#but I can’t see botulism without lab testing

[queen-evanlyn]

how much is it reasonable to worry about botulism

[drferox]

Vets communicating outbreaks

Anonymous said to @ask-drferox: People in my local (Brisbane) fb dog groups are claiming there is an outbreak of HGE in the area and that "vets can't explain it". This seems like some sort of facebook Chinese whispers situation to me, there was a cluster of parvo cases nearby in March which could have caused the rumour. Is there a way to verify the information? Do vets even share that kind of information amongst themselves? I assume they would for parvo, but HGE usually isn't communicable is it?

The thing is HGE (Hemorrhagic GastroEnteritis) isn’t actually a single disease. It’s a description of symptoms and their severity, it literally just means bloody diarrhea. HGE could be caused by parvo (parvo is a type of HGE), or salmonella, or from eating garbage, or from a toxic shock, an allergic reaction to food, campylobacter or various other agents.

And honestly, 90% of the time we don’t bother getting a diagnosis because adult dogs often recover in 1 to 3 days with supportive care only, and many don’t even need admission to hospital. So saying ‘vet’s can’t explain it’ is probably the result of a game of telephone as a results of vets saying ‘there might be 12 possible causes and I can’t tell you which one it is without testing that you don’t want to pay for and don’t strictly need to do anyway’.

There are formal and informal ways for vets to communicate with each other about possible outbreaks of things.

Informally, many of us chat or vent on closed facebook groups. If we’re seeing more than three cases of something in short succession it might be mentioned or vented about, and then other people nearby also mention they’re seeing that a lot and suspicions get raised. Particularly with the recent pet food monitoring systems in place, any illnesses that might be related to food raise a flag.

Formally, each state has a district veterinary officer which is supposed to oversee notifiable diseases and outbreaks, but if you suspect there is an outbreak of something you can still call in for advice or to make a report. Pathology labs are supposed to make reports too if they detect something notifiable. For example, I had three seagulls presented within a week all with suspected botulism, so called it in. Turns out they were already aware.

You could always phone and ask your local clinic if they’re seeing a lot of cases. They can’t give you case details of course, but they can comment on whether they’re seeing more of something lately or not.

[dr-spencer-reids-queen]

Poison: Part Four

Pairing: Spencer Reid x Reader

Word Count: ~2.1k

Warnings: canon violence, canon language, canon talk of death, methods of kill, fluff and angst

Author’s Note: I do not own anything from Criminal Minds. All credit goes to their respective owners. If there is any warnings that exceed the normal death/kills from the show, I will list them. If you’ve seen the show, then it’s the same level of angst unless otherwise stated.

Feedback is gold, and it’s the only currency I take

The hospital isn’t a good place for you to be in because of all the patients coming in and pretending to be sick, but it’s a lot better than the police station only because Spencer isn’t there. He’s here with you, so you’re able to focus on him instead of all the panic. You need to figure out which cases are real so you can determine just where they were poisoned and how to stop it from happening again.

“I really can't talk right now. We just got hammered,” the nurse sighs.

“Listen, most of these food poisonings are probably psychosomatic,” you reveal.

“What makes you think that?”

“A news broadcast just reported a local restaurant was poisoned. Now, it would be a huge coincidence if there was another poisoning right after that aired,” JJ explains for you.

“So what do you want me to do?”

“Help us find out which cases, if any, are real,” Spencer answers.

“People are coming in with all kinds of complaints. But, there's at least one case that isn't psychosomatic. Lynn Dempsey. She's barely breathing.”

“Can you take us to the doctor that's treating that patient?”

“I'll call Hotch,” JJ says and takes out her phone.

The doctor comes almost immediately just as soon as JJ is done updating your boss. The doctor escorts you to the woman who has a hard time breathing, and you can tell this is a real case based on what the doctor says as well as the vibes you’re getting from the woman.

“When the patient got here, she didn't remember anything about her day. Her speech was so slurred, I could barely understand her,” the doctor reveals.

“It sounds like Rohypnol. Did you test her?” Spencer wonders.

“She was positive for Rohypnol, negative for LSD. But we're running more tests because Rohypnol alone doesn't explain her symptoms. She presented with nausea, difficulty swallowing, and labored breathing. She was also having trouble moving her legs.”

“How long had she been sick?” you ask.

“She didn't know. I could barely understand her when she first got here. Now, she can't speak at all.”

“Do you know any biological agents that have similar symptoms: ricin or sarin gas?” Spencer asks.

“You think this is a biological attack?”

“We can't rule anything out.”

“I'll order a few more tests,” he sighs and leaves you three alone with the woman.

The poor woman is coughing and having a hard time breathing into her oxygen mask. She whimpers in pain, tosses and turns, and just looks like she isn’t having that much fun.

“I’ll take a look at her. Let me see if I can get anything out of her,” you offer.

“She can’t speak,” JJ says.

“I don’t need that to communicate with her,” you say and walks over to the woman.

Lynn barely opens her eyes to look at you, and you give her the kindest eyes you can muster up.

“Hi, my name is Y/N Y/L/N. I am only here to help. May I take your hand?” you ask and hold out your own.

She seems too eager to do so, and she grabs your hand as if it will cure her. Almost immediately upon contact, you get visions of her past right before she was poisoned. Your eyes close as the images transmit to you. Lynn is at the bank. She’s in line waiting to get some money taken out of her account. She grabs some candy out of a bowl as she waits and decides to cut her wait time in half by grabbing an envelope and writing her information down on it. She takes a step forward when the man in front of her does, and that’s where the vision ends. There is nothing out of the ordinary that is going on, so you’re not sure why you got that specific scene.

You open your eyes and look at Spencer and JJ. They half-expected you to get a definitive clue or something to lead them down a path, but you just shake your head. Your hand slips from Lynn’s, but as soon as you lose contact, she reaches up and grips your hand tightly. You look back at her to see her eyes open wide. She stopped coughing long enough to want to tell you something.

“JJ, Spencer, I think she’s trying to say something,” you say.

“The end…” Lynn barely gets out before having a coughing fit.

“The end…?” JJ questions.

You close your eyes once more in hopes that whatever she’s trying to tell you will show up in the visions you get. All you’re getting, however, is her picking up an envelope from the bank so she can use it for her money purposes.

“She may be incoherent from the lack of oxygen,” Spencer states.

Lynn pulls away hastily and turns on her side to let out a coughing fit. You take one step back and look at Spencer with a sad look.

“Doctor!” JJ calls. Once he’s inside Lynn’s room, she continues. “So, what are the chances that she's not poisoned, that maybe she just got some bad food?”

“Highly improbable. Chances are basically nil.”

“What is the rate of survival?” you ask.

“With this dose and without anti-toxin... zero.”

Lynn suddenly goes into V-Fib, and Spencer grips your shoulders to gently move you out of the way. You step back into his body to let the doctor and nurses through,  but you don’t move once they do pass. You’re basically watching Lynn slowly die right in front of your eyes, and there is nothing you can do to help her. All you got is her at the bank, touching some candy, and writing on an envelope. How the hell is that going to help anyone?

“Doctor, her BP is dropping rapidly,” the nurse states.

Lynn’s heart can't hold out any longer, and you turn away so you don’t have to watch her die. You shrug out of Spencer’s arms and leave the hospital room. Him and JJ aren’t that far behind you. If you have even one more soul on your consciousness, there’s no telling what kind of nightmares you’ll have or if you can even handle another soul.

While you were with Lynn and experiencing her last few moments on Earth, Elle and Derek were at the bank looking through the security footage to see if they could spot a common denominator with all the victims. Every single person that was infected came into this bank, so it has to be the key to figuring out where this substance came from and who put it there—most importantly, who is the targeted audience. It’s why experts are testing the candy to see if what she touched is actually poisoned or not.

“Lynn Dempsey was an executive assistant. She has no expertise with chemicals. She doesn't fit the profile of the unsub,” Gideon notes.

“But the CDC found both LSD and Rohypnol in the candy she was replacing at the bank,” Derek says.

“She must have been an accomplice, and when the unsub finished using her to further his attack, he killed her with Botulism.”

“So, what does that tell us about the unsub?” Gideon asks the group.

“He's far more sophisticated than we realized,” you answer.

“Why is that?”

“The Botulism toxin is the deadliest substance known to man. It blocks Acetylcholine receptors, paralyzing its victims until, basically, choking you to death. Without an antitoxin, a lethal dose will kill you in thirty-six hours,” you try to explain, knowing only Spencer will truly understand what you’re saying.

“How many people have access to this stuff?” Elle wonders.

“In New Jersey, quite a few. It's actually the pharmaceutical and chemical capital of the US. So, that the toxin can be ordered in the form of Botox through any chemical or biological lab or Botox clinic. It has to be purified, but any chemist or lab assistant has that capability,” Spencer answers.

“So, we're looking for chemists and sophisticated lab assistants?”

“Basically,” you and Spencer say at the same time.

“Okay, wait a minute. If the unsub is a chemist with access to the toxin, what'd he need Dempsey for?” Derek wonders.

“Well, we don't know yet. But she worked for a company, called, uh... Hichcock Pharmaceuticals. I think there's a good chance the unsub worked there, too,” Gideon reads off his notes.

“Let's start with people who fit the profile who've had a recent stressor.”

“Like, anybody fired from Hichcock in the past six months.”

“Yeah, or demoted. Not recognized for their hard work. Anyone who seems under appreciated. Let me call Penelope,” you state and take out your phone.

You call her, and once you get her over the line, you quickly explain what is going on and what you need her raw talent. You place her on speakerphone for all to hear so you don’t have to repeat what she says.

“Hichcock's a giant company, Sugar Shack, and there were over a hundred people fired just this past year.”

“And so far, none of them fit the profile?”

“No. But, I do have thirty names of people who were downsized and shunted off to other lame companies with a cut in pay and benefits.”

“That’ll work,” you nod.

“Alright, send us the names. We'll cross-reference them with civil and criminal complaints filed with local PD. But I want you to keep digging, and while you're at it, look for any connection to the First New Jersey Federal Bank,” Derek asks ever so nicely.

“I'm on it, Angel,” she says, and you hang up.

“Our guys acting like a workplace mass murderer. He'd stay close—seething—and he'd plan his revenge,” Hotch points out.

“Well, if he is a workplace killer, what else does that tell us about him?”

“For one, they don't give themselves up. He's lost his empathy and his moral compass. He's capable of anything.”

“All those innocent people at the bank,” you mutter regretfully.

“They meant nothing to him. He'll take out anybody to forward his cause,” Gideon says.

“Like Dempsey.”

“Correct, and eventually, even himself. Not until he finishes taking out his primary targets.”

“We have no idea where he's going to strike next. For all we know, he could poison the local reservoir,” Derek groans.

“Well, the local cops haven't gotten any leads out of Dempsey. Why don't you go to Hichcock and see if you have any luck,” Hotch says to Elle who is already out of her chair.

“You got it,” she states and leaves.

Elle didn’t really get anything out of Lynn’s desk. Her assistant told her that Lynn wasn’t the best at holding high self-esteem and was a very quiet person in general. Most assistants and their bosses talk about what goes on in their personal life and are basically friends, but not Lynn and her assistant. She barely knew one thing about Lynn. It came up as a dead end, so you, Derek, and Gideon are researching who got laid off at Hichcock and if it was brutal enough to warrant deadly actions to get revenge.

Derek is sitting at the computer with you looming over his shoulder so you can read what he has up. Gideon is looking at the town’s map to see if he can come up with a geological profile. There haven't been a lot of people who were brutally laid off, but there are some that make you so sad to think that after all the time they spent in the company, it’s wasted.

“Gideon, some of these lay-offs were brutal. This one chemical engineer, he'd been at Hichcock for nineteen years when he was downsized,” Derek notes.

“Damn, that’s harsh,” you mutter.

“Yeah, that could certainly inspire homicidal rage, huh?”

“The guy was in his late forties and the head of his department. He definitely had a generous severance package,” you read.

“A lot of these guys don't have enough pension. They may not be happy about it, but I don't see them killing anyone,” Gideon states.

Derek’s phone rings, and you see that it’s Penelope calling with hopefully some good news. He answers it and puts it on speakerphone.

“Talk to me, Hot Stuff.”

“Get this, Cochise. I found a chemist who works at a company that was bought by Hichcock called Palmay Cosmetics. Now, here's the thing. Lynn Dempsey applied for a loan at New Jersey Federal Bank around the same time this chemist applied for a patent on this anti-aging, breakthrough technology thing called PCO-99.”

“So, you’re saying he applied for a loan in her name to make his product?” you ask.

“That's what I thought, but both the loan and the patent were rejected because Hichcock had already applied for the patent and the patent deal had gone through, drumroll please, at New Jersey Federal Bank. I'm tracking his cell phone and it won't be long before I have his location.”

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