#radiology facility

[bangalorehospital]

Finding the Best Radiology Hospital in Bangalore: Your Guide to Expert Care

The hospital of choice is crucial when it comes to medical imaging. You need to find the best radiology hospital in Bangalore someplace that provides modern technology and excellent treatment. A radiology specialist use Methods for imaging such as MRIs, CT scans, and X-rays to treat a variety of diseases.

The best radiology hospital in Bangalore has highly qualified radiologist and modern technology. These specialists have the necessary training to correctly interpret the pictures and offer thorough reports that help your doctor in creating the ideal course of care for you. The top radiologist in Bangalore will make sure you get the best care possible whether it's an advanced scan or a standard check-up.

It's easy to schedule a medical appointment at Bangalore's top radiology facility. Nowadays, a lot of hospitals allow you to easily arrange an Doctor Appointment online and attend whenever it's most convenient for you. This offers easy to use, prompt care for you.

Don't play with your health. You can count on the best radiology facility in Bangalore to give you accurate results and professional care. Make an appointment with a specialist right now to see the difference in high-quality medical care.

[cbccindia]

Top Imaging & Diagnostic Radiology Center: CT, MRI, Ultrasound & More

Visit our leading Imaging & Diagnostic Radiology Testing Centre for high-quality CT Scans, MRI Scans, Mammograms, Ultrasounds, and X-rays. Secure your appointment today for expert diagnostic services.

[love-and-deepspace-wiki]

Akso Hospital

Location: Downtown Linkon City

Clinic Number: 2122637824

"Linkon's municipal hospital, located downtown. A facility focused on medicine, research, and education. Its divisions, such as the Division of Cardiac Surgery and Division of General Surgery, are widely respected. At the forefront of healthcare, it is a world-renowned medical institute."

- Linkonopedia Entry

Details:

Okay, this is going to be a long one. Rather than try to cram everything into one huge post, I'll be splitting it up into a series of posts to sufficiently cover everything. I'll list the link menu at the bottom of this main post. But first, let's go over the general details of Akso Hospital!

Mottos:

"Akso Hospital, for a brighter future"

"For A Better Future of Life"

"Akso Hospital Cares"

Features & Facts:

It has its own Flux Stabilizer

The Akso Remote Monitor is a hospital took used for monitoring the health status of remote patients

It has a rooftop helipad with at least two rescue helicopters

Akso Hospital has at least 11 confirmed floors

The protaganist mentions a waiting area with a TV that plays movies. According to Zayne, there's also popcorn in a vending machine next to the nurse's station.

Events:

Hospital Staff's Lottery: This year, the grand prize was a hot springs trip for two. Zayne won.

Patient's Favorite Doctor: An annual public poll the hospital releases. The protaganist says the votes showed Zayne was very popular this year. The winner will be forced to appear in the hospital's promotional videos (a detail Zayne is not excited about lol)

Health Initiatives:

Zayne says the hospital has many health initiatives. But these are the ones specifically mentioned by name:

The Mindfulness Chamber: a mindfulness initiative

Get Out of Bed: an encouragement initiative

Floorplan:

At Akso Hospital, floors are denoted with a letter (possibly indicating the specific building or wing?) followed by the floor number. Rooms, offices, or defined areas on that floor are two-digit numbers. (For example, Room 2 on the fifth floor of building B would likely be written as "B6/B06, Room B02".)

Here are some Akso Hospital room locations I was able to confirm throughout the game:

Floor A8/A08:

00-03: Diagnosis Rooms

02: Division of Cardiac Surgery

04-06: Doctor's Offices

Floor A4/A04:

Reception where Yvonne works

Zayne's check up room is on floor A4

017: Radiotherapy

Link Menu:

Cafeteria

Division of General Surgery

Division of Cardiac Surgery

Division of Evol and Protocore Medical Technology

Emergency Room

Evol-Cardiac Medical Research Lab

Garden

Neurology and Sleep Center

Pediatrics & Pediatric Ward

Public Relations Division

Radiology

Radiotherapy

Surgery Center

(In-Game Medical Glossary)

[anastasiaoftheironwood]

US DISABILITY RIGHTS LAW EXPANSION

The US federal government has drafted a proposal to require health care providers to make real accommodations for disabled patients, "to ensure that MDE used by public entities to offer services, programs, and activities at places such as hospitals and other health care facilities is accessible to individuals with disabilities. MDE includes things like medical examination tables, weight scales, dental chairs, and radiological diagnostic equipment. Without accessible MDE, individuals with disabilities may not be afforded an equal opportunity to receive medical care, including routine examinations, which could have serious implications for their health. A lack of accessible MDE may also undermine the quality of care received by individuals with disabilities, “leading to delayed and incomplete care, missed diagnoses, exacerbation of the original disability, and increases in the likelihood of the development of secondary conditions.”

Comments are open through February 12, 2024. https://www.federalregister.gov/documents/2024/01/12/2024-00553/nondiscrimination-on-the-basis-of-disability-accessibility-of-medical-diagnostic-equipment-of-state

[operation-priority]

SCP AMTF Nu-7 Cosplay - Hazardous Environment Level II

Depicted here is the typical loadout of a conventional Nu-7 light fighter in a Level II rated hazardous environment. Each level, ranging from I to IV, has a typical hazardous environment protection requirement that outlines the necessary support that a task force member needs to complete their objectives within the working area. Showcased here is an example of a Nu-7 operative working within a Level II Hazardous Environment. Required protection when working in this environment is a standalone gas mask with a filter rated for riot agents. The standard issue gas mask of Nu-7 forces is the Avon Protection C50. This is a variant of the famous M50 which uses standard NATO 40 mm thread filters. In addition, the Avon C50 and M50 series gas masks are designed to be worn under a ballistic helmet.

The primary use case of Level II Hazardous Environment equipment is when the element is operating within an area that has an elevated risk of hazardous particles in the air or riot control agents and tear gases including CS, CN, and OC pepper spray present. Such a location would be none other than a Foundation facility or other subterranean structure. This operative carries his Avon C50 in a gas mask bag slung bandolier style over the right shoulder.

All Nu-7 fighters must be tactically proficient in sub-t operations doctrine as foundation sites primarily consist of large underground sections. Additionally, many anomalies take the form of caverns and other fully enclosed environments. To this end the standard Nu-7 fitment during a sub-t operation may vary in specialization, however in this display we can see the operative is in Level II Hazardous Environment status with night vision equipment. A respiratory device and night vision equipment is necessary when working within subterranean operations as there can potentially be zero ambient light within sections of the workspace and contaminants do not disperse quickly and tend to settle in place if there is no flowing air. Such an environment is not hazardous to direct body contact to warrant the use of a full CBRN (Chemical, Biological, Radiological and Nuclear) suit, but hazardous to the operative's respiratory system. In this situation a simple gas mask with a CTCF50 Riot Agent Filter would suffice.

The Nu-7 unit may have to breach certain entry points while on mission. For this task they may be equipped with large breaching tools like the Stanley FuBar and Halligan equivalents. Smaller tools such as a jimmy prybar, wire cutters, and wearable specialized breaching tools like the Gerber Downrange Tomahawk could also be seen. Other breaching tools can include large prybars, bolt cutters, rams, saws, and other mechanical, explosive, ballistic, vehicular, or thermal options.

Full Resolution Available Here.

[ashleywool]

health update/diatribe/infodump BUT THERE'S A CAT VIDEO AT THE END

Dearest reader: This should be a simple health update, but instead, it's an obnoxiously detailed info-dump written by the kind of person who knows more than most people about American health insurance but is still surprised at how it continues to find new and innovative ways to suck. If this is not the type of thing your brain or nervous system wants to wrap itself around, I don't blame you one bit, but if it is, I hope you'll at least walk away having learned something or being at least mildly entertained. If not, feel free to

SCROLL TO THE END FOR A HTDIO-ADJACENT CAT VIDEO!

When last we left our third-or-fourth-favorite mildly niche-famous T-list Broadway person, she was finally on the brink of getting a brain and pituitary MRI. This was supposed to happen on Friday.

But I wasn't allowed to get the MRI on Friday because Cigna's pre-authorization was still pending and there was nothing my doctor could do to escalate its urgency, nor could they withdraw the order. They couldn't do anything at all until the third-party organization that approves the pre-authorizations signed off on its medical necessity.

Look, I get it. This is an expensive and labor-intensive procedure, so they have to be thorough. I mean, sure, my doctor said it was medically necessary, and sure, they sent the additional clinical information to confirm its medically necessity, and sure, every order at every stage was marked as urgently medically necessary, and it was sent for processing on Monday, but how can they REALLY be sure it's medically necessary until my case is also reviewed by doctors who have NEVER seen me, and don't work weekends or holidays, and will get around to reviewing it at their own leisure? The folks at the radiology clinic rescheduled me in their next available spot and maintained that they'd contact me as soon as possible to fill any upcoming cancellation spots.

A ridiculous mildly annoying setback was that their next available appointment wasn't until July 26. They couldn't attempt to book me at any of the other dozens of clinics affiliated with this hospital network, because the pre-authorization is site-specific, which is like buying someone a gift card from the Starbucks on my block only to find out that they won't honor it at the Starbucks two blocks down perfectly reasonable, because I'm sure every site has differences that can't be perceived from a patient perspective.

Oh, and the existence of a pending pre-authorization prevented them from doing the MRI that day even if I'd had $8K in cash to pay out of pocket for the procedure. Which is perfectly reasonable, because why shouldn't American healthcare policy punish rich people too? I'm sure it's many flavors of unethical for one doctor to do something without the approval of another doctor even though the doctor whose approval it hangs on has NEVER SEEN ME.

One fellow in particular--I'll call him Quincy--gave me some insider info on how to prepare for the types of advocacy he's had to do in the past with this particular pre-authorization team, and which numbers to call and questions to ask. He isn't technically supposed to know this stuff and also isn't technically supposed to share it, but says he does it all the time anyway--hence why I'm keeping him anonymous. Quincy isn't his real name, but Quincy is a real one, and I took in his information like a medieval warrior selecting the choicest armor to prepare for battle the informed and fully compliant patient I strive to be.

Anyway, a few persistent phone calls later, a Cigna rep informed me that the middlemen would approve the pre-authorization for the MRI on the condition that I get the procedure done at a standalone radiology facility instead of a hospital-affiliated facility. Which is like buying someone a gift card that could only be honored at Starbucks kiosks located inside Target stores, but not at a standalone Starbucks or anywhere else in Target perfectly reasonable, I know the insurance companies don't wanna have to spend hospital prices any more than I do. So I spent a great deal of time yesterday looking up non-hospital-affiliated radiology clinics that were in-network.

I made an appointment with one clinic for Thursday. But I also made an appointment request at a different clinic for Monday morning, just in case they could see me sooner--because I knew this clinic didn't accept Medicare or Medicaid, and were therefore exempt from the requirement of third-party pre-authorization. (Pro-tip: even if you do have Medicare or Medicaid, always try to bypass pre-authorization for diagnostic procedures, especially if you have a particularly high in-network deductible--it's entirely possible that paying out of pocket for a service at an out-of-network provider could cost less than the amount you'd have to pay towards your deductible at at in-network facility. American math.)

THIS MORNING, I woke up at 8am to a phone call from the latter clinic, saying that if I sent them the doctor's prescription, they could pre-authorize the procedure and see me tomorrow. So that's what I did...and then I got an email saying that they couldn't accept a prescription for an MRI with and without contrast because they don't have contrast at that facility. Which is like finally securing a coveted reservation at an elite steakhouse only to find out they don't season their steak or even have steak sauce perfectly reasonable, because not everyone needs contrast, but I do, so that place was out.

But as far as I've been told, Thursday's appointment should go off without a hitch as long as I call EviCore (the pre-authorization middlemen) tomorrow morning to tell them all about the not-hospital that will be giving me a not-hospital-priced MRI, so that they can grant the pre-authorization at long last.

Perhaps if I plead my case and bat my eyes at them real cute-like through the phone, they'll give me some other reason why it's actually not medically necessary for me to know definitively whether or not I have a literal brain tumor I can get seen even sooner than Thursday.

FUNNY STORY THOUGH...

A couple weeks ago I was talking to a friend from church who was going through a lot of the same stuff as I was, and I was like "idk, maybe get your cortisol checked?" and lo and behold, he messaged me back a few days ago saying that he'd found a new doctor and asked him to do just that, and WITHIN A DAY his doctor ordered ALL the labs I'd fought for (serum blood cortisol, low-dose dexamethasone suppression test, 24-hour urine, saliva, etc.) AND an MRI for suspected Cushing's.

And he completed ALL OF THAT within a week.

Although he did have to suffer for quite a while before I floated the possibility of Cushing's, just like my friend Alan had to suffer for years before his own endocrinologists floated the possibility of Cushing's. Still, they both got that MRI the second it WAS floated, without a fight, and I'm genuinely happy for them.

But I can't help wondering how much quicker and easier this whole process would have been for me if I were a man. Or if I was neurotypical. Or if I still had a choice about whether or not to disclose being autistic. But mostly if I were a man.

THIS IS THE END! HERE IS THE HTDIO-ADJACENT CAT VIDEO YOU WERE PROMISED!

I'm fostering my friends' exquisite tuxedo princessfloof for a few weeks. Chevy and Tex are being very accommodating foster siblings, but she's much younger and is used to being the only pet, so naturally it took her a while to acclimate.

But there was one thing she took to immediately: the How to Dance in Ohio fidget spinner.

[madnessofmen]

Learning about a radiological incident where highly radioactive cobalt-60 made its way into several thousand tons of steel distributed across the US and Mexico via a scrap metal processing facility, and it was only discovered because, by some freak fortuity, a truck carrying a load of radioactive rebar made a wrong turn into fucking Los Alamos National Laboratory—you know, the Manhattan project one—and and triggered the radiation alarm. Possibly the only facility around for hundreds of miles with the exact equipment needed to detect it.

[meret118]

The Department of Justice finalized a rule on Friday that will significantly improve medical care access for disabled people in the U.S.

The new rule will set specific technical standards for accessible medical diagnostic equipment (MDE) ― such as weight scales, examination tables, dental chairs and radiology devices ― at all health care services that state and local governments offer.

It also calls for there to be at least one accessible examination table and weight scale at all state and local medical facilities by Aug. 9, 2026, as well as for these spaces to have staff qualified to operate the diagnostic equipment.In two months, by Oct. 8, all new diagnostic equipment acquired by state and local governments for their health care services must be accessible until they have the amount of equipment required by the rule.

[mcatmemoranda]

Trauma Center Levels

As mentioned above, Trauma categories vary from state to state. Outlined below are common criteria for Trauma Centers verified by the ACS and also designated by states and municipalities. Facilities are designated/verified as Adult and/or Pediatric Trauma Centers. It is not uncommon for facilities to have different designations for each group (ie. a Trauma Center may be a Level I Adult facility and also a Level II Pediatric Facility).

 

Level I

Level I Trauma Center is a comprehensive regional resource that is a tertiary care facility central to the trauma system. A Level I Trauma Center is capable of providing total care for every aspect of injury – from prevention through rehabilitation.

Elements of Level I Trauma Centers Include: 

 

24-hour in-house coverage by general surgeons, and prompt availability of care in specialties such as orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine, plastic surgery, oral and maxillofacial, pediatric and critical care. 

Referral resource for communities in nearby regions.

Provides leadership in prevention, public education to surrounding communities.

Provides continuing education of the trauma team members.

Incorporates a comprehensive quality assessment program.

Operates an organized teaching and research effort to help direct new innovations in trauma care.

Program for substance abuse screening and patient intervention.

Meets minimum requirement for annual volume of severely injured patients.

 

Level II

A Level II Trauma Center is able to initiate definitive care for all injured patients.

 

Elements of Level II Trauma Centers Include:

 

24-hour immediate coverage by general surgeons, as well as coverage by the specialties of orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology and critical care. 

Tertiary care needs such as cardiac surgery, hemodialysis and microvascular surgery may be referred to a Level I Trauma Center. 

Provides trauma prevention and continuing education programs for staff. 

Incorporates a comprehensive quality assessment program.

 

Level III

A Level III Trauma Center has demonstrated an ability to provide prompt assessment, resuscitation, surgery, intensive care and stabilization of injured patients and emergency operations.

Elements of Level III Trauma Centers Include: 

 

24-hour immediate coverage by emergency medicine physicians and the prompt availability of general surgeons and anesthesiologists. 

Incorporates a comprehensive quality assessment program.

Has developed transfer agreements for patients requiring more comprehensive care at a Level I or Level II Trauma Center. 

Provides back-up care for rural and community hospitals.

Offers continued education of the nursing and allied health personnel or the trauma team. 

Involved with prevention efforts and must have an active outreach program for its referring communities. 

 

Level IV

A Level IV Trauma Center has demonstrated an ability to provide advanced trauma life support (ATLS) prior to transfer of patients to a higher level trauma center.  It provides evaluation, stabilization, and diagnostic capabilities for injured patients.

Elements of Level IV Trauma Centers Include:

 

Basic emergency department facilities to implement ATLS protocols and 24-hour laboratory coverage. Available trauma nurse(s) and physicians available upon patient arrival.

May provide surgery and critical-care services if available.  

Has developed transfer agreements for patients requiring more comprehensive care at a Level I or Level II Trauma Center. 

Incorporates a comprehensive quality assessment program.

Involved with prevention efforts and must have an active outreach program for its referring communities. 

 

Level V

A Level V Trauma Center provides initial evaluation, stabilization and diagnostic capabilities and prepares patients for transfer to higher levels of care.

Elements of Level V Trauma Centers Include:

 

Basic emergency department facilities to implement ATLS protocols.

Available trauma nurse(s) and physicians available upon patient arrival.

After-hours activation protocols if facility is not open 24-hours a day.

May provide surgery and critical-care services if available.  

Has developed transfer agreements for patients requiring more comprehensive care at a Level I through III Trauma Centers.  

[mariacallous]

Humans have long sullied the Arctic with industrial development—mining operations, oil and gas exploration, military bases. That’s contaminated the landscape with a bevy of toxicants, including radiological material, heavy metals, insecticides, and fuels. That nastiness was often intentionally buried in frozen ground known as permafrost. In theory, as long as that ground remained frozen, the pollutants would stay locked away.

No longer. An alarming new paper in the journal Nature Communications estimates that between 13,000 and 20,000 contaminated sites are splayed across Arctic permafrost regions, with 3,500 to 5,200 in areas that’ll be affected by thawing soils before the end of the century. The region is already warming rapidly, more than four times faster than the rest of the planet. And that estimated number of sites is likely low, the scientists warn, because thaw might dramatically accelerate in some places. 

As permafrost degrades, it collapses, releasing buried contaminants that flow out in the melted ice. The ground sinks—often spectacularly and rapidly—dragging down aboveground infrastructure like fuel tanks and pipelines. Indeed, that was the suspected cause of a 2020 environmental disaster in Norilsk, Russia, in which 17,000 tons of oil leaked from a collapsed tank.

“The assumption is that permafrost is a hydrological barrier, and it will remain there forever,” says permafrost researcher Moritz Langer, of the Alfred Wegener Institute and Vrije Universiteit Amsterdam, lead author of the new paper. “That was the assumption for all of these very old sites—especially from the ‘70s, ‘80s, up until the ‘90s—when climate warming and the problem of permafrost thaw was not really on the radar of most people.”

Langer and his colleagues found that 70 percent of these sites are in Russia, with others across Alaska, Canada, and Greenland. Some facilities are abandoned and difficult to access and clean up. Others are still operational, and producing yet more toxicants to leak into the environment. (The new paper doesn’t distinguish, though, exactly which sites are which.) As the Arctic warms, expect industrial and military development to creep farther north, adding more contaminants while putting more people in contact with them. And the mushier the soil gets, the harder it will be to use heavy equipment to clean up the messes.

“This idea that somehow we have, functionally, a number of potential Superfund sites that were completely unknown until this paper, but could be mobilizing into the Arctic and potentially international environment, is pretty terrifying,” says Kimberley R. Miner, a climate scientist who studies permafrost contamination at NASA’s Jet Propulsion Laboratory but wasn’t involved in the new paper. “To see them take that idea and apply it to actual maps and get actual sites, with permafrost disturbance underneath, was so mind-blowing to me.”

Existing sites are already plagued by a slew of environmental troubles. Oil leaks come from both wells and from pipelines. Radioactive material is buried around military bases. Pesticides like DDT are packed in barrels, then buried. Mining operations are notorious for emitting heavy metals like mercury; other sites are full of arsenic, lead, and other highly toxic elements and compounds. Trucks and heavy machinery carry liquid fuels like diesel, which are prone to spill. 

Once the ground is no longer frozen enough to form a barrier, those contaminants will seep into rivers and ponds, corrupting highly sensitive ecosystems. “This, we think, could also be a dangerous situation for people living up in the high north,” says Langer, as the contaminants mix with drinking water.

That water will eventually empty into the ocean and ride elsewhere on currents. Toxicants can also get airborne: Indeed, the Arctic is already dusted with lead from burning leaded gasoline. Mercury, too, could escape mining operations by taking to water and air. “Mercury that came from the burning of coal and fossil fuels from a century or two centuries ago is still cycling through our biosphere,” says Kevin Schaefer, a climate scientist at the University of Colorado, Boulder, who studies permafrost contaminants but wasn’t involved in the new paper.

Human activity in the Arctic only exacerbates the thaw. Dark-colored roads absorb the sun’s energy, heating the soil. Digging up dirt and tossing it on top of snow darkens the whiteness that would normally bounce light off the landscape. Vehicle tires chew up the soil. “You already have rapidly changing environmental conditions,” says George Washington University climate scientist Dmitry Streletskiy, who studies permafrost but wasn’t involved in the new paper. “But then, of course, on top of those rapid changes, you have concentrated human presence—you have industry and infrastructure. So those are really focal points, where you in many ways amplify those changes associated with climate."

Oh, and the giant new Willow drilling project in Alaska that the Biden administration just approved? That’ll be on permafrost too. “Think about what it takes to establish a pipeline,” says Miner. “You're going to need a road. You're going to have people walking in and out, trampling the permafrost. All of that is going to lead to increased thaw and increased potential for contamination and disturbances to the very fragile tundra landscape. So it's just impacts upon impacts upon impacts.”

This new paper only considered gradual permafrost thaw. But permafrost can collapse much more rapidly, digging holes known as thermokarst. As ice becomes liquid water, it loses volume, forming a crater in which microbes produce the highly potent greenhouse gas methane. This further warms the atmosphere and accelerates permafrost thaw—a gnarly climatic feedback loop.

Adding yet more peril is that as the Arctic warms, wildfires are proliferating. If one sweeps through a contaminated site, it’ll send up plumes of toxicant-laden smoke. That will in turn exacerbate the thaw: Scientists have previously calculated that in north Alaska, thermokarst formation has accelerated by 60 percent since 1950, thanks to wildfires.

In other words, Langer says, their paper’s projection is “pretty conservative.” Some of the sites might thaw even earlier.

Permafrost is already deforming communities in the far north. Airport runways are sinking, roads are wrinkling, and buildings are crumbling. “It's no longer some ambiguous thing that might happen in the future—it's happening today, even as we speak,” says Schaefer. “If this infrastructure becomes damaged because of thawing permafrost, it's extremely expensive and extremely difficult to resolve. These areas are very remote. You can only do things in certain times of the year, mainly the summer.” 

If thermokarst opens a hole in your runway, for instance, it might cut off surrounding communities that rely on supplies brought in by plane. And if you can’t fly, you can’t get out of many places around the Arctic. “It's not like the Lower 48—if I don't make it to Denver, I'll fly to Colorado Springs,” says Schaefer. “These are all really key infrastructure, and it's really difficult to build and maintain.”

But this new paper is at least a step toward localizing the problem, directing governments to where cleanup might be required. Early scientific sleuthing like this is a start, but a fix will take putting a lot of boots on increasingly soggy ground. “In order to manage something, you have to measure it,” says Miner. The next step would take a massive push—one like the US Environmental Protection Agency began in the 1980s to clean up Superfund sites. But with such a patchwork of nations and corporations responsible for the mess, it’s not clear when—or if—that work would start.

[therapeutic-dose]

one last thing before i skitter off - suspension of disbelief for shows involving the medical field is a fr thing all the time forever

i work in a rural facility so i'm not just trapped in the lab, and i've learned a ton about nursing & other departments like radiology/pharmacy/etc.

so tho i definitely don't know everything, i still raise eyebrows a lot at some of the stuff i see in shows

[jupiterjames]

So I use this huge hospital and physician's network for most of my medical care, basically because I don't want to play whack-a-mole with who does and doesn't take my insurance at any of their hospitals or offices.

Anyway, not relevant. What is relevant is that they use one of those charting systems you can do anything on from the app, and any doctor in any of their facilities can see my whole treatment profile and thus render more accurate care.

So, recently they rolled out all this extra patient profile information because one of their new facilities is focusing on higher quality gender-affirming care. Everything from counseling to surgeries. The whole deal.

So anyway, on our patient profile update it asks (which you can opt out of) your gender with all the choices you can think of, and sexuality.

Now, I went ahead and put Cis Female, but I also selected bisexual, BECAUSE I have found that you can weed out a TON of shitty doctors that way when they see that in your chart and decide to say something, and lemme tell ya, EVERYONE with biphobia is gonna say something. I like to know that and fire the doctor from my care team early on.

So, that being said, I've had to go for ALL the imaging lately. We're talking ultrasound, x-ray, MRI, CT, spinal tap, the works. The first time I go to the imagining center, the nurse checking me in asks the questions required for radiology. "When was your last period? Any chance you may be pregnant?"

I laugh and say, "oh, no chance I'm pregnant, I'm batting against the other team this season."

And she dies laughing. And the other nurse goes, "what's so funny about that?"

And the first nurse holds up the paperwork and points to the part that says, "Cis Female, Bisexual."

And the second nurse BUSTS out laughing so hard she cries and goes, "be-beca-the other team because YOU'RE BISEXUAL!"

She's still laughing on and off 15 minutes later when I go back to get my MRI. XD

[whileyoureinschoolidothisallday]

doc office: hi yes we had to cancel the ct scan for your stomach problems that you've been excited for because you are trached and on a ventilator and you'll need specialty services than what we have available

Me, who has been with this facility since at least 2021: ??????????? I'm not vented.

Doc office: ............But you're trached, right?

Me: Yes, but I cannot emphasize how many ct scans and xrays and general radiology appointments I've had throughout my 30+ years of disabled living and that has yet to ever be a problem. In fact I just had an x-ray ordered by this same doctor last October.

Doc office: ...........oh

Me: Please get my appt back thank you!!!!!!!!! 🙃🙃🙃

[killed-by-choice]

“Gloria Roe,” 35 (USA 1976)

This tragic case of a mother killed by a “safe and legal” abortion was preventable every step of the way. “Gloria Roe” should never have been pushed into the unwanted, unnecessary and unsafe abortion that took her baby’s life and her own.

Gloria had 6 surviving children and had suffered 2 previous miscarriages. Sometime in 1976, she went to the doctor with abdominal pain and nausea. Her doctor diagnosed her with either gastritis or a peptic ulcer and gave her antacids. X-rays of her gall bladder and upper gastrointestinal tract were run 3 days later, with nothing abnormal detected. Gloria’s doctor apparently didn’t notice that his patient was pregnant. She herself didn’t know because her last period had been only two weeks before.

Two months later, Gloria went back to the doctor with what was recognized as morning sickness. The unidentified doctor informed her that she was 10 weeks pregnant and allegedly “counseled on the potential risk of her previous x-ray exposure to the fetus.” Only after this did Gloria agree to an abortion. There is no record of any tests ever being run to see if her child had actually been harmed.

Gloria was referred to an abortionist, but she was likely conflicted because she didn’t actually go for another month. When she eventually did, the abortion was scheduled for 10 days later.

At 15 weeks pregnant, Gloria underwent the abortion. The abortionist used the prostaglandin instillation method that was routine for him, even though this was in an outpatient facility and even the prostaglandin manufacturers warned that the chemical should only be administered in hospitals due to the danger.

About 5 minutes after the prostaglandin was injected, Gloria vomited. Then she collapsed with no pulse. CPR was attempted, but the abortion facility was not equipped to deal with emergencies like this.

Gloria was brought to the ER comatose and had no palpable pulse or blood pressure. She was immediately intubated, and full resuscitation measures were taken. An electrocardiogram detected ventricular fibrillation. Resuscitation was continued for 90 minutes, and her rhythm eventually converted to sinus tachycardia. The serum potassium level, drawn after resuscitation, was 3.A mEq/1.

On the second day in the hospital, Gloria expelled her dead child. Gloria herself was not far from dying. She was in terrible condition with permanent and severe brain damage that never improved. She was unable to move her legs at all, but still felt and responded to her pain.

5 months after the abortion, she died from her injuries. The autopsy identified her cause of death as a pulmonary embolism, along with severe anoxic brain damage suffered during a cardiorespiratory arrest occurring after intrauterine instillation of PGF2a.

The CDC identified several preventable aspects in Gloria’s case.

Gloria was pressured into an abortion she didn’t want. She died without ever knowing that (according to modern research from the American College of Radiology) no single diagnostic x-ray has a radiation dose significant enough to cause adverse effects in a developing embryo or fetus. Her baby was likely fine.

Centers For Disease Control, Abortion Surveillance, Annual Summary 1976, Issued August 1978

[starstuffandalotofcoffee]

I need to find someone who just wants to hear what weird music is playing in healthcare facilities I'm working in. Anyway this radiology department with a prominent women's health focus is playing Sexual Healing.

[a-student-out-of-time]

*Meanwhile, on the other side of Tokyo*

That’s why I’d like you to finally take at look at this.

*She hands Kyoji the stolen file*

The Ultimate Surgeon? But...

Yes, he was accepted for the project as well. A very early version of it, back in the mid-1960s.

If you read it, it should explain everything.

*He takes the file, staring down at it in his hands*

Please? You know what I had to do to get this. That means it’s more than worth your time.

*He opens the file and sees the first listed profile*

Name: Shimabukuro Masato Born: August 4th, 1937 Birthplace: Okinawa Sex: Male Blood Type: O+

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Masato and I were best friends ever since were kids. He was a really stand-up guy, no matter the situation.

We used to get in a bit of trouble, sure, but boys will be boys.

But even back then, Masato, he had a real knack for healing people. He was the one who helped me anytime I got a cut, a scrape, a broken leg, anything.

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“...showed high levels of altruism and supreme aptitude for medicine from an early age. Able to professionally dress wounds at age 15, assessed and assisted with non-invasive surgeries starting at age 22.”

“Later became a vocal advocate for healthcare access to survivors of the bombings of Hiroshima and Nagasaki, seeking to dispel harmful rumors and misconceptions about them. Publicly cited that acute radiation sickness is neither hereditary nor contagious."

“Became skilled in methods for liver and kidney transplants, coronary artery bypass surgery using the saphenous vein, and new interventional radiology techniques. Was accepted into Class 27 as a result.”

____________________________________________________

He did all that?

Masato wasn’t just talented, he was determined, drive, passionate, confident, intelligent, he was just a great guy to know.

I honestly wasn’t much of a hard-worker myself back then. I admit, I was pretty aimless, didn’t really have a plan for my future and was happy just to goof off.

Masato, though? He was always talking about his newest ideas, goals, hopes, he just always had something he wanted to share, especially after he started attending Class 27.

That’s when I noticed things were changing with him.

Changing how?

He was a lot more quiet and withdrawn. On some days, he didn’t even want to leave his room, and he wouldn’t tell me what was happening. Sometimes all he’d say to me was “I’m sorry.” I didn’t understand it at the time, but I knew he was upset.

It wasn’t until later that I realized what was going on at that school.

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“Student personality and psyche profile deemed excellent for Hope Cultivation Plan Surgical Intervention.”

“Subjects...” Oh god... “Subjects used for these prototype experiments to be provided by Detention Facilities, particularly Abashiri Prison in Hokkaido. Participant was adept at learning and performing basics of the modified Prefrontal Leucotomy?!“

What’s that? What’s a leucotomy?

A mistake is what it was.

The Leucotomy was a “surgical” technique developed in 1935 by Portuguese physician António Egas Moniz, as a means to remove mental health problems. He theorized that these were caused by malfunctioning synapses in the frontal lobe, and if you severed the connection between it and the brain, you would cure patients.

If you can’t tell, that was the beginning of the Lobotomy.

Oh god...and they were making him do that to people?

Looks that way, but I don’t understand how. Japan banned all forms of psychosurgery around this time.

And you really think that was going to stop Hope’s Peak?

No. I’m not even surprised.

When you’re done, turn to page 14. But keep going, you’re almost at the important part.

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Masato stopped talking to anyone after a while. By the end of his third year, he looked so...lifeless, and nobody understood why. They had their suspicions, though.

I started talking to people about what happened to him, and someone who was really suspicious was his upperclassman Saionji Izumi.

...Saionji Izumi?!

You know her?

Uhh...y-yeah, but it’s not important.

What’d she say?

That Masato had been acting strangely for quite some time. This confident, outgoing surgeon was suddenly really jumpy, always apologizing, fell asleep in some strange place and just looked...empty sometimes.

I was hoping, after they graduated, maybe we could help him get things back together and he could be his old self again.

...Nobody...Nobody expected what happened next.

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“March 4, 1969: Shimabukuro Masato committed suicide by hanging, age 32. His death was mourned by members of the medical community.”

...You see now?

He...was a lot like you, Nakamura-kun.

Wait, what’s...what’s on page 14?

*He flips to it*

Fig. 1: Diagram of refined Leucotomy and Neurosurgical intervention for the development of enhanced aptitude. Work credited to Class 27′s Ultimate Surgeon for refinement of the procedure.

That’s...the same diagram they showed me. They didn’t tell me that part...they didn’t tell me anything...

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That...Grandpa, I’m so sorry.

Yeah...I wish I could’ve seen it sooner. He actually left a suicide note as well.

To be honest, I kept it to myself all these years. I knew it was the clue to all this, and they’d hide it or deny if they found out.

He said Hope’s Peak was responsible for all this, and that he’s sorry he got involved. That’s why...I decided to become a private investigator and tried to figure out just what that school was hiding. It’s why I’m here now.