Anesthesia Emojis & Text

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.

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 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.

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.

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https://www.uthscsa.edu/patient-care/dental/services/anesthesia

https://www.dentalfearcentral.org/help/sedation-dentistry/general-anaesthetic/

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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.

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

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.

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.

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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.

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.

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

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.

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.

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.

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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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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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.

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.

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.

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.

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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)

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.

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.

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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

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

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.

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

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・

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.

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

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.

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.

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.

Wisdom Teeth MagicSchoolbusDropout08 Summary: After Will has his wisdom teeth out, Mike questions the wisdom of ever giving him drugs again. Does he change his mind watching his boyfriend be silly and cute? Mike watches Will, who is currently high as a kite on pain medication and anesthesia from having his wisdom teeth out. “Miiiike!” Will cheers as soon as he walks into Will’s bedroom, toasting with a hand with… a Lego in it? “Hhhhhhi!” “Wow, you are drugged up.” Mike chuckles as he walks in and plops down next to his boyfriend of a year. “How was it?” Will makes an absolutely adorable pout and flops over backwards. “Eeeeeeeevil. Evillllll.” Mike’s sure he’s turning red with how hard he’s trying not to laugh. “Oh yeah?” Will nods, eyes focused on Mike. “The… the dentist… he… had this big needle. He’s a… mmmad scientist. Frankenstein.” Well, he’s not too drugged to make literary references. “He… the big needle-” Will giggles, waving his hands around. “-he made everything wooshy.” “Wooshy.” Mike repeats back. “Mm-hmm. Woosh.” Will nods sagely. “An’ everything was spinny.” “Wow.” Mike breathes, and if he says much more, he’s gonna laugh so hard he throws up. “I know, rrright?” Will slurs. “An’ I think he’s evill.” “Why?” Will leans in conspiratorially. “He… he stole my teeth! They… made me sleepy… an’ then I woke up, an’... it’s all gone! He stole my teeth! I wanted to keep those!” He pouts again, and Mike can’t help himself: he bursts out laughing at the genuinely devastated expression on Will’s puffy face. “Oh, no! Poor baby!” Mike coos between peals of laughter. Will pouts even more. “Whhhat?” “They… took your teeth to, um… give to the tooth fairy.” Mike giggles. Will’s eyes widen in horror. “Nnnnnnnno! A fairy? Fairies are… they’re worse than dentists! They steal Legoes!” “Nobody’s gonna steal your Legoes, Will.” Mike grins. Will’s eyes are wide and sad, but they’re also trusting. “Okay.” Will sniffles. “Can I help you?” Mike smiles. Will cups his cheeks, and his slightly-bruised eyes stare into Mike’s with a very strange intensity. “Mike.” Will says seriously. “Yourr eyes…” “Oh?” Mike says. “They’re… so prettyyyyy…” Will whispers in awe, moving his thumbs to touch Mike’s eyelids. “Big… big pretty cow eyes.” “Cow eyes, huh?” “Big n’ warm n’ soft…” Will says. “I love themmmm… Mikey Moo Moo…” Mike bursts out laughing again. Will pouts even more somehow as he strokes Mike's cheeks. “Noooo… don’t laugh, Mikey Moo Moo… it’s true…” He nods firmly, as if solidifying his point, and it makes Mike laugh even harder, enough that his ribs hurt and his eyes prick with tears. “Alright, alright, I’m not laughing at you, babe.” Mike laughs, trying to stifle it. “I love you.” Will stares into his eyes for a weirdly long time before he headbutts Mike in the forehead. “You do?” Will pulls away, staring out his bedroom window, apparently lost in thought. It’s a minute of silence, broken only by the muffled snickers Mike can’t suppress all the way, before Will bursts out in tears. “I dunno!” Will sobs. “I want ice cream now…” Will sniffles. “Carry me…” “One sec, babe, okay?” Mike smiles. He wraps his arms around Will’s waist, and Will’s arms fly to around his neck, clinging to Mike as he stands up. “Yaaay!!” Will cheers, head getting heavier. Instead of carrying him to the kitchen, though, Mike hefts him before dropping him on the bed. “Noooo-” Will complains, hands scrabbling at Mike’s shoulders and trying to pull him down with him. “No, babe, I’ll be right back- let me go- ah!” Mike complains as Will manages to tug him almost on top of him. Somehow, despite Will’s protests, he manages to extract himself from the grip, and Will whines a bit before settling back down, flopping against the pillows with a huff. Mike goes to the kitchen, smiling the whole way and still laughing a little bit. Once he’s there, he rummages through the freezer and fridge until he’s found a pint of strawberry ice cream. As he’s grabbing a spoon, though- “Miiiiiiiiiiiiiike!” Will calls. “Miiiiiike! Are y’coming back?” “I’m here, Will!” Mike calls back, trying so hard not to just collapse from how funny his boyfriend is being. “I’m just getting your ice cream!” “Come backkkkkkkkkk-” Will slurs. “I miss youuuuuuu-” “I'm literally in the kitchen!” he shouts. Mike smiles as he grabs the food, drink, and spoon and heads to the room, where Will is splayed weirdly. As soon as he enters, Will’s eyes light up like he's been gone for days instead of thirty seconds. “Mikey Moo Moo!” “Here you go, babe.” Mike smiles, putting down the foodstuffs and helping Will sit up, propping him against the pillows and headboard. “Now do you want ice cream?” Will nods, still pouting, though the second he takes a spoonful of ice cream, it disappears. “Whoaaaaaaa…” Will gasps. “Mmmm… cold…” “Good, huh?” Mike smiles. Will nods, looking at Mike with big eyes. “Good.” Mike says, smiling as he gently cups Will’s cheeks to lean his head forward for a forehead kiss. “I love you. Even if you’re weird when you’re high.” “Hmm? No, ‘m short.” Will slurs, taking another bite before scooping more and holding it over to Mike. “Y’want some?” “No, babe, I’m okay. Scoot over?” Mike says. Will does, leaning his head on Mike’s shoulder as he quietly munches away on ice cream. “Love you, Mike.” Will slurs, the near-empty ice cream settling in his lap as his head gets heavier. “Love you too.” Mike smiles. Will’s head gets even heavier, and he soon starts softly snoring. Mike smiles and presses a kiss to his forehead, taking away the ice cream and setting it on the nightstand. Fandom: Stranger Things (TV 2016) Relationship: Will Byers/Mike Wheeler Stats: Published:2024-07-31 Language: English

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

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.

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.

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.

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/

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.

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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)

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.

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

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?”

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.

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.

ᴿᵉᶜⁱᵖᵉ ᶠᵒʳ ᴰⁱˢᵃˢᵗᵉʳ 𝚠𝚘𝚛𝚍 𝚌𝚘𝚞𝚗𝚝: 𝟽𝟷𝟿 ⁽ᔆᵖᵒⁿᵍᵉᴮᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ 𝚠𝚘𝚛𝚍 𝚌𝚘𝚞𝚗𝚝: 𝟽𝟷𝟿 "ᴵ'ᵐ ᵍᵒⁱⁿᵍ ᵗᵒ ˢᵉᵉ ˢᵃⁿᵈʸ‧‧‧" ᴷᵃʳᵉⁿ ᵗᵒˡᵈ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ ᴾˡᵃⁿᵏᵗᵒⁿ‧ "ˢᵒᵘⁿᵈˢ ᵍᵒᵒᵈ‧" ᴴᵉ ʳᵉᵖˡⁱᵉˢ⸴ ᵇᵘˢʸⁱⁿᵍ ʰⁱᵐˢᵉˡᶠ‧ ᔆᵒ ˢʰᵉ ʷʳᵒᵗᵉ ʰⁱᵐ ᵃ ⁿᵒᵗᵉ ʲᵘˢᵗ ⁱⁿ ᶜᵃˢᵉ ᵗᵒ ᵇᵉ ˢᵘʳᵉ‧ ᴷᵃʳᵉⁿ ᵃⁿᵈ ˢᵃⁿᵈʸ ᵐᵉᵗ ᵘᵖ ᵗᵒ ʰᵃⁿᵍ ᵒᵘᵗ‧ ᴹᵉᵃⁿʷʰⁱˡᵉ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵃʷ ᴷᵃʳᵉⁿ'ˢ ⁿᵒᵗᵉ ᵇᵉᶠᵒʳᵉ ᵍᵒⁱⁿᵍ ᵗᵒ ᵗʰᵉ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇ‧ "ᴳⁱᵛᵉ ᵐᵉ ᵗʰᵉ ⁱⁿᵍʳᵉᵈⁱᵉⁿᵗˢ⸴ ᴱᵘᵍᵉⁿᵉ ᴷʳᵃᵇˢ‧" ᴾˡᵃⁿᵏᵗᵒⁿ ᵈᵉᵐᵃⁿᵈᵉᵈ‧ "ᴵ ᵈᵒⁿ'ᵗ ᵗʰⁱⁿᵏ ˢᵒ‧‧" "ᴵ'ᵈ ˡⁱᵏᵉ ʸᵒᵘ ᵗᵒ ᵐᵒᵛᵉ ᵒᵛᵉʳ ˢᵒ ᴵ ᶜᵃⁿ ᵃᶜᶜᵉˢˢ ᵗʰᵉ ˢᵃᶠᵉ!" ᴹʳ‧ ᴷʳᵃᵇˢ ᵖⁱᶜᵏᵉᵈ ᵘᵖ ᵗʰᵉ ᶜᵘᵇᵉ ˢʰᵃᵖᵉᵈ ᵖᵒʳᵗᵃᵇˡᵉ ᵛᵃᵘˡᵗ⸴ ᵘˢⁱⁿᵍ ᵃˡˡ ʰⁱˢ ˢᵗʳᵉⁿᵍᵗʰ‧ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᶜᵃᵐᵉ ᵒᵘᵗ ᵗᵒ ˢᵉᵉ ʷʰᵃᵗ'ˢ ʰᵃᵖᵖᵉⁿⁱⁿᵍ‧ "ᴶᵘˢᵗ ⁱⁿ ᵗⁱᵐᵉ ᵐᵉ ᵇᵒʸ⸴ ᴵ'ᵐ ᵍᵒⁿⁿᵃ ᵖᵘᵗ ᵃⁿ ᵉⁿᵈ ᵗᵒ ᵒⁿᶜᵉ ᵃⁿᵈ ᶠᵒʳ ᵃˡˡ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ʰᵉᵃᵛᵉᵈ ᵗʰᵉ ˢᵃᶠᵉ ᵃᵗ ᴾˡᵃⁿᵏᵗᵒⁿ⸴ ᵇᵃⁿᵍⁱⁿᵍ ˢᵐᵃᶜᵏ ᵒⁿ ʰⁱˢ ʰᵉᵃᵈ‧ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ʳᵃⁿ ᵒᵛᵉʳ ᵗᵒ ˢᵉᵉ ᴾˡᵃⁿᵏᵗᵒⁿ ᵇᵃʳᵉˡʸ ᵘᵗᵗᵉʳ ᵃ ʸᵉˡᵖⁱⁿᵍ ᶜʳʸ ᵃˢ ʰᵉ ʰᵉˡᵖˡᵉˢˢˡʸ ᶠᵉˡˡ ᵇᵃᶜᵏ ᶠᵉᵉᵇˡʸ⸴ ᵇᵘᵗ ⁿᵒᵗ ᵇᵉᶠᵒʳᵉ ʰⁱˢ ᵉʸᵉ ʳᵒˡˡᵉᵈ ᵇᵃᶜᵏ ᵃⁿᵈ ᶜˡᵒˢᵉᵈ‧ "ᴸᵉᵗ'ˢ ᶠⁱⁿⁱˢʰ ʰⁱᵐ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ᵗᵒˡᵈ ˢᵖᵒⁿᵍᵉᵇᵒᵇ⸴ ᴾˡᵃⁿᵏᵗᵒⁿ ᵈʳᵃⁱⁿᵉᵈ ˡⁱᶠᵉ ʷⁱᵗʰ ʰⁱˢ ᵐᵒᵘᵗʰ ᶠᵃˡˡᵉⁿ ᵃʲᵃʳ‧ "ᴺᵒ⸴ ᴹʳ‧ ᴷʳᵃᵇˢ‧‧‧" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ʳᵉˢᵒˡᵘᵗᵉ‧ "ᴵ ʷᵒⁿ'ᵗ ᵈᵒ ⁱᵗ⸴ ᵃⁿᵈ ᴵ ʷᵒⁿ'ᵗ ˡᵉᵗ ʸᵒᵘ‧‧‧" "ᶠⁱⁿᵉ⸴ ᵇᵘᵗ ᵒⁿˡʸ ᵇᵉ ᶜᵃᵘˢᵉ ⁱᵗ'ˢ ᶜˡᵒˢⁱⁿᵍ ᵗⁱᵐᵉ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ˢᵃʷ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵍᵉⁿᵗˡʸ ᵖⁱᶜᵏ ᵘᵖ ᴾˡᵃⁿᵏᵗᵒⁿ‧ ᴹᵉᵃⁿʷʰⁱˡᵉ ᴷᵃʳᵉⁿ'ˢ ᶠⁱⁿⁱˢʰⁱⁿᵍ ᵘᵖ ᵍⁱʳˡˢ ⁿⁱᵍʰᵗ ʷⁱᵗʰ ᔆᵃⁿᵈʸ‧ ᴷᵃʳᵉⁿ ᵃʳʳⁱᵛᵉˢ ᵇᵃᶜᵏ ᵃᵗ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ⸴ ʰᵉᵃʳⁱⁿᵍ ˢᵒᵇˢ ᵃˢ ˢʰᵉ ᵒᵖᵉⁿᵉᵈ ᵗʰᵉ ᵈᵒᵒʳ‧ "ᴾˡᵉᵃˢᵉ‧‧‧" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᶜʳⁱᵉᵈ⸴ ᵃˢ ᴷᵃʳᵉⁿ ˢᵃʷ ʰⁱᵐ ᵒᵛᵉʳ ᵗʰᵉ ᵐᵒᵗⁱᵒⁿˡᵉˢˢ ᵇᵒᵈʸ ᵒᶠ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ‧ "ᴷᵃʳᵉⁿ! ᴾˡᵉᵃˢᵉ⸴ ʰᵉˡᵖ! ᴴᵉ'ˢ ⁿᵒᵗ ᵐᵒᵛⁱⁿᵍ⸴ ᵇᵘᵗ ᵒⁿˡʸ ᵇʳᵉᵃᵗʰⁱⁿᵍ‧‧‧" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵉˣᵖˡᵃⁱⁿᵉᵈ ᵉᵛᵉʳʸᵗʰⁱⁿᵍ‧ ᴷᵃʳᵉⁿ ˢᶜᵃⁿⁿᵉᵈ ᴾˡᵃⁿᵏᵗᵒⁿ‧ "ᴹʸ ˢᵒᵘʳᶜᵉˢ ⁱⁿᵈⁱᶜᵃᵗᵉ ʰᵉ'ˢ ᵍᵒⁱⁿᵍ ᵗᵒ ʳᵉᵐᵃⁱⁿ ᵘⁿᶜᵒⁿˢᶜⁱᵒᵘˢ ᵘⁿᵗⁱˡ ᵃᵗ ˡᵉᵃˢᵗ ᵗᵒᵐᵒʳʳᵒʷ ᵐᵒʳⁿⁱⁿᵍ ᵃᵗ ᵗʰᵉ ᵉᵃʳˡⁱᵉˢᵗ ˢᵒ‧‧‧" "ᴵ ⁿᵉᵛᵉʳ ᵐᵉᵃⁿᵗ ᶠᵒʳ ᵃⁿʸ‧‧‧" "ᴵ ᵏⁿᵒʷ⸴ ˢᵖᵒⁿᵍᵉᵇᵒᵇ‧ ʸᵒᵘ ᵈⁱᵈⁿ'ᵗ ᶜᵃᵘˢᵉ ᵗʰᵉ ᵇˡᵘⁿᵗ ᶠᵒʳᶜᵉ ᵗʳᵃᵘᵐᵃ‧ ᴴᵉ'ᵈ ᵇᵉ ⁱⁿ ᵗʰᵉ ʷᵒʳˢᵗ ᶜᵃˢᵉ ˢᶜᵉⁿᵃʳⁱᵒ ᵃ ᶜᵒᵐᵃ⸴ ᵇᵘᵗ ᵒⁿˡʸ ᵗⁱᵐᵉ ᵗᵉˡˡ‧ ʸᵒᵘ ᶜᵃⁿ ˢᵗᵃʸ ᵒᵛᵉʳ ⁿⁱᵍʰᵗ ⁱᶠ ʸᵒᵘ'ᵈ ˡⁱᵏᵉ‧‧‧" ᴷᵃʳᵉⁿ ᵗᵒᵒᵏ ᴾˡᵃⁿᵏᵗᵒⁿ ᵗᵒ ᵇᵉᵈ ᶠᵒʳ ᵗʰᵉ ⁿⁱᵍʰᵗ‧ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ˢᵃᵗ ᵈᵒʷⁿ ⁱⁿ ᶜʰᵃⁱʳ ᵇʸ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ᵇᵉᵈ⸴ ᵉᵛᵉⁿᵗᵘᵃˡˡʸ ᶠᵉˡˡ ᵃˢˡᵉᵉᵖ ʰⁱᵐˢᵉˡᶠ ˢⁱᵗᵗⁱⁿᵍ ᵘᵖ; ᴷᵃʳᵉⁿ ʷᵃˢ ᵒⁿ ᵗʰᵉ ᵒᵗʰᵉʳ ˢⁱᵈᵉ ᵃᶜᵗⁱⁿᵍ ᵃˢ ᵃ ᵐᵒⁿⁱᵗᵒʳ ᶠᵒʳ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ‧ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ʷᵒᵏᵉ ᵘᵖ ⁱⁿ ᵗʰᵉ ᵐᵒʳⁿⁱⁿᵍ ᵃˢ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵗᵃʳᵗᵉᵈ ᵗᵒ ᵗʷⁱᵗᶜʰ⸴ ʰⁱˢ ˢᵉⁿˢᵉˢ ᵍʳᵃᵈᵘᵃˡˡʸ ʳᵉᵗᵘʳⁿⁱⁿᵍ‧ ᴷᵃʳᵉⁿ ᵃˡˢᵒ ᵖᵉʳᵏᵉᵈ ᵘᵖ⸴ ʰᵉᵃʳⁱⁿᵍ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ ᵃˢ ʰᵉ ˢᵗᵃʳᵗᵉᵈ ᵗᵒ ʷᵃᵏᵉⁿ‧ ᴱʸᵉ ᶠˡᵘᵗᵗᵉʳⁱⁿᵍ ᵒᵖᵉⁿ⸴ ʰᵉ ʷᵉᵃᵏˡʸ ᵗʳⁱᵉᵈ ᵗᵒ ᵗᵃᵏᵉ ⁱⁿ ʰⁱˢ ˢᵘʳʳᵒᵘⁿᵈⁱⁿᵍˢ‧ "ᴱᵘʰ–" "ᴾˡᵃⁿᵏᵗᵒⁿ‽" ᵀʰᵉ ᵈᵘˡˡ ᵖᵃⁱⁿ ⁱⁿ ʰⁱˢ ʰᵉᵃᵈ ⁱⁿᶜʳᵉᵃˢᵉᵈ ᵒᵛᵉʳ ʰⁱᵐ ᵃˢ ʷʰᵉʳᵉ ᵗʰᵉ ˢᵃᶠᵉ ʰⁱᵗ ʰⁱᵐ ᶠᵉˡᵗ ᵗʰᵉ ʷᵒʳˢᵗ ᵒᶠ ⁱᵗ‧ "ᵁᵍʰ‧‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ᵗʳⁱᵉᵈ ᵗᵒ ᵐᵒᵛᵉ⸴ ᵇᵘᵗ ᵘⁿᵃᵇˡᵉ ᵗᵒ‧ "ʸᵃᵍ⸴ ʷʰᵃ‧ ᴹʸ ʰᵉᵃᵈ; ʷʰᵃᵗ ⁱˢ ʰᵃᵖᵖᵉⁿⁱⁿᵍ‧‧‧" "ʸᵒᵘ'ʳᵉ ⁱⁿ ʸᵒᵘʳ ʳᵒᵒᵐ‧ ʸᵒᵘ ᵗᵒᵒᵏ ᑫᵘⁱᵗᵉ ᵉ ʰⁱᵗ ʸᵉˢᵗᵉʳ ᵈᵃʸ! ᴰᵒ ʸᵒᵘ ʷᵃⁿᵗ ˢᵒᵐᵉᵗʰⁱⁿᵍ ᵗᵒ ᵈʳⁱⁿᵏ?" "ᴵ'ˡˡ ˢᵗᵃʸ ʷⁱᵗʰ ʰⁱᵐ ᵃⁿᵈ ᵃˢ ʸᵒᵘ ᵍᵉᵗ ˢᵒᵐᵉ ʷᵃᵗᵉʳ‧‧‧" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ⁱⁿᵗᵉʳʳᵘᵖᵗᵉᵈ ᴷᵃʳᵉⁿ‧ "ᴾˡᵃⁿᵏᵗᵒⁿ⸴ ᴵ ᵇʳᵘⁿᵍ ʸᵒᵘ ᵗᵒ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ ᵃᶠᵗᵉʳ ʸᵒᵘ ˢᵗʳᵘᶜᵏ ʸᵒᵘʳ ʰᵉᵃᵈ ᵃᵍᵃⁱⁿˢᵗ ᵗʰᵉ ˢᵃᶠᵉ ʷʰᵉⁿ ᴹʳ‧ ᴷʳᵃᵇˢ ᵗʳⁱᵉᵈ ᵗᵒ ˢᵗᵒᵖ ʸᵒᵘ ˢᵗᵉᵃˡⁱⁿᵍ ᵗʰᵉ ⁱⁿᵍʳᵉᵈⁱᵉⁿᵗˢ‧ ᴵ'ᵐ ˢᵒ ˢᵒʳʳʸ‧‧‧" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵗᵒˡᵈ ʰⁱᵐ‧ "ᴰⁱᵈ ᴵ ᵍᵉᵗ‧‧‧" "ʸᵒᵘ ᵈⁱᵈ ⁿᵒᵗ; ᵐʸ ᵃᵖᵒˡᵒᵍⁱᵉˢ‧" ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵃʷ ᴷᵃʳᵉⁿ ᶜᵒᵐᵉ ᵇᵃᶜᵏ ⁱⁿ‧ "ᴵ ʰᵉˡᵖ ʸᵒᵘ ˢⁱᵗ ᵘᵖ ˢᵗʳᵃⁱᵍʰᵗ ᵗᵒ ᵗᵃᵏᵉ ᵃ ˢⁱᵖ ᵒᶠ ᵈʳⁱⁿᵏ‧‧" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ʰᵉˡᵖᵉᵈ ʰⁱᵐ ᵘᵖʳⁱᵍʰᵗ ᵖᵒˢⁱᵗⁱᵒⁿ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ᵍᵒᵗ ᶠʳᵘˢᵗʳᵃᵗᵉᵈ ʷʰᵉⁿ ʰᵉ ˢᵖⁱˡᵗ ʰⁱˢ ʷᵃᵗᵉʳ⸴ ˢᵗⁱˡˡ ʳᵉᶜᵒᵛᵉʳⁱⁿᵍ ᶠʳᵒᵐ ᵗʰᵉ ⁱⁿᶜⁱᵈᵉⁿᵗ‧ "ᴰᵒⁿ'ᵗ ʷᵒʳʳʸ‧‧‧" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᶜᵒᵃˣᵉᵈ‧ "ʸᵒᵘ ʷᵃⁿᵗ ᵐᵉ ᵗᵒ ʰᵒˡᵈ ⁱᵗ ᵒʳ ʰᵉˡᵖ ʸᵒᵘ ʰᵒˡᵈ ⁱᵗ?" ᴹᵃᵈ ᵃᵗ ʰⁱᵐˢᵉˡᶠ ᶠᵒʳ ⁿᵒᵗ ᵇᵉⁱⁿᵍ ᵃᵇˡᵉ ᵗᵒ⸴ ᴾˡᵃⁿᵏᵗᵒⁿ ᵈⁱᵈⁿ'ᵗ ʰᵃᵛᵉ ᵗʰᵉ ᵉⁿᵉʳᵍʸ ᵗᵒ ᵃʳᵍᵘᵉ‧ ᴴᵉ ᵃˡˢᵒ ᵈⁱᵈⁿ'ᵗ ʷᵃⁿᵗ ᵗᵒ ᵍᵉᵗ ᵃⁿᵍʳʸ ᵃᵗ ᵗʰᵉᵐ⸴ ᵉᵛᵉⁿ ᵗʰᵒᵘᵍʰ ʰᵉ ᶠᵉˡᵗ ˢᵒᵐᵉʷʰᵃᵗ ᵘᵖˢᵉᵗ‧ "ᔆᵖᵒⁿᵍᵉᵇᵒᵇ‧‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ᵃˢᵏᵉᵈ⸴ ʰᵃᵛⁱⁿᵍ ⁿᵒ ᵉⁿᵉʳᵍʸ‧ "ᶜᵃⁿ ʸᵒᵘ ˢᵗᵃʸ ᵇʸ ʷⁱᵗʰ ᵐᵉ ᵖˡᵉᵃˢᵉ‧‧‧" "ᔆᵘʳᵉ⸴ ᵇᵘᵈ; ʲᵘˢᵗ ʳᵉˢᵗ‧" "ᵀʰᵃⁿᵏ‧‧‧" "ˡᵉᵃⁿ ᵇᵃᶜᵏ‧" ᴴᵉ ᶠᵉˡˡ ᵃˢˡᵉᵉᵖ ᵃˢ ʰⁱˢ ʰᵉᵃᵈ ʰⁱᵗᵗⁱⁿᵍ ᵗʰᵉ ᵖⁱˡˡᵒʷ‧ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵗᵉˣᵗᵉᵈ ʰⁱˢ ᵇᵒˢˢ 'ᴵ ᵃᵐ ʳᵉˢⁱᵍⁿⁱⁿᵍ' ᵗᵒ ᴹʳ‧ ᴷʳᵃᵇˢ⸴ ᵛᵒʷⁱⁿᵍ ᵗᵒ ᵇᵉᶜᵒᵐᵉ ᵃ ᶠʳʸ ᶜᵒᵒᵏ ᵃᵗ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ ᵒⁿ‧ ᴷᵃʳᵉⁿ ᶜᵃᵐᵉ ⁱⁿ ᵗʰᵉ ʳᵒᵒᵐ ʷⁱᵗʰ ᔆᵃⁿᵈʸ‧ "ᴵ ʰᵉᵃʳᵈ ᵃᵇᵒᵘᵗ ᵗʰᵉ ⁱⁿᶜⁱᵈᵉⁿᵗ⸴ ᵃⁿᵈ ᴵ ᶠᵉˡᵗ ᵇᵃᵈ ᵃᵇᵒᵘᵗ ᴷᵃʳᵉⁿ ʷⁱᵗʰ ᵐᵉ ᵃⁿᵈ ⁿᵒᵗ ʷⁱᵗʰ‧‧‧" "ᑫᵘⁱᵉᵗ⸴ ᔆᵃⁿᵈʸ‧‧‧" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵖᵒⁱⁿᵗᵉᵈ ᵃᵗ ᴾˡᵃⁿᵏᵗᵒⁿ ʷⁱᵗʰ ᵍᵉˢᵗᵘʳᵉ‧ "ᴿⁱᵍʰᵗ; ˢᵒʳʳʸ‧" "ᴺᵉᵛᵉʳ ᵗʰᵒᵘᵍʰᵗ ᴵ'ᵈ ˢᵃʸ ⁱᵗ⸴ ᵇᵘᵗ ᴵ ᶜᵃⁿ'ᵗ ʷᵃⁱᵗ ᶠᵒʳ ʰⁱᵐ ᵗᵒ ˢᵗᵃʳᵗ ⁿᵃᵍᵍⁱⁿᵍ ᵐᵉ ᵃᵍᵃⁱⁿ‧‧" ᴷᵃʳᵉⁿ ˢⁱᵍʰᵉᵈ‧ "ᴵ ᵗʰⁱⁿᵏ ʰᵉ'ˢ ᵒⁿ ᵗʰᵉ ᵐᵉⁿᵈ‧‧‧" "ᴵ ᵏⁿᵒʷ⸴ ᵃⁿᵈ ʸᵒᵘ ˢᵃᵛᵉᵈ ʰⁱᵐ‧ ʸᵒᵘ ᵏⁿᵒʷ⸴ ᴵ ᵗʰⁱⁿᵏ ʰᵉ ˢᵉᵉˢ ʸᵒᵘ ᵃˢ ᵃ ᶠʳⁱᵉⁿᵈ⸴ ᵈᵉˢᵖⁱᵗᵉ ⁿᵒᵗ ʷᵃⁿᵗⁱⁿᵍ ᵗᵒ ᵃᵈᵐⁱᵗ‧‧‧" "ᴵ ᵃˡˢᵒ ᵐᵉᵐᵒʳⁱˢᵉᵈ ᵗʰᵉ ᵖᵃᵗᵗʸ ⁱⁿᵍʳᵉᵈⁱᵉⁿᵗˢ⸴ ʷʰⁱᶜʰ ᴵ'ᵐ ᵍᵒⁿⁿᵃ ᵍⁱᵛᵉ ʰⁱᵐ!" "ʸᵒᵘ ˢᵘʳᵉ?" "ᴬˢ ʰⁱˢ ᶠʳⁱᵉⁿᵈ⸴ ᴵ'ᵈ ᵈᵒ ⁱᵗ⸴ ᵒʳ ʰᵉˡᵖ ʰⁱᵐ ᵈᵒ ⁱᵗ!" ᵀʰᵉ ᴷʳᵃᵇ'ˢ ⁿᵒ ᵐᵒʳᵉ‧

Some of my favorite words and phrases to describe a character in pain coiling (up in a ball, in on themselves, against something, etc) panting (there’s a slew of adjectives you can put after this, my favorites are shakily, weakly, etc) keeling over (synonyms are words like collapsing, which is equally as good but overused in media) trembling/shivering (additional adjectives could be violently, uncontrollably, etc) sobbing (weeping is a synonym but i’ve never liked that word. also love using sob by itself, as a noun, like “he let out a quiet sob”) whimpering (love hitting the wips with this word when a character is weak, especially when the pain is subsiding. also love using it for nightmares/attacks and things like that) clinging (to someone or something, maybe even to themselves or their own clothes) writhing/thrashing (maybe someone’s holding them down, or maybe they’re in bed alone) crying (not actual tears. cry as in a shrill, sudden shout) dazed (usually after the pain has subsided, or when adrenaline is still flowing) wincing (probably overused but i love this word. synonym could be grimacing) doubling-over (kinda close to keeling over but they don’t actually hit the ground, just kinda fold in on themselves) heaving (i like to use it for describing the way someone’s breathing, ex. “heaving breaths” but can also be used for the nasty stuff like dry heaving or vomiting) gasping/sucking/drawing in a breath (or any other words and phrases that mean a sharp intake of breath, that shite is gold) murmuring/muttering/whispering (or other quiet forms of speaking after enduring intense pain) hiccuping/spluttering/sniffling (words that generally imply crying without saying crying. the word crying is used so much it kinda loses its appeal, that’s why i like to mix other words like these in) stuttering (or other general terms that show an impaired ability to speak — when someone’s in intense pain, it gets hard to talk) staggering/stumbling (there is a difference between pain that makes you not want to stand, and pain that makes it impossible to stand. explore that!) recoiling/shrinking away (from either the threat or someone trying to help) pleading/begging (again, to the threat, someone trying to help, or just begging the pain to stop) Feel free to add your favorites or most used in the comments/reblogs!

r/shortscarystories 3 yr. ago deontistic Unnatural Birth ᵀᵂ ᶜᵘᵗˢ There was no other way, and there was no one else. The grotesque swell to the belly, the unnatural writhing, my indescribable pain—I was panicked, but I knew it was up to me. I had to do it. No one else seemed to have the spine to offer anything more than assistance. Clinically . . . I had to think clinically. And I had to move fast, had to take the kn*fe and cut—yet I had to be careful not to cut too deep. To cut too deep would mean certain disaster, wouldn’t it. I had to šhut everything down; I had to šhut off the lights in all my rooms except the one where I would cut. I had to ignore my paın . . . exit the moment . . . had to proceed. I took the kn*fe and placed its blxde on the belly, then I pressed and dragged—not too hãrd, but firm. The layers cut more easily than I’d imagined, and my incision was true. Still, no time to waste . . . had to keep moving. I pulled back the layers and reached deep into the belly. He was right there, my chıld, my soñ . . . I held him in my hands inside the belly, then I pulled him through the viscera, the muscle, the skın. I held him in my arms, covered in blood as he was, eyès half øpened staring at nothing. Of course he was đeađ, just as they’d said he’d be. I held him . . . and I wailed . . . and wailed . . . I hated . . . I hated my husband for making us come to the Amazon with him, hated myself for not refusing to come. I hated that I’d look͘ed̛ away, even though it’d only been for the slightest of moments. And though the beast hadn’t acted out of malevolence as my heart told me it surely must’ve, but only out of its instinct to survive . . . I hated the anaconda, too. My boy, my little James . . . he was just two . . .

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.

A TOOTHY STORY pt. 7 The next morning, the anesthesia's completely worn off. Plankton wakes to find himself drooling on his pillow, the gauze in his mouth a soggy mess. His eye opens. Wincing as he wiped his mouth, he took out his now pink gauze. "Wha’ happened?" He says. Karen's smile is a gentle wave. "I had my wisdom teeth out, right? I remembe--- I held your hand Karen. I was in a chair, then somehow in a bed.." Karen nods, her voice a soothing symphony. "Yes, that was yesterday.." Plankton's antennae twitch with realization. "Y-yesterday?" he asks, his voice a sleepy whisper. "But...but what happened?" Karen laughs, her voice a gentle lullaby. "You had your wisdom teeth out," she says, her fingers tracing his cheek. "Do you remember the clinic?" "Yes, Karen," Plankton rolls his eye; "I don't know what happened after leaving to go home.." Karen nods, smiling; there's her snappy husband! "It's normal," she says. "The anesthesia can make your memory fuzzy." Plankton's eye widens. He tries to sit up, but his body is still a ragdoll's. "What...what did I do?" he asks, his voice a slurred mess. Karen helps him, her smile a gentle lullaby. "You were just tired, sweetheart," she says, seeing Hanna come to the doorway. "My friend Hanna's here because her home is being worked on." Hanna waves, her smile a warm beacon. "Hi, Plankton," she says. "What‽ But Karen, remember she gave you that virus..." "It's okay, Plankton," she says, her voice a gentle whisper. "That was in the past." Hanna nods, her smile soft. "I promise, I'm all better now," she says. "How you feeling?" Plankton's antennae twitch, his eye still foggy. "F-fine," he mumbles, his voice a murmur. Karen helps him sit up, the pillows propping him up like a soft fortress. "Do you remember wanting muffins?" Hanna asks, her voice a soft reminder. Plankton's antennae wave wildly. "M-muffins?" he asks, his memory a distant tide. Karen nods, her laughter a warm sunrise. "Yes, you talked about them a lot last night," she says, her eyes twinkling. "But it's okay, you were just a bit loopy from the surgery." Plankton blinks. "Loopy?" he asks, his voice a tentative wave. Karen nods, her smile a comforting breeze. "It's normal, sweetie. The medicine made you feel funny." Hanna's eyes sparkle with mischief. "You were quite the character," she says, her voice a gentle tease. Plankton feels his face heat up, his antennae drooping with embarrassment. He doesn't remember a thing from the night before, but the laughter and smiles from Karen and Hanna tell a story he clearly missed. "How's your mouth?" Hanna asks, her voice a concerned ripple. "Karen told me you went to the dentist.." Plankton's antennae twitch, his mind racing to catch up. "It's...it's fine," he mumbles, his voice a tentative whisper. The reality of his surgery sinking in, he gently touches his cheeks, feeling the swollen mounds where his teeth once were. But Hanna's curious about what this procedure was. "So, Plankton," she starts, her voice a gentle wave, "What was it like at the dentist?" He blinks, his mind still a bit hazy. "It...it was okay," he mumbles, his tongue poking at the empty sockets. "I don't know.." Hanna nods, her smile sympathetic. "It must have hurt," she says, her voice a soft caress. "What did they do?" Plankton's antennae droop, his eye flashing with annoyance. "I don't remember," he grumbles, his voice a stormy sea. "But I'm sure it wasn't as fun as you seem to think it was." Hanna's smile fades, her eyes full of understanding. "I'm sorry," she says, her voice a gentle current. "I didn't mean to make you uncomfortable. I just wondered what procedure you had done." He can't believe he's talking about his dental woes to a stranger. Plankton's antennae stiffen, his body tense. "Why do you ask about the dentist?" his voice a snappy bubble. Karen's eyes widen, her smile fading. "Plankton," she says, her voice a soft warning. "It's okay, Hanna's just curious." Hanna's smile falters, her voice a gentle retreat. "I didn't mean to pry," she says, stepping back. "I just..." But Plankton, his emotions a swirling maelstrom, waves his hand dismissively. "I don't want to talk about it," he says, his voice a firm tide. "It's none of your concern." Hanna's smile falters, her cheeks flushing with the sting of his words. "I'm sorry," she whispers, her voice a retreating wave. "I didn't mean to make you feel uncomfortable." Karen's eyes flicker with concern, her voice a gentle reminder. "Plankton, Hanna's just trying to be nice," she says, her hand on his arm. "It's okay to talk.." But Plankton's antennae are like two flaming torches, his voice a harsh wave. "I said I don't want to talk about it," he snaps, his eye a stormy gray. "Please leave." Hanna's smile fades, her eyes like ripples of sadness in a tranquil pond Karen sighs, her heart a tiny boat adrift in a sea of confusion. "Plankton," she starts, her voice a soft lapping wave. "You don't have to be so harsh." Plankton's antennae droop, his eye still stormy. "I just want to be left alone," he mumbles, his voice a defensive ripple. "I don't understand why she needs to know about my mouth." Karen sighs, her voice a gentle reminder. "Plankton, she's my friend," she says. "And she's just staying here temporarily." Plankton's antennae quiver with frustration. "I know, Karen," he snaps, his voice a jagged coral. "But I don't know her.." Hanna's eyes shimmer with hurt, her smile a sad reflection. "I didn't mean to intrude," she says, her voice a quiet ripple. But Plankton's anger is a tidal wave, crashing into the room. "You're not my friend!" he says, his voice a snappy slap. "I don't owe you any explanations!" Hanna's smile dissolves, her eyes a murky ocean. "I'm sorry," she whispers, her voice a retreating tide. "I didn't mean to upset you." Plankton's antennae quiver with agitation, his voice a harsh squall. "Is that too much to ask?" Hanna nods, her smile evaporating like sea foam. "Of course," she murmurs, her voice a retreating wave. "I'll just..." But Karen's voice stops her, a gentle lagoon in the storm. "Hanna, wait," she says, her tone a calming current. "Plankton, you need to apologize." He turns to her, his antennae quivering with anger. "Why?" he asks, his voice a jagged rock. "She's not my friend!" Karen's eyes are like calm pools, her voice a gentle reminder. "You're upset, Plankton," she says. "But that's not fair to Hanna." His antennae droop, his voice a begrudging rumble. "Fine," he mumbles, his words a forced apology. "I'm sorr-" But Hanna's smile is a soft wave, her voice a gentle reminder. "It's okay, Plankton," she says, her eyes like two calm pools. "You are in pain, and you were exhausted last night.." Plankton's antennae droop. "What do you mean," he demands, remembering nothing. "Exhausted? Hanna, what..." Hanna's smile is sad. "It's okay," she says, her voice a gentle wave retreating from the shore. "You fell asleep; you were snoring..." Plankton's antennae stiffen, his eye narrows. "I...snored?" he says, his voice a mix of disbelief and embarrassment. "But Karen, I don't snore!" Hanna laughs, not knowing Plankton any better. "You certainly do," she says, her eyes twinkling. "It's adorable, really." Plankton's antennae flicker with agitation. "I don't," he insists, his voice a sharp wave. "I never snore." Hanna's laugh is a soothing sea breeze. "You did, Plankton," she says, her eyes sparkling. "It was quite... entertaining." But Plankton's frustration boils like a volcano. "No!" he says, his voice a harsh crash of waves. "I don't snore!" Karen, however, knew her husband well enough. "Plankton," she says, her hand on his. "You do sometimes when you're tired." His antennae quiver with disbelief. "But not really," he argues, his voice a stubborn wave. "I'm not a...a snorer!" Karen's eyes are like a calm sea, her voice a gentle reminder. "You do when you're exhausted, Plankton," she says, her hand a comforting current against his. "And after surgery, you were pretty tired, not to mention numb.." Hanna nods, her voice a soft chuckle. "You had us laughing, Plankton," she says, her eyes twinkling with mirth. "You're so funny when you're sleepy." But Plankton isn't finding it funny. Karen steps in. "Hanna, let's give Plankton some space," she says, her hand on Hanna's arm. "He's still recovering." Hanna nods, her smile a sad wave retreating from the shore. "Of course, Karen," she says. "I'm sorry." Karen's eyes are like two moons, calming the stormy sea. "It's okay," she says. She turns to Plankton. "I know you're uncomfortable, sweetheart," she says, her voice a gentle lapping tide. "But Hanna didn't mean any harm. We'll let you alone, but let me know if you need anything." She sets books and his phone on the bedside table before leaving the room with Hanna.

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AUTISM IN THE PLANKTON FAMILY ix (Autistic author) Mr. Krabs knew that his rivalry with Plankton had always been about more than just the Krabby Patty. It was about pride, about being the best, about proving his worth. But as he looked at Plankton, his tiny form swallowed by the large couch cushions, he realized that none of it mattered compared to the pain he had caused. The next day, Plankton found himself sitting in the waiting room of a dentist's office, to get an X-Ray. Karen sat by him. "You ok?" she asked, her voice gentle. Plankton nodded, his antennas twitching nervously. The door to the exam room opened, and a cheerful dolphin dental hygienist waved them in. "Good morning, Plankton!" she chirped. "Ready for your X-ray?" Plankton's antennae shot up instinctively at the sudden noise, his body stiffening. Karen squeezed his hand gently, offering reassurance. "It's okay," she murmured. "We're here." The dolphin's smile was bright, but it was the softness in her eyes that helped Plankton relax slightly. They had been informed of his condition, and she approached with a gentle caution. "We'll take it slow," she said, her voice a gentle melody. "We're just getting an x-ray okay?" Plankton nodded, his antennae still quivering slightly. The dolphin hygienist, named Delfina, guided him into the exam room. The room was a symphony of white, a stark contrast to the cozy confines of the Chum Bucket. Plankton felt his heart racing in his chest, his antennae twitching as he took in the unfamiliar surroundings. Delfina the hygienist guided Plankton gently to the chair, her eyes filled with understanding. "Just sit back and relax," she said, her voice a gentle wave washing over him. Plankton did his best to remain calm. The hum of the machinery was a constant reminder of his sensory overload, but he focused on Karen's soothing presence beside him, her hand resting on his shoulder. Delfina moved with grace and precision, her movements fluid and unthreatening. She explained each step of the process to him, her voice a soft lullaby that helped to soothe his nervous system. "Open wide," she cooed, her eyes gentle as she placed the X-ray sensor in his mouth. Plankton's antennae trembled slightly, but he did as she instructed, his teeth clamping down on the cold, plastic device. The whir of the X-ray machine was like a tornado in his ears, but he focused on Karen's calming presence beside him. Her hand remained on his shoulder, a grounding force amidst the chaos of sensations. As the X-ray was completed Plankton took a deep breath, his antennae slowly unfurling. The doctor, a wise old sea turtle named Dr. Dolittle, entered the room, his eyes behind thick glasses scanning the X-ray results. Plankton tried to read his expression, his antennae quivering with anticipation. Dr. Dolittle's face remained neutral as he studied the images, but Plankton couldn't help the anxiety that bubbled up within him. "Well, Plankton," the doctor said, his voice deep and soothing. "It appears that you need to have your wisdom teeth out. They'll potentially cause issues.." Plankton's antennae shot up in panic, his grip on the chair tightening. The thought of surgery was overwhelming, a tsunami of fear crashing into the shores of his already-fragile nervous system. He froze, his body a statue of terror. The room around him was a blur of colors and shapes, the sounds of the dental office a cacophony. Karen's hand squeezed his shoulder, a silent reminder that he wasn't alone. Sponge Bob sat in the corner, his eyes wide with concern. He had accompanied Plankton for moral support, but the sight of his friend's distress was painful to watch. "It'll be okay," he murmured, his voice a soft whisper in the tense silence. But Plankton couldn't hear him. The words were lost in the symphony of his own fear. His antennae twitched rapidly, his breath shallow. Karen turned to Sponge Bob, her expression soft. "It's okay," she assured him, her voice low and calming. "He's just processing the words sinking in." Sponge Bob nodded, his eyes never leaving Plankton's distressed form. "I'm here, buddy," he offered, his voice a gentle wave in the storm of emotions. But it was Karen's voice that cut through the chaos, her words a lighthouse in the fog. "Plankton," she said, her tone firm but soothing, "you just breathe. We'll make sure of everything." Plankton nodded, his antennae still quivering, closing his eye as he took a shaky breath. Dr. Dolittle noticed Plankton's distress and offered a gentle smile. "Don't worry, Plankton. We'll make sure you're nice and sleepy before we do anything. It's a simple extraction, and you won't feel a thing." The room grew quiet as the doctor's words sank in. Plankton was terrified of the unknown, his mind racing with images of sharp tools and pain. His antennae twitched uncontrollably, and his body began to tremble. Karen leaned in, her voice calm and reassuring. "It's like going to sleep," she said, her eyes locked with his. "You won't feel anything, I promise." Plankton's antennae quivered slightly as he processed her words. "We're going to give you a little something to help you sleep," Delfina explained, her voice a gentle hum. "It'll be like a nap, and when you wake up, it'll all be over." Plankton's antennae stilled slightly, his breathing slowing as he nodded. The room was a whirlwind of activity as Delfina and Dr. Dolittle prepared for the procedure. Sponge Bob's hands were clenched into fists of worry, his eyes never leaving Plankton's. Karen noticed his distress and squeezed his shoulder. "It'll be okay," she whispered. "Remember, we're here for support." The scent of antiseptic filled the room, making Plankton's eyes water, but he nodded, his trust in his friends overriding his fear. Delfina approached with a clear liquid. "Drink this," she instructed, her voice a gentle whisper. "It'll help you relax." Plankton's antennae quivered but he did as she said, the liquid sliding down his throat with an eerie calmness. As the anesthetic took hold, his thoughts grew fuzzy, like the edges of a distant memory. He felt his body begin to relax, the tension in his muscles dissipating like a wave retreating from the shore. The world grew dark around him, the sounds of the dental office becoming muffled whispers. The weight of his fear lifted slightly as the gentle embrace of oblivion beckoned. They administered the i.v., the cold sting of the needle quickly forgotten as the warmth of the sedative spread through his tiny body. Plankton felt his muscles go slack, his antennae falling limply to his side. The room grew hazier, the colors and shapes melting like crayons on wet paper. He felt his consciousness slipping away, the fear retreating with it. Karen's hand remained on his shoulder, a beacon of warmth and comfort in the cold, sterile environment. As Plankton succumbed to the pull of sleep, he heard the muted voices of Karen and Sponge Bob, their words a gentle lullaby. Their presence was a warm blanket wrapped around him, shielding him from the cold, metal world of the dental chair. Sponge Bob watched as Plankton's tiny form grew still, his antennae finally at peace. He looked up at Karen, her eyes filled with a mix of relief and anxiety. "He's okay," she whispered, her voice a soothing wave. The room grew quieter as Plankton fell into a deep slumber, his antennae finally still, as he's completely asleep before they began the extraction. Delfina checked his vital signs, her flippers moving with the precision of a ballet dancer. "He's out," she murmured to Dr. Dolittle, who nodded in satisfaction.

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.

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

ᵀⁱᵐᵉ ᵃᶠᵗᵉʳ ᵗⁱᵐᵉ pt. 3 ⁽ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ ʷᵃʳⁿⁱⁿᵍ ᶠᵒʳ ᵛⁱᵒˡᵉⁿᵗ, ᵘᵖˢᵉᵗᵗⁱⁿᵍ ᵂʰᵉⁿᶜᵉ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᶜᵃˡˡᵉᵈ⸴ ᴹʳ‧ ᴷʳᵃᵇˢ ʳᵘˢʰᵉᵈ ᵗᵒ ᵗʰᵉ ʰᵉᵃˡᵗʰ ᶜᵉⁿᵗʳᵉ⸴ ˢᶜᵃʳᵉᵈ ᶠᵒʳ ᵗʰᵉ ʷᵒʳˢᵗ‧ "ᴵ ᶜᵃᵐᵉ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ˢᵃʷ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵗⁱˡˡ ˡⁱᵐᵖ ʷⁱᵗʰ ᵗʰᵉⁱʳ ᶜᵒⁿᶠᵉˢˢ ᵃ ᵇᵉᵃʳ ʳⁱᵍʰᵗ ᵇʸ ʰⁱᵐ‧ "ᴹʳ‧ ᴷʳᵃᵇˢ⸴ ʷᵉ ᵒⁿˡʸ ᵈᵒ ⁱᵗ ᵃˢ ᵃ ˡᵃˢᵗ ʳᵉˢᵒʳᵗ⸴ ᵇᵘᵗ ⁱᶠ ʰᵉ'ˢ ᵉᵛᵉⁿ ᵍᵒⁱⁿᵍ ᵗᵒ ˢᵘʳᵛⁱᵛᵉ ʷᵉ ⁿᵉᵉᵈ ᵗᵒ ᵗᵃᵏᵉ ᵗʰᵉ ʳⁱˢᵏ; ⁱᵗ'ˡˡ ᵉⁱᵗʰᵉʳ ʰᵉˡᵖ ʰⁱᵐ⸴ ᵒʳ ⁱᵗ ᵐⁱᵍʰᵗ ᵇᵉ ᵗʰᵉ ᵉⁿᵈ‧‧‧" "ᴵ ᵈᵒⁿ'ᵗ‧‧‧" "ᔆᵒᵐᵉᵗⁱᵐᵉˢ ⁱᵗ ʷᵒʳᵏˢ⸴ ᵇᵘᵗ ᵒᵗʰᵉʳ ᵗⁱᵐᵉˢ ⁱᵗ ᶜᵃⁿ ⁱʳʳᵉᵛᵉʳˢⁱᵇˡʸ ᵒᵛᵉʳʷʰᵉˡᵐ ᵗʰᵉ ᵖᵃᵗⁱᵉⁿᵗ‧ ᴱᵛᵉⁿ ⁱᶠ ⁱᵗ ʷᵒʳᵏˢ⸴ ᵗʰᵉʳᵉ'ˢ ˢᵗⁱˡˡ ⁿᵒ ᵍᵘᵃʳᵃⁿᵗᵉᵉ ʰᵉ ʷⁱˡˡ ᵇᵉ ᵗʰᵉ ˢᵃᵐᵉ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ᵇˡⁱⁿᵏᵉᵈ‧ "ᴬᵐⁿᵉˢⁱᵃ ʷⁱˡˡ ᵒᶜᶜᵘʳ⸴ ᵃˢˢᵘᵐⁱⁿᵍ ʰᵉ ˢᵘʳᵛⁱᵛᵉˢ; ᵗᵒ ʷʰᵃᵗ ᵉˣᵗᵉⁿᵗ⸴ ᵒⁿˡʸ ᵗⁱᵐᵉ ʷⁱˡˡ ᵗᵉˡˡ‧ ᴴⁱˢ ᵐᵉᵐᵒʳʸ ᵐⁱᵍʰᵗ ᶜᵒᵐᵉ ᵇᵃᶜᵏ ᵉᵛᵉⁿᵗᵘᵃˡˡʸ⸴ ʸᵒᵘ'ˡˡ ᵏⁿᵒʷ ʷⁱᵗʰⁱⁿ ᵗʰᵉ ᵉⁿᵈ ᵒᶠ ᵗʰᵉ ʷᵉᵉᵏ‧ ᵂʰᵃᵗ'ˢ ᵍᵒⁱⁿᵍ ᵗᵒ ʰᵃᵖᵖᵉⁿ ⁱˢ ᵗʰᵉ ᵐᵉᵈⁱᶜⁱⁿᵉ ʷⁱˡˡ ˢᵗᵃᵇⁱˡⁱˢᵉ ᵗʰᵉ ᵇʳᵃⁱⁿ⸴ ᵃⁿᵈ ʰᵉ'ᵈ ᵇᵉ ᵇʳᵃıⁿ ᵈᵉ́ᵃ́ᵈ ⁱᶠ ʷᵉ ʷᵃⁱᵗ ᵐᵘᶜʰ ˡᵒⁿᵍᵉʳ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ʳᵉᵖᵉᵃᵗᵉᵈ ᵗʰᵉ ʷʰᵒˡᵉ ᵗʰⁱⁿᵍ ᵒⁿᶜᵉ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᵍᵃᵛᵉ ᵗʰᵉᵐ ˢᵖᵃᶜᵉ‧ "ᵂʰᵃᵗᵉᵛᵉʳ ʰᵃᵖᵖᵉⁿˢ⸴ ᴵ ʷᵃⁿᵗ ʸᵒᵘ ᵗᵒ ᵏⁿᵒʷ ᴵ ᶜᵃʳᵉ ᵃᵇᵒᵘᵗ ʸᵒᵘ ᵃⁿᵈ ⁿᵉᵛᵉʳ ᵐᵉᵃⁿᵗ ᶠᵒʳ ᵃⁿʸᵗʰⁱⁿᵍ ᵗᵒ ʰᵃᵖᵖᵉⁿ ᵗᵒ ʸᵒᵘ‧" ᴬᵗ ᶠⁱʳˢᵗ⸴ ᵉᵛᵉʳʸᵗʰⁱⁿᵍ ʷᵃˢ ᵈᵃʳᵏ⸴ ᵐᵃᶜʰⁱⁿᵉʳʸ ᵇᵉᵉᵖⁱⁿᵍ ⁿᵒⁱˢᵉˢ ᵉᶜʰᵒⁱⁿᵍ ᵇᵘᵗ ᵍʳᵃᵈᵘᵃˡˡʸ ᵍᵉᵗᵗⁱⁿᵍ ˡᵒᵘᵈᵉʳ‧ ᵀʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᵈⁱᵈⁿ'ᵗ ʷᵃⁿᵗ ᵗᵒ ᵇᵒᵐᵇᵃʳᵈ ᵗʰᵉ ᵈᵃᶻᵉᵈ ᵖᵃᵗⁱᵉⁿᵗ ᵒᵛᵉʳʷʰᵉˡᵐⁱⁿᵍˡʸ⸴ ʸᵉᵗ ʰᵉ ⁿᵒᵗⁱᶜᵉᵈ ʰⁱᵐ ʳᵉᵛⁱᵛⁱⁿᵍ‧ ᵀʰᵉ ᶠⁱʳˢᵗ ᵗʰⁱⁿᵍ ʰᵉ ᶜᵒᵘˡᵈ ᵗᵉˡˡ ᵃˢ ʰᵉ ˡᵒᵒᵏᵉᵈ ᵃʳᵒᵘⁿᵈ ʷᵃˢ ᵗʰᵉ ᶜᵒⁿᶠᵉˢˢ ᵃ ᵇᵉᵃʳ⸴ ᵃᶠᵗᵉʳ ʰⁱˢ ᵉʸᵉ ᵃᵈʲᵘˢᵗᵉᵈ‧ "ᴴⁱ; ʸᵒᵘ'ʳᵉ ᵃᵗ ᵗʰᵉ ʰᵉᵃˡᵗʰ ᶜᵉⁿᵗʳᵉ‧‧‧" ᔆᵉᵉⁱⁿᵍ ʰᵉ ˢᵘʳᵛⁱᵛᵉˢ⸴ ʰᵉ ʷᵃⁿᵗᵉᵈ ᵗᵒ ⁿᵒᵗⁱᶠʸ ᴹʳ‧ ᴷʳᵃᵇˢ‧ "ᴵ ᵃᵐ ᵍˡᵃᵈ ʸᵒᵘ ᶜᵃᵐᵉ ᵒᵘᵗ‧‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵗʳᵃⁱᵍʰᵗᵉⁿˢ ʰⁱᵐˢᵉˡᶠ ᵘᵖ⸴ ⁱⁿᵗᵉʳʳᵘᵖᵗⁱⁿᵍ‧ "ᵂʰᵃᵗ'ˢ ʰᵃᵖᵖᵉⁿⁱⁿᵍ‧‧‧" "ʸᵒᵘ ʰᵃᵛᵉ ᵃ ᵛⁱˢⁱᵗᵒʳ; ᴵ'ᵐ ˢᵘʳᵉ ʰᵉ ᶜᵃⁿ ʰᵉˡᵖ ʸᵒᵘ ʳᵉᵍᵃⁱⁿ‧‧‧" "ᴵ ᵈᵒⁿ'ᵗ ᵏⁿᵒʷ ʷʰ‧‧‧" "ᴵ'ˡˡ ᵇᵉ ᵇᵃᶜᵏ ʷⁱᵗʰ ᵗʰᵉ ᵛⁱˢⁱᵗᵒʳ‧" ᴹʳ‧ ᴷʳᵃᵇˢ ˢᵃʷ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᶠⁱⁿᵃˡˡʸ‧ "ᴴᵉ'ˢ ᵍᵒⁱⁿᵍ ᵗᵒ ˡⁱᵛᵉ⸴ ᵇᵘᵗ ⁱˢ ᶜᵒⁿᶠᵘˢᵉᵈ‧ ᔆᵗⁱˡˡ ᶜᵃⁿ ⁿᵒᵗ ᵗᵉˡˡ ʷʰᵃᵗ ʰᵉ'ᵈ ʳᵉᵐᵉᵐᵇᵉʳ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ʷᵉⁿᵗ ᵃⁿᵈ ᶠᵒˡˡᵒʷᵉᵈ ʰⁱᵐ ⁱⁿ ᵗʰᵉ ᵃʳᵉᵃ ᵖˡᵃⁿᵏᵗᵒⁿ'ˢ ʳᵉᶜᵒᵛᵉʳⁱⁿᵍ ⁱⁿ‧‧‧ to be cont. Pt. 4

ᴡᴀʀɴɪɴɢs: ┃ ┃ ɴᴇᴇᴅʟᴇs, ʙʟᴏᴏᴅ "You okay?" Karen's voice was a gentle caress in the cold antiseptic room. Plankton nodded, his eye tightly shut. The nurse had told him it would be quick, that he'd be under before he knew it, but that didn't stop his heart from thudding like a bass drum. He took a deep breath, trying to ignore the cold hands fussing over him, the tightening of the blood pressure cuff around his arm. "Count backward from ten," the anesthesiologist's voice was calm and steady, as if he did this a thousand times a day. Plankton obliged, his voice quivering on each number. "Ten... nine... eight..." The world grew fuzzy around the edges, the cold metal of the bed beneath him feeling like it was sinking. "Seven... six... five..." His body grew heavier, each breath more difficult to draw in. Karen squeezed his hand tightly, her eyes brimming with tears she refused to let fall. The doctor's face grew distant, his voice a distant echo. With a final exhale, the room faded to black. Plankton was now adrift in a sea of oblivion, his bødy relaxed and weightless. 🦷🦷🦷🦷 The surgical team waited a moment, watching the monitors. The anesthesiologist then nodded to the surgeon, who carefully lifted Plankton's eyelid, revealing a sti̕ll, unseeing eye, then shining a light to his pupil before closing his eyelid again. He then took a reflex hammer and tapped gently on Plankton's knee. No reaction. The nurse noted the time. "He's under," she murmured. They went through the checklist, ensuring his bødy was completely relaxed, his reflexes gone. The surgeon smiled at Karen, who had been watching anxiously from her seat. "Everything's going to be okay," he assured her. She nodded. Karen watched, as Plankton's fac͘e remained peaceful, his breathing steady under the influence of the anesthesia. The surgery began with a whir of instruments. Plankton's mouth was propped open, a rubber dam holding back his tóngue. The surgeon leaned in, peering into the cavern of his møuth, a flashlight illuminating the pearly white teeth and the troublesome wisdom teeth that had been causing him so much pain. He selected a tool, a kind of plier-like instrument, and with a gentle but firm touch, began to probe at the first tooth. Karen's stߋmach clenched as she saw the surgeon's hand move with precision, applying just enough pressure to loosen the tooth. She tried to focus on her breathing, willing her heart to slow down. The room was filled with the faint smell of antiseptic and the metallic scent of dental instruments. Plankton's face remained serene, his chest rising and falling steadily as he lay unaware of the work being performed on him. The first tooth came out with a sudden pop, making Karen flinch. The nurse quickly handed over a small metal tray, catching the tooth as it was extracted. The surgeon worked with a methodical calm, moving on to the next one without pause. Karen squeezed her eyes shut for a moment, only to open them again as she heard the sound of Plankton's snoring, the kind that only came when he was in a deep sleep. It was strange, comforting even, to know that his bødy was oblivious to the paın that had been plaguing him for weeks. The second wisdom tooth proved to be more stubborn. The surgeon muttered something to his assistant, who nodded and handed him a different tool. Karen's grip on Plankton's hand tightened, her knucklєѕ white with tension. She could feel the sweat beading on his palm despite the coolness of the room. The surgeon's expression grew more focused, his movements more deliberate as he worked to free the tooth from its bony prıson. The tension in the room was almost palpable. The only sounds were the muffled beeps of the heart monitor and the slight sucking noıse as the surgeon worked in Plankton's møuth. Karen's eyes darted around the surgery, taking in the gleaming tools, the blue-green light of the overhead lamp, the masked faces of the medical staff. The nurse noticed her distress and offered a reassuring smile, but it did little to ease her mind. She wanted to scream, to tell them to be careful, but she knew better than to disturb the surgery. With a grunt of effort, the surgeon finally managed to loosen the second tooth. Karen could feel Plankton's hand spasm in hers, a reflexive response that had her heart racing. But his face remained serene, his snores unchanged. She watched as the tooth was lifted out, a tiny drop of b!ood escaping from the gum. It was placed on the tray with its twin, two small, sharp reminders of the paın he had endured. The surgeon moved to the third tooth, his movements now more practiced, more confident. The extraction of the third tooth was swift, almost anticlimactic. The fourth, however, was a different story. It was impacted, buried deep in the bone, and the surgeon's expression grew taut as he attempted to coax it out. Karen could feel the tension in the room, the air thick with it. The whirring of the drill was a steady background noise, punctuated by the occasional spurt of water and the smell of bone dust. Plankton's chest continued to rise and fall evenly. The surgeon leaned in closer, his brow furrowed with concentration. Karen watched as beads of sweat formed on his forehead, despite the coolness of the surgıcal suite. The nurse stood by, ready with gauze and more tools. Plankton's face was a mask of peace, his møuth a dısturbıng contrast of serenity and the tug of war taking place within. With a final, firm pull, the fourth tooth gave way, accompanied by a sound that made Karen's stߋmach churn. It was a wet, final release, and the nurse swiftly handed over the tray to catch the tooth. The surgeon wiped the b!ood with a quick, efficient motion, revealing the gaping hole where the tooth once had been. The surgical assistant suctioned the b!ood, the sound echoing in the quiet room. Plankton's bødy jerked slightly, but he remained asleep, lost in the depths of the anesthesia. Karen couldn't help but think about the paın Plankton must have felt before this moment. The constant, throbbing ache that had kept him up at night, the swollen jaw that had made eating a chore. Now, it was over, or at least the worst part was. The surgeon nodded to the nurse, who began to prepare the stitches that would close the wounds. The needle glinted in the harsh light, a stark contrast to Plankton's slack, unfeeling features. The surgical team moved efficiently, their movements choreographed by years of experience. They stitched and cleaned, ensuring that everything was perfect before they allowed him to wake. Karen felt a strange mix of relief and fear. Relief that the ordeal was almost over, fear of the paın that would come once the anesthesia wore off. As the surgeon finished his work, he nodded to the anesthesiologist. "He's all set. We're going to start bringing him out of it now." Karen watched as the anesthetic was turned down. The nurse wiped his face with a damp cloth, gently cleaning the b!ood and saliva. Karen spoke to him in a soothing voice, "Plankton, you're almost done. Time to wake up." Plankton's eyelid fluttered, his hand still in Karen's tight grasp. His eye opened slowly, unfocused at first, then gradually finding her face. He blinked several times, his gaze uncomprehending. The nurse smiled at him, "You did great."

GAS or APPENDICITIS? https://www.medicalnewstoday.com/articles/what-does-appendicitis-feel-like Most people recover well if they receive a diagnosis and treatment early enough. Most people with temporary mild-to- moderate abdominal pain have gas or symptoms of indigestion. If the pain is mild to moderate, improves over time, and feels as if it is moving through the intestines, it could instead be signs of gas. Typically, appendicitis will start with pain that may come and go in the middle of the tummy. Within hours, the pain will travel to the lower right side of the abdomen and become constant and severe. However, the risk of rupture is relatively rare after 36 hours. If a person has severe pain in the lower right of their abdomen, pain that worsens when moving or touching the abdomen, as well as other symptoms such as fever and nausea, it could indicate appendicitis. Risk factors for appendicitis include: Age: Most people get appendicitis at 10–20 years of age. Sex: Evidence notes that those assigned male at birth (AMAB) are slightly more likelyTrusted Source to develop appendicitis than those assigned female at birth (AFAB). Low fiber diet: A low fiber diet can potentially cause fats, undigested fiber, and inorganic salts to build up in the appendix and cause inflammation or obstruction. Genes: Some studies suggest that genetics can play a role in appendicitis. A 2018 population study notes that individuals with a family history of appendicitis have a higher risk of appendicitis. A surgeon will usually perform appendectomy using one of two procedures: open surgery or laparoscopic surgery. To address complications, healthcare professionals may also use other treatments, such as: antibiotics removing infected abdominal tissue draining pus from the abscess or infection site blood transfusions intravenous electrolyte or fluid therapy Some individuals with appendicitis may haveTrusted Source an inability to pass gas, which is the source of discomfort when a person has gas. With gas, people may have the sensation that gas is moving through the intestines, they may feel mild-to-moderate pain anywhere in the abdomen, and discomfort will usually resolve quickly after passing gas. However, with appendicitis, pain typically starts in the middle of the abdomen, then travels to the lower right-hand side of the abdomen, where it becomes severe and constant. Warning signs typically progress in the following order: sudden pain that begins near the belly button pain that intensifies over time and moves to the lower right of the abdomen lack of energy and loss of appetite worsening symptoms, which can include nausea, constipation, inability to pass gas, and diarrhea fever The most common symptom of appendicitis is abdominal pain. Other possible symptoms of appendicitis can includeTrusted Source: loss of appetite nausea and vomiting diarrhea constipation unexplained exhaustion excessive gas or inability to pass gas swelling in the abdomen fever increased urinary frequency and urgency pain while extending the right leg or the right hip https://www.medicalnewstoday.com/articles/what-does-appendicitis-feel-like

A TOOTHY STORY pt. 3 Nina nods in approval, their eyes meeting for a brief moment before she turns back to the monitors. "Just a few more minutes," she assures, adjusting the gauze in his mouth. The doctor speaks up. "Let's get him into recovery. We'll keep an eye on him there." Two burly starfish, who must be orderlies, come in with a wheelchair. They gently lift Plankton's slack body, transferring him from the surgical chair to the wheelchair. Karen watches as they wrap a comfortable blanket around him, tucking it under his chin. His head lolls to the side, his drool-slicked mouth open as he snores softly. Karen follows, her hand in his. The recovery room is quiet, dimly lit to reduce any stimulation that could cause discomfort. Plankton's snores fill the space, echoing off the walls. The nurse, Nina, checks his vital signs and nods to Karen. "You can stay with him. Just keep talking to him, it'll help him wake up." Karen takes a seat next to his chair, holding his hand. "Plankton, wake up," she says gently, but there's no response. She tries again, a little louder. "Wake up, it's time to go home." The nurse, Nina, smiles as she lifts him up from the wheelchair. They move him to the recovery bed, the soft pillows cradling his head. His eye remain closed, and his breathing is still slow and steady. Karen sits beside him, her heart racing. "You did it," she whispers, "You're so strong." Nina, the nurse, checks his monitors. "Looks good," she says. "Just a bit longer, and he'll be ready to wake up." Karen nods, stroking his hand. She looks at Plankton's face, serene in sleep, and whispers, "Wake up, sweetheart. We're almost done here." Still no response. The nurse, Nina, checks his vitals one more time. "His body's just taking its time to metabolize the medication. Give him a moment." The room is quiet except for the rhythmic beep of the heart monitor and the occasional snore from Plankton. Karen watches his chest rise and fall, his antennae twitching slightly. She squeezes his hand, willing him to wake up. The nurse, Nina, notices Karen's anxiety. "It's okay," she says, "Sometimes the anesthesia can take a little longer to wear off. He'll be fine. Just keep talking to him." Karen nods and leans closer, her voice a gentle hum. "We're almost there, Plankton," she says, her eyes never leaving his still form. She can see his chest rising and falling. The drool has slowed, yet his mouth is still open slightly. The nurse, Nina, checks the clock. "It's been about twenty minutes. He should start to come around now." Karen nods with a mixture of relief and anticipation. "Wake up, Plankton," she whispers, squeezing his hand a little tighter. The beeping of the heart monitor remains a steady metronome in the background, a comforting reminder that he's okay. Plankton's snores start to become less pronounced. A faint groan escapes him as his body starts to shift. Karen leans closer, her voice a soft chant of encouragement. "Wake up, honey, wake up." The nurse, Nina, nods in approval. "Good, keep it up. It'll help him wake up gently." Karen's voice is a soothing whisper in the quiet room. "Plankton," she repeats, "You're almost there. Time to wake up." His snores taper off, and his body starts to twitch slightly. Karen's eyes light up, hope flickering like the fluorescent lights above them. The nurse, Nina, watches the monitors intently. "Good, his body's starting to respond." Karen nods, her heart racing as Plankton's snores grow quieter. His eyelids flutter, and for a moment, she thinks he might be waking up. But his body relaxes again, and the snores resume, though softer. "Plankton," she calls out, her voice a gentle caress in the stillness of the room. "Wake up, love," she whispers, her voice a sweet song of comfort. The nurse, Nina, checks the monitors again, her expression calm. "It's okay," she assures Karen, "Sometimes the body needs more time to come out of the anesthesia." Karen nods, stroking his hand. "Wake up, Plankton," she whispers, her voice filled with gentle urgency. "We're all done here. Time to go home." His chest continues to rise and fall, his antennae still and his snores soft and steady. "You've got this, Plankton," she whispers. "Wake up." The nurse, Nina, watches the monitors closely, her fins poised. "He's waking up," Nina murmurs. Karen's glued to Plankton's face. His eye finally opens, but glazed over, unfocused. She squeezes his hand. "Plankton?" He blinks slowly, his antennae twitching as if trying to shake off the cobwebs of sleep. His mouth moves, but only garbled sounds come out. "Mmph... wha...?" he mumbles, his tongue thick in his mouth. Karen smiles, her heart swelling with relief. "You're okay," she says, wiping his drool with a tissue. Plankton's eye slowly focus on her, confusion swirling in their depths. "Wheh?" he slurs, his voice thick and sluggish. Nina, the nurse, chuckles softly. "It's the medication," she explains. "He'll be a bit out of it." Karen laughs lightly, her relief palpable. "It's okay, sweetheart," she says, her voice like a warm blanket. "You're at the dentist. You had your wisdom teeth removed." Plankton blinks again, his eyes focusing on her. "W-what?" he asks, his voice still slurred. Nina, the nurse, nods. "It's normal. The anesthesia can make you groggy." Karen smiles, her voice soft as a lullaby. "You had your wisdom teeth removed. Do you remember?" Plankton blinks again, his eyes finally focusing on her face. "T-teeth?" he mumbles, his mind swimming in the fog of the anesthesia. His mouth feels full, the gauze pressing against his numb gums like a soggy cotton ball. "Yes, your wisdom teeth," Karen says, her voice still soothing. "They're all out." Plankton's eye widen, and he tries to sit up, but the nurse, Nina, gently pushes his shoulders back down. "Easy, Mr. Plankton," she says. Karen laughs softly, her hand on his shoulder. "You're still woozy from the anesthesia." Plankton tries to speak, but it's as if his tongue is too large for his mouth. "W-wis...what?" Karen laughs, the sound musical in the quiet recovery room. "They took your wisdom teeth out, Plankton. Remember?" He blinks, his eye finally focusing on her. "Teef?" he slurs, his voice like a tired child's. The nurse, Nina, chuckles again. "It's okay," she says.

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.

https://www.wikihow.com/Sleep-with-Stomach-Pain

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Plankton found himself in a sticky situation. In his haste, he collided with a submerged rock, and with a painful snap, one of his antennae broke dangling in half. His computer wife Karen took him to a clinic. The receptionist, a kind octopus named Tentacla, took his information and assured Dr. Dolittlefish would see him shortly. "Plankton?" Dr. Dolittlefish called out, his voice echoing through the room. Plankton walked in, Karen trailing behind. The doctor examined the fractured antenna. Plankton winced, feeling a sharp pain as the doctor prods it gently. Dr. Dolittlefish chuckled, "We'll need to perform a repair, and for that, you'll need a touch of anesthesia. It'll make you feel like you're floating on a cloud.." Plankton's one good antenna perked up with interest. "A magical elixir that will put you into a state of deep relaxation," Dr. Dolittlefish explained, his eyes twinkling behind his spectacles. "You'll be completely unaware of the surgery. We give you a little dose to make you drowsy. It's like sinking into a warm, bubble bath after a long day of plotting. Trust me, you'll wake up with a fixed antenna and no memories of the procedure. It's like a nap that'll keep you unconscious and pain-free throughout the operation. It's tailored for each patient, so you'll only get what you need." Turning to Karen, who had been quietly observing the exchange, the doctor said, "Karen, if you have any concerns, feel free to ask. Your husband's safety is my top priority. I'll be sure to take into account." Karen sighed, her circuits whirring as she searched for the right words. "Well, Plankton has always had trouble with deep sleep. He's a bit of a light sleeper, you see. Even the slightest disturbance and he's up for the day. It's hard for him to get to sleep." The doctor nodded, scribbling more notes. "I see," he said thoughtfully. "That does add a layer of complexity to the anesthesia. We'll need to be precise with the dosage to ensure he remains asleep throughout the surgery without any complications. We'll use the lightest touch possible and administer the anesthesia in a way that minimizes discomfort." Dr. Dolittlefish turned to Plankton. "Now, when you wake up, it'll be like coming out of a delightful dream. You'll feel a bit groggy, like you've just emerged from a particularly long nap. You might be a tad disoriented, but that's perfectly normal. Your body will be feeling the effects of the medication wearing off, so it's crucial that you rest for a while in our recovery area." Plankton's eye searched Karen', looking for reassurance. She nodded firmly, gripping his tiny hand. "You'll be okay, Plankton. I'll be right here." The doctor nodded. "Karen, you can accompany him into the surgery room. But remember, you'll have to go and stay outside once the actual procedure begins." The next day, Plankton and Karen returned to the clinic, feeling a mix of anxiety and hope. The lobby was filled with various sea creatures, all waiting for their appointments with their own assortment of woes and ailments. "Come on, Plankton," Karen urged, her voice steady. "You've got this." Dr. Dolittlefish took his place at the head of the operating table, a serious look on his face. "Alright, Plankton," he said, his voice steady, "It's time for the anesthesia. This might feel a bit strange, but remember, it's just like drifting off to sleep." With a flick of his fin, he administered the first dose through a small tube connected to a bubble filled with the sedative. The bubble popped, and Plankton felt a warm sensation spread through his body. It started in his toes and traveled up to his antennae, making them feel weightless. His eye grew heavier, and he couldn't help but let out a sigh. The room began to spin gently, the sounds around him becoming muffled, like the distant hum of a lullaby sung by the ocean currents. He felt himself sinking into the chair, the cushions seemingly made of the softest sea foam. "How do you feel?" Dr. Dolittlefish's voice was a comforting murmur. "Woozy," Plankton slurred, his eyelid fluttering. The room was a blur of lights and colors, like a kaleidoscope of bubbles. The pain in his antenna was fading, replaced by a pleasant numbness. Karen squeezed his hand tightly, her grip the only solid thing in his swirling world. She watched him closely, her LED eyes full of worry. "It's ok, Plankton," she murmured. "You're going to be fine." The doctor nodded to her encouragement. "I want you to count backwards from one hundred ok?" Plankton, already feeling the warm embrace of the anesthesia, began his count with a lazy sensation. "One hundred... ninety-nine... ninety-eight..." His voice grew softer with each number, the digits slipping away like grains of sand through his tiny fingers. The world around him grew fuzzy, like a TV show losing signal. The lights above looked like distant stars, their brightness dimming as he descended into the abyss of unconsciousness. "...eighty-four... eighty-three... eighty-two..." His eye now half-closed, the surgery room's noises melding into a symphony of comforting whispers. The gentle sway of the seaweed outside the clinic's windows seemed to be rocking him to sleep. His voice grew more faint, words slurring together. Karen watched him count, her gaze never leaving his face. She could feel his hand loosening in hers, his grip becoming as light as a feather. Each number he uttered was a step closer to the surgery that would hopefully restore his antenna to its former glory. The count grew slower, like a snail on a leisurely stroll across the ocean floor. His voice was a mere murmur, the words barely discernible. Karen could see his tiny chest rising and falling in a slow, rhythmic pattern, his breathing growing deeper and more relaxed with each passing moment. The colors around them bled into one another, creating a dreamlike landscape. The lights above danced like jellyfish in a moonlit lagoon, casting eerie shadows across the gleaming surgical instruments. Plankton's eye fully closed now, his count barely a whisper. Each word was a soft ripple in the vast ocean of sleep that was consuming him. The whirring of the machines and the occasional splash of water seemed to fade into the background, replaced by the steady rhythm of his breathing. Karen watched, her heart swelling with love and fear as she listened to the dwindling numbers. Plankton's voice was now a faint echo, his body going slack. The room was still, save for the hypnotic pulse of the anesthesia bubbles and Plankton's shallow breaths. Karen held her own breath, her screen never leaving his face. His count grew quieter still, each number a soft, barely perceptible sigh. Karen felt the tension in her limbs ease as she watched the lines of worry on Plankton's forehead smooth out. His sleep was finally deep and peaceful, the anesthesia working its magic. "Thirty-four... thirty-three..." His voice was a mere ripple in the vast sea of quiet that filled the room. The last number slipped away, and Plankton's count stopped, his breathing deep and even. Karen felt the weight of his hand in hers, a silent testament to his complete surrender to the anesthesia's embrace. She watched Plankton's chest rise and fall with each steady breath, his body utterly relaxed with his eye sealed shut slightly. The surgery room, once a cacophony of fear and doubt, was now a sanctuary of peace, the only sounds the rhythmic beep of the heart monitor and Plankton's soft snores. The doctor nodded, satisfied with the sedation's effect. "Alright, Karen, he finally fell asleep," he whispered, patting Plankton's shoulder. "Now, we'll proceed with the actual procedure." Karen swallowed hard, nodding her head. She had never seen Plankton so vulnerable, but she knew this was for the best. "I'll be right outside," she said, her voice wavering slightly. She leaned in and kissed Plankton's forehead before letting go. With a final squeeze of his hand, she reluctantly let go and went towards the door. The doctor nodded in understanding, his eyes focused on the delicate task ahead. As the door slid shut with a soft hiss, Karen found herself in the stark, sterile waiting room. The walls were lined with sea-themed art, an attempt to provide comfort in a place filled with uncertainty and anxiety. She hovered over to the plush sea sponge chair, the material reminding her of home. Her tentacles wrapped around the phone, her movements deliberate and precise as she dialed the numbers. The first call was to Spongebob, she knew he would want to know about the accident. The line rang, and she hoped he'd pick up. "Karen?" "Spongebob, it's about Plankton," she began, her voice trembling. "He's had an accident, and he's in surgery now." "Oh no!" Sponge Bob exclaimed, his bubbly enthusiasm dimming. "Can I talk to Plankton during the surgery?" "No, they put Plankton to sleep," Karen explained, her tentacles gripping the phone tightly. "But I'll let him know you called as soon as he wakes up." "Thank you, Karen," SpongeBob said, his voice filled with genuine concern. "Tell him I'm thinking of him." The receptionist, Tentacla, noticed her distress and swam over. "Is everything okay?" she asked, her tentacles poised to offer comfort or assistance. "It's just... I've never seen him like this," Karen admitted, her voice wavering. "So... vulnerable." Tentacla nodded sympathetically, her tentacles reaching out to pat Karen's arm. "It's tough, I know. But Dr. Dolittlefish is the best in the business. Plankton's in good fins."

ANTENNAE i Plankton found himself in a sticky situation. In his haste, he collided with a submerged rock, and with a painful snap, one of his antennae broke dangling in half. His computer wife Karen took him to a clinic. The receptionist, a kind octopus named Tentacla, took his information and assured Dr. Dolittlefish would see him shortly. "Plankton?" Dr. Dolittlefish called out, his voice echoing through the room. Plankton walked in, Karen trailing behind. The doctor examined the fractured antenna. Plankton winced, feeling a sharp pain as the doctor prods it gently. Dr. Dolittlefish chuckled, "We'll need to perform a repair, and for that, you'll need a touch of anesthesia. It'll make you feel like you're floating on a cloud.." Plankton's one good antenna perked up with interest. "A magical elixir that will put you into a state of deep relaxation," Dr. Dolittlefish explained, his eyes twinkling behind his spectacles. "You'll be completely unaware of the surgery. We give you a little dose to make you drowsy. It's like sinking into a warm, bubble bath after a long day of plotting. Trust me, you'll wake up with a fixed antenna and no memories of the procedure. It's like a nap that'll keep you unconscious and pain-free throughout the operation. It's tailored for each patient, so you'll only get what you need." Turning to Karen, who had been quietly observing the exchange, the doctor said, "Karen, if you have any concerns, feel free to ask. Your husband's safety is my top priority. I'll be sure to take into account." Karen sighed, her circuits whirring as she searched for the right words. "Well, Plankton has always had trouble with deep sleep. He's a bit of a light sleeper, you see. Even the slightest disturbance and he's up for the day. It's hard for him to get to sleep." The doctor nodded, scribbling more notes. "I see," he said thoughtfully. "That does add a layer of complexity to the anesthesia. We'll need to be precise with the dosage to ensure he remains asleep throughout the surgery without any complications. We'll use the lightest touch possible and administer the anesthesia in a way that minimizes discomfort." Dr. Dolittlefish turned to Plankton. "Now, when you wake up, it'll be like coming out of a delightful dream. You'll feel a bit groggy, like you've just emerged from a particularly long nap. You might be a tad disoriented, but that's perfectly normal. Your body will be feeling the effects of the medication wearing off, so it's crucial that you rest for a while in our recovery area." Plankton's eye searched Karen', looking for reassurance. She nodded firmly, gripping his tiny hand. "You'll be okay, Plankton. I'll be right here." The doctor nodded. "Karen, you can accompany him into the surgery room. But remember, you'll have to go and stay outside once the actual procedure begins." The next day, Plankton and Karen returned to the clinic, feeling a mix of anxiety and hope. The lobby was filled with various sea creatures, all waiting for their appointments with their own assortment of woes and ailments. "Come on, Plankton," Karen urged, her voice steady. "You've got this." Dr. Dolittlefish took his place at the head of the operating table, a serious look on his face. "Alright, Plankton," he said, his voice steady, "It's time for the anesthesia. This might feel a bit strange, but remember, it's just like drifting off to sleep." With a flick of his fin, he administered the first dose through a small tube connected to a bubble filled with the sedative. The bubble popped, and Plankton felt a warm sensation spread through his body. It started in his toes and traveled up to his antennae, making them feel weightless. His eye grew heavier, and he couldn't help but let out a sigh. The room began to spin gently, the sounds around him becoming muffled, like the distant hum of a lullaby sung by the ocean currents. He felt himself sinking into the chair, the cushions seemingly made of the softest sea foam. "How do you feel?" Dr. Dolittlefish's voice was a comforting murmur. "Woozy," Plankton slurred, his eyelid fluttering. The room was a blur of lights and colors, like a kaleidoscope of bubbles. The pain in his antenna was fading, replaced by a pleasant numbness. Karen squeezed his hand tightly, her grip the only solid thing in his swirling world. She watched him closely, her LED eyes full of worry. "It's ok, Plankton," she murmured. "You're going to be fine." The doctor nodded to her encouragement. "I want you to count backwards from one hundred ok?" Plankton, already feeling the warm embrace of the anesthesia, began his count with a lazy sensation. "One hundred... ninety-nine... ninety-eight..." His voice grew softer with each number, the digits slipping away like grains of sand through his tiny fingers. The world around him grew fuzzy, like a TV show losing signal. The lights above looked like distant stars, their brightness dimming as he descended into the abyss of unconsciousness. "...eighty-four... eighty-three... eighty-two..." His eye now half-closed, the surgery room's noises melding into a symphony of comforting whispers. The gentle sway of the seaweed outside the clinic's windows seemed to be rocking him to sleep. His voice grew more faint, words slurring together. Karen watched him count, her gaze never leaving his face. She could feel his hand loosening in hers, his grip becoming as light as a feather. Each number he uttered was a step closer to the surgery that would hopefully restore his antenna to its former glory. The count grew slower, like a snail on a leisurely stroll across the ocean floor. His voice was a mere murmur, the words barely discernible. Karen could see his tiny chest rising and falling in a slow, rhythmic pattern, his breathing growing deeper and more relaxed with each passing moment. The colors around them bled into one another, creating a dreamlike landscape. The lights above danced like jellyfish in a moonlit lagoon, casting eerie shadows across the gleaming surgical instruments. Plankton's eye fully closed now, his count barely a whisper. Each word was a soft ripple in the vast ocean of sleep that was consuming him. The whirring of the machines and the occasional splash of water seemed to fade into the background, replaced by the steady rhythm of his breathing. Karen watched, her heart swelling with love and fear as she listened to the dwindling numbers. Plankton's voice was now a faint echo, his body going slack. The room was still, save for the hypnotic pulse of the anesthesia bubbles and Plankton's shallow breaths. Karen held her own breath, her screen never leaving his face. His count grew quieter still, each number a soft, barely perceptible sigh. Karen felt the tension in her limbs ease as she watched the lines of worry on Plankton's forehead smooth out. His sleep was finally deep and peaceful, the anesthesia working its magic. "Thirty-four... thirty-three..." His voice was a mere ripple in the vast sea of quiet that filled the room. The last number slipped away, and Plankton's count stopped, his breathing deep and even. Karen felt the weight of his hand in hers, a silent testament to his complete surrender to the anesthesia's embrace. She watched Plankton's chest rise and fall with each steady breath, his body utterly relaxed with his eye sealed shut slightly. The surgery room, once a cacophony of fear and doubt, was now a sanctuary of peace, the only sounds the rhythmic beep of the heart monitor and Plankton's soft snores. The doctor nodded, satisfied with the sedation's effect. "Alright, Karen, he finally fell asleep," he whispered, patting Plankton's shoulder. "Now, we'll proceed with the actual procedure." Karen swallowed hard, nodding her head. She had never seen Plankton so vulnerable, but she knew this was for the best. "I'll be right outside," she said, her voice wavering slightly. She leaned in and kissed Plankton's forehead before letting go. With a final squeeze of his hand, she reluctantly let go and went towards the door. The doctor nodded in understanding, his eyes focused on the delicate task ahead. As the door slid shut with a soft hiss, Karen found herself in the stark, sterile waiting room. The walls were lined with sea-themed art, an attempt to provide comfort in a place filled with uncertainty and anxiety. She hovered over to the plush sea sponge chair, the material reminding her of home. Her tentacles wrapped around the phone, her movements deliberate and precise as she dialed the numbers. The first call was to Spongebob, she knew he would want to know about the accident. The line rang, and she hoped he'd pick up. "Karen?" "Spongebob, it's about Plankton," she began, her voice trembling. "He's had an accident, and he's in surgery now." "Oh no!" Sponge Bob exclaimed, his bubbly enthusiasm dimming. "Can I talk to Plankton during the surgery?" "No, they put Plankton to sleep," Karen explained, her tentacles gripping the phone tightly. "But I'll let him know you called as soon as he wakes up." "Thank you, Karen," SpongeBob said, his voice filled with genuine concern. "Tell him I'm thinking of him." The receptionist, Tentacla, noticed her distress and swam over. "Is everything okay?" she asked, her tentacles poised to offer comfort or assistance. "It's just... I've never seen him like this," Karen admitted, her voice wavering. "So... vulnerable." Tentacla nodded sympathetically, her tentacles reaching out to pat Karen's arm. "It's tough, I know. But Dr. Dolittlefish is the best in the business. Plankton's in good fins."

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.

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..

ᵀⁱᵐᵉ ᵃᶠᵗᵉʳ ᵗⁱᵐᵉ pt. 2 ⁽ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ ʷᵃʳⁿⁱⁿᵍ ᶠᵒʳ ᵛⁱᵒˡᵉⁿᵗ, ᵘᵖˢᵉᵗᵗⁱⁿᵍ ᴱᵛᵉⁿ ᵃˢ ᴹʳ‧ ᴷʳᵃᵇˢ ᵃᵇˡᵉ ᵗᵒ ᵍᵒ ʰᵒᵐᵉ ʰᵉ ᵏᵉᵖᵗ ᵍᵒⁱⁿᵍ ᵇᵃᶜᵏ ᶠᵒʳ ᴾˡᵃⁿᵏᵗᵒⁿ‧ ᴴᵉ ᵗᵒˡᵈ ᴷᵃʳᵉⁿ ᵖᵉʳˢᵒⁿᵃˡˡʸ⸴ ᵗᵒ ᶠⁱⁿᵈ ᵗʰᵉʸ ʰᵃᵛᵉ ᶜᵃˡˡᵉᵈ ʰᵉʳ ᵇᵉᶠᵒʳᵉ‧ ᴵᵗ'ˢ ᵗʰᵉ ᵐᵒʳⁿⁱⁿᵍ ᵃᶠᵗᵉʳ ᵗʰᵉ ˢᵉᵃ ʳʰⁱⁿᵒᶜᵉʳᵒˢ ᵃᵗᵗᵃᶜᵏ⸴ ʷʰᵉʳᵉ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵃᵛᵉᵈ ᴹʳ‧ ᴷʳᵃᵇˢ ˡⁱᶠᵉ ᵇʸ ˢᵃᶜʳⁱᶠⁱᶜⁱⁿᵍ ʰⁱˢ‧‧‧ "ᴵ ˢᵉᵉ ʸᵒᵘ'ᵛᵉ ʳᵉᵗᵘʳⁿᵉᵈ ᴹʳ‧ ᴷʳᵃᵇˢ‧‧‧" "ᴵ ʲᵘˢᵗ ʷᵃⁿⁿᵃ ˢᵉᵉ ᵗᵒ ᴾˡᵃⁿᵏᵗᵒⁿ‧" ᴹʳ‧ ᴷʳᵃᵇˢ ˢᵃᵗ ʳⁱᵍʰᵗ ᵇʸ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ˢⁱᵈᵉ‧ "ᔆʰᵉˡᵈᵒⁿ ᵖˡᵉᵃˢᵉ‧‧‧" ᴷʳᵃᵇˢ ᵗʳⁱᵉᵈ ⁿᵒᵗ ᵗᵒ ˢᵒᵇ‧ "ᴵ ʷᵒᵘˡᵈⁿ'ᵗ ᵉᵛᵉⁿ ᵇᵉ ᵐᵃᵈ ⁱᶠ ⁱᵗ'ˢ ᵃⁿᵒᵗʰᵉʳ ᵖˡᵃⁿ ᵒᶠ ʸᵒᵘʳˢ; ᴵ ʲᵘˢᵗ ʷᵃⁿⁿᵃ ᵏⁿᵒʷ ʸᵉˡˡ ᵇᵉ ᶠⁱⁿᵉ! ᴵᶠ ʸᵒᵘ ᶜᵃⁿ ʰᵉᵃʳ ᵐᵉ ᵍⁱᵛᵉ ᵐᵉ ᵃ ˢⁱᵍⁿ‧‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ᵒᶠ ᶜᵒᵘʳˢᵉ ᵈⁱᵈⁿ'ᵗ ʳᵉˢᵖᵒⁿᵈ ⁱⁿ ᵗʰᵉ ˢˡⁱᵍʰᵗᵉˢᵗ‧ "ᴵ'ᵈ ᵇᵉ ʰᵃᵖᵖʸ ⁱᶠ ʸᵒᵘ ⁱⁿˢᵘˡᵗᵉᵈ ᵐᵉ! ʸᵒᵘ ᵏⁿᵒʷ⸴ ʸᵒᵘʳ ʷⁱᶠᵉ ᵐⁱˢˢᵉˢ ʸᵒᵘ; ʷᵉ ᵃˡˡ ᵈᵒ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ᶜᵃˡˡᵉᵈ ʰⁱˢ ᵉᵐᵖˡᵒʸᵉᵉˢ ᵗᵒ ᶜˡᵒˢᵉ ᵗʰᵉ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇ ᵃⁿᵈ ˡᵉᵃᵛᵉ ⁱᵗ ᵃˢ ˢᵘᶜʰ ᵘⁿᵗⁱˡ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ˢᵗᵃᵗᵉ ˢᵒᵐᵉʰᵒʷ ᶜʰᵃⁿᵍᵉˢ‧ "ʸᵒᵘ ⁿᵉᵉᵈ ᵗᵒ ᵇᵉ ᵖˡᵃⁿⁿⁱⁿᵍ ᵗᵒ ᵈᵒᵐⁱⁿᵃᵗᵉ⸴ ⁿᵒᵗ ᵇᵉ ⁱⁿ ᶜʳⁱᵗⁱᶜᵃˡ ᶜᵒⁿᵈⁱᵗⁱᵒⁿ!" ᴹʳ‧ ᴷʳᵃᵇˢ ᵗʰᵃⁿᵏᵉᵈ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᵃⁿᵈ ˡᵉᶠᵗ ᶠᵒʳ ᵗʰᵉ ᵈᵃʸ‧ ᴮᵘᵗ ʲᵘˢᵗ ᵗʰᵉ ⁿᵉˣᵗ ᵈᵃʸ ʰᵒʷᵉᵛᵉʳ⸴ ᴹʳ‧ ᴷʳᵃᵇˢ ᵈⁱᵈⁿ'ᵗ ᶜᵒᵐᵉ ᵉᵐᵖᵗʸ ʰᵃⁿᵈᵉᵈ; ʰᵉ ᵇʳᵒᵘᵍʰᵗ ᵃ ˢᵗᵘᶠᶠᵉᵈ ᵗᵒʸ ᵗᵉᵈᵈʸ ᵇᵉᵃʳ ᶠʳᵒᵐ ᵗʰᵉⁱʳ ᶜʰⁱˡᵈʰᵒᵒᵈ⸴ ᶜᵃˡˡᵉᵈ ᶜᵒⁿᶠᵉˢˢⁱᵒⁿ ᵇᵉᵃʳ‧ ᴴᵉ ᵗᵒˡᵈ ᔆᵖᵒⁿᵍᵉᴮᵒᵇ ᵃᵇᵒᵘᵗ ᶜᵒⁿᶠᵉˢˢⁱᵒⁿ ᵇᵉᵃʳ⸴ ʷʰᵒ ᵗʰᵉⁿ ᵖʳᵉᵗᵉⁿᵈᵉᵈ ᵗᵒ ᵇᵉ ᵒⁿᵉ ᵗᵒ ˢᵖʸ ᵒⁿ ᴾᵃᵗʳⁱᶜᵏ‧ ᶜᵒⁿᶠᵉˢˢⁱᵒⁿ ᵇᵉᵃʳ ʷᵃˢ ʲᵘˢᵗ ʷʰᵃᵗ ᵗʰᵉʸ ᶜᵃˡˡᵉᵈ ⁱᵗ⸴ ᵃˢ ᵗʰᵉʸ ᵇʳᵒᵘᵍʰᵗ ⁱᵗ ʷʰᵉⁿ ˢᵗᵃʸⁱⁿᵍ ᵒᵛᵉʳ ʷⁱᵗʰ ᵉᵃᶜʰ ᵒᵗʰᵉʳ ᵃˢ ʸᵒᵘᵗʰˢ‧ ᴬˡᵗʰᵒᵘᵍʰ ʲᵘˢᵗ ᵃ ʳᵉᵍᵘˡᵃʳ ᵖˡᵘˢʰⁱᵉ⸴ ⁱᵗ ˢᵗⁱˡˡ ʰᵉˡᵈ ᵛᵃˡᵘᵉ‧ ᴹʳ‧ ᴷʳᵃᵇˢ ᵒⁿˡʸ ˡᵉᶠᵗ ʷʰᵉⁿ ᵛⁱˢⁱᵗⁱⁿᵍ ʰᵒᵘʳˢ ʰᵃᵛᵉ ᵉⁿᵈᵉᵈ‧ ᵂʰᵉⁿ ᵗʰᵉ ⁿᵉˣᵗ ᵈᵃʸ ᶜᵃᵐᵉ⸴ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᶜᵃˡˡᵉᵈ ᴹʳ‧ ᴷʳᵃᵇˢ‧ "ᴷⁿᵒʷⁱⁿᵍ ʸᵒᵘ ˡᵒᵒᵏᵉᵈ ᵒᵘᵗ ᶠᵒʳ ᵗʰᵉ ᵖᵃᵗⁱᵉⁿᵗ⸴ ᴵ ᵗʰᵒᵘᵍʰᵗ ʸᵒᵘ'ᵈ ʷᵃⁿᵗ ᵗᵒ ˢᵉᵉ ʰⁱᵐ‧ ᴵᶠ ˢᵒ ʸᵒᵘ ⁿᵉᵉᵈ ᵗᵒ ʰᵘʳʳʸ‧" ᴵˢ ʰᵉ‧‧‧" "ᔆⁱʳ⸴ ᵗʰᵉʳᵉ'ˢ ⁿᵒ ᵗⁱᵐᵉ ᵗᵒ ᵉˣᵖˡᵃⁱⁿ ʰⁱˢ ˢᵗᵃᵗᵉ; ⁱᶠ ʸᵒᵘ ᵍᵒ ⁿᵒʷ⸴ ʸᵒᵘ ᵐⁱᵍʰᵗ ʰᵃᵛᵉ ʲᵘˢᵗ ᵉⁿᵒᵘᵍʰ ᵗⁱᵐᵉ ᵗᵒ ʰᵃᵛᵉ ᵒⁿᵉ ᵐᵒʳᵉ ᵐᵒᵐᵉⁿᵗ ᵃˡᵒⁿᵉ ʷⁱᵗʰ ʰⁱᵐ‧‧‧" to be cont. Pt. 3

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‧

ᴰᵉⁿᵗⁱˢᵗ ᴬᵖᵖᵒⁱⁿᵗᵐᵉⁿᵗ ⁽ᔆᵖᵒⁿᵍᵉᴮᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ Part 1 ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ᶜᵒᵐᵖᵘᵗᵉʳ ʷⁱᶠᵉ ᴷᵃʳᵉⁿ ᵈᵉᶜⁱᵈᵉᵈ ᵗᵒ ʷᵃᵏᵉ ʰⁱᵐ ⁿᵒʷ ᶠᵒʳ ʰⁱˢ ᵈᵉⁿᵗⁱˢᵗ ᵃᵖᵖᵒⁱⁿᵗᵐᵉⁿᵗ‧ ᴴᵉ'ˢ ᵘˢᵘᵃˡˡʸ ᵘᵖ ᵇᵉᶠᵒʳᵉ ʰᵉʳ ᵃⁿᵈ ˢᵗᵃʸˢ ᵘᵖ ˡᵃᵗᵉ ᵃᶠᵗᵉʳ ˢʰᵉ‧ ᴮᵘᵗ ᵗʰᵉʸ'ʳᵉ ᵗᵒ ˡᵉᵃᵛᵉ ᵉᵃʳˡʸ‧ ᔆʰᵉ ʳᵘᵇˢ ʰⁱˢ ᵇᵃᶜᵏ‧ "ᔆʰᵉˡᵈᵒⁿ‧" ᴴⁱˢ ᵉʸᵉ ᵇʳᵒʷ ᵗʷⁱᵗᶜʰᵉᵈ‧ ᔆʰᵉ ᵗʰᵉⁿ ⁿᵘᵈᵍᵉˢ ʰⁱᵐ‧ "ᵂᵃᵏᵉ ᵘᵖ! ᴬʳᵉ ʸᵒᵘ ᵃʷᵃᵏᵉ?" ᴴᵉʳ ʰᵘˢᵇᵃⁿᵈ ᵒᵖᵉⁿˢ ʰⁱˢ ᵉʸᵉ‧ "ᴳᵒᵗᵗᵃ ᵍᵒ ᵗᵒ ᵗʰᵉ ᵈᵉⁿᵗⁱˢᵗ‧" ᴰᵉˢᵖⁱᵗᵉ ᵇᵉⁱⁿᵍ ᵃˡⁱᵛᵉ⸴ ᴷᵃʳᵉⁿ'ˢ ⁿᵒᵗ ᵃⁿ ᵒʳᵍᵃⁿⁱᶜ ᵇᵉⁱⁿᵍ‧ ʸᵉᵗ ˢʰᵉ ˢᵗⁱˡˡ ᶠᵉˡᵗ ʰᵉʳ ᵒʷⁿ ᵉᵐᵒᵗⁱᵒⁿˢ ᵃⁿᵈ ᵖᵉʳˢᵒⁿᵃˡⁱᵗʸ ᵗᵒ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ᵘˢᵘᵃˡˡʸ ᵍᵉᵗˢ ᵈᵉⁿᵗᵃˡ ᶠˡᵒˢˢ ᵃˢ ᵗʰᵉʸ ˢᵉⁿᵈ ʰⁱᵐ ᵒᵘᵗ ᵒⁿ ʰⁱˢ ʷᵃʸ ᵇᵘᵗ ⁿᵒʷ ᵒⁿᵉ ᵒᶠ ᵗʰᵉ ᵈᵉⁿᵗⁱˢᵗˢ ᶜᵃᵐᵉ ᵘᵖ ᵗᵒ ˢᵉᵉ ʰᵉʳ‧ "ᴷᵃʳᵉⁿ ᴾˡᵃⁿᵏᵗᵒⁿ‧‧‧" "ʸᵉˢ?" 'ᵂʰᵉʳᵉ ⁱˢ ᵐʸ ʰᵘˢᵇᵃⁿᵈ ᵃⁿᵈ ʷʰʸ ʸᵒᵘ ᶜᵒᵐⁱⁿᵍ ᵗᵒ ᵐᵉ?' ᴷᵃʳᵉⁿ ʷᵒʳʳⁱᵉᵈ‧ "ᔆᵒ ʷᵉ ᵈᵒ ˢᶜᵃⁿˢ ᵃⁿᵈ ᵗᵒᵈᵃʸ ʷᵉ ᶠᵒᵘⁿᵈ ʰⁱˢ ʷⁱˢᵈᵒᵐ ᵗᵉᵉᵗʰ ⁿᵉᶜᵉˢˢᵃʳʸ ᵗᵒ ʳᵉᵐᵒᵛᵉ ᵗʰᵉᵐ‧" 'ᵂʰᵃᵗ‽' "ᴵ ᶜᵃⁿ ˡᵉᵃᵈ ᵗʰᵉ ʷᵃʸ ᵗᵒ ʷʰᵉʳᵉ ʰᵉ'ˢ‧‧‧" "ᴵ ᵈ⁻ᵈᵒⁿ’ᵗ ᵏⁿᵒʷ ⁱᶠ ᴵ ᵘⁿᵈᵉʳˢᵗᵃⁿᵈ‧" ᴷᵃʳᵉⁿ ᶠᵒˡˡᵒʷᵉᵈ ᵗʰᵉ ⁿᵘʳˢᵉ ᵗᵒ ᴾˡᵃⁿᵏᵗᵒⁿ ʷʰᵒ'ˢ ⁱⁿ ᵗʰᵉ ʳᵉᶜˡⁱⁿᵉʳ ⁱⁿ ʳᵒᵒᵐ‧ "ᔆʰᵉˡᵈᵒⁿ?" "ᴴᵉˡˡᵒ ᴵ'ᵐ ᔆʰᵉˡᵈᵒⁿ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ʰʸᵍⁱᵉⁿⁱˢᵗ! ᴺᵒʷ ʷᵉ ˢᵉᵉ ᵗʰᵉ ᵖʰᵒᵗᵒ ᵒᶠ ᵗᵉᵉᵗʰ ʷᵉ ᵗᵒᵒᵏ⸴ ᵃⁿᵈ ᵗʰᵉ ᵇᵃᶜᵏ ᵒⁿᵉˢ ᵃʳᵉ ᵐᵒˡᵃʳˢ ⁱⁿ ⁿᵉᵉᵈ ᵒᶠ ʳᵉᵐᵒᵛᵃˡ‧ ᵂᵉ ʷᵃⁿⁿᵃ ᵍᵒ ᵃʰᵉᵃᵈ ᵃⁿᵈ ᵒᵖᵉʳᵃᵗᵉ ᵇᵘᵗ ʷᵉ ᵒᵘᵗᵗᵃ ᵗᵉˡˡ ʸᵒᵘ‧ ᵀʰᵉ ⁿᵘʳˢᵉ ᶜᵃⁿ ᵍⁱᵛᵉ ʸᵒᵘ ᵃ ᵖᵃᵐᵖʰˡᵉᵗ ᵒᶠ ⁱⁿˢᵗʳᵘᶜᵗⁱᵒⁿˢ‧ ᴮᵉᶠᵒʳᵉ ʷᵉ ˢᵗᵃʳᵗ ᴾˡᵃⁿᵏᵗᵒⁿ ᴵ'ˡˡ ᵗᵉˡˡ ʸᵒᵘ⸴ ⁱᵗ'ˢ ⁿᵒʳᵐᵃˡ ᵗᵒ ᵇᵉ ᵃⁿˣⁱᵒᵘˢ‧" ᵀʰᵉ ʰʸᵍⁱᵉⁿⁱˢᵗ ˢᵃʸˢ‧ "ᵂᵉ ᵈᵒ ˢᵘʳᵍᵉʳʸ ᵃⁿᵈ ʷᵉ ˢᵖᵉᶜⁱᵃˡⁱˢᵉ ᵗᵒ‧ ᴺᵒʷ ˢᵉᵉⁱⁿᵍ ᵗʰᵉ ᵗᵉᵉᵗʰ ʰᵃᵛᵉⁿ'ᵗ ᵉʳᵘᵖᵗᵉᵈ ᵖᵃˢᵗ ᵗʰᵉ ᵍᵘᵐˢ⸴ ᵗʰᵉ ᵖʳᵒᶜᵉᵈᵘʳᵉ ʷⁱˡˡ ᵐᵒʳᵉ ⁱⁿᵛᵃˢⁱᵛᵉ⸴ ᵇᵘᵗ ʷᵉ ʰᵃᵛᵉ ˢᵉᵈᵃᵗⁱᵒⁿ ᵒᵖᵗⁱᵒⁿ‧" ᵀʰᵉ ⁿᵘʳˢᵉ ˡᵉᵗˢ ᴷᵃʳᵉⁿ ʰᵒˡᵈ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ʰᵃⁿᵈ‧ "ᴵ ᵗʰⁱⁿᵏ ⁱⁿ ʸᵒᵘʳ ᶜᵃˢᵉ ⁱᵗ'ᵈ ᵇᵉ ᵇᵉˢᵗ ᵗᵒ ᵖᵘᵗ ⁱⁿ ᵃ ᵈᵉᵉᵖ ˢˡᵉᵉᵖ⸴ ᶜᵒⁿˢⁱᵈᵉʳⁱⁿᵍ ᶜⁱʳᶜᵘᵐˢᵗᵃⁿᶜᵉˢ‧" "ᴴᵃᵛᵉ ʸᵒᵘ ᵃⁿʸ ᑫᵘᵉˢᵗⁱᵒⁿˢ?" ᵀʰᵉ ⁿᵘʳˢᵉ ᵃˢᵏˢ‧ "ᶜᵃⁿ ᴷᵃʳᵉⁿ ˢᵗᵃʸ‧‧‧" "ᴾˡᵃⁿᵏᵗᵒⁿ ˢʰᵉ ʷᵒⁿ'ᵗ ˡᵉᵃᵛᵉ ᵗʰᵉ ᵇᵘⁱˡᵈⁱⁿᵍ ᵇᵘᵗ ˢʰᵉ'ˡˡ ʰᵃᵛᵉ ᵗᵒ ᵉˣⁱᵗ ᵗʰᵉ ʳᵒᵒᵐ ʷʰᵉⁿᶜᵉ ᵒᵖᵉʳᵃᵗⁱⁿᵍ‧ ᴺᵒʷ ᴾˡᵃⁿᵏᵗᵒⁿ⸴ ʸᵒᵘ ʳᵉᵃᵈʸ?" "ᴵ'ᵛᵉ ᵍⁱᵛᵉⁿ ᴷᵃʳᵉⁿ ᵃˡˡ ⁱⁿᶠᵒʳᵐᵃᵗⁱᵒⁿ‧" ᔆᵃʸˢ ᵗʰᵉ ⁿᵘʳˢᵉ‧ "ᵂᵉ ᵃʳᵉ ᵍᵒⁱⁿᵍ ᵗᵒ ˢᵗᵃʳᵗ ᵃᵈᵐⁱⁿⁱˢᵗʳᵃᵗⁱᵒⁿ ᵒᶠ ˢᵉᵈᵃᵗⁱᵛᵉˢ ᵃⁿᵈ ᵐⁱᵍʰᵗ ˢᵉᵉᵐ ᶠᵘⁿⁿʸ ᵇᵘᵗ ⁱᵗ ʷⁱˡˡ ᵇᵉ ᵒᵛᵉʳ ᵇᵉᶠᵒʳᵉ ʸᵒᵘ ᵏⁿᵒʷ ⁱᵗ‧ ᴼᵘʳ ʰᵃⁿᵈʸ ᵐᵃᶜʰⁱⁿᵉ'ˢ ᵍᵒⁿⁿᵃ ᵗᵘʳⁿ ᵒⁿ ᵃⁿᵈ ʸᵒᵘ ʷⁱˡˡ ᵇᵉ ᵐᵒⁿⁱᵗᵒʳᵉᵈ‧" ᵀʰᵉ ʰʸᵍⁱᵉⁿⁱˢᵗ ˢᵃʸˢ ᵇᵉᶠᵒʳᵉ ˢᵗᵃʳᵗⁱⁿᵍ ᵘᵖ ᵗʰᵉ ᵐᵃᶜʰⁱⁿᵉ‧ "ʸᵒᵘ'ʳᵉ ᵈᵒⁱⁿᵍ ˢᵒ ᵍᵒᵒᵈ ʲᵒᵇ‧" 'ʸᵒᵘ ᶠᵉᵉˡ ⁿⁱᶜᵉ‧‧‧' ᴾˡᵃⁿᵏᵗᵒⁿ ᵍᵉᵗˢ ᵃˢᵏᵉᵈ ᵇᵘᵗ ʰⁱˢ ᵉʸᵉ'ˢ ⁿᵒ ˡᵒⁿᵍᵉʳ ᵏᵉᵖᵗ ᵒᵖᵉⁿ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ᵏⁿᵒʷˢ ⁿᵒᵗʰⁱⁿᵍ ᵉˡˢᵉ ᵒᵗʰᵉʳ ᵗʰᵃⁿ ʰⁱˢ ᵉʸᵉ ᶠˡᵘᵗᵗᵉʳⁱⁿᵍ ᵃˢ ᵐᵉᵈⁱᶜⁱⁿᵉ ᵏⁿᵒᶜᵏᵉᵈ ʰⁱᵐ ᵒᵘᵗ ᶜᵒˡᵈ‧ ᵀʰᵉ ⁿᵘʳˢᵉ ˡᵉᵗˢ ᴷᵃʳᵉⁿ ᵍᵒ ᵇᵃᶜᵏ ᵗᵒ ʷʰᵉʳᵉ ˢʰᵉ'ˢ ʷᵃⁱᵗᵉᵈ‧ ᴱᵛᵉⁿᵗᵘᵃˡˡʸ ᵗʰᵉ ⁿᵘʳˢᵉ ᵍᵉᵗˢ ᴷᵃʳᵉⁿ ᵃᵍᵃⁱⁿ ᵃˢ ᵗʰᵉʸ ᶠⁱⁿⁱˢʰᵉᵈ ᵘᵖ‧ "ᴴᵒʷ‧‧‧" "ʸᵒᵘʳ ʰᵘˢᵇᵃⁿᵈ'ˢ ʸᵉᵗ ᵗᵒ ʷᵃᵏᵉ ᵘᵖ⸴ ᵇᵘᵗ ᵗʰᵉ ˢᵘʳᵍᵉʳʸ ʷᵉⁿᵗ ᵖᵉʳᶠᵉᶜᵗˡʸ ᵍʳᵉᵃᵗ‧" ᴷᵃʳᵉⁿ ˢᵃʷ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵗⁱˡˡ ⁿᵒᵗ ᶜᵒⁿˢᶜⁱᵒᵘˢ/ᵃʷᵃᵏᵉ ʸᵉᵗ ᵃⁿᵈ ᵗʰᵉ ʰʸᵍⁱᵉⁿⁱˢᵗ ʷⁱᵖᵉˢ ᵃʷᵃʸ ˢᵒᵐᵉ ᵈʳᵒᵒˡ‧ "ᴴᵉ ᵐⁱᵍʰᵗ ᵇˡᵉᵉᵈ ᵃⁿᵈ ᵇʳᵘⁱˢᵉ ᶠᵒʳ ˡᵉˢˢ ᵗʰᵃⁿ ᵃ ʷᵉᵉᵏ ᵃⁿᵈ ʰᵉ'ˢ ᵉˣᵖᵉᶜᵗᵉᵈ ᵗᵒ ᵉˣᵖᵉʳⁱᵉⁿᶜᵉ ˢᵒᵐᵉ ˢʷᵉˡˡⁱⁿᵍ‧" "ᴿⁱᵍʰᵗ ʷʰᵉⁿ ᴵ ᵍᵉᵗ ᵈʳᵒᵒˡ ᶜˡᵉᵃⁿᵉᵈ ᵘᵖ ᵐᵒʳᵉ ᵒᶠ ⁱᵗ ᶜᵒᵐᵉˢ! ᴮᵘᵗ ʸᵉˢ ᵃˡˡ ᵗʰᵉ ᵐᵉᵈⁱᶜⁱⁿᵉ ⁱⁿ ʰⁱˢ ᵇᵒᵈʸ ˢʸˢᵗᵉᵐ ᵐⁱᵍʰᵗ ᵐᵃᵏᵉ ʰⁱᵐ ᵃᶜᵗ ᵘᵖ ᶠᵒʳ ᵃᵇᵒᵘᵗ ᵃ ᵈᵃʸ‧" ᴷᵃʳᵉⁿ ʳᵉᵃᵈ ᵗʰᵉ ᵖᵃᵐᵖʰˡᵉᵗ ᵉˣᵖˡᵃⁱⁿⁱⁿᵍ ᵃᶠᵗᵉʳ ᶜᵃʳᵉ ᵃⁿᵈ ʰᵒʷ ᵗᵒ ᵘˢᵉ ᵍᵃᵘᶻᵉ‧ ᔆʰᵉ ᵏⁿᵉʷ ʰᵉ ᵐᵘˢᵗ ᵇᵉ ⁿᵘᵐᵇᵉᵈ ᵐᵒᵘᵗʰ ᵃⁿᵈ ᵃˡˢᵒ ˢˡᵒᵖᵖʸ‧ 'ᵂᵃᵏⁱⁿᵍ ᵘᵖ‧‧‧' 'ᶜᵃⁿ ʸᵒᵘ ˡᵉᵗ ᵐᵉ ˢᵉᵉ ʸᵒᵘ ᵒᵖᵉⁿ ʸᵒᵘʳ ᵉʸᵉ?' ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵘᵈᵈᵉⁿˡʸ ʰᵉᵃʳˢ ᵃˢ ʰᵉ'ˢ ʷᵃᵏⁱⁿᵍ ᵘᵖ‧ "ᵂʳʳᶻ ᵇʳʳʳᵈ‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ᵇᵃᵇᵇˡᵉᵈ⸴ ᵒᵖᵉⁿⁱⁿᵍ ʰⁱˢ ᵉʸᵉ‧ "ᴹʳⁿⁿ‧‧‧" "ᴾˡᵃⁿᵏᵗᵒⁿ?" 'ᵂʰᵉʳᵉ ᵃᵐ ᴵ' ᴾˡᵃⁿᵏᵗᵒⁿ ᵗʳⁱᵉᵈ ˢᵃʸⁱⁿᵍ‧ ᴴᵉ ᵗʰᵉⁿ ʳᵉᶜᵒᵍⁿⁱˢᵉᵈ ᴷᵃʳᵉⁿ‧ "ᴰᵒ ʸᵒᵘ ᵏⁿᵒʷ ʷʰᵉʳᵉ‧‧‧" "ᔆᵒ ᵗʰᵉ ⁿᵘᵐᵇⁿᵉˢˢ ᵃⁿᵈ ᵗʰᵉ ᵐᵉᵈⁱᶜⁱⁿᵉ ʷⁱˡˡ ᵐᵃᵏᵉ ⁱᵗ ᵐᵒʳᵉ ᵈⁱᶠᶠⁱᶜᵘˡᵗ ᵗᵒ ᵃʳᵗⁱᶜᵘˡᵃᵗᵉ ʷᵒʳᵈˢ‧" ᴾˡᵃⁿᵏᵗᵒⁿ ᶠᵉˡᵗ ᴷᵃʳᵉⁿ ʰᵉˡᵖ ʰⁱᵐ ᵘᵖ ᵗᵒ ʰᵉʳ ᵃⁿᵈ ᵍⁱᵍᵍˡᵉˢ ᵃˢ ʰᵉ ᶠᵃˡˡˢ ᵒⁿ ʰᵉʳ‧ "ᴸᵉᵗ'ˢ ᵖᵘᵗ ᵍᵃᵘᶻᵉ ⁱⁿ ᵇᵉᶠᵒʳᵉ ʸᵒᵘ ᵍᵒ‧‧" "ᔆʰᵉˡᵈᵒⁿ ᵍᵒᵒᵈ ʲᵒᵇ!" ᴴᵉ ʰᵉᵃʳˢ⸴ ⁿᵒʷ ʷⁱᵗʰ ᵍᵃᵘᶻᵉ‧ ᴴᵉ ˡᵃᵘᵍʰˢ ᵇᵘᵗ ˢᵒᵐᵉ ʷʰᵃᵗ ᵐᵘᶠᶠˡᵉᵈ ᶠʳᵒᵐ ᵗʰᵉ ᵍᵃᵘᶻᵉ‧ "ᴸᵉᵗ'ˢ ᵍᵒ!" ᴷᵃʳᵉⁿ ᵗᵃᵏᵉˢ ᴾˡᵃⁿᵏᵗᵒⁿ ᵇᵃᶜᵏ ᵗᵒ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ‧ ᴬᶠᵗᵉʳ ˡᵉᵃᵛⁱⁿᵍ⸴ ˢʰᵉ ˢᵃʷ ᴾˡᵃⁿᵏᵗᵒⁿ ˡᵒᵒᵏ ˢᵃᵈ‧ "ʸᵒᵘ ᵍᵒᵒᵈ?" "ᴵ ᵐⁱˢˢ ᴷ⁻ᴷᵃʳᵉⁿ‧‧‧" "ᔆʰᵉˡᵈᵒⁿ ᴵ⸴ ᴵ ᵃᵐ ᴷᵃʳᵉⁿ‧" "ᴹʸ ˡᵒᵛᵉˡʸ ᴷᵃʳⁱ ᴵ ˡᵒ⁻ᵒᵛᵉ ʰᵉʳ!" "ᴾˡᵃⁿᵏᵗᵒⁿ ᴵ'ᵐ ʸᵒᵘʳ ᴷᵃʳᵉⁿ!" ᵀᵒ ᶜᵒⁿᶠᵘˢᵉᵈ⸴ ʰᵉ ᵗʰᵉⁿ ʳᵉᵃˡⁱˢᵉˢ ˢʰᵉ'ˢ ᴷᵃʳᵉⁿ‧ "ᴷᵃʳᵉ⁻⁻⁻⁻ ᴷᵃʳᵉⁿ‽" ᵀʰᵉʸ ᵇᵒᵗʰ ᵗʰᵉⁿ ᵃʳʳⁱᵛᵉ ᵃᵗ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ‧ "ᵂʰᵉʳᵉ'ˢ ᵗʰᵉ ᵈᵒᵒʳ?" ᴾˡᵃⁿᵏᵗᵒⁿ ᵉˣᶜˡᵃⁱᵐˢ ᵃˢ ˢʰᵉ ᵗᵘᶜᵏˢ ʰⁱᵐ ⁱⁿ ʰⁱˢ ᵒʷⁿ ᵇᵉᵈ‧ "ᴳᵉᵗ ˢᵒᵐᵉ ʳᵉˢᵗ ⁿᵒʷ‧" "ᵂʰᵉʳᵉ'ˢ ᵗʰᵉ ᵈᵉⁿᵗⁱˢᵗ?" "ᵂᵉ ˡᵉᶠᵗ‧‧" ᴷᵃʳᵉⁿ ʷⁱᵖᵉˢ ᵈʳᵒᵒˡ‧ ᴴᵉ ᶠˡᵃᵖˢ ʰⁱˢ ᵃʳᵐˢ‧ "ᴵ'ᵐ ʳⁱᵈⁱⁿᵍ ᵃ ᵈʳᵃᵍᵒⁿ‧‧" "ᶜᵃⁿ ʸᵒᵘ ˡᵉᵃⁿ ᵇᵃᶜᵏ?" ᴾˡᵃⁿᵏᵗᵒⁿ ᵈᵒᵉˢ ˢᵒ⸴ ᵉʸᵉ ᶜˡᵒˢⁱⁿᵍ ˢʰᵘᵗ‧ "ᴰᵒ ʸᵒᵘ ᶠᵉᵉˡ ˡⁱᵏᵉ ᵗᵒ ʳᵉᵖˡᵃᶜᵉ ᵗʰᵉ ᵍᵃᵘᶻᵉ‧‧‧" ᴷᵃʳᵉⁿ ᵃˢᵏˢ ᴾˡᵃⁿᵏᵗᵒⁿ ᵇᵘᵗ ʰᵉ'ˢ ᵗᵒ ʰᵉᵃᵛⁱˡʸ ᵃˢˡᵉᵉᵖ ⁿᵒʷ ᵃˢ ˢʰᵉ ʰᵉᵃʳˢ ʰⁱᵐ ˢⁿᵒʳᵉ⸴ ʷʰⁱᶜʰ ˢʰᵉ ⁿᵉᵛᵉʳ ʰᵉᵃʳˢ‧ ᴷᵃʳᵉⁿ ˢᵗᵒᵖᵖᵉᵈ ᵗᵃˡᵏⁱⁿᵍ ᵗᵒ ʰⁱᵐ ⁿᵒʷ ᵃˢ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ ˢⁿᵒʳᵉˢ ⁱⁿ ʰⁱˢ ˢˡᵉᵉᵖ‧ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ᵐᵒᵘᵗʰ ˢᵗᵃʸᵉᵈ ᵒᵖᵉⁿ ᵃⁿᵈ ᵘⁿᵐᵒᵛⁱⁿᵍ ᵐᵉᵃⁿ ᵗⁱᵐᵉ ᵃⁿᵈ ᴷᵃʳᵉⁿ ˡᵉᵗ ʰⁱᵐ ᵇᵉ‧ 'ᔆᵒ ˢʷᵉᵉᵗ' ᴷᵃʳᵉⁿ ᵗʰᵒᵘᵍʰᵗ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ᵒⁿˡʸ ˢᵗⁱʳʳᵉᵈ ᵃʷᵃᵏᵉ ʷʰᵉⁿᶜᵉ ⁱᵗ'ˢ ᵃᶠᵗᵉʳ ⁿᵒᵒⁿ ᵃˢ ʰⁱˢ ᵉʸᵉ ᶠˡⁱᶜᵏᵉʳˢ ᵒᵖᵉⁿ‧ ᴴᵉ ᶠᵉˡᵗ ˢᵒᵐᵉ ᵗʰⁱⁿᵍ ⁱⁿ ʰⁱˢ ᵐᵒᵘᵗʰ⸴ ᵇᵉⁱⁿᵍ ᵗʰᵉ ᵍᵃᵘᶻᵉ ʰᵉ ⁿᵒʷ ᵗᵃᵏᵉˢ ᵒᵘᵗ‧ ᴷᵃʳᵉⁿ ʰᵉᵃʳᵈ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵒ ˢʰᵉ ᶜᵃᵐᵉ‧ "ᶜᵃʳᵉᶠᵘˡ‧‧" "ᴷ⁻ᴷᵃʳᵉⁿ?" 'ᴰⁱᵈ ᴵ ⁿᵒᵗ ᵍᵒ ᵗᵒ ᵗʰᵉ ᵈᵉⁿᵗⁱˢᵗ?' ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ᵐᵒᵘᵗʰ ᶠᵉˡᵗ ᵈⁱᶠᶠᵉʳᵉⁿᵗ⸴ ᵃⁿᵈ ʰᵉ'ˢ ⁿᵒᵗ ˢᵘʳᵉ ᵒᶠ ʷʰᵃᵗ'ˢ ʰᵃᵖᵖᵉⁿⁱⁿᵍ‧‧ "ᴵ ᶜᵃⁿ ᵍᵉᵗ ʸᵒᵘ ⁿᵉʷ ᵍᵃᵘᶻᵉ‧" ᴷᵃʳᵉⁿ ᵏⁿᵉʷ ʰᵉ'ˢ ˢᵗⁱˡˡ ʰᵃᶻʸ⸴ ᵇᵘᵗ ᵗʰᵉ ᵗʳᵃᶜᵉ ᵒᶠ ˢᵉᵈᵃᵗⁱᵛᵉ/ᵃⁿᵃᵉˢᵗʰᵉˢⁱᵃ ʷⁱˡˡ ʰᵃᵛᵉ ᵇᵉᵉⁿ ʷᵒʳⁿ ᵒᶠᶠ ᵇʸ ᵗᵒᵐᵒʳʳᵒʷ ᵐᵒʳⁿⁱⁿᵍ‧ ᔆʰᵉ ʳᵉᵖˡᵃᶜᵉᵈ ᵗʰᵉ ᵍᵃᵘᶻᵉ ᵃⁿᵈ ᵈⁱˢᵖᵒˢᵉᵈ ᵒᶠ ᵗʰᵉ ʳᵉᵈ ˢᵗᵃⁱⁿᵉᵈ ᵒⁿᵉˢ‧ "ᴵ ᵗʰᵉᵉ ʸᵒᵘʷ!" "ᶜʰᵃᵗᵗᵉʳⁱⁿᵍ ᵐᵃʸ ʰᵘʳᵗ‧‧‧" "ᴵ'ᵐ ᵈᵒ ᵍᵉᵗ ᵐʸ ᵗᵉᵉᵈ ᶜʳᵉᵃⁿˢ ⁿᵒʷ‧‧" "ʸᵒᵘ ᵈⁱᵈ‧" "ᴹʸ ⁿᵉⁿᵈⁱˢ ʷⁱˡˡ ᵈᵒᵒᵈᵃʸ‧ ᴬᵗ ᵗʰᵉ ⁿᵉⁿᵗⁱˢ‧" "ᶜᵃⁿ ʸᵒᵘ ᵖᵘˢʰ ᵗʰᵉ ᵍᵃᵘᶻᵉ ᵇᵃᶜᵏ ⁱⁿ? ᵀʰᵉʸ'ʳᵉ ᶠᵃˡˡⁱⁿᵍ‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ʳᵉᵃᶜʰᵉᵈ‧ "ᴱᵃˢʸ!" ᴷᵃʳᵉⁿ ˢⁱᵍʰˢ‧ ᔆʰᵉ ˢᵃᵗ ᵇʸ ᴾˡᵃⁿᵏᵗᵒⁿ ᵃⁿᵈ ʳᵘᵇᵇᵉᵈ ʰⁱˢ ᵃʳᵐ ʷⁱᵗʰ ʰᵉʳ ʰᵃⁿᵈ‧ 'ᴶᵘˢᵗ ʷᵃⁱᵗ ᶠᵒʳ ᵗᵒᵐᵒʳʳᵒʷ' ᴷᵃʳᵉⁿ ᵗʰᵒᵘᵍʰᵗ ᵗᵒ ʰᵉʳˢᵉˡᶠ‧ to be cont. pt. two