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DOCTORs APPOINTMENTs Before a procédure, get to meet the physıcıans 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 procédure, look up the physıcıans and/or the clınıcal website. Find pictures of the inner building and search for FAQ, policies, procedures, reviews, etc. Before a procédure, 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 fıngers before they use it in your møuth. Perhaps they can put something on if you don’t like the suck¡ng nóise. See how you feel with the specific docтor. 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 docтor teach you how much you can do. Ex: for a strep thr*at test, ask if you can swab your own thr*at, even have them hold your hand whilst you do it in a mirror. Or tell them the way your thr*at structure may find it easier to tilt, etc. (my search NeuroFabulous)

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😷 If it’s a same day appointment without any preparation beforehand, still let them know any needs. Even if it’s not worth it to spend nearly an hour on preparing something especially for you, still let them know what might work best for you. If they need to use a speculum, ask for a small one! Even if they can’t use all their time convincing you of how convenient something might be, still tell them if you cannot do certain methods while feeling safe. Is there something on hand to relieve even a little pain? Can it be self administered at home? Can you sit in a different chair? If you cannot possibly resolve something as much as you’d like, ask for them to at least tell you what’s going on and ask how they might cope with similar sensations. Can an X-ray be done instead of a biopsy? If not, ask for them to take your concerns into account and go from there, such as a less invasive tool designed for the same purpose. Wear a long skirt or a dress so you can just pull it up rather than take your clothes off. You can also bring a jacket or different pants to change into. Take headphones and listen to music, explain you're nervous and would not like to hear much about what's going on but just to be told when they've started and when they've finished. Focus in on what you're listening to. Say if it’s your first time doing a certain procedure and mention your concerns. Acknowledge you understand people don’t necessarily enjoy it for fun. Knowing can make you less anxious. It’s definitely worth asking something like ‘I do find this procedure extremely painful, could you try with a X?’ The procedure is easier for them to perform if you’re not squirming around in pain so there’s no reason for them not to at least try. Pamper yourself. Count as you breathe. Breathe in 1-2-3-4. Breathe out 1-2-3-4. If the doctor's good, they'll keep you talking and talk to you for further distraction, and walk you through each step they take. Most of the time, certain tests don't take much longer than 30 seconds and afterwards they'll leave you alone so you can recover if you need it. Talk to them beforehand so they know you're anxious, and see what they can do to help you get through it. Knowing options are always open to you if you need it can help put you at ease. Knowing what certain tests feel like can make it go smoother and easier to manage. Mentally walk yourself through the procedure before it happens while doing slow breathing exercises - breath in for five counts and out for five (or longer) while walking yourself through what to expect with your eyes closed. If at any point you get nervous, keep breathing and open your eyes. Once comfortable, continue through the procedure and just keep breathing. Don’t dismiss true concerns so you can decide what might be best for you. Gather all available facts to make informed decisions with the medics. Discuss the procedure with the medic and what they will do and when it happens. While the procedure happens, ask them to explain what which thing it is they’re doing next and how it might feel. Tell them if at any point you express discomfort, they check in with you and do not proceed until you give them the green light. Make sure nothing is put in you if you have not consented to or understand the purpose of. It’ll help you stay in some control if you are allowed to say if you wanted to stop at any given time to get through it. Anyone could find any experience distressing, but one’s distress can be magnified by the facts of how they are autistic, traumatized, etc. Just like with any other condition, doctors should have to take into account a particular person in their office and adjust what they’re doing to meet the needs of said patient. Jot down in advance everything you want to discuss to know exactly why, when and how something is to be. Ask for details and mention anything. Think about the muscles in your legs as you close your eyes. Imagine you’re at home, or think of a show. Anything to make it seem less intimidating. Give them notes you’ve taken. Ask if you can pace. Even if you aren’t a child, you still may need the catering even if you understand what medics are for. Make kits. Ask them to listen to you and to take time with you to make it more comforting. Advocate as feedback. 😷

Concerns to ask the doc if needed 😷 Although benefits can outweigh much, it’s still a worry. Even if it temporarily lasts a second, a person's pain should be taken into account. I’m not saying you should go under deep sedation just to get teeth cleaned, especially if you don’t need it. If you are having trouble tolerating certain exams, tell them to keep it in mind so the procedure can be easier on both of you. If you experience intense pain and find it hard to tolerate, request for ways to make it easier. Thank you for taking the time to care for me (be sure to show gratitude before, during and/or after) Can you explain the procedure to me? How long will it take? Can we count up or down to the number? Can you explain what you're doing as you begin to do it? Because it’s been hard in the past when X, so can we look at some techniques? Can I drink water before or during the procedure? Do you have a heat pack or ice pack nearby? I want to get it over with and I’d like it to be easy for both of us. If you have a distraction tool (like telling jokes) to use I’d still like to let you know about X knowing my concerns will still be taken into account. Can we talk beforehand and walk me through the procedure as it will happen, step by step? Do you have any non invasive ways to check for X? Can you do it another way instead? Do you have any smaller and/or softer instruments to get the job done? Can you apply something (like warmth, gel, etc.) to the instrument beforehand? Is there a way to get around it? Can I say if I wanted to stop (said procedure) during any time? Can I make informed decisions to decline X? When it comes to certain exams, I’ve sensory issues, trauma, etc. Do you know any breathing exercises or any methods to accommodate my specific needs? It’s not anything personal, it’s not distrust, but I want it to go easy for both of us. 😷

Tips 😷 Depending on the procedure, meet the one treating you to see if they are a good fit for you. If they seem nice and willing, find something where you can both agree to make it better for the both of you. If you can notify them ahead of time, mention your needs. “I have autism which might contribute to my discomfort. What can I bring to the clinic? Can I leave my pants on, or can I wear a skirt instead of having to undress? Can you prepare smaller medical tools? Do you have sedatives? Are numbing agents readily available? Do you have a room with an adjustable seat? What’s the best treatment for me? Are there other options to make it easier to get care?” Look up pictures of the place, visit it, read any rule policies and see if they can accommodate to getting special permission for certain aspects. Get a personalized treatment plan. Use telemedicine, an appointment over video, phone call or text chat, when available and appropriate. Ask about at home tests you can send. Tell your doctor about your worries. They might be able to help you address them.

💉 Subcutaneous injections tend to be less painful than intramuscular injections because the needles are smaller and do not have to push through as much tissue. 💉

Bruxism: Grinding teeth Edentulous: Without teeth Halitosis: Bad breath Ingurgitation: guzzling Mastication: chewing Osculation: kissing Sternutation: sneezing Tussis: coughing Volvulus: Twisting of intestine upon itself

𓏲 　🍼　ﾟ⠀⠀ ･₊ ˚ ⠀ ࿐ 𝗒𝗈𝗎𝗋 𝗋𝖾𝗆𝗂𝗇𝖽𝖾𝗋 𝗍𝗈 𝗍𝖺𝗄𝖾 𝗒𝗈𝗎𝗋 𝗆𝖾𝖽𝗂𝖼𝗂𝗇𝖾, 𝗂𝖿 𝗒𝗈𝗎 𝗍𝖺𝗄𝖾 𝖺𝗇𝗒 ♡ 　ɞ ⠀⠀ ⠀ . 　🌸　⋆༉

Why write such about comfort characters? as a way to express creativity a coping mechanism enjoy the friendship bonding side of it enjoy seeing characters being comforted and cared for after enjoy characters dealing with hard things it makes good story character development @ALYJACI

__________ [___________] | . - . | | , ( o . o ) . | | > | n | < | | ` ` " ` ` | | POISON! | ` " " " " " " " `

@notfeelingverywell You know what’s such a good trope When, in hurt comfort fics, the injured/sick one looks so vulnerable that the other characters have a realization about how small/young/fragile they are and get a renewed surge of protectiveness January 16th, 2023, 3:08 PM

nondivisable some of yall need to understand that "my bødy, my chøice" also applies to: addicts in active addiction with no intention of quitting phys dısabled people who deny medical treatment neurodivergent people who deny psychiatric treatment (yes, including schizophrenic people and people with personality dısorder) trans people who want or don't want to medically transition and if you can't understand that, then you don't get to use the phrase

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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

A recent paper published in the journal Clinical Infectious Diseases suggested that tetanus and diphtheria booster vaccines are not necessary for adults who have completed their childhood vaccination series. This advice aligns with the current World Health Organization (WHO) The conclusion aligns with the World Health Organization's recent recommendations to only routinely give adults tetanus and diphtheria vaccines if they didn't receive a full series of shots as children. Adults do not need tetanus or diphtheria booster shots if they've already completed their childhood vaccination series against these rare, but debilitating diseases, according to research published in the journal Clinical Infectious Diseases..

Fever Comfort Just some things a caregiver might do to make someone with a fever feel a little better. For when they’re a bit uncomfortable and has a loving caretaker around. IMPORTANT NOTE: This is not medical advice, but please use these in your sickfics because I love reading about them. 🥶 If they’re cold and shivering: Wrap a blanket around them. Maybe two! Provide a hot water bottle or heated wheat pillow Put the warmest, softest pair of woolly socks on their chilly feet Tumble dry their pyjamas/dressing gown Warm their icy hands between your own Tuck them in nice and tight under the duvet Wrap them up in several layers of clothing, especially if they’re outside or need to go outdoors for whatever reason Classic: Use body heat to help warm them up, get under the covers with them Put them in an armchair close to a fireplace 🥵 If they’re too hot: Flip their pillow to the cool side Open a window to let in fresh air Put a fresh set of sheets on the bed Provide a cold water bottle, or wheat pillow in the freezer Help them into lighter clothing We of course have the classic “washcloth to fevered forehead” but also consider these areas to wipe down or place a cool cloth on for comfort: Closed eyelids Cheeks Side or back of the neck Chest Wrists / hands / arms Ankles / feet / legs Yeah basically the whole body 😣 If they’re in pain: Close the curtains to help with their headache and/or help them sleep Make sure they’re hydrated Massage their achy muscles Provide fever reducers / pain medication Make them hot cups of tea to soothe their sore throat. Don’t forget the honey! Gently stroking fingertips up and down their arms / legs / back in a soothing fashion (think ASMR light touch tracing) Holding them close, perhaps gently rocking back and forth, helping them fall asleep to aid their recovery Those are the things I could think of for now. Please use these and/or expand the lists with your own suggestions 😊

prospectkiss Sleepy intimacy is one of my favorite things, and I think the last point is why - it’s all about trust. Trusting someone enough to let your guard down. To lower your defenses. To be vulnerable. That kind of trust is not always given easily, which is what makes sleepy intimacy so heartwarming.

hurt/comfort (fandom slang) A genre of fan fiction in which a character receives comfort from another after or while suffering injury, illness, or a traumatic experience. H/C stories appeal to readers in different ways. While genres for these stories range from drama to mystery, many stories are classified by their authors as romances or as “hurt/comfort” stories. Hurt/comfort is a fanwork genre that involves the physical pain or emotional distress of one character, who is cared for by another character. A great trope if you want to bring two characters closer together, or if you want to show how deep their relationship goes.

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

Autism and Anxiety AUTISM Medical Visits and Autism: A Better Way Strategies to reduce anxiety during doctor visits. Posted April 6, 2019 Going for a medical visit can be a scary proposition for any child. A child on the autism spectrum has to cope with all of the usual fears associated with seeing a doctor. However, for the autistic child, there are a host of other factors that can make seeing the doctor not only unpleasant, but also downright terrifying. Some of these factors are: Waiting Waiting is unpleasant and difficult for most children to do. However, for the autistic child, waiting can result in very high distress. Children on the spectrum may struggle with the concept of time, and thus may not find comfort in being told that they will be seen in X number of minutes. Waits at the doctor's office also tend to be unpredictable, and this unpredictability often creates high anxiety for autistic kids. Abrupt Transitions Doctor's offices are busy places. When it is time to move from one part of the visit to another, there is often pressure to do it quickly, without advance notice. These types of abrupt transitions can be very unsettling for the child on the autism spectrum. Sensory Sensitivities Doctor's offices are not very sensory-friendly places: bright lighting, unfamiliar sounds, unpleasant smells, and multiple intrusions on the tactile senses (e.g., blood pressure cuff, feel of stethoscope) can be very difficult for an autistic child to process and cope with. Language Processing Being asked multiple questions—often at a quick pace—can quickly overwhelm the language-processing capacity of a child on the spectrum. The use of abstract language and unfamiliar medical terms can further contribute to anxiety. The Consequences of Health Care Anxiety Health care-related anxiety can have serious consequences. The child on the spectrum may be distressed not only during the visit, but for days (or even weeks) before. Challenging behaviors during the visit (due to anxiety, not intentional) can prevent health care providers from conducting a thorough evaluation, and may make it difficult for parents to ask questions or to express their concerns. A Better Way Fortunately, there are a number of strategies that parents and health care providers can use to substantially reduce the anxiety associated with medical visits. Ideally, parents and providers should work together in developing a plan that will target each individual child's needs. These strategies include: Bring comfort items. A favorite toy or stuffed animal can help to reduce anxiety during procedures. Use distraction. Distraction can divert attention away from fear-filled procedures. Distractions can be physical items (such as toys or video games) or the use of a familiar person that the child feels comfortable with. Do a "dry run." Visit the office and meet the staff before the first official appointment. Use clear language. Health care providers should use concrete terms and a conversational pace that is manageable. Bring communication systems. Ensure that communication systems include words and phrases which may be used during an appointment. Use a visually supported schedule. This can help the child to understand what will occur next during a visit. Use familiar staff. Ensure that staff the child feels comfortable with are available on the day of the appointment. Get paperwork done ahead of time. Office staff should send forms and other paperwork home for completion ahead of time to avoid unnecessary waiting. Address sensory sensitivities. Health care providers and office staff should address all sensory aspects of the visit and minimize unnecessary noise, smells, and other forms of stimulation. Summary Health care visits can be really scary for kids on the autism spectrum, but it doesn't have to be this way. With some minor accommodations, health care visits can become a much more tolerable experience for autistic children and their families Christopher Lynch, Ph.D., is a psychologist who specializes in stress and anxiety management for children with autism. He is the Director of the Pediatric Behavioral Medicine Department at Goryeb Children's Hospital.

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

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

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.

Baby Moses law for abandoning newborns In Texas, if you have a newborn that you're unable to ca̢re for, you can bring your baby to a designated safe place with no questions asked. The Safe Haven law, also known as the Baby Moses law, gives parents who are unable to ca̢re for their child a safe and legal chøice to leαve their infant with an employee at a designated safe place—a hospıtal, fire station, free-standing emergency centers or emergency medical services (EMS) station. Then, your baby will receive medical ca̢re and be placed with an emergency provider. Information for Parents If you're thinking about bringing your baby to a designated Safe Haven, please read the information below: Your baby must be 60 days old or younger and unhἀrmed and safe. You may take your baby to any hospıtal, fire station, or emergency medical services (EMS) station in Texas. You need to give your baby to an employee who works at one of these safe places and tell this person that you want to leαve your baby at a Safe Haven. You may be asked by an employee for famıly or medical history to make sure that your baby receives the ca̢re they need. If you leαve your baby at a fire or EMS station, your baby may be taken to a hospıtal to receive any medical attention they need. Remember, If you leave your unhἀrmed infant at a Safe Haven, you will not be prosecuted for abandonment or neglect.

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

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

💉 ❤️‍🩹 💉 ❤️‍🩹 💉 ❤️‍🩹 💉 ❤️‍🩹 💉

💉 💊 💉 💊 🏩 💊 🩹 👁 🩹

nickgram.com/special-needs/

\\\\\\ _________________ / \ [|--O-O| / \ | | | ] | __/ / | | _ _\ _o_\_ \_________________/ | | |*/ ## \ /\ / |/ | \ \ ________________ \__________________/ / |____\ _|_| /\ @@@@@@ \ \_______+/ == \ \ @@ -- @@ \ |*|*****/__/ \ \ @@@ > @@ \ |*|********_____ \ \ @@@_\ o/_@@@ \ |**\_________ \ \ \ @@/ __@@@ \ \************|\ | \ \ | \_/ =/ | \ \***********|| | \ \ \ ___/__ / \_ ** || | \ \ |\\\\\\\\\\ \_ ** \|__|__ \ \_\\\\\\\\\\\\\\ \_ ************ |#####] \__\_\_ \\\\\\\\\\ \_ / \_\_ \\\\\\\\\\\ \_ / \_\_ {_} {_} \ |_________\ \_______________\ \/_______________/

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.

→ Conservative Treatment Philosophy ←

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

https://www.bethinking.org/human-life/a-biblical-view-of-disability

"Shot" is a versatile word used in many idioms and phrases. Some common examples include "give it a shot," "call the shots," and "a shot in the arm". These phrases relate to attempts, decisions, and positive impacts, respectively. Here's a more detailed breakdown of some common "shot" phrases: Give it a shot: This means to try something, especially something new or challenging. Call the shots: This phrase means to be in control and make the decisions. A shot in the arm: This idiom refers to something that has a sudden and positive impact, providing a boost or encouragement. Long shot: This phrase describes something that has a very low probability of success, according to Merriam-Webster. Like a shot: This means to do something very quickly, without hesitation, according to Vocabulary.com. Big shot: This refers to a person of importance or influence, according to Collins Dictionary. Bank shot: This term is used in billiards to describe a shot where the ball is bounced off a side cushion to reach its target. Cheap shot: This phrase describes a cowardly or unfair attack or remark. Perfect shot: This refers to a shot that is executed flawlessly and achieves the desired outcome. Air shot: In golf, this refers to a shot where the club head strikes the air instead of the ball, according to Swing Fit.

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

𝒲𝒽ℯ𝓃 𝒾 𝒻ℯℯ𝓁 𝓁𝒾𝓀ℯ 𝓃ℴ ℴ𝓃ℯ 𝑔ℯ𝓉𝓈 𝓂ℯ 𝒾 𝓁𝒾𝓈𝓉ℯ𝓃 𝓉ℴ 𝓁𝒾𝓏𝓏𝓎 𝑔𝓇𝒶𝓃𝓉 ℴ𝓇 𝓈𝒸𝓇ℴ𝓁𝓁 ℴ𝓃 𝓉𝓊𝓂𝒷𝓁𝓇 𝒻ℴ𝓇 𝒸ℴ𝓂𝒻ℴ𝓇𝓉💕

| ᵖˢᵃˡᵐ ¹³⁹:¹⁴ ʸᵒᵘ ᵃʳᵉ ᶠᵉᵃʳᶠᵘˡˡʸ ᵃⁿᵈ ʷᵒⁿᵈᵉʳᶠᵘˡˡʸ ᵐᵃᵈᵉ

PLUSH ONE vii (By NeuroFabulous) The room feels alien, the walls closing in around Karen. Plankton's autism has painted a new reality, one filled with sounds too loud, lights too bright, and emotions too intense. Plankton then sniffles as tears start to trickle down his cheeks. "Karen," he says, his voice desperate. "Plankton... Karen upset? Plankton not meant to upset Karen." Karen's screen swells with love and pity. She can't bear to see his pain, his confusion. "It's okay," she whispers. "You didn't do anything wrong." She takes a deep breath, trying to keep her voice steady. "I'm just learning, sweetie. We both are." Plankton sniffles, his eye searching hers. "Love Karen," he says, his voice a tremble. "Yes; Karen Plankton." "I love you, too," she whispers. "Always." Plankton's gaze lingers on the envelope, his antennae quivering. "Loving Karen even when wanting space." Karen nods, her eyes filling with understanding. "We'll figure this out," she says, her voice a balm to his fear. Plankton's hand opens, the envelope slipping onto the bed. "Plankton memorized formula. Plankton need put back, in Krabs safety vault." Karen's eyes widen with shock. "You... you remember each and every detail; how?" Plankton's eye twitches, a flurry of thoughts racing across his face. "Patterns," he whispers. "Everything in patterns. Krabby Patty, Krabs, all patterns." Karen nods, her mind racing. "So, you're saying you'll return it, so Krabs won't know you got it. Ok, sweets." Plankton nods vigorously, his antennae bobbing. "Yes." He goes and does so before hurrying back. "Plankton did it! And not caught!" Karen swells with pride, despite the circumstances. "Good job," she says, her voice a gentle caress. "Now, let's focus on you. How do you feel?" Plankton's eye flickers, his antennae waving in contemplation. "Different," he murmurs. "Everything's so... much." He looks around the room, his gaze landing on their wedding photo. "But Karen, always. Love." Karen smiles through her tears, touched by his words. "I know, sweetie. I love you, too." The room feels smaller, the air thick with their shared understanding. Plankton's autism has become a part of them, a third entity in their relationship. They'll have to navigate this new reality together, a dance of patience and empathy. Karen watches him, his movements now a symphony of tics and rituals, each gesture a clue to his inner world. "What do you need, Plankton?" she asks, her voice a soft whisper in the cacophony of his thoughts. He looks at her, his eye searching hers. "Does," he says. "Do Plankton." Karen nods. "What does my Plankton need?" He looks at her, his eye swiveling in his newly autistic way, trying to find the words. "Karen," he says, his voice a gentle wave of comfort. "Safe Karen." Karen's eyes well with tears, understanding his need for familiarity. She nods, her hand reaching out to stroke his antennae gently. "Yes, Plankton. You're safe with me." The contact sends a rush of comfort through him, his body relaxing slightly. He closes his eye, leaning into her touch. "Good Karen," he whispers. Karen continues stroking his antennae, her hand trembling with emotion. "What else can I do for you?" she asks, her voice low and soothing. Plankton's eye opens slightly, his focus on her touch. "Love Karen," he murmurs, his voice filled with longing. "Always, love." "I know, Plankton. We're in this together." He nods, his antennae twitching slightly. "Together," he echoes. Karen can see the fear in his eye, the way it searches hers for reassurance. She nods, her hand moving to gently stroke his arm. But the moment her hand makes contact with his skin, Plankton's body stiffens. He jerks away, his eye wide with terror. "NO!" he shouts, the sound piercing the quiet room. Karen's hand freezes in midair, her thoughts racing. "I'm sorry," she whispers, her voice cracking. "I didn't mean to—" But Plankton's already retreated to the corner of the room, his body curled into a protective ball. "Not now," he murmurs, his voice shaking. "No touch." She'd hurt him without meaning to, crossed a line he hadn't even drawn yet. She takes a step back, her hand hovering in the air. "Okay," she says, her voice barely a whisper. Then an idea forms in her head. Carefully, she picks up a plushie, her movements slow and deliberate. "Look, Plankton," she says, her voice calm and even. "It's your plush.." But Plankton's eye remains wide with fear, his antennae rigid. "NO!" he shouts, the word echoing in the room. Karen's hand freezes, the plushie dropping to the floor forgotten. "I'm sorry," she says, her voice soft and trembling. "I di-" But Plankton's eye is locked on her screen, his body shaking. "NO!" he screams, his autism surging. This is new, this raw fear. He's never reacted so strongly before. "I didn't know." Karen aches for him, but she knows she can't force her way in. Plankton's breaths come quick and shallow, his body trembling. She wants to comfort him, to tell him it's okay, but she knows it's not. Not right now. Instead, she sits down on the bed, giving him the space he needs. Her eyes on him, watching his every move. The plushie lies on the floor, which he tentatively reaches with his shaky hand. He then clutches it as he remains in the corner of the room on the floor. Karen watches him. The man she loves is lost in his own sensory overload, and she feels powerless. "Would you like me to sing..." Plankton's eye snaps to hers, his face a mask of terror. "No!" he shouts, his voice sharp as a knife. The room falls silent, the air charged with his fear. Karen's seen this look before, but never with such intensity. His autism has painted their lives with new colors, vivid and overwhelming. She takes a step back, her hand raised in a peaceful gesture. "Okay," she whispers, her voice barely audible. "I'm sorry." Plankton's eye doesn't leave the plushie, embracing it. "MINE," he murmurs, his voice a mix of anger and fear. Karen nods, her voice calm. "Yes, Plankton. It's your plushie. You're safe." She doesn't move, knowing any sudden action could send him spiraling again. The silence is heavy, punctuated by Plankton's quick, shallow breaths. Karen's mind races, trying to understand his new rules, his new reality. Plankton clutches the plushie to his chest, his eye squeezed shut. Karen's seen his fear before, but never like this. The autism has unlocked a new intensity in him, his emotions a maelstrom she can't begin to navigate. "Plankton," she whispers, her voice soothing. "You're okay. I'm here." Her hand reaches out, but she stops short, not wanting to invade his space. His grip on the plushie loosens slightly, his breathing evening out. Karen's eyes never leave his face, watching for any sign of distress. "Would you like me to sit w---" But Plankton's eye snaps to hers, his voice firm. "No please," he says. The words hang in the air, a stark reminder of their new normal. Karen nods, her hand falling to her side. She knows he's trying to control his environment, to find comfort in the chaos. "Okay," she says softly. "I'll be right here." The room is silent but for the occasional whisper of his voice, recounting the formula to himself. She watches him from afar. But she's also in awe of his ability to process the patterns and remember every detail. Karen sighs. She observes his every move, the way his antennae twitch to the rhythm of his thoughts. This isn't the exact same Plankton she knew, but this is the Plankton she still loves. She watches him, his eye still closed, his body slowly relaxing as he clutches the plushie.

THIS | . ` ` ' ' , # / # | WON'T HURT A BIT! | ` \||||||// ' # ,_, # / ,________________/ ` \,__ __,/ ' #`-' # '-' __,--~~~--.__\(o_Xo_)/ #### ___,--~~' | / / # # ,--~' \| `__ | # #########___--_ ,' _, \ \\'--` / # ########O|===8|>----/ / \ \. `---' # # ~~~~' | | __,-\ | # # | | _,--~~' \ \ # # \ \ / \ \ ######## | | | \ \ # ## # | | |_ \ \ # ## # | | _,'| \ \ ######## ,'~~--____--~~||,'\ \ \ -------- \-__|| || __--~ \ | ~~~~~~ | Thomas Joseph Donohue and Robert Chao