#lab Tests for anemia

[asto-labs]

Anemia Tests: Importance, Types, and Interpretation

Anemia, characterized by a deficiency of red blood cells or hemoglobin in the blood, is a widespread condition that can affect individuals of all ages and backgrounds. Anemia tests play a crucial role in diagnosing and managing this condition effectively. Understanding the importance, types, and interpretation of anemia tests is essential for healthcare professionals and individuals alike.

Importance of Anemia Tests:

Anemia tests are instrumental in identifying the underlying cause of anemia and determining the appropriate course of treatment. They help healthcare providers assess the severity of anemia, monitor response to treatment, and identify any complications that may arise. Early detection and management of anemia can prevent complications such as fatigue, weakness, shortness of breath, and impaired cognitive function, improving overall health and quality of life.

Types of Anemia Tests:

Complete Blood Count (CBC): A CBC is the primary test used to diagnose anemia. It measures various components of the blood, including red blood cells, hemoglobin, hematocrit, and mean corpuscular volume (MCV). Abnormal values in these parameters can indicate the presence of anemia and provide clues about its underlying cause.

Peripheral Blood Smear: In this test, a sample of blood is examined under a microscope to evaluate the size, shape, and number of red blood cells. Abnormalities such as microcytosis (small red blood cells) or macrocytosis (large red blood cells) can suggest specific types of anemia, such as iron deficiency anemia or megaloblastic anemia.

Iron Studies: Iron studies measure various markers of iron metabolism, including serum iron, ferritin, transferrin saturation, and total iron-binding capacity (TIBC). These tests help differentiate between different types of anemia and assess the body’s iron status.

Vitamin B12 and Folate Levels: Deficiencies in vitamin B12 and folate can cause megaloblastic anemia. Measuring serum levels of vitamin B12 and folate can help diagnose and monitor these deficiencies.

Bone Marrow Biopsy: In certain cases, a bone marrow biopsy may be necessary to evaluate the production and maturation of blood cells within the bone marrow. This invasive procedure is usually reserved for cases where other tests have not provided a definitive diagnosis.

AstoLabs for Anemia Testing:

For comprehensive and accurate anemia testing, AstoLabs offers state-of-the-art facilities and expertise in Chennai. With a commitment to excellence and innovation, AstoLabs provides a wide range of anemia tests, including CBC, iron studies, vitamin B12 and folate levels, and peripheral blood smears. Utilizing advanced technology and experienced professionals, AstoLabs ensures reliable results and personalized care for individuals seeking anemia testing services.

Interpretation of Anemia Tests:

Interpreting anemia test results requires a comprehensive understanding of the individual’s medical history, symptoms, and physical examination findings. Abnormalities in specific parameters, such as low hemoglobin or MCV levels, can indicate different types of anemia and guide further diagnostic evaluation. Additionally, the presence of other abnormalities, such as abnormal white blood cell or platelet counts, may suggest underlying conditions contributing to anemia.

Conclusion:

Anemia tests play a crucial role in diagnosing and managing anemia, a common yet potentially serious health condition. By accurately identifying the underlying cause of anemia, these tests enable healthcare providers to implement appropriate treatment strategies and monitor the patient’s response to therapy effectively. Regular screening and prompt management of anemia are essential for maintaining overall health and well-being, and AstoLabs in Chennai provides comprehensive anemia testing services to support these efforts.

[fmldubai]

Explaining the differences between thalassemia and anemia, two common blood problems. Thalassemia is a gene issue, while anemia is when you don't have enough healthy red blood cells. We'll talk about the different ways doctors test for these problems, like genetic testing for thalassemia and blood tests for anemia. Knowing these differences helps doctors treat you better. Whether you're a patient or just curious, this video will teach you important things about these blood issues. For more information visit our website now. https://www.fml-dubai.com/thalassemia/

[mccnstruck]

going to the anemic hashtag because my body feels like amplifying the symptoms today

[3liza]

the nutrition thing is so frustrating. it's just good sense to tell people to "check with their doctors" about all this stuff, and it's ethically necesarry to say that when advising anyone on the internet about it, and i'm not saying we shouldn;t, BUT to be perfectly honest i have never had a doctor give a shit about nutritional deficiencies beyond occasionally doing basic tests and then refusing to entertain any further investigation or treatment if the tests turned up in the normal ranges. none of them were aware of the tissue levels vs serum levels problem at all, many of them were dismissive when i told them about it. a doctor recently sent me trekking to a lab in person for a celiac marker test without knowing or informing me first that you cannot test for celiac markers without the patient eating gluten at high rates for at least 8 weeks beforehand, because, and both of us should have guessed this beforehand without being told because it is obvious but in my case it's because i read a lot of papers and in her case it is because she is a fucking doctor, unless your body has enough gluten inside of it to be reacting to at the time the blood is drawn, you will get a false negative. so she wasted both our time! and we still don't know if i have celiac or not!

it goes without saying that making an appointment with an allergist had to be booked out ten months in advance. still waiting.

the POTS anemia thing is so obscure, despite it, again, being a common sense result of not having enough blood, that i had never heard about it anywhere including in any POTS-specific writing by POTS experts until i read that one paper i linked to.

i think this issue is especially bad in America because nutrition is a national blind spot. every patient is assumed to have access to adequate nutrients when they walk in the door. we think that everyone in the country eats "too many calories" and is "fat" due to a personal state of sinfulness. underweight patients are considered admirable anomalies until you get down below like a 16 BMI, at which point you are assumed to be crazy and have an eating disorder. having low blood pressure is also treated like something the patient deserves to be complimented on, instead of a symptom. salt is considered poison. reducing salt is the primary intervention in all high blood pressure conditions despite it, again, having had dogshit evidence behind it for decades. autoimmune and dysautonomic conditions are never suspected, tested for or treated without the patient spending ten years fighting about it. postviral sequelae are treated like hysteria again, despite decades of evidence to the contrary.

ive never even met a doctor who knew that taking a multivitamin can fuck up your test results for thyroid markers because biotin will mask the results in both directions!

it's incredibly frustrating when ethical common sense demands that you encourage people to take care of their own safety by 'checking with their doctor' when doctors are apparently being trained roughly at the level of the school of Hippocrates, where they use augury and the colors of the local pigs to diagnose the patient and none of them have read any research at all

[rezwrites]

Since we are in October… is there any chance you could write a Vampire!Agatha x reader?  Agatha finding the most delicious blood of her entire long life (Reader’s blood) and getting excited/horny when she drinks Reader’s blood

love your writing

thank you sm!!

Warnings: 18+ MDNI, TW needles/blood/phlebotomy/venipuncture, blood kink, violence, allusion to kidnapping, non consensual thigh riding, unconsciousness

a/n: sry for going overboard with this, but vampire!hematologist!Agatha was so fun to write, I had to make a moodboard! <3

Waiting in the hematologists office you wring your fingers with nervousness, simultaneously regretting not bringing a light jacket to combat the chill of the air conditioner. You’ve heard nothing but good things about this doctor, hoping for some form of a miracle after cycling through many specialists only to come up empty-handed. It’s worth the out-of-city drive if you get some answers this time.

The nurse calls your name, taking you back to an examination room. As the nurse takes your temperature and vitals, you explain what’s been going on, going through routine questions. After jotting everything down, she orders a quick blood test to test your levels. Leaving to retrieve her equipment you lied down as she instructed.

Turning your head you refused to see what was happening as she tied the tourniquet around your upper arm, the strong sting of the alcohol wipe wafting through your nose. Wincing at the poke of the needle entering your vein, you exhale deeply. The nurse patches you up, gathering the vials. You thank the nurse after she lets you know the doctor will be in soon, leaving the room.

Anxiety rises up again as you await the results, trying your best to keep your breathing steady. Running your eyes over the walls, you read the various degrees and accolades framed. It blew your mind that this woman has fifteen years of school under her belt, being a doctor is definitely not for the faint of heart. A sudden rapping on the door brings you out of your thoughts.

“Hello, I’m Dr. Harkness.” She steps into the room, casting a soft, comforting smile. Her wavy, brunette hair tied in a bun, some loose stands falling over her white coat. Closing the door, she sat on her chair.

“Well, your blood pressure was a little lower than it should be. Lab results showed that you have a decreased amount of red blood cells causing Anemia. Now, if it’s a sudden loss of blood somewhere or an underlying illness, we don’t know yet. It honestly astounds me how those other doctors failed to see this for so long.”

“From time to time I’ll wake up with a sore neck or wrist. And my problems will arise after that.” You added. She looks at you intently, cerulean eyes full of concern. Turning to her computer she started typing everything you had said into her system.

“Mhm and when was the last time you woke up like that?” She questioned.

“A few days ago.”

“And you said you noticed all this happening after you gave blood at a blood drive a few months ago.” She asked.

“Yes,” you confirmed. Finally, some form of an answer and one step closer to a treatment plan. It all hit you at once, there was no way to stop the floodgates.

She turned away from her computer, closing your chart, “I’d like to keep you overnight to observe your condition.”

Her face turned in worry and the sight of your tears, “Oh dear, I understand it’s scary.” She grabbed some tissues off the counter offering them to you.

Taking them you shook your head, drying your eyes, “I’m more relieved to have more or less an answer.”

She pulls some documents from the drawer, explaining that’s it’s a consent to overnight admittance form, “Don’t worry, I’ll give you a note for work if you need one, but it is imperative we get to the bottom of this as soon as possible.”

You nod, signing the paperwork before she put a patient wristband on you. Directing you to follow her she leads you deeper into the building, the atmosphere becoming more homey and welcoming, “This is where I keep my overnight patients, it’s more relaxed and calming than a hospital.”

Opening a wooden door there was a single bed with a television mounted on the wall. A small restroom in the corner and a medical cabinet next to the hallway door. She pulled a medical gown from the cabinet, instructing you to change, then lie down on the bed before exiting to give you privacy.

Re-entering the room she placed an IV bag on the counter moving towards the bed, “I’ll just hook you up to the monitor. I’ll also put you on an IV drip for the night as well, so you can get the vitamins you’ve been missing.” She clips the pulse oximeter to your finger, walking over to the cabinet against the wall grabbing everything she needs.

Once Agatha turned around with the needle in her hand, you turned your head away holding out your arm. Prepping and cleaning the crook of your arm, she warns you, “Small pinch.”

“Good girl.” Agatha praises slipping the cannula into your arm, securing it with tape connecting you to the cannula hanging the bag on the IV hook behind the bed, “here’s the remote for the television, press the call button if you need anything. I’ll be back soon to check on you.”

Dr. Harkness checked on you multiple times throughout the afternoon, making sure you were comfortable and not in any pain. She took another blood sample telling you she just wanted to see if your red blood cell count has increased. You’re truly thankful for her thoroughness and thoughtfulness. The warmth of the evening sun seeping through the small window of your room was causing you to grow drowsy, despite your earnest to stay awake in case anything came up. Unable to keep your eyes open any longer you texted your family, updating them before dozing off.

A soft knock on the door pulls you back into consciousness. Turning on the lamp you called out allowing the person on the other side to come in. Dr. Harkness steps through the door apologizing for the intrusion so late. Her hair loose, coat gone; a different air around her.

“So, good news I know exactly what’s wrong with you.” Agatha starts explaining, striding to the end of the bed, hands in her pants pockets. You listen close to what she has to say.

“Bad news is I’m not exactly going to help you.” She states matter of factly. You blanched at her words, heartbeat quickening. Eyebrows pulled together as you sat up, pressing your back deeper into the pillows.

“I mean, of course, I want you to be as healthy as possible don’t get me wrong, but I found the perfect snack in you at that blood drive.” Fear gripping you as Agatha stepped closer to the bed, her sinister smile showing her fangs, “I settled for rationing twice a month on you, but now that you’re here, I’d be a fool to let you get away this time.”

The room was now energized with malevolence. This woman, monster, was the cause of your problems. Why you can’t get out and enjoy your life anymore because you’re so dizzy and tired to do anything. Balling your fist, fingernails digging into your palms; knuckles turning white, “And when the police come? People know I’m here, if I don’t come home they’ll-”

“Easy. You went out the back where no cameras are, it’s easier to get to the parking lot that way than circling the whole building again. What happened after that nobody would have a clue.” Agatha countered, her smile was sickening, your stomach flipping.

“Even if, small if by the way, you managed to escape and get help who would believe that the good Dr. Harkness, was a vampire.” She started laughing in disbelief.

You eyes shifted between her and the door. Throwing the blanket off you you attempt to jump out of the bed, but Agatha was on you in a second wrestling you back down to the bed. Managing to get an arm free you landed a solid punch to her jaw, the pulse oximeter flying off your finger. Paralyzed with terror when her smile grew, completely unfazed by your punch, her eyes maniacal., “It’s just us here, feel free to scream all you want.”

As much as you wanted to, you couldn’t. Not a sound would come out. Pinning both your wrists in one hand, her other hand sliding off her slacks.

“I believe I got your neck last time,” her knees pushing up your gown as she shuffled up your body. Letting out a pleased sigh Agatha settled herself on your thigh.

Bringing one wrist to her mouth she didn’t waste any time sinking her fangs into you. The sharp, piercing pain elicited a cry from you, tears falling down your face. Agatha’s cold hand held your wrist tightly as she sucked roughly, hips rocking frantically.

“Absolutely divine.” Agatha growled out her ruby eyes holding yours as blood ran down your arm and her chin. She licks the blood running down your arm, her thighs tightening around yours. Tossing her head back as she shudders on top of you moan loudly, “Always so delicious.”

Your breaths grow shallow, everything is cold as you stare at the gray ceiling. A small whine escapes you, vision blurring as you teeter on the brink of consciousness.

“That’s it. Rest easy now.” Agatha voice is fading, “you’re going to need it.”

[mychemstat]

give me tough love.

Frank Langdon x Michael "Robby" Robinavitch

word count : ~4k

author's note and warnings: guys there's smut. because these are my barbies whom i make scissor. it's unethical. robby is upset. langdon wants love and attention (and dick). enjoy.

"I don't have a best friend."

“What am I?”

“You’re my best resident. Big difference.”

“Yeah, but we’re still friends?”

“Not if this conversation goes on much longer.”

Dr. Frank Langdon, emergency medicine senior resident, wondered whether Dr. Michael “Robby” Robinavitch, senior attending, liked him.

He felt like a little kid on the playground, wanting his existence acknowledged by the most popular guy in school. He wanted so badly to be as close to Robby as Dr. Abbot was. At first, he figured it wasn’t anything serious, he has always been like that.

Langdon has always wanted love.

Needy, clingy Langdon who never showed his cards or pulled his punches and kept a safe distance with anyone (even his wife and kids), felt a new itch inside him the day he met Robby.

He couldn't list exactly what set that itch off on his ten fingers. Maybe he could if he held Robby’s calloused fingers in his own and counted the circles of his fingertips. Maybe then.

Frank, as no one calls him in the ER, held that thought for days. He puked over it, passing it off to his family as mild food poisoning even though they all ate at the same table every day. Who were they to question the doctor?

Confused was one word to explain how he felt. Horrified was a much more accurate term.

The last time he felt this way about someone, he got married. There was no way in hell he was having those same feelings. At least that is what said to himself as he jerked off every day in the shower, hot water almost piercing his skin, pretending it was Robby’s nails and teeth digging into his skin.

It’s the painkillers. A voice in his head reminded him, and he immediately shoved it away, remnants of shame creeping into his conscience.

Painkillers alter moods. Maybe they changed my hormones. Langdon bit his lip deep in thought before chewing on the last morsel of protein bar stuck to the aluminum wrap.

“Dr. Langdon, the labs you ordered? Mr. Raina’s bloodwork shows low hemoglobin and iron, B-12 at an all time low of a hundred.”

Langdon snapped out of the ridiculous conversation he humored with his own conscience and turned his attention to Mel, immediately relaxing in her presence.

“Uh… thanks, Mel. Administer a B-12 shot and prescribe vitamin c, iron, and vitamin d supplements.” Langdon informed, almost on autopilot. Anemia was so common he swore he had the same exact conversation ten minutes ago with Mateo.

Mel nodded in her usual, focused manner, about to turn around to leave before stopping to question, “Are you okay, Dr. Langdon?”

Mel was observant as fuck.

Langdon hesitated, “Uh. Yeah, I’m fine. Just late night with the kids.” The best part about a job that put the patient’s best interest in the most dire situations was how good he got at lying. With patients, it had a line: Say what you need to save their life. If the patient insists they don't drink, agree with them and take a blood test and CT scan anyway. At the end of the day it's for the patient.

Lying was fun. And as with anything else, moderation was not a regular part of Langdon's routine.

He had to be the best in his class all throughout highschool, undergrad, masters degree, and part of the dean's list whenever possible. He couldn't get his head out of his textbooks because he wanted to be the best. He needed to be the best.

When he needed, he needed so much he could die. Every lay of his life left his bed with an earnest performance review. Needless to say his bedside manners only improved every time. And when he said “just one more” to himself with a vial of ativan clasped between his sweaty palms, he had nothing but green lights flashing in his head.

Langdon was anything but moderate, always going out of the way to impress every set of eyes in the room. For him, there was nothing worse than being on the receiving side of disappointment. He aimed to please. Even the goldendoodle he brought home for his kids was to make them happy. He got paid enough to support his wife and kids. What was one more mouth to feed if it made his children happy for the next few months till they eventually got bored of the dog?

All throughout the morning, Langdon kept his eyes on Robby, looking for a twitch of disapproval in his eyebrows as he monitored procedures. If Langdon sensed anything but satisfaction, his fingers would squeeze around whatever medical instrument had the misfortune of being within his grasp. There was no way he was going to disappoint Robby.

The compliments were the best part. A mere “good work” or “nice job, Langdon,” from his senior attending would have him on a high all day, barely reaching for those pills in his locker. His own little painkiller without side effects.

Just like those pills, however, he was dependent on Robby too.

Every time he would see the man striding around the department, the most important person in any room, waiting or operating, his pulse would skyrocket, craving one look of reassurance from him. Just one more glance from coffee browns to icy blues that melted Langdon’s brain in the matter of seconds.

Today, Robby was not having a good day.

Adamson’s death anniversary was clearly affecting Robby and his patience. He would snap at regular troublesome patients whom he usually waved off, and he almost yelled at Mohan because she was taking too long with patients.

And the worst part of the day was when he found Langdon’s stash.

He had never seen Robby so angry. The veins on his forehead popped as he yelled at Langdon in the hallway, Princess and a patient caught in the crossfire. Shame flooded Langdon’s senses watching his mentor throw his shit on the ground and shout in the hospital in front of everyone within earshot. Langdon had fucked up bad.

“Get out! And don’t come back here till you’ve gotten your shit together, fuck!”

Langdon couldn’t bear to hear Robby talk to him like that. He knew he fucked up. He knew he should get help. But hearing it from the man he wanted to be adored by was probably the worst thing for his psyche right now. All it did was make him sad, and Langdon had rarely ever sat with sadness. He would push it down and move on because it wasn’t worth honing over.

There was a first time for everything.

“No.” The word escaped Langdon’s throat quietly.

Robby’s face fell like he had been factory reset, voice laced with venom, “What did you say?”

“I’m not going home, Robby.” Langdon repeated himself, gathering bits of courage to look up from his shoes soaked in patients’ blood. He knew very well that Robby could call security and end this matter in less than a minute. He knew that. But he still felt like trying Robby’s patience.

What else could he do other than yell?

Langdon wanted to find out.

“I’ve proven myself here, time and time again. I know I fucked up, but I also know I’m a good doctor. You can’t do this to me. Call security, I don't care.”

Robby was a hurricane personified, storm dawning over his normally kind eyes.

“Mother-” Robby charged loudly towards Langdon before composing himself, “-fucker, you wanna act tough now?”

“When else have I done this, Robby?” Langdon pleaded softly, eyes welling up. The bright lights shone over them in the medically white hallway. Death and hard truths floated in the air.

He hated being weak.

The older man scratched his scalp furiously, trailing his fingers down his beard in frustration. If Langdon didn’t know any better, he would think Robby would just spontaneously combust.

He watched his senior place his hands on his waist, staring down at the sickeningly clean floors of the hallway, fingers visibly clawing into his scrubs. Langdon was so afraid of what would happen. Would he hit him? Would he risk his entire career to let out his anger?

“Meet me in call room three in five minutes.”

Langdon’s thought train halted, “What?”

Robby started toward his direction, walking with intent and past Langdon’s shivering body. He could smell the coffee and disinfectant from Robby as he walked by in a hurry, making him a bit dizzy.

He knew not to defy him then. Maybe Robby wanted to talk. Maybe he was handling the situation privately. Maybe he was still keeping his job. Langdon had some hope. He wasn’t totally cynical.

The moment Langdon set his things down on the desk in call room three, the door creaked open softly, revealing an alert Robby, licking his lips as he looked outside for any incoming traffic before shutting the door carefully and pulling the blind.

“Robby, I just wanted to thank you for hearing me out-”

“Who the fuck do you think you are?”

Langdon swallowed around nothing, completely taken aback by the question.

“What… Listen Robby, please, you need to listen to me.”

Robby flashed him one of those sarcastic, semi-frustrated smiles of his that made his underlings cower in fear.

“You risked patients’ lives and jeopardized your career and mine. Do you know what could have happened? Do you have any fucking idea the consequences of your fuck-”

“I know I fucked up, please-”

“Shut your fucking mouth, I don’t wanna hear anymore-”

“I just wanted you to be proud of me!” Langdon shrieked, louder than he thought he could, breaking any and all boundaries of their professional relationship. Not that anything about the situation they were in was professional.

The ventilator in the room pushed the cold in, a chill traveling up Langdon’s spine. Robby’s face softened, then his eyes narrowed, like a scope on a rifle. Langdon had never been more terrified. The older man took a seat on the neat and empty bed, looking like he was rethinking his life. Langdon felt something break in his chest.

Then his legs carried him as he knelt to the ground, fingers grasping at the legs of Robby’s scrubs, knees hitting the linoleum floor unabashedly.

“Please, just hear me out, Robby,” Langdon begged, eyebrows twisting up, eyes glistening with tears at his superior. Robby was his only hope. His only way out, not just medically, but according to his own conscience.

Fingers digging into Robby’s muscular calves, Langdon held on tight as if that would convince Robby to let him stay.

“You want me to be proud of you?” Robby finally spoke, opening his eyes that were tightly screwed shut. Langdon could feel the hatred in each syllable of Robby’s.

“Yes, yes please. Robby, I would do anything, you know me, you know this.”

Robby jutted his lips in denial, but didn’t move or take Langdon’s hands off his legs. He sat in silence, eyes flitting to Langdon’s face, gaze trailing down the strands of hair that were so annoyingly perfect he was pissed off seeing them every morning. Robby looked into Langdon’s eyes, finding nothing but a confusing mixture of denial and regret.

He denied his addiction. He regretted letting Robby down.

Langdon saw something click in Robby. The older man suddenly looked calmer. Still stern, but less explosive. He wanted to get inside his head and figure out what was going on in there.

Robby raised his hand and Langdon almost flinched thinking Robby would slap him, or hit him, or do something that was not simply sitting in silence. Now that he was closer to his mentor, Langdon could smell hints of Robby’s fabric softener, cologne, and some sweat from the already insane day he had had. He hated that he was now another worry added to Robby’s endless list, but his scent twisted Lngdon’s gut so deliciously, he swore he felt his cock twitch.

Not the time, he thought, eyes still glued on Robby.

Robby’s thumb curled as he lowered it to Langdon’s spit slicked lips. The pad of his thumb dipped into the plush of Langdon’s bottom lip, revealing his bottom teeth, calloused skin harsh against the younger’s.

“Robby-”

“Just shut the fuck up. For two fucking minutes.”

Langdon followed. He gave up his defense and focused on Robby, how his fingers latched to the bottom of his chin, red hot touch wiring jolts of electricity to his stomach.

Langdon dropped his jaw, allowing Robby to explore further. The older man slid his thumb past his bottom teeth and onto Langdon’s silver tongue that began gathering spit. The younger man could practically feel himself about to ruin his underwear as he tasted the salt on Robby’s skin. Rough skin brushed Langdon’s tongue out so it hung out of his mouth. The mentor finally spoke.

“Suck.”

Langdon let out a noise so embarrassing he felt his ego shrink and his cock grow, tongue hanging out and saliva dripping down his jutted berry lips. Robby gave him a second to gather his brain before advancing deeper into Langdon’s mouth as the younger man wrapped his lips around his thumb in an instant, swallowing around it.

Robby let out a satisfied exhale, shifting in his seat, other hand lifting from the bed and reaching for the drawstring of his sweats. Langdon’s eyes shifted down to Robby’s hips, watching intently as he slowly pulled the string and untied it in one go.

Was this actually happening?

Langdon felt like he was in one of his many dreams about Robby. He certainly didn't imagine it like this. He thought Robby would invite him over to watch a game and have a drink with him and things could lead into something more risque.

But he wasn't complaining.

Langdon was on his knees in a call room in the hospital with his mentor’s finger in his mouth, about to be used thoroughly by the looks of everything.

He almost came at that thought.

Langdon’s eyes scanned the veins in Robby’s hands leading up to his forearms, and drabbled spit down Robby’s thumb once again, salivating at the mere thought of having Robby’s cock in his mouth.

He had dreamt of how he would feel. He almost caught a glance of it once as he talked to him about some patient’s stats while using the urinals in the hospital bathroom. And from what he saw, he knew he needed almost a bucket more of lubrication to even take him halfway down his throat.

Langdon moaned around his finger as Robby started to draw back slowly, collecting all of his spit before standing up to lower his sweats. The hem of his shirt rose and Langdon wondered what it would be like to lick and bite his midriff.

“Robby-” Langdon barely let out, still sucking and devouring the savory skin of Robby’s thumb.

The older man shushed him, pulling him into his hip and sliding his thumb out, a string of Langdon’s saliva bridging the tip of his thumb to the younger's already swollen bottom lip.

Langdon could hear Robby’s shivering breaths, something he usually heard when he was angry or vexed, but this was something else. This was impatience.

His eyes traced the outline of Robby’s cock through his black briefs, swallowing around nothing as he admired the view.

Robby looked down at him, clouded eyes growing darker like a tempest steadily brewing. Loathe coated his expression but Langdon wasn’t afraid anymore. He was ready.

Hands working separately, the man in trouble parted his lips before leaning close and licking a stripe up Robby’s length, drawing a shaky breath from the man towering over him. His nimble fingers sizzled at contact with Robby’s bare skin just an inch or two above the hem of his briefs before curling them underneath the elastic band and tugging them down slowly, tufts of curls revealing with every little pull.

Whatever was happening outside in the ER was now not their business.

Robby was big; which wouldn't have been a surprise if Robby wasn’t already hard, the head of his cock an angry scarlet, already leaking in anticipation.

Langdon wanted to cry. Not because he didn’t like any of this. Because he felt like all his questions had been answered. Robby liked him. Robby wanted him.

The younger man’s eyes welled up as he examined Robby, long and heavy, veins bulging down to the base. He noticed a tattoo scattered on the side of his hip, and he almost lunged to lick it.

Before Langdon could do anything, however, Robby grasped the kneeling man’s gel-slicked hair, pulling it back to expose his throat.

So empty. Robby marveled.

Langdon could only watch as Robby brought his spit-slicked thumb to the tip of his length and ran it over the slit, letting out a moan so deep and guttural that it made Langdon’s cock leak against his underwear.

The older man pushed Langdon’s head near the tip of his dick, lips brushing against the hot, throbbing skin as Langdon groaned in need.

“Please, Robby-”

Robby swiped the head through Langdon’s wet lips, already feeling the warmth of his underling’s mouth, brushing his length against his gums. Langdon dripped saliva all over him as he waited for instructions. He wanted to make him so happy. He would do anything for him.

“Open.” Robby stated, and Langdon dropped his jaw in relief, fingers latching onto the older man’s length.

“Don't fuckin’ touch me.” Robby hissed, and Langdon backed his hands away immediately. He watched as Robby lowered Langdon’s mouth onto his cock, coating his tip in warmth and slick.

Langdon moaned at the feeling of his mouth being occupied, finally feeling full. His own dick was now begging to be let out but the friction of his scrubs against Robby’s shoe had him satisfied for now. As Robby slid further down Langdon’s throat, he reminded the younger man to breathe through his nose and relax his jaw, losing his mind at the tightness of his employee’s mouth.

Langdon was now struggling. Robby was thick and a little too long for his usual routine of sucking dick. He wanted to take his time with him: kiss the tip and work his hands around his balls. He couldn't do any of that. He couldn't show just how good he could be.

“Fuuuuuck, F-frank.” Robby exhaled quietly, hitting the roof of Langdon’s mouth before feeling his throat clamp around him. Langdon choked and spat and gagged at the obstruction as he felt Robby somehow grow harder.

He called him Frank. He had never called him Frank before.

Langdon whimpered around Robby, mouth full and lips contracting just halfway across his length, sending vibrations up his cock. Robby fisted Langdon’s hair tighter. Langdon couldn't be quiet anymore.

He exhaled loudly, crying around Robby in the magic of it all as he watched Robby slide out before going back in further. Robby was about to bottom out.

“Fnmnhg,” was all that Langdon could add to the conversation as Robby slipped lowerr and further down Langdon’s throat, curving down to his oesophagus, tears prickling at the corner of his eyes. Tears ran down his cheeks, jaw already sore.

Robby was in a time crunch, but Langdon had forgotten all about the world outside. And to be fair, Robby was also close to losing himself inside Langdon. With one thrust, Robby now fit completely and perfectly inside Langdon, the younger’s nose pressed against the dark curls at the base of his cock. Langdon couldn't breathe. He couldn't speak. He couldn't think.

It was perfect.

Robby shut his eyes, the tightness of Langdon’s throat squeezing him in all the right places. The vein on the underside of Robby’s cock nestled perfectly on Langdon’s slippery tongue, pulling out the most breathtaking sounds from his superior.

Langdon groaned again, trying his best to breathe through his nose, inhaling the smell of soap and musk that sent lightning up his cock. God, he had a new addiction to add to the list, it seemed.

Robby could notice Langdon's struggle; the way his eyebrows twisted up beautifully in acceptance yet slight discomfort at Robby’s outstanding length, cheeks hot with tears, and throat completely used. Robby had wanted this for so long: just to use that pretty mouth of his for some good instead of having it run rampant in the ER. Sometimes Robby’s eyes would flicker to Langdon’s arms or exposed skin on his midriff, and he would have the sudden urge to bend him over and milk him for all he’s worth.

Now he had a reason to. Not that the ethics board would agree. He knew what they were doing was so wrong.

Anybody could walk in. Anyone. Princess, Perlah, or worse, one of the interns.

He could lose everything. He could lose his medical license if he was found fucking his employee’s throat into oblivion as other doctors scrambled to save whoever was dying that minute.

Something switched on in Robby at the sheer thrill and insanity of the situation. He was exhausted from being responsible and caring and considerate the entire damn time. He just wanted to let go and do whatever the fuck he wanted. Do whoever the fuck he wanted.

With one last groan from Langdon inciting such a perfect twist of his gut traveling down to the tip of his leaking cock, Robby thrusted upward in Langdon’s throat, fucking the gummy walls of his mouth without a care. Langdon shrieked before grabbing the back of Robby’s thighs for balance. He was worried that Robby would tell him to get his hands off. But Robby had stopped thinking altogether.

“F-fuck, Frank…”

There it was. Calling him by his first name again. Langdon was losing it.

As Langdon’s mouth was put to use, the motion and warmth mixed with the highly unprofessional sounds of spit squelching against his cock jet Robby through his orgasm mortifyingly quickly. He bucked hard and rough against Langdon, pushing his head against his hip, spilling down the younger man’s throat. Langdon held his breath till Robby finished jutting into his mouth, cum spurting so heavily that Langdon found himself humping Robby’s shoe and cumming into his boxers.

“Oh, baby, fuck, oh fuck.” Robby muttered silently, and Langdon felt himself already growing hard again at the nickname as he hummed obscenely on his cock.

Robby pulsed slowly inside his mouth, still reeling from the shattering orgasm he just had inside his employee’s mouth and down his throat. Robby swore he almost saw God as he peaked, letting out every frustration from this morning (and four years ago) into his coworker.

“Rob- Robby…”

Langdon was fucked out. His mouth and jaw hurt, his throat was sore, and he was sure that his knees had been bruised. He looked up at the man, trying his best not to stare at his superior’s impressive cock dripping with cum and his spit. He glanced once for a mental picture before storing it at the back of his mind for later.

Robby grabbed a couple of paper towels from the dispenser before wiping himself and adjusting his sweats neatly. He threw a towel to the man now resting on his buttocks before extending a hand.

Langdon reached out hesitantly before getting back up on his feet. Robby’s eyes flitted down to the soft, swollen pillows of pink on Langdon’s face glistening with his cum. Langdon saw fire in his eyes again.

Robby grabbed him by the collar of his scrubs, pulling him in roughly for a kiss. Robby licked into Langdon’s mouth as the younger man kissed back in shock before giving in and sinking his teeth down on Robby’s bottom lip. Robby could taste himself on Langdon’s lips. Langdon drove him crazy.

Robby harshly pushed Langdon away, hurt and something sweeter crossing his eyes.

Langdon stared back knowing exactly what Robby felt. He just wanted to be back. Back beside Robby, exchanging those glances that only meant something to him.

“You’re with Mel for the rest of the day.” Robby stated bitterly before leaving the room quietly. Nothing else.

Something in Langdon’s ribs jumped.

He wasn’t fired. He made Robby happy.

He finally made him happy.

+++

HAIII i can't believe two doctors from a serious medical drama broke my writer's block. anyway. enjoy this pure filth <33

gif cred : @gallners

[wonderhecko]

since we are coming around to the idea that mental illnesses and bodily illnesses are not meaningfully different, let's think for just a second about what it means to psychoanalyze a stranger on their post where they can read it. you're popping in to someone joking about their anemia and going 'you know this is actually common to lyme disease, perhaps you should go get tested'. sorry did you want a vial of blood too? you gonna run the labs? this is such an obvious boundary what the fuck

[asto-labs]

The Power of Genetic Testing: A Comprehensive Guide

In recent years, the field of genetic testing has seen remarkable advancements, revolutionizing the way we understand and manage health conditions. Genetic testing, also known as DNA testing, is a powerful tool that analyzes an individual’s genetic makeup to identify potential genetic disorders, predict susceptibility to certain diseases, and inform personalized treatment plans. From genetic blood tests to screening tests conducted in specialized genetic labs, the applications of genetic testing are vast and diverse.

Understanding Genetic Testing:

Genetic testing involves the analysis of DNA, the genetic material present in every cell of our bodies. This analysis provides valuable insights into an individual’s genetic predispositions, helping healthcare professionals tailor prevention strategies and treatments accordingly. Genetic testing can be conducted for various purposes, including:

Genetic Testing for Diagnosis: Genetic tests, including genetic blood tests and screenings, play a pivotal role in diagnosing inherited genetic disorders such as cystic fibrosis, Huntington’s disease, and sickle cell anemia. These tests can help individuals and their families understand the genetic basis of their condition and make informed decisions about managing their health.

Predicting Disease Risk: Genetic screening tests are particularly valuable for identifying individuals at increased risk of developing specific diseases, such as cancer, cardiovascular disorders, or Alzheimer’s disease. By analyzing genetic variations, healthcare providers can offer personalized risk assessments and recommend appropriate preventive measures.

Pharmacogenomics: Genetic lab tests are essential in the field of pharmacogenomics, which examines how an individual’s genetic makeup influences their response to medications. By analyzing genetic variations, healthcare providers can prescribe medications that are most effective and safe for each patient, minimizing adverse reactions and optimizing treatment outcomes.

Types of Genetic Tests:

Genetic tests come in various forms, each serving a specific purpose and requiring different sample types for analysis. Some common types of genetic tests include:

Genetic Blood Tests: These tests analyze a blood sample to identify genetic mutations or variations associated with specific diseases or conditions. Whether it’s diagnosing rare genetic disorders or assessing disease risk, genetic blood tests provide valuable insights into an individual’s genetic health.

Genetic Screening Tests: Screening tests aim to identify individuals who may have an increased risk of developing certain genetic conditions. These tests, which may include genetic testing for newborns or population-wide screening programs, help identify at-risk individuals early, enabling timely intervention and management.

Genetic Lab Tests: Genetic lab tests encompass a wide range of genetic analyses conducted in specialized laboratories. These tests may involve analyzing DNA from various sample types, including blood, saliva, or tissue, and can provide insights into a diverse array of genetic factors, from ancestry analysis to disease susceptibility.

Genetic Testing in Chennai:

Chennai, known for its world-class healthcare infrastructure, is home to several renowned genetic testing facilities. These facilities offer a comprehensive range of genetic tests, including genetic screening tests and advanced genetic lab tests, catering to the diverse healthcare needs of the population. Whether it’s for diagnostic purposes, disease prevention, or personalized treatment planning, Chennai’s genetic testing centers leverage cutting-edge technology and expertise to deliver accurate and reliable results.

Conclusion:

Genetic testing holds immense promise in revolutionizing healthcare by enabling personalized and targeted approaches to disease prevention, diagnosis, and treatment. From genetic blood tests to screening tests and advanced lab analyses, the applications of genetic testing are vast and continue to expand with ongoing research and technological advancements. Embracing genetic testing empowers individuals and healthcare providers to make informed decisions that can positively impact health outcomes and improve quality of life.

In Chennai, Asto Labs stands out as a beacon of excellence in genetic testing. With its state-of-the-art facilities and commitment to innovation, Asto Labs offers a comprehensive range of genetic tests, ensuring accurate and reliable results. Whether it’s for diagnosing rare genetic disorders, predicting disease risk, or guiding personalized treatment plans, Asto Labs’ expertise and cutting-edge technology ensure the highest standards of genetic testing. By partnering with Asto Labs, individuals and healthcare providers in Chennai can access advanced genetic testing solutions that pave the way for better health outcomes and a brighter future.

[pandora-writes-one-piece]

Trying really hard to finish chapter 17 of Imperfect today! Already have close to 4K words, but I kind of wanted to include a very powerful scene at the end. Might make it to 6K again... Sorry, not sorry!

Cross your fingers for a weekend update!

Feeling super, duper, extra dizzy today. Got some of my lab tests back, and turns out I have an iron deficiency. Doc said it might be anemia... still holding out for a few more exams. *sigh*

Have a nice day, y'all! I'm about to turn on the angst tap, now!

[fereality-indy]

Latest Update On The Ex

Posted on Facebook by their husband

"FYI long update for those who don’t have Chris Wiley on their pages. I’m sure you’ve been wondering what is going on and wanting updates so here goes. Chris if any of this is wrong or the timeline is wrong let me know.

Starting in late January/early February we’ve been dealing with some medical things on her end. They had me take them to the ER around then because she was feeling really nauseous amongst other things. They were diagnosed with the flu and Iron Deficiency Anemia at the time. They gave them some scripts and sent us home.

About two weeks after that Chris again asks to be taken to the ER due to intense pain. At this visit they did an ultrasound and saw masses that they thought were Fibroids (noncancerous growths that develop in the muscle wall of the uterus). So they gave us more scripts and told them to make an appointment with a gynecologist. Which they did and set an appointment for the end of April, as that was the earliest that could fit them in.

After another two weeks we were back in the ER, with them complaining of even more pain that pain meds weren’t helping. At this visit they did a CT scan and came back and said that what was previously thought to be fibroids looked like they could be something more. So they asked that we call and push up the appointment with the gynecologist and schedule one with an oncologist . Which we did.

At the gyno appointment a biopsy was performed as well as a pelvic examination. During that we noticed that Chris' leg and ankle were swollen. The Dr. wanted to get an ultrasound of the leg done ASAP to check for blood clots. The labs were too busy to schedule on immediately so the Dr. sent us to the ER again to have that performed. They found that there was a clot, and they were admitted to take care of that. During this time we met with Dr. Ayeni (our Gynecologic Oncologist), Dr. Saad (the hematologist) and a host of other doctors. We heard amazing things about the whole team and were and still are confident about them. We are also extremely grateful for the whole team. They did some more testing and another 2 biopsies. The medical team came up with a plan, and we were off and running to get this taken care of.

Roughly another week later we were back in the ER with more pain that wasn’t subsiding with meds or heat. Yet again they were admitted. Further testing showed that the masses had grown extremely quickly and were massive. So Chris was fast tracked to get things done. They put in a filter for the clot. The following Friday they did a full hysterectomy, while they were performing this they noticed what was believed to be an oversized tumor was rather a 10 CM lymph node. They were unable to completely remove the node. And Chemo was started this past Tuesday. Chemo went fine and after Chemo everything appeared fine. The evening Chris woke up extremely nauseous, vomiting, and with diarrhea. So back to the ER we went. She was admitted yet again. With further testing they have found another mass, and that her ureters (a muscular tube that carries urine from the kidneys to the urinary bladder) are either kinked or blocked by the new mass. So they will be putting in stents and/or duel nephrostomy bags.

This is where we currently stand. Any help and support is greatly appreciated. See the pinned post for information on ways to help, or just ask. One thing that is a major need if anyone can help is a vehicle. Thank everyone for your love and support during this time."

FreeFunder

PayPal

Ko-Fi

[lackablazeical]

💚🐉Ishida Miyamoto🐉💚

General info -

Ishida's birthday is April 18th. He is an Aries ♈️

Ishida is bisexual with a preference towards women.

Ishida has ADHD (Attention Deficit Hyperactive Disorder)..

Personality traits -

Ishida is impulsive, determined, friendly, adventurous, trusting, gullible, and open-hearted.

Ishida tends to do things on a whim, for the excitement or rush of it all. He then has to deal with the consequences of it, which he greatly dislikes.

Ishida never gives up once he sets his mind to something, no matter if he hates it or not.

Ishida loves meeting new people and making friends, and can talk to anyone, anywhere.

Ishida is a bit too trusting and will often believe things Donnie tells him immediately. He also trusts the people around him not to lie and takes what they say at face value.

Ishida is very open with his love and affection and voices his care and support of his loved ones often.

Important details -

His Health -

Ishida has conditions including hemophilia, asthma, POTS, low blood sugar, chronic fatigue syndrome, anemia, and poor circulation.

Ishida has a detached 'Ki', or soul. His soul is not bound to his body properly. This makes it so he is mostly unaffected by mystic spells, but is also connected to why he is so ill and disconnected from his body. Mystic magic does not work to improve his health because it tries to heal him through his Ki, which doesn't work. Donnie's medical practices only focus on his body, which make them more effective.

Donnie uses extreme medical practice to help Ishida, making Ishida much more energetic, strong, confident, and healthy. If Ishida didn't have his meds, he'd have about a month before he'd be right back where he started.

His beliefs -

Ishida's element is fire.

Ishida feels a strong connection to fire, ash, and dragons.

Ishida will burn things like paper, old clothes, or bites of his food and pray over the ash. He doesn't burn pictures with faces, as he finds it disrespectful.

Ishida will doodle dragons often and finds great value in art of them. He gets very starstruck around yokai that look like dragons too.

His beliefs about Usagi's death -

He believed Usagi was dead, and felt heavy guilt over it. He wished he had been healthier/stronger, to be able to protect his brothers.

Ishida was often helping comfort Kenichi, and he tended to 'feed into' Kenichi's idea that Usagi was still alive.

His dynamic with Donnie -

Ishida considers Donnie his best (non-blood related) friend.

He trusts Donnie with his life, and listens to whatever Donnie says. Donnie has a say in everything Ishida does, including what he eats and how he spends his time.

Ishida may occasionally call Donnie out for his bad behavior though, telling him if he's being an asshole or going too far. Donnie doesn't really care what Ishida has to say.

Ishida allows Donnie to run experiments on him, to test his pain tolerance and allow Donnie to gather data.

Ishida enjoys snuggling with Donnie, because of the vibrations from when Donnie churrs.

Ishida loves to spend time in Donnie's lab, and often goes in there to draw, work out, or just generally hang.

Ishida holds Donnie to a very high pedestal because of how Donnie had helped him, so may also brush off Donnie's outbursts/general rudeness because of this.

Ishida learned some sign language to be able to communicate with Donnie when he is overstimulated.

Fun facts -

Ishida's favorite food is bananas, and his favorite drink is soda.

Ishida has very few sensory issues, but notably he hates 'light' sensations (elbows brushing, gentle breezes, etc.)

Ishida has a talent for pickpocketing/ sleight of hand. He is also good at magic, like card tricks.

Ishida isn't a morning person, but still always wakes up early.

Voice claim [Ross Lynch] -

[cbk1000]

So, I have another crazy story about the clinic where I used to work; this time as a patient instead of an employee. Under a cut because it's very long.

So back when I first got really sick, I was in the hospital a few times primarily for really high heart rate. I work out a lot and my normal resting heart rate is in the 60s; back in February I suddenly started getting palpitations, and my heart rate was going up to like 140 bpm just standing at my bathroom sink washing my face. I wore a seven day monitor at one point and my highest recorded heart rate on that was 157 bpm--just shuffling like a zombie around the house. I was also super weak and just felt overall like death.

Hospital runs a bunch of labs and imaging tests and can't find anything that would explain it. The last doc I saw said there was a bright spot on my echocardiogram monitor that could just be flashback from the monitor, but taken with some of my symptoms, he felt OK with a presumptive diagnosis of pericarditis (inflammation of the sac around your heart), especially as the treatment is just high dose ibuprofen for a week, nothing invasive or drastic. I need to follow up with a cardiologist, but I don't have a primary care physician who can refer me to the heart clinic. I had just turned in new patient paperwork at a local clinic so I contacted them to see if I could get in, but they said it would likely be a month before I could be scheduled with anyone.

In the meantime, the ibuprofen isn't working and my condition is getting worse. I have my next period, and after a couple of heavy days, I get even weaker, my heart rate goes even higher, and I get really dizzy all the time. I also am now short of breath just rolling over in bed. I legit feel like I'm dying. Because my symptoms get worse after blood loss, it suddenly pops into my head that about 17 years ago after a blood donation I got really sick, and all my symptoms that I can remember having at the time are the same, especially the cardiac issues. I took iron back then and that resolved it. I started wondering if my iron was low, did a bunch of research into iron deficiency without anemia, and realized every single symptom, including ones I had been having for a while prior to the heart issues (terrible fatigue, brain fog, headaches, sleep disruptions, restless legs at night) could be from low iron.

So I need to get labs done, and also I do still need a referral to make sure my heart is ok. I can't get in with anyone, so out of desperation, I go back to my old clinic because I know they'll get me in quickly. They schedule me an appointment for the next day with a doc who is going to turn out to be batshit crazy.

I go to my appointment with my presumptive diagnosis of pericarditis, and the doctor asks if I had the Covid shot. I tell him yes, but my last booster was in 2021, so not relevant here.

Well boy howdy was I wrong. He launches into a whole-ass rant about how bad the shots are, how many people have been injured by them, tells me I, a formerly very healthy, athletic woman, now have heart issues due to the shot, etc. etc. I say, 'Ok, but would the shot really randomly cause me issues three years later when I was perfectly fine after I got it?' (The answer is no.) Doc stays the course in blaming the shot. I have paperwork I need filled out for medical leave from my job, and he PUTS ON MY PAPERWORK THAT I HAVE TO TURN IN that my cardiac issues came on and progressed after the shot (three YEARS after, you DUMBASS) and that his impression is post vaccine injury. I feel too badly to do much more than sway on the exam table and occasionally interject that I had the shot three years ago and I don't think that's the problem. The majority of my appointment is him ranting about the shots. Whatever, I'm desperate, give me my fucking referral to the cardiologist and order my iron panel.

I get labs done and sure enough, my iron is low. I start supplementing and shortly afterwards get a call from the cardiac clinic; I lucked out and got in just a few days after my referral was sent to them because someone canceled their appointment last minute. I see an ARNP at my first visit and she says the echo I had done at the hospital looks fine to her, but they'll do a seven day monitor, a repeat echocardiogram, and have me follow up with the cardiologist just to make sure they don't miss anything.

So they do this, and in the meantime, after a couple of weeks on iron supplements, I start slowly but steadily feeling a bit better. My fatigue and brain fog that I was having every day improve significantly after only a week on supplements. My dizziness goes away. I feel a tiny bit stronger every day and now can sit up longer and start holding conversations with people. It's slow but steady progress for about three weeks: and then I get my period again. It doesn't knock me back to square one, but I definitely take a couple of steps back in my recovery. It's a little lighter this time, though, which is a good sign.

I follow up with the cardiologist. He says actually my heart is in really good shape; no signs of pericarditis or anything wrong with it; my high heart rate isn't due to a cardiac issue. Cool. I didn't think so at this point, but good to hear I don't have heart issues.

So I go back to follow up with my doc and plan to ask to really focus on the iron issue since the cardiologist confirmed my heart is fine. I have come a long ways but am still mostly bedridden; it is very slow to get your levels up on iron supplementation, and every time I get my period, it sets me back a little. Maybe some low dose iron infusions would help boost my levels so my recovery doesn't go backwards on account of me bleeding for a week every few weeks.

Doc comes in the room. He is clearly Not Happy cardiology did not confirm his conspiracy theories about the shot injuring me. I tell him about the symptoms I have seen improve and even resolve after about six weeks on iron supplements, and how I think most if not all of my problems are from low iron. He pretty much completely ignores this. He asks me if my fatigue and brain fog have improved. I say, yes, they were some of the first symptoms to improve after I started taking iron. He does not even acknowledge I have spoken. He tells me he thinks I have a combination of chronic fatigue syndrome and POTS (postural orthostatic tachycardia syndrome) caused by the shot. I remind him I just told him my fatigue had improved a lot since starting iron. And my heart rate is coming down too and not spiking as much, my issue is that every period after I've been improving, I suddenly get a little worse again. He ignores this. He tells me he is going to refer me to the neurologist to check for chronic fatigue and POTS. Ok, whatever, I'm pretty sure I don't have those things, but fine, have another specialist tell you you're wrong.

After about eight weeks on supplements, I really feel like I'm starting to turn a corner. I don't feel normal, but my heart rate has come down quite a bit, I can stand and walk around a lot longer without feeling like I'm going to pass out, and I feel the closest to normal that I have been in months.

And then I get my period again and my heart rate goes back up. I'm super frustrated at this point because I was So Close to being a functioning human again, so I decide to push for a low dose iron infusion. I just want to boost my levels high enough to get me over this hump so every period doesn't set me back right as I feel like I'm coming back to life. I've read lots of papers on iron deficiency without anemia (meaning your hemoglobin is normal) and decide to make an appointment armed with one paper in particular which was written by a doctor who has been treating iron deficiency for decades, and which lays out really comprehensively the numbers at which patients should be considered deficient based on their labs and symptoms, what numbers you should shoot for when treating the iron deficiency (I am higher now but still quite a ways away from the goal), and also lists a bunch of symptoms women in particular have reported that have resolved with iron treatment. I highlight all the symptoms on the list that I have had, as well as other sections particularly relevant to my specific case. (Spoiler alert: I did not even give him the paper.)

So I go to my appointment and he asks if I've heard from the neurologist yet. I say no, I'm sure it will be a while (there's only one in town, and I'm sure it takes a long time to get in). In the meantime, I really want to focus on getting my iron levels up. I lay everything out: all the improvements I've seen, how my period keeps setting me back, and how I want to try just a low 100mg infusion to boost me up so I don't take two steps back every time I get my period. He tells me I have chronic fatigue and POTS as a result of the Evil Shot. I tell him, once again, that my fatigue has greatly improved on iron supplements. He does not even acknowledge I have spoken. He tells me a local doctor is being PERSECUTED and PROSECUTED for prescribing Ivermectin for Covid. Ok, that doesn't relate to my personal medical issues that we are here to discuss, and also, Ivermectin is not approved for the treatment of Covid. I ask him again if I can get a low dose infusion. I understand insurance probably won't cover it, that's fine, I can pay out of pocket, I just need him to order it. He tells me he personally takes Ivermectin. Good for you. Again, not related to my medical issues that I am here to dicuss.

I mention that I have had restless legs at night for a long time, because I know this at least is commonly associated with low iron, maybe that will get his attention; nope. He totally ignores me again. I even try blaming the shot for low iron (sorry, Covid vaccine, sometimes you have to take one for the team). I say I have read Covid and maybe even the shot can deplete your iron; maybe the shot did this to my iron. No dice. (Mr. Jenn did applaud me for trying when I told him about it, though.)

He starts in about my POTS again. I say, ok, but POTS is a postural issue, right? He says, yes! I say, ok, then if I have an issue where my nervous system doesn't regulate my blood flow properly when I change from sitting to standing, why is my resting heart rate way higher than normal when I'm just lying in bed doing nothing, and why has my heart rate been coming down and is not spiking like it was after several weeks on iron supplements until I get my period? I'm not sure that fits with POTS.

He again does not even acknowledge I've spoken.

I ask again for an infusion to help boost me up so I'm not set back every period. He says as long as I'm menstruating it will set me back. Yes, I am aware I will lose more iron on my period, what I am asking is that while I am in ACTIVE CLINICAL IRON DEFICIENCY can we please do something to speed up getting my levels high enough so every time I bleed it doesn't knock me down again. He asks if I have considered a hysterectomy or uterine ablation for the bleeding (you know, invasive surgeries, instead of talking about birth control pills, which he didn't even mention). I said that was kind of extreme and I didn't want to consider that right now. I ask him about the infusion again. He says it's not a concern. I say, yeah, it is, I am having debilitating symptoms that have left me bedridden for three months. I need to get back to my life and my job. He tells me Congress is investigating the shots and it will come out how bad they are, but a lot of people won't believe it. I say, well, that's Congress' business, can I please have an infusion. He tells me insurance won't cover it. I say I know, I already mentioned that earlier (while you were ignoring me in favor of ranting about a vaccine I had three years ago), I have a health savings account, I can pay out of pocket. He tells me he's pretty sure I have chronic fatigue and POTS but we'll see what the neurologist says. I need to call and see if I can get in more quickly with the neurologist. I say, ok, in the meantime, since realistically it could take months for me to get in with the neurologist, can I PLEASE HAVE A FUCKING INFUSION. He tells me if I want one I will have to badger another doctor into it. (I can't remember the exact word he used, but the way he worded it made it sound like I was trying to bully him. No, you jackass, I am asking for an extremely common, low risk medical treatment for issues that have left me unable to work or leave my house for anything other than doctor's appointments for THREE MONTHS.)

So I left incredibly frustrated, needless to say.

Next day Mr. Jenn goes to his appointment at the clinic I initially tried to get into to follow up on labs he had done for an annual physical, and his doctor tells him his cholesterol is slightly high, but not enough to be concerned, he just needs to watch his saturated fats and red meat intake. Mr. Jenn tells him we've actually temporarily increased our red meat intake because of my health issues. He then mentions all of the issues I've been having, my lab results, and how I've improved a lot on supplements, but keep getting set back by my period. His doctors goes, 'Have you guys looked into infusions for her? You should try that.'

I DID BUT MY DOCTOR IS CRAZY.

Mr. Jenn explains that I had asked for an infusion and my doctor refused. His doctor gives him a weird look and wants to know why. Mr. Jenn explains it's because he's super set on it being chronic fatigue and POTS and won't consider anything else even though my 'chronic fatigue' and 'POTS' symptoms have both improved on iron supplements. The doctor again gives him a weird look and asks why he's stuck on those diagnoses and won't consider iron deficiency.

Because he's crazy, good sir.

Mr. Jenn's doctor then suggests we see if I can self-refer for an infusion and just pay out of pocket, but you need a doctor's order even if you're not going through insurance, so the next day when the clinic opens, I call, explain I tried to establish care there earlier so they have my new patient paperwork, but that I needed an urgent referral, and had to go somewhere else because they were a month out, but I really (REALLY) want to change doctors, is <Mr. Jenn's doc> taking new patients? He is not, but they'll put in a note with one of the ARNPs accepting new patients to see if they're willing to schedule me.

However, I know the new manager of the clinic (actually an old coworker from the crazy clinic that I'm friendly with), so the other day I texted her, briefly explained the situation, and she asked which doctor I wanted to see and said she'll talk to him when he's back from the long holiday weekend and see if he would be willing to see me. She will let me know later this week (he's not back in till Wednesday). So fingers crossed I can get in with a non-lunatic soon.

[midnight-in-town]

Orphanage of livestock

Alrighty, buckle up guys, time for another very cringy theory. :D Big thanks to my friend @dorkshadows for all our discussions about the current arc; this arc is really making us wrack our brain for ideas. xD

To start, here's a reminder as to where we stand vis à vis bizarre dolls:

UT first used to edit those corpses' cinematic records with fake memories he made during the Campania arc, but it quickly changed during the Weston arc to "longing for the future"...

...which are "incomplete fragments that the dead crave about the future they were to have had". Since UT didn't explain anything new ever since, it's likely that the records are still being edited with this method in the current arc.

Then, with the blue sect arc, we were introduced to the use of blood transfusions as "fuel" for the bizarre dolls' longevity...

...and our!Ciel's side set out to crash these collect operations in order to weaken the Undertaker and real!Ciel's side.

Mey Rin's investigation confirmed the existence of one blood collect site...

and so did Bard's:

However, in Finny and Snake's investigation, while the orphanage did sort the children into 4 groups too, the elder siblings pointed out that...

...not only have they never any blood drawn from them, but the orphanage is rather forcing them to attend classes, in order to develop their "aptitude" based on the tests they took when they arrived. Most importantly, when Ginny fledged, the chief of staff said...

...that "the aptitude honed there will make contributions to the world" (as a child with Corgi aptitudes, Ginny's classes were about physical activities "like gymnastics or horse riding").

Investigating Ginny having fledged, that's when Finny, Snake and the elder siblings discovered yet another lab (very similar to the one in Sphere music hall) with evidence of blood collection, but also of organ collection.

So, since this arc with Finny and Snake heavily parallels the circus arc, I was wondering if the purpose of dissecting these poor kids was similar to what Kelvin and the doc did with the kids they abducted:

In other words, whoever is behind this operation (UT is involved, but he might not be the only Shinigami deserter behind this) are maybe killing the kids to collect blood but also many different organs, so that they can probably upgrade their latest bizarre dolls (both in body and record).

Under read more for additional explanations/speculations:

1) the orphanage collects the children's organs to physically upgrade BDs ?

Most likely by grafting new organs or body parts (taken from the orphanage kids who fledged) on bizarre dolls who need them.

For example, considering the Polaris = Joker theory: back in the circus arc, Joker said:

and then Seb cut his second hand. Yet, when Polaris attacked Agni (who was quite strong), Agni noticed that...

...his opponent was very quick and strong. So if Polaris is indeed Joker, then it's likely BD!Joker has new strong arms.

Additionally, crack thought, but we witnessed both Doll and real!Ciel suddenly collapsing, which we automatically linked to needing more blood to keep on functioning, but if they really got new organs from those kids, then maybe...

...the issue we witnessed isn't anemia, but some sort of graft versus host disease? Or both lmao. (I'm totally reaching here)

2) the orphanage also collects the children's organs to gain more sponsors ?

Additionally to the Bizarre Dolls, these organs could be used to gain more sponsors, similarly to Bravat who used to provide blood transfusions to parliamentarians who suffered from kidney failure:

Only rich folks would have enough money to buy organs if they needed it, so they'd make good sponsors for this super expensive BD project.

Of course, the risk of graft v. host disease would be very high as well but, since Othello said "they learnt more than they ought to have" upon visiting the Sphere music hall's lab (ch125), maybe they figured out about how to make a successful graft, on top of blood types ? (Or, most likely, the ones running this clown show just don't care about their sponsors dying once they've gotten the money ¯\_(ツ)_/¯ exactly like Bravat who killed the parliamentarians)

3) the orphanage collects the children's organs for experimentation

This would explain why Finny finds a lot of similarities between this orphanage and the German lab by which he was experimented on for enhanced strength.

Additionally, this would explain Snake's weird comment on "orphanages being terrible places", if he too was also experimented on as a child (which is how and why he understands snakes) :

Lastly, back to the Polaris = Joker idea, Agni mentioned that Polaris had "unimaginable strength". As we know, Agni was one of the strongest characters, so for him to qualify his opponent as "unimaginably strong", it is likely that Polaris has some kind of enhanced strength.

So do they research about enhancing human (or bizarre doll) strength or longevity? Or is it research on cinematic records? Your guess is as good as mine but, as already proved with the circus arc, no one will miss these orphans...

...making this "the best recycling scheme" one can think of. T_T

4) the orphanage assigning orphans to classes based on aptitude tests is used to upgrade BD's records or lack of soul:

The kids are sorted into 4 groups based on the aptitude test they took. Literally quoting the manga:

Mastiff kids learn reading, writing and skills needed to be senior servants managing large manors

Corgi kids specialize in physical activities

Collie kids learn all the skills to make a living as a domestic servant and martial arts

Pomeranian kids (kids who scored the highest on the tests) study latin, maths and games

These orphans are told they are saved and then to envision their future based on their aptitude and what they're forced to learn in their respective classes. This is probably done so that they will develop very specific "longing for the future" which, again, are "incomplete fragments that the dead crave about the future they were to have had".

So, once they fledged and are killed, their "longing for the future" are probably extracted and used one way or another. Since the records are already edited, the goal behind this might be to create some sort of a soul substitute, as hinted by Jane in the Heathfield investigation arc:

and it sure would explain why the chief of staff said the aptitudes can contribute to the world:

That's why something like a change in the afternoon tea menu of the pomeranian kids (from lemon drizzle cake to lemon tart) would actually matter, because taste is probably one of the parameters that can influence the "shape of a soul" or something.

There are 4 groups in the orphanage; in the previous investigations that mostly meant 4 blood types, but this time it might mostly mean 4 star lords:

Mastiff kids for used for Polaris, who defines himself as a butler (he's not real!Ciel's butler tho++) (Joker?)

obviously Pomeranian kids are used for Sirius (real!Ciel)

For Canopus and Vega, it's a bit trickier, but I propose Corgi kids for Vega/Layla, despite her probably being high born, because she worked as a nurse helping veterans with rehabilitation, which looked like this :

This leaves Collie kids for Canopus...

even if Canopus' true identity is really the least obvious one right now. FYI, some Japanese speaking fans have discussed that Canopus is the maid Jane and she indeed worked as a maid and knew how to fight, so it fits (I personally have another theory in mind for Jane, but Canopus!Jane definitely has some basis). If not Jane (or Doll, like some fans keep saying), Canopus can still appear during Seb & Ciel's investigation, so we'll just keep these details about Collie kids in mind.

I'm sure the truth behind Snake & Finny's investigation, as well as the next one with Ciel and Seb, will provide us with more hints about how the bizarre dolls and, more specifically, the star lords are becoming more and more perfect. So far this post is what I can guess with what we were given.

TL;DR in many possible ways, the ones behind this arc (besides UT, I mean) are preying on these poor kids and making use of every parts of them (blood, organs and maybe even their longing for the future).

That's why giving them mistletoe when they reach fledging day is so ironic...

...because they really suck every "nutrient" possible from these kids until they die.

Not gonna lie, it doesn't look good at all for Theo. He's headed straight for real!Ciel... ://

Kudos if you read all that, I hope it was as clear as possible! As always, thoughts in comments or reblogs are welcome! :D

[liquidstar]

Speaking of my family and blood stuff... We all have thalassemia beta, and if you're unfamiliar with thalassemia it's essentially similar to sickle cell. The main difference is that the deficiency is in the hemoglobin rather than the betaglobin. And, like sickle cell, it's not severe when you have only one phenotype (that's what the beta means, none of us ended up with both despite our parents each carrying one, and if you remember punnett squares the probability is 50% one, 25% both, 25% none).

Anyway with thalassemia beta you basically just have an advanced form of iron deficiency anemia, due to your body's inability to process it. For me this means a lot of headaches, a lack of stamina+overall weaker constitution than most, somewhat stunted growth (this was compounded with me being underweight), and worst of all chronic fatigue leaving me oh so tired all the time. Overall nothing all too major, but it still left me unable to do certain things in life, like play a sport or really give my "all" at any draining task. But hey, at least I can't die from malaria, so it's not all bad lol

But like what's actually important to understand here is that you CANNOT FIX THIS by just taking iron supplements. It would be awesome if that worked but unfortunately, like I said, the deficiency is in your body's ability to process the iron to begin with, not your iron intake. You just don't have enough hemoglobin to carry those nutrients regularly. So, like, not only will taking iron supplements not help, IT WILL HURT! Your body is already struggling to process iron, so adding more and more can actually lead to iron poisoning! It's dangerous! It could, in theory, be lethal, though in most cases you'll probably just get sick over time. My fear is that people may assume this means they actually need more iron so it could get worse...

The reason I'm sharing all this though is that, like, thalassemia is fairly common where I'm from so there's more awareness of this risk factor. But it's considered rare here in the states, so it can be overlooked as a possibility. I've had doctors tell me to take iron supplements for anemia, kinda just assuming it's the "regular" kind, and I'd take it at face value because I was like 15. To be clear, they didn't do that bloodwork in that office, they do CBC tests whose results could point to thalassemia beta, but can also be taken as typical iron deficiency (from what I understand). You have to be referred to a blood lab for an official diagnosis with a hemoglobin electrophoresis test. Also, for some reason, the general practitioner here never shares these blood work results with you??? At most they just kinda go "ah you need more iron, so take iron supplements."

So... I wonder how many people with thalassemia (and other types of anemia but I can't really speak on those) around the world are taking the wrong supplements, and might be hurting themselves because of assumptions that they don't have the "rare" blood dysfunctions, or just an oversight on the doctor's end or something?

I can't say what will work for everyone, I don't have the jurisdiction to prescribe anything, but I can say folic acid is what I eventually started taking once I could get some more bloodwork done 👍 still tired and get headaches sometimes tho, but at least I'm not poisoning myself 😭

[waddlewaddlewaddlewaddle]

Over my head (Miguel ‘o’ Hara x Reader)

Chapter 6

Credits:chos_1129 on Instagram for the headline art.

Pairing: Miguel x reader

Summary: y/n is a kind hearted nurse who’s life gets turned upside down as she get fired from one the most prestigious hospitals in NYC , desperate , she start filing job applications wherever. Coincidentally a stressed Miguel is looking for a nurse due to a big amount of spider people getting injured due to the surprisingly large amount of anomalies happening in the spider verse. What could go wrong is these two meet?

Themes: ✎slow burn ( I think), child care (fluff) and a little bit of angst

Mutual pining

✎office romance (¿)

Hidden romance

✎Smut available as story progresses.

Dom Miguel x sub/bratty reader

✎Stubborn, Ill tempered Miguel.

✎ Angelic reader .

It girl reader.

✎I try to be as accurate as possible.

English is not my first language so bare with me.

✎badass stoic x sweet empath.

Og spanish speaker so be prepared for steamy dialogue :3

Pairing: Miguel x reader

For previous or future chapters check out masterlist.

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After devouring last night's overtime fee, you started to prepare some supplies so you could keep them at hand after that you started to check out the new microhematocrit centrifuge you purchased with the company’s card so you could run some anemia tests, you suspected many spider people suffered this condition due to poor nutrition and lack of sleep.

You pulled up some blood tests you had in the fridge and look at the machine in front of you.

After some seconds of thought, you concluded that you didn’t know how to operate this machine, and you didn’t remember your lab testing classes since your specialty didn’t require it much. To your bad luck, your bots that usually took care of this job were busy digitalizing some handwritten patient charts.

You were too occupied trying to figure out how the machine worked that you failed to notice a large figure creeping into the room, you only noticed its presence when you felt its aura tower behind you.

-“Need a hand?”-Questioned a well-known husky voice while he looked down at you.

As you turned around your nose almost met with Miguel’s chest, due to this you quickly inhaled his scent; your nose picked up the same odor from his car mixed with a mint soap. You took a step back to create some personal space but that made your back bump against the lab table, soon your gaze captured Miguel dressed in a black t-shirt that hung tight on his biceps paired with cargo pants the same color. This amazing view made you a little flustered, how were you supposed to act cool when such a handsome man was seducing each one of your senses?

You quickly regained your stance and smirked at him and replied to him in a mocking tone.

-“What do you know about this?”

“-A lot, actually.”- He replied while opening up a hidden lid in the centrifuge before organizing the four blood samples diagonal to each other, as he finished doing this he put the lid back on so he could then move the knobs skillfully which lead to the machine started to work like magic to your eyes.-“what would your patients say if they knew their dear nurse doesn’t know how to operate a simple centrifuge. To save you the embarrassment I’ll keep quiet, it’ll be our little secret.”

You looked back at Miguel who was grinning like that was the best comeback of the century, unbeknownst to you his smile was partially because he could help you out to compensate for last night's care.

You decided to continue playing along with his game.

-“Didn’t know they taught how to operate lab machines at spider camp.”

He let out an unamused chuckle and replied.

-“I might have to report you to HR for belittling me, lll let you know that I used to work as a Geneticist; so give me some credit .”

-“Wait we have Hr?”-You questioned.

-“I am HR.”

Your eyes glared at him unimpressed.

-“Somebody got up on the right side of the bed today. Anyway, I know you keeping my darkest secret isn’t gonna come out for free so what can I help you with ”- You joked while returning to your duties.

Soon Miguel’s face returned to the serious Expression you were used to.

-“I need you to remove my splint, there’s probably going to be some anomalies that need my attention today and the foil from the splint is messing up some features from My suit.”

Your heart sank a little when you noticed he didn’t come to visit you, he came only to be able to exercise his duty without any impediments even if it meant tossing your advice to the side.

-“I am not gonna do that Miguel, you may ask another healthcare provider to do it for you but I don’t want anything that could happen to you to be on my conscience.”-You calmly said in a monotone voice.

Miguel took a step back and crossed his arms while tilting his head to the side, “No” was a word that he was not used to hearing; he hoped you ignored his blank stare while he figure out how to erase that god-awful word from your vocabulary.

-“No…?”

-“No.”

-“Why not, it’s not like it’s your business anyway.”- He coldly argued.

You turned your neck in a snap in reaction to the return of his rude attitude, you glared at him in disbelief. You thought you were starting to get close but you quickly realized that Miguel was not a man of friends.

-“I’m not even gonna waste my breath answering that. Please leave my infirmary If that’s all you’re gonna request.”

-“You really think it’s that easy to get rid of me?”

Before you almost opened your mouth to start a quarrel Peter Parker walked in a hurry with mayday climbing on his head.

-“Hey Buddy! Why aren’t you answering your watch, Jessica needs some help on Earth 9214. Some sort of jumbo octopus.”

Miguel proceeded to scrunch his nose in confusion.

-“That's strange it didn’t beep at all, I guess you’ll have to lend me your mask cause someone’s being a brat and won’t let me do my job.”

Peter looked at him with a microscopic smile.

One tap.

Two taps.

6 Taps.

Nothing.

Miguel’s watch didn’t respond , it acted like it had been frozen, Miguel called Lyla through Peter’s watch to get to the bottom of this accident, the strawberry blonder eccentrically explained that watches with too much use have a chance of malfunctioning when not properly being able to download a new upgrade, hence the reason of this shut down of communications of other feature.

-“Oh no, what should we do now?”- cried out Peter in fake agony.

-“Are you a witch or something? I bet you have something to do with this.”-Murmured Miguel while he glared at you; trying to work his gadget you resigned to giving him the ugliest stare possible.

Lyla gave him a side eye, artificially nervous that he may catch onto them and make her dress in a hideous uniform, so she decided to meddle in the argument a bit before he realizes she froze his watches because Peter convinced her that if he got a break he would stop being such a pain in the ass.

-“Well I guess it can’t be helped! Guess I gotta go, keep an eye on Mayday will ya.”- Peter threw the baby at Miguel with full certainty that he would catch her then Peter disappeared with Lyla in a blink of a portal.

You looked over at the pink-cheeked baby with hair as fiery as her personality, the little girl traced Miguel's cheekbones while poking his nostril and some other random parts of his face which made your heart soften.

-“If you want you can leave her with me, you don’t look like a kid's kinda guy.”-you murmured this out not forgetting how rude he was to you earlier.

-“That kinda guy or not, you shouldn’t betray a parent's trust if they leave you in care of their most prized being, so you best believe I’m not letting her out of my sight until he gets back.”-He responded while fixing the collar on maydays shirt.

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After three hours of heavy-duty child care you and Miguel left your differences behind, it was time for Mayday’s mid-day nap but she wouldn’t sleep even tho she wouldn’t stop yawning and rubbing her eyes.

-“If we don’t get her to bed in half an hour, she’s gonna be an inconsolable cranky mess by the looks of it.”- You warned.

—“Let's turn the lights off, maybe that’ll make her sleepy.”

As soon as the lights came off Miguel positioned Mayday's head on her should while he slowly patted her back, his mouth let out a song made out of soft sh shhhh.

You felt bad for misjudging him earlier, you finally accepted that he was a man of responsibility but he didn’t acknowledge that stampeding over anyone to fulfill his duty was truly not the best option. Your heart melted at such cute sight; I mean it’s a small baby and a big man, how were you supposed to resist???

He walked around the room hoping the bounce of his steps would help rock the baby better, Mayday was on the brink of slumber she just needed a final step to fall asleep.

You brainstormed what could finally push her to sleep, and suddenly an idea came to you. You ran out of the infirmary looking for peters bag in the lockers, finally, you found a dark red tote baby bag which contained what you were looking for, some formula and a bottle.

After a few minutes you managed to get back to the infirmary in silence, you signaled to Miguel to lay her down on the bed, and after he did you gave her the bottle which she held down on her own, when she was halfway through bottle her sucking slowed down to end up stopping, with this you realized she finally fell asleep.

You and Miguel’s back physically relaxed, he gave you a thumbs up before being two stools from the desk near Mayday’s bed so you could both keep an eye on her while she slept.

-“You did pretty well today.”- You let out a warm smile.

-“Only doing my job.”- He joked.

-“I didn’t know you were good with kids sorry I miss judged you.”

-“For better or for worse; I’m a box of surprises, I don’t blame you I wasn’t as cordial as I could be today, I’m just not used to people looking out for me. That’s all.”

-“Guess we will be getting to know each other a lot from now on.”

-“You want to learn about me?”- He questioned with a small grin.

-“Why not? Here let’s do a dynamic, I ask you a question then you’ll ask me a question.”

-“Sure, but only because I’m burning time.”

You laid your head on the bed after asking Miguel the dumbest question known to humankind which he shortly responded with a lengthy reply.

In the middle of his storytelling, he noticed you fell asleep, he went to the storage room and brought down a blanket so he could lay on your back while you dozed off, he wanted to stay up and keep guard but after seeing you sleep so peacefully while taking a long deep breath, so Miguel decided to give himself a break and lay his head right next to yours so he could use his arm as a pillow.

Before he knew it he rested his eyes and fell asleep, for the next hour you two laid face to face; enjoying the silence and the contrast of each other’s warmth with the cool breeze of the air conditioner

That hour Miguel slept with all the tranquility and peace of the world.

A/n: another day another slay.literally 2 weeks felt

like a week sorry , love y’all kiss kiss 💋

[sapphicautistic]

okay so I've been getting "pernicious anemia" and "paradoxical/functional deficiency" mixed up at least some of the time. and the latter CAN be caused by the former but isn't automatically. pernicious anemia is like its own autoimmune condition & I don't think it's what's going on w me.

My dr definitely thinks I have a paradoxical deficiency and/or a functional deficiency (sorry I'm not smart enough to understand the subtle difference rn) because of how low my serum levels are despite taking SO MUCH b12 via oral supplements, but my CBC looks fine so I think it's not pernicious anemia which thank goodness.

I think I need to send that paper on B12/B2 in ME/CFS to my dr because it looks like a functional B2 deficiency may be part of this whole mess and I wanna make sure there's nothing there that needs to be dealt with.

I might also check to see if my insurance has started covering SIBO (small intestine bacterial overgrowth) breath testing yet bc it keeps coming up, it's something my old gastro in california wanted me to check (couldn't, insurance wouldn't cover and it's like $150) due to certain symptoms and it's also common in people w ME. It can cause B12 absorption issues bc the bacteria just. eats it. before you can absorb it lmao

I'm glad to have the injections but if this is due to some underlying thing I wanna make sure 1) any other necessary treatment (b2 shots?) happens and 2) I want it in my chart to test my levels regularly and put me back on shots every time my b12 depletes because I think the oral supplements are doing very little or I wouldn't keep having this issue every few years where I get symptoms so bad they check the levels and then discover AGAIN that i need the injections.

b12 is something you can store a lot of, your body can store like 3-5years' worth at a time and not have issues until it runs out, so I'm hoping I'll only have to do a course of shots about that often even if this is just like. A permanent issue. I don't mind doing the shots but them needing to be refrigerated is kind of annoying bc it's hard for me to get to the pharmacy so I use a mail order pharmacy for all but like, 3 of my prescriptions that are too rare/fussy for them

i wish actual drs would ever do this kind of research for me, I miss dr zhu so bad cuz she would actually read the journal articles and explain shit to me!

despite having a very complex medical condition that can impact SO MANY systems, there are almost no specialists for that condition and any other doctor will just refuse to check if whatever issue is in the literature for that condition. like they won't even look to see if it's part of M.E. and like maybe there's guidance on how to deal w X thing in M.E. (the bateman horne center for example has guidance on so many things! like not just what to check but what to try!) but my drs wouldn't know bc they won't look! so what is even the point of all that research if only patients ever look at it. I want expert advice like this is your job!!

like if it turns out I have a b2 deficiency of any kind, that's not something that would get caught without me looking shit up, and that's a serious problem. I have worsening cognitive symptoms (that's what started this whole round of labs that found multiple vitamin deficiencies) and it shouldn't be on my dumb ass to figure out what would take like 10 seconds for someone who has an actual medical degree to check!