#quarantine procedures

[widespot]

John, alas, came home with the flu and doesn't get to enjoy his guest or his son! I locked him into his bedroom until he gets better - I'm not letting the creeping crud get taken back to either the Ottomas or the Hart households! I locked his door and the door to the hall from the bathroom. He's got plenty to read, he shouldn't even be bored. Just lonesome.

[askquarantinedredheart]

That all looks so scary to go through... Did you have anyone there to comfort you?

Content Warning: Medical procedures (specifically a thoracentesis here), needles, bodily fluids, and healthcare workers flirting like weirdos.

Volume 1: Isolation

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And the "How Redheart Got TB" flashback arc is finally finished! There's a couple of asks from folks that fit more as an "after story Q&A" so a good chunk of the next couple of posts will be answering those.

Quite a few posts in this arc generated quite a bit of interest in the blog so I also wanted to take this time to thank everyone who's been along for the ride so far! I've mentioned that this is very much a labor of love, especially now that I'm officially a third year medical student currently on rotations. It means a lot that folks are interested in this ask blog, even with my fairly garbage upload schedule aka "it'll be done when it's done." Thanks again everyone!

Ask from @ask-wizard-sunburst

[plushie-lovey]

I hit the motherload at goodwill yesterday. Sooo many webkinz (dw I didn't buy them all, but I wanted to)

[tedthetalk]

One must imagine a brightly colored inhuman figure perched on top of a building cheerfully watching the streets fill with plague victims

[cassynite]

thinking now about that old auverse i made for a completely different fandom where soulbonds are seen as literal diseases that need to be treated

[joelletwo]

rip to neelix's one-ep gf yayayay we're free <3

[crossyourheartspreparetodie]

Bruh not the MUN getting COVID on their 26th birthday. Wtf. After 3 yrs of not having it during the pandemic, this is when it decides to strike me?

Oh well at least all it is now is a low grade fever, scratchy throat and a few body aches, however that could be work related.

[hetchdrive]

what if you were an angel trapped in your bookshop during the covid lockdown of 2020 and you got tired of waiting for your best friend, a demon, to wake up from his months long lockdown nap and entertain you so you astral projected into his dreams and you saw him jerking off. what then.

[autumndragons]

i have a scary medical procedure coming up to hopefully help figure out a scary medical problem ive been having for the last few months and im sorely tempted to bring a doll of my blorbo with me

[whimsicallywiddershins]

When I was young and I first read Briar's Book, it wasn't my favorite. It had slow parts, and it wasn't too exciting, not like wildfires and pirates.

But now, reading it again as an adult, after living through the covid pandemic, it's amazing.

I am amazed at the research Tamora Pierce must have put in for the book! The events of the books are nearly identical to the covid pandemic.

It's amazing she even chose plague as a topic for her fantasy children's story. It's not exactly a normal plot line for such books. And she didn't go the easy way out of *hurr durr medieval society uses leeches and doesn't understand how germs work* option that so many fantasy writers use. Instead, she came up with a believable system that supplemented magic with technology.

The healers using magic to check the body to see what the pox did, the magic sample boxes, the magic diagnosis tools, the use of herbs and magic gems to find the "keys" to the cure... even the use of magic to distill the essence of the disease in order to study it. All combined with the good leadership of Duke Vedris, who followed the epidemic procedures written by the Living Temple to try to halt the pox. He enforced quarantine on the guards that handled the sick, cleared out warehouses to make hospitals, forced everyone to wear gloves and masks, paid people to collect the dead and burn them, ect.

The way Tamora Pierce perfectly captured to fear of the pandemic. The fear of getting sick, the dread of the knowledge of new cases and deaths, the exhaustion of the medical workers and support staff, the way the healers drained themselves dry and got sick.

It all combined into a realistic magic plauge that made an incredible book far before it's time.

[mcflymemes]

ALIEN (1979) PROMPTS *  assorted dialogue from the film, adjust as necessary

the other members of the crew are dead.

this is the worst shit i've ever seen.

anybody ever tell you you look dead?

alien life form. looks like it's been dead a long time.

i should reach the frontier in about six weeks.

can you hear me?

what was your special order?

you read it. i thought it was clear.

what about our lives, you son of a bitch?

how do we kill it? there's gotta be a way of killing it.

that's bullshit.

you still don't understand what you're dealing with, do you?

you admire it.

look, i've heard enough of this, and i'm asking you to pull the plug.

i can't lie to you about your chances, but... you have my sympathies.

something has attached itself to him.

we have to get him to the infirmary right away.

wait a minute. if we let it in, the ship could be infected.

you know the quarantine procedure. twenty-four hours for decontamination.

listen to me. if we break quarantine, we could all die.

look, could you open the goddamned hatch?

i can't do that, and if you were in my position, you'd do the same.

this is an order.

the ship will automatically destruct in t-minus five minutes.

you bitch!

you are my lucky star.

i find that hard to believe.

what would you like me to do?

i'll get my own answers, thank you.

some of you may have figured out we're not home yet. we're only halfway there.

what kind of transmission?

you were gonna leave us out there!

when i give an order, i expect it to be obeyed.

unless somebody has got a better idea, we'll proceed with [name]'s plan.

oh no. you're out of your mind.

i say that we abandon ship!

we take our chances and just hope somebody will pick us up.

i'm for killing that goddamn thing right now.

will you listen to me, [name]?

you don't know that.

that's the only way.

we'll go step by step and cut off every bulkhead and every vent until we have it cornered, and then we'll blow it the fuck out into space.

is that acceptable to you?

that's amazing. what is it?

please don't do that. thank you.

you let him in.

by breaking quarantine, you risk everybody's life.

maybe i should have left him outside.

maybe i've jeopardized the rest of us, but it was a risk i was willing to take.

i do take my responsibilities are seriously as you, you know.

you do your job, and let me do mine.

you remember anything about the planet?

what's the last thing you do remember?

we're on our way home!

i don't trust him.

i don't trust anybody.

it's a robot!

let's get the hell out of here.

there is an explanation for this, you know.

i'm sorry, can i say something?

we don't know if it's intelligent.

i wanna go home and party.

you don't dare kill it.

how long before the ship blows?

why don't you just fuck off?

it looks like a warning.

i can't see a goddamn thing.

get out of the room!

the first thing i am going to do when i get back is get some decent food.

open the door!

oh god, it's moving right towards you!

get out of there! behind you! move!

this place gives me the creeps.

whatever it was, it was big.

i'll get the shuttle ready.

wait a minute. there's movement.

where's earth?

something's different down here.

it's got to be around there somewhere.

[lonestarflight]

USS HORNET (CVS-12) entering Pearl Harbor, Hawaii, following the Apollo 11 recovery. On deck are various aircraft of Carrier Anti-Submarine Air Group 59 (CVSG-59) and the Apollo 11 Capsule (CM-107). Following decontamination procedures, the three astronauts were placed in quarantine for 18 days until August 10, 1969.

Date: July 26, 1969

U.S. Navy photo: 428-KN-18090

[shoezuki]

Theres 5 methods of removing dead tissue and one is autolytic debridement and its literally letting the fluids and enzymes your body naturally produces break down the necrotic tissue over a period of time.

Which in more vulgar terms means keeping your wound moist and letting the dead tissue naturally break down and fucking liquify on its own. And thats so fucked up. Easily the second worst form of debridement. 2/10 no thanks

Researching medical shit for my doctor fic was a mistake. Now im just googling things bout debridement processes for fun like a lil weirdo.

[justdiptych]

Trans issues are rarely brought up in the Fallout series. Fallout 2′s cut Environmental Protection Agency location was apparently slated to include 'Top Secret Research into Gender Modification', but there's little suggestion what that content would have actually included. Also, the pre-war USA was a fascist hellscape that was actively hostile to human rights - witness, for example, a federal information release about the New Plague, which conflates contagion, socialism and queer sexuality, and encourages readers to report anyone displaying any of the above for 'quarantine' - so pre-war trans communities likely drew as little attention to themselves as possible. More recently, two non-binary characters (Burke and Orlando) have been introduced in Fallout 76's expansions; their roles have been relatively minor.

All that said… the Auto-Doc technology we see in Fallout 2 and New Vegas would be an absolute boon for trans patients. Auto-Docs can synthesise and administer medications, including hormone treatments (the models in the Sierra Madre Villa Clinic can dispense adrenaline, for instance). Any medications not already available can be added to the Auto-Doc's database by a knowledgeable user - this is how the cure to Jet addiction is manufactured in Vault City.

Auto-Docs are also capable of all manner of surgeries. Cosmetic surgery is not unheard of in the Fallout universe - Rivet City’s Horace Pinkerton and Diamond City’s doctors Crocker and Sun all offer it - but Auto-Docs can go even further. Advanced models can even alter a patient’s entire skeleton, with minimal scarring: Fallout 2′s Chosen One can can have their skeleton reinforced, without any Charisma penalty (unless they opt for the heavier, more invasive upgrade), and New Vegas’ Courier can have their spine and central nervous system replaced with a synthetic alternative. Auto-Docs can even give a patient a new voice - Christine Royce tragically had this done to her without her consent, but this does demonstrate show the procedure’s viability for a willing user.

Whether or not the major medical companies of the Falloutverse would sign off on such uses of their tech, breaking and customising Auto-Doc programming seems to have been a simple matter. A suitably sympathetic or motivated physician could have easily started a trans health clinic that could address the bulk of their patients’ medical needs - hormone treatment, surgery far more advanced than exists in the real world, and even voice alteration.

In short, there is absolute, copper-bottomed, canon-compliant room in the wasteland for fully automated transing of genders, and I hope the devs will recognise and embrace this fact.

[doberbutts]

Freshly new pet parent looking for guidance: any trade secrets on navigating vet costs? nothing too scary has come up yet w/ my sweet 4 month old kitty. But I figured if there’s some illuminati cheat code to saving some money it wouldn’t hurt to ask someone who knows more than me. Future 800$ spay is going to take a big dent out of my wallet for sure.

Cheat code one: either get pet insurance asap or start putting away money into a savings account that you will not touch ever outside of a pet emergency, whatever money you'd be spending on pet insurance. So if you'd be spending 60 bucks a month on pet insurance, you should be putting 60 bucks a month into that savings account instead if you don't want to or don't have access to pet insurance. When an emergency hits, you'll thank yourself.

Cheat code two: it is going to be very tempting to not keep the cone on her after a spay or really any procedure. Don't take it off. "Aww but she looks uncomfortable" this is the devil talking. Do you understand me? If you don't want to pay for emergency vet bills because she pulled out all of her stitches in 5 seconds flat and now has a portion of her insides sticking out of the incision KEEP THE CONE ON HER

Cheat code three: the safest and happiest kitties are inside cats. Do not let her roam outside. If you want her to experience the outdoors, teach her how to walk on a leash or install kitty fencing or a kitty condo outside so she can be out there safely. Outdoor cats have higher vet bills because outdoor cats get hit by cars, tormented by sick cruel people, poisoned, attacked by other animals, heat stroke, and stuck in machinery. Do you want to rabies quarantine your cat or risk having her head chopped off because she came home with mystery wounds? Don't let her roam outside then.

Cheat code four: *most* indoor cats are fine getting their core vaccines, sterilized, and then brought in only for their yearlies unless they otherwise get sick. Cat-proofing the dangerous aspects of your home, like not keeping lilies or avoiding tinsel decorations, and feeding a good quality food with plenty of fresh water (most cats prefer moving water- consider a fountain! They can be found for relatively low cost!) and lots of safe toys for mental and physical stimulation will keep the majority of your potential vet costs down. Obviously there are things that can happen that are out of our control, like @pangur-and-grim's Belphie, but these things are thankfully not super common.

Good luck with your new baby!

[silverskye13]

Silver I know next to nothing about the alien franchise and movie, I am giving you full permission to use this ask as an opportunity to spread propaganda to get me (and anyone else) to finally watch it

So it's, so like, the thing is, right. I'm not a movie tech kinda person [though it is technically impressive, the funny little tricks they did, like not having the budget for a Big Space Ship Derelict so they are a scaled down model that the director's kids in space suits walked up to so it would look bigger, and it was shown to the audience on a shitty CCTV because they didn't do a big matte painting of the set they filmed the tiny one, projected it onto a wall, and then filmed that.] So my rant isn't going to be about how technologically cool the movie was for 1979 on a less than optimal budget. But what I do like, what I excel at, is breaking down themes and tropes. And my god. My god. Just. Ugh. [Flails my arms.]

So a basic rundown for the movie, spoilers ahead, and my analysis of how fucking cool it is:

Basic gist of the movie: The crew of the commercial mining vessel Nostromo are awoken halfway through their trip back to earth by a mysterious signal, calling for help on a far away planet. Upon going down to investigate, one of their crew members is attacked by a strange alien parasite which attaches to his face. This kicks off a tale of increasing horror as the new alien kills off the crew one by one, culminating in Ripley [the main character] blowing up the ship and fleeing in an escape pod, not sure if she'll ever be picked up in the vastness of space -- with the ships cat, who miraculously also survives. [We all know Jonesy is the real main character 💜.] Along the way a plot by the Weyland-Utani corporation is revealed, one of the crew is discovered to be an android, and there is a lot of alien screeching.

Now! The themes that I go absolutely feral over can commence.

The horror of the movie, the reason why the alien is scary, and lethal to humans specifically, is it is a creature built for efficient survival, and this is a trait that Ash, the ship's science officer [and resident hiding android] highly praises in the critter. He describes it as beautiful, elegant, pure in its efficiency. The perfect organism. Efficient.

Humans, by comparison, aren't efficient. We are social. And efficiency preys on social needs. For example:

The xenomorph eggs can survive for ages [in the derelict they're found on, the dead alien who drove the ship is described as fossilized. These eggs have been here for thousands of years. But they activate immediately when a curious human pokes around them. It isn't a fast process. Kane is poking around for a few minutes, looking at the movements of the creatures in their eggs, making observations. Curious. Curiosity is an inefficient trait -- he would have survived if he had climbed out of the hole the eggs were in and left, or even waited for the rest of his team to enact quarantine and investigation procedures.

Speaking of quarantine! When Dallas and Lambert bring Kane, newly infected by an alien parasite, back to the ship, Ripley locks them in the airlock. There are quarantine procedures. We can't risk the whole crew. But they are scared for Kane's safety. He might die without help. They break quarantine. If they hadn't broken quarantine, the baby alien would've been born in the airlock, where it would get spaced the moment it was born.

When the face hugger parasite dies and Kane seems to return to normal, what they should have done to attempt to reinstate quarantine was put him in hyper sleep. His body would have been frozen in a stasis which might have frozen the parasite or, if it hadn't, would have left the new baby alien trapped in a stasis pod. But Kane, haggard and scared from his ordeal, asks can we please have one more meal together before I go to sleep? And that one meal is long enough for the new xenomorph to be born, and release terror on the ship.

There is more. Parker would have lived if he hadn't gone to find the cat by himself, leaving the safety of his group. Dallas would have lived if he let Ripley go through the vents, but he was the captain and he didn't want to risk someone else's life so he went instead. Brett would have lived if he'd left Lambert behind when she was being attacked, or if he'd hit the xenomorph with the flamethrower instead of insisting Lambert get out of the way first. And Lambert would have lived if she'd run instead of being paralyzed in fear by the creature killing her friends. And the xenomorph? Wasn't even eating it's kills. No gore. Little blood. It was killing them because it knew they would kill it, and it was neutralizing threats. Efficient.

The xenomorph is very clearly engineered for survival, and it's survival depends on killing the inefficient organisms around it. Even it's acid blood is described as a survival mechanism, not an offensive mechanism.

Okay Skye, we hear you talking about how scary the critter is because it's not a social creature. That's an interesting observation, but it's still just a monster story, right?

Well, let me tell you an alternative story. Just a little to the left of the original, but one I would argue is still very very canon.

You are an android built by Weyland-Utani, a company which is jealously hunting alien tech to use for its many space programs. You are placed on the Nostromo because there is a known anomaly in the area, and they want to find it. Your job is to get a specimen back to the company, all other protocols expended.

You are programmed to be efficient, so you get to work.

You wake the crew when you find the signal. You give them only the information they need to investigate: it is a signal that repeats every 12 seconds. You let them make the conclusion it is an SOS. Humans are social creatures. They want to help other social creatures in need. There is some arguing about whether they should go, but in the end an extra push from you sends them. Ripley, one of the more efficient members of the crew, keeps asking you why you haven't decoded the message.

"Mother [the super computer running the ship] is still working on it." This is true. She has only translated part of the signal. By the time Ripley realizes it's a warning, the crew is already on the way to the derelict. You tell her if she walks out there, they will have already figured out if it's a warning or not by the time she makes it to them. She agrees.

When they return with a specimen, Ripley [efficient, following protocol] doesn't want to let them on. But Ripley doesn't know you're an android, so when you break quarantine, and you tell her you just wanted Kane to be safe, she begrudgingly believes you.

When the alien is loose, it is easy for you to keep them from killing it. Humans are social, inefficient creatures, and you feel no empathy for their deaths. You do pity them though. Between you and the alien, their chances of survival are slim.

If only they were more efficient.

The horror in Alien is not the xenomorph. The horror in Alien is when anything, primal creatures, androids, a particularly greedy corporation, preys on human social needs in order to get what it wants. There is significance in that Ripley, despite everything, chose to save the cat. She needed companionship. All humans do. She needed to save that cat. A cat that was cantankerous and mean, and hissed whenever it was held, was better than the cold efficiency of empty space.

Any system that prioritizes absolute efficiency will be inhospitable to human life.