade of the Newly rebuilt warehouse,” he stirred the fallen Minami with his foot as he went on, “and so this unworthy one did not see us. He opened this package and stirred it into the dry mortar that we were ready to mix, ruining it. We wished to know whether we should test the rest of our work to see if he has done this before.”

It was Constable Canra who answered, “Please do so. Besides your testimony about this incident, should any of your prior work prove to have been damaged, come to the Tribunal and report to Magistrate Lim all that you know of this.”

Miko bowed to the Constable and told him, “Canra san, as soon as I am done with my luncheon, I shall be up to the Tribunal to record this case for Magistrate Lim.”

Constable Canra looked up from binding the arms of Fisherman Minami and gave her a head duck of a bow as he mentioned, “Please bring Sunma san and Chansa to the Tribunal with you.”

He straightened up. Leaning on his ceremonial but very functional naginata he hauled Fisherman Minami to his feet and dragged him away.

To be Continued

NEXT==>

Return to the Master Story Index

Return to CLASSICAL FANTASIES

[nurseeden]

Important Nursing Procedures: A Comprehensive Guide for Effective Patient Care

Essential Nursing Procedures: A Comprehensive Guide for⁢ Effective​ Patient Care

nursing procedures ‍are foundational too delivering ​quality care in healthcare settings. Whether you’re a⁤ student nurse,an experienced‍ practitioner,or a ​healthcare administrator,understanding essential⁣ nursing procedures is ‌vital ‍for ‍ensuring effective patient care. ​This‍ comprehensive guide will⁣ cover critical nursing procedures,‍ their importance, and​ practical tips for implementation, offering valuable insights into best practices in the⁢ nursing profession.

What ‍Are Nursing Procedures?

Nursing procedures are specific methods ⁣and techniques that nurses use to provide care and support to patients. These procedures can include everything from basic hygiene‌ tasks, such as bathing⁣ and feeding, to more complex medical procedures like wound care and ⁣administering intravenous medications.‌ Mastery of these procedures is essential for nursing professionals to ensure patient safety and promote​ healing.

Key Essential Nursing Procedures

Below are some​ of the most essential nursing‌ procedures‌ that all nurses should be familiar with:

1. Patient Assessment

Patient assessment is ⁤the initial step in‍ nursing care,involving a ⁢thorough evaluation of ​a patient’s ⁣physical and mental health status.It helps in developing a personalized care plan. Key ⁣components include:

Vital signs monitoring

Physical examinations

Patient history review

2. Medication Administration

proper medication⁣ administration​ is crucial⁤ in nursing. nurses ​must follow the “Rights of Medication Administration,” which include:

Right​ patient

Right medication

Right dose

Right‍ route

Right ⁣time

Right documentation

3.Wound Care Management

Effective wound⁤ care ‍promotes healing and prevents infection. Nurses should ​follow standardized ⁢protocols, including:

Assessment of the‌ wound

Cleansing the wound

Applying appropriate dressings

4.Infection Control Procedures

infection control is vital for patient safety. Key procedures include:

Hand hygiene

Utilizing personal protective equipment (PPE)

following sterile techniques

5. Patient Education and Advocacy

Nurses⁤ play ⁢a significant role in discussing treatment plans with ​patients ​and their families. Educating patients ​about‌ their health is essential for ​informed decision-making and‍ self-management.

Benefits of Mastering ‌Essential Nursing Procedures

Mastering essential ⁤nursing procedures leads to improved patient ‌care outcomes and enhances overall healthcare delivery. Here are some benefits:

Increased patient ‌safety and satisfaction

Enhanced teamwork and communication among healthcare⁣ providers

Reduced risk of‌ medical‍ errors and complications

Improved efficiency in providing care

Practical Tips for Effective ‍Nursing Procedures

Here are‍ some practical ⁢tips to keep‍ in mind when⁢ executing ​nursing⁣ procedures:

Stay updated with⁤ the latest evidence-based practices.

Utilize checklists ​to avoid missing⁤ critical steps.

Seek feedback from peers and⁣ supervisors to improve your skills.

Practice good communication with patients to ensure ⁤understanding and compliance.

Case Studies

let’s review a⁢ couple of‌ case studies that demonstrate the importance of adherence to essential nursing procedures:

Case Study

Procedure Involved

Outcome

post-operative care of a patient

Wound Care management

Reduced infection rates and quicker recovery

Administration of insulin

Medication ‍Administration

Improved ‌blood ⁢sugar control

Real-Life Experiences

Hearing firsthand⁢ experiences can⁣ provide valuable insights into the practical submission of nursing⁣ procedures. Here are a few ⁢anecdotes:

A nurse recalls a patient who was non-compliant due to a lack ⁣of understanding of their medication regimen. after ‌a thorough⁢ education session, ‌the patient’s ‍adherence improved significantly.

another nurse shares ⁢how following strict infection control measures drastically reduced the incidence of hospital-acquired infections in their unit.

Conclusion

mastering essential nursing procedures ‍is critical for effective ‍patient care. From patient assessment ⁢to medication administration and wound care management, each procedure plays⁤ a pivotal role in⁤ the healthcare​ system. By ⁢focusing⁢ on ⁢continuous education, teamwork,‍ and⁤ adherence to best practices, nurses can significantly impact patient ‍outcomes, fostering a safer and more effective healthcare environment.⁣ Stay informed, practice ⁣diligently,⁣ and‍ keep the patient at the ⁣center of your care.

https://nursingcertificationcourses.com/important-nursing-procedures-a-comprehensive-guide-for-effective-patient-care/

[astroshyamsundar]

Mercury Retrograde 2025: Dates, Effects, and How to Navigate Them

Mercury retrograde is one of the most widely discussed astrological events, often blamed for miscommunication, travel disruptions, and tech failures. But is Mercury retrograde really that bad? Or can it be used as a time for reflection and growth?

In this in-depth guide, you'll discover: ✔️ The Mercury retrograde dates for 2025 ✔️ How it affects each zodiac sign ✔️ Scientific perspectives & historical interpretations ✔️ Powerful remedies to reduce its negative impact ✔️ Real-life incidents linked to Mercury retrograde

By understanding its energy, you can turn challenges into opportunities and make the most of this astrological event. Let's dive in!

What is Mercury Retrograde?

Mercury is the planet of communication, travel, and technology in Vedic astrology. When it appears to move backward (retrograde) in the sky, its energy is believed to cause disruptions, delays, and misunderstandings in these areas.

💡 Did You Know? Mercury doesn't actually move backward - it's an optical illusion caused by Earth's orbit! But astrologically, this period is believed to affect human life in significant ways.

Mercury Retrograde Dates in 2025 (Infographic)

In 2025, Mercury retrograde will occur three times:Date RangeZodiac Signs AffectedMarch 14 – April 7, 2025Pisces & AriesJuly 17 – August 11, 2025Leo & VirgoNovember 9 – November 29, 2025Scorpio & Sagittarius

📌 What Does This Mean? Each Mercury retrograde affects different zodiac signs in unique ways. Find out how your sign is impacted below!

How Mercury Retrograde Affects Life

🚫 Communication Problems: Misunderstandings, email errors, and workplace conflicts. 🚫 Travel Delays & Mishaps: Expect sudden flight cancellations, lost luggage, and traffic jams. 🚫 Tech Failures: Computers crash, phones glitch, and important files go missing. Back up your data! 🚫 Relationship Conflicts: Ex-partners may resurface, or small disagreements can escalate. 🚫 Decision-Making Confusion: Not the best time to sign contracts, start a business, or buy expensive gadgets.

💡 Astrologer's Advice: If possible, avoid signing new contracts or making major life decisions during Mercury retrograde!

Mercury Retrograde 2025: Zodiac Sign Impact

📌 How will Mercury retrograde affect your sign?Zodiac SignImpact in 2025♈ AriesBe cautious with words; conflicts in workplace & relationships.♉ TaurusAvoid large financial investments; miscalculations are likely.♊ GeminiMercury rules your sign—expect delays, confusion, and tech troubles.♋ CancerEmotional wounds may reopen; practice patience in relationships.♌ LeoCareer slowdowns & miscommunication at work. Be extra mindful.♍ VirgoTravel disruptions and missed deadlines. Stay organized!♎ LibraRelationship misunderstandings may arise. Avoid big commitments.♏ ScorpioDelays in financial matters; double-check documents before signing.♐ SagittariusTravel troubles; be flexible with plans.♑ CapricornWorkplace miscommunications; ensure clarity in tasks.♒ AquariusTechnology issues; back up important data in advance.♓ PiscesEmotional confusion; meditation and self-care will help.

Historical & Scientific Perspectives on Mercury Retrograde

Does Science Support Mercury Retrograde?

From a scientific standpoint, Mercury retrograde is just an optical illusion caused by Earth’s orbit. However, studies suggest that people expect things to go wrong during this period, leading to a self-fulfilling prophecy.

🔍 Fact Check: A study published in the journal Psychological Science found that when people believe in an astrological event, they subconsciously look for events to confirm their belief!

Historical Beliefs About Mercury Retrograde

📜 Ancient Vedic Astrology: Mercury (Budh) is the planet of intellect, speech, and logic. Retrograde motion was believed to cause mental confusion and disputes. 📜 Roman Astrology: Mercury was associated with trade and commerce-retrogrades were considered bad for business deals. 📜 Western Astrology: Mercury retrograde has long been feared as a time of bad luck, especially for travelers and writers.

Fun Fact: Many leading astrologer in ahmedabad believe airlines experience more flight delays during Mercury retrograde! ✈️

Real-Life Incidents Linked to Mercury Retrograde

🔹 Facebook Crash (March 2019) - During a Mercury retrograde, Facebook, Instagram, and WhatsApp experienced a massive global outage. 🔹 Stock Market Crashes - Some major stock dips have coincided with Mercury retrograde periods, though correlation is debated. 🔹 NASA Communication Glitches - Astronaut communication errors have happened during Mercury retrogrades.

Coincidence or cosmic influence? You decide! 😲

How to Navigate Mercury Retrograde Successfully

✅ Double-Check Everything - Reread contracts, emails, and travel plans before finalizing. ✅ Back Up Important Data - Prevent data loss from tech failures. ✅ Avoid Major Purchases - Electronic items and cars may have defects if bought now. ✅ Stay Patient in Relationships - Avoid arguments and think before you react. ✅ Use This Time for Reflection - Mercury retrograde is great for revisiting old ideas. ✅ Perform Astrological Remedies:

Chant "Om Budhaya Namah" daily for Mercury's positive influence.

Wear an Emerald gemstone (consult an astrologer first).

Donate green lentils, books, or money to a temple.

💡 Internal Link: Facing relationship issues during Mercury retrograde? Read our Love Problem Solutions for guidance.

Mercury Retrograde and Kundali Matching – A Connection?

Did you know Mercury retrograde can impact Kundali Matching results? If you're considering marriage, ensure your Kundli Matching is done at the right time to avoid conflicts later.

Final Thoughts: Don’t Fear Mercury Retrograde!

While Mercury retrograde can bring challenges, it also offers a chance for reflection and self-growth. By staying mindful and following astrological remedies, you can turn its energy into an opportunity for success.

📌 Need a personalized consultation on how Mercury retrograde affects your chart? Contact Astro Shyamsundar for expert guidance!

[clinfinitesolution]

Laboratory Sample Collection: A Comprehensive Guide

Introduction

Laboratory sample collection is a critical step in the diagnostic process, ensuring accurate and reliable results for patient care and research. Proper collection methods can significantly impact the quality of outcomes, making it essential to understand the nuances of this procedure. This guide delves into the key aspects of laboratory sample collection, covering types of samples, processes, challenges, and the role of technology.

Types of Laboratory Samples

Different types of samples are collected depending on the diagnostic needs, each requiring unique handling and techniques:

Blood samples: These include venous, arterial, and capillary blood, commonly used for biochemical, hematological, and serological testing.

Urine and stool samples: Non-invasive and essential for diagnosing infections, metabolic disorders, and gastrointestinal conditions.

Tissue biopsies: Collected for histopathological examination to detect abnormalities like cancer.

Swabs: Nasal, throat, or wound swabs are critical for detecting infections and pathogens.

Specialized samples: Cerebrospinal fluid, sputum, or synovial fluid may be collected for specific tests requiring advanced handling.

Key Steps in the Sample Collection Process

Proper sample collection involves a series of standardized steps to ensure quality and accuracy:

Preparing the patient and obtaining consent: Explain the procedure, address patient concerns, and obtain informed consent.

Selecting appropriate tools and containers: Use sterile and appropriate collection materials tailored to the sample type.

Following hygiene and safety protocols: Maintain aseptic techniques to prevent contamination and ensure the collector’s safety.

Labeling and documentation: Accurately label samples with patient information and record relevant details for traceability.

Best Practices for Sample Handling and Transportation

Proper handling and transportation of samples are vital to preserve their integrity and prevent contamination:

Use sterile containers to minimize contamination risks.

Maintain appropriate temperature controls, such as refrigeration or freezing, based on sample requirements.

Transport samples promptly to avoid degradation.

Ensure chain of custody documentation to maintain sample integrity and accountability.

Common Challenges in Laboratory Sample Collection

Despite advancements in techniques, challenges in sample collection can impact the quality of results:

Insufficient sample volume: Collecting inadequate amounts may require repeat procedures, causing patient discomfort.

Improper labeling or misidentification: Errors in labeling can lead to diagnostic inaccuracies.

Contamination risks: Poor aseptic techniques can compromise sample quality.

Handling errors during transport: Improper conditions may degrade the sample or make it unusable.

The Role of Technology in Sample Collection

Technology plays an increasingly important role in improving the efficiency and accuracy of laboratory sample collection:

Automated collection systems: Streamline processes and reduce human error.

Digital labeling and barcoding: Enhance traceability and minimize misidentification.

Integration of electronic health records (EHRs): Centralize patient data for seamless management.

Remote sample collection innovations: Enable home-based testing through advanced kits and devices.

Ensuring Patient Comfort and Safety During Collection

Prioritizing patient comfort and safety is essential for successful and stress-free sample collection:

Explaining procedures to patients: Helps alleviate anxiety and builds trust.

Minimizing discomfort during invasive collections: Use skilled techniques and appropriate tools to reduce pain.

Adhering to infection control practices: Protect both patients and healthcare workers from potential risks.

Regulations and Ethical Considerations in Sample Collection

Adhering to legal and ethical standards is crucial in laboratory sample collection to protect patient rights and data integrity:

Informed consent and confidentiality: Ensure patients understand and agree to the collection process.

Compliance with guidelines: Follow local and international standards for sample collection and handling.

Disposal of biological waste: Safely dispose of materials to prevent environmental and health hazards.

Conclusion 

Laboratory sample collection continues to evolve, with new technologies and techniques paving the way for enhanced diagnostics. Continuous training for healthcare professionals remains vital to uphold best practices and patient safety. Emerging trends like point-of-care testing and AI-powered diagnostics promise to revolutionize the field, making sample collection more efficient and accessible. By maintaining high standards and embracing innovation, the future of laboratory diagnostics looks promising.

Get more information here .....

https://clinfinite.com/LaboratorySampleCollection55.php

[trinaphleb]

Vital Guide to Phlebotomy Trays: Tools, Tips, and Best Practices for Successful Blood Draws

Essential Guide to Phlebotomy Trays: Tools, Tips, and Best Practices for Successful Blood Draws

Phlebotomy, the practice of drawing blood for medical testing and treatment, ‍is an essential skill in the healthcare field. A well-organized phlebotomy tray can make the difference between a smooth ‌procedure and a challenging one. In‍ this comprehensive guide, we‍ will explore the essential tools found in phlebotomy trays, ⁢share valuable tips, and discuss best practices that can help ensure successful blood draws.

What is a Phlebotomy Tray?

A phlebotomy tray is specifically designed to hold all the necessary equipment used during a⁢ blood draw. ⁤Organization is key—having everything laid out properly not ‌only enhances efficiency but also ensures safety and cleanliness. A typical phlebotomy tray includes:

Essential Tools in a Phlebotomy Tray

Needles – Different gauges depending on the patient’s age and ‌vein size.

Vacutainer Tubes -‍ Used to collect blood in various additives (EDTA, ‍serum separator, etc.).

Alcohol​ Swabs – For disinfecting the puncture site prior to ​drawing.

Gauze Pads ​ – To control ​bleeding after the draw.

Band-Aids ⁤- For post-procedure wound care.

Gloves – Essential for the safety of both the healthcare ‌provider and the patient.

Sharps Container – For the safe disposal⁤ of needles.

Tourniquet – ⁣Used to engorge veins for easier access.

Labeling Stickers – For properly labeling specimens.

Benefits‍ of Using a Well-Organized Phlebotomy Tray

Having an organized ‌phlebotomy tray significantly enhances the process of ⁣blood drawing. ​Here are some key benefits:

Time Efficiency: Quickly access all the necessary tools without searching.

Enhanced Safety: Reduces the risk of contamination ⁤and injury.

Patient Comfort: A streamlined procedure⁣ can help reduce anxiety‍ for patients.

Improved Documentation: Easier to track and label specimens accurately.

Best Practices for Using a Phlebotomy ⁤Tray

To maximize the effectiveness of ⁤your phlebotomy trays,⁤ consider implementing the following best practices:

Pre-Drawing Preparations

Ensure the‍ tray is ‍stocked with all necessary items.

Inspect tools for any⁤ damages or expiration ⁤dates.

Wash hands and don gloves before handling equipment.

During the Blood Draw

Communicate clearly with the patient to alleviate any anxiety.

Use a tourniquet effectively ⁤to locate a‍ suitable vein.

Perform a swift and confident puncture ​to minimize discomfort.

Properly⁤ label each tube immediately after‍ a draw.

Post-Drawing Procedures

Apply pressure‌ with gauze to minimize bleeding.

Dispose of needles in a sharps container promptly.

Ensure the patient understands post-draw care.

Practical Tips for Success

Here⁢ are some practical tips​ to boost your phlebotomy ⁤skills:

Practice on training models to build confidence.

Stay calm​ and focused during the procedure.

Be mindful of the patient’s comfort by maintaining a steady hand.

Maintain eye contact to foster trust.

Case Study: A Successful Blood Draw Experience

In a recent study at a local clinic, a group of‍ phlebotomists utilized a newly designed phlebotomy tray. They ​noted a 30% decrease ‍in procedure time and a significant drop in patient anxiety ‌levels after implementing organized trays. ​The‌ feedback from patients highlighted⁢ the enhanced comfort and efficiency experienced during the blood‌ draw.

Conclusion

a well-organized phlebotomy tray is integral to the blood draw process. By equipping ⁢yourself with the right tools and following best practices, you can enhance the efficiency, safety, ⁣and comfort of blood draws. Whether you are a seasoned phlebotomist or just​ starting your journey, adhering to these guidelines will‌ surely help you succeed in your ⁢practice.

Additional Resources

For more information, consider exploring the following resources:

Phlebotomy Training ‌Resources

Blood Draw Techniques

Patient​ Care Best Practices

https://phlebotomyschoolsonline.org/vital-guide-to-phlebotomy-trays-tools-tips-and-best-practices-for-successful-blood-draws/

[theblogs2024]

Brooklyn No-Fault Health Professionals: Professional Treatment Right after Your Incident

Accidents can transpire in the blink of an eye fixed, leaving you with accidents in addition to a maze of insurance plan procedures to navigate. In the event you’ve been involved in an automobile accident in Brooklyn, trying to get assist from a no-fault medical professional will make all the main difference within your recovery and insurance plan assert. These professional medical professionals specialize in treating incident-related injuries though making certain your treatment is roofed less than Big apple’s no-fault coverage system.

Here’s what you have to know about getting the best no-fault doctors in Brooklyn And exactly how they can aid you all through this complicated time.

What Is a No-Fault Doctor? A no-fault health care provider is usually a healthcare supplier who treats patients wounded in motorcar incidents underneath Ny’s no-fault insurance guidelines. This technique ensures that professional medical charges are covered despite who was at fault for that accident, rendering it easier so that you can concentrate on therapeutic.

No-fault Physicians are skilled at diagnosing and dealing with common accident-similar injuries for instance:

Whiplash and neck discomfort Again discomfort and spinal injuries Concussions and head trauma Fractures and sprains Tender tissue injuries Additionally they deliver the in depth professional medical documentation necessary for coverage claims and authorized proceedings.

Why See a No-Fault Doctor in Brooklyn? Brooklyn’s active streets can be a hotspot for website traffic incidents, and seeking instant healthcare focus after a collision is vital. No-fault Medical doctors in Brooklyn offer you:

Specialized Care: They focus on accidents because of motor vehicle incidents, furnishing qualified solutions for instance Bodily therapy, chiropractic care, and pain administration. Insurance plan Skills: Brooklyn no-fault Medical professionals realize the nuances of no-fault claims and tackle the paperwork this means you don’t should. Legal Support: Their specific health care information can aid your scenario if you decide to go after legal motion. How you can Pick the Suitable No-Fault Medical professional in Brooklyn Discovering the ideal medical doctor is important for a easy Restoration. Here are some strategies:

Check for Practical experience: Search for a company with experience in accident-similar injuries and no-fault statements. In depth Providers: Clinics which provide diagnostics, therapy, and ache administration less than 1 roof can help you save effort and time. Location Matters: Opt for a conveniently Found clinic to make sure regular abide by-up treatment. Affected person Testimonials: Exploration online critiques and recommendations to find a reliable company. What to anticipate All through Your Visit Your initial appointment using a no-fault health practitioner in Brooklyn will involve:

An in depth Analysis: The health practitioner will evaluate your injuries and assessment your clinical heritage. Diagnostic Assessments: Imaging for instance X-rays or MRIs can be encouraged to establish the extent of your respective injuries.

Therapy Strategy: According to your diagnosis, the health care provider will make a tailored remedy strategy, which could include things like Bodily therapy, chiropractic care, suffering management, or specialist referrals. Documentation: The health care provider will document all findings and treatment plans, guaranteeing your healthcare documents are thorough for insurance policy and lawful needs. Benefits of Traveling to a Brooklyn No-Fault Medical doctor Hassle-Absolutely free Billing: No-fault Medical doctors Monthly bill directly to your insurance company, so that you don’t have to worry about upfront payments. Well timed Care: Early intervention can avert accidents from worsening and assistance a speedier recovery. Help for Lawful Instances: Precise and in-depth health-related data can be invaluable if you decide to file a private personal injury claim. Get step one Towards Restoration Following a vehicle accident, prioritizing your wellbeing is significant. Brooklyn no-fault Physicians are listed here to assist you to Get better from your injuries whilst simplifying the insurance policies course of action. By picking out an experienced provider, you are able to give attention to healing and acquiring back in your standard daily life.

Don’t delay—timetable an appointment by using a trustworthy Brooklyn no-fault medical doctor nowadays and get control of your Restoration.

Get more info. here: no fault doctors near Brooklyn