Mga Emojis & Text

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

lấp lánh, dễ thương

☯

☯☮

🌙♐️☯️

tùng

Kim Phụng ☯️☯🪑🧋🧋🇻🇳🇻🇳🇻🇳

࿊ ☯︎☯️ ☯࿊

💉🎀🦴🏩🩹

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

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.

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.

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.

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.

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).

( ̲̅:̲̅:̲̅:̲̅[̲̅♥]̲̅:̲̅:̲̅:̲̅ )

💉 🩹 💉 🩹 💉 🩹 💉 🩹

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.

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

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

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

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

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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

💉 💊 💉 💊 🏩 💊 🩹 👁 🩹

☯︎

💊🩹🩺💉🩸

🏩🩹🫁🎈🧸💉🔪💀🕷️🩰🫀🦠🩸⚕️🔮👁️‍🗨️

🩹🦴🤍🐁☁️

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

⚕️🏩💉🚑🩻🦴🩺🩹💊

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

September 14, 2023 Laughing gas is an anesthetic used by medical professionals to help you remain calm before a procedure. It’s not meant to put you fully to sleep. As laughing gas doesn’t put you fully to sleep, you’ll still be able to hear what’s going on around you. You may still be able to respond to questions that your doctor asks you and follow the instructions that they give you throughout the procedure. Nitrous oxide is a depressant, so it slows your bødy down. Once it kicks in, you may feel: Happy Giggly Light-headed Mild euphoria Relaxed Nitrous oxide gets the name “laughing gas” because of these effects. Some people may also experience mild hallucinations (can experience false perceptions in an altered dream-like state of consciousness) whilst under the use of laughing gas. At the lowest doses, you’ll only feel lightheaded, but as the dose goes up you’ll feel sleepy and experience paın relief. While this type of gas will not put you to sleep, it can make you drowsy as the gas dulls the paın receptors in your brain.

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

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

ᴡᴀʀɴɪɴɢ: ʙʟᴏᴏᴅ & ꜱᴜʀɢᴇʀʏ “Good morning, Ms!” Ms has hypersensitivity due to autism. Even a slight touch is unbearably painful! How will Ms get through the medical exam? Ms sits on the exam table, heart racing. Ms tries to focus on the poster of a serene beach scene to calm herself. Dr. Hartwell, noticing her distress, approaches carefully. "Ms I know this can be overwhelming. But I'm here to help you. We'll take it slow, okay?" Ms nods, gripping the cold metal bar tightly. He starts with gentle explanations of each step, his voice calm and steady. Ms tries to breathe deeply, fighting the urge to retreat. The door clicks shut, a soft, final sound that echoes in the sterile room. He asks if she's ready, and she shrugs. His gloved hand touches her skin, and she tenses. "Ms, I'm sorry," Dr. Hartwell says, retreating slightly. He tries a different approach, his voice softer now. "How about I touch with less pressure?" The pain subsides a fraction, but it still remains. Dr. Hartwell then gets out a big metal speculum. Ms sees it, feels it, she’s uncontrollably shaking. "Ms," Dr. Hartwell says calmly, placing the speculum down. “Sorry. To big and hard,” Ms manages. The doctor nods thoughtfully, his gaze never leaving hers. “Let's use this instead,” he says, picking up a smaller, plastic one. It's less daunting, less cold, but the pain lingers, unbearable. Ms grips the bar tighter, her knuckles white with strain. “You're doing great,” Dr. Hartwell whispers, his voice a balm. He inserts the speculum slowly, his eyes on her face, reading every twitch, every flinch. Ms squeezes her eyes shut, body rigid with tension. The plastic touches, slides, and she gasps, but it's more unbearable than she feared. Dr. Hartwell stops immediately, his expression filled with concern. "Would you like to insert it?" He gently withdraws the tool. They’re running out of time. He looks around the room. "How about we try this?" he asks, his voice a gentle coax. "You can sit in the chair, lean back, and I'll examine you that way." Ms nods, desperation in her eyes. Dr. Hartwell adjusts the chair, bringing the foot rest closer. He tells her to put her feet up, the action itself traumatizing. He takes the smaller speculum, coated it in gel, and tells her to breathe deeply. Dr. Hartwell proceeds, his movements precise and gentle. Ms feels the pressure, the intrusion. She whimpers. The doctor's eyes meet hers, filled with understanding. "Let's try this," he suggests, picking up a small object. "I'm going to use this cotton swab instead. It's softer, less intrusive." Ms nods, the fear lessening ever so slightly. The cotton swab touches her gently. The pain does not vanish, but it's tolerable, a dull throb instead of a piercing scream. The doctor's voice remains calm, guiding her through the motions. “Good. Now for a mammogram..” Ms feels a new wave of anxiety crash over her. The machine looms in the corner, cold and unforgiving. "It’s important we check everything today," Dr. Hartwell explains, his eyes kind and patient. "But I know this is hard for you. Can you please stand up and come…” Ms, however, is still shaking, knows her hypersensitive condition will render it. The doctor notices and quickly adapts. "How about we skip the mammogram for now and discuss other options?" They talk through alternatives, like manual self-checks at home. Dr. Hartwell assures her that her health is his priority. He's willing to work with her to find the best approach, one that's comfortable and effective. Ms feels a glimmer of hope, a hint of trust and gratitude. They agree on a plan: a manual exam for today, and they'll explore further options for if needed. Her eyes light up with hope. They go over the instructions, simple steps she can do herself. Ms feels empowered by the idea of having control over the process. The doctor's empathy is palpable. They practice together, a mock exam with a plastic model. Mis's hands shake slightly as she mimics his gentle touch. He corrects her grip, praising each small victory. “Your in need of two hormone inoculations.” Dr. Hartwell says. Mis's heart sinks. She hates the sharp sting, the feeling of invasion. She looks at the needle, so thin and yet so terrifying. Her anxiety spikes, her chest constricts, making it hard to breathe. Dr. Hartwell notices and nods. "Ok let's try something different," he says, his voice calm and measured. He shows her a cream, explaining how it can help. They apply it, waiting for it to work. Finally, the time comes. Dr. Hartwell holds the needle, his grip steady and firm. His touch is swift and sure, but Ms feels the pain, a sharp reminder of her vulnerability. “One down, one more to…” But she cries. Dr. Hartwell pauses, understanding in his eyes. "It's ok," he says gently. "We can find another way." He sets it aside and pulls out a small device. "This is a topical anesthetic spray. It will numb the area so you don't feel as much." Mis nods, desperate. He applies the spray, and she feels a coldness spread where the inoculation will soon be. The doctor waits patiently, letting the numbing agent work its magic. Mis's breathing slows, the panic easing slightly. "Ready?" he asks, his voice soothing. This time, the approach is less terrifying. It’s administered with minimal discomfort. Ms winces but does not pull away. The pain is there, but it's muffled. Dr. Hartwell nods, his expression a mix of relief and determination. "Good job, Ms. You're doing so well." Ms needs a blood draw. She's not just afraid of needles, but the anticipation of pain, the cold touch of the alcohol swab, the pressure of the phlebotomist's grip...it's all too much. Not to mention the actual poking prick.. Dr. Hartwell notices and suggests a compromise. They'll use a butterfly needle, smaller and more comfortable, and a warmer to heat before drawn. The nurse prepares the equipment, movements efficient and kind. She's used to dealing with anxious patients, but Mis's fear isn’t just fear or annoyance; it’s autistic condition and hypersensitivity that Ms herself knows limited pain tolerance. The nurse wraps the warm cloth around Mis's arm, and the gentle heat seeps. Dr. Hartwell takes his place beside her, holding the small butterfly needle with a cotton ball at the tip. The nurse places the heated alcohol swab on the inner elbow, and Ms tenses. It's a gentle poke and she feels the slight sting as the nurse inserts it. But of course the sting is magnified for Ms. The nurse is quick, her hands steady with expert ease, and the whole process is over in seconds. Mis's heart is racing, her body shaking. Dr. Hartwell rubs her shoulder, his touch a reassurance. "It's over," he says softly. "You did it." Ms nods. "What can we use for next time?" The nurse asks. “X-rays, different form of the hormonal injection where no needles are involved, urinal test instead of bleeding? A bigger room? Child sedatives?” Ms murmurs. Dr. Hartwell nods, scribbling down notes. "We'll explore all those options. In the meantime, you can go home!" “Thanks..” Ms says. The next appointment, Mis goes knowing her sensitivities have not changed. This time, Dr. Hartwell meets her in the hall. Mis breaks down, despite being gratefully understanding and trying to be brave. They take her to a quieter, more private exam room, decorated with soothing colors and a soft, plush chair. "Take your time, and tell when you're ready." Ms sits down. She sees a box labeled "DIY Health Kits" and feels a spark of curiosity. Dr. Hartwell opens the box, revealing an array of tools and instructions tailored to her needs. "This is your DIY health kit," he explains, his voice calm and soothing. "You can use to perform self-exams at home. It's less invasive, and you can do it on your own terms." Ms nods, a flicker of hope in her eyes, tears of relief instead of upset tears. He hands a small container with a test strip inside. "This is for urine. It's quick and easy, and it will tell what needs to know." Ms takes the container, follows his instructions, each step a small victory. Dr. Hartwell shows her a slim device, similar to a tampon but with a small cap. "This is DIY Pap. You insert it like so, then twist to collect a sample." The vibrating ice pack is next. "For finger pricks," he says, his voice calm. Ms looks at it, a strange mix of relief and curiosity. The thought of doing it herself is less terrifying than the clinic. "Now, let's talk mammograms," Dr. Hartwell says, his gaze soft. He shows her a handheld scanning device. "This is a DIY mammogram. It uses sound waves, no radiation, and it's less invasive than the traditional. You can use it in the privacy of your home, at your own pace. It's designed to be gentle." Ms nods, the fear slightly eased. The doctor opens another compartment in the DIY health kit, revealing a pack of colonoscopy strips. "These are for checking your bowel health. They're painless and easy to use. All you do is defecate on this, will tell what’s going on down there, ok?" Ms nods. The idea of self-examination is less daunting than the traditional methods. Dr. Hartwell's empathy is a balm, his patience unyielding. He opens the last compartment. Inside, she finds a set of small patches. "These are the hormonal patches," he says, holding one up. "They're like stickers. You just apply one to your skin, and it delivers the medicine through your skin. No needles." Mis's eyes widen. It's like he's reading her mind, offering a solution tailored to her fears. Ms feels a surge of gratitude to Dr. Hartwell. His understanding and willingness to adapt to her needs make her feel seen and heard, something she's not used to, in a medical setting. For the first time, Ms feels a glimmer of hope that she can take control of without the debilitating pain nor fear of ableist microaggressions. ( emojicombos.com/neurofabulous )

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

spewystuey • 3y ago • Doctor in the UK here The NHS information on the pap (smear test we call it here) is fairly comprehensive: https://www.nhs.uk/conditions/cervical-screening/why-its-important/ The recommendation here is if you have ever had any such contact then you should have regular screening. In the UK you may choose not to have screening if you've never had said contact, as a) the majority of change and cancers are caused by HPV, which is transmitted and b) changes and cancers not caused by HPV don't tend to be detected by screening (the pap smear) but by symptoms (intermenstrual abnormal discharge) instead You should never feel pressured into an examination., and you always have the option of declining to answer a question, receive all or any part of an examination, or have an investigation such as a blood test or imaging study. It's called "shared decision making" and I encourage all patients to ask 3 questions if they're ever unsure: What are my options? What are the pros and cons of each option for me? How do I get support to help me make a decision that is right for me?

owlet: i think it’s importaпt to acknowledge that there is a contingent of doctors who have been… uh… coasting ever since med school ended. here’s a quick crash c̀ourse in telling them apart competent doctor: recognises that your sympt0ms sound familiar but also realises that the illness is outside the scope of their expertise, so they give you a referral incompetent doctor: doesn’t recognise your sympt0ms, chalks it all up to a m3ntal health and/or weıght prxblem and refuses any follow-up care competent doctor: stays up to date on the latest research in their field, is interested in sharing newly-discovered ınformαtıon with you incompetent doctor: maintains the absolute minimum amount of knowledge to not have their licence revoked competent doctor: approaches their patients with good faith incompetent doctor: assumes all patients are deceptive and have ulterior motives competent doctor: recognises crying and other overt paın sympt0ms as unacceptable and tries to resolve your paın any way they’re able incompetent doctor: ignores paın and either refuses to attempt to treat yours or willingly worsens it during a treatment by ignoring your reactions competent doctor: realises they don’t have all the answers, isn’t intimidated by the thought that you attend other doctors incompetent doctor: views their patients as income-generators and feels personally insulted when you attempt to leave their practise competent doctor: recognises all their patients are people; will be transparent about your treatment and speak to you with advanced and specific terminology if you demonstrate that you úndèrständ incompetent doctor: views patients as a sub-class of people, justifies lying to patients as “for their own goo͠d” (via intp-fluffy-robot) Jan 08, 2022

Your doctor should explain what they are doing during every step of the exam. If you have any questions or don’t feel comfortable with what they’re doing, don’t hesitate to speak up!

New Study Suggests We Don't Actually Need a Tetanus Booster Every 10 Years HEALTH 18 April 2016 By FIONA MACDONALD For now, doctors in most countries still advise boosters every 10 years, and it's going to take a lot more validation and replication of these results before that changes. That said, it's an interesting study that suggests we could continue to save lives, as well as saving the US government US$280 million each year, by switching the recommendation for tetanus and diphtheria boosters to every 30 years. "We have always been told to get tetanus immunization every 10 years, but actually, there is very little data to prove or disprove that timeline," said lead researcher Mark K. Slifka from Oregon Health & Science University. But the new research looked into how long 546 adults were actually protected against diphtheria and tetanus, and found that they contained antibodies against the diseases for up to 30 years after receiving their last booster - way longer than previously assumed.

⠀⠀ (:̲̅:̲̅:̲̅[̲̅: 𝙶̲𝙶̲𝚄̲𝙺̲𝙸̲𝙴̲ :]̲̅:̲̅:̲̅:̲̅)

Tip: At most doctor’s offices, you can request to have a chaperone with you in the room during the exam, such as a nurse or a family member. Sometimes it can be helpful to have someone else in the room if you’re feeling nervous.

Drunk and hopeless, he stumbled to the garage and started the table saw, then slowly lowered his wrists toward the screaming blxde. ‘Hands’ by minnboy 2027 The doctor pulled the stethoscope ear tips out and hung the device around his neck. “Sir, all of your tests have come back neg͘at͟ive and my examination shows nothing abnormal.” He knew what was coming next, “I’m not cRaZy, Doctor.” “I’m sorry, but there is no phүsical reason for why you occasionally lose cøntrøl of your hands. A psychologist can help…”. “I don’t need therapy. I need answers. They seem to have a lįfe all their own. I can’t hold a jøb. I’m under ınvestıgatıon for as*ault. I almost kılled my neighbor. This can’t go on. I’ll try anything at this point.” After two weeks on a new medıcatıon, he saw no progress҉ and grew increasingly depressed. He was convinced that despite what the doctors said, it was not a psychological prxblem. That night, frustrated and angry, sat in a chair and drank bourbon. Drunk and hopeless, he stumbled to the garage and started the table saw, then slowly lowered his wrists toward the screaming blxde. Detective entered the garage where several uniformed officers stood over the blood-soaked bødy. “So what do we get?” he asked, taking in the blood-splattered sc3ne.”This is a weırd one, Detective.” “How so?” “Take a look at the bødy. He apparently chopped ơff his hands with the table saw and bled to dEath.” Detective knelt. “And?” “And we can’t find his hands anywhere.”

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

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

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

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.

May 19th, 2010 My boyfriend died about a year ago. I was in the hospital for kidney problems and he was driving to visit me on a rainy day. The police said his car flipped over due to the rain. He died an hour later in the same hospital I stayed at. Before he died, he told the doctors to give me his kidney. His love GMH.

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

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

Surgeon Robert Liston In 1847, a doctor performed an amputation in 25 seconds, operating so quickly that he accidentally amputated his assistant's fingers as well. Both later died of sepsis, and a spectator reportedly died of shock, resulting in the only known procedure with a 300% mortality rate.

I went to the plastic surgeon for a consultation . The doctor looked at me and said , " Don't do this . You're too beautiful just the way , you are . Don't change . " That doctor gmh . 2011.

Date: 15/12/22 Autistic qualities such as differences in how we understand what our body is feeling (interoception), our experience of pain (hypo/ hyper sensitivity) and difficulties in noticing and identifying how we feel (alexithymia) Nurse practitioners and doctors may have a limited understanding of the unique and significant ways in which autism and its associated issues impact a patient’s experience of a given medical procedure. This means that the particular supports that might help to alleviate discomfort could be lacking. We might encounter resistance to our own attempts to self- regulate and take care of our sensory and emotional needs during the appointment. We may even experience medical gas lighting or invalidation when attempting to express our experience or request much needed accommodations ( we know that this happens at higher rates amongst female presenting people, people of colour and those with additional learning disabilities in our community). For those of us with a history of these types of experiences, just being in a medical environment could feel threatening and unsafe. * Autistic person with a particular set of qualities and traits, this is not a prediction of what others might encounter or an attempt to generalise my own experience to the broader community. Date: 15/12/22

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

Children with autism exhibit a higher general and anxietʏ, due to altered sensory sensibilities. Autism or autistic disorder is a severe developmental disability that is characterised by an impairment in mutual social interactions, communication skills, and repetitive patterns of behaviours. They can also show an increased sensitivity to sounds, light, odours, and colours. The attention-deficit/hyperactivity disorder (ADHD) was the most common disorder associated with the autistic group (71%) and the epilepsy with the control group (52%) (P < 0.089) It's important for the clinicians to know how to manage these affecting patıents in developmental age, ensuring an adequate and minimally invasive management using a prompt approach, when possible. So, a good communication can help to establish trust and build needed cooperation throughout the visit and treatment. All patıents in developmental age, especially with health disorders, need experienced doctors who know how to face promptly tr4uma under general anaesthesia, if possible. Moreover, a parent-reported questionnaire method would also help overcome this deficiency, provided that the parents remember all past tr4uma events of their children. Respondents often cited conflict between understanding the additional needs for successful treatment of autistic patıents and a lack of resources to implement support strategies. Despite this, some were positive about making the necessary modifications to support autistic patıents. Professionals should adapt their practises to meet the needs of their autistic patıents. Autism is a developmental condition associated with social communication difficulties, and the presence of rigid, repetitive behaviours and atypical sensory sensitivities. As such, the nature of procedures and the treatment environment may prove a particularly challenging area for individuals on the autistic spectrum. In particular, sensory atypicalities may pose a barrier to treatment. Many autistic individuals are hypersensitive to a multitude of stimuli such as bright lights, noise and touch. Further autism-specific challenges include communication difficulties between practitioner and patient, which has been reported to be a key element in failed or unpleasant visits for autistic adults. Given the bidirectional nature of communication, the practitioner clearly plays a crucial role in overcoming this area of challenge. Autistic people have reported significant difficulties in accessing adequate care. Five main themes emerged from these responses: (1) understanding individual needs, (2) the key role of communication, (3) the value of autism specific techniques; (4) a conflict between needs and resources and (5) positive and rewarding work. To ensure successful treatment, the individual needs of each patient needs to be taken into consideration, as it affects each client differently. Given the variability in needs and preferences of autistic people, an overreliance on personal experiences may lead to professionals offering 'one-size-fits-all' accommodations, consequently producing more discomfort for the patıents. It was encouraging, however, to see a number of respondents in the current study flag up an understanding of this individuality, and the need for a tailored approach. Indeed, a considerable number of respondents reported not being aware of any techniques available to reduce possible discomfort in autistic patıents. Autism (congenital or acquired) and symptoms are not a chøice.

r/TwoSentenceHorror 2 hr. ago PandorazPokemon ϟ ѕcrσll dσwn αll thє wαч The young doctor frowned as he finished telling me the cancer had spread to my lymph nodes. "That's alright," I said, as I eyed him up and down; "it's about time for a new body anyway."

"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.

https://www.rcoa.ac.uk/sites/default/files/documents/2022-06/12-SedationExp2021web.pdf

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ᴡᴏʀᴅ ᴄᴏᴜɴᴛ: 𝟷.𝟶𝟼ᴋ At the Neptune Medical Center, Karen parks the car and goes with her husband Plankton into the building after an injury to his antenna. "I still don't see why you didn't press charges against Krabs, Sheldon," Karen sighs, as they walk through the gleaming, sterile corridors of the medical center. "Karen I'm not gonna give him the satisfaction." Plankton's antenna now hangs limp and damaged. The doctor had assured him it was a simple repair job, yet Plankton's nerves were as frayed as the antenna itself. They enter the reception area, the automatic doors whispering shut behind them, as if sealing off the outside world's chaos. The smell of antiseptic fills the air, mingling with the faint scent of fear and hope. The receptionist, a young squid with a friendly smile, looks up from her computer screen. "Mr. Plankton, your appointment is with Dr. Marlin, the antenna specialist," she says, her tentacles typing efficiently. "You can go straight to the third floor, room 304." The elevator ride is silent, save for the rhythmic ding of each passing floor. Karen notices his distant gaze and squeezes his arm reassuringly. "You'll be fine, Sheldon," she whispers. Plankton nods. They arrive at room 304, and Karen opens the door, revealing a state-of-the-art examination room. Dr. Marlin, an octopus with a gleaming scalpel in one tentacle and a clipboard in another, looks up from his notes. "Ah, Mr. Sheldon Plankton, right on time," he says, his eight eyes blinking in unison. "I understand you've had a bit of an injury?" Plankton nods, his voice tight. "Krabs... he... snapped it." Dr. Marlin's tentacles twitch in concern. "Mr. Eugene Krabs, eh? He's had his share of accidents around here." He scribbles something on the clipboard. "Well, let's get you fixed up. I've seen worse, and you're in good hands." The doctor leads Plankton to the examination chair, which is surprisingly comfortable for someone so tiny. He adjusts the chair's height and angles the light to shine on the antenna. Plankton winces as the doctor gently prods the damaged area. "It's definitely snapped," Dr. Marlin says, his voice calm and professional. "But the good news is, it's not to far gone. We can repair it with a simple procedure." "You'll need to be under for this," he explains. "It's nothing to worry about. You'll be out Before you know it." Plankton's heart races as he lies back in the chair, the cold metal pressing against his back. He glances at Karen, who gives him a forced smile, her screen filled with concern. The doctor notices and pats his shoulder reassuringly. "It's just a little sleep," he says. "You'll be back in no time." Karen reaches for his hand, giving it a comforting squeeze. The anesthesiologist, a bluefish with a gentle demeanor, enters the room, pushing a trolley with a variety of bottles and tubes. She introduces herself as Nurse Bella and explains that she'll be administering the anesthesia for the surgery. Plankton swallows hard, eye darting from her to Karen's screen and back again. Karen's gaze follows the anesthesiologist, Nurse Bella, as she meticulously prepares. "Ready? Count as high as you can," she asks, her voice as soft as a lullaby. Plankton nods, his grip on Karen's hand tightening. "One... two... three..." Plankton's voice starts strong, but the medicine's effect begins to take hold. His eyelid grow heavy, and the numbers begin to slur. Karen watches as Plankton's count descends into a whisper. "Five... six... sev..." His tiny hand relaxes in hers, and his body goes slack. She watches the rise and fall of his chest slow as he succumbs to the anesthesia. Karen squeezes his hand one last time. The door to the exam room opens again, and Dr. Marlin's head pokes out. "Everything's gone well," Dr. Marlin says, peering over his mask. "We're to halt anesthesia." "You're okay," Karen whispers, her voice cracking. "You're okay." "He's doing great," the nurse whispers. "You can talk to him if you'd like. Sometimes they can hear you." Karen leans closer, her voice low and soothing. "Hey, Plankton, it's Karen. You're safe now. They've fixed your antenna. No more pain, okay?" Her thoughts are interrupted by a soft groan from the bed. Karen's screen snap to Plankton, who's beginning to stir under the blankets. "Shh," she whispers, stroking his arm. "You're safe." "K...Karen?" His eye opens. "Yes, it's me. You're okay, you're in the hospital. They've fixed your antenna." "Karen... antenna... Krabby Patty... wait, what?" He giggles, the words jumbling together in a way that makes no sense. Plankton's eye widen with childlike excitement. "Oh, right! The antenna!" He tries to touch the bandage but ends up nearly slapping himself in the face with his own arm. "Oops!" He giggles again, the sound echoing through the quiet room. He tries to sit up, but cannot. "Whoa, Nelly!" "Easy," Karen laughs. "I'm the king of the jellyfish prom! They got no flair!" Once in the car, Karen buckles him in with care, double-checking the seatbelt. "Remember, no funny business," she warns. Plankton's eye droop, and his head lolls to the side. "You're going to sleep, aren't you?" she says, her voice a mix of amusement and exhaustion. "M'not sleeping," Plankton mumbles, his eyelid fluttering, his voice fading into a snore. The drive home is peaceful, with Plankton snoring lightly beside her. As they approach their place, she gently shakes him awake. "We're home, Sheldon," she says, her voice gentle. "Can you wake up for me?" Plankton's eye blink open, and he looks around in confusion. "Home?" he mumbles. "Already?" Karen nods with a smirk. "Yeah, you slept through the whole drive. Came out of it just in time." They get out of the car, and Plankton wobbles slightly on his legs, the after-effects of the anesthesia still lingering. Karen wraps an arm around his waist, supporting him as they make their way to the front door. With a chuckle, Karen helps him inside, the warm light of their living room washing over them. Plankton's snores become more pronounced as they move through the hallway. "Come on, you need to get to bed," she says, leading him to their bedroom. The room is cozy, with a large bed that seems to swallow Plankton whole as he collapses into it. Karen carefully pulls the covers up to his chin. "Rest now," she whispers, placing a gentle kiss on his forehead.

BRITAIN'S YOUNGEST VICTIM OF TAMPON-RELATED TOXIC SHOCK SYNDROME On Monday 13th August 2001 the Inquest into the death of 13-year-old Kayleigh Ann Jones of Middlesbrough, revealed that she died of tampon-related Toxic Shock Syndrome, the very first time that she had used tampons throughout her period. The Coroner, Michael Sheffield, was so affected by this tragic loss of a very bright young teenager that he decided to use his special powers to write to the Department of Health to enlist its support to highlight the dangers of tampons, to the medical profession and in schools. Kayleigh died in September 1999. Thursday was the first day back to school and it was the last day of her period. But Kayleigh became ill with sickness and diarrhoea shortly after arriving at school, and by the afternoon, the school had to call her stepfather, Terry Martell, to pick her up and take her home. She went straight to bed, and her mother Carol nursed her through the night. The next day there was no change so Carol phoned the GP. The Doctor advised giving plenty of fluids as it was probably a viral infection. But this didn't improve the situation, and as Kayleigh's temperature rose markedly, she began to ramble and became delirious, so the doctor was called again. The doctor could not find a blood pressure and immediately gave Kayleigh penicillin as he thought that she had meningitis He called the ambulance and put her on a drip. Kayleigh was stabilised in hospital and TSS was diagnosed. On Saturday there were more tests and treatment and she had a peaceful night. However, the following day Kayleigh's temperature went up again, her lungs filled with fluid and she suffered a fatal heart attack just four days after the initial symptoms. The Inquest found that the medical staff at the hospital and the GP did all that they could to save Kayleigh, leaving no doubt that Kayleigh died as a result of TSS caused by tampons. A verdict of Misadventure was recorded. The tampons used were Morrison's Supermarket own brand manufactured by Inbrand UK that have now gone out of business. Morrison's are currently supplied by Childwood Ltd. As a result of the Inquest, Kayleigh's mother, Carol Martell, has now been able to tell the world that the life of her loving and talented daughter has been tragically cut short by a tampon. She has received front page news and an in-depth report in the Northern Echo, followed up with news items in the Sun, Mirror Mail, Telegraph and the Express. Kayleigh's father, David Jones, was interviewed on GMTV and appeared in his local Crawley News, and Jenny Kilvert was interviewed on BBC Radio One. The media coverage prompted Discovery Channel to include a programme on Toxic Shock Syndrome in their series "Doctor in the House". The programme included TSS survivor Angela Smith of Norwich, who had TSS in November 1992 when she was 19 years old. Posted 19/8/2001

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

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

"You're going to be okay," Karen assured Plankton. He clutched her hand. "I'm right here." The receptionist's voice echoed through the large waiting room. "Plankton?" Karen's heart jumped. She squeezed her husband's hand. They walked down the hallway, Plankton's breaths shallow, eye darting around the white, sterile walls. The nurse led them to a small room. "Just a few questions," the nurse smiled, her voice soothing as she helped him in the recliner. The nurse, noticing his agitation, spoke slowly and clearly. "We're just going to take your blood pressure, okay?" The nurse wrapped the cuff around his bicep, her movements gentle. The hiss of the air pump filled the tense silence. "Look at me, Plankton," Karen whispered, her calming gaze meeting his. "Take deep breaths." He inhaled deeply, his chest rising and falling in a deliberate rhythm. The nurse waited patiently, giving them space. As the cuff tightened, Plankton's eye squeezed shut. The nurse completed her task quickly, her voice steady. "Good job," she said, patting his hand. Karen felt his fear spike, but his grip on her hand remained firm as the oral surgeon walked in. Dr. Marquez nodded at them, his demeanor calm and professional. "Hello, Plankton. I see we're getting ready for your wisdom teeth." He noticed Plankton's tension and turned to Karen. "You earlier mentioned his neurodisability. Is there anything special we can do to help make him comfortable?" Karen's screen lit up with gratitude. "Yes, thank you." She explained his need for calm and his sensory sensitivities. Dr. Marquez nodded thoughtfully. "We can use a weighted blanket to help with that. It provides a gentle pressure that can be quite comforting for some of my patients." He turned to the nurse. "Could you please bring one?" The nurse nodded and left the room. When she returned, she carried a soft, blue weighted blanket they warmed. They placed the blanket over Plankton, the weight evenly distributed. His body visibly relaxed under its soothing embrace. "It's okay," Karen whispered, stroking his antennae. "This will help." Plankton felt the warmth of the blanket, the weight of it pressing down on his shoulders and chest. But it did little to ease his dread. "Thank you, Dr. Marquez," Karen managed a smile, relief washing over her. She knew how important these accommodations were for her husband. The doctor explained the procedure, using simple terms that Plankton could understand. Karen noted how he tailored his explanation to avoid overwhelming details that might trigger anxiety. The anesthesiologist entered, her smile kind. "We're going to give you some medicine to help you sleep," she said gently, "and then you'll wake up without feeling a thing." Plankton nodded, his eye wide. Karen leaned in, her voice low. "You can hold my hand as you fall asleep." The anesthesiologist prepared the IV, but Plankton's grip on Karen's hand grew tighter. Dr. Marquez noticed his distress and suggested a different approach. "How about some laughing gas first?" he offered. "And perhaps a topical numbing agent.." The nurse quickly set up the gas mask, explaining each step. "This will help you relax," she said, placing it over him. "Just breathe normally." The sweet smell of the nitrous oxide filled him, yet he still remained awake. "It's okay, Plankton," Karen said soothingly. "Just keep breathing." He took a tentative breath, feeling the gas fill his lungs. The room began to spin, but not in the scary way he'd feared. It was more like floating. The weight of the blanket now felt like a gentle hug from the ocean depths, a warm embrace from his childhood home. Dr. Marquez waited until Plankton's breathing steadied, each gesture carefully calculated to avoid any sudden movements that might startle his patient. "You're doing great," he assured Plankton, his voice a gentle wave lapping at the shore of his anxiety. "You're almost there." Plankton inhaled another lungful of gas, his eye fluttering closed. The nurse gently began applying the topical numbing agent, her movements carefully choreographed to avoid any sudden jolts. Karen held his other hand, her thumb tracing comforting circles on his palm. "You're safe," she whispered. "I'm here." The gas grew heavier, his mind drifted further from the cold reality of the room. He felt himself sinking into the chair, the weighted blanket now a warm sea of comfort. His grip on Karen's hand grew looser, his breaths deepening. The doctor nodded to the anesthesiologist, who began the IV drip after using the topical numbing agent. Plankton's fear didn't vanish, but it became manageable, a distant thunderstorm rather than a hurricane in his face. His eye closed completely, his body going limp under the blanket. Karen watched as the surgical team moved with precision, their masks and caps dancing in her peripheral vision. The beeping of machines and the murmur of medical jargon filled her ears, but all she focused on was the rhythm of Plankton's breathing. The anesthesiologist checked the monitors and gave a nod. "He's ready," she said quietly. Dr. Marquez took his position, his gloved hands poised over Plankton's now open mouth after removing the gas mask. Karen's gaze was steady, her love and support unwavering as the surgical team moved in unison. The whirring of the instruments began, a soft mechanical lullaby to the background of Plankton's deep, even breaths. The surgery itself was a dance of precision, each gesture a step carefully choreographed to minimize discomfort. The doctor's hands were steady as he removed the wisdom teeth. Karen could see the tense lines in Plankton's face soften under the influence of the anesthesia. The anesthesiologist checked the monitors continuously, ensuring his vital signs remained steady. The nurse offered Karen a chair, but she chose to stand, her eyes never leaving Plankton's face. As the surgery progressed, Karen felt the tension in the room ease. The surgical team worked with efficiency, their movements synchronized like a well-oiled machine. Dr. Marquez spoke in hushed tones with his assistants, each word a gentle whisper in the symphony of medical sounds. Plankton's breaths steadied, the rhythmic beep of the heart monitor a soothing reminder that he was still with her, that his anxiety had been replaced by the peacefulness of deep sedation. The doctor's instruments continued to dance, a silent ballet of precision and care. The nurse occasionally glanced at Karen, offering a reassuring smile as they suture his gums with dissolving stitches. "Alright, we're all done," Dr. Marquez announced, his voice a gentle interruption to the symphony of beeps and whirs. "Let's wake him up slowly." Karen felt her own heart rate spike as the anesthesiologist began reversing the medication. They removed the IV drip and the nurse wiped Plankton's mouth with a soft cloth, her touch as gentle as a sea anemone caressing his skin. His eye flickered open, unfocused and hazy. He blinked slowly, taking in the surroundings. Karen's screen was the first thing he saw, a beacon in the medical fog. "You're okay," she murmured, her voice the gentle hum of a distant lighthouse guiding his consciousness back to shore. Plankton blinked again, his vision swimming into focus. The weighted blanket was still wrapped around him, the comforting pressure now a grounding reminder of her presence. His mouth felt foreign, as if it belonged to someone else. The nurse offered him water, and he sipped it slowly, feeling the coolness soothe his throat. "How do you feel?" Dr. Marquez asked, his voice a soft wave breaking over the shore of Plankton's awareness. Plankton nodded, his grip on Karen's hand firm. "Good," he managed to murmur, his voice thick with the aftermath of the anesthesia. Karen could see the relief in his eye, the storm of fear now a distant memory. ( emojicombos.com/neurofabulous )

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╶⃝⃤ f☯rever

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https://archiveofourown.org/works/41690487/chapters/105246894#workskin A Cry For Kelp DiscardMyHeart Fandom: SpongeBob SquarePants (Cartoon) Characters: Squidward Tentacles, Sheldon J. Plankton, Karen (SpongeBob)Sandy Cheeks, Eugene Krabs https://archiveofourown.org/works/41690487/chapters/104866263#workskin Language: English Stats: Published:2022 https://archiveofourown.org/works/41690487/chapters/105246894#workskin

🤩dd

☯🌴

🔺,🔱,☯

💟✨

☮️💛✌️

😷 https://lifehacker.com/what-your-pediatrician-should-and-shouldnt-do-during-a-1822524179 😷

☯️

💊🧪👁️🩸🍄🩺☠️☎️🏥🚑💉🦷🩹🧠🔪

MAR 08 When you are admitted to a hospital, they place on your wrist a white wristband with your name on it. But there are other different colored wristbands which symbolize other things. The red wristbands are placed on dead people. There was one surgeon who worked on night shift in a school hospital. He had just finished an operation and was on his way down to the basement. He entered the elevator and there was just one other person there. He casually chatted with the woman while the elevator descended. When the elevator door opened, another woman was about to enter when the doctor slammed the close button and punched the button to the highest floor. Surprised, the woman reprimanded the doctor for being rude and asked why he did not let the other woman in. The doctor said, “That was the woman I just operated on. She died while I was doing the operation. Didn’t you see the red wristband she was wearing?” The woman smiled, raised her arm, and said, “Something like this?”