Appendicalgia Emojis & Text

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APPENDICITIS Stomach pain and discomfort. Almost like a tightness. Very sensitive if you push on it. Bit of nausea. The area will feel hard from swelling. abs felt really sore area of the soreness shrunk and localized like an inflatable balloon in abdomen Sudden pain that starts near your belly button then moves down and to the right Pain that gets worse over a couple of hours Pain that intensifies if you inhale deeply, cough, sneeze, or make any other sudden movements Pain that doesn’t feel like anything you’ve ever experienced before Nausea Vomiting Constipation Diarrhea The sensation that pooping will make you feel better A low-grade fever that may become more severe as the pain grows A bloated abdomen Feeling unable to pass gas made nauseous when on your back You start to feel very mild “flu-like” symptoms 24-48 hours before you have any abdominal pain. Then you start to get upper abdominal pain above your belly button like if you are wearing high waisted pants that are too tight. It is such an uncomfortable feeling and you just want to lay down and sleep it off. tested at home by 1 - pressing down on my lower right abdomen and if it relived the pain while pushing but increases pain when releasing you fingers then its appendicitis. 2- lay on your back and bend you right leg and bring your knee to your chest if that’s painful but then roll your knee away from yourself with your leg still bend and that relieves the pain then it’s your appendix If its been hurting since last night and today your pain is only mild with certain movements it’s not your appendix. You would hurt strongly for about 4-5 hrs straight then the next 4 plus would be unbearable. Like unable to stand up or walk type pain + vomiting.

hydrate interview the physician before the consult to make sure they are compassionate nerve patch lidocaine cream 20 minutes before to numb, emla cream butterfly needle use a baby (small) gauge needle a mild sedative twilight sleep or under another type of anesthesia midwives as an alternative Communicate your needs and discomfort... it will go a long way 💙 follow your gut feelings

https://autisticgirlsnetwork.org/needle-phobia-autism-and-coping-with-blood-tests-and-vaccinations/ Needle Phobia; autism and coping with blood tests and vaccinations Isabella’s story We asked Isabella if she’d like to write something after we were initially contacted by her mum, experiencing a huge lack of support for needle phobia. Isabella had become more and more unwell, but all medical professionals said they couldn’t do anything further without blood tests. The problem was nobody was supporting Isabella to be able to have the testing. From Isabella’s mum “She came home from university at Easter and after days of high temperatures she was told to go to A&E. It was here that an incredibly understanding Doctor listened to what we were saying, took into account her autism and helped to arrange for her to self-administer a finger prick test that allowed them to collect just enough blood for an initial test. To cut a long, night in A&E, story short, she was diagnosed with leukaemia and immediately admitted to hospital and is now undergoing intensive chemotherapy. The autism note on her file and the extremely understanding staff here have helped her navigate numerous bone marrow biopsies and lumbar punctures and allowed her to have tablet forms of other medications that could have been injections. We are just so grateful that we finally found medical professionals who understood, they are few and far between.” From Isabella I’d like to talk about some of the challenges I’ve faced because there’s been a lot of variation and I think it’s very important for medical staff to know what does and doesn’t work. I can now see that being taken seriously can save lives; and it scares me to know that not being listened to can put lives at risk. I think the main things I’ve experienced have been: Secondary school vaccination staff are not properly aware of additional challenges that some students may have. Looking back on my experience in secondary school, I don’t think the community nurses were properly aware that they couldn’t take a one size fits all approach. Their approach to me being too scared to have the vaccines done at school was to simply send me to the catch up clinic for it which unsurprisingly didn’t do anything because it was the exact same set up as school! Sure, they didn’t know that I was autistic (and I had no clue either) so making adjustments wouldn’t have been their first priority; though I suspect it was very obvious by the amount of distress I was very visibly showing that something wasn’t typical about what was happening. We eventually managed to go to a second catch up clinic where they did vaccinate me successfully but it wasn’t overall a successful experience I’d say and it probably did more harm than good. I made sure that I mentioned this time that I wanted them to be clear with me what was happening and they told me that they would let me put on headphones and try and relax myself before they attempted to vaccinate me. But no, they did the vaccine while I was preparing for it and made me lose all my trust in them because they had not listened properly. So when I came back for the second dose of the HPV vaccine the year after it never happened because I couldn’t trust them to make me feel calm enough to start the process of taking my blazer off because I couldn’t trust them to vaccinate me when I felt ready and not to shock me and do it too early and unexpectedly. The main thing they could’ve done that would’ve helped? I’m not sure as it was a long time ago, but I think acknowledging the existence of undiagnosed neurodivergent students (or students who are more anxious about it for other reasons too) going through vaccination who might have heightened anxiety could be a good start and being fully honest and open with them about what’s going to happen and giving them the time and space they need. I think maybe if someone had in the catch up clinic realised that I was too scared and used 20 minutes to talk through arranging another time to get it done in a more relaxed environment with numbing cream for example and reassuring me that it would be ok, I might’ve been more willing to try instead of giving up in fear. Less of a relevant point now but I think still important to mention: they could’ve reconsidered which order of vaccines to offer me. At the time, you needed 2 doses of the HPV vaccine to be fully vaccinated (or 3 if over 15) [I believe the NHS guidance is now only one dose, but may be wrong] and I can’t help but wonder if they could’ve considered that if they did scare me off vaccines completely that it might be worth giving me a vaccine where at least I’d get full protection instead of told that because I hadn’t had the second dose within 2 years that the only one they could give me was effectively useless at the time? I couldn’t help but wonder at the time if I should’ve asked them for the meningitis vaccine instead (even if I’d be given it a few months early) because at least then I’d have protection against something I knew I needed for university but was worried I’d never be brave enough to have. Because if you can’t vaccinate someone fully, surely it’s better to prioritise something that will provide full rather than partial protection? I remember thinking that would’ve been a very important conversation to have at the time but not having the confidence to raise it. I did end up leaving for university without the meningitis vaccine which I know is not good but due to the lack of support from the secondary school immunisation team, it would never have been possible. If you speak to someone willing to be understanding, it can be lifesaving. When I went to A+E and my mum explained to the doctor that my autism meant that I was completely irrationally scared of blood tests and that I hadn’t been able to have one for months I asked if I could self administer a finger prick blood test because it was the only way that I could see myself being able to do it. The doctor was incredible because she could see that even though it wasn’t “the way” of testing it, it would be the only possible way so contacted the paediatrics section of A+E to see if it would be possible and (partially because I’m 19 so close to having been a child anyway) we were told we could do it. The nurse who gave me the test and everything, was incredible! She took her time to be very clear how to administer the test and helped calm all of my nerves and feel calm and confident to do the test and allowed me to do what once felt impossible. The kindness and understanding that she had towards my fears made a once impossible challenge possible. And shortly after that we got the results quite quickly that further needle stabs would be needed because my blood results were very concerning. But this news was delivered to us by the very kind and understanding paediatric nurse who came armed with numbing cream and understanding that I was not going to be happy with the news, which I obviously wasn’t. But she gave me 5 minutes to process it which really really helped because otherwise I would’ve been too overwhelmed and probably refused. Having the same nurse who was willing to take things slower put on numbing cream and insert cannulas / do further blood tests at a pace that suited me being clear with what was happening and when and communicating clearly and checking that I felt comfortable throughout the whole process made it possible to do. I’ve had a very similar experience with all my procedures since being transferred from A+E to the teenage cancer trust ward I’m in. The nurses here are amazing and because they know that my autism makes me scared of needles they make sure that I am always given numbing cream before I need a stab and that I’m given plenty of hours’ notice which really calms my nerves and they are always clear about what happens when which has been great! And I think this is the main message I would love to try and amplify to people; pausing to understand that someone is absolutely terrified and making relatively adjustments (finger prick test over traditional blood test, numbing cream, taking things slower and clearly) can make the impossible possible. I would never have had a blood test without the support of paediatrics and genuinely if I hadn’t had that I would have just refused to do a blood test and walked out of A+E having done nothing and knowing what we know now, I could have possibly died by now without it, and that terrifies me. If A+E had not made those accommodations, I would never have known how ill I am and started treatment which is saving my life. Bio Isabella, 19. Maths student and lover of all things maths.

Going into Doctor settings Pack: Comfortable/ Loose fitting clothing like dresses, skirts Some pairs of undies Sensory items Chewing gum Ice compress Notepad Favourite blanket, pillow, plushies, fidget toys, etc.

https://curejoy.com/content/symptoms-and-natural-treatment-for-appendicitis/ TimeLine The pain hits the center of the stomach. Pain intensifies within hours and shifts to the lower right abdomen. Pain aggravates when you walk or cough. You feel nauseous and lose your appetite. You may become constipated, have trouble passing gas, or even have diarrhea. You may even develop a low-grade fever, which indicates an infection. There can be swelling in the abdomen and pain when you press it.

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

What’s the difference between an HPV test, a Pap test, and an HPV/Pap cotest? A Pap test, often called a Pap smear, looks for abnormal cells that can lead to cancer in the cervix. An HPV test looks for the human papillomavirus, a virus that can cause cervical cancer. For an HPV/Pap cotest, an HPV test and a Pap test are done together. For a patient at the doctor’s office, an HPV test and a Pap test are done the same way—by collecting a sample of cervical cells with a scraper or brush. The Pap test has been the gold standard of cervical cancer screening for decades. HPV tests are a newer method of cervical cancer screening. Two HPV tests have been approved by the Food and Drug Administration (FDA) for use as a primary HPV test, meaning it is not part of an HPV/Pap cotest. Other HPV tests are approved as part of an HPV/Pap cotest. Why does the new guideline recommend an HPV test over a Pap test or HPV/Pap cotest? All three tests can find cervical cancer precursors before they become cancer. But studies have shown that HPV tests are more accurate and more reliable than Pap tests. Also, you can rule out disease really well with HPV tests so they don’t have to be repeated as frequently. Although the Pap test has led to huge drops in rates of cervical cancer and death from the disease, it has some limitations. Pap tests have lower sensitivity compared with HPV tests, so they may miss some precancers and have to be repeated frequently. They also detect a range of abnormal cell changes, including some minor changes that are completely unrelated to HPV. So, many people who get an abnormal Pap test result actually have a very low chance of developing cervical cancer. HPV/Pap cotesting is only slightly more sensitive than HPV testing, but it is less efficient because it requires two tests. And it detects a lot of minor changes that have a very low risk of turning into cancer. For an entire population, that’s a lot of additional effort and cost. Screening with an HPV test alone was not recommended by ACS in 2012 because that approach wasn’t yet approved by FDA. The 2018 USPSTF guideline included HPV testing alone, cotesting, and Pap testing as equal options. The difference in the new ACS guidelines is that they elevate HPV testing alone over the other two tests. Using information from new studies, ACS concluded that the benefits of cervical screening do not outweigh the harms for people aged 21 to 24. ACS recommends cervical cancer screening with an HPV test alone every 5 years for from age 25 until age 65. If HPV testing alone is not available, people can get screened with an HPV/Pap cotest every 5 years or a Pap test every 3 years. Not crucial for virgins to get tested These recommendations differ slightly from those given by ACS in 2012 and by the US Preventive Services Task Force (USPSTF) in 2018Exit Disclaimer. New American Cancer guidelines 2012 ACS 2018 USPSTF Age < 21‒24 No screening Pap test every 3 years Pap test every 5 years Age 25‒29 HPV test every 5 years (preferred) HPV/Pap cotest every 5 years (acceptable) Age 30‒65 HPV test every 5 years (preferred) Pap test every 3 years (acceptable) Age 65 < and elder No screening if a series of prior tests were normal Pap smears are often unnecessary for virgin women, unless they have smoked in the past (based on some studies) or their mother took DES (also known as diethylstilbestrol) during pregnancy between 1938 - 1971 to prevent miscarriage and premature delivery. In most cases, cervical cáncer is caused by a transmitted disease, human papillomavirus (HPV). About 99% of cervical cancer cases are caused by HPV. In rare cases, HPV can also be transmitted during childbirth from mother to baby. Even if babies get the HPV virus, their bodies usually clear the virus on their own. HPV is thought to cause most cervical cancers. If you've never had any type of se*ual contact, you're unlikely to have HPV. HPV tests can be achieved self administered at home with over the counter products.

.--. .--. (_ _) "SICK" (_ _) I CANNOT GO TO SCHOOL TODAY )( -by Shel Silverstein )( Said little Peggy Ann McKay. /__\ /__\ [____] __,--"""""""--,__ [____] "I have the measles and the mumps, ) ( _/ \_ ) ( A gash, a rash, and purple bumps. \__/ / ((((((()))) \ \__/ My mouth is wet, my throat is dry, [ _]/ (((((((())))))) \[ ] I'm going blind in my right eye. [(_`"-._((((((( ))))))--"`_) ] [ ) (((( ,_ _, )))) ( ] My tonsils are as big as rocks, [ / (() |*| |*| (() \ ] I've counted sixteen chicken pox. [/ ()) ''' ''' ()) \ ] And there's one more- ( (() '' ^ '' (() )] ...that's seventeen! [ ())'. C====O.'()) / ] And don't you think [(\_/) (() '-._____.-' (()( ( ] ...my face looks green? ./o o\())____/ \____())____) . :(= Y =)@-----'---`-----@--------: My leg is cut, my eyes are blue- |/`----'/|\ /|\ \It might be instamatic flu. |``________________________________ I cough and sneeze and gasp and choke | |\'.'''.'''.".'.'".'..'".'.'.'."" I'm sure that my left leg is broke. | |'\.'"..'...."'"'..'...'.'.'.'.'..'.\ | |.'\.''.'...'''"'..'..'.'.'.'..'. My hip hurts when I move my chin, | |.'.\.'"..'.'."".'".'..'.'.".'.'. My belly button's caving in, | |.'.'\'.".'.".'.".''.'".'.'".'.'. My back is wrenched, | |.".'.\'.'..'.".'.'.-".'.'.'.- '.' ...my ankle's sprained, | |.'.' .\'.'.''.''.''.''.'.'.''.'' My 'pendix pains each time it rains. | |'.'.' .\'".'.-".'.''".''.-'".'.'.'.".'.'.'.\ \ |.'.'." .\".'.'-'.'".'..'.'.'.'.' My nose is cold, my toes are numb, \|.'.'..".'\".'.''.'..".'.''-'''.' I have a sliver in my thumb. \'.'.'.''.'\.'.''.'..'".'.'..'.'. My neck is stiff, my spine is weak. \.'.'.'".'.\'.'".'.'.'".'.".".'. I hardly whisper when I speak. \'".'.".".'\".'.'.".'.'-".'.".'.'.'."."-".'.'.'\ \.'.".'.".'\'.'.".'-'.''.'.'.'.'.'.".'.'.".'.'.\ \'.'.'".".'\'.'.".'.-''".".'. My tongue is filling up my mouth, \'.".'.'.".\'.'.'.'.".'.'.'. I think my hair is falling out. \".'.".'.".\".'-".." .".'.' My elbow's bent- \ \'.".''.".'\".'.'." .'.' ". ...my spine ain't straight. \".'.-'.".'\.'.'- .'.".'. My temperature is one-o-eight. \".".'.'.'|~.-~~-.~~-~.'~-~-.-'~-~..~~'-~-~-~-~| \'.'.''.'|.".'.'..-'.'. My brain is shrunk, I cannot hear, \".'..".|".''.''.'.".' There is a hole inside my ear. \'.".'.|".''..'.'.'.' I have a hangnail, and my heart is- \".'.'|".-.'..'..-'.' ...WHAT? \'.'.|.'.'.-'.'.'.".'..'".'.'.".'.'.".'"..| \'.'|'.'.".'.'..'. What's that? What's that you say? \.'|".''.'-'.'.'. You say today is...Saturday? \'|.-.'-'.-".'." G'bye, I'm going out to play!" \|jgs''.'.'.'.'.'-'.'".'.'.'".'.'.'.'"| ~~~~`~~~`~~~``~~~~```~~~~~`~~~~`~~~~~

To sleep comfortably with period cramps, the best position is typically the "fetal position" - lying on your side with your knees pulled up towards your chest, as this reduces pressure on your abdomen and can alleviate cramping; you can also try placing a pillow between your knees for extra support. Key points about sleeping with period cramps: Fetal position: This is considered the most effective position for easing cramps as it minimizes tension on your abdominal muscles. Side sleeping: Sleeping on your side, either in the fetal position or with your top leg slightly bent towards your stomach (recovery position), can also help. Pillow support: Using a pillow between your knees can provide additional comfort and support. Alternating sides: Try to switch sides throughout the night to avoid muscle stiffness.

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.

DIGESTIVE HEALTH MORE DIGESTIVE DISEASES The Stages of Appendicitis Natural Progression of an Inflamed Appendix By Colleen Doherty, MD Published on February 14, 2023 Medically reviewed by Brian H. Wetchler, DO Abdominal pain is the most common symptom of appendicitis. It's typically felt near the belly button before migrating (moving) to the lower right side of the abdomen. Other possible symptoms follow the pain of appendicitis and include Loss of appetite Nausea/vomiting Change in bowel habits Malaise (feeling generally unwell) Low-grade fever Appendicitis signs include tenderness in the lower right side of the belly when pressed on by a healthcare provider. Guarding and stiffness (rigidity) of the stomach muscles may also be present. An appendiceal phlegmon can be felt on physical examination as a bulging structure in the right lower side of the abdomen. It develops in up to 10% of appendicitis cases and is more common in young children than in others Early appendicitis pain tends to be mild, vague, and achy. It's usually located near the belly button and may come and go. As the inflamed appendix comes into contact with the tissue that lines the abdominal wall, the pain shifts to the lower right side of the belly, becoming sharp, continuous, and severe. The timeline of pain migration and increase in intensity generally occurs over 12 to 24 hours, although this is not a hard-and-fast rule. Antibiotics are an alternative treatment option if the appendix has not ruptured and there are no complications, like abscess formation or peritonitis Appendicitis naturally progresses from uncomplicated to complicated appendicitis if not treated. Uncomplicated (also called early or simple) appendicitis is when the appendix is swollen and infected. Complicated appendicitis occurs when the appendix tissue dies and/or bursts open (ruptures). Abdominal pain that moves from the navel (belly button) to the lower right side of the abdomen is a classic and nearly universal symptom of appendicitis. Pain generally becomes severe and continuous within 12 to 24 hours of starting. Rarely, as with chronic appendicitis, the pain remains mild, coming and going for days to weeks.

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｡・ 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・

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.

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

Laparoscopic appendectomy removes the appendix using small incisions. Advantages of laparoscopic appendectomy are:- - Less paın after surgery - A shorter time in the hospıtal - Getting back to normal actıvıtıes faster - Having normal bowel movements sooner - A smaller scar

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!

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

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

𝖣𝖠𝖱𝖤 𝖳𝖮 𝖡𝖤 𝖣𝖨𝖥𝖥𝖤𝖱𝖤𝖭𝖳 (𝖡𝗒 𝖭𝖾𝗎𝗋𝗈𝖥𝖺𝖻𝗎𝗅𝗈𝗎𝗌) 𝗉𝗍. 18 Karen moves quietly. She gently shakes him. "Plankton, wake up," she whispers. "The therapist." Plankton's antenna twitches, his eye slowly opening. "Oh, right," he mumbles, his voice groggy. "He usually comes over when Chip's at school or someth-" Plankton startled at a knock on the front door, the sensory therapist arriving for the session. Chip follows his parents to open the door. The therapist, a calm and kind octopus, enters the room, her arms filled with toys and devices. She smiles warmly at Plankton. "Good morning," she says. "And who's this young man I see?" She looks at Chip. Chip smiles shyly. "Our son Chip," Karen said, introducing her son. "He's here to learn too." The therapist nods, her eyes understanding. "It's important for everyone to understand, isn't it?" she says, her voice gentle. Karen turns to Chip. "So Chip, this is Dr. Marla." "Hello," Dr. Marla says, coming in to the living room. "I've known your father and worked with him for ages. Let's all sit on the living room floor." Chip nods, his heart racing. This is the first time he's met someone who's known his dad's secret. He sits down next to Plankton, who's now fully alert as they all sit in a circle. Dr. Marla opens a bag filled with various sensory toys. "Plankton," she says, her tone gentle, "I assume your son has learned about your condition. How'd that come about?" Plankton's antennae twitch slightly. "It was an accident," he says, his voice a mix of embarrassment and resignation. "But it led to... to a good discussion? It was when he saw me having one of my seizures.." Chip looks down at his hands, feeling his cheeks grow warm as he remembers that moment. Karen's hand finds his, giving it a squeeze. "It's okay," she whispers. "You can talk about it. Now is the time to ask, Chip." Dr. Marla nods. "And how has that affected your father and son relationship?" She asks. Chip looks up, his eyes meeting hers. "It's... it's different," he says. "But in a good way, I think." He glances at Plankton, who nods in agreement. "I've learned so much about his... his autism. And I know now that he's not just being mean, sometimes." Dr. Marla nods, her expression gentle. "That's important," she says. "It's about understanding and compassion. Now, I'd like to ask if there have been any mishaps with said relationship?" Plankton's antennae droop, his eye flicking to Karen. "Well," Karen says, "There was the time Chip tried to be supportive, yet he accidentally used a slur.." The therapist nods sympathetically. "It's a learning process," she says, her tone reassuring. "Missteps are common when navigating new understandings." She glances at Chip, her expression encouraging. "But it's how you apologize and move forward that shows growth. May I ask what slur wa-" "It was just a... a silly thing I said," Chip interjects, his voice small. "I didn't kno—" "It's okay," Dr. Marla interrupts, her eyes kind. "We're here to learn together. What was the slur?" Chip swallows hard. "I... I called him a ret-" he admits, his voice barely above a whisper. "I just saw him acting..." Plankton's antennae twitch, his gaze dropping to the floor. Karen's grip on his hand tightens slightly, a silent reassurance. "It's okay," she whispers. "You didn't kn-" But Plankton's anger surges up, cutting her off. "No, it's not okay!" he snaps, his voice sharp. "I can't believe you said it, again!" His eye narrows, and he pulls his hand away from Karen's grasp. Chip shrinks back, his heart racing. He's never seen his dad so upset with him. "Dad, I'm sorry," he stammers. "I really di-" But Plankton isn't listening, his antennae thrashing. "How could you?!" he yells. "After everything we talked about!" His voice is loud, echoing in the small room, and Chip flinches. Karen's eyes dart between her husband and son, her heart breaking for both of them. She knows Plankton's anger is a defense mechanism, a way to cope with his pain. But she also knows the pain Chip is feeling, the guilt and fear of losing his dad's trust. "Plankton," she says, her voice calm, "Let's talk about this with Dr. Marla; she's he--" "No!" Plankton shouts, his eye wide with rage. He stands up, his fists clenched as he grabs a pillow, throwing it across the room. Karen flinches as the pillow hits the wall, but her voice stays calm. "Plankton, sweetie, let's breathe." But Plankton's in his own world, his autism exacerbating his reaction to the painful word. He's spinning, his antennae thrashing as he searches for something, anything to release his anger. "Dad," Chip whispers, his voice trembling. "I'm sorry, I didn't mean-" But Plankton's in the throes of his tantrum, his body moving erratically. He grabs a book from the shelf, tossing it across the room. Karen jumps up, intervening before anything else can fly. "Plankton," she says firmly, her voice a steady force in the storm of his anger. "Look at me. Look at me," she repeats, her hands up, palms out. "Just br-" But Plankton isn't calming down, his eye wild, kicking a chair over. Dr. Marla approaches them. "It's okay, Plankton," she says calmly. "Your feelings are valid. But right now, let's find a better way to express them." She holds out a fidget toy, her voice steady. "Remember, this can he-" But Plankton's anger has taken over. He swipes at the toy, sending it flying. He then moves to a shelf, his hand grabbing a picture frame. It hits the floor. "No!" Karen yells, but it's too late. Dr. Marla approaches Karen and Chip. "See, this is the anger," she says, her voice calm and understanding. "It's common with autism. He's feeling overwhelmed and doesn't know how to express it. This is Plankton's autism flaring up, and this is Plankton's way of dealing with it. This is Plankton's way of saying, 'I'm in pain, and I need help.' Plankton is angry, yes, but he's also scared."

𝖣𝖠𝖱𝖤 𝖳𝖮 𝖡𝖤 𝖣𝖨𝖥𝖥𝖤𝖱𝖤𝖭𝖳 (𝖡𝗒 𝖭𝖾𝗎𝗋𝗈𝖥𝖺𝖻𝗎𝗅𝗈𝗎𝗌) 𝗉𝗍. 19 Dr. Marla gestures to the corner of the room, where there's a calming space set up specifically for times like these. "Let's go over there," she suggests, her voice calm and soothing. But Plankton's rage is like a tornado, spinning him in circles. Karen tries to guide him gently, but he shrugs her off, his body tight with tension. Chip's eyes are wide with fear, watching his dad's outburst. He's seen his father's temper before, but not like this, not with such unbridled fury. Plankton's movements are jerky, his face distorted with anger and pain. His breaths are quick, his eye unfocused. Karen moves closer, her voice still calm. "Let's go to this calming corner, sweetie," she says. But Plankton's rage doesn't abate. He throws another pillow, knocking over a lamp. The room is a mess, a reflection of the turmoil within him. "Dad, please," Chip whispers, his voice shaking. He's never seen his dad like this, his usually stoic facade crumbling into a chaos of emotions. Plankton's body jerks, his limbs flailing as his anger escalates. He knocks over a table, his eye unseeing as his senses overload. Karen moves quickly, trying to guide him to the calming corner, but he resists. "Dad, please," Chip pleads, his voice trembling. But Plankton's anger is uncontrollable, knocking over furniture, his eye filled with a mix of fury and fear. The therapist's calm demeanor remains. She knows this is part of his condition, and she doesn't flinch as a book flies past her. "Plankton," Karen says, her voice firm but gentle, "we need to—" But Plankton isn't listening, his rage consuming him. He grabs another pillow, squeezing it tightly. His eye darts around the room, searching for an outlet for his anger. "Daddy, no!" Chip whispers, his voice shaking. His heart is racing as he watches his father, his hero, fall apart. Chip tries to intervene, but Plankton swats his hand away, his movements wild. "Dad," Chip says, his voice louder, more urgent. "Please, let's talk!" But Plankton can't hear him, his mind lost in his emotions. He throws the pillow, watching it soar through the air before it slams into the wall, the feathers exploding out. The room is a whirlwind of movement and noise, and Chip can't help but flinch with every crash and smash. Karen's eyes are wide, her face pale. She's seen this before, but it never gets any easier. Plankton's breaths are coming in quick gasps, his body trembling with the effort of containing his emotions. He throws his head back, letting out a scream that echoes through the room, his antennae whipping around. Karen's heart is in her throat, but she knows she has to stay calm. "Plankton," she says, her voice steady. "Come to the corner, please." She holds out a hand, but Plankton's too far gone to see it. He throws another book, his screams filling the room. Karen's heart is racing, but she keeps calm. "We're here for you," she repeats. Yet Plankton's rage continues to build, his movements more erratic. The therapist watches, ready to step in if needed. "It's okay," she says soothingly. "Let's all stay calm and sa-" But Plankton's meltdown reaches a crescendo. He stumbles. Chip's eyes widen in horror as his father's body jerks uncontrollably. So Chip gets the box of all the sensory items and brings it out. But that ends up being a huge mistake. Plankton's flailing ends up kicking, sending every thing flying, everything slamming into the wall, the plaster cracking. The destroyed sensory box and unfixable items are what breaks the straw on the camel's back. His eye rolls back in his head, his body going slack. Karen gasps, her hand flying to her mouth. "Plankton!" she cries out, catching him as he falls. Chip jumps forward, his fear turning to dread. But the sensory therapist has seen it all before. "Let him down gently, his body and his brain have just decided to take a break." "But he's not moving," Chip cries, as Karen lowers Plankton. Dr. Marla opens her bag. "It's okay," she says calmly, her voice steady. "This is called a shut- down. His body has simply had enough. But I've got some new stuff for him. I'll show you as I set it up."

𝖣𝖠𝖱𝖤 𝖳𝖮 𝖡𝖤 𝖣𝖨𝖥𝖥𝖤𝖱𝖤𝖭𝖳 (𝖡𝗒 𝖭𝖾𝗎𝗋𝗈𝖥𝖺𝖻𝗎𝗅𝗈𝗎𝗌) 𝗉𝗍. 20 Dr. Marla opens her bag, pulling out an extending rod black out curtain. "It kinda looks like a shower curtain, but these curtains muffle sound and block light." Karen nods, her eyes on Plankton's still form. "We've tried things before, but this is new." Dr. Marla nods. "We're always learning, aren't we?" She unfurls the curtain around Plankton, creating a small, cozy space. "This will help him feel safe and reduce his sensory input. It's good for absence seizures too." Plankton's breathing slows as he sinks into the curtained cocoon. Dr. Marla continues. "It's like you power off a tablet to restart, and it will gradually come back on, right? That's what Plankton's doing. And as he 'reloads' he might act like a newborn seeing the world for the first time as he wakes up. Meaning he might not recognize anything, speak incoherently, etc. Plankton might take a little while to fully come back. Like a file downloads it loads info little by little until it's finished, only then can you view it; so as with Plankton's consciousness." Karen nods, her eyes never leaving her husband. Her heart aches for him, but she knows that he's safe, his body cocooned in the sensory curtain. Chip, still shaking, watches his dad, his eyes wide as Plankton's eye blinks open. His gaze is as if he's trying to relearn his body. "K-kay?" Karen smiles softly, her voice gentle. "It's okay, sweetie," she says, her hand reaching for the curtain. "Your dad's just restarting, remember?" Chip nods, his eyes glued to Plankton's form as he sits up, his eyes blinking slowly. "Hi," Chip whispers, his voice barely above a breath. Plankton's eye focuses on him, and his mouth moves, but only one word comes out: "Hi." It's a tiny victory, but Chip feels a surge of relief. He knows his dad is okay, or at least on his way back to okay. Dr. Marla nods. "It's normal for someone coming out of a shut- down to speak in single words or not at all for a while." Karen strokes Plankton's antenna. "How do you feel?" she asks softly. Plankton's gaze is vacant, his voice weak. "Sedm." Chip looks at him confused, his heart racing. "Dad?" The therapist nods. "It's normal," she says. "After a shut-down, his words may come slowly. Give him space, let him come back to us." Plankton blinks, his eye unfocused. "Mm." It's all he says, his mouth moving slightly, as if tasting the air for words. Karen nods encouragingly. "Good job," she murmurs. "You're doing great." Chip feels like he's watching a newborn learn to speak again. The therapist sits beside Plankton, her voice calm. "Would you like a new fidget toy?" "Buth," he mumbles, his eye still glazed. His brain isn't comprehending. Karen nods, her hand gently taking the toy. "It's okay," she says, her tone soothing. "You just need to relax." Plankton takes the fidget toy, his hand shaking. He clutches it, his gaze unseeing. Chip sits cross- legged, his heart pounding. He watches his dad, his mind racing. Why is he like this? He's so smart, so capable, but right now, he seems so... lost. "Thuh..." Plankton whispers. Karen nods, her voice soft. "Take your time," she says. "We're not going anywhere." Chip nods, his throat tight. "I'm here," he says, his voice barely a murmur. Plankton's hand shakes, his grip on the fidget toy loosening. His eye blinks rapidly, his mind trying to come back online. "Ba-back?" he whispers, his voice tiny. The therapist, Dr. Marla, sits back, her eyes assessing. "It's normal," she repeats. "Your brain needs a moment to recalibrate." Plankton's breathing slows, his body uncurling from its defensive ball. He takes the fidget toy, his hand trembling. Karen's heart aches as she watches her husband struggle to find words. Chip's eyes are wide with concern, but he doesn't interrupt, giving his dad space. "Th-the... hash?" Plankton says, his voice barely a whisper. The therapist nods. "Good," she says. "Keep going." Plankton's hand shakes, the fidget toy clutched tightly. "Doge." Karen smiles gently. "Yes, you're getting there," she says. Chip watches, his heart in his throat. "Toy?" Plankton says, his voice a little stronger. Dr. Marla smiles. "Yes, the toy is helping," she says. "Keep playing with it." Plankton nods, his hand moving slightly as he flips the fidget toy in his hand. "Yea," he whispers. Chip watches his dad, his own hands still. He's seen Plankton in tough situations before, but never like this. It's like his mind is a computer that's been hit by a virus, trying to reboot with only basic functions. "Dad," he says, his voice filled with longing. "Can you tell me what yo-" But Plankton's gaze remains unfocused, his mouth moving slightly. "Chip," Karen says, interrupting gently. "Give him a minute, okay?" Chip nods, his eyes still on his father. He doesn't want to leave, but he understands. He sits back, his heart racing as he watches Plankton's slow progress. Plankton's hand moves, the fidget toy spinning in his grip. "Good," he murmurs, his voice a little stronger. "Home." The word is a relief, a sign that he's coming back to them. Karen smiles, her eyes filled with love and concern. "Would you like to sit up?" she asks, her voice soft. Plankton nods, his body moving in slow motion as he sits. The curtain is still up, creating a small, safe space for him. Chip watches, scared, but he's also in awe of his dad's strength. Plankton, his hero, who's faced so much and is still here. "D-dad," he says, his voice shaking. "You okay?" Plankton's eye flicks to Chip, his mouth opening slightly. "Yeahhh." It's a simple word, but it feels like a lifeline. "Need?" he whispers, his voice strained. Karen nods, her hand still on his back. "We're here," she says, her eyes never leaving him. "We're always here for you." Plankton's antennae twitch, his eye focusing a little more. "Th-thank," he stammers. Chip feels his heart swell with love. He's still in there, his mind just needs to recalibrate.

𝖣𝖠𝖱𝖤 𝖳𝖮 𝖡𝖤 𝖣𝖨𝖥𝖥𝖤𝖱𝖤𝖭𝖳 (𝖡𝗒 𝖭𝖾𝗎𝗋𝗈𝖥𝖺𝖻𝗎𝗅𝗈𝗎𝗌) 𝗉𝗍. 21 The room is quiet, except for the soft whir of the fidget toy. Plankton's breathing evened out, his eye focusing on the spinning discs. "More?" he asks, his voice a whisper. Karen nods, her heart swelling with pride. "You're doing so well," she says, her voice gentle. "We're here for you." Chip's eyes are wet, but he nods in agreement. He wants to hug his dad, but he knows Plankton needs his space right now. Plankton's hand shakes as he holds the fidget toy, his gaze fixed on it. "Ma-more?" he asks again, his voice still a whisper. Dr. Marla nods, reaching for a weighted blanket. "Let's try this," she suggests, her tone calm. Karen helps drape it over him, the heavy material grounding him. "Ma-make it," he says, his voice slightly stronger. Chip's heart leaps at the sound. "Make what?" he asks, his voice eager. But Plankton can't quite articulate. He just shakes his head, his eye squeezed shut. "M-make," he repeats, his frustration clear. Karen nods, her hand on his shoulder. "We know you can," she says. "Ma-make it st-sto-" He stammers, his body trembling with the effort of speech. "Ma-make it stop," he whispers, his voice breaking. His gaze meets Chip's, desperation in his eye. Chip looks up at the therapist, his eyes pleading for guidance. "What do we do?" Dr. Marla nods, her expression calm. "Just keep talking to him," she instructs. "Use simple words, and let him know you're here." So Chip does, his voice softer than ever. "Dad, we're with you." Karen's eyes are wet, but she smiles encouragingly. "You're doing so good," she says, her voice barely above a murmur. Plankton's hand clutches the blanket, his breath coming in quick gasps. "Ma-make," he says again, his voice strained. "Ma-make it sto-" Karen nods, her voice soothing. "You're doing so well, sweetie," she says. "Keep going." Chip watches, his eyes filled with hope. "Ma-make it qui-et," Plankton whispers, his body still trembling. The therapist nods, understanding. "Let's turn down the lights," she suggests, her voice calm. Karen nods and moves to the switch, the room plunging into a soft glow. "Ma-more?" Plankton whispers. "Ma-make it qui-et," he repeats, his hand flapping slightly. Karen's heart aches, but she nods. "We're here," she says, her voice steady. Chip looks around, his thoughts racing. "How- how do we do that?" he asks, his voice shaking. Dr. Marla smiles gently. "Just talk to him," she says. "Keep your words simple, and use a sensory toy to help." So Chip picks up a small, squishy ball, its surface covered in bumps. "Dad," he says, his voice soft. "Look." Plankton's eye sluggishly turns to the toy. "Ball," Chip says, his voice clear. Plankton's gaze flicks to the therapist, then back to Chip, his mouth moving slightly. "Bah," he tries, his voice barely a whisper. It's a start, a tentative step forward in understanding. The therapist nods. "Good," she says. "Keep trying." Plankton's hand reaches out, his grip weak. Chip places the ball in his palm, and his dad's eye light up slightly. "Bowl," he says, his voice a little stronger. It's a simple word, but it feels like a breakthrough. Chip nods, a smile spreading across his face. "Ball," he repeats, his voice encouraging. "Ball," Plankton says, his tongue wrapping around the word slightly. "Ball." It's a small victory, but it's enough to make Chip's heart soar. He picks up another toy, a plush octopus. "Dad, look," he says, his voice trembling. "Octo." Plankton's gaze shifts, his antennae twitching slightly. "Ah- pple," he says, his voice confused. "No," Chip says gently, taking the octopus. "This is octo. Octo." He shakes it slightly, the legs flailing. "See?" Plankton's eye widens slightly, his mouth forming an "o." "Ah- tto," he whispers. It's not perfect, but it's a start. Karen's hand squeezes his shoulder. "Good job, Plankton," she says, her voice filled with relief. The therapist smiles, her eyes observing them both. "Keep going," she says. "This is great progress." Chip holds up the octopus closer to him. "But-but," Plankton murmurs. Karen smiles. "You can do it." Plankton's hands are still, his gaze locked on the octopus. "Octo," Chip says again. Plankton's eye blinks slowly, his mouth moving. "Ah-tto," he tries again, his voice slightly louder. Chip's heart skips a beat. "No," he says gently. "Octo." He waves the toy in front of him. "Octo." Plankton's antennae twitch, his mouth forming the word. "Octo," he repeats, his voice stronger. Chip can't help the grin that spreads across his face. "Good," Dr. Marla says, nodding. "Keep working together." Karen's hand squeezes Chip's shoulder, pride in her eyes. Plankton holds the octopus, his hand still shaking. "Ma-make it sp-spin?" he asks, his voice hopeful. Chip nods, his hand steady. He spins one of the octopus's arms. "Spin," he says. Plankton's eye follows the spinning arm, his gaze focused. "Spin," he whispers, his tongue working the word. "Spin." His voice grows stronger, the word becoming more than just a sound. "Spin," he says, his hand tentatively reaching for an arm. "Mo- re," he whispers, his hand reaching out. Karen smiles encouragingly. "Good job," she says. "Keep talking to us." Chip nods, his heart racing. He holds up another toy, a shiny spinner. "Dad," he says, his voice hopeful. "See this?" Plankton's antennae twitch. "Spin?" he asks, his voice a question. "Yes," Chip says, his voice steady. "Spin." He flips the spinner, watching the colors blur. Plankton's eye follows the movement, his mouth opening slightly. "Clis," he whispers, his voice barely audible. Karen smiles, her eyes shining. "Keep going," she says. "You're doing so well." Chip nods, his hand steadier. "Dad, watch," he says, his voice filled with hope. He picks up a small, plush star, its material soft and comforting. "Look," he says, his voice clear. "This is star." Plankton's eye flicks to the toy, his hand reaching out. "Sta," he tries, his tongue sluggish. Chip nods, his heart racing. "Yes," he whispers. "Star."

𝖣𝖠𝖱𝖤 𝖳𝖮 𝖡𝖤 𝖣𝖨𝖥𝖥𝖤𝖱𝖤𝖭𝖳 (𝖡𝗒 𝖭𝖾𝗎𝗋𝗈𝖥𝖺𝖻𝗎𝗅𝗈𝗎𝗌) 𝗉𝗍. 22 Karen watches, her eyes glistening. "Keep going," she says, her voice filled with admiration. Plankton fumbles with the star, his hand shaking. "Sta," he whispers again, his voice stronger. "Sta." The therapist smiles. "This is excellent," she says. "Keep up the good work." Chip's eyes are on his dad, his mind racing with ideas for more words. "D-dad," Chip says, his voice gentle. "Look at me." Plankton's gaze shifts to Chip, his eye unfocused. "Look at me." Plankton's eye narrows slightly, his antennae twitching. Karen's hand strokes his shoulder. "Come back to us," she says. "Ma-make it... Ma-make it... qui-et?" he whispers. The therapist nods. "Good job," she says, smiling. "Keep focusing on the toy." Chip holds the star closer. "This is... star," he says, his voice calm. Plankton's eye follows the toy, his hand reaching out. "Sta," he murmurs. "Yes," Karen says, her voice soothing. "It's a star." Plankton's hand closes around the star, his grip firm. "Sta," he repeats, his voice growing stronger. Chip feels his heart swell with hope. He picks up a small, plush dolphin. "Dad," he says, his voice clear. "Look." Plankton's gaze shifts, his hand still shaking. "Dolf," he says, his voice slurred. Chip nods. "Yes, it's a dolphin. Can you say dolphin?" Plankton tries, his mouth moving slightly. "Dolf," he whispers. Chip's face lights up. "Yes," he says, his voice filled with excitement. "Dolf." The therapist smiles, seeing the progress. "Keep it up," she says. "You're both doing wonderfully." Plankton's hand clutches the dolphin, his gaze unfocused. Karen's heart aches, but she knows this is a step forward. "You're doing so good," she says. Chip nods, his eyes on his dad. "More?" he asks. Plankton's eye flicks to him, his mouth opening slightly. "Ma-make?" he whispers. Karen's hand squeezes his shoulder. "What else would you like?" Plankton's hand shakes, the dolphin dropping to the floor. "Ma-make it... K-Karen. Neeeed Karen!" Karen's eyes fill with tears, but she smiles, her voice gentle. "I'm right here," she says, moving closer. "Yo--" Plankton's body jerks slightly, his gaze shifting to her. "Ka," he whispers, his voice a plea as tears stream down his face. Karen's heart breaks, but she smiles. "I'm here," she says, her voice a lifeline. "Karen," he repeats, his hand reaching out but not recognizing her. Karen takes his hand, her eyes never leaving his. "You're okay," she whispers, her voice soothing. "I'm right here." Plankton's eye lock onto hers, his tears falling harder. "Karen," he says again, his voice a desperate whimper. Chip watches, his heart wrenched. He's never seen his dad like this, so vulnerable and lost. He picks up the dolphin, his hand trembling. "Dad," he says, his voice gentle. "This is do-" But Plankton's cry interrupts him, his body trembling. "Karen!" he sobs, his hand reaching for her. Karen takes his hand, her eyes filled with love. "You're right here," she whispers. "I'm right here with yo-" But Plankton's cries grow louder, his grip on her hand tightening. "Karen! Need Karen!" His eye is wild, his body shaking uncontrollably. Karen's heart aches as she tries to calm him, her voice steady. "You have me," she says. "I'm right here." But he's lost in his own world, his fear overwhelming his senses. "Karen," he sobs, his voice breaking. Chip's heart is in his throat, his hands clutching the dolphin toy tightly. He's never seen his dad so desperate, so lost. The therapist, Dr. Marla, watches them, her eyes knowledgeable. "It's okay," she says, her voice calm. "This is part of the process." But Chip can't help feeling helpless, his mind racing to find a way to reach his dad. Karen's eyes never leave Plankton's as she speaks to him gently. "You have me," she repeats, her voice a lullaby. "I'm right here." Plankton's grip on her hand is crushing, his sobs becoming more desperate. "Karen! Ka- ren!" he cries, his body wracked with tremors. Karen's eyes fill with determination. "I know you're scared," she whispers. "But I'm here. You're sa-" Her words are cut off by another sob from Plankton. Chip feels his heart tear in two, watching his father's agony. "Dad," he says, his voice shaking. "We're here." But Plankton's gaze remains unfocused, his mind lost in a whirlwind of overstimulation. Karen's eyes are wet, but she keeps talking, keeping her voice steady. "You're okay," she says, her hand stroking his back. "You're safe." Plankton's body convulses, his cries escalating. "Karen!" he wails, his voice raw. "Need Karen!" The therapist nods at Karen, her gaze compassionate. "Keep going," she whispers. "This is a breakthrough." Karen's voice is a beacon in the storm. "You have me," she repeats. "You have us." Plankton's cries turn into sobs, his body convulsing with the force of his emotions. Karen's hand remains steady on his back, her heart breaking for him. "You're okay," she soothes, her voice a gentle wave of comfort. "We're right he--" But Plankton's panic doesn't abate. "Karen!" he cries out, his voice shattered. "Need Karen!" Chip feels his own tears burn his cheeks as he watches his father's pain. "Dad," he whispers, his voice trembling. "You're not alone." But Plankton's eye is wild, his mind a tempest of fear and overwhelming stimuli. Karen leans in, her face close to his. "Look at me," she says, her voice firm but gentle. "You're safe with me." Plankton's gaze shifts, his sobs quivering his body. "Safe? If with Karen safe.." Karen's hand moves to his cheek, her thumb wiping away a tear. "Look at me," she says again, her voice a soft command. "You're okay."

𝖠𝖣𝖠𝖯𝖳𝖠𝖡𝖫𝖤 𝖥𝖠𝖬𝖨𝖫𝖸 (𝖡𝗒 𝖭𝖾𝗎𝗋𝗈𝖥𝖺𝖻𝗎𝗅𝗈𝗎𝗌) Pt. 8 Chip's eyes well up, his body shaking. He doesn't understand why his dad is so angry with him. He thought he was just trying to help. "Dad, please," he whispers, his voice thick with unshed tears. "I just wan–" "NO!" Plankton shouts, pushing his son away. Plankton's sobs turn to heavy breaths. Karen watches them both, her heart breaking. Chip's eyes brim with tears as he retreats, his voice barely a whisper. "But Dad..." Plankton turns to his side, his back facing Chip, his antennae thrashing violently. "I'M TRYING!" He screams into the silent room. Chip then makes the mistake of putting his hand on his dad's shoulder. "Don't touch me!" Plankton shrieks, his body jolting. The room seems to shrink around them, the tension pressing down like a heavy wet blanket. Chip feels a wave of fear wash over him. He's seen his dad upset before, but never like this. He moves his hand away, his throat tight. "I'm so sor—" "I SAID, DON'T TOUCH ME!" Plankton's scream reverberates through the room, echoing off the walls as his sobbing turns to anger, his body stiff as he glares at Chip. Chip jumps back, his heart racing. He's never seen his dad like this, so out of control. He looks to Karen, his eyes wide with fear. "What's happe—" "Chip," she says quickly, her voice sharp with urgency. "Give him some space. Now." She moves closer to Plankton, her hand outstretched but not touching, giving him the option. Chip nods, his face crumpled with hurt and confusion. He retreats to his own bed, his eyes on the floor. The room feels like it's closing in on them, the silence deafening. Plankton's sobs turn to angry grunts as his breaths become more pronounced. Karen sits next to Plankton, her hand hovering near his, but not touching. "It's okay, babe," she whispers. "We're here." Plankton's body tenses further. "I DON'T NEED CHIP'S HELP!" He doesn't wanna lash out, yet Karen knows he needs to let out the storm inside. She can feel the energy building in Plankton, his body a coil ready to snap. With a sudden explosion of rage, Plankton yells, "I'M THE ONE WITH A PROBLEM‽" Plankton's limbs flail erratically, his voice hoarse from screaming. Karen's heart aches for him, for the pain he's in, the pain he can't express in any other way. She needs to redirect his energy. "Plankton," she says firmly, her hand still hovering just out of reach. "Take a deep breath." But Plankton's too far gone. He starts to kick the bed, the mattress shaking as his body thrashes. Karen flinches, but doesn't move as the tantrum intensifies, his tiny fists slamming into the mattress. Karen's eyes are wide, her body tense, but she remains calm, knowing that this is part of his coping mechanism. He kicks the bed harder, his fists clenching the covers. Yet Karen remains steady, her voice calm and firm. "Hey, look at me," she instructs, her hand still hovering. "Take a deep breath with me." He doesn't move, his fists clenched in the sheets. Her voice doesn't waver. "In and out, babe. In and ou-" Suddenly, Plankton's body goes rigid. He inhales deeply, his antennae shaking with the effort. His eye snaps to hers, his breath hitching. For a moment, there's silence. Karen holds her breath, noticing he's gonna have one of his seizures. Then as Chip comes back through the curtain Plankton starts to shake as it finally took over. Karen tucks Plankton in loosely. "Dad?" Chip asks, his voice shaking. Karen's eyes dart to him, filled with the knowledge that he's gonna be fine. "It's ok Chip," she whispers. "Just watch from here." Plankton's body shakes harder, his breaths coming in short bursts. He's lost in a world of sensory overload, his body reacting to the chaos around him. Karen strokes his arm gently. "It's ok, Plankton," she whispers. "We are right here." The seizure lasts for a few moments, and as it now subsides, Plankton's body goes limp with exhaustion. Karen knew his postictal phase can bring on some loopiness. Plankton's antennae twitch erratically, his eye unfocused. He giggles, a sound so unlike his usual self. "Karen? Oh! You're so...shiny." Karen can't help but smile at her husband's post-seizure loopy state. "Yes, I'm right here," she says. Chip's eyes are wide with worry, his voice a tremble. "Is he okay?" Karen nods, her smile tinged with sadness. "He's in his post- seizure phase. It's normal for him to be like this." Plankton giggles again, his voice slurred as he tries to sit up, his body wobbly. "I'm fine, I'm fine," he mutters. He then reaches for Karen, his hand missing by a mile. Chip watches, his heart racing. He's seen his dad act weird before, but never like this.. "It's part of his autism, Chip," Karen explains gently, her hands steady. "After a big meltdown or usually a seizure, he can get disoriented." Plankton's head lolls to the side, his antennae twitching erratically. "You're...so...far away..." He giggles, his body swaying slightly with the effort of speech. Karen takes his hand, her eyes understanding. "You're fine." Plankton's hand shakes in hers, his eye half-closed. "No, no, I wanna... play." He giggles again, his body lurching forward. Karen sighs. "I wanna go on an adventure," he slurs, his body listing to one side. Karen tightens her grip on his hand, keeping him grounded. "We can go on an adventure later, babe," she promises. "For now, let's just get some sleep. It's bedtime for all of us!" Plankton's giggles turn into a snore, his body going limp. Karen gently guides him to lie down, his breathing evening out. She covers him with the blanket, his antennae twitching slightly.

𝖣𝖠𝖱𝖤 𝖳𝖮 𝖡𝖤 𝖣𝖨𝖥𝖥𝖤𝖱𝖤𝖭𝖳 (𝖡𝗒 𝖭𝖾𝗎𝗋𝗈𝖥𝖺𝖻𝗎𝗅𝗈𝗎𝗌) 𝗉𝗍. 23 Plankton's sobs echo through the room, his body shaking with the force of his emotions. "Karen," he whispers, his voice hoarse. Karen's eyes are wet, but she holds his gaze, her voice a lifeline. "I'm here," she says, her hand steady on his cheek. "You're safe." Plankton's breath hitches, his eye flickering with recognition. "Safe," he repeats, his voice a mere breath. The therapist nods encouragingly, her eyes on the two of them. "Keep going," she murmurs. "You're getting through to him." Karen's eyes never leave Plankton's. "You're safe," she repeats, her tone soothing. "You're with me, and Chip." Plankton's sobs slow, his body still trembling. "Wi-with me," he whispers, his hand tightening on hers. The therapist nods, smiling slightly. "Good," she says. "Keep it simple." Karen nods, her voice steady. "You're okay, Plankton," she says. "We're right here." Plankton's breathing hitches, his body slowly calming, when Krabs barges in. Krabs hadn't seen his rival Plankton much so he thought perhaps Plankton's up to some thing big. "Alright, funny business; where are ye-" But then he sees the scene before him as Plankton once again slips into a shut-down, his body going limp in Karen's arms. Chip's eyes widen with fear, the room spinning. "Dad!" he cries. "It's okay," Dr. Marla says. Krabs freezes, his eyes taking in Plankton's state. "What in Neptune's name is goin' on here?" his voice gruff, but concerned as he never knew of Plankton's neurodisability. Karen's gaze meets his, her voice steady. "It's a sensory overload," she explains. "When his mother was to give birth, somehow his head got stuck. It was nobody's fault, just a tough delivery. But it caused his brain structure to develop differently. When he got stuck, the lack of oxygen and blood flow, along with pressure, affected the way his neurons connect. And some parts of his brain just couldn't handle the stress, dwindling and pretty much depleted the resources that were allocated for his senses and social skills." Krabs' eyes widen, his usual grumble replaced with a rare moment of sympathy. "So that's why he's always been... Neptune." he says. Karen nods, her expression calm but sorrowful. "It leads to moments like what you're seeing right now," Dr. Marla explains. Krabs looks at Plankton, his eyes filled with a mixture of shock and remorse. "But he always seemed so... I'll leave ye alone." He leaves with a heavy heart. Chip wipes at his own tears, feeling a weight lifting. "Dad," he says, his voice shaking. "You're okay." Plankton's breathing slows, his grip on Karen's hand loosening as he rubs his eye, finally coming back to them. Plankton looks around, his gaze confused. "Huh?" he murmurs. Karen nods, smiling through her tears. "You're okay," she says again. "You had a big moment, but you're safe now." Plankton's eye finds Chip, and his expression relaxes slightly. "Where," he says, his voice still weak. Karen's voice is soft. "You're at home," she explains. "Dr. Marla is gonna get going, but you gotta new box of sensory items!" She says, deliberately leaving Mr. Krabs’s discovery out. They all knew he won't take it lightly. Dr. Marla leaves, and Chip smiles, his eyes shining. "You're all better," he says, his voice filled with relief. Meanwhile, Krabs went to his own home feeling quite conflicted with new found knowledge of Plankton's autism. He'd always seen his rival as a mere annoyance, a pebble in his otherwise smooth existence. But now, he couldn't shake the image of Plankton's desperate sobs and his own lack of understanding. Krabs sat in his dimly lit bedroom, thoughts racing as he stared at the wall. He'd never known Plankton's struggles went so deep, that his brain was wired differently. It made sense now, the way his rival would react to things dramatically. The way he'd just bluntly speak his mind. He'd just thought Plankton was weird, but now, he knew better. The next day, Krabby Patty's sales were booming, but Krabs' mind was elsewhere. He thought of what Karen told him about Plankton's birth and his autism. It was a lot to take in, but he couldn't decide how to interact whenever Plankton next comes around. He knew Plankton has no idea that he found out. As he counted his money, his heart felt heavier than the gold coins. He'd always seen Plankton as a nuisance, a constant thorn in his side. But now, he saw a different side to him. A side that was struggling, a side that was just trying to navigate a world that wasn't made for him. Krabs sighs, his thoughts deep. He knew he couldn't bring himself to mock Plankton anymore, yet he knew Plankton might be suspicious if he suddenly acts any different than their usual competitiveness. He decided to keep his newfound understanding to himself, for now, but his interactions could be more considerate. Moments later Plankton, obviously oblivious to the shift in Krabs' demeanor, attempts to steal the Krabby Patty secret formula. Krabs, still deep in thought, catches him mid-sneak by the cash register as the cashier, Squidward, read some magazine. Plankton's antennae perk up as he's caught. "Mr. Krabs," he stammers, his eye darting around. "Just... just popping in for a... uh...chat?" Plankton lied, his usual bravado apparent. Mr. Krabs looks at his rival, his expression unreadable. "Oh, I see," he says, his voice calm. Plankton didn't notice the subtlety of Krabs’s tone being a bit nicer.

𝖠𝖴𝖳𝖨𝖲𝖬 𝖠𝖭𝖣 𝖠𝖫𝖫 pt. 14 (𝖻𝗒 𝗇𝖾𝗎𝗋𝗈𝖿𝖺𝖻𝗎𝗅𝗈𝗎𝗌) 𝖉𝖎𝖘𝖈𝖑𝖆𝖎𝖒𝖊𝖗 : ᴛʜɪꜱ ɪꜱ ɴᴏ ᴡᴀʏ ᴘʀᴏꜰᴇꜱꜱɪᴏɴᴀʟ ʀᴇᴀʟɪꜱᴛɪᴄ/ꜰᴀᴄᴛ-ʙᴀꜱᴇᴅ ᴛʀᴜᴇ ʀᴇᴘʀᴇꜱᴇɴᴛᴀᴛɪᴏɴ ᴏꜰ ᴄᴏᴍᴍᴜɴɪᴛɪᴇꜱ. ᴅᴏᴇꜱ ɴᴏᴛ ᴀɪᴍ ᴛᴏ ᴘʀᴇꜱᴄʀɪʙᴇ ᴏʀ ᴘʀᴏᴍᴏᴛᴇ ᴀɴʏ ꜱᴘᴇᴄɪꜰɪᴄ ᴛʀᴇᴀᴛᴍᴇɴᴛ. ᴘᴜʀᴇʟʏ ᴄʀᴇᴀᴛᴇᴅ ꜰᴏʀ ᴇɴᴛᴇʀᴛᴀɪɴᴍᴇɴᴛ. sᥙρρort to thosᥱ ιmρᥲᥴtᥱd ᴄᴏɴᴄᴇᴩᴛ- 𝘊𝘰𝘮𝘧𝘰𝘳𝘵 𝘊𝘩𝘢𝘳𝘢𝘤𝘵𝘦𝘳 𝐑𝐚𝐭𝐢𝐧𝐠 ➸ 𝐏𝐆-𝟏𝟑 ᴛʜᴀɴᴋ ʏᴏᴜ🙂ʜᴀᴠᴇ ᴀ ɴɪᴄᴇ ᴅᴀʏ Chip sits beside Karen, watching his dad sleep. He's quiet, his mind racing with questions. How can someone so strong, so in control, be brought to this? The room feels heavy with silence, the air thick with unspoken fears and love. Plankton's snores are a comforting reminder that he's okay, that the storm has passed. Chip's screen flickers with the memory of his dad's favorite pranks, his laughter echoing in the quiet room. But now, his dad looks so small, so fragile. Karen notices Chip's distant gaze. "Remember, Chip, he's still the same person." She pauses, searching for the right words. "His autism doesn't change who he is, just how he experiences the world." Chip nods, but the doubt lingers. How can he understand a world so alien to his own? The silence in the room is broken by Plankton's sudden mumble. "Karen?" His voice is a whisper, his antennae slowly rising. Her screen lights up with relief and love. "You're okay," she says, her hand stroking his. Plankton's eye opens, unfocused and tired. "Chip?" He sees his son, sitting on the bed, his screen filled with uncertainty. "Dad?" Chip whispers. Plankton's antennae twitch as he tries to sit up. "I'm okay," he says, his voice hoarse. Karen's hand on his shoulder steadies him. "Just tired." The weight of sleep lifts from his eyelid. Chip watches, his screen reflecting the hope that his dad is okay. "Do you... Do you remember?" Plankton's eye widens, his antennae quivering. "Chip," he murmurs, his voice filled with regret. "It's okay, Dad," Chip says, his voice firm. "You had a meltdown." Plankton's antennae fall, his gaze dropping. "I'm sorry," Plankton whispers, his voice thick with guilt. "It's not your fault," Karen says, squeezing his hand. "We know it's not." But Chip is full of questions. "What can I do?" he asks, his screen eager. "How can I help?" Karen smiles, her eyes filling with pride. "You're already helping," she says. "Just by being here, just by loving him." But Chip wants more. He wants to understand, to help in the way Karen does. "What are his triggers?" he asks. Karen's screens flicker with thought. "Well," she says, "it's different for everyone. For him, it can be sudden noises, changes in routine, or even his belongings being moved without his knowing." Chip nods, his mind racing. "But what about his stims?" he asks. "Those are his way of coping," Karen explains. "When he flaps his arms, spins, or repeats words, he's trying to regulate his sensory input. It's like he's tuning in to the world." Karen says. "And when he repeats words or phrases, it helps him make sense of what's happening. Let him do his thing. Sometimes he'll need help to calm down, like with the squeezy ball or his fidget toy. And sometimes, just being there, quietly, is all he needs. As long as you listen and respect his boundaries, you'll be his best helper." Chip's curiosity is piqued. He looks at his dad, now easing himself onto the pillow. "What types of touch does he like?" Chip's voice is soft. Karen's screens flicker with memories of trial and error, of finding the right balance. "Some autistics like deep pressure," she says. "It can be soothing. But he's different. He usually prefers light touches, like strokes or holding hands." Plankton's antennae twitch at the mention of his name. "What do I do if he has another meltdown?" Chip's voice is earnest. "Just be there," Karen says. "Sometimes, just knowing you're there can make all the difference." She sighs. "But if it's really bad, we'll have to get the medicine again, as a last resort. It's hard," she admits. "But I love him. And I'll always be here for him." Chip nods. "I love him too," he says, his voice barely above a whisper. "I want to help him." Karen's screens glow with pride. "You already do," she says. "But I know you want to understand more." Chip nods. "What about when he's really happy?" Karen's screens light up with a smile. "Oh, his laughter is the sweetest sound. But if he reaches for you, if he wants to share that joy, just be there, okay?" Chip nods, eager to learn. "What if he starts repeating things again?" Karen's screen softens. "It's called echolalia," she says. "It's his brain's way of processing. Just let him finish, and then you can talk." She pauses, her thumb tracing a pattern on Plankton's hand. "And if you repeat something with understanding, it can help make him feel heard." Chip nods, his mind racing. He's seen his dad do this before, but never knew what it meant. "What about his rocking?" he asks. Karen's screens flicker with knowledge. "That's his way of self-stimulating," she says. "It helps him regulate his nervous system. Sometimes it's soothing, sometimes it's how he thinks. Remember, his body's his own. If he pulls away, it's not personal. It's just his way of saying he needs a break." "How did you learn all of this?" Karen looks down at their intertwined hands, her screens reflecting the journey. "Trials and errors, love," she says. "And listening to him. Everyone's autism is different. What works for one might not work for another. We just have to keep trying, keep learning." Chip nods, his mind racing with questions. "How do we know if he's about to have a meltdown?" Karen looks at Plankton, his antennae still. "Look for the signs," she says. "Sudden agitation, avoiding eye contact, flapping his arms, or repeating words. That's when you know he's overwhelmed." He nods, trying to picture it. "What about his box?" "That's sensory aids," she explains. "They help him cope with stress. It's important we don't touch it without asking first." "What's in there? Dad, can I see?" But Plankton cuts him off. "Absolutely NOT!" he says. Karen's screen flickers with a smile. "It's his personal space," she tells Chip gently. "Those things are special to him, his tools to stay calm." Chip nods, his curiosity still unquenched. "Can I..." But Plankton's antennae shoot up. "I just said no, Chip!" He's alert, his voice sharp. Karen's grip on his hand tightens. "Remember," she says calmly, "his box is his sanctuary." Plankton's gaze locks with Chip's, his eye wide with agitation. "Okay, okay," Chip says, his hands up in surrender. He can feel the tension in the air, the unspoken words heavy between them. "What if I just peek?" he asks him. Plankton's antennae quiver. "No," he says firmly. "It's not for playing." "Dad, I--" "How about NO?" Plankton says, his voice still a little rough around the edges. Chip nods, his curiosity now mixed with respect. "Okay," he says. "But can you show me?" Karen looks at Plankton, his antennae still. "It's okay," she says softly. "We can show him together." Plankton's eye narrows, but he doesn't resist as Karen opens the box.

𝖡𝖱𝖠𝖨𝖭 𝖢𝖧𝖨𝖯 𝗉𝗍. 7 (𝖡𝗒 𝖭𝖤𝖴𝖱𝖮𝖥𝖠𝖡𝖴𝖫𝖮𝖴𝖲) They moved to the floor, a cushioned area where Plankton felt more comfortable. Hanna produced a variety of textures for him to explore. "Slowly," she instructed, "let's introduce his hands to different fabrics." Karen watched as Plankton's fingers danced over the softness of velvet, his expression unreadable. Then Hanna presented a piece of sandpaper. His hand retracted instantly, his eye squeezing shut. "No," he murmured, his voice tight with distress. "It's ok," Karen said, taking his hand. "We'll try something else." She offered him a smooth piece of silk instead. His eye widened, his breath catching. "Nice?" she asked, her voice gentle. Slowly, Plankton's hand unfurled, his fingertips brushing against the fabric. "Silk," he whispered, his voice filled with wonder. He began to stroke it, his movements rhythmic and comforting. Hanna nodded, making a note. "Good," she said. "That's a positive response. Now let's try different tactile sensations." Hanna says, taking the fabrics away. She presented a tray with a variety of objects: a cold metal spoon, a soft feather, a bumpy rock. Plankton's hand hovered over each item, his gaze intense. "Choose one," Karen urged, her voice gentle. He reached for the feather, his eye closing in anticipation. As the soft plumes brushed against his skin, a shiver of pleasure went through him. "Good," he murmured, his hand moving in a soothing motion. Karen watched. Hanna offered the cold spoon next. Plankton's hand jerked back at first, his eye widening in fear. But with Karen's gentle encouragement, he touched it again, his breath hitching as he experienced the coolness. "Cold," he whispered, his voice filled with wonder before retreating his hand again. They moved to the rock, its surface a study in contrasts. Plankton's hand hovered, then touched the rock tentatively. His face contorted as he felt the bumpy, unyielding surface. "Odd," he murmured. Hanna nodded, her gaze studying him. "It's ok to not like everything," she said. "But it's ok to explore." She sets out a sharpened point to test his reaction. Plankton's hand hovered over the pointed tip, his antennae twitching. He looked to Karen, his eye searching for reassurance. "It's ok," she whispered, taking the point and pressing it lightly into her own palm. "It's just a sensation I vaguely feel," Karen says, barely pressing onto his skin. Slowly, touching the point with the pad of his finger... His body jolted, his breath screeching. "Pain," he murmured, his hand retreating quickly. "Too much!" Hanna nodded, her expression thoughtful. "It's ok," she said. "This is all about finding what you can ha-" But before she could finish, Plankton's body stiffened, his eye rolling back with a cry. Karen watched another seizure take hold. "No!" she cried, her voice a mix of fear and frustration. Hanna was quick to act, guiding him back to the couch and speaking soothingly. "It's ok," she murmured. "You're safe." They waited for the seizure to pass, Karen's hand tightly clutching Plankton's, offering silent comfort. When he came to, his gaze was haunted, his hand still wrapped around the fidget toy. Hanna tried the point again, only for Plankton to cough up his toast, tears streaming down his face. "We need to stop," Karen said, her voice shaking. "This isn't helping." Hanna nodded, her expression filled with understanding. "We've learned a lot today," she said. "We know what to avoid now. Let's stop." They moved back to the couch, Karen's arm around Plankton, his body trembling. She knew his sensory overload was at its peak. The room felt too bright, too loud, too much. "Let's dim the lights," Hanna suggested, her voice gentle. "And let's try some deep pressure." Karen nodded, rushing to the dimmer switch and adjusting the lights to a comfortable level. She then wrapped a weighted blanket around Plankton, his body relaxing almost immediately under its embrace. His eye closed, and his breathing grew steady as the pressure helped soothe his overwhelmed senses. They sat in silence for a moment, Karen stroking his arm, avoiding any sudden movements that might startle him. "It's ok," she whispered. "You're safe." Hanna spoke softly. "It's important to create a sensory friendly environment," she explained. "We'll need to make some adjustments around the house." Karen nodded, her gaze never leaving Plankton's face. "I'll do anything," she said. "Whatever it takes." Hanna's eyes searched the room, her mind working. "Let's start with visual stimuli," she said. They moved through the place, Karen following Hanna's instructions to cover the windows with blackout curtains and remove any items that might be overstimulating. The room grew dimmer, the only light coming from a single, soft lamp. Plankton's breathing slowed, his body visibly relaxing. Hanna spoke calmly. "Now, let's work on some verbal exercises." Karen watched as Hanna selected a set of cards with simple pictures and words. "We'll start with matching," she said, holding up a card with an image of a cat. "What does this say?" Plankton's eye focused on the card, his hand fidgeting with the blanket's edge. "Cat," he murmured sleepily. Hanna nodded, her gaze meeting Karen's. "Good job," she said. "Now, let's try another one." She held up a card with a picture of a tree. Plankton's eye searched the card, his mouth moving as if he was trying to form the word. "Tree," he managed after a moment, his voice slightly more confident, yet he felt drowsily exhausted. Hanna nodded, pleased with his progress. "Very good, Plankton," she said, placing the card down. "Let's keep going." But Plankton's tired. "Maybe we should take a break," Karen suggested, seeing the fatigue in his posture. "He's had a lot to process today." Hanna nodded, her gaze kind. "It's been a big day for him. Let's not push it." They decided to end the session, Karen helping Plankton to bed, the weighted blanket still wrapped around him. His eye were half-closed, his movements sluggish as he sank into the mattress, the sensory overload leaving him drained. "Thank you," Karen murmured to Hanna. "For everything." Hanna's smile was gentle. "It's what I'm here for," she said. "We'll take this one step at a time. Remember, patience and understanding are key." Karen nodded with tears as she tucked Plankton into bed. His body was still, his breaths deep and even under the soothing weight of the blanket. The room was now a cocoon of calm, designed to protect his sensitive system from the onslaught of the outside world.

𝖣𝖠𝖱𝖤 𝖳𝖮 𝖡𝖤 𝖣𝖨𝖥𝖥𝖤𝖱𝖤𝖭𝖳 (𝖡𝗒 𝖭𝖾𝗎𝗋𝗈𝖥𝖺𝖻𝗎𝗅𝗈𝗎𝗌) 𝗉𝗍. 17 Plankton's body relaxes slightly, his breathing evening out as Karen continues to stroke his back. Chip feels a lump in his throat. He wants to help, to ease his dad's pain. "I never meant to hurt you," he whispers, his voice hoarse with emotion. Karen looks over, her expression a mix of love and sadness. "You didn't, sweetie," she says. "But sometimes, even good intentions can be overwhelming for your dad. It's not your fault. Just like it's not his." Plankton's antenna twitches, his gaze shifting to Chip. He takes a deep breath as Karen's hands continue to stroke his back. His body relaxes a little more, his grip on Karen loosening. "Dad?" Chip whispers, his voice tentative. Plankton eye opens. "Can I...?" Chip gestures towards his dad, his hand now outstretched. Plankton's antennae twitch slightly, his eye darting to Karen. She nods, her smile reassuring. "If you like," she whispers. With tentative movements, Chip's hand reaches for his father's shoulder. Plankton flinches slightly. "Gentle." Chip nods, his touch featherlight as he rests his hand on Plankton's shoulder. "It's okay," he murmurs. Plankton's body relaxes a fraction more under the warmth of his son's hand, his eye now closing. Karen's eyes meet Chip's, and she smiles weakly, her gaze filled with gratitude. "Thank you," she mouths. Chip nods, his hand still on his dad. Plankton's humming has stopped, his breathing steadying as Karen holds him. For the first time, Chip feels a profound sense of understanding for his father. He's seen his strength in the face of Mr. Krabs' competition, his genius in his inventions, but now he sees his softer side, his vulnerability. And it makes him love his dad even more. Plankton's breaths have now turned into a soft snore, his body relaxed against Karen's. Chip can see the exhaustion in every line of his father's face, a testament to the battle he's just faced. "He's asleep," Karen whispers, her voice filled with love and relief. Chip nods, his hand still on Plankton's shoulder. "Should we...?" Karen shakes her head. "Let him rest," she says, her voice a mere whisper. "He's had a long day." Plankton's clinginess was a stark contrast to his usual demeanor. Karen knew all too well the emotional toll his seizures took on him. But it was the first time Chip had seen his dad so... dependent on someone else for comfort. It was jarring, but it also made him realize the strength that Plankton held within himself, the courage to face, alone. As Plankton sleeps, his snores are rhythmic. It's a sound that Karen finds soothing, a sign that he's at peace. His body seems to melt into her side, his muscles unclenched. Chip watches him, his mind racing with thoughts. He's seen his dad's fiery temper, his ingenious inventions, his unwavering drive, but never this, raw and exhausted. It's a stark contrast that makes his chest ache. Plankton's snores remain steady, his body completely relaxed against Karen's side. Karen looks over at Chip, her expression a mix of love and sadness. "He's been through a lot," she whispers. "But he's stronger than anyone I know." Chip nods, his hand still resting lightly on his father's shoulder. Karen gently shifts Plankton, getting ready to tuck him into his bed, his snores unchanged, his mind resting. Karen carefully slides her arm from underneath Plankton's head, her movements practiced and gentle. Chip watches, his eyes never leaving his father's face, as if afraid to miss anything. Plankton's snores hitch, but don't stop. As Karen pulls the covers over Plankton, his snores don't miss a beat. His body sags against the pillow, his antennae still. Chip watches his dad sleep, a sight that both comforts and saddens him. He's seen Plankton's fiery determination in their battles against Mr. Krabs, but now his father seems so small, so vulnerable. Karen nods to Chip, whispering, "Why don't you go to your room? I'll keep an eye on him." Chip hesitates, his hand still on Plankton's shoulder. "But what if he wakes up?" Chip's concern is palpable, but Karen's smile is reassuring. "I'll wake you if he needs you," she promises. "But he's in a good place right now. He just needs rest." Chip nods, his hand lingering on Plankton's shoulder for a moment longer. He gently withdraws it, his gaze still locked on his father. "Okay," he whispers, his voice barely audible. Karen stands up, her movements silent as she crosses the room. "You've had a long day too," she says softly, her hand on Chip's shoulder. "Why don't you get some sleep as well? Your dad's got an appointment tomorrow with his sensory therapist." But Chip's eyes widen. "What‽" "It's okay," Karen whispers, her hand on Chip's shoulder. "It's just to help him and us understand his senses better." The next morning Karen wakes Chip up. "We're about to go; I'll wake your dad." Chip nods sleepily, his eyes still adjusting to the light. He walks into the room to find Plankton still asleep, his body still curled into a tiny ball, his snores steady and deep.

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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!

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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.

𝖡𝖱𝖠𝖨𝖭 𝖢𝖧𝖨𝖯 𝗉𝗍. 6 (𝖡𝗒 𝖭𝖤𝖴𝖱𝖮𝖥𝖠𝖡𝖴𝖫𝖮𝖴𝖲) Hanna pulled out a notepad from her bag. "Let's try some communication exercises," she suggested. "Karen, can you ask Plankton a simple question?" Karen swallowed hard, her voice shaking slightly. "Plankton, what color is the sky?" Plankton's hand paused in its squeezing. His eye searched the room before finally meeting hers. "Sky," he murmured, his voice a little more present. "Blue. The daytime sky appears blue because air molecules scatter shorter wavelengths of sunlight more than longer ones. The blackbody spectrum of sunlight coming into th-" "Thank you," Hanna said, her tone measured. "Now, let's try again. What does the sky look like right now?" Plankton's gaze shifted to the window, the curtains pulled back to reveal the soft blue of the early morning. "Sky," he murmured. "Blue." His hand resumed its rhythmic squeezing of the fidget toy, a silent companion to his thoughts. Hanna nodded, scribbling quick notes on her pad. "Very good, Plankton. Now, can you tell me why you don't like to be touched?" He paused, his hand still. "Touch," he said, his voice tight. "Overwhelming." Karen clenched at his word choice. "Too much," he added. "Sensory overload." Hanna nodded, her eyes never leaving Plankton's face. "Okay. What about sounds? Are there any sounds that bother you?" Plankton's hand stilled on the fidget toy, his gaze drifting away. "Sounds," he murmured. "Some are too loud." He paused, his brow furrowing. "The toaster," he said, his voice filled with distress. "It hurts." Hanna made another note. "We'll have to be mindful of that," she said. "And what about light?" Plankton's hand resumed its squeezing. "Light," he murmured. "Sometimes too bright, if sudden." Hanna nodded, her expression sympathetic. "It's ok," she said. "We'll make sure the lights aren't too harsh. Now, Plankton, can you tell us what you enjoy doing?" He looked up at them, his eye searching their screens. "Read," he murmured, his voice gaining a tiny bit of animation. "Books, knowledge." "Okay," she said, her voice steady. "I'm going to set a tablet in front of you, to gauge your reactions to different sounds and sights." They sat at the dining table, Plankton's eye flicking to the new device. Hanna had downloaded various apps to help with sensory integration. "Remember, you can tell us if anything makes you uncomfortable. We're just going to start with some simple patterns and sounds." The screen lit up with colorful shapes, moving slowly and predictably. Plankton's hand stilled on the fidget toy. His eye followed the patterns, his expression unreadable. "Good," Hanna murmured, her finger swiping the screen. "Let's try some more different sights now." The patterns on the screen then shifted to a kaleidoscope of flashing lights. Plankton's eye grew wide, his hand frozen on the fidget toy. Karen watched as his gaze locked onto the screen, his body going rigid. "Plankton?" she asked, a hint of alarm in her voice. But he didn't respond. His eye remained unblinking, unmoving. Hanna's hand shot out, her finger pressing the screen to pause the app. "It's ok," she murmured. "Take deep breaths." But Plankton didn't move, his body eerily still. "What's happening?" Karen whispered, her voice trembling. Hanna's eyes darted to her notepad, scribbling furiously. "Absence seizure," she murmured. "It's common with autism. It's like his brain has gone on pause." Karen's chest tightened as she watched Plankton's unblinking eye. "What do we do?" "Stay calm," Hanna said, her voice steady. "Let it run its course. It'll be over soon." Karen's hand hovered over Plankton's shoulder, wanting to comfort him, but she held back, afraid to trigger something worse. The silence in the room was deafening, only punctuated by the soft ticking of the wall clock. Each second felt like an eternity as she waited for Plankton to come back to them. Suddenly, his eye twitched, and the tension in his body began to ease. He blinked, his gaze returning to the present, and took a deep, shaky breath. "Plankton?" Karen asked, her voice a whisper. He looked at her, his expression confused. "Are you ok?" Hanna stepped in, her voice calm and soothing. "It's all right. You just had a little seizure. It happens sometimes." Plankton's hand tightened on the fidget toy, his gaze flitting between Karen and Hanna. "Seizure," he murmured, his voice a little shaky. "Why?" Hanna's hand paused over her notepad, her expression compassionate. "It's part of the autism spectrum," she said, carefully choosing her words. "Sometimes the brain gets overwhelmed and needs a brief rest. It's nothing to be scared of, but we'll keep an eye on it. How did you feel in that moment?" Plankton took a moment to consider, his hand still squeezing the fidget toy. "Went away," he murmured. "Everything went away, yet it was all... too much. Felt like... dizzy in a blender." Hanna nodded, her gaze thoughtful. "It's like your brain was trying to process too much, and it needed a moment to reset." She made another note. "We'll need to test sounds." They moved to the living room, where Hanna had set up a speaker. "We're going to play some noises," she said. "Tell us if any are too loud or bother you." The first sound was a gentle rainfall. Plankton's antennae twitched but he remained calm. Hanna made a note. "Good," she murmured. Next, she played a recording of people talking fast over one another. Plankton's hand squeezed the fidget toy until his knuckles whitened. "Too much," he whispered, his voice strained as he felt another absence seizure coming on. Karen's eyes grew wide with concern. "Stop," she said, her voice firm. "That's enough." Hanna nodded, her gaze never leaving Plankton's face. She reached over and turned off the speaker. "It's ok," she soothed. "We're going to take this slow." She made a note of the reaction before looking at Karen. "We need to build his tolerance, but not push him past his limits. Let's try tactile whenever his seizure completely stops."

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)

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.

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

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

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

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.

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.

POSTED 13 YEARS AGO I was on the verge of committing suicide when a guy came to the roof to have lunch. He saw me climbing over the railing and asked me to share his lunch with him. After receiving my puzzled look, he explained, “Everyone should die happy. Or at least with a full stomach.” We celebrated our 10th wedding anniversary last month. POSTED 13 YEARS AGO

To sleep with a full stomach, it's best to wait at least ½-3 hours after eating before lying down to allow your food to digest, and if you must sleep soon after eating, try to eat a light meal, stay upright for a while, and sleep on your left side to minimize discomfort and potential acid reflux. Key points to remember: Avoid heavy meals before bed: Fatty or large meals can cause bloating and discomfort, disrupting your sleep. Choose light options: If you need to eat close to bedtime, opt for easily digestible foods like plain yogurt or a small snack with low fat content. Sleep position matters: Sleeping on your left side is generally considered best for digestion as it helps prevent stomach acid from traveling back up the esophagus. Elevate your head: Using pillows to slightly elevate your upper body can also help reduce acid reflux. For those who sleep on their front, placing a firm pillow under the hips can raise the bottom of the spine, making sleep more comfortable. — Best Sleeping Positions for a Bloated Stomach · Side Sleeping · Left Side Sleeping · Side Sleeping with a Pillow Between the Legs · Back Sleeping.

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.

For most uteri-bearing people, the paın begins one to three days before the start of an individual’s perıod, peaks 24 hours after bleeding starts, and stops two to three days after bleeding stops. Most people feel it as a continuous dull ache. 40-90% of women of reproductive age suffer from perıod pain. For most women, premenstrual symptoms can start anywhere from one to two weeks before their period begins. Symptoms can vary from woman to woman and may include: Paın: Cramps, backache, headaçhes or migraines, other aches and pains Digestive prob1ems: Bloating, náuseas or upset stߋmach, dıarrhea Feelings: Stress, not feeling like yourself, trouble sleepıng, fqtigue Other: Food cravings, swelling, acne These symptøms usually disappear once your perıod starts. For some women, though, certain symptoms of PMS, such as painful cramping, may last for the first few days of their period.

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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..

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

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.

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

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

r/shortscarystories 4 yr. ago myymyy Rollercoaster "Mooooom, I don't like it. I want to get off!" I was a bit surprised. He had always been so brave. I was way more afraid than him when we got on. I never liked to be so high up from the ground. "This will be so much fun!", he had said when we were parking the car. I had kinda hoped he would be strong for both of us. "Oh honey, I'm sorry but we can't get off now, the ride has already started. But remember the small rollercoaster, in the park we went to when you were little? With the funny clown? This is just like that, only bigger. And remember how AWESOME it was?" My son looked at me with watery eyes. He had been so excited about this. I tried to swallow my own nervousness and keep talking to calm him down. My voice was shaking a bit, but I managed to put on a smile. "It's okay, it's okay. You might feel a bit funny in your stomach. It's because of the speed and the changes in the force that pushes you. It's normal! Listen, do you hear? Other people are scared too." He looked at me with his kind, blue eyes and nodded. Just barely. I wanted to hug him, but my back was pressing to the seat so heavily I couldn't move enough. So was his. My eyes caught a glimpse of the sun over my sons head. The sky was so bright. I tried to ignore the metallic clanging sound and people screaming somewhere that seemed to be so far away. Oh, how I missed the ground. Then I felt a big drop on my stomach. We were going faster and faster. My son started sobbing and I tightened my grib on his hand. I thought that he would become such a handsome man someday. He would end up having a good life, and marry a nice girl - or a guy, who knows? I didn't care as long as he was happy. That's all I wanted. For him to be happy and not scared. "Hey, you know what? Close your eyes. This will be over soon. I'm here. I'm not letting go." Someone behind us started to scream. I felt my blood run cold. I tried to keep my focus on the one thing that mattered: my sons hand and my calm voice that kept telling him that it was all going to be okay. Oh, he would become such a handsome man someday. But at this moment he was just a 6 year old boy on his first flight, going to surprise his grandparents all the way across the country. And the last thing I saw before I closed my own eyes, was the second engine on fire...

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

Saturday 20 October 2012 True Love SMS True Love SMS → ι ωιѕн ι ωαѕ υя вℓαηкєт,ι ωιѕн ι ωαѕ υя вє∂, ι ωιѕн ι ωαѕ υя ριℓℓσω υη∂єяηєαтн υя нєα∂,ι ωαηηα в αяσυη∂ υ,ι ωαηηα нσℓ∂ υ тιgнт, &αмρ; в тнє ℓυ¢ку ρєяѕση ωнσ кιѕѕєѕ υ gσσ∂ηιтє → υνє ωση му ℓυν ησω ι ℓυν υ.тнιѕ нєαят σƒ мιηє ι gινє 2 υ.ѕσ кєєρ ιт ѕαƒє αѕ ι нανє ∂σηє.ƒσя υ нανє 2 αη∂ ι нανє ησηє! → ι ∂σηт нανє тнє мєαѕєℓѕ, ι αм ησт ¢σηƒιηє∂ тσ вє∂, αѕρєяιη ωσηт нєℓρ ¢σz ι αιηт му нєα∂, ι ∂σηт нανє вα¢к α¢нє σя тнє ƒℓυ, ιтѕ мσяє ѕєяισυѕ...ι αм мιѕѕιη υ! → υℓℓ αℓωαуѕ вє мιηє 4 ησω &αмρ; 4єνєя.υℓℓ αℓωαуѕ вє мιηє 4 υ я му тяєαѕυяє.υℓℓ αℓωαуѕ вє мιηє ρℓєαѕє тєℓℓ мє ιтѕ тяυє.ρℓєαѕє вє мιηє 4єνєя ιℓℓ αℓωαуѕ ℓυν υ → тнєяє αяє тυℓιρѕ ιη му gαя∂єη,тнєяє αяє тυℓιρѕ ιη тнє ραяк.вυт ησтнιηg ιѕ мσяє вє вєαυтιƒυℓ тнєη συя тωσ ℓιρѕ мєєтιηg ιη тнє ∂αяк! → ι ℓσνє 3 тнιηgѕ! тнє ѕυη, тнє мσση αη∂ υ! тнє ѕυη ƒσя тнє ∂αу, тнє мσση ƒσя тнє ηιgнт αη∂ уσυ ƒσяєνєя! → ιƒ ι ∂ιє∂ σя тяανєℓℓє∂ ƒαя, ι\'∂ ωяιтє υя ηαмє ση єνєяу ѕтαя,ѕσ єνєяуσηє ¢συℓ∂ ℓσσк υρ &αмρ; ѕєє, ∂αт υ мєαη тнє ωσяℓ∂ 2 мє → ωαηтιη υ ιѕ єαѕу мιѕѕιη υ ιѕ нαя∂.ωιѕнιη υ ωαѕ ωιν мє ωяαρρє∂ υρ ιη му αямѕ.¢σηѕтαηтℓу тнιηк σƒ υ ωєη ωє я αραят.ινє gσт тнє ρα∂ℓσ¢к υ нαν тнє кєу тσ му нєαят → нσω ¢αη υ тєℓℓ тнє яαιη ησт 2 ƒαℓℓ ωєη ¢ℓσυ∂ѕ єχιѕт?нσω ¢αη υ тєℓℓ тнє ℓєανєѕ ησт 2 ƒαℓℓ ωєη тнє ωιη∂ єχιѕтѕ?нσω ¢αη υ тєℓℓ мє ησт 2 ƒαℓℓ ιη ℓσνє ωє υ єχιѕт? → α¢¢ι∂єηтѕ ∂σ нαρρєη.ι ѕℓιρ- ι тяιρ- ι ѕтυмвℓє- ι ƒαℓℓ &αмρ; υѕυαℓℓу ι ∂σηт ¢αяє αт αℓℓ.вυт ησω ι ∂σηт кησω ωнαт тσ ∂σ ¢σѕ ι ѕℓιρρє∂ αη∂ ƒєℓℓ ιη ℓσνє ωιтн υ → ℓσνє ιѕ ℓιкє α gσℓ∂єη ¢нαιη тнαт ℓιηкѕ συя нєαятѕ тσgєтнєя αη∂ ιƒ уσυ єνєя вяєαк тнαт ¢нαιη уσυℓℓ вяєαк му нєαят 4єνєя!χχχ → ωнєη тнє ηιgнт ¢σмєѕ, ℓσσк αт тнє ѕку. ιƒ уσυ ѕєє α ƒαℓℓιηg ѕтαя, ∂ση\'т ωση∂єя ωну, נυѕт мαкє α ωιѕн. тяυѕт мє, ιт ωιℓℓ ¢σмє тяυє, вє¢αυѕє ι ∂ι∂ ιт αη∂ ι ƒσυη∂ уσυ → тяυє ℓυν ιѕ нαя∂ 2 ƒιη∂.ѕρє¢ιαℓ 1-1 σƒ α кιη∂.вυт тнє ℓυν ιηѕι∂є σƒ мє ιѕ тяυє.ιт αρρєαяє∂ тнє ∂αу ι мєт уσυ! → ιт тαкєѕ 2 тσ тαηgσ.2 тσ кιѕѕ.2 тσ тαℓк &αмρ; яємєηιѕ¢є.ѕσ мαηу gσσ∂ тнιηgѕ ¢υм ιη 2 &αмρ; σηє σƒ тнσѕє тнιηgѕ ιѕ мє &αмρ; υ! → υ ѕαу υ ℓυν мє &αмρ; ωαηт 2 нσℓ∂ мє тιgнт.тнσѕє ωσя∂ѕ яυη тняυ му нєα∂ ∂αу &αмρ; ηιтє.ι ∂яєαмт υ нєℓ∂ мє &αмρ; мα∂є мє ѕєє ∂αт 4єνєя 2gєтнєя ωє ωσσ∂ вє! → 1000 ωσя∂ѕ 1 ¢σσ∂ ѕαу.1000 ωιѕнєѕ 1 ¢σσ∂ ρяαу.1000 мιℓєѕ ℓєgѕ ¢σσ∂ ωαℓк.1000 ѕσυη∂ѕ α мσυтн ¢σσ∂ тαℓк.1000 тιмєѕ ιℓℓ в тяυє.1000 ωαуѕ 2 ѕαу ι ℓυν υ! → ινє gσт υя вαк &αмρ; υνє gσт мιηє.ιℓℓ нєℓρ υ συт ηєтιмє.2 ѕєє υ нυят 2 ѕєє υ ¢яу.мαкєѕ мє ωєєρ &αмρ; ωαηηα ∂ιє.ιℓℓ в яιgнт нєяє тιℓ ∂ єη∂.¢σѕ υя му ℓυν &αмρ; му вєѕтƒяιєη∂ → уσυ ¢αη ƒαℓℓ ƒяσм α вяι∂gє, уσυ ¢αη ƒαℓℓ ƒяσм αвσνє, вυт тнє вєѕт ωαу σƒ ƒαℓℓιηg, ιѕ ƒαℓℓιηg ιη ℓσνє! → тнєяє αяє 3 ѕтєρѕ тσ нαρρу нαρριηєѕѕ: 1 уσυ. 2 мє. 3 συя нєαятѕ 4 єтєяηιту! Posted by Kiran Bele at 21:53

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༺✿ڰۣڿ✿༻ LOVING MEMORY ༺✿ڰۣڿ✿༻

this NEEDS to be an app౨ৎ ˖ ࣪⊹༘˚⋆𐙚｡⋆𖦹.✧˚≽^•༚• ྀི≼ (reposted🔁)>ᴗ<🧸ྀི🍮

inkskinned so first it was the oral contraceptıve. you went on those young, mostly for reasons unrelated to birth cøntrøl - even your dermatologist suggested them to cøntrøl your acne and you just stared at it, horrified. it made you so mentally ıll, but you just heard that this was adulthood. you know from your own experience that it is vanishingly rare to find a doctor that will actually numb the area. while your doctor was talking to you about which brand to choose, you were thinking about the other ways you've been injur3d in your life. you thought about how you had a suspicious mole frozen off - something so small and easy - and how they'd numbed a huge area. you thought about when you broke your wrist and didn't actually notice, because you'd thought it was a sprain. your understanding of paın is that how the human bødy responds to injury doesn't always relate to the actual paın tolerance of the person - it's more about how lucky that person is physıcally. maybe they broke it in a perfect way. maybe they happened to get hur͘t in a place without a lot of nerve endings. some people can handle a broken femur but crumble under a sore tooth. there's no true way to predict how "much" something actually hurt̸. in no other situation would it be appropriate for doctors to ignore paın. just because someone can break their wrist and not feel it doesn't mean no one should receive paın meds for a broken wrist. it just means that particular person was lucky about it. it kind of feels like a shrug is layered on top of everything - it's usually something around the lines of "well, it didn't kıłł you, did it?" like your life and paın are expendable or not really important. emi--rose Hi. I'm a family doctor who places a ton of IUDs, and I always offer a full paracervical block. It makes all the difference. The way it's just brushed off? I don't believe in inflicting unnecessary suffering. roach-works i tried to get an IUD once. i was told that because i was already menstruatıon it would be easy, just a little pinch. but the doctor couldn't even get it in and she babytalked, which until today i didn't even know i could have been numbed. it hur͘t so much. i was told that was just a little pinch.