#clinical imaging in medicine

[literaturepublishersjournal]

Images in Medicine Journal: Images in Clinical Medicine

Images in Medicine Journal: Images in Clinical Medicine

Images in Medicine Journal: Images in Clinical Medicine publishes all types of clinical images, images in medical science, image journal submission, clinical imaging in medicine, image journal of medicine etc.

Journal Homepage: https://www.literaturepublishers.org/

What is Clinical Image?

For the purposes of this guide, a clinical image may be a photo, video recording, or audio recording. A clinical image may be of the patient's body - such as an injury, skin lesion or body fluid - or an image of a pathology report, diagnostic image, or medication.

Clinical images used for teaching, training, and research should be de-identified, where possible, and must comply with relevant research or ethical guidelines.

What is Medical Image?

Medical imaging refers to several different technologies that are used to view the human body in order to diagnose, monitor, or treat medical conditions. Images in Medicine Journal: Images in Clinical Medicine topics published in clinical images and case reports journal

Clinical Images and Case Reports Journal publishes Clinical Images, Clinical Case Reports, Case Series (series of 2 to 6 cases), Medical Case Reports and Clinical Videos in all areas related to medical science and clinical research.

Manuscript Submission

Authors may submit their manuscripts through the journal's online submission portal: https://www.literaturepublishers.org/submit.html

(or) Send an e-mail attachment to the Editorial Office E-mail Id: editor.cicrj@literaturepublishers.org

[jcsmicasereports]

Prevention and rehabilitation in Middle Ages by Prof. Francesco Carelli in Journal of Clinical Case Reports Medical Images and Health Sciences

Italian hospitals in the late Middle Ages already offered much more than a simple reception and care.  In a work that can be consulted in the Laurentian Library in Florence, datable about 1300,  painter Gaddi shows a series of hospitalized people. Already the representation is not very sad perhaps due to the lack of modern white walls and patients appear regularly placed in beds with acts of assistance and care.  The two couples in the foreground completely decline an idea of health that we moderns tend to, even though we have not yet reached it.  In fact, therapy is combined with education and prevention.   The disease in question is a chronic vascular sore, a subject not resolved at by us moderns and a source of great health care costs.    One of the reasons for these costs is to be fund in the lack of attention of moderns to preventive and educational activities.   In the foreground on the right the therapeutic act is portrayed, in which it is evident a doctor performing a cleaning, disinfection and dressing of a vascular sore.   But the great news that is incredible in the so – called dark ages, is portrayed on the left. The doctor, recognizable by the red headdress, gives a stick, that is a device to improve, encourage and facilitate the ambulatory exercise by his patient.   We also note that he spends time on an explanation to the patient who is portrayed as he listens to medical advice with interest.  The rehabilitation intentions are proven by the fact the patient wears a rudimentary orthopaedic brace which surrounds widely the neck.  The device allows the patient to walk keeping the arm hanging from the neck, unable to move perhaps following a trauma. In the hospitals of the Middle Ages, therefore, education and adapted motor activity were carried out which, today, together with food, is considered the basis of disease prevention.

[izvmimi]

playing russian roulette but it's calling patients with my personal phone

[biomedres]

Gastric Outlet Obstruction as an Aggravation of Peutz- Jeghers Syndrome: Case Report

Gastric Outlet Obstruction as an Aggravation of Peutz- Jeghers Syndrome: Case Report in Biomedical Journal of Scientific & Technical Research

The Peutz-Jeghers Syndrome (PJS) is a rare autosomal dominant disease characterized by macules of mucocutaneous pigmentation and hamartomatous intestinal polyps. Some signs of the PJS appear in childhood, usually with abdominal pain. In some cases, patients can develop complications. In this article, we report a case of a patient with PJS that reached the emergency room after presenting a concomitant gastric outlet obstruction (GOO). The patient underwent through an endoscopic polypectomy, followed by a laparotomy and an intraoperative enteroscopy. The symptoms were controlled and the extraction of hamartomatous intestinal polyps were achieved, culminating with an intestinal segment resection with muscle atrophy and posterior gastrojejunostomy. There is evidence of PJS cases related to other conditions that developed abnormal scenarios such as biliary obstruction or cecal appendix polyps. However, the association between PJS and GOO and a concomitant delimited intestinal aperistalsis has not been reported. Thus, this case report shows the possible association between the PJS and GOO, whose cause is the intraluminal occupation of the duodenum by polyps and the synergy of the symptoms given by the atrophy of the jejunum muscle.

For more articles in Journals on Biomedical Sciences click here bjstr

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[myrawjcsmicasereports]

Amphibious Vehicles for Disaster Relief and Emergency Medicine by Richard Coe in Journal of Clinical Case Reports Medical Images and Health Sciences 

Abstract

Keywords: Amphibious, Disaster relief, Emergency medicine.

 Abbreviation: NGO: nongovernmental organization

Dear Editor,

With the increasing frequency and severity of extreme weather events, there is a compelling case to be made for the use of amphibious vehicles in natural as well man-made disasters and emergencies. Applications range from the supply of humanitarian logistics, water production, and in particular – mobile medical units. These could form a very efficient first response capability for prehospital and Emergency Medical Services and enable access to areas cut off by flooding, assist coastal and island communities, and negotiate natural boundaries such as rivers or where bridges have been compromised.

Current amphibious response capacity is primarily conducted by military units which is costly in the first instance and the use of uniformed personnel with military hardware can be perceived in a negative light by those in need. There is a limited period that naval and auxiliary vessels can remain on locations as these are strategic assets and will need to return to their primary roles in the country of origin.  This is further compounded by the blanket refusal of some major relief nongovernmental organizations (NGOs) to work alongside any military entity. There have been cases of retired vintage amphibious vehicles for tours used in hurricane response efforts in the US but with limited effect given the age and general unreliability of the equipment.

Tortuga Amphibious Vehicles aim to address this by utilizing modern, mass-produced donor chassis types, which are readily supported with spares and repair. The conversion process from donor to finished unit is also a very cost-effective approach, avoiding the need to design and build from scratch. Several types have been exported overseas to date, including two units for an evacuation center in Manila, and a number of communities have been reached with medical supplies ad water that were isolated by flooding in China by the Red Cross. The response vehicles can be deployed by sea to coastal and island communities by any number of civilian vessels of opportunity to promote a rapid first response. Similarly, as capable off-road vehicles, they can penetrate any inland areas and be independent of bridges where these may have been impacted. The concept also puts a very capable amphibious response solely in civilian hands, including local personnel as operators, which would offer employment opportunities. The problem of deploying units to disaster sites can be addressed by the use of laid up offshore supply vessels of which there is a global over-supply due to the fluctuating oil price. There are large numbers of these ships in storage around the world, crucially in areas affected by natural disasters such as Indonesia, the Caribbean, and Africa that could be re-purposed cost effectively. This has been the subject of several studies and we are in discussion with a large shipbroker in Singapore to examine this in more detail.

Advances in scaling down of medical devices in size means that a single vehicle could be very well-equipped to deal with a range of prehospital and medical emergencies. Battery powered x-ray systems along with handheld ultrasound imaging machines to name but two examples enable portability on and off the vehicle and would complement standard emergency medical equipment. There are now ultra-low temperature portable fridges on the market which are battery powered with solar capacity and extremely effective in maintaining cold chains. Vaccine roll-out to remote, rural communities would also be a key feature of amphibious operations and could be used to expand COVID-19 vaccination as well as conventional immunization programs that have been suspended due to the pandemic. Having the means to maintain ultra-low temperatures on board the vehicle outside of urban and peri-urban settings where distributed grid power might also be fragile could make significant advances in protection against Ebola virus and others, helping contain outbreaks.

There have been several events in the past few years where this capability would have been welcome, and this has been expressed by a number of individuals attending AidEx in Brussels and the International Disaster Response Expo in London, both in late 2018.

Large areas of the Philippines devastated by Typhoon Haiyan in 2013 could have been serviced by amphibious clinics, able to reach outlying islands in need. Their deployment would have complemented helicopter operations which were extremely stretched at the time and were in any case very costly to run and maintain and there were several cases of air accidents. Water production equipment mounted to the vehicles would have been of particular benefit as solar powered reverse osmosis plant would be capable of making water from a variety of fresh, brackish and salt sources. With correct pre-filtering, contaminated water could offer a viable feedstock.

In 2018, the island of Sulawesi in Indonesia was impacted by a tsunami with the city of Palu badly affected. The airport was forced to close as a result of a 500m crack in the runway. Port and harbor infrastructures were also damaged, and a major bridge collapsed. All of this affected the scale and speed of the response with the traditional focus on airlifts. Many of the beaches close to affected areas were ideal landing points for an amphibious vehicle, which deployed off vessels readily able to reach the area, could have made a profound difference, bypassing the need for harbor and airport facilities. Hospitals were also damaged with victims having to be treated in the open or in tents and under canvas. A self-contained mobile clinic would have proved very effective and would have the means to refuel and resupply from assistance vessels offshore that were unable to dock. This would ensure continued effectiveness.

Hurricane Dorian in the Bahamas in 2019 was another example of damage to harbors and airports which hampered aid efforts. A responder who was involved was certain that having amphibious capability would have proved extremely useful transferring relief material and supplying emergency medical aid from offshore assets and also able to move with relative ease between islands.

Most recently was the case of the earthquake and subsequent tropical storm in Haiti which affected the Southwest peninsula. Relief and medical aid were focused on delivery to the capital before being trucked out, but was compromised by criminal gangs stopping convoys leaving Port au Prince. Perversely, the follow-on tropical storm washed away bridges and roads leading to the affected areas. This again would have been a strong case for the use of amphibious vehicles which would have been able to insert medical and relief aid exactly where and when needed, with good landing points around the peninsular all close to the points of need. This would avoid having to negotiate the many obstacles that distributing efforts from the capital posed and so increase efficiency of response.

But medicine does not pay attention to this, because it is engaged in business. In the first place in terms of mortality are violations of arterial blood flow. This is ischemia of the heart, lower extremities and the naked brain. But no one sees that the cause is a violation of the outflow of venous blood - the biomechanics of walking. Violation of the sequence of muscle contraction also leads to overload of the central nervous system, which began to be noted as chronic fatigue syndrome.

The process of walking upright, maintaining a stable position of the body is carried out according to the addition of inherent, unconditioned reflexes independent of our desires. Therefore, a violation of walking in the case of deformities of the feet leads to a change in the position of the bones in all the higher lying joints of the skeleton and a violation of the contractile pumping function of the muscles. The body perceives changes in walking for a dance, which leads to overloads of the Central Nervous System. You just stood on your heel, and the signal from the mechanoreceptors under your fingers says you are already pushing, jumping.

Another case, not associated with a disaster scenario, was related to us by an NGO working in Mozambique. It concerned a consignment of vaccines for a clinic in a very remote area of the country that were collected at the airport in the capital by truck. As the condition of the roads rapidly deteriorated not far from the city center, the load was then transferred to taxis able to make better progress with the conditions. This was then repeated with the use of motorbikes which were able to cope with the worst of the roads where cars were not practical. However, when faced with one of the rivers on the route, the load was again transferred to canoes and once on the opposite bank, it was a case of hand carrying the cool boxes to the end user. At each point where the load was transferred to a different mode of transport, the cold chain was put at risk as well as the coolboxes themselves which could have been lost or damaged. This could be avoided if using an amphibian fitted with reliable on-board generation and backed up by solar and battery banks as a means of redundant supply. A vehicle could receive vaccines and medicine at the point of origin, such as the airport, and then be able to travel to the point of end-use without the need to transfer the load. This would be crucial in maintaining and guaranteeing vital cold chains including ultra-low applications.

We have the support of the Humanitarian Logistics Association (Corby, Northants, UK) and are now at the point where we intend to ship a test vehicle to Thailand or Indonesia and run a series of demonstration trials for relevant interested parties. These will be used to test techniques and equipment and develop standard operating procedures along with a breakdown of running and maintenance costs during deployment. This would lead to accurately quantifying all aspects of a response of this kind which can be shared with potential adopters to compare against standard response types and costs.

We would welcome the opportunity to collaborate with NGOs and government agencies in these trials, if possible. Advisors include a very well-respected doctor in Jakarta who has long been involved with emergency medicine in the region and is assisting with the design and layout of the clinical aspect of the vehicle, including the equipment that could be installed and carried. A large solar energy training provider in the US is happy to be involved in the design of the solar power requirements and we are investigating the potential use of hydrogen fuel cells for clean, quiet power production These are silent and do not produce emissions such as carbon monoxide, making them ideal for use in confined areas.

[simonh]

Science of Compliance: Behavioral Research In Clinical Trials by National Library of Medicine Via Flickr: Alternate Title(s): Behavioral research in clinical trials Contributor(s): Gordis, Enoch, 1931- National Institutes of Health (U.S.). Medical Arts and Photography Branch. NIH Reunion Task Force. Compliance/Adherence Working Group. Publication: [Bethesda, Md. : Medical Arts and Photography Branch, National Institutes of Health, 1993] Language(s): English Format: Still image Subject(s): Alcoholism, Behavioral Research, Clinical Trials as Topic Genre(s): Posters Abstract: White poster with black print. Visual image consists of wavy strips of pink, blue, yellow, green, deep pink, and gray, the two shades of pink being much wider than the others. Details of the lecture are given along with the topic to be discussed--addictive diseases, alcoholism. Extent: 1 photomechanical print (poster) : 67 x 42 cm. Technique: color NLM Unique ID: 101456175 NLM Image ID: C02940 Permanent Link: resource.nlm.nih.gov/101456175

[jcmcri]

Complex psychological evaluation and correction methods of disorders in the emotional and personal sphere in children with post-COVID syndrome, considering structural and functional features of the brain by Inga A Plotnikova* in Journal of Clinical & Medical Case Reports, Images (JCMCRI)

Abstract Introduction: A number of systematic reviews on the PubMed and Scopus databases confirmed that post-COVID syndrome in children is a topical issue and is considered mainly in terms of the influence of social factors. The COVID-19 pandemic by itself and lockdown have created fear and anxiety around the world, leading to short- and long-term consequences for the psychosocial and mental health of children and adolescents. The reviews analyzed studies to understand the major effects of COVID-19 in children with the goal of developing effective treatment strategies. However, such strategies must be designed with consideration of the pathogenetic echanisms that explain the deleterious effects of COVID-19 on the central nervous system. In the meantime, the evidence for long-term effects on neurodevelopment after COVID-19 should be further investigated. The timing of the resolving of neurological damage or the ppearance of nervous dysfunction is still largely unclear, due to the fact that this disease has only recently become known to the world. The present study in this area aims to help in the rehabilitation of children after COVID-19. Purpose of the study. Development of rehabilitation programs for children with postCOVID syndrome, which is based on a comprehensive psychological assessment of the cognitive and emotional sphere, taking into account the structural and functional characteristics of the brain.

Materials and methods. 25 children (9 girls and 16 boys) aged from 12 to 17 years were admitted to the hospital, among them 9 children were in a state of moderate severity of acute respiratory infections and indication of family contact with COVID-19 patients. 16 children had mild form of COVID-19 during the 12 months preceding the examination, including 8 children (50%) in the previous 4 months and 8 (50%) in the previous 6-12 months. The control group consisted of 25 students in Moscow (14 girls and 11 boys) aged from 12 to 16 years, who were examined before the pandemic. Examination methods consisted of 2 blocks. In the first block we investigated: kinesthetic, spatial, dynamic, graphic praxis; auditory-motor coordination; visual, object-constructive gnosis; auditory-verbal, visual memory; voluntary attention; and thinking. The second block of methods were “Eysenck Questionnaire” for studying three individual qualities: introversion - extroversion, neuroticism and deceit, “Lüscher Color Test. Diagnosis of a neuropsychic state,” adapted by V.I. Timofeeva, Yu.I. Filimonenko, which is an assessment of psycho-functional state (determination of the level of unproductive neuropsychic tension or total deviation from the autogenic norm; autonomic coefficient).

Results: Significant differences were found with the neuropsychological tests in the control group, suggesting impairment of memory, attention, visual gnosis, visuospatial function, kinesthetic and dynamic praxis, verbal and non-verbal components of thinking. In 85% of children with post-Covid syndrome, two primary colors are in the last three places of the color gamut in the Luscher test. In 65% of cases, the presence of gray is at the beginning of the color scheme. Compensatory mechanisms were observed in 55% of cases. Conclusions. Complex psychological examination in children with post-COVID syndrome has showed that the revealed changes in the emotional and personal sphere have a common pathogenesis with cognitive impairments (auditory-speech memory disorders, insufficiency of optical-spatial gnosis and praxis, verbal and non-verbal intelligence). Disorders of higher mental functions, changes in the emotional and personal sphere and the nature of neurological complaints indicate the involvement of the mediobasal parts of the brain, reticular formation, brain stem, basal ganglia, which provide energetic activation of brain activity and modally nonspecific brain functions. When developing neuropsychological rehabilitation programs for children with post-Covid syndrome, it is necessary to observe the principle of unity of diagnosis and correction, which makes it possible to determine the topic of brain damage in the relationship of the cognitive and emotional-personal spheres, to conduct restorative training using the method of “replacement dysontogenesis”, relying on intact functions.

Key words: pediatric neuropsychology, long-term consequences of COVID-19, neurocognitive tests, cognitive functions, disorders in the emotional and personal sphere.

[literaturepublisher23]

Images in Clinical Medicine

Images in Medicine Journal: Images in Clinical Medicine publishes all types of clinical images, images in medical science, image journal submission, clinical imaging in medicine, image journal of medicine etc.

Journal Homepage: https://www.literaturepublishers.org/

What is Clinical Image?

For the purposes of this guide, a clinical image may be a photo, video recording, or audio recording. A clinical image may be of the patient's body - such as an injury, skin lesion or body fluid - or an image of a pathology report, diagnostic image, or medication.

Clinical images used for teaching, training, and research should be de-identified, where possible, and must comply with relevant research or ethical guidelines.

What is Medical Image?

Medical imaging refers to several different technologies that are used to view the human body in order to diagnose, monitor, or treat medical conditions. Images in Medicine Journal: Images in Clinical Medicine topics published in clinical images and case reports journal

Clinical Images and Case Reports Journal publishes Clinical Images, Clinical Case Reports, Case Series (series of 2 to 6 cases), Medical Case Reports and Clinical Videos in all areas related to medical science and clinical research.

Manuscript Submission

Authors may submit their manuscripts through the journal's online submission portal: https://www.literaturepublishers.org/submit.html

(or) Send an e-mail attachment to the Editorial Office E-mail Id: editor.cicrj@literaturepublishers.org

[swetaroy]

A Quick Review of the Most Crucial Facts about Abdominal Ultrasound

Reach out to us for additional information, as we provide exceptional ultrasound imaging services utilizing the cutting-edge Voluson E10 equipment. Visit the website for the top diagnostic imaging services in Kolkata to get in contact with us. Read More >> https://tinyurl.com/bdf3wpp9

[literaturepublishersjournal]

Images in Medicine Journal: Images in Clinical Medicine

Manuscript Submission

Authors may submit their manuscripts through the journal's online submission portal: https://www.literaturepublishers.org/submit.html

(or) Send an e-mail attachment to the Editorial Office E-mail Id: editor.cicrj@literaturepublishers.org

[literaturepublisher10]

Images in Clinical Medicine

Images in Medicine Journal: Images in Clinical Medicine publishes all types of clinical images, images in medical science, image journal submission, clinical imaging in medicine, image journal of medicine etc.

Journal Homepage: https://www.literaturepublishers.org/

What is Clinical Image?

For the purposes of this guide, a clinical image may be a photo, video recording, or audio recording. A clinical image may be of the patient's body - such as an injury, skin lesion or body fluid - or an image of a pathology report, diagnostic image, or medication.

Clinical images used for teaching, training, and research should be de-identified, where possible, and must comply with relevant research or ethical guidelines.

What is Medical Image?

Medical imaging refers to several different technologies that are used to view the human body in order to diagnose, monitor, or treat medical conditions. Images in Medicine Journal: Images in Clinical Medicine topics published in clinical images and case reports journal

Clinical Images and Case Reports Journal publishes Clinical Images, Clinical Case Reports, Case Series (series of 2 to 6 cases), Medical Case Reports and Clinical Videos in all areas related to medical science and clinical research.

Manuscript Submission

Authors may submit their manuscripts through the journal's online submission portal: https://www.literaturepublishers.org/submit.html

(or) Send an e-mail attachment to the Editorial Office E-mail Id: editor.cicrj@literaturepublishers.org

[primaryhealthcenter]

What are the Major Types of Ultrasound Examination

[biomedres]

Toward Effective Learning Environment: Barriers of E-Learning Among Undergraduate Medical Students During COVID-19 Pandemic in a Developing Country

Toward Effective Learning Environment: Barriers of E-Learning Among Undergraduate Medical Students During COVID-19 Pandemic in a Developing Country in Biomedical Journal of Scientific & Technical Research

Background: At March 2020 there was great disruption of learning environment at medical schools in Egypt.COVID-19 pandemic leads to closure of all medical schools and sudden shift to exclusive e-learning. Although e-learning has its epidemiological benefits during this crisis, many barriers were encountered by medical students thathinder the learning environment to be effective.

This study aimed: to identify the barriers of exclusive e-learning mong medical students at Tanta University, Egypt, which could portray barriers in medical schools of developing countries. A cross-sectional survey was targeting the undergraduate medical students at Tanta University from1st to 6th academic years. The data were collected from 10th October through 14th November 2020 using a semi-structured online questionnaire. The respondents were 1137 students with a mean age of 20.9± 1.5 years. Females constituted 72.6% of the participants and 48.7% were from low-income families. More than half (59.7%) of participant students mostly use smartphone for e- learning. This study showed high magnitude of barriers’ perception where the overall mean score of students’ barrier perceptions toward e-learning was 69.46± 12.33 and only 27.7% of the participants prefer it. The barriers were multifactorial and interrelated. They include technological and infrastructure barriers, pedagogical, personal, sociodemographic and financial barriers.

Conclusion: The high magnitude of barrier perception indicated an urgent need to overcome them and create a more effective learning environment.

For more articles in Journals on Biomedical Sciences click here bjstr

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[cursedcola]

Prompt: “I Lived Bitch” <- You send them a text message of an an image. Said image is a headshot of you with bandages around your head, a couple of bruises on your face, and the staple cheeky peace sign to tie it all together. Context Varies. Fandom: Twisted Wonderland Characters: Overblot Homies Format: TEXT.IMG + Bullets.

Parts: (Riddle, Leona, Azul, Jamil) (Here) , (Vil, Idia, Malleus) Masterlist: Link A/N: Saw some of these floating around and thought the text format would be good for some mixed scenarios <3. Sorry they’re not all in one. Tumblr has a picture limit. Edit: HUZZAH I have discovered a way to put more images. Less parts hehe.

A gradual spiral. Riddle isn’t one to dwell until order is disrupted. He initially thinks you’re off causing mischief with Ace and Deuce - already preparing for whatever comes.

When they arrive on their own, knowing nothing about you? He’s uncomfortable. When Grim struts in on his own, he’s concerned. When Crewel stops him saying that you missed half your classes and didn’t have any absentee excuse? He’s panicking.

The controlled type of panic where it feels like that first month of Sophomore year all over again. Grim’s already earned a collar. How could he not know where his prefect is? The Headmaster is irresponsible surely, but you were a good student. Riddle wouldn’t partner with someone unable to uphold their basic responsibilities.

Riddle was one hour short of marching to Crowley’s office, because perhaps it was STYX scenario again and he wasn’t having a repetition.

You finally respond when he’s desperately trying to study - he wasn’t going to sacrifice his schedule.

Which gets forgotten regardless. He leaves the books abandoned (not that he could get past one page without drifting) and speed walks to the clinic. That anxious red poking out from his collar, heels smacking against marble. It’s rare for him to ever walk with his head in a screen - such a thing is rude, but his eyes are glued as he turns each corner.

He’s not happy you chose to downplay the situation. Considering his history with medicinal magic, Riddle’s already bombarding the nurse for your medical report once he enters. Then he sits silently at your bedside, flipping through the clipped papers. The occasional scoff turns to a tick in his jaw when reading the incident report.

Cave in of the Ramshackle stairwell? Looks like he’s having a word with the Headmaster after all.

Unlike Riddle, there’s an instant agitation with this one. Call it the princely charm of wanting instant responses.

Also. You don’t ignore him for silly reasons. When you say that you’re meeting him somewhere, you do. Same for Leona. He might gripe but he always shows up.

So he doesn’t need to wait. There’s already a nagging feeling in his stomach after the first twenty minutes pass.

He’s logical. Knows all your spots. Knows your schedule and would honestly even text Azul (if you’re working that day). Pain in the ass, but he’ll do it.

So first instinct is to do a play-by-play of the past week in his head. Look for any reason you might be pissed or too ‘busy’ to hold your plans. When he comes up empty, he’ll strut up to the little frosh table. Stir some anxiety with a glare or whatever, which gets serious when no one has any idea where you’re at. Not even the little weasel.

Any longer and he might’ve gone to Rook. We all know how Leona feels about Rook, but he’s the best when it comes to tabbing someone.

Your text comes during Spelldrive practice. He’s standing on his broom, looking over the field, arms crossed and agitated with the TWST equivalent of a bluetooth headset in his ear.

Dips out so fast. 0mph to roughly 50 after waving Ruggie to finish without him. Flies right out the practice court, overhead main campus, and outside the infirmary. Not in the mood to deal with the nurse or any of that crap. Comes in through the window.

Pissed. Pissed he didn’t think to check here, and pissed he should’ve had to. Did you learn nothing from the Spelldrive tournament? Broomwork isn’t easy, and not meant for two people unless someone with strong magic can support it.

Wants to know which idiot let you fall, but he’s been on edge all day. He can grill it out of you later. Scoot over and make room, he’s owed his mid-day nap. No. He’s not sleeping in a free bed. The scent of antibacterial spray is shanking his nose, so he needs yours to mask it.

In truth he is NOT okay. He’s very pissed and doesn’t sleep a wink. How could he? Pulls the curtain around your bed and flops over you with his tail curled around your leg. Hurts? Tough luck. Don’t pull a stunt like that ever again.

Azul is tweaking out - just so you know. First out of panic and then for the little sweettalk - even if he asked for it

Already used to you getting knocked over the head - Floyd's a bit too rough for his liking when swinging ya around, but what can he do?

Amidst packing up his belongings in a rush, the VIP lounge's empty so he can skidadle along like he normally would when alone. The moment the picture loads, he's honestly glad you texted vs. video call since it's easier to feign that cocky attitude of his via message.

Despite sassing you about the twins - he's a bit miffed you'd think for a moment he isn't coming himself. If anything to get the story from word-of-mouth vs. whatever Jade's going to relay.

Speaking of, oh look - one of the lounge couches is already set up to accommodate one injured prefect. A light meal and some tea too. Floyd's itching for a squeeze, but the most you get is a rough toss on the cushion before Azul's got him in one of those rare gridlocks where Floyd backs down. Did you think he couldn't? Octopi are freaking strong.

Rather than be outwardly miffed, he's already regained his composure during his walk to the infirmary.

So...you fell while trying to get an overhead shot of campus for the newspaper? And you were just...given access? To one of the high towers? You. A student without a broom or ability to cast a safeguard charm.

....Hmm. Someone gave you access? Curious. Only Professors are allowed to hand out access passes. Sounds a bit 'fishy' but he's satisfied. Looks like Floyd might get to play after all.

....oh he's not mad, he's just disappointed (ouch)

He's too busy to sit and worry over where you're at. Jamil trust (ed) that as the only other mildly-sane person at this school, you'd make educated decisions

Okay. That's a lie. You're not sane, but he accepted as much when he begrudgingly fell for said insanity...damn hearts and their lack of logic

Honestly? He was shocked you put him as an emergency contact. Flattered even. Until the simmering frustration began to boil - because of course you went of campus. Of course you took the trolly down to the Isle shops, and of course you got hit by a car trying to stop Grim from running across the street (he saw a sushi shop and bolted).

Of course Jamil can't just go on his own. He has to finish his tasks, get permission, and using the carpet means telling Kalim. Which will then lead to him getting worked up and lo behold it is an event now.

At least using the Al Asim name gets the permission granted without a fuss...Jamil just wants to see that you're okay in person for himself...and also lay into you for being reckless. No holding back.

Hah. Haha. -_-

Don't try getting out of this by acting cute with the little 'i love you' and grabby hands once he gets there. He's not that soft-hearted...yet. Jamil has his principles.

Kalim might jump off and barrel in past medical professionals without thinking twice. Jamil will do his casual glance-over, speak with the nurses, and pull up a chair once he realizes you won't be let go until morning. Great. Now it's just you three stuck in a small hospital room (Kalim got ya booted up to a private stay) as some strange impromptu sleepover.

Just...give him a bit. Wait for Kalim to pass out on the spare cot and then he'll stop looking so emotionally repressed. Believe it or not, he'd trade places with you in a heartbeat if he could.

Not because he feels obligated, but because getting the 'hey, your partner is off in a clinic miles away' call during his normal schedule was a heart attack Jamil wasn't prepped for.

He thought the worst news could be that you'd gone home without saying anything. Somehow? This was nearly on par. 90% on par.

[smolkooks]

incoming call... (part ii) - kenji sato

a/n: roughly 2k more words of kenji sato fluff! sequel to 'incoming call...' link to part i

ੈ✩‧₊˚ੈ✩‧₊˚ੈ✩‧₊˚ੈ✩‧₊˚ੈ✩‧₊˚ੈ✩‧₊˚ੈ✩‧₊˚

“ouch!”

you snickered, “ken, i told you not to get too close! she doesn’t like strangers,” you leant down to scratch the little kitten’s cheeks, and because she knew you and you were undoubtedly her best friend, she purred in contentment, all the while giving kenji sato an irritated glare.

the nickname—ken—slipped off your tongue smoothly, the same way you’d been saying it for the past few months that you’d been spending around your highschool sweetheart. even though you’d been apart for so many years and hadn’t seen each other for so long, it had been easy to slip back into an old rhythm.

“fuck, i didn’t know she’d actually bite me, she looks so tiny,” he hissed, shaking his reddened finger.

“size means nothing when it comes to animals,” you retorted, and despite the way you rolled your eyes, you still handed him an ice pack from your freezer, “take this, big baby.”

he huffed but took it anyway, pressing it to his injury.

it had become a bit of a routine—after his games, he’d come over to your clinic to visit you while you handled the late-night clean ups. the rest of the vet team headed home at closing, but with no kids or family to care for, you often spent your evenings here, keeping the animals company and handling some of the extra paper work. 

“how’s emi doing, by the way?” you said as you refilled some of the water bowls. most of the animals were sleeping at this time, but you still liked to make sure they were all fed and watered. in fact, it was better to do it while they were asleep—less whinging from the little babies for treats.

“she’s doing well,” he said, and it was his turn to roll his eyes as he leant against the bench, “attitude and all, as always.”

“she’s a teenage girl,” you said with a laugh, “it’s so normal. i was one, so i can affirm.”

“mhm,” he said, eyes gleaming, “i remember.”

it was weird, toeing this line with kenji sato. so long ago, you’d been each other’s universes and after separating to go to university, the two of you had been sucked into different orbits—him going into baseball in the states, and you pursuing veterinary medicine in australia. it almost felt like fate nudging you, having the two of you run into each other—back in japan all these years later.

saving you from responding, his phone rang at that very moment. being around kenji all these weeks had gotten you used to his late night calls—how he’d have to run off to take care of the city. but this call seemed to come from one of his teammates, with the familiar way he addressed the person on the other side of the line.

he’d told you that at first he didn’t have any friends here, too busy to do anything but work. but now, he’d grown close to plenty of his teammates and of course, he had you.

“yeah well, i’m kinda busy right now actually...why?” you overheard him say as you busied yourself with some clean up and tried not to look like you were eavesdropping, “oh...oh! yeah uh—what?! what the...” his change in tone piqued your interest.

“...right, thanks for telling me, i’ll call you back later, yuta. thanks...” he hung up, and turned sharply to you, meeting your awaiting gaze, “the press caught you, uh, getting into my car.”

you frowned, confused at the problem with that, considering it wasn’t at all illegal for kenji to have friends.

“they’re blowing it up,” he said, running a hand through his hair and messing it up again, “i...i don’t mind, but i don’t want it to hurt you, that’s all.”

you waved his concerns off, “it’s whatever, to me. as long as it doesn’t harm your reputation, i don’t really have a public image to maintain. my patients don’t care who i date or don’t date.”

date? you felt flustered the moment those words left your lips. even though the two of you had been getting closer again and flirting and doing things that one would do while dating, neither of you had clarified the boundary yet.

kenji seemed equally as flustered and didn’t address what you’d said, not wanting to embarrass you, “you’re right,” he smiled crookedly, and you returned one back despite your racing heart.

***

the moment you stepped into your mum’s house, you were bombarded.

“what’s this about you dating kenji again!” she exclaimed, shutting the door behind you and ushering you into your childhood living room, “i haven’t seen that boy in decades. and since when were you—,”

“what, mum?” you cut her off sharply, even as she shoved you into a chair and poured you hot tea, sitting down opposite you eagerly, “i’m not dating him? plus, where’d you even—,”

she shoved the article in your face before you could even finish the question, her phone screen so bright that it took your eyes a second to adjust. “mum, your phone’s so bright, it can’t be good for your eyes.”

“not important, y/n,” she snapped hurriedly, “look at it.”

blinking your eyes to focus, you finally saw the image clearly. it really did look like you were dating. the window of kenji’s porsche was wound down, and you were leant over towards him, pressed so close to him in a way you didn’t remember doing, even though you knew that you’d only been reaching over to grab the gum from his glovebox. the way he was looking at you, though—you hadn’t noticed in the moment. it was really full of adoration, eyes glittering with a love you remembered so clearly from your highschool days, and his arm was reached out around you in a way you also hadn’t noticed before.

“explain,” your mum demanded, although she didn’t seem annoyed, she seemed...quite excited, the way her eyes were suspiciously bright, “i miss seeing that lovely boy around.”

embarrassed, especially as your eyes scanned over the headline—baseball star kenji sato’s new sweetheart?!—you stuttered, “uh, i ran into him a few weeks ago and we’ve been hanging out, you know, at the clinic.”

“well, then, what are you doing in his car?” she rushed, waving her phone around again, “doesn’t look like the clinic to me. and look—,” she scrolled down a bit further to another picture, this one even more incriminating.

it was you, tucked in the audience of one of kenji’s baseball games, dressed in his team colours, cheering amongst the other vip guests sitting amongst you—friends and family of the players.

“well—,”

“i’m not hearing it,” she cut you off, a grin breaking out, “you’re bringing him over! i can’t believe it—my daughter and kenji, reunited,” she sighed happily, “i was worried you would never settle down, you know.”

flustered, you didn’t even bother to object, sagging in your seat at her insistence.

***

“y/n, i’m really sorry, i didn’t think it’d be that bad,” he said hurriedly as he followed you up the stairs to your apartment, “i’m really sorry. i’m trying to get them to take it down but you know how—,”

you whirled around as you shut the door to your apartment after letting him in, “my mum wants to see you.”

“huh?”

you sighed, switching on the lights and throwing yourself onto your couch, “she saw the article and couldn’t stop going on about how i was finally settling down and how she needed to see you again.”

he ran a hand through his hair, “you...don’t mind?”

“kenji,” you sat up straight, beckoning him over, “i don’t mind. and i wouldn’t mind...”

the silence was loud, the only sound in the room the quiet humming of your lights and the traffic outside, as he sat down beside you, sinking into the cushions.

you knew you didn’t have to finish your sentence. kenji sato knew you too well. he met your eyes and pulled you close, hugging you to his chest. you breathed in his scent—clean, and a little tinted with fish. you’d found out that he often had to go fishing—diving, more like—for emi’s dinners, and that was why he was so often around your apartment block...to fish in the river like a weirdo.

“y/n...”

you hummed, waiting for him to continue as you pressed your face into his chest.

“i really meant it when i said i missed you, back when we first saw each other again,” he began, and you smiled into his skin, “i was so lonely. drained, and it was like fate—seeing you that day saved me, i swear. you were all i could think about. i couldn’t...i couldn’t imagine never seeing you again.”

“kenji,” you murmured, leaning back to look at him earnestly, “i missed you, too.”

“what i’m trying to say is,” he swallowed, looking down before looking up to meet your gaze again, “i...i wanna date you, y/n. if you’ll have me,” suddenly shy, he flushed a bit at his own words.

you smiled at how sweet it was, how shy he seemed and also how your stomach fluttered with butterflies, “ken, of course i’ll have you. you’re all i want.”

you’d barely finished your sentence when his lips met yours in a gentle, soft kiss. you couldn’t really put it into words, how it felt to kiss kenji again after all these years. it felt like coming home. it felt like taking all the colours of the sunset and smearing it across a canvas. it felt like drinking warm milk tea. you hummed into the kiss as he deepened it, pulling you closer by the nape of your neck, and you reached up to tangle your hands in his dark locks, pulling him down towards you at the same time.

you were so close to him you could feel his heartbeat—almost hear it, and you hoped he couldn’t hear how quickly yours was racing. he tasted of caramel, and you couldn’t help but sigh as his hands slid down to your waist, pulling you onto his lap as you broke apart from the kiss, curling into him in a hug.

“y/n,” he murmured, keeping his arms wrapped around you, “i really, really missed you.”

you’d missed him too. his little habits, his dishevelled hair—fish smell, and all. you’d missed him more than anything.

finally, you’d come home.