#medical cw///

[cryptocism]

that half-blank, half-apocalyptic look

"i can b ur angle or yuor devil" etc etc "get a man who can do both" etc etc

obsessed with this vamp i think he should get to do whatever he wants forever

[reasonsforhope]

"The first modern attempt at transferring a uterus from one human to another occurred at the turn of the millennium. But surgeons had to remove the organ, which had become necrotic, 99 days later. The first successful transplant was performed in 2011 — but even then, the recipient wasn’t immediately able to get pregnant and deliver a baby. It took three more years for the first person in the world with a transplanted uterus to give birth. 

More than 70 such babies have been born globally in the decade since. “It’s a complete new world,” said Giuliano Testa, chief of abdominal transplant at Baylor University Medical Center.

Almost a third of those babies — 22 and counting — have been born in Dallas at Baylor. On Thursday, Testa and his team published a major cohort study in JAMA analyzing the results from the program’s first 20 patients. All women were of reproductive age and had no uterus (most having been born without one), but had at least one functioning ovary. Most of the uteri came from living donors, but two came from deceased donors.

Fourteen women had successful transplants, all of whom were able to have at least one baby.  

“That success rate is extraordinary, and I want that to get out there,” said Liza Johannesson, the medical director of uterus transplants at Baylor, who works with Testa and co-authored the study. “We want this to be an option for all women out there that need it.”

Six patients had transplant failures, all within two weeks of the procedure. Part of the problem may have been a learning curve: The study initially included only 10 patients, and five of the six with failed transplants were in that first group. These were “technical” failures, Testa said, involving aspects of the surgery such as how surgeons connected the organ’s blood vessels, what material was used for sutures, and selecting a uterus that would work well in a transplant. 

The team saw only one transplant fail in the second group of 10 people, the researchers said. All 20 transplants took place between September 2016 and August 2019.

Only one other cohort study has previously been published on uterus transplants, in 2022. A Swedish team, which included Johannesson before she moved to Baylor, performed seven successful transplants out of nine attempts. Six women, including the first transplant recipient to ever deliver a baby back in 2014, gave birth.

“It’s hard to extract data from that, because they were the first ones that did it,” Johannesson said. “This is the first time we can actually see the safety and efficacy of this procedure properly.”

So far, the signs are good: High success rates for transplants and live births, safe and healthy children so far, and early signs that immunosuppressants — typically given to transplant recipients so their bodies don’t reject the new organ — may not cause long-term harm, the researchers said. (The uterine transplants are removed after recipients no longer need them to deliver children.) And the Baylor team has figured out how to identify the right uterus for transfer: It should be from a donor who has had a baby before, is premenopausal, and, of course, who matches the blood type of the recipient, Testa said...

“They’ve really embraced the idea of practicing improvement as you go along, to understand how to make this safer or more effective. And that’s reflected in the results,” said Jessica Walter, an assistant professor of reproductive endocrinology and infertility at Northwestern University Feinberg School of Medicine, who co-authored an editorial on the research in JAMA...

Walter was a skeptic herself when she first learned about uterine transplants. The procedure seemed invasive and complicated. But she did her fellowship training at Penn Medicine, home to one of just four programs in the U.S. doing uterine transplants. 

“The firsts — the first time the patient received a transplant, the first time she got her period after the transplant, the positive pregnancy test,” Walter said. “Immersing myself in the science, the patients, the practitioners, and researchers — it really changed my opinion that this is science, and this is an innovation like anything else.” ...

Many transgender women are hopeful that uterine transplants might someday be available for them, but it’s likely a far-off possibility. Scientists need to rewind and do animal studies on how a uterus might fare in a different “hormonal milieu” before doing any clinical trials of the procedure with trans people, Wagner said.

Among cisgender women, more long-term research is still needed on the donors, recipients, and the children they have, experts said.

“We want other centers to start up,” Johannesson said. “Our main goal is to publish all of our data, as much as we can.”"

-via Stat, August 16, 2024

[virtualmish]

Medic has a somewhat unusual charm...

[curiositypolling]

pls reblog for sample size etc

follow for more occasional useless polls :)

[ilions-end]

i've noticed just how often achilles' dragging of hector's corpse is framed mostly as an act of extreme disrespect, or only some brutal show of triumph. personally i think that's underselling both achilles' intention and what the trojans must be thinking as they watch it happen.

hector's corpse is divinely protected so it can't be damaged by the greeks after death; all that effectively happens in the iliad is that his body gets dirty. but under normal circumstances (and i'm not gonna impose realism on mythology, but the iliad is famously detailed when it comes to bodily trauma), the physical reality of dragging a corpse along stony ground for miles would be severe disfigurement and dismemberment. first the skin would wear off, then soft tissues, then extremities would start to detach. i think the iliad's original audience would be aware of that as an intended outcome.

achilles (who doesn't yet know that hector's body has been granted divine stasis) doesn't just want to parade his enemy's corpse around, he wants to tear it apart ("i only wish that this fury inside my heart would drive me to carve you to pieces and eat your flesh raw..."), he wants it to not resemble a human anymore. he wants hector's blood and flesh to circle the city of troy. he wants to make it impossible for hector's family to gather the pieces of him to cremate and that way hector's spirit won't find passage into the underworld. that's what the gods are preventing from happening, they're not just keeping the corpse pretty for priam to pick up later.

[vague-humanoid]

[johnnysstars]

Collections of drawings I've made for my daily heavymedic account on twitter/bluesky (maybe I should try it here too? lmk if anyone is interested lol)

[ct-tupperware]

Kix + caring immensely about his brothers

[dailyheavymedic]

day 44

(11/?)

[urlocalrobber]

TW//Gore

OCTOBER WITH EMESIS BLUE‼️❗

(My fav father/son dynamic😔)

[wilson-apologist]

The collection so far. If anyone has any other ones, pleaseeee I need them

[whump-in-the-closet]

weak in the knees for situations where a stoic whumpee allows someone to help them. they don't say a word of acceptance but they don't protest either. Too injured to say no and too tired to deny they need it. Just grudgingly letting a gentle hand guide them to a bed or to wrap a wound. Then a quiet, "thank you." in between sharp breathing as they try not to break down in front of someone else. Love love love shielded vulnerability

[trypo-p]

A little kiss to ease the pain of surgery!

( @sodascreen cursed me to draw men kissing!!! I couldn't control it!!!!!)

[virtualmish]

[gothpossums]

a vivisection of me done by god for all to see

[oblique-lane]

Wannabe