Tetanuscore Emojis & Text

In 2016, a study in the journal Clinical Infectious Diseases [PDF] suggested that immunity might actually last as long as 30 years for tetanus and diphtheria. The CDC, however, has not yet altered its guidelines for vaccinations. There are tetanus vaccines that can also protect against Diphtheria and Pertussis (Tdap) or only Diphtheria (Td). Both vaccines last 10 years.

Half the antibodies generated by tetanus vaccine lasted no less than 14 years, which is longer than previously thought (This is known as the half-life.) However, research published in Clinical Infectious Diseases points to the possibility that these regular boosters may not be necessary for adults who've been childhood vaccines. A study on 546 adults found the vaccine provides at least 30 years of immunity. "Your body will also remember tetanus, even if you are low on antibodies" "Your body will immediately see it as foreign, and then your B-cells, which are antibody-manufacturing cells, will crank out antibodies as soon as the threat comes on." Doctors can still advise giving it every decade as.

15 - 18 months 4 - 6 years One dose of Tdap at the following ages: 11 - 12 years If Previously did not receive Tdap at or after age 11 years*: 1 dose Tdap, then Td or Tdap every 10 years *Note: Tdap administered at age 10 years may be counted as the adolescent dose recommended at age 11-12 years

CDC deleted the following vaccines from the 2024 schedules because they are no longer distributed or recommended: bivalent mRNA COVID-19 vaccines, 13-valent pneumococcal conjugate vaccine (PCV13), diphtheria and tetanus toxoid vaccine, and Menactra meningococcal conjugate vaccine. source https://www.pharmacist.com/Pharmacy-News/ArtMID/531/ArticleID/1748/CDC-releases-2024-immunization-schedules-for-all-age-groups

How do you prevent lockjaw? There are 4 main ways to help prevent trismus: Massage your jaw muscles. Exercise your jaw muscles. Keep good posture. Keep good oral hygiene.

Shopping Cart Open mobile menu Menu VACCINATIONS Do adults really need tetanus booster shots? May 14, 2020 By Sara W. Dong, MD, Contributor, and Wendy Stead, MD, Contributor GettyImages-1027752634 If you haven't had a tetanus booster shot in the past decade, your doctor may recommend getting one. Many people think of a tetanus shot as something you only need if you step on a rusty nail. Yet even in the absence of a puncture wound, this vaccine is recommended for all adults at least every 10 years. But why? A group of researchers recently questioned whether you need to repeat tetanus vaccines on a regular schedule. What is a tetanus booster? Booster shots are repeat vaccinations you receive after your first series of immunizations as a child. Protection from certain vaccines can wane over time, which is why doctors advise boosters. The tetanus vaccine is not just for tetanus though. It's bundled with a vaccine for diphtheria and sometimes one for pertussis (the bacteria that causes whooping cough). Protect yourself from the damage of chronic inflammation. Science has proven that chronic, low-grade inflammation can turn into a silent killer that contributes to cardiovas­cular disease, cancer, type 2 diabetes and other conditions. Get simple tips to fight inflammation and stay healthy -- from Harvard Medical School experts. LEARN MORE View Protect yourself from the damage of chronic inflammation. Couple running in woods What are tetanus and diphtheria? Tetanus and diphtheria are rare but serious diseases that can cause severe complications in those infected. Tetanus, sometimes known as "lockjaw," is an infection caused by a type of bacteria called Clostridium tetani. When this bacteria invades the body, it can produce a toxin that leads to painful muscle tightening and stiffness. In severe cases, it can lead to trouble breathing, seizures, and death. Tetanus does not spread from person to person. Usually it enters the body through contaminated breaks in the skin — stepping on a nail that has the bacteria on it, for example. There are about 30 reported cases of tetanus in the US each year. These cases almost always occur in adult patients who have never received a tetanus vaccine, or adults who have not been up to date on their 10-year booster shots. Diphtheria is a bacterial infection caused by a type of bacteria called Corynebacterium diphtheriae. Diphtheria can cause a thick covering on the back of the throat and may lead to difficulty breathing, paralysis, or death. It typically spreads person-to-person. There have been fewer than five cases reported to the CDC in the past 10 years. What are the current vaccine recommendations? The Centers for Disease Control and Prevention (CDC) recommends tetanus vaccines for people of all ages. Adolescents and adults receive either the Td or Tdap vaccines. These vaccines protect over 95% of people from disease for approximately 10 years. Currently the CDC Advisory Committee on Immunization Practices recommends a booster shot every 10 years. Injury or wound management and pregnancy may affect this schedule. What does the new study on tetanus boosters suggest? A recent paper published in the journal Clinical Infectious Diseases suggested that tetanus and diphtheria booster vaccines are not necessary for adults who have completed their childhood vaccination series. This advice aligns with the current World Health Organization (WHO) recommendations. The researchers reviewed WHO data from 31 North American and European countries between 2001 and 2016, amounting to 11 billion person-years. (Person-years is a measurement that reflects the number of people in the study multiplied by years followed). After comparing the incidence of tetanus and diphtheria, they found no significant difference in disease rates in countries that require adults to receive booster shots compared with those that do not. Based on this, the authors suggest that childhood vaccination alone protects sufficiently against tetanus and diphtheria without booster shots. So, what should you do? The question of whether to have ongoing booster vaccines is more complicated than looking at frequency of a disease. The conclusions of this study focus on the lack of change in tetanus or diphtheria incidence rates among countries that routinely vaccinate children. However, other factors influence the number of cases, such as the overall amount of the bacteria in the environment, or wound management and hygiene measures. Immunity from antibodies to tetanus and diphtheria may persist for many years. Over time, though, antibody levels decrease. We know that even if antibodies are present, low levels may not always be protective. Even though this study was well executed and raises some important questions, further studies are needed to examine whether a childhood vaccination series offers lifelong protection without repeated adult boosters. Even though it happens rarely, people can still get tetanus and experience serious or deadly effects. There is no cure for tetanus, and no definitive proof that you will have lifelong immunity with childhood vaccinations alone. So for now, the CDC continues to recommend booster vaccines every 10 years to help your immune system protect against these infections. If you have questions about the tetanus and diphtheria vaccine, talk to your doctor.

Half of the antibodies generated by the tetanus vaccine may last up to 14 years, which is longer than previously thought (This is known as the half-life.) However, research published in Clinical Infectious Diseases points to the possibility that these regular boosters may not be necessary for adults who've been childhood vaccines. A 2016 study that looked into tetanus immunity in 546 adults found that the vaccine provided at least 30 years of protection. In general the CDC Trusted Source suggested receiving tetanus vaccinations no more than every 10 years. "Your body will also remember tetanus, even if you are low on antibodies," he says. "Your body will immediately see it as foreign, and then your B-cells, which are antibody-manufacturing cells, will crank out antibodies as soon as the threat comes on."

the following link https://i.pinimg.com/originals/b6/6f/95/b66f9588647e1c9678fb42c2f75eff1d.jpg if you read the link, it'll tell the history of conventional pap’s using speculum’s which were invented whilst exploiting African Black women. let us remember such victims and recognise how problematic some caucasian white cis men had taken advantage of females, especially non-white’s.

ColoGuard is (FDA)-approved stool test and can be done at home Noninvasive, convenient, affordable, acceptable alternative to a colonoscopy for many people have a much higher acceptable sensitivity than colonoscopy for colon cancer. ↑

AGES 2020 Updated guidelines for screening 2012 old 2018 former rec. Under <25 No screening asymptomatic virgins can request Pap test at age 21 Pap test every 3 years Age 25‒29 HPV test every 5 years (preferred) , HPV/Pap cotest every 5 years (acceptable) or Pap test every 3 years (acceptable) Pap test every 3 years Pap test every 3 years Age 30‒65 HPV test every 5 years (preferred) or HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) or HPV/Pap cotest every 3 years (preferred) or Pap test every 3 years (acceptable) Pap test every 3 years, HPV test every 5 years, or HPV/Pap cotest every 5 years Over 65 + No screening if a series of prior tests were normal No screening if a series of prior tests were normal No screening if a series of prior tests were normal and not at high risk for cancer *detects even the slightest change in the, even if not potentially problematic *said cancer usually aggravated by hpv viruses; the hpv vaccine for it currently only protects against a certain amount of hpv virus; therefore can still get tested if vaccinated. *hpv is a type of virus which can be dormant if you've ever been ‘active’

DID YOU KNOW the Tetanus vaccine lasts 14~30 yrs against lockjaw: you can get vaccinated every decade or so…

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AGES 2020 Update 2012 old 2018 former rec. Under <25 No screening asymptomatic virgins can request Pap test at age 21 Pap test every 3 years Age 25‒29 HPV test every 5 years (preferred) , HPV/Pap cotest every 5 years (acceptable) or Pap test every 3 years (acceptable) Pap test every 3 years Pap test every 3 years Age 30‒65 HPV test every 5 years (preferred) or HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) or HPV/Pap cotest every 3 years (preferred) or Pap test every 3 years (acceptable) Pap test every 3 years, HPV test every 5 years, or HPV/Pap cotest every 5 years Over 65 + No screening if a series of prior tests were normal No screening if a series of prior tests were normal No screening if a series of prior tests were normal and not at high risk for cancer *detects even the slightest change in the, even if not potentially problematic *said cancer usually aggravated by hpv viruses; the hpv vaccine for it currently only protects against a certain amount of hpv virus; therefore can still get tested if vaccinated. *hpv is a type of virus which can be dormant if you've ever been ‘active’

the following link https://i.pinimg.com/originals/b6/6f/95/b66f9588647e1c9678fb42c2f75eff1d.jpg if you read the link, it'll tell the history of how our modern speculum’s model after racist history. conventional pap’s using speculum’s which were invented to exploit African Black women. let us remember the victims and recognise how problematic some caucasian white cis men have taken advantage of females, especially non-white’s.

DID YOU KNOW the Tetanus vaccine can last from 14 to 30 yrs against lockjaw; you can still get vaccinated every decade or so

The following link https://www.nature.com/articles/d41586-018-05112-1 if read it shows Hans Asperger’s involvement w/ Nasi propaganda promoting problematic ideals calling autistics as psychopaths and deemed unfit in

🖤 https://i.pinimg.com/originals/b6/6f/95/b66f9588647e1c9678fb42c2f75eff1d.jpg 🖤

🖤 https://i.pinimg.com/originals/b6/6f/95/b66f9588647e1c9678fb42c2f75eff1d.jpg 🖤

https://www.nature.com/articles/d41586-018-05112-1

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

nah yall stfu about this drama, its literally cooling over. literally so many ppl have been asking yall to js stop abt ‘inappropriate’ combos, and their right. u idiots yk that this is an emoji website right? fr ive been seeing a bunch of ppl advocating for this to end. im upvoting all of em rn. anyways id put my discord but uh nvm now¯\_(ツ)_/¯

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

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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).

⊢—[͟﹉͟﹉͟﹉͟﹉͟﹉͟﹉]>———💦

😷 https://www.statnews.com/2020/02/25/adults-dont-need-booster-vaccinations-for-tetanus-diphtheria-study/ 😷

💉 https://www.forbes.com/sites/tarahaelle/2016/03/23/got-your-tetanus-shot-you-may-not-need-another-for-30-more-years/?sh=3b29aade6db3 💉

https://www.forbes.com/sites/tarahaelle/2016/03/23/got-your-tetanus-shot-you-may-not-need-another-for-30-more-years/?sh=3b29aade6db3

💉 https://news.ohsu.edu/2020/02/25/adults-dont-need-tetanus-diphtheria-boosters-if-fully-vaccinated-as-children-study-finds 💉

Adults who have never received a tetanus vaccination should get a Tdap shot. 💉 In general, the CDCTrusted Source recommend receiving tetanus vaccination every 10 years. 💉 However, research published in Clinical Infectious Diseases points to the possibility that these regular boosters may not be necessary for adults. 💉 A 2016 study that looked into tetanus immunity in 546 adults found that the vaccine provided at least 30 years of protection.

|🥩💉🩸🏥|~Bloody hospital~|🏥🩸💉🥩|

can yall stop flooding the site with nonsense, parents should watch what their kids are doing 🙌😊🤍

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

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

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.

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💉❤️♥️♥️❤️💉

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Info tips for practitioners w/ autism and/or sensitivities First, thank you for caring. Not trying to question your expertise in health. Now, Autism is a spectrum. It’s not something one can turn off. It’s not a choice. Most of us are not trying to be demanding. If any thing, we’re afraid of being seen as childish, picky, high maintenance, bossy, rude, etc. We can easily get overwhelmed. We want to compromise with you. If we ask for another nurse to do something or if we know we cannot handle a procedure without certain accommodations, it’s not personally attacking against you. You have the power to provide the care and provide us any options; individuals know their own personal tolerance and needs. We do not ever want to start arguments. We do not want to inconvenience you over something, as we do not feel entitled. Having sensitivities not by choice, as it is more than inconvenience but also painful. We always feel when you do your best. We’re both human, autistic or not. It is not a choice.

🤍🐇🍼🩹🦴🦢🥛₊˚ʚ ᗢ₊˚✧ ﾟ.👼

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

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

6/6/10 Perhaps your dentist has recommended you have your wisdom teeth removed. IV sedation allows patients to nap during the surgery. The anesthesia medications are given through the IV line and you’ll feel quite tired and sleepy. Once you are completely asleep and comfortable, the surgeon places local anesthesia to numb the extraction areas. A rubber bite block helps to support your jaw during surgery and also keeps your mouth open if you are being sedated. Anesthesia medications are given as needed to make sure you remain asleep and comfortable. If IV sedation was administered, you will awaken shortly after surgery and be escorted to the recovery room. Your mouth will feel numb from the local anesthesia which will help keep you comfortable and pain free. At end of surgery, you will awake to a tap on your shoulder and a gentle voice. The surgeon will reassure you that surgery is finished and everything went well. Monitors and IV are removed and you are escorted to the recovery room. A few minutes later, your loved ones can keep you company as you recover from the anesthesia. During this time, you will become increasingly awake and alert and gradually be able to standup by your self. You are then escorted to the car.

🧙‍♂️🧞‍♂️🧞‍♂️🧞‍♂️🧞‍♂️hey guys i miss my man

Edith Bagley LAST NAME: Bagley FIRST NAME: Edith MAIDEN NAME: Reynolds GENDER: F BORN: 9 Feb 1870 D1ED: 13 Jul 1893 BURIED: 15 Jul 1893 OCCUPATION: Housewife BIRTH PLACE: The Dalles, Wasco Co., Oregon D£ATH PLACE: Salem, Marion Co., Oregon NOTES: IOOF - Mrs. Edith Bagley, age 23 y's 6 m's 4 d's, d1ed in Salem of blo0d poisoning, wife of W. H. Bagley. 1870 OR CENSUS - Edith M. Reynolds, age 4 months [sic], b. Oregon, is enumerated with Dawson Reynolds, age 40, occupation farmer, b. Virginia, and Eliza E., age 30, b. Maine, along with Florence J., age 6, b. Minnesota. 1880 OR CENSUS - Edith M. Reynolds, age 14, b. Oregon, is enumerated as step-daughter, in the home of Robert Pentland, age 59, occupation miller, b. England, and Eliza E. Pentland, age 39, b. Maine, along with Ervin C. Pentland, age 23, mill worker, b. Oregon, and Florence J. Reynolds, age 16, b. Minnesota. DEATH CERTIFICATE: OBITUARY: d1ed Salem, Thursday, July 13, 1893, Edith R., wife of W. H. Bagley, aged 23 years, 6 months and 4 days. Mrs. Bagley was sick about three weeks. She had trouble with her teeth which made it necessary to have several of them extracted and that was the beginning of difficulty that ended in blo0d poisoning and d£ath at 6:50 o'clock last evening. Deceased, whose maiden name was Pentland [Reynolds], was born at The Dalles February 9, 1870. When seven or eight years of age she went with her parents to Scio, which was her home until her marriage with Mr. Bagley February 12, 1889. In 1885 Miss Pentland [Reynolds] entered Willamette university and two years later was graduated from the academic department and conservatory of music. Mrs. Bagley leaves a husband, a daughter 3 1/2 years old, her mother, Mrs E. E. Pentland, a sister, Miss Florence Reynolds, a step-sister, Mrs. S. L. Brooks of The Dalles and a step-brother, E. C. Pentland of Independence. She was a faithful member of the First Congregational church. Her many excellent traits of character, her genial and even temperament and her graces of mind and person made her hosts of warm friends at The Dalles, at Scio and in Salem where she was so well known. The funeral arrangements will be announced later. Oregon Statesman, 14 Jul 1893, 4:4 INSCRIPTION: Edith R. Wife of William Bagley D1ed July 13, 1893 Aged 23 Y's, 5 M's, 4 D's Dearly loved on earth, early called to Heaven SOURCES: LR LD IOOF Register of Burials DAR pg 67 S&H pg 69 Saucy Survey & Photographs 1870 OR CENSUS (Wasco Co., W. Dalles, FA #152) 1880 OR CENSUS (Linn Co., Scio, ED 72, sheet 374C) OS 14 Jul 1893 4:4 LOT: 801 SPACE: 3 SW LONGITUDE

tf. HORNY PPLS GET THE F ABOUT THIS WEBSITE. YOU KNOW THERES ALOT OF KIDS SEARCHING THIS WEBSITE? THEY MENT TO BE Y2K COMBO NOT FRIKING HORNY COMBO. PLEASE. STOP THIS. YALL NEED THERAPY⚠️⚠️⚠️☃︎☃︎☃︎☃︎

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r/shortscarystories 8 hr. ago k_g_lewis The Family Secret The red-headed girl in the summer dress stepped into the old man’s room. When he didn’t acknowledge her presence, she cleared her throat. The man looked up from the puzzle he was building, gasping and clutching his chest when he saw the child, “Autumn?” he whispered, “Is that really you?” “Hello, Grandpa,” Autumn smiled. “What are you doing here?” he asked. Autumn crossed the room until she was standing in front of her grandfather. “I’m here because I need your help,” she replied. The grandfather stared at her for a moment before turning his attention back to his puzzle. “There’s nothing I can do to help you,” he said. “That’s a lie and you know it,” Autumn snapped at him. “Please go,” he whined, “You shouldn’t be here.” “I’ve got nowhere else to go,” Autumn said, “That’s why I need your help.” The grandfather ignored her, reaching a remote on the table next to his puzzle. Once it was in his hand, he pressed the large button to call the nurse. A minute later, one of the nurses walked into the room. “What can I do for you, Mr. Sinclair?” the nurse asked. “I would like her to leave,” he pointed at Autumn. “You’d like who to leave?” the nurse looked around the room, “There’s nobody in here but you.” “You know she can’t see me,” Autumn said, “Only you can because you know what happened to me.” “No,” her grandfather shook his head, “No, I don’t.” “Are you okay, Mr. Sinclair?” the nurse asked, “Should I call your son?” “No,” he snapped, “Don’t call him. I’m fine.” “Are you sure?” “I’m positive,” he insisted, “You can go.” “Okay,” the nurse turned and left the room. Autumn stood there, staring at her grandfather. “Stare all you like,” he said, continuing to work on his puzzle, “I can’t help you. In a rage, Autumn swept the half-finished puzzle off the table. “If you ever want to see Grandma again, you’ll do the right thing and help me,” she spat the words out. Tears started to fall from his eyes. Seeing his resistance starting to crack, Autumn continued. “You’ll never get to if you don’t tell someone what happened to me.” “But I didn’t have anything to do with it,” her grandfather insisted, “Your father is the one who needs to confess, not me.” “What did my father do to me?” Autumn whispered. Her grandfather poured his heart out, telling her everything that happened to her. “I’m sorry,” were the last words he said. “That’s all we wanted to hear,” the girl pretending to be Autumn reached up and pulled the wig off her head. A moment later the nurse walked back into the room, but she wasn’t really a nurse. When she returned to the room, she had a police badge hanging around her neck. “That was an Oscar-worthy performance,” she said, putting her arms around the girl’s shoulders and leading her into the hall.

ANTENNAE iii The doctor emerged from the surgery room, a smile on his face. "The operation's a success," he announced. "Plankton's as good as new. But remember, he'll be groggy at first." Karen nodded. She went into the recovery room, and saw Plankton lying on the bed. She hovered beside him, her hand reaching out to gently stroke his arm. Leaning in close, she whispered, "You did it, Plankton. You're going to be ok." She watched his chest rise and fall. "I know you might not hear me right now, but I just wanted to tell you how proud I am of you," she continued. "You're so brave, facing this surgery head-on. When you wake up, everything will be back to normal," she assured him. She leaned in closer, brushing against his cheek. "But promise me, ok?" she whispered. "Promise me that you'll take it easy. I know you're driven, but you need to rest too. We'll figure this out together." The silence stretched on, the only sound the steady beep of the heart monitor and Plankton's gentle snores. Tentacla hovered quietly beside Karen, gently stroking Plankton's arm. "He's going to be ok," she assured. Karen's gaze remained fixed on Plankton. "You know, he's not always the villain everyone makes him out to be," she said softly. "He just wants to be successful, to be recognized for his genius." Tentacla nodded, her tentacles gently stroking Plankton's bandaged antenna. "Everyone has their reasons," she murmured, reflecting understanding. "And sometimes, those reasons drive us to do things we might not otherwise consider." "We have each other, and that's all that truly matters." Tentacla nodded sympathetically. "The anesthesia we use here is quite safe, but as with any medical procedure, there can be side effects," she explained, her tentacles folding into a professional gesture. "Some patients may experience a bit of disorientation or grogginess when they first wake. It's like the sea after a storm, everything's a bit hazy and it takes a moment to find your bearings." "What about... How might he act up?" Tentacla nodded, her tentacles moving in a soothing pattern. "It's not uncommon for a patient to exhibit varying emotions post-surgery," she explained. "Some may feel euphoric, while others might be a bit grumpy. It's the body's way of coming out of the deep sleep the anesthesia induces." "I can't imagine Plankton being euphoric.." Tentacla nodded, her tentacles making a calming motion. "It's common," she assured her. "The anesthesia can leave some patients feeling a bit... loopy, for lack of a better term. They might laugh or become overly friendly. It's nothing to worry about, just a side effect of the medication wearing off." The door to the recovery room slid open, and Dr. Dolittlefish poked his head in. "How's our patient?" he asked, his eyes darting to Plankton's still form. "He's stable," Tentacla reported, her tentacles still wrapped around Karen's arm. "The anesthesia is wearing off nicely." A soft groan pierced the quiet, and Plankton's eye fluttered open. His antennae twitched, and he felt a strange sensation—like someone had wrapped them in sea kelp. He blinked a few times, trying to bring the world into focus. The first voice he heard was Tentacla's, her gentle tones a comforting lullaby in the alien landscape of the recovery room. "Plankton," she cooed, her tentacles moving in a soothing pattern. "You're all done." Plankton's eye searched the room, his vision slowly clearing. He saw Karen, her LED eyes glowing with a mix of relief and love. And there was Dr. Dolittlefish, his fin moving in a gesture of reassurance. And Tentacla, the receptionist, with a gentle smile. "W-where am I?" Plankton croaked, voice thick with sleep. "You're in the recovery room, darling," Karen said, reaching for his hand. "You had surgery, on your antenna." Plankton blinked again, trying to process the information. The pain was gone, replaced by a faint tingling sensation. "Surgery?" he echoed, his voice still groggy. "Yes, the operation was a success," Dr. Dolittlefish said, beaming down at him. "Your antenna is as good as new. You'll be back to your usual self in no time." The words swirled around Plankton like a school of confused fish. Surgery? He didn't remember anything after the anesthesia. His mind felt like it was swimming through a cloud of bubbles. He blinked again, trying to clear his vision, and finally focused on Karen's. Her eyes, usually sharp with the glow of a focused computer screen, were soft and gentle. The warmth from her holding his hand was like a cozy blanket in the chilly depths of the ocean. "Is it over?" he mumbled, his voice still thick with the remnants of sleep. "Yes, all done," Karen said. "You're going to be ok." Plankton nodded, feeling the weight of his eyelids. "So tired," he mumbled. "Everything's fuzzy." The world around him was a blur of colors and shapes, like looking through a foggy porthole. He yawned, his tiny body stretching as much as it could. The drowsiness was like a warm blanket, wrapping him in a comforting embrace. With a gentle nod, Dr. Dolittlefish signaled to Karen that it was time to go. "Take him home and let him rest," the doctor instructed. "He's had a long day." Karen nodded, her eyes flickering with concern as she helped Plankton into the car. His legs felt wobbly, like jellyfish tentacles, and she had to almost carry him to the passenger seat. She settled him in, making sure the seatbelt was snug around his tiny frame. "I've got you," she said, her voice soothing. The engine of the car hummed to life, the bubbles from the exhaust rising in a trail behind them as they ascended through the water. Plankton leaned his head against the window, watching the world outside blur into a kaleidoscope of colors. "Karen," he began, his eye half-closed. "I can't believe it's over. I feel like a dream." "You've had quite the adventure," she said, navigating the car through the coral-lined streets of Bikini Bottom. Plankton's antennae twitched with excitement, despite the drowsiness. "I guess so," he said, his voice trailing off as he fought to keep his eye open. "I just want to get home and... and... and..." His voice trailed off into a snore.. Karen chuckled, gripping the steering wheel a little tighter. "You just want to get home and sleep," she finished for him. "And I don't blame you. You've been through a lot." As they drove, Plankton's snores grew more frequent, punctuating the quiet hum of the car. His mouth moved as if he was talking in his sleep. Karen leaned closer, trying to make out what he was saying, but it was just a jumble of mumbles and spluttering sounds. She had to bite her lip to keep from laughing; it was so unlike him to be anything but fully conscious and scheming. "... Krabby Patty... secret...," Plankton murmured. Karen glanced over at him, a smile playing. "What's that, sweetie?" she asked, pretending not to hear the half- formed words that hinted at his usual obsession. "... SpongeBob... Krabs...," Plankton continued, his snores interrupting his own train of thought. The car's movement rocked him like a lullaby, and he was out cold, snoring away. "It's ok," she said, patting his hand gently. "You can tell me all about your grand plans when you wake up." Plankton's snores grew deeper, and Karen couldn't help but feel a strange sense of satisfaction at the sight of him finally at ease. Karen couldn't help but chuckle. "Looks like you're still thinking about the Krabby Patty," she said, her voice gentle. "But for now, let's just focus on getting you home and into bed." "...blueprints..." he slurred, his eye rolling back in his head. Karen sighed, a hint of amusement in her voice. "You and your blueprints. You'll have plenty of time to work on those tomorrow." The car pulled into the parking lot of the Chum Bucket, and Karen gently nudged Plankton awake. "We're home," she said. Plankton's eye fluttered open, and he took a moment to remember where he was. "Home," he murmured, his antennae perking up slightly. "Already?" "Already?" Karen echoed, raising an eyebrow. "You've been out cold for the entire drive." Plankton looked around, blinking slowly. "Come on," Karen said, unbuckling his seatbelt. "Let's get you inside." With her help, Plankton stumbled out of the car, legs still wobbly from the anesthesia, Karen providing support as they made their way through the door. With a gentle nudge from Karen, he stumbled towards the bedroom. "Careful, sweetie," Karen said, guiding him like a mother hen. She helped him into bed, the softness of the pillow a stark contrast to the hard, cold floor of the Chum Bucket he was used to. He flopped onto his back with a sigh, his eye drifting shut again. "Karen..." Plankton mumbled, his voice trailing off as sleep claimed him once more. He was already snoring lightly. Karen sat beside him, stroking his antennae gently, watching his chest rise and fall. She waited, but his snores grew steadier, deeper. "I guess it's time for you to rest," she whispered, standing up. "But I'll be here when you wake up." Karen looked around the cluttered room, her eyes landing on the ever-present stack of Krabby Patty blueprints on the nightstand. With a sigh, she picked them up and set them aside, not wanting them to be the first thing he saw when he woke. She knew how much plans consumed him. Karen took a moment to appreciate the rare sight of Plankton at peace. His usually tense expression had softened, and his antennae lay still on the pillow. As she left the room, she couldn't help but feel a twinge of anxiety. The surgery had been successful, but she knew the real battle would begin when he woke up and the painkillers wore off.

June 11, 2014 • Anesthesia induces a deep state of unconsciousness in a matter of seconds, but it can take several hours to return to normal after waking. Many people experience confusion, sleepiness, and even delirium. Consciousness is the awareness of subjective states such as emotion, inner thoughts, ideas, intentions, and mental states. Without consciousness, an organism has no awareness, while consciousness is often explained as the awareness of emotion, the ability to think and to remember past events and anticipate current ones. General anesthesia affects your entire body. Other types of anesthesia affect specific regions. Most people are awake during operations with local or regional anesthesia. General anesthesia dampens stimulation, knocks you unconscious and keeps you from moving during the operation. General anesthesia has 3 main stages: going under (induction), staying under (maintenance) and recovery (emergence). A specially trained anesthesiologist or nurse anesthetist gives you the proper doses and continuously monitors your vital signs—such as heart rate, body temperature, blood pressure and breathing. The first is an inability to remember things, but can’t recall them after waking up. Next, patients lose the ability to respond. Finally they go into deep sedation. General anesthesia looks more like a coma—a reversible coma. You lose awareness and the ability to feel pain, form memories and move. Once you’ve become unconscious, the anesthesiologist uses monitors and medications to keep you that way. Lack of Consciousness. Keeps you from being aware of your surroundings. Analgesia. Blocks your ability to feel pain. Amnesia. Prevents formation of memories. Loss of Movement. Relaxes your muscles and keeps you still during surgery. Stable Body Functions.

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

In general, the CDCTrusted Source recommend receiving tetanus vaccination every 10 years. However, research published in Clinical Infectious Diseases points to the possibility that these regular boosters may not be necessary for adults. 💉 A 2016 study that looked into tetanus immunity in 546 adults found that the vaccine provided at least 30 years of protection.

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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

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.

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

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

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.

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

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

➡➡ lil note, my bro whos better at this has joined, his tag is 'em1L'

💙 Most kids with ASD are either hypersensitive or hyposensitive to stimuli like noises, lights, touch, etc. If someone has Autism and/or PTSD, he/she may be more prone to sensory overload and startle more easily. That means there’s not much information about how typical treatment methods can or should be adjusted for patients with ASD. According to this article, a nurse could… Offer home-based services Use more visual aids, such as gradient scales to describe degrees of emotion Keep appointment times regular and predictable as much as possible Provide sensory toys or allow children to bring their own Emphasize the possibility of a “happy ending” after trauma―​“this correlates well with the documented effectiveness of social stories, narratives and role-playing in therapy involving individuals with ASD” Be mindful of how often society dismisses the emotions of autistic people Involve other trusted caregivers …and more. Essentially, the therapist should keep the child’s unique strengths and limitations in mind at each step and be open to flexibility. Remember to… Not take behavior personally Be willing to listen without pressuring him/her to talk Identify possible triggers and help him/her avoid them Remain calm and understanding when he/she is emotional Let him/her make age-appropriate choices so he/she feels in control of his/her life Be patient 💙

🍑 what has been said about self collected samples for pap ‘After I made the choice, the only thing that worried me was that I wouldn’t do it properly,’ she recalls. ‘But the instructions were very clear and easy to follow, so that made me feel better about it. I’d say it was much quicker and more comfortable than doing the old Pap test, and I liked that I could do it in private.’ -Patient The Department of Health and Aged Care : (HPV) – a common infection that causes almost all cervical cancers. If you are eligible and want to collect your own sample, your healthcare provider can give you a swab and instructions. A self-collected sample is taken from there so you don’t need to worry about reaching the cervix or ‘getting the right spot’. All you need to do is insert a swab a few centimetres into and rotate it for 20 to 30 seconds. Yes, it’s accurate Evidence shows a Cervical Screening Test using a self-collected sample from there is just as accurate at detecting abnormalities such as HPV as a clinician-collected sample taken from there during a speculum examination. ‘Because my doctor was so reassuring about my ability to self-collect, and the quality of the results that will come back, I found the whole experience really positive. I will definitely choose to self-collect again.’ -patient 🍑

💉 I'll have it done under general anaesthetic. 💉

💙 https://www.spectrumnews.org/features/deep-dive/unseen-agony-dismantling-autisms-house-of-pain/ 💙

sympt0ms of migraine include: fqtigue nausea/vomıtıng digestive issues visual disturbances (auras) sensitivity to light and/or sound mood changes bra1n fog/cognitive changes ringing in the ears dizziness/vertigo numbness/weàkness on one sıde of the bødy list is NOT complete, but is a starting point.

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

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https://i.imgflip.com/8k13o8.gif https://i.imgflip.com/8k13gm.gif https://i.imgflip.com/8k138k.gif https://i.imgflip.com/8k12ui.gif

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

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June 24, 2016 I can’t believe this needs to be said, but… - Withholding medıcatıon from a dısabled person is not a joke, but ab3se. - Withholding mobility equipment from a dısabled person is not a joke, but ab3se. - Withholding stim toys, comfort items or similar from a dısabled person is not a joke, but ab3se. - Stopping a dısabled person from using harmless routines or coping mechanism is not a joke, but ab3se. Stop.

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

(❁´◡`❁)🌈🍓🌞🧃🍄🌱🍓🛹🧸🧚‍♀️🥧🌷🦋🐛🪱🦄💤🐸🍄🎠✨🌈✨./づ~ 🍓"/ᐠ_ ꞈ _ᐟ\ɴʏᴀ~🐈‍⬛”ʚ(*´꒳`*)ɞ“💅🏼:(⁄ ⁄ᵒ̶̶̷́⁄⚰⁄ᵒ̶̶̷̀⁄ ⁄):🔡👩🏼‍⚕️

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