#since it is the swelling of the brain and spinal cord it is likely the reason behind the design of the scar on the character's head
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thisisntanaddiction · 2 years ago
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Meningococcal meningitis
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Description:
Maybe you will meet him under the rotten spring sun. He talks and laughs happily, is kind and enthusiastic, making you ignore the scar on his forehead without knowing it.
[I am doing a small experiment, are you interested in helping? ] You who promised him, the last thing you remember is the name on the laboratory
Description (Traditional Chinese):
你成許會在爛的春陽下與他相遇 他談笑風生,親切而熱情,讓你不和不覺中忽略了他額上的傷疤 【我正在做個小實驗,你有興趣幫忙嗎?】 答應了他的你,最後記得的是實驗室上掛著的名字
Character: Epidemic Cerebrospinal Meningitis
Release: September 2021
Artist: Luo Peishan Quan Lo
Nickname: Epidemic Meningitis
Gender: Male
Height: 184cm
Weight: 68kg
Birthdate: 10/23 (Libra)
Personality: With a gentle appearance to cover up the madness of the experiment in his heart, only people with high vigilance can see that something is wrong in his mind. A human scientist who loves experiments to the point of obsession, specializing in brain mechanisms, and also has a lot of research in hematology. He likes to have one-on-one talks with the subjects before the human experiment begins, hoping to get to know them better. Contrary to the somewhat crazy appearance, he unexpectedly got along well with children, but it seems that some subjects never came out after entering his laboratory. . . .
Likes: All human beings, sunny spring, exercis, puzzle games of the brain
Dislikes: Rainy seasons, vaccines, antibiotics
Links: WHO, National Institues of Health, Mayoclinic
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hayatheauthor · 12 days ago
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10 Lethal Injuries to Add Pain to Your Writing
Prev: Non-Lethal Injury Ideas
Need some creative ways to give your characters a real fight for survival? Here are 10 ideas: 
1. Punctured Artery
A puncture to major arteries like the femoral artery (thigh), the carotid artery (neck), or radial artery (arm) can cause rapid blood loss. It starts off with a sharp pain, weakness, lightheadedness and eventually can lead to hypovolemic shock. Requires urgent medical attention.
2. Punctured Eye Socket
A punctured eye socket will cause blood vessel damage leading to internal bleeding. I would use this for non-combat characters trying to get away. The eyes are an easy weak spot + you don’t need much strength to cause a critical injury/puncture. Also good for a protag's tragic backstory.
3. Torn Achilles Tendon
A torn Achilles tendon can result in severe bleeding if nearby arteries or veins are damaged. Your character will be forced to hobble away as pain causes their foot to swell and bruise. Plus, you can easily adjust the pain levels per your scene, from swift cuts to explosive jumps. 
4. Neck Hyperextension (Hangman’s Fracture)
This injury will fracture the C2 vertebra and can lead to spinal cord damage, paralysis or sudden death. This isn’t a light injury your character can come back from, so I would suggest using it only when you’re aiming for death.
5. Pierced Lung
A punctured lung will lead to a pneumothorax where air escapes into the chest cavity, collapsing the lung. Characters with this injury may have difficulty breathing, chest pain, and a cough that produces frothy blood (all the dramatics you need). 
6. Severe Concussion
A severe concussion will lead to confusion, vomiting, immobility and memory loss. More dangerously, brain swelling, internal bleeding and damaged brain tissue. Plus, it has a long recovery period. 
7. Shattered Pelvis
If you need something severe that restricts mobility but also causes severe pain then this is perfect! Involves signs of shock, internal bleeding, numbness, swelling—really a lot of things. Can occur if OC falls from a high place, hit repeatedly, car accident, etc.  
8. Internal Bleeding from Blunt Force Trauma
I like using this when you need something subtle since it doesn't show immediate symptoms. Over time, they will feel weak, cold, nauseous, and intense pain. Perfect if you want that 'everyone made it out then suddenly someone collapses' moment. 
9. Intestinal Perforation
A sharp blow or penetrating wound can cause a tear in the intestines, leaking bacteria into the body cavity, then peritonitis. It can go from small stomach pain to near death pretty quickly. Without prompt medical care, sepsis can set in, causing organ failure and death.
10. Cut to the Jugular
If you need something more visibly dramatic then go with the classic cut to the jugular. A warm rush of blood will pour out, and blood would spurt with every heartbeat. Causes panic, choking, and internal bleeding too. All the blood and gore you need. 
This is a quick, brief list of ideas to provide writers inspiration. Since it is a shorter blog, I have not covered the injuries in detail. Remember the worse the injury the more likely your character is to die (so be realistic folks). Happy writing! :)
Looking For More Writing Tips And Tricks? 
Check out the rest of Quillology with Haya; a blog dedicated to writing and publishing tips for authors!
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steptowalk · 2 years ago
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Acquired Brain Injury
Acquired brain injury (ABI) refers to any type of brain damage that occurs after birth. It can include damage sustained by infection, disease, lack of oxygen or a blow to the head.
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Two thirds of all people with an ABI who have their activity limited or restricted are over the age of 45. One third of those are over the age of 65. The largest age group is between 40 and 49 and, at all ages except for those aged 80 and over, rates for males are higher than for females.
 How brain injury occurs
Brain injury can occur through:
Sudden onset – caused by trauma, infection, lack     of oxygen (for example, during near drowning or suicide attempts), strokes     or drug use episodes
Insidious onset – from prolonged alcohol or     substance abuse, tumours or degenerative neurological diseases.
 Causes of acquired brain injury (ABI)
Acquired brain injury is any damage to the brain that happens after birth. The specific symptoms or losses of functioning depend on which brain areas are affected.
Some of the causes include:
Alcohol or drugs – which can poison the brain
Disease – such as AIDS, Alzheimer’s disease,     cancer, multiple sclerosis or Parkinson’s disease
Lack of oxygen – called anoxic brain injury (for     example, injury caused by a near drowning)
Physical injury – such as an impact (or blow) to     the head, which may occur in vehicle or sporting accidents, fights or     falls
Stroke – when a blood vessel inside the brain     breaks or is blocked, destroying the local brain tissue.
How ABI affects a person
The long-term effects of brain injury are difficult to predict. They will be different for each person and can range from mild to profound.
It is common for many people with ABI to experience increased fatigue (mental and physical) and some slowing down in how fast they can process information, plan and solve problems. They may experience changes to their behaviour and personality, physical and sensory abilities, or thinking and learning.
How the brain works
The brain is the powerhouse of the body, even though it only makes up two per cent of the body’s weight. This soft, jelly-like organ has countless billions of neural cross-connections. It functions using a combination of electrical and chemical means. The brain oversees the workings of the body and gives us consciousness and personality. It is divided into two halves: the left hemisphere and the right hemisphere. Each hemisphere is further subdivided into lobes. Different functions happen in different parts of the brain, which is suspended in a chemical ‘soup’ called cerebrospinal fluid. This fluid nourishes the brain and serves as a shock absorber. The brain is connected to the rest of the body through the spinal cord. Together, the brain and spinal cord make up the central nervous system.
Traumatic brain injury
Traumatic brain injury (TBI) is not the same as head injury, since a person can sustain damage to the face, scalp and skull without necessarily injuring their brain. TBI is considered a form of acquired brain injury, and refers to brain damage caused by an impact to the head.
When the head is struck hard, the brain slams against the inside of the skull, causing physical injuries such as bruising, swelling, bleeding, twisting or tearing of tissue. There are degrees of injury, ranging from a momentary loss of consciousness (which can happen from a punch to the face, for example) to a long-term bout of unconsciousness or coma.
Treatment for brain injury
A range of tests, including x-rays and CT brain scans, can help pinpoint the exact areas of damage. In some cases, surgery may be needed. Recovery depends on the extent and location of the brain damage, the age and general health of the person, the speed of first aid received and the quality of treatment.
The consequences of a person having an ABI are far reaching. Coping with any loss of functioning and going through rehabilitation can be difficult. The person with an ABI will have great distress. Family, friends and partners will also experience difficulties as they deal with emotional and practical challenges, interruptions to family life and role changes.
An ABI can affect intimate relationships, friendships, social networks, recreational and vocational activities. It may force the person and their immediate family to adapt to a completely new way of life and new kinds of relationships.
Caring for someone who has had a brain injury may bond a family closer together. It can also mean enormous burdens for the family, which may tear it apart.
It will help if family members:
have good information about the effects of ABI
appreciate the difficulties that might be     encountered
understand that recovery is a slow process.
 For carers to cope with the situation, it helps to:
stay with the present, rather than brooding about     how catastrophic the future may be
highlight strengths and daily achievements,     rather than the weaknesses
make time to care for themselves
be wise enough to ask for help when it is needed.
 Where to get help
·        Step To Walk Neuro Rehab, Ghaziabad https://steptowalkneurorehab.com or call +91- 99101 18186
·        Neurologists
Things to remember
Acquired brain injury refers to any type of brain     damage that happens after birth.
Causes of ABI include disease, blows to the head,     alcohol and drug use, or oxygen deprivation.
Coping with the consequences of acquired brain     injury can be difficult for everyone, including family members.
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echos-muses · 1 year ago
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did he expect her not to get married or something? did he expect her to wait around for him and wallow for the rest of her days? this man better have a DAMN GOOD EXPLANATION. i mean, fuck, he didn’t just break her heart, he fucking humiliated her in front of the entire kingdom, was completely secretive about it… she was quite literally one of the last to know. he didn’t even have the decency to tell her before he broke everything off. i really hope we get an aemond POV. i hope he sees how fucking sick he is for that. i hope he sees how much he has hurt her.
separating here for possible triggering content, as it will be discussing the effects of malnutrition, starvation, and sleep deprivation.
the first thing, over weeks and months of malnutrition can cause anemia (iron deficiency) or beriberi (thiamine deficiency). over time, the lack of proper sustenance will deplete the body’s reserve resources. the consequences of this is substantial weight loss.
within days, without eating, the body begins to feed on itself, using up the energy stores (carbohydrates, fats, and protein parts of tissue), and when it loses those reserves, it no longer has ability to supply necessary nutrients to vital organs and tissues.
her metabolism would slow, her body would not be able to regulate its temperature, her kidney function would be impaired, and her immune system weakened. (however being bonded to a dragon does help with this, as shown with king aenys i targaryen when he bonded with his dragon, quicksilver, causing him to no longer be small and sickly like he was in his years before)
her heart, lungs, and ovaries could shrink, along with her muscles, which will make her feel weak, and the loss of ability to regulate her body temperature would make her chilly quite frequently.
i personally have experienced extreme anemia, and with that i was very weak, light-headed, cold, had heart palpitations, brittle nails, headaches, shortness of breath, and i was very pale and tired. malnutrition will also cause her hair to shed faster than it grows, and likely lose its shine and body.
thiamine is something i did not know about until i looked this all up, because i had the thoughts, but wanted to make sure i wasn’t spewing false facts. thiamine is vitamin b-1. the deficiency is very rare though, but i’ll still dive into it for the information in case anyone wants the knowledge for angst (as long as it is PROPERLY marked!!) purposes.
people with this deficiency may experience muscle weakness, problems with coordination, or loss of muscle, as well as possible heart enlargement and fast heart rates, along with peripheral neuropathy (damage of the nerves located outside of the brain and spinal cord, which can cause weakness, numbness and pain, usually in the areas of the hands and feet), loss of appetite, sensations of pins and needles, shortness of breath, or swelling in extremities.
sleep deprivation is a bitch too. it can cause memory issues, mood changes, troubles with thinking and concentrating, and hallucinations, if it goes on long enough.
so, i guess what i’m saying is, i’m very interested to see how he’d feel and react to how he’s destroyed the woman he’s loved since childhood, who has been there with him through everything. if it’s as painful for him as it is for her. if vhagar feels anything.
okay, maybe i want him to suffer a little. (at least as much as she is, if not more so.)
detachment (1/2)
letting go and accepting what we can't change. detaching from the choices of others. turning away from harmful cravings. but…. did Aemond Targaryen truly loved you?
pairing: prince!aemond × niece!reader
summary: aemond not only breaks your heart after so many love promises, he also breaks his betrothal to you without any justification and announces his betrothal to a baratheon girl. now you will be married soon too.
word count: 7.9k
i do not own any character from the book "fire and blood" or the series "the house of the dragon" except my own character included. all rights reserved to George R. Martin and HBO.
hello! i'm very happy to be back with a new story. new characters and new plot, now with our prince aemond🥰before you read this, I want to tell you that there is no other team here, it's team aemond or nothing, although all of you may want another man in this universe haha but what you are going to read next, everything has an explanation okey? aemond is not the bad guy, although it seems so and I make you believe that he is😚 but you just have to wait for part 2 hehe
comments and reblogs are always appreciated, thank you so much for reading, you are all awesome❣
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"I love you"
Those had been his words before you left King's Landing and after you returned for an indefinite time due to the condition of your grandsire, King Viserys.
But he had really felt them?
did Aemond Targaryen truly loved you?
For a time, both expressed their love and devotion for each other, proclaiming kisses, caresses and titles that they wanted to seal permanently with a Valyrian wedding.
The affection began as children. You were never mean to your uncle compared to your siblings and his older brother, Aegon. And fortunately Aemond always appreciated the good treatment he received from you.
And that good treatment led the two of you to start spending a lot of time together. By sharing a taste for literature, having interesting conversations about the history of your ancestors or even learning High Valyrian, you both formed a fondness and affection for each other.
There was never any objection from your mother, Princess Rhaenyra, about a friendship between her only daughter and her half-brother, the product of her father's second wife and once best friend.
Nevertheless, Alicent Hightower did have a problem.
When she began to notice her second son's affection for Princess Rhaenyra's daughter, she had to forbid him to spend time with you with more than strict measures and supervision.
"Mother said I must not spend time with you. She said that our duties are different and that I cannot learn embroidery with you and you cannot learn to use a sword with me."
He had told you once when the two of them met in the library sneaking around in the middle of the night with a sorrowful look and a sad tone of voice.
"My mother has never told me I can't spend time with you, Aemond. She has never forbidden me."
You had told him with such disappointment as you understood that the two of you could no longer spend time together and that all those readings together could no longer be possible, neither could High Valyrian lessons despite the fact that neither of you have a dragon yet.
"I know, Y/N."
And he had told you that with such resignation that tears began to form in your eyes.
"Then… we can't be friends anymore?"
And even though Aemond Targaryen at his young age has always been faithful to his mother in everything she told him, the most respectful and obedient, simply the polite and perfect son, seeing your tears and your sad face, at that moment he decided not to obey.
"I'm never going to let that happen. We'll still spend time together, I promise. But we'll have to be very careful."
He had told you to then take you in his arms, hugging you. A hug that you reciprocated instantly, making you feel better knowing that their friendship would continue.
And he keeps his word.
You begin to have secret meetings in the library, the kitchens or in the gardens, both being very careful not to be discovered.
The lessons of High Valyrian continued, also the readings of stories about Old Valyria, the reign of Aegon the Conqueror or the First Men.
Sometimes you would steal bread or cakes from the kitchens, then hide in the library or in the innermost corridors of the Keep where you knew you could not be found.
Everything was perfect. Two innocent children enjoying a friendship and at the same time preparing for their respective duties to the realm.
Until one day, your mother decided to leave with her whole family to Dragonstone.
It was a very hard blow for Aemond and you because you had never been separated before. Your mother had never even considered leaving King's Landing as she was the Heir to the Throne and very much aware that she must remain at Court.
But Alicent Hightower had been more astute and by her behavior managed to dispossess the princess of her own home.
So there is no alternative for you and Aemond to exchange letters and keep in touch as much as possible.
Once you arrived at Dragonstone, letters between the two of you were never lacking in that short period of time between your departure from King's Landing and then Aemond's accident at Driftmark.
Aunt Laena Velaryon had died and despite it being an unfortunate event, you were happy to see Aemond again and he too longed to feel close to you again.
However, the Gods are cruel and the accident marked Aemond's life forever, as well as the rivalry between Queen Alicent and Princess Rhaenyra.
And although Lucerys is your brother, Aemond, even in his state of hatred, never resented you for his lost eye, nor the clear rivalry between your mother and his.
On the contrary, the relationship between them was strengthened because you did not want to separate after such a fatal accident that made you cry while you hugged him tightly, thinking that maybe you could have lost him.
So the letters continued, some exchanges of gifts as well and even some secret visits that you allowed yourselves to have on the backs of your dragons to meet in a midpoint.
Or rather on a small island in Blackwater Bay.
Aemond had managed to claim Vhagar, the largest dragon in all the world and the one that once had Visenya Targaryen as a rider, while you claimed Silverwing, the dragon of the good queen Alyssane Targaryen.
Until King Viserys' health began to deteriorate in a serious and worrisome way, so your mother decided to return for an indefinite time to the Red Keep.
And the moment you and Aemond were reunited, that bond between the two of you only grew stronger, so everything formed the word courtship and it was no secret to your families.
It was no secret despite the clear rivalry between the Targaryens and the Hightowers and even more so with Alicent Hightower against the clear affection between his son and Y/N Velaryon.
But everyone knew that you are not a true Velaryon.
A bastard.
That's what you are in the eyes of the Hightower. And no matter that your hair was platinum like the Targaryen's, you were not the daughter of Laenor Velaryon, but probably of Daemon Targaryen.
Queen Alicent knows the depravity of Princess Rhaenyra and there was no other explanation for it, considering also that your brothers are bastards, but of Harwin Strong.
And Queen Alicent felt that spite and hatred for Princess Rhaenyra being so brazen and giving birth to children not legitimate. And the same thoughts she shared with her father, her children and Larys Strong.
However, Aemond didn't want to hear anything she told him about you.
He understood that his mother was angry with his half-sister, but that didn't mean she would have to turn him against you as well for something they had nothing to do with.
Bastard or not… you were always a good person to him regardless. And all Aemond wanted, as well as you too, was to be together.
It didn't matter that your brother was the boy who took his eye, that was a separate point for him.
And when you were ten and eight while Aemond was ten and nine, the talks and planning for a marriage began.
Marriage that was not approved by Alicent and Otto Hightower, but Aemond didn't care. He had already let too much time pass without making a move.
And that was dangerous considering that you are a princess of the realm and many lords had already asked for your hand. And because of your age, you had to make a decision now.
But you had already chosen him, in fact since you were a little girl. And now he had already done something about it by asking for your hand. And finally you could both call each other husband and wife, what you always wanted.
Your father, Daemon, didn't agree to the marriage, Jace didn't either. But your mother took your wishes into consideration and spoke to your grandsire, King Viserys, who approved and gave his blessing for a marriage between his son Aemond and his granddaughter Y/N.
At this, Queen Alicent could do nothing, much less Otto Hightower despite their replies and clear displeasure.
And when your mother gave you the news, it made you very happy to know that finally Aemond could call you his and you could call him yours.
"But are you completely sure about this, my love?"
Your mother asks you, looking at you with eyes of love and understanding, holding your hand. To which you only nod with a small smile on your lips.
"Yes."
She smiles too, stroking the back of your hand with her thumb. Then she lets out a long breath and nods as she lowers her gaze for a moment, which catches your attention.
"You agree, mother?"
She again looks at you with a slightly bewildered look.
"It doesn't matter what I think, sweet girl. What matters is that you really are sure that he is the man you want to spend the rest of your life with."
"I know but your opinion matters to me."
Again Rhaenyra's sweet smile returns to her lips, watching you adoringly for a few moments to again let out a small breath.
"Well… I saw that coming, in a way," she smiles at you, "And I think we all do, actually."
"So you don't feel uncomfortable?"
"No," she denies absurdly, "I remind you that I did exactly as you wish, my love."
"It doesn't hurt to ask you and want to know how you really feel, mother."
Your mother is silent for a few seconds, thinking about your words and thinking about her own next.
"Well… if we go back in time, certainly your grandsire must have felt uncomfortable and… weird about the idea of his brother and his only daughter at the time together," she says sympathetically, "something I never understood until now that I get to be in the same position as him. But that's our family and I couldn't oppose the idea of what you wish," she assures you, "Ever since you and Aemond started being inseparable as children, I knew it would turn out like this. And I knew that the thought of you both being meant to burn together could not be inevitable. And I understand that perfectly."
You nod slowly, listening and understanding his words, thinking.
"But father doesn't think the same," you say with some disappointment, "Neither do my brothers. They are upset with this and with me, I know."
"My love, you don't worry about them," your mother tells you immediately, "your father will eventually understand, he can't be such a hypocrite, can he? And your brothers… they don't see that this will probably put an end to the rivalry between the two families, despite what happened in Driftmark. I don't expect Aemond to forgive Luke either, but there's always a chance and hope," she assures you, "So this is good, very good. Otherwise, Aemond would not have asked for your hand and I would not have spoken to the king to give his blessing."
That time your mother's words could not have comforted you more, making you feel genuinely happy and no longer feeling worried about the people around you because of your marriage to Aemond.
And that time you had also gone in search of Aemond after leaving your mother's chamber, finding him in the library, feeling relieved and happy.
"I spoke to my mother," you tell him, intertwining your fingers with his, "She said to be sure to set a date for the wedding with the king and she will tell us as soon as they come to an agreement."
Aemond watches you with a barely visible half-smile, all his gaze soft and watching you intently, with fondness and longing, noticing how you can't help but be excited about the wedding.
"And do you have any preferences for the wedding you'd like to share with me?"
He asks you softly, completely catching your attention, smiling at him.
"Actually, I should be asking you that question," you take a seat next to him, not letting go of his hand.
"I was the one who insisted on a traditional wedding," he reminds you with an obvious look, "You know I would prefer the Valyrian wedding, just like you. Less people, few witnesses and everything just like the tradition of our house."
"The traditional wedding thing you asked for taking your mother's wish into consideration. She doesn't approve of this, so that's the only way to keep her less angry," you also remind him, "Still after our wedding at the Septon, we can fly to Dragonstone and have the Valyrian wedding we want so much. We can even stay there, just you and me."
Aemond smiles, bringing your hand to his lips, leaving chaste, soft kisses on the back of yours, understanding perfectly what you are implying, just what he desires as well.
"No celebration feast, then?" he peers over your hand.
"You want a feast?"
"It doesn't matter what I want, Y/N. All I want is to marry you and unite our blood, that's all that matters to me."
You smile softly, moving a little closer towards him.
"I know, nothing is more important to me too," you tell him softly, "but don't be so insensitive about the preparations, Aemond," you tell him amused.
He rolls his eye, still smiling and still not letting go of your hand for wanting to keep feeling your touch.
"Well, then tell me what's concerning you."
"They are not concerns, I just want to know your opinion and take into consideration some wishes you want to make."
"And what are those?"
"Well… your opinion would help me to know about what colors of the dress I should wear."
Aemond stops his caresses on your hand and watches you with a thin line on his lips and really expressionless for a few seconds without saying anything.
"I know perfectly well that this is about a concern of yours, Y/N," he finally tells you afterwards.
"Well, yes, yes it is a concern," you reluctantly confess.
"The colors of a dress?"
"Well, what am I supposed to do? Wear green or red?"
"My love, the dress will be yours, not mine. Besides, I know you don't like green."
"Yes but that color is yours."
"No, it's not mine, green is my mother's color," he reminds you, "I may wear it sometimes, but we are both more Targaryen than anything. So if you must choose colors, let them be red and black, just the same colors I will wear."
At that moment in front of him you don't show it, but you feel really relieved to hear his words, the dress being an issue that really had you worried sick.
So you get up, let out a long breath and sit on his lap, him instantly accepting you in his arms, while you drop your head on his chest in a defeated motion.
"What would I do without you," you murmur.
Aemond lets out a small laugh.
"'Rather what would I do without you, Issa jorrāelagon."
You let out a long breath, closing your eyes, taking comfort in the fact that you are in the arms of Aemond, the man you love.
"You're right," you murmur, "All I want is to call a Septon and have him marry us right now with no preparations and no other planning. I was going crazy over a dress and it's only the beginning."
"Don't worry, my love," he assures you softly, "We will plan the whole wedding together, without any third opinions and wishes. And in the end, it will all have been worth it. We'll finally be married, what we've always wanted."
You smile softly, lifting your face a little towards him to watch him, to which he also watches you, seeing your face light up, full of illusion and excitement.
"I still can't believe it."
""You know there's no turning back now, don't you? Once I see you at the Septon, you're already bound to me forever."
"Just what I've always wanted. Unless you don't want to."
"Of course I want to, I'm just warning you," he tells you with a smile, "And I also remind you that the blood of the dragon runs thick."
"We are lucky we share the same blood, my love."
Unable to help yourself any longer, Aemond's lips just above you being an invitation you complacently want to heed, you place your hands on his cheeks and begin to caress your lips with his, sharing a soft, affection-filled kiss that he reciprocates, holding you by your waist.
And even though you have shared countless kisses before, this one is undoubtedly different, because very soon he will be yours and you will be his, finally.
"Avy jorrāelan," you murmur against his lips.
"Avy jorrāelan, Issa gevie ābrazȳrys."
You let out a small laugh at his lips, pulling away from him a little.
"I'm not your wife yet."
"And your point is…?"
You laugh again, stroking his long hair, watching his handsome face, stroking his scar as well, watching him with desire and adoration, all of him being what you want.
"Yet you will be soon."
And again he pulls you close in a needy kiss which you reciprocate instantly, really not looking forward to the big day anymore, wanting, no, rather needing to call him your husband as soon as possible.
And finally you can tell when the big day will be you are with Aemond in the gardens, both of you taking a walk before he goes to take his daily sword training and you get the seamstress to plan your dress, when your mother appears and approaches you both.
She has a small smile on her face, so you can tell this is good news.
"I spoke with the king a few moments ago. The Maester's are taking very good care of him and we have finally agreed on a date for the wedding."
"I hope it is soon, sister," Aemond says to your surprise, listening and watching your mother carefully, with a serious look, "Though I would not be surprised if my father in his state, blinded by the milk of Poppy, has suggested the end of the year."
"No, it's not like that, brother," she tells him almost in the same condescending tone, "I let him know what you are expecting and the date has been dictated for before the end of spring, on another moon."
You hold back your huge smile and excitement, holding Aemond's hand a little tightly in a second out of excitement, that just sounding perfect, just what you wished for.
And even though you know Aemond must also feel the same happiness, he doesn't show it in front of your mother, holding back.
"Does my mother know?" he asks your mother in a softer tone.
Rhaenyra denies with a serious but restrained look of sadness and disappointment.
"No," she clears her throat, lowering her gaze for a moment, "I thought you would want to tell her," she confesses to him, "I never find the opportunity to talk to her," she purses her lips, "She won't let me."
Aemond at your side just nods in her direction, understanding. He also understands that this behavior on his mother's part towards his half-sister has always been there since she returned to the Keep.
And he doesn't think that will change, even after the wedding, but he appreciates Rhaenyra's efforts to try to talk to her and not leave her out of his wedding, despite her insensitivity at Driftmark.
It doesn't mean he'll be nice and friendly to her, it's just that little appreciation.
Then slowly Aemond turns to you and leaves a soft kiss on your forehead, locking you in his arms for a moment, wanting to feel you close.
You smile and hug him back, turning your face to look at your mother with a small more than happy smile on your lips, your mother also smiling in your direction, honestly feeling happy for the both of you.
News of the date begins to spread among the families and soon after throughout the Court as well, with the wedding of Prince Aemond Targaryen and Princess Y/N Velaryon being the most anticipated of the year.
It was still something Otto and Alicent Hightower didn't want, neither did Daemon Targaryen, but the king had already given his blessing and he himself wanted the news to spread throughout Westeros, wanting a truly unforgettable wedding.
Until a few days after your mother let you both know the wedding date, you unexpectedly began to see Aemond less frequently.
Usually the two of you every day go for a walk in the garden or meet in the library. And if you don't have time during the day, at night he sneaks into your chamber or you sneak into his through the secret passages.
However, none of that also happened to make up for lost time.
You would see him a few moments at the training yard with Criston Cole and a few other knights, but that was about it. And when you looked for him in the library, it looked like he wasn't going to spend any more time there.
And just when you decided to sneak through the secret passages to go to his chambers, you stopped and thought to yourself that maybe he's nervous and needs time to think about the wedding.
The wedding of the two of you is something you were longing for since you understood the meaning of a union that now that it's finally going to happen…probably has him very anxious and needs space.
Until the days go by and you start to feel that something is wrong, as you realize that he is avoiding you, something he has never done before.
You tried to talk to him but Criston Cole would let you know that he was having a meeting with his grandsire or was in the company of the queen. He would also tell you that the prince was out for a ride on his dragon.
You asked him to send him a message from you when he saw him, but it seemed that those messages never reached his ears or if they did, he ignored you.
And when you went to look for him at the training yard, you were told that the prince had skipped his training or had already trained very early in the morning, leaving you confused and not understanding anything.
You were completely disconcerted that the two of you suddenly stopped seeing each other and spending time together, so without thinking about it, one night you took the secret passage and slipped into the darkness with a candle in your hand and headed to Aemond's chambers.
But as you try to push his secret door, confusion overcomes you and your pulse stops for a moment when it won't open, being blocked by something from the other side.
You think about shouting his name, but instantly you know it's a very bad idea as you can't risk the secrecy of the passageways out of desperation.
But more and more disappointment and worry fill you, not understanding what is happening and thinking that it must be something bad.
At this, you show your concern to your mother, who continues to attend to matters at court, keeping an eye on the king's health and helping you with the preparations for the wedding.
"Sure it's nothing, sweet girl. Men act in ways we don't understand, just as we act in ways they don't understand us. Perhaps he is preparing to be a good husband to you and both of you to do your duty for the realm.
"But it seems so strange to me," you say worried, "He doesn't talk to me, I practically don't see him and he even seems to avoid me."
"Have you tried to talk to him yet?"
"Yes, yes, all the time," you reply in an instant, "He even said he would help me get everything ready for the wedding but… I never see him."
"Y/N….
"I just don't understand, mother. We used to spend time together and now that we're finally getting married, he's acting weird."
"Sweet girl…
"Or is it that he doesn't want to marry me anymore?"
You interrupt him with a broken voice and utter disappointment and sadness in your eyes, realization starting to creep into your mind, really not understanding anything.
"My love, you shouldn't go to extremes," your mother tells you in an instant, not wanting you to get upset and start thinking the worst, "He's been longing for this wedding as much as you have. He's probably just nervous and just needs time and space."
You look at your beautiful mother not so sure.
"Are you sure?" you ask her in a breathy whisper.
"Yes, my love, very sure."
She quickly moves towards you to lock you in her arms and comfort you, telling you that everything will be all right and that what you want so much , will finally happen.
But if only that had been it.
Not long after talking to your mother, once you head to your mother's chambers after leaving the chambers of your sweet Aunt Helaena with whom you were discussing some lovely ideas for the wedding, a guard intercepts you in the middle of the hallway, stopping you.
"Prince Aemond requires your presence in the Council Chamber, Princess. Immediately."
Such words could not have made you feel happier and relieved, finally ending this torture, so you quickly make your way to the Council Chamber, in an instant thinking about why Aemond has asked to see you there.
But honestly you don't care, all you want is to finally see him and talk to him.
And in an instant you already find yourself walking through the doors of the Council Chamber, happy to see Aemond's figure finally, standing with his back to you from the other side of the table, waiting for you.
But you must have thought something was wrong when he didn't even turn to look at you when he heard the sound of the doors opening and your footsteps approaching.
"My love, I'm so relieved to finally see you," you say with a smile, approaching him happily, "I was so worried, you don't know how much I wanted to see you and talk to you. I have so much to tell you, I even came to think that….
"I won't marry you."
Then your whole world stops, just like your feet, stopping abruptly at his words, your smile fading in a second and watching him now in shock.
The room goes completely silent, with no one else present, just the two of you, not even a guard present at his request for discretion… for now.
"I have spoken to my father… I have already cancelled all preparations, the Septon and my family have also been made aware."
And at his words, you feel like each one of them is a knife straight to your heart, tearing it from the inside, feeling an intent, sharp pain in your chest.
You look at him with your lips parted, your gaze completely bewildered and your eyes starting to fill with tears.
You are completely paralyzed, unable to move despite feeling yourself start to tremble, seeing him not even look back at you, telling you all this without any emotion, as if it meant nothing.
"Your family must also be being notified right now, the whole Court will know soon too."
"But…
You try to say with a thread of a voice, but he again speaks, still turning his back to you and with no emotion in his voice, no emotion in his posture either, leaving you to see a man you don't know completely.
"That's all. You can go now."
Disbelief is completely reflected in your gaze, truly not understanding anything, with tears starting to involuntarily flow out of your eyes at his coldness and insensitivity.
Because he's already done everything… without you having the slightest idea.
"Are you serious?"
You manage to say, your voice completely broken and in a whisper, needing to sit up or lean against something, feeling your strength go.
"Doesn't it sound like I'm serious?" he inquires.
"Aemond…
"I told you that's all, you can go now," he repeats you with the same seriousness and coldness, as if you were nobody to him.
Then the first sob escapes your lips, trying to control yourself, but you cannot.
You continue to stand there, watching him with all the sadness in the world, also with all the confusion, really not understanding anything, needing an explanation, wanting to know why, what you have done wrong, what has happened, why he so suddenly changed his mind.
Everything was fine, everything seemed fine, that you just don't understand.
"I-I don't… I don't understand anything, I-I….
"If you don't leave Y/N, I'll leave," he warns you, without even looking you in the eye for a second.
"But you… I-I… I thought…
He won't let you talk, he just doesn't want to listen to you and just like he said, that's what he does. He lets out a frustrated sigh and heads out of the Council Chamber, leaving you behind, heartbroken and not knowing why.
"Aemond," you call out to him between sobs, pleading.
Not knowing where you have drawn strength from, you move towards him once he is within reach, grabbing his arm, wanting to stop him and make him explain, but as soon as you reach him, he quickly pushes you away in a sharp, tactless movement, treating you, again, as if you were nobody.
"Don't,"" he warns you in a threatening and cold tone, resuming his way to the doors in a more hurried pace, not even looking back.
His demeanor and coldness leave you completely shocked and static, never in a million years expecting such behavior from him towards you.
And once he leaves the Council Chamber, you feel your heart completely broken and your mind a mess of emotions, wanting to believe that this is not real, starting to cry and sob loudly.
A complete mess, Aemond leaves you there without explanation and without caring at all about your feelings, all being said and done.
Not long after, your mother and father rush into the Council Chamber, looking for you, finding you still a mess and you quickly asking them for explanations, explanations they had no idea about either.
And all that time, you kept asking yourself why, why he had done this to you if he was supposed to love you and want to marry you.
But nobody understood anything. Only he knew why he had done it.
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Weeks have passed since the announcement of the cancelled betrothal between prince Aemond and princess Y/N.
You being the protagonist of the topic to talk about, even so the men and women of the Court were not at all dissimulated and kept feeding the news more and more with each passing day.
Different rumors ran about the possible cause that caused the wedding to be canceled, rumors that you did not want to hear and for which you ended up locking yourself in your chamber, not wanting to see anyone.
You barely slept and barely ate, watching the days pass by through your windows slowly, with huge bags under your eyes and dismissing your maids whenever they wanted to assist you.
You hadn't seen him since that conversation either.
You didn't hear from anyone except your family who were in charge of making you react by going into your chamber to take a bath and eat something, your mother extremely worried about you and your father specifically having someone in mind for wanting to murder upon seeing your state.
Everyone was still as confused as you were, even your mother asked Queen Alicent for an explanation, but to no avail. She even tried to talk to Aemond, but he wouldn't let her, saying that everything was already done.
It was so much the humiliation that not even your mother would force you to leave your chamber, no matter how much she wanted to get you out of your four walls, Daemon feeling extremely upset and indignant.
Your brothers never said anything to you, but they were extremely worried about you too, as were your sisters Baela and Rhaena.
Even your grandmother Rhaenys sent her concerns from Driftmark, but no one had any explanations for anyone.
And you too, despite everything, still wanted an explanation from him. You wanted to understand, you wanted to know why… because you needed to, you needed to know.
But you never tried to talk to him again. How could you if he had left you totally devastated with no justification?
And you knew that if you tried, Aemond wouldn't be willing to talk to you. He found it easier to forget and move on, as if nothing had happened, without caring, just what he is doing now.
Until one day the king requested a dinner with every member of his family, including you, without any exception, wanting to have a dinner with everyone together, wanting the waters to calm down after so much tension.
Your mother assured you that your grandsire was no longer blinded by the milk of poppy, that he made sure to drink less of it now, and yet you thought that your grandsire still conscious, made the worst decisions.
You could no longer continue to take refuge in your chambers, so with no alternative, your maids prepare you for dinner, dressing you and making you a hairstyle as usual, nothing new and nothing missing.
"You can do this, my sweet girl," your loving mother says to you, holding your face with both her hands, "We will be with you at all times. I will be with you always by your side," she assures you, "You just ignore him, ignore them all, I will do the rest. Let's just please your grandsire on this, all right?"
Unable to help yourself, you hug your mother tightly and in one needy movement, to which she hugs you back with all that love and all that comfort you so desperately need, understanding you completely.
You try not to cry, because you've cried too much already and you're tired of it, but now you can't help it, needing your perfect mother for strength.
"Thank you," you murmur into her chest.
"I love you, my love. I would do anything for you."
You smile with happiness and sadness at the same time, with pain, starting to cry, trying not to make noise.
"I love you too."
She then tells you that you can stay a moment longer in her chambers before leaving to give you time, but what you don't want is to draw attention to yourself, so you prefer to arrive before anyone else in the dining room.
Then your whole family takes their respective seats, your father instantly giving you the seat next to your mother so that you are not sitting across from him, everyone knowing perfectly well which is his usual seat.
Then the doors open again and it's them, all the green ones.
You lower your gaze and pretend not to care about anything as he walks through the doors, following Aegon, just being in the same room as him making you feel something you don't know exactly what it is but you don't like it, feeling uncomfortable as well.
He doesn't look a single second in your direction either, but instantly being the center of attention of your father, who is the one who takes a seat in front of him, with Rhaena and Luke.
Shortly after, the king makes his entrance, everyone rising from their seats to greet him.
And more shortly after, you want to say that time fortunately passes quickly but unfortunately it doesn't, so you just suffer in silence, with your mother holding your hand from time to time, wanting to give you all her possible support in this.
The servants serve the food and wine, that fortunately distracting you, also the music your grandsire orders to play, this being a bit more bearable.
But all you want to do is get out of this room and never be in the company of all the Hightowers ever again.
You know that sweet Helaena is not to blame for anything, but she is part of them too by being Aegon's wife and already having three children with him.
And that couldn't make you sadder… sweet Helaena being wife to a man who doesn't deserve her.
Your father offers you his hand in a moment as Rhaena and Luke rise from their seats and head to the center to dance, also Jace invites Helaena.
Your father shows you his support even though he had said from the beginning that your betrothal to Aemond was a bad idea. But you are also his sweet little girl and he lets you know that he will always be there for you.
When the moment is interrupted by Otto Hightower, wanting to make an announcement, stopping the music and drawing the attention of everyone in the room.
You exchange a glance with your father, you don't even look in Otto's direction when everyone else does, because he is so close to his grandsire.
"Now that we're all together, I'm very pleased to let you know the great news…..
Otto Hightower says and you raise your wine glass to your lips, not really caring.
"My grandson Prince Daeron who is in Oldtown, will soon return to the capital to marry Cerelle Lannister, daughter of our Naval advisor, Jason Lannister," he announces proudly.
Everything is silent for a few seconds, you still not giving importance to anything or anyone, still thinking about the great news, definitely.
You didn't even remember Daeron, he's been so long away from Kings Landing that it's impossible to remember him. And before anyone says anything, just to corroborate what Otto is saying, he again speaks up.
"It is also my pleasure to inform you that my grandson Aemond….
Your heart stops for a second, as well as that definitely catches everyone's attention, everyone listening attentively and you too, unconsciously.
"He has also been betrothed to one of Lord Borros Baratheon's four daughters, the lady Floris Baratheon," he says and continues, "these two marriages clearly being more than excellent benefits to the house of the dragon and so securing our bloods, both the common and the blood of old Valyria."
At that moment you did not notice the exchange of glances from your brothers and sisters, also the mocking smile that your father let out when he heard the man's words, as well as the serious look on your mother's face when she heard everything.
You just focused on yourself, pretending none of it mattered to you, feigning indifference, when your mind could only repeat one thing at all times:
"My grandson Aemond has also been betrothed to one of Lord Borros Baratheon's four daughters, the Lady Floris Baratheon."
You want to cry. And a lot.
However, it was only more humiliation than necessary and you had to control yourself, needing this dinner to be over as soon as possible.
Again absolute silence is in the huge room, you couldn't care less.
When Alicent is the first to congratulate her son, as well as your grandsire in a weak and hoarse voice, then your mother also offers the coldest congratulations she has ever given, simply to keep up appearances.
And you can only think: was this necessary?
How mean Otto Hightower had to be and so did Alicent to want to humiliate you further by announcing such a thing, to you and your entire family for that matter. It just wasn't necessary.
Until finally the dinner is over and everyone can leave once the king takes his leave and retires to his chambers first.
Completely controlling your tears, you enter your room with your father more than furious, followed by your mother and your brothers and sisters.
"What the fuck was that!?" he inquires to your mother.
"My love…
"Do you really think I'm just going to stand here and do nothing!?"
"Oh really? And what are you going to do?" asks your mother too, seriously, "Cut off the heads of Aemond and Otto Hightower?
"They have humiliated us, Rhaenyra!" he exclaims to her in annoyance, "they can talk and humiliate me all they want, but they will not humiliate you or my family!"
"Father…
Baela tries to talk to him, but he won't let her.
"We're going to go talk to Viserys this instant and Y/N's wedding to that fucking one-eyed is going to happen."
"Are you serious?" your mother inquires again, "Husband, you were the first to oppose the marriage."
"They have humiliated our daughter, don't you see!" he points out angrily, "her marriage to Aemond would have given us more power over them if we had him and Vhagar on our side. Now by the time Viserys dies, you're not going to have enough support for your claim," he tells her seriously, "We need Lord Borros on our side as well."
"Daemon, this isn't about the crown, this is about our daughter."
"And that is exactly why I will not let such humiliation pass," he tells her seriously and with a dark look on his face, "he asked for Y/N's hand, he gave you a whole speech to allow him to marry her, now he keeps his word or he marries no one, just like that."
"I want to go home."
You speak in the middle of all the discussion, staring at an unimportant spot in your chamber, tears running down your cheeks, your sad, tired, broken voice calling for everyone's attention.
Your mother and sisters quickly turn to you, concerned about your condition.
"What is it, my love?"
Your mother asks you, running her hands through your hair, watching you intently.
"I want to go home," you repeat, "I want to go to Dragonstone."
Your mother immediately looks at your father, who looks back at her, serious and attentive to you, feeling more upset at seeing you so broken.
"My love, we can't leave," your mother tells you in a soft voice, "We need to take care of your grandsire and stay at Court, as it should be."
"You stay here," you say in an instant, "I will go."
Your mother denies, understanding you, but unable to allow it.
"My love, don't…
"Please," you plead, "please, Mother. At least just for a little while, I promise I'll come back later," you beg, "But now… I just want to get out of here, please."
Your mother watches you for a few moments without saying anything with her lips parted, again exchanging a glance with Daemon, who nods slightly in her direction.
But Rhaenyra won't let you go just like that. She is your mother, after all.
"You'll be alone, my sweet," she says with some fear, "I can't leave you alone and I won't be at ease with that."
"She won't be," Rhaena says instantly, drawing everyone's attention, "I'll go with her and Luke will too. We'll come back when she's ready."
"No, absolutely not," says your mother resolutely, "I can't have the three of you in Dragonstone alone, no….
"Let them," your father interrupts, "I'd rather Y/N leave this snake pit until everything calms down. I feel better with the idea of Rhaena and Luke accompanying her, so the three of them will take care of each other."
"And we won't necessarily always have to stay at Dragonstone," Rhaena adds, "We can fly to Driftmark and spend a few days keeping our grandmother company too."
Your mother turns your gaze to you, who you completely beg with your gaze to let you do this, to let you go for now.
And of course, you feel completely grateful to Rhaena and your little brother for not letting you go alone. Clearly Jace and Baela are the heirs after your parents and it makes the most sense for them to stay here at Court.
Until finally your mother lets out a long breath, not herself believing she will accept this, being too afraid to let her children go to Dragonstone alone.
Though she knows there is no better safe place for them, even safer than King's Landing.
" All right," she finally says, "But I'll fly with you there and then I'll come back, just to make sure everything will be okay."
You immediately nod, not really caring, since all you want to do is get out of here and not come back.
Again your mother hugs you, transmitting all that comfort and affection you always need from her, really not wanting to leave here. You were so excited to go back to the Keep but you weren't expecting any of this to happen.
And now you just want to go home and come back when you feel better.
Soon enough you find yourself in Dragonpit, with your mother, Luke and Rhaena ready to fly to Dragonstone, with your father, Jace, Baela, Joffrey, little Aegon and little Viserys seeing them off.
And as soon as you finish saying goodbye, the sooner you find yourself in the skies and the sooner you arrive at the black castle, your home. You needed to let many moons pass to cope with your broken heart and such humiliation, also to accept that Aemond never really loved you and that he would soon marry another woman who would not be you.
All the while shedding tears, lasting more nights without sleep and more days with no appetite for anything, only finding comfort in riding your dragon as your mother was not around.
But Silverwing was always there for you and could feel everything you felt.
Until one day, more moons after your departure from King's Landing, Rhaenyra and Daemon Targaryen return to Dragonstone with their entire family for a short time, promising to return soon.
And shortly after the Heir to the Throne leaves King's Landing, a raven arrives at the Red Keep, announcing the unexpected new news.
The Heir, Princess Rhaenyra returns to King's Landing in less than two moons with her King consort Prince Daemon and her entire family to celebrate the wedding of Princess Y/N Velaryon to Lord Cregan Stark, Lord of Winterfell.
And that message is spread all over the Red Keep, all over King's Landing and eventually all over Westeros.
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budandtender · 1 year ago
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Cannabinoids and Their Role in Managing Pain from Meniscus Tear
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Introduction
A meniscus tear is a common knee injury that occurs when the cartilage in the knee is damaged. This type of injury causes pain, swelling, and limited mobility in the knee joint. While rest, physical therapy, and surgery are common treatments, research shows that cannabinoids may also help manage pain associated with a meniscus tear. Cannabinoids refer to chemical compounds found in the cannabis plant as well as similar compounds produced naturally in the body. Let's explore the different types of cannabinoids and their potential for pain relief.
Endocannabinoids
Endocannabinoids are cannabinoids produced naturally by the human body. The two main endocannabinoids are anandamide and 2-arachidonoylglycerol (2-AG). These compounds bind to cannabinoid receptors throughout the body and brain. Through this process, endocannabinoids help regulate pain, appetite, mood, memory, reproduction, and more.
Research indicates that people with chronic pain conditions like arthritis have lower levels of endocannabinoids. Supplementing the body's natural endocannabinoids with phytocannabinoids or synthetic cannabinoids may help reduce pain levels. The endocannabinoid system is complex, but enhancing it may provide pain relief without the psychoactive effects of cannabis.
Phytocannabinoids
Phytocannabinoids are cannabinoids produced by the cannabis plant. The most well-known phytocannabinoid is tetrahydrocannabinol (THC), which is responsible for the "high" associated with cannabis. However, over 100 other phytocannabinoids have been identified, including cannabidiol (CBD), cannabinol (CBN), and more.
Research shows that THC and other phytocannabinoids can effectively reduce pain and inflammation. THC binds to CB1 receptors in the brain, spinal cord, connective tissues, and other areas. This activates the endocannabinoid system and dulls pain perception. CBD also influences the endocannabinoid system and reduces pain and swelling. It shows promise for managing chronic pain with minimal side effects.
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Cannabinoids for Meniscus Tear Pain
Studies reveal that cannabinoids hold the potential for managing pain after a meniscus injury and surgery. THC and CBD can reduce acute and neuropathic pain. Cannabinoids may also decrease inflammation which contributes to pain and swelling after a meniscus tear.
Research shows cannabinoids are effective for various types of musculoskeletal and nerve pain. Since a meniscus tear can involve both tissue injury and nerve pain, cannabinoids may target multiple sources of pain. Topical THC and CBD creams applied to the knee may penetrate joint tissues and reduce local inflammation. Oral cannabinoid oils, sprays, or edibles enter the bloodstream for whole-body pain relief.
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Human trials are still limited, but initial research is promising. A 2017 study found that vaporised cannabis improved pain scores after knee surgery. Patients also reported improved sleep and reduced anxiety. Another study saw significant pain reduction from an oral cannabis extract after knee surgery. Larger human studies are needed, but current research indicates cannabinoids hold promise for relieving post-operative and chronic pain from a meniscus tear.
Potential Risks
While cannabinoids show potential for managing pain, they carry some risks. THC can cause impairment, dizziness, increased heart rate, and coordination issues. CBD is safer but may interact with certain medications. Cannabis products may also contain contaminants if not properly regulated. Patients with substance abuse disorders should use cannabinoids cautiously.
It's also important to note that patients should understand local laws before using cannabinoid products. Additionally, thorough research is still needed to define appropriate cannabinoid dosages for different medical conditions. Patients should consult their healthcare provider before using cannabinoids.
Conclusion
In conclusion, early research suggests that cannabinoids like THC, CBD, and others may help relieve pain and inflammation associated with a meniscus tear. They appear to do this by supplementing the body's natural endocannabinoids and influencing pain signalling pathways. While human studies are still in the early stages, cannabinoids present a promising option for multi-modal pain management. Patients should work with their healthcare provider to weigh the potential benefits and risks of cannabinoids for their individual health needs. As more clinical trials emerge, the therapeutic role of cannabinoids for a meniscus tear and other musculoskeletal conditions will become clearer.
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mymedtrips · 1 year ago
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Neurosurgery Cost in India
Brain surgeries in India have a success rate of 80-90%. In most cases, neurosurgery is successful when brain tumors are detected earlier and proper medication is given. Moreover, the total cost of neurosurgery can reach a total of six figure receipt. So let's now discuss about the neurosurgery cost in India, best neurosurgery hospitals in India, and best neurosurgery doctors in India.
To treat the diseases or disorders of the nervous system, neurosurgery is performed on the patient. The nervous system includes the brain, spinal cord, or spinal column. This surgery can be performed on either an adult or a child, whomsoever is required to undergo it. The neurosurgeons, the ones who specialise in neurosurgery are responsible to diagnose the neurological disorders, treat the patient by performing a surgery, followed by rehabilitation.
Neurosurgery has been gaining recognition from the early 1900s, Since then, the methods and techniques used in neurosurgery have been highly developed, thereby increasing its success rate. There are various methods of neurosurgeries such as conventional neurosurgery, microsurgery, endovascular neurosurgery, etc., each one being adopted based on the type of neurological disease of the patient. Inspite of all the latest advancements of technology, neurosurgery still has certain risks associated with it, which includes brain swelling, seizures, blood clotting in the brain, problems with speech, memory, balance, strokes, and many more. But when it becomes necessary, it has to be performed before the disease worsens.
Neurosurgery Cost in India
The neurosurgery cost in India is dependent on a variety of factors. The surgeon's fee, the surgeon himself, the type of neurosurgery, the hospital, tests and scans, room charges, and medical condition of the patient, all these factors together affect the cost of neurosurgery. However, the average cost of neurosurgery in India is around INR 1 lakh and the maximum cost can reach up to INR 4,50,000. This cost is a generalised picture, and is prone to fluctuate based on the aforementioned factors.
Best Neurosurgery Hospitals in India:
To get a good treatment, you need first-class facilities. Following are the best hospitals for neurosurgery in India with the facilities and treatment:
IBS Institute of Brain and Spine, Lajpat Nagar III, Sarojini Nagar, New Delhi
Artemis Hospital, Bindapur, Haryana, Gurgaon
BGS Gleneagles Global Hospitals, Uttarahalli Main Road, Sunkalpalya, Bengaluru, Karnataka
Best Neurosurgery Doctors in India:
Apart from a good neurosurgery hospital, a good neurosurgeon with all the skills and expertise is also equally vital. Below are the best doctors for neurosurgery in India:
Dr. V.P. Singh, Medanta - The Medicity, Gurgaon, Haryana.
Dr. Sanjeev Dua, Max Super Specialty Hospital, New Delhi.
Dr. R. Srinivasa, Aster CMI Hospital, Bangalore.
My Med Trip is one of the best medical tourism companies in India. We provide complete medical and healthcare services with consulting in India for patients from all over the world including South African countries like Kenya, Ethiopia, South Africa, etc. We help you in finding the best hospitals, doctors, and good accommodations at affordable costs in India. We offer Kidney, liver, lung, heart, and bone marrow transplants and treatment; shoulder replacement surgery cost in India, knee replacement surgeries, breast cancer surgery cost in India, skin cancer treatment, kidney transplant cost in India, heart transplant, bone marrow transplant cost in India, heart replacement, top heart hospital in India, knee replacement, best Kidney transplant hospital in India and so on. Source: https://mymedtrips.blogspot.com/2023/09/neurosurgery-cost-in-india.html
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gynecologytreatments · 1 year ago
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Stay hearty and healthy during pregnancy by following these simple tips
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Pregnancy marks the onset of parenthood. We often think that we only become a parent after the birth, but it really starts at conception. During the phase of pregnancy, everything we eat, drink, breathe, say, think… becomes relevant in a whole new way altogether.
You probably know some of the basics about taking care of yourself and the baby. Don’t smoke. Don’t drink. Get your rest. The list goes on and on…There are do’s and don’ts for everything. But, instead of following a set rulebook, and stressing yourself out even more, just keep in mind that staying healthy comprises of simple efforts carried out every day. Here are some handy tips, that can help ensure a safe and healthy pregnancy.
Take prenatal vitamins daily
Even when you’re still trying to conceive, it is the right time to start taking prenatal vitamins. Your baby’s neural cord, which becomes the brain and spinal cord, develops within the first month of pregnancy, so it’s important you get essential nutrients, like folic acid, calcium, and iron, from the very start. Plan an exercise chart
Staying active is a must for most moms to be. Regular exercise will help you control your weight, improve circulation, boost your mood, and help you sleep better. Pilates, yoga, swimming, and walking are all great activities for most pregnant women, but be sure to check with your doctor first before starting any exercise program. Aim for 30 minutes of exercise most days of the week. Listen to your body, though, and don’t overdo it.
Know about latest trends
Even if this is not your first child, attending a childbirth/prenatal class will help you feel more prepared for delivery. Not only will you have the chance to learn more about childbirth and infant care, but you can ask specific questions and voice any concerns. You’ll also become more acquainted with the facility and its staff. This is also a good time to brush up on your family’s medical history. Talk to your doctor about problems with past pregnancies, and report any family incidences of birth defects.
Practice Kegels
Kegels strengthen the pelvic floor muscles, which support your bladder, bowels, and uterus. When done correctly, this simple exercise can help make your delivery easier and prevent problems later with urinary incontinence. It is a very convenient and easy exercise and can be done daily.
Practice squeezing as though you’re stopping the flow of urine when you use the bathroom.
– Hold for three seconds, then relax for three.
– Repeat 10 times.
Track your weight gain
In pregnancy, the common notion is to eat for two people. But packing on too many extra kilos may make them hard to lose later. At the same time, not can gaining enough weight can put the baby at risk for a low-weight birth, a major cause of developmental problems.
Go shoe shopping
As your body grows, so may your feet. This happens due to natural weight gain throwing off your center of gravity, putting extra pressure on your feet. Over time this added pressure can cause painful over-pronation, or flatten out the feet. You may retain fluids, too, which can make your feet and ankles swell. To prevent these problems, wear comfortable shoes with good support.
Folate-rich foods are a must
Folic acid is crucial for the baby’s neurological development and vital for the creation of new red blood cells.  It is a smart choice to start eating plenty of folate-rich foods like fortified cereals, asparagus, lentils, wheat germ, oranges, and orange juice.
Recharge with fruits
Most doctors recommend limiting caffeine during pregnancy since it can have harmful effects on you and the baby. Cutting down can be tough, though, especially when you’re used to your morning cup. For a quick boost up, try nibbling on some fruit. “The natural sugars in fruits like bananas and apples can help lift energy levels.
Fly smart
According to clinical experts, mid-pregnancy, around 14 to 28 weeks, is usually the best time to fly. By this time you’re probably over morning sickness, and the risk of miscarriage or early delivery is low. Still, check with your doctor about any travel plans, and make sure the airline has no restrictions for pregnant women. While on the plane, drink plenty of water to stay hydrated, and get up and walk around every half hour to reduce the risk of blood clots. An aisle seat will give you more room and make trips to the bathroom easier.
Know when to call the doctor
Being pregnant can be confusing, especially if it is your first time. How do you know which twinge is normal and which one isn’t? According to the Centers for Disease Control and Prevention, you should call your doctor if you have any of these
symptoms:
– Pain of any kind
– Strong cramps
– Contractions at 20-minute intervals
– Vaginal bleeding or leaking of fluid
– Dizziness or fainting
– Shortness of breath
– Heart palpitations
– Constant nausea and vomiting
– Trouble walking, edema (swelling of joints)
– Decreased activity by the baby
Get regular prenatal care
Begin prenatal care as soon as your pregnancy test result is positive, when you decide you want to conceive or when you suspect you might be pregnant. You can start by seeing your regular doctor, but will likely want to transfer to a specialized prenatal care doctor as your pregnancy progresses. As long as you are undergoing a normal pregnancy (according to your doctor), your scheduled prenatal appointments should follow this timeline:
See your physician every four weeks until you are 28 weeks pregnant
See your physician every two weeks from the time you are 28 weeks to 36 weeks pregnant
See your physician once a week (or more often, as per your doctor’s instructions) after the 36th week of pregnancy
Indulge Yourself
You may think you’re busy now, but once the baby is born, you will have even fewer precious moments to yourself. Treating yourself to a pedicure/manicure, spending time with friends, or simply taking a quiet walk can help you relax and de-stress, and that’s good for both you and the baby.
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butterflyinthewell · 3 years ago
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Some stuff about wheelchair!Vegeta with headcanons everywhere:
Vegeta was chronically ill before his injury due to medical abuse by Freeza. He was meant to be stronger than Goku, but will always be a half-step behind because of this, but even he doesn’t know that.
The illness stunted his growth and damaged all his organs. He recovered with lasting damage to his heart and kidneys. Saiyajin bodies compensate for damaged organs until they no longer function, so his liver and spleens(yes two) do some of the work his kidneys used to.
He gets drunk on less alcohol than other Saiyajins because of this.
In human terms he’s in chronic heart and kidney failure. He has to be very careful taking any meds that are toxic to the heart, liver and kidneys.
A human in his condition would be dead in a week. He’s been this way for decades.
His medical rap sheet is many pages long, and he paid huge amounts of money to have his medical records sealed so Freeza wouldn’t use them against him in the future. Medicines dangerous to him due to his organ damage were listed as allergies.
The Androids caused his spinal cord injury and the violent beating left him with PTSD. He already had sub-clinical PTSD symptoms before and this incident is what made it manifest fully.
He lost his ‘little’ spleen because of them. (Which is fine, it’s like a human appendix. He needs the big one, though.)
The damage to his body made his kidneys fail temporarily, so he was put on dialysis until they spontaneously started working again.
For a short time he was a quadriplegic on a ventilator because the surgery to repair his shattered 10th thoracic vertebra caused massive swelling in his spinal cord and brain. Nobody knew if he would survive the night after surgery, and the true extent of how the spinal cord injury affected him couldn’t be assessed until the swelling went down.
Saiyajin central nervous systems swell up when their brain or spinal cord gets punctured or exposed. It’s a vestigial trait from billions of years ago when their evolutionary ancestors’ bodies became toxic to any predator trying to eat them. This “immune edema” normally isn’t survivable, so Vegeta is the first and only Saiyajin to experience it and live.
He was in a coma from May until August. Nobody knew what condition he would be in if he woke up at all. But he did, and spent a long time in a minimally conscious state before becoming alert enough to communicate.
For awhile, he couldn’t use his vocal cords even if he had a Passy-Muir valve attached, so he communicated via AAC through a tablet and a mouth switch.
The brain edema caused neurons to sheer apart. While Saiyajin brains are capable of more neuroplasticity than human brains are, he still sustained a traumatic brain injury. He was diagnosed with epilepsy (he has tonic clonic seizures) caused by scar tissue all over his brain, and it’s inoperable because of the immune edema response. He takes meds to control his seizures and only has breakthroughs when something drastically lowers his seizure threshold.
Vegeta understands epilepsy because Raditz was born with it. Raditz’s was a lot worse and no medication controlled it. (Raditz had focal aware, atonic and tonic clonic seizures. His could be triggered by strobes, but Vegeta’s aren’t.)
Raditz was shameless about his seizures. They were just a thing that happened. Vegeta, in contrast, finds it humiliating if anyone other than Bulma or Trunks sees him have one, doubly so if he wets or soils himself during it.
Raditz tended to get confused, hyperactive and giddy the day after a seizure. Vegeta is bone-tired, struggles with brain fog and has trouble with his short term memory the day after a seizure. It takes him two days to fully recover.
Once all the brain issues settled down, it became clear that Vegeta is a t10 paraplegic, but he still gets autonomic dysreflexia because Saiyajins are more easily prone to it than humans. His experience of it is also worse than humans because he goes right to high blood pressure and a pounding headache. This drops his seizure threshold and it’s a mess. The only thing to control it is stopping the pain signal that’s happening below his lesion and keeping his head above his heart until his BP goes down.
Saiyajins have redundant nerves throughout their spine, so Vegeta can feel his toes, the soles of his feet, his tail scar and some spots on his butt. He can flex his butt muscles, but can’t wiggle his toes. He has no sensation from his belly button to the tops of his feet.
He can hobble along wearing knee-ankle-foot orthotics and using forearm crutches (four point gait) because those muscles in his butt give just enough movement to initiate a leg swing while gravity does the rest. He walks therapeutically to keep his legs from completely atrophying, but prefers his chair to get around.
He’s more prone to G-LOC in the gravity room due to orthostatic hypotension. Bulma programmed the computer to check his blood pressure periodically and tell him to power up if it drops too low since powering up raises blood pressure.
He tends to have seizures if he passes out from G-LOC. His brain is very sensitive to lack of oxygen since his injury.
He can exercise and train in up to 700Gs, but can’t fight in anything above 95 because his blood pressure and unhealthy heart can’t cope. He can die of anoxia if he’s turned upside down, abruptly flipped right side up again and held there while all the blood goes to his legs.
Vegeta doesn’t measure his disability by human standards. He measures it by Saiyajin standards. To able-bodied humans he doesn’t seem all that affected by what happened, but from his perspective he’s extremely affected.
The PTSD can make him violent and quick to anger. He has flashbacks and nightmares. If he gets triggered hard enough, he dissociates to the point of memory blackout. Sometimes he has bouts of depression.
Manual wheelchairs made for humans can’t survive him. He goes to push the wheels and they fly off, or it flies apart if he powers up, or it collapses in the gravity room, so Bulma made him some Saiyajin-proof chairs.
His current wheelchair LOOKS like an ultralight rigid open frame manual wheelchair, but it actually weighs about fifty pounds and is made of similar material to his old armor and attack ball. Unlike us in the real world, he’s got a button to push that’ll poof his chair into a capsule if he’s getting in a car or something. Btw, his chair has a white frame (hanger at 90 degrees and tapered to fit his legs), a hard backing, dark blue upholstery, a silver open tube footrest, black wheels, black push rims, white spoke covers, gold casters and gold bolts.
A regular human probably wouldn’t be able to use the wheelchair at all due to its weight.
His chair can survive up to 700 Gs in the gravity room, can survive him powering up and can take direct ki blasts without falling apart. This is because the frame is solid, not hollow tubes, and the wheels are also solid so they can’t pop or go flat.
His wheels have micro-treads, but he’s got “off road” wheels with huge treads he can switch to if he’s going somewhere outdoors or muddy.
He’s gentle about moving his chair around inside the Capsule Corporation compound, but give him a straightaway with no obstacles and he can shoot himself forward at 50mph on one full-strength push.
One of his fighting moves is to knock someone down, pop a wheelie and slam his casters down on them. Sometimes he keeps going by running them completely over. This could kill an ordinary human.
He can cheat stairs by flying, but finds that annoying and will use a ramp if it’s available.
He can still fight how he used to, just no kicks or leg movement.
All the pills he has to take (extended release Tegretol for his epilepsy, Valium for when a panic attack won’t stop) require a special coating so he metabolizes it with the full benefit instead of getting all the medication in his system at once for an hour. Injected meds work on him the same as a human, though.
Morphine is the go-to pain med when he’s having AD because he metabolizes it the fastest (he sprays it on his gums) but it zonks him out so it’s literally ever only used in dire emergencies where the cause of pain can’t be found or fixed by external means. Using morphine requires he gets blood work after to check on his liver.
Trunks is the only one in the story who grew up with Vegeta in the wheelchair and seeing him being tended to by Bulma whenever his health issues came up, so all his dad’s medical stuff is normal to him. He’s a sweet helper of a kid too and will sometimes ask if he can push Vegeta somewhere.
Actually, Vegeta kinda hates being fussed over, but he feels loved when family does the fussing. If it’s anybody else, though? He gets irritable and embarrassed.
He HATES it if people touch, lean on or move his chair without permission. Gohan makes the mistake of moving the chair exactly one time and learns a really hard lesson to never do it again.
Bulma can sit in the wheelchair without asking when Vegeta isn’t in it, and sometimes she does if she’s sitting at his bedside after he had a medical issue or seizure.
VEGETA’S DISABILITY WILL NOT BE CURED, EVER, NOT EVEN WITH THE DRAGON BALLS.
Vegeta sees his wheelchair as a reminder that he survived something that killed all the other Z-fighters. It’s a source of pride, not shame!
Sometimes he refers to his wheelchair as his throne.
Wheelchair!Vegeta is sexy af.
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sweetchup · 4 years ago
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A Helping Hand
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Type: Shalnark x reader
Au?: Savior Au. Normal Au.
Word count: 5,300+ (oof, Shalnark fans are going to be well fed)
Warnings: Spoliers from Manga Chapter 357+, Blood/gore, Cursing, Bad Coworker, Character Death, PTSD, Slight Angst, Fluff, I’m not a doctor and even if I did research not everything here is going to be accurate and correct
Author note: Honestly, I should’ve spent today working on my 100 follower special but I accidentally had a intresting thought after watching the phantom troupe fighting chimera ants. So... I grew back my love for smiley boi Shalnark and I had a thought about an intresting scenario. So, you ended up with this.
(Pt.2)—>
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“You on your dinner break, (Y/n)?” Evan, your coworker says. You watch as he leans over the counter of the desk of the intensive care unit and raises an eyebrow at you as you chew on your taco salad. You squint your eyes at the man and gesture to your salad, like “seriously it’s obvious”. Evan laughs but soon let’s out a groan and stretches.
“You okay?” You say sloppily due to you still eating your salad. Afterall, you only had half an hour allowed to eat dinner before going back to work.
“Eh. Rough shift.” Evan says and Groans again as his hand massages over a specific muscle on his shoulder, “Did you hear about the situation down at Heaven’s Arena?”
You shake your head, you hadn’t heard anything today due to the number of patients you had to attend to in the intensive care unit. It was usually pretty crazy here after all. Though, there are some pretty bad cases that come into the emergency department as well, which Evan worked at, especially from Heaven’s Arena. So this wasn’t anything usual.
“Basically, there was a death match between floor masters Hisoka Morow and Chrollo Lucilfer.”
“Yeesh, so one of them came in still half alive?” You mumble, cringing at the thought. You dislike the brutality of what happens at some of the floors. It just wasn’t needed most of the time, especially with what almost happened to a boy named Gon, who Evan took care of.
“No. Worse. One of them manipulated most of the crowd and blew up the top floor so we have multiple casualties being rushed in.”
“Well, shouldn’t you be there right now?”
“Just got off shift. I’m staying, of course, just in case, but I’m waiting for them to check with the supervis—“
“Just wheel him out of here! He’s practically brain dead already!!” A screech resounds around the Intensive Care Unit as a slam of door comes after.
“But, Miss—“
“No! I said to pronounce him dead.”
You and Evan whip your head around to see what the yelling about, but you soon cringe as you see who it is. It was Sala Monodo, one of the head surgeons in charge of the Emergency Department. She was a really good surgeon but a greedy and nasty woman, along with one of the reasons why you switched from the Emergency Department to the intensive care unit.
You mumble a “what the fuck..” under your breath and place down your salad. Of course it would be this bitch to deny the ambulance crew to treat a still alive patient.
You rush around the counter and to the ambulance workers that had rolled the person down the hallway. Dale, an older worker of the Ambulance crew of the hospital, recognizes you and lets out a sigh of relief.
“Dale. What’s the situation?” You say, speed walking and examining the patient still on the stretcher. Man, this guy was in terrible condition. He was a young blonde haired man with blood just gushing from his nose. So much so he might even die from blood loss. It also didn’t help that he had lacerations and bruises on his wrists. Was this patient also caught up at the mess at Heaven’s Arena? No… there’s no burns which would have happened if he was part of an explosion.
“Young man, about mid-twenties, found hanged by his wrist at the playground downtown. No ID on him or info found in our Database. We do have a hunter’s License but that will take a while for Identification….”
Crap… that’s not good. Now, you don’t know if he takes any medication or if he’s allergic to any. On top of that we also don’t know his blood type or any past medical conditions, which will probably be useful in this situation.
“Our main problem is it seems he has a severe to moderate traumatic brain injury. Which is causing bad swelling of the brain. Along with a troubling possibility of damage to his spinal cord but that is still unconfirmed. We—“
“Dale, his heart stopped!” One of the other ambulance workers says. Fuck, that is the last thing we need right now. You quickly jump on top of the man on the stretcher as it continues to be wheeled and begin to give chest compressions.
“Dale, wheel—“ “What the hell are you doing?!?”
You glare towards Sala, still not stopping the chest compressions. “I said mark him as deceased! We are at max capacity in the Emergency room!”
You raise an eyebrow at the woman as Evan, who had sprinted over as well, jaw drops to the floor. Was this bitch serious? He’s still alive! He was breathing up until a couple of seconds ago. It also didn’t help that he needed to get him to the emergency room and you had no time to waste arguing with her. You know what… this will probably get you fired but oh well.
“Mal!” You shout as loud as you can for the Front desk women at the Intensive Care Unit. Mal, an older woman, runs out as fast as she can from a back room nearby, causing the door to slam against the wall. “Sign this patient under my name! We don’t have any identification yet so just roll with a description.”
Mal nods her head and runs in the direction of the front desk.
“You can’t do that!! He’s my patient so I say what happens!” Sala says screeching like a banshee at you. She chucks papers at you, probably the files to name this unknown man deceased. You only chuckle at her and give her a taunting look.
“Well, according to the paperwork, he’s a patient of the intensive care unit. So he’s mine now and I’m going to prove you wrong by making sure he lives.”
Sala goes to rebut but you cut her off. “Evan, pick up the papers she threw! Dale, take a blood sample and run it to the lab! I want his blood type and anything unusual. You two, wheel me to room 12, I’m going to need to get this man stable before we do a CAT scan on him.”
The other two ambulance personnel nod and turn you to that direction. Sala, unfortunately, is still chasing after you, not wanting to let this go. You give her a glare because you honestly don’t have time for this. You had just finished your thirty chest compressions so you need to give him air, fast.
Taking two fingers and you push the man’s head back to open his airway. Carefully, you put your lips on his, trying to not cringe at the sudden wetness and taste of blood, and give him two rescue breaths. You mentally sigh in relief as you watch his chest somewhat rise up at each of your breaths. That meant his airway thankfully wasn’t blocked and you could give him oxygen. Though it wasn’t lifting as much as usual which told you there was either a problem of the amount of blood blocking his airway or some being in his lungs.
You pull away from the man’s lips, yours tainted a little scarlet from his blood. You thankfully, as you lift up, lock eyes with a security personal and gesture to Sala. “Get this wacko out of here now! We have a situation!”
The security nods and grabs onto Sala who screeches and tries to fight back. Now that that was taken care of you can finally get this guy stable.
As the two ambulance personnel finally wheel you into room 12, you tell and gesture at them to leave and go. After all, they still had calls to get to and you had plenty of nurses who could help you out in a situation like this.
They thanked you and sprinted out, making sure to not bother you. Ok, so now that no one that was unauthorized was here you could try to see if you could use your Nen to try and stable him. Pulling your hands up, you close your eyes and focus. Focusing on sensing the blood in his body. Crap, your worst nightmare was true. There was blood blocking the airway through his nose and some in his lungs. Along with a conformation of swelling and too much blood in his brain. You now realize you can’t wait for a CAT scan or any other nurses to rush over here. You need to treat this man now or he will 100% be unable to be saved.
Taking some scissors from the metal tray, you carefully cut off the man’s purple tunic like shirt and his black undershirt. You throw the scissor back into the tray and put your hands in the middle of the man’s bare chest. Your heart was thumping out of your chest at the thought of not being quick enough. Come on (y/n), focus. This isn’t the time. You need to manipulate the unnecessary blood out of his body.
Taking a deep breath in, you run your hands up the man’s chest, around his neck and finally to his lips and nose. You slowly open your eyes and lift your hands away. You watch as blood in bubble-like shapes float out of the man’s nose and mouth. Swirling them all around in the air until it’s in a perfect droplet, you bend the blood over to a dish and drop it in it. Man, were you glad that you stuck to your gut and told your sensei you were going to manipulate blood. He didn’t think it was a smart choice but hey, suck it Sensei Matt. Look at how useful it is now.
After you made the blood clot the open wounds of the nose, all you had to do now, since there was no longer a risk of him drowning in his own blood or his airway possibly being blocked, you just needed to reduce the amount swelling to the brain and bring fresh oxygen throughout everything in his body to keep him alive.
Ok, you take a deep breath and raise your shaky hands. You can do this. All you needed to do was manipulate his blood throughout his whole body like a normal cycle, manipulate the blood in his heart to pump, and give him 2 rescue breaths every 30 cycles until he is stable or until blood tests come back. You can… You clench your hand in determination. No, you will do this.
————🚨📱🚨————
“What do you mean I’m wrong!?!”
You sit there rubbing your temples as you watch as one of the directors of the hospital sighs and explains how I'm not in trouble, to Sala, again. You lightly lean back in your chair and try to drown out the chaos in front of you.
It has been about a month since the incident with the 25 year old man, Shalnark, that got admitted to the hospital. Thankfully, you found out his name and age from the Hunter Association a week ago. Though it took them way too long to give it to you guys in your opinion. Along with the fact they didn’t give it to you personally and instead the department. Which gave Sala the opportunity to snoop and learn his name in order to try and get you in trouble with the Higher ups. But, it seems, due to what is going on right now, her plan has backfired. Though why wouldn’t it?! She denied a still alive man that you saved.
Afterall, Shalnark was now stable and on his way to recovering, thanks to your efforts. Though, he was currently in a coma. A big problem since you didn’t know how long he would stay that way either. But, at least since Shalnark is a skilled Nen user so he is able to heal pretty quickly and you hoped he would be able to be out of his comatose state between the next week to month. Since it seemed to be caused by brain damage.
So far while he was under your watch, with your blood manipulation you were able to heal and not cause scar tissue for most of the nerves in his spine and brain so he wouldn’t suffer from any permanent damage and be back to normal. Well…, not off the bat, he would still have to go through a lengthy recovery. One being doing some serious physical therapy sessions since he would still have to relearn a lot of his movements.
You take a sigh. Why are you worrying about this now? Well… it was probably due to the fact when you were washing him up after you saved him you saw his tattoo. A twelve legged spider. The symbol of loyalty to the phantom troupe. You haven’t told anyone, after all that would jeopardize his recovery and send hunters flooding in to try and kill him. Though—
The door suddenly slams open, startling everyone in the room. You quickly turn to see Evan, clearly out of breath, standing there.
“I’m…” Evan wheezes suddenly, “I’m so sorry Sir! But I need to tell (y/n) something. It’s important!”
The director nods his head, “Go right ahead. But, she can’t leave the room until the meeting ends.”
“Of course sir!”
Evan turns to you and smiles like a mad man. You just raise an eyebrow. What the fracking hell. Did Evan put crack cocaine in his coffee this morning or something?
“(Y/n). Shalnark is awake!”
Your jaw drops to the floor and you frantically stand up. “R-really? How’s he doing?!”
You take a gulp as you feel your throat tighten. You were scared to hear what Evan has to say. Afterall, Shalnark is the patient you have spent the most time with out of all of every patient you have ever taken care of. Mostly due to the fact he was in such a bad condition at first but, eventually, due to how you had grown attached to really wanting him to make a full recovery.
“He’s okay. He’s in a minimalistic conscious state so he’s very confused and unsure of what’s going on.”
“I-I need to check on him then. Sir, I’m sor—“
The director raises his hand to stop you from continuing and stands up. He quickly grabs some sheets of paper and hands them out to you, a small smile on his face. “No need to apologize. Just take these and go.”
“Thank you Sir!”
You take them and bow before the man. Quickly, not even bothering with taking the elevator, you rush over to the intensive care unit. Finally there, you catch yourself on the door of room 12, almost slipping past it and falling.
Panting, you look into the room to see Shalnark moving around frantically as male nurses try to hold him down. Sure, it wasn’t the best scene to see but it was at least a relief to finally see his eyes open and that he could move around.
You start to approach the bed causing one of the male nurses to notice and yell at you, “Doctor (l/n), I don’t think it’s a good idea! He crushed one of the nurse’s hands when he first woke up.”
“It’s fine, don’t worry.” You say as you finally reach the side of his bed. “Shalnark. I need you to calm down for me.”
“W-who?!” Shalnark looks around frantically but is cut off by his own wheezing. You lean over to examine his eyes and see that they are harshly dilated. So, that’s why he is hostile, he probably can’t even see.
Hesitantly, you reach over and grab the Shalnark’s hand. You squint your eyes and grit your teeth as you know what's going to happen next. You flinch as Shalnark squeezes down and breaks your hand.
Shakily, you hold up your other hand and signal the male nurses to let go of him. As soon as they let go, Shalnark frantically looks around due to being unable to see them and not knowing where they went.
“Shalnark.” You grab the man’s attention and he turns to you. You pause and take a harsh inhale as he squeezes a bit more on your hand. He might be hostile and seem angry but you can feel his hand shaking as he holds in a death grip, telling you he was confused and frightened. “Shalnark. My name is (y/n) (l/n) and the doctor that was assigned to taking care of you in the Intensive Care Unit. I apologize that I suddenly caught you off guard and touched you. You’ve been out for quite some while and had some pretty harsh injuries so I was concerned and didn’t think of the consequences. I’m not sure if you can hear or understand me but could you let go of my hand as a sign you can?”
The room goes silent as you and the other staff wait for his response. Thankfully, Shalnark hesitantly lets go of your hand.
“Thank you. Now I’m just going to put the bed into an upright position so I can examine you. I don’t want you moving your head back and forth anymore due to your injuries so I’m going to have one of the nurses bring you a cup of water so you can speak. I’m going to touch your hand, can you please squeeze it to confirm if you think you can drink some water? If not, you can take your hand away.”
You softly reach over with your non-broken hand and hold onto his. You wait for a couple of seconds before you feel Shalnark lightly squeeze down on your hand. Looking over, you nod to the nurse who grabs a cup of water and walks over.
“The nurse has a cup of water. You can’t see right?”
Shalnark squeezes your hand again.
“Ok. I’m just going to take your hand and place it on my arm. I’m going to help you drink the cup of water. Just squeeze to let me know when you have enough.”
You softly put the edge of the cup to Shalnark’s lips. You were being very careful when tilting it upwards so you don’t spill water or give him too much at once. Shalnark thankfully drinks every single last drop, though you had expected that after all it had been nearly a month since he last drank anything.
You take the empty cup away. “Can you talk, Shalnark? I don’t want to give you too much water just in case your stomach can’t handle it.”
Shalnark clears his throat a couple of times. “Y-yes… yes.”
You watch his face carefully. His speech isn't slurred and his face wasn’t lopsided, which thankfully told you the parts of his brain that deal with conversations and the movements in his face were functioning normally. You would definitely have to treat Betty to dinner for agreeing to help you by fixing his nose and taking out the scar tissue in his face and nose.
“Good. Now, I’m just going to examine you…” you trail off at the end as you are surprised. When you went to move, it caused him to lose the grip on your arm. He frantically reaches around and grabs onto your hand, thankfully not the broken one. How weird. “Are you okay?”
“Ah.” Shalnark seems embarrassed and conflicted with himself for a second, “I just can’t see. I-it’s weird and…”
“Oh. If it’s reassuring you are allowed to hold onto my hand if you want to.”
Shalnark lets out a small thank you, it’s hard to hear but you don’t press into him about it. “Well, I’m going to first test the feeling in your body. I’m going to put a little pressure on each part of your body and I want you to say if you feel any pain or not. You don’t have to move or anything, just let me know. Also, you should probably close your eyes, after all you can’t see which tells me there's a brain injury and the bright light might end up giving you a big headache later.”
Patiently, you watch as Shalnark closes his green eyes. You almost felt sad that you couldn’t see them anymore but you shake away that thought. You need to take care of him first, not worry about trivial things.
————🚨📱🚨————
“Ok so that was the last of the tests. Honestly, you’re in pretty good condition regarding your situation Shalnark.” You say as another doctor wraps your broken hand. God, Nen was always super convenient in pretty much any medical case. You didn’t even have to get stitches or surgery for your hand! Only wrapping and a warning to try to not use it too much.
“Ah I see. H-How long do you think I’ll be here for?” Shalnark says, his eyes still closed as he fidgets with your other hand. He’s been doing that for quite some time, you wondered if maybe he was nervous.
“Hmm. That’s tough to say since we don’t really have any other parts of your medical history. But, an educated guess? I would probably give you a week or two to solve the head trauma symptoms and to introduce your body back into normal food and fluids. Then, during that time and maybe a little after, I’m going to help get your arm and legs back to functioning. Finally, you will probably start some physical therapy so you can relearn how to move and make sure everything is okay. So I would say 2-3 months? Though, it might take shorter or longer depending on the way your body adapts.” You say, letting go of Shalnark’s hand to write a prescription down and handing it to the other doctor who had just finished wrapping your arm, “Derek, do you think you could run this to Mal? I’m going to need some ibuprofen for both me and him.”
“Sure thing. Need anything else?”
“Nope that’s all. Thank you.”
The door clicks lightly as Derek exits the room. You let a drag out sigh. Man, what a crazy day it was today. Almost the craziest you’ve ever had. Oh! You almost forgot. You stretch out your body like a cat from your chair to grab the papers on the counter. You completely forgot the papers that the director had given you. Let’s see…
“(Y/n)?”
You let out a humm to Shalnark to let him know you were listening.
“So, were you the one to take care of me this whole time?”
“Yep.” You flick to the next page.
“Did you happen to help me… get dressed? Bathe me?”
You turn the other page over. “Yes. Usually the nurses do it but, due to your condition, I was the only personnel trusted to do it. Don’t worry though, it’s something we do often in intensive care.”
You pause in your reading as you feel the air shift around you. You slowly look up and towards Shalnark, who for the first time since he woke up, smiled at you. A seemingly nice closed eyed smile. Though, you could tell it was anything but nice.
“You didn’t happen to see anything suspicious on my back, right?”
Ah. So that’s why. “No. I did. You're talking about the twelve legged spider tattoo, right?”
The air grows thicker around you two and you go back to looking through your papers.
“Though no one else knows, neither does it say it in your medical records. Though, I didn’t put a record for you here in the first place.”
The air suddenly stops being tense and clears up. You look up slightly from your paper before looking back down as you see Shalnark was completely blank faced. “What do you mean?”
“I didn’t put a record. You had one when you entered but I deleted it. It’s one of the many privileges you have since you have a Hunter license.”
“I know that. But, why doesn’t anyone else know? K…” Shalnark pauses for a moment, seeming to try and calm himself down, “Kortopi is dead and the police should be knocking down the door to interrogate me. Also, you know I’m part of the troupe. You should be contacting the bounty hunters and collecting the A-List bounty for my head.”
You let out a sigh and place the papers down on the bed sheet.
“Well I am a Hunter. I took the 284th Hunter’s Exam.” You cringe as you feel the room get tense again and some of Shalnark’s bloodlust leaks out. “Not that sort of Hunter. I would kill myself if I ever be came a jackpot hunter or a bounty hunter. I don’t care about money, fame or whatever.”
You take a pause and sigh again. “The Bounty Hunters or Police won’t be questioning you at all. Your friend’s tattoo was never found and I used my license to stop the police and the Hospital from thinking of questioning you or collecting any info. So, you can rest easy that you aren’t being track”
The air seems to calm down but only a little bit before it gets even tenser than before. You looked up stunned as you heard a crash and see that Shalnark had thrown something at the counter with an angry face. “Why? Huh!? Just turn me over and leave me to die! Take your reward and go! I don’t want your—“
“Will you calm down for one second!?” You yell out, breaking your composure for the first time in front of him. “If I really wanted to turn you in I would have a month ago. I don’t care for money at all! The reason…”
You trail off at the end and clench your fist. Memories of your past flashing through your thoughts. Getting all tangled with your emotions, making it harder to think. You take a deep breath and calm yourself down.
“The reason I became a Hunter is to help people, no matter who it is or what has happened. If I told anyone, and I mean anyone about who you are, that would jeopardize you getting better. I’m not turning back on a promise I made, no matter if you're part of the troupe or not, you're still my patient and I’m going to make sure you make a full recovery.”
The room goes silent and you neaten up your papers before standing up. The chair makes a harsh screech against the cold tile floors. You pause before you take a step and turn to Shalnark. His head dropped so you couldn’t see his expression. “I just read the documents my director gave me. Due to the incident with emergency care, the hospital is going to pay all of your medical bills and I’m going to have less to no patients so I can watch and take care of you during my shifts so you can make a whole recovery. It’s now the night shift so I’m officially off the clock and I’m going to go home but if you need anything you can press the button on your bed. I’ll see you tomorrow.”
You walk away from the bed and clutch your hand onto the cold door knob. Man, what a depressing way to end this. You usually could handle anything that was thrown at you, maybe you need a better night’s sleep. You haven’t been sleeping well lately after all.
“(Y/n).”
You pause your movements at Shalnark’s voice, the door somewhat still open. You almost don’t hear the next thing he says but your eyes widen as you do.
“Please. Please don’t go.”
It wasn’t that you hadn’t expected it. It was just that Shalnark’s voice sounded so small. So frightened. Like a kitten stuck out in the freezing rain. Something you hadn’t ever heard from a citizen of Meteor city and something you didn’t think you would ever hear from a member of the Phantom Troupe. A notorious gang of thieves. You slowly close the door and turn around to him.
You can’t see Shalnark’s face as you walk over to him. Slowly, you grab onto his face and turn him to look at you. You feel his face shaking in your hand and you see him clenching his eyes shut.
You hadn’t even thought of it before now. You hadn’t even thought of the possibility. But now it makes sense. He was easily startled, something that shouldn’t be easy for a thief or criminal. He was constantly on guard before examining him, during and after. He only smiled once and often spaced out. He got randomly and suddenly aggressive at times. And most importantly, he continually avoided the subject of what happened to him and when he finally told you, he didn’t remember important details of what happened. You couldn’t believe you hadn’t seen it before, Shalnark was showing classic signs of post traumatic stress disorder.
The problem is that you couldn’t do anything for it right now. Solutions for PTSD either need medications or therapy. And you currently can’t get him either. All you can hopefully do is find a way to calm him down and get him to sleep. You could talk to some of the other doctors and contact some therapist in the morning to help actually diagnose and help him, it was just too late at night for any of that right now.
“Shalnark.” You slowly rub your thumb soothingly up and down his face. His breathing hitches for a second before seeming to slowly begin to go back to normal. “I’m actually going to stay for the night. Is there anything, and I mean anything, I can do to help you?”
It’s silent for a couple of seconds and you stop rubbing his face.
“C-can you just keep on doing that?” Shalnark softly squeaks out.
“Of course. Anything else?”
“I’m… I’m good.”
“You sure? I’m going to be here the whole night so you can say anything.” It might seem weird to the average person to say anything again but you knew you needed to make sure. People with PTSD will commonly feel great feelings of guilt, shame or hopelessness and will close themselves off from people. So, you need to reassure at the beginning that Shalnark can ask you for anything and that he can trust you.
“Could…” Shalnark trails off, slightly fidgeting in front of you.
“It’s fine. You can say it. It won’t bother me.”
“Could. Could you like… hold me?”
You could tell based on how he was acting that asking for something like that was definitely not normal for him. Especially since he’s from Meteor City. Which from your experience don’t show most to any sign of affection or vulnerable feelings.
“Of course. I’m going to sit in the bed, okay?”
“Yeah…” Shalnark shuffles over, giving you room.
You slowly climb into the medical bed; it lightly creaking under your weight. Carefully you reach both hands, even your broken one, and hold onto him. You can feel him stiff under your touch and watch as he plays with and twitches his fingers.
“Shalnark. You are okay to hold me if you want. Just completely relax, No one is allowed to come into this room without my permission.”
Shalnark seems to finally break under your words and he uses his working arm to pull you into him. With some slight shuffling and moving, you are both finally comfortable and laying down. Shalnark was facing you, his face hidden in your neck as he held onto you like as if you were some sort of stuffed animal. You feel the man in your arms slowly begin to lull off to sleep as you run your fingers through his hair.
As you held the man in your arms in the dark room, you now knew that Shalnark’s recovery won’t take 3 months. Maybe physically but definitely not mentally.
But, you knew that as long as you stayed by Shalnark’s side and just helped him through it, it could be possible.
Slowly, you reach over and hold his hand in yours which he lightly squeezes back.
After all, all it takes is one helping hand.
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siempre-pedro · 5 years ago
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Put Your Head On My Shoulder
Pedro Pascal x Reader 
Summary: Everything is blissful when Pedro asks you to be his dance partner for a dance lesson he has to take for a new role, until you catch a contagious illness and have to cancel. Pedro finds a way to still dance with you and confess his feelings. 
Word Count: 2.2k
A/N: I’m obsessed with those songs but in another room videos/audio! I wrote this inspired by Paul Anka’s song...but in another room. I recommend listening to it while you read. 
Requests are OPEN
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A gentle knock of your apartment door interrupted your glamorous dinner one Monday night. You folded the corner of your magazine and took one final bite of your Lucky Charms before getting up to answer it “Coming,” you shout, your mouth sill full of cereal.
Once you open the door, you swallow your food as fast as you can, not wanting to embarrass yourself in front of your hot neighbor. You’d known Pedro for years, he had moved in next to you and sent over a plate of baked goods and a note apologizing in advance for any noise. Both of you were smitten since that day. “Did I interrupt you again?” Pedro asks, grimacing at his awful timing.
“Nah I only got to the who wore it best section this time,” you chuckle, leaning on the cold door frame and tugging your knit sweater up on your shoulder. Pedro ran his fingers through his messy brown hair and then cooly put it in his front pocket “What do you need?”
“A favor,” he responds simply, “when was the last time you danced?” You squint your Y/E/C colored eyes and your lips pucker in thought.
“Senior prom. Why?”
“I signed on to do a project, and I have to learn how to waltz,” he explains, a pink tint rising to his tanned skin. You smile softly and cross your arms over your chest, motioning him to continue. “I found a class on Friday in Midtown, will you please be my partner?”
“Why me?” you ask, trying to hide a giddy smile that was threatening to make an appearance. The man of your dreams was inviting you out and all you do was stand there and look like an idiot! He looked so nervous and precious, standing there fidgeting on his spot.
“You know I have two left feet, I trust you not to laugh at me too much,” he laughs. That was fair, he did, hen he invited you to a friends wedding you got to experience that first hand. “Please, Y/N. I need you,” he begs looks at you with pleading eyes.
“Fine, fine, fine,” you agree “Friday.”
He sighs in relief and pulls his hands from his pockets “You are my savior, Y/N. Thank you, thank you, thank you. I’ll see pick you up at 5 and we’ll take the Subway, yeah?” He plans excitedly, almost bouncing. You bit back a girly laugh and did your best to keep your calm composure.
“I’ll see you then.”
Except you wouldn’t. Tuesday and come and gone and when Wednesday came you woke up with the worst headache of your life. Your neck was so stiff it felt like you were tied to a board, and after some back and forth with yourself, you made an appointment and thankfully, they were able to see you right away. Pedro was texting you nonstop for updates and made silly jokes to calm you. Some made you giggle and others made you groan from second-hand embarrassment.
Those jokes didn’t help when your doctor stood in front of you, his clipboard under his arm, and his eyes looking stern down at you. The older looking man takes a deep breath before giving you the diagnosis “Its meningitis,” he tells you bluntly.
You blink a couple of times, cocking your head as far as it could go without it hurting…which wasn’t that far at all “Meningitis?” you repeat confused, you’d never heard of that before.
The doctor leans against the old counter and uses his free hand to press against the back of his neck “You have an infection that’s causing swelling of the membrane covering your brain and spinal cord, ” he begins to explain, and this is where your daydreams came to a rough stop “It’s highly contagious and often deadly, seizures, brain damage, hearing loss.”
Your eyes widened at the amount of emphasis he used in ‘highly’ “Oh,” was all you could say. Fuck now you were afraid you were going to die! You couldn’t tell Pedro you liked him if you were dead. “H-how bad is my case?” you ask meekly, your eyebrows turning upwards in worry.
“Thankfully we caught it early and the infection is only bacterial, I’ll be giving you the best antibiotics I can and you should come out of this with no side effects,” he tells you, taking his clipboard from his arm to start writing down a prescription. Here comes another kicker “You need to be quarantined for at least a week, no face to face interaction with other people.”
“I have a date Friday,” you say without thinking about what you just blurted out. The doctor looks up from his clipboard and gave you a look that said ‘are you serious?’
“Do you want them to get infected?”
“No.”
He laughs “Then stay home and rest. I’ll supply you with a few masks to get home, then no going out. You go to the pharmacy and go home. Got it?”
You smile at him “I do. Thank you, Doc.”
Telling Pedro you couldn’t go dancing with him may have been the hardest thing you’d ever have to do. You imagined it was going to crush him as bad as it did you. You lean back in your seat on the train, passengers saw your blue medical mask and creating a bubble around you, at least you were alone-ish. Sliding your phone out of your pocket you begin to text him ‘I’m on my way back.’
He replies almost instantly ‘How’d it go? Are you ok?’
‘I have meningitis. A brain infection basically.’
‘Jesus Christ. Are you going to live???’
‘lol yeah. I have to be quarantined for at least a week. I’m HIGHLY contagious. I can’t go with you Friday, I’m so sorry Pedro.’
Pedro’s quick responses ceased. You were constantly checking your phone every few seconds to see if he texted back. You watched your screen intensely, no pop-up messages were appearing, and when it did it was just an Instagram notification that gave you false hope. It took the actor 7 minutes to finally respond.
‘Fuck. Please don’t worry Y/N, I just really want you to get better! I’ll go to that bodega down the street and get you a few things so you don’t starve and stuff.’
Fuck this guy for taking care of you, fuck him for being sweet and nice and everything you wanted him to be. Too bad you were breaking both your hearts, you think. No Pedro was fine you assumed, just helping out a friend.
When you got back to your apartment you found two grey plastic grocery bags filled with Gatorade, semi-healthy snacks, and Tylenol you assumed. On the bag was a neon yellow sticky note ‘I hope I got you everything you needed. I’ll see you in a few days : ) – Pedro’ it read. You smiled softly to yourself and picked up the bags, ready for the lonely week ahead.
Thursday you were in the worst pain of your life, it was like that scene if Ferris Beuller’s Day Off when Cameron was in bed telling Ferris that he was dying, unable to move. That was you, 80s music and all as you laid hopelessly in your bed, surrounded by clear bottles of Gatorade and snacks that Pedro provided. Pedro himself was only adding to your pain, his constant texts asking how you were and trying to make you feel somewhat better was backfiring, you still felt terrible about the dance class. In the evening Pedro would knock on your door, leaving your mail in front of the doorstep.  Too bad you couldn’t move to get it.
Friday you were able to accomplish getting out of bed and slowly moving around your apartment. You were leaning on your kitchen counter, chicken noodle soup near boil in a silver pot in front of you. You checked the clock on your microwave ‘4:58’ it read in glowing blue letters, Pedro would be leaving at any moment. That is if he was really going of course.
He was, the door to his apartment closed loudly and a light giggle rang through the walls. You stood stiff, that was a female voice. You rushed to grab a medical mask in the living room, tugging on your gray oversized sweater and a good excuse in your mind.
Your door opened in a rush and you stood in the hallway, the speed of everything got Pedro and the woman’s attention. God she was beautiful, tall and bronzed with silky long black hair, if they needed a new Miss Universe it would’ve been her. She was your foil, you were there in sweatpants and your hair greasy hair pulled up into a high bun, a blue medical mask covering your frown but they couldn’t conceal your dark bags. “Y/n,” Pedro speaks cautiously like a man in a relationship getting caught with another woman. The tall skyscraper of a woman scans you up and down disapprovingly and you didn’t miss her taking a step back when you coughed. “This is Katerina. Kat this is Y/n.”
“Hi,” she sighs, and you simply wave at her before crossing your arms over your chest defensively. Katerina, you hated the way he said her name with that accent of his. Your heart was shattered, would rather dance with her. Your mind quickly flashed to him leaning in to kiss her while they danced, their bodies pressed together.
“What are you doing outside?” he asks you with concern.
You bit your quivering lower lip and replied in a faltering tone “I just came to get my mail.”
Pedro’s dark brown eyes look at you sympathetically “Do you need it right now?”
The tears started to form in your eyes, she probably thought you were ridden with disease “N-no.”
“Please go rest, I promise to bring it to you tonight,” he pleads.
“Pedro we need to go, the Uber’s out front,” Katerina interjects.
You didn’t say anything as he offers a guilty smile before walking off with her. Once their figures disappear down the hall you take in a sharp breath, tears falling down your cheeks. Why did you have to get sick? Why did it have to be contagious? Why did he choose her? You were so angry and jealous and it going to the window in your bedroom to watch him help her into the Uber fueled the angry green fire in your soul.
Later that night you sat on your couch brooding, that night’s rerun of Entertainment Tonight providing background noise as you angrily flipped through Vogue. Pedro would be back any moment, and you were just waiting to hear Katerina’s obnoxious giggles. Soon enough Pedro’s front door opened and shut, no exchanges of words or laughter could be heard. Maybe he did come home alone and you were worrying for nothing.
Music started to play from the apartment next to you, the 50s song you recognized from your father's collection and that one all the kids were into these days. Why was he playing it this loud? You could hear Paul Anka’s voice over Kevin Frasiers on the tv, the bass gently thumping the wall behind you.
Your phone started to ring, Pedro’s name and goofy face popped up “Pedro you’re going to have to pay another fine if you keep it this loud,” you say playfully as you answer it.
“How are you feeling?” He asks lowly.
“Better.”
“Good, stand up,” he instructs.
“W-why?”
“Do his for me Y/N, please,” he sighs.
You shrug and oblige, putting your magazine to the side and standing up in the middle of your apartment “Now what?” you inquire.
“Can you hear the music?”
“How can I not… I’m sorry, yes, yes I can,” you laugh.
“Good, now close your eyes and imagine I’m with you…we’re dancing,” he tells you and you do what he says. You smile and start slowly swaying to the song “I really wish you were with me tonight.”
“You didn’t like what’s her name as a partner?”
Pedro chuckles and closes his eyes “No she was fine. I just wish it was you… my first choice.”
“First choice?” you question.
“You’re always my first choice, Y/N.”
‘put your head on my shoulder’ you cock your head to the side and imagine your putting your head in the crook of his neck, the smell of his cologne bringing a sense of comfort. “I didn’t mean to get sick,” you confess.
“I know, I know… I’m not upset at you or anything. I just had bigger plans for this evening,” he admits, a pink tint rising to his cheeks.
“Which are?” you hum.
“I wanted to tell you that I liked you. More than a friend.” Your eyes open and you snap out of the fantasy, your heart ready to burst from your chest.
“Pedro,” you breathed, wishing he could see the blissful smile. “I’ve liked you since you moved in.”
There’s a silence on both ends, the romantic song filling the void but soon he speaks “Once your better you’ll dance with me?” he wonders.
“I promise,” you say, and the fatigue sets in, “I-I’m getting tired, I did too much today”
Pedro hums in contentment “Go to sleep, I’ll bring your mail and slide it under the door. Goodnight, Y/N.”
“Goodnight Pedro,” you whisper. As you hang up the song ends, your eyes look at the wall that divided your apartments and smiled all the way to your bed.
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kk095 · 5 years ago
Text
Last Ride
Here's my latest story! @defibresuslover247 gave me the idea and @eyesfixedanddilated gave me a few pointers along the way. I hope everyone enjoys!
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Brooke was a 22 year old with a full, busty figure, dirty blonde hair, and blue eyes. She was a southern girl, born and raised in eastern Tennessee. She was always a bit of a tomboy and enjoyed outdoor activities like hunting, fishing, and riding ATV's.
The night of the incident started off normally. Brooke’s older brother Mike had received a nice tax return that year and decided to splurge a little bit by purchasing a new ATV. Since he knew his younger sister was into riding ATV's, he invited her to try it out with him.
The two siblings went out into a vacant 20 acre lot on the outskirts of town. This particular plot of land had plenty of hills and open areas, so a lot of ATV enthusiasts in the area enjoyed riding there. When the 2 of them got there, Mike parked his blue Ford F150 along a dirt path about 50 yards or so from the road. Mike got the ATV out from the small trailer attached to the back of his truck and the riding began.
For the first hour or so, the 2 siblings were having fun in the outdoors. They were zipping up and down the hills, through the dirt paths, and had a few beers along the way. But as time went on, the drinking and lack of light once the sun set took its toll. While Brooke was riding the ATV by herself, she went was riding downhill at a high rate of speed, losing track of her speed. Her chest hits the handlebars before she goes flying off the vehicle. She lands hard on the ground, striking her head and left side of her face. While tumbling down the hill, the ATV rolls violently down the hill, stomping right over Brooke’s right femur before continuing on down. Brooke screamed at the top of her lungs, feeling her right femur snap like a twig and slightly protruding through her jeans. Brooke’s wild trip down the hill came to an abrupt stop when her left arm and ribcage smashed into the side of a tree.
“Holy shit… BROOKE?!” Mike shouted from the top of the hill after watching the event unfold in horror. “Brooke?! BROOKE?! You ok?!” Mike yells as he starts to run down the hill. At the bottom of the hill, Brooke was screaming out in agonizing pain. She could see a bone fragment penetrating through her jeans on her right thigh, and her left arm was badly broken. She felt a bit dizzy, and could the stinging from open cuts and blood on the left side of her face. Her left humerus, which broke the fall into the tree at the bottom of the hill, was swollen and had some obvious deformities. Brooke tried to get up, but she obviously couldn’t. She sat on the ground squirming and crying, begging her brother to help.
When Mike got to the bottom of the hill, he was taken aback by his sister’s injuries. He stood lorna deer in headlights for a few seconds before whipping out his cell phone to call 911. The call was transcribed as the following:
911 dispatcher: 911, what is your emergency?
Mike: I need an ambulance! My sister’s hurt real bad!
911 dispatcher: Sir, please remain calm. Can you tell me the location of your emergency?
Mike: we’re on that vacant lot off of highway 501 with all the hills and paths! You gotta hurry, I think she’s hurt bad!
911 dispatcher: alright sir, police and EMS are en route. Can you tell me what happened?
Mike: She flipped off the ATV and rolled down the hill. There’s a bone sticking out of her leg!
Due to the extent of her injuries, the 911 dispatcher instructed Mike to refrain from first aid and just stay with his sister to keep her calm. Since the vacant lot was outside of town, it was going to take the ambulance at least 10-15 minutes to arrive on scene. But with the amount of pain Brooke was experiencing, those 10-15 minutes would feel like an eternity.
When EMS arrived on scene, they found Brooke screaming and crying in agony and Mike panicking, feeling semi responsible since this was all his idea. The medics instructed Mike to step away and give them space to examine Brooke.
The medics noted a few injuries immediately: open right femur fracture, left humerus fracture, facial+head lacerations, and some bumps on her head. The medics placed a c-collar since a spinal cord injury was within the realm of possibilities. The medics then removed Brooke’s socks, shoes, and snipped off her jeans so they can reset the open femur fracture. Brooke winced in pain while the 2 medics wiggled the pants off after making a few cuts with trauma shears. Next, the medics reduced the open femur fracture, which cause Brooke to scream loudly in pain for a second. Once the bone was below the skin and somewhat in its ’s normal place, the laceration from the bone protrusion was bandaged up and the area was splinted off. The next order of business was to focus on the humerus injury. There was obvious swelling and deformity, consistent with a displaced oblique fracture within the humerus. The upper left arm was also reset and splinted, causing Brooke a great deal of pain. After the arm was treated, the medics quickly bandaged up some of the head lacerations and abrasions and began setting up 2 large bore IVs. After IV access was obtained, normal saline was hung, but the medics refrained from administering pain medications since alcohol was smelled on Brooke’s breath, and there were beer cans scattered across the ground just up the hill. Brooke’s top was then cut off, sparing her black bra and matching underwear. A 5 lead ECG with a portable heart monitor was set up to obtain readings for her vital signs. On scene, Brooke’s vitals were: BP 87/49, Pulse 121, o2 saturation 94%. Brooke was placed onto a backboard and taken over to a gurney, and taken into an ambulance.
Mike begged and pleaded with EMS to ride in the ambulance with them, but they told him he couldn’t. “THAT’S MY FUCKIN SISTER! LET ME IN!” Mike shouted belligerently. One of the cops on scene offered a compromise: since he had too much to drink, they’d drive him to the hospital.
During the first part of transport, Brooke was a little short of breath, so an o2 mask with high flow oxygen was placed. The medic in the back of the ambulance lowered their stethoscope onto the girl’s chest and listened to her heart and lungs. “heart sounds good, but we’ve got diminished breath sounds on the left. Might be a tension pneumo.” The medic announced to the driver afterwards. The medic also noted that there was swelling and bruising on the side of her chest along her left ribcage, consistent with possible rib fractures or dislocation.
Over the following 10 minutes or so, Brooke’s condition changed a bit. Her GCS dropped to 10, and became a bit disoriented. Her systolic BP dropped into the upper 70s, and her heart rate was approaching the 130s. With this in mind, the medics became concerned about a potential head injury. The medics checked her pupils: right pupil was reactive, and the left pupil (injured size) had the early stages of dynamic oval pupil. Essentially, her left pupil had a slight oval, or almond shape. This is typically associated with eye trauma, optic nerve injuries, or brain bleeds originating from the back of the head. Since there wasn’t sufficient evidence of trauma to the eyes/optic nerve, it appeared a head injury was within the realm of possibilities. “Hey, what’s our ETA? GCS dropped to 10 and we’ve got a DOP in the left eye. She needs a head CT ASAP.” The medic in the back of the ambulance called out. “ETA 4 minutes. Hang in there…” the driver replied. The ambulance continued speeding down the road, sirens on full blast while Brooke continued to struggle in the back. She was squirming around and groaning in pain. “Miss, you gotta stay still for me, ok?” the medic said calmly, attempting to reason with brooke. Brooke began crying again while fidgeting around and kicking her healthy leg out. “Miss! You gotta stay calm!” the medic said more sternly, grabbing ahold of Brooke trying to hold her in place. Brooke quickly became inconsolable and demonstrated an altered mental status. “she’s definitely got a brain bleed or something…” the medic thought to themselves. Brooke needed to stay still due to her femur fracture, and because a spinal/neck injury hasn’t been ruled out. Since there was no getting through to Brooke, the medic decided to push a round of rocuronium. This medication is a strong muscle relaxer and paralytic agent, so it’s used as a chemical restraint when patients consume alcohol since alcohol doesn’t mix well with other agents commonly used.
Within 30 to 45 seconds, Brooke was knocked out by the medication. Since she was now unconscious, the medic decided to perform rapid sequence intubation on her for airway management. With a laryngoscope in 1 hand, the medic maneuvered a 7.0 ET tube into the girl’s airway. Once it was at the correct depth and place, the tube was secured with a blue tube holder, and an ambu bag was attached. For the remainder of the ambulance ride, Brooke remained hypotensive and tachycardic, and her GCS was still bouncing between 9 and 10.
Upon arrival at the ER, the medics gave the trauma team a brief rundown of Brooke’s condition as they wheeled her into an available trauma bay. Once in the room, Brooke was transferred onto the table and examination began. She was immediately started on blood transfusions- 1 unit A+ and 1 unit O- with 250 units of rhogam, 1 unit of platelets, and 1 unit of FFP. Multiple specialists were paged for consults, including: orthopedics, neurosurgery, and trauma surgery. While waiting on the specialist to arrive for their respective consultations, initial examination began. A FAST scan was performed first. The chest portion of the exam showed trace pericardial effusion, minor to moderate abdominal bruising but nothing potentially lethal, and the pelvic section came back clean. Multiple x-rays were then ordered: the x-ray of the arm confirmed displaced oblique humerus fracture, which would likely require surgical reduction with rods and pins. The chest x-ray showed 2 broken ribs and 1 dislocated rib on the left side of the thorax, along with bruising and swelling in the intercostal area. The chest x-ray also revealed a left sided tension pneumothorax with pleural effusion, which appeared to be caused from air escaping into the chest cavity, which pinched and pressed up against the lining of the lung. The next x-ray was of the femur fracture. The fracture was quite extensive, which required surgical reduction and many months of physical therapy in order to heal properly. The x-ray of Brooke’s head showed no evidence of a c-spine fracture, but there were some contusions on the skull and there didn’t appear to be any fractures; a head CT was still necessary to get a better understanding of her head injuries.
In the meantime, the trauma team decided to do what they could for her. The first order of business was to deal with the tension pneumothorax on the left side. The treatment for this was placing a chest tube in order to evacuate any air or blood. The procedure started after the area in between her ribs was sterilized. A 1 inch incision was made in the skin, followed by an additional one to cut through any fat and underlying tissue. Once a decent opening was created, a 36fr chest tube was placed into the incision area, and navigated deep into the pleural space. There was a small amount of blood drained from the tube, but a substantial amount of air exited the tube, allowing proper lung expansion once again.
Another concern arose in the coming minutes. The lower half of Brooke’s left leg was a bit discolored and cold. Her dorsalis pedis pulse was weak, so compartment syndrome was a legitimate issue here.
When orthopedics arrived, they wanted to set up pressure monitoring in the thigh to see if compartment syndrome was indeed taking place. But the orthopedic surgeon and neurosurgeon were in a bit of a disagreement. “if we don’t monitor her leg, she could lose it!” the orthopedic surgeon said. “well if we don’t get a head CT, she could die! I’d rather her lose her leg than her life!” the neurosurgeon replied smugly. The trauma surgeon offered a compromise: a fasciotomy in the emergency department. Typically, this is a procedure reserved for the operating room, but this was an emergent situation that required a quick decision. Everyone quickly got on board and the procedure was started in a moment’s notice.
Betadine was squirted on the right thigh and the bandage was removed from the splinted compound fracture. A scalpel was used to make 2 deep, long incisions in the thigh. Once the skin was incised, the underlying fat and tissue was cut out so proper bloodflow and blood drainage could take place. Her right calf and right foot immediately became a more normal complexion, and the dorsalis pedis pulse was stronger than it was just a minute or two ago. The freshly opened area was then irrigated with saline and prophylactic antibiotics to decrease the chance of infection, and the wound was somewhat closed with the shoelace suturing technique.
After the fasciotomy, Brooke’s blood pressure began to take a rapid nosedive. Vasopressors were pushed in an attempt to increase BP to a more stable level, and more blood products were hung. While trying to maintain BP, the young woman began to have a tonic-clonic seizure on the ER table. Brooke jerked and flopped erratically, biting down on the ET tube and grunting every few seconds. Her toes clenched up, wrinkling the soles of her size 8.5 feet. To combat the seizure, the trauma team acted quickly by injecting 1 dose of lorazepam intravenously in order to stop the convulsions. It was my like the tv shows where the medicine take immediate effect. In reality, it takes about 45 seconds for the meds to kick in. In those 45 seconds or so, Brooke’s twitchy, spasmodic movements slowed down incrementally until she finally settled down and stopped seizing.
After the seizure was controlled, Brooke was covered up and transported to radiology for a head CT. The GCS drop, altered mental status, DOP, and seizure were all associated with a brain bleed. Once in the CT scanner room, Brooke was transferred into the table and hooked up to a portable ventilator since nobody could be in the room with her during the scan. Prior to the scan, she was given another dose of vasopressors to keep her blood pressure semi stable since she was hypotensive. Pupil reactivity was checked before the scan as well- left pupil was sluggish and still oval shaped, and the right pupil was constricted.
The head CT took about 8 minute to complete. The results of the scan were interpreted quickly: there was a subdural hematoma in the left temporal lobe. The size of the bleed was definitely noteworthy, so the neurosurgeon wanted to drill a burr hole to alleviate the pressure in the cranium and then monitor Brooke with an intracranial pressure monitor to see if an additional surgery would be warranted.
Once the plan was made, Brooke was once again whisked away and back to the trauma bay for a quick burr hole and ICP monitor insertion. The procedure quickly commenced upon return to the ER. A portion of Brooke’s hair was shaved off on the left side and the pasty white skin was sterilized with a small amount of betadine. The neurosurgeon took a surgical drill and drilled 2 holes. The first one was made in the left temporal area to alleviate pressure and create immediate blood drainage. Thick, gooey blood oozed out of the small, circular hole in her skull after it was drilled. The coagulated blood was suctioned out, allowing proper release of the fresh blood from the active bleed. The 2nd hole was drilled in the left parietal area. The purpose of this 2nd hole was for insertion of an ICP monitor and to allow room for additional draining in the event the bleed worsened. After hole #2 was drilled, the ICP monitor was inserted and set up by the neurosurgeon, and a few small drainage tubes were inserted to help drain additional blood in an attempt to restore normal pressure within the skull. The next step of Brooke’s treatment was to take her to the OR for surgical reduction of both her femur fracture and humerus fracture.
Up in the OR, Brooke was hooked up 5o a ventilator and prepped for surgery. The anesthesiologist had some concerns about her blood pressure before surgery, so it was advised that trauma surgery would sit in on the surgery, and have neurosurgery on standby. With her BP still low, a repeat echocardiogram showed that the trace pericardial effusion had worsened in the past little while. Before the surgery started, the trauma surgeon performed an infrasternal pericardiocentesis. The quick procedure drained a decent amount of blood and slightly improved Brooke’s vitals, buying the surgical team enough time to work on the orthopedic injuries.
The orthopedic surgeon began with the humerus fracture. The original plan was to hold the bone in place with some plates and screws, but once the doctor got in there, they noticed damage to the proximal head of the humerus. When there’s damage to that portion of the bone, they have to replace it with a titanium joint that’s held in place with screws. Essentially, it’s like a hip replacement in your arm. It’s not a common situation, but it happens every so often, and the surgical team was prepared for that curveball. Part 2 of the orthopedic surgery was the femur repair. A long, thin metal rod was inserted into the femur after the medullary cavity of the bone was essentially scooped out. With the rod in place, the fractured portions of the bone were lined up and then held in place with small plates with titanium screws. Overall, the orthopedic portion of Brooke’s treatment went well, but since she was hemodynamically unstable and required monitoring for a head injury, she was sent off to the ICU for monitoring.
Brooke’s first few hours in the ICU were uneventful, but changes started to occur overnight. Around 3am, her blood pressure began to drop once again, along with an alternating QRS complex on the EKG. The ICU nurses decided to page a rapid response since the changes were concerning. When the trauma surgeon arrived, they pushed a round of vasopressors and hung 1 unit of FFP since there may be some residual bleeding and damage. The doctor’s next order was a repeat echocardiogram to monitor the progression of the pericardial effusion. The echo showed that Brooke was experiencing cardiac tamponade, so once again, an infrasternal pericardiocentesis was the way to go. The needle aspirated a combination of both clotted blood and fresh blood, but cardiovascular function slightly improved after the procedure. Brooke’s pupils were checked afterwards; they were sluggish but reactive, and the dynamic oval pupil was slowly going away. The ICP monitor was showing normalizing pressure in the skull, so it appeared the head injury was on a slow and steady course towards healing. The main concern was the chest injury at that point.
Approximately an hour later, Brooke began to struggle once again. Her blood pressure was still low and her chest tube output decreased. Upon further investigation, it was discovered that there was a blood clot lodged inside of her chest tube. Treatment for this is disconnecting the drainage portion of the chest tube and suctioning the lumen of the tube out until normal output returns. But when the tube drainage is disconnected in trauma patients (because a larger chest tube is required), you run the risk of re-aggravating the tension pneumothorax, so this has to be done rather quickly so excess air doesn’t get into the tube or the patient’s chest cavity.
With the trauma surgeon supervising, the drainage portion of the chest tube was disconnected. A suction tube was placed into the chest tube and the chunk of clotted blood about the size of a pea was slurped out, allowing normal flow and drainage to occur once again. But even after the chest tube was reconnected, Brooke’s blood pressure was still low. A 3rd echocardiogram was ordered, showing a sizable tamponade in the lateral portion of the pericardium. With this continuing to occur, and getting worse, the trauma surgeon decided to page cardiothoracic surgery and immediately take Brooke up to the OR for an exploratory thoracotomy and pericardial window.
While wheeling Brooke out of the ICU, her blood pressure suddenly became dangerously low. “shit, she’s gonna code. We need to get her up there ASAP!” the trauma surgeon blurted out with urgency. The ICU team wheeled Brooke through the corridors at full speed and into an available elevator. No more than a second after the elevator doors shut, Brooke became pulseless. The heart monitors showed pulseless electrical activity, so ACLS protocol promptly began. One nurse began pumping away at Brooke’s bare chest. The 22 year old's chest sunk deeply from the strength of each individual compression. Her chubby body and large, natural breast jiggled around a bit while another nurse injected epinephrine and atropine into one of the IV sites.
A nurse got on top of the gurney and began straddling the young woman, delivering strong, repetitive compressions. A few moments later, the elevator doors swung open and Brooke was wheeled out and into the main hallway of the OR floor. “whoa, what happened?” one of the nurses at the main nurses station asked, surprised to see an active code out in the open.
The team continued wheeling Brooke through the hall, compressions ongoing. Once in the correct operating room, the code was paused for a moment in order to transfer the woman onto the OR table. The monitors chirped loudly while Brooke’s limp body was transferred onto the table. Once on the table, CPR was restarted by one of the surgical nurses. “oh boy… what a mess. We’re gonna have to open her up ASAP. Get me a thoracotomy tray…” the head surgeon called out as they walked into the room. Since the heart monitors still showed PEA, CPR just went on. Redness and bruising started to form on the center of her chest in between both breasts due to all the hard compressions she was receiving. There was a popping sound that occurred during each individual compression since a few of her ribs became fractured or dislocated. The nurse that delivered compressions could feel Brooke’s cold, clammy skin through her gloves while everyone else in the room was scurrying around and barking orders at each other in what seemed like a moment of organized chaos.
While the surgical techs set up a thoracotomy tray, an OR nurse pushed the next round of intravenous meds since Brooke just crossed the 4 minute mark of the code. The meds didn’t have an immediate effect, but were able to convert Brooke to v-fib after approximately 45 seconds or so. With defib pads already attached to Brooke’s bare chest, they were charged to 200j and a shock was delivered. Brooke’s limp body jolted abruptly on the table in response to the quick dose of electricity. Since no change occurred, CPR resumed for several seconds until the defibrillator pads were recharged.
Seconds later, everyone backed away from the table and a 300j shock was delivered. Brooke’s back arched, forcing her chest up in the air, making her breasts bounce around. Shock #2 failed to convert Brooke from v-fib, so the surgeon took over and made the executive decision to open her chest via a left anterolateral thoracotomy.
Betadine was splashed across the left side of Brooke’s chest in a moment’s notice. With CPR ongoing just inches away, an incision was made in the 5th intercostal space. The cut began just to the left of Brooke’s sternum and extended laterally. The incision continued under her left breast, and ultimately came to a stop a few inches away from her left armpit. The next step was to separate and cut through the underlying tissue in order to create an opening for the rib spreader. This took about 15 or 20 seconds since it was done at a hurried pace. With that out of the way, the finochietto rib spreader was placed in the gaping cut, and the actual opening of the chest began. A cracking sound was heard regularly while the knobs were turned, forcing the 22 year old’s ribs apart.
The OR team was greeted by a rush of blood from the chest cavity upon cracking the chest. Suction was applied to the area and a 2nd chest tube was inserted for additional drainage. With the excess blood out of the way, a pericardiotomy was performed. A quick cut was made into the lining of the heart, which leaked a combination of fresh blood and coagulated blood. The incision in the pericardium was extended to deliver the heart more effectively, and a few small drains were placed into the incised portion of the pericardium for continuous tamponade drainage.
After these critical first few steps, external compressions were swapped out for internal massage. One of the doctors wrapped their hands around Brooke’s heart. They pushed hard and fast in an upwards motion with both their thumbs on the left ventricle in order to force blood through the aorta and out to the body. The doctor could feel Brooke’s heart twitching in their hands as they desperately attempted to reverse the dire situation.
V-fib still persisted after a cycle of internal compressions and another dose of meds, so the internal paddles were called for. The large, spoon shaped paddles were charged to 20j and placed directly against the desperate, spasming organ. After everyone backed away, the first internal shock was delivered. A dull, wet thump was heard, followed by her torso twitching a bit. Her heart fluttered for a second from the direct jolt of electricity, but it quickly returned to its erratic spasming from before. Internal compressions were resumed while a vascular clamp was placed on the descending aorta near the diaphragm. The purpose of this is to temporarily redirect bloodflow back to the heart, brain, and lungs since those organs are most essential. After the large vessel was clamped, the internal paddles were prepped once again, and placed around each side of the young woman’s heart. Shock #2 was a but stronger at 30 joules, causing more noticeable reaction. Brooke’s torso flopped slightly and her toes curled up, wrinkling the soles of her size 7.5 feet. This shock failed to correct the deadly arrhythmia, so resuscitation efforts went on. A cycle of internal massage was performed while the internal paddles were recharged to 40j. After the paddles were good to go, the third internal shock was delivered. The same dull thump as before filled the room for a moment while Brooke’s battered body twitched on the table. The monitors began chirping again, continuing to show v-fib.
The same cycle of internal compressions, shocking and meds continued again…and again…and again, but the OR team just couldn’t get their young patient’s heart to restart. Despite a 26 minute code, Brooke passed away in the OR, with her time of death being called at 5:02am. The monitors were switched off and the ambu bag was detached. Additional equipment such as the EKG electrodes and IVs were removed in the eerily silent OR. Brooke’s naked, battered body laid on the table. Her heart sat motionless in plain sight during the basic postmortem preparations. Eventually, the chest tubes were removed, the ICP monitor was taken out, and the chest was closed up. A cover was placed over Brooke’s body, and a toe tag was placed before sending her off to the hospital morgue, bringing a sad ending to the case.
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orbitalvoyager · 4 years ago
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A Medic’s Guide to Medical Writing (Shock)
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⤹ or, in which bex teaches the basics of shock 
⤹ read the other entries of “ A Medic’s Guide to Medical Writing” 
Shock- (medically known as hypoperfusion) is defined as the condition where the circulatory system fails to provide sufficient circulation to enable every part of the body to function properly or the body is not getting enough blood flow. 
Always remember, shock is a sign, not a diagnosis. The body going into shock is its attempt to fix an underlying problem. Your body is so smart! But it doesn’t just throw itself into shock for fun, it does to try to fix something else that is happening. 
In order to understand the types of shock, you first need to understand what is the root of shock. Perfusion is the medical term that describes the circulation of blood within an organ or body tissues and it means the blood flow is meeting the adequate needs of the body. Simply, it means that the body is functioning normally. Hypoperfusion (hypo meaning “less”) is the medical term for shock because it means that the perfusion is less than adequate. 
How does this happen? 
There are three components to adequate perfusion (normal blood flow): the heart, the blood vessels, and the blood. You can remember this easily by thinking about it like so: the heart is the pump since it pumps the blood, the blood vessels are the container since they carry the blood to where it needs to go, and the blood is the substance/content. This is called the Perfusion Triangle. 
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Now how can these things cause shock? 
Heart/Pump: the heart can be damaged by a number of things, but the most common is a heart attack. Heart disease and trauma to the chest can also cause the heart to stop functioning adequately. 
Blood Vessels/Container: everything from spinal cord injury to drug use and infection can cause the blood vessels to become damaged
Blood/Substance: this is the main component that people think of when it comes to shock. Blood loss = shock. if your body is rapidly losing blood, it will divert the blood that it still has to the organs that need it the most (the heart and lungs) 
With that, there are three stages of shock:
1. Compensated- this stage means that the body is still trying hard to restore proper blood flow (like directing blood to the organs that need it). The body is trying to maintain its critical systems on its own.
2. Decompensated- the body’s attempt to restore the normal blood flow has failed. The patient will begin to deteriorate and lose consciousness. This patient needs immediate medical attention. 
3. Irreversible- shock, left untreated in any circumstance, can cause irreversible damage to the body. This is the point of no return. While yes, this patient can still be “saved”, it is likely they will not have any brain function. The end phase of this stage is death. 
Still with me? Good. I know it’s a lot, but that’s the basics. Those are the fundamentals of shock. 
Now let’s get into what you really came for: the types of shock and how they effect the human body. Shock is an umbrella term and if you watch any TV shows or movies, you only see one type of shock; but I am going to walk you through all seven types of shock. 
1. Cardiogenic - “the heart shock”
Causes: disease of the muscle tissue of the heart, heart attack, disease, or trauma 
Symptoms: Chest pain, irregular heartbeat, weak pulse, low blood pressure, cyanosis (blue discoloration of the skin) of the lips and under the nails, cool & clammy skin, anxiety, crackles/rales (crackling sound in the lungs when the patient breathes) and pulmonary edema (excess fluid in the lungs)
Treatment: allow them to lay in a comfortable position, give them high-flow oxygen, assist with their breathing if needed, and transport them immediately
2. Obstructive Shock- “the block shock” 
Causes: tension pneumothorax (the building of air in-between the chest wall and the lungs) that was left untreated, cardiac tamponade (compression of the heart due to fluid building up in the sac around the heart) and pulmonary embolism (a condition when one of more of the arteries in the lung becomes blocked by a clot). 
Symptoms: (dependent on the cause can be any of the following) rapid & weak pulse, rapid & shallow breathes, decreased lung sounds, decreased blood pressure, muffled heart tones, cyanosis
Treatment: if at an EMT level, immediately call ALS (paramedic). If at a paramedic level, some may try to administer nitroglycerin (if the shock is heart, not lung related), which opens the blood vessels. Most of the time however, obstructive shock is indicative of a deeper cardio problem that needs to be attended to by a surgeon. Administer oxygen and transport immediately. 
3. Septic Shock- “the infection shock”
Causes: severe bacterial infection
Symptoms: warm skin, fever, tachycardia (racing pulse) and low blood pressure 
Treatment: keep them warm, give oxygen, transport promptly. These patients will be the ones that accidentally cut themselves and didn’t properly clean the wound, which caused it to become infected. These patients will look very very sick, and there isn’t much EMS can do since this is a condition that requires long term care. 
4. Neurogenic Shock - “the spine/mind shock”
Causes: damage to the spinal cord. Like I’ve said before, the spinal cord is the holy grail of the body. If your brain is the computer, your spinal cord is the cords that hook the computer up to everything; if the cords are severed or damaged, the computer can’t tell what the body to do.
Symptoms: bradycardia (slow pulse), low blood pressure, neck injuries 
Treatment: make sure their airway is open and you will have to assist ventilations by inputting an airway (tube) and breath for them. Make sure to stabilize their neck and keep their spine immobilized. There is nothing you can do to fix their spine, so make sure not to cause any more damage until a surgeon can help them. Transport them quickly because one of the golden rules of medicine is “time is brain and brain is life” 
5. Anaphylactic Shock - “the allergy shock” 
Causes: extreme, life threatening allergic reaction 
Symptoms: symptoms can develop and become life threatening in seconds, mild itchng/rash, burning sensation on the skin, edema (swelling), coma, rapid death. 
Treatment: Epinephrine by the way of intramuscular injection (EpiPen), oxygen, determine what caused the allergic reaction. If the reaction is already causing the swelling of the airway to become so bad that the patient cannot breathe, a Paramedic can do a cricothyrotomy, but this is a patient that needs to be transported immediately. 
6. Hypovolemic Shock - “the blood loss shock” 
Causes: extreme blood loss
Symptoms: rapid & weak pulse, low blood pressure, altered mental status, cyanosis of the skin and lips, cool & clammy skin, increased breathing rate. 
Treatment: Try your best to control the bleeding, assist their breathing, apply oxygen, keep warm and GO. Don’t stay for any length of time, this person is bleeding out and EMS doesn’t have access to blood bags to replace that blood. This person will die soon if you don’t move quickly.  
7. Psychogenic shock - “the tv/drama/emotion shock”  
Causes: anxiety, bad news, sight of injury/blood, traumatic events, severe pain, illness, exhaustion 
Symptoms: rapid pulse, sudden low blood pressure 
Treatment: I call it the emotion shock, but this is the type of shock that is most commonly seen in tv. This is the sudden fainting at bad news and the petrified look during a traumatic incident. There is nothing inherently wrong with this patient, but they can still injury themselves if they strike their head when they fall. Stay with them, make sure they are breathing normally and time how long they are unconscious. 
Keep in mind that this is a very “broad strokes” explanation to shock. As a EMS worker, I understand all of this perfectly, but to a civilian, it can be hard to understand. 
If you have any questions or need assistance in writing a shock scene, feel free to reach out, I’ll do my best to help you!
If my explanation isn't in the exact words you need in order to understand, here are some helpful links!
Introduction to Shock: The Basics for all EMS Providers 
Let’s Talk Shock
Shock Outline 
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jerasphealth · 4 years ago
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15 Weeks Pregnant: Body Changes, What to Eat & More
15 weeks is around the second trimester of the whole gestation period.
Body changes in the expectant mother’s body.
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Weight gain-this is completely normal as the baby is going a lot more than the first trimester. Measure your weight regularly and it should be about 0.5 kg a week on average.
Enlargement of the rib cage around 2 to 3 inches to accommodate the widening of the lungs to carry more oxygen to the baby since the capacity increases.
Body pains and aches- unless they are unbearable this is completely normal. The uncomfortable pain may be a result of the growing belly that put excess pressure on the muscles and skeleton. All this to accommodate the growing fetus accompanied by the weakening of abdominal walls and increasing strain of muscles. In addition to that, hormonal levels are heightened (especially relaxin hormone) causing stretching of joints and ligaments in the body and this change correlates with back pain.
Nipples become darker and bumpier; the hormones cause the skin cell to produce more pigment. there also is the secretion of oily substance so that the nipples can become oily and soft during breastfeeding the secretion of this oil substance is due to the gland called Montgomery tubercles that are only visible during pregnancy. they are found around the nipples on the areola, they re-raised white bumps around the areola(the dark area surrounding the nipple, just like goosebumps).
Numbing, tingling Hands and feet- you’ve ever slept on your arm for a long time or sit on your leg and had that tingling feeling? That is the body’s way of telling you a particular area is not getting enough blood or you are compressing a nerve. However, this is just temporary during the second trimester and very common in the last trimester caused by carpal tunnel syndrome.
Sexual arousal(increased libido)- estrogen whose level rises during the second-trimester causes an increase of blood flow in the vulva and vagina lubrication hence heightened arousal and pleasure. The genital blood flow makes the clitoris hypersensitive. there is no harm in enjoying sex in this period is advised until the very late stages of your pregnancy.
Sensitive teeth and gums-it may be accompanied by bleeding gums especially during brushing teeth, it’s the pregnancy hormones making your gums swell hence likely to bleed. these same hormones make your sinuses to clog. If the symptoms of sinusitis are brutal seek medical help to get relieved.
Nose bleed; same thing hormonal changes cause a nose bleeds and if you are not losing a lot of blood do not be terrified as this is completely normal.
The good news is by this time nausea and vomiting symptoms are fading, unlike the first trimester, so the expectant mother is likely to get her appetite back. this is not a privilege for all women some women experience hyperemesis gravidarum which is an intense morning sickness accompanied by extreme vomiting and may require hospitalization, this may lead to complications like premature detachment of the placenta from the uterus(womb), which causes deprivation of the nutrients and oxygen to the baby. So go see the doctor!
Changes of the baby during 15 weeks of pregnancy’
From the size of kiwi fruit in week fourteen to the size of an orange or apple   fascinating right?  It is about 4.5 inches a nd weighs about 144 grams.
The outer part of the baby ears can be recognizable through the inner year continues to develop, hearing though not yet it's happening and you can start singing or read to that baby.
The skin is still translucent and vessels and skeleton can be seen, some bones like collar bone have already the development process through the bones from the hands and feet harden and become stronger this week.
Baby hair might appear on the scalp and eyebrows.
By 15  weeks the bay can make whole-body movements, their arms legs, stretch and breathing motions, they can go as far as sucking thumbs. When very still, focused and attentive some women can feel their baby moves as early as 15 weeks, they aren’t as strong as the “it kicked” during the 20- 22 weeks. these are first fetal movements and are known as “fluttering” and they are very subtle that some mothers don’t feel them at all.
FOOD A PREGNANT MOTHER IS ADVISED TO EAT AT 15 WEEKS A pregnant mother should consume a balanced diet to avoid pregnancy difficulties like high blood pressure, premature birth, preeclampsia (rise of blood pressure, swelling of face, hands, and feet. Although a balanced diet should be  some nutrients are very essential including
Protein- this is essential for the growth of the abyss brain and other tissues to grow, it also helps the growth of the mother's uterus and breasts. for every 1kg of a mother, she should aim to eat 1.52g of protein every day. So if the expectant mother is 65 kg she should eat 98.8g of protein daily. The protein foods include lean meat(low-fat content), nuts, eggs (not undercooked to avoid the risk of salmonella), fish,  and beans.
Iron; supplies oxygen to the baby and voids anemia and complications such as premature birth and pots Partum depression (feeling down after giving birth) is a mental health condition. The foods containing iron are meat (lean), green vegetables, groundnuts, cashew nuts, bread, cereal foods. Iron from animal products is absorbed way faster than that from plants. For those who are vegans  foods rich in vitamin c like oranges are highly advisable
Fluids- pregnant women need to stay hydrated at all times (8-12glasses a day). Water is essential for the formation of amniotic fluid, carries nutrients and wastes to and fro respectively, produces extra blood, lack of water can cause premature labor, neural tube defects reduced milk production, and low amniotic fluid. Stay hydrated queens!
Calcium &folic acid- calcium helps to strengthen a baby's bones and teeth and improves its circulatory system. Folic acid prevents neural tube defects (birth defects of brain, spine, or spinal cord including spina bifida which is the failure of the baby’s spinal cord to develop properly and anencephaly which is a baby born with brain or incomplete skull and normally becomes stillborn or dies few hours after being born), reduces risks of premature labour.No expectant mother wants any of that to happen to her baby. So take these calcium foods which include dairy, eggs, sardines, and salmon (with bones), fruit juices and greens, and foods containing folic acid include oranges, grains, green vegetables, cereals, and legumes.  The folic acid increment is available as one may not get enough from foods.
Vitamin D and fatty acids – like calcium vitamin d  in building the baby’s bones and teeth.it is not present in many foods but can be obtained from the morning sun even though the body generates it's own vitamin D. Cereal and milk, egg yolk, beef liver, cheese 9 just to mention a few the supplements can be obtained especially fr those who live in polar regions. Fatty acids support the heart, brain, and eyes, prevent premature labor, increase birth weight, and reduces the risk of the mother falling into depression. Vegetable oils, fruits, nuts animal fats, are some of the sources of fatty acids.
N.B
Alcohol in the first trimester can cause the baby to have abnormal facial features however alcohol deprives growth and cause harm to the central nervous system, refrain from it at all costs!
Do not smoke
! It causes baby defects like the sudden death of infant syndrome or cleft lip or cleft palate( this is an opening on the baby's lip or in the roof of her mouth. Of course, it can be treated but if you can avoid it you should.
Working out is good as it helps reduces aches, bloating and constipation helps a woman to sleep better. It also helps one to have a normal delivery, without unnecessary complications. Avoid being idle unless strictly advised by the doctor to have a bed rest. Almost there queens, a new life is about to join yours!.
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donkeygold39 · 4 years ago
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Ultraformer 3 Hifu Face Lifting & Contouring As Well As Skin Firm Procedure Clinically Verified.
Botox Treatment Option - Obtaining The Most Effective Component For Your Money.
Content
What Is Hifu Therapy For Face?
Just How Much Does Hifu Expense?
Book An Appointment.
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the glabellar area is the location of room in between the brows and above the nose. Botox shots are offered between the eyebrows to restrict the look of frown lines and creases because area. In many cases, it is advised that you not obtain botox treatment for TMD. The factor for this is since botox is viewed as equally as harmful as surgical procedure as a result of it being a toxic substance. Some specialists claim botox needs to be utilized for TMD patients as a last resource. Different steps like chewing softer foods and talking much less are additionally advised. According to a botox for bruxism research, Dr. Joseph Jankovic, an elderly scientist, and teacher of neurology at Baylor College of Medicine in Houston thinks botox ought to be the treatment of selection.
Sometimes preventative measures will ignite your passion and turn you away from an actual therapy that will aid you long term. The following examples serve while you are trying to identify the best route of treatment or alongside your botox therapy, yet alone they will certainly not suffice. Botox will be injected directly into the problemed masseter muscle triggering it to loosen up debilitating its stamina. As you repeatedly proceed this process with your doctor's recommendations, with time the masseter muscle mass will certainly decrease in size.
What Is Hifu Therapy For Face?
Asides the normal discomfort that is expected from inserting a needle into any kind of component of the body, a shot of Botox does not trigger more than a pinch or sting. The mechanism of action of Botox is primarily the same for all the problems the drug is used for.
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The Botulinum toxic substance is utilized to decrease fine lines and also wrinkles and also injected in very little focus right into the desired area by your expert utilizing a syringe as well as a small needle. Botox ® enables specialists to essentially deal with both dynamic creases, those seen throughout muscle contraction, as well as static creases, those which show up at remainder. Botox is authorized for the treatment of serious underarm sweating in people 18 years and older. It is just used when treatment with topical representatives and also antiperspirants have verified inefficient. The safety and security or effectiveness of making use of Botox in dealing with too much sweating in position apart from the underarms has actually not been developed.
How Much Does Hifu Cost?
He has an engineering history along with being a very skilled dental practitioner; additionally, he discusses incredibly well and also clearly works to the highest standard. ' It's completely pain-free' needs to rank as one of the most informed hinge on background. So usually, nurses trying to be kind have actually told us or our children that an injection will not injure a little bit. Lot of times the declaration ends up being credible, as just slight pain is really felt. Botox injection has to fall under often times in this conversation. Under regular scenarios, conjecturing of Botox has actually not been associated with modest discomfort, talk less of severe discomfort.
This central sensitization takes place at several degrees of CNS starting with the spinal cord nerve cells as well as complied with by the brain stem, thalamic, and also cortical degrees. There is evidence from molecular biology, electrophysiological examinations, and neuroimaging researches that pathological problems associated with chronic low back pain can generating main sensitization. In conditions such as herniated disc or trauma, DRG and also spine nerve injuries bring about the generation of ectopic discharges in DRG neurons causing hyperexcitability of spine sensory nerve cells. Multifidus musclefills up the groove in either side of the back processes of the vertebrae from the sacrum to the coccyx. In the back area, its fibers affix to mamillary procedures of all back vertebrae.
Publication A Consultation.
You ought to wrap the ice in a towel before using it on the affected location with minor pressure. Owing to a childhood in Scotland years ago and years of taking a trip as well as an injury to my jaw from a climbing up accident, I have actually needed to see well over 20 dental experts throughout my life. I have experience of dentists in several nations and work has actually included implants as well as various other rather complex job. When I saw Dr Vahid at Bayswater, he created a thorough strategy, that included some aesthetic work as I wanted to look my ideal for my marriage a couple of months ago. Not only did he explain every stage of the strategy but he listened thoroughly to what I wanted or believed I desired and also adjusted accordingly. His cosmetic job was outstanding and also the other work that he did on dental care that was failing was the very best I have ever experienced.
Multifidus muscle mass, like facet joints, are innervated by the median branch of the dorsal ramus of the spinal nerves. The lumbosacral area contains a variety of muscular tissues prepared at different degrees. These muscular tissues stabilize the back as well as permit activity of the reduced back in various instructions.
Hifu: A Quick Overview.
The mind manages all the activities in the body by the action of nerves which bring chemical signals. Sweat is produced by the gland after receiving a chemical signal from the brain. Administration of Botox to the underarm area momentarily obstructs the transmission of signals from the mind to the gland existing in the armpit. This quits sweat production in that area for the period through which the Botox shot acts. By infusing botulinum toxic substance in the treated location, it simply quits the acetylcholine launch. This, consequently, means that acetylcholine does not travel down the nerves and therefore can not affix itself to receptors on the muscle cells-- thus combating muscle cells tightening. It is then connected to receptors on the cells of the muscle, producing muscle cell tightening.
What is the most effective non surgical face lift?
The best non-surgical facelift device using ultrasound is Ultherapy. There are many device options for RF treatments. there are online Non surgical facelift Berkshire deliver energy internally using a small probe placed under the skin. Another form of energy used to tighten the neck skin is ultrasound.
In pet studies, peripherally injected rimabotulinumtoxinB obstructs launch of substance P from DRG and also dorsal horn neurons and lowers dorsal horn neuronal activation (c-Fos) stimulated by formalin injection. In chronic pain states, peripheral sensitization because of accumulation of discomfort arbitrators and inflammatory agents causes central sensitization that is believed to add to discomfort chronicity.
Liquid Facelift Therapy Alternatives Readily Available In Cardiff.
The vast majority of cases of LBP are self-limiting and also settle within a few weeks. Nonetheless, approximately Collagen restoration Facelift Bedfordshire to 10% of people can have consistent signs connected with mental illness and also special needs. Several therapy alternatives are readily available, yet regardless of this, numerous people are incapable to attain sufficient alleviation as well as look for various healing methods. Sanitation of the treated areas might be necessary to stop infection. The injury brought upon on the injection site is always tiny as well as should not take more than a day to recover up. Within the 24-hour duration, you must not touch your confront with unwashed hands. If you start feeling relentless pain or notification too much swelling or soreness in the injection area, using a cold pack must make your symptoms disappear.
Focal Ultrasound Ablation Demonstrates Utility as Primary Therapy in Prostate Cancer - OncLive
Focal Ultrasound Ablation Demonstrates Utility as Primary Therapy in Prostate Cancer.
Posted: Tue, 15 Sep 2020 07:00:00 GMT [source]
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bananashemmo · 5 years ago
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Meningitis
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Pairing: Y/N/Ex-husband!Ashton
Rating: All (But this can get a little angsty)
Request: No
Words: 4.500+
Summary: Ashton flies all the way from London to Sydney in a rush to support his ex-wife because their son is admitted to the hospital diagnosed with meningitis. 
With folded fingers and eyes focusing on the careful breathing coming from the white sheets, you held in your own and closed your eyes.
It was the feeling of wanting to scream and shout. Do something to give the feeling of actually doing something about the situation. Sitting in here felt like a prison, like you couldn’t escape the four walls.
Your eyes glanced towards your son Daniel, his fragile small body almost covered in the puddle of his sheet and tubings. His eyes were peacefully closed and blocked out from the terrifying situation he was suddenly put into.
You honestly couldn’t believe your own eyes.
“I’m here, I’m here.” The door burst open with a panting Ashton barely letting go of the door handle, his chest heaving up and down and his eyes searching for results.
You stood up from your chair quickly and tried not to cry. It was just as if reality hit you hard the second Ashton was pulled into the nightmare.
“Oh my god.”
Ashton was still holding onto the boarding pass from his airplane flight. It was crumbled between his long fingers and his gaze was directly pointed towards the hospital bed.
Any other moment than this you would scold at him. Not for one but many things. It was moments like these that you needed him the most. Not because you weren’t strong enough, but because your son needed both his parents in a time like this.
He let go of the door handle and approached the room. It had been quiet, the only source of sounds came from the monitor that proved that his heart was still beating. But it was slow and almost quiet. Sometimes if you closed your eyes, you couldn’t point out what was loudest.
That, or your own heart pacing for your life.
You held onto the brown bunny that was seeming to be the only thing keeping you from crashing something between your fingers. It didn’t have a name but when Daniel was younger he called it Michael.
Simply because he had gotten it from his favorite uncle.
Ashton ran a hand through his hair, the curly mess sticking to his fingers but he pulled so hard he didn’t mind ripping out pieces of his hair. He could feel his heart race as well and he looked over at you for answers.
“It’s not looking good.” You whispered below a breath.
You didn’t want to act mad at him. It didn’t make sense in a time like this but without control of emotions. You just couldn’t. You were angry, you were frustrated but with a feeling of deep sorrow.
You could compare it to a hole in your heart. The one thing that was holding it together was fighting for his own life. You couldn’t even feel his presence in the room if it wasn’t for the fact that the heart monitor was still going on.
“I talked to him on the phone yesterday, I was FaceTiming him-,” Ashton didn’t know how to finish his sentence. He was stumbling over his words.
“He said he just had a small headache and sore in his neck. I just assumed it was from swimming, he said he had been jumping on the low side again and hit the bottom.”
You quivered an eyebrow because Daniel had left out that information yesterday after his swimming practice. You shrugged off the thought and held the bunny closer to your heart.
“You’re sure it’s meningitis?”
You didn’t know what to answer. You weren’t a doctor, you couldn’t point out a statement without knowing if it was true or not.
You just didn’t want to state something at all. You couldn’t say out loud that something was wrong because that meant you had to face reality. You weren’t ready for that yet.
Just not yet.
Ashton walked closer to the bed and shrugged his hand over the white sheets. His eyes were searching desperately for his son’s, they looked identical. The same hazel effect with a hint of green. Sometimes you swore you looked into the eyes of Ashton when speaking to your son.
He was about to ask another question when the door to the hospital room opened.
“Ashton, this is Dr. Darren. He’s been helping Daniel since we arrived this morning.” You introduced and the doctor moved his hand out from his pocket to greet Ashton.
“The father, I assume.” Dr. Darren gave Ashton a second look and he nodded his head in agreement.
“I came as fast as I could,” Ashton spoke in purely honest and watched the doctor head towards the monitor. He needed to make checkups, he came every twenty minutes to see Daniel’s statement.
“Has your ex-wife explained to you about meningitis?” He asked and Ashton shook his head.
“Are you sure it’s me-,”
“The tests were positive.” Dr. Darren answered Ashton’s question before he could finish it.
Ashton’s lips folded together and he blinked twice looking over at his son. Suddenly, it was as if reality hit him. You were still standing in denial by the end of the bed.
“No, I don’t know much about meningitis,” Ashton answered defeated, placing his hands in his back pockets and had trouble keeping his eye contact with Dr. Darren.
“Meningitis is an inflammation of the membranes surrounding your brain and spinal cord. The swelling from meningitis typically triggers symptoms such as headache, fever and a stiff neck. Most cases of meningitis are caused by a viral infection, but bacterial, parasitic and fungal infections are other causes.”
“And in English?” Ashton didn’t want to come off as rude but his emotions were being torn and played with. He wasn’t the one in control of it and he felt as if he was a puppet with threads.
“Ashton.” You scolded at him quietly.
He glanced over at you, not knowing what else to say and glanced over at the doctor. He never wanted to be rude. That wasn’t like him.
Dr. Darren sighed with a sad smile. He experienced this every single day. It came with the job, some times things were happy and sometimes he brought work with him home.
“Your son has a dangerous disease which needs to be treated with antibiotics. It’s an infection in his brain which can cause various injuries if not treated in time. We’ve been giving him antibiotics since this morning when they came from their own personal doctor, but so far we can’t see the future problems.”
Ashton looked at him with serious eyes, trying to understand what was going on. He had heard about the disease before, but only on the occasions where the antibiotics had been giving too late.
“What are the percent chances?” He asked with his fingers folded and glanced over at you for a second.
He glanced back at the doctor, waiting for an answer. Dr. Darren sighed.
“Bacterial meningitis is a dangerous disease which, untreated, has a very high mortality rate, almost 100 percent. Despite the best possible treatment, 5-15 percent of the disease still dies, as the disease may develop very rapidly in some cases.”
Not the words Ashton needed to hear. He could see on your face it wasn’t a question you had asked previously. It was hard to hear those words come out from his mouth.
“In addition, 10-15 percent get severe injuries and sequelae such as amputation, epilepsy or significant hearing loss. However, if the first critical day is over, the prognosis is very good, and most of the people get out of their way.”
“You heard that,” Ashton looked over at you softly, “That are the notes we need to stick to the surface. We can’t believe in positivity if we go after the negative right away.”
You nodded your head slowly and placed your hand on the top of the sheets. You just wished that you could feel a bit of movement.
Usually, Daniel hated when you would be touching his calves. Whether it was ‘mom disease’ or just the fact that he was very ticklish you didn’t know.
“Right now his condition is stable but I can’t promise anything when he wakes up. We’ve been trying to balance pain killers with a bit of morphine just to take away the pain he was suffering from.” Dr. Darren took a look at his papers just to make sure nothing was missed.
“I will be back in the next twenty minutes. I think one of our nurses will show up to give another round of antibiotics.”
“Thank you.” You smiled gently at Dr. Darren the best you could. It was with a cut through your heart and the second he was out of the door, the corners of your mouth turned down.
You sighed so heavily you could feel it from your toes and your stomach. This was harder than anything else you had gone through.
This was harder than giving birth.
Ashton moved closer to the bed and sad on the other side from where you were sitting. He looked like someone who had a million thoughts racing but his mouth was shut close.
“I know you’re really mad at me but this was not something I couldn’t predict.”
You didn’t know you should roll your eyes by his start of a conversation. It was already going downhill.
“You left for an 8 months length tour. Traveling through Asia, Europe, and the states. No, you couldn’t predict that bad luck would suddenly hit our family and that’s not what I’m mad about.”
“What is it then?” He asked desperately but continued to have a calm voice. He didn’t want to lash out after you when you were most vulnerable.
“I’m angry that you left him. You know he loves you more than everything-,”
“I asked him to come with me and you said no.” Ashton quickly interrupted you causing you to widen your eyes.
“You wanted your eight-year-old son to travel with you across the world and skip his school?  Skip his swim classes, skip all his friends and family, not just mine but also yours living here in Sydney? Of course, he was going to say yes because all he wanted to do was to be with his father. But that wasn’t the right decision and I had to step in because you couldn’t face reality.”
You didn’t want to cry, you had been holding in the whole day but seeing Ashton here woke up so many memories. It was like you went from 50 to 90.
“He barely spoke to me for a whole week, Ashton. I felt as if he hated me. Because I was the evil mom who wouldn’t let him travel with his father. The bad mom knowing that staying home would be best for his development and life.”
Ashton looked at you by every word that came from your mouth. He could see how your voice was ready to crack and your heart was pacing quicker.
You looked over at Daniel with shiny eyes, deciding that it was not the time for crying. You could still hold it in. You didn’t need Ashton to crack you now.
“I’m sorry.” He looked at you sincerely but you shook your head.
“I’m not the one you should tell sorry.”
You glanced back at Daniel and leaned over to grab his hand. Just so carefully and you looked down at the venflon. He wore a hand glove over it, the typical one that was white and blue like a net.
He hated needles. You were so happy that he wasn’t going through the pain because he was already in and out of sleep. It made it so much easier because one thing was being a mom through hard times.
Seeing your son in pain was the worst.
He had barely noticed he was wearing it when he woke up during lunch. He didn’t seem to be awake though, he moved like a zombie. You almost couldn’t recognize him.
“Remember the last time he wore that?” Ashton asked and you nodded your head silently.
“Luke’s idea. Still probably the biggest regret.” You shook your head in disbelief by the memory.
Last time you were at the hospital with Daniel was when he was four. It was Luke’s idea of going to one of the highest mountains in LA and going on the sled. It was a mistake though that you let him use the sled on his own. When Luke pushed him he crashed right into a tree and broke his arm.
“It literally took us an hour to calm him down before getting the venflon into his veins,” Ashton remembered back and folded his hands together.
“He just hates needles. I’m not looking forward to his 12-year vaccine.” You mumbled and Ashton chuckled sadly.
You both sat in silence for a minute, attention towards the door when it opened.
“Oh my, Y/N. You still haven’t left the room?” The nurse looked at you with worried eyes.
You shook your head silently and ignored Ashton’s eyes. He did that when he was worried and especially when he was worried about you.
“For how long have you been sitting here?” The nurse was named Sandra, she looked at the both of you with worried eyes. She smiled gently at Ashton and shook his head, realizing he was an unfamiliar face.
“Since we arrived at ten. I’m impressed you are here too, shouldn’t your shift be over by now.”
“Yes, I should have left when we switched shifts at 6 p.m but I took an extra. Sometimes stories like these come closer to our hearts. I just need to be here until you are released from the hospital. You know, I usually say this to the patients that they need to eat. But you haven’t touched anything and I can still see the glass of water I served you this morning.”
You eyes glanced towards the glass and you sunk deeper into the bed.
“I’m just not thirsty.” You mumbled, looking down at the sheets and fiddled with it between your fingers.
“You haven’t been drinking or eating since morning?” Ashton looked at you almost in disbelief, his tone nice.
He looked up at the nurse in confusion and she nodded her head silently. She couldn’t force you to do to anything but you’d admit you had been very stubborn about leaving the room.
“It would be a great idea if you guys went for a walk. Just to get some fresh air or stretch your legs. It sometimes helps on the thoughts. Maybe a glass of water.” The nurse looked over at Ashton, sincerely hoping that he could convince you.
“I’m not going anywhere as long as he is sleeping. I need to be here when he wakes up.” You were trying to sound strong but your voice came off weak.
Ashton folded his hands together and moved them up to his mouth in thought.
He looked back at the nurse trying to come up with some sort of idea.
“Y/N, please.” He almost pleaded, “You need to eat something.”
“I promise you, I will be in here until you come back. If something happens, you will be the first one I call.” The nurse joined Ashton’s convincement.
You looked between them both with folded lips. You felt torn between being glued to the bed and standing up. You didn’t know if you were going to regret it, but deep down you knew it was a good idea.
“Okay,” You mumbled carefully and moved up from the bed.
Ashton smiled carefully. He was happy that you agreed to and he stood up from the bed as well.
“You promise me?” You looked over at the nurse daringly. The smallest thing could ruin your trust and you did not want to go through that.
She nodded her head and Ashton placed a hand gently on your back to follow you out of the room. Normally you would have shrugged him off but the feeling of his hand reminded you of home.
You walked out on the quiet hallway where only unused beds with plastic covering them stood placed. You could hear someone talk from down the hallway, it came from the office where they received calls.
It had become late at night which meant visitor hours were over but being on the children’s ward, parents were allowed to stay. They even agreed to give you a bed if you weren’t released before midnight.
You stopped in track when you walked past the waiting room. It was filled with navy blue empty chairs, you compared them to the same as in the airports. There was a large floor to ceiling window which showed the city.
So many beautiful city lights but nothing was appreciated tonight.
When you came down to the first floor and outside where a water foundation was standing, you could release the pain that was going through your veins.
“Do you know you’re the strongest woman I know?” Ashton said carefully and shrugged off his jacket.
“I don’t know what you’re talking about,” You shook your head and looked at him gently when he placed his jacket over your shoulders.
So many lights came from the hospital you didn’t need lights from the streetlamps.
“I honestly feel like I need a cigarette.”
“But you’ve never had a cigarette in your life?” Ashton reminded and leaned his back against the brick wall.
“Maybe I should start. I think it could help with my stress.” You ran a hand through your hair.
You didn’t have a count of how many times you had done that today. It had been pulled and pulled, mixed between being in a bun and not.
“Not after how many drunken times you’ve tried to convince Calum it was a bad habit.” He mentioned and you looked him tiredly.
He was having that look on his face where you knew you couldn’t get past him until you were feeling okay. He knew he couldn’t change the situation you were in. It was hell, it was hurtful but he tried his best to make you feel as comfortable as possible.
You looked at him with furrowed eyebrows.
“What did the boys say?” You scratched your arm carefully and looked down at the ground. The tiles were shiny, you were surprised that even outside the hospital everything was clean.
“They understood the situation. There wasn’t even a discussion. The second I mentioned something happened to Daniel, Luke already found my suitcase and helped me pack. Before I could look over my shoulder one of the managers fixed a plane ticket to Sydney.”
You nodded your head silently and watched him continue.
“I think everyone in the world would understand my situation. I know there are still 23 shows left but they are either going to be canceled or done without me. I bet if they asked a collab from All Time Low they could probably help them out to fill my spot. I don’t care. I’m not going anywhere until we know that Daniel is feeling alright.”
Ashton licked his lips and looked down at the ground as well. He was a hard time looking at you for some reason.
“How have you been?”
The question seemed dumb, Ashton could tell when it slipped past his lips. He wished he could take the question back when you looked at him with dark eyes.
“I’m a single mother trying to give my son the best life possible. Sometimes I wonder if he feels like he doesn’t have a father.” You leaned down to stand against the brick wall with your knees bent.
Ashton’s mouth twisted into a sad mine and he scratched his arm, “You don’t think he feels like that, do you?”
You looked up at him from having your knees between your legs, “Put yourself into his position and give me the answer when you’ve thought about it. I’m sure it makes sense when you reconsider the situation.”
“I talk to him almost every single day.” Ashton didn’t want to use it as an excuse but neither did he want you to accuse him of doing literally nothing.
“You know Daniel. You know he is a security addict. He needs someone close to him to know that they love him and won’t leave him behind. Don’t you remember when he was younger and the only thing he wanted was you? I couldn’t do anything right. Not even if I was the one breastfeeding him, he still wanted to be in your safe arms!”
You shook your head in disbelief and folded your lips together.
“I just can’t believe that this happened to him. He’s so full of life and wants to do something positive every single day. If he reminds me of someone, he reminds me of you. Wants to explore every single part of himself and the world. It’s just too early for him to leave. I don’t and won’t allow him to be a part of 15%.”
Ashton’s jaw clenched and he took in every word you said. He understood you were having a hard time. After the divorce, he had sleepless nights wondering how you were feeling.
“Ashton,” You looked up at him with shiny eyes.
“I’m about to break.”
At first, he furrowed his eyebrows, not knowing how to handle your statement. He assumed you had said it a couple of times today but then his eyes widened.
“Ashton, I’m breaking.” You hiccupped and moved your hands up to your face to cover it.
It took him less than a second to wrap his long arms around your form and pull you close. His heart was probably pounding as fast as yours was, but he pushed his feelings aside to be there for you.
You held onto his shirt as if life depended on it, letting the tears float without worrying about everything else around you.
You needed the feeling of comfort and even if you didn’t want to admit it to yourself, the only one who could truly comfort you would be Ashton.
He stood up from the ground with you and wrapped his hand in your hair. Carefully shrugging his hand up and down in comfort, while whispering soft words that were going to calm you down.
“It’s going to be okay, I promise you.” He moved away when you calmed down and placed his hands on your cheeks.
“You just have to trust me, okay. It’s going to be okay.”
You whimpered and looked into his eyes. It did in fact help to calm you down and you closed your eyes. Just thinking for a second and trying to compose yourself.
You felt vibrations from your phone and you quickly rushed to rip it out from your pocket.
“It’s Sandra, Daniel’s nurse.” You looked up at him with wide eyes and his lips parted.
“She says we need to come urgently.”
Ashton didn’t need to hear you finish the sentence to know what was going on.  He grabbed your hand and had a direction towards the entrance to the hospital.
“Run.”
You could barely keep up with his long legs. Ashton was running so fast you needed to hold his hand just to make sure he wouldn’t escape from you. It felt like the quickest trip to the 11th floor and when you almost crashed into the door to Daniel’s hospital room, Ashton had to place his hands on your hip.
“What’s going on?” You rushed into the room and scanned for the nurse.
Your mouth opened agape and Ashton almost knocked himself into your back when you stopped walking.
He didn’t understand why you had stopped up but that was when his eyes adverted towards the bed where Daniel was sitting up in the bed with a glass of water.
“Daniel?” You had to ask out loud just to make sure this was real.
He didn’t look fully fresh but at least he was awake. He had tired eyes, no wonder but he smiled when he saw both you and Ashton here.
“He’s awake. We just checked his system and monitors. He doesn’t need more antibiotics treatments.”
“You mean he’s cured?” Ashton asked to be sure and Sandra nodded her head in agreement.
“If you want to stay for the night you’re allowed to just for extra checks but if you want to go home you’re also allowed to do that. We just have to take one last blood example in 15 minutes.”
You nodded your head in agreement but your eyes weren’t on her. They were on Daniel and he was smiling towards you.
“Mom, I’m feeling much better than I did this morning.” He explained and you nodded your head in agreement.
“I’m so happy to hear that.” You took a seat down by the end of the bed and grabbed his hand. The one with the venflon and his eyes widened when he noticed it.
“I’ve been wearing this all day?” He asked and you laughed.
“Yes, Mrs. Sandra make a great job putting it on without you noticing.” You smiled over your shoulder where Sandra was standing, holding onto her papers with a satisfied smile.
“I’ll leave you to decide.” She started to back away and walked out of the room.
“Dad?” Daniel had to ask when he looked over at Ashton who seemed both relieved but at the same time guilty.
“Hey, bud. I missed you.” Ashton took a seat on the opposite side of you and placed his hand on the sheets.
“I missed you too.” Daniel almost whispered and looked down at the sheets.
You looked between them with furrowed eyebrows. You could tell Daniel was bothered by something.
“Are you leaving if we drive home? Because then I want to stay here for the night.”
It almost killed Ashton to hear those words. His eight-year-old son really knew how to hit him in the feels where it hurt. He folded his hands together and with a small smile, he shook his head.
“I promise you, I won’t leave you for weeks.”
“But dad, you can’t cancel your tour.” Daniel shook his head but Ashton was settled with his decision.
“I can do everything I want as long as my son feels happy. Besides, FaceTime can never beat this feeling.” He carefully caressed Daniel on the arm and smiled when he looked ecstatic.
“Can you live with mom and me? I won’t allow you to stay at a hotel.”
Ashton’s lips parted and he looked over at you with wide eyes.
“Mom, you can’t say no this is dad! You’ve been married before, it shouldn’t be weird for you to live together. He can sleep on the floor next to me if needed.”
You couldn’t help but giggle by Daniel trying to convince you. He sounded pretty fresh all of the sudden considering the late hours.
“I think we can make a few agreements and readjustments.” You nodded your head with a smile, feeling goosebumps appear on your arms by Daniel’s excited cheer.
You looked over at Ashton with blushed cheeks, mouthing a ‘thank you’ without Daniel noticing.
Ashton roamed in the seat and leaned his other arm forward to grab your hand, holding it carefully and looked back at Daniel who was starting to spill stories.
He promised it was going to be okay and you looked between them both with a smile that couldn’t compare to anything else.
Everything is okay.
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scifigeneration · 5 years ago
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Why the 'brain-eating' amoeba found in freshwater lakes – while rare – is so deadly
by Bill Sullivan
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Computer-generated representation of the amoeba Naegleria fowleri, which causes deadly brain infections. Centers for Disease Control and Prevention
Composed of a single cell, amoeba seem harmless enough: They look like playful critters waltzing under the spotlight of a microscope until they come upon a group of bacteria. Then, these previously innocuous amoeba suddenly morph into sinister blobs, engulfing the bacteria and slowly ripping them apart with a bevy of digestive enzymes. It’s hard to cry over murdered bacteria, but the digestive power of amoeba is the stuff of nightmares when it plays out in a human brain.
Infections with Naegleria fowleri, the so-called brain-eating amoeba, are extremely rare, but also extremely deadly. Only 146 cases have been reported in the U.S. since 1962, with only four surviving the infection; so there is a 97% chance of death. Sadly, on July 22, a 59-year-old North Carolina man became the first person to die of the infection this year after swimming in a lake at a water park.
I study parasites and have a particular interest in those that target the brain, which is why this amoeba captured my interest.
How N. fowleri gets into the brain
N. fowleri dwells in warm bodies of fresh water where it dines on bacteria in the sediment. As such, most infections with this amoeba in the U.S. have occurred in southern states, especially Texas and Florida, during the summer. When the sediment of a lake is disrupted, amoeba get stirred into the water. Swimmers can then inhale the parasite through their nose. From there, N. fowleri invades the olfactory nerves and migrates to the brain, where it causes a dangerous condition called primary amoebic meningoencephalitis.
While swimming in fresh water is the most likely source of this amoeba, this same organism and other species of amoeba can cause brain infections in people who use tap water instead of sterile water or saline when using the nasal-flushing Neti pot.
The brain is moist and warm, just like the lakes and hot springs where the amoeba thrives. But the brain doesn’t have bacteria for the amoeba to eat, so the organism attacks brain cells for nutrients.
The immune system does not sit idly by, however, while the parasite eats its way through the brain. It unleashes a massive swarm of immune cells to the infected zone, which causes inflammation and brain swelling. Unfortunately for the person whose brain is infected, this battle is being waged inside a sturdy skull, which cannot expand to accommodate a swelling brain. The increase in cranial pressure disrupts the brain’s connection to the spinal cord, compromising communication with other parts of the body like the respiratory system.
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Naegleria fowleri enters the brain through the nasal passage. Kateryna Kon
A stealthy and quick assassin
Symptoms can appear as early as two days, or as late as two weeks, following inhalation of N. fowleri. The first symptoms include headache, fever, nausea and vomiting, and a change in the sense of smell or taste (due to damaged olfactory nerves mentioned above). The infection rapidly progresses through the central nervous system, producing stiff neck, confusion, fatigue, loss of balance, seizures and hallucinations. Patients usually succumb to the infection within five to seven days after the onset of symptoms.
There are several reasons why N. fowleri is so deadly. First, the presence of the parasite leads to rapid and irrevocable destruction of critical brain tissue. Second, the initial symptoms can easily be mistaken for a less serious illness, costing valuable treatment time. Third, there is no quick diagnostic test for N. fowleri, and patients are often mistreated for viral or bacterial meningitis.
Finally, there are no established medications with proven efficacy against the amoeba, although miltefosine is showing promise. Compounding the problem is the fact that most drugs have trouble penetrating the brain and, as primary amoebic meningoencephalitis is a rare disease, very little research is being conducted.
It is important to keep in mind that millions of people are exposed to N. fowleri and never fall ill. Those who study this amoeba don’t know why a tiny subset of exposed individuals develop primary amoebic meningoencephalitis; they may have a genetic difference that makes them more vulnerable to the infection, or may have forcefully inhaled an overwhelming amount of the parasite.
So if you’re going swimming in warm freshwater lakes or streams, especially if you like diving or going under water, consider wearing a nose clip to help keep amoeba parasites out of your brain. Experts also advise that people avoid stirring up the sediment at the bottom of these bodies of water where the amoeba live.
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About The Author:
Bill Sullivan is a Professor of Pharmacology & Toxicology at Indiana University and author of Pleased to Meet Me: Genes, Germs, and the Curious Forces that Make Us Who We Are, 
This article is republished from The Conversation under a Creative Commons license.
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