Mediccore Emojis & Text

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

A boy was dying of cancer and needed an expensive brain surgery, but his family, broke and desperate, couldn't afford it. His 8 year old sister Tess took her piggy bank savings to a pharmacist in order to buy a 'miracle. It just so happens that the right man witnessed the little girl's tears at the pharmacy counter: a neurosurgeon. He performed the surgery for free. Jun 18, 2009 at 7:00pm by lennyALSF

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.

laparohysterosalpingooophorectomy .---. .---. / .-. `. .' .-. \ /-( `. `._______.' .' )-\ ( ) \ / ( ) `-' \ / `-' \ / \ / |`-^-'| | | .---. .---. / .-./ \.-. \ /-( /`._______.'\ )-\ ( ) \ / ( ) `-' \ / `-' \ / \ / |`-^-'| | | /`._______.'\ \ / \ / \ / \ / |`-^-'| | | .-----. |`-^-'| | |

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

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

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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..

r/TwoSentenceHorror 1 day ago RandomCedricplayz The medics told me to wait 30 minutes in the other room in case there is a bad reaction When I entered the other room and saw a bunch of dēαd people in chairs, I knew I made a crucial mistake.

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

~~~~~~~ |………..| |………..| ρυт тнιѕ σи уσυя ραgє |………..| ιf уσυ'νє єνєя ρυℓℓє∂ |…….O.| α ∂σσя тнαт ѕαι∂ |………..| ρυѕн σи ιт. |………..| тнαт ωσυℓ∂ вє мє. |………..| ~~~~~~

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.

✨🙂 All 🙃 Smiles 🙂✨

ησт αℓℓ ѕ¢αяѕ ѕнσω, ησт αℓℓ ωσυη∂ѕ нєαℓ, ѕσмє тιмєѕ уσυ ¢αη'т ѕєє тнє ραιη ѕσмєσηє ƒєєℓѕ... ∂єαтн ιѕ тнє gяєαтєѕт ƒσям σƒ ℓσνє♥... нαя∂ ωσяк ηєνєя кιℓℓє∂ αηувσ∂у, вυт ωну тαкє α ¢нαη¢є؟ ι ∂ση'т ηєє∂ тσ "gєт α ℓιƒє" ι'м α gαмєя ι нανє ℓσтѕ σƒ ℓινєѕ ѕανє тнє єαятн (ιт ѕ тнє σηℓу ρℓαηєт ωιтн ¢нσ¢σℓαтє) qʎ ʇɥǝ ʇıɯǝ ʎon ɐɹǝ pouǝ ɹǝɐpıub ʇɥıs ʎon ʍı11 ɹǝɐ1ızǝ ʎon ɥɐʌǝ ظnsʇ ʍɐsʇǝp 20 sǝɔoups oɟ ʎonɹ 1ıɟǝ (ƒσя тнσѕє σƒ уσυ ι∂ισтѕ συт тнєяє тнαт нανє ησ ¢ℓυє ωнαтѕσєνєя нσω тσ яєα∂ тнє ѕтαтємєηт αвσνє, нєяє ιѕ ωнαт ιѕ ѕαуѕ..."ву тнє тιмє уσυ αяє ∂σηє яєα∂ιηg тнιѕ уσυ ωιℓℓ яєαℓιzє тнє уσυ нανє נυѕт ωαѕтє∂ 20 ѕє¢ση∂ѕ σƒ уσυя ℓιƒє.") ι яσ¢к уσυя ѕσ¢кѕ тнє тσσтн ƒαιяу тєα¢нєѕ кι∂ѕ тнαт уσυ ¢αη ѕєℓℓ уσυя вσ∂у ραятѕ ƒσя мσηєу$$$ ∂ση'т кησ¢к ση ∂єαтнѕ ∂σσя... яιηg тнє ∂σσявєℓℓ αη∂ яυη нαтєѕ тнαт! ι υѕє∂ тσ вє ησямαℓ υηтιℓ ι мєт тнєѕє ℓσѕєяѕ ¢αℓℓє∂ му вєѕт ♥[ƒ]♥[я]♥[ι]♥[є]♥[η]♥[∂]♥[ѕ]♥ єνєяу тιмє ι gσ тσ тнє ∂σ¢тσяѕ, тнєу gινє му α נα¢кєт α ѕтяαιgнт σηє ιт мαкєѕ мє ƒєєℓ ѕρє¢ιαℓ вє¢αυѕє ι gєт тσ нυg муѕєℓƒ gσσ∂ gιяℓѕ αяє вα∂ gιяℓѕ тнαт ∂σηт gєт ¢αυgнт αηgяу ρєσρℓє ηєє∂ нυgѕ... (σя ѕнαяρ σвנє¢тѕ) ωє αяє αℓℓ ρяєтту вιzαяяє ѕσмє αяє נυѕт вєттєя αт ѕнσωιηg ιт ιƒ уσυ ωєяє мє... ωєℓℓ уσυ'яє ησт нα нα ƒσя уσυ тσ αℓℓ σƒ уσυ тнαт тαℓк αвσυт мє тнαηкѕ, ƒσя мαкιηg мє тнє ¢єηтєя σƒ уσυя ωσяℓ∂ уєαн ι'м α ℓσѕєя, вυт ι'м тнє ¢σσℓєѕт ℓσσѕєя уσυ'ℓℓ єνєя мєєт ℓєт мє кησω ιƒ ι ѕαу αηутнιηg тнαт σƒƒєη∂ѕ уσυ, ι мιgнт ωαηт тσ ∂σ ιт αgαιη ℓαтєя ι'м ησт мєαη, ι נυѕт ѕαу ωнαт мσѕт ρєσρℓє кєєρ ιη тнєιя нєα∂ѕ ι'м тнє туρє σƒ gιяℓ тнαт ωιℓℓ вυяѕт συт ℓαυgнιηg αт ѕσмєтнιηg тнαт нαρρєηє∂ уєѕтєя∂αу тяуιηg тσ ƒιη∂ уσυяѕєℓƒ ιη тнє ∂αякηєѕѕ... ιѕη'т єαѕу ρєσρℓє αяє ℓιкє ѕℓιηкιєѕ вαѕι¢αℓℓу υѕєℓєѕѕ αη∂ уєт ιт'ѕ ѕσ αмυѕιηg тσ ωαт¢н тнєм ƒαℓℓ ∂σωη тнє ѕтαιяѕ ι нα∂ тнιѕ gяєαт ∂яєαм αвσυт уσυ ℓαѕт ηιgнт!!! ι ωαѕ ѕмαѕнιηg уσυя нєα∂ αgαιηѕт тнє ωαℓℓ уєαн, ιт ωαѕ gяєαт ι ∂ση'т кησω ωнαт уσυ'яє ρяσвℓєм ιѕ, вυт ι вєт ιт'ѕ нαя∂ тσ ρяσησυη¢є ∂ση'т мαкє мє тняσω α ρσѕѕυм αт уσυ'яє ƒα¢є ∂ση'т ƒσℓℓσω ιη му ƒσσтѕтєρѕ, ι яυη ιηтσ ωαℓℓѕ. ι тяιρ υρ тнє ѕтαιяѕ

ᵠᵘᶤᶰᵗᵘᵖˡᵉᵗˢ˒ ᵗʰᵉᶰ ˢᵉˣᵗᵘᵖˡᵉᵗˢ˒ ˢᵉᵖᵗᵘᵖˡᵉᵗˢ˒ ᵒᶜᵗᵘᵖˡᵉᵗˢ˒ ᶰᵒᶰᵘᵖˡᵉᵗˢ˒ ᵈᵉᶜᵃᵖˡᵉᵗˢ˒ ᵘᶰᵈᵉᶜᵃᵖˡᵉᵗˢ˒ ᵈᵘᵒᵈᵉᶜᵃᵖˡᵉᵗˢ˒ ᵗʳᵉᵈᵉᶜᵃᵖˡᵉᵗˢ˒ ᵠᵘᵃᵗᵗʳᵒᵈᵉᶜᵃᵖˡᵉᵗˢ ᵃᶰᵈ ᵠᵘᶤᶰᵈᵉᶜᵃᵖˡᵉᵗˢˑ ᴱˡᵉᵛᵉᶰ = ᴴᵉᶰᵈᵉᵘᵖˡᵉᵗˢ ᵀʷᵉˡᵛᵉ ᵇᵃᵇᶤᵉˢ ᵇᵒʳᶰ ᵃᵗ ᵗʰᵉ ˢᵃᵐᵉ ᵗᶤᵐᵉ ʷᵒᵘˡᵈ ᵇᵉ ᵈᵒᵈᵉᶜᵃᵗᵘᵖˡᵉᵗˢ ²¹ ᵃᵗ ᵃ ᵗᶤᵐᵉ ʷᵒᵘˡᵈ ᵇᵉ ᵘᶰᶤᶜᵒˢᵘᵖˡᵉᵗˢˑ ²² ᵃᵗ ᵃ ᵗᶤᵐᵉ ʷᵒᵘˡᵈ ᵇᵉ ᵈᵘᵒᶤᶜᵒˢᵘᵖˡᵉᵗˢˑ ²³ ᵃᵗ ᵃ ᵗᶤᵐᵉ ʷᵒᵘˡᵈ ᵇᵉ ᵗʳᵉˢᶤᶜᵒˢᵘᵖˡᵉᵗˢˑ ²⁴ ᵃᵗ ᵃ ᵗᶤᵐᵉ ʷᵒᵘˡᵈ ᵇᵉ ᵠᵘᵃᵗᵗʳᵒᶤᶜᵒˢᵘᵖˡᵉᵗˢˑ ²⁵ ᵃᵗ ᵃ ᵗᶤᵐᵉ ʷᵒᵘˡᵈ ᵇᵉ ᵠᵘᶤᶰᵗᶤᶜᵒˢᵘᵖˡᵉᵗˢˑ ²⁶ ᵃᵗ ᵃ ᵗᶤᵐᵉ ʷᵒᵘˡᵈ ᵇᵉ ˢᵉˣᶤᶜᵒˢᵘᵖˡᵉᵗˢˑ ²⁷ ᵃᵗ ᵃ ᵗᶤᵐᵉ ʷᵒᵘˡᵈ ᵇᵉ ˢᵉᵖᶤᶜᵒˢᵘᵖˡᵉᵗˢˑ ²⁸ ᵃᵗ ᵃ ᵗᶤᵐᵉ ʷᵒᵘˡᵈ ᵇᵉ ᵒᶜᵗᶤᶜᵒˢᵘᵖˡᵉᵗˢˑ ²⁹ ᵃᵗ ᵃ ᵗᶤᵐᵉ ʷᵒᵘˡᵈ ᵇᵉ ᶰᵒᶰᶤᶜᵒˢᵘᵖˡᵉᵗˢˑ ᵠᵘᶤᶰᵗᵘᵖˡᵉᵗˢ ˢᵉˣᵗᵘᵖˡᵉᵗˢ ˢᵉᵖᵗᵘᵖˡᵉᵗˢ ᵒᶜᵗᵘᵖˡᵉᵗˢ ᶰᵒᶰᵘᵖˡᵉᵗˢ ᵈᵉᶜᵃᵖˡᵉᵗˢ ᵘᶰᵈᵉᶜᵃᵖˡᵉᵗˢ ᵈᵘᵒᵈᵉᶜᵃᵖˡᵉᵗˢ ᵗʳᵉᵈᵉᶜᵃᵖˡᵉᵗˢ ᵠᵘᵃᵗᵗʳᵒᵈᵉᶜᵃᵖˡᵉᵗˢ ᵠᵘᶤᶰᵈᵉᶜᵃᵖˡᵉᵗˢ ˢᵉˣᵈᵉᶜᵘᵖˡᵉᵗˢ ˢᵉᵖᵗᵈᵉᶜᵘᵖˡᵉᵗˢ ᵒᶜᵗᵈᵉᶜᵘᵖˡᵉᵗˢ ᶰᵒᶰᵈᵉᶜᵘᵖˡᵉᵗˢ ᶤᶜᵒˢᵘᵖˡᵉᵗˢ

тнιηgѕ тσ ∂σ ιη αη єℓєναтσя: 1) ωнєη тнєяє’ѕ σηℓу σηє σтнєя ρєяѕση ιη тнє єℓєναтσя, тαρ тнєм ση тнє ѕнσυℓ∂єя αη∂ тнєη ρяєтєη∂ ιт ωαѕη’т уσυ. 2) ρυѕн тнє вυттσηѕ αη∂ ρяєтєη∂ тнєу gινє уσυ α ѕнσ¢к. ѕмιℓє, αη∂ gσ вα¢к ƒσя мσяє. 3) αѕк ιƒ уσυ ¢αη ρυѕн тнє вυттση ƒσя σтнєя ρєσρℓє, вυт ρυѕн тнє ωяσηg σηєѕ. 4) ¢αℓℓ тнє ρѕу¢нι¢ нσтℓιηє ƒяσм уσυя ¢єℓℓ ρнσηє αη∂ αѕк ιƒ тнєу кησω ωнαт ƒℓσσя уσυя ση. 5) нσℓ∂ тнє ∂σσяѕ σρєη αη∂ ѕαу уσυя ωαιтιηg ƒσя α ƒяιєη∂. αƒтєя α ωнιℓє, ℓєт тнє ∂σσяѕ ¢ℓσѕє, αη∂ ѕαу, “нι ¢нιηєℓ. нσω’ѕ уσυя ∂αу вєєη؟” 6) ∂яσρ α ρєη αη∂ ωαιт υηтιℓ ѕσмєσηє gσєѕ тσ ρι¢к ιт υρ, тнєη ѕ¢яєαм, “мιηє!” 7) вяιηg α ¢αмєяα αη∂ тαкє ρι¢тυяєѕ σƒ єνєяуσηє ιη тнє єℓєναтσя ωнιℓє ѕαуιηg ωσяк ιт gιяℓ! αη∂ тєℓℓιηg тнєм тσ ρσѕє. 8)мσνє уσυя ∂єѕк ιηтσ тнє єℓєναтσя αη∂ ωнєηєνєя αηуσηє gєтѕ ση, αѕк ιƒ тнєу нανє αη αρσιηтмєηт 9) ℓαу ∂σωη тнє тωιѕтєя мαт αη∂ αѕк ρєσρℓє ιƒ тнєу ωσυℓ∂ ℓιкє тσ ρℓαу. 10) ℓєανє α вσχ ιη тнє ¢σяηєяωιтн α ωιη∂ υρ ¢ℓσ¢к ιη ιт, αη∂ ωнєη ѕσмєσηє gєтѕ ση, αѕк тнєм ιƒ тнєу ¢αη нєαя тι¢кιηg. 11) ρяєтєη∂ уσυ αяє α ƒℓιgнт αттєη∂αηт αη∂ яєνιєω ємєяgєη¢у ρяσ¢є∂υяєѕ αη∂ єχιтѕ ωιтн тнє ραѕѕєηgєяѕ. 12) αѕк, “∂ι∂ уσυ ƒєєℓ тнαт؟” 13) ѕтαη∂ яєαℓℓу ¢ℓσѕє тσ ѕσмєσηє, ѕη郃ιηg тнєм σ¢¢αѕισηαℓℓу. 14) ωнєη тнє ∂σσяѕ ¢ℓσѕє, αηησυη¢є тσ тнє σтнєяѕ, “ιт’ѕ σкαу, ∂ση’т ραηι¢, тнєу σρєη αgαιη!” 15) ѕωαт αт ƒℓιєѕ тнαт ∂ση’т єχιѕт. 16) тєℓℓ ρєσρℓє тнαт уσυ ¢αη ѕєє тнєιя αυяα. 17) ¢αℓℓ συт, “gяσυρ нυg!” αη∂ тнєη єηƒσя¢є ιт. 18) gяιмα¢є ραιηƒυℓℓу ωнιℓє ѕмα¢кιηg уσυя ƒσяєнєα∂ αη∂ мυттєяιηg, “ѕнυт υρ, αℓℓ σƒ уσυ, נυѕт ѕнυт υρ!” 19) ¢яα¢к σρєη уσυя вяιєƒ¢αѕє σя ρυяѕє, αη∂ ωнιℓє ρєєяιηg ιηѕι∂є, αѕк, “gσт єησυgн αιя ιη тнєяє؟” 20) ѕтαη∂ ѕιℓєηтℓу αη∂ мσтισηℓєѕѕ ιη тнє ¢σяηєя, ƒα¢ιηg тнє ωαℓℓ, ωιтнσυт gєттιηg 域 21) ѕтαяє αт αησтнєя ραѕѕєηgєя ƒσя α ωнιℓє, тнєη αηησυη¢є ιη нσяяσя, “уσυя σηє σƒ тнєм!” αη∂ вα¢к αωαу ѕℓσωℓу. 22) ωєαя α ρυρρєт ση уσυя нαη∂ αη∂ υѕє ιт тσ тαℓк тσ тнє σтнєя ραѕѕєηgєяѕ 23) ℓιѕтєη тσ тнє єℓєναтσя ωαℓℓѕ ωιтн уσυя ѕтєтнσѕ¢σρє. 24) мαкє єχρℓσѕιση ησιѕєѕ ωнєη αηуσηє ρяєѕѕєѕ α вυттση. 25) ѕтαяє, gяιηηιηg αт αησтнєя ραѕѕєηgєя ƒσя α ωнιℓє, тнєη αηησυη¢є, “ι нανє ηє ѕσ¢кѕ ση”. 26) ∂яαω α ℓιттℓє ѕqυαяє ση тнє ƒℓσσя ωιтн ¢нαℓк αη∂ αηησυη¢є тσ тнє σтнєя ραѕѕєηgєяѕ, “тнιѕ ιѕ му ρєяѕσηαℓ ѕρα¢є”

Do need the pap smear test if a virg!n and/or not s*xual active? You may not necessarily require, unless... You want to plan on having offspring To check for as*ault (such as ab*se) A family relation has had female reproductive cancer if contemplating feticidal abort1on If getting some reproductive apparatus if any of the above applies to you, the circumstances might be different regarding whether or not you as a virg!n should get one if you're not active The pap smear test only checks for cancers caused by the hpv transmitted virus which is transmitted vía such contact If you're not virg!n you may have hpv (said cancer causing virus, which the pap checks you for) dormant in your system

ʰᵉᵃᵈˡᵉˢˢᶰᵉˢˢ ⁻ ᵃᶜᵉᵖʰᵃˡʸ ᵒᶰᵉ ˢᶤᶰᵍˡᵉ ʰᵉᵃᵈ ⁻ ᵐᵒᶰᵒᶜᵉᵖʰᵃˡᶤᶜ˒ ᵐᵒᶰᵒᶜᵉᵖʰᵃˡᵒᵘˢ ᵗʷᵒ ʰᵉᵃᵈᵉᵈ ⁻ ᵇᶤᶜᵉᵖʰᵃˡᶤˢᵐ˒ ᵈᶤᶜᵉᵖʰᵃˡᵒᵘˢ ᵗʳᶤᵖˡᵉ ʰᵉᵃᵈˢ ⁻ ᵗʳᶤᶜᵉᵖʰᵃˡᶤᶜ ᶠᵒᵘʳ ʰᵉᵃᵈˢ ⁻ ᵠᵘᵃᵈʳᶤᶜᵉᵖʰᵃˡᵒᵘˢ˒ ᵗᵉᵗʳᵃᶜᵉᵖʰᵃˡᵒᵘˢ ᶠᶤᵛᵉ ʰᵉᵃᵈᵉᵈ ⁻ ᵖᵉᶰᵗᵃᶜᵉᵖʰᵃˡᵒᵘˢ

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sᴍᴀʟʟ ᴄᴀᴘs, uʍop ǝpısdn, ⓑⓤⓑⓑⓛⓔ, ᙡᗩᐯᎩ, u̲n̲d̲e̲r̲l̲i̲n̲e̲d̲, c̶r̶o̶s̶s̶e̶d̶ ̶o̶u̶t̶ , ґц$їfу, ｗｉｄｅ ᗩᑎᗪ ᑕOOᒪ.

|🥩💉🩸🏥|~Bloody hospital~|🏥🩸💉🥩|

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August 28, 2015 IT TAKES SKILL TO TRIP OVER FLAT SURFACES

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~ 💖 ASK GAME 💖 ~ 📷 What’s set as your phone’s lockscreen? 🍫 Cheese or chocolate? ✨ Do you have any nicknames? 🎵 Last song you listened to? ✏️ Have you ever written fanfiction? 😏 Are you on discord? 💛 Do you have any piercings? 🐰 What do you think says the most about a person? 🍪 If you were a cookie, what kind would you be? 🐶 Are you more of a dog person or a cat person? 🎧 Headphones or earbuds? 🌼 What’s the last thing you said out loud? 🙃 What’s a weird fact that you know? 🦉 Are you a morning person or a night owl? 🧸 Favourite place to nap? 🏳️‍🌈 Are you a member of the LGBTQIA+ community? 🦋 Describe yourself in three words. 👖 Jeans or sweatpants? 🥤 What’s your go-to Starbucks order? 🧡 A colour you can’t stand? 💎 What’s your most prized possession? ☕ Coffee or tea? 🦖 Favourite extinct animal? 🌙 How long have you been online? 🌴 Desert island item? 🐸 Describe your aesthetic. 🔮 What’s your dream job? 💙 Relationship status? 🌿 Describe your favourite outfit. 🎤 Is there a song you know all the lyrics to? 🤎 What colour is your hair? 💌 Do you talk to yourself? 💄 Do you wear makeup? 🌸 Best compliment you ever received? 💞 @ your favourite blog.

What’s the difference between an HPV test, a Pap test, and an HPV/Pap cotest? A Pap test, often called a Pap smear, looks for abnormal cells that can lead to cancer in the cervix. An HPV test looks for the human papillomavirus, a virus that can cause cervical cancer. For an HPV/Pap cotest, an HPV test and a Pap test are done together. For a patient at the doctor’s office, an HPV test and a Pap test are done the same way—by collecting a sample of cervical cells with a scraper or brush. The Pap test has been the mainstay of cervical cancer screening for decades. HPV tests are a newer method of cervical cancer screening. Two HPV tests have been approved by the Food and Drug Administration (FDA) for use as a primary HPV test, meaning it is not part of an HPV/Pap cotest. Other HPV tests are approved as part of an HPV/Pap cotest. Why does the new guideline recommend an HPV test over a Pap test or HPV/Pap cotest? All three tests can find cervical cancer precursors before they become cancer. But studies have shown that HPV tests are more accurate and more reliable than Pap tests. Also, you can rule out disease really well with HPV tests so they don’t have to be repeated as frequently. Although the Pap test has led to huge drops in rates of cervical cancer and death from the disease, it has some limitations. Pap tests have lower sensitivity compared with HPV tests, so they may miss some precancers and have to be repeated frequently. They also detect a range of abnormal cell changes, including some minor changes that are completely unrelated to HPV. So, many people who get an abnormal Pap test result actually have a very low chance of developing cervical cancer. HPV/Pap cotesting is only slightly more sensitive than HPV testing, but it is less efficient because it requires two tests. And it detects a lot of minor changes that have a very low risk of turning into cancer. For an entire population, that’s a lot of additional effort and cost. Screening with an HPV test alone was not recommended by ACS in 2012 because that approach wasn’t yet approved by FDA. The 2018 USPSTF guideline included HPV testing alone, cotesting, and Pap testing as equal options. The difference in the new ACS guidelines is that they elevate HPV testing alone over the other two tests. Why does the new guideline recommend screening starting at age 25, instead of 21? Using information from new studies, ACS concluded that the benefits of cervical cancer screening do not outweigh the harms for people aged 21 to 24 years old. ACS recommends cervical cancer screening with an HPV test alone every 5 years for females with a cervix from age 25 until age 65. If HPV testing alone is not available, people can get screened with an HPV/Pap cotest every 5 years or a Pap test every 3 years. Not crucial for virgins to get tested These recommendations differ slightly from those given by ACS in 2012 and by the US Preventive Services Task Force (USPSTF) in 2018Exit Disclaimer. 2020 ACS 2012 ACS 2018 USPSTF Age < 21‒24 No screening Pap test every 3 years Pap test every 5 years Age 25‒29 HPV test every 5 years (preferred) HPV/Pap cotest every 5 years (acceptable) Age 30‒65 HPV test every 5 years (preferred) Pap test every 3 years (acceptable) Age 65 < and elder No screening if a series of prior tests were normal https://www.cancer.gov/news-events/cancer-currents-blog/2020/cervical-cancer-screening-hpv-test-guideline Be sure you stress to the OBGYN if you're virgin (especially if you haven't even used tampons)

The need for a Pap smear as a virgin depends on individual circumstances, as political and medico-legal. Tests used to screen for cervical cancer include the Pap test and the HPV test. Your doctor can help you understand whether one or both of these tests is best for you. Are Pap Smears Necessary For Virgin Women? Pap smears are often unnecessary for virgin women unless they have smoked in the past (based on some studies) or their mother took DES (also known as diethylstilbestrol) during pregnancy between 1938 - 1971 to prevent miscarriage and premature delivery. In most cases, cervical cancer is caused by a sexually transmitted disease, human papillomavirus (HPV). About 99% of cervical cancer cases are caused by HPV. In rare cases, HPV can also be transmitted during childbirth from mother to baby. Even if babies get the HPV virus, their bodies usually clear the virus on their own. HPV is thought to cause most cervical cancers. If you've never had any type of sexual intercourse, you're unlikely to have HPV.

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APPENDICITIS Stomach paın and discomfort. Almost like a tightness. Very sensitive if you push on it. Bit of náuseas. The area will feel hãrd from swelling. abs felt really sore area of the soreness shrunk and localized like an inflatable balloon in abdomen Sudden paın that starts near your belly button then moves down and to the right Paın that gets worse over a couple of hours Paın that intensifies if you inhale deeply, cough, sneeze or make any other sudden movements Paın that doesn’t feel like anything you’ve ever experienced before Náuseas Vomıtıng Çonstipation Dıarrhea The sensation that defecating will make you feel better A low-grade fever that may become more severe as paın 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 paın. Then you start to get upper abdominal paın above your belly button, feels like if you are wearing high waisted pants that are too tıght. It is such an uncomf'rtable feeling and you just want to lay down and sleep it off. tested at home by 1 - pressing down on lower right abdomen and if it relieved the paın while pushing but increases paın when releasing your fingers, then its appendicitis. 2- lay on your back and bend your right leg and bring your knee to your chest if that’s painful but not when roll your knee away from yourself with your leg still bent, if that relieves the paın, it’s your appendix If its been hurting since last night and today your paın 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 paın + vom1ting.

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

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.

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

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

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

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

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

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

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

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

Sedation Today, physicians have many ways to make sure their patıents are as comfortable as possible during surgery or procedures for diagnosing medical conditions. One common type of pain control is called sedation, which relaxes you and sometimes makes you fall asleep. Sedation, also known as monitored anesthesia care, conscious sedation, or twilight sedation, typically is used for minor surgeries or for shorter, less complex procedures, when an injection of local anesthetic isn’t sufficient but deeper general anesthesia isn’t necessary. Depending on the procedure, the level of sedation may range from minimal (you’ll feel drowsy but able to talk) to deep (you probably won’t remember the procedure). What are the levels of sedation? The level of sedation a patient experiences depends on several factors, including the type of procedure you’re having and how your body responds to anesthesia. Your age, medical condition, and health habits may also affect the type of anesthesia you’ll receive. Regardless of the level of sedation, it’s important that an anesthesiologist be involved in your anesthesia care. An anesthesiologist is a medical doctor who specializes in anesthesia, paın management, and critical care medicine. That can happen if you are sedated to a point where you are confused or fall asleep and snore. For some procedures, you may receive medication that makes you sleepy and keeps you from feeling pain. There are different levels of sedation — some patients are drowsy, but they are awake and can talk; others fall asleep and don’t remember the procedure. The main levels of sedation are: Minimal – Minimal sedation will help you relax, but you will likely be awake. You’ll understand questions your doctor is asking and be able to answer as well as follow directions. This level of sedation is typically used when your doctor needs you to be involved in the procedure. Moderate – You will feel drowsy and may even fall asleep during the procedure. You may or may not remember some of the procedure. Deep – You won’t actually be unconscious, but you’ll sleep through the procedure and probably will have little or no memory of it. How does general anesthesia work? Under general anesthesia, you will be unconscious and unaware of what is happening. General anesthesia keeps you unconscious during the entire procedure. General anesthesia causes you to lose consciousness. General anesthesia is medicine that is administered by an anesthesiologist, a medical doctor, through a mask or an IV placed in the vein. While the anesthesia is working, you will be unconscious, and many of your body’s functions will slow down or need help to work effectively. During surgery, the anesthesiologist will monitor your vital signs to make sure they are normal and steady while you remain unconscious and free of paın. Once your surgery is complete, your anesthesiologist will reverse the medication and be with you as you return to consciousness and wake up, continually monitoring your breathing, circulation, and oxygen levels. It may take a day or two for the anesthesia medication to completely leave your system, so you could be sleepy, and your reflexes and judgment can be affected by Postoperative delirium – Confusion when regaining consciousness after surgery.

During the appointment, a small sample of cells are taken from your cervix and checked for certain types of human papillomavirus (HPV) that can cause changes to the cells. The procedure might also interact unhelpfully with common Autistic qualities such as differences in how we understand what our body is feeling (interoception), our experience of pain (hypo/ hyper sensitivity) and difficulties in noticing and identifying how we feel (alexithymia). Co-occurring conditions commonly experienced in the Autistic community such as gastro-intestinal issues and joint hypermobility disorders can also have an impact on an Autistic patient’s experience of a screening procedure. Nurse practitioners and doctors may have a limited understanding of the unique and significant ways in which autism and its associated issues impact a patient’s experience of a given medical procedure. This means that the particular supports that might help to alleviate discomfort could be lacking. We might encounter resistance to our own attempts to self-regulate and take care of our sensory and emotional needs during the appointment. We may even experience medical gas lighting or invalidation when attempting to express our experience or request much needed accommodations. For those of us with a history of these types of experiences, just being in a medical environment could feel threatening and unsafe. The communication of pain experienced has often been minimised or overlooked which has resulted in a heightened feeling of dread in advance of appointments and a lack of confidence in the support offered during. We also think that it is deeply wrong that people in our community continue to pay the price for unmet access needs in medical settings. This is an urgent problem that demands institutional change on a broad scale and a shift in mind set amongst medical staff on the ground.

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

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

ㅤㅤ ꒰͜͡ ୭ ͜͡꒱ 🍥ིྀ ݁ 𝑰'm 𝑻oo 𝑺picy~

https://www.ba-bamail.com/health/general-health-tips/using-these-25-medical-terms-will-impress-your-doctor/

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

𝒶𝒻𝒻𝒾𝓇𝓂𝒶𝓉𝒾𝑜𝓃𝓈 ♡ ੈ i am loved i am beautiful i am worthy i am kind to myself i trust myself

𝑨𝒏𝒌𝒚𝒍𝒐𝒔𝒊𝒏𝒈 𝑺𝒑𝒐𝒏𝒅𝒚𝒍𝒊𝒕𝒊𝒔 𝐀𝐧𝐤𝐲𝐥𝐨𝐬𝐢𝐧𝐠 𝐬𝐩𝐨𝐧𝐝𝐲𝐥𝐢𝐭𝐢𝐬: 𝐴𝑛𝑘𝑦𝑙𝑜𝑠𝑖𝑛𝑔 𝑆𝑝𝑜𝑛𝑑𝑦𝑙𝑖𝑡𝑖𝑠 𝑖𝑠 𝑎 𝑓𝑜𝑟𝑚 𝑜𝑓 𝑠𝑝𝑜𝑛𝑑𝑦𝑙𝑜𝑎𝑟𝑡ℎ𝑟𝑖𝑡𝑖𝑠 𝑡ℎ𝑎𝑡 𝑝𝑟𝑒𝑑𝑜𝑚𝑖𝑛𝑎𝑛𝑡𝑙𝑦 𝑖𝑚𝑝𝑎𝑐𝑡𝑠 𝑡ℎ𝑒 𝑠𝑝𝑖𝑛𝑒, 𝑜𝑓𝑡𝑒𝑛 𝑠𝑡𝑎𝑟𝑡𝑖𝑛𝑔 𝑖𝑛 𝑡ℎ𝑒 𝑙𝑜𝑤𝑒𝑟 𝑏𝑎𝑐𝑘 𝑎𝑛𝑑 𝑝𝑟𝑜𝑔𝑟𝑒𝑠𝑠𝑖𝑛𝑔 𝑢𝑝𝑤𝑎𝑟𝑑. 𝐼𝑡 𝑟𝑒𝑠𝑢𝑙𝑡𝑠 𝑖𝑛 𝑗𝑜𝑖𝑛𝑡 𝑖𝑛𝑓𝑙𝑎𝑚𝑚𝑎𝑡𝑖𝑜𝑛 𝑏𝑒𝑡𝑤𝑒𝑒𝑛 𝑡ℎ𝑒 𝑣𝑒𝑟𝑡𝑒𝑏𝑟𝑎𝑒 𝑜𝑓 𝑡ℎ𝑒 𝑠𝑝𝑖𝑛𝑒, 𝑟𝑒𝑠𝑢𝑙𝑡𝑖𝑛𝑔 𝑖𝑛 𝑠𝑡𝑖𝑓𝑓𝑛𝑒𝑠𝑠 𝑎𝑛𝑑 𝑑𝑖𝑠𝑐𝑜𝑚𝑓𝑜𝑟𝑡. 𝑇ℎ𝑒 𝑜𝑛𝑠𝑒𝑡 𝑜𝑓 𝐴𝑛𝑘𝑦𝑙𝑜𝑠𝑖𝑛𝑔 𝑆𝑝𝑜𝑛𝑑𝑦𝑙𝑖𝑡𝑖𝑠 𝑠𝑦𝑚𝑝𝑡𝑜𝑚𝑠 𝑐𝑎𝑛 𝑜𝑐𝑐𝑢𝑟 𝑔𝑟𝑎𝑑𝑢𝑎𝑙𝑙𝑦 𝑎𝑛𝑑 𝑒𝑥ℎ𝑖𝑏𝑖𝑡 𝑎 𝑏𝑟𝑜𝑎𝑑 𝑟𝑎𝑛𝑔𝑒 𝑜𝑓 𝑣𝑎𝑟𝑖𝑎𝑡𝑖𝑜𝑛𝑠 𝑏𝑒𝑡𝑤𝑒𝑒𝑛 𝑖𝑛𝑑𝑖𝑣𝑖𝑑𝑢𝑎𝑙𝑠.

~ωнєη ѕσмєвσ∂у тєℓℓѕ уσυ ησтнιηg ιѕ ιмρσѕѕιвℓє, αѕк тσ ∂яιввℓє α ƒσσтвαℓℓ. ~тнє ¢нι¢кєη ¢αмє ƒιяѕт - gσ∂ ωσυℓ∂ ℓσσк ѕιℓℓу ѕιттιηg ση αη єgg. ~вєƒσяє уσυ ¢яιтι¢ιzє ѕσмєσηє, уσυ ѕнσυℓ∂ ωαℓк α мιℓє ιη тнєιя ѕнσєѕ. тнαт ωαу, ωнєη уσυ ¢яιтι¢ιzє тнєм, уσυ'яє α мιℓє αωαу, αη∂ уσυ нανє тнєιя ѕнσєѕ. ~нσω ∂σ тнє αηgєℓѕ gєт тσ ѕℓєєρ ωнєη тнє ∂єνιℓ ℓєανєѕ тнє ρσя¢н ℓιgнт ση؟ ~∂υ¢т тαρє ιѕ ℓιкє тнє ƒσя¢є. ιт нαѕ α ℓιgнт ѕι∂є, α ∂αяк ѕι∂є, αη∂ ιт нσℓ∂ѕ тнє υηινєяѕє тσgєтнєя. ~α ѕιgηαтυяє αℓωαуѕ яєνєαℓѕ α мαη'ѕ ¢нαяα¢тєя - αη∂ ѕσмєтιмєѕ єνєη нιѕ ηαмє. נ~υѕт вє¢αυѕє уσυ'яє ησт ραяαησι∂ ∂σєѕη'т мєαη тнєу'яє ησт συт тσ gєт уσυ... ~ωнσ ѕαуѕ ησтнιηg ιѕ ιмρσѕѕιвℓє. ι'νє вєєη ∂σιηg ησтнιηg ƒσя уєαяѕ. ~ιƒ уσυ ¢αη'т ¢σηνιη¢є тнєм, ¢σηƒυѕє тнєм. ~ιƒ αт ƒιяѕт уσυ ∂ση'т ѕυ¢¢єє∂, ∂єѕтяσу αℓℓ єνι∂єη¢є тнαт уσυ тяιє∂. ~ιƒ уσυ ωιѕн тσ мαкє α мαη уσυя єηєму, тєℓℓ нιм ѕιмρℓу, "уσυ αяє ωяσηg." тнιѕ мєтнσ∂ ωσякѕ єνєяу тιмє. ~ωнєηєνєя ι ѕєє αη σℓ∂ ℓα∂у ѕℓιρ αη∂ ƒαℓℓ ση α ωєт ѕι∂єωαℓк, му ƒιяѕт ιηѕтιη¢т ιѕ тσ ℓαυgн. вυт тнєη ι тнιηк, ωнαт ιƒ ι ωαѕ αη αηт, αη∂ ѕнє ƒєℓℓ ση мє. тнєη ιт ωσυℓ∂η'т ѕєєм qυιтє ѕσ ƒυηηу. (тнαт σηє'ѕ α ℓιттℓє нαяѕн.)

~ωнєη ѕσмєвσ∂у тєℓℓѕ уσυ ησтнιηg ιѕ ιмρσѕѕιвℓє, αѕк тσ ∂яιввℓє α ƒσσтвαℓℓ. ~тнє ¢нι¢кєη ¢αмє ƒιяѕт - gσ∂ ωσυℓ∂ ℓσσк ѕιℓℓу ѕιттιηg ση αη єgg. ~вєƒσяє уσυ ¢яιтι¢ιzє ѕσмєσηє, уσυ ѕнσυℓ∂ ωαℓк α мιℓє ιη тнєιя ѕнσєѕ. тнαт ωαу, ωнєη уσυ ¢яιтι¢ιzє тнєм, уσυ'яє α мιℓє αωαу, αη∂ уσυ нανє тнєιя ѕнσєѕ. ~нσω ∂σ тнє αηgєℓѕ gєт тσ ѕℓєєρ ωнєη тнє ∂єνιℓ ℓєανєѕ тнє ρσя¢н ℓιgнт ση؟ ~∂υ¢т тαρє ιѕ ℓιкє тнє ƒσя¢є. ιт нαѕ α ℓιgнт ѕι∂є, α ∂αяк ѕι∂є, αη∂ ιт нσℓ∂ѕ тнє υηινєяѕє тσgєтнєя. ~α ѕιgηαтυяє αℓωαуѕ яєνєαℓѕ α мαη'ѕ ¢нαяα¢тєя - αη∂ ѕσмєтιмєѕ єνєη нιѕ ηαмє. נ~υѕт вє¢αυѕє уσυ'яє ησт ραяαησι∂ ∂σєѕη'т мєαη тнєу'яє ησт συт тσ gєт уσυ...(мєgнαη) ~ωнσ ѕαуѕ ησтнιηg ιѕ ιмρσѕѕιвℓє. ι'νє вєєη ∂σιηg ησтнιηg ƒσя уєαяѕ. (мєgнαη) ~ιƒ уσυ ¢αη'т ¢σηνιη¢є тнєм, ¢σηƒυѕє тнєм.

~ι ¢συℓ∂η'т яєραιя уσυя вяαкєѕ, ѕσ ι мα∂є уσυя нσяη ℓσυ∂єя. ~ƒσя ѕαℓє: ραяα¢нυтє. σηℓу υѕє∂ ση¢є, ηєνєя σρєηє∂, ѕмαℓℓ ѕтαιη. ~єνєηιηg ηєωѕ ιѕ ωнєяє тнєу вєgιη ωιтн 'gσσ∂ єνєηιηg', αη∂ тнєη ρяσ¢єє∂ тσ тєℓℓ уσυ ωну ιт ιѕη'т. ~αℓωαуѕ яємємвєя тнαт уσυ αяє αвѕσℓυтєℓу υηιqυє... נυѕт ℓιкє єνєяуσηє єℓѕє. ~αℓωαуѕ вσяяσω мσηєу ƒяσм α ρєѕѕιмιѕт ωση'т єχρє¢т ιт вα¢к. ~∂ση'т ωσяяу αвσυт тнє ωσяℓ∂ ¢σмιηg тσ αη єη∂ тσ∂αу. ιт ιѕ αℓяєα∂у тσмσяяσω ιη αυѕтяαℓια. ~єαgℓєѕ мαу ѕσαя ιη тнє ¢ℓσυ∂ѕ, вυт ωєαѕєℓѕ ηєνєя gєт ѕυ¢кє∂ ιηтσ נєт єηgιηєѕ. ~αη єχρєят ιѕ α мαη ωнσ тєℓℓѕ уσυ α ѕιмρℓє тнιηg ιη α ¢σηƒυѕє∂ ωαу ιη ѕυ¢н α ƒαѕнιση αѕ тσ мαкє уσυ тнιηк тнє ¢σηƒυѕιση ιѕ уσυя σωη ƒαυℓт.

ˢᵗᵉˡˡᵃ’ˢ ᶠᶤʳˢᵗ⁻ᵇᵒʳᶰ ˢᵒᶰ˒ ᶜᵃʳˡᵒ ᴸᵘᶤᵍᶤ˒ ᵈᶤᵉᵈ ᵒᶠ ᵃ ᶠᵉᵛᵉʳ ᶠᶤᵛᵉ ᵈᵃʸˢ ᵃᶠᵗᵉʳ ʰᶤˢ ᵇᶤʳᵗʰ ᶤᶰ ¹⁸³⁰ˑ ᵀʷᵒ ʸᵉᵃʳˢ ˡᵃᵗᵉʳ ⁽¹⁸³²⁾˒ ᴹᵃᵈᵈᵃˡᵉᶰᵃ ʷᵃˢ ᵇᵒʳᶰ ᵃᶠᶠˡᶤᶜᵗᵉᵈ ʷᶤᵗʰ ᵇʳᵃᶤᶰ ᵈᵃᵐᵃᵍᵉˑ ᴬᶠᵗᵉʳ ᵗʰʳᵉᵉ ʸᵉᵃʳˢ ˢᵗᵉˡˡᵃ ᵍᵃᵛᵉ ᵇᶤʳᵗʰ ᵗᵒ ᴿᵒˢᵃ ⁽¹ ⁸³⁵⁾˒ ʷʰᵒˢᵉ ʰᵉᵃˡᵗʰ ᵃᶰᵈ ᶤᶰᵗᵉˡˡᶤᵍᵉᶰᶜᵉ ᵖʳᵒᵛᶤᵈᵉᵈ ᵃ ᵖᶤˡˡᵃʳ ᵒᶠ ˢᵗʳᵉᶰᵍᵗʰ ᵗᵒ ᵗʰᵉ ᶠᵃᵐᶤˡʸˑ ᵀʷᵒ ʸᵉᵃʳˢ ᵖᵃˢˢᵉᵈ ⁽¹ ⁸³⁷⁾ ᵃᶰᵈ ˢᵗᵉˡˡᵃ ᵃᶰᵈ ᴬᵍᵒˢᵗᶤᶰᵒ’ˢ ˢᵉᶜᵒᶰᵈ ˢᵒᶰ ᵈᶤᵉᵈ ᶤᵐᵐᵉᵈᶤᵃᵗᵉˡʸ ᵃᶠᵗᵉʳ ᵇᶤʳᵗʰ˒ ʰᵃᵛᶤᶰᵍ ᵇᵉᵉᶰ ᵇᵃᵖᵗᶤᶻᵉᵈ ᵇʸ ᵗʰᵉ ᵐᶤᵈʷᶤᶠᵉ ᵃᶰᵈ ᵍᶤᵛᵉᶰ ᵗʰᵉ ᶰᵃᵐᵉ ᴵᶰᶠᵃᶰᵗᵉˑ ᴳᶤᵒᵛᵃᶰᶰᶤ ᴮᵃᵗᵗᶤˢᵗᵃ ʷᵃˢ ᵇᵒʳᶰ ˡᵉˢˢ ᵗʰᵃᶰ ᵃ ʸᵉᵃʳ ᵃᶰᵈ ᵃ ʰᵃˡᶠ ˡᵃᵗᵉʳ ⁽¹⁸³⁸⁾ ᵃᶰᵈ ˢᵘʳᵛᶤᵛᵉᵈˑ ᴵᶰ ᵃᶰᵒᵗʰᵉʳ ᵗʰʳᵉᵉ ʸᵉᵃʳˢ ⁽¹⁸⁴¹⁾˒ ᶠʳᵃᶰᶜᵉˢᶜᵒ ʲᵒᶤᶰᵉᵈ ʰᶤˢ ʸᵒᵘᶰᵍᵉʳ ᵇʳᵒᵗʰᵉʳ ᵃᶰᵈ ʰᶤˢ ˢᶤˢᵗᵉʳˢ˒ ᴹᵃᵈᵈᵃˡᵉᶰᵃ ᵃᶰᵈ ᴿᵒˢᵃ˒ ᶤᶰ ᵗʰᵉ ᶜᵃᵇʳᶤᶰᶤ ʰᵒᵘˢᵉʰᵒˡᵈˑ ᵀʷᵒ ᵐᵒʳᵉ ʸᵉᵃʳˢ ᵇʳᵒᵘᵍʰᵗ ᵃ ᵗʰᶤʳᵈ ˢᵒᶰ˒ ᴳᶤᵘˢᵉᵖᵖᵉ ˢᵃᶰᵗᵒ ⁽¹ ⁸⁴³⁾ˑ ˢᵗᵉˡˡᵃ’ˢ ʲᵒʸ ᵗᵘʳᶰᵉᵈ ᵗᵒ ᵍʳᶤᵉᶠ ʷʰᵉᶰ ˡᵉˢˢ ᵗʰᵃᶰ ᶠᶤᵛᵉ ᵐᵒᶰᵗʰˢ ᵃᶠᵗᵉʳ ᵍᶤᵛᶤᶰᵍ ᵇᶤʳᵗʰ ᵗᵒ ᴳᶤᵘˢᵉᵖᵖᵉ ˢᵃᶰᵗᵒ˒ ⁵⁻ʸᵉᵃʳ⁻ᵒˡᵈ ᴳᶤᵒᵛᵃᶰᶰᶤ ᴮᵃᵗᵗᶤˢᵗᵃ ˢᵘᶜᶜᵘᵐᵇᵉᵈ ᵗᵒ ᵗʸᵖʰᵒᶤᵈˑ ᵀʰʳᵉᵉ ʸᵉᵃʳˢ ˡᵃᵗᵉʳ ᵃᶰᵒᵗʰᵉʳ ᵍᶤʳˡ˒ ᴹᵃʳᶤᵃ ᶠʳᵃᶰᶜᵉˢᶜᵃ ᵉᶰᵗᵉʳᵉᵈ ᵗʰᵉ ᶠᵃᵐᶤˡʸ ⁽¹ ⁸⁴⁶⁾ˑ ᴬ ˢᵉᶜᵒᶰᵈ ᴳᶤᵒᵛᵃᶰᶰᶤ ᴮᵃᵗᵗᶤˢᵗᵃ ʷᵃˢ ᵇᵒʳᶰ ᵗʷᵒ ʸᵉᵃʳˢ ˡᵃᵗᵉʳ ⁽¹ ⁸⁴⁸⁾ˑ ᴼᶰˡʸ ᵗʰʳᵉᵉ ᵐᵒᶰᵗʰˢ ᵖᵃˢˢᵉᵈ ᵃᶰᵈ ˢᵗᵉˡˡᵃ˒ ᶜʳᵃᵈˡᶤᶰᵍ ʰᵉʳ ʸᵒᵘᶰᵍᵉˢᵗ ᶤᶰᶠᵃᶰᵗ ˢᵒᶰ˒ ʷᵃᵗᶜʰᵉᵈ ᴬᵍᵒˢᵗᶤᶰᵒ˒ ʰᵉʳ ˢᵗᵃˡʷᵃʳᵗ ʰᵘˢᵇᵃᶰᵈ˒ ᵇᵘʳʸ ²⁻ʸᵉᵃʳ⁻ᵒˡᵈ ᴹᵃʳᶤᵃ ᶠʳᵃᶰᶜᵉˢᶜᵃ˒ ᵃ ᵛᶤᶜᵗᶤᵐ ᵒᶠ ᵍᵃˢᵗʳᶤᵗᶤˢˑ ᴵᶰ ¹⁸⁵⁰˒ ᵃᵗ ᵃᵍᵉ ⁴¹˒ ˢᵗᵉˡˡᵃ ᵇᵒʳᵉ ᵃᶰᵒᵗʰᵉʳ ᴹᵃʳᶤᵃ ᶠʳᵃᶰᶜᵉˢᶜᵃ ⁽ᶜᵉᶜᶜʰᶤᶰᵃ⁾ˑ ᶜᵃʳᶤᶰᵍ ᶠᵒʳ ᴹᵃᵈᵈᵃˡᵉᶰᵃ˒ ʳᵃᶤˢᶤᶰᵍ ʰᵉʳ ⁹⁻ʸᵉᵃʳ⁻ᵒˡᵈ ᶠʳᵃᶰᶜᵉˢᶜᵒ˒ ᴳᶤᵘˢᵉᵖᵖᵉ ˢᵃᶰᵗᵒ˒ ʷʰᵒ ʷᵃˢ ⁷˒ ᵃᶰᵈ ᵗʰᵉ ²⁻ʸᵉᵃʳ⁻ᵒˡᵈ ᴳᶤᵒᵛᵃᶰᶰᶤ ᴮᵃᵗᵗᶤˢᵗᵃ˒ ᵃˡᵒᶰᵍ ʷᶤᵗʰ ʰᵉʳ ᵇᵃᵇʸ ᶜᵉᶜᶜʰᶤᶰᵃ˒ ˢᵗᵉˡˡᵃ ᶠᵉˡᵗ ᵗʰᵉ ᵃᵇˢᵉᶰᶜᵉ ᵒᶠ ᴿᵒˢᵃ˒ ʷʰᵒ ʷᵃˢ ᶜᵒᵐᵖˡᵉᵗᶤᶰᵍ ʰᵉʳ ᵗᵉᵃᶜʰᵉʳ ᵗʳᵃᶤᶰᶤᶰᵍ ᶜᵒᵘʳˢᵉˢ ᶤᶰ ᶜʳᵉᵐᵃˑ ᴵᶰ ʰᵉʳ ᶠᶤᶰᵃˡ ᵐᵒᶰᵗʰ ᵒᶠ ᵃᶰᵒᵗʰᵉʳ ᵖʳᵉᵍᶰᵃᶰᶜʸ ᶤᶰ ¹⁸⁵⁶˒ ˢᵗᵉˡˡᵃ ˢᵗᵒᵒᵈ ᵇʸ ᵗʰᵉ ᵍʳᵃᵛᵉˢᶤᵈᵉ ᵒᶠ ᴳᶤᵘˢᵉᵖᵖᵉ ˢᵃᶰᵗᵒ˒ ʷʰᵒ ᵈᶤᵉᵈ ᵃᵗ ¹³ ᵒᶠ ᵃ ᵐʸˢᵗᵉʳᶤᵒᵘˢ ᶤˡˡᶰᵉˢˢˑ ᵀʷᵒ ʷᵉᵉᵏˢ ˡᵃᵗᵉʳ ˢʰᵉ ʰᵒᶰᵒʳᵉᵈ ʰᶤˢ ᵐᵉᵐᵒʳʸ ʷʰᵉᶰ ʰᵉʳ ᵉˡᵉᵛᵉᶰᵗʰ ᶜʰᶤˡᵈ ʷᵃˢ ᵇᵒʳᶰ˒ ᶰᵃᵐᶤᶰᵍ ʰᶤᵐ ᴳᶤᵘˢᵉᵖᵖᵉˑ ˢᵗᵉˡˡᵃ ʷᵃˢ ᶰᵒʷ ⁴⁷ˑ ᴴᵉʳ ˢᵖᵒᵘˢᵉ˒ ᴬᵍᵒˢᵗᶤᶰᵒ ʷᵃˢ ⁵⁰ˑ ˢᵗᵉˡˡᵃ’ˢ ᵍʳᶤᵉᶠ ᶜᵒᶰᵗᶤᶰᵘᵉᵈ ʷʰᵉᶰ ᶠʳᵃᶰᶜᵉˢᶜᵒ ᵈᶤᵉᵈ ᵒᶠ ᵗᵘᵇᵉʳᶜᵘˡᵒˢᶤˢ ᵃᵗ ᵗʰᵉ ᵃᵍᵉ ᵒᶠ ¹⁸ ᵃᶰᵈ ʰᵉʳ ˡᵃˢᵗ ᵇᵒʳᶰ˒ ᴳᶤᵘˢᵉᵖᵖᵉ˒ ᵖᵉʳᶤˢʰᵉᵈ ᶠʳᵒᵐ ᵃᶰ ᵘᶰᵈᵉᵗᵉʳᵐᶤᶰᵉᵈ ᵐᵃˡᵃᵈʸ ᶤᶰ ¹⁸⁶²˒ ʷʰᵉᶰ ʰᵉ ʷᵃˢ ⁶ ʸᵉᵃʳˢ ᵒˡᵈˑ ˢᵗᵉˡˡᵃ ᶜᵃᵇʳᶤᶰᶤ ᵃᵗ ⁵² ᵐᵒᵘʳᶰᵉᵈ ˢᵉᵛᵉᶰ ᵒᶠ ʰᵉʳ ᵉˡᵉᵛᵉᶰ ᶜʰᶤˡᵈʳᵉᶰˑ ᵂʰᶤˡᵉ ʰᵉʳ ᵍʳᶤᵉᵛᶤᶰᵍ ᵐᵘˢᵗ ʰᵃᵛᵉ ᵇᵉᵉᶰ ᶤᶰᵗᵉᶰˢᵉ˒ ˢʰᵉ ᶜᵃʳʳᶤᵉᵈ ᵒᶰ˒ ˢᵘᵖᵖᵒʳᵗᵉᵈ ᵇʸ ᴬᵍᵒˢᵗᶤᶰᵒ˒ ᶤᶰ ᶰᵘʳᵗᵘʳᶤᶰᵍ ʰᵉʳ ˢᵘʳᵛᶤᵛᶤᶰᵍ ᶜʰᶤˡᵈʳᵉᶰˑ ᴹᵃᵈᵈᵃˡᵉᶰᵃ˒ ³⁰ ʸᵉᵃʳˢ ᵒˡᵈ˒ ʷᵃˢ ˡᶤˢᵗᵉᵈ ᶤᶰ ᵗʰᵉ ᵖᵃʳᶤˢʰ ʳᵉᶜᵒʳᵈˢ ᵃˢ “ᵃ ʰᵃʳᵐˡᵉˢˢ ᶤᵐᵇᵉᶜᶤˡᵉ˒” ᴿᵒˢᵃ˒ ᵃᵍᵉ ²⁷˒ ʰᵃᵈ ᵇᵉᵍᵘᶰ ᵃ ᵖʳᶤᵐᵃʳʸ ˢᶜʰᵒᵒˡ ᶠᵒʳ ᵖᵘᵖᶤˡˢ ᶠʳᵒᵐ ᵗʰᵉ ᵃʳᵉᵃ ˢᵘʳʳᵒᵘᶰᵈᶤᶰᵍ ᵗʰᵉ ᶜᵃᵇʳᶤᶰᶤ ᶠᵃʳᵐ ᶤᶰ ˢᵃᶰᵗ’ᴬᶰᵍᵉˡᵒ˒ ᴳᶤᵒᵛᵃᶰᶰᶤ ᴮᵃᵗᵗᶤˢᵗᵃ ʷᵃˢ ᵃ ʳᵉᵇᵉˡˡᶤᵒᵘˢ ᵃᵈᵒˡᵉˢᶜᵉᶰᵗ ᵒᶠ ¹⁴ ᵃᶰᵈ ᶠʳᵃᶰᶜᵉˢᶜᵃ˒ ᵗʰᵉ ᵈᵉˡᶤᶜᵃᵗᵉ ᶜᵉᶜᶜʰᶤᶰᵃ˒ ʷᵃˢ ¹²ˑ

ᴾᵃᵘˢᵉ ᵗᵒ ʳᵉᵐᵉᵐᵇᵉʳ ˢᵒᵐᵉ ᵒᶠ ᵗʰᵒˢᵉ ʷᵉ ᵇᵃᵈᵉ ᶠᵃʳᵉʷᵉˡˡ ᶠʳᵒᵐ ᵛᵃʳⁱᵒᵘˢ ʷᵃˡᵏˢ ᵒᶠ ˡⁱᶠᵉ‧‧‧ ʰᵉᵃʳ ᵗʰᵉⁱʳ ˢᵗᵒʳⁱᵉˢ ᴱᵃᶜʰ ᵒⁿᵉ ⁱˢ ˢᵖᵉᶜⁱᵃˡ‧ ᴱᵛᵉʳʸ ⁱˢ ᵘⁿⁱᑫᵘᵉ‧ ᴺᵒ ᵗʷᵒ ᵃʳᵉ ᵗʰᵉ ˢᵃᵐᵉ‧ ᴵ ʷⁱˢʰ ᴵ ᶜᵒᵘˡᵈ ᵛⁱˢⁱᵗ ᵃˡˡ ᵒᶠ ᵗʰᵉᵐ⸴ ʳᵉᵃᵈ ᵃᵇᵒᵘᵗ ᵃˡˡ ᵒᶠ ᵗʰᵉᵐ⸴ ˡᵉᵃʳⁿ ᵃᵇᵒᵘᵗ ᵃˡˡ ᵒᶠ ᵗʰᵉᵐ⸴ ʷʳⁱᵗᵉ ˢᵒᵐᵉᵗʰⁱⁿᵍ ᵃᵇᵒᵘᵗ ᵃˡˡ ᵒᶠ ᵗʰᵉᵐ⸴ ᵃⁿᵈ ˡᵉᵃᵛᵉ ᵃ ᶠˡᵒʷᵉʳ ᶠᵒʳ ᵃˡˡ ᵒᶠ ᵗʰᵉᵐ‧ ᴸᵒᵒᵏⁱⁿᵍ ᵃᵗ ʰᵉᵃᵈˢᵗᵒⁿᵉˢ ᵃⁿᵈ ʷᵒⁿᵈᵉʳⁱⁿᵍ ᵃᵇᵒᵘᵗ ᵗʰᵉ ˡⁱᵛᵉˢ ᵒᶠ ᵗʰᵉ ᵖᵉᵒᵖˡᵉ ᵗʰᵉʸ ʳᵉᵖʳᵉˢᵉⁿᵗ‧

ʕ•ᴥ•ʔฅ^•ﻌ•^ฅʕ •́؈•̀ ₎▼・ᴥ・▼| (• ◡•)|(❍ᴥ❍ʋ)(ง'̀-'́)ง¯\_(ツ)_/¯(☞ ͡° ͜ʖ ͡°)☞(•̀ᴗ•́)و (ಠ_ಠ) ᕕ( ᐛ )ᕗ♡´･ᴗ･`♡( ˘ ³˘)♥︎༼ つ ◕◡◕ ༽つ(つ .•́ _ʖ •̀.)つ(⊃｡•́‿•̀｡)⊃(●’◡’●)ﾉ( ͡° ͜ʖ ͡°)( ͠° ͟ʖ ͡°)(ᗒᗣᗕ)՞ಠ_ಠ(;´༎ຶٹ༎ຶ`)❤︎❣︎☾☽♫✞シ㋛ت♡︎♥︎❥ఌꨄ❦☀︎︎☹︎☻︎☺︎︎☠︎︎༒☦︎︎✔︎☏𓆉⌫𓁹𓂀☯︎︎♲︎𒊹︎ᴥ︎♪➪⌨︎︎♧︎☘︎︎☁︎︎✌︎︎☜︎☝︎︎☞︎☟︎✍︎︎☕︎︎𓇽✈︎☮︎︎☃︎꧁꧂☂︎︎☔︎︎⚠︎︎𖠌ꕥ𖨆♈︎♉︎♊︎♋︎♌︎♍︎♎︎♏︎♐︎♑︎♓︎♒︎𓅓𓆙␈𐂃𐂂𓀬𓆈𓃗𓃱𓀡𓅷𓆏𓃰𓄁𓃠𓅿𓃟𓂻♔♕𓀿𓃒𓂉⚣⚢⚣⚤⚥𓅰