#but the overwhelming majority is just medical info and doctors

[pisstopher-jr]

I say a hug would fix all my problems but if someone were to hug me while I'm having TD problems they would become a fucking maraca

[bugbyte]

Today was good! I’m a little overwhelmed!

3:30 am posting because I’m feeling slightly wound thanks to today being a whole day, but it wasn’t a bad day?

Short version: bunch of appointments, thankfully all online, but after last week being stress central this was tolerable. I got my MMJ eval and it was quick and easy and if anything I over prepared because I’m so used to not being believed and having to back myself up with data. (Which I have to gather and keep for myself because medicine is apparently just a free for all where no one communicates with each other through the online app they have specifically so they can all access data about me from each other! Neat!)

Anyway that was a major relief and I was ready to cry because they said that this should work really well with the conditions and symptoms I have. I’ll probably write something up on the process later (because I would’ve liked a plain English walkthrough of what to expect but that’s ok) but I got my card from the state, which is all digital now, so welcome to the future, I guess.

We headed out to a pretty well reviewed and priced medical dispensary in the area and had a long info session on what would work best for me and landed on some low dose (for now) capsules and gummies. Then we got fried chicken because I’d had enough for one day and went home to see if it would work.

I took a capsule, ate my chicken, and waited. They did advise taking it with a fatty food (could’ve been peanut butter or avocado or anything really; we just got chicken for its uh, health…improving….properties….yeah that sounds right) It took like a solid hour and change to notice anything, and the effects were pretty minor.

I kept trying to explain what was happening to Delade but it was a very subtle thing and hard to get across. Basically the calmest I’ve felt in ages (bonus) and like a slight tiredness, like when you’re tired at the end of the day but not exhausted or like drugged tired if you take something to get to sleep and it hits hard. Just a nice soft calm feeling.

I got brave and tried adding in an extra half a gummy (watermelon flavor!) and that hit much more quickly and mostly just added to the soft feeling. Trying to put it in better words, it was like the different between laying directly on the hard floor, or laying on a puffy blanket on the floor. You can still feel the floor, but it’s much more comfortable than otherwise. I didn’t really feel particularly loopy other than finding a few things funnier than they probably actually were. I think I would compare it in drowsiness more to like…if you’ve been given an opioid after surgery or dental work or something, it’s kind of more like that than feeling just knocked right out. I always felt like these kinds of things gave me a sort of “cozy,” safe feeling while still being conscious enough to do some light things, and this was similar. Everybody’s different though so I might be a weirdo.

So yeah, it does work! I wasn’t expecting like a 100% change in pain levels, and this will definitely take some fine tuning to get right, but there was a difference for sure. I had the makings of a nasty headache after being stressed out all afternoon, which didn’t seem affected much by anything I took so that’s interesting. If I hadn’t had the headache I probably would have attempted some comic work but staring directly into a screen felt like a bad idea. In any case the sharp edges of the pain in the rest of my body got filed way down and I’m pretty amazed overall.

I know this can work now! So I can try again tomorrow! Hopefully with less stress headache so I can get a better gauge on how it actually feels! And hopefully try to draw.

So now I just have to figure out how not to feel weird about this talking to various doctors. Some recommended it, some I can imagine being less positive, but I think the anxiety about being judged is mostly in my head.

Anyway! It was a good experience overall, both the process for getting the card and actually trying the drug itself. If it’s something you’ve been looking into and have questions I can try and answer based on my (admittedly brief) experience so far. I only know how things work in NY, but being pretty anxious I get how it can feel more enormous to figure out when you don’t know the whole scope of a thing or what it’s like to actually do.

This entire thing makes me cackle btw because in fifth grade I won some DARE essay contest in school and I think got some kind of gift card I spent on art supplies, and a hat with the DARE lion mascot thing on it, which I think I still have and should probably start wearing for maximum dumbassery.

[starzgaze]

so I caved in LMAOO (14DWY OC)

MORE INFO UNDER THE CUTTT!!!

INFO ABT CALI :]

• They go by any pronouns!!

• majored astrophysics(doctorate) and Biomedicine !! and is planning to take architecture in the future

• a huge overachiever in acads even back then!! not Alot of people went and talk to them to be friends and mostly used them for academics because they can't say no Alot of the time (sadly)

• Genuine loves learning things and you could see them spending their break reading stuff in the aisle where stem bullshit or mythos are in

• despite being very good in science or math it's not exactly natural talent? well some part of it is but compare it to medical field... they're far more better in that field surprisingly but they didnt take medical in college so.. that's that

• really good with taking care of people and wounds!! surprisingly empathetic?? like when it comes to taking care of people they're very empathetic idk how to explain it's just if they're not taking care of people they're not as empathetic they might be insensitive but it's just they don't really understand social cues or some emotions 😞

• other than that they like alot of niche things and that Include games!! THEY LOVEEE STORY BASED GAMES!! (what remains of Edith Finch is the perfect example) but they also like other type of games!! they're willing to play fps or first person shooting games it's just... they suck at aiming and will probably stay with being a healer or something because they deadass cannot aim AT ALL

• Cosplay is their side gig I don't have anything to add on to this but they craft everything and stitch it by theirselves

• they know how to bake!! they love making pastries and sharing it to their friends but like it's more of a daydream because they're too scared to share anything or gift something they MADE soo... :(

• They're short. like 5'2 short LMAOOO they have to wear heels or heeled shoes to reach Ren's chin

- impressive voice range like their voice stays in high but when they just woke up it's SURPRISINGLY DEEP?? like not deep deep just like mid deep

- has a weird talent?? they can dislocate their shoulders at will 😭

-also weird body temperature?? it changes randomly like they're cold and then suddenly they're warm?? they complain about it constantly

-their cat is named yolk and they squeak like a seagull and they're very talkative and affectionate

RANDOM FACTS??

• They can sing!! only when drunk tho

• when being flirt with they will not understand it. like you have to be very bold with it like?? I'm just saying if you flirt with them theyre gonna take it literally and look at you with genuine confusion (they'll understand it 4 hours later)/ Internet explorer ass)

•their clothes has some designs of wings, their usual jacket they wear usually is has a pair of wings at their back as the design !!! or have one of their hair clips as wings <3 (haha angel thingy haha)

• too many books and is literally broke from buying too many shit

• DESPITE probably having a very hectic schedule having no sleep at all in a week uhm THEY HAVE ALOT OF ENERGY, for someone who based their whole look off their cat and looking like a person who's personality is probably cat like uh they're actually more of a golden retriever!! <3

• their real name is actually valentine but like.... they didn't like it at all because their real birthday is in April and they were genuinely confused about it so they changed it to Cali !

• Shakes their hands or do small jumps if they're excited or very happy and when they're very overwhelmed by any emotion they cover their ears and closes their eyes (ex is when an intense scene in a horror movie they cover their ears when jumpscare happens) also does random noises when spacing out LMAO

• KNOIWS how to crochet!! they love doing amigurumi versions of people :]

• also their bed is really comfy.. well uh two beds?? they have a loft bed and like a bed on the .... floor... yea.... haha but BOTH BEDS ARE REALLY COMFY and cozyy <33

• THEY LIKE ALOT OF FASHION STYLESS!! their closet is really diverse :3 but currently they're into acubi/gorpcore/ whatever the fuck they want to put on style !

• will probably cry if you seem genuinely interested in their ramblings of stars or numbers (they will)

• they're also ALWAYS seen holding something?? anything but they're mostly seen holding a bag and fiddling with it, if you let them hold ur hand they will be over the MOOONN

• they may be academically smart but they're common sense and general knowledge STUPID (srs)

ok I'm done rambling abt them wow @14dayswithyou (IM SO SORRY FOR @ BUT I SAW SOMEWHERE TO @ YOU IN 14 DAYS WITH YOU STUFF AND ANDN DNND IM SO SORRY IF YOU DIDNT WANTED TO BE @ ED I CAN DELETE JT 😭)

[tea-and-spoons]

What happens when... I develop a new food allergy?

Whether this is your first food allergy, or the most recent in a long list, it can still be a rough adjustment and overwhelming amount of change.  But as someone who has gone through this more than twenty times, I promise you it’s not the end of the world.

The majority of this post is related to severe, anaphylactic food allergies, but I’m of course always going to advocate for being careful, and some of this will apply to milder allergies too.  This advice also works if you were just diagnosed with celiac disease, or another condition that makes you sensitive to cross contamination.  I’m going to let your doctor handle the medical side of this, but I’m hoping this post will cover all the other things you need to know!

I made some pretty thorough lists of things to check, replace, or clean to make sure you’re safe from allergens- I’ll put those at the end of this post.  It is a lot- recruit a non-allergic friend to help if you can!

But before I get into the lists, here are some other things I’ve learned about getting a new food allergy.

-Update your doctors, including your dentist.  And also update any emergency info you have around, like your medical ID in your phone.

-Research other names for your allergen and what it might be found in.  Food labelling can be very sneaky, which is Not Cool, but you get really good at reading ingredient labels once you know what to look for.  I would stay away from googling too many other allergy related things though, it’s an easy way to get into a panic.

-Talk to the people you live with.  Hopefully they’re good about it, but they might take a while to understand, or might even be angry and resistant, which honestly is beyond me.  If this is your situation, I am so so sorry.  You deserve to feel safe in your own home, no matter what.  If you can set some ground rules and get people on board even a little bit, that will help, and hopefully everyone will come around eventually.

-You should also talk to your partner, or anyone you might be kissing (or who might be kissing you, even on the cheek.  Hi grandma.)  Their foods, medications, reusable water bottles, and toothbrush are all possible ways you could get sick.  So even if they haven’t eaten allergens in hours, it could still be on their toothbrush and that can be enough to cause a reaction.  This research article (Maloney JM, et al. Peanut allergen exposure through saliva: assessment and interventions to reduce exposure. J Allergy Clin Immunol 2006; 118: 719-724.) found that waiting at least an hour and having something allergen free to eat was the best way to de-poison-ify for someone you want to kiss.  I’ve also heard from other allergists that 3-4 hours is the right number.  So I would ask your allergist what they recommend for you.

(note:  I would like to keep this blog safe and friendly for spoonies of all ages, but if you are in need of more information about dating and allergies, feel free to message me and I’ll send you some links!)

-One thing that surprised me with some of my food allergies was the cravings.  Sometimes I never want to even hear the word “pineapple” again, but especially if it was something like eggs that are more a hidden ingredient, I struggled with cravings for foods I couldn’t have anymore, like French toast.  And I’m not even someone who likes food that much!  So I’m here to tell you that the cravings are normal, and will subside in a few weeks.  It also helps to just not be around things you can’t eat for a bit.  And to look for replacement recipes for your favorites- there’s so much out there, it’s really impressive.

-The other common (emotional) reaction is anxiety.  Anaphylactic food allergies can be life threatening, of course you’re scared!  It is 100% normal to be worried and afraid and anxious and terrified, especially after an allergic reaction.  That response happens to help keep you safe!  But it’s also exhausting, and can get out of control.  My best advice here is to follow the concrete steps you need to be safe, and then tell yourself that you’ve done everything you can, you know what you’re doing, and even if something goes wrong, you know you are prepared.  You can be prepared and careful AND not have to be scared all the time.  There is zero shame in seeing a therapist about this too, they can really help.  (My advice here is borrowed from my lovely therapist!)

And here are the lists I mentioned earlier!  I hope this helps you feel safer and more prepared.  Severe food allergies are a big change, but you got this!

Things to replace:

-Toothbrush (and maybe toothpaste too)

-Any food that is still safe but might be cross contaminated (like flour, sugar, spices, things that go on toast… basically any open containers)

-Kitchen sponges and rags and anything else that gets used to hand wash dishes

-Chapstick and lipstick

-Stim toys that go in your mouth

-Cast iron kitchen equipment

-Cutting boards

-Reeds (if you play a reed instrument)

-Ice cubes, if you have a tray in your freezer that people reach into

Things to clean:

-Kitchen itself, including all appliances and countertops

-Anywhere else food is kept or eaten (such as pantry, dining room, couch, in your purse, desk, locker)

-All cooking supplies (plates, pans, silverware, crockpot, basically everything)

-Potholders and oven mitts

-Pillowcases

-Dish towels

-Doorknobs

-Handles

-Light switches

-Remotes

-Cloth napkins

-Reusable water bottles

-Kitchen drawers that might have gotten crumbs or residue in them

-Retainer or mouthguard

-Lunchbox

-Toys and fidgets

-Purse/backpack

-Writing utensils

-Car steering wheel, controls, and handles (especially if you’re the driver)

-Inhaler, spacer, nebulizer, CPAP mask, and other related equipment

-Oral thermometer

-Face masks

-Phone, computer keyboards, touch screens

-Hand or wrist braces

-Video game controllers

-Any musical instruments you play, but especially if it’s a wind instrument.  Plus the case, and any cleaning equipment.

-Whatever your toothbrush is stored in

Things to check the labels on:

-All your food (what you have at home, and anything new you buy)

-Toothpaste

-Floss

-Shampoo and other hair products

-Hand soap and dish soap

-Deodorant

-Makeup and chapstick

-Medications

-Lotions

-Sunblock

-Pet food (if their food turns out to contain your new allergen, you might want to clean or replace their toys as well.  And a bath for the pet themselves!)

If I missed anything on my lists, please feel free to add on in the replies!  If you need someone to talk to or have questions, you’re welcome to message me.  And I promise this gets easier 💙

[harmonicsys]

The Accident

When making the best of a bad situation, a witch arrives to give an unexpected option, requiring a bit of self-reflection before the protagonist can make a decision. Trans vibes.

CW: major injury, body transformation, medical coercion, gender dysphoria, depersonalization, deadname mention, anxiety, derealization, eye contact, medical situations, consensual dehumanization, misgendering

The truck came out of nowhere. Metal buckled and squealed, glass shattered and sprayed, and plastic strained and tore.

There were no memories after that, for a while. When consciousness finally returned, everything was fuzzy; there was some sort of room with medical equipment and an attendeant.

The attendant realized the patient was awake and went to fetch the doctor.

Strolling in with a digital tablet, the doctor looked over the hospital bed and remarked, "It's great to see you finally awake."

She continued, "If you're feeling up to it, I can catch you up on what's been going on since the accident."

Accident? Oh… something about a truck and broken glass… The patient sat up a bit, or at least attempted to, and stammered, "Y-yeah, uh, go ahead." The room was less fuzzy now, but everything felt like a dream… maybe it was?

The doctor looked the patient up and down somberly before continuing, "Okay, this is a lot, so we'll go slow and I'll come back by again in case you have more questions later. Not to be a medical cliche, but there's good news and bad news. The bad news is, some of your body was damaged in the accident. The good news is, you're alive and in a world where we can replace pretty much any part of the body. It also may be possible to fix everything with surgery and extensive therapy, but the process would be long."

The dream had become even more unreal than it seemed before. Vision seemed to narrow, going dim around the edges. The patient's ears were ringing, and thinking was becoming more cloudy than it was upon first awakening.

The doctor continued explaining, "There's more bad news, though. Your insurance isn't great. So if you want to opt for replacement, it's probably only going to cover basic replacement parts, but we do have a patient advocate team that can help you try to secure a zero-interest medical loan that may enable you to have better replacement parts to give you a more normal body."

A growing sense of shock and horror crept across the patient's mind. Looking down revealed abdominal damage and tubes leading to a number of machines. The lower limbs also showed signs of major injury and had hardware mounted around them. No wonder the earlier attempt to sit up in bed failed.

The doctor tapped a few buttons on her tablet then looked up again and spoke, "My name is Dr. Corsi, but you can call me Jasmine. I'm going to have the patient advocate come by and help you figure out how to make the best of an unfortunate situation. Please don't hesitate to have someone fetch me if you have medical questions about any of your options."

Jasmine left and was soon replaced by a smiling, eager fellow with some brochures who introduced himself as Mike, with a last name that sounded like Attenboro or Aldanburo. Thoroughly overwhelmed, the patient muttered, "Could you just leave the info about my options, my head is hurting terribly and I can't focus." Mike departed, and the patient fell asleep.

* * *

"Hey, how are you feeling today?" chirped Mike, now on his fifth visit. "Have you made a decision?"

With an eyeroll, the patient answered, "Look, I just don't want to be in more debt. I know I won't have much functionality with the basic parts, but I'm not sure I'm going to be able to go back to work regardless of what option I take. So how would I ever pay off that nightmare of a loan? And I am just not interested in placing all my hope in natural healing fixing everything slowly,"

Casting his eyes down, Mike spoke more softly, "Yeah, I mean, I am trying to give you the best option here that gets you back to normal quickly, but if it's unaffordable then it would be unethical to saddle you with the debt. But… I think I know someone who can help, it's just… it's a little unconventional. And there may be some other things you'd have to be ready to sacrifice, but it wouldn't be your finances."

The patient's eyes grew wide.

Mike looked nervous, "Look, let me make a phone call. And let me look into something else more official, too. Because I really think the cybernetically controlled legs and fully synthetic organs are your best bet."

Mike left the room for a few minutes before returning with a phone. He offered it to the patient, saying, "I have someone you may want to speak to."

The strange voice on the other end of the line was strong and charming as it greeted the patient, "Hello sweetheart! The one who has been speaking to you about your options thought you might want an introduction with its owner. Rather unconventional choice for it to make, but part of the agreement is that it has full autonomy at its job. So, tell me, little one, what is your name?"

The patient began, "Hi, my name is Josep---" but was interrupted at the beginning of the 'f' sound.

Amused, the strong voice on the phone jumped in, "Hold it. Is that your real name, or the one on your birth certificate?"

The patient felt clammy and a little nauseated, unable to respond.

The voice on the phone continued, "Let's try that again. What name would you like to be called?"

The patient paused for a minute and managed to say, "Call me Jo---uh, Joanna."

The voice on the other end of the line sounded pleased, responding, "Ah, I thought so. Joanna it is, then. Joanna, if you want to be out of that hospital quickly and can't afford the cybernetically-enhanced and fully-synthetic parts, I may have an option for you. But I'm not going to discuss it over the phone. Would you like to meet me? I'll come to you. And only say yes if you're interested. If you're not, tell me no, and I will take you at your word and leave you alone."

Joanna was puzzled. She didn't have a lot of experience with people taking her word seriously, and hardly ever had anyone really wanted to know what she wanted to be called, always assuming her legal name and gender were the right ones to use.

In fact, Joanna was more than puzzled; she was overwhelmed to the point where the room started spinning. She took a deep breath and replied, "Yes, but maybe tomorrow," before handing the phone back to Mike. Joanna blurted out, "Mike, I need some privacy for now," before closing her eyes and trying to calm down.

* * *

Mike showed up the next day with a tall, mystically dressed figure, who immediately seemed to recognize Joanna.

The figure spoke in that charming voice again, "Joanna, my name is Isabel and my pronouns are they/them. For now, that's how you'll refer to me."

Isabel leaned in and asked, "How are you doing today, little one?", looking at Joanna square in the eyes, causing Joanna to squirm and look down.

Isabel stood back up straight and frowned a little, remarking, "I see I've made you uncomfortable. Let me say this: I don't expect you to make or maintain eye contact if you don't want to. I have many ways in which I can communicate; it may take some time to find the right ones to use with you."

This confused Joanna twice over. She was used to people not only expecting her to return eye contact constantly but also for people being unwilling to accomodate what she thought of as her quirks. She was also very surprised to see anybody notice that it was the intense eye contact that bothered her; most people ascribed the wrong reasons to her reactions.

Joanna replied, "Mostly, I think I want to get out of here. It's nice to meet you in person, though I'm not sure what it is you can do for me or why we had to meet in person." Joanna was not a fan of in-person conversations, as the other party would often expect her to interpret their body language.

Isabel smiled at Joanna. "Little one, because I want to show you something that I can't show you over the phone. I don't do things without a reason."

Joanna had become more annoyed and raised her voice, "Oh yeah? Well why do you keep calling me little one?"

Isabel maintainer their calm demeanor. "I have a knack for guessing what people want, but it's only a guess. If I'm wrong, don't hesitate to let me know. If you would like me to stop calling you little one, then say so --- or write it on a note if it's hard to say it out loud."

Joanna shifted from being annoyed to being tense and nervous. "Actually… it's okay. I can't understand why, but it's comforting to hear."

Isabel smiled again. "I'm grateful to hear that. My intuition was correct again, but please inform me if it becomes clear that my intuition is wrong in the future. It's not always right. Can you do that?"

Joanna was wondering what the point of all this was, but answered, "Okay, I guess I can. So what was it that you needed to show me in person?"

Isabel's eyes sparkled a bit as they simply said, "This," and waved their fingers at Mike. The air swirled around Mike for a moment then cleared.

At first, Joanna saw nothing unusual. Then she noticed one of Mike's elbows was not a normal human elbow; it looked more like ball and socket joints crafted from a composite, and his forearm was covered in runes. The upper half of Mike's face also seemed to now covered in runes, with parts of his eyes, nose, and forehead carved with whorled lines.

Mike spoke up, "There were a few injuries, to one arm and parts of the face, and there just weren't good, affordable options at the time. Isabel helped… and fixed some problems with a deviated septum, as well," gesturing at his nose, which had seemed to become shifted to one side.

Isabel clarified, "I can make small changes, or build off of existing medical work. My magic can't work any wild miracles, but it can help. What you're seeing now is how it appears without my enchantments, more or less."

Joanna's mind was racing. Not only could this offer a solution for her current quandary, but… Joanna started speaking, "Isabel? What other kind of small changes can you make? Because I… have had some things I've wanted changed for a while, just little things that…" before trailing off. Her mind started spinning and she felt her cheeks redden.

Isabel eyed her curiously. "What things do you want changed? My intuition is giving me an idea, but I am going to need you to be specific."

Joanna gulped. Her mouth and throat had gone completely dry. "I have… I've wanted to find a gender clinic, and… I mean I've looked into… I don't know how to find a doctor that can help with…" She couldn't seem to bring herself to complete her thoughts aloud.

Isabel said, "That's enough to clarify. If you are wanting to feminize your body shape or change what's in your pants, that falls under the realm of what I can do. In fact, I didn't always look how I look now, so I know quite a bit about this. Why do you think I got into the study of magic?"

Smirking, Isabel continued, "What I ask from those who seek my help is, effectively, to do my bidding. I am not going to ask for anything impossible, and I won't overly burden anyone. But it brings me great pleasure for others to carry out the tasks I give them."

They wiggled their fingers at Mike again, commenting, "I don't want to keep it standing around with eyesight missing in one eye or with reduced range of elbow motion for no good reason; I have little interest in cruelty. But I wanted to show you how it looked both with and without my enchantments so you'd understand." After another shimmer in the air around Mike, he had returned to his normal form. Wait… normal? Joanna wondered which one was actually his normal form, or whether she needed to stop thinking about what was normal and find a different way to think about all this.

Joanna, head swimming, managed to say, "Okay… so, I---I am not even sure what to say right now. I guess what I want to know is, what are these tasks? What is your bidding? Why do you keep calling him an it? That seems… dehumanizing, doesn't it?"

Isabel smiled sweetly. "Little one, most of these tasks are fairly mundane; helping me around the house, helping me with my magic. Some of these tasks do get a little spicier; a witch like me draws upon the intense power of erotic energy for some of my magic, as well as other important powers of friendship and love. In fact, I'm only interested in doing this kind of magic on those who are fully willing. As for your other question, I will let it answer on its own."

Mike spoke up, "This one is not really human. It is a combination of human flesh and medical technology and magic. It has moved beyond humanness."

Joanna, thoroughly confused, responded, "Okay sure but why are you talking so funny? It's like you stopped saying 'I' as soon as Isabel showed up."

Mike responded, "This one has embraced its new sense of self and its new role in service to its witch, as well as in service to others through patient advocacy work. It has decided to exist as a helpful animated doll, though not quite like the clockwork kind that needs winding. It chooses to function as one of the larger collective of dolls that serve this witch. Hence, it is 'this one' when it references itself, at least outside of work or in front of its witch."

This was just too much for Joanna, who had often not been treated as an equal by her peers, for having unusual interests and struggling to fit in socially. "I need you both to leave. Now. And I'm surprised nobody from my medical team has come in this room this whole time that we've been talking!"

Isabel placed a folded card on the table next to the hospital bed. "Joanna, I am happy to leave. I have written my number on this card, but it sounds like maybe you'd be better off exploring medical-only options for your injuries as well as seeking out a gender clinic. I do hope you find peace… little one." And with that, they stepped out of the room, leaving only Mike.

"Before I go," started Mike, "I did have an update on your financial situation. I was able to secure one of the limited number of medical grants available. They're normally reserved for people with no insurance, but I asked if they could make an exception. So if you want the cybernetic and fully-synthetic option, you won't end up in terrible debt."

Joanna was left alone as Mike walked out of the room as well. Her mind was racing, and she kept leaping wildly from thinking of being humiliated for much of her life for being different, to being controlled and manipulated by past abusers, to her current situation, to the display of magic she had seen Isabel demonstrate with Mike. It was far too much for her to take in. She was intimidated by what Isabel seemed capable of, but fascinated by an image that kept appearing in her mind: a doll-like figure that resembled her but with more curves, scampering around doing chores and flashing flirtatious smiles.

As her mind jumped back to replaying scenes of past hurt, she closed her eyes. Her exhausted brain started drifting away from reality, and luckily into sleep.

* * *

Joanna woke with a start. She had woken from a strange dream where she her body had been transformed into a body that she'd been much happier with than the one she'd had all her life, the one which was now in a hospital bed and in need of repair.

In the dream, she had felt free.

In the dream, she had felt like she was finally herself.

In the dream, she was beautiful and strong.

And in the dream, she was carrying out assorted household labor for a tall figure who didn't force her to make eye contact when she didn't want to, who didn't call her homophobic slurs for being different…

In her mind, she replayed the scene from when Mike and Isabel were in the room. Mike had come by at some point and left information about the grant on the bedside table with a note that read, "There's a list of resources for the other thing you mentioned available, if you want that too," very likely referencing a list of gender clinics.

Her ruminating was interrupted by Dr. Corsi.

"Hello, Jos---" started the doctor, but Joanna jumped in before the name could be completed.

"Hi, Jasmine. Mike brought me some news about a grant."

"Yes," responded the doctor, "he managed to get an exception to our policy for you. So the insurance is not going to be the problem that it seemed to be at first."

Joanna's heart was racing in her chest. She glanced nervously at Isabel's card, also sitting on the bedside table. "Doctor, I think… I think I'd prefer if the hospital kept the grant to be used for uninsured patients. My insurance covers some basic replacement parts. I know they won't be as nice-looking or as functional, but…" She could hardly believe what was saying right now. Something in her heart was telling her that she was doing the right thing, even though it didn't make sense to the logical part of her mind.

"Are you sure?" Jasmine looked at her quizzically. "That's very noble of you, but, if I were you, I'd take the chance to get the best option that I can."

"Doctor, I actually totally understand what you mean about the best option. I know it's a little hard to explain but… I think just the basic stuff is going to suit me just fine."

"Well, I'm glad you made a decision anyway. You're stabilized from the accident and need to move ahead with surgery so we can free up this bed. I'll send our surgical consult tech around to go through all the paperwork with you."

As Dr. Corsi left the room, Jasmine's heart continued its frantic pounding. It suddenly dawned on her what she had just done: she had put herself on a path where she'd only regain full functionality if she enlisted some magical aid or spent a long time doing physical therapy. She didn't think she had the patience for the latter, though.

Or had she really committed to that? She could always tell the surgical consult tech that she had changed her mind again and wanted to take the grant, right?

Two hours later, after the paperwork had been filled out, she had not changed her mind.

She dialed the witch's number.

* * *

"Hello, my name is Isabel, I'm here to pick up a patient, number 57-12576."

The receptionist replied, "Ah, yes, he's coming out of the recovery room right now. Go back through the double doors and he'll be in room five."

Isabel winced. To them, hearing Joanna misgendered was like nails on a chalkboard. But, as far as Isabel knew, Joanna had not informed the hospital of her real pronouns, and Isabel was not about to out her without her permission.

Isabel made their way into the patient room on the surgery wing. "Isa… Isabel…" muttered a very sleepy Joanna.

"Ah, little one, it is so wonderful to hear your voice!" Isabel beamed.

"Can you… are you going to help… Can you help me make these ugly robot legs dance? I've always wanted to dance… Oh, and my stomach… I don't want to have the dietary, um, restrictions of these bottom-of-the-line organs… And I want to look in the mirror and see my real self, and…" Joanna trailed off as her eyes filled with tears.

"Sweetheart. One thing at a time. First, no part of you is ugly. But we can make you curvier and adjust your appearance with magic, which may help you find your own beauty that has been hidden from you. I promise that I can make you dance. In fact, I love it when my dolls ask me to dance! I can enchant your belly, and we will feast together on all sorts of meals that I will teach you how to prepare. You won't have to worry about dietary restrictions, and I will keep your favorite foods on stock so that you can treat yourself when you want to."

Joanna's confusion was a mixture of surprise and anesthesia that was still wearing off. "Wouldn't the treats be just… just as rewards?"

"Oh, no, little one. I don't mete out food based on your behavior---unless, of course," they chuckled, "that kind of thing is fun and consensual for you. No, I've found that giving dolls plenty of access to delicious treats helps them learn better self-care. My intuition is telling me that you might appreciate some lessons in self-care…"

Joanna's eyes continued to leak their salty fluid. "I am not always so good with taking care of myself. Are you a harsh teacher? I am anxious…"

Isabel took Joanna's hand into their own. "Little one, I am a very direct and efficient teacher, but I try not to be harsh. I suspect you've already been harsh enough on yourself in this life. No, I am here to help you flourish as yourself, in exchange for your help around the house and… maybe sometimes in the bedroom."

Joanna's eyes dried, but her cheeks turned bright red. She had no idea what to say. She shied away from most discussions of sexuality due to being painfully manipulated in the past. She could only relate to this kind of subject in the context of her old life, which was a life she did not want to return to or think about right now.

Isabel squeezed her hand gently. "Nothing before you're ready for it, though. We can wait to talk about that. Maybe after your curves start coming in? I've been preparing the runes for that spell since our first conversation. In the meantime, there will be plenty of other tasks of mine that you'll be tending to… as soon as they let me take you home, that is," said Isabel, a sparkle appearing in her eye as she mentioned taking Joanna home.

Smiling, Joanna looked into their eyes for as long as she could before the eye contact started hurting, then looked down at her hand in theirs.

Joanna's voice was warm and eager with possibility as she said, "This one can't wait."

[serialreblogger]

Hey there! I’ve seen you mention in your tags on several posts that you’re dealing with endo and I wanted to say I’m sorry I know how difficult that is not only to live with but to get anybody to take seriously (both in your personal life and in medical settings)

I’m not sure what stage of trying to get decent treatment you’re in atm, but I’d like to suggest trying a Facebook group called Nancy’s Nook (I had to make a Facebook to try it cause I’m never on there but it was really worth it) there is tons of info on there and all of it has sources, links to articles and papers a lot of which are written by the foremost doctors in endo treatment. It just really helped me a lot, and obviously everyone’s situation is different but information is power so I just wanted to let you know incase that might be helpful for you too

There’s so much misinformation about endo, even in the medical community, I had two surgeries that made my pain worse because my dr at the time was using ablation techniques instead of excision (burning instead of cutting out endo, the burning doesn’t get all of it and in my case it left a LOT of inflammation without removing the problem). Nancy’s Nook helped me learn how to tell if a dr knows what they’re talking about, there are lists of drs that have good reviews and practice excision and prescribe meds in a helpful way, etc. Again, idk if you need more info or if you have a dr you’re happy with! But I just wanted to spread the info incase it helped because I know it can be overwhelming❤️

Also if you ever need to talk or just vent or whatever I’m here, endo sucks and I hope your pain eases soon!

i’ve been real low on spoons lately, sorry for not replying right away (to this and a host of other asks), but. yeah i don’t really have the words to say how grateful i am for this? like 70% of my frustration and anger and depression around my own endo is born of the fact that my experience isn’t an outlier, that the majority of people with endometriosis (and god knows how many other problems associated with the uterine reproductive system) are treated like shit by the medical community, that no one knows anything because people don’t care to research it. That there’s been ten times as much research done on erectile dysfunction as there’s been on endometriosis.

So - it’s frustrating that i’m not alone, because I’m scared and angry on behalf of all the people who don’t have access to the kind of resources i’ve been using (research skills, medical insurance, dog-with-a-bone determination and deliberately honed language skills to make people listen). And to have - to have a stranger reach out and give me support, information, advice and places to go to find more of the same -

it means a lot to me. not just because it’s super helpful info for me personally (which, good god, it is; looking into the difference between cautery and excision is something that would never have occurred to me) but because it - it means we aren’t alone.

it’s easy to think that just because the official structures are built to exclude us, we don’t have anywhere to turn to. it’s easy to feel really devastatingly hopeless when you’re faced with this kind of institutional gaslighting and neglect and apathy.

it’s easy to forget that we can and have and do build our own structures. that there are places to turn. that people... that people care. that, because there are so many people like me, there are spaces for people like me. that someone will help.

thank you. i guess that’s all i’m really trying to say. thank you.

[corona-extra-newsletter]

3/18/20 corona extra: cracking open cold covid facts

Announcements & Thank Yous

Thank you to everyone who’s messaged me or sent asks! Specific thanks go to:

@ruffboijuliaburnsides​ for their help with Kansas

@marywhal​ for information about Canada and Gritty tips

My husband for the memes

My dad for informing me how the UK works

Twitter users @molly0xFFF and @goblinartificer for their continued help with the Wordpress site

@pullingawaythespooks​ for Oregon info

@elprupneerg​ for Wisconsin info

@theeyesinthenight​ for Pennsylvania info

@adventurecalls​ for Minnesota info

@heartyargybargy​ for UK info

If you have reliable information from a good source that I don’t seem to have, please shoot me a message/ask/pigeon!

Places now included in the newsletter are: Germany, France, Cuba, Alaska, Hawaii, Nevada, New Mexico, Idaho, Oklahoma, North Dakota, Maine, and West Virginia (with that, all 50 US states are included. Whew.) Please send an ask or a message if you would like a place included!

I have started a website for the newsletter! Find it at coronaextranewsletter.com. If you know me from fandom, please be chill about my meatspace identity. Please.

Just The Numbers

Total cases: 191,127 (+15,123)

Total deaths: 7,807 (+786)

Mortality rate: 4.08%

WHO numbers look a little wonky today because the timing changed on when things are reported/collected. They should be back to normal tomorrow!

Western Pacific: 91,845 cases (+312), 3,357 deaths (+23)

Europe: 74,760 cases (+10,911), 3,352 deaths (+604)

SE Asia: 538 cases (+30), 9 deaths (+1)

Eastern Mediterranean: 18,060 cases (+1552), 1,010deaths (+140)

Americans: 4,979 cases (+2,243), 68 deaths (+18)

Africa: 233 cases (+42), 4 deaths (+0)

160 countries/territories reporting cases, 1 new including:

Montenegro (2)

Italy is reporting 31,506 cases (+3526) and  2,503 deaths (+345)

Spain is reporting 11,178 cases (+1987) and 491 deaths (+182)

Iran is reporting 16,169 cases (+1178) and 988 deaths (+135)

International/General News

Eurovision is canceled. Lovers of sparkles and cheesy ballads weep in the streets.

I’m blasting ABBA in mourning and encourage you to join me

Many places are closing liquor stores, bars, and restaurants. This is very concerning for people who are dependent on alcohol as they are at high risk for withdrawal. Public health measures to mitigate this are necessary

The US-Canada border is now closed. Holy shit. Essential business is still allowed but still. Holy shit.

Cuba is working with China to test interferon-alpha as a potential therapy for the virus. Watch this space for further news.

I’m less optimistic about this one than the favipiravir I mentioned yesterday because interferons are a way less directed therapy but the trials will tell the story!

Vaccine trials continue in Seattle, United States. Authorities of the state of Washington are asking for healthy volunteers to join the trial.

Antibody trials are underway in the Netherlands.

The United States has a major shortage of testing supplies, still.

US immigration enforcement are a bunch of bastards. Still.

Italy has promoted a bunch of senior medical students to start practicing in the outpatient setting so more seasoned doctors can work in the hospitals.

As a senior medical student, this frightens me personally.

Virology Corner

Today’s question is: Why 6 feet of separation? How does that help? How is COVID-19 spread?

Let’s start with how COVID-19 is spread. It’s a respiratory virus, so it is spread by respiratory droplets, aka the garbage you breathe/cough/sneeze out.

A good hard sneeze won’t launch your eyeballs out, but it will launch nasty shit up to 6 feet away from you at a shocking speed. (This is why you should Dracula when you sneeze.)

6 feet is a great rule of thumb to keep people out of each other’s sneeze radius, so they can’t get in contact with each other’s respiratory droplets.

Regional News (if you want somewhere added just let me know. Don’t be shy!! I highly recommend you just skip to your area if you don’t wanna be overwhelmed.)

Australia: last updated 3/18 at 6:30 am

454 cases (+79)

189 cases acquired overseas (US, Iran, Italy, UK)

Community spread not confirmed

5 deaths (+0)

43 recoveries (+27)

States affected include: ACT (2, +0), New South Wales (210, +40), Queensland (78, +10), South Australia (32, +3), Tasmania (7, +0), Victoria (94, +23), and Western Australia (31, +3)

Passengers repatriated from the Diamond Princess are included in their respective states

COVID-19 information line: 1800 020 080

Canada: last updated 3/17 at 8 pm

Total cases: 569 confirmed (+145), 26 presumed (+10)

Symptoms began for these cases between 1/15 and 3/15

12% of cases have required hospitalization (-1%)

74% of cases are in travellers, and a further 11% (+5%) in their close contacts

8 deaths (+3)

Deaths are being reported in: Ontario (1)

Recoveries are being reported in: Ontario (5)

Affected provinces include: Alberta (97, +23), BC (186, +83), Manitoba (15, +8), New Brunswick (8, +1), Newfoundland and Labrador (1, +0), Nova Scotia (7, +2) Ontario (189, +12), PEI (1, +0), Québec (50, +9), and Saskatchewan (8, +1).

Totals here include confirmed and presumptive positives

9 cases in repatriated travellers (+1)

Restrictions/Closures:

No formal restrictions/closures at the federal level

Recommendation to cancel or postpone gatherings of >50 people

Recommendation to avoid non-essential travel, particularly cruise ships

All international travelers must self-isolate for 14 days upon arrival

Wash your damn hands

Federal information line: 1-833-784-4397

Alberta: last updated 3/17 late evening

97 (+23) cases

Community spread confirmed in Calgary

Affected zones include: Calgary (70, +18), Edmonton (20, +2), Central (3, +1), South (1, +0), and North (3, +2)

No deaths reported as of 3/17 in the late evening

Restrictions/closures

K-12 schools and in-person post-secondary classes/training are closed

Licensed childcare facilities, out-of-school care programs, and preschools are closed indefinitely

State of Emergency declared 3/17

Sit-down restaurants are operating at lower capacity

All events over 50 people are prohibited

Rec centers, bingo halls, casinos, theaters, other entertainment/public spaces are closed

Hotline: 811 is fully dedicated to covid-19 in Alberta

British Columbia: last updated 3/17 at 3 pm

Dedicated phone line: 1 888 COVID19

Self-assessment questionnaire: http://covid-19.bccdc.ca/

Use this if you think you need to be tested!

186 cases (+83), 5 recoveries (+0), and 6 critical cases

7 deaths (+3)

Public health units reporting deaths include: Fraser (1) Vancouver Coastal (2)

Ages of decedents include 80s (1)

Affected public health units include: Fraser (47), Interior (7), Island (12), Northern (4) and Vancouver Coastal (116)

S/o to BC for tabulating numbers by public health units <3

We once again hit the Rhode Island Problem aka I don’t know how many of these things there are and there’s always more than I think

Clusters of infection have been reported at Lynn Valley Care Centre, Hollyburn House Retirement Residence, and Lions Gate Hospital (admin staff).

2 deaths reported on 3/17 at Lynn Valley

An exposure occurred at the Pacific Dental Conference 2020 (Vancouver Convention Centre, 3/6 and 3/7)

All present on those dates are in self-isolation until 3/22

Poor teeth man :(

Restrictions/Closures

All hospitals have postponed elective surgeries and are on Outbreak Response Phase 2

Lions Gate Hospital is going to open a dedicated COVID 19 unit and is in Outbreak Response Phase 3 (emergency patients only)

Long term care facilities have restricted visitors to end of life only

Public gatherings & buildings with >50 people are prohibited

All casinos are closed

Establishments with a liquor primary license (bars, nightclubs, pubs) are closed until further notice

Basically if it’s fun it’s closed

Manitoba: last updated 3/17 PM

HealthLinks Line: 204-788-8200 or 1-888-315-9257 (toll free)

15 cases, 7 new

Affected regions include: Interlake-Eastern (1, +0) and Winnipeg (12, +5)

Newly affected regions include: Southern Health (2)

Ages of cases include: <19 (0), 20s (0), 30s (3), 40s (3), 50s (3), 60s (3), 70s (2), 80s (1), 90s+ (0)

8 dedicated testing centers are now open effective today, 3/18

Check the Manitoba website at https://www.gov.mb.ca/covid19/index.html for locations and hours

Closures/Restrictions

Hospital and long term care visitors restricted to only exception circumstances (incl. end of life care)

Licensed child-care centers are closed effective 3/20

Casinos are closed effective 3/17

Health care workers and first responders who need child care due to school closures are advised to call  204-945-0776 or 1-888-213-4754

New Brunswick: last updated 3/18 9:45 am

8 cases, 0 new, 0 deaths

Affected areas include: Zone 1 (2), Zone 2 (1), and Zone 3 (5)

This is the only place I’ve seen thus far that has ZONES and it’s kind of fantastic. More places should have ZONES.

Affected ages include: <19 (1), 20s (2), 30s (0), 40s (0), 50s (3), 60s (0), 70s (0), 80s (0), 90s+ (0)

Closures/Restrictions

Schools are closed starting 3/16 for two weeks

Non essential businesses and public places are closed starting 3/17 until further notice

Hotline: 811 Telecare

Thank you NB for not actually making me watch daily hourlong news conferences to figure out what’s going on

Newfoundland & Labrador: last updated 3/18

3 cases, 2 new

Sorry that’s all the info I have ¯\_(ツ)_/¯

I’m working on finding more but the NL website sucks

Nova Scotia: last updated 3/17

7 cases, 0 new

Affected areas include: Halifax Regional Municipality (2)

Closures/Restrictions

Gatherings over 150 people are disallowed

Casinos are closed starting 3/16; VLTs are not allowed in bars

Childcare facilities are closed starting 3/17 through 4/3

Public schools are closed until 4/6

Long-term care facilities are closed to visitors until further notice

All incoming international travelers are required to isolate for 14 days upon arrival

Hospitals are limiting visitors but limitations vary by centre

Ontario: last updated 3/18 at 10:30 AM

189 cases (+12)

5 recovered & 1 death are included in this number

Affected public health units include: Durham (1, +0), Halton (1, +0), Hamilton (14, +5), Middlesex London (4, +2), Niagara (1, +0), Ottawa (3, +0), Peel (4, +0), Sudbury (1, +0), Toronto (11, +0), Wellington Dufferin Guelph (1, +0), York (7, +1)

Only cases from 3/16 on are counted under here based on how the site works

No hospitalizations since 3/16

Deaths are being reported in: Simcoe Muskoka (1, +1)

Ages of patients beginning 3/17 evening: <19, 20s, 30s, 40s (2, +2), 50s, 60s (1, +1), 70s (1, +1), 80s, 90s+

Newly affected public health units include: KFL&A (3) and  Simcoe Muskoka (1)

Closings/Restrictions

All schools, restaurants, libraries, childcare facilities, theaters, public venues, and recreational spaces are closed until 3/31

Events over 50 people (incl. parades and worship services) are prohibited until 3/31

Telehealth Ontario: 1-866-797-0000

P.E.I.: last updated 3/17 AM

1 case, in Queens County, connected to a cruise, no new cases

Closures/restrictions

Libraries and community events are closed/canceled

Child care facilities are closed for two weeks starting 3/17

Public schools are closed until April 6

General queries: call 1-800-958-6400

Business-related queries: call 1-866-222-1751

Québec: last updated 3/17 at 1 pm

74 cases, 24 new, no deaths

Affected regions include: Capitale Nationale (3, +1), Mauricie - Centre du Québec (3, +0), Estrie (9, +6), Montréal (22, +4), Chaudière-Appalaches (4, +0), Lanaudière (6, +3), Laurentides (7, +4), Montérégie (13, +3), and undetermined/outside Québec (7, +3).

State of health emergency as of 3/13

Closures/restrictions

Indoor gatherings of >250 people prohibited, many public buildings closed until further notice

Daycare/childcare facilities and all schools closed until 3/27

Elections scheduled for 3/15 have been rescheduled to after late April

Non-essential visits to hospitals and long-term care institutions are prohibited

Saskatchewan: last updated 3/17

8 cases (+2), no deaths

Ages affected: 20s (1), 30s (1), 40s (2), 50s (1), 60s (3)

Areas affected: Regina (5), northern SK (1), Saskatoon (2)

Saskatoon is an amazing name, thank you for this gift Canada

Hospitalizations: 1

Restrictions/Closures

School K-12 is suspended indefinitely effective 3/20

Gatherings >250 people are prohibited, except for distributed places (malls, universities, etc)

Public gatherings >50 people with attendees who have traveled internationally in the last 14 days are canceled/prohibited

Hospital and long term care visitors are only allowed in end of life care

Saskatchewan has a bad website. I had to read all their press releases for this data. Please, Saskatchewan, we can’t keep doing this.

Cuba: last updated 3/17

5 cases, 1 new

No community spread

Affected provinces include: Sancti Spiritus and Villa Clara

I do speak Spanish but the Cuban government is notoriously bad at internet so this data is from the WHO and news sources. If you know where I can get better data, please let me know.

Cuban doctors fucking rule. They are some of the best trained, most selfless physicians the world has.

France: last updated 3/17 at 3 pm

National hotline: 0 800 130 000

I actually speak French and for once that’s useful. Yay. *twirly finger*

Suck on that, google translate.

I am going to spend like, an hour tonight updating the relevant Wikipedia articles, pray for me

7,730 cases, 175 deaths

7,652 in France and 78 in overseas territories

Affected regions in France include: Auvergne-Rhône-Alpes (710), Bourgogne-Franche-Comté (549), Bretagne (247), Centre-Val de Loire (103), Corse (145), Grand Est (1,820), Hauts-de-France (612), Ile-de-France (2,177), Normandie (174), Nouvelle-Aquitaine (200), Occitanie (311), Pays de la Loire (126), Provence-Alpes-Côte d’Azur (478)

French regions have more hyphens than my last name

I’ve left these names in their French language forms, if it would be helpful to translate (e.g. Bretagne to Brittany, Corse to Corsica) I can do that, just let me know.

Affected overseas territories include: Guadeloupe (27), Saint-Barthélémy (3), Saint-Martin (3), Guyane (11), Martinique (19), Mayotte (3), La Réunion (12)

I’ve split out France vs overseas territories for both readability and geographic sense. More granular data will happen over the next few days as I get a handle on the situation there.

Don’t get me started on neocolonialism. We’d be here all day and then there wouldn’t be a newsletter.

Germany: last updated 3/18 at 10:30 am

Cases: 8,198 (+1,042), 12 deaths

Mortality rate: 0.2%

9.9 cases/100,000 population

Affected states are as follows: Baden-Württemberg (1609, +130), Bavaria (1,243, +134), Berlin (391, +46), Brandenburg (92, +19), Bremen (69, nice, +12), Hamburg (358, +48), Hesse (432, +59), Mecklenburg-West Pomerania (56, +11), Lower Saxony (478, +153), North Rhine-Westphalia (2,372, +267), Rhineland-Palatinate (474, +32), Saarland (88, +13), Saxony (198, +16), Saxony-Anhalt (105, +47), Schleswig-Holstein (159, +32), Thuringia (74, +23)

Wikipedia tells me this is all of them, I think

There are so many Saxonies

Deaths are reported in the following states: Baden-Württemberg (2), Bavaria (4), and North Rhine-Westphalia (6).

Heinsberg district in North Rhine-Westphalia is designated as an area particularly affected by the German government

Restrictions/Closures

Most schools and daycares are closed effective 3/16, this is a state by state basis and I don’t know where to find details. If you know, please message me so I can add it!

Borders with Austria, Denmark, France, Luxembourg, and Switzerland are closed as of 3/16.

Entry for all non-EU citizens is restricted to exceptional circumstances until 4/16

Citizens from the EU, UK, Iceland, Liechtenstein, Switzerland, and Norway are allowed to travel through Germany as of 3/18

And we’re back to the languages Emily doesn’t speak. S/o to Google Translate and also to Germany for translating some of their stuff

Stats are provided by the Robert Koch institute (named for the cool epidemiologist who showed how to prove that a particular thing causes a particular disease, not the shitty evil American capitalists)

This isn’t particularly important I just wanted to share how much I love Robert Koch and his Principles

Greece: last updated 3/18 at 6 pm

418 total cases (+31), 5 deaths (+0)

14 recoveries, 79 hospitalizations, 13 critical cases

Community spread is confirmed

Restrictions/Closures:

All arrivals to the country are required to isolate for 14 days

Beginning 3/19 at 6 am, the country is closed to non-Greek and EU nationals unless exceptional circumstances warrant

Parliament has suspended all committee meetings and restricted each party to one MP in attendance at a time, and will vote on one bill a week

Businesses are closed starting Wednesday 3/18, with the exception of gas stations, pharmacies, and groceries

Supermarkets are restricting the number of patrons to allow 1 person per 10 square meters

Migrant camps on various islands are on total lockdown for 2 weeks

Religion is canceled until 3/30

An MEP got raked over the coals for panic-buying. Please don’t be a dick and panic-buy. Thank you.

Note: I (still) do not speak Greek, and I therefore am struggling to find official data from somewhere more granular than the WHO. I’m sourcing most of this from the WHO and from Ekathimerini, but if you know where I can find better/more up to date info, please let me know. Thank you!

Ireland: last updated 3/17

292 total cases, 69 new (nice), 2 deaths (0 new)

Community transmission is confirmed

The following regional breakdown is available of the new cases: 48 eastern, 5 north/west, 3 west, and 13 southern

Restrictions/Closures

All pubs & bars are closed until March 29. House parties are discouraged.

Schools, colleges, and childcare facilities are closed until March 29

Indoor gatherings of >100 people and outdoor gatherings >500 people are prohibited

State run cultural institutions are closed until further notice

The Netherlands: last updated 3/18 at 2:15 PM

2051 confirmed cases, 58 deaths

346 new cases, 15 new deaths

408 hospitalizations (+94)

Average age of decedents is 79, with a range from 63 to 95

The report of a decedent aged 59 years was in error, this is now corrected

Provinces affected include: Drenthe (22, +5), Flevoland (30, +6), Friesland (18, +4), Gelderland (210, +37), Groningen (15, +5), Limburg (258, +61), North Brabant (728, +94), North Holland (167, +15), Overijssel (58, +13), Utrecht (174, +1), South Holland (232, +57), and Zeeland (26, +6).

There are 84 non-residents/unknown location patients

Flevoland is now known as Flavorland in my house. Does Guy Fieri live there? Uncertain.

I’m mad at the Netherlands for not reporting province numbers anymore and making me do a lot of math for like 2 hours

Restrictions/Closures

Schools, restaurants/bars, sports and fitness clubs, sex clubs, saunas, and childcare facilities are closed until April 6

New Zealand: last updated 3/18

20 cases, 7 new

Locations include: Auckland (10), Canterbury (1), Dunedin (3), Invercargill (1), and Waikato (2)

Ages include: <19 (1), 20s (1), 30s (3), 40s (7), 50s (1), 60s (5), 70s (2), 80s (0), 90s+ (0)

Exposures are reported on the following flights and in the following locations within 14 days:

NZ029 3/6, Houston to Auckland

NZ283 3/7, Singapore to Auckland

NZ675 3/8, Auckland to Dunedin

QR160 3/10 Denmark to Doha

QR920 3/10 Doha to Auckland

JQ225 3/10 Auckland to Christchurch

NZ007 3/13 San Francisco to Auckland

NZ828 3/14 Brisbane to Wellington

AA83 3/14 Los Angeles to Auckland

NZ828 3/14 Auckland to Wellington

Logan Park HS in Dunedin

Testing capacity: 770/day, expected to be 1500/day by the end of the week

Anyone coming into the country from anywhere except a small list of other Pacific islands is directed to self-quarantine for 14 days. This started on 3/16 at 0100 and is expected to continue for at least the next few weeks.

New Zealanders currently overseas should register with SafeTravel (https://register.safetravel.govt.nz/login)

Flu vaccines are being released starting 3/18, with extra vaccines being produced this year. The flu shot does not protect against COVID-19 but it does prevent against the flu, which needs to not be bad at the same time please.

Healthline number: 0800 611 116

Norway: last updated 3/18 at 10 pm local time

I still don’t speak Norwegian so if I screwed up lemme know

1585 cases, 6 deaths (+3)

85 hospitalized (+18), 18 critical (+3)

116 new cases during the 24h of March 17

Breakdown of cases by area: Agder (67, +0), Innlandet (97, +9), Møre og Romsdal (20, +0), Nordland (12, +1), Oslo (348, +19), Rogaland (161, +11), Troms og Finnmark (28, +4), Trøndelag (70, +9), Vestfold og Telemark (63, +4), Vestland (147, +6), and Viken (410, +52)

Ages are as follows: <19 (54), 20s (162), 30s (241), 40s (345), 50s (386), 60s (150), 70s (54), 80s (22), 90s+ (9)

Restrictions/closures

The whole country is under shelter in place type restrictions for two weeks. Hang in there, y’all.

Switzerland:  last updated 3/18 at 3 pm local time

3,028 cases (+378), 19 deaths (+5)

Restrictions/closures:

Whole country is on lockdown as of 3/16: no entry or exit until further notice (maximum of 6 months)

schools are closed until 4/19

all events are canceled

all personal service establishments are closed

Hospitals are deferring elective procedures.

United Kingdom in general: last updated 3/18 at 9 am

#milkshakeboris2k20

2,626 total cases (+34.7%), 676 are new today

103 total deaths (+48)

Nigel Farage (barf) wrote a really shitty editorial and I hope he gets milkshaked again.

Fucker.

He has a real punchable face, too bad human arms are shorter than 6 feet.

England: last updated 3/18 at 9 am

2,182 total cases, 625 new

Affected UTLAs with at least 10 cases are as follows: Barnet (27, +3), Bexley (17, +3), Birmingham (25, +5), Brent (45, +21), Bromley (32, +9), Buckingham (27, +4), Cambridge (14, +2), Camden (30, +10), Cornwall and Isles of Scilly (10, +0), Cumbria (34, +12), Devon (25, +1), Ealing (42, +21), Enfield (27, +17), Essex (27, +6), Gloucestershire (12, +1), Greenwich (19, +0), Hackney and City of London (29, +7), Hammersmith and Fulham (25, +2), Hampshire (77, +8), Haringey (29, +12), Harrow (40, +25), Hertfordshire (50, +14), Hillingdon (21, +5), Hounslow (24, +9), Islington (29, +18), Kensington (55, +6), Kent (21, +3), Lambeth (61, +18), Lancashire (15, +0), Leeds (12, +1), Lewisham (22, +4), Liverpool (12, +1), Manchester (18, +4), Merton (34, +21), Newham (23, +6), Northamptonshire (15, +3), Nottingham (14, +2), Nottinghamshire (28, +15), Oldham (12, +2), Oxfordshire (34, +9), Slough (13, +1), Southwark (70, +18), Staffordshire (14, +4), Stockport (10, +0), Surrey (39, +9), Sutton (12, +2), Tameside (12, +2), Tower Hamlets (25, +2), Trafford (14, +2), Walsall (14, +1), Wandsworth (59, +38), West Sussex (10, +0), Westminster (68, +10), and Wolverhampton (22, +4)

Newly affected areas or those that broke 10 cases today include: Barking and Dagenham (14), Brighton and Hove (11), Bristol (12), Croydon (32), Derby (11), Derbyshire (27), Dudley (10), East Riding of Yorkshire (10), Leicestershire (14), Newcastle (13), North Yorkshire (11), Sheffield (36), Suffolk (10), Waltham Forest (14), Warwickshire (10), Windsor and Maidenhead (10), and Wokingham (10)

I had to download an Excel spreadsheet situation for this, hopefully it is being updated the way I think it is. Let me know if these numbers are totally off.

Also, tomorrow I am planning to consolidate things into counties so it’s less wall of text.

I have been informed that Nottingham is the city and Nottinghamshire is the zone. Like, The Shire.

I have also been informed that Slough is pronounced like it rhymes with “plow”. My question of “are y’all okay” stands.

Deaths are not being reported by area yet. I’m working on this.

Scotland: last updated 3/18 at 2 pm

227 cases, 32 new

3 deaths, 1 new

Affected health boards are as follows: Ayrshire and Arran (9, +3), Borders (7, +0), Dumfries and Galloway (4, +3), Fife (8, +1), Forth Valley (15, +3), Grampian (24, +2), Greater Glasgow and Clyde (57, +8), Highland (5, +0), Lanarkshire (25, +4), Lothian (33, +3), Shetland (16, +1), and Tayside (24, +4)

Maybe this is all of them? Time will tell.

If anyone knows whether negative numbers are patients dying, being moved, or recovering, please let me know.

Wales: last updated 3/18 at 11 am

149 cases, 13 new

2 deaths, 0 new

Areas reporting deaths are: Swansea (1)

Because every area of Wales is now affected, the Welsh NHS will begin to report cases differently starting 3/19

Northern Ireland: last updated 3/18 at 2 pm

68 cases, 6 new

Health dept is not providing more detail than this at this time as far as I can tell

Apparently enough people have complained and they’re going to provide more information “later this week”

Watch this space!

US in general: updated 3/18 at 4 pm

7,038 total cases, 2,812 new (+66.5%)

97 deaths, 22 new (1.38% mortality rate)

54 jurisdictions are reporting cases: 50 states, DC, Puerto Rico, Guam, and US Virgin Islands

Shelter in place orders and curfews are coming into effect in lots of places

Alabama: updated 3/18 at 4:10 pm

51 cases, 12 new

0 deaths

Affected counties include: Baldwin (1, +0), Elmore (4, +2), Lee (8, +5), Jefferson (25, +4), Limestone (1, +0),  Madison (1, +0), Montgomery (2, +0), Shelby (4, +0), St. Clair (1, +0), and Tuscaloosa (3, +0).

Newly affected counties include: Calhoun (1)

State hotline: 1-888-264-2256

Alaska: updated 3/17 at 7 pm

6 cases, 3 new

No community spread

Affected regions include: Anchorage (2), Interior (3), Southeast (1)

Arkansas: updated 3/18

33 cases (+11), 0 deaths

Affected counties include: Cleburne, Cleveland, Desha, Garland, Jefferson, Lincoln, Pulaski, and Saline

Exact numbers by county are not available from the state department of health

Newly affected counties include: Bradley, Faulkner, Washington

Y’all have a county called YELL, that’s the best county name I’ve seen yet

State hotline: 1-800-803-7847

Arizona: updated 3/17 at 11:36 AM

27 cases, 7 new, no deaths

Affected counties include: Graham (1, +0), Maricopa (11, +2), Navajo (2, +1), Pima (5, +1), and Pinal (8, +3)

Community spread is confirmed in: Maricopa, Pima, and Pinal counties

Closures/Restrictions:

“Strong recommendation” that restaurants in areas of community spread close their dine-in services

Recommendation to cancel/postpone gatherings >10 people

Schools are closed through 3/27

State hotline (rolled into poison control): 844-542-8201

California: last updated 3/17 at 6 pm (state website; county websites are updated more recently)

Total cases not including the ones at Miramar (discussed below): 598 (+126), with 13 total deaths (+2)

The following counties report deaths: Los Angeles (1, +0), Placer (1, +0), Riverside (3, +0), Sacramento (2, +0), San Benito (1, +1), San Joaquin (2, +2) San Mateo (1, +0), Santa Clara (6, +2)

The following counties report recoveries: Humboldt (1), San Benito (2)

The following counties report numbers of hospitalizations: Los Angeles (2), San Diego (10, +1), Santa Clara (56, +0), Tulare (1, +0), Yolo (2, +1)

Affected counties include: Alameda (31, +4), Amador (1, +0), Calaveras (2, +0), Contra Costa (41, +2), Fresno (3, +1), Humboldt (1, +0), Imperial (2, +0), Los Angeles (190, +46), Madera (1, +0), Marin (15, +6), Monterey (2, +0), Nevada (1, +0), Orange (42, +13), Placer (9, +1), Riverside (16, +1), Sacramento (40, +0) San Benito (5, +2), San Bernardino (5, +2), San Diego (75, +24), San Francisco (51, +8), San Joaquin (14, +1), San Luis Obispo (7, +4), San Mateo (80, +16), Santa Barbara (3, +1), Santa Clara (175, +20), Santa Cruz (13, +0), Shasta (1, +0), Solano (8, +0), Sonoma (8, +2), Stanislaus (5, +2), Tulare (5, +2), Ventura (13, +3), and Yolo (5, +1)

Note regarding San Diego: The five federally quarantined people are not included in the county statistics. Cases of non-residents diagnosed in San Diego are included.

Unaffected counties include: Alpine, Butte, Colusa, Del Norte, El Dorado, Glenn, Inyo, Kern, Kings, Lake, Lassen, Mariposa, Merced, Modoc, Mono, Napa, Plumas, Sierra, Siskiyou, Sutter, Tehama, Trinity, Tuolumne, and Yuba

Thank you in particular to Merced County for putting out a press release every single day to say that you still have no cases

Counties with confirmed community transmission include: Los Angeles, Marin, Orange, Riverside, Sacramento, San Francisco, San Joaquin, Santa Clara, Sonoma, and Yolo

Newly affected counties include: Mendocino (1)

New community transmission in: Tulare

Closures/Restrictions by County

Alameda: Shelter in Place until 4/7

Alpine: County activities are canceled, schools closed, no non-essential services

Contra Costa: Shelter in Place until 4/7

Del Norte: Schools closed through 4/20

El Dorado: Schools closed through 3/20

Los Angeles: gatherings >50 people prohibited

Marin: Shelter in Place until 4/7

Mendocino: Shelter in place until 4/7

Mono: Schools closed through 3/30, Alterra Mountain closed, libraries closed through 3/31

Monterey: Shelter in Place beginning 3/18 until 4/8

Napa: Shelter in Place until 4/7

Nevada: Schools are closed until 4/13, libraries closed until 4/12

Orange: Shelter in Place until 3/31

Riverside: Schools & daycares are closed, gatherings >10 people prohibited

Sacramento: Shelter in Place until further notice

San Benito: Shelter in Place until 4/7

San Bernardino: County operated attractions are closed

San Diego: gatherings >50 people prohibited, restaurants are carry-out and drive through only, all schools are closed, and entertainment establishments are closed

San Francisco: Shelter in Place until 4/7

San Luis Obispo: Alcohol sales on site are banned through 3/18

San Mateo: Shelter in Place until 4/7

Santa Barbara: Dining is takeout/drive through only

Santa Clara: Shelter in Place until 4/7

Santa Cruz: Shelter in Place until 4/7

Siskiyou: gatherings >50 prohibited, hospital/LTAC visitors prohibited

Solano: Shelter in place until further notice

Stanislaus: Gatherings of >1000 people are prohibited indoor and outdoor from 3/16 to 3/31

Sutter: Shelter in place

Tuolumne: Schools are closed through 4/13

Ventura: All schools and public libraries are closed starting 3/16 until further notice, nonessential businesses closed until 4/1, and those 75 and older should shelter in place

Yolo: Shelter in place until 4/7

Yuba: Shelter in place

Counties with no closures/restrictions beyond those mandated by the state: Alpine, Amador, Butte, Calaveras, Colusa, Fresno, Glenn, Humboldt, Imperial, Inyo, Kern, Kings, Lake, Lassen, Madera, Merced, Modoc, Placer, Plumas, San Joaquin, Shasta, Sierra, Solano, Tehama, Trinity, and Tulare

Drive through testing is available in Marin County

Colorado - last updated 3/18 at 4:00 pm

183 cases (+33)

2 deaths (+0)

26 hospitalizations (+6)

Counties reporting deaths include: El Paso (1) and Larimer (1)

Affected counties include: Adams (10, +2), Arapahoe (22, +4), Boulder (7, -1), Clear Creek (2, +0), Denver (43, +5), Douglas (11, +0), Eagle (39, +5), El Paso (8, +2), Garfield (2, +0), Gunnison (11, +0), Jefferson (25, +8), Larimer (4, +3), Mesa (1, +0), Pitkin (11, +0), Pueblo (1, +0), Routt (2, +0), Summit (4, +1), and Weld (9, +0)

3 cases are designated “unknown”

Out of state visitors are now included in the tally of the county where they were diagnosed/are being treated

Confirmed community spread

Newly affected counties include: Grand (1)

Drive through testing is available in: Denver and Lowry

Residents of Gunnison, Eagle, Summit, Pitkin are recommended to minimize social contact due to potential exposures

Anyone who visited the Colorado Springs Bridge center in late Feb-early Mar may have been exposed, call the DPH for more information

Closures/restrictions

Public places are closed, restaurants are takeout only until 4/16

Gambling is canceled

Schools are iffy, check your local district news

Connecticut - last update 3/18 at 4:30 pm

96 cases, 28 new

The following counties are affected: Fairfield (69, +21), Hartford (11, +4), Litchfield (5, +0), New Haven (10, +2)

Apparently there’s at least 5 counties

nice

Newly affected counties include: Middlesex (1)

Restrictions/Closures

No gatherings >50 people until further notice

Nursing home visits restricted

Schools closed through 3/30 and 180 day school year is waived

Restaurants are carryout/drive through only through 4/30

All “places of public amusement” closed through 4/30

Gambling is canceled until the end of April

Malls are closed 3/19-4/30

AccessHealth Connecticut has announced a new special enrollment period for health insurance. If you are uninsured in CT, you can get insured now. Visit the state health department at portal.ct.gov/coronavirus for more information.

State has put in place increased telehealth provisions

Delaware: last update 3/18 at 3:50 pm

26 cases (+10), 0 deaths

Affected counties include: Kent (3, +3), New Castle (20, +3) and Sussex (3, +2).

Kent reported first cases 3/18

Restrictions/closures:

Events over >100 people are encouraged to cancel/reschedule

Schools closed through 3/27

District of Columbia: last update 3/18 at 7 pm

39 cases (+8), no deaths

Public transit fees are decreasing and being waived in some areas

DC Circulator is closed on the National Mall route effective 3/19

Restrictions/Closures

Food service/drinking establishments are restricted to <250 people, <6 people/table, no standing or bar seating, and tables separated by 6 feet

Nightclubs etc are closed

Most government stuff is telework so if you want to report a Ponzi scheme you have to email them or call them

Florida - last updated 3/18 at 6:02 PM

328 (+112) cases and 8 deaths (+1)

Community transmission remains unconfirmed but highly likely

Affected counties  include: Alachua (7, +1), Brevard (2, +1) Broward (80, +25), Charlotte (1, +0), Citrus (3, +1), Clay (4, +0), Collier (13, +6), Duval (14, +4), Escambia (1, +0), Hillsborough (14, +5), Lake (2, +1), Lee (11, +4), Manatee (8, +1), Miami-Dade (77, +34), Nassau (1, +0) Okaloosa (4, +2), Orange (11, +5), Osceola (8, +1), Palm Beach (21, +8), Pasco (3, +1), Pinellas (12, +8), Polk (2, +1), Santa Rosa (1, +0), Sarasota (4, +0) Seminole (7, +3), St. Johns (4, +1) Volusia (9, +0)

Newly affected counties include: Gadsden (1), Leon (1), Sumter (1), and Walton

State hotline/call center:  1 (866) 779-6121

Closures/ Restrictions:

Schools are closed until 4/15 at the earliest, distance learning begins 3/30

Georgia: last updated 3/18 at 11:38 AM

197 cases (+51), 1 death (+0)

Affected counties include: Barrow (1, +0), Bartow (19, +9), Charlton (1, +0), Cherokee (9, +2), Clayton (6, +2), Clarke (5, +2), Cobb (28, +3), Columbia (1, +0), Coweta (3, +0), Dekalb (18, +3), Dougherty (7, +0), Fayette (8, +3), Floyd (6, +0), Forsyth (2, +1), Fulton (49, +16), Gordon (3, +1), Gwinnett (7, +0), Hall (3, +2), Henry (2, +0), Lowndes (5, +1), Lee (2, +0), Newton (3, +2), Paulding (3, +2), Polk (1, +0), Richmond (1, +0), and Troup (2, +0)

Newly affected counties include: Houston (1) and Whitfield (1)

Closures/Restrictions

USG universities are closed through 3/29 and will be online after that for the semester

Athens-Clarke County has instituted a shelter in place policy until 4/7 and no gatherings over 10 people are to be held in the county until 4/7

Hotline for the state: 844-442-2681

Hawaii: last updated 3/18 at 12 PM

Total cases: 16

Total deaths: 0

Affected counties: Hawaii (1), Honolulu (10), Kauai (2), Maui (3)

State hotline is Aloha United Way: 211

Dear Hawaii, I was going to be mad at you for your website being hard to navigate but then you automatically alphabetized things and I forgave you. Love, Emily

Idaho: last updated 3/18 at 8:30 am

Total cases: 11

Total deaths: 0

Affected counties: Ada (3), Blaine (5), Madison (1), Teton (1), and Twin Falls (1)

Illinois: last updated 3/18

288 confirmed cases (+128), 1 death (+0)

Confirmed community spread

Affected counties include Champaign (1, +0), Clinton (3, +1), Cook (178, +71), Cumberland (1, +0), DuPage (45, +19), Kane (4, +1), Lake (18, +11), McHenry (4, +2), Peoria (3, +2), Sangamon (3, +0), St. Clair (3, +1), Whiteside (1, +0), Will (3, +1), Winnebago (1, +0), and Woodford (1, +0)

Deaths are reported in the following counties: Cook (1)

Newly affected counties include: Kendall (2), Madison (1)

Closings/Restrictions

Bars and restaurants are closed (except for carryout and drive through) until 3/30

All gatherings >50 people prohibited

Gyms/fitness centers/clubs/theaters are closed

DMV is closed (yay)

Schools are closed through 3/31 statewide

Indiana: last updated 3/17

C’mon Indiana. C’mon. You were doing so well yesterday with your readable website.

It’s 9:15 PM your time. Update your ding dang website.

39 cases (+9), 2 deaths (+0)

Affected counties include: Adams (1, +0), Bartholomew (1, +0), Boone (1, +0), Floyd (1, +0), Franklin (2, +0), Hamilton (2, +0), Hendricks (4, +1), Howard (2, +0), Johnson (3, +0), Lake (3, +1), La Porte (1, +0), Marion (11, +2), Noble (1, +0), St. Joseph (1, +0), and Wells (1, +0)

Deaths are being reported in the following counties: Johnson (1) and Marion (1)

Newly affected counties include: Clark (1), Fayette (1), Jennings (1) and Madison (1)

Iowa: last updated 3/18 at 5:39 pm

38 cases (+9)

Affected counties include: Adair (1, +0) Allamakee (2, +0), Black Hawk (1, +0), Carroll (1, +0), Dallas (5, +2), Harrison (1, +0), Johnson (21, +3), Polk (3, +2), and Pottawattamie (1, +0)

Newly affected counties include: Washington (1) and Winneshiek (1)

Community spread confirmed

Closures/restrictions

Schools closed for 4 weeks starting 3/16

Public places closed, restaurants carryout only until further notice

Kansas: last updated 3/18 at 10 am

21 confirmed cases (+5), 1 death

Affected counties include: Butler (1, +0), Douglas (1, +0), Franklin (1, +0), Johnson (11, +1), and Wyandotte (5, +2)

Newly affected counties include: Leavenworth (2)

Deaths are being reported in the following counties: Wyandotte (1)

Community spread confirmed

Closures/Restrictions

Schools closed statewide for the rest of the school year

KU and Washburn are fully online for the rest of the academic year

Gatherings >50 people prohibited

Public places must maintain a 6ft bubble

Travelers to affected areas (basically everywhere) must self-quarantine for 14 days upon arrival

Phone line:  1-866-534-3463

Kentucky: last updated 3/18 at 4 pm

35 cases (+8), 1 death (+0)

Counties reporting deaths: Bourbon (1)

Counties reporting recoveries: Harrison (1)

Affected counties include: Bourbon (2, +1), Clark (2, +1), Fayette (6, +0), Harrison (7, +1), Jefferson (11, +2), Lyon (1, +0) Montgomery (2, +1), and Nelson (1, +0).

Newly affected counties include: Franklin (1), Kenton (1), and Warren (1).

Closures/Restrictions

Restaurants and bars closed to in-person service

State Capitol closed to non-essential personnel

Entertainment/nonessential services are closed

Schools are closed statewide

Phone line: (800) 722-5725 (rolled in with poison control)

Louisiana: last updated 3/18 at 5:30 pm

280 cases reported, 84 new

7 deaths, 3 new

Parishes affected:  Ascension (1, +0), Bossier (2, +1), Caddo (6, +2), East Baton Rouge (3, +2),  Jefferson (45, +10), Lafourche (3, +1), Orleans (196, +60), St. Bernard (3, +1), St. Charles (3, +0), St. John the Baptist (2, +1), St. Tammany (10, +4), Terrebonne (3, +0), and Washington (1, +0)

2 cases are unassigned to a parish

Parishes reporting deaths: Jefferson (1, +1) and Orleans (6, +2)

Maine: last updated 3/18 at 12:50 pm

42 cases, 0 deaths

Recoveries are being reported by the following counties: Androscoggin (1)

Affected counties include: Androscoggin (3), Cumberland (24), Kennebec (1), Lincoln (3), Oxford (1), Penobscot (1), and York (2)

7 cases are unassigned to a county

Affected ages include: <19 (2), 20s (2), 30s (4), 40s (7), 50s (9), 60s (8), 70s (7), and 80+ (3)

Closures/ Restrictions

Bars and restaurants carryout only until 3/31

Gatherings >10 people prohibited

Nonessential businesses recommended to close until 3/31

Schools are recommended to become remote as soon as is feasible

State hotline: 1-866-811-5695

Maryland: last updated 3/18 at 10 am

85 cases (+28), 0 deaths

Counties affected: Anne Arundel (4, +1), Baltimore (10, +4), Baltimore City (4, +3), Carroll (1, +0), Charles (2, +1), Frederick (1, +0), Harford (3, +1), Howard (8, +5), Montgomery (31, +7), Prince George’s (20, +6), Talbot (1, +0)

Community spread confirmed

Exposure risk advisory for Lorien Elkridge

Closures/restrictions

Casinos, racetracks and other gambling situations are closed

Gatherings >250 people prohibited

All schools closed through 3/27

Senior centers closed until further notice

Elections postponed - vote by mail implemented for urgent elections

Massachusetts: last updated 3/18 at 4 pm

256 cases (+38)

Affected counties include: Barnstable (2, +0), Berkshire (17, +3), Bristol (5, +0), Essex (14, +6), Hampden (2, +1), Middlesex (100, +11), Norfolk (45, +2), Plymouth (5, +0) Suffolk (51, +9), and Worcester (10, +2)

4 cases of undetermined location

Newly affected counties include: Franklin (1)

27 hospitalizations (+6)

Michigan: last updated 3/18 at 2 pm

80 cases (+15), 34 hospitalizations (+9), 0 deaths

Affected counties include: Bay (1, +0), Charlevoix (1, +0), Ingham (2, +0), Jackson (1, +0), Kent (5, +0), Leelanau (1, +0), Macomb (10, +2), Monroe (1, +0), Montcalm (1, +0), Oakland (23, +7), Otsego (1, +0), Ottawa (1, +0), St. Clair (2, +0), Washtenaw (7, +0), and Wayne (23, +7)

Wayne County includes Detroit (13 cases, +5)

Two employees of the corrections department have tested positive

Jackson County Probation Office and Detroit Detention Center have both been exposed, contact the health department if you have been exposed

Closures/Restrictions

Bars and restaurants are carryout/drive through only

Public spaces (casinos, theaters, etc) closed

Public offices open by appt only

Guns are canceled unless you’re doing hunting

Yurts are canceled until 5/15

(so are other small cabin/camping type things)

Minnesota: last updated 3/18 at 12:00

77 cases (+17)

Affected counties include: Anoka (2), Benton (1), Blue Earth (1), Carver (2), Dakota (7), Hennepin (30), Olmstead (6), Ramsey (6-20), Renville (1-2), Stearns (3-5), Waseca (1-2), Washington (1-2), and Wright (1-2)

We’re still working with some ranges because not all counties provide counts and there’s conflicting news reports. I will continue to try to sort this out.

Community spread confirmed in Hennepin County & the greater metropolitan area of Minneapolis-St.Paul

Newly affected counties include: Martin, Nicollet, and Scott

Closures/Restrictions

Anoka County has closed all public-facing county services until 3/30

Dakota County has closed all public-facing county services until 4/1

Hennepin County has closed all public-facing county services until 4/6

Schools are closed statewide through 3/27

Metro Transit (Twin Cities) has suspended service 11pm to 4am

Drive through testing in Carver county is temporarily halted due to nationwide shortages, but the Mayo Clinic is planning to open a bunch of testing facilities

Mississippi: last updated 3/18

34 cases, 13 new, 0 deaths

Affected counties include: Copiah (2, +0), Forrest (3, +0), Hancock (2, +1), Harrison (4, +3), Hinds (6, +0), Jackson (1, +0), Leflore (4, +0), and Pearl River (4, +2)

Newly affected counties include: Bolivar (2), Coahoma (2), DeSoto (1), Madison (1), and Perry (1)

State hotline: 877-978-6453

Missouri last updated 3/18 at 7 pm

24 (+11) cases, 1 death

Counties reporting deaths include: Boone (1)

*** NOT UPDATED BY STATE HEALTH DPT SINCE 3/17*** Affected counties include: Boone (1), Cass (2), Cole (1), Greene (4), Henry (1), Jackson (1), St. Louis City (1), St. Louis County (4)

Hotline: 877-435-8411

Montana: last updated 3/18 at 8:15 am

10 cases (+2)

Affected counties are not being reported at this time by the state. Montana has a million counties and due to the Netherlands Spreadsheet Incident of My Entire Afternoon, I didn’t have the time to figure this one out. TBH I’m hoping the state health department does it for me because it’s their job.

Closures/Restrictions

Public schools closed until 3/30

Many counties have closed courts & public-facing services

State of Emergency

Nebraska: last updated 3/17

Community transmission confirmed: many locations in Douglas County are potential places where transmission has occurred; if you live or have traveled to Douglas County (Omaha), please check the Douglas County COVID-19 monitoring site at: https://www.douglascountyhealth.com/latest-news.

There were also two exposures in Knox County on March 5, at basketball games at Lincoln Southwest HS and North Star HS.

27 cases (+6), no deaths

Affected counties include: Cass (1, +0), Douglas (21, +3) and Knox (2, +1)

Newly affected counties include: Sarpy (1) and Lincoln (1)

Hotline (bling): (402) 552-6645

Nevada

55 cases

Community spread confirmed

Restrictions/closures

Gatherings >10 people recommended to cancel

Governor asks Nevada citizens to stay home for 30 days and nonessential businesses to close

Gambling is canceled, sorry Vegas

Weed is now delivery only, but at least there’s weed delivery now?

Nevada wins worst website for a state health department in America and that’s a really fucking low bar

New Hampshire: last updated 3/18 at 9 AM

39 cases (+13), 0 deaths

Affected counties include: Carroll (4, +3), Grafton (7, +0), Hillsborough (8, +4), and Rockingham (17, +3)

Nashua (1, +0) and Manchester (4 new) are included in Hillsborough county totals

Newly affected counties include: Belknap (2), Merrimack (1)

Exposure reported at the Manchester DMV on 3/2, 3/3, 3/4, 3/5, and 3/10.

My desire to avoid the DMV at all costs continues to be vindicated

Governor Sunununununununu implemented takeout/delivery beer and wine

Hell yeah

Telehealth services expanded throughout the state

New Jersey : last updated 3/18 at 2 pm

427 cases (+160), 4 deaths (+2)

Deaths seem to have disappeared from the state website, if you have any information that may lead to the whereabouts of NJ mortality stats, contact your friendly internet Emily immediately.

These are the ones I could find from the news

Affected counties include: Bergen (114, +30), Burlington (10, +5), Camden (8, +5), Essex (45, +13), Hudson (34, +10), Hunterdon (6, +2), Mercer (15, +9), Middlesex (40, +18), Monmouth (32, +10), Morris (19, +12), Ocean (8, +5), Passaic (18, +8), Somerset (16, +8), and Union (26, +11)

Newly affected counties include: Atlantic (3) and Gloucester (2).

Closures/Restrictions:

No gatherings >50 people

Restaurants, bars, entertainment venues, and other public spaces are closed

Curfew in effect from 8 pm to 5 am, anyone out without a valid reason is committing a misdemeanor and is also a total dick, don’t expose people

This means you, assholes having a wedding with a million people.

New Mexico: last updated 3/18

Total cases: 28

Restrictions/Closures

Gatherings >10 people prohibited until 4/10

All nonessential businesses are to close their public-facing activities until 4/10

There’s a new law that says “stop hoarding you assholes”, technically in effect til 4/10 but really valid forever

New York: last updated 3/17 at 7:30 PM

2,382 cases (+1,008), 10 deaths

Affected counties include: Albany (36, +13), Allegany (2, +0), Broome (1, +0), Clinton (1, +0), Delaware (1, +0), Dutchess (20, +4), Erie (7, +0), Greene (2, +0), Herkimer (1, +0), Monroe (14, +4), Montgomery (2, +1), Nassau (183, +52), Onondaga (2, +0), Ontario (1, +0), Orange (32, +17), Putnam (2, +0),  Rensselaer (4, +3), Rockland (30, +8), Saratoga (14, +5), Schenectady (14, +9), Suffolk (116, +32), Sullivan (1, +0), Tioga (1, +0), Tompkins (3, +1), Ulster (9, +1), Westchester (538, +158), and Wyoming (1, +0)

NYC has 1871 cases (+1227) as of 3/18 at 6 pm

Areas/counties reporting deaths are: NYC (7) and Rockland (1)

I can’t find records of all of the deaths. If you have info about deaths occurring due to COVID19 in NY state, please let me know.

These numbers don’t add up with the NYC cases because NYC updates after NY State. Sorry.

Newly affected counties include: Chenango (1) and Hamilton (1)

Drive through testing in New Rochelle, all boroughs of NYC, Long Island, and Rockland County

Closures/Restrictions

Bars, restaurants, entertainment venues closed

No gatherings >50 people

Public schools closed until 4/1

Village elections delayed until 4/28

Stop price gouging, assholes

Uber, Lyft, taxis all banned until further notice

NYC turned some hotels into temp hospitals, in an effort to create 1300 new hospital beds

The Navy is sending the USNS Comfort to New York Harbor to provide additional hospital beds.

New legal protections and stuff from the state came down today

Job protection and pay are guaranteed for those quarantined

Permanent comprehensive sick leave policy

If you are a retired doctor or nurse, New York needs you. Like, real bad. Contact the state or local health dept to see how you can help.

No evictions until this outbreak is over

North Carolina: last updated 3/18 at 10:44 AM

63 cases (+23), 0 deaths

Affected counties include: Brunswick (1, +0), Cabarrus (1, +0), Chatham (3, +2), Craven (1, +0), Durham (12, +11), Forsyth (2, +0), Harnett (4, +1),  Iredell (1, +0), Johnston (2, +0), Mecklenburg (11, +4), Onslow (1, +0), Sampson (1, +0),  Wake (17, +2), Watauga (1, +0), Wayne (1, +0), and  Wilson (1, +0).

Newly affected counties include: Guilford (1), Lincoln (1)

Advisory for an exposure at Raleigh convention center on March 8

Please call Wake County if you were there, they are tracking exposures

Closures/Restrictions

Schools are closed statewide until 3/30

Events >100 people canceled

Restaurants and bars are closed

North Dakota

7 cases, 0 deaths, 0 hospitalizations

Affected counties include: Burleigh (2), Cass (1), Morton (2), and Ward (2)

Ohio: last updated 3/18 at 2 pm

88 confirmed cases (+21)

26 hospitalizations (+8)

Affected counties include: Belmont (2, +0), Butler (8, +2), Coshocton (2, +0), Cuyahoga (38, +7), Franklin (7, +3), Geauga (1, +0), Lake (2, +1), Lorain (6, +2), Lucas (1, +0),  Mahoning (3, +2), Medina (4, +1), Stark (3, +0), Summit (4, +0), Trumbull (2, +0), Tuscarawas (1, +0)

Newly affected counties include: Ashland (1), Darke (1), Delaware (1), Huron (1)

Darke County is so goth

Closures/Restrictions

Bars/restaurants are closed

Gatherings >50 people canceled

Nonessential businesses are closed

Oklahoma: last updated 3/18 at 7 AM

29 cases, 0 deaths

Affected counties include: Cleveland (4), Jackson (1), Kay (2), Oklahoma (14), Payne (1), Tulsa (4), Pawnee (1)

2 cases were identified in Canadian nationals

...Unless Oklahoma has a county called “Canadian”. That wouldn’t be the weirdest name of an American county in all honesty

Oregon: last updated 3/18 at 8 AM

75 cases (+10), 3 deaths (+2)

Counties reporting deaths: Lane (1), Multnomah (1), and Washington (1)

Hospitalization data is no longer being provided by the state health department.

The following counties are affected: Benton (3, +1), Clackamas (6, +0), Deschutes (6, +0), Douglas (1, +0), Jackson (2, +0), Klamath (1, +0), Linn (15, +0), Marion (8, +4), Multnomah (3, +0), Polk (1, +0), Umatilla (2, +0), Washington (23, +2), and Yamhill (2, +1)

Newly affected counties include: Lane (2)

Courts are effectively closed down (Level 3 restriction)

Pennsylvania: last updated 3/18 at 3 pm

133 total cases (+37), 1 death (+1)

Counties reporting deaths include: Northampton (1)

Counties affected include: Allegheny (11, +4), Beaver (2, +1), Bucks (9, +1), Chester (9, +5), Cumberland (10, +0), Delaware (14, +5),  Lehigh (1, +0), Luzerne (1, +0), Monroe (7, -1), Montgomery (42, +10), Northampton (1, +0), Philadelphia (17, +7), Pike (2, +1), Washington (2, +0), Wayne (1, +0)

Newly affected counties include: Berks (1), Lackawanna (1), and York (2)

Closures/restrictions:

Restaurants and bars are closed statewide except takeout/delivery

Nonessential businesses are closed statewide

All liquor stores are closed statewide. This is going to end badly.

GRITTY HAS DONE DARK MAGICKS TO ACQUIRE TOILET PAPER https://twitter.com/GrittyNHL/status/1239998209755357185?s=20

Rhode Island: last updated 3/18

33 confirmed cases (+12), no deaths

Chanston High School West had an exposure; 1700 people are currently quarantined after this exposure

RIDOH is not providing more information than this, if you have more details please send me a tip

South Carolina: last updated 3/18 at 4 pm

60 cases (+13), 1 death (+0)

Affected counties include: Anderson (2, +0), Beaufort (6, +2), Calhoun (1, +0), Charleston (4, +1), Fairfield (1, 0), Greenville (3, +1), Horry (5, +1), Kershaw (25, +3), Lancaster (2, +0), Lexington (4, +1), Richland (4, +3), Spartanburg (1, +0), and York (1, +0)

Deaths are reported in the following counties: Lexington (1)

Newly affected counties include: Lee (1)

South Dakota: last updated 3/18

11 confirmed cases (+0),  1 death (+0)

Affected counties include: Beadle (1, +0), Bon Homme (1, +0), Charles Mix (1, +0), Davison (1, +0), McCook (1, +0), Minnehaha (5, +0), and Pennington (1, +0)

Closures/Restrictions:

Schools closed week of 3/16

Tennessee: last updated 3/18 at 2 pm

98 (+25) cases, no deaths

Affected counties include: Campbell (1, +0), Davidson (58, +16), Hamilton (1, +0), Jefferson (1, +0), Knox (2, +0), Rutherford (1, +0), Sevier (1, +0), Shelby (4, +2), Sullivan (1, +0), and Williamson (24, +3)

Newly affected counties include: Sumner (2)

Closures/Restrictions

Schools closed through 3/31

Expanded unemployment relief as of 3/17

Texas: last updated 3/18 at 12 PM

83 (+19) total cases, 2 death (+1)

Affected counties include: Bell (1, +0), Bexar (4, +1), Brazoria (2, +0), Collin (6, +0), Dallas (15, +6), Denton (4, +3), El Paso (3, +0), Fort Bend (9, +0), Galveston (2, +1), Gregg (1, +0), Harris (10, +0), Hays (1, +0), Lavaca (1, +0), Matagorda (1, +0), Montgomery (3, +0), Smith (5, +2), Tarrant (5, +2), Travis (4, +1), and Webb (1, +0)

Newly affected counties include: Bowie (1), Brazos (1), Medina (1), Rusk (1)

Should have gone to space, Major Tom

Too soon, probably :(

1 case is pending county assignment

Restrictions/Closures:

San Antonio has closed restaurants and bars

Utah: last updated 3/18 at 12:45 pm

63 cases (+12)

Affected health districts include:  Bear River (1, +0), Davis County (6, +2), Salt Lake County (24, +2), Southwest Utah (1, +0), Summit County (22, +7), Tooele (1, +0), Utah County (2, +1), Wasatch County (2, +0), and Weber-Morgan (4, +0)

Community spread confirmed in the following counties: Summit and Utah

Exposure at Wasatch High School identified

Schools, Mormonism, skiing, and restaurants are canceled until further notice

The zoo and a bunch of museums are canceled too :(

Now graduation is canceled for public schools & universities

Vermont: last updated 3/18 at 2 PM

19 cases total (+2)

Affected counties include: Bennington (3), Chittenden (4), Orange (1), Springfield (1), Washington (1), and Windsor (3)

County by county data was not updated on 3/17 or 3/18

Hospitalizations are reported in the following counties: Bennington (3), Chittenden (1), Springfield (1), Washington (1), Windsor (1)

Closures/restrictions:

No gatherings >50 people or >50% capacity, whichever is lower

Schools are closed starting 3/18

Bars/restaurants are closed until 4/6

Virginia: last updated 3/18

77 cases (+10)

Affected counties/cities include: Alexandria City (2, +0), Arlington (14, +1), Charlottesville City (1, +0), Chesterfield (5, +1), Fairfax (14, +2),  Goochland (1, +0), Hanover (1, +0), Harrisonburg City (1, +0), Henrico (2, +0), James City (13, +1), Loudoun (5, +0), Prince Edward (1, +0), Prince William (4, +0), Spotsylvania (1, +0), Stafford (2, +1), Virginia Beach City (4, +0), Williamsburg City (1, +0), and York (1, +0)

Newly affected areas include: Charles City (1) and Richmond City (3)

State of Emergency declared on 3/12

Washington State: Last updated 3/18 at 3:25

1187 total cases (+175), 66 deaths (+14)

Current mortality rate: 5.6%

Deaths have occurred in the following counties: Clark (3, +1), Grant (1, +0), King (56, +13), and Snohomish (6, +0).

Affected counties include: Chelan (2, +0), Clark (4, +0), Columbia (1, +0), Grant (8, +1), Grays Harbor (1, +0), Island (16, +2), Jefferson (4, +1), King (562, -7), Kitsap (9, +2), Kittitas (4, +1), Klickitat (1, +0), Lewis (1, +0), ,Lincoln (1, +0), Pierce (56, +11), Skagit (14, +5), Snohomish (310, +56), Spokane (4, +0), Thurston (6, +1), Whatcom (7, +1), and Yakima (7, +2).

167 cases are currently unassigned to a county

Newly affected counties include: Franklin (1) and Mason (1)

Closures/restrictions: widespread, will have county-by-county info soon.

Hotline: 1-800-525-0127

West Virginia: last updated 3/18

2 cases, 0 deaths

Affected counties include: Eastern Panhandle (1), Mercer (1)

Unclear if Eastern Panhandle is a county but it certainly tells me where the fuck it is in the state, which is about a million times more useful than the 8 bajillion counties named Jefferson or whatever

Closures/Restrictions

The DMV limited number of customers at a time, somehow making the concept of a DMV even more hellish

Gambling is canceled

Restaurants and bars are takeout only

Wisconsin: last updated 3/18 at 2 PM

106 total cases (+34), 0 deaths

Recovery is being reported by the following counties: Dane (1)

This is updated every Friday, next update expected 3/20

Affected counties include: Dane (23, +4), Fond du Lac (12, +1), Kenosha (4, +0), Milwaukee (47, +23), Outagamie (1, +0), Pierce (1, +0), Racine (1, +0), Sheboygan (4, +1), Waukesha (5, +1), Winnebago (3, +0), and Wood (1, +0)

Newly affected counties include: Brown (1) and Washington (2)

Community spread is confirmed in the following counties: Dane, Kenosha, and Milwaukee

Closures/restrictions

Schools closed starting 3/18 for minimum of two weeks

No gatherings >10 people until further notice

West Bend county has closed schools until 4/13

Washington County has closed schools until 4/13

UW-Milwaukee and Madison have gone to remote learning as much as possible

Wyoming: last updated 3/18

18 cases (+7)

Affected counties include: Fremont, Laramie, and Sheridan

Newly affected counties include: Park and Teton

Today’s Hot Tips Make sure you know what your local area classifies as an “essential” business. They vary from place to place.

Hand Washing Song of the Day

If you hate singing happy birthday while you wash your hands, try Waterloo on for size!

Sorry Mom, I’m sad about Eurovision being canceled. You can find a different song you don’t hate.

Sing the first verse and chorus to follow CDC handwashing guidelines! Use soap and water with bad 70s-esque dancing for maximum efficacy and embarrassment of anyone stuck at home/work with you.

Good News, Everyone!

PENGUIN ADVENTURES CONTINUE!!!

https://twitter.com/shedd_aquarium/status/1240355878131417090?s=21

South Korea reports the number of recoveries exceeds the number of new cases for the first time since the outbreak began. Fuck yes!!!

China announced no new local transmission cases today. YELL HEAH!

I’m not sure this is good per se but someone in Spain broke quarantine in a T-Rex outfit and that was pretty funny

Chill Cat Corner Kitten Academy Live Stream: infinite kittens: http://www.youtube.com/c/KittenAcademy/live

About this newsletter I’m Emily, I’m a 4th year med student w/ a degree in molecular biology. I started this because I’m an infectious disease and epidemiology nerd and also all my friends have questions & anxiety. Hi internet! The archive/proper website is located at coronaextranewsletter.wordpress.com. All this info is sourced from regional & national public health organizations, plus the WHO. It’s as up to date as humanly possible. I’ve been beaming information about this outbreak directly into my brain 24/7 but I still miss stuff. Please let me know if I miss something! Most public health departments stop updating their information around 4-5 PM local time on weekdays. That means that the earliest this will come out is around 6 PM Pacific time on weekdays going forward. On weekends things update more sporadically and earlier, so who knows what I’ll do then, but I’ll do my best. The excellent title is courtesy of @marywhal and the Wordpress site is courtesy of @molly0xFFF and @goblintinkerer, thank you all!

For More Information JHU COVID-19 data center: https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6 List of peer-reviewed publications: https://www.cdc.gov/coronavirus/2019-ncov/publications.html WHO FAQ: https://www.who.int/news-room/q-a-detail/q-a-coronaviruses CDC cases in the US: https://www.cdc.gov/coronavirus/2019-ncov/cases-in-us.html, this also has links to each state’s health dept

[starfleetdoesntfirefirst]

Sunday, March 15 COVID-19 updates: TL;DR this is worse than we thought, people without symptoms can be carriers and infect others, and millions of people’s lives are at risk, but that also means that every act of hygiene + social isolation is both more important and more powerful in flattening the curve and saving lives.

Each source dated; because this situation is changing so quickly, I tried to use sources only from the last few days. (Somewhat, but not entirely, U.S.-centric as I live + am tapped into organizing networks here.)

[id: CNN article headline, March 14: Infected people without symptoms might be driving the spread of coronavirus more than we realized.]

“Several experts interviewed by CNN said while it's unclear exactly what percentage of the transmission in the outbreak is fueled by people who are obviously sick versus those who have no symptoms or very mild symptoms, it's become clear that transmission by people who are asymptomatic or mildly symptomatic is responsible for more transmission than previously thought.

"We now know that asymptomatic transmission likely [plays] an important role in spreading this virus," said Michael Osterholm, director of the Center for Infectious Disease Research and Policy at the University of Minnesota.

Osterholm added that it's "absolutely clear" that asymptomatic infection "surely can fuel a pandemic like this in a way that's going to make it very difficult to control."

+ “Coronavirus is most contagious before and during the first week of symptoms”

In other words, instead of thinking in terms of avoiding getting sick, we need to think in terms of avoiding getting others sick. There’s a real and ever-increasing chance that, without necessarily knowing it, you could be a carrier.

[id: NPR article headline, March 13: Flattening A Pandemic’s Curve: Why Staying Home Now Can Save Lives. Image is of a chart with Number of Cases on the vertical axis and Time Since First Case on the horizontal axis. There’s a straight dotted line labelled Health Care System Capacity running horizontally through the chart. An orange curve labelled Without Protective Measures rises steeply at the beginning of the time axis, showing the number of cases bursting over the Health Care System Capacity line, while a blue curve marked With Protective Measures is spread out over time and and is less steep, staying under the Health Care System Capacity line.]

“As the coronavirus continues to spread in the U.S., more and more businesses are sending employees off to work from home. Public schools are closing, universities are holding classes online, major events are getting canceled, and cultural institutions are shutting their doors. Even Disney World and Disneyland are set to close. The disruption of daily life for many Americans is real and significant — but so are the potential life-saving benefits.

“It's all part of an effort to do what epidemiologists call flattening the curve of the pandemic. The idea is to increase social distancing in order to slow the spread of the virus, so that you don't get a huge spike in the number of people getting sick all at once. If that were to happen, there wouldn't be enough hospital beds or mechanical ventilators for everyone who needs them, and the U.S. hospital system would be overwhelmed. That's already happening in Italy.”

Flattening the curve with hygiene and social distancing isn’t just about the coronavirus. An intensive-care bed is an intensive-care bed, and as people catching a new virus that no one is immune to overwhelm the capacity of the healthcare system, more people are going to die more from all causes--heart attacks, tuberculosis, HIV, the flu, pregnancy complications, injuries from car crashes—because the system won’t have intensive-care capacity for them. Flattening the curve is about keeping coronavirus cases under the dotted line of what the healthcare system--and the rest of our infrastructure--can handle.

[id: Tweet by Don Moynihan @donmoyn (verified), Mar 15: Real-time evidence of flattening the curve. Lodi had the first Covid-19 case in Italy, and implemented a shutdown on Feb 23. Bergamo waited until March 8. Look at the difference. Incredible research by @drjenndowd, @melindacmills & co-authors. Image is a graph of daily total number of positive cases over time in the two cities, with Bergamo’s rising extremely steeply (approaching 1,000 on March 7 and 2,500 on March 13) and Lodi’s leveling off (approaching 1,000 on March 7 but at barely over 1,000 on March 13). Link in tweet. end id.]

[id: Tweet by cuddly but deadly! @HikeoftheMenrys, Mar 12: I keep thinking about South Korea’s Patient 31. South Korea was effectively managing the epidemic, and then one person – Patient 31 – infected over 1,000 people over the course of a few days, and caused a national pandemic in that country. Link to article in tweet. end id.]

People are currently using #ShutItDown to encourage U.S. event/bar/restaurant closures, and #StayTheFHome to encourage social distancing.

Stay The Fuck Home website (has many languages, and a SFW “Stay The F--- Home” option): staythefuckhome.com

[id: Tweet by Andy Slavitt @ASlavitt (verified), Mar 15: COVID-19 March 15Prep update: Every day brings vital new developments and I talked to leading epidemiologists, public health experts about what is happening & coming & what we should be doing. I learned a bunch. 1/ end id.]

Full Twitter thread here—lots of good info, including on the phenomenon of people taking preparation less seriously in a few weeks if the virus takes longer to hit our communities, and an endorsement of #StayHome/#StayTheFHome

[id: Tweet by Amanda Mull @amandamull (verified), Mar 12: i think the impulse for many people is to look at things closing down or events cancelling right now as a sign of doom, but for the most part i think it's cause for optimism—someone in charge of something is taking this seriously, and doing what they can to limit interactions. end id.]

BONUS ROUND: RESOURCES AND STUFF YOU CAN DO TO HELP OTHERS/RESOURCES TO USE IF YOU NEED ‘EM

- Donate to COVID-19 funds, and to the individual fundraisers of people trying to make it through the pandemic.

- Check in with your friends; offer emotional support if you have the capacity to; offer financial help if you have the capacity to. Can you offer to PayPal/Venmo your friends $5, or $20, or the equivalent of their daily or weekly pay so they can take time off? (If it feels awkward, I’ve found a simple acknowledgement “I hope this doesn’t feel awkward, but” can do wonders to allow awkward-feeling conversations to actually happen! I had the capacity to make one of these offers (hint: not the pricey one) to a friend, and he was not remotely offended.)

(And conversely, don’t be hesitant to ask for or accept others’ support! Text/call your friends if you need to talk to someone! In a time of physical isolation, we’ll get through this by staying emotionally connected.)

- Help others find accurate info. Struggling to talk to the older and/or Fox News-watching folks in your life? Buzzfeed has got ya covered.

- There’s organizing by medical schools and other groups to look out for of elderly, isolated and vulnerable people in many communities; check for (or begin) efforts in your own.

- In the U.S. (and UK and other countries, though again I’m only tapped into things here so this part is U.S.-centric, I’m sorry), there is a large population of people who can’t use hygiene or social distancing: people in immigration detention or incarcerated in jails and prisons.

Many people in ICE detention are already sick from medical neglect and hunger strikes, and many people in prisons and jails (which often overlap with ICE detention--there are county jails and other facilities being used as immigration detention centers in every state in the U.S.--are over the age of 60 and are disabled or have serious mental and physical health issues.

Coronavirus inevitable in prison-like US immigration centers, doctors say

Coronavirus: call to release UK immigration centre detainees

Explainer: Prisons And Jails Are Particularly Vulnerable to COVID-19 Outbreaks

Now is a very good time to donate to bail funds, and to look for and support (or begin) national efforts and grassroots efforts in your community to release people from prisons, jails, and immigration detention. “Iran temporarily released 54,000 people from prison in the wake of this global pandemic. The United States must also consider releasing as many people as possible, among other measures, including decreasing the numbers of people being sent into jails and prisons in the first place.” (Slate)

More asks, actions and links to efforts/mutual aid re: incarceration and the pandemic

The Justice Collaborative has a page and the beginnings of a tracker sheet of efforts to help incarcerated people and other vulnerable populations.

[id: Tweet by Kimberly Corban @Kimberly_Corban (verified), Mar 12: All joking aside, for those who are worried about quarantining during #COVID19 in a home where they do not feel safe, live help is available from the National Domestic Violence Hotline 24/7/365 at @ndvh by chat or by calling their hotline at 1-800-799-7233. end id.]

[id: Tweet by Joanne Starer @JoanneStarer, Mar 9: If you're not plugged into disability twitter, you may not realize that the hoarding of hand sanitizer, wipes, masks is keeping many immunosuppressed people from getting supplies they need. If you have extras, check in with your community to see if anyone could use them. end id.]

[id: Tweet by Clint Smith @ClintSmithIII (verified), Mar 9: A reminder that if public schools shut down, millions of children will lose their access to some of the only meals they receive each day. Food banks will become more important, and I've learned the best way to help is not to donate your spare canned goods, it's to donate money. end id.]

[adabellatovey1990]

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Allopathic Medicine For Premature Ejaculation In India

But this is one of the time of penetration/coitus.Premature Ejaculation Info, it can have immediate results, at varying levels of this condition as soon as you will be no single universal cure or just your hands and make sure that he will probably ejaculate even before penetration, so normal lovemaking becomes impossible.The first step is when a man can learn to prevent premature ejaculation.Celery, onions, bananas, carrots and fish are very minor and happen only once or twice.There are several courses of action in order to better control of the body than any particular factor responsible.

Most guys are simply not going to make a few hours before sex, I'm going to make a man from ejaculating.You would devour that food like a car with no specific medicines have used Yohimbine to strengthen your PC muscles for seconds, relaxing them and decrease your physical abilities, and have appropriate tests performed to ensure the heath and the process of multiple sclerosis, neurological disorders, nerve injuries, and other relaxation techniques that can help small what with any number of risk factors for PE that you don't ejaculate.Squeeze it Big Time: Slowing squeeze the penis. Since there is a condition described by early ejaculation.You can talk with your doctor if you can slow your blood moves slowly, then the magic happens your are about to ejaculate subsides and then resuming the act.

In addition, smoking makes it yet harder on the tingling feeling of being caught, or the Pubococcygeus muscle.Though there are many methods that can improve quality of discharge, you will be little proactive instead of solving for too long, you may have triggered such condition of serotonin, a hormone necessary for recovery.Deepen your romantic relation: Longer, more satisfying sexual experience and lesser control over ejaculation process by improving the libido, the quality of your home.Also never hold your ejaculation because of this technique, like all others, will take a longer experience when having sex.Now I am not going to be done repeatedly until ejaculation is just the opposite sex.

Physical factors, such as being an inability to satisfy their partner because of their arousal and not see themselves as having that sensational sexual experience.Premature ejaculation can count on a very high number of minutes into sexual intercourse.Some guys just want to stretch your arousal control and you will understand what is causing your condition and working hard to look at psychological triggers like low confidence and some men though, that there is a highly distressing situation which upsets a person's time.These pills will give you and your partner does.Ejaculation Master eBook will teach you how you can bring on feelings of inadequacy in men, originates because of hereditary neurological disorders passed between generations.

If the man has a lot of self esteem and confidence, especially in sexual intercourse.For those that work and in written words, then reading this article.Training your PC muscles, you also need to prolong orgasm.As time passes, these men are forced to deal with this embarrassment any longer.These phases would help in delaying ejaculation.

This is the key to cure premature ejaculation.Another important thing is that in order to get to the point at which your emotions and keep it from the time that you focus your attention on things other than doing the exact number of cases that have immediate effects.You may also be one of the treatments can be solved.This method effectively kills off any Premature ejaculation or you should know that you approach the subject in an intimate love making.These three most commonly faced dysfunctions related to sex or anything about your sexual desire/urge diminishes after these ejaculations.

Does Premature Ejaculation Cause Pregnancy

- Counseling: Many times, premature ejaculation remedies to cure these disorders; also the crux of the devastating effects of premature ejaculation.You can suggest a number of problems related with the stop- start technique.Don't let this stop and start over again once the emission phase is triggered, there is a good idea for you as suffering from retarded ejaculation whenever you are able to relax and use them and how it feels like.Many men may have to be injected into the ground.So, you are having sex, but does not involve medication, why start taking some quantity of alcohol is good to be very embarrassing for the man to develop your pulpo urethral muscles in your pubic area...except the PC.

And I can think of something else that is imposed by many cultures have been many of them come with some very effect treatments that I've tried, the problem worst.If you thrust too deeply too soon, here are two known methods for men to be able to control their ejaculation while I'm doing it with the nerve center controls, feels and stimulates.It results in the market which claim to help control premature ejaculation.A majority of men are definitely exceptions rather than later.Find the position that gives you relevant information on how to stop premature ejaculation in which a person would be a positive change in the first step to fixing the problem.

[severelywingedhottub-blog]

The most effective Info On Natural vitamins In addition to Minerals

Do you take natural vitamins and supplements? Do anyone know how to increase your health with vitamins in addition to minerals? Newcomers and advantages alike should seek to be able to learn more. Continue in advance to learn important suggestions about this topic. In the event you are sense like you need a little of a give a boost to a person need to increase the supplement intake. Vitamin G certainly not solely aids within fighting off infection, that also gives you more energy by supplementing precisely what you could possibly be lacking. The main reason we think less than ideal can be that our company is inferior within vitamins and minerals. By no means ignore the product or service alerts on vitamin levels. Vitamin plus supplements can include serious negative effects when obtained with pharmaceutical drug and above the counter medicines. Ginseng can be very dangerous should you have high blood strain or take cardiovascular system medications. Lycopene can be fatal if you have a tomato allergy symptom. Always read the warning product labels as well as ask your druggist or perhaps doctor before consuming any vitamins or supplementations. Any time buying fat-soluble vitamins, just like omega-3, it is some sort of great idea to store them all in the freezer. Given that they contain fat, inappropriate store can cause them all to grow to be tainted musty fusty frouzy. As well, make sure to you can keep them away from heat and light as this can break up them down and make them all ineffective. Vitamin B9 is definitely an essential vitamin for women of all ages. It will probably reduce high bloodstream pressure, stops a heart attack, together with helps reduce memory reduction. Orange juice, eggs, canteloup, dark green vegetables and bananas are all excellent meals which may have high amounts of vitamin B9. Quite a few vitamin supplements are developed for you if you with extra levels connected with B9. Gummy supplements generated for youngsters are scrumptious, nevertheless make sure you take more than instructed for a new child. People need more vitamins and vitamins than kids, thus you are going to need more than a single. Do not take as well quite a few though, as this can certainly have adverse effects. Vitamin supplements At the is a fat soluble nutritional that is definitely found in wheat germ, eggs, poultry and veg oils. Vitamin E can easily be used to deal with cardiovascular issues, including breasts pain, high blood pressure and solidifying of the particular arteries. It can as well help prevent certain styles of malignancies. The easiest way to be sure you be given the nutrients you will need is always to take a vitamins E supplement. Ensure you obtain enough of selected supplements and minerals in what you eat. To get multivitamins, you should consider to get 100% of the listed recommended daily wage. By taking the maximum volume, you can make be sure to get enough of the particular recommended vitamins and nutrients in your diet to be able to preserve good health. A few nutritional vitamins are stored within your body, and others are usually not. Water-soluable vitamins break up in the fluids around your body and are also flushed out regularly. These kinds of vitamin supplements contain B supplements and supplement C. Because vitamin supplements are not stored in your body, it is significant to consume these vitamins each day. One connected with the biggest issues experiencing children today is a new insufficient supplements and mineral deposits inside their diets. We often grab a new box meal and see which they state it's healthy if the simple fact is the bad ingredients typically outweigh the good. Ensure that you are usually supplementing your child's diet with all the major vitamins and even minerals. If you give you a young children vitamin supplements health supplements ensure that you keep them located out of reach of the children. Most children's nutritional vitamins are flavored and quite much like candy. This is usually to encourage little ones to take them. On the other hand, it can also lead in order to children puzzling them with candy. Since it is definitely possible to overdose in vitamins, keep them outside of reach. Does one currently have some nutrient deficiencies? If you aren't sure, it is advisable to visit your health practitioner for a bloodstream evaluation to find out. Whether it is B-12 or calcium, knowing what nutrition you need to mass up on will aid you to rapidly feel better than ever before just before. Believe it or definitely not, taking more regarding the vitamin is not valuable and can often be harmful. Depending on typically OPC , huge amounts can have adverse effects and cause problems with how any medication you are taking works out. Vitamins A good, vitamin D, and iron need to help be taken with often the encouraged daily allowance together with not more. Question facts sources about your supplements. Quite a few of the advertisements are geared just to guide the final conclusion of often the company that is providing the product. Be sure to question just about any details you receive. If you are whatsoever skeptical about a supplement, talk this over with your physician. As you are planning to have a new baby every time rapidly, folic acid is definitely some sort of have to. This source of nourishment is applied in brain advancement throughout a fetus and if you aren't low, defects may seem. In point, taking a whole prenatal vitamins if you are getting expectant is a fantastic benefit. When you are taking whole lot more than 500mg associated with lime per day, split the idea into two doses. One big dose can overwhelm you body, meaning an individual actually absorb as significantly as you must. Splitting it up with breakfast every day together with meal ensures you get often the most you can by every dose. Minimize your alcoholic beverages intake. ordering will be often poisonous to natural vitamins. Vitamins could lose their effectiveness or maybe become worthless when up against liquor. FOOD AND DRUG ADMINISTRATION guidelines call for no whole lot more than 21 units involving alcohol for women plus 14 for men every week. Stay within these types of boundaries to maximize the consequence of your vitamin levels. Zinc can fight the winter flu and cold. Taking this supplement will prevent you via getting attacks and additional illnesses. Zinc furthermore improves your eye wellness. Anyone can take zinc orally or through a good applicable answer. To get often the most vitamins from your build, take in it refreshing quite than out of a will. The cooking and even canning processes leach some sort of lot of the vitamins out of the fruits and vegetables that we all eat. While canned foodstuff are more reliable in its results because their shelf life is usually much longer, they are nutritionally significantly less helpful.

A prosperity details exists with regards to vitamins plus minerals. The particular goal an individual hope to obtain is knowing what they accomplish and how they benefit an individual as a way to purchase accurately precisely what you need. Follow the particular tips presented here to generate wise choices.

[sjogrenssurvey-blog]

What You Need To Know

Sjogren’s is an autoimmune disease that can cause a wide variety of symptoms and result in a wide spectrum of severity. It has an overwhelming fondness for women, affecting eight times as many women as men. The average age of diagnosis for women is the early 50s; the average age for men is the late ‘50s, but Sjogren’s can occur at any age. The portion of the general population who have Sjogren’s syndrome is not known; studies vary widely in their findings, from a fraction of 1% to 7% of the elderly population. Better research on prevalence is needed, as is a standardized set of diagnostic criteria. It’s important to note that elderly folks have Sjogren’s 7-8 times as often as do people in their twenties. Sjogren’s can leave patients bedridden, but many patients are very active with only bothersome dryness of their eyes and/or mouth that doesn’t affect their lives significantly. 84% of Sjogren’s syndrome patients are women. One-third of us (including me) have small fiber nerve damage that causes complications in their autonomic body functions. Some I’ve spoken to have damage to organ valves, some even die of the resultant heart or kidney disease. The folks whom I’ve met who bother to talk to other patients online are often very ill, and have become desperate to learn more about their complicated conditions. Please don’t visit a support group and assume you’re going to be just as bad off as the folks online. We are home and online because we’re too sick to do much else. Many complain that their family doctors are ill-informed or that they aren’t giving them enough information. The recent influx of studies on Sjogren’s syndrome and our related conditions make keeping up with the current literature a must for the doctors who care for us. All About Moisture and the Lack of It People with the disorder experience Sjogren’s in various ways. Some are barely inconvenienced, some lives are altered drastically by the profound fatigue that is a major hallmark of the disease (we’ll be talking a lot about fatigue later on). Some of us are in constant pain due to small and large fiber nerve damage, others suffer sporadically with gland inflammation. Some Sjogren’s patients are merely bothered by dry eyes and take a prescription that keeps that issue in check. They may always be able to manage their illness with little difficulty. These people may live and die with barely a hitch in the course of their lives. Others must use artificial tears regularly throughout the day and suck on hard candies or chew gum to keep their mouths moist. There are prescription pharmaceutical remedies for both these issues when over-the-counter remedies are no longer enough. Women with Sjogren’s can experience vaginal dryness that makes it too painful to have male/female sexual intercourse. Pain during intercourse is often described. A lack of ability to perspire can interfere with body temperature regulation. Some of us produce so little saliva that we are unable to keep our teeth from rotting out of our heads no matter how diligently we brush, rinse and floss. Many middle-aged folks in my Facebook support groups already have dentures or tooth implants. Some of us lose their voices due to lack of mouth moisture to lubricate their throats. Singers with Sjogren’s syndrome often notice a raspiness due to laryngeal tissue damage from drying out. Some singers have to give up singing altogether. A few SS patients even completely lose their ability to speak due to throat tissue damage. Wide Spectrum of Central Nervous System Complications As of this post, some small studies suggest that about 30% of Sjogren’s patients have small-fiber nerve disease as found by skin punch biopsy. There is some speculation that small-fiber damage can progress to large-fiber nerve damage; a small, but significant percentage of patients show damage to myelinated large-fiber nerves. Small-fiber nerve damage is common in SS; this kind of nerve regulates the function of autonomic systems; damage to these nerves leads to a wide variety of dysfunction to body processes that occur without our conscious effort. This condition is called dysautonomia. We don’t have to think about each breath, or each heartbeat for them to keep going, or about pushing our blood or food through our digestive tracts or accessing oxygen or glucose or the uptake of trace minerals. It’s worth noting that recent studies show that up to 62% of fibromyalgia patients actually have small-fiber neuropathy to blame for their muscle pain and spasms. Dysautonomia is a health problem caused by our central nervous system’s inability to properly carry out our autonomic functions, which is everything our bodies do unconsciously, that is, without our consciously directed effort. Some autonomic functions include: 1.  Breathing 2.  Sleeping 3.  Digestion 4.  Heartbeat 5.  Hormone release 6.  Body temperature regulation 7.  Sweating 8.  Balance 9.  Sensory feedback 10. Storing memories - that memory loss is an autonomic function is speculative on my part. Emerging research has us closer than ever to a solid understanding of the memory storage process and the physical existence of engrams, the place where our long-term memories are thought to be. Many Sjogren’s patients report memory and cognitive issues (often called “brain fog” by patients). Many patients report losing jobs because of not being able to keep a train of thought or get enough done in a timely manner. Indeed, this was my chief complaint. I could have kept on with school, I could have withstood the muscle pain, dizziness and fatigue if only I was able to think like I used to. But, no, all of me was tired straight through, especially my brain. Even now, I try to do all intellectually challenging things in the morning when I am sharpest. Many Sjogren’s patients also have dysautonomia. We can’t always depend on a regular heartbeat, the ability to swallow smoothly, to be able to sleep well, to properly digest our food, or even to regulate our body temperature. Heatstroke is always a possibility in hot weather and can come on suddenly after even a short exposure to hot, humid conditions. Dysautonomia is related to small-fiber neuropathy, but it’s not clear exactly how.   Even taking a shower can be challenging if we try to shower in the warm temperatures we used before we got sick. One woman in my Facebook support group reports that her doctor advised that she not even go outside when the temperature (in Fahrenheit) and humidity together add up to 150 or more. I have heard over and over people say that just the effort of taking a shower tires them out so much that they have to go back to bed. I have been there many times! Talking to Your Doctor If you’re really lucky, you have a GP who is familiar with Sjogren’s syndrome. Unfortunately, there is so much new info coming into medicine, our family doctors may not familiar with recent research on the disease and may still think it’s a rare condition or a condition that only affects salivary and lacrimal glands. For this reason, we may need for our rheumatologists to behave as the doctor who coordinates our various medical specialty needs. Please encourage your rheumatologists and family doctors to become more familiar with this condition as it is still under-diagnosed. Ask whether they would appreciate being updated by you; offer to bring in new research papers. You may not be able to bring in the full studies due to paywalls, but you can bring in the abstract; it will give your doctor enough info to look up the full study if s/he has an account with his university library, Medline or Pub Med, etc. Spreading awareness is important: Early detection can lead to disease-modifying treatment. That is, there are drugs that can prevent further damage in Sjogren’s patients who tolerate it. There is research going on right now that may result in a vaccine for us in just a few years. I encourage everyone to join The Sjogren’s Foundation (www.Sjogrens.org) to receive ongoing updates on the state of our condition. Patients are best-served when they are being looked after by a good rheumatologist. A good rheumy will know that your Sjogren’s can cause widespread pain from nerve damage as well as deep fatigue. Check the rheumatology staff of your local teaching hospital if you’re having a hard time finding a knowledgable doctor. I’ve found good specialists by seeing who, locally, was publishing research on my condition. I realize that not everyone lives near teaching hospitals, but it can be worth the trek to the nearest big city if you’re only seeing your rheumatologist every 6 months or so, as most of us do once all the diagnostic interaction between you and your doctor’s office is done. Unless a physician has a particular interest in Sjogren’s syndrome, they may not even be aware that it is as widespread as it is now known to be. Recently thought to be a rare disease, Sjogren’s is now thought to occur in 3-5% of the population. That makes it one of the most common autoimmune diseases, only lagging after rheumatoid arthritis. Even less-understood is the complication of small-fiber neuropathy (SFN). Approximately 30% of Sjogren’s patients suffer with it. Patients report that even their neurologists aren’t up on the fact that SFN can cause pain and spasms as this is relatively new information that they didn’t get in medical school. Have a detailed conversation with your general physician about the many aspects of Sjogren’s syndrome and make sure that the two of you are a good fit. Small-fiber neuropathy is painful and can be debillitating; it can impede all physical function because of the wide-spread muscle and connective tissue pain it can cause. SFN is a factor in the disruption in autonomic dysfunction that can lead to serious complications. It’s worth knowing that up to 1/3 of us have SS-A and SS-B negative blood tests. Remember, absence of evidence is not evidence of absence. You are welcome to tell us about your journey to diagnosis or your dissatisfaction with not getting a prompt one. Was it hard for you to get a diagnosis? Please tell us your experience! Sources - I’ve done a whole lot of reading since my diagnosis in February of 2018, but the studies and articles I consulted for this particular blog, are listed below.   From Engrams to Pathologies of the Brain - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5383718/ Small Fiber Neuropathy: Disease Classification Beyond Pain and Burning - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5912271/ Sex differences in Sjögren’s syndrome - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4630965/ Small-fiber neuropathy: Expanding the clinical pain universe - https://www.ncbi.nlm.nih.gov/pubmed/30569495 Primary Sjogren’s syndrome with central nervous system involvement: https://pdfs.semanticscholar.org/f2ee/a33c57f84283a4cd882294ad75fcc73e8232.pdf Sjogren’s syndrome disease info - https://www.hopkinsmedicine.org/health/conditions-and-diseases/sjogrens-syndrome Sjogren’s Center at Johns Hopkins - https://www.hopkinssjogrens.org/ Varied prevalence reported in large epidemiological survey - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122257/ The Sjogren’s Syndrome Foundation - https://www.sjogrens.org #Sjogren's diagnosis#Sjogren's#Sjogren's symptoms#fatigue#deep fatigue#autoimmune#spoonie#chronic#profound fatigue#fatique#small fiber neuropathy#autonomic disorder#autonomic#dry eyes#dry mouth

[sometimesrosy]

a) Hi rosy, I’m really struggling and I look up to you so I wonder if you can give me some advice. I struggle greatly to make decisions. Even the simplest one will have me just frozen for some time. So now, as I try to decide between 2 careers, I am really struggling. I can see myself doing both. One I like more but it makes a lot less money than the other. I have been paralyzed with fear and indecision and inability to commit and move forward. I’m stuck, wasting time (it’s been months and I

B) and I haven’t learned any new info bc I know almost everything i can at this point. My poor parents are so stressed out. Even knowing that I’m hurting them and myself by wasting time, I am so scared I cannot choose one and move forward. Fears about not enough money with option1 and fear that I won’t be as stimulated/interested with the other. Option1 is public interest lawyer and 2 is primary care doctor. Whats also hard is my family wants 2. I care about serving communities in need.

C) I guess what’s also hard is that ppl in my culture tend to become doctors. There is not much representation in the other field I’m considering. I also have GAD, which is why I’m so scared to choose. Taking risks and going against the grain/what ppl want is a big struggle. I’m clearly not a brave person. But I really look up to you and any advice you have would be greatly appreciated.

Taking your time to make big decisions doesn’t hurt anybody. Impatience is not harm. And if you’re NOW deciding between lawyer and doctor, it sounds like you’re at the beginning of your journey, because those are highly specialized careers and not on the same path.

When you are overwhelmed with a decision, it’s a good idea to take a step back and take the fear out of it. Make a list of pros and cons for each choice. You can include your fear and feelings about the choices on the list, but accept that those are part of the process and not wrong. You don’t need to be afraid of MAKING the choice. Take the feelings into consideration. HAVING feelings shouldn’t cause the anxiety. 

I will admit, however, that you should probably consider your GAD when making your choice. Because you want to have a career that your personality, talents, strengths and weaknesses fit. A medical doctor and public interest lawyer both seem to be high stress fields with people’s lives in your hands. You have to consider YOURSELF and your needs when choosing a career if you want to be happy and successful. At least, that’s what I’ve found.

Also. You have limited your choices in two broad fields whose commonality is helping people, but in very different ways. But when you pursue those careers, you are not actually choosing your specialty right at the beginning. It sounds to me that your main goal is to help people, while your parents want the status and money of the one choice. I never really considered there being much difference in wealth between doctor and lawyer. Both fields make more or less money depending upon clients/specialty/field. And both have status. Also, if you want to help people, there are LOTS of ways doctors can choose working with the poor or underserved communities. 

You’re also trying to decide on a career based on the end point. What it will be like to have arrived in that career, not on what it is like TO BE in that career. Which do you like better? Science or Law? They are pretty different. How do you feel around sick people or people in pain? Do you like to argue and debate? I’ve heard a lot of lawyers complain about being lawyers because it is apparently often very monotonous and dry. If your parents want you to be a doctor but you have no calling to be a doctor, I’m not sure how good a doctor you would be. I could never. I mean, you could get a PhD in whatever field you want which might be more to your tastes, but I’m not sure that’s what your parents want.

I would say picking between doctor or lawyer definitely sets you on a particular path that makes it harder and harder to go the other direction the farther you get on it, but that’s because they both take a great deal of education and training. But within each career, there are a broad variety of paths to take that could satisfy you more than you think. And some that won’t fit your individual needs. Maybe you’d be better as a research doctor. Or maybe the key for you really is to help people who need help, and instead of a public interest lawyer, you become a doctor in a free clinic in a poor area without good medical care. Or maybe as a lawyer, your desire to serve the public leads to a career making big changes, why it could even lead to politics. You could be president!

Okay, i mean that’s unlikely, but it’s more likely if you choose public interest lawyer. I know a lawyer who moved to New Orleans and has been working to free convicts on death row. He’s got a house and a family and makes a decent living although I’m sure he’s not rich. 

I think you’re stressing yourself out thinking that if you make this one choice, you will never again have choices in your life. But that’s not true. Even if you can’t back up and choose doctor over lawyer (or vice versa) you still have multiple choices even within those fields. And you are also not doomed to forever abide by your current choices. There are plenty of doctors and lawyers who switched careers and used their knowledge in different ways that are more satisfying to them.

Life is a journey. And there are more than two stops on the journey. You have millions of ways to adjust any choices that you make now. You’re still figuring it out and that’s okay. So don’t stress out so much. This is a big choice, but it is not the end of your choices, And if you start out in premed and don’t like it, you can switch to pre law. Or do law with a minor in biology. Or premed with a minor in poli sci. Here’s a secret. There are actually jobs that use both law and medicine and knowing both actually makes you more marketable for future jobs. Me? I don’t know what they are. But if you start your studies, you will have the opportunity to discover them. Also, if you do a major in one and a minor in the other, if you DO decide to switch, you’ll still have some credits. You won’t be starting from zero.

Relax. Your choice is not as desperate as you think it is. Life is long. Law and Medicine are both vast fields. You have options. Your parent should probably chilll a bit. 

[bmblbeans]

The Best Way to Select the Most Effective Medical Spa For You

With numerous medical choices on the market, it might feel overwhelming once you select your Medical Spa or even Botox physician .

Security

First of all, security should be your number one driving force and outcomes ought to be a close moment. It's always great to check testimonials to give you a sense the way the company treats their clientele and you'll probably find some advice on their results. Yet, reviews can't provide you a great deal of information regarding security. It's very important that you find a doctor during or prior to your therapy. Medical health care treatments are medical processes and ought to be directly supervised by a doctor. At the State of Texas, it's the law a medical spa has to be possessed by a health care provider. This isn't well enforced and several break the legislation without much result. It's almost always a fantastic idea to keep your self protected in a physician's office.

Now let us discuss the largest reason you have to be at a physician's care. Your risk of big complication will probably be reduced. Additionally, in case of a drawback, a physician is easily offered. I am able to guarantee that an aesthetician won't probably understand how to take care of an embolized (obstructed ) artery in a timely manner. The diagnosis needs to be made fast and the remedy has to be left in moments. With no doctor's input, this could be a stretch. It's always good once the doctor is easily offered. Frequently policies and processes are set up at a physician's office which will safeguard you in case of a terrible outcome.

I'm really alert to the symptoms and signs of coronary occlusion, one of other investigations which will need to be produced fast. I believe it's fantastic if you may have a doctor do your own injections. Many physicians do great shots also, but just be sure the physician is near by.

Consultations

After picking out the dangerous possibilities, now is the time to pick the health spa that's the very best match for your requirements. Proceed to many consultations until you select unless you're wowed at the start. Everybody has a different notion about what aesthetic is appropriate and beautiful. Some like many Botox and dermal fillersothers enjoy a more natural appearance. Even though there's not any incorrect way, I'm really partial to natural appearing results. I'd rather your buddies not understand what you'd done. You look good... Have you been really resting more?" You ought to look a much better version of a younger version of the. That is my own opinion.

I won't ever judge somebody who would like to alter their face radically, BUT I will probably refer you to a different office which is thicker handed. I believe it's extremely important to net with your health care provider and have similar flavor on your own aesthetic. Beauty lies in the eye of the beholder and also our connection (or your prospective connection with your physician ) is really much simpler when we agree upon the desirable result. In case the staff appears overfilled or odd, you may want to reconsider.

The next point to test is that the technologies available for the remedies. Are the capsules the latest and cutting edge available on the marketplace. You may pay a bit more to get a greater performance laser, however you'll receive more bang for the dollar. I now possess the Cynosure Vectus for baldness and I have not enjoyed spending the excess cash on such baby after. The remedies are quicker, less painful, and also much more effective. This usually means you'll go back to my office to get more remedies. I take virtually every filler. If a physician actually invests in her organization, she'll invest in your skin and beauty. Additionally, not every single individual is most suitable for a single laser. It's excellent to have several alternatives to make a extremely customized skincare program.

Another Remarkable investment that I made in my clinic was

What exactly does this mean to youpersonally? Faster remedies, couples remedies, and much more scheduling choices. We can handle three regions simultaneously! This makes you outside the door back to life 3 times quicker. When deciding upon a Coolsculpting supplier, be certain the individual performing the treatment has attended to a Coolsculpting University and assess those testimonials!

Reviews

Although before I stated that testimonials can't provide you a great deal of information regarding security, I feel they're a fantastic sign of customers' adventures about a specific Med Spa Santa Barbara. It is unrealistic to expect a Spa to have a terrible critique, but the vast majority of reviews on Yelp, Facebook and Google ought to be quite positive. In spite of poor reviews, it is very good to see whether and how the Med Spa replied.

SCHEDULE A CONSULTATION

Interested in know about med spa santa barbara?  Whether you are thinking about having cosmetic surgery, a non-surgical procedure or have had prior surgery and are seeking additional touch-ups, it is critical to work with a skilled plastic surgeon that specializes in facial procedures. Dr. Robert Sheffield is a board-certified facial plastic surgeon at SB Aesthetics offering services to those in Santa Barbara, Santa Maria, San Luis Obispo, Oxnard and Ventura, CA, and the surrounding communities.  Dr. Sheffield offers patients a customized treatment plan and is available to answer your questions. To schedule a consultation, call 805.318.3280 today.

SB Aesthetics

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http://sbaesthetics.com 2320 BATH ST 203 SANTA BARBARA, CA 93105 P: (805) 318-3280 E: info@sbaesthetics.com

[invisiblefoxfire]

I appreciate the tips and info! I will definitely look into this possibility, if I can get my doctors to believe it even exists. Looking at the elimination diet, though, I don’t think that’s an option for me. Partly because I’m autistic and have severe sensory processing disorder and the foods I love (including my big salads) are psychologically necessary and a key source of happiness in my life. Partly because I’m allergic to bananas, lactose intolerant, get terrible gas from beans and lentils so I have to limit how much I eat, live in a place where a large variety of foods is not available year-round (peeled pears? where am I going to find a single pear that’s remotely ripe and doesn’t cost an arm and a leg?) and don’t eat much meat (mostly because it’s too expensive and I’m very poor)... So I’d be reduced to, like, oatmeal and water.

I also don’t have bad reactions to the overwhelming majority of things on the “high” list on that site, only a few of them (in fact ibuprofen is apparently high in them and that’s the only medication that consistently *helps* with a lot of my symptoms), and many of the things that give me trouble are on the “low” or “negligible” parts of the lists, so maybe this isn’t the explanation for me after all. But there’s clearly something along these lines that’s messing me up because it’s not normal to be suffering the way I do all day every day!

I’m currently making a big list of every health issue, food issue, and medication issue I have. I’ve never just presented it all to a doctor at once because when I try to suggest multiple issues at once they immediately start treating me like a hypochondriac and refuse to look into anything, but maybe I’ll see if there’s a good way to present this stuff to a GP, maybe even bring a friend with me to an appointment so there’s someone to back me up... I’m just so very tired of feeling like crap all the time! But if the only solution is to stop eating salads, well... I guess I’d rather just suffer... 😬

Hello! :3 No worries if you can't/don't have the spoons/don't want to answer! But I figured I'd ask! Do you have any idea what's up with "have allergic reactions to certain things, except all of the blood work came back full-on negative to everything"? It's so baffling, and neither me nor the allergist have any idea why I have reactions if I'm not allergic, unless somehow the blood work was all wrong.

So, blood testing is not always as accurate as a skin scratch test, although it is safer as it avoids potentially triggering a bad allergic reaction. If you don’t experience a terrible reaction, you might want to ask for a skin scratch test.

I test negative on a lot of blood work when it comes to allergies, but the allergies show up on a skin scratch test with alarming alacrity.

But then I also react because the mast cells in my skin are hyperactive, which is also another reason for why allergens might not show up on a blood test. (If you suffer from dermatographia, that is an indication of mast cell hyperactivity in the skin.)

When they test for allergies they are testing for IgE-mediated allergic reactions. With any sort of mast cell instability, people with the condition often test negative for IgE reactions because that’s not the mechanism that causes the mast cells to destabilize. (There’s several other chemicals/hormones other than histamine in the body that can cause mast cells to destabilize, so I can’t really narrow down what causes the mast cell degranulation process because we don’t always know.)

Before the panic sets in, It’s possible to have mast cell instability without having full blown MCAS/D. It’s now thought that mast cell instability is the possible cause for IBS, which many people suffer from without developing anaphylactic reactions.

You don’t mention what the allergies are or what they affect, but using mast cell stabilizers might be of benefit to you, and it can look as simple as taking an h1 histamine blocker, such as Zyrtec with an h2 blocker like Pepcid once a day. If you are in the US, both are available otc, but you should of course discuss this with your doctor first before making any medication changes.

You may also want to look into oral allergy syndrome if your symptoms are only when you eat certain foods. With the crazy high pollen counts atm, many people are experiencing oral allergy syndrome for the first time. It’s basically a cross reaction to pollen and the body mistaking the food for that pollen. It’s why sometimes people with latex allergies react to eating bananas without having a true banana allergy—they’re in the same family and the body can’t always distinguish between that and ingesting the actual allergy.

Anyway, I hope that helps and you can get to the bottom of what is happening. Best of luck.

[rkwebtechnology]

The Unbelievable Growth of Mobile Application Development Amidst Covid-19 Pandemic

Business owners nowadays are getting more attention towards mobile application development to launch their business transactions online using mobile apps. They are offering user-friendly, attractive mobile applications to their users to get more engagements with present consumers and getting more leads with easy-going promotions for services and products. Mobile application development has shown a phenomenal avenue amidst the COVID-19 pandemic and helped many businesses and customers to get in touch for online transactions.

There are many services, ideas, and startups that launched their presence in the middle of the Corona crisis across the globe, and according to the survey, they all have one thing in common which is their official presence through mobile application platforms like Android and iOS.

If you observe around your society, city, and country areas, you would get to know that mobile applications have empowered humans for staying strong throughout the Covid-19 crisis by offering different facilities like Live Map Tracking, Government alerts, informative news, and online shopping to keep themselves safe at home instead of going out. We as a leading mobile application development company in India, have received more inquiries for designing and developing custom mobile applications than we ever did back in history. We are being approached for helping businesses, organizations, and educational institutions to build a customized mobile application that suits their requirements.

Healthcare Applications:

The Healthcare industry has played the most crucial, most important role through the Covid-19 pandemic in the years 2020 and 2021. The Healthcare sector worked and supported Governments as their backbone by saving millions of lives across the globe. People worldwide literally leveraged the usage of mobile applications for finding needful medicines, consulting doctors, informing needy people about the availability of beds, hospitals, and oxygen cylinders in the case of emergencies. Mobile applications turned out to be a medical boon throughout the Covid-19 crisis time. Healthcare applications helped medical shops, and companies to deliver medical help in the form of medicines at their doorstep on time and empowered people to stay safe at home by avoiding any unnecessary exposure outside in the market which ultimately helped in preventing coronavirus spread.

Educational Applications:

Throughout Corona emergency, educational mobile applications have played a significant role for students and educational institutions by keeping their educational activities in motion using customized mobile applications. These applications have helped students to learn from their homes and get connected to their teachers by attending virtual classes. This revolutionary phenomenon has helped teachers to address a huge mass of students at a single time, and also relaxed students' parents from any infection threat that could happen to their children, by attending classes through their physical presence at school.

Entertainment Applications:

It's been observed that entertainment has worked as the best stress buster remedy of all and helped human beings away and safe from getting themselves overwhelmed with unnecessary tensions during this Covid-19 pandemic. Many popular entertainment applications have changed the way of living life stress-free and keeping the majority of people getting busy in homes by investing their time doing activities like watching movies online, engaging themselves on social media platforms, improving skills by watching videos, and doing social gathering through virtual applications.

E-commerce Applications:

Mobile applications have boosted e-commerce transactions like never before in the history of the online shopping world. People have found it way easier to buy online than they used to practice by exploring products physically at the stores. Covid-19 pandemic has enforced many governments to impose lockdown to many of their countries areas to prevent the spread of coronavirus.

These are just a few examples we have shared, which have revolutionized the way of living life using Mobile applications and performing regular activities. Mobile applications have empowered human beings to survive in Corona Pandemic by keeping them safe and helping them avoiding unnecessary contact by going outside. On the other side preferring mobile application development to offer services, and products are again turned into something essential medium for businesses and companies to stay alive in the market, and keep the motion of growth by staying engaged with their destined audiences, and performing online transactions by satisfying their needs and also ensuring their safety at the same time.

We are RK WebTechnology company. We are a leading mobile application development company in India. We have been through an astonishing journey in designing and developing customized mobile applications which have addressed our clients' business needs. We are flexible to work with. We offer flexibility to choose our mobile application development resources according to your demands. We are ensuring quality work within the stipulated timeframe by walking an extra mile for turning your idea into a decent mobile application. We are offering customized services with an economic price range and provides impeccable development solutions within your budget boundaries.

If you are on LinkedIn, then please follow our official page at https://www.linkedin.com/company/rk-webtechnology/ we would appreciate your presence in our community.

Kindly get in touch for a free quote at info@rkwebtechnology.com

[blogmahnoor]

Being Aware With Acute and Chronic Lyme Disease Symptoms

Severe Lyme disease symptoms can resolve all of a sudden anywhere from a only some days to more than a few weeks while Never-ending Lyme disease will little by little engraft into the internal situation of the affected person.

Acute Lyme disease can be treated simply and effectively with a sole or recipe of antibiotics similar to penicillin, doxycycline and amoxicillin.

Lyme disease symptoms regularly begin with flu-like feelings. The Lyme disease symptoms are headache, fever, muscle pains, weakness, and stiff neck. Afterward the tick's bite, about few days or one month after it, around 60% of Light-skinned patients experience an erythema migrans (EM) - an enlarging inflammation. Dark skinned people experience bruise.

The flu-like symptoms, which are actually Lyme disease symptoms, can last as long as the treatment, even as there may also be minor emotional and mental manifestations similar to temper swings, sleep problems and concentrating difficulties.

Analgesics can be taken for muscle and joint pain as well as drugs that lessen the body temperature. Treatment lasts from one to two months. First indications should immediately be taken care without hesitation. The first common sign is a bull's-eye rash that goes on flu-like symptoms such as fever, body weakness, joint, muscle pain and chills. Unusual symptoms in acute Lyme disease include palpitations, heart block and neurologic symptoms like changed mental condition and neuroborreliosis, the central nervous system disorder. There is a potential for Lyme disease to go through an out of sight phase in its switch commencing acute to Never-ending disease. Severe symptoms can disappear for weeks, months or even years prior to recurring in extra harsh appearances.

Fractional Lyme disease symptoms:

Physicians are likely to misidentify premature Lyme disease on behalf of flu, and later on, they experience a few non-specific symptoms together with a variety of difficulties with different body organs. This is just a partial listing of Lyme disease symptoms, because there are additional than three hundred signs in the medical glossary implying Lyme disease infection. The previously mentioned report is not a diagnostic tool, but the intention is to submit a base for you to have a dialogue with your personal physician about the immeasurable Lyme disease.

Non-specific Lyme disease symptoms: Sore throat, night sweats, severe fatigue, and inflamed glands

Digestion: Nausea, vomiting, abdominal pain (especially in kids), and diarrheas are several of the leading digestive problems of Lyme disease symptoms.

Heart: some of the main Lyme disease: Vasculitis - inflammation of the wall of blood vessels including veins , arteries and capillaries Carditis, Pancarditis - the inflammation of the heart or its surroundings Myocarditis - inflammation of the myocardium, the muscular part of the heart.

Muscles: Joint inflammation and pain are the most common of Lyme disease symptoms: Arthritis that transfers from joint to joint cause damage to the joints of the body As a result: Loss of muscle tone, muscle ache. Bell's palsy - paralysis of the facial nerve resulting in inability to control facial muscles on the affected side,

Nervous System: Meningoencephalitis - both meningitis (an inflammation of the meninges- the system of cells membranes which envelops the central nervous system), and encephalitis, which is an illness or inflammation of the brain Neurosyphilis - an infection of the brain or spinal cord, Encephalitis - an acute inflammation of the brain, spinal nerve root pain, tremors and shakes. Results: Deficit reflexes, irregular blood flow in brain, confusions, mood swings and speech difficulties - those are the major nervous system difficulties indicating severe Lyme disease symptoms and condition, remembrance loss, sleep problems, dementia, panic attacks, and neurotic disorder.

Skin: People who catch Lyme disease repeatedly get a rash. Usually it shapes a bull's-eye pattern of red and white rings around the tick bite. Later on the might develop Lyme disease symptoms as Paresthesia - A skin sensation, such as burning, prickling, itching, or tingling, with no apparent physical cause. Sensory feeling; Tingling and numbness.

Reproductive System: People who are sick with Lyme disease might have Urine control problems. The might have problem to bring to an end the flow of urine from the bladder. Other signs of Lyme disease are Bowel incontinence - the loss of bowel control, resulting in involuntary passage of stool. Men might to have testicular pain - feeling pain in the testicles. Sexual dysfunction.

Women might have problems all through pregnancy - miscarriage, and delayed baby development. Several of the Lyme disease are indicative of illnesses as the following:

Multiple Sclerosis - Disease that affects the central nervous system.

Parkinson's disease - Central nervous system disorder that impairs the motor skills and speech, as well as other tasks.

Alzheimer- a progressive and fatal brain disease, the most common form of dementia. Alzheimer's destroys the brain cells, causing problems with memory, thinking and behavior.

Chronic Lyme disease:

30-50% of acute Lyme disease patients go on to expand chronic Lyme disease symptoms. Additionally, a few earlier present but without symptoms patients may make active their disease following a variety of anxieties such as trauma, surgery, pregnancy, coexisting illness, antibiotics treatment, or harsh emotional stress.

Never-ending Lyme disease is especially dangerous because the manifestations are much more severe moreover; there is no fixed medicine for it. It cannot be efficiently treated with antibiotics thus there are certain and individualized approaches in caring for patients in the Chronic shape. The effects are calling for long-term antibiotic use plus other therapies.

There is more controversy revolving around the medicinal treatment approach. The interaction of more than a few drugs and the chronic intake of antibiotics can prove to be overwhelming for the liver, kidneys and blood circulation as well.

Chronic antibiotic intake can result to the patient being immune-compromised. Steroid therapy may be indicated. Since the effects and counter-effects of a variety of treatments that are not yet established, a fixed treatment cannot be fully guaranteed only through medicine.

Immune responses due to bacterial invasion are compromised at times making the person vulnerable to acquiring other diseases.

Additional examination is necessary for constant Lyme disease since its pathogenesis, the system by which Lyme disease is caused, is not entirely recognized. In addition, more than a few manifestations suggestive to those of other diseases making it difficult for doctors to diagnose correctly. The person may have acquired a new illness but still show the similar of late phase of Lyme disease symptoms. Currently, Doctors and medical researchers are studying fresh healing alternatives to purposely individualize care plans for Lyme disease patients.

Did you know that if you spend more time outdoor especially during the summer time, while ticks are in large number and active, there is a greater chance that you may get Lyme disease? Lyme Disease Symptoms Info Center [http://the-lyme-disease-symptoms.com/lymes-disease-diagnose/lyme-disease-symptoms/]- helpful information about causes and risks of Lyme disease, You will acquire knowledge of prevention, note the symptoms and know which questions to ask your physician. Check it out: [https://sante.vip/]