#hemorrhagic shock

[justkidneying]

Shock

SHOCK! Everyone loves writing about it, so we're gonna talk about it.

What is shock? Shock is a condition in which the blood flow in your body is no longer able to sustain the function of critical organs. We call this hypoperfusion. Blood carries a lot of stuff, but most importantly, it carries oxygen. When your tissues don't have oxygen, they're hypoxic. If they're hypoxic for long enough, they die.

What does shock look like? The patient might have hypotension, syncope (fainting), chest pain, abdominal pain, cool fingers/toes, shortness of breath, and/or altered mental status (I know you guys love that last one, lol).

What are the stages of shock? Trigger Insult -> Compensated Shock -> Uncompensated Shock -> Irreversible Shock (organ failure) -> Death

Not all of those stages are obvious in every patient, but that is the general progression. So, what does that all mean? It means that first, something is going to happen (trigger insult). This could be trauma, sepsis, anaphylaxis, heart attack, etc. Something has gone wrong with the normal blood circulation (we'll talk about what in a moment).

Next, the body will compensate to maintain perfusion and keep blood pressure normal. This can cause an increase in heart rate, constriction of blood vessels, rapid breathing, stress, and cool extremities.

When the body can no longer compensate, shit goes wrong. Mechanisms are failing, blood pressure is falling, and the organs are in dysfunction. You may see confusion, syncope, weak pulses, and metabolic acidosis (that's actually deadly but not as fun to write about, lmao).

Finally, when shit has gone very, very wrong, you get organ failure. If there were no interventions in the previous stages, the organs will begin to shut down. Heart rate, blood pressure, and respiratory rate will freefall. The patient will no longer respond to interventions. The nervous system's electrical activity will fade, and the patient will go into a comatose state. Then they die.

The Five Types of Shock

Distributive: this is from the dilation of vessels, which drops the blood pressure to unacceptable levels. This can be do to anaphylaxis, sepsis (bacterial infection), or adrenal crisis. One thing to note with this type is that the skin at the extremities will be warm, not cold.

Cardiogenic: the heart is not working correctly. This can be do to heart disease, heart attack, arrhythmia, etc. This leads to low cardiac output but constricted peripheral vessels. This may present with pulmonary edema.

Hypovolemic: this is from low blood volume. This can be due to hemorrhaging, severe vomiting (or, on the other end, pissing out your butt), or severe dehydration. The patient will have cold extremities and may be pale. Usually, this type of shock is easy to spot because there's either blood everywhere or some other type of trauma causing internal bleeding.

Neurogenic: this is due to nervous system failure from injury to the brain or spinal cord. Note that this type of shock does not have a fast heart rate. Since the autonomic nervous system is non-functioning, there is no response mounted to the shock.

Obstructive: this is a blockage of circulation to the heart. There are two types, pulmonary and structural. Pulmonary is due to increased pulmonary circulation resistance. This can be due to a tension pneumothorax or a collapsed lung. Structural is due to resistance in the heart, such as with cardiac tamponade (fluid in the pericardial space). This case of shock requires you to realized that there is clinically a right and left heart, as the blockage of either side will result in vastly different symptoms and require different treatment.

How do you treat shock? For treatment, it really depends on the type of shock. For all types (except that caused by pulmonary edema), you should give the patient a saline IV to increase blood pressure and volume. Then, it really depends on the case as to what you do next. For distributive shock, you want to give the patient vasoconstrictors (like norepinephrine or vasopressin). For cardiogenic shock, give them inotropes (to increase cardiac output). For hypovolemic shock, fix whatever was torn up and give them IV fluids. For neurogenic shock, you can give fluids and vasoconstrictors. For obstructive, fix whatever is wrong, like breaking a clot or draining the pleural cavity.

Okay, I hope this is a good guide. I think hypovolemic and distributive shock would probably be the most fun to write about, but I mean you could probably make any of these pretty interesting (except obstructive, maybe). Let me know if you have any questions in the notes (is that what the reply thing is?? or are they called comments??)

[heardatmedschool]

“... the damn pelvis ™...”

About occult hemorrhage in an emergency situation.

I swear, I heard “that damn pelvis” almost more than “primary assessment” during this course.

[ehlnofay]

Martin thinks that he always kind of knew he was going to die today.

But by Akatosh, he didn’t think it would be like this – like Kvatch all over again, Kvatch folded in on itself, the streets overrun with monsters triple-time as thick, all metal and sulphur and blood. They were supposed to make it in time. He was supposed to light the fires. He was supposed to be crowned, and let some new, less visceral kind of horror begin – they were supposed to make it through – they were supposed – they supposed – but the streets are shaking with Dagon’s footfalls, and Martin can’t take a step without kicking a corpse, and the Hero of Kvatch is heavy-too-heavy against his shoulder, and it was always going to be like this. It never could have ended any other way.

He can feel prayer bubbling up from his scraped-raw throat, bitter as bile, held behind his teeth. O Akatosh, first of the gods, steady my hand… He doesn’t say it. Doesn’t mouth it. Tries not to think it, though it’s a rhythm born of years of habit, once a comfort, now just – empty. But it unspools in his head all the same. Pax is leaned heavy against his shoulder, one arm hooked loosely around his, hand pressed against the sticky-dark spot on their armour; they’re short, but they’re not light, and Martin’s arms burn as he tries to hold them up. The sky flares red. His eyes sting with smoke. Grant me the strength to endure. Onward, onward, onward.

Pax’s feet skitter uselessly against the blood-slick cobble. Martin almost trips over a leg, its silver-polished greave shining in the hellish light. The rest of the body is not there. He can taste smoke. He can taste bile. He can see the stained glass, the altars, the prayerbooks, his throat flayed raw begging for a salvation that would never be granted; this is not Kvatch, this is not Kvatch, but the sky burns and the streets are filthy with bodies and there is too much noise to talk, and Pax is damn near dead weight against his side, still holding out their blunt little excuse for a sword. Martin drags her on through the street. Just to the temple doors – just to the temple doors – the side of her head presses fierce against his ear. Martin’s knuckles are white with effort. There is blood on his fine silken robes.

Again, the streets shake; Pax staggers at his side. Akatosh, protect us. Martin doesn’t look up, doesn’t want to see the red-stained sky blurring against body – he can already see the cobbles cracked under the weight of feet too massive for his mind to make sense of it, a body – man or monster, he doesn’t know – crushed beneath the heel. Pax is gesturing at the colossus’ ankle with their sword as if they could possibly do anything at all. They’re bleeding.

“Come on,” Martin says, shallow and jagged; it stings to speak, and there’s so little point, his ears so filled with the clashing of metal and horrible, inhuman screams that there’s not room for anything else. His grip tightens around Pax’s shoulders. Her face is set, stubborn and pale – and she’s so stupidly young – and Martin –

There is an emotion so large it threatens to split him at the seams, and they don’t have time for that, so Martin runs. Staggers past the barely sketched-out shape of the devil menacing the skies, child hero in tow; every breath stinks of fear and ash. His throat prickles. If he doubles over with coughing, Pax will fall, there, onto bloody cobblestone, with their toothpick of a blade and their empty quiver, their sharp-spined bow slung carelessly over their shoulder, pearl-grey gambeson slowly darkening with blood, so Martin doesn’t cough. Blessed are we, the faithful…

They don’t fall, and they aren’t crushed, darting around the earth Dagon stands upon, slow and sluggard and so astonishingly lucky, and Martin gasps, and he does not cough, and Pax kicks at a scamp that gets too close and waves the sword at it just enough to slice a shallow cut down its scrabbly little arm. Martin’s so focused on holding them up that he can’t even cast. It isn’t even the one prayer running inescapable through his head – it’s a mess of them, all twisted and torn to pieces, shreds of one, half a sentence of another. He nearly trips over on the stairs. In the crowd, armour flashes, bright as steel and thoroughly outnumbered. He should pray for the Blades, too; he would, if he thought it would do anything. But it didn’t, last time. And this time, he has something better up his sleeve than prayer.

“Almost there,” he says through the din, and Pax keeps their sword arm raised even though they don’t know how to use the bloody thing, and there’s blood on their Kvatch gambeson, and there’s blood on Martin’s regal robes. (It was going to be him – that dremora’s blade whip-thin and wicked and dark as soot, jabbed thin as a sewing needle through the slippery-soft fabric, hooked under his ribs or pierced through the soft meat of his gut. Pax, empty-quivered, still drawing his sword, angled his own body to intercept; caught it in the thick pillow of his armour, in his own skin. Martin spat a spell from his fingers that sent the thing crashing to the ground and grabbed Pax well before they began to follow.) The earth shakes, again, and Martin’s shin hits the edge of the next step. He can’t hear anything over it all, but he sees Pax suck in a breath, sharp and pained. She takes another step. He follows.

When they reach the dark-stone door, someone screams, high and terrible, and there is no time to stand on ceremony; Martin throws himself at it, shoving it with all his weight behind his shoulder, and together, they stumble inside the temple, ash blowing in behind them to scatter itself on the sacred, stagnant floors.

The door swings closed again; the sound is swallowed up, faint and muffled. Martin can hear them both breathing, ragged, loud. Pax hasn’t lowered their sword. It looks even more dull, here, contrasted against the stonework. They’re so quiet. He hates that he’s learned how they act when they’re in pain.

(It’s holy ground. It won’t be enough – it barely was in Kvatch, it’s nowhere near it now – but it’s not nothing. There’s blood spilling over the tile.)

Martin sucks in a desperate, dragging breath. He doesn’t let go of them.

There’s not much light in the Temple, but it’s enough; it’s clear of smoke and that all that burning reddish tint, outside, and now that Martin has a moment to look them in the face Pax looks awful. His skin is ash-pale and slick with sweat, fringe sticking to his forehead, brow creased as if with concentrated effort and jaw taut. Every breath rattles in his chest and whistles out between his teeth. One palm sticks to the place in her side where her armour is dark and sodden; Martin is afraid to peel it away. It can’t be a wide wound, the cut not even enough to tear more of the gambeson than is covered by her hand, but shit it’s a lot of blood. It’s so much blood. He was never an especially good healer and he can’t even begin to accurately estimate it but it’s too much; it’s entirely too much. And it was because she was protecting him. It’s enough to make a man sick; but there’s no time, so Martin isn’t.

It's so much blood. Pax’s eyes are unfocused, drifting somewhere over his shoulder. His face is so clammy and so young – by the Nine, he’s a child. He’s a child and a hero and Martin’s friend and he’s bleeding out on the Temple floors. Martin hates himself, a bit, for going along with any of this in the first place, for letting them send a fifteen year old child out to risk killing themselves, only to get them here – this place, bleeding out onto sacred marble, where they always would’ve ended up anyway. All roads lead to this.

Inevitability. It’s an idea that showed up often in the sermons Martin used to help give. The Amulet is blood-warm and heavy round his neck.

“Pax,” Martin says; one arm is threaded under her armpits, and he lifts the other to press gently to her cheek. Just under her eye there’s a dark spot of ash; he swipes it off with his thumb, watches the slow, sticky blink she gives in response. “Hey. Are you with me?”

“Always,” she mumbles; her voice is sludgy, like it’s caught in treacle, but the word comes without delay – like it’s instinct, like there’s nowhere else she’s ever imagined being, and doesn’t that just make a man want, a bit, to throw himself off a cliff. (She’s gone to hell, on his word, who knows how many times over; Martin doesn’t need her half-dying drive to affirm her loyalty to him. He knows. He knows. He thinks he might be sick.) She blinks again, and then her eyes sharpen; she throws a tired look over her shoulder at the cool stone of the door, the world beyond muted, as if this moment occurs on its own; like they’re flies, frozen in amber. She says, “It won’t keep them out forever.”

Holy ground was barely enough in Kvatch; it will be barely anything here.

Martin’s arm is aching. He’s not that strong. “Long enough,” he says, with far more brusque certainty than he feels, and he casts a glance over the smooth marble floors, the well-wrought stonework of each plinth and pillar. “Come on. Sit down.”

Arms burning, he helps them to the side of the room, leans them against the leverage of the smooth white wall; still, they don’t sit, and Martin has to help lower them down. Pax grunts like a shot animal as he slowly sinks down to the ground, Martin’s hands still bruising tight on his shoulders, sword slipping from his sweaty grasp to clatter on the floor. His bow, slung over his shoulder, presses awkward against the wall; his empty quiver lies at his hip, useless. His hand is still pressed to the stain on his gambeson.

Martin watches him breathe out through gritted teeth, his tongue pressed ragged against the gap behind his lower canine. His head tips back against the wall. His gambeson, blood-spattered, barely protective, is tied with a row of neat leather cords; Martin reaches for one intricate knot and begins to tug on the ends.

Maybe it’s because he’s a bit frantic, that he just can’t get it to untangle – maybe it’s that the whole world is ending outside the door and they have a minute to stop it, if they’re lucky. Maybe it’s that Pax’s head is lolling, a little. Maybe it’s that it’s all on his head – has been on his head since any of it began, since he knew any of it at all, and now another city is falling, and he can still smell smoke, and he has a minute, if he’s lucky. He feels like they should have more time. He needs to undo the gambeson. He needs to make sure they’ll be all right. Martin was always going to die today – he feels it, settled comfortable and hazy over him, an unerring certainty in the very marrow of his bones, a knowledge passed down from the man they call his father – but Pax sure as shit isn’t. Not if he has anything to say about it, which he does, because it’s been on his head since the beginning and he’ll shoulder it all but he won’t bear this. His fingers scrabble, desperate, at the ties; every moment he waits is a murder, but leaving them here would be murder, too, and Martin won’t have that blood on his hands. And the knots won’t just come easy. He’s lost so much time and he hasn’t even gotten half.

Pax is looking at him, her eyes blood-dark. “You’re not going to get it,” she says, and her voice slurs, a little, in her mouth; pain or blood loss or shock, almost definitely, but Martin was never a particularly skilled healer and the magic he spent to get them through that horrible crush outside has left him too tapped to be able to probe. “They’re tied too tight.”

Martin can hear the ringing of metal outside. The earth is still shaking.

“Fuck,” he says, voice cracking on the vowel, and turns to rifle through their quiver. He hears them exhale, long and shaky, as he searches.

They don’t even have any fucking potions – he’d take anything, at this point, anything at all, he’d take the foulest cheapest draught as long as it would slow the bleeding, or even just a bandage, but there’s no bottles or flasks and no loose cloth. There’s one salve, pale and sticky in a purple-stained pot, but that can’t be used without access to the skin and probably can’t be good in an open wound in any case. There isn’t anything. There isn’t anything at all. Time is slithering away between his fingers. There are broken bits of prayer sticking like glass shards under his tongue, again. He doesn’t want to say any of it; it sticks in his throat, anyway. Lord Akatosh, sacred dragon, walk ever with me; under your gaze I will not fall short. Pax is looking at him, brow creased, face the very picture of dedicated focus; their hair, done in a long, simple braid back when they were just supposed to be speaking to the Council, has come half-loose, looping strands hanging about their face and trailing over their eye. Martin lifts a hand – notes, with detached interest, that it is shaking – and brushes it out of the way.

“I’m sorry,” he says – and he is, by the Nine, it settles with all the rest of the guilt in his gut, all to be burned soon enough – “there’s not time for me to heal you properly. How are you feeling? Are you all right?” Their skin is still clammy to the touch, sweat-damp wherever he touches; their eyes are more focused now but still screwed up with pain.

Pax gives a short puff of air. It’s not a laugh, not in his state, but it’s not all that far off; his voice is gravel-rough. “Got stabbed, Martin Priest. ‘S not great.”

Stabbed in the gut, while protecting him – bleeding all over the sanctified floors, the grout will never recover, and why is he thinking about that when the blade could have caught an organ and Martin would never know because he’s never been that good a healer. The ground is shaking again. They’ve been in here a minute, maybe, and he already feels like they’re stealing time. The seconds are slipping away quickly. He’s digging his fingers fiercely into the cloth of Pax’s shoulder; if he doesn’t hold onto her somehow he thinks he might fall down.

(He’s glad she’s here, and he hates himself for being glad. She’s bleeding. It should be his blood.)

His face must be doing something truly impressive, because Pax cracks a grin, wide and crooked and sticky-mouthed. “Calm down,” she says, the words thick as treacle in her mouth, “I got at least ten more minutes in me. What’s the plan?”

“The plan,” Martin echoes. That statement is nowhere near as reassuring as she seems to mean it to be; he shakes his head. Looks back at the doorway, still closed – noise of battle still raging, earth still trembling, but none of it imminent, probably, not within the next three seconds – and surges forward to wrap their shoulders in a fierce hug, careful to keep away from their abdomen, his cheek pressed against their hair. They smell of sweat and smoke and blood; he takes a deep breath, anyway. “I’ll do the rest, Pax, just – rest.” His voice cracks, again. “Be okay.”

(There’s more prayer pressed into those two words than in anything else he’s thought today.)

Pax reaches a hand up to pat his sleeve; her head, still, is resting against the stone, the set of her shoulders a little tauter, a little more alert. “I can still help,” she insists. The sword – blunt little instrument that it is – lies on the floor, tacky with monstrous blood; she doesn’t even try to reach for it. The bow slung over her shoulder is jabbing him in the collarbones. Martin pulls back enough to shake his head.

“No,” he says; because they can’t. The rest is for him and him only, so no-one else has to get hurt. Pax got him this far – got him out of the wreckage of Kvatch – got him out of the stagnant mire in his head – got a blade in the gut, for their trouble, and even if Martin had anything else to ask of them he couldn’t ask for more.

Pax glowers, at that, the crease reappearing between his brows; Martin could laugh, if it was another day, if they had another moment. He presses his face to the top of Pax’s head, instead, nose dug sharply into his hair; and he breathes, and he breathes, and he breathes.

He’s not an orator, but the way Pax talks they seem to think he’s accustomed to giving grand speeches; he’s certainly had enough practice lately. His breath shudders. He dredges up what words he can. They’ve been in the Temple a minute already; he doesn’t think they can ask another.

“I,” he says, and breathes; “I cannot stay to help rebuild Tamriel – that must fall to others.” He couldn’t have been Emperor, not ever – he’s never been able to fix things, not on this scale. The weight of the Empire would have run him into the ground. He would have hated it. It would have killed him. (Didn’t it?)

Pax’s hand skims the fine cloth at his elbow again. Voice slow, they say, “What –”

“I know now what I was born to do,” Martin says, and he tries to smile. He doesn’t know if they can feel it. His hands clasp the sides of their face; their hair is tickling his nose. They feel cool to the touch, dead-fish clammy; but it will be all right, because once it’s all over the healers will come in, better at flesh-craft than Martin’s ever been, and they’ll fix it. They’ll fix it all. And the Blades are here, however little Pax usually chooses to engage with them, so he won’t be alone. And the Elder Council, the whole Empire, will owe him a debt of such gratitude – he won’t be alone, again. He’ll have options. He’ll miss him – but he’ll live. And Martin will, for once in his sorry life, have actually fixed something.

His friend’s hair smells like smoke. Their skin is shining with sweat and grime. “You’ve been such a good friend in the short time that I’ve known you,” he says, and he’s smiling, he knows it, a melancholy thing pressed into their hairline. His voice is shaking, just a little. “I’m sorry I couldn’t – I couldn’t stay to know you better.”

“Martin,” Pax says, and he pulls back. Their face is creased, ash and blood smeared over their cheekbone. Suspicion lines the tilt of their brow.

Martin smiles, still. His palms, rough and dry, cradle her face. “But now I must go,” he says, gentle; “The Dragon waits.”

And Martin, for one, is done waiting.

He pushes what magic he has left into his hands, sunshine-bright; Martin is no great healer, particularly not when his reserves are tapped, particularly not when he can’t even see the wound, but he can at least soften the edge, dampen the overwhelming pull of the pain. His hands sting with the effort, his head spins, the ground shakes; and one of those has nothing to do with expending himself. Right on time, it seems; the Amulet of Kings hangs warm and heavy around his neck.

Martin stands, though his legs shake; stumbles a step backwards; turns to face the dais in the middle of the room, the shallow marble dish of it lying cold, the pillars around it as stark and foreboding as the bars of any cage. He runs.

“Martin!” he hears behind him, because Pax is Pax and of course they won’t let him go easy; the earth shakes, anticipation winding up into a wiry coil in his gut. The Amulet is hot enough to burn, bright as the sun – he heaves himself up onto the raised platform, reaches to unloop it from around his neck –

The ceiling caves in, and Martin throws an arm over his eyes, closing them against the implosion of dust and grit, scraping in a breath thick enough to choke. His ears are ringing. He manages to squint up, catches a glimpse of a massive fist swiping the rubble away from the hole, the glint of a battle-axe, a silhouette against the burning red sky, roiling and howling like a column of storm. Martin can’t even make out a face, but he knows, somewhere deep and solid, that it’s looking at him. He meets its gaze, the Amulet raised high in his hand.

All prayer has deserted him, now, all the rote lines and careful patterns he leant on for so long slipping away from his fingertips as if they were never there at all. All he has is please, weighty, guttural, and he thinks it might mean more than any of the rest of it. Please. Please. You owe me this. The Amulet of Kings burns in his hand.

“Martin!” he hears again, hoarse and desperate; he looks. Just once. Pax has dragged himself across the dust-coated floors, bow and quiver abandoned somewhere behind him; his face is covered in dirt, hair come half-loose, eyes stubborn and fierce and wild. He feels his eyes crease, the lightest echo of a smile. He’ll miss them, wherever he goes next. Pax screams, “Don’t!”

Martin Septim was always going to die today. It is, perhaps, one of the first things he’s ever done right.

Martin smashes the Amulet of Kings on the cold marble dais, and the world erupts in gold.

[landwriter]

well after being tired for all of 2023 so far i finally perked up this afternoon and wrote 4k today. 3.5k of that is my first hob/corinthian lmao

[softgrungeprophet]

kaine wip 60k and it only covers like 2 months' worth of events

the power of... *checks document* describing kaine taking a bath for half a page, and all these scenes of him half conscious in the hospital... 3 page dream sequence... buying a $400k car... etc...

[lesbians-all-the-way-down]

Cryptic pregnancy with complications. Send tweet.

[writers-potion]

Vocabulary List for Fight Scenes

Combat Actions

Hoist

Dart/Dash

Deflect

Shield

Sidestep

Snatch up

Stalk

Stamp/stomp

Stretch

Stride

Wagger

Oust

Leap

Lose ground

Mimick

Mirror

Negate

Overpower

Parry

Rear to full height

Resurgate

Suanter

Seize

Take cover

Throttle

Twirl

Unleash

Withdraw

Entwine

Flee

Gain ground

Grasp

Cling to

Breach

Duck

Dodge

Hits

Amputate

Bloody

Carbe

Castrate

Collision

Connect

Crush

Defenestrate

Destroy

Disfigure

Dismember

Dissever

Grind

Maul

Perforate

Rend

Riddle with holes

Saw

Smack

Splatter

Sunder

Torn Asunder

Traumatize

Whack

Writhe

Gut

Hammer

Maim

Mangle

Plow

Puncture

Melee

Assault

Attack

Barrage

Bash

Belebor

Bludgeon

Carve

Chop

Cleave

Clio

Club

Crosscut

Dice

DIg

Gore

Hack

Impale

Jab

Kick

Knock

Onsalught

Pierce

Plnt

Punch

Rive

Shove

Skewer

Slice

Smash

Stab

Strike

Sweep

Swipe

Swing

Transfix

Thrust

Visual Flair

Agony

Asphyxiate

Chock

Cough up bile

Cut to ribbons

Flop limply

Fractue

Freckled with blood

Gouts of blood

Grimane

Hemorrhage

Hiccup blood

Imprint

Indent

Resounding

Retch

Rip

rupture

Shiny with gore

Spew

Splash

Slumped in despair

Splatter

Split

Tear

Topple

Void

Vomit

Wedge

With a fell gaze

With a fiendish grin

With blank surprise

Audible Flair

Bang

Barking

Bong

Boom

Crack

Cackle

Clang

Clash

Crash

Cry

Echo

Elicit a curse

Frunt

Hiss

Howel

Hum

Moan

Muttering

Whoosh

Whistle

Whizz

With a keening cry

Thud

Thunk

Thawk

Splat

Snarl

Swoosh

Squeal

Sing

Sickening Pop

Silintly

Shriek

Shout

Snap

Thundering

Effects

Blind

Burn

Cause frostbite

Cauterize

Concussion

Combust

Daze

Dazzle

Deafen

Disintegrate

Electrocute

Freeze

Fuse flesh

Immobilze

Incinerate

Melt

Pralyse

Petrify

Purbind

Radiate

Reduced to

Shock

Sightless

Stun

Transiluminate

Death Blows

Annihilate

Behead

Decapitate

Disembowel

Eviscerate

Extirpate

Murder

Obliterate

Raze

Exterminate

[allthingswhumpyandangsty]

WHUMP ALPHABET

*anything that can be triggering is most likely listed here, skip this post if you think it might upset you*

A is for asystole, amputation, amnesia, asphyxiation, asthma, autopsy, asylum, abandonment, anxiety, abuse, assault, aneurysm, anger, addiction

B is for blood, bruises, blunt force trauma, burns, bite marks, blisters, betrayal, beating, blindfolding, bondage, brainwashing

C is for cannibalism, cuts, convulsion, concussion, cardiac arrest, corpse, chains, cult, carnage, craniotomy, craniectomy, chest compression, choking, coughing up blood

D is for delirium, dehydration, disfigurement, dismemberment, demonic possession, death, dehumanization, degradation, depression, disease, drowning, distress, despair, dizziness, drug withdrawal

E is for exsanguination, electrical injuries, electroconvulsive therapy, electrocution, execution, exhaustion, eating disorders, emergency room

F is for fever, flu, fatality, flat-lining, fractured bones, fear, fatigue, force-feeding, flagellation, flogging

G is for garroting, gunshot wounds, grief, gallows, guillotine, guilt, gash, gag

H is for hypothermia, heatstroke, hallucination, hyperventilation, hemorrhage, handcuffing, hospital, hanging, hatred, hate

I is for intubation, infection, injuries, injection, illness, internal bleeding, intravenous therapy, insomnia, illusion, innards

J is for jealousy, jugular veins

K is for killing, kidnapping, knife

L is for laceration, lobotomy, ligature marks, lack of oxygen, loss of consciousness, lies, living weapon, locking up

M is for morgue, miscommunication, murder, manslaughter, massacre, mourning, miscarriage, masochism, mistreatment, manipulation, misery, mental illness, malnutrition

N is for nightmares, nausea, necrophilia, necrotizing fasciitis, necrosis

O is for outbreaks, obeying, operating theater

P is for physical restraints, pain, punishment, poison, panic attack, paralysis, PTSD, penetration, pierced lung

Q is for quadriceps tendon rupture, quadriparesis, Quebec platelet disorder

R is for ruptured blood vessels, respiratory failure, rabies, rape, rope, resentment, ritual

S is for schadenfreude, strangulation, starvations, shock collar, shock therapy, straightjacket, sadism, scapegoat, shame, sacrifice, sadness, sorrow, slaughter, suicide, self-harm, self-hatred, self-destruction, stabbing, slavery, seizures, stress, slash, suffering, surrendering, somnophilia, shackles, sepsis, surgery

T is for torture, trauma, tears, toxicity, trust issues, traps, tying up

U is for urinary tract infection, unresponsive, unconsciousness

V is for violence, vomiting, viruses, venom

W is for wounds, weeping, waterboarding, weakness, whipping, whimpering

X is for x-ray

Y is for yellow fever, yelling, yelping

Z is for zombie apocalypse

[achromatophoric]

Enid: Sometimes Wednesday can get so freakin’ jealous.

Bianca: Says the girl who put the last guy to hit on Addams in the hospital.

Enid: Hey! It’s not my fault he was allergic to dogs!

Bianca: Bitch, he went into hemorrhagic shock, NOT anaphylactic!

Enid: See? What kind of dumbass goes after my Willa if he can’t handle a little blood loss?

Bianca: A little blood loss? He lost half a gallon!

Enid: *sniffs* Well, if his blood was so important, he would’ve done a better job of keeping it inside.

Bianca: Enid, you nearly took off his head!

Enid: *shrugs* He slipped.

Bianca: *incredulous* He… slipped.

Enid: Yup.

Bianca: Throat first—onto your claws.

Enid: *checks her nails* Poor guy was totes clumsy. Tragic, really.

Bianca: 😟

Bianca: Enid, seriously, do you understand me when I say that if he wasn’t a werewolf, he would be dead right now?

Enid: *blinks* You mean…

Bianca: *serious nod* You would have committed murder.

Enid: 🤔

Enid: You’re right—

Bianca: Oh thank fuck.

Enid: —I bet Grandmama can get me some real silver nail polish for next time.

Bianca: 😫

[justkidneying]

ANOTHER regen question!

Let's see if I phrase this one right it's been rolling in my brain a bit

Assumptions are the character heals a slower than Wolverine and they've just suffered some serious blood loss. Like they lost ~3L of it and the wound has now closed up and the body's working to create as much blood as possible.

Given how bone marrow is where blood comes from, what sorts of things might they have to deal with in the recovery period? Like, as the body is taxing the marrow like that (and/or whatever else it has to)?

I'm going to assume this is a ~200lb man, just to give some leeway. So a big guy like this would have maybe 6 liters of blood in him (most humans range from 4-6 L). If he loses ~3 L, I would say he would probably just die. If blood loss is >40%, that's a Class IV hemorrhage, which presents with absent peripheral pulses, hypotension (low blood pressure), and no peepee output. This person will go into hemorrhagic shock. Since they lack the oxygen-carrying hemoglobin that is found in blood, they will not be able to supply oxygen to their tissues. This stops the usually metabolic processes and switches the body to anaerobic metabolism, which makes lactic acid and very little ATP (energy). Lactic acid leads to acidosis. Acidosis leads to cell death, coma, and plain ole death. He will die.

But wait! He's got regenetative powers to save him, right? No. If his powers aren't magical, then he will still die. Because regeneration is based on being able to replicate cells very quickly, he would need to do it fast enough to beat the cells that are dying. Unfortunately, he doesn't have enough ATP to do normal cell stuff and make a bunch more. Replication of cells requires a lot of ATP (energy). So he will still die.

Now, let me answer the second question, and we will go back to when he is still alive. Let's change it so he only lost ~30% of his blood volume (1.8L). He's still not doing good (he has Class III hemorrhage) but he can live. This will present with pallor, coolness in the limbs, altered mental status, narrowing blood pressure (the top and bottom numbers are getting close together), increased respiratory rate, and increased heart rate. The body is trying to keep blood flow to the vital organs. Let's say he survives and now he's home and trying to recover.

Blood has a lot of things in it, but the important bits are plasma (the liquid bit which makes up ~55% of blood), red blood cells (they carry oxygen), platelets (for clotting) and white blood cells (part of the immune system).

The most important one here are the RBCs. 90% of plasma is water, and you won't die right away without the other ones. The body measures RBCs through the kidney. If the kidney sees that you don't have enough of them, then it sends a hormone (EPO) to the spongey inner bone where blood is made. EPO causes more stem cells to turn into RBCs (instead of WBCs or platelets). To make these, you need iron. The iron stores of the body will be used, and you will take up more iron from your food.

Overall, I'd say the guy will feel like shit, and he should probably take a break for about 3 months while he replinishes his blood supply. He should eat foods high in iron, maybe take an iron supplement. But he'll be anemic while he recovers and be low on those other blood cells. Honestly, his regen powers aren't that useful here. They were useful in fixing whatever caused the blood loss, keeping him from losing a ton of cells to blood supply issues, and that's about it. If he doesn't have an advanced factor, then he can't really be helped with making more RBCs.

I hope I answered your question, and thank you very much for asking it!

[rcmclachlan]

Uh-oh spaghettios, I accidentally wrote more pregnant!Buck.

+

In a shocking twist, the squirrelly-looking resident who's tasked with administering the spinal (and who Tommy keeps side-eyeing like he's mentally preparing himself to take her down if she makes any sudden movements) turns out to be a rockstar, because Buck doesn't even feel the pinch of the local anesthetic, never mind the actual horse needle. Even Nadine, their nurse, blinks after it's over and says, "I've been doing this for thirty-three years and I've never seen a spinal go that smoothly."

Which means the two weeks Buck devoted to reading Reddit posts about bad experiences with pre-C-section subarachnoid blocks were all for nothing. He could've done something more productive with that time instead of silently spiral. Like deep clean the bathroom or build a birdhouse.

He forgets to be mad about it the moment his legs start tingling, and from there it's only a few minutes before his body goes completely numb from the chest down. "Holy shit, that is so weird. It's just—it's a complete void. Babe, punch me."

One of the nurses is in the middle of putting a sterile blue scrub cap over Tommy's hair and stops what she's doing to stare at Buck in horror. Tommy just sighs through his surgical mask and says, "No thanks."

"You could stick your entire arm inside me and I wouldn't even know," Buck tells him, delighted, as they wheel him into the operating room. It really is like there's nothing below his sternum. "You could carry me around and work me like a muppet."

Dr. Esfahani must catch the second half of that because she starts laughing so hard she almost falls off the stool she's sitting on.

"Glad to see we've got our head in the game," she chortles. "How are you feeling, Evan?"

"I'm not!" He says cheerfully while two nurses set up the curtain across his belly. "Doc, have you ever had a spinal block?"

"Sadly, no." Dr. Esfahani's eyes curve above the edge of her mask. "And when I had my kids, their labors were so quick that I didn't have time for an epidural, either. Be grateful you'll never know what it's like to push the equivalent of a Ferrari through a keyhole unmedicated."

"Bad ass," Buck whispers, and she laughs again, then spends the next two minutes introducing everyone on the surgical team. They're all standing at the ready like a NASCAR pit crew.

Once the introductions are over, Dr. Esfahani turns her attention elsewhere. "How about you, Tommy? You ready?"

Tommy's sitting at Buck's shoulder like a particularly attentive German Shepherd, his gloved fingers trembling where they're slotted between Buck's. "I'll just be glad when she's out and Evan gets the all clear."

Months ago their OBGYN walked them through the reality and the risks of carrying to term—for whatever reason, male anatomy means there's a much higher risk of atony, which means a higher risk of hemorrhaging—and Tommy's been a nervous wreck ever since. He thinks Buck doesn't know, and to his credit he's hidden it well. Not once has he ever shown Buck anything less than bright-eyed enthusiasm and excitement about starting this next chapter of their lives, but Buck has woken up more than once in the middle of the night to find himself clutched against a rabbiting heartbeat while Tommy whispered, voice cracking in half, "Please, please, God, please..."

Buck turns his head to look up at him. He looks like what's-his-name at the very end of The Departed: goofy as shit in all the sterile wear the nurses made him put on. He even has to wear the puffy shoe covers. Between the scrub cap and the mask, his face is almost completely obscured, but all it does is highlight his eyes, which are fixed on Buck like there's no one else in the world, let alone the room.

"You look so stupid," Buck says thickly, squeezing Tommy's hand hard enough that something audibly pops. For a second, he thinks he might explode from the sheer build-up of love in his body, which would be so embarrassing, considering everyone in the room is there specifically to make sure he makes it out of here intact. "I've never been more attracted to you. Wanna make out?"

"You know I would, but I don't think they'll give us new masks," Tommy murmurs, every bit as tender and sincere as he was five months into dating, when he'd interrupted Buck's passionate defense of ocean sunfish to say, "I'm in love with you. Sorry. I just—what were you saying about swim bladders?"

"He's right," the scrub nurse says, deadpan. "We're rationing those. You take it off, you're outta here."

Buck squints at her. "I don't think no shirt, no shoes, no service rules apply."

She squints right back. "Please tell me more about the rules of this hospital, Mr. Buckley."

"Evan, stop antagonizing the very nice, very knowledgeable person holding the tray of very sharp instruments," Tommy says. The corners of his eyes are crinkled in a specific way that means it's taking all his willpower to play the rational adult and not join in on the snarkfest.

Seriously. The human body can't hold an entire baby and all this love without serious complications, right? What if they cut into him and he just starts flying around the room like an untied balloon?

"All right, all right," Dr. Esfahani says, clapping her gloved hands together. "Time to add one more child to this veritable daycare. What do you say, Evan, Tommy? Are you ready to become parents?"

The reality of the situation hits him suddenly like a second lightning strike, and he grips Tommy's hand hard as he rides the waves of excitement and terror, inhaling and exhaling through his nose to help ground himself.

He closes his eyes and thinks of Evan Buckley of nine months ago, sliding to the floor of Tommy's bathroom and weeping bitterly because the test in his hand was a death knell for the relationship he'd finally found after searching his whole life.

If he could go back in time—before Tommy got so freaked out by Buck's incoherent sobbing and the locked bathroom door that he broke it down; before Buck babbled apology after apology for his parents' negligence by not having him tested for the carrier gene, for being the one to suggest they stop using condoms in the first place, for wanting to keep it even though it meant the end of them; before Buck took the test because Chim had jokingly said earlier that day, "you've looked and acted like a wrung-out sponge all week, are you pregnant or something?" and felt like the ground was crumbling beneath his feet when the little plus sign appeared—he would take that scared, resigned man into his arms and tell him that everything was going to be okay. Better than okay, even. Everything was going to be amazing beyond his wildest dreams.

"He stays," Buck would whisper, and hold him so tight they'd start to merge. "Not because he thinks he has to, but because he wants to. He stays because he loves you and what you've made together. You're enough. Isn't that wild?"

When Buck opens his eyes, Tommy's right there, looking at him with so much love and pride in his gaze that it's palpable. Literally. She's moving around in his belly like she's doing stretches to prepare for what's about to happen. Like she's every bit as impatient as they are to finally be part of the life they're building.

"I'm not scared if you're not," Buck rasps, and tilts his head up as Tommy leans down and kisses him through the mask.

"Speak for yourself: I'm terrified. But when has that ever stopped us?" Tommy presses another kiss to his mouth like a notary affixing an official seal. "Let's get this show on the road, huh? Let's meet our kid."

An hour and change later, they lay her, clean and perfect and swaddled into a sleepy burrito wearing a little hat, on Buck's chest where she gets to hear his heartbeat from the outside for the first time.

He stares down at her, awed speechless, and thinks, oh, now I'm going to explode from love. Everyone hit the deck.

Tommy doesn't get to hold her for almost fifteen minutes because he's crying so hard that Dr. Esfahani refuses to hand her over until she's reasonably sure Tommy won't drop her.

"I think Dad needs to take pointers from you," Buck murmurs to her tenderly. She squirms a little in a way that feels like agreement before she falls asleep, already bored with existence. "Your daughter says you're totally not the cool dad."

"That's fair," Tommy sobs into Buck's scrub cap.

[lild00td00t]

Hi, I hope you are doing well! Can I request headcanons on how Crocodile, Buggy, Mihawk and Doflamingo would propose to their s/o or how they would react if their s/o was the one to propose to them? (Which ever you feel like is fine! :))

Have a great day!

One Piece War Lords: Proposing to their S/O

This was so adorable thank you for requesting the War Lords!! I’ll have to write a part 2. Buggy was honestly my favorite for a bit… 👉🏻👈🏻 but these are gonna be so HELLA friggin cheesy. I’m a hopeless romantic.. so please… COURT ME LIKE WE’RE IN PRIDE AND PREJUDICE.

Buggy

• He’s so nervous, his hands are clammy, even on the inside of his gloves sweat is lining along the fabric of them. He’s talked it over to himself multiple times, rationalizing the best and worst case scenario.

• He can’t help but melt when he sees you with the promise ring he gifted. He sweats bullets when you tease him about getting married… at dinner he nearly choked, and poor Mr.3 nearly had a heart attack just trying to dislodge the food that got caught in his throat. But he felt like that a majority of the times you discussed it. Like something was lodged in his throat and cutting off his air.

• So when you’re watching the crew bring a haul back on the ship, hands on your hips in a relaxed stance, you barely notice when he slips a ring on your finger, and he discreetly prays you don’t say anything about it until you screech and throw your arms around him, his body probably splits in 2 out of shock- this poor man -

• “ How does it feel knowing you’re going to be married to the future pirate king ?! Flashy ?! As it should feel?! “ Then the second you romanticize over the idea he practically hemorrhages 🥲

Mihawk

• The most poetic. God - he probably leaves you little poems every where, and they’re all based on you <3

• Your dates are so adorable. Like picnics, or going on row boats. It’s so quiet on the water, so you don’t notice when he slips down on one knee, clasping your hands in his while presenting a ring.

• You nearly flip the boat when you finally comprehend what’s happening but luckily your better half is much more calm and collected.. he was prepared for this reaction.. atleast he thinks he was -

• He kisses your knuckles, then overlaps your hands with his and holds them to his heart

• “ It seems as though the love saga of my poems will continue until death do us part…“

Crocodile

• Posessive..

• He truly is materialistic and is telling the truth. You genuinely will get what you want. But he can see it in your eyes that you’re not after his money, or his valuables or even his status. He can see the way you adoringly look up to him when he talks. And he’s not used to such an innocent form of love you offer.

• He feels that you must be protected, for what you make him feel is vulnerability. Which scares him. Because no one has ever made him feel that way before. So when the time is right, most likely on a starry night when you’re on a walk he’ll stop, just long enough to kneel and pull out the box, just long enough for you to realize what he’s doing. And with that, he confesses his love

• “ With this ring, you are mine.. whatever you want you can have. You will always be treated with my respect and my love, nothing will ever be enough to satiate how I feel for you. No amount of gold compares to that ring on your finger, for it holds the greatest power in all the world.. my promise to you. “

Doflamingo

• Like crocodile he’s possessive.. but with a sweet?? Spin ?? To it ???

• The moment he slips the ring on your finger he brings your hand to his lips for a sweet kiss, giving you that bone chilling smile while keeping his lips pressed to your skin.

• He doesn’t make a big, fancy show out of it. Because he knows that you don’t need everyone to know. It’s obvious that you’re his

• You listen when he talks. You’re never put off by his nightmares or bad moods. You urge him to talk about his brother and family. You talk about starting a new one… as a second chance.

• “ A second chance for the Heavenly Demon.. “ he thinks to himself, lost in thought. You weren’t scared to say that he was flawed, but it didn’t matter, because you could work on it together

• “ As long as you are mine, you will be taken care of and no one, I mean no one, will ever mistreat you ever again, lest they want my wrath… “ And he means it. He means every word of it. He would wage wars in your name, bring cities to the ground, and split the ocean in two if he could, unlike crocodile, who is alittle more materialistic with his promises. <3

[jpopstreaming]

BUCK-TICK's Atsushi Sakurai Passes Away at 57 Due to Brainstem Hemorrhage

An Emotional Farewell to the Iconic Vocalist During a Fan Club-Exclusive Performance

The music world is in mourning as Atsushi Sakurai, the charismatic vocalist of the iconic Japanese rock band BUCK-TICK, passed away unexpectedly at the age of 57. The devastating news was officially confirmed, marking a sudden and shocking end to the artist's three-and-a-half-decade-long career.

On the fateful night of October 19th, Sakurai was performing at the fan-club exclusive event "BUCK-TICK FISH TANKer's ONLY 2023" at KT Zepp Yokohama in Kanagawa. Unfortunately, due to his deteriorating health, the performance had to be halted. Despite being rushed to the hospital, Sakurai could not be saved and passed away at 23:09 due to a brainstem hemorrhage. The family, respecting their privacy in this trying time, conducted a private funeral. However, according to the band's management, a memorial to honor Sakurai will be organized at a later date.

BUCK-TICK, composed of Atsushi Sakurai, Hisashi Imai (Guitar), Hidehiko Hoshino (Guitar), Yutaka Higuchi (Bass), and Toll Yagami (Drums), debuted in 1987. They rose to fame in 1988 with the hit single « JUST ONE MORE KISS », propelling them to national stardom. Celebrating their 35th anniversary this year, the band had just hosted a grand anniversary concert in their hometown of Gunma in September. They were just commencing their 36th year in the music industry when this tragic incident occurred.

Sakurai's untimely demise has sent shockwaves through the fan community and the music industry at large. It's a loss that leaves a void difficult to fill. The late singer was renowned for his mesmerizing vocals and enigmatic stage presence, qualities that have touched the lives of countless fans globally. His voice will forever resonate in the hearts of those who admired him. While the band's future remains uncertain, Sakurai's rich legacy ensures that he will continue to inspire generations to come.

[amelizscribbles]

OK, EXPLAINING DABIS SCARRING because @good-lord-not-books asked

*note these are just my hcs and some medical research

I'm putting this under a cut because it's long as hell, and I apologize in advance for any typos or if it's confusing. I have no problem explaining further♡

His scars are hypertrophic. which 1) explains the discoloration. It's what happens when the smaller blood vessels become partially or fully obstructed with scar tissue. They typcially start off pinkish or light red. (like when he woke up from his coma.)

Typically the treatment for this is laser removal. But if you don't have access the color may naturally shift with age/as it natueally heals. But with continuous damage to the areas.. the scar will get darker as the veins and tissue is further injured (the deeper into the skin and possible muscle it damages)

most hyrpertophic scarring can take a year + to heal. but obviously Dabi just keeps making his worse. The scars themselves are cause by the body over producing collagen for wound healing and not actually being able to break all of it down.

Which leaves collagen fibers in the skin to harden and thicken. Hardened skin doesn't allow much give, lessening the skins elasticity over all. Which can be shown in the way his unscarred skin pulls along the edges where the dermal rings line said scars. (my thoughts on his staples acrually being dermal rings will be at the end)

That's not even going into the nerve damage systemically for him considering hes covered in that kind of scar. So when he says he can't feel a thing it's literal as the nerve endings are shot to shit. And that is only going into skin deep level.

Interal organ nerve damage is a whole other mess due to the scaringbeing from burns. As severe enough burns cause systemic damage. (will also go into atfer the scarring part)

His skin looks TIGHT on him. If he did have and semblance of sensation in his nerves it might feel like hella tight/dry skin. Also I think hypertrophic scars are an inflammation response to the body healing.

His body is literally misshapen from it. (and yes we love him the way he is) You can see in panels where the skin is probably softer where there's lack of muscle definition but can see where it's tighter or pulling over his arms/ shoulders/ribcage because the skins elasticity is non-existent. The instances where it's sifter looking is probably due to his body trying to retain as much body fat it can to keep healthy (or as healthy as it's going to get in his state.)

As far as it going right up to his lower lids and having zero tear ducts. that man has chronic dry eye like it's nobodies business. so itchy and possibly bleeding eyes isn't a shock. he probably has several counts of grand larceny in artificial tears alone.

Ok so as for his scaring being from burns, burns affect the whole body and how it works depending on the severity.

It can effect muscle tissue/muscle mass, bone structure and interior organs.

Given he seems to be perpetually giving himself 3rd degree + burns .. his respiratory system and cardiovascular system are probably shot to shit. Just from smoke inhalation and perpetual injury. (hypertrophic scars fill the veins with scar tissue remember) Assuming how deep the burn and scar tissue goes.

But we haven't seen him with much breathing issues so I'm assuming it's whatever. He has mentioned motion sickness and we've even seen him turning down food. So I can at least go into it's affects on his GI tract.

In the GI tract, burns can result in increased gastric secretions, reduced intestinal motility, decreased nutrient absorption, increased GI mucosal permeability, bacterial translocation and increased intra-abdominal pressure. If it's bad enough he may have ulcers or gi hemorrhaging. Severe burns also cause liver and intestinal damage.

The fact that he's been alive this long is wild if he's been homeless this whole time and just committing small crimes to not die. One thing that irritates me is when people think he would be incredibly unhygienic due to the scars and such.

Like do you understand how CLEAN you have to keep burn injuries to keep them from getting infected?? Even if it's layered over already damaged and scarred skin. He might smell like burnt flesh but I doubt he's letting wounds fester.

Yes he could probably just cauterize himself but that's still just burning burn wounds. Especially with 0% health insurance. I always assumed he kept breaking into the Todoroki family home when he knew no one would be there to do basic things to make sure he didn't die on the street over the years.

Quick add on to my thoughts on his staples just being dermal rings to homd his skin together/as a form of human Kinstugi.

They (the rings) are pretty rounded in the manga, surgical staples aren't nearly that large either so I always assumed human Kinstugi regardless of metal color (between manga gold or anime silver) and it was both decorative and necessary for his skin.

I just assumed wherever the rings weren't, it was just spots he couldn't reach.

it's also shown in the manga that he's adjusting/adding more along his scars.

als, in case anyone is unfamiliar with the term Kintsugi, it's this

Kintsugi (Japanese: 金継ぎ, lit. 'golden joinery'), also known as kintsukuroi (金繕い, "golden repair"), is the Japanese art of repairing broken pottery by mending the areas of breakage with urushi lacquer dusted or mixed with powdered gold, silver, or platinum. The method is similar to the maki-e technique. Its the Japanese philosophy that the value of an object is not in its beauty, but in its imperfections, and that these imperfections are something to celebrate, not hide.

which I think suits his character very well when his piercings and dermal rings are gold looking in some of the colored manga art.

ok, I'll shut up now, ♡

[landwriter]

this morning's early googling for wrapping up the corinthian/hob fic:

gulf of mexico oil rigs

molotov cocktail ingredients

siphoning gas tool

nuclear lab mexico

savoy hotel bathrooms

[bunny584]

JUJUTSU KAISEN’S ANATOMY

Part II of this cute lil ask right here

A/N: Shit. You just graduated med school. And today…people expect you to…doctor? Mom come pick us up, we’re SCARED (real thought on my first day of residency).

S/N: Meet your first year surgical residency class. Undifferentiated little stem cells. The bottom of the surgical food chain. First shift last 36 hours and you work every second night until you drop. 

All you know is that you like to cut. Where/what/how that cutting comes will be decided later. Everyone has an idea of their subspecialty but…shit happens, preferences change and sometimes the spleen just bleeds for no fucking reason at 4 am when you’ve gotten 30 minutes of sleep in the last 3 days and you have to—what? Sorry. Forgive me. 

Let’s get into it.

For the love of God, interns — pick up your pagers. 

SURGICAL INTERNS ON CALL

Dr. Yuji Itadori 

Specialty Interest: ORTHOPEDIC SURGERY 

Don’t tell Dr. Sukuna about this but who here is shocked. This sack of muscles THROWS SUVS AT HIS MORTAL ENEMIES ON A RANDOM TUESDAY NIGHT??? Please???? He also does shit like watch Wormo-Man parts I-V and this is peak orthopod behavior. Yuji definitely has contests with his patients on rounds who can crush the cranberry juice or protein shakes the fastest. Spoiler, he always lets the patient win.

Everyone thinks he’s just joking around but it’s his way of getting post op patients to get their nutrition in. He’s a very thoughtful doctor, even though people assume he’s no thoughts just vibes between his eyes. 

Dr. Megumi Fushiguro

Specialty Interest: HAND SURGERY (can be achieved via Ortho or plastics)

Hand surgeons are a different BREED. Do me a favor and google “hand anatomy.” Not only will you find like 400 bones, there are 7,000 tiny tendons, lumbricals, digital arteries, veins and nerves all packed into the little mitts we take for granted. And to add insult to injury — all of the muscles and tendons are in latin. Like whoever decided that please take your seat on this one way train to hell :)

Nevertheless, Dr. Geto spotted Dr. Fushiguro on day ONE of intern year. How meticulous and neat he is. How intelligent he is in the O.R. As an intern, Megumi broke the record for the fastest carpal tunnel release for residents (4 minutes, 35 seconds — not faster than mine though, 3 mins, 52 seconds over here big dawg). Suguru is Megumi’s mentor within the first week. Two peas in one moody brunette, pod. 

Dr. Nobara Kugisaki

Specialty Interest: TRAUMA SURGERY 

Nobara is 100% resistant to the Satoru Gojo, MD charm. Unlike the rest of the residents, she isn’t squeezing into Dr. Gojo’s trauma ORs just to graze his gloved hand with theirs. Or make eyes over the surgical masks. No, Nobara did her first cricothyrotomy and became HOOKED. The day she had to climb on the gurney to tie off a patient’s external jugulars because after coding and ROSC (return of spontaneous circulation) they were SPURTING out of the large pipes in their neck — she was sold. Trauma surgery through and through.

Real story btw. It was insane. Whirlwind of a day from the trauma bay to the OR to the ice cream we all scarfed down after because we won that day. And you don’t win every day. So the days you get to tell the Angel of Death to fuck off, you savor them. 

Dr. Maki Zenin 

Specialty Interest: VASCULAR SURGERY 

Little known fact about vascular surgeons is that they are gangster as fuck. Hear me out. They like the blood PAPER thin, right? Small, rusty pipes need to get fluid through, so thin the fluid out as much as possible. Meaning patients are on aspirin, lovenox, heparin, and every other anticoagulant known to man.

Everyone else with a working amygdala is scared to DEATH of these patients bleeding because you look at them sideways and suddenly hemorrhage everywhere. Not vascular surgeons and not Maki Zenin. “Aorta ruptured..? No prob, just sew it up with a couple stitches. What—like it’s hard?” - Every Vascular Surgeon ever. Maki just gives unhinged-unbothered-let-them-bleed energy to me. Plus vascular surgeons do all of the amputations. Maki is doing that with her cursed tools and scrubbing in with hand sanitizer only. Period.

Dr. Yuta Okkotsu

Specialty Interest: TRANSPLANT SURGERY 

The OG lover boy is NO different in this AU. He is sentimental. He cries with patients. Dr. Nanami met him during the first month of his residency and immediately took him under his wing. Yuta is always the last to leave the anatomy lab, making sure to stitch the donors completely closed — even though no one will see. When asked why he spends hours post call doing it, he says: “Because they deserve respect until the very end.” Nanami And Yuta are a perfect match. After Yuta’s first liver transplant, Nanami takes him to the same hill he lays on by the airport. They both say goodbye to the donor together. 

Dr. Toge Inumaki

Specialty Interest: ….he switched to PSYCHIATRY, still tight with the surgical interns though.

Hello, please this is also obvious. Inumaki is the only one in the group who can listen intently for hours without interruptions lmao. He saw that aggressive surgery shit and said absolutely not I’ll take my talents ELSEWHERE 😂

And you know, funnily enough, a good majority of surgeons ALSO were torn between picking surg vs psychiatry. My mentor told me that its because its as invasive, just without the scalpel. The rest of us meatheads just like the scalpel a little too much to put it down. 

Panda:

Specialty Interest: N/A

He is the hospital emotional support animal. 

E/N: Alright interns. Do your best not to kill anyone. And if your chief resident (me) is sleeping, don’t page me. And if you do page me the patient better be knocking on heaven’s gates. And if they are knocking on heaven’s gates, they better not have crossed into the bright light before I get there. 

Real E/N: Kidding. I am so full of shit lol. I am the senior that brings my juniors cafecitos and treats and takes their pager to let them get some well deserved rest. 

Don’t be late to your OR cases, Shoo!