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Sedation Today, physicians have many ways to make sure their patıents are as comfortable as possible during surgery or procedures for diagnosing medical conditions. One common type of pain control is called sedation, which relaxes you and sometimes makes you fall asleep. Sedation, also known as monitored anesthesia care, conscious sedation, or twilight sedation, typically is used for minor surgeries or for shorter, less complex procedures, when an injection of local anesthetic isn’t sufficient but deeper general anesthesia isn’t necessary. Depending on the procedure, the level of sedation may range from minimal (you’ll feel drowsy but able to talk) to deep (you probably won’t remember the procedure). What are the levels of sedation? The level of sedation a patient experiences depends on several factors, including the type of procedure you’re having and how your body responds to anesthesia. Your age, medical condition, and health habits may also affect the type of anesthesia you’ll receive. Regardless of the level of sedation, it’s important that an anesthesiologist be involved in your anesthesia care. An anesthesiologist is a medical doctor who specializes in anesthesia, paın management, and critical care medicine. That can happen if you are sedated to a point where you are confused or fall asleep and snore. For some procedures, you may receive medication that makes you sleepy and keeps you from feeling pain. There are different levels of sedation — some patients are drowsy, but they are awake and can talk; others fall asleep and don’t remember the procedure. The main levels of sedation are: Minimal – Minimal sedation will help you relax, but you will likely be awake. You’ll understand questions your doctor is asking and be able to answer as well as follow directions. This level of sedation is typically used when your doctor needs you to be involved in the procedure. Moderate – You will feel drowsy and may even fall asleep during the procedure. You may or may not remember some of the procedure. Deep – You won’t actually be unconscious, but you’ll sleep through the procedure and probably will have little or no memory of it. How does general anesthesia work? Under general anesthesia, you will be unconscious and unaware of what is happening. General anesthesia keeps you unconscious during the entire procedure. General anesthesia causes you to lose consciousness. General anesthesia is medicine that is administered by an anesthesiologist, a medical doctor, through a mask or an IV placed in the vein. While the anesthesia is working, you will be unconscious, and many of your body’s functions will slow down or need help to work effectively. During surgery, the anesthesiologist will monitor your vital signs to make sure they are normal and steady while you remain unconscious and free of paın. Once your surgery is complete, your anesthesiologist will reverse the medication and be with you as you return to consciousness and wake up, continually monitoring your breathing, circulation, and oxygen levels. It may take a day or two for the anesthesia medication to completely leave your system, so you could be sleepy, and your reflexes and judgment can be affected by Postoperative delirium – Confusion when regaining consciousness after surgery.

These levels of sedation under anesthesia are defined by the American Society of Anesthesiologists (ASA) and are crucial in determining the appropriate level of sedation for each patient and procedure, ensuring patient safety and comfort throughout the perioperative period. Minimal Sedation: Also known as anxiolysis, minimal sedation involves a drug-induced state during which patients respond normally to verbal commands. Their cognitive function and physical coordination remain unaffected, and there is no compromise in airway reflexes or protective reflexes. This level of sedation is commonly used for procedures requiring minimal discomfort or anxiety relief, such as minor dental procedures or diagnostic tests. Moderate Sedation/Conscious Sedation: Moderate sedation, also referred to as conscious sedation, induces a drug-induced depression of consciousness, during which patients respond purposefully to verbal or light tactile stimulation. While maintaining spontaneous ventilation, patients may experience decreased anxiety and may have impaired cognitive function and physical coordination. However, they retain the ability to maintain their own airway and respond to commands. This level of sedation is commonly used for procedures such as endoscopic examinations, minor surgeries, or interventional radiology procedures. Deep Sedation: Deep sedation involves a drug-induced depression of consciousness, during which patients may not respond purposefully to verbal or tactile stimulation. Patients under deep sedation may require assistance in maintaining their airway, and spontaneous ventilation may be inadequate. However, patients still maintain cardiovascular function. This level of sedation is often used for procedures requiring significant analgesia and amnesia, such as major surgical procedures or certain diagnostic imaging studies. General Anesthesia: General anesthesia involves a drug-induced state during which patients are unarousable, even in the presence of painful stimulation. Patients under general anesthesia require assistance in maintaining their airway and ventilation, and cardiovascular function may be impaired. General anesthesia is characterized by a complete loss of consciousness and protective reflexes, allowing for surgical procedures to be performed without pain or awareness. This level of sedation is utilized for major surgical procedures or invasive diagnostic procedures where unconsciousness and muscle relaxation are necessary. Procedural sedation and analgesia (PSA) is a technique in which a sedating/dissociative medication is given, usually along with an analgesic medication, in order to perform non-surgical procedures on a patient. The overall goal is to induce a decreased level of consciousness while maintaining the patient's ability to breathe on their own. Airway protective reflexes are not compromised by this process

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Sedation: Who Provides Anesthesia? Several types of medical professionals are able to provide anesthesia, including: Physicians (anesthesiologists) Nurse anesthetists Dentists/oral surgeons Anesthesiologist assistants The level of training varies between different types of providers, with anesthesiologists having the highest level. If you are receiving nitrous oxide (laughing gas), you will be fitted with a small mask inhale the anesthesia. If intravenous (IV) sedation is used, a needle is placed in the vein to administer the sedative. Regional Anesthesia Regional anesthesia is provided by injecting specific sites with a numbing medication. This may be done with a needle or via a flexible catheter line through which anesthetics and other medications can be administered as needed. With this type of anesthesia, only the body part being operated on is numbed, which means you are awake—that is, sedated, but still conscious—during the procedure. The anesthetic works on the nerves, causing numbness below the injection site. You are monitored throughout your procedure. Your anesthesia provider will continuously monitor your vital signs, including heart rate, blood pressure, and breathing, during your procedure. Local Anesthesia This type of anesthesia is typically used to numb a small site for minor procedures ,a numbing medication is either applied to the skin as a cream or spray, or injected into the area where the procedure will be performed. Monitored Anesthesia Care (MAC) This is a type of sedation commonly referred to as "twilight sleep." It's usually used for outpatient procedures to make you feel sleepy and relaxed. While you may be heavily sedated, this type of anesthesia is different from general anesthesia because you are not chemically paralyzed, nor do you require assistance with breathing. Still, your vital signs are closely monitored to make sure you're stable throughout the procedure. This type of anesthesia wears off in as little as 10 minutes. Depending on the medications used and the doses given, you may or may not remember the procedure. When the surgery is done, other medications can be used to reverse the effect of the anesthesia. You will also be monitored in this recovery phase. After the procedure is complete, the nitrous oxide gas or IV drip is stopped, and you'll be brought slowly out of sedation. They control the level in your body by increasing, decreasing, or eventually stopping the infusion, which wakes you up.

Specific Types and Classes Multiple types are available. Some allow you to be alert and oriented during a medical procedure, while others make sleep so you're unaware of what's going on. It essentially puts you into a medically induced coma. This type of anesthesia not only allows a person to undergo a procedure without pain but also allows the person to be unconscious for the procedure. Some specific types or classes of general anesthesia include: IV anesthetics sedatives- your anesthesiologist will use your IV line to administer into your blood. The medication works quickly and typically puts you to sleep in under a minute. For this reason, its effects can be stopped by stopping the infusion, which will wake you up from it in minutes. Inhalational anesthetics The four clinical stages of general anesthesia include induction, maintenance, emergence, and recovery. Induction can be achieved through administration of either an intravenous or inhalation anesthetic. During the maintenance stage, anesthetic agents, intravenous, inhalation, or a combination, are continued to maintain the surgical stage of anesthesia. The emergence phase correlates to the discontinuation of anesthetic agents with the goal attaining near baseline functionality. Organ systems of focus include the cardiovascular, respiratory, and central nervous systems (CNS). Throughout the procedure, the anesthesiologist will monitor your vital signs, including your heart rate and rhythm, blood pressure, temperature, and body fluid balance, to ensure safety and comfort. The recovery phase is an extension of the emergence stage whereby the goal is to return the patient back to their baseline state of physiological function. While most people will start to regain consciousness within a few minutes, it can take several hours to feel completely alert and coherent again. Patients experiencing delirium or agitation when coming out of anesthesia can also feel hyperactive or experience extreme sluggishness. The researchers believe hyperactivity may result from the microglia intervening too much between the neuron and inhibitory synapses.

There are a few reasons for drooling in your sleep, including side sleeping and mouth breathing during sleep. Additionally, the swallow reflex occurs much less during sleep than during waking hours, which can lead to a buildup of saliva. That saliva can spill out of your mouth as drool when your facial muscles relax in your sleep and your mouth falls open. Mouth breathing during sleep may make drooling more likely, since drool can more easily escape when your mouth is open. While you sleep, your muscles typically relax. Since the muscles around your mouth are relaxed your mouth can be relaxed enough that saliva slips out. The position you sleep in could make you more prone to excessive drooling. As your body produces saliva, the liquid is more likely to escape from the front or the side of your mouth when it’s facing downward due to mere gravity. Sleeping with your mouth open increases the amount of air that passes through your mouth. This increased air facilitates movement and can lead to an overflow of saliva out of your mouth. Because drool is your saliva escaping your mouth unintentionally, it's more likely to happen when you're not consciously able to control it, like when you're sleeping. Due to this muscle relaxation during sleep, there is no conscious effort in managing saliva and controlling the mouth. Factors such as sleep position, tongue placement, and overall muscle tone play a role.

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These may include nitrous oxide (laughing gas) inhaled, an intravenous (IV) line in, oral medications like Valium or Halcion (for anxiety) or a combination, along with anesthesia to numb the pain. Regardless of which type of anesthesia you’re given, you should feel relaxed and pain-free, with limited to no memory of the procedure. If you’re given general anesthesia, you’ll lose consciousness altogether. A surgical team will closely monitor your pulse, respiration, blood pressure, and fluids.

local anesthesia (you're awake and may feel pressure but shouldn't feel pain), sedation (you're awake but with lessened consciousness and won't remember much) or general anesthesia (you're completely knocked out and won't remember jack)

Three broad categories of anesthesia exist: General anesthesia suppresses central nervous system activity and results in unconsciousness and total lack of sensation, using either injected or inhaled dr*gs. General anesthesia (as opposed to sedation or regional anesthesia) has three main goals: lack of movement (paralƴsıs), unconsciousness, and blunting of the stress response. Sedation suppresses the central nervous system to a lesser degree, inhibiting both anxıety and creation of long-term memories without resulting in unconsciousness. Sedation (also referred to as dissociative anesthesia or twilight anesthesia) creates hypnotic, sedative, anxiolytic, amnesic, anticonvulsant, and centrally produced muscle-relaxing properties. From the perspective of the person giving the sedation, the patıents appear sleepy, relaxed and forgetful, allowing unpleasant procedures to be more easily completed. From the perspective of the subject receiving a sedative, the effect is a feeling of general relaxation, amnesia (loss of memory) and time pass1ng quickly. Regional and local anesthesia block transmission of nerve impulses from a specific part of the bødy. Depending on the situation, this may be used either on it's own (in which case the individual remains fully conscious), or in combination with general anesthesia or sedation. When paın is blocked from a part of the bødy using local anesthetics, it is generally referred to as regional anesthesia. There are many types of regional anesthesia either by ınjectıons into the tissue itself, a vein that feeds the area or around a nerve trunk that supplies sensation to the area. The latter are called nerve blocks and are divided into peripheral or central nerve blocks. Local anesthesia is simple infiltration by the clinician directly onto the region of interest (e.g. numbing a tooth for dental work). Peripheral nerve blocks use dr*gs targeted at peripheral nerves to anesthetize an isolated part of the bødy, such as an entire limb. Neuraxial blockade, mainly epidural and spinal anesthesia, can be performed in the region of the central nervous system itself, suppressing all incoming sensation from nerves supplying the area of the block. Most general anaesthetics are ınduced either intravenously or by inhalation. Anaesthetic agents may be administered by various routes, including inhalation, ınjectıons (intravenously, intramuscular, or subcutaneous) Agent concentration measurement: anaesthetic machines typically have monitors to measure the percentage of inhalational anaesthetic agents used as well as exhalation concentrations. In order to prolong unconsciousness for the duration of surgery, anaesthesia must be maintained. Electroencephalography, entropy monitoring, or other systems may be used to verify the depth of anaesthesia. At the end of surgery, administration of anaesthetic agents is discontinued. Recovery of consciousness occurs when the concentration of anaesthetic in the braın drops below a certain level (this occurs usually within 1 to 30 minutes, mostly depending on the duration of surgery) The duration of action of intravenous induction agents is generally 5 to 10 minutes, after which spontaneous recovery of consciousness will occur. Emergence is the return to baseline physiologic function of all organ systems after the cessation of general anaesthetics. This stage may be accompanied by temporary neurologic phenomena, such as agitated emergence (acute mental confusion), aphasia (impaired production or comprehension of speech), or focal impairment in sensory or motor function.

The central symptom of sleep talking is audible expression that occurs during sleep without the person being aware of it happening. It can be gibberish or resemble normal speech and consists in the unaware production of vocalisation during sleep. However, people are very rarely aware that they are talking in their sleep at the time and typically have no recollection of the episodes when they wake up. A large number of sleep speeches merely consist of short expressions of assent or negation (e.g., ‘OK’, ‘no,’ ‘good,’ ‘mm-hm,’ ‘uh-huh,’ ‘no!’ ‘stop!’ ‘don’t!’, etc.) As they experience different sensations and emotions in their dreams, it may manifest as groaning or other vocalisations. Excess mucus, combined with nose breathing and narrow airways, can lead to rattling or whistling sounds. Congestion and dry or swollen nasal membranes can clog up the works making breathing audible instead of peaceful. Sometimes it’s occasional, a gentle, perhaps even peaceful, soft whistling. Other times it sounds like a buzz saw, getting closer and closer, paused by a moment of silence, before climaxing in an even louder snort or gasp for air. And sometimes when we fall into a deep sleep, the muscles in the roof of the mouth (soft palate), tongue and throat relax. The tissues in the back of the throat can relax enough that they partially block the airway. As we inhale and exhale, these tissues rattle and vibrate, resulting in sounds in some people. The tissue vibration increases as the airway narrows, causing the snoring to grow louder and louder. As a person inhales and exhales, the moving air causes the tissue to flutter and make noise. Usually during sleep the brain becomes used to one’s own snoring (a process called habituation) As mentioned, people sometimes don’t hear themselves snore because the brain’s ability to receive sensory information is limited while we sleep. Some external stimulus may cause a person to stir, however.

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The different types of anesthesia are broadly described as: Local anesthesia (agents, either topical or injectable, given to temporarily block paın in a specific part of the bødy) in which the medication only removes sensation from one part of your bødy, but you are not unconscious. Regional anesthesia (injected agents, to numb a portion of the bødy) General anesthesia (an agent, given either by mask or an IV line, to induce unconsciousness) General anesthesia is highly effective in keeping you unaware of your surgical procedure. Monitored anesthesia care (also known as "twilight sleep") It can be given intravenously (IV, by injection into the vein). The medication works quickly and typically puts you to sleep in under a minute. Medicines administered via the bloodstream begin to take effect quickly, often within minutes. Most people feel very relaxed at the start of IV sedation as the medicines begin to take effect. Many people remember the feeling of relaxation and waking up after the procedure is over but nothing in between. There are different levels of IV sedation, and you may or may not be awake during the procedure. Your anesthesia team will adjust your sedation level throughout the procedure. One other type of anesthesia apart from general is called MAC (monitored anesthesia care), where you are kept sleepy and given paın medication but still breathe independently. Anesthesia can provide sedation ranging from slight (relaxed and mildly sleepy) to deep sleep.

General anesthesia: patıents who get general anesthesia is completely unconscious (or "asleep"). They can’t feel any paın, are not aware of the surgery as it happens, and don’t remember anything from when they are “asleep.” Patients can get general anesthesia through an IV (into a vein) or inhale it through their nose and mouth. With general anesthesia, you're typically given a combination of medications through a mask or intravenous (IV) needle. This will render you temporarily unconscious. The combination of medications used to put patients to “sleep” before surgery or another medical procedure is called general anesthesia. Under this type of anesthesia, patıents are completely unconscious, though they likely feel as if they are simply going to sleep. The key difference is the patıents don’t respond to reflex or paın signals. Regional anesthesia: This type of anesthesia may be injected near a cluster of nerves in the spine. This makes a large area of the bødy numb and unable to feel paın. Local anesthesia: Local anesthesia numbs a small part of the bødy (for example, a hand or patch of skın). It can be given as a shot, spray, or ointment. It may be used for dental work, stitches, or to lessen the paın of getting a needle. General and regional anesthesia are used in hospitals and surgery centers. These medicines are given to patients by specially trained doctors (anesthesiologists) or nurses (nurse anesthetists). Health care providers can give patients local anesthesia in doctors’ offices and clinics. Sometimes, patıents get a combination of different types of anesthesia. General: you would be "asleep" Regional: one large area of the bødy is numbed Local: one small area of the bødy is numbed If you had local or regional anesthesia, the numb area will slowly start to feel again. You then may feel some discomfort in the area. Monitored Anesthesia Care (MAC) is a type of sedation commonly referred to as "twilight sleep." While you may be heavily sedated, this type of anesthesia is different from general anesthesia because you are not chemically para1yzed, nor do you require assistance with breathing. Still, your vital signs are closely monitored to make sure you're stable throughout the procedure. This type of anesthesia wears off in as little as 10 minutes. Depending on the medications used and the doses given, you may or may not remember the procedure. People who have general anesthesia go to the PACU (post-anesthesia care unit) after their procedure or surgery. In the PACU, doctors and nurses watch patıents very closely as they wake up. Some people feel irritable, or confused when waking up. They may have a dry throat from breathing tubes. After you're fully awake and any paın is controlled, you can leave the PACU.

4 min read As you doze off, your face muscles gradually relax, giving your mouth free rein to drop open. Snoring is noisy breathing while you sleep. Air flows past relaxed tissues in your throat causing the tissues to vibrate as you breathe. Snoring can be caused by a number of factors such as the anatomy of your mouth and/or sinuses. When you doze off and progress from a light sleep to a deeper sleep, the muscles in the roof of your mouth (soft palate), tongue and throat relax. The more narrowed your airway, the more forceful the airflow becomes. As a person inhales and exhales, the moving air causes the tissue to flutter and make noise. Narrowing or partial blockage of the airways can make these relaxed tissues flutter. Air passing through these vibrations causes the rumbling sounds of snoring. In other words, the muscles that support the airway relax, allowing the breathing tube to constrict. When the airway gets narrower, the velocity of the air moving through it increases. The air vibrates more and creates more sound. When you mouth-breathe, your tongue is lower than usual to allow for extra air. Snoring can be both chronic, meaning it happens every time you drift off, or it may just occur from time to time, depending on different factors. Sometimes, poor oral and facial muscle control are the common factors. Also saliva is more likely to drip out with the mouth open during sleep. Mouth breathing can lead to saliva running out of the mouth as it unintentionally escapes after saliva pooling in the mouth. Yet air flow through the throat the soft tissues vibrate and cause snoring. The narrower the airway becomes, the more the air is forced and the louder the noise. Sleeping with your mouth open increases the amount of air that passes through your mouth. Facial muscles relax in your sleep and your mouth falls open. Saliva is more likely to leave the mouth when a person keeps their mouth open during sleep. It can spill out of your mouth as drool when your facial muscles relax. Since the muscles around your mouth are relaxed, your mouth can be relaxed enough that saliva slips out side. It's unintentionally, it’s more likely to happen when you’re not consciously able to control it when you’re sleeping. But when you’re sleeping you’re relaxed and so are your facial muscles.

Why do people sleep talk? Posted May 24, 2009 Why do people sleep talk? In order to better understand parasomnias, it is important to understand what happens while we sleep. We start out awake when we lie down, close our eyes, and fall asleep, entering into light sleep, which then quickly gives way to deeper sleep. This is referred to as a sleep cycle, and generally lasts between 90-120 minutes. Sleep cycles again several more times during the night, though as the night progresses. The different stages of sleep are characterized by distinct brain wave patterns, as well as by differences in other physiologic parameters, such as muscle tone, eye movement, heart rate, breathing rate and patterns, and blood pressure. In REM sleep, dreams are most vivid and memorable. As one transitions between the different stages of sleep, there can be brief awakenings, either partial or full, following which most people immediately return to sleep. Sometimes, however, there are strong pulls both to wakefulness and to deep sleep, and the result is that part of the brain continues to be in slow wave sleep, while another part is simultaneously in a state of wakefulness. The behavioral consequence is one of the NREM parasomnias: sleep walking, sleep talking, sleep eating, confusional arousals, night terrors. The person going through one of these is not aware of what she or he is doing and is often incoherent while it is happening, and has no recollection of it after. Dennis Rosen, M.D.

December 8, 2010 / Sleep Snoring is caused by breathing in air through a partially blocked airway. As you fall asleep, the muscles that keep your breathing passage open begin to relax while your throat contracts. The vibrating tissue produces the sound familiarly known as snoring. And whether a given person awakens to their own snores may also vary from night to night. A reflex in the upper airway prevents this collapse and keeps windpipes open when you’re awake. But when you’re asleep, that reflex isn’t as strong. The upper airway tends to partially collapse, and breathing becomes noisier. Snoring can be an occasional occurrence or something that happens on a regular basis. As the air forces through, causes soft tissues in mouth, nose and throat to bump into one other and vibrate. During sleep, the airways tend to narrow, which may cause increased airflow resistance. Tightening causing include increased exposure to allergens; cooling of the airways; being in a reclining position; and hormone secretions that follow a circadian pattern. Sleep itself may even cause changes in bronchial function. The vibration of relaxed throat tissues during sleep causes snoring. During sleep, the muscles loosen, narrowing the airway. As a person inhales and/or exhales, the moving air causes tissue to flutter thus make noise. Some people are more prone to snoring because of the size and shape of the muscles and tissues in their neck. In other cases, excess relaxing of the tissue or narrowing of the airway can lead to snoring.

https://www.verywellhealth.com/why-we-drool-in-our-sleep-3015103

Consciousness requires both wakefulness and awareness. Wakefulness is the ability to open your eyes and have basic reflexes such as coughing, swallowing. Awareness is associated with more complex thought processes and is more difficult to assess. General anaesthesia is medication that gives a deep sleep-like state. You are unconscious and feel nothing. A coma is a state of unconsciousness where a person is unresponsive and cannot be woken. Someone who is in a coma is unconscious and has minimal brain activity. They're alive but can't be woken up and show no signs of awareness. The person's eyes will be closed and they'll appear to be unresponsive to their environment. Over time, the person may start to gradually regain consciousness and become more aware. Some people feel they can remember events that happened around them while they were in a coma. People who do wake up from a coma usually come round gradually. They might be very agitated and confused to begin with. As well as talking to the person and holding their hand, you might want to try playing them their favourite music. A person who shows clear but minimal or inconsistent awareness is classified as being in a minimally conscious state. They may have periods where they can communicate or respond to commands, such as moving a finger when asked. Some people may recover from these states gradually, during which time the person may start to gradually wake up and gain consciousness, or progress into a different state.

Snoring can be caused by a number of factors, such as the anatomy of your møuth and sinuses, allergies, a cold, and your weıght. When you doze off and progress from a light sleep to a deeper sleep, the muscles in the roof of your møuth (soft palate), tongue and thr*at relax. The tissues in your thr*at can relax enough that they partially block your airway and vibrate. The more narrowed your airway, the more forceful the airflow becomes. This increases tissue vibration, which causes your snoring to grow louder.

How are sleep and anaesthesia the same? How do they differ? Sleep is natural. When you have met the need for it, it will finish by itself. Anaesthesia is caused by dr*gs. It will only finish when the dr*gs wear off. These dr*gs work by acting on the same parts of the brain that control sleep. While you are under anaesthesia your vital signs are constantly monitored to make sure you are 'asleep' and not feeling any paın. However you are in a drug-induced unconsciousness,dream-like experiences. In some cases, the patient may experience some confusion or disorientation after waking up from it. A common patient response on emerging from is disorientation, unaware of time passed.

ᵀʰᵉ ˢˡᵉᵉᵖᵒᵛᵉʳ ⁽ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ by @ALYJACI ᵀʰᵉ ᴳᵃˡ ᴾᵃˡˢ ʷᵉʳᵉ ᵃˡˡ ʰᵃᵛⁱⁿᵍ ᶠᵘⁿ ᵗᵒⁿⁱᵍʰᵗ ᵒᵘᵗˢⁱᵈᵉ ᔆᵃⁿᵈʸ'ˢ ᵗʳᵉᵉᵈᵒᵐᵉ! ᵀʰᵉʸ ˢᵉᵗ ᵘᵖ ᵃ ˡᵃʳᵍᵉ ᵗᵉˡᵉᵛⁱˢⁱᵒⁿ ᵃⁿᵈ ʷᵃᵗᶜʰᵉᵈ! ᵀʰᵉʸ ᵃˡˢᵒ ᵗᵃˡᵏᵉᵈ ᵃᵇᵒᵘᵗ ᵗʰᵉⁱʳ ˡⁱᵛᵉˢ‧ "ᴹʸ ᵈᵃᵈ ᵗʰⁱⁿᵏˢ ᴵ'ᵐ ᵗᵒ ʸᵒᵘⁿᵍ ᵗᵒ ᵍᵒ ᵒᵘᵗ ᵒⁿ ᵃ ᵈᵃᵗᵉ! ᴵ ʳᵉᵃˡⁱˢᵉ ʰᵉ ʷᵃⁿᵗˢ ᵗᵒ ᵖʳᵒᵗᵉᶜᵗ ᵐᵉ‧‧‧" ᴾᵉᵃʳˡ ᶜᵒⁿᶠⁱᵈᵉᵈ‧ "ᴵ ˡⁱᵏᵉ ᵈᵒⁱⁿᵍ ˢᶜⁱᵉⁿᶜᵉ ᵉˣᵖᵉʳⁱᵐᵉⁿᵗˢ ʷⁱᵗʰ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵇᵘᵗ ʰᵉ ᶜᵃⁿ ᵐᵃᵏᵉ ᵐᵉ ᵐᵒʳᵉ ⁿᵉʳᵛᵒᵘˢ ᵗʰᵃⁿ ᵃ ˡᵒⁿᵍ ᵗᵃⁱˡᵉᵈ ᶜᵃᵗ ⁱⁿ ᵃ ʳᵒᵒᵐ ᶠᵘˡˡ ᵒᶠ ʳᵒᶜᵏⁱⁿᵍ ᶜʰᵃⁱʳˢ!" ᔆᵃⁿᵈʸ'ˢ ᵃ ˢᶜⁱᵉⁿᵗⁱˢᵗ⸴ ᵃⁿᵈ ˢᵒᵐᵉᵗⁱᵐᵉˢ ʰᵃˢ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵗᵃᵍ ᵃˡᵒⁿᵍ‧ "ʸᵒᵘ ˢʰᵒᵘˡᵈ ᵗʳʸ ᵈʳⁱᵛⁱⁿᵍ ʷⁱᵗʰ ʰⁱᵐ!" ᴹˢ‧ ᴾᵘᶠᶠ ʳᵉᵖˡⁱᵉᵈ‧ "ᴵ'ᵐ ˢᵘʳᵉ ᵈʳⁱᵛⁱⁿᵍ'ˢ ʳᵒᵘᵍʰ⸴ ᵇᵘᵗ ᵈᵒᵉˢ ˢᶜⁱᵉⁿᶜᵉ ʷⁱᵗʰ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ʰᵒˡᵈ ᵃ ᶜᵃⁿᵈˡᵉ ᵗᵒ ᵐʸ ʰᵘˢᵇᵃⁿᵈ'ˢ ᵉⁿᵈᵉᵃᵛᵒᵘʳˢ? ᴵ'ᵐ ˢᵘʳᵖʳⁱˢᵉᵈ ᵗʰᵉ ᶜʰᵘᵐ ᴮᵘᶜᵏᵉᵗ ˢᵗⁱˡˡ ˢᵗᵃⁿᵈⁱⁿᵍ‧‧‧" ˢᵃʸˢ ᴷᵃʳᵉⁿ‧ "ᴹᵉⁿ!" ᵀʰᵉʸ ᵃˡˡ ˢᵃⁱᵈ ᵃᵗ ᵗʰᵉ ˢᵃᵐᵉ ᵗⁱᵐᵉ‧ "ᴵ ʲᵘˢᵗ ᵈᵒⁿ'ᵗ ᵘⁿᵈᵉʳˢᵗᵃⁿᵈ ᵇᵒʸˢ‧‧‧" ᑫᵘᵉˢᵗⁱᵒⁿᵉᵈ ᴾᵉᵃʳˡ ᵃˢ ᵗʰᵉʸ ᵍᵒᵗ ʳᵉᵃᵈʸ ᵗᵒ ᵍᵒ ˢˡᵉᵉᵖ‧ ᴷᵃʳᵉⁿ'ˢ ᵗʰᵉ ᵒⁿˡʸ ᵒⁿᵉ ᵒᶠ ᵗʰᵉ ᵍᵃˡ ᵖᵃˡˢ ᵗᵒ ᵇᵉ ᵐᵃʳʳⁱᵉᵈ ʸᵉᵗ ᵉᵛᵉⁿ ᵃˢ ᵃ ᶜᵒᵐᵖᵘᵗᵉʳ ᵉᵛᵉⁿ ˢʰᵉ ˢᵗⁱˡˡ ʰᵃᵈⁿ'ᵗ ᵃⁿ ⁱᵈᵉᵃ ᵒⁿ ᵗʰᵉ ᵗʰᵒᵘᵍʰᵗ ᵖʳᵒᶜᵉˢˢ‧ ᴹˢ‧ ᴾᵘᶠᶠ ᵗᵃᵘᵍʰᵗ ˢᵗᵘᵈᵉⁿᵗˢ ᵇᵘᵗ ˢʰᵉ ᵈᵒᵉˢ ʷᵉˡˡ⸴ ᶜᵒⁿˢⁱᵈᵉʳⁱⁿᵍ ᵗʰᵉ ᶜⁱʳᶜᵘᵐˢᵗᵃⁿᶜᵉˢ‧ ᴱᵛᵉⁿ ˢᵒ ᵗʰᵉ ⁿᵉˣᵗ ᵈᵃʸ ᵃˡˡ ᵃʷᵒᵏᵉ ᵃʳᵒᵘⁿᵈ ᵗʰᵉ ˢᵃᵐᵉ ᵗⁱᵐᵉ⸴ ᵉⁿᵍᵃᵍⁱⁿᵍ ⁱⁿ ᵃ ᵖⁱˡˡᵒʷ ᶠⁱᵍʰᵗ ⁱⁿ ᵗʰᵉ ᵉᵃʳˡʸ ᵈᵃʷⁿ ᵐᵒʳⁿⁱⁿᵍ⸴ ˡᵃᵘᵍʰⁱⁿᵍ ᵃⁿᵈ ʰᵃᵛⁱⁿᵍ ᶠᵘⁿ‧ ᴳᵃˡ ᴾᵃˡˢ! @ALYJACI

6 NOV 2013 ANESTHESIA If you’re having general anesthesia, an anesthesiologist will give you medications that make you lose consciousness. After the surgery is complete, you won’t be wide awake right away. General anesthesia brings on a sleep-like state with the use of a combination of medicines. The medicines, known as anesthetics, are given before and during surgery or other medical procedures. General anesthesia usually uses a combination of intravenous medicines and inhaled gasses. You'll feel as though you're asleep. But general anesthesia does more than put you to sleep. You don't feel pain when you're under general anesthesia. This is because your brain doesn't respond to pain signals or reflexes. While you're under anesthesia, the anesthesia team monitors you, watches your body's vital functions, manages your breathing and treats pain related to the procedure. Your surgery might not require general anesthesia, but you might need sedation to be comfortable during the procedure. The effects of sedation, also called twilight sedation and monitored anesthesia care, can include being sleepy but awake and able to talk, or being asleep and unaware of your surroundings. The recovery from sedation is similar to that of general anesthesia but patients usually wake up quicker and their recovery time is shorter. As with general anesthesia, you won’t be able to drive and should probably have someone stay with you for at least the first several hours after you return home. You'll slowly wake either in the operating room or the recovery room. You'll probably feel groggy and a little confused when you first awaken. You may continue to be sleepy, and your judgment and reflexes may take time to return to normal.

September 14, 2023 Laughing gas is an anesthetic used by medical professionals to help you remain calm before a procedure. It’s not meant to put you fully to sleep. As laughing gas doesn’t put you fully to sleep, you’ll still be able to hear what’s going on around you. You may still be able to respond to questions that your doctor asks you and follow the instructions that they give you throughout the procedure. Nitrous oxide is a depressant, so it slows your bødy down. Once it kicks in, you may feel: Happy Giggly Light-headed Mild euphoria Relaxed Nitrous oxide gets the name “laughing gas” because of these effects. Some people may also experience mild hallucinations (can experience false perceptions in an altered dream-like state of consciousness) whilst under the use of laughing gas. At the lowest doses, you’ll only feel lightheaded, but as the dose goes up you’ll feel sleepy and experience paın relief. While this type of gas will not put you to sleep, it can make you drowsy as the gas dulls the paın receptors in your brain.

08 January 2006 Laughing gas is nitrous oxide, and it acts as an anaesthetic-type agent. It makes your braın feel a bit woozy in the same way that alcohol does. As a result, if you take some laughing gas, you fell a little bit drınk and a little bit cheerful. If you have enough of it, you start to feel a little bit sleepy, but it's very good at paın kılling. If you're having an operation, it's sometimes used with other anaesthetics to ķíľľ paın and make you more comfortable. It is different from anesthesia, where you essentially go to sleep for a procedure. Although people can sometimes feel sleepy while taking nitrous oxide, they will still be able to respond but with decreased alertness temporarily. Sometimes one might start feeling sleepy or groggy as if you really want to fall asleep; you may be pretty out of it when you come to consciousness.

June 11, 2014 • Anesthesia induces a deep state of unconsciousness in a matter of seconds, but it can take several hours to return to normal after waking. Many people experience confusion, sleepiness, and even delirium. Consciousness is the awareness of subjective states such as emotion, inner thoughts, ideas, intentions, and mental states. Without consciousness, an organism has no awareness, while consciousness is often explained as the awareness of emotion, the ability to think and to remember past events and anticipate current ones. General anesthesia affects your entire body. Other types of anesthesia affect specific regions. Most people are awake during operations with local or regional anesthesia. General anesthesia dampens stimulation, knocks you unconscious and keeps you from moving during the operation. General anesthesia has 3 main stages: going under (induction), staying under (maintenance) and recovery (emergence). A specially trained anesthesiologist or nurse anesthetist gives you the proper doses and continuously monitors your vital signs—such as heart rate, body temperature, blood pressure and breathing. The first is an inability to remember things, but can’t recall them after waking up. Next, patients lose the ability to respond. Finally they go into deep sedation. General anesthesia looks more like a coma—a reversible coma. You lose awareness and the ability to feel pain, form memories and move. Once you’ve become unconscious, the anesthesiologist uses monitors and medications to keep you that way. Lack of Consciousness. Keeps you from being aware of your surroundings. Analgesia. Blocks your ability to feel pain. Amnesia. Prevents formation of memories. Loss of Movement. Relaxes your muscles and keeps you still during surgery. Stable Body Functions.

3 NOV 2015 General anesthetics and sedatives work by anesthetizing the brain and central nervous system. You may start feeling lightheaded, before becoming unconscious within a minute or so. Once surgery is done and anesthesia medications are stopped, you’ll slowly wake up in the operating room or recovery room. You’ll probably feel groggy and a bit confused. Because of the amnestic effect, you probably will not remember feeling somnolent. When first waking from anesthesia, you may feel confused, drowsy, and foggy. Some people may become confused, disoriented, dizzy or trouble remembering things after surgery. General anesthesia is essentially a medically induced coma. Your doctor administers medication to make you unconsciousness so that you won’t move or feel any pain during the operation.

27 March 2023 Nitrous oxide is a colourless gas commonly used as an analgesic - a painkiller - in medicine. The gas can make people relaxed, giggly, light-headed or dizzy. According to the ADA, a patient under nitrous oxide will still have the ability to hear their general dentist and respond to any questions. Although it is not going to put a patient to sleep, nitrous oxide will help relax the bødy and mind. After a few minutes of breathing in the laughing gas through a mask the bødy might feel tingly or heavy and the patient will feel light-headed. It can actually help ease any feelings of anxiety before the procedure. If given nitrous oxide, they will feel sleepy, relaxed and perhaps a bit forgetful. They will still be aware of their surroundings, not necessarily put a patient to sleep. The mild sedative simply helps a patient relax but not intentionally fall asleep per se. The nitrous oxide slows down your nervous system to make you feel less inhibited. You may feel light-headed, tingly, and can be turned off when time for the patient to become more alert and awake. You might feel slightly drowsy, limit your coordination and affect your ability to remember the procedure. Often referred to as conscious sedation because you are awake, though in a state of depressed alertness. You will feel relaxed and may even fall into a light sleep. It differs from general anesthesia, whence patients are completely asleep throughout the procedure and won't remember the treatment afterward, according to the American Academy of Pediatrics (AAP). Whether or not fully awake, laughing gas can temporarily feel euphoric and even giddy. Once the gas wears off all the effects are gone, and people are fully awake and back to their regular selves, if slightly groggy.

Feb 21, 2014 03:55 PM Anesthesia has been referred to as a reversible coma. When coming out of anesthesia in recovery, most people experience a profound sense of confusion and disorientation. It takes a while for the brain to actually wake up, even after you are conscious. Most people don't remember much after the pre-op sedative has been given. You may need a type of anesthesia where you lose consciousness. You can experience confusion as you “wake up” after the procedure with this type of anesthesia. It holds several different purposes depending on the procedure — sometimes to relieve pain, to “knock” you unconscious or to induce amnesia so you have no memory or feeling of a medical procedure. General anesthesia knocks you out completely, while local anesthesia is only applied to certain body parts or patches of skin. General anesthesia involves going into a coma-like state. It’s like being asleep. You will not be aware of what’s happening around you or feel pain. You will receive this type through an IV or mask. The surgeon will monitor you throughout the procedure and adjust medications as needed so you don’t wake up. It’s likely you’ll have no memory of the procedure. The anesthesia used to put you into an unconscious state can take some time to wear off, even as you become more awake after the procedure. You may experience: drowsiness confusion weakness uncoordinated movements lack of control of what you say blurry vision memory problems These side effects should be temporary. It may take 1 to 2 days to fully regain all your thinking abilities. In some cases, you can experience postoperative delirium. This can cause you to feel “out of it” for a longer period of time. Conscious sedation and general anesthesia can affect your short-term memory. You may not remember anything you say or do during the procedure or immediately after it.

Muscles relax during sleep, including those in the face. The nervous system relaxes when we go into a deep sleep, which can also cause our facial muscles to relax. This can lead to our mouths falling open and drool escaping from the sides of our mouths. Also saliva can spill out of your mouth as drool when your facial muscles relax in your sleep like if the mouth falls open. Since the muscles around your mouth are relaxed, your mouth can be relaxed enough that saliva slips out. Once in sleep cycle, your body’s muscles, including those in your face and mouth, start to relax, often resulting in less swallowing and more drool. But sometimes when you're asleep, your brain forgets to tell your throat and mouth muscles to swallow, causing saliva to commute from your mouth to your pillow. As you sleep, your body enters a state of relaxation and restoration. This means that your muscles relax – including all of the muscles and tissues in the airway. When these tissues relax, they may fall back into the airway, partially blocking your ability to breathe normally. Sometimes causes your throat to compress as your tongue falls further back into your airway and the open space behind your tongue and soft palate is reduced. Inhaled air becomes turbulent. Directly inhaled air vibrates the soft tissues at the back of your mouth Though breathing is an involuntary function and it may be difficult to control how your breathe while sleeping, if you sleep on your side, the saliva collects in the side of your mouth and the reflex does not kick in to get rid of the drool. However, if you sleep on your back, saliva collects in the back of the throat and leads to automatic swallowing action. If you breathe through partially blocked nose, greater suction forces are created that can cause your throat to collapse and bring on snoring where your uvula and soft palate start to flap. When we fall asleep, many muscles in our body relax. This is true of the muscles in our airway, since not fully conscious. When you doze off and progress from a light sleep to a deep sleep, the muscles in the roof of your mouth (soft palate), tongue and/or throat relax more. This usually happens when the muscles in your body (including your face) relax during sleep, especially during your REM cycle. When this happens, your jaw falls slack and your mouth falls open.

5 Min Read|At one stage or another, have woken up to the sensation of a wet pillow clinging ever so slightly to. Why does this happen? Why some sleep with mouths open? And, can it be prevented? What’s left of any extra saliva that fled your mouth while you were sleeping is drool. During the day we naturally swallow any saliva produced in our mouth while at night this process is meant to slow down. But for the unlucky, dribbling continues at a rapid pace throughout the night. In fact, there’s even a name for the condition of producing too much saliva: sialorrhea. Your sleep position can greatly impact how much you drool. If you sleep on your front or side, your mouth is likely to hang open, letting saliva drip freely. Whereas if you sleep on your back, the saliva will pool at the back of your throat and activate your swallowing reflex. Also you are unconscious when this happens to it’s tricky to know for sure if you tend to open your mouth during the night, but if you are a mouth breather, you are likely going to dribble, and you may find your pillow is wet regularly. In general, you will breathe through your mouth if your nose is failing to provide enough oxygen to your body, so your lungs opt for Plan B and use your mouth for air, which is when saliva takes chance at a quick escape. You may also open your mouth throughout the night due to stress and anxiety as it activates your sympathetic nervous system. If you can’t breathe easily through your nose, you’re likely to open your mouth for air.

March 26, 2012 Sleep talking, or somniloquy, is the act of speaking during sleep. It can be gibberish or resemble normal speech. Sleep talkers usually seem to be talking to themselves. The utterances can take place occasionally causing people to call out, speak, or produce incoherent language during sleep. People can sometimes act out on their dreams depending on where they are in their sleep cycle. Sleep talking may also occur during transitory arousals when a sleeper transitions from one stage of sleep to another whilst asleep. Sleep talking episodes are typically brief. Most sleep talking takes the form of short phrases, moans, or mumbling. The central symptom of sleep talking is audible expression that occurs during sleep without the person being aware of it happening. It can be gibberish or resemble normal speech. With sleep talking, you may not necessarily be forming coherent words or sentences.

NREM Stage N1 This stage of non-REM sleep is the typical transition from wakefulness to sleep and generally lasts only a few minutes. Stage N1 is the lightest stage of sleep; patients awakened from it usually don’t perceive that they were actually asleep During this stage: Eye movements are typically slow and rolling. heartbeat and breathing slow down muscles begin to relax you produce low amplitude mixed frequencies waves in the theta range (4 to 7 Hz) NREM Stage N2 This next stage of non-REM sleep comprises the largest percentage of total sleep time and is considered a lighter stage of sleep from which you can be awakened easily. This is the stage before you enter deep sleep. During this stage: heartbeat and breathing slow down further no eye movements body temperature drops Sleep spindles and K-complexes are two distinct brain wave features that appear for the first time NREM Stage N3 This final stage of non-REM sleep is the deepest sleep stage. Stage N3 sleep is known as slow-wave, or delta, sleep. Your body performs a variety of important health-promoting tasks in this final non-REM stage. During this stage: arousal from sleep is difficult heartbeat and breathing are at their slowest rate no eye movements body is fully relaxed delta brain waves are present tissue repair and growth, and cell regeneration occurs immune system strengthens REM Stage R There are two phases of REM sleep: phasic and tonic. Phasic REM sleep contains bursts of rapid eye movements, while tonic REM sleep does not. Stage R occurs about 90 minutes after you fall asleep, and is the primary “dreaming” stage of sleep. Stage R sleep lasts roughly 10 minutes the first time, increasing with each REM cycle. The final cycle of stage R may last roughly between 30 to 60 minutes. During this stage: eye movements become rapid during phasic REM breathing and heart rate increases and become more variable muscles become paralyzed, but twitches may occur brain activity is markedly increased When you fall asleep at night, you cycle through all of these stages of sleep multiple times — roughly every 90 minutes or so.

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∩――――――∩ || ໒꒰⁠ ྀི ｡◞ ˔ ◟ ꒱ྀི 𐰁ᶻz | ﾉ ￣￣୨୧￣￣＼ ﾉ　 　　 ＼ ＼　　||￣￣ ♡￣￣ || 　 ＼ ﾉ||―――――――||

Anesthesia/Sedation: The surgeon or anesthesiologist administers general anesthesia, making you “sleep” without recalling the procedure. Your vitals like bľood pressure and heart rate are monitored. You’ll be sleepy. Nitrous Oxide (Laughing Gas): Quick to take effect and wear off, this gas keeps you calm and comfortable but awake and responsive. Many sedatives also induce amnesia, so won’t remember the procedure. You can still respond during the procedure but likely won’t recall it, as you might not remember the visit. General Anesthesia: it puts you to sleep during the procedure. Your vitals are closely watched, and you’ll wake up after without any memory of the work. It renders unconscious with no memory of the procedure. Post-treatment, they may experience altered sensations.

General anesthesia: A patient who gets general anesthesia is completely unconscious (or "asleep"). They can’t feel any pain, are not aware of the surgery as it happens, and don’t remember anything from when they are “asleep.” General anesthesia involves using many medications to render you unconscious during a surgery. This makes you unaware of things that are happening. It is generally described as melting back into the bed and falling asleep. This means you will have no awareness of the procedure once the anesthesia takes effect, and you won't remember it after. Anesthetics activate memory-loss receptors in the brain, ensuring that patients don't remember. General anesthesia looks more like a coma—a reversible coma. You lose awareness and the ability to feel paın, form memories and move. Then they turn the anesthetics off and allow you to come to. You then begin to pass into a semi-conscious stage to become aware of what is going on. Typically, the period of time when you’re under general anesthesia is a blank. Many patients report that it is a surreal experience—and practically no one remembers anything between when the medication is administered and waking up in the recovery. For general anesthesia, someone may feel groggy and a little confused when waking up after surgery.

July 1996 . Twins can be conjoined at the: Abdomen (omphalopagus). Chest (thoracopagus). Top of head down to the belly button, facing each other (cephalopagus). Head only (craniopagus). Pelvis, facing each other (ischiopagus). Pelvis, side-to-side (parapagus). Rump-to-rump (pygopagus). Vertebral column (rachipagus). Generally, parapagus are conjoined at the upper chest. Parapagus, united laterally, always share a conjoined pelvis with one or two sacrums and one symphysis pubis. Dithoracic parapagus is when the two chests are separated, and the fusion is confined to the pelvis and abdomen. Dicephalic parapagus is if there is the union of the entire trunk but not the heads. The heart, liver, and diaphragm are fused, but there is a duplication of the respiratory tract and upper digestive tract; the viscera organs are fused. There are two arms, two legs, and two complete vertebral column and spinal cord. The number of limbs varies from 4 to 7, rarely with four legs. Generally, each lung is present in a separate lung cavity. The fusion of lungs is very rare. The alignment of the conjoined pelvis is diagnostic-one complete pelvic ring, with a single anterior pubic symphysis, and with two laterally fused sacral bones, and predominantly only one rectum. Ischiopagi are united ventrally extending from the umbilicus down to a sizeable conjoined pelvis with two symphyses pubis and two sacrum. Craniopagus can be united at any portion of the skull except at the face and the foramen magnum. Pygopagus varieties are joined dorsally; sharing the sacrococcygeal and perineal regions, sometimes even involving the spinal cord. Rachipagus twins are united dorsally above the sacrum. The union may also include the occiput. The cephalopagus varients are fused from the umbilicus to the top of the head. The pelvis and lower abdomen are usually not fused. Thoracopagus are united face-to-face from the upper thorax down till the umbilicus. Omphalopagus are primarily United at the umbilical region aligned face to face. The pelvis is not united. The pure parapagus is two heads, two hands, two legs, two hearts and two pairs of lungs. Conjoined twins are classified on the basis of the union's site, with the suffix pagus meaning fixed or fastened. The twins can have four (tetrapus), three (tripus), or two (bipus) legs. Cephalopagus: The twins often have a fused thorax in addition to a fused head. The single fused head may have two faces (janiceps) Cephalothoracopagus twinning is characterized by the anterior union of the upper half of the body, with two faces angulated variably on a conjoined head. The anomaly is occasionally known as janiceps, named after the two-faced Roman god Janus. The prognosis is extremely poor because surgical separation is not an option, in that only a single brain and a single heart are present and the gastrointestinal (GI) tracts are fused. Craniopagus: The conjoined twins share the skull, meninges, and venous sinuses Ischiopagus: The twins may lie face to face or end to end Pygopagus: The twins are joined dorsally, sharing the sacrococcygeal and perineal regions Rachipagus: The twins generally have vertebral anomalies and neural tube defects. Thoracopagus: The twins lie face to face and share the sternum, diaphragm, upper abdomen wall, and liver and have an exomphalos

AUGUST 21, 2016 Consciousness is a spectrum. It ranges from being fully awake to lightly sedated (calm but remembering most things) to deep sedation (seldom remembering anything) and finally general anaesthesia. The depth of anaesthesia can be tailored according to the nature of the procedure. This reduced state of consciousness is brought on and maintained by delivering drvgs to your body either with volatile gasses which you breathe in and/or through a drip into your veins. While you are under anaesthesia your vital signs are constantly monitored to make sure you are ‘asleep’ and not feeling any paın. There is continuous monitoring of the electrical activity in your heart, the amount of oxygen in your bľood, your pulse rate and bľood pressure. Sometimes a device is used to monitor your brain waves while ‘asleep’, giving the doctor more detailed information about your level of unconsciousness. You can experience confusion as you “wake up” after the procedure. The drvgs used to put you into an unconscious state can take some time to wear off, even as you become more awake after the procedure. After your surgery is completed the anaesthetist reduces the dose of medications keeping you ‘asleep’ so that you gradually wake up. It may take 1 to 2 days to fully regain all your thinking abilities. It produces a feeling of relaxation and even giddiness. Some people describe feeling a tingling sensation while inhaling nitrous oxide. At end of surgery, you will awake to a tap on your shoulder and a gentle voice saying something like: “Hi, can you open your eyes?”

disabilityreminders You’re allowed to use accommodations even if you could technically get by without them. Use the accommodations if you can. You don’t need to be at the highest level of suffering to be valid in using them. If they improve your quality of life or paın level or anything at all like that, then they’re worth using and you deserve to use them. Jan 18th, 2024

Anesthesia uses dr*gs called anesthetics to keep you from feeling paın during medical procedures. Local and regional anesthesia numbs a specific area of your bødy. General anesthesia makes you temporarily unconscious (fall asleep) so you can have more invasive surgeries. Sedation: Also called “twilight sleep,” sedation relaxes you to the point where you’ll nap but can wake up if needed to communicate. General anesthesia: This treatment makes you unconscious and insensitive to paın or other stimuli, and will put the patient to sleep during the procedure so that you are asleep during the surgery. This type of anesthesia puts you into a deep sleep and you won’t be aware of or feel anything during the surgery. Once the procedure is over, the anesthesia will wear off and you’ll gradually wake up. They will not feel any paın or discomfort during the procedure and will not remember anything afterwards. Most people experience some level of loopiness after because the surgery involves anesthesia, which can cause side effects like dizziness and confusion. Source https://webdmd.org/what-kind-of-anesthesia-is-used-for-wisdom-teeth-removal/

୨ৎ⋆.˚‪‪❤︎‬‎⭒ fun things you can manifest ⭒ 𝐚𝐛𝐢𝐥𝐢𝐭𝐲 𝐭𝐨 𝐦𝐞𝐦𝐨𝐫𝐢𝐬𝐞 𝐚𝐧𝐲𝐭𝐡𝐢𝐧𝐠 𝐢𝐧 𝐥𝐞𝐬𝐬 𝐭𝐡𝐚𝐧 𝐟𝐢𝐯𝐞 𝐦𝐢𝐧𝐮𝐭𝐞𝐬! ⭒ 𝐬𝐮𝐩𝐞𝐫𝐩𝐨𝐰𝐞𝐫𝐬 (𝐞.𝐠. 𝐭𝐞𝐥𝐞𝐩𝐨𝐫𝐭𝐚𝐭𝐢𝐨𝐧, 𝐭𝐞𝐥𝐞𝐤𝐢𝐧𝐞𝐬𝐢𝐬, 𝐜𝐥𝐚𝐢𝐫𝐯𝐨𝐲𝐚𝐧𝐜𝐞 𝐞𝐭𝐜.) ⭒ 𝐲𝐨𝐮𝐫 𝐝𝐫𝐞𝐚𝐦 𝐬𝐜𝐡𝐨𝐨𝐥 𝐜𝐫𝐞𝐚𝐭𝐞𝐝 𝐟𝐫𝐨𝐦 𝐬𝐜𝐫𝐚𝐭𝐜𝐡! ⭒ 𝐠𝐨𝐢𝐧𝐠 𝐛𝐚𝐜𝐤 𝐭𝐨 𝟐𝟎𝟎𝟎 𝐭𝐨 𝐞𝐱𝐩𝐞𝐫𝐢𝐞𝐧𝐜𝐞 𝐲𝟐𝐤! ⭒ 𝐩𝐡𝐨𝐧𝐞 𝐭𝐡𝐚𝐭 𝐧𝐞𝐯𝐞𝐫 𝐫𝐮𝐧𝐬 𝐨𝐮𝐭 𝐨𝐟 𝐛𝐚𝐭𝐭𝐞𝐫𝐲! ⭒ 𝐚 𝐭𝐢𝐦𝐞 𝐭𝐫𝐚𝐯𝐞𝐥 𝐦𝐚𝐜𝐡𝐢𝐧𝐞 𝐥𝐢𝐤𝐞 𝐭𝐡𝐞 𝐨𝐧𝐞𝐬 𝐢𝐧 𝐦𝐨𝐯𝐢𝐞𝐬! ⭒ 𝐚 𝐦𝐚𝐥𝐥 𝐰𝐢𝐭𝐡 𝐚𝐥𝐥 𝐲𝐨𝐮𝐫 𝐟𝐚𝐯𝐨𝐮𝐫𝐢𝐭𝐞 𝐬𝐡𝐨𝐩𝐬 𝐚𝐧𝐝 𝐫𝐞𝐬𝐭𝐚𝐮𝐫𝐚𝐧𝐭𝐬! ⭒ 𝐲𝐨𝐮𝐫 𝐚𝐬𝐬𝐢𝐠𝐧𝐦𝐞𝐧𝐭𝐬 𝐠𝐞𝐭𝐭𝐢𝐧𝐠 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞𝐝 𝐚𝐮𝐭𝐨𝐦𝐚𝐭𝐢𝐜𝐚𝐥𝐥𝐲 𝐰𝐢𝐭𝐡𝐨𝐮𝐭 𝐲𝐨𝐮 𝐡𝐚𝐯𝐢𝐧𝐠 𝐭𝐨 𝐞𝐯𝐞𝐧 𝐥𝐢𝐟𝐭 𝐚 𝐟𝐢𝐧𝐠𝐞𝐫! ⭒ 𝐰𝐢𝐳𝐚𝐫𝐝 𝐩𝐨𝐰𝐞𝐫𝐬 𝐥𝐢𝐤𝐞 𝐰𝐢𝐳𝐚𝐫𝐝𝐬 𝐨𝐟 𝐰𝐚𝐯𝐞𝐫𝐥𝐲 𝐩𝐥𝐚𝐜𝐞! ⭒ 𝐚𝐛𝐬𝐨𝐥𝐮𝐭𝐞 𝐬𝐩𝐢𝐜𝐞, 𝐚𝐥𝐜𝐨𝐡𝐨𝐥 & 𝐩𝐚𝐢𝐧 𝐭𝐨𝐥𝐞𝐫𝐚𝐧𝐜𝐞! ⭒ 𝐲𝐨𝐮𝐫 𝐢𝐝𝐞𝐚𝐥 𝐬𝐨𝐜𝐢𝐚𝐥 𝐦𝐞𝐝𝐢𝐚 𝐚𝐩𝐩! ⭒ 𝐩𝐨𝐩𝐮𝐥𝐚𝐫 𝐢𝐧𝐭𝐞𝐫𝐧𝐚𝐭𝐢𝐨𝐧𝐚𝐥 𝐟𝐫𝐢𝐞𝐧𝐝 𝐠𝐫𝐨𝐮𝐩! ⭒ 𝐚 𝐦𝐨𝐯𝐢𝐞 𝐨𝐫 𝐝𝐫𝐚𝐦𝐚 𝐬𝐞𝐫𝐢𝐞𝐬 𝐛𝐚𝐬𝐞𝐝 𝐨𝐧 𝐲𝐨𝐮𝐫 𝐝𝐞𝐬𝐢𝐫𝐞𝐝 𝐩𝐥𝐨𝐭!

｡・ ﾟ・｡ ｡ +. ﾟ｡・. ｡. * ﾟ + ｡・ﾟ・｡・ﾟ・. ｡* ｡ ・ﾟ・ ⋆𐙚₊˚⊹ a small reminder for you, try not to be so hard on yourself, i know you are trying and giving your best! i know it might sound crazy to you right now but better days WILL come and you will look back at this exact moment and remember how impossible it all seemed. ♡ but look, you DID it! you got through one of your hardest days. so, don’t give up. healing takes time. it might all seem impossible but you will get there. it doesn’t have to look a certain way, in fact, healing looks different for everyone. go at your own pace and don’t try to rush anything! it’s not a race! ♡ don’t stress yourself out and try to worry less. you are stronger than you think and i KNOW you can do this and get through whatever you are going through! 🌸 you GOT THIS! ˙ᵕ˙ ｡・ ﾟ・｡ ｡ +. ﾟ｡・. ｡. * ﾟ + ｡・ﾟ・｡・ﾟ・. ｡* ｡ ・ﾟ・

Date: 15/12/22 Autistic qualities such as differences in how we understand what our body is feeling (interoception), our experience of pain (hypo/ hyper sensitivity) and difficulties in noticing and identifying how we feel (alexithymia) Nurse practitioners and doctors may have a limited understanding of the unique and significant ways in which autism and its associated issues impact a patient’s experience of a given medical procedure. This means that the particular supports that might help to alleviate discomfort could be lacking. We might encounter resistance to our own attempts to self- regulate and take care of our sensory and emotional needs during the appointment. We may even experience medical gas lighting or invalidation when attempting to express our experience or request much needed accommodations ( we know that this happens at higher rates amongst female presenting people, people of colour and those with additional learning disabilities in our community). For those of us with a history of these types of experiences, just being in a medical environment could feel threatening and unsafe. * Autistic person with a particular set of qualities and traits, this is not a prediction of what others might encounter or an attempt to generalise my own experience to the broader community. Date: 15/12/22

There are different types of sedatives that use to numb you, each serving a different purpose. IV Sedation IV means intravenous. It means the doctor ınjectıons the drvg straight into your bloodstream. Dentists often use IV because of it's excellent success rate. After ınjectıons, it puts the patient in a ‘twilight sleep’ state. IV sedation is the typical option. This is what can happen to a patient on IV: IV sedation dentistry produce either partial or full memory loss during the dental procedure. This means time will seem to pass very quickly and you will not recall much of what happened. The patient is awake and aware of the surroundings. They are also responsive. The patient feels comfortable and relaxed throughout the whole procedure. So relaxed, in fact, that they might not be aware they’re undergoing one. It causes temporary amnesia and a state of ‘h͞igh’. There’s a reason IV is a popular option in dental operations. It works, and it works like a dream (pun intended). But for it to be effective, the patient must fast before coming in. Coming in with a full stomach can render the drvg ineffective. Most people who receive IV sedation dentistry fall asleep and have little to no memory of their treatment when they wake up. Inhalation Sedation Inhalation Sedation: This introduces a state of relaxation. This is a conscious sedation method that is fast-acting and with few side effects. Contrary to popular belief, inhalation sedation gas doesn’t make you burst into a giggle fit. It is a light anesthetic unlike IV. It also doesn’t work as well, but it still gets the job done for a quicker and relatively painless experience. This is what happens if you’re sedated using laughing gas: The patient experiences a euphoric sensation much like that with IV. But the effects are not as pronounced as the former. Laughing gas may cause a bit of amnesia, but the patient will still be remembering most of the procedure. It can make a patient dizzy, but they can still be awakened. Those who might have concerns about laughing gas can rest easy. It’s mild in comparison to IV, so you won’t be laughing out of control like anytime soon. Different sedation options offer varying levels of effects. Say, if you know you’re going for IV, ask somebody to accompany you. IV is potent enough to render you unable to go home on your own. General anesthesia is a type of unconscious sedation. In other words, you’ll be completely unconscious during the procedure. You’ll be asleep when you’re under sedation and not feel any paın during your treatment. It’s like taking a nap! Some sedation makes you quite groggy, and you may even fall asleep. But you’ll still be able to communicate with your dentist if necessary, and you’ll awaken with a gentle nudge. Because sedation temporarily affects your memory and motor skills, you’ll need a friend or family member to drive you home after your procedure.

9 Tʜɪɴɢs ʏᴏᴜ ɴᴇᴇᴅ ᴛᴏ ᴅᴏ Author's 𓂀𝕰𝖑𝖎𝖏𝖆𝖍𖣲̸☘♕ :zap: 01/01/22 ┏━━━━•❅•°•❈ - •°•❅•━━━━┓ ┗━━━━•❅•°•❈ - •°•❅•━━━━┛ ┊ ┊ ┊ ┊ ┊ ┊ ┊ ┊ ┊ ┊ ˚✩ ⋆｡˚ ✩ ┊ ┊ ┊ ✫ ┊ ┊ ☪⋆ 𝘄𝗲𝗹𝗰𝗼𝗺𝗲, ⒉🄀⒉⒉ ┊ ✫ #hashtag ʕ•ᴥ•ʔ༄ ✯ ⋆ ┊ . ˚ ☾ ❥ ˚✩. ‧₊ ❁ཻུ۪۪.;:୭̥.┊ʟᵉᵗ ᵍᵒ ᵒᶠ ʷʰᵃᵗ ⁱˢ ᵒᵘᵗ ᵒᶠ ʸᵒᵘʳ ᶜᵒⁿᵗʳᵒˡ. ʟᵉᵃʳⁿ ᵗʰᵉ ˡᵉˢˢᵒⁿ. ғᵒʳᵍⁱᵛᵉ ᵗʰᵉ ᵖᵃˢᵗ. ᴀⁿᵈ ᵐᵒᵛᵉ ᵒⁿ. ꒱ ┄─━ ࿅ ༻ ✣ ༺ ࿅ ━─┄ ⋆ ☄. ʙᵉ ᵗʳᵘᵉ ᵗᵒ ʸᵒᵘʳˢᵉˡᶠ. ɴᵒᵗ ᵇʸ ˢᵗʳⁱᵛⁱⁿᵍ ᵗᵒ ᵇᵉ ᵈⁱᶠᶠᵉʳᵉⁿᵗ ᶠʳᵒᵐ ᵉᵛᵉʳʸᵒⁿᵉ ᵉˡˢᵉ, ᵇᵘᵗ ᵇʸ ˢᵗʳⁱᵛⁱⁿᵍ ᵗᵒ ᵇᵉ ʸᵒᵘʳ ᵗʳᵘᵉ ˢᵉˡᶠ. sᵒᵐᵉ ᵗʰⁱⁿᵍˢ ᵃᵇᵒᵘᵗ ʸᵒᵘ ʷⁱˡˡ ᵇᵉ ˢⁱᵐⁱˡᵃʳ ᵗᵒ ᵒᵗʰᵉʳˢ, ᵃⁿᵈ ᵗʰᵃᵗ'ˢ ᶠⁱⁿᵉ. sᵒᵐᵉ ᵗʰⁱⁿᵍˢ ᵃᵇᵒᵘᵗ ʸᵒᵘ ʷⁱˡˡ ᵇᵉ ᵈⁱᶠᶠᵉʳᵉⁿᵗ ᶠʳᵒᵐ ᵒᵗʰᵉʳˢ ᵃⁿᵈ ᵗʰᵃᵗ'ˢ ᶠⁱⁿᵉ ᵗᵒᵒ. ɪᵗ ⁱˢ ᵗʰᵉ ᶜᵒᵐᵇⁱⁿᵃᵗⁱᵒⁿ ᵒᶠ ᵉᵛᵉʳʸᵗʰⁱⁿᵍ ᵗʰᵃᵗ ᵐᵃᵏᵉˢ ʸᵒᵘ ᵘⁿⁱᵠᵘᵉ. ·˚ * :telescope: ┄─━ ࿅ ༻ ✣ ༺ ࿅ ━─┄ ⇢˚⋆ ✎ ˎˊ- " ᴅᵉˢᵖⁱᵗᵉ ᵗʰᵉ ⁿᵘᵐᵇᵉʳ ᵒᶠ ᵗⁱᵐᵉˢ ʸᵒᵘ'ᵛᵉ ᵇᵉᵉⁿ ˡᵉᵗ ᵈᵒʷⁿ, ᶜᵒⁿᵗⁱⁿᵘᵉ ᵗᵒ ᵍⁱᵛᵉ. ɪᵗ'ˢ ʰᵉᵃˡⁱⁿᵍ ᶠᵒʳ ʸᵒᵘʳ ˢᵒᵘˡ ᵇᵉᶜᵃᵘˢᵉ ⁱᵗ ˢᵗᵒᵖˢ ʸᵒᵘ ᶠʳᵒᵐ ᵇᵉⁱⁿᵍ ˢᵉˡᶠ-ᶜᵉⁿᵗᵉʳᵉᵈ ᵃⁿᵈ ˢᵉˡᶠⁱˢʰ. ʙʸ ᵍⁱᵛⁱⁿᵍ, ɪ ᵈᵒⁿ'ᵗ ᵐᵉᵃⁿ ᵗʰⁱⁿᵍˢ. ʏᵒᵘ ᵐᵃʸ ᵍⁱᵛᵉ ʸᵒᵘʳ ᵗⁱᵐᵉ, ˡᵒᵛᵉ, ᵃᵗᵗᵉⁿᵗⁱᵒⁿ, ᵗʳᵘˢᵗ... ᴛʰᵉ ᵖᵒⁱⁿᵗ ⁱˢ, ᵈᵒⁿ'ᵗ ᶠᵒʳᶜᵉ ʸᵒᵘʳˢᵉˡᶠ ᵒᵘᵗ ᵒᶠ ʸᵒᵘʳ ⁿᵃᵗᵘʳᵉ ʲᵘˢᵗ ᵇᵉᶜᵃᵘˢᵉ ʸᵒᵘ'ᵛᵉ ᵇᵉᵉⁿ ˡᵉᵗ ᵈᵒʷⁿ. ɴᵘʳᵗᵘʳᵉ ʸᵒᵘʳ ⁿᵃᵗᵘʳᵉ ᵗᵒ ᵇᵉᶜᵒᵐᵉ ᵗʰᵉ ᵇᵉˢᵗ ᵛᵉʳˢⁱᵒⁿ ᵒᶠ ʸᵒᵘʳˢᵉˡᶠ. ʏᵒᵘ ˡⁱᵛᵉ ᶠᵒʳ ʸᵒᵘʳˢᵉˡᶠ. ɴᵒᵗ ᵃⁿʸᵒⁿᵉ ᵉˡˢᵉ. " ┄─━ ࿅ ༻ ✣ ༺ ࿅ ━─┄ -`, ʏᵒᵘ'ᵛᵉ ᵇᵉᵉⁿ ʰᵘʳᵗ? ɢʳᵉᵃᵗ. ᴛʰᵃᵗ ᵐᵃᵏᵉˢ ʸᵒᵘ ˢᵗʳᵒⁿᵍᵉʳ. ᴀ ᶠᵒʳᵉˢᵗ ᵍʳᵒʷˢ ˢᵗʳᵒⁿᵍᵉʳ ᵃᶠᵗᵉʳ ⁱᵗ'ˢ ᵇʳᵘⁿᵗ ᵈᵒʷⁿ ᵇᵉᶜᵃᵘˢᵉ ⁱᵗ ⁿᵘʳᵗᵘʳᵉˢ ⁱᵗˢᵉˡᶠ ᶠʳᵒᵐ ⁱᵗ ʳᵉᵐⁿᵃⁿᵗˢ. ɴᵒ ᵍʳᵒʷᵗʰ ʰᵃᵖᵖᵉⁿˢ ʷⁱᵗʰᵒᵘᵗ ˢᵗʳᵘᵍᵍˡᵉ ᵃⁿᵈ ʰᵃʳᵈˢʰⁱᵖ. ɪᶠ ʸᵒᵘ ʰᵃᵛᵉⁿ'ᵗ ᵇᵉᵉⁿ ᵗʰʳᵒᵘᵍʰ ˢᵒᵐᵉᵗʰⁱⁿᵍ ᵗʰᵃᵗ ˢʰᵃᵗᵗᵉʳᵉᵈ ʸᵒᵘʳ ˢᵒᵘˡ ʸᵉᵗ, ʸᵒᵘ ʷⁱˡˡ. ᴅᵒⁿ'ᵗ ᵈᵉˡᵃʸ ᵗʰᵉ ᵖᵃⁱⁿ ᵇʸ ᵃᵛᵒⁱᵈⁱⁿᵍ ʳⁱˢᵏˢ. ᴛʰᵉ ˢᵒᵒⁿᵉʳ ʸᵒᵘ ᶠᵉᵉˡ ⁱᵗ, ᵗʰᵉ ˢᵗʳᵒⁿᵍᵉʳ ʸᵒᵘ ᵇᵉᶜᵒᵐᵉ. ꒱ ↷🖇🥛 ┄─━ ࿅ ༻ ✣ ༺ ࿅ ━─┄ ˗ˏ✎*ೃ˚ :email: :; ʟᵒᵛᵉ ᵉᵛᵉʳʸᵒⁿᵉ ᵃʳᵒᵘⁿᵈ ʸᵒᵘ. ᴡᵉ ᵃˡˡ ⁿᵉᵉᵈ ˡᵒᵛᵉ. ᴛʰᵉ ᵒⁿᵉˢ ʷʰᵒ ⁿᵉᵉᵈ ⁱᵗ ᵐᵒˢᵗ ᵃʳᵉ ᵗʰᵉ ᵒⁿᵉˢ ʷʰᵒ ᵉˣᵖʳᵉˢˢ ⁱᵗ ˡᵉᵃˢᵗ. sᵒ ᵈᵒⁿ'ᵗ ᵖᵘⁿⁱˢʰ ᵃ ᵖᵉʳˢᵒⁿ ᶠᵒʳ ᵇᵉⁱⁿᵍ ᵘⁿᵏⁱⁿᵈ ᵒʳ ˢᵉˡᶠⁱˢʰ ᵇʸ ᵗᵃᵏⁱⁿᵍ ʸᵒᵘʳ ᵏⁱⁿᵈⁿᵉˢˢ ᵃⁿᵈ ˡᵒᵛᵉ ᵃʷᵃʸ. ɪᵗ'ˢ ʷʰᵃᵗ ᵗʰᵉʸ ⁿᵉᵉᵈ. ᴡⁱˡˡ ᵗᵃᵏⁱⁿᵍ ⁱᵗ ᵃʷᵃʸ ʰᵉˡᵖ ᵗʰᵉᵐ? ɴᵒ. ɪᵗ ᵈᵒᵉˢⁿ'ᵗ ᵐᵉᵃⁿ ʸᵒᵘ'ʳᵉ ⁿᵃⁱᵛᵉ. sᵒᵐᵉᵒⁿᵉ'ˢ ᵃᵇⁱˡⁱᵗʸ ᵒʳ ⁱⁿᵃᵇⁱˡⁱᵗʸ ᵗᵒ ʳᵉᶜⁱᵖʳᵒᶜᵃᵗᵉ ᵍᵒᵒᵈⁿᵉˢˢ ⁱˢ ᵃ ʳᵉᶠˡᵉᶜᵗⁱᵒⁿ ᵒᶠ ᵗʰᵉᵐ. ɴᵒᵗ ʸᵒᵘ. ┄─━ ࿅ ༻ ✣ ༺ ࿅ ━─┄ ༘♡ ᴅᵒⁿ'ᵗ ᶠᵉᵉˡ ᵇᵃᵈ ᶠᵒʳ ˢᵉᵗᵗⁱⁿᵍ ᵇᵒᵘⁿᵈᵃʳⁱᵉˢ ᵗᵒ ᵖʳᵒᵗᵉᶜᵗ ᵗʰᵉ ᵛᵃˡᵘᵉ ᵗʰᵃᵗ ʸᵒᵘ ʰᵃᵛᵉ ʷⁱᵗʰⁱⁿ. ɴᵉᵛᵉʳ ᵇᵉᵗʳᵃʸ ʸᵒᵘʳˢᵉˡᶠ ᵗᵒ ᵖˡᵉᵃˢᵉ ˢᵒᵐᵉᵒⁿᵉ ᵉˡˢᵉ. ɴᵉᵛᵉʳ. ᴛʰᵉʳᵉ'ˢ ᵃ ᵈⁱᶠᶠᵉʳᵉⁿᶜᵉ ᵇᵉᵗʷᵉᵉⁿ ᶜᵒᵐᵖʳᵒᵐⁱˢᵉ ᵃⁿᵈ ᵖᵘᵗᵗⁱⁿᵍ ʸᵒᵘʳˢᵉˡᶠ ᵈᵒʷⁿ. ᴅᵒⁿ'ᵗ ˢᵃʸ ⁿᵒ ᵗᵒ ʸᵒᵘʳˢᵉˡᶠ ᵇʸ ˢᵃʸⁱⁿᵍ ʸᵉˢ ᵗᵒ ˢᵒᵐᵉᵒⁿᵉ ᵉˡˢᵉ. ɪᶠ ˢᵒᵐᵉᵒⁿᵉ ᵍᵉᵗˢ ᵘᵖˢᵉᵗ ᵒᵛᵉʳ ʸᵒᵘ ˢᵉᵗᵗⁱⁿᵍ ᵇᵒᵘⁿᵈᵃʳʸ, ᵗʰᵃᵗ ᵈᵒᵉˢⁿ'ᵗ ᵐᵉᵃⁿ ʸᵒᵘʳ ᵇᵒᵘⁿᵈᵃʳʸ ⁱˢ ʷʳᵒⁿᵍ. ᴛʰᵉʸ'ʳᵉ ᵗʰᵉ ʷʳᵒⁿᵍ ᵖᵉʳˢᵒⁿ ᶠᵒʳ ʸᵒᵘ. ⋆｡˚❀ ┄─━ ࿅ ༻ ✣ ༺ ࿅ ━─┄ _ _ ᴏʷⁿ ʸᵒᵘʳ ˢᵗᵒʳʸ. ᴡᵉ ᵉᵃᶜʰ ʰᵃᵛᵉ ᵃ ˢᵗᵒʳʸ. ᴊᵘˢᵗ ᵇᵉᶜᵃᵘˢᵉ ˢᵒᵐᵉᵒⁿᵉ ᵇᵉˡⁱᵗᵗˡᵉˢ ʸᵒᵘʳ ᵖᵃⁱⁿ ᵒʳ ˢᵃʸˢ ⁱᵗ'ˢ ⁱˡˡᵉᵍⁱᵗⁱᵐᵃᵗᵉ, ⁱᵗ ᵈᵒᵉˢⁿ'ᵗ ᵐᵉᵃⁿ ⁱᵗ'ˢ ᵗʳᵘᵉ. ʙᵉ ʸᵒᵘʳ ᵒʷⁿ ʲᵘᵈᵍᵉ ᵇᵉᶠᵒʳᵉ ʸᵒᵘ ᵃˡˡᵒʷ ᵒᵗʰᵉʳˢ ᵗᵒ ᵍⁱᵛᵉ ᵗʰᵉ ᵛᵉʳᵈⁱᶜᵗ. ɪᵗ'ˢ ʸᵒᵘʳ ˡⁱᶠᵉ ᵃⁿᵈ ʸᵒᵘʳ ˡⁱᶠᵉ ᵃˡᵒⁿᵉ. ᴛᵃᵏᵉ ᵒʷⁿᵉʳˢʰⁱᵖ. ᴜⁿᵈᵉʳˢᵗᵃⁿᵈ ʸᵒᵘʳ ᵖᵃⁱⁿ ᵃⁿᵈ ʷʰʸ ⁱᵗ ʰᵃᵖᵖᵉⁿᵉᵈ ᵒʳ ᶜᵒⁿᵗⁱⁿᵘᵉˢ ᵗᵒ ʰᵃᵖᵖᵉⁿ. ᴛʰᵃᵗ ᵃʷᵃʳᵉⁿᵉˢˢ ᵃˡˡᵒʷˢ ʸᵒᵘ ᵗᵒ ᵐᵃˢᵗᵉʳ ʸᵒᵘʳˢᵉˡᶠ. ༉‧₊˚✧ ┄─━ ࿅ ༻ ✣ ༺ ࿅ ━─┄ ꒰ :vhs: ꒱°⁺ ⁀➷ ʟⁱˢᵗᵉⁿ. ᴛᵒ ᵉᵛᵉʳʸᵗʰⁱⁿᵍ ᵃʳᵒᵘⁿᵈ ʸᵒᵘ. ɴᵒᵗ ʲᵘˢᵗ ʷᵒʳᵈˢ. ɴᵒᵗ ʲᵘˢᵗ ᶠʳⁱᵉⁿᵈˢ ᵃⁿᵈ ᶠᵃᵐⁱˡʸ. ʟⁱˢᵗᵉⁿ ᵗᵒ ᵗʰᵉ ʷᵒʳˡᵈ. ᴏᵇˢᵉʳᵛᵉ. ᴡᵒⁿᵈᵉʳ. ᴀˡˡᵒʷ ʸᵒᵘʳ ᵐⁱⁿᵈ ᵗᵒ ᵗʰᵉ ˢᵃⁱˡ ⁱⁿ ᵗʰᵉ ᵒᶜᵉᵃⁿ ᵒᶠ ᶜᵘʳⁱᵒˢⁱᵗʸ ᵃⁿᵈ ᵐᵃʳᵛᵉˡ ᵃᵗ ᵗʰᵉ ˢⁱᵐᵖˡᵉˢᵗ ᵗʰⁱⁿᵍˢ. ᴛʰᵃᵗ ʰᵘᵐᵇˡᵉˢ ʸᵒᵘ. ┄─━ ࿅ ༻ ✣ ༺ ࿅ ━─┄ ۪۫❁ཻུ۪۪┊ᴅᵒⁿ'ᵗ ᶠᵉᵉˡ ᵃˢʰᵃᵐᵉᵈ ᵒᶠ ʸᵒᵘʳ ᵉᵐᵒᵗⁱᵒⁿˢ. ᴄʳʸ ʷʰᵉⁿ ʸᵒᵘ ᶠᵉᵉˡ ᵗʰᵉ ᵘʳᵍᵉ ᵗᵒ ᶜʳʸ. ʟᵃᵘᵍʰ ᵒᶠᵗᵉⁿ. ᴇᵃᵗ ʷᵉˡˡ. ʀᵉˢᵗ ʷᵉˡˡ. ᴡᵒʳᵏ ʰᵃʳᵈ ᵇᵘᵗ ᵗᵃᵏᵉ ᵃ ᵇʳᵉᵃᵏ ᵇᵉᶠᵒʳᵉ ʸᵒᵘ ᵇᵘʳⁿ ᵒᵘᵗ. ʙᵉ ⁱⁿᵗᵉⁿᵗⁱᵒⁿᵃˡ ʷⁱᵗʰ ᵗʰᵉ ʳᵉˢᵗ ʸᵒᵘ ᵍⁱᵛᵉ ʸᵒᵘʳˢᵉˡᶠ. ɪᵗ'ˢ ᵒᵏᵃʸ ᵗᵒ ᵍⁱᵛᵉ ʸᵒᵘʳ ᵇᵒᵈʸ ᵗⁱᵐᵉ ᵗᵒ ʳᵉᶜʰᵃʳᵍᵉ. ˎˊ˗ ๑۞๑,¸¸,ø¤º°`°๑۩ - ๑۩ ,¸¸,ø¤º°`°๑۞๑

𝓛𝓮𝓽 𝓽𝓱𝓮𝓶 𝓴𝓮𝓮𝓹 𝔀𝓱𝓪𝓽 𝓽𝓱𝓮𝔂 𝓽𝓸𝓸𝓴 𝓯𝓻𝓸𝓶 𝔂𝓸𝓾 Author's 𓂀𝕰𝖑𝖎𝖏𝖆𝖍𖣲̸☘♕ :zap: 09/23/21 𝙸𝚏 𝚢𝚘𝚞 𝚐𝚊𝚟𝚎 𝚝𝚑𝚎𝚖 𝚕𝚘𝚟𝚎 𝚊𝚗𝚍 𝚝𝚑𝚎𝚢 𝚠𝚊𝚕𝚔𝚎𝚍 𝚊𝚠𝚊𝚢, 𝚕𝚎𝚝 𝚝𝚑𝚎𝚖 𝚔𝚎𝚎𝚙 𝚒𝚝. 𝙸𝚏 𝚢𝚘𝚞 𝚐𝚊𝚟𝚎 𝚝𝚑𝚎𝚖 𝚝𝚒𝚖𝚎 𝚊𝚗𝚍 𝚝𝚑𝚎𝚢 𝚠𝚊𝚕𝚔𝚎𝚍 𝚊𝚠𝚊𝚢, 𝚕𝚎𝚝 𝚝𝚑𝚎𝚖 𝚔𝚎𝚎𝚙 𝚝𝚑𝚎 𝚖𝚎𝚖𝚘𝚛𝚒𝚎𝚜. 𝙸𝚏 𝚢𝚘𝚞 𝚐𝚊𝚟𝚎 𝚝𝚑𝚎𝚖 𝚍𝚊𝚢𝚜, 𝚠𝚎𝚎𝚔𝚜 𝚘𝚛 𝚎𝚟𝚎𝚗 𝚢𝚎𝚊𝚛𝚜 𝚘𝚏 𝚢𝚘𝚞𝚛 𝚕𝚒𝚏𝚎, 𝚕𝚎𝚝 𝚝𝚑𝚎𝚖 𝚔𝚎𝚎𝚙 𝚊𝚕𝚕 𝚝𝚑𝚎 𝚕𝚘𝚟𝚎 𝚢𝚘𝚞 𝚐𝚊𝚟𝚎 𝚝𝚑𝚎𝚖 𝚍𝚞𝚛𝚒𝚗𝚐 𝚝𝚑𝚊𝚝 𝚝𝚒𝚖𝚎 𝙳𝚘𝚗'𝚝 𝚏𝚒𝚐𝚑𝚝 𝚋𝚊𝚌𝚔 𝚏𝚘𝚛 𝚒𝚝. 𝙳𝚘𝚗'𝚝 𝚜𝚊𝚢 "𝚢𝚘𝚞 𝚘𝚠𝚎 𝚖𝚎". 𝚄𝚗𝚍𝚎𝚛𝚜𝚝𝚊𝚗𝚍 𝚝𝚑𝚊𝚝 𝚝𝚑𝚎 𝚟𝚊𝚕𝚞𝚎 𝚘𝚏 𝚢𝚘𝚞𝚛 𝚕𝚘𝚟𝚎 𝚍𝚘𝚎𝚜 𝚗𝚘𝚝 𝚍𝚎𝚙𝚎𝚗𝚍 𝚘𝚗 𝚠𝚑𝚊𝚝 𝚘𝚝𝚑𝚎𝚛𝚜 𝚍𝚘 𝚠𝚒𝚝𝚑 𝚝𝚑𝚊𝚝 𝚕𝚘𝚟𝚎. 𝙻𝚎𝚝 𝚝𝚑𝚎𝚖 𝚔𝚎𝚎𝚙 𝚠𝚑𝚊𝚝 𝚝𝚑𝚎𝚢 𝚝𝚘𝚘𝚔. 𝚃𝚑𝚎𝚢 𝚖𝚞𝚜𝚝 𝚑𝚊𝚟𝚎 𝚗𝚎𝚎𝚍𝚎𝚍 𝚒𝚝. 𝙸𝚝 𝚖𝚞𝚜𝚝 𝚑𝚊𝚟𝚎 𝚒𝚖𝚙𝚊𝚌𝚝𝚎𝚍 𝚝𝚑𝚎𝚒𝚛 𝚕𝚒𝚟𝚎𝚜. 𝚈𝚘𝚞 𝚌𝚊𝚗'𝚝 𝚝𝚊𝚔𝚎 𝚝𝚑𝚊𝚝 𝚊𝚠𝚊𝚢. 𝙷𝚘𝚠 𝚋𝚎𝚊𝚞𝚝𝚒𝚏𝚞𝚕 𝚒𝚜 𝚝𝚑𝚊𝚝? 𝙴𝚟𝚎𝚗 𝚝𝚑𝚘𝚞𝚐𝚑 𝚝𝚑𝚎𝚢 𝚐𝚊𝚟𝚎 𝚢𝚘𝚞 𝚙𝚊𝚒𝚗 𝚒𝚗 𝚛𝚎𝚝𝚞𝚛𝚗 𝚏𝚘𝚛 𝚢𝚘𝚞𝚛 𝚕𝚘𝚟𝚎, 𝚢𝚘𝚞 𝚜𝚝𝚒𝚕𝚕 𝚕𝚎𝚏𝚝 𝚝𝚑𝚎𝚖 𝚠𝚒𝚝𝚑 𝚕𝚘𝚟𝚎.

If you were sedated, you will be comfortable and drowsy. IV anesthesia lets you fall into a sleep-like state and prevents any paın can distort sensation and lack of fine motor control. The patient falls asleep and is completely unaware of the procedure being performed. Twilight sedation drifting in and out of sleep Once again some patients may be asleep while others will slip in and out of sleep. For example, patients may experience some short-term memory issues, they may have trouble making decisions, they may feel emotional and they may feel somewhat disoriented. Nitrous oxide Patients are able to breathe on their own and remain in control of all functions. The patient may experience mild amnesia and may fall asleep not remembering all of what happened during their appointment. When nitrous oxide is administered, the patient may feel a kind of dreamy light-headedness. Nitrous oxide tends to make you feel a bit funny and “floaty.” You may even laugh at things that are happening around you, which is why it’s also called “laughing gas.” However, this change in consciousness is very short-lived.

Not ALL snoring is harmful. The reasons for snoring stem from the relaxation of throat muscles when you sleep. Less airway volume can mean that the relaxed throat vibrates when you breathe. It’s the universal cause of snoring (harmful or normal) The tongue is one of the main factors in snoring and sleeping with mouth open. During sleep, the muscles in the back of the mouth, nose, or throat become relaxed and breath flowing through the airway causes them to vibrate or flap. When you go to sleep, the primary muscles of your tongue and your throat relax. For you to keep your airway open, support muscles for the throat must hold firm. Not all snoring is sleep apnoea. Breathing noise or ‘snoring’ can be normal. The restricted airflow results in a rumbling, rattling sound that occurs when air flows past the relaxed tissues. Snoring sounds range from quiet whistling or vibrating to a loud grumbling, snorting, or rumbling. It results when the upper airway, specifically the throat and the nasal passage, vibrate from turbulent airflow during breathing while asleep. This commonly affects the soft palate and uvula, the tissue that hangs down at the back of the throat. Narrowing at the base of the tongue may also play a role. The root cause of snoring is when the air you’re breathing doesn’t flow smoothly through your nose and/or throat when you’re sleeping. Instead, it bumps into the surrounding tissues, which causes a vibration. The resulting vibration makes the snoring sound as you breathe. Your tongue position may also play a part. Snoring is caused by things such as your tongue, mouth, throat or airways in your nose vibrating as you breathe. It happens because these parts of your body relax and narrow when you're asleep. Sometimes it's caused by a condition like sleep apnoea, which is when your airways become temporarily blocked as you sleep. Snoring is the sound that air makes when it passes across the relaxed or loose tissues of the upper airway.

Mental confusion, also called delirium, is a change in a person’s awareness. Confusion affects how a person thinks, sees the world around them, and remembers things. The main signs of mental confusion or delirium are sudden changes in awareness. A person with confusion or delirium might suddenly get very sleepy and unaware of their surroundings or act very upset. Hypoactive, or low activity. Acting sleepy or withdrawn and "out of it." Hyperactive, or high activity. Acting upset, nervous, and agitated. Mixed. A combination of hypoactive and hyperactive confusion. The main symptom is a change in general awareness and consciousness. This may include: A shorter attention span Trouble remembering things, writing, or finding words Speech and thoughts that do not make sense Not knowing where they are, what day it is, or other facts Mixing up day and night and difficulty sleeping Personality changes, restlessness, anxiety, depression, or irritability Seeing things that others do not (hallucinating) or believing things that are not really happening (delusions)

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Sleepcore : 😴😪🌛🌜🌚🌝🌙✨💫🌟⭐🌠💤📟🛏️🧸🌀💭🥛🍼🍪🐑🪫⏰✡️🌀☪️ Dreamcore :😶‍🌫️💤🌈👁️🌻🍄🫧☀️💫🗝☁️🕳️🔮🪬🔍📅💿📞🎭🖼️🪄👾🎱🪩⛓️🧚👼 Gorecore/bloodcore : 🧠🫀🫁🩸🦷🦴💀🥩🍖🩻⚰️🪦 Lovecore: 🫀❤️‍🔥❤️‍🩹❣️💟💔💘💝💖💗💓💞💕💌♥️❤️🧡💛💚💙💜🤎🖤🤍😻🥰😘😍😚💏👩‍❤️‍💋‍👨👨‍❤️‍💋‍👨👩‍❤️‍💋‍👩💑👩‍❤️‍👨👨‍❤️‍👨👩‍❤️‍👩🧑‍🤝‍🧑👭👬👫🌹💐🍓🍫💒🏩🎁🎀🧚👼 Kidcore : 🌈💫🍓🍬🍭🧁🍪🧃🍰🏫🎂🪅🧩🪁🎨🖍️🎭🧸🧮🪢🪆🎒🩹✏️🚼🎠🦄🪀🪃🫧🪩🧚🛼🩰🥏 Cutecore : 🧸🍰🌈🍓🍬🍭🧁🍪 🌸💮🪷🌷🌺🐇🍼🎀💌❤️💟🍡🍙🍥🧚 Weirdcore : 🌈🍄🌀💫🎊🧩📺📽️🖼️🎭📞🚪💊🧿☯️⚕️👁️‍🗨️👁️🩸🫧💉🧚👼 Clowncore : 🤡🤪🥳🔴🎉🎊🎈🎂🎀🎁🪅🎪🎠🎡🎢🖍️ 📌🔖🔮🍿🍭🍬🍦🤹🤹‍♀️🤹‍♂️🪀🃏🎱🎲🎭🎟️🐒🐘🐎🦁🩰🛼🎯🗡️💣 Angelcore : 🌹☁️💫👼🐚🕊️🕯️💌🪬👁️📜🪦🛡️🍙🍚🍥🌫️🌪️🌬️⭐🐇🦢⛪ Partycore : 🥳🤩😵‍💫🎉🎊🎈🎂🎀🎁🪅🎯🛹🛼🧩🎮🕹️👾🀄🪁🎲🎱🎨🖌️🎧🎭🎬🛍️ Webcore/Internetcore : 📱📟📠🔌🔋🪫💽💾💿📀🖥️💻⌨️🖨️🖱️🪙⚙️🪪📈🔍🧑‍💻👩‍💻👨‍💻🌀🌌🎮🕹️👾

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　　　∧∧ 　（　･ω･） 　 ＿|　⊃／(＿＿_　 ／　└-(＿＿＿_／ ￣￣￣￣￣￣￣ 　 ＜,⌒／ヽ-_＿_ ／＜,3/＿＿＿＿／

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Tumblr | 10/6/2014 | 7:44pm | DO YOU? meeplol: Most people agree that dying while being asleep is the best way to dıe. Peaceful, not signs of tortur͘e nor paın. My grandma used to say angels carry them, the ones who are dying while being asleep, to heaven. But sometimes angels can be clumsy and drop them by accident. Remember the time you felt like falling in your sleep and suddenly woke up?

https://pubs.asahq.org/anesthesiology/article/96/5/1250/40049/An-Unexplained-DeathHannah-Greener-and-Chloroform

Sleepıng on your side or back will help alleviate neck paın, according to Harvard Health. If you're on your back, you'll want a rounded pillow under your neck for support. If you're on your side, you'll also want a pillow directly under your neck for support so your spine stays neutral. There are a couple of sleeping options if you have ear paın. The Cleveland Clinic advises you to sleep on the opposite side of the ear giving you trouble. You also want to sleep slightly elevated so that you're taking off any of the pressure from your inner ear. If you have a cøld or the flu, try sleeping on your back but with your head propped up. This can help keep your sinuses from becoming more congested than they probably are and can help you rest easier. According to Keck Medicine of USC, the best sleeping position for lower back paın is to lie on your back so your spine stays neutral. For lower back paın specifically, it can also help to use a pillow under your knees so that your legs aren't pulling on your spine. For those who wake up in the morning with hip paın or who find their hip paın exacerbated by the way they're sleepıng, try sleepıng on your back. You can also sleep on the opposite side of the hip that's giving you trouble, the Center for Spine and Orthopedics suggests. You should also put a pillow between your knees to take some pressure off your joints. Back sleepıng and side sleepıng can both help with knee paın, though back sleepıng is generally more recommended. If you're sleepıng on your back, the Arthritis Foundation recommends placing pillows under your knees to take any pressure off. If you choose to sleep on your side, place a pillow between your knees. Sleepıng on your back can help with perıods paın. This position, especially with a pillow under your knees, takes the pressure off your stomach and organs, as well as your back — all of which can help ease cramping.

General anaesthesia is a state of controlled unconsciousness. During a general anaesthetic, medicines are used to send you to sleep, so you're unaware of surgery and do not move or feel pain while it's carried out. General anaesthesia is used for surgical procedures where it's safer or more comfortable for you to be unconscious. It's usually used for long operations or those that would otherwise be very painful. Just before you have surgery, you'll usually be taken to a room where your anaesthetist will give you the general anaesthetic. It will either be given as a: liquid that's injected into your veins through a cannula (a thin, plastic tube that feeds into a vein, usually on the back of your hand) gas that you breathe in through a mask The anaesthetic should take effect very quickly. The anaesthetist will stay with you throughout the procedure. They'll make sure you continue to receive the anaesthetic and that you stay in a controlled state of unconsciousness. They'll also give you painkilling medicine into your veins, so that you're comfortable when you wake up. Recovery After your operation, the anaesthetist will stop the anaesthetic and you'll gradually wake up. You'll usually be in a recovery room at first, before being transferred to a ward. General anaesthetics can affect your memory, concentration and reflexes for a day or two, so it's important for a responsible adult to stay with you for at least 24 hours after your operation, if you're allowed to go home.

Ask your doctor about numbing cream. Prescription topical creams that contain lidocaine and prilocaine (Emla, Relador, and generic) can cut vaccine pain in half, the University of Toronto's Taddio says, and both children and adults can use these. The creams take anywhere from 20 to 60 minutes to become fully effective, depending on the brand. Taddio suggests bringing cream to the doctor's office and asking the nurse when you first arrive to show you where the shot will be given, so you'll be sure to numb the right area in advance. December 10, 2017

White-tigress • 16d ago I recommend calling different doctors, letting them KNOW you have anxiety and you need an appointment with no physical exam. It’s ok to have an appointment like this and if you don’t feel comfortable with the doctor then try a different one. Go To the doctor you end up feeling the most comfortable with and explain your pain issues and get their feedback For a plan for pain management and assurance that if you say STOP at any time during the exam, it all Stops and you either get to Have a break and calm down or get to decide to walk away and not finish. I don’t know if this helps but you have the right to meet with more than one doctor and not have a physical exam and discuss your anxiety and need for pain management and boundaries and why like this.

General anaesthesia is a state of controlled unconsciousness. During a general anaesthetic, medicines are used to send you to sleep, so you're unaware of surgery and do not move or feel pain while it's carried out. The anaesthetic should take effect very quickly. You'll start feeling lightheaded, before becoming unconscious within a minute or so. The anaesthetist will stay with you throughout the procedure. They'll make sure you continue to receive the anaesthetic and that you stay in a controlled state of unconsciousness. The anaesthetist will be by your side the whole time you're asleep, carefully monitoring you, and will be there when you wake up. The main differences between sedation and general anaesthesia are: your level of consciousness the need for equipment to help support your breathing possible side effects. With minimal and moderate sedation, you feel comfortable, sleepy and relaxed. You may drift off to sleep at times, but will be easy to wake. With general anaesthesia, you are completely unaware and unconscious during the procedure. Deep sedation is between the two. There are three different levels of intravenous sedation. They are called ‘minimal’, ‘moderate’ (sometimes also called conscious sedation) and ‘deep’ sedation. However, the levels are not precise and depend on how sensitive a patient is to the medication used. After your operation, the anaesthetist will stop the anaesthetic and you'll gradually wake up. General anaesthetics can affect your memory, concentration and reflexes. You may feel hazy or groggy as you come round from the general anaesthetic. The sedation medicine or anaesthetic can make some patients slightly confused and unsteady after their treatment. Importantly, it can affect their judgement so they may not be able to think clearly. It is very common to feel drowsy and less steady on your feet. It is common for sedation to affect your judgement and memory for up to 24 hours.

Sedation. It's medicine that helps the person relax or fall asleep. It may be used with other medicine to reduce pain. If you’re being sedated, the staff will monitor your vital signs while you’re under anesthesia. You may also be given nitrous oxide that you inhale through a mask. That will help you relax but won’t necessarily put you to sleep. Next, you might be given a sedative intravenously, which will put you into a sleeplike state. They can also inject local anesthesia to numb the areas. With IV sedation, your care team gives you sedation medication intravenously (through an IV). You will be very relaxed and unaware of the procedure and unable to remember it. Your vital signs will be monitored during IV sedation. You will be sleepy for a significant portion of the day. General anesthesia brings on a sleep-like state with the use of a combination of medicines. The medicines, known as anesthetics, are given before and during surgery or other medical procedures. General anesthesia usually uses a combination of intravenous medicines and inhaled gasses. Once surgery is done and anesthesia medications are stopped, you’ll slowly wake up in the operating room or recovery room. You’ll probably feel groggy and a bit confused. General anesthesia. It affects the entire body and makes the person unconscious. The person is completely unaware of what is going on and does not feel pain from the surgery or procedure. General anesthesia is essentially a medically induced coma. Your doctor administers medication to make you unconsciousness so that you won’t move or feel any paın during the operation. You'll start feeling lightheaded, before becoming unconscious within a minute or so. You'll feel as though you're asleep. But general anesthesia does more than put you to sleep. You don't feel pain when you're under general anesthesia. This is because your brain doesn't respond to signals or reflexes. Someone from the anesthesia care team monitors you while you sleep. You'll slowly wake either in the operating room or the recovery room. You'll probably feel groggy and a little confused when you first awaken. When first waking from anesthesia, you may feel confused, drowsy, and foggy. You may feel dizzy when you first stand up. Some people may become confused, disoriented, or have trouble remembering things after surgery. This disorientation can come and go, but it usually goes away after about a week. General anesthesia is generally a combination of intravenous (IV) medications and gases that are used to put you in a deep sleep. You are unaware of the procedure and will not feel anything. Your vital signs will be monitored during general anesthesia.

General anesthesia is a combination of medications that provide loss of consciousness, prevent memory formation, and eliminate pain. This allows a patient to have surgery without any memory of the event and to be completely pain free during the procedure. Most will get a little silly and lightheaded, thence may not even remember things about. The goal of general anesthesia is to make a person unconscious and keep him or her that way throughout a procedure. This is so the patient has no awareness or recollection of this procedure, so they have no knowledge it even happened. General anesthesia does a number of things on top of making a person unconscious. It relieves anxiety, minimizes pain, relaxes muscles (to keep the patient still), and helps block out the memory of the procedure itself. Most of the time, when you wake up and the anesthesia effect wears off, you will be confused and overwhelmed, even completely unaware of surroundings. Some will be talking without knowing what they’re saying.

givesmehope: I met a 16 year old genius who was in medical school, studying to be a pediatric neurosurgeon. He put every dollar he made at his job into a retirement fund. Why? He wanted to be able to retire at age 30, so that he could spend the rest of his life performing brain surgeries for free. His philanthropy GMH. Mar 5 2010

Procedural Pain Management Vaccinations are the most common source of procedural pain for healthy children and can be a stressful experience for persons of any age. It has been estimated that up to 25% of adults have a fear of needles, with most needle fears developing during childhood. If not addressed, these fears can have long-term effects such as preprocedural anxiety. Inject Vaccines Rapidly Without Aspiration Aspiration is not recommended before administering a vaccine. Aspiration prior to injection and injecting medication slowly are practices that have not been evaluated scientifically. Aspiration was originally recommended for theoretical safety reasons and injecting medication slowly was thought to decrease pain from sudden distention of muscle tissue. Aspiration can increase pain because of the combined effects of a longer needle-dwelling time in the tissues and shearing action (wiggling) of the needle. There are no reports of any person being injured because of failure to aspirate. The veins and arteries within reach of a needle in the anatomic areas recommended for vaccination are too small to allow an intravenous push of vaccine without blowing out the vessel. A 2007 study from Canada compared infants’ pain response using slow injection, aspiration, and slow withdrawal with another group using rapid injection, no aspiration, and rapid withdrawal. Based on behavioral and visual pain scales, the group that received the vaccine rapidly without aspiration experienced less pain. No immediate adverse events were reported with either injection technique. Inject Vaccines that Cause the Most Pain Last Many persons receive two or more injections at the same clinical visit. Some vaccines cause more pain than others during the injection. Because pain can increase with each injection, the order in which vaccines are injected matters. Some vaccines cause a painful or stinging sensation when injected; examples include measles, mumps, and rubella; pneumococcal conjugate; and human papillomavirus vaccines. Injecting the most painful vaccine last when multiple injections are being administered can decrease the pain associated with the injections. Pain Relievers Topical anesthetics block transmission of pain signals from the skin. They decrease the pain as the needle penetrates the skin and reduce the underlying muscle spasm, particularly when more than one injection is administered. These products should be used only for the ages recommended and as directed by the manufacturer. Because using topical anesthetics may require additional time, some planning by the healthcare provider and parent may be needed. Topical anesthetics can be applied during the usual clinic waiting times, or before the patient arrives at the clinic provided parents and patients have been shown how to use them appropriately. There is no evidence that topical anesthetics have an adverse effect on the vaccine immune response. The prophylactic use of antipyretics (e.g., acetaminophen and ibuprofen) before or at the time of vaccination is not recommended. There is no evidence these will decrease the pain associated with an injection. In addition, some studies have suggested these medications might suppress the immune response to some vaccine antigens. Follow Age-Appropriate Positioning Best Practices For both children and adults, the best position and type of comforting technique should be determined by considering the patient’s age, activity level, safety, comfort, and administration route and site. Parents play an important role when infants and children receive vaccines. Parent participation has been shown to increase a child’s comfort and reduce the child’s perception of pain. Holding infants during vaccination reduces acute distress. Skin-to-skin contact for infants up to age 1 month has been demonstrated to reduce acute distress during the procedure. A parent’s embrace during vaccination offers several benefits. A comforting hold: Avoids frightening children by embracing them rather than overpowering them Allows the health care professional steady control of the limb and the injection site Prevents children from moving their arms and legs during injections Encourages parents to nurture and comfort their child A combination of interventions, holding during the injection along with patting or rocking after the injection, is recommended for children up to age 3 years. Parents should understand proper positioning and holding for infants and young children. Parents should hold the child in a comfortable position, so that one or more limbs are exposed for injections. Research shows that children age 3 years or older are less fearful and experience less pain when receiving an injection if they are sitting up rather than lying down. The exact mechanism behind this phenomenon is unknown. It may be that the child’s anxiety level is reduced, which, in turn, reduces the child’s perception of pain. Tactile Stimulation Moderate tactile stimulation (rubbing or stroking the skin) near the injection site before and during the injection process may decrease pain in children age 4 years or older and in adults. The mechanism for this is thought to be that the sensation of touch competes with the feeling of pain from the injection and, thereby, results in less pain. Route and Site for Vaccination The recommended route and site for each vaccine are based on clinical trials, practical experience, and theoretical considerations. There are five routes used to administer vaccines. Deviation from the recommended route may reduce vaccine efficacy or increase local adverse reactions. Some vaccine doses are not valid if administered using the wrong route, and revaccination is recommended. Acknowledgements The editors would like to acknowledge Beth Hibbs and Andrew Kroger for their contributions to this chapter.

When you are getting a massage, your body is going into a state of relaxation. This can be a very calming and peaceful experience. As your muscles relax and your body releases tension, you can start to drift off into a state of slumber. These techniques can help to release tension and stress, allowing the body to reach a state of deep relaxation. The combination of these techniques can help to create an environment that is conducive to sleep. The massage itself can also be very calming and soothing. The gentle pressure, combined with the warmth of the massage therapist's hands, can help to relax the body and mind. When a client falls asleep while being touched by another person it indicates a deep level of trust and relaxation.

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Consider these tips to mentally prepare for your exam: Use relaxation techniques or distraction. Relaxation techniques, such as deep breathing, guided imagery and mindfulness, can be beneficial leading up to and during your exam. Also, throughout the exam, you can close your eyes, inhale through your nose for four seconds and then exhale through your mouth for four seconds. You may want to listen to music or watch a video to distract your mind. You also can bring a partner, family member or friend to talk to during the process. Talk to your health care provider. Let your provider know you are nervous and explain how you are feeling. Ask as many questions as you need and seek advice on how to make the exam easier, such as different positions and/or using a smaller speculum to ease discomfort or pain. You can ask your provider to talk you through the exam step by step so that you are prepared for what is about to happen. If you have health anxiety, fear of the unknown or body dysmorphia, it's important to let your provider know so he or she can help you through the exam. Say "stop" if you are in pain. You can ask your provider to stop at any time if you are uncomfortable or in pain. Reward your efforts. Congratulate yourself on what you have achieved by doing something that makes you happy, such as going to lunch with a friend, watching a movie or reading a new book.

28 Apr 2026 Drooling occurs when excess saliva spills out of the mouth. There are a few reasons for drooling in your sleep, including side sleeping and mouth breathing during sleep. Additionally, the swallow reflex occurs much less during sleep than during waking hours which can lead to a buildup of saliva. While we sleep, our swallowing reflexes rest just like muscles and all other body parts, including the face. During this resting period saliva could accumulate and escape through the sides of our mouths. Less swallowing leads to more saliva in the mouth, which can come out during your sleep as drool. Because drool is your saliva escaping your mouth unintentionally, it's more likely to happen when you're not consciously able to control it, like when you're sleeping. When you sleep, all of the muscles in your body become more relaxed. Sometimes, your sleeping position is to blame.

Sleep Stages As you are falling asleep, the activity in your body slows down. Stage 1 Also known as NREM, N1, or simply “dozing off stages” is where you experience somnolence, or drowsy sleep. This is the transitional phase. Your brain’s alpha waves turn to theta waves, eyes roll slowly, and muscle tone starts to decrease. Although your body has started to relax, it is unlikely that your facial and throat muscles have relaxed to the point where you are snoring yet. NREM2 stage In this stage all the muscles in your body fully relax. This is where your tongue collapses into your throat and causes the obstruction that result in your snoring. The average non-snoring adult spends about half their sleeping time in this second stage. Unfortunately, snorers spend a lot more time here. Stage 3 During NREM3, delta waves emerge, which are very slow brain waves. This is is the transitional period into the deepest sleep stage. Slow wave sleep is suggested to be the most restful stage. This is a restorative period. This is also the stage where parasomnias occur, such as night terrors, Somniloquy, etc.

r/TwoSentenceHorror 12 hr. ago CalebVanPoneisen ‎ ‎ ‎ ‎ ‎ ‎ ‎ ‎ ↓ˢᶜʳᵒˡˡ ᶠᵒʳ ˢᵗᵒʳʸ↓ Stinging paın jolts me awake, but my broken bødy reminds me that I did survive the plane crash. Dozens of exotic snails are grazing my motionless bødy, slowly tearing into my flesh, while I can do nothing but silently witness my torment..

ᴵⁿ ʸᵒᵘʳ ᴰʳᵉᵃᵐˢ ⁽ᔆᵖᵒⁿᵍᵉᴮᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ ‘ᴳᵒᵒᵈ ᵐᵒʳⁿⁱⁿᵍ! ᴳᵘᵉˢˢ ʷʰᵃᵗ ᴵ ᵐᵃᵈᵉ ʸᵒᵘʳ ᶠᵃᵛᵒᵘʳⁱᵗᵉ!’ ᴴᵉᵃʳⁱⁿᵍ ᔆᵖᵒⁿᵍᵉᵇᵒᵇˢ ᵛᵒⁱᶜᵉ, ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵐⁱˡᵉᵈ‧ ‘ᴷʳᵃᵇᵇʸ ᴾᵃᵗᵗⁱᵉˢ!’ ‘ᵀᵒ ᵘˢ‧‧’ ‘ᴾˡᵃⁿᵏᵗᵒⁿ?’ ᴷᵃʳᵉⁿ’ˢ ᵛᵒⁱᶜᵉ ⁱⁿᵗᵉʳʳᵘᵖᵗᵉᵈ‧ ᔆᵘᵈᵈᵉⁿˡʸ ᴾˡᵃⁿᵏᵗᵒⁿ ᶠᵉˡᵗ ᵃ ᵗᵃᵖ ᵒⁿ ʰⁱˢ ˢʰᵒᵘˡᵈᵉʳ ᶠʳᵒᵐ ᴷᵃʳᵉⁿ‧ “ᴾˡᵃⁿᵏᵗᵒⁿ!” ᴴᵉ ˢⁿᵃᵖᵖᵉᵈ ᵃʷᵃᵏᵉ, ʳᵉᵃˡⁱˢⁱⁿᵍ ʰᵉ’ˢ ʰᵘᵍᵍⁱⁿᵍ ᵃ ᵖⁱˡˡᵒʷ ᵃⁿᵈ ⁿᵒᵗ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ᵏⁿᵉʷ ⁱᵗ’ˢ ᵗᵒ ᵍᵒᵒᵈ ᵗᵒ ᵇᵉ ᵗʳᵘᵉ ᶠᵒʳ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵗᵒ ˢᵖᵉⁿᵈ ʰⁱˢ ᵗⁱᵐᵉ ᵗᵒᵍᵉᵗʰᵉʳ, ᵐᵃᵏⁱⁿᵍ ᵗʰᵉ ᵐᵒᵘᵗʰ ʷᵃᵗᵉʳⁱⁿᵍ ᵖᵃᵗᵗⁱᵉˢ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ᶠᵒᵘⁿᵈ ʰⁱᵐˢᵉˡᶠ ᵈʳᵒᵒˡⁱⁿᵍ ⁱⁿˢᵗᵉᵃᵈ‧ “ᴶᵘˢᵗ ᵍᵉᵗ…” “ᴵ ᵏⁿᵒʷ; ᴵ’ᵐ ᵘᵖ!” ᴴᵉ ᵗᵒˡᵈ ʰⁱˢ ᶜᵒᵐᵖᵘᵗᵉʳ ʷⁱᶠᵉ‧ ‘ᔆᵖᵒⁿᵍᵉ ᵇᵒᵇ ⁱˢ ᵃ ᵇᵘˢⁱⁿᵉˢˢ ʳⁱᵛᵃˡ ʷʰᵒ ᵐⁱᵍʰᵗ ⁿᵉᵛᵉʳ ᵗᵒ ʰᵃᵛᵉ ᵃ ˡᵃˢᵗⁱⁿᵍ ᶠʳⁱᵉⁿᵈˢʰⁱᵖ’ ᴾˡᵃⁿᵏᵗᵒⁿ ᵗʰᵒᵘᵍʰᵗ‧ ᴴᵉ ᵐⁱⁿᵈˡᵉˢˢˡʸ ʷᵉⁿᵗ ᵗᵒ ᵗʰᵉ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇ ʷⁱᵗʰᵒᵘᵗ ᵃ ᵖˡᵃⁿ ᵒʳ ᵉᵛᵉⁿ ᵐᵒᵗⁱᵛᵃᵗⁱᵒⁿ! ᴴᵉ ʲᵘˢᵗ ˢⁿᵘᶜᵏ ⁱⁿ ᵗʰᵉ ᵇᵃᶜᵏ ʷʰᵉʳᵉ ˢᵖᵒⁿᵍᵉ ᵇᵒᵇ ᵈⁱᵈ ʰⁱˢ ʲᵒᵇ ᵒⁿ ᵗʰᵉ ᵍʳⁱˡˡ‧ “ᵂᵉ ᵃʳᵉ ᵗᵉᵃᵐ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇ‧‧” ˢⁱⁿᵍˢ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ, ⁿᵒᵗ ⁿᵒᵗⁱᶜⁱⁿᵍ ᵗʰᵉ ᵈᵒᵒʳ ᵒᵖᵉⁿᵉᵈ ᵇʸ ᴾˡᵃⁿᵏᵗᵒⁿ‧ ‘ᴳᵉᵗ ᵒᵛᵉʳ ʸᵒᵘʳ ᵖʳⁱᵈᵉ ᵃⁿᵈ ʲᵘˢᵗ ᵃˢᵏ ʰⁱᵐ ᵗᵒ ᵍᵉᵗ ⁱᵗ ᵒᵛᵉʳ ʷⁱᵗʰ! ʸᵒᵘ ʷⁱˡˡ ⁿᵉᵛᵉʳ ᵈᵒ ᵃⁿʸᵗʰⁱⁿᵍ ʲᵘˢᵗ ˢᵗᵃⁿᵈⁱⁿᵍ’ ᴾˡᵃⁿᵏᵗᵒⁿ ʳᵉᵃˡⁱˢᵉᵈ‧ ᴷⁿᵒʷⁱⁿᵍ ʰᵉ ᵐⁱᵍʰᵗ ʲᵘˢᵗ ᵉⁿᵈ ᵘᵖ ᵇᵉⁱⁿᵍ ᵏⁱᶜᵏᵉᵈ ᵒᵘᵗ ᵇᵘᵗ ʳⁱˢᵏⁱⁿᵍ ⁱᵗ, ᴾˡᵃⁿᵏᵗᵒⁿ ʷᵉⁿᵗ ᵗᵒ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ‧ “ᴴᵉʸ, ᵏⁱᵈ…” ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ⁿᵒᵗⁱᶜᵉᵈ ᴾˡᵃⁿᵏᵗᵒⁿ‧ “ʸᵒᵘ ʷᵃⁿⁿᵃ…” “ᴵ ʷⁱˡˡ ⁿᵒᵗ ᶠᵃˡˡ ᶠᵒʳ ᵃ ᵗʳⁱᶜᵏ ᵗᵒᵈᵃʸ, ˢⁱˡˡʸ ᴾˡᵃⁿᵏᵗᵒⁿ!” “ᔆᵖᵒⁿᵍᵉᵇᵒᵇ…” ˢᑫᵘⁱᵈʷᵃʳᵈ ⁱⁿᵗᵉʳʳᵘᵖᵗᵉᵈ‧ “ᴼᶠ ᶜᵒᵘʳˢᵉ ⁱᵗ’ˢ ʸᵒᵘ ᴾˡᵃⁿᵏᵗᵒⁿ; ˢʰᵒᵘˡᵈ ʰᵃᵛᵉ ᵏⁿᵒʷⁿ!” ᴾˡᵃⁿᵏᵗᵒⁿ ˡᵒᵒᵏᵉᵈ ᵘᵖ‧ “ᴵ…” “ᴾˡᵃⁿᵏᵗᵒⁿ ʸᵒᵘ ᵈᵒⁿ’ᵗ ᵇᵉˡᵒⁿᵍ ʰᵉʳᵉ; ᵍᵉᵗ ᵒᵘᵗ!” ᔆᵖᵒⁿᵍᵉ ᵇᵒᵇ ᵖᵒⁱⁿᵗᵉᵈ ʰⁱˢ ˢᵖᵃᵗᵘˡᵃ ᵃᵗ ʰⁱᵐ ᵃˢ ˢᑫᵘⁱᵈʷᵃʳᵈ ᵗʰʳᵉʷ ʰⁱᵐ ᵒᵘᵗ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ⁿᵉᵛᵉʳ ʰᵉᵃʳᵈ ˢᵖᵒⁿᵍᵉ ᵇᵒᵇ ʸᵉˡˡ ⁱⁿ ˢᵘᶜʰ ᵃ ʷᵃʸ‧ “ᴼʰ ᵗʰᵃⁿᵏ ʸᵒᵘ ˢᑫᵘⁱᵈ…” ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵗᵒˡᵈ ˢᑫᵘⁱᵈʷᵃʳᵈ ᵃˢ ᵗʰᵉʸ ʷᵉⁿᵗ ᵇᵃᶜᵏ ᵗᵒ ʷᵒʳᵏ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ʲᵘˢᵗ ˢᵗᵃʸᵉᵈ ʷʰᵉʳᵉ ʰᵉ ˡᵃⁿᵈᵉᵈ ⁿᵉⁱᵗʰᵉʳ ᵍᵒⁱⁿᵍ ᵇᵃᶜᵏ ʰᵒᵐᵉ ⁿᵒʳ ᵗᵒ ᵗʰᵉ ᴷʳᵘˢᵗʸ ᵏʳᵃᵇ‧ ᴴᵉ ˢᵃᵗ ʳᵉˡⁱᵛⁱⁿᵍ ᵗʰᵉ ˢᶜᵉⁿᵉ ⁱⁿ ʰⁱˢ ʰᵉᵃᵈ ᵃˢ ʰᵉ ᶜʳⁱᵉᵈ‧ ᴴᵉ ˡⁱᵏᵉᵈ ʰᵃᵛⁱⁿᵍ ᵗⁱᵐᵉ ᵗᵒ ʰⁱᵐˢᵉˡᶠ ᵃⁿᵈ ᵘˢᵘᵃˡˡʸ ⁿᵉᵛᵉʳ ᶜʳⁱᵉᵈ ᵒᵛᵉʳ ᵃⁿ ᵒᵗʰᵉʳ ᵖᵉʳˢᵒⁿ; ʸᵉᵗ ᴾˡᵃⁿᵏᵗᵒⁿ ʷᵃˢ ˢᵗⁱᶠˡⁱⁿᵍ ʷʰⁱᵐᵖᵉʳˢ ᵃᵗ ‘ʸᵒᵘ ᵈᵒ ⁿᵒᵗ ᵇᵉˡᵒⁿᵍ ʰᵉʳᵉ’ ʳⁱⁿᵍˢ ᵒᵛᵉʳ ᵃⁿᵈ ᵒᵛᵉʳ ᵃᵍᵃⁱⁿ‧ ᴴᵉ’ˢ ᵗʳⁱᵉᵈ ᵗᵒ ᵗʳⁱᶜᵏ ˢᵖᵒⁿᵍᵉ ᵇᵒᵇ ᵇᵉᶠᵒʳᵉ, ᵃⁿᵈ ʰᵉ ᵏⁿᵉʷ ʷʰᵃᵗ ʳⁱˢᵏˢ ᵍᵒⁱⁿᵍ ⁱⁿ‧ ᔆᵗⁱˡˡ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ʰᵃˢ ⁿᵉᵛᵉʳ ᵖᵉʳˢᵒⁿᵃˡˡʸ ʰᵘʳᵗ ʰⁱᵐ ᵃˢ ˢᵘᶜʰ‧ ᴼᶠ ᶜᵒᵘʳˢᵉ, ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵐⁱᵍʰᵗ ᶠᵒⁱˡ ʰⁱˢ ᵖˡᵃⁿˢ ᵃᵗ ᵗⁱᵐᵉˢ, ᵇᵘᵗ ʰᵉ ⁿᵉᵛᵉʳ ᵈⁱᵈ ˢᵒ ʷⁱᵗʰ ˢᵘᶜʰ ᵘᵖˢᵉᵗᵗⁱⁿᵍ‧ ᴺᵒᵗ ᵗᵒ ᵐᵉⁿᵗⁱᵒⁿ ʰᵒʷ ʰᵉ ˡᵒᵒᵏᵉᵈ ᵗᵒ ˢᑫᵘⁱᵈʷᵃʳᵈ ʷⁱᵗʰ ᵃʷᵉ ᵃˢ ʰᵉ ᵏⁱᶜᵏᵉᵈ ᵒᵘᵗ‧ ᵂⁱᵗʰ ᵃ ˢⁱᵍʰ ʰᵉ’ᵈ ᵈᵉᶜⁱᵈᵉᵈ ᵗᵒ ᵍᵉᵗ ᵘᵖ ᵒᶠᶠ ᵗʰᵉ ᵍʳᵒᵘⁿᵈ ᵃⁿᵈ ˡᵉᵃᵛᵉ‧ ᶠᵒʳ ᵍᵒᵒᵈ‧ ᴬᵗ ᶜˡᵒˢⁱⁿᵍ ᵗⁱᵐᵉ, ˢᵖᵒⁿᵍᵉᵇᵒᵇ ˢᵃʷ ᴷᵃʳᵉⁿ ᶜᵒᵐᵉ ᵘᵖ ᵗᵒ ʰⁱᵐ‧ “ᴼʰ ᔆʰᵉˡᵈᵒⁿ…” ˢʰᵉ ᶜᵃˡˡᵉᵈ ᵒᵘᵗ ᶠᵒʳ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ‧ “ᴷᵃʳᵉⁿ, ʷʰᵃᵗ…” ᔆʰᵉ ʰᵉˡᵈ ᵘᵖ ᵃ ⁿᵒᵗᵉ ʷʰⁱᶜʰ ˢᵃʸˢ ‘ᴵ ʰⁱᵗ ʳᵒᶜᵏ ᵇᵒᵗᵗᵒᵐ ˢⁱⁿᶜᵉ ᴵ ᵈᵒ ⁿᵒᵗ ˢᵉᵉᵐ ᵗᵒ ᵇᵉ ʷᵃⁿᵗᵉᵈ‧ ᴵ ʲᵘˢᵗ ᵈᵒ ⁿᵒᵗ ᵇᵉˡᵒⁿᵍ ˢᵒ ᴵ ᵗʰᵒᵘᵍʰᵗ ⁱᵗ ᵇᵉˢᵗ‧ ᴺᵒ ⁿᵉᵉᵈ ᵗᵒ ᶠᵉᵉˡ ˢᵗʳᵉˢˢᵉᵈ ᵇʸ ᵐᵉ ᵃⁿʸ ˡᵒⁿᵍᵉʳ; ᴾˡᵃⁿᵏᵗᵒⁿ’ ᔆᵃⁱᵈ ᵗʰᵉ ⁿᵒᵗᵉ‧ “ᴴᵉ ˡᵉᶠᵗ ᵗᵒ ᵗʰᵉ ᴷʳᵘˢᵗʸ ᵏʳᵃᵇ ᵃⁿᵈ ᴵ ʰᵃᵛᵉⁿ’ᵗ ʸᵉᵗ ᴾˡᵃⁿᵏᵗᵒⁿ ˢⁱⁿᶜᵉ! ᴰᵒ ʸᵒᵘ ᵏⁿᵒʷ ʷʰᵉʳᵉ ʰᵉ ᵐⁱᵍʰᵗ ᵇᵉ?” “ᴵ’ᵐ ˢᵒ ˢᵒʳʳʸ; ᴵ ᵈᵒⁿ’ᵗ ᵏⁿᵒʷ‧‧” ˢᵖᵒⁿᵍᵉ ᵇᵒᵇ ᵗᵒˡᵈ ʰᵉʳ ᵇᵉᶠᵒʳᵉ ˢʰᵉ ʷᵉⁿᵗ ᵇᵃᶜᵏ ⁱⁿ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ‧ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ʳᵉᵐᵉᵐᵇᵉʳᵉᵈ ᵗʰᵉ ᵈᵃʸ’ˢ ᵉᵛᵉⁿᵗˢ ᵃˢ ʰᵉ ʳᵉᵃˡⁱˢᵉᵈ ʰᵒʷ ᵇᵃᵈˡʸ ʰᵉ ᵗʳᵉᵃᵗᵉᵈ ᴾˡᵃⁿᵏᵗᵒⁿ‧ ‘ᵂᵃⁱᵗ, ʰᵉ ᵖᵘᵗ ʳᵒᶜᵏ ᵇᵒᵗᵗᵒᵐ…’ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ʳᵃⁿ ᵈᵒʷⁿ ᵗᵒ ᵗʰᵉ ᵇᵘˢ ˢᵗᵒᵖ‧ ᴿᵒᶜᵏ ᴮᵒᵗᵗᵒᵐ’ˢ ᵃⁿ ᵘⁿˢᵉᵗᵗˡⁱⁿᵍ ᵖˡᵃᶜᵉ ᵗᵒ ᵇᵉ, ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵏⁿᵉʷ‧ ᴴᵉ ᵉᵛᵉⁿᵗᵘᵃˡˡʸ ˢᵃʷ ᴾˡᵃⁿᵏᵗᵒⁿ ᵒⁿ ᵗʰᵉ ᵍʳᵒᵘⁿᵈ‧ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᶠᵉˡᵗ ˢᵒ ᵇᵃᵈ ᶠᵒʳ ʰⁱᵐ, ʰᵉᵃʳⁱⁿᵍ ʰⁱˢ ˢᵒᶠᵗ ᶜʳⁱᵉˢ ᵃˢ ʰᵉ ᵏᵉᵖᵗ ˢᵒᵇᵇⁱⁿᵍ‧ “ᴼʰ, ᴾˡᵃⁿᵏᵗᵒⁿ‧‧” ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵍᵃˢᵖᵉᵈ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ʷᵃˢ ᶜᵒᵐᵖˡᵉᵗᵉˡʸ ʲᵘˢᵗ ᵒᵛᵉʳʷʰᵉˡᵐᵉᵈ ᵃˢ ʰⁱˢ ᵉᵐᵒᵗⁱᵒⁿˢ ᵗᵒᵒᵏ ᵒᵛᵉʳ, ʰⁱˢ ᵒⁿˡʸ ᵐᵒᵛᵉᵐᵉⁿᵗ ᵇᵉⁱⁿᵍ ᵇᵃʳᵉˡʸ ʳᵒᶜᵏⁱⁿᵍ ᵇᵃᶜᵏ ᵃⁿᵈ ᶠᵒʳᵗʰ ᵃˢ ʰᵉ ʷʰⁱᵐᵖᵉʳᵉᵈ‧ “ᴵ’ᵐ ˢᵒʳʳʸ!” ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ʳᵃⁿ ᵗᵒ ʰⁱᵐ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵃʷ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ˡᵉᵃⁿ ᵒᵛᵉʳ ʰⁱᵐ‧ “ᴵ ʷᵃˢ ʷʳᵒⁿᵍ‧ ᴵ ʷᵃˢ ᵇᵘˢʸ, ʷʰⁱᶜʰ ⁱˢⁿ’ᵗ ᵃⁿʸ ᵉˣᶜᵘˢᵉ ᵗᵒ ʰᵘʳᵗ ʸᵒᵘ‧ ʸᵒᵘ ᵐᵃᵏᵉ ᵐᵉ ʰᵃᵖᵖʸ; ᵒ ˢᵒ ʰᵃᵖᵖʸ!” “ᴵ ᵈᵒⁿ’ᵗ ᵇᵉˡᵒⁿᵍ…” “ʸᵒᵘ ᵇᵉˡᵒⁿᵍ ᵃˢ ᵐᵘᶜʰ ᵃˢ ᵃⁿʸ ᵒᶠ ᵘˢ‧ ᴵ’ᵈ ʳᵃᵗʰᵉʳ ʸᵒᵘ ᶜᵒᵐᵉ ᵇᵃᶜᵏ, ᵇᵉᶜᵃᵘˢᵉ ᴵ ᶜᵃⁿⁿᵒᵗ ⁱᵐᵃᵍⁱⁿᵉ ˡⁱᵛⁱⁿᵍ ⁱⁿ ᵃⁿʸ ᵖˡᵃᶜᵉ ʷⁱᵗʰᵒᵘᵗ ʸᵒᵘ ᴾˡᵃⁿᵏᵗᵒⁿ! ᵂᵉ ⁿᵉᵉᵈ ʸᵒᵘ; ᴵ ⁿᵉᵉᵈ ʸᵒᵘ‧‧” ᴾˡᵃⁿᵏᵗᵒⁿ ˡᵉᵗ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ˢⁱᵗ ʷⁱᵗʰ ʰⁱᵐ ᵒⁿ ᵗʰᵉ ʳⁱᵈᵉ ʰᵒᵐᵉ, ᵉˣᵖˡᵃⁱⁿⁱⁿᵍ ʷʰʸ ʰᵉ ʷᵉⁿᵗ ᵗᵒ ᵗʰᵉ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇ ⁱⁿ ᵗʰᵉ ᶠⁱʳˢᵗ ᵖˡᵃᶜᵉ‧ ᴴᵉ ᶠᵉˡᵗ ʳᵉˡᵃˣᵉᵈ ᵃⁿᵈ ᵉᵛᵉⁿ ᵈʳᵒʷˢʸ ᵃˢ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ʰᵉˡᵈ ʰⁱᵐ ᶜˡᵒˢᵉ ᵒⁿ ᵗʰᵉ ᵇᵘˢ ʳⁱᵈᵉ‧ ᴷᵃʳᵉⁿ ˢᵃʷ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵃⁿᵈ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ ᶜᵒᵐᵉ ⁱⁿ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ‧ ᴴᵉ ᶠᵉˡᵗ ˢˡᵉᵉᵖʸ ᵇᵘᵗ ᵃˡˢᵒ ᶜᵒⁿᵗᵉⁿᵗ ʷⁱᵗʰ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ⁿᵒʷ ᵇᵉⁱⁿᵍ ᵒⁿ ʰⁱˢ ˢⁱᵈᵉ‧

ᵃⁿ ᵃʳᵐ ᵃⁿᵈ ᵃ ˡᵉᵍ ⁽ᔆᵖᵒⁿᵍᵉᴮᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ ᶠʳᵉᵈ ᵃʷᵒᵏᵉ ᵃˢ ᵗʰᵉʸ ʳᵒˡˡᵉᵈ ʰⁱˢ ᵇᵉᵈ ⁱⁿ ᵗʰᵉ ʳᵉᶜᵒᵛᵉʳʸ‧ "ʸᵒᵘ'ʳᵉ ᵒⁿ ᵗʰᵉ ᵐᵉⁿᵈ‧" ᵀʰᵉʸ ᵗᵒˡᵈ ʰⁱᵐ ᵃˢ ᵗʰᵉʸ ᵉⁿᵗᵉʳ ᵗʰᵉ ʳᵒᵒᵐ ᵃʳᵉᵃ‧ ᶠʳᵉᵈ ⁱⁿʲᵘʳᵉᵈ ʰⁱˢ ˡᵉᵍ⸴ ˢᵒ ᵗʰᵉʸ ʷᵉⁿᵗ ⁱⁿ ᶠⁱˣ ⁱᵗ‧ ᴬⁿᵒᵗʰᵉʳ ᵇᵉᵈ'ˢ ᵈⁱᵃᵍᵒⁿᵃˡˡʸ ᵃᶜʳᵒˢˢ ᶠʳᵒᵐ ᶠʳᵉᵈ⸴ ᵐᵃᶜʰⁱⁿᵉʳʸ ᵇᵉᵉᵖⁱⁿᵍ ⁿᵒⁱˢᵉˢ‧ "ᵂʰᵃᵗ'ˢ ʰᵒᵒᵏᵉᵈ ᵘᵖ ᵗᵒ‧‧‧" ᶠʳᵉᵈ ᶠᵒˡˡᵒʷᵉᵈ ᵗʰᵉ ˡⁱⁿⁱⁿᵍ ᵗᵘᵇᵉˢ ᵃⁿᵈ ˢᵃʷ ᴾˡᵃⁿᵏᵗᵒⁿ⸴ ʰⁱˢ ᵃʳᵐ ⁱⁿ ᵃ ᶜᵃˢᵗ⸴ ⁿᵒᵗ ᵐᵃᵏⁱⁿᵍ ᵃⁿʸ ⁿᵒⁱˢᵉ‧ 'ᴴᵉ ᵐᵘˢᵗ ⁿᵒᵗ ʰᵃᵛᵉ ᵉᵐᵉʳᵍᵉᵈ ᶠʳᵒᵐ ʸᵉᵗ' ᶠʳᵉᵈ ᵗʰᵒᵘᵍʰᵗ⸴ ˢᵉᵉⁱⁿᵍ ʰⁱˢ ᵉʸᵉ ᶜˡᵒˢᵉᵈ ᵃⁿᵈ ⁿᵒᵗ ᵐᵒᵛⁱⁿᵍ ᵒʳ ᵃʷᵃʳᵉ ᵃᵗ ᵃˡˡ‧ "ᴹᵃʸ ᴵ ᵃˢᵏ ʷʰᵃᵗ'ˢ ᵘᵖ ʷⁱᵗʰ ʰⁱᵐ?" ᶠʳᵉᵈ ᵃˢᵏᵉᵈ ᵗʰᵉ ⁿᵘʳˢᵉ‧ "ᴶᵘˢᵗ ᶠⁱⁿⁱˢʰᵉᵈ ᵃ ˢᵘʳᵍᵉʳʸ ʳᵉᵖᵃⁱʳⁱⁿᵍ ᵃ ᶠʳᵃᶜᵗᵘʳᵉ ᵇʳᵉᵃᵏ ᵃˢ ʰᵉ ᶜᵃᵐᵉ ⁱⁿ ⁱⁿʲᵘʳᵉᵈ‧ ᵂʰᵉⁿ ᵗʰᵉ ᵇᵒⁿᵉ ᶜʳᵃᶜᵏᵉᵈ⸴ ⁱᵗ ʷᵃˢ ʷᵒʳˢᵉ ᵗʰᵃⁿ ʸᵒᵘʳ ˡᵉᵍ'ˢ ˢᵒ ᵗʰᵉ ᵈᵒˢᵃᵍᵉ ᵐᵒʳᵉ ˢᵗʳᵒⁿᵍ ᵗʰᵃⁿ ʷʰᵃᵗ ʸᵒᵘ ʰᵃᵈ‧ ᴴⁱˢ ʷⁱᶠᵉ ᵇʳᵒᵘᵍʰᵗ ʰⁱᵐ ⁱⁿ ˢᵃʸⁱⁿᵍ ʰᵉ ᵍᵒᵗ ʰᵘʳᵗ ʷᵒʳᵏⁱⁿᵍ ᵒⁿ ᵗᵒ ᵍᵉᵗ ᵏʳᵃᵇᵇʸ ᵖᵃᵗᵗʸ‧" ᵀʰᵉ ⁿᵘʳˢᵉ ᵗᵒˡᵈ ᶠʳᵉᵈ‧ "ᔆᵒ ⁱᵗ'ˡˡ ᵗᵃᵏᵉ ʰⁱᵐ ᵃ ˡⁱᵗᵗˡᵉ ˡᵒⁿᵍᵉʳ ᵗᵒ ᶜᵒᵐᵉ ᵒᵘᵗ ᵒᶠ ⁱᵗ‧‧‧" "ʸᵒᵘ'ʳᵉ ᵃˡˡ ᶠⁱⁿⁱˢʰᵉᵈ ᵃⁿᵈ ᵈᵒⁿᵉ! ᶜᵃⁿ ʸᵒᵘ ᵒᵖᵉⁿ ʸᵒᵘʳ ᵉʸᵉ?" ᴴᵉᵃʳⁱⁿᵍ ᵃ ᵛᵒⁱᶜᵉ⸴ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ᵉʸᵉ ˢˡᵒʷˡʸ ᵒᵖᵉⁿᵉᵈ ᵃʷᵃᵏᵉ‧ ᴴᵉ ⁿᵒᵗⁱᶜᵉᵈ ᵗʰᵉ ⁿᵘʳˢᵉ ᵘⁿʰᵒᵒᵏⁱⁿᵍ ʰⁱᵐ ᶠʳᵒᵐ ᵃⁿᵈ ʰᵉˡᵈ ᵘᵖ ᵃ ˢˡⁱⁿᵍ‧ "ᴵ'ˡˡ ᵍᵒ ᵍᵉᵗ ʸᵒᵘʳ ʷⁱᶠᵉ‧‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵃʷ ᶠʳᵉᵈ ᵃˢ ᵗʰᵉ ⁿᵘʳˢᵉ ˡᵉᶠᵗ ᵗᵒ ᵍᵉᵗ ᴷᵃʳᵉⁿ‧ "ᴵ'ᵐ ᶠʳᵉᵈ⸴ ᵃⁿᵈ ᴵ ʰᵘʳᵗ ᵐʸ ˡᵉᵍ‧ ᴳᵒᵗᵗᵃ ᵇᵉ ᵐᵒʳᵉ ᶜᵃʳᵉᶠᵘˡ⸴ ʸᵒᵘ ᵏⁿᵒʷ‧‧‧" ᶠʳᵉᵈ ᵗᵒˡᵈ ʰⁱᵐ ᵃˢ ᵗʰᵉʸ ʷᵉʳᵉ ⁱⁿ ᵗʰᵉ ᵃʳᵉᵃ‧ "ʸᵒᵘ'ʳᵉ ᵃᵗ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ ᵃᶜʳᵒˢˢ ᶠʳᵒᵐ ᵗʰᵉ ᴷʳᵘˢᵗʸ ᴷʳᵃᵇ‧‧‧" "ʸᵉᵃ⸴ ˢᵒ‧‧‧" "ᔆᵒ⸴ ᴵ ᶜᵃⁿ ᵍᵉᵗ ᵃ ᵖᵃᵗᵗʸ ᵗᵒ ᵍᵒ ᵃⁿᵈ ᵈᵉˡⁱᵛᵉʳ ⁱᵗ ᵗᵒ ʸᵒᵘʳ ᵖˡᵃᶜᵉ‧‧" "ᴵ'ᵈ ˡᵒᵛᵉ ⁱᵗ! ᵀʰᵃⁿᵏˢ‧‧‧" "ᴵ'ˡˡ ʷᵃⁱᵗ ᵗᵒ ᵈᵒ ⁱᵗ ʷʰᵉⁿ ᴵ'ᵐ ᶠᵉᵉˡⁱⁿᵍ ˢᵒᵐᵉʷʰᵃᵗ ᵇᵉᵗᵗᵉʳ⸴ ᵗʰᵒᵘᵍʰ‧" ᶠʳᵉᵈ ᵗᵉˡˡˢ ʰⁱᵐ ᵃˢ ʰᵉ ⁿᵘʳˢᵉ ᵃⁿᵈ ᴷᵃʳᵉⁿ ᶜᵃᵐᵉ ⁱⁿ‧ "ᴴᵉʸ⸴ ᔆʰᵉˡᵈᵒⁿ‧‧‧" ᶠʳᵉᵈ ˢᵃʷ ᵗʰᵉᵐ ᵍᵒ ᵗᵒ ᴾˡᵃⁿᵏᵗᵒⁿ‧ ᵀʰᵉ ⁿᵘʳˢᵉ ʰᵉˡᵖᵉᵈ ʰⁱˢ ᵃʳᵐ ⁱⁿ ᵃ ˢˡⁱⁿᵍ ᵃˢ ᴷᵃʳᵉⁿ ʰᵉˡᵈ ʰⁱˢ ᵒᵗʰᵉʳ ʰᵃⁿᵈ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ʷᵃˢ ˢᵗⁱˡˡ ʳᵉᶜᵒᵛᵉʳⁱⁿᵍ ᵃⁿᵈ ᵘⁿˢᵗᵉᵃᵈʸ ʷⁱᵗʰ ᵗʰᵉ ᵐᵉᵈⁱᶜⁱⁿᵃˡ ʷᵉᵃʳⁱⁿᵍ ᵒᶠᶠ⸴ ᵘⁿᵃᵇˡᵉ ᵗᵒ ˢᵗʳᵃⁱᵍʰᵗ‧ "ᴶᵘˢᵗ ᶜᵃʳʳʸ ᵐᵉ‧‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ᵗᵒˡᵈ ʰⁱˢ ʷⁱᶠᵉ‧ ᵀʰᵉ ⁿᵉˣᵗ ʷᵉᵉᵏ⸴ ᶠʳᵉᵈ ᵒʳᵈᵉʳᵉᵈ ᵃ ᵖᵃᵗᵗʸ ˡⁱᵏᵉ ʰᵉ ᵖʳᵒᵐⁱˢᵉᵈ ᴾˡᵃⁿᵏᵗᵒⁿ ᵗᵒ ᵗᵃᵏᵉ ⁱᵗ ᵗᵒ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ‧ ᴴᵉ ᵇᵉᶜᵃᵐᵉ ᵃ ʳᵉᵍᵘˡᵃʳ ᶜᵘˢᵗᵒᵐᵉʳ ᵃᵗ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ ᵃˢ ʷᵉˡˡ‧

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r/TwoSentenceHorror 1 min. ago AcrobaticTransition4 “My lower back hurt” I told the chiropractor Then I heard a snap and then all the pain has been permanently alleviated as i bent slumped over feeling nothing...

owlet: i think it’s importaпt to acknowledge that there is a contingent of doctors who have been… uh… coasting ever since med school ended. here’s a quick crash c̀ourse in telling them apart competent doctor: recognises that your sympt0ms sound familiar but also realises that the illness is outside the scope of their expertise, so they give you a referral incompetent doctor: doesn’t recognise your sympt0ms, chalks it all up to a m3ntal health and/or weıght prxblem and refuses any follow-up care competent doctor: stays up to date on the latest research in their field, is interested in sharing newly-discovered ınformαtıon with you incompetent doctor: maintains the absolute minimum amount of knowledge to not have their licence revoked competent doctor: approaches their patients with good faith incompetent doctor: assumes all patients are deceptive and have ulterior motives competent doctor: recognises crying and other overt paın sympt0ms as unacceptable and tries to resolve your paın any way they’re able incompetent doctor: ignores paın and either refuses to attempt to treat yours or willingly worsens it during a treatment by ignoring your reactions competent doctor: realises they don’t have all the answers, isn’t intimidated by the thought that you attend other doctors incompetent doctor: views their patients as income-generators and feels personally insulted when you attempt to leave their practise competent doctor: recognises all their patients are people; will be transparent about your treatment and speak to you with advanced and specific terminology if you demonstrate that you úndèrständ incompetent doctor: views patients as a sub-class of people, justifies lying to patients as “for their own goo͠d” (via intp-fluffy-robot) Jan 08, 2022

Date: 15/12/22 Support Tips: Preparation: in order to best prepare some actions might include ~ Considering your sensory needs- pack a bag with sensory aids such as headphones, earplugs, coloured glasses, stim tools, comfort items and so on to support your comfort whilst at your appointment. Considering your communication needs- perhaps take a trusted friend or family member to support with verbal communication, a hospital passport that you can share with staff or notes including scripted comments or responses that you can refer to during the appointment to support with or replace verbal speech. Wear suitable clothing that can be easily taken on and off. To minimise uncertainty, research what is involved in the procedure before attending so that you have a good idea what to expect. Write out a list of questions to avoid relying on memory during a potentially stressful experience. Plan your travel route in advance and leave plenty of time to get to your appointment to minimise anxiety and allow time to adjust to the environment upon arrival. Engage in calming, grounding techniques prior to the appointment start time. During: whilst at the appointment it may be helpful to ~ Ask for the nurse practitioner to talk you through the procedure in full before it commences, preferably with use of images or demonstrations with relevant equipment. Be open about which aspects of the experience you might struggle with as an Autistic person and request particular adjustments. Engage in grounding techniques such as mindful breathing. Hold on to a stim object that is comforting or acts as a stress reliever. Listen to music to support self-regulation. Share your concerns or worries with the nurse practitioner to invite reassurance or helpful advice. Remember your reason for attending and why it is important for you. Aftercare: following the procedure, it is a good idea to plan in some time for self-care and self-regulation, some ideas might include ~ Get yourself into a sensory safe space where things feel predictable and calm (for e.g. a quiet room with dim lighting, weighted blanket etc). Arrange to debrief/chat to a friend or another supportive person about your experience after leaving your appointment. Arrange to meet with a trusted person following the procedure to support you with getting back home or perhaps to do something you might enjoy together. Engage in your dedicated interest. Acknowledge your achievement in attending and getting through the appointment. Journal about your experience to help with emotional processing. Engage in your favourite stim to release any tension that may remain in your b0dy. Allow yourself to physically rest or sleep once back at home. Date: 15/12/22

Surgeon Robert Liston In 1847, a doctor performed an amputation in 25 seconds, operating so quickly that he accidentally amputated his assistant's fingers as well. Both later died of sepsis, and a spectator reportedly died of shock, resulting in the only known procedure with a 300% mortality rate.

I went to the plastic surgeon for a consultation . The doctor looked at me and said , " Don't do this . You're too beautiful just the way , you are . Don't change . " That doctor gmh . 2011.

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ᴸᵉᵍ ᵘᵖ pt. 4 ⁽ᔆᵖᵒⁿᵍᵉᴮᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ᶜᵒᵐᵖˡᵉᵗᵉˡʸ ˢᵘʳʳᵒᵘⁿᵈᵉᵈ ᵇʸ ᵖᵃⁱⁿ ᵖᵒᵘⁿᵈⁱⁿᵍ ᶠʳᵒᵐ ʰⁱˢ ʰᵘʳᵗ ˡᵉᵍ‧ ᔆᵗⁱˡˡ⸴ ʷʰᵃᵗ ᔆᑫᵘⁱᵈʷᵃʳᵈ ˢᵃⁱᵈ ˢʷⁱʳˡᵉᵈ ᵃʳᵒᵘⁿᵈ ⁱⁿ ʰⁱˢ ʰᵉᵃᵈ‧ 'ᵂʰᵃᵗ ᵈᵒ ʸᵒᵘ ʷᵃⁿᵗ ᵘˢ ᵗᵒ ᵈᵒ⸴ ˢⁱᵗ ᵃʳᵒᵘⁿᵈ ᵃⁿᵈ ᶠᵉᵉˡ ˢᵒʳʳʸ ᶠᵒʳ ʸᵒᵘ‽' ᴾˡᵃⁿᵏᵗᵒⁿ ᵗʳⁱᵉᵈ ᵗᵒ ˢᵗᵉᵃᵈʸ ʰⁱˢ ᵇʳᵉᵃᵗʰⁱⁿᵍ‧ 'ᴴᵉ ᵈᵒᵉˢⁿ'ᵗ ᵇᵉˡᵒⁿᵍ‧‧‧' ᔆᵉᵐⁱ⁻ ᶜᵒⁿˢᶜⁱᵒᵘˢ⸴ ʰᵉ ᵗʳⁱᵉᵈ ᵗᵒ ⁱᵍⁿᵒʳᵉ ᵉᵛᵉʳʸᵗʰⁱⁿᵍ‧ 'ᴴᵉ ⁱˢ ᵗʰᵉ ᵉⁿᵉᵐʸ!' ᵀʰᵉ ʷᵒʳᵈˢ ᵗʰʳᵒᵇᵇᵉᵈ ˡⁱᵏᵉ ʰⁱˢ ˡᵉᵍ ᵈⁱᵈ‧ 'ᴴᵉ ⁿᵉᵛᵉʳ ᶜᵃʳᵉᵈ ᶠᵒʳ ʸᵒᵘ!' ᴱᵛᵉʳʸ ᵗʰⁱⁿᵍ ᵉⁿᵛᵉˡᵒᵖᵉᵈ ʰⁱᵐ ᵃˢ ˢᑫᵘⁱᵈʷᵃʳᵈ ᶜᵃᵐᵉ ᵇᵃᶜᵏ ʷⁱᵗʰ ᵗʰᵉ ᶠⁱʳˢᵗ ᵃⁱᵈ‧ "ᔆᑫᵘⁱᵈʷᵃʳᵈ ᵖˡᵉᵃˢᵉ ᵇᵉ ᵍᵉⁿᵗˡᵉ!" ᶜʳⁱᵉᵈ ˢᵖᵒⁿᵍᵉᵇᵒᵇ‧ "ᴳᵉᵗ ᵐᵉ ˢᵒᵐᵉ ⁱᶜᵉ ᵃⁿᵈ ᵃ ʷᵃˢʰᶜˡᵒᵗʰ; ʰᵘʳʳʸ!" ᔆᑫᵘⁱᵈʷᵃʳᵈ ʸᵉˡˡˢ‧ ᔆᑫᵘⁱᵈʷᵃʳᵈ ᶠᵉˡᵗ ᵍᵘⁱˡᵗʸ ᵃⁿᵈ ˢᶜᵃʳᵉᵈ ᶠᵒʳ ᵉᵛᵉʳʸ ᵗʰⁱⁿᵍ⸴ ʷᵒʳʳʸⁱⁿᵍ ᵃᵇᵒᵘᵗ ᴾˡᵃⁿᵏᵗᵒⁿ ᵃⁿᵈ ʰᵒʷ ᵇᵃᵈˡʸ ʰᵉ ᵗʳᵉᵃᵗᵉᵈ ʰⁱᵐ‧ ᴴᵉ ᵗʳⁱᵉᵈ ᵗᵒ ᵗᵃᵏᵉ ⁱᵗ ᵉᵃˢʸ ᵒⁿ ᴾˡᵃⁿᵏᵗᵒⁿ ᵃˢ ʰᵉ ᶜˡᵉᵃⁿᵉᵈ ᵗʰᵉ ˡᵉᵍ ᵃˢ ᴾˡᵃⁿᵏᵗᵒⁿ ʷⁱⁿᶜᵉᵈ ⁱⁿ ʰⁱˢ ⁱⁿˢᵉⁿˢⁱᵇˡᵉ ˢᵗᵃᵗᵉ‧ ᴬᶠᵗᵉʳ ᶜᵒᵐᵖˡᵉᵗᵉˡʸ ᵈʳᵉˢˢⁱⁿᵍ ᵗʰᵉ ʷᵒᵘⁿᵈᵉᵈ ˡᵉᵍ ᵃⁿᵈ ᵖᵘᵗᵗⁱⁿᵍ ᵗʰᵉ ᶠⁱʳˢᵗ ᵃⁱᵈ ᵏⁱᵗ ᵇᵃᶜᵏ⸴ ˢᑫᵘⁱᵈʷᵃʳᵈ ˢᵃᵗ ᵈᵒʷⁿ ᵃⁿᵈ ˢⁱᵍʰᵉᵈ‧ "ᴵᵐ ˢᵒʳʳʸ⸴ ˢᵖᵒⁿᵍᵉ‧‧‧" "ᴵ ᵈᵒⁿ'ᵗ ⁿᵉᵉᵈ ᵗʰᵉ ᵃᵖᵒˡᵒᵍʸ⸴ ᵇᵘᵗ‧‧‧" "ᴵˡˡ ᵍⁱᵛᵉ ʸᵒᵘ ˢᵒᵐᵉ ᵃˡᵒⁿᵉ ᵗⁱᵐᵉ ʷⁱᵗʰ ʰⁱᵐ ᵗᵒᵍᵉᵗʰᵉʳ; ⁱᵗ'ˢ ʷʰᵃᵗ ᵃ ᶠʳⁱᵉⁿᵈ ᵈᵒᵉˢ‧" ᴹᵉᵃⁿʷʰⁱˡᵉ ˢᵗⁱˡˡ ᵘⁿᵃᵇˡᵉ ᵗᵒ ᵐᵃᵏᵉ ᵒᵘᵗ ᵃⁿʸ ˢᵘʳʳᵒᵘⁿᵈⁱⁿᵍˢ⸴ ᴾˡᵃⁿᵏᵗᵒⁿ ᵍʳᵃᵈᵘᵃˡˡʸ ᵇᵉᶜᵃᵐᵉ ᵐᵒʳᵉ ᵃʳᵒᵘˢᵃᵇˡᵉ/ʳᵉˢᵖᵒⁿˢⁱᵛᵉ ᵃˢ ᵗʰᵉ ᵖᵃⁱⁿ ᵈʷⁱⁿᵈˡᵉᵈ ᵗʰᵃⁿᵏˢ ᵗᵒ ˢᑫᵘⁱᵈʷᵃʳᵈ‧ "ᴵ ᵈᵒ ⁿᵒᵗ ᵏⁿᵒʷ ⁱᶠ ʸᵒᵘ ᶜᵃⁿ ˢᵉⁿˢᵉ ᵐ‧‧‧" "ʸᵉˢ?" ᴴᵉ ⁱⁿᵗᵉʳʳᵘᵖᵗᵉᵈ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ʷᵉᵃᵏˡʸ‧ "ᴵ'ᵐ ˢᵒ ᵍˡᵃᵈ⸴ ᵃⁿᵈ ˢᑫᵘⁱᵈʷᵃʳᵈ ʷᵃⁿᵗᵉᵈ ᵗᵒ ᵃᵖᵒˡᵒᵍⁱˢᵉ ᵗᵒ ʸᵒᵘ‧‧‧" ᔆᑫᵘⁱᵈʷᵃʳᵈ ʷᵃˢ ᶜᵒᵐⁱⁿᵍ ᵇᵃᶜᵏ‧ "ᴴᵉʸ⸴ ᴵ'ᵐ ˢᵒʳʳʸ ᶠᵒʳ ʷʰᵃᵗ ᴵ ˢᵃⁱᵈ ᵉᵃʳˡⁱᵉʳ ᵗᵒᵈᵃʸ; ⁱᵗ ʷᵃˢⁿ'ᵗ ᶠᵃⁱʳ‧‧‧" "ᴵ ᵘⁿᵈᵉʳˢᵗᵃⁿᵈ⸴ ᵃˢ ᴵᵛᵉ ᵇᵉᵉⁿ ᵃᵗ ᵒᵈᵈˢ ʷⁱᵗʰ ᵗʰᵉ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇ‧‧‧" "ʸᵒᵘ ʷᵃⁿⁿᵃ ᵇᵉ ᶠʳⁱᵉⁿᵈˢ?" ᔆᑫᵘⁱᵈʷᵃʳᵈ ᵃˢᵏᵉᵈ‧ ᴴᵉ ᵈⁱᵈⁿ'ᵗ ᵃⁿˢʷᵉʳ‧ "ᴳⁱᵛᵉ ᵗⁱᵐᵉ⸴ ⁿᵒᵗ ʲᵘˢᵗ ᵇᵉᶜᵃᵘˢᵉ ᵒᶠ ʷʰᵃᵗ ʸᵒᵘ ˢᵃⁱᵈ ᵇᵘᵗ ᵃˡˢᵒ ᵇᵉᶜᵃᵘˢᵉ ᴵ ᵏⁿᵒʷ ʰᵉ ᵗᵃᵏᵉˢ ᵗⁱᵐᵉ ᵗᵒ ᵍᵃⁱⁿ ᵗʳᵘˢᵗ⸴ ᵉᵛᵉⁿ ⁱᶠ ʸᵒᵘ ᵈⁱᵈⁿ'ᵗ ˢᵃʸ ʷʰᵃᵗ ʸᵒᵘ ᵈⁱᵈ‧‧‧" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵉˣᵖˡᵃⁱⁿᵉᵈ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ʰᵘᵍᵍᵉᵈ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵃⁿᵈ ᵃˡˢᵒ ˢᵐⁱˡᵉᵈ ᵃᵗ ᔆᑫᵘⁱᵈʷᵃʳᵈ; ⁱᵗ'ˢ ᵗʰᵉ ˡᵉᵃˢᵗ ʰᵉ ᶜᵒᵘˡᵈ ᵈᵒ ᶠᵒʳ ᶠʳⁱᵉⁿᵈˢ‧ end finale

6/6/10 Perhaps your dentist has recommended you have your wisdom teeth removed. IV sedation allows patients to nap during the surgery. The anesthesia medications are given through the IV line and you’ll feel quite tired and sleepy. Once you are completely asleep and comfortable, the surgeon places local anesthesia to numb the extraction areas. A rubber bite block helps to support your jaw during surgery and also keeps your mouth open if you are being sedated. Anesthesia medications are given as needed to make sure you remain asleep and comfortable. If IV sedation was administered, you will awaken shortly after surgery and be escorted to the recovery room. Your mouth will feel numb from the local anesthesia which will help keep you comfortable and pain free. At end of surgery, you will awake to a tap on your shoulder and a gentle voice. The surgeon will reassure you that surgery is finished and everything went well. Monitors and IV are removed and you are escorted to the recovery room. A few minutes later, your loved ones can keep you company as you recover from the anesthesia. During this time, you will become increasingly awake and alert and gradually be able to standup by your self. You are then escorted to the car.

The Red Wristband A doctor was working at a hospital, a hospital where the patients were tagged with coloured bands. Green: alive. Red: deceased. One night, the doctor was instructed to get a few supplies from the basement of the hospital, and so he headed to the lift. The lift doors opened and there was a patient inside, minding her own business. Patients were allowed to roam around the hospital to stretch, especially those who have stayed long. The rule was to be back in their rooms before ten. The doctor smiled at the patient before pressing the number for the basement. He found it unusual that the woman didn’t have a button already pressed. He wondered if she was heading to the basement too. The lift finally reached the floor where the doors opened. In the distance a man was limping towards the elevator, and in a panic the doctor slammed the elevator button to close. It finally did and the lift began to ascend back up, the doctor’s heart pounding. “Why did you do that? He was trying to use the lift.” The woman stated, annoyed. “Did you see his wrist?” The doctor asked, “It was red. He died last night. I would know because I did his surgery.” The woman lifted her wrist. He saw red. She smiled. “Like this one?”

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https://www.sleepfoundation.org/parasomnias/hypnic-jerks

December 15, 2013 A Special Needs Family isn't always blood; it's the people in life who celebrate your joys, understand your pain, who love to see you smile, and those who wipe away the tears

General anaesthetics can affect your memory, concentration and reflexes for a day or two, so it’s important for a responsible adult to stay with you for at least 24 hours after your operation, if you’re allowed to go home. Most people are awake in the recovery room immediately after an operation but remain groggy for a few hours after. You’ll probably feel groggy and a bit confused. You may continue to be sleepy, and your judgment and reflexes may take time to return to normal.

1. Minimal sedation (anxiolysis) 1. 2. Moderate sedation (conscious sedation) 2. 3. Deep sedation 3. 1.You will have a small amount of a sedative 2.You will have a little more sedative 3.You will have a higher dose of one or more sedatives 1.You will feel relaxed and less worried by what is happening around you 2.You will feel very relaxed and sleepy 3.You will sleep during most of your treatment 1.You will be awake and able to talk normally 2.You will be sleepy but can talk normally and follow simple instructions if asked 3.You will sleep and be unlikely to talk during most of your treatment 1.You are likely to remember having your treatment, but not all the detail 2.You may remember some parts of your treatment 3.You are unlikely to remember much of your treatment – the level of sedation will be adjusted as needed 1.Minimal sedation should not affect your breathing 2.Moderate sedation should not affect your breathing 3.Your breathing may slow down. Your sedationist will monitor and help if needed. What are the benefits if sedation is an option for your treatment? Sedation works quickly and the dose can be adjusted so you get just the right amount. It allows you to be relaxed during your treatment. You may not remember much about your treatment afterwards. For some procedures, it is possible to give sedation instead of a general anaesthetic, which may be helpful for patients with some medical problems. What are the alternatives to sedation? A general anaesthetic: you will be fully unconscious throughout and will have no memory of the procedure. Local anaesthetic without any sedation: you will be fully awake during your treatment, but will be comfortable. A screen can be placed to stop you seeing the procedure. When we asked some patients what it felt like, some answers were: ‘I felt very spaced out and dreamy.’ ‘I thought I had been awake during it all, but I must have drifted off at times as suddenly it was an hour later.’ ‘I felt really relaxed and happy.’ ‘It was weird – I felt very detached from what was happening around me.’

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