Autikin Emojis & Text

DOCTORs APPOINTMENTs Before a procedure, get to meet the physician and acknowledge their authority before you mention your sensitivities. Find a way to make a compromise. Even request more time for an appointment if you want to have topical numbing agents wait to work, to discuss alternatives, etc. Before a procedure, look up the physician and/or the clinic website. Find pictures of the inner building and search for FAQ, policies, procedures, reviews, etc. Before a procedure, bring a fully charged phone and any sensory necessities such as plastic cups for water, ice pack, self testing kits, written notes and copies, etc. TIPS For CHECKs Feel the instruments and get comfortable with them. Ex: at the dentist, you’re weary of the suction straw. If no plastic cups for rinsing, ask them for some or, have them turn the suction on a low setting and feel it with your finger before they use it in your mouth. Perhaps they can put something on if you don’t like the sucking noise. See how you feel with the specific doctor. Ex: Dr. A seems hurried and strict, but Dr. B seems more empathetic. Or perhaps ask if a nurse can be in the room with you to. Try having the doctor teach you how much you can do. Ex: for a strep throat test, ask if you can swab your own throat, even have them hold your hand whilst you do it in a mirror. Or tell them the way your throat’s structure may find it easier to tilt, etc. (my search NeuroFabulous)

FIVE Senses to ground yourself 5 things you See (eyesight) 4 things you Hear (listening) 3 things you Feel (touch) 2 things you Smell (scent) 1 thing you can Taste

ʚ‎‏ ͜ ̩͙ ︵ ̩͙ ୨ 🍓 ୧ ̩͙ ‏︵ ̩͙ ͜ ɞʚ‎‏ ͜ ̩͙ ︵ ̩͙ ୨ 🍓 ୧ ̩͙ ‏︵ ̩͙ ͜ ɞ ꔛ ۫ ✿ (๑`^´๑)🎀⭐️もっと♥ ＧＯ！ＧＯ！🎀⭐️ ʚ‎‏ ͜ ̩͙ ︵ ̩͙ ୨ 🍓 ୧ ̩͙ ‏︵ ̩͙ ͜ ɞʚ‎‏ ͜ ̩͙ ︵ ̩͙ ୨ 🍓 ୧ ̩͙ ‏︵ ̩͙ ͜ ɞ

Best Practices for Encouraging Special Interests in Children with Autism What Helps • Encouraging conversation about interest • Paying attention to non-verbal cues • Engaging in activity about interest • Allowing children to keep objects related to interest • Taking note of circumstances that promote calmness • Using interest as motivation for desired behaviors What Hurts • Treating the interest like it's boring • Ignoring non-verbal cues or gestures • Disengaging from the conversation • Forcing a discussion unrelated to the interest • Demanding that children think about other subjects • Leveraging interest as punishment

. ✧ 　 ˚　 . i will face whatever comes today with a positive attitude ♡ 　　˚ 　 . ✧　　 .

As a neurodivergent person I find emojicombos.com a favourite site. I also write here to make others happy and to make stories inspired by events similar to my experiences, so I can come back to them on any device to. Also, I hope any person reading has a great day! -NeuroFabulous (my search NeuroFabulous)

🌟 Understanding Retinoblastoma 🌟 Did you know? Retinoblastoma is a rare (but can be treatable) eye cancer that affects people usually under age 5. Early detection is key! Here’s what you need to know: 👁 Symptoms to Watch For: 👉A white glow in the pupil 👉Eye redness or swelling 👉 Vision problems 🏥 Treatment Options: 👉Chemotherapy 👉Laser or cryotherapy 👉Surgery /enucleation: removal of eye (usually in severe cases) 👶 Importance of Early Detection: With prompt treatment, many can recover fully and even preserve their vision. If you notice any unusual signs in your child’s eyes, consult a doctor immediately!

Why autistic people are like cats: - We are highly sensitive. - We don't like loud or sudden noises. - We are easily spooked and startled. - Especially because we are zoning out, like, all the time. - We love to be held and touched and petted and cuddled bUT ONLY IF IT WAS OUR IDEA! - We're picky eaters. - Easily distracted. - Solitary creatures. - Takes us a while to warm up to people and be comfortable around them. - Our idea of being "social" is just hanging around the vicinity or in the same room as other people but not necessarily interacting with them. - We are finicky, particular, meticulous creatures of habit and we have a comfort zone we will defend with our lives. - If we deem you worthy, you will be allowed into our comfort zone. - Gaining our love and trust is super rewarding because it is not easily done. Be flattered. - If you touch us unexpectedly we will flinch or jump. - We are awesome predators and get super intense about stuff one nickname for the ADHD gene is "the hunter gene") - We are cute and lovable and have a lot of personality. - Many autistic children love to feel enclosed and secure and so love secret hiding places and cubby holes (i.e., "if I fits, I sits") - We sometimes appear to freak out at nothing and scamper away for no reason but really it's because we can hear things you can't and some sounds bother us. - Because we have such hyper-sensitive senses, any snuggles you give us will be a million times more rewarding for you because you'll know and appreciate just how intensely we're enjoying them. - Please give us food or we will boop your nose in your sleep.

𝑇ℎ𝑒 𝑏𝑒𝑠𝑡 𝑎𝑛𝑑 𝑚𝑜𝑠𝑡 𝑏𝑒𝑎𝑢𝑡𝑖𝑓𝑢𝑙 𝑡ℎ𝑖𝑛𝑔𝑠 𝑖𝑛 𝑡ℎ𝑒 𝑤𝑜𝑟𝑙𝑑 𝑐𝑎𝑛𝑛𝑜𝑡 𝑏𝑒 𝑠𝑒𝑒𝑛 𝑜𝑟 𝑒𝑣𝑒𝑛 𝑡𝑜𝑢𝑐ℎ𝑒𝑑 - 𝑡ℎ𝑒𝑦 𝑚𝑢𝑠𝑡 𝑏𝑒 𝑓𝑒𝑙𝑡 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 ℎ𝑒𝑎𝑟𝑡. — 𝐻𝑒𝑙𝑒𝑛 𝐾𝑒𝑙𝑙𝑒𝑟

♡ ⋆ ° .˚ 𖧷 · ° .♡ ⋆ ♡ ⋆ ° .˚ 𖧷 · ♡ wishing you less pain wishing you less stress wishing you less depression sending you love sending you positive vibes sending you healing energy ͏ ͏please accept ♡ ⋆ ° .˚ 𖧷 · ° .♡ ⋆ ♡ ⋆ ° .˚ 𖧷 · ♡

FRIDAY, NOVEMBER 2, 2012 To those of you newly embarking on surgery these are my MUST HAVES for surgery: SURGERY SUPPLIES: Whiteboard Notebook and pen baby toothbrushes alcohol free mouthwash q-tips wet wipes travel neck pillow lots of pillows humidifier mirrors baby spoons syringes of different shapes and sizes pill crusher wrap around hot and cold packs lots of liquids (juices, ensure, water) chapstick a lot of tissues HAND BLENDER (I wouldn't have survived without this) towels power flosser Posted by Incognita at 10:49 PM

Exercise List: 1. 2-Way Stretch 2. Forward Folds 3. Extended Lift & Hold 4. Cobra Pose 5. Side Bends 6. Skipping/Jogging In Place 7. Inverting/Hanging

https://nickgram.com/mechanical-arm 🦿🦾😅 https://nickgram.com/mechanical-leg

If feasible, other tests the patient fears might be performed while the patient is sedated. For example, before or after dental work, vaccines could be administered, blood could be drawn, and gynaecology or other physical exams could be done. This practise requires coordination and communication among providers. 💙 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708482/

Types Deltacism (from the Greek letter Δ) is a difficulty in producing /d/ sound. Etacism is a difficulty in producing e sound Gamacism is a difficulty in producing /ɡ/ sound Hitism is a difficulty in producing /h/ sound. Iotacism is a difficulty in producing /j/ sound. Kapacism is a difficulty in producing /k/ sound. Lambdacism (from the Greek letter λ) is the difficulty in pronouncing lateral consonants. Rhotacism is a difficulty producing rhotic consonants sounds in the respective language's standard pronunciation. In Czech there is a specific type of rhotacism called rotacismus bohemicus which is an inability to pronounce the specific sound ⟨ř⟩ /r̝/. Sigmatism is a difficulty of producing /s/, /z/ and similar sounds. Tetacism is a difficulty of producing /t/ sound. Tetism is replacement of /s/, /k/ and similar sounds with /t/ and of /z/ and similar sounds with /d/.

Sleep When You're in Pain (Chronic or Acute) Sleep on your back if you have lower back pain. Some individuals may benefit from placing a pillow under their knees while in this position. Elevating the knees can take pressure off the lower back. Sleep on your side if you have neck pain. Sleep on your left side to improve your digestion. People who find side sleeping helpful during their period may benefit from placing a pillow between their knees. Experimenting with different pillow positions can help. If you have stomach cramps, try drawing your knees up to your chest in the foetal position, which may help. This position involves lying on the side and tucking the legs toward the chest. You can also sleep on your back propped up with pillows to relieve heartburn. If you have pain due to gas, try laying on your back to relieve some of the pressure off of your stomach. https://www.wikihow.health/Sleep-when-You%27re-in-Pain

Common Experiences How has the semester been going for you? Do you understand the assignment that Professor gave us in class? .. . .. What did you do over break? What sort of plans do you have for break? What did you do over the weekend? Anything interesting happen this week? How has work been? What did you think about the school team's last game? Do you know who's going to s party on day? Interests • What sort of movies have you seen lately? Have any goad boak recommendations? Have you been to any great concerts lately? Have you seen any good plays? What did you think about the ball game on day? Non-Question Topics Your surroundings: the weather, an interesting painting or decoration, a peculiar scenic detail Interesting or humorous Current events or news • officials, shared neighbors, new attractions that have recently opened Compliments on appearance changes: hairstyle, clothing, shoes, accessories Recent experiences with friends or family • Humorous story about something that happened earlier in the day or week CONVO.. Common Experiences How has the semester been going for you? Do you understand the assignment that Professor gave us in class? .. . .. What did you do over break? What sort of plans do you have for break? What did you do over the weekend? Anything interesting happen this week? How has work been? What did you think about the school team's last game? Do you know who's going to s party on day? Interests • What sort of movies have you seen lately? Have any goad book recommendations? Have you been to any great concerts lately? Have you seen any good plays? What did you think about the ball game on day? Non-Question Topics Your surroundings: the weather, an interesting painting or decoration, a peculiar scenic detail Interesting or humorous Current events or news • officials, shared neighbors, new attractions that have recently opened Compliments on appearance changes: hairstyle, clothing, shoes, accessories Recent experiences with friends or family • Humor about something that happened earier in the day or week

𝑇ℎ𝑒 𝑏𝑒𝑠𝑡 𝑎𝑛𝑑 𝑚𝑜𝑠𝑡 𝑏𝑒𝑎𝑢𝑡𝑖𝑓𝑢𝑙 𝑡ℎ𝑖𝑛𝑔𝑠 𝑖𝑛 𝑡ℎ𝑒 𝑤𝑜𝑟𝑙𝑑 𝑐𝑎𝑛𝑛𝑜𝑡 𝑏𝑒 𝑠𝑒𝑒𝑛 𝑜𝑟 𝑒𝑣𝑒𝑛 𝑡𝑜𝑢𝑐ℎ𝑒𝑑 — 𝑡ℎ𝑒𝑦 𝑚𝑢𝑠𝑡 𝑏𝑒 𝑓𝑒𝑙𝑡 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 ℎ𝑒𝑎𝑟𝑡. -𝐻𝑒𝑙𝑒𝑛 𝐾𝑒𝑙𝑙𝑒𝑟

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✨️ ᴮᵉ ᵗʰᵉ ᶜʰᵃⁿᵍᵉ ʸᵒᵘ ʷⁱˢʰ ᵗᵒ ˢᵉᵉ ⁱⁿ ᵗʰᵉ ʷᵒʳˡᵈ✨️.

💙 https://www.legalzoom.com/articles/what-is-medical-power-of-attorney 💙

hopefully my writing posts help ppl to feel understood or at least get a glimpse of all the possibilities neurodiverse ppl may experience (: (my search NeuroFabulous)

💙 https://www.aucd.org/template/news.cfm?news_id=14472&id=17 💙

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Emotional Distress Scale 0 - I feel great! This is the best I’ve felt in a long time! 1 - I’m feeling really good! There’s no distress to address. 2 - I’m feeling good. If I start feeling bothered, I can be easily distracted or cheered up. 3 - I’m okay, but there are some things bothering me. I can easily cope with them, though. 4 - I could be better. There are a few things distressing me right now. It’s not exactly easy to deal with, but I still have the skills to get through it. 5 - I’m not okay. It’s getting harder to do the things I want to do, but I can do them. My coping skills aren’t working as well anymore, but enough of them work to get me through the day. I need some support. 6 - I’m feeling bad, and it’s very hard to do the things I need or want to do. Most of my coping skills aren’t effective right now, and it’s taking a lot of energy to stay stable. I need help. 7 - I’m feeling awful. It’s hard to focus on anything but my emotions, and/or I’m avoiding things that distress me. I can’t do much but try to take care of myself, which is already hard in itself. I’m running low on, or have run out of, effective coping skills. I need a lot of help right now. 8 - I’m feeling awful, and I can’t escape it anymore. How I feel is affecting every part of my day, and I’m reaching the point where I can’t function. It’s hard to sleep, eat, socialize, etc. I need help before I can’t handle anything. 9 - This is approaching the worst I could feel. I can’t function anymore. My emotions have totally consumed me. I may be a danger to myself or others, or I may be neglecting myself. I need urgent help. 10 - This is the worst I’ve felt ever/since [last time]. I can’t care for myself at all. My emotions are so intense, I’m at imminent risk of dangerously acting on them. I need crisis support immediately. 11 - I have acted on my emotions and hurt myself or someone else. Everything else in my life is impossible to comprehend. I need medicinal and/or crisis support immediately.

Sensory inputs can be any stimuli entering through one of the sensory modalities: sight, sound, gustation, olfaction, and tactile sensations. Tactile sensations include responses to pressure and temperature. Over stimulation is the product of sensory overload. Overstimulation (OS) occurs when there is “to much” of some external stimulus or stimuli for a person's brain to process and integrate effectively. Sensory overload can be triggered by a singular event or a build up thereof. When the brain has to put all of its resources into sensory processing, it can shut off other functions, like speech, decision making and information processing. Using noise-cancelling headphones to vastly reduce external sound, which can help to stop sensory over load. Weighted sensory products, such as blankets or vests, to provide pressure and soothing proprioceptive input. Avoiding open questions – if you need their input on something, aim to use closed yes/no questions. It causes feelings of discomfort and being overwhelmed. Moving away from sources of sensory input, such as loud sounds or strong smells, can reduce these feelings. However, it is a core characteristic of autism, where individuals often experience heightened sensitivity to stimuli. It's important to note that not all autistic individuals experience overstimulation in the same way or to the same degree. Some may have a higher threshold for sensory input and be less easily overwhelmed, while others may become overstimulated even in relatively calm environments. Stimming, short for self-stimulating behaviors, is a repetitive movement or action that can include body movements, vocal noises, or sensory stimulation. It can be a way to manage excess energy, self-soothe, or cope with emotions. Stimming can also help regulate sensory input, either increasing stimulation or decreasing sensory overload. Stimming behaviors can consist of tactile, visual, auditory, vocal, proprioceptive (which pertains to limb sensing), olfactory, and vestibular stimming (which pertains to balance).

Please don't touch me or stand too close. I have an Autistic Spectrum Condition. I process sensations differently. Sometimes I Can't cope with touch or physical contact. 4 ways to manage autism, anxiety and sensory overload Choose sensory-friendly events and places Choose sensory- friendly features • Fewer lights • Less background music • Noise blocking headphones • Calming rooms • Weighted blanket Make sensory experience shorter Reduce sensory experience • Take breaks from busy, noisy and bright places • Noise blocking headphones • Sunglasses For example, a child who has difficulty with the feeling of clothing and thus has difficulty getting dressed shows hypersensitivity. As a result, that child can experience sensory overload from clothing. It is also important to know that a toddler refusing to get dressed because they are exerting their independence or would rather play or do something else is not a child experiencing sensory overload. That is not hypersensitivity. That is normal for toddlers. So choose sensory-friendly providers or products. In particular, that helps people whose anxiety is made worse by what they experience from their senses. Hollander, E., & Burchi, E. (2018). Anxiety in Autism Spectrum Disorder. Anxiety & Depression Association of America

🍑 https://www.nhs.uk/conditions/cervical-screening/what-happens-at-your-appointment/ 🍑

sirenomelia sympodia (one fused foot) In sympus dipus (symmelia), both the feet are seen separately. In sympus monopus (uromelia), a single foot is present. In sympus apus (sirenomelia,) the foot is absent Discussion "Symelia" is the fusion of the lower extremities,2 and it has been classified into three types: 1) Apus- no feet, only one tibia and one femur, 2) Unipus- one foot, two femora, two tibiae, two fibulae, and 3) Dipus- two feet and two fused legs (giving the appearance of a flipper). Symmelia is basically classified according to the number of feet present. Tripodial symmelia contains three feet, dipodal symmelia have two feet, monopodal symmelia consist of one foot and apodal symmelia or sirenomelia which contain no feet and more severe form and closely related to a mermaid.

→ Conservative Treatment Philosophy ←

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𝑖 𝑎𝑚 𝑖𝑛 𝑐ℎ𝑎𝑟𝑔𝑒 𝑜𝑓 ℎ𝑜𝑤 𝑖 𝑓𝑒𝑒𝑙 𝑎𝑛𝑑 𝑡𝑜𝑑𝑎𝑦 𝑖 𝑐ℎ𝑜𝑜𝑠𝑒 ℎ𝑎𝑝𝑝𝑖𝑛𝑒𝑠𝑠 ˚₊‧꒰ა ☆ ໒꒱ ‧₊˚

₊ ⊹ 𝑖 𝑟𝑒𝑙𝑒𝑎𝑠𝑒 𝑎𝑙𝑙 𝑒𝑚𝑜𝑡𝑖𝑜𝑛𝑎𝑙 𝑏𝑙𝑜𝑐𝑘𝑠 𝑡ℎ𝑎𝑡 𝑠𝑡𝑜𝑝 𝑚𝑒 𝑓𝑟𝑜𝑚 𝑒𝑛𝑗𝑜𝑦𝑖𝑛𝑔 𝑝𝑒𝑎𝑐𝑒 𝑜𝑓 𝑚𝑖𝑛𝑑 ♡₊ ⊹

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

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

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

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

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

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

2020 ACS 2012 ACS 2018 USPSTF Age 21‒24 No screening Pap test every 3 years Pap test every 3 years Age 25‒29 HPV test every 5 years (preferred) , HPV/Pap cotest every 5 years (acceptable) or Pap test every 3 years (acceptable) Pap test every 3 years Pap test every 3 years Age 30‒65 HPV test every 5 years (preferred) or HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) or HPV/Pap cotest every 3 years (preferred) Pap test every 3 years (acceptable) Pap test every 3 years, HPV test every 5 years, or HPV/Pap cotest every 5 years Age 65 and older No screening if a series of prior tests were normal No screening if a series of prior tests were normal No screening if a series of prior tests were normal and not at high risk for cancer

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

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.

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

Karen had always loved her husband Plankton. His mind was a bastion of order in a world that often seemed too noisy and chaotic for him. Plankton had a way of seeing patterns and connections that she never could. He'd spend hours meticulously categorizing his collections. It was his way of making sense of the world, a comforting rhythm she learned to appreciate. But today was one of those days where Plankton's brain seemed to betray him. It was a silent, unassuming morning until Plankton froze. His eye glazes over, and his body stiffened like a plank. Karen's heart skipped a beat, knowing all too well what was happening. Her mind raced as she quickly took action. She guided him to the safe spot they'd designated for these moments, a corner padded with cushions and devoid of sharp edges. His body began to convulse, a symphony of uncontrolled movements that didn't match the calmness of the surroundings. She felt her own heart race, her palms sweating, but she knew she had to be his rock, his anchor. Suddenly his friend Sponge Bob came in; he's never seen nor heard of Plankton like this before. "What's happening to him?" Sponge Bob asked, his voice quivering with concern. Karen took a deep breath. "He has autistic seizures," she replied, trying to keep her voice steady. "It's like his brain gets overwhelmed with stimuli, and it just... short-circuits." SpongeBob's eyes widened beyond belief, taking in the scene before him. Plankton's tiny frame jerked and tremored. It was a stark contrast to the precise, orderly Plankton he knew. "Is he okay?" Sponge Bob stammered, his hands waving in the air, unsure what to do. "Just stay calm," Karen instructed, her eyes never leaving Plankton's face. "These usually pass quickly. I need to make sure he doesn't hurt himself." She moved swiftly, carefully placing pillows under his head. Sponge Bob nodded, his concern growing as he watched his friend suffer. He wished he could do something, anything to help. "Can I talk to him?" he asked tentatively, his thumbs tucked into his pants, fidgeting. "It's better to let him be," Karen advised gently. "He can't process much during this. But once it's over, you can." When Plankton's convulsions finally ceased, his body limp, and his eye flutters closed. Karen checked his pulse, sighing in relief when she found it steady and strong. She looked up at Sponge Bob, her expression a mix of worry and fatigue. "Just be there for him when he wakes up," Karen said. "He'll be disoriented. He might not understand what happened." Sponge Bob nodded solemnly. He couldn't imagine what it must be like for Plankton, trapped in his own mind during these episodes. As Karen tended to Plankton, Sponge Bob felt a surge of curiosity. With a newfound determination, Sponge Bob turned to Karen, his eyes brimming with hope. "Could he maybe like... can he understand me now?" Karen looked at Plankton, still twitching, but clearly drained. She nodded slowly. "He can hear you. Just keep it simple and soothing." Sponge Bob approached cautiously, his eyes fixed on his friend. He knelt down and took Plankton's hand in his spongy grip. "Plankton," he whispered, "It's me, Sponge Bob. You're safe now." Plankton's eyelid fluttered, a hint of recognition flickering across his face. Karen offered Sponge Bob a small, grateful smile. She knew how much Plankton valued his friendship. Sponge Bob cleared his throat, his words gentle and measured. "Remember when we played catch with jellyfish?" he said, his voice barely above a whisper. "You're the best at catching them, Plankton. Your reflexes are so fast, it's like you're a jellyfish ninja." Karen smiles. Plankton's eye is open, but unfocused, as if looking through Sponge Bob instead of at him. His pupil is dilated, and his gaze is distant. Sponge Bob's heart swells with a mix of hope and concern. "Plankton?" he calls again, a little louder this time. No response, just the slightest twitch. He's there, but not really. Karen watches closely, a silent guardian making sure her husband doesn't slip back into the chaos that had consumed him. The room feels eerily quiet, a stark contrast to the usual symphony of sounds that filled their lives. Karen's eyes are filled with love and fear, a potent mix that's all too familiar. She's seen this before, Plankton's mind retreating into itself when the world becomes too much. Sponge Bob squeezes Plankton's hand, trying to ground him in reality, but his friend's hand is cold and limp. "You know, Plankton," he starts again, his voice quivering slightly, "you're like a tiny superhero with a giant brain. Nothing gets past you." Then, as if a switch was flipped, Plankton's body starts to jerk again, but this time, the movements aren't the violent convulsions of a seizure. They're smaller, faster - tics. His head tilts quickly. Karen's eyes narrow slightly as she recognizes the signs. This was a common aftermath of his seizures, his brain's way of recalibrating itself. "It's okay," she soothes, her voice a gentle melody that pierced through the tension. "Just ride it out." Karen's eyes never leave his, her gaze a silent promise of protection and patience. She knew these tics were a part of his autism, a way for his body to cope with the overwhelming input. It was as if the world was too loud for him, and his body had found its own rhythm to try to drown out the noise. The tics grew more frequent, his head jerking in quick, spasmodic movements. Sponge Bob's grip tightens on his hand, his own heart racing. He didn't understand what was happening, but he knew his friend needed him now more than ever. Karen's voice remained soothing, a constant in the storm of Plankton's neurological maelstrom. "It's okay," she said softly. "Let it happen." Sponge Bob watched, his eyes wide with concern. He'd never seen his friend like this before. The tics grew in intensity, Plankton's head snapping to a nod, his limbs twitching erratically. It was like watching a tiny, trapped bird, desperately trying to find its way out of a cage made of its own nervous system. "It's okay," Karen repeated, her voice a beacon of calm in the chaos. "These are just his tics. They're part of his autism. It's his brain's way of adjusting after a seizure." Sponge Bob nodded, trying to absorb the information. He'd known Plankton for years but had never known or seen him like this. Then Plankton's eye focused on Sponge Bob. A flicker of recognition sparked in the depths. "Sp...Sponge Bob?" he stuttered, his voice weak and tremulous. Sponge Bob's smile grew wider, relieved to hear his friend's voice. "Hey, buddy," he said. Plankton's head continued to twitch in a nodding motion, his eye blinking rapidly as he tried to focus on Sponge Bob's face. The tics were less intense now, but they were still present, a subtle reminder of the storm that had raged within him moments ago. Karen knew that this was the part where he'd start to come back to them. Karen explained, "The tics can last for a bit, but he'll be back to normal soon." Sponge Bob nodded, his grip on Plankton's hand steadying as he watched his friend's eye refocus. He didn't understand it, but he knew Plankton needed time. As the tics began to subside, Plankton's hand squeezed Sponge Bob's in weak acknowledgment. Sponge Bob felt a wave of relief crash over him. "I'm here," he murmured, his voice quiet and reassuring. Plankton's breathing grew more even, his body finally relaxing. The twitches gradually slowed until they were barely noticeable. It was like watching a tightly wound clockwork toy slowly unwinding. Karen reached over to stroke Plankton's arm, her touch feather-light. "You're going to be okay," she said. (my search NeuroFabulous)

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

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⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯ ⣯⣇⣇⣇⣇⣇⣇⣇⣯⠁⠀⠀⠀⠀⢻⣧⣏⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇ ⣏⣧⣇⣇⣇⣇⣇⣇⣯⠀⠀⠀⠀⠀⢠⣇⣧⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣯ ⣧⣏⣇⣇⣇⣧⣧⣯⣯⡀⠀⠀⣤⣶⣿⣧⣏⣏⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇ ⣯⣯⣇⣧⣯⠛⠉⣿⣇⣇⠀⠀⣯⣏⣇⣇⣧⣧⣇⣧⣇⣇⣇⣇⣇⣇⣇⣇⣇⣏ ⣯⣯⠟⠁⠀⠀⣤⣿⣧⣧⠀⠀⠀⠀⠀⠀⠀⠀⠀⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇ ⣯⠋⠀⠀⣴⣿⣇⣧⣯⣯⠀⠀⢰⣶⣶⣶⣶⣶⣶⣇⣏⣏⣧⣇⣇⣇⣇⣇⣇⣇ ⡏⠀⠀⣾⣯⣯⣏⣧⣏⣯⠀⠀⠈⠋⠋⠋⠋⠋⠋⠋⠋⠋⣯⣧⣧⣇⣇⣇⣧⣇ ⡂⠀⠀⣇⣧⣯⣧⣇⣇⣯⣤⣤⣤⣤⣤⣤⣤⣤⣤⣤⣄⠀⠀⢫⣧⣏⣇⣇⣧⣇ ⣧⠀⠀⣿⣇⣯⣏⣯⣇⣇⣧⣏⣏⣇⣧⣧⣏⡏⠙⣧⣏⣦⠀⠀⠻⣧⣇⣇⣏⣇ ⣏⣄⠀⠈⢿⣧⣇⣇⣇⣇⣧⣏⣏⣏⣏⣯⠋⠀⠀⣼⣧⣯⣷⠀⠀⠙⣯⠏⢻⣏ ⣯⣏⣦⠀⠀⠈⠛⢿⣇⣧⣇⣧⣇⠟⠋⠀⠀⢀⣾⣇⣧⣇⣯⣿⡀⠀⠀⠀⣠⣿ ⣇⣇⣇⣏⣶⣤⣀⠀⠀⠀⠀⠀⠀⠀⣀⣤⣾⣯⣯⣯⣧⣧⣧⣇⣏⣦⣮⣮⣮⣮

When my sister was younger she came home from school one day and demanded I take her to the library so she could get books on sign language. I asked why? She told me there was a new kid at school who was deaf and she wanted to befriend him. Today I stood beside her at their wedding watching her sign “I DO”. GMH Feb 1st, 2010

autistic-reptile love languages of autistics: • sending them posts/pictures related to their special interest them • talking to them while you're both looking in another direction so there's no pressure to make eye contact • making/buying them their same food • determining their happy stims and anxious stims so you know how they're feeling • specifying when you're being sarcastic/joking • sitting in the same room together in silence while you both do your own thing • prompting them to info dump (and listening) • • having extra earplugs/sunglasses/other sensory aids for them when they forget

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SOCIAL NETWORK PROFILE NAME Facebook specialolympicstx Twitter @SOTexas Instagram @specialolympicstx YouTube www.youtube.com/specialolympicstexas

💟 WHAT MIGHT BE EASIER FOR YOU MIGHT NOT BE SO EASY FOR ME 💟

Project Shocking I am the mother of a 20 year old girl that died in June from Toxic Shock Syndrome. My daughter was using a Playtex tampon. I've been doing an inordinate amount of research since her death in June, and have been sending out information daily via a pamphlet I authored with help from a PhD. known nationally for his research of Toxic Shock Syndrome. I also have been utilizing social networking and visiting high schools to point out the symptoms and prevention of tampon induced TSS. Many of these young women do not yet have the antibodies they need to use tampons containing viscose rayon. Ladies have been contacting me daily to tell their personal experiences of TSS or share the story of their child who died of TSS. It's unfathomable how the numbers are rising. The sad part is, every single instance of TSS I have personally heard about was using Playtex. I'm sure it isn't only Playtex brand, but these are the instances I've heard about. My daughter was only using "regular" absorbency. Regular absorbency isn't absorbency that is focused on. Amy was a hygiene freak, and changed her tampon like clockwork in fear she would get TSS. It still killed her. Another friend of mine almost lost her 15 year old daughter; not because she was using a tampon, but because of a fiber left inside her a week later. Her daughter is now recovering from reconstruction of her toes due to TSS. TSS is killing young women everywhere. I believe it's every bit as bad as in the 1980's; however, no one knows it. Even Playtex says on their warning label that 1 to 17 of every 100,000 menstruating women PER YEAR will get TSS. If you figure that out, how many menstruating women are there; maybe 15% of the population? That takes the number up to 1 to 17 in 15,000 PER YEAR. Pardon my math skills; I'm aging fast! It's staggering if you get to the real numbers! Up to 25% of these young women will die. People aren't reporting to the FDA; the FDA isn't policing the factories responsibly. They are under the grandfather clause with the FDA, so their new products aren't going through appropriate testing. They don't have to report what is in them. TSS isn't reportable to the CDC; yet the CDC gives out numbers of cases. This isn't right. People are led to believe these CDC reported numbers which gives them a false security. On to the Robin Danielson Act; 2001 H.R. 360, presented by Representative Carolyn Maloney D NY; the bill would amend the Public Health Service Act requiring TSS to be reported to the CDC and would also force the industry to list the content of tampons on the box. The bill has been thrown out continually for the last 13 years. I looked into the tampon industry CEO's political contributions to Congressmen. You can guess the outcome. In my mind this isn't adding up. I believe the fate of my daughter was sealed because of this corporate conduct. I'm currently starting a non-profit organization called, You ARE Loved, (the letters ARE represent my daughter’s initials, Amy Rae Elifritz) to educate girls in high schools across America of the symptoms of TSS, what to watch for and how to prevent it. They need to know! TSS symptoms resemble the flu! It isn't just super absorbent tampons, it's regular tampons too; anything with viscose rayon in it. Warnings say to watch for a rash or peeling. The rash isn't likely to be presented until TSS is beyond recovery. The peeling of skin isn't until at least 7 days to 2 weeks after it begins (provided you aren't dead yet). Playtex' annual report in 2007 reads, “Our Feminine Care marketing strategies have leveraged the strength of the Playtex brand that caters to the active, young female. Our Feminine Care marketing strategy centers on attracting first-time users, converting users of competitive products to our products and converting full-time feminine protection pad users to tampon users by communicating the advantages of tampons. In addition, we have developed the website, www.playtextampons.com, to provide information to adults and adolescents in choosing the right products“. These adolescents are the exact age group that hasn’t developed the immunity to the S. aureus bacteria. They are the most vulnerable people in the world to TSS. How can we get the warning out to these young women that TSS is real and happening when the industry is pushing so hard to reel them in? TSS of the 1980's is history. 2011 is NOW and TSS is happening! Lately I’ve seen medical professionals on TV talking about TSS. They keep repeating that TSS happens only with use of super tampons and to change frequently. My daughter changed every 4-6 hours! I know; I bought them! Actually the toxin begins to develop 2 hours after inserting a tampon and continues to multiply even while changing tampons. This toxin continues to increase as long as you are wearing tampons. The only way to dissipate the toxin in the vaginal canal is to use a pad for at least 8 hours between tampons. I’ve never heard anyone publically explain why alternating with a pad is so important! It’s a very understandable explanation. The only way to prevent TSS is with 100% cotton tampons or pads alone. The reason you can’t find cotton tampons in big stores is the companies that produce 100% cotton tampon are small. Cotton is expensive! These companies cannot afford the advertising to meet the requirements for shelf space at Walmart, CVS, or Walgreen. You have to order them online or go to a specific health food store. What 15 year old will wait 3 days for mail order delivery of a tampon when she needs it now? It's like a 3 day waiting period to buy a gun. I need help getting the word out. I can point you to the research, the professional journals, and the microbiologists that can back me up on everything I mentioned. The medical community is in the dark and it’s not their fault. I want TSS symptom posters on every ER wall in this country - symptoms and first actions. If a woman comes into the ER with a fever and flu, CHECK FOR A TAMPON! If she has one in, REMOVE IT!! Conscious or unconscious, remove the tampon or she will die. The medical profession needs to be educated in tampon related TSS; they are led to believe it no longer exists. Shortly after my daughter’s death I received a thank you message from a mother for saving her daughter's life. Last night I was told that because of my information a second life was saved. The feeling I get from these messages is beyond words. I take no credit for this because everyone needs to be educated. Saving lives is the result of the education. There is now a test; the TSST-1 antibody test that will identify if a person has the antibodies which make it safe to use tampons containing viscose rayon. My local hospital doesn't offer it … Yet. We need to test these young girls or provide symptom education for them and for medical staff along with funding for research to develop a vaccination that boosts antibodies to the toxin produced by Staphylococcus aureus. What more can I do as a citizen without help? It's time to recreate awareness for the new century of TSS. This is an important public service for this story to be told/this warning to be given. Grieving Mother, Lisa Elifritz Special thanks to Maxim Organic for supplying samples of 100% cotton tampons for the young women I speak to. The above is my interpretation of the research I have done since the death of my daughter to Toxic Shock Syndrome. It is not my intention to imply fault to any company, organization or individual. It has been approved by a nationally known microbiologist/toxic shock expert.

🍑 ‘Pap smears’ can be replaced by do-it-yourself cervical cancer tests From today, women who need to get a cervical screening test will be able to choose to self-collect a sample themselves. The self-collect option is a game changer in cervical screening – with Australia is one of the first countries in the world to offer it as a choice for all screening participants. Being able to do the test yourself is also expected to increase the rates of cervical cancer screening for women from culturally and linguistically diverse backgrounds, who may have experienced cultural barriers and taboos around traditional ‘pap smears’. It will also make a world of difference for the gender diverse community who also face access barriers. Today’s change to the National Cervical Screening Program means that anyone aged 25-74 with a cervix, who has ever been sexuallly active will be able to choose to have a Cervical Screening Test either by: taking their own sample from, using a simple swab, or having a health care provider collect the sample using a speculum. Some test options are free under Medicare – so if your healthcare provider bulk bills for consultations, the whole thing is free. They are accessed through a healthcare provider and are accurate and safe ways to collect a sample for a Cervical Screening Test. Self-collection is also available as an option for follow-up HPV testing after an intermediate risk result and cervical screening during pregnancy. More information on self-collection and the National Cervical Screening Program can be found at www.health.gov.au/ncsp. 🍑

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

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

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

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

🏐꯭⃜᪤

DOCTORs APPOINTMENTs Before a procedure, get to meet the physician and acknowledge their authority before you mention your sensitivities. Find a way to make a compromise. Even request more time for an appointment if you want to have topical numbing agents wait to work, to discuss alternatives, etc. Before a procedure, look up the physician and/or the clinic website. Find pictures of the inner building and search for FAQ, policies, procedures, reviews, etc. Before a procedure, bring a fully charged phone and any sensory necessities such as plastic cups for water, ice pack, self testing kits, written notes and copies, etc.

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

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

A PLANKTON FAMILY STORY i (By NeuroFabulous) Chip and his friend Alex go to the Chum Bucket, where Chip lives with his parents Karen and Plankton. Chip had been looking forward to this moment all week. His friend Alex, the new kid in school, was finally coming over to his place. Chip's thought about the endless possibilities of what they could do together. Would they play video games? Maybe build a fort? Or, if they were lucky, his mom Karen might let them have ice cream before dinner.. The door swung open. "Welcome to the Chum Bucket," Chip said with a proud smile, leading Alex inside. Karen looked up from her book. "Hi," Alex said nervously. Karen's eyes widened. "Oh, hello!" She hadn't been expecting company. But she put down her book. "You must be Alex!" Alex nodded. "Hi, Chip's mom," they mumbled. "Just call me Karen, sweetie," she replied, her voice as warm as a freshly baked pie. "You two have fun!" She turned back to her book, her screen dancing with curiosity as they climbed the stairs. Chip's room was at the end of the hall, but they weren't going there yet. "C'mon," he whispered to Alex, his screen sparkling with excitement. "I want to show you my Dad!" He led him to the bed room door. They tiptoed closer. Plankton's on the bed. Alex peered around the doorframe, their curiosity piqued. "Surprise!" Chip shouted, jumping forward. Plankton's antennas shot straight up, a mix of shock and annoyance. But Plankton didn't move. He remained frozen in place, his eye vacant and unblinking. Alex took a step back, concerned. Chip's excitement faded into puzzlement. "Dad?" he called out, nudging Plankton's arm. No response, not even a twitch. They both stared at him, the room silent except for the faint buzz of a neon sign outside. Plankton's body was rigid. Chip felt a twinge of fear. This wasn't like his dad, who was always bursting with ideas and energy. Alex's grip on the doorknob tightened. They approached the bed slowly. Plankton remained unblinking. "Dad, are you ok?" Chip asked, his voice cracking. He reached out to shake him gently. Plankton's arm was cold and stiff, like a mannequin. Chip's heart raced. He'd never seen his dad like this before. Alex's eyes widened in alarm, their grip on the doorknob turning white. They stepped back, exchanging glances. "Chip, what's going on?" Alex whispered, fear seeping into their voice. Chip's eyes searched the room, his heart racing. "I don't know," he replied, "but we have to do something!" He rushed to the bedside, his hands trembling as he touched his dad's face. "Dad! Dad!" Alex hovered near the door, unsure of what to do. "Should we get your mom?" Chip nodded, his voice shaking. "Yeah, we need to tell." They both bolted out of the room and sprinted down the stairs. "Mom!" Chip yelled, "Something's wrong with Dad!" Karen looked up from her book, her face puzzled. "What do you mean, Chip?" But when she saw the look on his face, she set the book aside and followed them upstairs. In Plankton's room, she paused. The silence was heavy, and the tension was almost palpable. She could see the fear in Chip's eyes, mirrored in Alex's wide gaze. They pointed to the bed, where Plankton still sat, unmoving. Karen took a deep breath. She had known about Plankton's secret for years—his autism. But moments like these were always difficult to navigate. "It's okay," she assured them, her tone calm and steady. "Sometimes Daddy has these moments where he goes into his own world. It's part of who he is." She approached the bed slowly, her movements deliberate and gentle. Plankton's chest rose and fell with his breath, but he didn't acknowledge their presence. Karen placed a hand on his shoulder, her eyes filled with a mix of concern and understanding. "Plankton?" she called softly, her voice barely a whisper in the quiet room. No response. Her heart ached for her husband, trapped in his own thoughts. She had learned over the years to recognize the signs of his episodes, but seeing him like this never got easier. Carefully, Karen sat down beside him, her hands resting on his shoulders. "It's okay, sweetie," she murmured, her voice soothing. "You're safe." Slowly, she began to rub his back in small, comforting circles. Chip and Alex watched, silent and worried, from the doorway. Minutes ticked by like hours. Karen's gentle persistence never wavered. Then, almost imperceptibly, Plankton's shoulders relaxed, his eye blinking back into focus. He looked around the room, bewildered. "Karen?" he croaked, his voice hoarse from disuse. Chip and Alex breathed out in relief. Karen smiled warmly, her eyes never leaving Plankton's. "It's okay, honey," she said, her voice a lullaby. "You're back with us." Plankton's gaze found hers, his mind slowly returning from its solitary adventure. He looked from her to the two in the doorway, confusion etched on his face. Alex took a tentative step forward, their heart still racing. "Are you okay?" Plankton blinked. "What happened?" Plankton managed to ask, his voice scratchy from his silent reverie. Karen stood, placing a comforting hand on his knee. "You had one of your episodes, sweetheart," she explained gently. "But it's okay. You're back now." Chip stepped into the room, his eyes brimming with relief. "What's an episode?" Alex asked softly, their curiosity overcoming their fear. Karen turned to them, her expression gentle. "It's like his brain goes on a little trip," she said, trying to simplify it. "It's part of him. Sometimes he needs time to come back." Alex nodded, their eyes still glued to Plankton. "Does he know he does it?" they asked, their curiosity genuine. Karen squeezed Plankton's hand. "He knows, honey," she explained. "But sometimes it's like he can't stop it." Chip felt a pang of sadness, his earlier excitement now replaced with a deep concern for his father. He knew that his dad was different from other parents, but he had never seen him like this. It was as if Plankton had been taken from them for a brief moment, leaving a shell in his place.

A PLANKTON FAMILY STORY v (By NeuroFabulous) Karen held Plankton tightly, his sobs shaking both of them. "It's okay," she murmured, stroking his back. "You're still my husband. You're still Chip's dad." Her voice was a salve to his soul, but the wound was deep. In Chip's room, the silence was deafening. He sat on his bed, staring at the wall, his thoughts racing. He had never meant to hurt Plankton like that. He had just wanted his dad to be like everyone else's. He didn't understand why it had to be so hard. Outside, the sound of Karen trying to comfort Plankton's sobs drifted under the door, each one a knife in Chip's heart. He had never heard his dad cry before, and it made him feel like the biggest jerk in the sea. What had he done? He didn't want Plankton to go anywhere. He just wanted all to be okay. He sat on his bed, his eyes blurring with tears as he tried to piece together what had just happened. His mind raced with thoughts of his dad, his hero, his rock, now a crumbling mess in his mother's arms. He couldn't bear to think of the pain he had caused. He stood up, his legs shaking slightly as he approached the door. Karen looked up at him, her eyes red-rimmed and tired, but filled with a fierce love that never wavered. Plankton was still sobbing into her shoulder, his body trembling with the force of his pain. Chip felt like he couldn't breathe, his chest tight with regret. "I'm sorry," he choked out, his voice small and shaky. "I didn't mean it. I just..." But the words trailed off, his throat thick with unshed tears. Karen looked up at him, her eyes brimming with a mix of love and disappointment. "Chip," she said, her voice firm but gentle, "you need to understand. Your dad can't just turn his autism off." She took a deep breath, her gaze never leaving Chip's. "And we love him just the way he is." Plankton's body convulsed with each sob, his fear palpable in the tiny room. He had always known his condition set him apart, but to hear his son say such things... It was more than he could bear. Karen looked at Chip, her expression a mix of anger and sadness. "Chip, what you said was hurtful," she began, her voice shaking with emotion. "But you need to know that your dad's autism is just part of who he is." Plankton's sobs grew quieter, his body slowly calming down as he heard Karen's words. He knew she was right, but the fear remained, a cold knot in his stomach. Fear of rejection, fear of being seen as a burden, fear of losing the ones he loved most. Chip's eyes were glued to the floor, the weight of his words pressing down on him like a heavy stone. He felt like a monster, a creature that had lashed out without thought for the consequences. He took a tentative step forward. "Dad," he whispered, his voice choking with tears. "I didn't mean it. I didn't mean any of it." Plankton's convulsions slowly subsided, his body still tense against Karen's embrace. His eye was closed tightly, as if trying to block out the painful reality. Plankton's convulsions grew less intense, his body slowly relaxing into Karen's embrace. His breathing was ragged, his antennas quivering slightly with each exhale. The look in his eye spoke volumes, a swirl of emotions that seemed to mirror the turmoil in Chip's own heart. The room was a stark contrast to the chaotic underwater world outside, the silence interrupted only by the occasional sniffle from Plankton. Karen's gaze never left Chip's face, her expression a mix of love and disappointment. "Your father's autism is a part of him, Chip," she continued, her voice measured. "It's like his brain has its own language, and sometimes it's hard for him to translate it to ours. But that doesn't make him any less of a person, or any less of a dad." Chip felt a knot in his stomach, his regret growing with every word Karen said. He had never thought about it like that before—his dad wasn't broken or weird, just different. And he had hurt him so badly. "But I just want him to be normal," he whispered, his voice cracking. "Why ca--" "Normal?" Plankton's voice was harsher than Chip had ever heard it. He pulled away from Karen, his eye blazing with a fierce intensity. "Chip, maybe you're the one who needs to leave.." "Plankton," Karen said, her voice a plea. "This isn't helping." But Plankton's face was a mask of pain and anger. Chip's heart raced, his dad's words cutting deeper than any insult he had ever heard. "Dad," he said, his voice trembling. "I didn't mean it." But Plankton was beyond reason, his emotions a swirling maelstrom of anger and hurt. "Get out," he said, his voice cold and final. Karen's eyes widened with shock, but she knew better than to argue with him when he was like this. She stood, carefully setting Plankton aside. He didn't move, just sat there, his body rigid with pain. "Come on, Chip," she said gently, her hand on his shoulder. "Let's give your dad some space." Chip's eyes were filled with tears, his heart breaking at the sight of his father's pain. He didn't know what to do, his mind racing with fear and regret. He allowed Karen to lead him out of the room, the door clicking shut behind them, leaving Plankton alone with his thoughts.

Types of automatisms Type Repeated stereotyped behaviors Orofacial lip smacking, chewing or swallowing movements Manual hand tapping, fumbling, rubbing or picking movements Leg walking, running, pacing Perseverative pre-seizure behavior continues during the seizure Vocal vocalizations Verbal spoken words

Dysgenesis in the brain can be a factor in autism spectrum disorders (ASD): Dendritic spine dysgenesis Atypical numbers and structures of dendritic spines in the central neurons of people with autism. This cellular pathology is also found in experimental mouse models of ASD. Cerebral cortical dysgenesis A malformation of the cerebral cortex that can occur when neural migration is defective during gestation. Symptoms include a thickened cortex, high neuronal density, and poor boundaries between the grey and white matter. Olfactory bulb dysgenesis A dysgenesis or agenesis of the olfactory bulbs and projection zones in the brain may contribute to ASD. Other neuroanatomical abnormalities in autism include: Agenesis of the superior olive, Dysgenesis of the facial nucleus, Reduced numbers of Purkinje neurons, and Hypoplasia of the brainstem and posterior cerebellum. ASD is a chronic condition with a wide range of symptoms, including difficulty with communication and social interactions, repetitive behaviors, and obsessive interests.

A PLANKTON FAMILY STORY x (By NeuroFabulous) They stepped out of the car, the sand crunching beneath their feet. Chip looked over at Plankton, his heart racing with hope. "Ready?" he asked, his voice tentative. Plankton nodded, his antennas lifting slightly. "Let's go," he said, his voice still tight. But there was a hint of excitement in his eye, and Chip felt a glimmer of hope. The beach was relatively empty, the waves rolling gently onto the shore. Karen gave them a beach ball and sat down, watching her family with a mix of hope and trepidation. Chip tossed the ball to Plankton, his eyes searching his dad's antennas for any signs of discomfort. They were slightly elevated, but not as tight as they had been earlier. Plankton caught the ball with unexpected grace, his antennas twitching with concentration. He threw it back with a soft chuckle, his arm moving in a fluid arc. The ball sailed through the air, catching the sun's glint before landing in Chip's outstretched hands. Karen watched from their picnic blanket, her heart swelling with pride. It was a simple game, but it was a bridge between them, a way to connect without words. She saw the tension in Plankton's shoulders ease slightly with every catch and throw, his antennas swaying gently with the rhythm of their play. Chip's laughter was like music, his movements uncoordinated but earnest as he tried to keep the ball in the air. Plankton's eye followed the ball, his antennas twitching in time with the breeze. The beach ball arced through the sky, a bright spot of color against the azure backdrop of the ocean. Plankton's gaze never left it, his focus unwavering. When it reached its peak, he lunged, his arm snapping up to meet it. The crack of the ball against his hand echoed in the salty air as it soared back towards Chip. Sand flew up around his feet as he took a step back, bracing for the impact. The ball hit his hands with surprising force, but he managed to keep it in play. Plankton's antennas waved slightly as he watched, his eye flicking from the ball to Chip and back again. His movements were precise, almost robotic, but there was something undeniably graceful about the way he played. It was as if the beach, the waves, and the wind were all part of a grand symphony, and he was the maestro conducting it with the flicker of a smile. Chip, on the other hand, was a flurry of awkward limbs and enthusiasm. He stumbled and tripped, but never lost his determination. With each catch, his smile grew wider, and his laughter grew louder. He was discovering a new side to his father, one that didn't need words to express joy. Their volleys grew longer, their movements more in sync. Plankton's antennas swayed with the rhythm of their game, a silent testament to his enjoyment. Karen watched from the picnic blanket, her heart full. For the first time in a long while, she saw a genuine smile on Plankton's face, one that wasn't forced or fleeting. But then, Chip's laughter grew too loud, too abrupt, and Plankton's antennas snapped back, his body tensing. Karen's smile faltered, knowing what was coming. "Oh wow!" Chip exclaimed as he made an impressive catch, his voice booming across the beach. Plankton's body jerked at the sudden noise, his eye widening in surprise. For a moment, Chip didn't notice, his excitement clouding his judgment. But then he saw Plankton's antennas flatten against his head, a clear sign of distress. His heart sank as he realized his mistake. "Sorry, Dad," he said quickly, his voice softer. "I didn't mean to..." Plankton's eye blinked rapidly, his antennas quivering as he tried to regain his composure. "It's okay," he murmured, his voice strained. "Just... just don't do that again." Chip nodded, his own smile fading as he saw his dad's distress. He took a deep breath, trying to calm the excitement bubbling inside. "I'm sorry," he said, his voice softer. "I didn't mean to..." But Plankton had already turned away, his antennas drooping as he stared out at the sea. Karen's eyes met Chip's over his shoulder, a silent message of understanding and reassurance. She knew her son had meant well, but the sudden loudness had triggered discomfort, risking sensory overload. Chip felt his cheeks burn with embarrassment. He knew he had to be more careful, more mindful of his father's needs. He took a deep breath, trying to push down the urge to apologize again. Instead, he opted for a gentler approach, his voice low. "Dad, I'm sorry," he said, stepping closer. "Let's sit for a bit?" Plankton's antennas twitched, his body still tense from the sudden sound. He nodded, his eye not leaving the hypnotic dance of the waves. Chip followed his dad's gaze, the apology still lingering on his tongue. He swallowed it down, knowing it wouldn't help now. Instead, he sat down next to him, leaving a respectful distance between them. He watched as Plankton's antennas slowly began to rise, his breathing evening out. The waves continued their rhythmic dance on the shore, and Chip focused on their soothing sound, hoping it would calm his father as well. He knew Plankton was sensitive to noise, and he had forgotten in his excitement. He vowed to do better next time, to remember his dad's boundaries.

: ຼຸ⃝⡳ 🏐 ᪶⃑

A PLANKTON FAMILY STORY ii (By NeuroFabulous) "Let's go downstairs," Karen suggested, her voice still calm but with an underlying urgency. They followed her, leaving Plankton to gather his thoughts. Once they were in the living room, Karen turned to face them. "I know this might be scary, but you guys need to remember that Dad is okay," she began, her eyes full of reassurance. "It's just his way of processing things." Chip nodded, trying to understand. Alex leaned against the wall, their mind racing with questions. "It's like when you get lost in a good book," Karen continued, looking at Alex, "you're not really gone, you're just somewhere else for a little bit." Alex nodded, their eyes reflecting their attempt to grasp the concept. "But why does he do that?" Chip asked, his voice filled with a childlike innocence that masked his worry. Karen sighed, looking from Chip to Alex. She knew it was important for Chip to understand, but she wasn't sure how much Alex needed to know. "It's complicated, Chip. But what's important is that we're here for him." Alex nodded, still not fully comprehending but willing to accept the explanation for now. They could see the love and concern in Karen's eyes and knew it was something serious. "Okay," they said quietly. But before they could leave, Karen spoke again. "Alex, can I have a word?" Alex turned, their eyes meeting Karen's steady gaze. Chip hovered in the background, sensing the gravity of the moment. "Of course," Alex replied, their voice cautious. Karen's expression grew serious, her eyes locking onto Alex's. "You know, what happens here, stays here," she said firmly. "Your friendship with Chip is important to him. And his dad's condition...it's something Chip doesn't even know about yet I will tell him, but it's a bit personal. You did nothing wrong." Alex nodded, understanding the weight of what she was asking. "I won't tell anyone," they promised, their eyes sincere. Karen took a deep breath, appreciating Alex's maturity. "Thank you," she said, giving their hand a squeeze. "But for now, I think it's best if you head on home." Alex looked at Chip, who was still trying to process everything. "But... what about our plans?" Chip's voice was small, his excitement of earlier replaced by confusion and worry. "We'll have to save them for another day, buddy," Karen said, her voice soft. "But I promise, we'll make it up to you." She gave Alex a gentle smile. "Thank you for understanding." Alex nodded solemnly, their eyes darting from Karen to Chip and back. They knew they had stumbled into a situation that was bigger than themself, and they didn't want to cause any more stress. "Okay," they murmured, "I'll go." Chip looked up at Alex, his eyes filling with unshed tears. "Do you have to?" he asked, his voice trembling. Alex forced a smile. "Yeah, I should get going. But I'll see you." They gave Chip's shoulder a comforting squeeze before turning to leave. Karen walked Alex to the door, her mind racing with thoughts of how to explain this to Chip. She knew he wasn't ready to understand Plankton's condition fully, but she also knew that keeping it a secret wasn't fair to him. As they reached the front door, Alex paused. "Is your dad going to be okay?" They asked, their voice filled with genuine concern. Chip hovered behind them, listening intently. Karen nodded, her hand on the doorknob. "Yes, he'll be fine," she assured them. "This happens from time to time. It's just part of him." Alex nodded again, their gaze lingering on Chip. "Okay," they said, trying to sound braver than they felt. "See ya, Chip." Chip managed a weak smile, his eyes still glossy. "See ya," he echoed. The door closed gently, and the house was once again filled with a tense silence.

COMMON ACCOMMODATIONS FOR KIDS WITH AUTISM ELIGIBILITY: OMeS. SPEECHIEPO Sensory/movement breaks Advanced notice of changes in routine Visual Schedules Allow for wait time Provide written instructions Chunking of work Clear, concise directions Access to calming area Give choices when possible Directly teach self advocacy skills

A PLANKTON FAMILY STORY iii ʷᵃʳⁿⁱⁿᵍ: t̶h̶r̶e̶a̶t̶ ᶜᵒⁿᵗᵃⁱⁿˢ ᴰᵃʳᵏ ᵀᵒᵖⁱᶜˢ (By NeuroFabulous) ɪ ᴅᴏɴᴛ ᴄᴏɴᴅᴏɴᴇ ᴀɴʏ ᴏғ ᴛʜᴇsᴇ ᴀᴄᴛs Karen turned to Chip, her face a mask of calmness. She knew she had to explain, but she also knew it wasn't going to be easy. "Let's go talk to Dad," she said, her voice steady. Chip nodded, his hand in hers as they walked back up the stairs. Plankton was still sitting on the edge of the bed. He looked up as they approached. "Daddy?" Chip's voice was small and trembling. Plankton's expression shifted from confusion to realization. He knew he had been somewhere else, lost in his thoughts again. Karen sat down next to Plankton, her eyes meeting Chip's. "Chip, sweetie, there's something we need to tell you about Daddy," she began, her voice a gentle whisper. Chip looked at her, his eyes full of questions. "What is it, Mom?" Karen took a deep breath. "Your Dad has something called autism," she began, her voice soft. "It's like a special way his brain works that makes him see the world differently than we do." Chip's eyes widened. "Is that why he did those weird things?" he asked, his voice filled with curiosity rather than judgment, but that's not how Plankton took it. His expression grew defensive. "Weird things?" Plankton's voice was sharp. "What do you mean, Chip?" Karen's gaze softened as she saw the look of hurt in Plankton's eye. She placed a comforting hand on Chip's shoulder. "Sweetie, it's not that he does weird things. It's just that sometimes his brain needs a break. It's like he goes on a little vacation without telling us. It's called an episode." Plankton flinched at the word, his antennas drooping. "But why does it happen?" Chip asked, his voice still filled with innocence. "Well, autism is like a different operating system for the brain," Karen explained, choosing her words carefully. "Some people with autism have moments where their brains need to recharge or process information in a way that's unique to them. It's not weird or wrong, just different." Chip looked from Karen to Plankton, his mind racing with questions. "So my dad's just being... special?" he asked, trying to make sense of the situation. Plankton's gaze fell to the floor, feeling patronized and belittled by Chip's curiosity. "In a way, yes," Karen said, her voice soothing. "But it's not something to be ashamed of. It's part of who Daddy is, and it makes him special in a lot of wonderful ways." She took his hand in hers, giving it a reassuring squeeze. "But it can also make things difficult for him, like today." Chip nodded slowly, trying to digest the information. "Does that mean he won't ever be able to play with us like other dads?" His question, though unintentionally, was laced with a hint of disappointment. Plankton's eye narrowed, and he felt the sting of microaggression in his son's words. "Chip, I can play with you. It's just sometimes I need to be by myself, okay?" His voice was tight, the frustration of years of misunderstanding bubbling to the surface. Karen intervened, sensing the tension. "Chip, Dad's episodes are just part of who he is. He loves you very much, and he'll always be here for you." But Chip's mind was racing. He couldn't help but wonder if there was something wrong with his dad. He looked at Plankton, his confusion and fear evident. "But why does he have to be like this?" Karen sighed, her heart heavy with the weight of the conversation. "Chip," she said gently, "it's not a choice. It's just how Daddy's brain is wired. It's not something bad, just different." Chip frowned, his brow furrowed as he thought. "But why can't he just turn it off?" He didn't mean to sound so dismissive, but the concept of his father being 'different' was still difficult to grasp. "Why's he gotta have this...this thing? I mean, if it makes him sick, why do we have to keep hanging out with him?" The words were out before Chip could even realize the impact they would have. Plankton's eye snapped up. A wave of fury washed over his face, his small form seemingly growing in size as his autistic mind processed the unintended slight. "You think I'm sick?" he roared, his voice echoing through the room, the walls seemingly trembling with his rage. The sudden outburst startled Chip, his eyes going wide with shock. He had never seen his dad like this before—his usually quiet and introspective father now a whirlwind of raw emotion. Karen's grip on his shoulder tightened, a silent warning to tread carefully. "No, Chip," she began, her voice firm but calm. "Autism isn't an illness. It's not something Daddy can just turn off or ignore." But Plankton's fury was unyielding. He stood up, his entire body trembling with the intensity of his anger. "You think I'm a burden?" he shouted, his voice shaking the very air around them. Karen's eyes flashed with a protective flame, her grip on Chip's shoulder becoming almost painful. "Chip, you need to apologize to your father," she said, her voice leaving no room for argument. Chip looked up at her, his own anger building. "Why? I just want a dad who's normal!" His voice was laced with frustration and hurt. "Why can't he just be like everyone else's dads or else leave?" The words hung in the air like a toxic cloud, heavy with ableism and pain. Karen's face fell, her heart breaking for Plankton. "Chip, that's not fair," she said, her voice a mix of disappointment and sadness. "Your dad can't just change who he is because you don't understand." Plankton's face was a storm of emotion. He looked from Karen to Chip, his anger fading to something deeper, something more profound. It was the look of a man whose entire world had just been questioned by the person he loved most. "You think I'm not good enough?" he whispered, his voice shaking with barely contained hurt. Karen's eyes filled with tears, her heart breaking for her husband. "Chip, that's not what you meant," she began, but Plankton cut her off with a wave of his hand. "Let him speak," he said, his voice deflated. "Let him say what he really thinks." His gaze was unblinking, a challenge in his eye that Chip didn't quite understand. Karen took a deep breath, her heart breaking for the both of them. "Chip," she started, her voice steady despite her tears. "You know we love your dad just the way he is, right?" But Chip's anger and confusion were like a dam that had burst. "Yeah, but why does he have to be like this?" he demanded. "Why don't you just get me a better dad?" The words were like a slap in the face, and Plankton's eye widened in shock. Karen's grip on Chip's shoulder tightened, but she didn't say a word. She knew this was something Chip had to work through on his own. "Better?" Plankton's voice was hollow, echoing the emptiness in Chip's heart. "What makes a 'better' dad, Chip?" Chip's cheeks flushed with embarrassment and anger. "One who can play with me without getting stuck like a broken toy!" he shot back. "Even Mom doesn't want you around when you're like that!" The accusation hung in the air like a sword, slicing through the tension. Plankton's antennas drooped, his eye reflecting a deep hurt that Chip couldn't comprehend. "Is that what you think, Karen?" he asked, his voice barely audible. Karen's eyes snapped to Chip, her expression a mix of anger and sorrow. "That's not what anyone thinks, Chip," she said firmly. "Your dad is a wonderful person. And he's the only dad you've got." But Chip's frustration had taken over. "Yeah, well, maybe you should've picked a dad who actually deserves to be here," he spat, his words dripping with accusation. "May be we'd be happier if we could just start over without the 'autistic' baggage and get someone who doesn't need to be babysat all the time. Or better yet, maybe we should just get rid of him." His voice was harsh, his thoughts racing in a whirlwind of pain and confusion. The room fell silent, the air thick with the tension of unspoken truths and misunderstood pain. Karen's hands were trembling, her eyes filled with a mix of anger and hurt. "Chip, you can't say things like that," she managed to choke out, her voice barely above a whisper. Plankton's expression was unreadable, his body rigid with the weight of his son's accusations. "Is that what you want?" he asked, his voice devoid of emotion. "Do you wish I was gone?" Karen's grip tightened on Chip's shoulder, her eyes flashing with anger and hurt. "Chip, that's enough!" she exclaimed. "You don't mean that!" But Chip's rage was like a wildfire, spreading uncontrollably. "Maybe we would!" Chip shouted, his voice echoing through the room. He didn't know where these words were coming from, but they felt like a release from the pressure cooker of his thoughts. "Maybe if you weren't around, we could be a real family! Even Mom wouldn't have to pretend everything's okay all the time, because she's too nice to go out and get a husband instead of being a burden she has to take care of like a parasite!" The moment the words left his mouth, Chip felt a deep pang of regret. But the damage was done. Karen's hand flew to her mouth, her eyes wide with shock. Plankton's antennas quivered, his face white as a sheet.

A PLANKTON FAMILY STORY iv ʷᵃʳⁿⁱⁿᵍ: t̶h̶r̶e̶a̶t̶ ᶜᵒⁿᵗᵃⁱⁿˢ ᴰᵃʳᵏ ᵀᵒᵖⁱᶜˢ (By NeuroFabulous) ɪ ᴅᴏɴᴛ ᴄᴏɴᴅᴏɴᴇ ᴀɴʏ ᴏғ ᴛʜᴇsᴇ ᴀᴄᴛs "Chip!" Karen's voice was a whipcrack, full of pain and anger. "How could you say such a thing?" Plankton's eye were wet with unshed tears, his body trembling as he stared at his son, his mind racing to process the hurtful words. "Maybe I am a burden," he murmured, his voice so low it was almost lost in the heavy silence. Karen's grip on Chip's shoulder tightened. "That's enough," she said, her voice shaking. "You don't mean that, Chip." But the look on Plankton's face told her that the damage was done. Chip stared at his dad, his heart racing. He hadn't meant to say those things, but the anger and confusion had just spilled out. He saw the hurt in Plankton's eye, the same eyes that had looked at him with love and pride so many times before. He felt a lump form in his throat, his cheeks burning with guilt. "Dad, I'm, I just..." He trailed off, not knowing what to say next. Plankton's gaze was unflinching, his hurt palpable. Chip looked at his dad, his heart racing. He could see the pain etched on Plankton's face, the way his antennas drooped. "I didn't mean it," Chip stammered, his voice shaking. "I'm sorry." The silence was deafening. Plankton's eye searched his son's, looking for any hint of sincerity. Finally, he spoke, his voice barely a whisper. "You've never seen me as a burden before." The words were like a knife twisting in Karen's heart. Karen's eyes filled with tears as she watched the exchange between her husband and son. She had always tried to shield Chip from the harsh realities of Plankton's condition, but now it seemed those efforts had only created a chasm of misunderstanding. "Chip," she said, her voice shaking with emotion, "you know that's not true. Your father is not a burden. He's a brilliant scientist, a loving husband, and the best dad we could ever ask for." Chip's eyes fell to the floor, his shoulders slumping with the weight of his words. "But sometimes it feels like it," he mumbled, his voice thick with regret. Karen's eyes searched Chip's face, trying to understand his pain. "Sweetie, everyone has their own challenges. Daddy's just have to do with the way his brain works. It doesn't make him any less of a person or a dad." But Chip's frustration remained, his voice cracking. "But why can't he just get better?" he demanded, his eyes filled with a desperation that neither Karen nor Plankton had ever seen before. "I mean, if he's so smart, can't he just fix it? If not, then why do we have to keep him around?" Karen's heart sank as she watched the conversation spiral out of control. She knew that Chip didn't mean what he was saying, but the hurt on Plankton's face was real. But Chip wasn't listening. His thoughts had turned to a darker place, one fueled by his desperation for normalcy. In a moment of cruel manipulation, born out of fear and frustration, he looked up at Plankton. "Chip," Karen began, her voice firm but gentle, "autism isn't something that can be fixed. It's part of who your dad is. And we..." But Chip cut her off, his voice driven by a desperate anger that surprised even him. "If you can't play with me, if you can't be a real dad, then maybe you shouldn't be here at all," he said, the words tasting bitter on his tongue. "Maybe we should just... "Chip!" Karen's voice was a whipcrack, eyes filled with horror. "Chip, that's enough!" she snapped. But her words seemed to fall on deaf ears. Chip's mind was a tumultuous sea of emotions—his frustration, confusion, and fear of the unknown had led him to a dark and dangerous place. Plankton looked at his son, his eye wide with shock and pain. "Chip," he began, his voice shaking, "you don't mean that. I'm your father. I love you." But Chip's anger had turned to a cold resolve. "It's for the best," he said, his voice eerily calm. "If you can't be a real dad, then maybe it's time for you to go." The words hit Plankton like a freight train. He felt the air leave his lungs, his antennas drooping further than ever before. "Chip," he choked out, his voice shaking. "What are you saying?" Chip's eyes were cold, his face a mask of determination. "I'm saying that maybe you shouldn't be here," he said, his voice devoid of emotion. "Maybe it would be better for everyone if you just weren't around anymo-" He was cut off by a sound that seemed to shake the very foundations of the Chum Bucket—a wail so deep and mournful that it seemed to echo through the very fabric of their lives. It was Plankton, his tiny body wracked with sobs that seemed too large for his frame. Chip had never seen his dad cry before, and the sight of it made him feel small, his words weighing on him like an anchor. Karen's grip on his shoulder loosened, her eyes filled with a mix of shock and despair. She moved to comfort Plankton, her arms wrapping around him as he collapsed into her embrace. "It's okay," she whispered, rocking him gently. "It's okay." Chip stood there, watching his parents, the gravity of his words finally sinking in. He had never seen his dad like this before—so weak, so vulnerable. A pang of guilt shot through him, and he felt the weight of his own cruelty. Plankton continued to sob, his body convulsing with the force of his emotions. Karen looked up at Chip. "Your dad needs us right now," she said, her voice firm but gentle. "Please, go to your room and think about what you've said." Her eyes were filled with a mix of anger and sadness, but mostly, she looked disappointed. Chip nodded, feeling the full weight of his own words crash down on him. He turned and walked away, each step heavier than the last as he went to his own room.

A PLANKTON FAMILY STORY vi (By NeuroFabulous) Outside, the corridor was cold and empty, the neon lights of the Chum Bucket flickering above them. Karen's eyes were filled with a sadness that Chip had never seen before. "Why did I say those things?" Chip asked, his voice barely above a whisper. "I didn't mean it. I didn't mean any of it." Karen took a deep breath, trying to compose herself. "Your dad's autism is life-long," she said, her voice shaky. "It's not something that you can just ignore or wish away." Her hand rested on his shoulder, warm and comforting. "But it doesn't make him any less of a person, or any less of a father. He loves you so much, Chip. More than you'll ever know." Chip nodded, his eyes still on the floor. "But I hurt him," he said, his voice a whisper. "I don't know how to take it back." Karen's grip tightened on his shoulder. "You will," she assured him, her voice steady despite her own emotions. "You'll learn to understand, and you'll tell him you're sorry. But right now, let's just give him some space." They walked down the corridor, each step echoing in the silence. "But why does Dad get so upset?" Chip asked, his voice still shaky. "Is it becau…" "His emotions can be intense," Karen explained, her voice gentle. "It's part of his autism, Chip. Sometimes, things that seem small to us can feel really big to him." She paused, her gaze distant as she searched for the right words. "Imagine if someone kept turning the lights on and off while you were trying to read a book. It's like that for him, but with sounds, and feelings." Chip frowned, trying to comprehend. "But why does he get so mad at me?" His voice was small, filled with a sadness that tugged at Karen's heart. Karen sighed, her eyes full of empathy. "Your dad's brain works differently, honey," she said, her tone soft. "Sometimes things can be overwhelming for him. And when he's overwhelmed, his feelings can get really big, like a wave that crashes down and covers everything." She paused, considering her words carefully. "It's not because he doesn't love you. It's just how he deals with things." Chip nodded slowly, his eyes still red and swollen from crying. "But why does he freeze up?" he asked, his voice barely above a whisper. "It's like he's not even there." Karen's gaze softened, her hand still on his shoulder. "Sometimes, his brain gets too full, and he ends up having an absence seizure, where he just sort of... goes away for a bit. It's like his brain is taking a quick vacation," she said, trying to make it relatable for Chip. "But he's always right here." Chip looked up at her, his eyes filled with a mix of confusion and fear. "But why does he do that?" he whispered. "Is he okay?" Karen's hand squeezed his shoulder, her eyes full of warmth. "It's a part of his autism, sweetie," she said, her voice soft. "When things get too much, his brain automatically just... takes a break. It's not something he does on purpose, it's just his body's way of coping." "But it scares me," Chip admitted, his voice shaking slightly. "It feels like he's gone." Karen nodded, her eyes brimming with understanding. "I know it's scary, honey," she said, her voice soothing. "But it's important to remember that it's just his brain taking a little break. It doesn't mean he doesn't love you or isn't there for you." "But how do I know when it's going to happen?" Chip's voice was filled with a desperate need to understand, to control the chaos his father's condition had brought into his life. Karen took a deep breath, her eyes full of compassion. "You can't always know, Chip," she said gently. "But you can learn to recognize the signs." Her hand slid down to his, giving it a comforting squeeze. "When he starts getting upset, or if you see him getting overwhelmed, that's when you know he might need some space or a quiet moment to regroup." "But why does he hate hugs?" Chip's question hung in the air, filled with the innocence of a child seeking understanding. Karen took a deep breath, trying to find the right words. "It's not that he hates hugs, Chip," she said, her voice gentle. "It's just that sometimes, certain textures or pressures can be really overwhelming for him. It's like if someone was tickling you non-stop, even when you asked them to stop—it would drive you crazy, right?" Chip thought about it, nodding slowly. "But I don't get it," he said. "Why can't he just get used to it? I've seen you hug..." "It's not that simple," Karen interrupted gently. "I know you don't understand, but hugs can be really difficult for your dad. His body can't always make sense of the sensation, and it can feel like too much all at once." Chip frowned, his eyes searching hers for answers. "But both of you hug each other," he pointed out. "Why.." "It's different for me," Karen said, her voice soft. "Your dad's senses are like a radio that's always tuned in too loud. Sometimes, when we hug, it's like turning the volume down just enough for him to handle it." Her smile was sad but patient. "It's taken us years to figure out what works for us, Chip. Everyone's different, even with autism." Chip nodded, trying to understand. "But what do I do when he doesn't want to hug?" he asked, his voice tentative. "What if I just want to show him I love him?" Karen's eyes searched his, seeing the raw emotion beneath the surface. "You can show him in other ways," she said, smiling gently. "Words, or just sitting near him, or even just being patient with him when he's having a tough time." Chip considered this, his brow furrowed in thought. "But I want to make him happy," he said, his voice earnest. "How do I do that?" Karen's smile was sad, but understood. "You do that by loving him, Chip," she said, her voice filled with warmth. "By accepting him for who he is and not trying to change him. By being patient when he needs space, and by being there when he's ready for company. He does enjoy helping you with your experiments, doesn't he?" Chip nodded, remembering the times his dad had been most engaged and happy. "Yeah," he said, a small smile tugging at his lips. "He's the best at science." Karen's smile grew a little wider at this. "That's because his brain works differently," she said. "Sometimes, the way he processes information can make certain things easier for him to understand and enjoy." "But what if I don't know what to do?" Chip's voice was filled with a desperate need for guidance. "What if I make him upset?" Karen looked into her son's worried eyes and took a deep breath. "You'll learn, Chip. We all do. Your dad has his own ways of communicating, even if they're not always verbal. Sometimes, it's just about paying attention." "What do you mean?" Chip's eyes searched hers. Karen took a moment before answering, her gaze drifting to a spot over his head. "Look for the little things, Chip," she said, her voice thoughtful. "Like how his antennas move, or the way his eye looks. Sometimes, his body will tell you more than his words can. I know when he's happy because his antennas perk up and his eye twinkles." Chip watched her intently, his mind racing with questions. "What about when he's sad?" he asked, his voice small. Karen's gaze softened, her thumb gently stroking the back of his hand. "When he's sad, his antennas drop down," she said. Chip nodded, his eyes studying her intently. "And when he's mad?" Karen's expression grew more serious. "When he's angry, his antennas might go stiff and his brow can get really rigid," she explained. "It's his way of saying 'I'm overwhelmed, and I need you to back off.'" Chip nodded slowly, taking it all in. "And when do you know how he'd like to accept a hug?" Karen looked thoughtful. "Well, his body language will give you clues," she said. "If his antennas are relaxed and pointing slightly towards you, it might mean he's open to one. But always ask, okay?" Chip nodded, feeling a bit more hopeful. "How do I tell if he's uncomfortable with touch?" he asked, his eyes wide with concern. Karen squeezed his hand. "Look for the signs," she said. "If his body stiffens or his antennas pull back, it's usually a clue that he's not enjoying it." She smiled softly. "But remember, everyone's different, even within the spectrum. What works for one person with autism might not work for your dad." Chip nodded, his eyes wide with understanding. "Okay," he said, his voice small. "But what different types of touch..." "It's all about sensory input," Karen said, cutting him off gently. "Some textures and sensations might feel like sandpaper to him, while others might be soothing. It's a delicate balance, and it's different for everyone. But for your dad, he often prefers gentle, predictable touches. Like a soft touch on the arm. But he tends to dislike sudden hugs or pats on the back, or a squeeze of the shoulder." Her eyes searched Chip's, looking for any signs of doubt or confusion. "But always ask before you touch him," she added. "It's important to respect his boundaries." Chip nodded, his mind racing. "But what if he doesn't say anything?" he asked. "How will I know?" Karen sighed, her eyes reflecting the years of experience. "That's the tough part, Chip," she admitted. "Sometimes, your dad can't find the words. But if you pay close attention, you'll see the signs." "Signs?" Chip's voice was filled with uncertainty. Karen nodded solemnly. "When he starts to get overwhelmed, his body will show it," she said. "His antennas might jerk, or his eye might dart around the room. Sometimes, he'll repeat words or phrases over and over, like he's trying to find the right one to express how he feels."

A PLANKTON FAMILY STORY vii (By NeuroFabulous) Chip listened intently, his heart heavy with the realization that his father's world was so much more complex than he had ever imagined. "What do I do..." "When you see those signs," Karen said, her voice filled with patience and love, "you need to give him space. Sometimes, the best thing you can do is just be there for him, without expecting anything in return." Chip nodded, his eyes still swollen with tears. "But what if he needs help?" he asked, his voice small. Karen's expression was a mix of love and concern. "If he's having a seizure, it's important to keep him safe," she said, her tone serious. "Make sure there's nothing around that he could hurt himself on, and don't try to move him unless he's in danger." She paused, taking a deep breath. "And never put anything in his mouth. It can be really scary to watch, but he'll come out of it, I promise." "How will I know if it's a seizure?" Chip's voice was shaky, fear gripping him. Karen took a deep breath, her expression turning serious. "If he just stops talking or moving suddenly, and his eye glazes over, it's probably a seizure," she said, her voice calm and measured. "Sometimes he'll stare off into space, or his body might get really stiff for a moment." She paused, squeezing his hand. "But remember, his brain is just taking a little vacation, okay? And if he convulses or starts to fall, you have to catch him and guide him to the floor safely. It's really important that he doesn't get hurt." Chip's eyes were wide with fear, but he nodded, determined to be there for his dad. "What if..." "If it's a bigger seizure," Karen said, her tone gentle but firm, "you'll know. His whole body might shake, and he could fall to the floor." Her grip on his hand tightened. "If that happens, you need to stay calm. Alert me, and make sure he's in a safe place where he won't hurt himself." With a nod, Chip tried to absorb the information, his stomach churning with a mix of fear and determination. He didn't want his dad to go through that alone. "Okay," he murmured. Karen gave his hand a final squeeze before releasing it. "Why don't we check on him?" she suggested, her voice tentative. "Let's see if he's ready to talk." They approached the bedroom. "Remember, sweetie," she whispered. "Let him set the pace." The door was ajar, letting a sliver of light spill into the hallway. Through it, Chip could see his father, still sitting on the edge of the bed, his antennas slumped in defeat. The room was quiet, save for the faint sound of his father's shallow breaths. Karen knocked gently, her voice soft. "Plankton?" There was a moment of silence before they heard a sniffle. "Come in," Plankton's voice was barely audible. Karen pushed the door open, letting Chip step in first. Plankton's single eye was red and swollen from crying, and he was clutching a worn pillow to his chest while rocking in place. Karen's heart ached at the sight of her husband's distress, but she knew better than to rush in. Instead, she gave Chip a gentle nod, encouraging him to go first. Chip took a tentative step forward, his eyes on Plankton's small frame. He had never seen his dad so vulnerable before, his usual bravado and strength nowhere to be found. Plankton looked up at him, his eye searching, his antennas drooping. For a moment, the room was so quiet that Chip could hear his own heart pounding in his chest. With a deep breath, he moved closer, his heart racing. He knew he had to fix this, to somehow make it right. "Dad," he began, his voice shaking. "I'm sorry. I didn't mean any of it." Plankton's gaze was unreadable, his antennas lying flat against his head. "You don't get it," he murmured, his voice thick with emotion. "You'll never get it." The words stung Chip, but he knew his dad wasn't mad at him. It was frustration, a feeling Plankton struggled to express without it coming out as anger. He took another step closer, his eyes locking with Plankton's. "I want to," he said, his voice earnest. "I want to understand you, Dad." Plankton's antennas twitched, a small sign that he had heard, that he was processing the words.

A PLANKTON FAMILY STORY viii (By NeuroFabulous) Chip's heart ached, his guilt a physical presence in his chest. He knew he had hurt his father, and he desperately wanted to take it back. "I know I don't understand, Dad," he said, his voice quivering. "But I want to learn. I want to be there for you. You're special..." Plankton's antennas perked up slightly at the word 'special'. It was a term he had heard before, but it didn't always come with the warmth and sincerity that filled Chip's voice. "You don't know what that means," he said, his voice low and defensive. Chip felt his heart sink even further, his stomach twisting into knots. "Huh?" Plankton's voice grew louder, his antennas shooting up. "You think because I'm 'special', you can just treat me like a toddler?" He threw the pillow across the room, his anger palpable. "I'm not some kind of science project, Chip!" The room grew tense as Chip swallowed his words, his eyes wide. He had never seen his dad so upset. "Dad," he began, his voice trembling. "I didn't mean it like that. I just want to—" "Don't," Plankton snapped, his antennas pointing sharply at the ceiling. "You think you can fix me with your little experiments?" His words were like a slap in the face, but Chip knew better than to let his own anger flare up. He took a deep breath, trying to calm the storm inside him. "I just want to help," he said, his voice barely above a whisper. "I want to be ther-" "I don't need your help!" Plankton's outburst echoed through the room, his antennas quivering with emotion. "I don't need anyone to 'fix' me, especially not you!" His voice was raw, each word a dagger to Chip's soul. Chip took a step back, his eyes wide with hurt and confusion. "But Dad, I just wa-" "Don't," Plankton said, his voice sharp and final. "Just don't." Chip felt his throat tighten, his words stuck in his mouth. He had never seen his father like this, so raw and exposed. The silence was suffocating, each second that passed feeling like an eternity. Plankton's chest heaved with the effort of containing his emotions. His antennas were a blur of movement, indicating his internal turmoil. Karen watched from the doorway, her heart breaking for both her husband and her son, feeling torn between comforting them and giving them space. "I know," Chip said, his voice small. "But I'm tr-" Plankton's antennas shot up, cutting him off. "You think you know?" His voice was laced with bitterness. "You have no idea what it's like to be me.." Chip felt his heart sink further, his mind racing. "I'm sorry," he offered, his voice small. "But I do know that you're more than just your autism. You're my dad, and I love you." Plankton's antennas remained stiff, his eye unblinking. "Love," he spat out the word like it was a foreign object. "You don't know what that word means either, do you?" Karen stepped forward, her voice a soothing balm. "Plankton, sweetheart, let's not do this," she pleaded. "Chip's just trying to—" "I know what he's trying to do!" Plankton shouted, his antennas jerking erratically. "He's trying to make me feel less than, like I'm so—" "Dad, no," Chip said, his voice shaking. "That's not what I'm doing. I just want us to be closer, like you and Mom.." Plankton's antennas quivered, his body tensing. "Don't bring her into this," he warned. "You don't understand her either." His words were like a slap, but Chip knew his father wasn't in control of his emotions. "I do, Dad," Chip managed to say, his voice filled with determination. "I see how much you both love each other, and I just want to be a part of th-" "Don't you dare!" Plankton's voice was a roar, his antennas thrashing in agitation. "You don't get to use your mother as an excuse for your ignorance!" The room vibrated with tension, each word a blow to Chip's heart. He felt tears prickling his eyes but blinked them back, trying to maintain some semblance of calm. "I'm not using her, Dad," he said, his voice shaking. "I just want to know how to be close to you the way Mom..." Plankton's antennas shot up in a gesture of disbelief. "The way your mother is with me?" his voice was thick with anger. "You think you can just mimic that?" He stood up, his whole body shaking with emotion. Chip felt his heart drop, his words coming out in a rush. "No, Dad," he said, his voice trembling. "I just want to connect with you." He took a step towards his father, his hand outstretched, but Plankton took a step back, his antennas bristling. "I don't like your connecting," Plankton said, his voice cold. "I need you to leave me alone." His antennas waved erratically, a clear sign of his distress. Chip took another tentative step forward, reaching out again.. Plankton flinched, his antennas waving wildly. "I said no!" he shouted, his voice cracking. "I can't do this right now!" His eye darted around the room, seeking an escape from the overwhelming emotions. Chip's eyes filled with tears, but he knew pushing would only make things worse. He took a step back, his arms falling to his sides. "Ok," he whispered, his voice tight with unshed emotion.

A PLANKTON FAMILY STORY ix (By NeuroFabulous) Karen stepped in, her voice calm but firm. "Chip, let's give your dad some space," she said, placing a gentle hand on his shoulder. "He needs time to process this." Chip nodded, his eyes filled with a mix of sadness and understanding. He looked at Plankton one last time, his hand still hovering in the air. Plankton's antennas were still quivering, but his eye had softened slightly. It was a small gesture, but it spoke volumes. He stepped back, allowing Karen to lead him out of the room. As the door clicked shut behind them, Chip couldn't help but feel a sense of failure. He had wanted to bridge the gap between them, but instead, it felt like he had only driven it wider. Chip couldn't shake the image of his dad's antennas, a silent language of pain and anger. He knew he needed to learn to understand these subtle cues, to navigate the complex world of his father's autism. In the quiet hallway, Chip swiped at his eyes, trying to comfort himself with the knowledge that Plankton's outburst wasn't personal. It was just his brain's way of coping with the overwhelming emotions. But understanding didn't make the hurt any less real. He looked up at Karen, his eyes pleading. "What do we do?" Karen's expression was a mix of sadness and resilience. "We give him space," she said firmly. "He needs to come to terms with his feelings in his own way." Chip nodded, his eyes still on the closed door. "But what if he doesn't want me around?" he asked, his voice trembling. Karen took a deep breath, her hand rubbing his back in gentle circles. "Your dad loves you, Chip," she assured him. "He's just scared that you'll never truly understand him." She paused, her gaze thoughtful. "But you can show him that you're willing to try." They walked down the hallway, leaving Plankton's room behind them. Chip felt his heart heavy in his chest, the weight of his father's pain pressing down on him. "How?" he asked, his voice small. "How do I show him?" Karen squeezed his shoulder. "You just do," she said, her voice filled with a quiet strength. "You learn about autism, you learn about his likes and dislikes, and you listen to him." He had wanted to make his father happy, but instead, he had pushed him away. He sat down on the couch, his shoulders slumped. Meanwhile, Plankton remained in his room, his antennas drooping as his thoughts raced. He felt the weight of their conversation, his chest tight with the effort of keeping his emotions in check. He eventually goes out to find Chip and Karen in the living room. "Chip," he said, his voice shaky but determined. Chip looked up, his eyes red-rimmed and hopeful. Plankton stood in the doorway, his antennas slightly less rigid than before. Karen nodded encouragingly, giving him a gentle push forward. "I'm sorry, Dad," Chip said, his voice thick with emotion. "I didn't mean to upset you." Plankton's antennas twitched, his gaze drifting to the floor. "I know," he murmured. "But you have to understand, it's not easy." He took a deep breath, his body visibly relaxing. "I don't mean to push..." Karen stepped in, her voice soothing. "Why don't we all do something we enjoy?" she suggested. "Maybe something that won't overwhelm?" Chip's eyes lit up at the thought. "Yeah, like what?" Plankton took a moment, his antennas moving slightly as he thought. "How about a trip?" he suggested, his voice tentative. "Drive to the beach. It's quiet and calming." Chip's face lit up with excitement. "The beach?" He hadn't been in ages, and it was one of Plankton's favorite places. "Yes, let's do that!" Karen gave Plankton a warm smile. "That's a great idea," she said, her voice filled with relief and gratitude. In the car, the tension slowly began to dissipate as the ocean air filled the vehicle. Chip sat in the back, fidgeting with his seatbelt. "Dad, I want to ask you something," he said, his voice tentative. Plankton turned in his seat, his antennas twitching with curiosity. "What is it?" he asked, his voice a little softer than before. Chip took a deep breath, his heart racing. "I just want to know what I can do to help," he said, his eyes earnest. "What do you like?" Plankton's antennas moved slightly, a sign that he was processing the question. "Well," he began, his voice still tight with emotion, "I like it when you're patient with me." Chip nodded, his eyes never leaving his father's profile. "Okay," he said, his voice small. "What else?" Plankton's antennas moved slightly as he thought. "I like it when you ask before you touch me," he said. "And when you respect my need for quiet sometimes." His eye flickered to the side, looking at Chip. "And I like it when you don't try to change me." Chip nodded, his eyes filling with tears. "I'll try, Dad," he said, his voice earnest. "I'll always ask, and I'll always love you just the way you are."

A PLANKTON FAMILY STORY xi (By NeuroFabulous) Plankton remained silent, his gaze locked on the horizon. Chip's heart ached for him, but he knew his father needed space to regain his composure. He watched as Plankton's antennas gradually lifted from their defeated slump, a subtle signal that he was okay. Chip took a deep breath, the salt air filling his lungs as he tried to think of a way to make things right. He knew he had to be careful, not to push too hard. "Dad," he began tentatively, "I know I messed up with the noise. I'll be quieter. Do you wanna kick the ball around?" Plankton's antennas twitched, his gaze still fixed on the horizon. He took a moment before turning to his son. "It's okay," he said, his voice still a little tight. "Yeah, let's kick the ball to each other.." They resumed the game, their movements quieter now. The beach ball rolled gently across the sand, its soft thuds the only sound between them. Chip felt a newfound respect for the complexities of Plankton's mind, for the challenges he faced every day. Plankton's antennas moved slightly as he watched Chip, his expression unreadable. Chip took care to keep his voice low, his movements slow and predictable. He knew that every little thing mattered to his father, every sound, every touch. As they played, Chip noticed that his father's antennas would perk up whenever a seagull squawked in the distance or a child's laughter carried on the breeze. He also noticed that Plankton's movements grew more fluid when the noise around them diminished. "Let's go closer to the water," Plankton suggested after a while, his antennas swaying gently. "It's quieter there." Chip nodded, understanding that his father needed to escape the potential sensory assault of the bustling beach. They walked in silence, their footprints disappearing behind them in the wet sand. The waves whispered to them, a gentle melody that seemed to soothe Plankton's antennas. When they reached the water's edge, Plankton took a deep breath, his antennas lifting slightly. The cool water made him flinch a bit. "You okay, Dad?" Chip asked, his eyes scanning for any signs of distress. Plankton nodded, a small smile playing on his lips. "Yeah," he said, his voice calmer. "It's just chilly." Karen packed up their picnic, her movements efficient and quiet. She knew the importance of keeping the environment peaceful for Plankton. "Ready to go?" she called out. Chip nodded, his gaze still on his father's antennas. "Yeah, I'm ready." Plankton's antennas remained steady, a good sign. Karen picked up the picnic basket and gave them both a warm smile. "Let's make the trip home," she said, her voice calm.

A PLANKTON FAMILY STORY xii (By NeuroFabulous) They walked back to the car. Chip felt a weight lifted from his chest. Plankton sat in the backseat by Chip as Karen drives. The car ride home was quiet, but it wasn't the uncomfortable silence that usually filled the space. Chip could feel the tension easing as they drove away from the beach. Plankton's antennas were relaxed. As the car hummed along, Plankton's eye began to droop, his head lolling to the side. He was falling asleep, his antennas finally at rest. Chip felt his dad's weight shift, his body leaning into his own. He glanced over. Plankton had fallen asleep on his shoulder, soft snores escaping Plankton's slightly open mouth. Karen glanced in the rearview mirror at them. The sight of Plankton's antennas still, his body relaxed against Chip, filled her with hope. Maybe today was a step in the right direction. Chip felt Plankton's warmth, his snores steady and comforting. He shifted slightly, trying not to disturb his dad's slumber. His own thoughts were anything but calm. He was eager to learn more about his father's condition, to find ways to bridge the gap that had formed between them. Karen's eyes met his in the rearview mirror, her expression a mixture of pride and concern. Her voice was a gentle hum as she said, "You're doing great, Chip." It was all the encouragement he needed to hold his position, his mind racing with questions. The car's soft purr lulled Plankton deeper into sleep, his antennas twitching every now and then, as if dreaming of a world where the waves were made of quiet. Chip felt a strange kinship in this moment, his curiosity about his father's autism growing with every molecule of the salty air that filled his lungs. He studied the contours of Plankton's face, the way his antennas danced with the gentle sway of the car. It was a side of his father he had rarely seen—vulnerable, peaceful, his usual armor of sharp words and defensive sarcasm stripped away. Carefully, Chip adjusted his posture, his muscles protesting the stillness. His hand hovered over his dad's shoulder, unsure if his touch would be a comfort or an intrusion. Plankton's antennas twitched in his sleep, his snores a gentle rumble. Chip took a deep breath and gently placed his hand on Plankton's shoulder, feeling the warmth of his skin beneath his palm. He felt a strange sense of peace spread through him as he held his father up, supporting his sleeping form. The car hit a small bump, and Plankton's head lolled to the side, his antennas flailing slightly. Chip's heart skipped a beat, afraid he had disturbed him. But Plankton remained asleep, his breathing unchanged. He gently adjusted Plankton's weight, trying to find a more comfortable position that wouldn't wake him. The soft snores grew quieter as Chip carefully moved his arm, supporting his father's body with his hand. Plankton's antennas twitched slightly, but he remained asleep. Chip held his breath, his heart racing as he adjusted Plankton's weight. Karen's eyes flickered to the rearview mirror, her gaze meeting Chip's. She offered a supportive smile. "He's okay," she said softly. "You're doing well." Chip nodded, his eyes never leaving Plankton's peaceful form. He felt a strange mix of emotions— relief that his father was at ease, but also anxiety about the fragility of the moment. What if he moved wrong and Plankton woke up upset? What if he didn't move enough and Plankton's shoulder grew sore? Karen's voice was a gentle reminder in the quiet car. "You're doing the right thing," she said, her eyes still on the road ahead. "Just keep being there for him. He must be tired after today." Chip nodded, his gaze never leaving Plankton's sleeping form. He felt the warmth of his dad's body against his own, the soft snores a comfort. As they pulled into the garage, the car's engine purred to a stop. Chip held his breath as his dad's antennas twitched, but Plankton remained asleep. Chip turned to Karen, his expression a silent question. Karen nodded. "Let's get him inside," she murmured. They carefully unbuckled Plankton's seatbelt, his body still heavy with sleep. Chip slid his arm around his dad's waist. Karen opened the door, holding it wide. Together, they moved in a silent dance, lifting Plankton from his seat and guiding him out of the car. His antennas remained still, his body loose and relaxed against Chip's side as Karen put her hands under Plankton's armpits aiding in the gentle transfer. Plankton's head lolled back onto Chip's shoulder, his snores a soft counterpoint to the mechanical sounds of the garage door closing. They both lifted Plankton up by holding his arms, moving slowly and carefully as not to disturb his sleep. The house was cool and dimly lit, designed to be a haven for Plankton. They maneuvered him through the door, his bare feet dragging slightly. As they approached the couch, Chip's heart pounded in his chest. They had to be so careful not to disturb his father's rest. They lowered Plankton's body slowly, inch by inch, until he was lying down. His antennas twitched, but he remained asleep, his chest rising and falling in a steady rhythm. Chip's arm was a cradle, supporting his father's head as they eased him onto the soft cushions.

A PLANKTON FAMILY STORY xiii (By NeuroFabulous) Once Plankton was settled, Chip swallowed his pride and spoke, his voice a whisper. "Can I sleep here by Dad tonight?" Karen paused, her eyes searching Chip's. She knew the request was more than just wanting to be close—it was a plea to be part of Plankton's world, to understand his needs. She nodded. "Of course. Just don't disturb him." Chip nodded. He carefully arranged a pillow and a blanket for his father, tucking him in with gentle precision. Plankton's snores grew deeper, a testament to his comfort, as Chip got a pillow for himself as he got under the blanket. Karen watched from the hallway, her heart swelling with pride. She knew the effort it took for Chip to be so attentive to his father's needs, especially after the emotional turmoil of the day. She whispered a goodnight and retreated to her room, leaving them to their quiet vigil. Chip lay there, his heart racing with the unfamiliar responsibility. He knew Plankton's sleep must be precarious, easily disrupted by the slightest disturbance. He focused on the steady rhythm of his father's breathing, the soft snores that punctuated the silence. He studied Plankton's features in the dim light, noticing the way his antennas lay still against the pillow. He felt a pang of guilt for the stress he had unknowingly caused earlier, but also a fierce determination to be better, to learn and understand. With a gentle touch, Chip reached out and lightly brushed Plankton's antenna. It twitched, but Plankton's sleep remained undisturbed. Chip knew his father's comfort was crucial, especially after the sensory bombards of the day. He lay there for hours, his own thoughts racing with questions about autism and how to support his dad. He made a mental note to find out, to understand the nuances of Plankton's condition, and to become an advocate for his father's needs. The first light of dawn began to filter through the curtains, painting the room in a soft glow. Plankton's antennas twitched, his eye fluttering open. Chip held his breath, not wanting to startle him. Slowly, Plankton's antennas lifted, his body stretching with the beginnings of wakefulness. His eye focused on Chip's face, and for a brief moment, there was confusion. Then, recognition. "Chip?" he murmured, his voice thick with sleep. Chip offered a tentative smile. "Hey, Dad," he whispered. Plankton's antennas swayed slightly as he sat up, his eye blinking away the sleep. He took a moment to process the situation, his gaze flitting around the living room. Last thing he remembered, they were all driving home from the beach.

A PLANKTON FAMILY STORY xiv (By NeuroFabulous) "What happened?" Plankton asked, his voice scratchy. Chip sat up, the morning light casting a soft glow on his face. "You fell asleep in the car," he said softly. "We didn't want to wake you." Plankton's antennas twitched as he took in his surroundings. The couch felt unusually comfortable, and his body was cocooned in the warmth of the blanket. "Oh," he murmured, his voice still groggy. He felt a twinge of embarrassment. He knew he had been tired, but falling asleep in the car was not something he usually did. And in front of Chip? He realizes that he slept through the night. Plankton felt a twinge of self- consciousness, his antennas drooping slightly. He had always been so careful, so controlled, around his son. But here he was, vulnerable and exposed, his body betraying his usual stoic demeanor. Chip noticed the change in his father's antennas, his heart tugging with emotion. He knew this was a side of Plankton that few people ever saw—his defenses down, his guard momentarily lowered. He took a deep breath, trying to think of the right thing to say. "Dad, it's okay," he said, his voice soft. "We all get tired. You just fell aslee—" "I know what happened," Plankton snapped, his antennas surging with irritation. He swung his legs over the side of the couch, his feet finding the cool tiles of the floor. Chip recoiled slightly, his hands coming up in a placating gesture. "I just meant—" But Plankton was already standing, his antennas rigid with tension. He stumbled slightly, his balance off from sleep. Chip jumped to his feet, reaching out to steady him. "Dad, you okay?" Plankton's antennas flattened against his head, his eye darting around the room. "I'm fine," he said, his voice tight. Chip's heart sank at the familiar defensive tone, but he knew better than to push. "Okay, Dad," he said, his voice soft. "Do you wa-" "I said I'm fine!" Plankton interrupted, his antennas bristling. "Just leave me alone." Chip took a step back, his hands up in a gesture of peace. He didn't know what to say, his mind racing with the fear that he had done something wrong. He watched as Plankton's antennas twitched erratically, his father's body language speaking volumes about his inner turmoil. "Dad," he began, his voice low and soothing. "Yo-" But Plankton was already moving away, his steps unsteady as he went to the room he shares with Karen. Chip followed him in, his heart aching for the man he was still trying to understand. "Dad, can we talk?" Chip asked, his voice gentle. "I just want to make su—" "What is there to talk about?" Plankton's antennas were a blur of agitation. "You saw me at my weakest, what more do you need to know?" Chip felt his heart drop, his hands curling into fists. "Dad, I just wanted to be there for you," he said, his voice cracking. "I didn't mean to make you feel..." But Plankton was already fumbling with his pillows, his antennas a flurry of anger as Karen sat up in her bed. Chip tries again, going onto Plankton's bed. "Dad, you don't have to be self-conscious with me," Chip said, his voice earnest. "I wa-" Plankton's antennas shot up, his eye flashing. "Don't tell me what I feel!" he snapped. "I said to leave me alone, Chip!" Chip felt the sting of his father's words, but he knew that the anger was a defense mechanism. He took a deep breath, trying to maintain his calm. "I'm sor-" "Just go, Chip," Plankton's voice was exhausted. "Please." Chip felt the rejection like a physical blow, his cheeks flaming with embarrassment. He knew he had overstepped a boundary, but he wasn't sure which one. Karen's expression was one of sadness as she watched the exchange from her side of the bed. "What's going on?" Plankton took a deep breath, his antennas still agitated. "Chip just... he saw me fall asleep in the car," he said, his voice gruff. "He's been hovering ever since!" Karen's eyes searched Chip's face, seeing the hurt and confusion. "Chip," she began gently, "your dad's just overwhelmed. He's not used to being so vulnerable in front of you." Chip nodded, his throat tight. "I just saw him sleeping," he said, his voice small. "I didn't... he just woke up, and he-" Karen held up a hand, her gaze compassionate. "It's ok," she said. "Just give him some space." Chip nodded, his eyes still on Plankton's retreating back. But as Chip stood up, his elbow accidentally brushed against one of Plankton's antennas. The reaction was instantaneous— a sharp intake of breath, antennas springing straight up. Chip froze, his heart racing. "I'm sorry," he stuttered, his hand reaching out to apologize. But Plankton's eye had gone wide, his antennas quivering with sensory overload. "Don't touch me!" he snapped, his voice high-pitched and strained. Chip's hand recoiled as if burned, his own eyes wide with shock. "Dad, I'm sorry!" he exclaimed. "It was an accident, I didn't mean to—" But Plankton was already retreating, his antennas a wild mess of sensory overload. "I said don't touch me!" he repeated, his voice trembling. "Just get out!" Chip stepped back, his hands lifting in the air as if to ward off the accusation. "Dad, I'm sorry," he said, his voice shaking. "I didn't mean to—" But Plankton was beyond words, his body a live wire of sensory assault. Chip had inadvertently touched a nerve, literally and figuratively. The sudden contact had sent a jolt through his father's system, setting off a storm of sensations that Plankton was desperately trying to contain. "I'm sorry, I'm so sorry," Chip murmured, his eyes wide with concern. He knew he had to respect Plankton's boundaries, especially after all the conversations they'd just had about his condition. He backed away, his hands up in a non- threatening gesture. Karen's voice was calm as she addressed her husband. "Plankton, love, it's okay. It was just an accident. Chip's here to help." Plankton's antennas slowly lowered, his breaths coming in short gasps. "Dad," Chip said gently, his voice tight with worry. "I'm sorry." He took another step back, giving his father the space he so desperately needed. "I wanted to he-" "I know," Plankton's voice was strained, his antennas twitching with the effort to regain control. "I know you meant well, Chip." The room was thick with silence, the tension palpable. Karen rose from the bed, moving towards Plankton with careful steps. "Plankton, let's sit down," she suggested, her voice soothing. He sat down on his bed. But as Chip stepped back, his elbow brushed against the bookshelf, and the carefully arranged books came tumbling down. The thunderous sound echoed through the room, Plankton's antennas shooting straight up in alarm. Not only was it to loud, but the books were all carefully alphabetized, yet now they lay scattered on the floor.

A PLANKTON FAMILY STORY xv (By NeuroFabulous) The sudden chaos was too much for Plankton to bear. Karen and Chip watched in horror as Plankton's anger transformed into something beyond mere irritation—it was a full-blown meltdown. With a roar of frustration, Plankton swept his arms across the bedside table, sending the lamp and various knick-knacks crashing to the floor. Chip's eyes widened as he took in the destruction, his heart racing with fear and confusion. "Dad, no!" he shouted, rushing forward to intervene, but Karen's hand on his shoulder held him back. "Let me," she murmured, her eyes on Plankton, who was now on his knees, his antennas quivering with rage as he grabbed at the blanket, tearing it from the bed. Karen approached Plankton slowly, speaking in a calm, soothing tone. "Plankton, love," she said, her voice barely audible over the cacophony of his distress. "It's okay. It's just a mess, which can be easily fi-" But her words were drowned out by the crash of a vase smashing against the wall. Chip felt a pang of fear and helplessness as he watched his father. Plankton's rage was a living entity in the room, his antennas a blur of motion. Everything he touched, everything he saw, seemed to fuel his fury. With each crash and shatter, Chip felt his heart break a little more. He'd never seen his dad like this—so out of control, so overwhelmed. Karen's calm demeanor was a stark contrast to the chaos. "Dad, please stop," Chip pleaded, his voice trembling. "You're scaring me." But Plankton was beyond words, his autistic mind overwhelmed by the sensory assault. The now messy books hitting the floor had triggered a storm of emotions, each one more intense than the last. He had always managed to keep his meltdowns in check around Chip, but tonight, the dam had broken. Karen moved closer, her hands outstretched. "Plankton," she said calmly, "It's okay. Just breathe." But Plankton's eye was wild, his antennas a blur of overstimulation. He didn't heed her; he saw only the chaos that Chip had unwittingly unleashed. The room spun around him, a whirlwind of sounds and sensations that he couldn't escape. Karen knew the signs, having seen this before. With a gentle touch, she managed to get Plankton to look at her. "Look at me," she whispered, her voice steady. "Just focus on my voice." Slowly, the storm in Plankton's antennas began to subside. His breathing was still ragged, but he was no longer thrashing. Chip stood there, his body tense, his eyes fixed on the shambles of the room. He felt a mix of guilt and fear, his mind racing with what to do. Karen's voice broke the silence, firm but kind. "Chip, go to your room," she instructed. "Let me handle this." But as Chip turns to do so, he sees the look in Plankton's eye—it's a mixture of anger and fear. He knew he had to do something more than just leave. With a shaky hand, he reached out to his father, his heart pounding in his chest. "Dad," he says, his voice trembling, "I'm here, and I didn't me—" But as Chip touches his cheek, that's when Plankton's fury boils over. With a snarl, Plankton shoves Chip away, sending him crashing into the wall. "Don't touch me!" he screams, his antennas a blur of rage. "Don't you ever touch me!" The pain explodes in Chip's chest as he hits the wall, his breath knocked out of him. His heart thunders, his mind racing as he tries to process his father's rejection. "Dad, I'm sorry," Chip stammers, his voice hoarse with emotion. "I just wanted—" But Plankton's anger has reached a fever pitch. Karen's eyes widened as she saw the rage in her husband's antennas, her heart racing as she realized the depth of his distress. "Chip," she said firmly, her voice cutting through the tension. "Go to your room, now." The pain in Chip's heart was palpable, but he knew his mother was right. He stumbled backward, his eyes never leaving his father's distressed form. Plankton was now standing, his antennas twitching violently, his whole body trembling with the intensity of his emotions. Karen's gaze flickered between her husband and son, her face etched with concern. "Plank..." But Plankton didn't hear her, his focus solely on Chip. With a roar of fury, Plankton tried to swat at Chip, but Karen stepped in, her arms wrapping around Plankton's body. The sudden restraint only intensified his rage. He struggled against her, his antennas a wild whirl of sensory assault. "Let me go!" he bellowed, his body a blur of flailing limbs. Karen held firm, her eyes never leaving Chip's as she whispered, "Go, now," her voice carrying a quiet urgency. Reluctantly, Chip turned and stumbled out of the room, his mind whirling with confusion and pain. He knew his father's meltdown wasn't personal, but the force of Plankton's rejection felt like a knife to the heart. As the door clicked shut behind him, he leaned against it, his breaths coming in ragged sobs.

A PLANKTON FAMILY STORY xvi (By NeuroFabulous) ᴀɴxɪᴇᴛʏ/ ᴘᴀɴɪᴄ, ꜰɪɢʜᴛɪɴɢ ⚠︎︎ Karen's eyes filled with a mix of concern and determination as she held onto Plankton. She knew his meltdowns could be intense, but this was uncharted territory. His body was rigid with anger, his antennas flailing as he tried to free himself. "Plankton, you need to calm down," she said firmly, her voice steady despite the fear. "You're okay." But Plankton's antennas only twitched more erratically, his body thrashing as he tried to break free. "Let me go!" he screamed, his voice hoarse as Karen's grip tightens. Karen only holds on tighter, her love and concern a silent plea as she tries to soothe her husband's erratic movements. "Plankton," she repeats, her voice calm but firm as he flails. "Please ju—" Her words are lost in his growling as he tries to push her away. But Karen is determined, her arms restraining him. "Plankton, love, Chip's gone, and I need you to li—" But Karen's words were lost as Plankton's struggle grew more intense. His antennas whipped back and forth, a visual manifestation of the tempest inside him. Despite her soothing tone, his body thrashed wildly in her embrace. Karen felt her own heart race, worry etched deep in her features as she held on. This was not the gentle, loving Plankton she knew, but a version of him overtaken by his condition—his autism turning the man she loved into a creature of chaos. Plankton fought against her, his body contorting as he tried to escape her arms. His eye was wild. Karen's heart pounded in her chest, her mind racing with fear and love. She knew this was the autism speaking, not the man she knew. She tightened her grip as he began to throw his weight around. Plankton's antennas slapped against her, his movements unpredictable. "Chip's gone," she said calmly, her eyes locked onto Plankton's, trying to reach the person beneath the rage. "You're safe and so—" But Plankton's struggle intensified, his antennas a whirlwind of agitation. He threw his head back, hitting Karen's chest with a thud that reverberated through the tiny room. Karen winced, her grip never wavering. "Plankton," she said, her voice even, "I'm here for you. Chip's not in here anymo-" Her words were cut off as Plankton's body spasmed, his antennas lashing out and hitting her face. but she didn't release her hold. "I know it's hard," she murmured, "but I need you to be still. Hold still..." Plankton's eye was wild with fear, his antennas a blur as his body thrashed. "Let go!" he roared, his voice cracking with emotion. That's when Karen realizes Plankton's no longer fueled by anger, his movements no longer intentional but rather was involuntary jerks and twitches, as she saw in his eye the fear and panic. She now realized he knew Chip's gone and that since then, he's only been fighting out of terror. Karen realizes in horror that she only made it worse. Her heart clenched tightly in her chest as she recognized the traumatizing impact her restraint might have had on his overwhelmed autistic mind. She then immediately loosens her grip. "Plankton," she whispers, her voice shaking with her own fear and concern, "I'm sorry, I'm so so—" But her apology is lost as Plankton's antennas quiver, his body convulsing in fear. The realization hits her like a ton of bricks—she's not his protector right now, she's his tormentor. Karen's heart breaks as she watches the man she loves recoil from her own touch. She quickly releases him, stepping back to give him space. Plankton's antennas slap against his body as he stumbles backward, his legs giving out. He hits the floor, his antennas spasming as he curls into a ball, his whole body shaking with sobs. Karen's eyes fill with tears as she watches him, her heart breaking into a million pieces. She had only wanted to help, to be there for him, but instead, she had become his enemy. The fear in his eye was a knife to her soul. She knew the trauma her restraint had caused him, and she wished she could take it all back. "Plankton," she says, her voice barely above a whisper, "I'm so sorry." She holds out a tentative hand, hoping he'll understand that she's not a threat. But Plankton's antennas don't still, they pulse with fear as he scrambles away from her, his eye wide with terror. "No," he whispers, his voice hoarse. "Don't.." The word hangs in the air, a testament to the chasm that's suddenly opened between them. Karen's hand falls to her side, her heart racing. "Plankton, I won't touch you," she says, her voice shaking. "I'm just going to give you some space." Plankton's antennas slowly unfurled from their defensive cringe, his body uncurling from the fetal position. His chest heaved with heavy breaths, his eye darting around the room. The chaos from the meltdown had subsided into stillness, but the fear remained. Karen's eyes were red and puffy, her own pain mirroring his. She took a tentative step towards him, her hand outstretched. "It's okay," she whispered, her voice shaking. "I'm not going to touch you, I just want to make sure you're okay." Plankton's antennas quivered, his eye darting to her hand and then back to her screen. He knew her, knew she loved him, but fear had taken hold, twisting his reality into something unrecognizable. With each step she took, his heart hammered in his chest, his body taut with tension. He scooted away, his breaths coming in shallow gasps. Karen's eyes searched his, a silent plea for understanding. "Plankton," she whispered, her voice barely audible over the echo of his sobs, "please, let me help." Karen's hand hovered in the space between them, desperate to offer comfort but respecting the invisible boundaries Plankton had drawn. Tears of regret were shed. She wanted to take back her fear-induced restraint, to erase the terror from his face. But she knew it wasn't that simple. So she picked up the books and organized them the way Plankton had them, then cleaning up the remnants of the mess he made. Plankton watched her from his spot on the floor, his antennas still quivering with fear. He knew she was his safety, but the trauma was fresh, the trust fractured. Each movement she made was a potential threat to his sensitive state. His breaths came in shallow gasps, his body still poised to flee. Karen worked quickly and quietly, her movements calculated to cause the least amount of disturbance. The room slowly regained its order, the books back in their proper place, the broken vase cleared away. With each item she picked up, she felt a piece of their relationship mend. Finally, she turned to Plankton, who remained huddled on the floor. Her heart ached at the sight of him—his body still tense, his antennas drooping with exhaustion. "Can I help you up?" she asked gently, her hand extended tentatively. Plankton's antennas twitched slightly, but he didn't move. The fear had not fully abated, but the chaos had dulled to a murmur. He knew his wife was there, a beacon of safety in a world that was still spinning out of control. Karen knelt beside him, her hands hovering just above his shaking body. "You're okay," she whispered. "You're safe, and I'm sorry," Karen said, her voice thick with emotion. "I didn't mean to scare yo-" But Plankton's response was unexpected. A sudden gagging sound erupted from his throat, his antennas twitching erratically. Karen's eyes widened as she saw his face contort in fear and anxiety. "Plankton?" she asked, her voice laced with concern. "What's wrong?" Plankton's antennas shot straight up, his body convulsing as he tried to swallow down the panic that was rising in his throat. He was gagging, his eye squeezed shut as if to block out the world around him. Karen's heart skipped a beat as she realized the severity of his distress. "Plankton," she said, her voice urgent. "Look at me." Plankton's antennas quivered as he opened his eye, his gaze locking onto Karen's. Her eyes searched his, looking for any sign of understanding, any glimmer of the man she knew and loved beneath the fear. The gagging subsided, his body still trembling with adrenaline. "I know you're scared," Karen continued, her voice soothing and gentle. "And it's my fault. But I'm here to help." Slowly, Plankton's antennas lowered, his body beginning to relax. He swallowed hard, his gaze never leaving hers. Karen moved closer, her hand still outstretched. "Can I?" With a nod, Plankton allowed her to touch him, his antennas still quivering with residual fear. Karen lifted him up gently, her touch feather-light as she guided him to the bed. He collapsed onto the mattress, his body finally giving in to the exhaustion that had been building all night. The room was eerily silent. Karen sat beside Plankton, her hand on his shoulder, her eyes never leaving his. "I'm so sorry," she whispered again, her throat tight with emotion. "I should have known better. I just wanted us all to be safe.." Plankton took her hand, putting it on himself in the way he felt like was comfortable. "I'm sorry Karen, but I love you so much. I understand. Thank you, it's the thought that counts.."

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.

abled people: can you do the thing?? disabled people: … technically yes BUT it would hurt l/ruin my day/trigger a flare/exhaust me/be a fall risk/make me more sick AND THEN I would have to spend a day in bed/increase my dosage/cancel all my other plans/spend a week recovering afterwards abled people: … but you CAN do it

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

|||||| | o o | | > | | \_/ | \___/ __| |__ / \ | | | | _________________| | | |_____________---__ / | |_____| | / / / /| mga / /_| _ |_\ / / / / | / / / / / / /__/ / /| /____________________/ / / /__________/___\_/_/ / | |____________________| |_| |__________________|/ | |____________________| |_| |__________________| / ____| | | | | | || | / | o o | o o || o o | / |______________|_____________||_______________|/

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

Tumblr @theconcealedweapon Do you have a disabled neighbor who receives benefits because they can't work but you see them playing a sport with their child, doing yardwork, or doing other physical activity? That doesn't mean they're faking their disability. If someone can do physical exercise for an hour on a good day, that doesn't mean they can do it on command for eight hours straight then do it again the next day and the next and the next and the next. Disabled people should not have to perform their disability to your standards.

Tue June 22nd, 2010 at 9:39pm I work with Autistic children every week. I work with a boy who has never spoken to me. Today he looked me straight in the eye and said “Thank you, Samantha” I cried so hard. He GMH

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

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

https://molecularautism.biomedcentral.com/articles/10.1186/s13229-024-00586-5

"disabilities aren't aesthetic" Yes, but you don't need to say this under the posts of disabled people showing off cute mobility aids, decorated med organisers, a cute bed set up, the art piece that represents their disabilities, etc. Whether theyre your fellow disabled folk or especially so if you're able-bodied/neurotypical, allow disabled people freedom of expression and the little joys they can. People cope with their disabilites in diverse ways, and sometimes that means you will see a disabled person romanticizing their life, or making their aids aesthetic. Someone existing and expressing themselves, making their lives more comfortable and enjoyable, should not be seen as ”glorifying” anything. I’m not telling anyone to go make themselves disabled, nobody should take their health for granted.

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

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