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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.

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

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

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.

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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)

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

Key messages People have a right to expect: access to the care they need, when they need it and that appropriate reasonable adjustments are made to meet people’s individual needs. This starts from the first point of contact with a hospital. This is not just good practice – it is a legal requirement. staff communicate with them in a way that meets their needs and involves them in decisions about their care they are fully involved in their care and treatment the care and treatment they receive meets all their needs, including making reasonable adjustments where necessary and taking into account any equality characteristics such as age, race and orientation their experiences of care are not dependent on whether or not they have access to specialist teams and practitioners. However: People told us they found it difficult to access care because reasonable adjustments weren't always made. Providers need to make sure they are making appropriate reasonable adjustments to meet people’s individual needs. There is no ‘one-size-fits-all’ solution for communication. Providers need to make sure that staff have the tools and skills to enable them to communicate effectively to meet people’s individual needs. People are not being fully involved in their care and treatment. In many cases, this is because there is not enough listening, communication and involvement. Providers need to make sure that staff have enough time and skills to listen to people and their families so they understand and can meet people’s individual needs. Equality characteristics, such as age, race and orientation, risked being overshadowed by a person’s learning disability or autism because staff lacked knowledge and understanding about inequalities. Providers need to ensure that staff have appropriate training and knowledge so they can meet all of a person’s individual needs. Specialist practitioners and teams cannot hold sole responsibility for improving people’s experiences of care. Providers must make sure that all staff have up-to-date training and the right skills to care for people with a learning disability and autistic people.

Bluescreen CobaltTheFox https://archiveofourown.org/works/14973044/chapters/83344819#workskin Rating: Teen And Up Audiences

KATIE OF GUILDFORD HAD TSS TWICE My name is Katie and I am 15. I had been using tampons for at least a year before I got toxic shock. I had read the warning on the packet about it, but it said that the disease was rare and I thought it couldn't possibly happen to me! I hadn't read about the symptoms of Toxic Shock and wouldn't have connected it to what I had, even though they match nearly exactly The first time that I got toxic shock was on holiday in Spain in December 2008. The night before I was taken ill, my family and I played tennis and I felt fine! In the days before, I had been on my period and had been using tampons. In the early hours of the morning I was sick and fainted every time I tried to get up - I couldn't even get to the toilet by myself. After a day of this, my parents called the Spanish doctor and he referred me to the hospital, as my temperature was very high. An ambulance was called and I had to be carried downstairs by my Dad, as I couldn't walk without fainting. Once in the hospital, I was admitted to a ward. As well as the sickness and fainting, I suffered acute stomach pains, diarrhoea and I also had a rash around my eyes and all over my body that the Spanish doctors claimed was sunburn - but was actually another symptom of toxic shock. I don't remember much about the few days I spent in the ward as I was delirious from the fever, but I wasn't allowed to drink and I was so thirsty - parts of my lips and tongue were just peeling off. The pain medication was sometimes late, and I remember being in awful pain from having hiccups. My liver failed and my skin turned an orange colour - I had no idea how sick I was, as I joked about finally getting a good tan! I had an intravenous line (IV) in my arm and got phlebitis from it, so they had to change it. There weren't enough nurses in the ward and my Mum had to care for me a lot. As I couldn't get up, every time I had diarrhoea, she sorted out my bedpan and cleaned up - when I was sick as well. Finally, I was diagnosed with septicaemia which had caused liver and kidney failure (instead of just a tummy bug as they assumed when I was in the ward) and I was taken to Intensive Care. They inserted a central line and a catheter and also put me on oxygen, as my lungs were weak and had fluid in. At this point, my brother had to fly back to England by himself, as my parents stayed in Spain with me. The doctors said my condition was stable but critical, and there was a chance that I may have died. However, they changed my antibiotics, and the new ones finally started to work and my condition improved. After 4 days, I was readmitted back into the ward. I could now walk the distance to the toilet and I was starting to eat food again. On Christmas Day my parents wheeled me (I needed a wheelchair for longer distances) down to the hospital cafeteria! I spent a week in the ward, until I was well enough to fly back to England with a medical escort. When I arrived back in England, they removed my central line and discharged me from hospital. At home, I worked on getting my strength back. The skin on my legs and arms began to peel, followed by the skin on my hands and finishing with the soles of my feet. It took about a month for my skin to return back to how it was before I was ill. Also, a little bit more hair than usual would come out when I showered and combed it through; although not a large amount - my hair was quite thick anyway and you couldn't see the difference. We didn't find out what caused the sepsis in Spain - all the blood tests came back negative and we were told it was food poisoning. After being sick over Christmas, I went back to school although was off for two weeks due to severe tonsillitis exactly a month after I was ill the first time. Another month later, I was on my period again and still using tampons (as directed on the packet). I was sick continuously with a bad headache, on the Sunday, and thought I had simply picked up another bug. However, in the evening, I felt much better and decided to rest off school, but my parents went to work. Unfortunately in the morning I felt much worse and had a sore throat, and felt dizzy, although I wasn't sick. My eyes were also very red. When my mum came home from work she took my blood pressure (which was extremely low) and temperature (which peaked at 40 degrees). That evening, we went to see the GP who decided to be cautious (given my history and my Mum insisting!) and sent me to hospital. At the hospital it was the first time toxic shock was mentioned, the doctors acted really quickly, an IV was inserted and I was given lots of fluids, but my blood pressure wasn't rising, and my kidneys weren't working properly. They transferred me to Evelina's Intensive Care in London, inserting a central line so strong antibiotics could quickly reach my blood stream, along with some drugs that helped my circulation and giving me an oxygen mask as my lungs had fluid in. Here they also inserted an arterial line to continuously monitor my blood pressure. I spent a day there, and my blood pressure was soon back to normal and so was transferred back to a ward in my local hospital, where I spent a few days before I was discharged. Now, a week after being discharged for the second time, I am still recovering and have noticed some of the same after effects as last time - my skin is beginning to peel and a few more hairs than usual have been falling out. I am glad now that I know the real reason for being so sick both times - and definitely won't be using tampons again. I think that I am very lucky to still be alive - having survived toxic shock twice, and I really hope that other people will be more aware of the risks and quicker at spotting the symptoms than I was! Posted 18/3/2009

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My best friend's grandma had been fighting Alzheimer's for about 10 years, and she barely remembered her husband of 64 years. Last night, she miraculously found her husband's hospital room (he was dying of cancer) and climbed into his bed. They died together that night. Fairy tale love GMH May 3rd, 2010, 5:21 PM

Cͨaͣrͬdͩiͥoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf hͪeͤaͣrͬᴛⷮ dͩiͥs͛eͤaͣs͛eͤ oͦrͬ hͪeͤaͣrͬᴛⷮ aͣᴛⷮᴛⷮaͣcͨᴋⷦs͛). нⷩeͤmͫoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf вⷡloͦoͦdͩ). Noͦs͛oͦcͨoͦmͫeͤрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf hͪoͦs͛рⷬiͥᴛⷮaͣls͛). Рⷬhͪaͣrͬmͫaͣcͨoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf mͫeͤdͩiͥcͨaͣᴛⷮiͥoͦn). ᴛⷮoͦmͫoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf mͫeͤdͩiͥcͨaͣl рⷬrͬoͦcͨeͤdͩuͧrͬeͤs͛ liͥᴋⷦeͤ s͛uͧrͬgeͤrͬiͥeͤs͛). ᴛⷮrͬaͣuͧmͫaͣᴛⷮoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf iͥnjuͧrͬy).

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ᔆᵃⁱⁿᵗ ᴮᵃˢⁱˡˡⁱˢᵃ ᴹᵉᵐᵒʳⁱᵃˡ ⁶ ᴶᵃⁿᵘᵃʳʸ ᴾʳᵒᶠⁱˡᵉ ᴹᵃʳʳⁱᵉᵈ ᶜʰᵃˢᵗᵉˡʸ ᵗᵒ ᔆᵃⁱⁿᵗ ᴶᵘˡⁱᵃⁿ‧ ᵀʰᵉ ᵗʷᵒ ᶜᵒⁿᵛᵉʳᵗᵉᵈ ᵗʰᵉⁱʳ ʰᵒᵐᵉ ⁱⁿᵗᵒ ᵃ ʰᵒˢᵖⁱᵗᵃˡ ʷʰⁱᶜʰ ᶜᵒᵘˡᵈ ʰᵒᵘˢᵉ ᵘᵖ ᵗᵒ ¹⸴⁰⁰⁰! ᴮᵃˢⁱˡⁱˢˢᵃ ᶜᵃʳᵉᵈ ᶠᵒʳ ˢⁱᶜᵏ ʷᵒᵐᵉⁿ ⁱⁿ ᵒⁿᵉ ʷⁱⁿᵍ⸴ ᴶᵘˡⁱᵃⁿ ᵗʰᵉ ᵐᵉⁿ ⁱⁿ ᵃⁿᵒᵗʰᵉʳ‧ ᴰⁱᵉᵈ ᵒᶠ ⁿᵃᵗᵘʳᵃˡ ᶜᵃᵘˢᵉˢ ᶜᵃⁿᵒⁿⁱᶻᵉᵈ ᴾʳᵉ⁻ᶜᵒⁿᵍʳᵉᵍᵃᵗⁱᵒⁿ

ᴳᴵᴿᴸ'ᔆ ᶠᴬᵀᴬᴸ ᶠᴬᴸᴸ ᴵᴺᵀᴼ ᴾᴼᴼᴸ ᔆʸᴰᴺᴱʸ⸴ ‧ ᵀᵘᵉˢᵈᵃʸ‧ — ᴰᵒʳᵉᵉⁿ ᵂᵃᵗˢᶠᵒʳᵈ⸴ ¹²⸴ ᵒᶠ ᴾᵃᶜⁱᶠⁱᶜ ᴴⁱᵍʰʷᵃʸ⸴ ᴮᵉʳᵒʷʳᵃ⸴ ᶠᵉˡˡ ³⁰ ᶠᵉᵉᵗ ᵈᵒʷⁿ ᵇᵉˡᵒʷ ⁿᵉᵃʳ ᵃ ʷᵃᵗᵉʳᶠᵃˡˡ ᵃᵗ ᴮᵉʳᵒʷʳᵃ ᵗᵒ⁻ᵈᵃʸ‧ ᔆʰᵉ ʷᵃˢ ᶜˡⁱᵐᵇⁱⁿᵍ ᵒᵛᵉʳ ˢᵒᵐᵉ ᵐᵒˢˢ ᶜᵒᵛᵉʳᵉᵈ ʳᵒᶜᵏˢ ⁿᵉᵃʳ ᵂᵃᵗᵉʳᶠᵃˡˡ ʷʰᵉⁿ ˢʰᵉ ˢˡⁱᵖᵖᵉᵈ ᵃⁿᵈ ᶠᵉˡˡ ⁱⁿᵗᵒ ʷᵃᵗᵉʳ ³⁰ ᶠᵉᵉᵗ ᵇᵉˡᵒʷ‧ ᵂʰⁱˡᵉ ᶠᵃˡˡⁱⁿᵍ⸴ ᶠᵒˡⁱᵃᵍᵉ ᵍʳᵒʷⁱⁿᵍ ᶠʳᵒᵐ ʳᵒᶜᵏˢ ᵇʳᵒᵏᵉ ʰᵉʳ ᶜʰⁱⁿ ᵃⁿᵈ ᵉᵛᵉⁿ ʰᵉʳ ʷⁱⁿᵈᵖⁱᵖᵉ‧ ᶠᵃᵗᵃˡ ᶠᵃˡˡ ᴰᵒʷⁿ ᴳᵒʳᵍᵉ — — — ^ — — — ᔆʸᵈⁿᵉʸ⸴ ᴶᵘⁿᵉ ²⁹‧— ᶠᵃᵗᵃˡ ⁱⁿʲᵘʳⁱᵉˢ ʷᵉʳᵉ ʳᵉᶜᵉⁱᵛᵉᵈ ᵇʸ ᴰᵒʳᵉᵉⁿ ᵂᵃᵗˢᶠᵒʳᵈ ⁽¹²⁾ ʷʰᵉⁿ ˢʰᵉ ᶠᵉˡˡ ³⁵ ᶠᵗ‧ ᵈᵒʷⁿ ᵃ ᵍᵒʳᵍᵉ ᵃᵗ ᴮᵒʳᵒʷʳᵃ ᵗᵒ⁻ᵈᵃʸ‧ ᔆʰᵉ ʷᵃˢ ʷᵃˡᵏⁱⁿᵍ ᵗʰʳᵒᵘᵍʰ ᵗʰᵉ ᵇᵘˢʰ ʷⁱᵗʰ ʰᵉʳ ᶜᵒᵘˢⁱⁿ ʷʰᵉⁿ ʰᵉʳ ᶠᵒᵒᵗ ˢˡⁱᵖᵖᵉᵈ ᵒⁿ ᵃ ʳᵒᶜᵏ ᵃᵗ ᵗʰᵉ ᵉⁿᵈ ᵒᶠ ᵗʰᵉ ᵍᵒʳᵍᵉ‧ ᴬ ˢʰᵃʳᵖ ᵖⁱᵉᶜᵉ ᵒᶠ ᵃ ᵗʳᵉᵉ ᵖᵉⁿᵉᵗʳᵃᵗᵉᵈ‧ ᴴᵉʳ ʲᵃʷ ʷᵃˢ ᶠʳᵃᶜᵗᵘʳᵉᵈ ᵃⁿᵈ ˢʰᵉ ᵖᵃˢˢᵉᵈ ˢʰᵒʳᵗˡʸ ᵃᶠᵗᵉʳ ᵃⁿ ᵃᵐᵇᵘˡᵃⁿᶜᵉ ʰᵃᵈ ᵗᵃᵏᵉⁿ ʰᵉʳ ᵗᵒ ᵗʰᵉ ᴴᵒʳⁿˢᵇʸ ᴴᵒˢᵖⁱᵗᵃˡ

🏩🩹🫁🎈🧸💉🔪💀🕷️🩰🫀🦠🩸⚕️🔮👁️‍🗨️

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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.

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HOW I BROKE MY LEG Charlie Jonathan quinnell 2 min read · May 11, 2023 I remember the day I broke my leg at the skate park like it was yesterday. It was a sunny Saturday afternoon, and my friends and I had been looking forward to spending the day at the skate park. We were all excited to show off our skills and try out some new tricks. As soon as we arrived, we put on our protective gear and got on our skateboards. I was feeling confident and decided to try a new trick I had been practicing for weeks. It was a difficult trick that involved jumping off a ramp and spinning in the air before landing back on the skateboard. I approached the ramp, picked up speed, and jumped. For a split second, I felt like I was flying. But then something went wrong. I didn’t spin properly, and I lost my balance in mid-air. I fell awkwardly, and my leg hit the concrete with a sickening thud. I screamed out in pain as my friends rushed to my side. I couldn’t move my leg, and I knew something was seriously wrong. A few people at the skate park came over to see what had happened, and someone called an ambulance. As I lay there waiting for the ambulance to arrive, I felt a mix of emotions — pain, fear, and embarrassment. I couldn’t believe I had messed up such a simple trick and hurt myself so badly. My friends were all trying to comfort me, but I could see the concern and worry in their eyes. When the ambulance arrived, I was taken to the hospital, where I was told that I had broken my leg in two places. I was given painkillers and told that I would need surgery to fix the damage. The next few weeks were a blur of pain, frustration, and boredom. I couldn’t move around much and had to rely on crutches to get around. My friends visited me often and brought me snacks and magazines to keep me entertained. But I couldn’t help feeling like I was missing out on all the fun at the skate park. Eventually, my leg healed, and I was able to start walking again. But I learned a valuable lesson from my experience — to always be cautious and not take unnecessary risks. I still love skateboarding, but I make sure to wear all my protective gear and only attempt tricks that I know I can handle. Breaking my leg was a painful experience, but it also taught me to be more careful and appreciate the little things in life, like being able to walk and move freely. Broken Hospital Hurt charlie Jonathan quinnell Written by charlie Jonathan quinnell

Going into Hospital When you are suddenly needing to go into hospital it can be scary, and the last thing people want to do is think about what they need to take with them. For this reason we have compiled this list to help you prepare. Comfortable/ Loose fitting clothing Several pairs of underwear Thick socks Ipad/Tablet/ Ipod w/ earphones Money Sanitary pads Mobile phone and charger Food to snack on Books/ CD’s/ Magazines Toiletries/ face wipes/hairbrush Own Pillow Clothing for going home Dressing gown and slippers An overnight bag is a good idea (although you may not need this) Heating pad

"Hi, my boss Mr. Krabs told me I need to work on my people skills and to volunteer.." SpongeBob says in the surgery room before recognizing Plankton and Karen. Plankton lay on the operating table, a small tube delivering medicine that kept him asleep. Karen sat by him. "Plankton‽" "Plankton's had his wisdom teeth removed." She glanced at the sleeping Plankton with affection. Sponge Bob leaned closer. He poked Plankton gently. "Hey, Plankton; wake up, buddy!" No response. Plankton's breathing remained slow and even, the rhythm unchanged by Sponge Bob's nudges. Karen's robotic hand shot up to stop Sponge Bob's poking. "He's not going to wake up anytime soon, Sponge Bob. The anesthesia will wear off in a couple of hours," she explained in her usual monotone. Sponge Bob's bubbly demeanor deflated a bit. He had never seen Plankton so... peaceful. Usually the tiny villain was full of mischief and plotting his next Krabby Patty heist. But the sight of his arch-nemesis helpless and snoring? "Karen, do you think a little light chat would help him wake up?" "Sponge Bob, the purpose of anesthesia is to keep him unconscious during surgery and ensure a painless recovery. Your efforts are futile." Undeterred, Sponge Bob leaned in closer. "Come on, Plankton. Time to wakey-wakey!" He waved his hands in front of Plankton's face, creating a gentle breeze that tickled his antennae. Still, Plankton remained steadfast in his slumber, oblivious to the world around him. Karen sighed again, the closest she ever got to expressing exasperation. "As I said, Sponge Bob, he's under the effects of anesthesia. There's nothing you can do to wake him up." She went back to reading her magazine, the glow from her screen casting a soft blue light on her metallic features. Sponge Bob studied Plankton's sleeping features. His mouth was open just enough to reveal his top row of teeth, and Sponge Bob had to stifle a giggle when a small bubble of drool formed at the corner of his mouth. "You know," he mused aloud, "I never realized Plankton had such a... cute snoring sound." The statement hung in the air, and even the normally stoic Karen couldn't resist cracking a smile. "Cute is hardly the word I'd use," she murmured, but the warmth in her voice belied the affection she had for her partner. Sponge Bob's curiosity grew as he continued to gaze at the unconscious Plankton. He'd seen him in various states before—angry, plotting and occasionally defeated—but never so vulnerable. The sight was strange yet fascinating. He reached out and carefully wiped away the drool. Plankton's head lolled to the side, but he remained asleep. SpongeBob put his head back up on a pillow. Plankton's snores grew quieter as his head settled into the cushioned embrace. "Don't worry, Plankton," he whispered, patting the villain's arm gently. "I'll watch over you." Sponge Bob's curiosity grew stronger as he watched the drool form at the side of Plankton's mouth. He leaned in closer, studying the phenomenon. He'd never noticed Plankton drool before. "It's like a tiny river," he said to himself. What would happen if he tried to touch it? He tapped it lightly. It wobbled, bulging slightly before collapsing back into its original state. He poked the drool again. This time, it grew slightly larger before popping, leaving a tiny, wet splatter on the pillow. Plankton's snores grew louder for a moment, but didn't stir. Sponge Bob couldn't resist a grin spreading across his face. "Looks like he's enjoying his nap," he whispered to Karen who remained engrossed in her magazine. The drool was fascinating—like a living organism, pulsating with every one of Plankton's breaths. He poked it again, gently this time. The drool grew larger, stretching out like a bubble of gum. It was almost mesmerizing. "I wonder if I can make it pop," he thought, eyes gleaming with child-like excitement. Slowly, Sponge Bob poked the drool bubble once more. It grew to the size of a marble before it burst with a tiny splat, splattering on to the pillow. Plankton's snoring remained undisturbed. Sponge Bob could see the light from the ceiling reflecting off the droplet's surface. He waited, the anticipation building, eyes fixed on the wobbling mass. At the last second, he poked it. The bubble popped with a sound that echoed through the quiet room. Plankton's snore caught in his throat for a split second, then resumed with renewed vigor. The splatter was more substantial this time, leaving a wet spot on the pillow. The sudden noise made Karen look up from her magazine. "What on earth are you doing, Sponge Bob?" she asked, voice a mix of annoyance and amusement. "Just... science," Sponge Bob said, his grin unabated. "I'm studying Plankton's snoring pattern... and drool." Karen rolled her digital eyes. "Fine. Just don't wake him. And for the love of Krabby Patties, please don't make a mess." She returned her focus to her magazine, seemingly unfazed by the sight of her arch-enemy playing with drool. Sponge Bob nodded solemnly, his eyes lighting up with newfound purpose. He decided to be more strategic in his scientific endeavor. He would need precision and timing. The drool bubble grew again, this time larger and more robust. Sponge Bob waited, his heart beating faster with every pulse of Plankton's snore. He took a deep breath, held it, and at the peak of the snore's crescendo, poked the bubble with a controlled flick. It exploded with a sound like a miniature water balloon, splattering across Plankton's cheek. The pillow was now a Jackson Pollock canvas of drool. Plankton's snoring hitched but he didn't wake. "Oops," Sponge Bob whispered, giggling quietly. He reached for a near by tissue to clean up the mess, his eyes glancing nervously at Karen. She peeked over her magazine, the corners of her robotic mouth curving upward slightly. "If you're going to play, at least be tidy," she said, voice a blend of reprimand and amusement. Sponge Bob nodded, eyes sparkling with mischief. "Of course, Karen," he whispered back, dabbing at Plankton's cheek with the tissue. The drool was sticky and clung to the fabric but Sponge Bob managed to clean when Plankton's snoring hitched. This time, Plankton's eyes opened a crack, his single eyelid revealing a sliver of his iris before dropping shut again. "What's going on?" he mumbled sleepily. Sponge Bob froze, tissue in mid-air. "Oh nothing," he said quickly, trying to sound nonchalant. "Just admiring your snoring." Plankton's eyelid quivered but remained shut. "Mmph." His mouth moved around the word. "Don't worry, buddy," Sponge Bob said softly patting Plankton's arm. "You're just resting. Nothing to worry about." The half-awake Plankton mumbled something unintelligible, and Sponge Bob took it as a sign to back off. He retreated to his chair, watching as Karen put down her magazine and began to fuss over Plankton, checking his vitals and making sure he was comfortable. For once, he wasn't at odds with Plankton.

Finola's Story 16-year-old Finola Tyson of Preston On Tuesday afternoon, 15 June 2005, 16-year-old Finola Tyson of Preston, complained of headache and stomach pains and asked her mother, Ange, to ring work, to say that she would not be attending that evening shift. It was the third day of her period and she had been using tampons. Around 10pm Fin said she was tired and wanted to go to bed. During the night she was sick and the next morning still complained of a headache and stomach ache. Her mother gave her Paracetamol and rang the doctor. He prescribed some Mefanamic Acid (Ponstans 40) for her period pains, (at mother's request), and also prescribed some tablets to stop her being sick. Ange collected the prescription, administered it, gave Finola a jug of water asking her to drink plenty and left her in bed to sleep. A little later, Ange. asked Fin how she felt and she said she had not been sick anymore and that her stomache ache had improved. She just wanted to sleep. The next day, Fin had an exam at school, so she was awoken at 7am. She came down stairs in her pyjamas, looking very lethargic. She had a red rash under her arms and was breathing faster than normal. Ange. asked Fin to breathe in through her nose and out through her mouth. It was at this point that Ange's partner John, noticed Fin's tongue. It was red with white spots, like a strawberry. She asked Fin. if she had a sore throat to which she replied she had. Ange. phoned the NHS Help-line and spoke at length with one of the Advisers who said "take her to her GP and don't worry". The doctor examined Fin., took her temperature, checked her throat, confirmed that she had a red raw throat, and diagnosed viral infection. He said that as she was taking her exams, that would account for her panic breathing. The rash was put down to eczema for which she had only recently been diagnosed. Fin was prescribed Amoxicillin for her throat, gel for her tongue (anti fungal), steroid cream for the rash and more Paracetamol tablets. Ange. monitored her daughter through the day, making sure she drank plenty of water and took all her medication. On Friday, there was still no change, no better, but no worse. Her "strawberry tongue" had gone down slightly and the white spots had subsided. On the Saturday morning, Ange. ran a bath for Fin. She went to her room to say that she would feel better if she had a bath and washed her hair, as she had not had one since Tuesday morning. Fin. agreed, but couldn't get up. She complained that her bones were aching and started to shout at her mother that she couldn't get up. Ange. managed to swing her out of bed and with help and support they got to the bathroom. Putting her into the bath was OK. She left her there for 5 minutes and returned to find she had not moved. Ange. knelt down to wash Fin's hair and then her body. She kept complaining of hurting and being tired. Getting Fin out of the bath was a nightmare, she felt so heavy and kept apologising all the time. Ange. managed to get her dry and back into bed. Ange. suspected meningitis and did the glass test on her rash, it stayed white. After 3 days on penicillin Fin was worse than ever, so Ange. phoned the doctor again. Being Saturday the calls were redirected to the hospital Primary Care Centre. The nurse on duty said get Fin to hospital as soon as possible. Ange's sister volunteered to take them to hospital and they drove straight there. The doctor called her in straight away. He checked her stomach and phoned someone straight away. There was a definite panic in the air as Fin had drips put into her. Ange. was asked to describe Fin's symptoms and history leading up to this day over and over again. They all kept saying what a good mum she had been and that she had done everything she could have. Then the bombshell, they confirmed they thought Fin had Toxic Shock Syndrome. She was taken to the Intensive Care Unit (ICU) around 5.30pm. There was a lot of activity, putting in more lines for drips, etc. The staff where brilliant right from the start, although one nurse was increasingly concerned that Fin was only on Oxygen and needed ventilating as she appeared to be weakening. At 8.30pm whilst a doctor was explaining the severity of the illness, Fin had a cardiac arrest. It felt like an eternity for Ange and John, but then the nurse came to say that they could go and see her. She was alive, but was now on a ventilator. The doctors explained the serious nature of Fin's condition and that they were doing everything possible. They were told that the best thing they could do, would be to go home and get some rest, Fin was going to be in hospital for a long time. They got a taxi back home and after a lot of tears and disbelief that something as horrific as this could happen to a beautiful girl they all tried to get some rest. The telephone rang around 2.30pm. It was the ICU and they said it would be better if Fin's parents came back to the hospital as her blood pressure had dropped dangerously low. Fin spent four weeks in ICU and after seven operations, lost her fight for life on Sunday 18 July 2004, just three weeks after her 16th birthday. Posted 27/6/2006

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

＃ＫｎｅｅＳｕｒｇｅｒｙ pt. 1 Plankton's foot slipped on the uneven stone. His arms flailed in a desperate attempt to keep his balance. The sickening crack of bone on bone echoed through the stillness as Karen watched her husband Plankton crumple, his face a mask of pain. The quiet evening was shattered by his agonized scream. Karen rushed to his side. Plankton was clutching his leg, his eye squeezed shut. The angle of his lower leg was grotesque, unnatural. It was clear something was very wrong. She didn't need to be a doctor to know that the sound of the snap had been his middle leg bones, breaking. Karen raced as she knelt beside him, his pain a palpable presence. Plankton's breaths came quick and shallow, punctuated by grunts of pain; it was already swelling, the bone jutting under the skin. She knew they had to act fast. "Hold on," she whispered fiercely. "We need to get you to a hospital." Their quiet neighborhood was quickly alight with the wails of an approaching ambulance. The stark white and red lights bobbed through the trees, casting eerie shadows on their panic-stricken faces. The moments stretched into an eternity before the doors swung open and medical personnel flooded out, their movements efficient and calm, contrasting with the chaos of the scene. They moved quickly, strapping Plankton onto a stretcher, his screams of agony piercing the night air as they carefully straightened his leg and secured it in a makeshift splint as Karen hops in. The ambulance lurched forward, the wheels eating up the pavement as they sped toward the hospital. Karen held his hand tightly. "Ma'am, you might want to accompany him into the surgery room, as he'll need an operation." They told Karen. Upon arrival, the doctor spoke in hushed, professional tones, his expression unreadable behind the mask. "It's a serious fracture. We'll need to perform a tibiofibular repair. It's a complex procedure, but our team is prepared. You can stay by him as we operate. Let's get him comfortable first." Karen nodded. "I understand." They transferred him to the operating table, gently arranging his limbs with the precision of experience. Karen held his hand, her eyes never leaving his as the anesthesiologist prepared the medication. Plankton was visibly nervous, his eye darting between the doctor and his wife. To help ease his nerves, the nurse offered Plankton a warm blanket and a stuffed bear, and he clutched it to his chest. The anesthesiologist stepped back, thinking for a moment before speaking up. "We have anesthesia. We can try that. It's not our usual protocol, but in your case, it might be the best option." Karen felt the grip of Plankton's hand tighten around hers. "It'll be okay," she assured him, trying to mirror the nurse's calm demeanor. The doctor nodded in agreement. "We've done this before. We'll take good care of you." The anesthetic began to flow into his veins, and Plankton's eyelid grew heavy. His breathing slowed, and the room grew quiet as his grip loosened and his hand went slack in Karen's. She leaned in, whispering, "I love you," as his eye closed fully, snores now coming from his open mouth. The doctor gave a nod to the anesthesiologist, who nodded back in confirmation. The surgery could begin. Once they finished the surgery, they bandaged Plankton's leg with a cast that went from his toes to his hip, and wheeled him to the recovery room. The doctor explained that it was a successful procedure, though he'd be asleep for several hours. The room was a soft symphony of beeps and whispers, a stark contrast to the chaos of the operating theater. Karen waited, her fingers intertwined with his, feeling his pulse steady and strong under her fingertips. The nurse dimmed the lights. "He's reacting nicely to the anesthesia. It's normal and ok if today he tends to doze off easily." Karen nodded. As Plankton slept on, the nurse adjusts his stuffed bear so that it doesn't press against his cast. She smiles reassuringly at Karen. "He's going to be okay," she says softly. "We'll keep a close eye on his vitals, yet he should be coming around shortly." Karen nods, gratitude in her screen, and squeezes his hand gently. "You can even talk to him if you'd like. Sometimes it helps to hear a familiar voice." Karen leans closer to Plankton's sleeping form. "You're going to be okay. You're going to recover, and we're going to get through this." The nurse nods, a sympathetic smile on her face as she checks the IV dripping pain relievers into his arm. Eventually, Plankton's eye opens groggily, looking around the room in confusion. He winces as the light pierces his pupil, and Karen quickly reaches over to dim the lamp. "It's okay," she says soothingly. "You're in the hospital. You had an accident." His eye finds hers and relaxes slightly as recognition sets in. "My...my leg," he mumbles, his voice slurred from the anesthesia. Karen nods, her thumb brushing his knuckles. "They fixed it. You had surgery. You're going to be okay." Plankton tries to move, but the weight of the cast stops him. "What...happened?" The doctor enters the recovery room. "You had a nasty fall. Do you remember?" Plankton's eye drifts closed, trying to piece together the fragmented moments. The pain, the lights, the sound of his own screams. He nods slightly, the memory firming like concrete in his mind. "We've repaired it. You'll be in this cast for a while, but with rest, you'll be back to normal." Plankton nods again. The doctor nods to Karen. "He'll be sleepy for a bit. We've given him some pain medication." Karen nods. Plankton's eyelid flutters, his gaze unfocused. "Can I... see it?" he asks, his voice slurred by the anesthesia. Karen nods and gently lifts the blanket. The cast, white and pristine, extends from his toes to his hip. "It's going to take some time, but you'll be okay," she repeats, her voice soothing. Plankton's eye focuses on the cast. "It's...big," he murmurs, his voice trailing off as the weight of the medication pulls him back under. His eye droops closed, and his breathing steadies into the rhythmic pattern of sleep. Karen watches his chest rise and fall as they remove the IV. "He'll be in and out of it for a while. It's normal. The body needs rest after surgery." Karen nods, trying to absorb the doctor's words. She's seen people with broken legs before, but never one she loves so much. She thanks the doctor, her voice barely above a whisper. Plankton's hand moves, his fingers searching for hers. "Karen," he whispers, his voice thick with sleep. Her hand slides into his, squeezing gently. "I'm here," she murmurs, her screen never leaving his peaceful face. The surgery had been a success. The nurse looks to Karen. "I'll get the wheelchair." The chair squeaks into place, and Plankton's eye opens. He looks at Karen, the question in his gaze clear. She nods. "It's time to go home."