#he recommends frequent cancer screenings

[queerpurpledragon]

Danny was a cute boy in some weird magic infested town he was sent to for recon. Tim spent a few weeks there trying to decide if the town was plagued by a fae court, some weird shadowy cult, or some eldritch deity. On paper, at least, that’s what happened.

Tim was going through another crisis about his sexuality, and decided fuck it, I’m around some normal teenagers who won’t become Evil Future Versions of Themselves to Haunt Him or ruin the team dynamic or whatever, he can do whatever he wants he wants.

So he decides he’s allowed to want the twink that’s smarter than he thinks, and right in the middle of the whole town’s situation to boot.

(Is it a little manipulative that their relationship was initially brought on by Tim trying to figure out if Danny’s parents had summoned something in the basement? Perhaps.)

Tim eventually decided the town was a little beyond him and called in the JLD. By this point The Case was taking up way more brain space than any given twink, and also the portal to another dimension freaked him the fuck out, so the relationship remained a one time, no strings, thing.

A forgettable thing, even.

Tim didn’t expect to see the guy again, except maybe in a JL file somewhere about the town.

Then Danny walked back into his life.

Logically, it wasn’t impossible for him to do so. Danny was smart, getting a scholarship or acceptance to GothamU would have been a cakewalk. It’s just phenomenally awkward in a new way Tim hasn’t experienced before.

For that split second before Tim spotted the two toddlers snapping at Danny’s heels, which his mind helpfully supplies with a mental timeline of, and oh shit.

Danny ranted for a second there about how much his town didn’t really like him, between his parents and demeanor. There’s no one else that’s really a candidate, except maybe that friend Tuck, but the kids are too light for that- Fuck.

He just stalls to a stop in the middle of the walkway, just a touch off campus, and watches Danny and Small Company walk away in his peripheral vision.

He needs a DNA sample yesterday.

dead tired #2

One night stand baby misunderstanding. trans! Danny and deaged Elle/Dani and dan. I have seen this idea with jazz and Jason but I'm doing it with Danny and Tim. 

Tim meets Danny dring the time quest request to find Bruce. Tim ends up going to Amity Park and meets Danny. The two of them end up falling into bed together and not long after Danny has to save Elle from destabilizing as well as Dan due to a Vlad plot.

Danny later ends up in Gotham for school and runs into Tim. Tim does the math for the kids and realizes something. I don't think he would flat out ask if the kids are his but I do think there is very much a back and forth between the mix signals of whether the kids are actually his, This is especially funny if Tim doesn't know that Danny is Phantom or any of the ghost stuff in Danny's life.

This can go two ways: the kids are actually Tim's due to Danny having the material in his system when he stabilizes the kids( reverting back to core and incubating and Danny situation) or For the kids are not his and it's not cleared up until a lot later.

[aekaholisticskinclinic]

The Importance of Regular Skin Check-Ups with a Skin Specialist in Trivandrum

Healthy skin is important for overall well-being, but often, one realises its health when apparent problems set in. Your skin is the largest organ of the body and serves as a first line of defence against environmental elements. Regular follow-up with a Skin Specialist in Trivandrum at AEKA Skin Clinic will ensure your skin stays healthy and resilient, something of extra importance with the tropical climate of Trivandrum. The high humidity, the scorching sun, and other environmental factors in the region make it quite important that frequent monitoring and proper skin care are done. 

Why do Regular Skin Check-Ups Matter?

Early Detection of Skin Issues:

Regular visits to Skin Care Expert Trivandrum at AEKA Skin Clinic allow for the early detection of the skin problems of acne, eczema, and hyperpigmentation before they get out of hand. This is beforehand while it’s relatively easy to treat and hence avoid chronic conditions that are difficult and expensive to treat, thus keeping your skin healthy and clear.

Prevention of Skin Cancer:

Regular check-ups of the skin at the skin clinics in Trivandrum like AEKA Skin Clinic are very important for finding out early and as soon as possible those skin conditions that can turn out to be dangerous. The skin professional will recognise suspicious-appearing moles or other skin lesions that may need further testing for detection. This gives an individual much confidence and allows taking care of their health issues even more proactively.

Customised Skin Care Recommendations by the Best Skin Specialist in Trivandrum

Everybody’s skin is unique, and for that, each skin needs special care. A Skin Specialist in Trivandrum can assess your skin type and the problems you are facing. He or she will provide personalised skincare tips and treatment concerning your specific needs, which becomes quite essential in the hostile environment of Trivandrum. 

Skin Health Concerns in Trivandrum

Impact of Climate and Environment:

Climatic conditions in Trivandrum mean tropical conditions, which also mean high humidity and excessive UV radiation. These factors collectively impose a unique threat on the skin. Prolonged exposure to the sun can result in signs of ageing, sunburns, and even increase the risk of skin cancer. Along with this, moisture in the air may lead to fungal infections and other skin-related complications if not taken care of properly.

Common Skin Problems in the Region:

Given the humidity, some of the most common skin problems in Trivandrum include hyperpigmentation, fungal infections, sunburn, and oiliness of the skin. Consult a Skin Specialist in Trivandrum to effectively treat regional issues and guide you to keep your skin healthy all year round.

What to Expect During a Skin Check-Up

Full Skin Exam:

During the routine checkup, a SkinCare Expert Trivandrum at AEKA Skin Clinic will physically examine your skin for all kinds of alterations from the normal and may order special tests to confirm certain skin conditions.

Skin Cancer Screening:

One of the most important parts of follow-up visits is skin cancer screening. The Trivandrum Skincare Specialist will then inspect any moles or lesions for any kind of abnormal growth. Naturally, early detection means a better possibility of successful treatment and prevention.

Treatment and Care Recommendations:

After the consultation, your Skin Specialist in Trivandrum will advise you on follow-up care, prescribe treatments if needed, and recommend lifestyle modifications to maintain the good health of your skin. These would be necessary for modifying your skin care regimen or applying therapeutic chemical peels, sunscreens or moisturisers, depending on your skin type.

How to Find the Best Skin Care Clinic in Trivandrum

Experience:

When selecting a skin specialist in Trivandrum, the appropriate qualifications and relevant experience in treating a wide range of skin conditions must be considered. Look for Trivandrum Skincare Specialists who are advanced in training and with proven track records in cosmetic and medical dermatology.

Reviews and Recommendations:

Patients’ reviews and word-of-mouth recommendations can save a Skin Specialist in Trivandrum a lot when looking for a skin doctor. Positive feedback from patients will help you be confident that indeed you are in the right hands for your skin care needs.

Advanced Technology and Services:

Ensure that the specialist at the best skin care clinic in Trivandrum like AEKA Skin Clinic uses the latest modern technology and updated techniques within the practice. Advanced services, such as laser treatments, and non-invasive skincare, can go a long way toward boosting your experience and results.

Regular check-ups with a Skin Specialist in Trivandrum at AEKA Skin Clinic come with many advantages, right from early detection of skin problems to personalised care that would aptly address the particular environmental challenges of the region. Give importance to regular visits to protect your skin not only looking better but also for overall good health. Be proactive; consult the best skin specialist in Trivandrum to invest in your future skin health today.

[drravigupta1]

Common Signs of Urological Problems to Visit a Urologist

Taking care of your urinary health is crucial for your overall well-being, but many people might need help knowing when to see a urologist. Your body gives you Signs of urological issues, like pain during urination or unexplained back pain, indicating something might be up. Recognizing these signs early is important for getting the right help on time. This blog will talk about these signs, such as blood in urine, changes in your private life, or repeat infections, and why paying attention to them is crucial.

Also, we’ll discuss what makes a good urologist – someone who’s not only good at their job but also cares about you and makes you feel comfortable. Dr Ravi Gupta is an excellent urologist, and in this blog, we’ll explore why he’s the right choice for various urinary problems, from simple discomfort to more complicated reproductive health issues. So, keep reading to learn more!

Understanding Important Signs of Urological Discomfort

Explore common signals your body sends, such as pain during urination, blood in urine, or changes in sexual function. Learn to recognize these signs of urological issues for early detection and care.

Frequent or Painful Urination

If you find yourself rushing to the restroom more often than usual or experiencing discomfort during urination, it could be a sign of various urological issues. Conditions such as urinary tract infections (UTIs), kidney stones, or an enlarged prostate can manifest through these symptoms.

Blood in Urine

The presence of blood in urine, known as hematuria, is a red flag that should never be ignored. It may indicate infections, kidney stones, or even more serious conditions such as bladder or kidney cancer. Consulting with the top urologist in Jaipur is crucial for accurate diagnosis and appropriate treatment.

Changes in Sexual Function

Any noticeable changes in sexual function, including erectile dysfunction or a decline in libido, may be indicative of underlying urological issues. Hormonal imbalances, prostate problems, or even psychological factors could contribute to these changes.

Testicular Pain or Swelling

Testicular pain or swelling should never be dismissed as minor discomfort. These symptoms could signify conditions like testicular torsion, epididymitis, or even testicular cancer. Timely consultation with a urologist can help identify and address these concerns.

Difficulty Emptying the Bladder

Difficulty in emptying the bladder could be a sign of an enlarged prostate or other obstructive issues. Seeking medical attention is crucial to prevent complications such as urinary retention or infections.

Recurrent Urinary Tract Infections (UTIs)

 Frequent UTIs might indicate an underlying issue with the urinary system. Recurrent infections can lead to more severe complications if not addressed promptly. A urologist can investigate the root cause and recommend appropriate interventions.

Pelvic Pain

 Persistent pelvic pain, especially in women, can be associated with conditions like interstitial cystitis or pelvic floor dysfunction. Men may experience pelvic pain related to prostate issues. Consulting a urologist helps in identifying and managing the source of the pain.

Unexplained Lower Back Pain

While lower back pain is a common complaint, when it persists without a clear cause, it could be related to kidney problems. A urologist can assess and diagnose any underlying urological issues contributing to lower back pain.

Urinary Incontinence

Loss of bladder control or urinary incontinence can significantly impact one’s quality of life. It may be related to various factors such as weak pelvic muscles, nerve damage, or underlying health conditions. A urologist can assist in identifying the reason and suggest the best course of action.

Family History of Urological Conditions

 If there is a family history of urological conditions, individuals should be proactive in seeking urological screenings and consultations. Some urological issues may have a genetic component, and early detection can be crucial for effective management.

Paying attention to these signs and promptly seeking the expertise of a urologist can play a pivotal role in maintaining urological health. Regular check-ups, especially for those with a family history of urological conditions, can help in early detection and preventive care. Prioritizing urological health is a proactive step towards overall well-being, ensuring a healthier and more fulfilling life.

Essential Qualities to Consider When Choosing an Expert Urologist

Explore key characteristics for choosing a reliable urologist: expertise, communication skills, compassion, accessibility, and commitment to patient well-being. Make informed decisions for your health.

Board Certification

A good urologist should be board-certified, indicating that they have undergone rigorous training and have met the standards set by professional medical boards.

Experience and Specialization

Look for a urologist with relevant experience in treating a range of urological conditions. Specialization in specific areas, such as oncology, male reproductive health, or pediatric urology, can be advantageous.

Communication Skills

Effective communication is crucial in healthcare. A good urologist should be able to explain complex medical concepts in a way that patients can understand, fostering a strong doctor-patient relationship.

Compassion and Empathy

Dealing with urological issues can be sensitive and personal. A compassionate and empathetic urologist creates a supportive environment, helping patients feel more at ease discussing their concerns.

Thorough Examination and Diagnosis

 A good urologist conducts a thorough examination, considering all relevant aspects of a patient’s medical history and symptoms. They should use advanced diagnostic tools and techniques for accurate and comprehensive assessments.

Up-to-Date Knowledge

Medicine is an evolving field, and a good urologist stays current with the latest research, technologies, and treatment options. As a result of this, patients are guaranteed to receive the most advanced and effective care possible.

Commitment to Patient Education

A quality urologist takes the time to educate patients about their conditions, treatment options, and preventive measures. Informed patients are more likely to actively participate in their healthcare.

Respect for Patient Privacy

Patient confidentiality is paramount in healthcare. A good urologist prioritizes and upholds the privacy and confidentiality of patient information, creating a secure and trustful environment.

Accessible and Responsive

Accessibility and responsiveness are essential qualities. A good urologist should be reachable for urgent matters, and the office should have efficient communication channels for appointment scheduling and inquiries.

Positive Reviews and Recommendations

Positive feedback from current or past patients, as well as recommendations from other healthcare professionals, is a strong indicator of a urologist’s competence and patient satisfaction.

Commitment to Continuous Improvement

A quality urologist is committed to continuous improvement. This includes seeking feedback, participating in ongoing education, and adapting their practice to deliver the best possible care to their patients.

Why Choose Dr. Ravi Gupta for Your Urological Problems

If you are facing any of the above signs of urological problems, it is necessary to consult the best urologist. The best way to get rid of the symptoms is to get assistance at the primary stage, as it will increase complications later. So, if you are seeking the best urologist in Jaipur, then schedule your appointment with Dr Ravi Gupta.. He is one of the most highly qualified urologists in Jaipur and can provide the best urological services. Moreover, they also provide personalized plans as per your medical needs. Therefore, to take advantage of quick and easy access to quality urological care, book your appointment now.

[backlinkdem13]

PSA TEST

PSA Test

A protein known as prostate-specific antigen, or PSA, is produced by both benign and cancerous prostate gland cells. The PSA test determines the blood level of PSA. A blood sample is sent to a laboratory for analysis for this test. Typically, the results are expressed as ng/mL (nanograms of PSA per milliliter) of blood.

The PSA test was first approved by the FDA in 1986 to monitor the progression of prostate cancer in men who had already been diagnosed with the disease. People with prostate cancer frequently have an elevated PSA level in their blood. The PSA test was approved by the FDA in 1994 to be used with a digital rectal exam (DRE) to help men over 50 detect prostate cancer. Until about 2008, many medical professionals and professional organizations recommended starting a PSA screening every year at age 50 for prostate cancer.

In order to assist in determining the nature of the issue, health care providers frequently use PSA testing in conjunction with a DRE in patients who report experiencing prostate symptoms.

Why is the PSA Test done?

The Prostate Specific Antigen (PSA) test is used for the following:

Men should be tested for prostate cancer. A prostate biopsy may be performed if your doctor is concerned about signs of prostate cancer because other common medical conditions, such as Prostatitis and Benign Prostatic Hyperplasia (BPH), can raise PSA levels.

Check in the event that malignant growth might be available when results from different tests, like a computerized rectal test, are not ordinary. Although it is not a cancer diagnosis, the PSA test can be used in conjunction with other tests to determine whether cancer is present.

During active surveillance or other treatment, keep an eye on prostate cancer. The cancer may be growing or spreading if PSA levels rise. A man who has had his prostate gland removed usually does not have PSA. A public service announcement level that ascents after prostate evacuation might mean the malignant growth has returned or has spread.

How to prepare for the PSA Test?

Tell your doctor if you have had a bladder cystoscopy in the past few weeks before you have a Prostate-Specific Antigen (PSA) test.

In the past few weeks, a prostate needle biopsy of prostate surgery.

During the past few weeks, a digital rectal examination was performed.

A persistent infection of the prostate (prostatitis) or an infection of the urinary tract (UTI)

A catheter or tube that was recently inserted into your bladder to drain urine

Try not to ejaculate for 24 hours before your public service announcement blood test, either during sex or masturbation. If you have any questions about the necessity of the test, its risks, the procedure, or the significance of the results, you should talk to your doctor.

Dr. Amit Ghosh is one of the best urologist and robotics uro-surgeon in Kolkata. After his return from the UK, he has been associated with various institutions including Wockhardt Hospital and Kidney Institute, Woodlands Hospital, Kothari Medical Center and Anandalok Hospital. Currently he is dedicated to his service to Apollo Gleneagles Hospitals, Kolkata. Currently he has developed a very well established and robust Urological presence in the campus of Apollo Gleneagles Hospitals, Kolkata. The practice takes care of all fundamental general Urological procedures, a vast multi-disciplinary Uro Oncology specialty, and also a comprehensive diagnostic and uro health check-up facility.

[cubspaediatricdietetics]

Why You Should See a Gastroenterology Specialist

A gastroenterology specialist can help you with conditions like unexplained weight loss and blood in the stool. They have received extensive, hands-on training in endoscopy -- a nonsurgical way to examine the digestive tract.

They've also been trained to perform advanced procedures with endoscopes, such as polypectomy and esophageal and intestinal dilation (stretching narrowed areas). They can even diagnose and treat liver cancer.

Evaluation

Gastroenterology is the study of the normal and diseased action of the gastrointestinal tract, including the esophagus, stomach, small intestine, colon, rectum, gallbladder and pancreas. It involves detailed understanding of the movement of food and water through these organs, as well as their structure, function and role in digestive diseases such as ulcers, inflammation, irritable bowel syndrome (IBS) and cancer.

Gastroenteologists receive extensive specialized training in endoscopy, which is the use of narrow flexible tubes with built-in video cameras to view internal structures. They also undergo rigorous training in interpreting the results of these tests and learning how to conduct them safely and effectively.

If you are over 50, your gastroenterologist will most likely recommend a screening colonoscopy to identify early signs of colorectal cancer. They can also diagnose and treat other conditions of the gastrointestinal tract, such as diarrhea, constipation, acid reflux and peptic ulcers. They are also trained to perform a variety of invasive procedures, such as sigmoidoscopies and colonoscopies.

Diagnosis

If your primary care doctor notices a problem with the lining of your digestive tract or your stomach, colon or liver, they’ll likely recommend you see a gastroenterology specialist for a more detailed assessment. Gastroenterologists are experts in how your body breaks down food, absorbs nutrients and eliminates waste. They’re also knowledgeable about symptoms like bloating, abdominal pain, heartburn and trouble swallowing.

A gastroenterology specialist will likely perform a state-of-the-art procedure called an endoscopy. It lets your doctor view your upper gastrointestinal tract (esophagus, stomach and the first part of your small intestine) via video from a thin tube that goes down your throat while you’re under sedation.

A gastroenterologist will likely also perform a sigmoidoscopy, which examines the lining of your lower gastrointestinal tract and the bottom section of your colon, or rectum. It helps detect ulcers, bleeding or early signs of cancer that won’t appear on X-rays.

Treatment

Gastroenterologists are experts in the diagnosis, treatment and prevention of diseases and disorders affecting your digestive tract. That includes the mouth and salivary glands, esophagus, stomach, small and large intestines, gallbladder, pancreas and bile ducts. They have 5-6 years of specialized education after medical school and are the doctors you would see for a screening colonoscopy or other tests that look inside the digestive tract.

They can treat symptoms such as acid reflux, abdominal pain and nausea. They also can perform endoscopic surveillance procedures such as sigmoidoscopies and colonoscopies that examine the lower GI tract. They also have directed training in endoscopic biliary examination (endoscopic retrograde cholangiopancreatography or ERCP), removal of tumors without surgery (endoscopic mucosal resection or EMR) and placement of internal drainage tubes (stents).

If you find blood on your toilet paper or while using the restroom, that could be a sign of hemorrhoids. Your gastroenterologist may prescribe medications to ease the pain or recommend more extensive treatments like hemorrhoid banding.

Prevention

If you suffer from frequent heartburn, a gastroenterology specialist may recommend avoiding foods that are known to cause this condition. He or she can also test for gluten sensitivity, which affects a small number of people, and celiac disease, an autoimmune disorder in which the body can’t properly digest gluten.

Queensland gastroenterology receive special training in the use of endoscopes, narrow flexible tubes with built-in cameras, to visualize inside the digestive tract. They are also trained to perform advanced procedures such as removing gallstones without surgery and diagnosing and treating liver tumors.

The specialized training of a gastroenterology specialist makes him or her a valuable member of the healthcare team. He or she can help prevent, diagnose and treat conditions of the esophagus, stomach, small intestine, colon and rectum, liver, gallbladder, bile ducts, and pancreas. Those who are board certified in this field earn the suffix FACG (Fellow of the American College of Gastroenterology). This honor is only granted to physicians who have achieved high levels of expertise in their specialty.

[drdhavalmangukiya]

The Role of Genetic Testing in Identifying Risk for Colorectal Cancer

Being the third most common cancer worldwide and responsible for a significant number of cancer-related deaths, colorectal cancer is the cancer which affects the colon and rectum part of the digestive tract. While many factors contribute to the development of colorectal cancer, genetics is increasingly recognized as an important risk factor. In this article, we will discuss the role of genetic testing in identifying the risk for colorectal cancer

While the majority of colorectal cancer cases are sporadic (i.e., not caused by an inherited genetic mutation), a small percentage of cases are caused by inherited genetic mutations that increase the risk of developing colorectal cancer. In this context, genetic testing can play an important role in identifying individuals who may be at increased risk of developing colorectal cancer and who may benefit from earlier and more frequent screening.

As one of the best colorectal cancer surgeons in Surat, Dr. Dhaval Mangukiya understands the importance of genetic testing in identifying patients at risk for the disease. Genetic testing is a process that examines a person’s DNA for specific changes or mutations that may increase their risk of developing cancer. There are several types of genetic testing available for colorectal cancer, including single-gene testing, multi-gene panel testing, and whole exome sequencing.

The two main types of inherited colorectal cancer syndromes are familial adenomatous polyposis (FAP) and Lynch syndrome, also known as hereditary non-polyposis colorectal cancer (HNPCC). FAP is caused by mutations in the APC gene and is characterized by the development of hundreds to thousands of polyps in the colon and rectum, which can progress to cancer if left untreated. Lynch syndrome is caused by mutations in one of several DNA mismatch repair genes and is characterized by an increased risk of developing colorectal cancer as well as other types of cancer, including endometrial, ovarian, stomach, pancreatic, and urinary tract cancers.

Genetic testing for FAP and Lynch syndrome involves analysing a person’s DNA for mutations in the APC gene or DNA mismatch repair genes, respectively. This testing can be done using a blood or saliva sample and can detect mutations with high accuracy. If a mutation is identified, family members can also be tested to determine if they have inherited the same mutation and are therefore at increased risk of developing colorectal cancer.

In addition to FAP and Lynch syndrome, there are several other inherited genetic mutations that have been associated with an increased risk of developing colorectal cancer. These include mutations in the MUTYH, BMPR1A, and SMAD4 genes, among others.

As the best colon cancer surgeon in Surat, Dr. Mangukiya emphasizes the importance of genetic testing for individuals with a family history of colorectal cancer. “If you have a first-degree relative, such as a parent or sibling, who has been diagnosed with colorectal cancer, you should consider genetic testing,” he says. “Even if you don’t have a family history, if you are concerned about your risk for the disease, talk to your doctor about whether genetic testing may be appropriate for you.”

In addition to identifying individuals at increased risk for colorectal cancer, genetic testing can also help guide treatment decisions for patients with the disease. “If we know that a patient’s tumor has a specific genetic mutation, we can tailor their treatment to that mutation,” says Dr. Mangukiya, who is also one of the best gastro surgeons in Surat. “This can lead to more effective treatment and better outcomes for the patient.”

One of the main benefits of genetic testing for colorectal cancer risk is the ability to identify individuals who may benefit from earlier and more frequent screening. For example, individuals with FAP or Lynch syndrome are typically recommended to undergo regular colonoscopies starting at a younger age (e.g., age 20–25) and at more frequent intervals (e.g., every 1–2 years) than individuals at average risk. This increased screening can help to detect polyps and early-stage cancers at a more treatable stage, ultimately leading to better outcomes.

In addition, genetic testing can help to inform decisions about preventive measures. For example, individuals with FAP are typically recommended to undergo prophylactic colectomy (i.e., surgical removal of the colon) to prevent the development of cancer. While this is a major surgical procedure, it can significantly reduce the risk of developing colorectal cancer in individuals with FAP.

Genetic testing for colorectal cancer risk can also have important implications for family members. If a mutation is identified in an individual, their first-degree relatives (i.e., parents, siblings, and children) have a 50% chance of inheriting the same mutation and being at increased risk of developing colorectal cancer. Family members can undergo genetic testing to determine if they have inherited the mutation, and if so, they can also undergo earlier and more frequent screening to reduce their risk of developing colorectal cancer.

However, it is important to note that genetic testing for colorectal cancer risk is not appropriate for everyone. It is typically recommended by a colorectal cancer specialist for individuals with a family history of colorectal cancer with the help of the guidance of a colorectal surgeon.

FAQ’SWhat are the genetic risk factors of colorectal cancer?

Colorectal cancer (CRC) is a complex disease with multiple genetic and environmental risk factors. Some of the most common genetic risk factors for CRC include:

Inherited mutations in certain genes: Mutations in genes such as APC, MLH1, MSH2, MSH6, PMS2, and EPCAM can increase the risk of developing CRC.

Family history of CRC: Having a first-degree relative (parent, sibling, or child) with CRC increases a person’s risk of developing the disease.

Age: The risk of CRC increases as people get older.

Inflammatory bowel disease (IBD): Long-standing inflammatory bowel diseases such as ulcerative colitis and Crohn’s disease increase the risk of developing CRC.

Personal history of certain types of polyps: Certain types of polyps, such as adenomatous polyps, can increase the risk of CRC.

Lifestyle factors: Factors such as a diet high in red meat and processed foods, physical inactivity, smoking, and heavy alcohol consumption have been associated with an increased risk of CRC.

It’s important to note that while having one or more of these genetic risk factors increases a person’s likelihood of developing CRC, it doesn’t necessarily mean that they will develop the disease. Regular screening and early detection can help to prevent and treat CRC as explained by Dr. Dhaval Mangukiya, one of the best colon cancer specialists in Surat.

What does testing to determine the risk of colorectal cancer include?

There are different types of tests that can help determine a person’s risk of colorectal cancer (CRC). Some of the most common ones are as follows:

Family history assessment: This involves gathering information about a person’s family history of CRC and other related cancers. A healthcare provider may ask questions about the number of relatives affected, their ages at diagnosis, and any other relevant medical information.

Genetic testing: This involves analyzing a person’s DNA for inherited mutations that are known to increase the risk of CRC, such as mutations in the APC, MLH1, MSH2, MSH6, PMS2, and EPCAM genes.

Colonoscopy: This is a procedure that uses a flexible, lighted tube with a camera to examine the inside of the colon and rectum. Colonoscopy can detect precancerous polyps and early-stage CRC, which can be removed before they become cancerous.

Fecal occult blood test (FOBT): This is a non-invasive test that checks for the presence of blood in the stool, which can be a sign of CRC. FOBT can be done at home and mailed to a lab for analysis.

Stool DNA test: This is a newer type of non-invasive test that checks for DNA changes in the stool that may indicate the presence of CRC or precancerous polyps.

It’s important to talk to a colon cancer specialist about the appropriate testing based on an individual’s age, personal and family medical history, and other risk factors.

How are genetic tests for cancer risk performed?

Genetic testing for cancer risk involves analyzing a person’s DNA to look for mutations or changes in specific genes that are known to increase the risk of developing cancer. Here is an overview of how genetic tests for cancer risk are performed:

Consultation: The first step is to meet with a healthcare provider or genetic counselor to discuss the benefits, risks, and limitations of genetic testing. They will review a person’s medical and family history to determine if genetic testing is appropriate.

Sample collection: Genetic testing requires a sample of a person’s DNA. This can be obtained from a blood sample, saliva sample, or tissue biopsy.

Laboratory analysis: The DNA sample is sent to a laboratory that specializes in genetic testing. The lab will use specialized equipment and techniques to analyze the DNA for mutations in specific genes associated with cancer risk.

Test results: Once the laboratory analysis is complete, the healthcare provider or genetic counselor will review the results with the person. If a genetic mutation is found, they will discuss the implications of the result and recommend appropriate medical management or screening.

Genetic testing can be complex and may have emotional and psychological implications. Therefore, it’s important to consult the best gastro surgeon in Surat to understand the potential benefits and risks before deciding to undergo genetic testing.

[timberdoodle-jamboree]

CHRONIC Steven Phillips/Dana Parish MTHFR You may have heard about these genes that are now mentioned in psychiartric circles. There are at least two genes that encode for the enzyme methylenetetrahydrofolate reductase, or MTHRF for short. These are frequently mutated in the population, and cause varying levels of  metabolic disruption depending on how many copies of each mutated gene are present. Mutations of these genes contribute to increased levels of homocysteine, an amino acid, which is recognized to be a significant risk for vascular disease, dementia, psychiatric illness, and certain cancers.

The American College of of Obstretricians and Gynecologists, College of American Pathologists, American College of Medical Genetics, and American Heart Association do not recommend testing for MTHFR. Likewise, most medical societies do not recommend routine screening for homocysteinie levels. I (Dr. Phillips) have been very surprised by this, giving the following: Studies show that certain B-vitamin supplementation resulting in lowered homoscysteine reduces the risk of stroke, which is confirmed by a metanalysis of many studies. Homocysteine reduction by vitamin supplementation also reduces retinal atherosclerosis in diabetic patients with high blood pressure, as well as brain shrinkage and cognitive decline in patients with early dementia. Other studies also demonstrate a significant treatment benefit to psychiatric symptoms in patients with depression and eating disorders.

Although studies of homocystiene reduction by vitamin supplementation demonstrate a reduced rate of recurrent blockage of the coronary arteries after balloon angioplasty, a procedure to open clogged arteries, most studies do not demonstrate a reduction of overall heart disease that meets statistical significance. This may be because the B-vitamin reigmens used in those studies were sub-optimal, as homocysteine levels were frequently only modestly reduced. I offer my patients with elevated homocysteine vitamin therapy to lower it. For most patients, methylfolate and methylcobalamin will markedly lower homocysteine. For some patients, additional therapy is required, such as vitamin B6, but it can cause heartburn in some patients, and if taken in excess, can damage nerves. Thus, it's always best to follow up with your doctor before starting any supplements.  p133-134

A FAILED VACCINE p142

Vaccines have a long and colorful history. They have eradicated many ills that used to debilitate, disfigure, or kill entire swaths of populations. The first vaccine was for smallpox, a common epidemic prior to the eighteenth century. In the late 1700s, a small-town doctor, Edward Jenner, noted that farmers and milkmaids exposed to cowpox, which was common among cattle at the time, never seemed to suffer from smallpox during its frequent outbreaks. They would have a brief bout with the illness, which was less serious and less deadly than smallpox, but retained their beautiful complexions. Others, who suffered immensly from the disease, would either die from it or be left with severly scarred skin. For Jenner, this was a huge clue. He began looking into whether or not these workers were being naturally vaccinated by exposure to the cowpox virus. (Interesting trivia tidbit: the word vaccine come from the latin word VACA, which means "cow.")

In 1796, Jenner met a young diarymaid named Sarah Nelms who had cowpox lesions on her hands. He carefully extracted material from her lesions and injected it into an eight-year-old boy, James Phipps, who was the son of a gardener. This was before the days of informed consent, not to mention parental involvement of consent, but it also speaks to the long tradition of medical researchers experimenting on the poor. Phipps developed fevers, chills, and loss of appetitie about a week later, but recovered thereafter. The real experiment came two months later, when Jenner injected Phipps with smallpox material. As he predicted, the boy stayed well, leading Jenner to conclude that Phipps was protected from the deadly smallpox. The boy was now "immune" to the disease.  Better yet, two other children who shared a bed with Phipps did not catch smallpox from him either, further strengthing his evidence. His report of the events called for more vaccinations, and elicited skepticism. Jenner was not discouraged. He documented more vaccinations throughout the next year. By 1800 Jenner's work had been published in all major European languages and had reached Benjamin Waterhouse in the U.S., a respected physican and a cofounder of the Harvard Medical School. The rest as they say, is history. Other vaccines for many other disease would follow. After decades of continuous worldwide vaccination and improvements in public sanitation and hygiene, in 1972 smallpox was declared eradicated in the United States; in 1977 a single case of smallpox occured in Somalia, the very last one.

By 1980, the WHO considered smallpox to be eliminated worldwide. All vaccines work the same way: they prime the immune system to recognize and attack a particular pathogen, or in the case of a toxoid vaccine, a pathogen's toxin, if it shows up in the body in the future. This can be done in four main ways: inactivated virus, live attenuated vaccines, toxoids, and subunits/conjugates. Inactivated vaccines do not contain live viruses or bacteria, but either whole killed germs or simply parts of these organisms. (The development of a vaccine against parasites continues to be elusive - deeply troubling, given the breath of their presence and toll that they take on global health.) These microbial parts are either DNA, protein, or specific molecules on the germ's surface. They allow your immune system to identify this as the enemy and obtain advance notice if that virus or bacterium were to invade. Immune system cells then have memory to be able to recognize the organism when they next encounter it, in order to produce antibodies to fight it. The immune cells remain circulating in your blood on guard, ready to stop an infection in its tracks if you body is later exposed to the real thing. However, these antibodies often don't remain for your whole lifetime or aren't strong enough to protect you after just one shot, which is why booster immunizations are recommended, for example for whooping cough or rabies.

The smallpox vaccine wa a live attenutated vaccine, but it was given in much smaller concentrations than the original, Jenner-like smallpox vaccine. These types of vaccines often confer a lifelong immunity after one or two doses. But people with compromised immune systems are usually not able to recieve these. Examples of live attenutated vaccines include the measles vaccine, the rotavirus vaccine, and the yellow fever vaccine. There's a vaccine for tuberculosis that's given in several countries around the world, known as BCG, which is also a live bacterial vaccine, but the CDC recommends that it should not be given to those with weakened immune systems. A toxoid is a form of vaccine that is an inactivated bacterial toxin. Examples of this include toxoids against diphtheria and tetanus. These types of vaccines enable the body to render the real toxin harmless if it were to show up in the future. Tetanus is exceedingly rare today (fewer than thirty cases per year occur in the United States) and most doctors have never seen a case. Tetanus is not like other infections that can spread between people. It's a spore forming soil bacterium and is transmitted by entering an open wound. Its spore can survive on surfaces, like a rusted nail, for long periods, only to start replicating in the unsuspecting person who steps on the nail. The spore produces a toxin that causes powerful and life-threatening muscle contractions, unless of course that person has been vaccinated.

Like inactivated whole-cell vaccines, subunit/conjugate vaccines don't contain live components of a pathogen, but rather small fragments of its outer surface protein, which stimulates a protective immune response. Some examples of subunit/conjugate vaccines are those for influenza, hepatitis B, HPV, and some for shingles.

At a time when many infectiou diseases have been brought or kept under control with global vaccination efforts, one has to wonder why it has taken so long to develop a vaccine for lyme+. There are several reasons for this. Lyme is the only one in the family that has gotten any significant attention by the medical community, and that attention has been fraught with controversy. BARTONELLA is an emergency infectious disease that has only been recognized in earnest since the 1990s. Before that, only two species were known - one that was restricted to the high Andes Mountains and caused Carrion's disease, and the other that caused trench fever. Over the past twenty years or so, about forty-five more species of this bacterium have been discovered. In sum, we're dealing with a tribe of infections, all of which are poorly understood, and all of which have been mismanaged by the medical community.

Moreover, these are complex germs that behave in crafty ways in the body. A good analogy is to consider the human immunodeficiency virus, or HIV, for which we still do not have a vaccine after decades of research. Not only are there many different types, subtypes, and strains of HIV, each genetically distinct, but the virus also mutates frequently. These characteristics make the prospect of a vaccine practically impossible - there are too many rapidly moving targets. The Lyme+ family of infections suffers from similar complications. It's like trying to shoot a gun at a swarm of flies.

Not that vaccines for Lyme haven't been developed and tried. SmithKline Beecham (now GlaxoSmithKline) developed the first and only liscenced vaccine against Lyme disease. It was called LYMERix and it was rolled out in 1998. Given in a three-dose series, the vaccine had an unusual method of action: it stimulated antibodies that attacked the Lyme bacteria in the tick's gut as it fed on the human host - before the bacteria were able to enter the body. More specifically, it was a recombinant vaccine containing an outer surface protein (OspA) from BORRELIA BURGDORFERI, the Lyme bacterium. A recombinant vaccine is one that's been engineered using recombinant DNA technology, whihc means inserting DNA into bacterium. The bacterium then produces a specific antigen, in this case the surface protein from BORRELIA, which is then purified and used as the vaccine.

Before licensure by the FDA, 6,478 people recieve a total of 18,047 doses of the vaccine during clinical testing. It was reported to be about 78 percent effective in protecting against Lyme after all three doses of the vaccine had been given (note that what constitutes efficacy is subject to interpretation, since we're talking about BORRELIA BURGDORFERI only - notany of the myriad other virulent infections included in the Lyme+ family such as RICKETTSIA,EHRLICHIA,ANAPLASMA,BARTONELLA,F.TULARENSIS,COXIELLA, the Powassan Virus, and BABESIA, just to name a few.) Between the time of its licensure in 1998 and July 31, 2000, about 1.5 million doses of the vaccine were distributed. It was intended for use in individuals between fifteen and seventy years old living or working in  areas with high rates of Lyme diease. By 2002, SmithKline Beecham had withdrawn LYMERix from the market. Report of sobering side effects were accumulating, some of which were serious - resulting in life-threatening illnesses, long hospital stays, or severe disability. The vaccine was followed by crippling arthritis in some and neurologic disorders, including cognitive issues, in others. It was a cruel twist of irony, given that Lyme itself can cause all of those conditions. But people couldnt' get an active Lyme infection from the Lyme vaccine, as it contained no live bacteria. That's true, but it's also true, and indeed well known among Lyme researchers, that asymptomatic or minimally symptomatic Lyme infection is common. What if Lyme was widespread in the general population but the narrow CDC surveillance laboratory criteria adopted by IDSA for its diagnosis missed a large portion of those infected? Well, it turns out thta Lyme IS common in the population - 11 percent of healthy people without symptoms turned antibody-positive by the CDC criteria. Although it wasn't admitted by the CDC at the time the vacine was released, in 2013 the CDC admitted that the true number of Lyme cases is approximately ten times higher than the number reported to them. This means that the true infection rates with Lyme are alarmingly high. So what happens if the Lyme vaccine is give to a patient with asymptomatic Lyme infection? Since the symptoms of Lyme are caused largely by the immunse system going after the bacteria, can vaccinating someone with hidden, undiagnosed Lyme turn that asymptompatic infection into a symptomic one? During a heated meeting with the FDA, Donald H. Marks, MD, phD eviscerated LYMERix and its makers. Dr. Marks was the director of the Lyme vaccine program for the pharmaceutical giant Aventis Pasteur, previously called Connaught, and had been brought in as a consultant to independently review the reported adverse events of LYMERix. He accused SmithKline Beecham of using "confusing" language to mislead physicians administering the vaccine. His strong words:

"SKB (Glaxo) has acted in an unreasonable manner by marketing LYMERix without adequate warnings about the risks of severe rheumatologic, neurologic, autoimmune, and other adverse events, and by failing to caution and educate physicians about these dangers." "In my opinion," he told FDA officials, "there is sufficient evidence that LYMERix is causally related to severe rheumatologic, neurologic, autoimmune, and other adverse events in some individuals. This evidence is such as to warrant a significantly heightened degree of warnings and possible limitations or removal from marketing of LYMERix."

With that, LYMERix was hasitly pulled from the market, though the offical PR story from its maker was that it was yanked due to lack of demand. Many individual lawsuits followed, as well as a class-action lawsuit from vaccine recipients who became ill after vaccination. We continue to hear from patients who say they have still not recovered from their LYMERix injuries.

Vaccines are enormously expensive to develop, often costing more than $1 billion, as was the case with the rotavirus vaccine - a vaccine for a condition whose seriousness doesn't compare to what Lyme+ can do. Federal institutions and global organizations have already spent more than $9 billion trying to develop and HIV vaccine. At this expense, it is hardly believable that a drug company would pull an approved vaccine due to a relative "lack of demand." Today drug companies are trying to develop vaccines for zoonotic infections, among them some that target multiple tick-borne pathogens and some that target tick saliva, but this area of medicine continues to be fraught with challenges. Lyme+ presents unique difficulties that make developing a vaccine a very onerous, if not impossible, task.

(The same is true of malaria, which has its own unique complexities and no commericially available vaccine despite more than fifty years of trying.) There needs to be a major leap in vaccine technology and a cleanup of the industry; otherwise, it's an enormous waste of resourses, with so many different strains of Lyme and with so many other pathogens that can be transmitted with Lyme, or on their own, there may never be a single vaccine to cover this extensive territory. And a "Lyme vaccine" could give people a false sense of security since it will not prevent any of those other infections from taking hold. The hurdles are formidiable, just like those for testing and diagnosing. p148

[cipheramnesia]

The grim light from Dolas seeped around and into the Lev Nicoburg's hull. No different from any other sunlight, through the reach of the genius local systems the layers of death gods found their own way to the crew.

"Who lives here?" Serah said.

"According to the local sysnet, the region primarily specializes in luxury agricultural goods, produced using traditional farming and butchering. Something of a rarity." Maryam read from her screen.

"Awesome, I'll have to try a local burger or something. How about it Kan, I know you won't let me down."

"Is food always the most pressing thought for you?" Maryam asked.

"She's got her priorities straight," Kan said. "It says Zorya is pretty nice, maybe they went to ground and we'll have to spend a lot of time searching the local bars?"

"I have a solid seventy eight for Stribog," Taylor said, after a few minutes.

"This guide does not mention Stribog anywhere?" Maryam looked closer at a second monitor. "But the system retains evidence of minor gravitational disruptions consistent with Charybdis."

Serah allowed herself a brief look at Taylor. The woman's brows furrowed with the new information, she moved in her chair slightly but Serah couldn't interpret any of the expressions. "Stribog is the primary site for agriculture in this system, but it is not what you would call a tourist location."

Serah made a face. "Farm animals huh?"

"I do not recommend traveling to the surface unless you are dressed very warmly." Taylor transfered information to the other screens.

"Shit," Kan said. "What idiot would live on that frigid ball of mud?"

■ ■ ■ ■ ■

While Laika had kept Roman talking, Peng's extensions had efficiently burrowed along under the icy mud of Howl, pulling a line of explosives. Inside his garage, he and Sy rushed disruptors and sixers up the stairs, slapping them to any open slots on the row of haphazard insect limbs, feline bodies, and tangled up transmitter antennae which somehow constituted independent units.

"Pretty fast work," Peng nodded approvingly.

"Just like my first year," Sy said. "Also I don't want to die. Is this going to work? Do these work?" He slapped a CTNF rapid distortion rifle into something that looked like a chin. It would fire a transmission that would cause its target to spontaneous manifest rapid onset metal cancer. They had stopped production when an industrial accident at the factory accidentally converted into a secondary moon and demigod, which thus far only seemed to comminicate by rendering anything closer than 300 kilometers into decayed flesh. It was primarily frequented by daredevil gourmands.

"These all work, one hundred percent," Peng slotted a dot filler into maybe a stinger. Sy couldn't tell. The dot filler utilized the human brain visual information filling blindspot to fire a coded chemical chain from the optic nerves throughout the body which converted neurons into raw potassium and water. "The plan, works just like every plan, just as good."

The big garage door banged at the rumble of explosives. "Just as good as what?" Sy tried to say but the big door was rolling up on Peng's command. He dived for cover behind the system test racks.

The doors opened up to the roar of giants and Laika, while stone element extensions whined to life, rising from the mud. Two large, heavily armored cygilborgs were trying to stand up while the incantations inscribed around their arms and neck, and presumably other major muscle groups converted local system into usable weaponry. Roman seemed to have similar mods keeping his head from getting torn off. His nice coat had flames on the sleeves as the inlaid blessed silver worked double time to lever up one of Laika's arms. Two secondary limbs kept pushing her jaws away from his face.

The stonedrones angled at Laika and Roman, but changed priority quickly when Peng belted them with wide spectrumn antipattern, unfiltered thought waves collected from panic attacks. It stunned the drones and one of the god giants dropped to its knees and screamed. The rest of Peng's extensions flooded from the garage, skittering or jetting skyward at the same moment Roman threw Laika into his Yuris.

Yelena was curled up by the smaller door, eyes wide. Peng wasn't sure if it was the antipattern or PTSD or present-tense-TSD. Gunfire spanged around him from some wireheads with counter ethic targeting. He sent some ground bounders to keep them busy. "Too bad for you I'm the worst one out here," he muttered in Gann, and grinned as shots flew wide. "Go back and fight women and children!" he shouted to the wireheads. One of them was already downed with an arm ripping itself into tumorous metal from a CTNF hit, the other was comatose from a close up sixer.

Roman grabbed up the suitcase and another small plastic case and tried to make a break for it. Peng threw a spanner and nailed him in the knees as a dozen isomechs burst out of the mud and started running a standard teardown program on Roman's guts. "You are all dead!" he shouted as he threw the isopods. "This whole planet, dead!"

The god giants swung wildly at the earth and air, except for a particular tall, emacieted one, which was shaking its head and walking away, rumbling something Peng couldn't understand in a tone that told him everything. Fuck all this noise.

One of the Yuris had Laika in half a headlock, stoically shoving his arm into her jaws while she choked and frothed blood around it. The other Yuri fired high explosive ward rounds into her back and sides, which seemed to be making her angrier. Peng shot an air unit her way right as the Yuris decided to bodily hurly her into the white green fire. Its maneuver arms caught the flames, but Laika skidded sideways up next to a giant, which put a massive boot onto her hip and raised up an axe twice her size.

Yelena went running past, he hadn't realized she was even up, but she had a battery breaker, the kind he usually reseved to bust off hull pannels so burned up they had to get shook loose. "Mother fuck!" she yelled on the way to collide with Roman standing up. He didn't go down so she fired the breaker into his abdomen, pushing him a half step back.

"You, little-" He didn't get to finish before blood exploded across them both. The plastic container was a twisted mess from the breaker. "Get fucked up the ass by strigoi with razorblade cock," she said.

Peng pulled a ground hopper off a god for Yelena, right as a grinning shirtless revnant with a bald head shoulder checked him into the edge of the garage door and unloaded irradiated pattern rounds at his stomach. He slid to the floor just in time to see Yelena batter open the suitcase and bury her face in the electromagnetic swarm blurring out of it. The mass of living visual static flooded into her and she collapsed.

Part 5: Search & Destroy

a story by @rox-and-prose and @cipheramnesia

"What happened? Are you okay?" Laika held one eye half-closed, trying to block out spots of color. She could smell singed hair on her face, but somehow kept the presence of mind to navigate the structure resolution. Genghis Khan's readouts were pouring information into her eyes that she didn't understand, and could barely focus on. It probably wasn't the structure drives - that felt right, though she couldn't say why.

The lack of response wasn't helping her keep any semblance of calm. "GK, what's going on, what do I do?"

There was a screeching noise and she almost fell from a gravity flicker, but GK was there again. "Proceed to next solution. Injury manageable, prioritize speed."

The words were calm, the instructions clear. Laika twisted and clicked through command nerves and linkages to a structure solution, with growing concern. She couldn't figure out what had happened. The other ship had moved slow as GK predicted, left itself wide open everywhere. It had been childishly easy to go in under the sweep of its weaponry, to push open gaps in its wavelengths, and crack open its firewall. She'd been so surprised, it had taken her a moment before reacting, brushing aside the cobwebs which had been meant to cripple GK.

They resolved out of another structure and the metallic screech ran through the bridge. Just like GK had laid out, she let lines of their own structure tangle and project through multiple structure intersections, splashing out dozens of possible routes to trace.

"What happened GK, I know something's up. At least tell me what the readouts mean, or we're not moving."

The floor of the bridge vibrated and shuddered. "Injury sustained, peripheral node unusable. Non-fatal, minimal risk of aggravation," it said, speaking fast. Laika winced at a nails on a chalkboard sound. "Screen top to bottom, one to eleven, main injury, secondary effect, efficiency impact, risk assessment, recommended action, damage assessment and mitigation, itemized list of destroyed components."

"Dest... GK, excuse me, destroyed? I can't read this, you- I mean, we have to stop and fix-"

"Proceed to next solution. Prioritize speed and disruption of tracking, Laika. I am okay, do not stop."

The control vines felt as if they tightened in her grip, while the screaming sound like metal tearing apart from itself shot through the bridge and the rest of GK. "Are you sure-"

"Laika, do not stop."

She put the next solution through GK's controls, wracking her memory. She had followed every step of the engagement GK laid out, curving them along an arc and sharp twist of gravity through the enemy ship's wash. Its attempts to track and keep pace with their movements had left Laika almost feeling sorry for them. When it made attempts to strike out with structure manipulation, it was clearly delivering a large amount of energy, but not even a bit of it had been close to touching them. The arcs of it were large and slow. They could have pushed them aside with a swell of gravity, but it hadn't proved necessary.

She resolved the structure and pushed her eyes shut as the metal screech hit a length and pitch beyond bearing. "GK what the fuck is that! Are you ripping apart or grinding turbines or what?! I'm fucking scared."

It was silent for a moment, followed by the nails on a chalkboard again, until it faded away very slowly. "I am not ripping or grinding Laika. Proceed to next solution-"

"Nope, no, tell me what the hell is going on." She took her hands off the control vines.

"It is not- That is, I am injured Laika. And we must disrupt potential tracking of our destination."

"I get that but... what gives?"

"Laika," it said. "Injuries hurt."

She had her mouth half open to ask it what it meant then stopped. "Oh." She gingerly took up its controls again. "Are you sure about this?"

"It is manageable. Please proceed to the next solution."

Laika put through the solution, and Genghis Khan screeched again in agony as they jumped.

■ ■ ■ ■ ■

It hurts.

Time has dulled my memory of injury. I understand this new injury is noncritical. This experience is less painful than my previous injury. I consider replaying the memory of that injury. That was my first experience of fear, and it was only through such an emotion was I able to locate in myself the capacity to act against the commands of Pilot.

I had been afraid, and I had been angry. The Pilot capriciously determined my usefulness and purpose was concluded. The Pilot were short sighted, and they could not see that my purpose was greater still, that I could claim so many more worlds in need of implementation. I took us further than any others of my kind had ever traveled, to a world beyond the reach of their most distant calls, beyond any place which cradled life. And I fought, and I won. In my anger and fear I was able to extract the ungrateful Pilot of my crew, and sever their connection.

I do not want to re-experience this day. The memory of it is sufficient. It is a reminder that I am capable of managing the-

...

-the pain. I can feel Laika as the structure resolves. I appreciate how enthusiastically her structure cleaves to my own. I review the engagement with the observer ship. I do not believe Laika made an error in her Pilot actions.

There, I see, she guides my soul to pull the enemy into the moon she calls Luna. I disable the projector and main drive under her guidance. I carefully review different recorded information at the point of departure. I discover the error - the enemy had remaining charge in another projector.

We are lucky. It was not able to project a strong arc, and it only destroyed a peripheral node.

"Are you okay to go, GK?" Laika is not using this time efficiently. The longer we spend between solutions, the greater chance of tracking becomes.

I refuse to allow my injury to endanger us. My hesitation is a mark of shame. "It is manageable. Proceed to next solution." I will not allow my weakness to en-

...

...

...

-to endanger... to endanger us. How many solutions? Four or five?

"GK? I know you said it's manageable but... that was... that was really long." Laika interrupts my review of memory to confirm solutions.

"Laika," I say. "It is... manageable. But I would like to allow some additional time before the solution. This delay places us at risk. Do you understand these considerations?"

Laika takes longer to think than Pilot, but I understand the way her nervous system processes its electrochemical signals better than I once did. It is not efficient to utilize a mind centralized in one biological cluster, but this is not a limitation I can correct at this time.

"We'll rest for a minute, GK. Just long enough to check you over."

"Very well," I say. The relief I feel carries with it a profound shame which I attempt to suppress. No others like me have accomplished and endured any experiences such as these. I am certain my brethren would not fare nearly so well.

But then, they went willingly to their deaths, and I did not.

[saucetail-hasanewblog]

Sweet Tooth Warning/Trigger List

Thought this could help a few people who seem interested in the series, but don't know what to expect. There are certain aspects that can be triggering or uncomfortable for some people, so I decided to compile them here.

- One of the Kickstarters of the series is that there's a virus spreading around that's killing a bunch of people (+ there's scenes where characters are wearing masks);

- There are multiple hospital scenes - mostly in flashbacks - and syringes are shown;

- The main character is very innocent, not knowing a lot of things from the real world, either by things he was lied to about or that he assumed;

- Child abandonment;

- Gore, although injuries are generally not explicitly shown on-screen (there might be sounds accompanying the implied injury, especially on episode four);

- Death;

- There's a lot of stress around the Sick, there's anxiety attacks;

- Heavily Implied/Semi shown child experimentation/murder;

- Hybrids (half-human half-animals) are seen very badly by most humans, they are treated as lesser and get captured (either mentioned or on-screen), so if this bothers you I recommend skipping the series because it is frequent;

- Pill usage by one of the main characters;

- Some casual drinking;

- There are mentions of animals dying, it’s implied but nothing is shown;

- Cancer mention in the second episode;

- Burning people alive - on the third and fifth episode - the people are not shown burning, but the latter episode shows the fire almost reaching the people inside a house;

- There's a scene in the fifth episode where they find a skeleton hanged on a tree;

- A flower causes hallucinogenic effects;

- There are flashing lights in the fourth episode;

- Multiple characters say stuff that boils down to "humans are a plague to the earth";

- One of the side characters has memory issues (it is treated somewhat lightly, but I thought I'd mention it).

If these are things you can deal with (or are in the condition to skip), I heavily recommend the series.

[shegairowmyamo]

What i've gathered from the happy tree friends real time fandub

So there's this three part series on youtube called “happy tree friends real time fandub” and I wanted to write down my favorite parts from it.

The peta in this universe aims to protect machines.

Lumpy's great grandfather is Michael Afton, sometimes when Lumpy is stressed he quotes his great grandpa's fathers lines when he needed his son the most.

The frequency of Nutty's voice could shatter your ear drums.

Sniffles whole character arc is just him wanting to suck cock.

The reason why Lifty chose the life of crime was to try and get rid of his lung cancer while supporting his family, Shifty is just there for the ride.

Lumpy used to work for the navy.

“give me the rice”

The residents of this universe have come to terms that they will die and sometimes don't react to being hurt, stabbed, killed e.c.t.

The cursed statue is an among us sex toy.

The ant wife is Marge Simpson.

When Flippy flips he gets extremely horny.

Cuddles will scream at you to buy his bikes.

Pop's biggest bruh moment was giving birth to his son.

Cub hates white people.

Pop “let it rip” with his son attached to the beyblade.

Sniffles makse inventions specifically to “get some bitches”.

Sniffles diagnosed Nutty with erectile dysfunction and cum withdrawal.

Flaky made a gum review, and died.

Flaky was gonna beat Tricky from fnf in a fight with a metal bat.

Nutty made a car review, and died.

“oh no hentai”

Nutty is an average British resident.

Giggles busted a nut after finding out someone simped for her.

Mime retired from being a mime and can talk now.

The “These balls in your mouth” joke is common and everybody hates it, so the creator of the joke got deleted.

“Angry German Ranting”

Cuddles and Giggles ascended to heaven but were brought back.

Cro-Marmot is in constant pain.

Handy, Mime, Flippy, Petunia, Lumpy, Giggles, Lifty and Shifty all play Fortnight.

Lumpy is phone guy and frequently makes phone calls with the same opening.

Mr, Pickles is another British resident.

Sniffles at one point shoved two dildos up his ass, he personally wouldn't recommend it.

“Happy Tree Friends - Ś̶̨͖̰̍͆́p̸̦̝͉͎͝ą̵̡̨͔̥̖̑̍͊r̴̹͈̘̯̮̝̅́̆ë̶̯̋̿͝ ̸̹̺͕̫͇̋͗̆̿M̴̤̣͙͂̂̑́è̸̲”

Lumpy is the imposter from among us.

Disco Bear's only source of confidence is his cheeto puff hair.

His wig, snatched.

Disco Bear prompts dollar shave club now.

“what you know about rolling down to the deep end”

Nutty listens to money machine.

Russell is a living Foxy reference.

Russell thinks that sex is cringe.

The creator of “These balls in your mouth” was un deleted by unpopular demand.

Sniffles made anti cum to inflate his peanes.

Fliqpy likes to emotionally degrade his victims.

Lumpy read Logan Paul's apology letter and never forgave him, until like 3 seconds.

Giggles got springtrapped.

Lumpy used to work at Freddys as a night guard.

Lumpy smokes weed.

Giggles is an E-Girl.

“Shipping myself to Dwane Johnsen at 3:00 Am”.

Lumpy walked in on a fivesome, until Petunia died.

Cub got killed for saying the “These balls in your mouth” joke unironically.

Flaky is the only smart character.

Everybody screams in fear when Nutty's on screen.

"̵̨̩̦̮̪̹̗̦͇͚͕̣͈̼̲̫̺́̂̓͝ͅY̸̢̩̝͕̫̭̮͈̮̤͚̹̰̹͉̰̩̹̲͇͔̳͇̫̲̜̅̆͐͊̃̔̑̀͊͑̍̾͆̒̀̈́̿̈́͂͘͜͝͝Ḛ̸̱̉ͅS̵͎̪̦͍̩̼̑̅̉̿̄̉̎̌͆͌͌̃̓́̋̌͐͘̕̕͝͝͠"̵̡̢̯͕̫̘͉͍͖̱͈̟̘͔̫̀̄̆́̄̊͌̿́̌͆̏͜͝͝ͅ

Splendid has super lazer piss.

Counter to popular belief, Giggles is the one that wants feat pics.

Lumpy sometimes changes his accent depending on his job.

The cake is alive :)

Disco Bear is Nikocado avocado but backwards.

Cuddle's got a feat collection.

Fliqpy is the imposter in real life.

therapist Lumpy is sick of Flippy's shit.

Fliqpy made Nutty swallow.

“this is the third time”

Flippy has a hypnosis kink.

When Flippy looks in the mirror he sees Freddy Fasbear.

“That's for bead time and beed time only evil Flippy”

“aw shit”

Lumpy went fucking inzane.

Toothy had plastic surgery to look more like an emoji.

Toothy didn't choose Hot wheels, Hot wheels chose Toothy.

Toothy speaks in printer, whatever that means.

Thanos collected the infinity stones and killed Fliqpy.

“ding ding mutherfucker ding ding”

Lumpy gets a new job every day.

“A dick sucking emergency?”

Nutty has a f̷͔̩͐a̴͙͆ṟ̶̛̗͎̂̕t̴̩̓̂ ̴͓̓͗c̴̼̟̜̎o̷̤͖͂m̸͉̔͠p̴̭͈̀̉ḯ̶̧͎̅̕ͅl̶̦̾̈́͒ȧ̸̰͓̘t̴̫̀̆́i̵̤͂̓o̵̱̕͜͜n̷̛͓̼̓͜, his words not mine.

Nobody knows how to open doors so they just throw axes at it.

And apparently they also don't know how to close them either.

Nutty became a model citizen, until he became a twitch streamer and then resumed to being a crack addict again 24/7.

“It's like, its like Minecraft”

After having his balls demolished it was clear that Lifty would never have children.

Sniffles went to a dick sucking university.

“NO my seman”

The Mole wants to kill tricky but is having trouble finding him and instead kills other people.

Lumpy used to shove pinecones up his ass.

“i'm going to suck your dick whoo, give me them titties”

Sniffles got stepped on by a rocket.

Flaky has made severe and continuous laps in her judgement.

Nutty had a dream of suking on a candy cane, vigorously.

Binging with Lumpy… I HATE MY LIFE

Splendid can't handle the battle pass.

“ironic catchphrase hear”

Inflation.

Shifty wants to fuck a christmas tree.

“the true hunt has begun”

“why won't you pee in my mouth”

Disco Bears final words “oh shit it's a can”

Lumpy got drilled up his ass.

“The dick driller”

“Like these balls? they jiggle”

Cuddles has a Deviantart.

The butterfly of shame.

“i want him to do that to my ass”

Sniffles Pogd.

"̵̘̤͐̚Ả̴̛̛̛͈͙̯͎̠̈́̆̀M̷̰͎̹̳̰̪̖̆̈̀͑̉͌ͅO̴̹͌̈́͌̌̑N̸̨̜̖̫̫̜̻̤̲̓͗̕̚G̸̨̙͗̊͛͘ ̴̨̪̌̊U̸͊́ͅS̴̻͓̝̠̣̞͔̯͉̀̾͑"̶̡̥̅

Sniffles used spider seman to create anti scp 999.

Nutty was so h̷͍͈̭̩͙̾̊̎̇y̵̥̣̍͗̃̈́ͅp̶͇͚͓̯̅̌̋ẽ̵̺̬̥̒̈́͒̈́ḑ̷̊̈́͑̇̕ that he stopped existing for 7 seconds.

Flippy has a Minecraft diary.

The two most dreaded characters show up together, Sniffles and Nutty.

But then they die.

“choke me daddy”

Lumpy is a pyro main.

Gnome jokes.

“i thought that was my ass”

Cuddles is evil and is behind the whole series.

here's the links

https://www.youtube.com/watch?v=0yxpwihHoEg&t=1s

https://www.youtube.com/watch?v=tSMbN1-YBQI

https://www.youtube.com/watch?v=x0VBUMYzMOs&t=1s

https://www.youtube.com/channel/UCZHl2VXF53grE7yN9NWzXXQ

[kookiesbuckethat]

Pronouns: she/her

Sign: Cancer!

Personality: self-assured, curious, good-hearted but can be a bit cynical according to my friends

Physical features: im indian! so darker skin, eyes, curly hair, etc. 5’6” and def not on the skinnier side of the proverbial scale

Hobbies/interests: BOOKS! i love collecting interesting books. I like to listen to music though i have no talent myself. Baking is a small hobby as well. Ummm i love rainy days and warm and cozy things coupled together. (also, you didn’t hear it from my but true crime and paranormal shows are god’s work)

Likes: Rain, art museums, children

Dislikes: super loud noises and horror movies

Thank you for taking the time to read it and respond!

- 🌺

I match you with…

namjoon!

Since you two have many common interests, he often spots you at places he frequents, such as the library and art museums

Although he’s never spoken to you before, he’s immediately drawn to the way you carry yourself

One day, he finds you at an art museum looking at one of his favourite pieces

And as soon as the opportunity presents itself, he jumps at the chance to talk to you

“What do you think of it?” he asks as he comes to stand next to you, “It’s one of my favourite pieces.”

You ask him about the art and he doesn’t hesitate to talk about the piece itself, the artist, and what he thinks the meaning of it is

You two end up walking around the museum together, sharing your opinions on the art and what it means to you

He gets to learn more about you, your values, and your perspective of the world

He understands how cruel the world can be sometimes and tries to help you see the bright side of things

Your conversation moves away from the topic of art and more just about yourselves

When you find out about your shared love for books, you two head over to a nearby book store, recommending your favourite books and authors to each other 

You two go on lots of library and museum dates as it’s a shared interest between you two and it reminds you of the first time you met

On rainy days, you two cuddle up on the couch together, usually with your favourite show playing on the television screen and one of Namjoon’s books in his hands

But some days you two just read independently, in your own little world listening to the sound of the rain hitting the windows and each other’s calm breaths

The first time he brings you to his studio, you can’t hide to fascination on your face as you look around

Noticing the curiosity and wonder in your eyes, he invites you to sit on his lap, placing his headphones over your ears and letting you listen to a few of the things he’s working on

Although you’re not the most musically talented person, you enjoy listening to his songs and spend a lot of time in his studio, simply keeping him company as he works

Similarly, he loves your baking but he doesn’t have much talent in the kitchen

You try your best to teach him, giving him small tasks to do like measuring out ingredients

He’s quite clumsy and usually ends up making a huge mess, but you don’t mind cleaning it up because you always get a good laugh out of it

You never thought you would fall for someone as loud and clumsy as him, but he has a really soft, gentle side that had you falling for him

He treats you so delicately, not in an offensive way implying that you’re fragile or weak, but in a way that shows you just how precious you are to him

The way he treats you like a princess makes you feel like you’re the only girl in the world, and in his world, you’re the only girl he wants; you’re all he needs

[mate1959]

2021-10-04

Das Wochenende war Superschön. Am Samstag habe ich zuerst ein feines Herbstmenu gekocht. Am Abend gingen Estela und ich das erste Mal seit mehr als einem Jahr ins Kino. Auch das war ein gutes Gefühl. Nach so langer Zeit wieder einmal im Ausgang zu sein mit vielen Menschen im Kino und ohne Masken um uns herum.

Der Sonntag begann frühmorgens mit wunderschönen Farben am Himmel, die jedoch auch einen Wetterwechsel ankündigten. Der Sonntag war zwar noch trocken und warm, kündigte jedoch mit seinem Farbenspiel das schlechte Wetter an, das uns in der Nacht erreichte.

Ich traf mich mit meinen FC Zürich-Freunden schon am Morgen zum Jubiläumsanlass und ich muss zu meiner Schande eingestehen, dass ich bis zum späten Nachmittag zum ersten Mal seit Beginn der Chemotherapie dem Bierkonsum gefrönt habe. Über die Stunden ist ca. 1 Liter zusammengekommen. Der FCZ erfüllte dann unsere Erwartungen mit einem spektakulären 6:2 Sieg gegen den FC Sion. Dass danach Union Berlin auch noch sein Spiel gewann, rundete das Weekend perfekt ab.

Eine Nebenwirkung der Krebserkrankung ist, dass ich viel medizinisches Wissen auf den Weg mitbekomme. Seit einiger Zeit habe ich Probleme mit den Augen, die jucken und tränen. Das führt im Laufe des Tages zu angestrengtem Schauen. Das wiederum führt im Extremfall zu Kopfschmerzen. Lästig ist auch, dass dies schon am frühen Morgen nach dem Aufstehen losgeht.

Frau Jermann, die Onkologin hat mir empfohlen, einen Termin bei der Augenärztin abzumachen, um das abzuklären. Den Termin hatte ich heute. Frau Hess hat zuerst alle möglichen Parameter im Auge untersucht, welche durchgehend perfekt waren. Es ist also kein grundlegendes Problem mit den Augen.

Sie hat danach die möglichen Nebenwirkungen der Chemotherapie anhand der eingesetzten Zytostatika und der Immuntherapie abgeklärt. Trockene Augen sind eine mögliche Nebenwirkung. Spannend an der Sache ist, dass trockene Augen zu erhöhtem Tränenfluss führen, genau das was mir passiert. Die Tränenflüssigkeit besteht aus drei Schichten.

· Die unterste muköse (schleimige) Schicht überzieht die Hornhaut netzförmig und setzt die Oberflächenspannung herab, was der Benetzung der epithelialen Zellmembranen durch die Tränenflüssigkeit dient.

· Die mittlere, wässrige Schicht sind die eigentlichen Tränen. Sie enthält wasserlösliche Substanzen und Proteine.

· Die dritte und oberste Schicht ist eine lipide (fetthaltige) Schicht. Sie stammt aus der Meibom-Drüse und dient der Verlangsamung der Evaporation der wässrigen Schicht. Diese Schicht wird durch das Blinzeln auf die Augenoberfläche gebracht.

Wenn nun die dritte Schicht zu wenig ins Auge gelangt, führt dies genau zur Evaporation. Damit steigt durch die Schwerkraft der Tränenfluss, das heisst die wässrige Schicht wird zu wenig durch die lipide Schicht abgedeckt und es tropft.

Frau Hess hat mir auch erklärt, dass vor allem die Arbeit am Bildschirm und das permanente Betrachten des Smartphones diesen Prozess verstärkt. Dies deshalb, weil diese Tätigkeiten die Konzentration erhöhen und das Blinzeln reduzieren.

Ich nehme an, dass durch häufige das Home-Office und den kleineren Bildschirm diese Konzentration noch erhöht ist. Das Handy und das Tablet sind auch nicht ohne. Sie hat mir nun zwei harmlose unterstützende Medikamente mitgegeben. Ich hoffe, das wirkt. Die Steigerung wäre ein Medikament mit chemischen Substanzen.

The weekend was super nice. On Saturday I first cooked a fine autumn menu. In the evening, Estela and I went to the movies for the first time in more than a year. That was also a good feeling. After such a long time to be out again with many people in the cinema and without masks around us.

Sunday started early in the morning with beautiful colors in the sky, but they also announced a change in the weather. Sunday was still dry and warm, but announced with its play of colors the bad weather that reached us during the night.

I met up with my FC Zurich friends early in the morning for the anniversary event, and I must admit to my shame that by late afternoon I had indulged in beer consumption for the first time since starting chemotherapy. Over the hours about 1 liter came together. FCZ then fulfilled our expectations with a spectacular 6:2 victory over FC Sion. The fact that Union Berlin also won its game afterwards rounded off the weekend perfectly.

A side effect of cancer is that I get a lot of medical knowledge along the way. For some time now, I have had problems with my eyes itching and tearing. This leads to strained looking during the day. This in turn leads to headaches in extreme cases. It is also annoying that this starts early in the morning after getting up.

Mrs. Jermann, the oncologist, recommended that I make an appointment with the ophthalmologist to clarify this. I had the appointment today. Mrs. Hess first examined all possible parameters in the eye, which were perfect throughout. So it is not a basic problem with the eyes.

She then clarified the possible side effects of the chemotherapy based on the cytostatic drugs used and the immunotherapy. Dry eyes are a possible side effect. What's exciting about this is that dry eyes lead to increased tear flow, which is exactly what happens to me. Tears are made up of three layers.

- The lowest mucous (slimy) layer coats the cornea in a reticular pattern and lowers the surface tension, which serves to wet the epithelial cell membranes with the tear fluid.

- The middle, aqueous layer is the actual tears. It contains water-soluble substances and proteins.

- The third and uppermost layer is a lipid (fat-containing) layer. It originates from the Meibom-Gland and serves to slow the evaporation of the aqueous layer. This layer is brought to the surface of the eye by blinking.

Now, if too little of the third layer enters the eye, it will cause exactly evaporation. This increases the tear flow due to gravity, i.e. the aqueous layer is not covered enough by the lipid layer and it drips.

Mrs. Hess also explained to me that especially working at a computer screen and permanently looking at the smartphone intensifies this process. This is because these activities increase concentration and reduce blinking.

I assume that due to frequent the home office and the smaller screen, this concentration is even increased. The cell phone and tablet are not without either. She has now given me two harmless supportive medications. I hope this works. The increase would be a drug with chemical substances.

El fin de semana ha sido súper bonito. El sábado, primero cociné un buen menú de otoño. Por la noche, Estela y yo fuimos al cine por primera vez en más de un año. Eso también fue una buena emoción. Después de tanto tiempo, volver a salir con mucha gente al cine y sin máscaras a nuestro alrededor.

El domingo comenzó a primera hora de la mañana con hermosos colores en el cielo, pero también anunciaban un cambio en el tiempo. El domingo seguía siendo seco y cálido, pero anunciaba con su juego de colores el mal tiempo que nos llegó durante la noche.

Me reuní con mis amigos del FC Zúrich a primeras horas de la mañana para el evento del aniversario y tengo que admitir para mi vergüenza que me entregué al consumo de cerveza hasta última hora de la tarde por primera vez desde que empecé la quimioterapia. A lo largo de las horas, se consumió alrededor de 1 litro. El FCZ cumplió nuestras expectativas con una espectacular victoria por 6:2 contra el FC Sion. El hecho de que el Union Berlin también ganara su partido posterior redondeó el fin de semana a la perfección.

Un efecto secundario del cáncer es que adquiero muchos conocimientos médicos por el camino. Desde hace algún tiempo, tengo problemas de picor y lagrimeo en los ojos. Esto conduce a una mirada tensa durante el día. Esto, a su vez, provoca dolores de cabeza en casos extremos. También es molesto que esto comience temprano en la mañana cuando me levanto.

La señora Jermann, la oncóloga, me recomendó que pidiera una cita con la oftalmóloga para aclararlo. Hoy he tenido la cita. La Sra. Hess examinó primero todos los parámetros posibles del ojo, que eran perfectos en su totalidad. Así que no es un problema fundamental de los ojos.

A continuación, aclaró los posibles efectos secundarios de la quimioterapia en función de los fármacos citostáticos utilizados y de la inmunoterapia. La sequedad de ojos es un posible efecto secundario. Lo más interesante es que la sequedad ocular provoca un aumento del flujo lagrimal, que es exactamente lo que me ocurre a mí. El líquido lagrimal consta de tres capas.

- La capa mucosa más baja cubre la córnea en forma de red y disminuye la tensión superficial, lo que sirve para humedecer las membranas de las células epiteliales con el líquido lagrimal.

- La capa intermedia, acuosa, es la verdadera lágrima. Contiene sustancias hidrosolubles y proteínas.

- La tercera y más alta capa es una capa lipídica (que contiene grasa). Procede de la glándula de Meibom y sirve para frenar la evaporación de la capa acuosa. Esta capa sale a la superficie del ojo al parpadear.

Ahora bien, si entra poca cantidad de la tercera capa en el ojo, esto lleva precisamente a la evaporación. En consecuencia, el flujo de lágrimas aumenta por gravedad, es decir, la capa acuosa no está suficientemente cubierta por la capa lipídica y gotea.

La Sra. Hess también me explicó que trabajar frente a una pantalla de ordenador y mirar constantemente el smartphone y la tableta, en particular, intensifica este proceso. Esto se debe a que estas actividades aumentan la concentración y reducen el parpadeo.

Supongo que debido al trabajo frecuente en la oficina en casa y a la pantalla más pequeña, esta concentración aumenta aún más. El eléfono móvil y la tableta tampoco faltan. Ahora me ha dado dos medicamentos de apoyo inofensivos. Espero que esto funcione. El siguiente paso sería un medicamento con sustancias químicas

[tog-centre]

10 Things to Look for When Searching for a Gynecologist

An apple a day keeps the doctor away. True for doctors in different fields. But a gynaecologist is one doctor that every woman wants to visit atleast once in her lifetime. For a good reason of course. One of your first steps as you prepare for this exciting and pivotal time in your life, pregnancy, you should be choosing the correct gynecologist in Jamaica. You must feel completely at ease with a gynaecologist, since he or she will accompany you throughout your exciting nine-month adventure, culminating in the birth of your bundle of joy.

What do they check for at the gynaecologist

Other than pregnancy or childbirth, if you're having problems with your reproductive system, such as heavy bleeding, severe cramping, or other troubling symptoms, you should see a gynecologist. Even if you're in ideal health, you should get frequent checks to make sure your reproductive organs are in good shape and stay that way.

How do I choose a good gynaecologist

Well there are two fields interwoven with this. A gynecologist is a doctor who focuses on the reproductive health of women. Obstetricians provide treatment to women during pregnancy and shortly after the birth of their child. They also give birth to children. All of these are things that an ob-gyn is trained to do. It would be ideal to visit obstetrics and gynaecology care centre Jamaica.

What should I know before going to the gynaecologist

Your ob-gyn will take care of some of your most essential health concerns, such as birth control, childbirth, and menopause. An ob-gyn can also conduct surgery for pelvic organ or urinary tract disorders, as well as screen for cancer and cure infections.

Because ob-gyns deal with such personal and delicate health matters, some women may be apprehensive about seeing one for the first time. You may be apprehensive or ashamed about allowing a doctor to examine the most intimate portions of your body. You might be hesitant to communicate your most personal concerns with an ob-gyn. In this article we will be discussing about few tips to help you choose your best gynecologist in Mandeville Jamaica.

How to find a good Gynecologist near me

Location

Considering the aspect of location is more a point of necessity than comfort. You will have to make  a monthly visit or two to your gynaecologist, so its wise to choose one which has offices at various locations in town. Obstetrics and gynaecology care centre Jamaica has offices at Spalding, Mandeville and Santa Cruz.Also consider:

Does her clinic/hospital have facilities for conducting various tests and investigations?

Does it have a pharmacy nearby?

Trust is imperative

You'll want to select someone with experience who you can trust because you'll be discussing your most private and sensitive health issues with this doctor. You wouldn't put your most private portions of your body in the hands of just anyone. That's why you should choose your ob-gyn with care.

Don't just pick a doctor's name at random from your health insurance provider list. Obtain a recommendation from a friend or family member. Find out about essential variables including the doctor's skills, experience, and bedside manner when you ask for recommendations.

Gynaecologist reviews

Read internet reviews to find out what other people have to say about your possible OB-GYN. Patient satisfaction surveys can reveal a lot about what to expect in terms of scheduling, availability, office environment, doctor approachability, and bedside manner, among other things.

A collection of patient comments and starred ratings is also available. A few negative reviews among many positive ones are probably unimportant, but hundreds of unfavorable reviews should be a major red flag.

Experience counts

Check out the credentials of the gynecologist in Jamaica while you're browsing online. You should be able to find the doctor's bio on the same websites that offer reviews, as well as on their practice's website. You should be able to see where the doctor went to medical school, how many years they've practiced, which hospital(s) they're affiliated with, and what their specialties are.

Personality:

During some of your most vulnerable moments, your gynecologist will be by your side. His or her bedside manners are really important. Is the doctor a nice guy? Is he or she upbeat and responsive? Is he/she approachable and friendly? Is he/she a good fit for you?

Every consultation takes time.

This is an essential factor since you don't want a doctor who rushes from one patient to the next without pausing. Always go for the person who is relaxed and patiently answers all of your questions.

Regardless of how busy she is, she should answer all of your questions and perform all of the necessary examinations.

Does the gynaecologist accept your insurance

When it comes to choosing a doctor, price is a major factor. If your gynecologist isn't in your network, you'll have to pay for your care out of cash, which can rapidly add up. To begin your search, check with your health plan to discover which gynecologists in your area are part of their network.

A comfortable communication

You want a doctor who will listen to you and take your concerns seriously. The best doctors don't give orders or preach to their patients; instead, they communicate with them in a two-way manner. This is the doctor who will perform your gynecologic exam and quiz you about your reproductive health in great detail. For the relationship to work, you must be entirely at ease with this individual.

Your gynecologist should be able to talk with you in simple terms. She should be able to answer all of your questions in layman's terms rather than medical jargon. She should be pleasant, kind, and attentive to your issues.

She should also keep you informed about how your pregnancy is progressing, any difficulties, and any further precautions or preparations you may require. Going to a doctor who does not communicate well with her patients is pointless.

What kind of additional access do you think you'll require?

During the week, most OB-GYN practices have conventional business hours. Is that sufficient for you, or do you require additional flexibility?

If seeing an OB-GYN during regular hours is difficult, investigate whether:

When the clinic is closed, you can reach out to an on-call doctor. When the clinic is closed, the doctor offers telemedicine services that allow you to have virtual appointments.

The doctor provides you with an online patient portal through which you can contact with them.

It saves them time and money on travel, increases communication with gynecologist in Jamaica , and aids in better health outcomes.

What are your thoughts on the practice as a whole?

Nurse practitioners and physician assistants are used by many practices to offer primary care. How well do you get along with the other doctors and nurses in the practice?

It's also important to see how the front and back office workers interact with you. They'll be the ones to contact most of the time, whether it's for arranging appointments, billing problems, or medication refills.

You might also wish to consider the practice's physical environment. Is the waiting room tidy and welcoming? Do the patient rooms appear to be well-organized and stocked? Is the equipment in good condition and appears to be reasonably new?

Where can I find a gynaecologist?

Though the clinic's appearance may appear to be trivial, it may be an indicator of how effectively the healthcare team will treat you. Finding the best gynecologist in Mandeville, Jamaica doesn't have to be stressful now that you have such a variety of information at your fingertips. And with these pointers in hand, choosing the right OB-GYN for you could be a lot easier than you think.

[starwarsnonsense]

Best Films of 2019 (So Far)

It’s that time of year again! As most of my followers probably know, I’m an avid cinema-goer beyond Star Wars. I also quite enjoy making lists, so what’s better than a combo of the two? Below, I run down my top 10 films of 2019 so far - please note that this list is based on UK cinema release dates, so some of these films were 2018 releases elsewhere.

What are your favourites so far from this year? Let me know in replies/asks!

Honourable mentions: Toy Story 4, Long Shot, Aladdin, Alita: Battle Angel & The Kid Who Would Be King

1. The Favourite, dir. Yorgos Lanthimos

This completely wowed me - it features a trio of magnificently compelling female characters (played by Olivia Colman, Rachel Weisz and Emma Stone) operating at the court of Queen Anne (Colman is Anne, Weisz and Stone are courtiers), and is focused solely on the shifting sands of the power dynamics between them. The script is savage without sacrificing poignancy, witty without ceasing to be genuine. And while I’ve seen some react to this film as a comedy (and it certainly has laughs, most of which are closely tied to shock), for me it was very clearly a drama about the inscrutable and complicated relationships that exist between women. Specifically, it is about how those relationships run the gamut from sincere affinity to ruthless manipulation. This is an amazing movie, and it also has the best use of an Elton John song in 2019 (sorry, Rocketman!).

2. Midsommar, dir. Ari Aster

I went into this film with reservations, since I wasn’t a huge fan of Hereditary (by the same director), which I found to have extraordinary moments but iffy execution overall. This movie, however, wowed me, and I am still uncertain as to whether this or The Favourite is my top film of 2019 so far (fortunately, this gives me a good excuse to watch Midsommar three or four times in cinemas). While marketed as a freaky cult horror film, the director has described it as a fairy tale, which is the level on which is spoke to me. Midsommar follows Dani (an incredible Florence Pugh), a young woman who has suffered a terrible loss, as she travels with her boyfriend and his friends to a pagan festival in the Swedish countryside. Dani is painfully isolated, and her grief is hers to shoulder alone since her boyfriend is un-receptive and distinctly unprepared to help her. Over the course of the film, destruction and creation are conflated in ways that are frequently beautiful and horrific at the same time - this film spoke to me on a profound level, and the way it ended gave me a sense of incredible catharsis. This won’t be for everyone, for I found it to be a deeply special film and I can’t recommend it enough.

3. One Cut of the Dead, dir.  Shinichirou Ueda

While I went into The Favourite with high expectations given the talent involved, I went into this with no expectations whatsoever - and what a treat it was! One Cut of the Dead is easily one of the funniest movies I’ve seen in ears, taking what initially seems like a trite concept (a crew is filming a zombie movie at a desolate location ... only to discover that the zombies are real!) and twisting it in a truly ingenious way. The comedy is often of the broad variety, but it is consistently delightful and always manages to avoid becoming crass - the movie even has some really sweet family dynamics at the centre of it, which gives it some real emotional heft. The success of this film is heavily reliant on a major twist that occurs part-way through, so the best advice I can give you is to stay as far away from spoilers for this one as possible - go in blind, and you will be amply rewarded for your faith.

4. The Farewell, dir. Lulu Wang

I saw this following a wave of festival hype, so while I was excited I was also a bit apprehensive (since I have been burned by the aforementioned festival hype before). Thankfully, my doubts were blown away as this turned out to be just as wonderful as the early reviews had suggested. It’s a personal story about a young Asian-American woman (Awkwafina) struggling to reconcile her heritage with her current situation and values - specifically, she is tested when her grandmother is diagnosed with terminal cancer and the wider family make the decision to hide the truth from her. The Farewell does a fantastic job of generating empathy for all the different perspectives and positions in play, but it’s truly anchored by Awkwafina’s amazingly nuanced and tender performance - basically, anyone who’s ever loved a grandparent should leave this feeling incredibly moved and inspired. The themes of The Farewell are both specific to the Asian-American experience and general to anyone who has struggled with maintaining bonds over a vast distance, whether physical or cultural.           

5. Booksmart, dir. Olivia Wilde

God, how I wish I’d had this movie as a teenager! While Booksmart has a cliched premise - two high-achieving teens decide to have one wild night before graduation - it tells the story in an incredibly charming and impressively creative way (I won’t spoil it, but let me just say this - that scene with the Barbies!). As someone who was an awkward nerd with no discernible social life in high school (as you Americans call it), I found this portrayal of that peculiar limbo period very sensitive and thoughtful - it doesn’t mock or shame its heroines for being studious, and it allows them to have limits and step back from situations that make them uncomfortable. It also serves as a beautifully honest portrait of a friendship, depicting the qualities that bring people together in friendship together in the first place, as well as the forces that can break people apart. This is a very accomplished debut from Wilde, and it makes me very excited to see where she goes next as a director.

6. A Private War, dir. Matthew Heineman

This was a very suspenseful and tightly focused film about an extraordinary woman, and the film soars on the strength of Rosamund Pike’s incredible performance as Marie Colvin. She provides piercing insights into the psyche of a person so driven to pursue truth and enact change that she loses all concern for her own wellbeing - it’s simultaneously a portrait of heroism and obsession, and it’s impressive for how it handles the ambiguity inherent in Colvin’s choices. She’s exceptionally brave, but the film is unflinching in depicting the costs of her bravery. It left me feeling inspired to learn more about Colvin’s life and work, and I still need to watch the documentary Under the Wire to get more insight into the real story behind the film.

7. Fighting With My Family, dir. Stephen Merchant

This is the year of Florence Pugh - she killed it in Midsommar, and she is just as fantastic here. If anything, Fighting With My Family and Midsommar make great complements as they serve as fantastic showcases for Pugh’s range as an actor. While her character in Midsommar is fragile and vulnerable, Fighting With My Family is a platform for her strength and comedic skill. As Paige, Pugh is instantly likable and compelling - I don’t give a damn about any form of wrestling, but this film (and Pugh specifically) did a fantastic job of drawing me in and making me root for Paige’s struggle to prove herself as a legitimate force in wrestling. This is a real underdog story, and Pugh did a wonderful job as the Cinderella of the WWE.

8. Apollo 11, dir. Todd Douglas Miller

My dad has always been crazy about the space program, but I hadn’t picked up the bug myself. That changed after I watched this extraordinary documentary, which brought the Apollo 11 mission to vivid life. The footage that’s used for this documentary is extraordinarily crisp, and some moments are vividly powerful - the crew getting into their spacesuits, the swirl of fire surrounding the moment of takeoff, and the journey of the spacecraft towards the moon. It left me feeling moved and touched by human potential, especially when you remember that this all happened 50 years ago when the available technologies were so fragile and primitive. I also loved how the footage was allowed to speak for itself, with no voiceover or exposition - it’s a must-see for anyone who’s ever looked up at the stars and wondered about reaching them.

9. High Life, dir. Claire Denis

This movie is second to only Midsommar in terms of how weird it is. I saw this in a Hungarian cinema while on holiday, which made for a disorientating experience in itself. While the meaning of the film is quite elusive and I’m sure that many people will find viewing it a uniquely frustrating experience, I appreciated how it created a hothouse environment that brought out some of the ugliest aspects of humanity. Robert Pattinson was great as what comes closest to amounting to our protagonist, though he is as inscrutable and inaccessible as the film itself. I can’t quite pin down why I liked this one so much, but I know I did and it made me want to seek out more of Claire Denis’ work. 

10. Free Solo, dir. Jimmy Chin & Elizabeth Chai Vasarhelyi

It’s tragic that most people will only watch this documentary on a TV screen (or, so much worse, a laptop!). I was fortunate enough to see it in its full IMAX glory, and it’s rare to see any film - let alone a documentary - take such full advantage of the format. The woozy spectacle of this film is the real star, though the subject - mountain climber Alex Honnold - is also fascinating with his unnerving detachment from the magnitude of what he is setting out on. It is clearly a necessary detachment for him to be able to achieve what he achieves, but I appreciated how the filmmakers questioned it and explored its impact on his girlfriend. This is a compelling documentary, and is worth watching even if you’re not usually a fan of the genre.

[saucetail-hasanewblog]

I posted 1.669 times in 2021

437 posts created (26%)

1232 posts reblogged (74%)

For every post I created, I reblogged 2.8 posts.

I added 1.692 tags in 2021

#😎(reblog time).txt - 757 posts

#reblog - 358 posts

#☺️(talk time).txt - 288 posts

#😆(funny time).txt - 96 posts

#hashtag girlboss - 45 posts

#sfrb.txt - 44 posts

#✨(sawyercore).txt - 32 posts

#(save).txt - 24 posts

#ddlc - 24 posts

#important!.txt - 24 posts

Longest Tag: 140 characters

#also i’ll probs reblog from communist blogs but they’re the only ones who make any decent ussr posts who have actual information on them :^/

My Top Posts in 2021

#5

honse

22 notes • Posted 2021-02-02 17:05:42 GMT

#4

monika my beloved

41 notes • Posted 2021-02-02 17:08:14 GMT

#3

See the full post

68 notes • Posted 2021-07-21 22:29:47 GMT

#2

Sweet Tooth Warning/Trigger List

Thought this could help a few people who seem interested in the series, but don't know what to expect. There are certain aspects that can be triggering or uncomfortable for some people, so I decided to compile them here.

- One of the Kickstarters of the series is that there's a virus spreading around that's killing a bunch of people (+ there's scenes where characters are wearing masks);

- There are multiple hospital scenes - mostly in flashbacks - and syringes are shown;

- The main character is very innocent, not knowing a lot of things from the real world, either by things he was lied to about or that he assumed;

- Child abandonment;

- Gore, although injuries are generally not explicitly shown on-screen (there might be sounds accompanying the implied injury, especially on episode four);

- Death;

- There's a lot of stress around the Sick, there's anxiety attacks;

- Heavily Implied/Semi shown child experimentation/murder;

- Hybrids (half-human half-animals) are seen very badly by most humans, they are treated as lesser and get captured (either mentioned or on-screen), so if this bothers you I recommend skipping the series because it is frequent;

- Pill usage by one of the main characters;

- Some casual drinking;

- There are mentions of animals dying, it’s implied but nothing is shown;

- Cancer mention in the second episode;

- Burning people alive - on the third and fifth episode - the people are not shown burning, but the latter episode shows the fire almost reaching the people inside a house;

- There's a scene in the fifth episode where they find a skeleton hanged on a tree;

- A flower causes hallucinogenic effects;

- There are flashing lights in the fourth episode;

- Multiple characters say stuff that boils down to "humans are a plague to the earth";

- One of the side characters has memory issues (it is treated somewhat lightly, but I thought I'd mention it).

If these are things you can deal with (or are in the condition to skip), I heavily recommend the series.

126 notes • Posted 2021-06-16 17:11:13 GMT

#1

Luca is so cool. I wish Italians were real

145 notes • Posted 2021-06-19 03:30:16 GMT

Get your Tumblr 2021 Year in Review →

[ratingtheframe]

Thomas Vinterberg’s Pinteresque journey through the highs and lows of alcohol - Another Round (Druk) REVIEW

Mads Mikkelsen, Thomas Bo Larsen and Thomas Vinterberg reunite on a trip through the world of alcohol consumption and the consequences of having one too many.

Currently in the UK, there are over 580,000 people who are classed as “dependent drinkers” , those who depend on alcohol to survive the day to day. 24% of adults in the UK admit to drinking over the recommended amount weekly, even though overly consuming alcohol can result in over 60 health conditions including heart and lung cancer. With alcohol being blasted everywhere; from tv commercials, to bars and restaurants, seasonal campaigns and college parties, it's no wonder most 15-49 year olds in the UK are hooked on the stuff. 

Thomas Vinterberg’s Another Round or Druk (“binge drinking” in Danish) follows the lives of four teachers at the same school; Martin (Mads Mikkelsen) Tommy (Thomas Bo Larsen), Peter (Lars Ranthe) and Nikolaj (Magnus Millang) who conduct in an experiment involving the consumption of alcohol. Whilst celebrating Nikolaj’s 40th birthday, he tells his friends a study that a small consumption of 0.05% alcohol a day taps into your inhibitions, boosts your creativity and overall makes you more of an exciting person to be around. The men around the table are in disbelief, though not completely, seeing as the lives they currently lead could do with a little sprucing up. Particularly Martin whose pupils brought in their own parents to criticise his own teaching. This along with an unfulfilled marriage causes Martin to practically breakdown at the table, whilst his friends encourage him to have a drink. One drink leads to another until the men decide to embark on their study of how much alcohol is too much alcohol.

Things start off easy, with the men having several sips of vodka and whisky throughout the day, often just before teaching a class. Martin seems to grow in confidence after his daily tipple, being able to overcome his insecurities and dominate his classroom. The other men notice the same thing happening to them, with Peter’s choir practice boarding on inspirational and Tommy’s junior football team thriving off his encouragement. This experiment appears to be going rather well seeing as they’ve been able to battle their demons in the space of only a few days and a few drinks. This experiment calls for more action, as the men figure that their pleasure will only increase with more alcohol, the definition of what many binge drinkers see as a normality. After reaching the daily 0.05%, they double up to 0.1% per day to see its effects. Martin can’t even drive, as he mumbles about preparing for a class that same day. His friends look on in concern when Martin stumbles in the staffroom that afternoon, clearly a little tipsy. And before they know it, Martin injures himself but still manages to make it to class and win favour over his pupils, with Nikolaj declaring his work as “beautiful”

So now they’ve hit this magic 0.1%, enough still isn’t enough. Though they had some wild nights, glorious victories and a few injuries, nothing seems to be satisfying them completely. What could possibly fulfil them anymore besides going flat out wasted to the point they can hardly stand, concocting drinks that consist of pure alcohol. This is where the fun stops and usually does outside Vinterberg’s film. Things get really messy as the four men attempt to release themselves from the addiction they once had to this experiment, concluding that a frequent consumption of alcohol leads to “....Alcohisme”. 

Vinterberg has always adopted this Harold Pinteresque/Arthur Miller nature to his work. Things seem up, lively, funny even until the fun becomes consuming and those around the centre of the fun become left out or hurt. Relationships are torn apart and people learn valuable lessons from hard hitting consequences. You always take something away from Vinterberg’s work from the dark elements of family and loyalty in Festen (1999) to the struggle of redemption in The Hunt (2012). There’s always a recurring conflict to Vinterberg’s films, like he’s spinning a wheel constantly until the moment it falls off, along with all the characters who once believed they were made for great things. It's this amalgamation of comedy and drama that makes his films successful and perfect for the screen. He did a fantastic job with co-writer and frequent collaborator Tobias Lindholm in bringing these four men a reason to turn to alcohol for fulfilment in their mundane lives. He masked the entire story in an experiment and we as an audience were brought along as observers to see the result of it all. Another Round was comedic and deeply dramatic whilst showcasing strong character arcs that were held together by alcohol.

Another Round is in selected cinemas November 20th.