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

FIVE Senses to ground yourself 5 things you See (eyesight) 4 things you Hear (listening) 3 things you Feel (touch) 2 things you Smell (scent) 1 thing you can Taste

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

Potential causes of abnormal or unclear Pap smear results: HPV, which is the most common cause an infection, such as a yeast infection a benign, or noncancerous, growth hormone changes, such as during pregnancy immune system issues This doesn’t necessarily mean that you have cancer. But it does mean that your doctor will probably want to do more testing.

Pap smear checks the cells and is sensitive to any abnormalities or inflammation It does not screen for all cancer or any other gynecologic cancer. It does not automatically mean you have cancer. There may not even be anything wrong. ~

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?

"Pap smear or cytology—collects cells so they can be checked for changes caused by the human papillomavirus, the most common transmitted infection in the United States." says Jessica Rubin, MD, an OB/GYN with Northwell Health. “HPV causes almost all cases of said cancer, and you’re not at risk of HPV until you’ve been active. When you’re younger, your immune system is so healthy, you’re more likely to clear the virus on your own,” notes Rubin. "Pap tests (or Pap smears) look for cancers and precancers. Precancers are cell changes that can be caused by the human papillomavirus (HPV). If not treated, these abnormal cells could lead to cancer." -Dolly Penn, M.D., M.S.C.R., Medical Officer, Healthcare Assessment Research Branch, Healthcare Delivery Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute; and Abbey B. Berenson, M.D., Ph.D., Director, Center for Interdisciplinary Research in Women’s Health, Professor of Obstetrics and Gynecology, University of Texas Medical Branch

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

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

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

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

2020 Update 2012 old 2018 former rec. Ages <25 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) or 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 + 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

𝐢𝐭 𝐠𝐢𝐫𝐥 𝐫𝐮𝐥𝐞 𝟐𝟏𝟑𝟏𝟒𝟒𝟑𝟐𝟑𝟒𝟐𝟓: 𝐢𝐠𝐧𝐨𝐫𝐞 𝐭𝐡𝐞𝐦 𝐥𝐢𝐤𝐞 𝐡𝐨𝐰 𝐲𝐨𝐮 𝐢𝐠𝐧𝐨𝐫𝐞𝐝 𝐭𝐡𝐚𝐭 𝐧𝐮𝐦𝐛𝐞𝐫

https://www.acpjournals.org/doi/10.7326/M14-0701

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!

neuroticboyfriend A lot of the time when professionals interact with psychotic people, they try to reduce our distress by getting us to stop believing things. For me, that only made things worse. It was confusing and distressing. I felt angry, scared, and misunderstood. The best way I've found to cope with delusional thinking is something I discovered on my own. I'll give an example here so, huge TW for unreality and paranoia. Scroll away if you're not able to hear delusional thinking. Yesterday I started freaking out thinking people could hear my thoughts. This is something I've occasionally experienced since I was a child. When this comes up, I always think there's some massive conspiracy, where everyone can hear my thoughts but they react to me as if they don't hear anything. And they're all in on it. This time, it was triggered by intrusive thoughts that I started judging myself for. As you can imagine, this is distressing. I started talking to people through my mind, which only made it worse. I couldn't focus on what was happening around me. What I did to reduce that distress is.. weirdly nonchalant. I just sat there and thought "Well, if this is true, it's not like they're going to change how they interact with me. Everything is the same as it was. Nothing I can do about it, might as well just keep on keeping on." That calmed me down enough to start focusing on what I was doing, and eventually completely forget about it until now. Whenever I try to treat my delusional thinking as something I have to stop immediately... it literally only makes my mind double down. But if I work within what I believe - what I "know" - I can find another way to look at it that isn't so scary. This works with my hallucinations, too. I sometimes see shadow people; they're more like jump scares than anything. They startle me, and I start to wonder if people I'm looking at are real. But that latter part only really happens if I get fearful of them. To avoid that fear, I try to think of the shadow people as just friends watching over me, checking in. They don't do anything, after all. They just pop up, stand there, and disappear. (Talk of unreality ends here) So, yeah. This doesn't work for everyone, and it doesn't always work for me depending on what I'm experiencing/how I'm feeling. But without this, I'd be far worse off; it doesn't take too many missteps for me to spiral. I guess my point is, my reality doesn't have to be "normal" for me to be healthy as a schizophrenic person. It just has to be something I can live with, as happily and safely as possible. And that's ok. Neurodivergent people are allowed to exist, and some people are helped best by finding ways for them to exist as they are without so much distress - rather than trying to eliminate troubling symptoms entirely.

people have accused you of lying about your trauma (including claims you’re exaggerating), and you think your trauma isn’t that bad: it is. it’s bad enough regardless of if people accused you of lying, but the reason i say this is to point out to you… if it wasn’t that bad, why would you be lying? what would there be to lie about if it was normal that that happened? people accused you of lying because they refused to accept or believe that something like that happened - happened to you.

neuroticboyfriend Hey, real quick, go bury your face in something soft. A stuffed animal. A plush blanket. A pillow. Your pet. Your favorite shirt or hoodie. Do it. Was it comforting, even in the slightest? If not, well, you tried. Either way, remember that the little things can bring you goodness, and all those little things will add up. They may not overshadow all the bad, but it certainly does help. You may never be truly comfortable, but odds are, there's something around you that can give you some comfort. And that's a lot better than nothing.

kelpforestdwellers caregivers of disabled people: of course you may find aspects of the job (i use the term broadly to include taking care of loved ones) difficult. that's understandable and you deserve support with that. but there's one person you shouldn't necessarily share that with, and that's the person you're assisting. if you're having difficulty with a task and need to discuss a different way to do it, for example, that's one thing. i'm talking about complaining about how hard something is when it can't be changed or you don't intend to change it, or even joking about how hard various tasks are. my aides sometimes joke about how difficult certain tasks are, and i totally understand where they're coming from and that they mean no harm. but it make me self conscious about asking them to do those tasks in future when i know they struggle with them. and believe me, it's already hard enough to ask for help. i'm not asking anything unreasonable or outside the bounds of the job so it just makes me feel bad needlessly.

Please use discretion and don’t do something that will trigger you further, including triggering trauma or sensory issues! Aggressive activities (Adrenaline-focused): Do not use sharp objects if you can’t trust yourself around them in that moment. Tear apart paper or napkins Cut up boxes, plastic, or paper Stab boxes or foam Angrily scribble Throw rocks at the ground Scream into a pillow, or punch it Passive activities (Adrenaline-focused): Watch something scary (scary game, thriller movie) Watch someone get angry (Youtube react videos, gamer rage) Watch an action movie Watch a fails video compilation Sensory grounding Hold an ice cube or splash cold water on your face - take a cold shower if you’re really feeling it Smell a strong scent, even an unpleasant one Have a nice warm or cool drink Any kind of strong pressure that won’t injure (weighted blanket, cuddle with your dog) Listen to music or white noise Use a heating pad or take a warm shower/bath Creative outlets: (if you need the similarity, use red ink) Draw on yourself or body paint Do SFX makeup Finger paint Journal about your feelings honestly, even if they’re negative Make a moodboard

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

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

RED or BROWN bloody discharge is common during menstruation. Colors might range from cherry red at the beginning of your period to rusty brown. Some people have irregular periods and spotting. Others experience spotting due to their birth control method or hormonal changes. A variety of WHITE shades of discharge, from eggshell to cream, can be common. White discharge can occur for many of the same reasons as Clear discharge. It’s simply natural lubrication. As it cleans itself, it produces a WHITE or CLEAR discharge. Hormonal changes during your menstrual cycle can affect said discharge. Mucus can turn YELLOW when it comes into contact with the air. Very light yellow discharge is more common than you might think. Sometimes the color is daffodil yellow. Other times it’s more of a GREEN chartreuse. If you know you’re probably in the clear (as in it’s a one-off occurrence), what you eat could affect the color. Some people report this color change occurring whenever they take new vitamins or try certain foods. PINK discharge, ranging from a very light blush to the deep pink of a sunset, is often just a sign of the beginning of your menstrual period. Some people may periodically experience light bleeding after penetration.

𝒢𝑒𝓉𝓉𝒾𝓃𝑔 𝓉𝑜 𝒦𝓃𝑜𝓌 𝒴𝑜𝓊𝓇𝓈𝑒𝓁𝒻 🍃💫 ( 𝘫𝘰𝘶𝘳𝘯𝘢𝘭 𝘱𝘳𝘰𝘮𝘱𝘵𝘴 ) ♡ 𝘞𝘩𝘢𝘵 𝘢𝘤𝘵𝘪𝘷𝘪𝘵𝘪𝘦𝘴/ 𝘩𝘰𝘣𝘣𝘪𝘦𝘴 𝘢𝘭𝘭𝘰𝘸 𝘮𝘦 𝘵𝘰 𝘭𝘰𝘴𝘦 𝘵𝘳𝘢𝘤𝘬 𝘰𝘧 𝘵𝘪𝘮𝘦? 𝘞𝘩𝘢𝘵 𝘢𝘮 𝘐 𝘥𝘰𝘪𝘯𝘨 𝘸𝘩𝘦𝘯 𝘐 𝘧𝘦𝘦𝘭 𝘤𝘩𝘪𝘭𝘥𝘭𝘪𝘬𝘦 / 𝘦𝘹𝘤𝘪𝘵𝘦𝘥? ♡ 𝘞𝘩𝘢𝘵 𝘢𝘳𝘦 𝘮𝘺 𝘱𝘢𝘴𝘴𝘪𝘰𝘯𝘴 / 𝘥𝘦𝘴𝘪𝘳𝘦𝘴? 𝘏𝘰𝘸 𝘢𝘮 𝘐 𝘢𝘣𝘭𝘦 𝘵𝘰 𝘢𝘭𝘪𝘨𝘯 𝘮𝘺 𝘭𝘪𝘧𝘦 𝘸𝘪𝘵𝘩 𝘵𝘩𝘦𝘮? 𝘏𝘰𝘸 𝘥𝘰 𝘐 𝘦𝘭𝘪𝘮𝘪𝘯𝘢𝘵𝘦 𝘦𝘷𝘦𝘳𝘺𝘵𝘩𝘪𝘯𝘨 𝘵𝘩𝘢𝘵 𝘪𝘴 𝘯𝘰𝘵 𝘪𝘯 𝘮𝘺 𝘥𝘦𝘴𝘪𝘳𝘦𝘥 𝘢𝘭𝘪𝘨𝘯𝘮𝘦𝘯𝘵? ♡ 𝘏𝘰𝘸 𝘥𝘰 𝘐 𝘩𝘢𝘯𝘥𝘭𝘦 𝘴𝘵𝘳𝘦𝘴𝘴𝘧𝘶𝘭 + 𝘥𝘪𝘧𝘧𝘪𝘤𝘶𝘭𝘵 𝘴𝘪𝘵𝘶𝘢𝘵𝘪𝘰𝘯𝘴? 𝘞𝘩𝘢𝘵 𝘤𝘢𝘯 𝘐 𝘭𝘦𝘢𝘳𝘯 𝘧𝘳𝘰𝘮 𝘪𝘵? 𝘏𝘰𝘸 𝘤𝘰𝘶𝘭𝘥 𝘐 𝘳𝘦𝘢𝘤𝘵 𝘣𝘦𝘵𝘵𝘦𝘳 𝘪𝘯 𝘵𝘰𝘶𝘨𝘩 𝘤𝘪𝘳𝘤𝘶𝘮𝘴𝘵𝘢𝘯𝘤𝘦𝘴? ♡ 𝘞𝘩𝘢𝘵 𝘥𝘰𝘦𝘴 𝘴𝘶𝘤𝘤𝘦𝘴𝘴 𝘢𝘯𝘥 𝘧𝘶𝘭𝘧𝘪𝘭𝘭𝘮𝘦𝘯𝘵 𝘭𝘰𝘰𝘬 𝘭𝘪𝘬𝘦 𝘵𝘰 𝘮𝘦? 𝘏𝘰𝘸 𝘢𝘮 𝘐 𝘤𝘶𝘳𝘳𝘦𝘯𝘵𝘭𝘺 𝘢𝘭𝘪𝘨𝘯𝘪𝘯𝘨 𝘮𝘺𝘴𝘦𝘭𝘧 𝘵𝘰 𝘵𝘩𝘢𝘵 𝘱𝘢𝘵𝘩? 𝘈𝘮 𝘐 𝘤𝘶𝘳𝘳𝘦𝘯𝘵𝘭𝘺 𝘭𝘪𝘷𝘪𝘯𝘨 𝘪𝘯 𝘮𝘺 𝘥𝘦𝘴𝘪𝘳𝘦𝘥 𝘳𝘦𝘢𝘭𝘪𝘵𝘺? ♡ 𝘞𝘩𝘢𝘵 𝘩𝘢𝘣𝘪𝘵𝘴 / 𝘲𝘶𝘢𝘭𝘪𝘵𝘪𝘦𝘴 𝘥𝘰 𝘐 𝘢𝘥𝘮𝘪𝘳𝘦 𝘢𝘣𝘰𝘶𝘵 𝘰𝘵𝘩𝘦𝘳𝘴? ♡ 𝘈𝘳𝘦 𝘵𝘩𝘦𝘳𝘦 𝘢𝘯𝘺 𝘦𝘹𝘵𝘦𝘳𝘯𝘢𝘭 𝘧𝘢𝘤𝘵𝘰𝘳𝘴 𝘩𝘪𝘯𝘥𝘦𝘳𝘪𝘯𝘨 𝘮𝘦 𝘧𝘳𝘰𝘮 𝘮𝘺 𝘱𝘳𝘰𝘨𝘳𝘦𝘴𝘴? 𝘏𝘰𝘸 𝘢𝘮 𝘐 𝘢𝘣𝘭𝘦 𝘵𝘰 𝘮𝘪𝘯𝘪𝘮𝘪𝘻𝘦 / 𝘦𝘭𝘪𝘮𝘪𝘯𝘢𝘵𝘦 𝘵𝘩𝘦𝘮?

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

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

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

List of individuals living with supernumerary body parts as of AD 2024 Sat Sep 07 2024 13:24:17 A homeless cat has confounded its new carers after it was revealed it had two noses. A polymelic cow named Manny has "cephalomelia, where the attachment is on the head". A 5 legged cat named Lu, or Leggy Lu as she's known on TikTok As well as having 6 legs, Ariel the female spaniel also has two vulvae. The dog’s extra hind legs are fused together, having two hip joints on one side. Though, Ariel’s said to have some operations, possibly in order to amputate the excess appendages. Skipper, an Aussie/Border Collie mix puppy was born in Oklahoma with six legs. But vets at Neel Veterinary Hospital say she's doing well. Born in Oklahoma City, this Aussie/border collie mix was born with a pair of congenital disorders called monocephalus dipygus and monocephalus rachipagus dibrachius tetrapus. In non-vet speak, the results are a sweet little puppy who has a single head and chest cavity, but with most everything below that duplicated, including her urinary tracts and reproductive systems. Most noticeably to anyone not equipped with an x-ray machine, this has also given Skipper two tails and an extra pair of legs. Rare two-headed snake, 'Double Dave', found in US A two headed tortoise, called Janus, was born September 3, 1997 in the Museum of Natural History in Geneva, Switzerland. On Tuesday, January 16th @twoheaded.calf3 on TikTok says their polycephalic calf is doing well. Sorte, a Portugese turtle with polycephaly, has four front feet and two air pipes but one heart and intestinal system. And that, vets say, meant the turtle is one, not two, animals. Abby and Brittany Hensel, conjoined twins from the United States, though they identify as two individual people. Hannah Kersey is the Northam resident born with uterus didelphys, which is when a woman has two wombs instead of one Andreea Barbosa was born with two fully functioning uteri

Sometimes, stomach acid goes up into your esophagus, the tube that connects your mouth and stomach. That’s called heartburn. If it’s also an issue, sleep with your head slightly raised. It may also help to avoid or limit: Peppermint, chocolate, garlic, and tomatoes Tight clothes Meals within 2 or 3 hours of bedtime Lying down right after a meal Instead: Sleep on your left side. This position seems to help reduce nighttime heartburn symptoms Wear loose-fitting clothes. Tight clothes, especially near your waist, can put pressure on your stomach, leading to heartburn symptoms. Chew gum. Chewing gum encourages the production of saliva, which can soothe your esophagus and wash acid down into your stomach. Choose a flavor other than peppermint, which may worsen heartburn in some people. While the main symptom of GERD is reflux, a number of symptoms may accompany this condition. Heartburn: A painful burning sensation in the chest is the most common symptom Trusted Source Merck Manual First published in 1899 as a small reference book for physicians and pharmacists, the Manual grew in size and scope to become one of the most widely used comprehensive medical resources for professionals and consumers. View Source of GERD, but not all cases of GERD involve heartburn. Regurgitation: Another common symptom of GERD is regurgitation, which means a small amount of stomach acid and sometimes bits of food come up into the mouth or back of the throat. Sore throat: When stomach acid rises to the mouth and throat, it can cause coughing and a feeling of choking. This often leads to a sore throat and, for some people, difficulty swallowing, known as dysphagia. Chest pain: On top of the discomfort from heartburn, GERD can cause radiating chest pain

ˢᵠᵘᵉᵃᵏ ˢᵠᵘᵉᵃᵏ ⁽ˢᵖᵒᶰᵍᵉᴮᵒᵇ ᶠᵃᶰᶠᶤᶜ⁾ ˢᵖᵒᶰᵍᵉᵇᵒᵇ ᵈᶤᵈᶰ'ᵗ ᵏᶰᵒʷ ᴹʳˑ ˢᵠᵘᵉᵃᵏᵉʳˢ ᵍᵒᵗ ʰᶤʳᵉᵈ ᵇʸ ᴹʳˑ ᴷʳᵃᵇˢ ᵗᵒ ˢᵗᵉᵖ ᵒᶰ ᴾˡᵃᶰᵏᵗᵒᶰ˒ ʷʰᵒ ᶰᵒʷ ᶜᵃᵐᵉ ᶤᶰ ᵗʰᵉ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇˑ "ᴴᵉʸ ᵖᵘᶰᵏᵎ" ˢᵠᵘᵉᵃᵏᵉʳˢ ˢᵃʸˢˑ ᴾˡᵃᶰᵏᵗᵒᶰ ˢᶜʳᵉᵃᵐᵉᵈ ᵃˢ ᵗʰᵉ ᶜˡᵒʷᶰ ᵇᵉᵃᵗ ʰᶤᵐ ᵘᵖ˒ ᵃˡᵉʳᵗᶤᶰᵍ ˢᵖᵒᶰᵍᵉᵇᵒᵇˑ ᴴᵉ ᵇˡᵒᶜᵏᵉᵈ ᴾˡᵃᶰᵏᵗᵒᶰ ᵇᵘᵗ ᶰᵒᵗ ᶤᶰ ᵗᶤᵐᵉ ᵗᵒ ˢᵃᵛᵉ ʰᶤᵐˑ ᵂʰᵉᶰᶜᵉ ᴹʳˑ ˢᵠᵘᵉᵃᵏᵉʳˢ ᵈᵉᶜᶤᵈᵉᵈ ᵗᵒ ˢᵗᵒᵖ ʰᵉ ˡᵉᶠᵗ ᵗʰᵉ ʳᵉˢᵗᵃᵘʳᵃᶰᵗˑ ᴾˡᵃᶰᵏᵗᵒᶰ ᵗʷᶤᵗᶜʰᵉᵈ˒ ᵇᵃᵈˡʸ ᶤᶰʲᵘʳᵉᵈ˒ ᶤᶰ ᵖᵃᶤᶰˑ ᴾˡᵃᶰᵏᵗᵒᶰ'ˢ ᶜᵒᵐᵖᵘᵗᵉʳ ʷᶤᶠᵉ ᴷᵃʳᵉᶰ ʷᵉᶰᵗ ʷᶤᵗʰ ˢᵖᵒᶰᵍᵉᵇᵒᵇ ᵗᵒ ᵗᵃᵏᵉ ᴾˡᵃᶰᵏᵗᵒᶰ ᵗᵒ ᵗʰᵉ ᵉᵐᵉʳᵍᵉᶰᶜʸ ᶜˡᶤᶰᶤᶜˑ "ᴴᵒʷ'ˢ ʰᵉˑˑˑ" "ˢᵖᵒᶰᵍᵉᵇᵒᵇ ʰᵉ'ˢ ᶤᶰ ᵗʰᵉ ᵒᵖᵉʳᵃᵗᶤᶰᵍ ʳᵒᵒᵐ ᵃᶰᵈ ʷᵉ'ˡˡ ᵇʳᶤᶰᵍ ʸᵒᵘ ᵇᵒᵗʰ ᵇᵃᶜᵏ ᵃᶠᵗᵉʳˑ ᴴᶤˢ ᵐᵉᵈᶤᶜᶤᶰᵉ ʷᵉ ᵍᵃᵛᵉ ˢᵒᵐᵉ ᵗʰᶤᶰᵍ ᵗᵒ ᵏᵉᵉᵖ ʰᶤᵐ ᶜᵒᵐᶠᵒʳᵗᵃᵇˡᵉ ʷʰᶤˡˢᵗ ᶤᶰ ᵗʰᵉ ˢᵘʳᵍᵉʳʸ ᵃˢ ᵒᶠ ʳᶤᵍʰᵗ ᶰᵒʷˑ" ᵀʰᵉ ᶜˡᶤᶰᶤᶜᶤᵃᶰ ᵉˣᵖˡᵃᶤᶰᵉᵈˑ ᴱᵛᵉᶰᵗᵘᵃˡˡʸ ᴷᵃʳᵉᶰ ʷᵉᶰᵗ ᵇᵃᶜᵏ ᵗᵒ ˢᵉᵉ ʰᵉʳ ʰᵘˢᵇᵃᶰᵈˑ ˢʰᵉ ˢᵃʷ ᵃ ˢᵏᶤᶰᶰʸ ˢᵗʳᵃʷ ᵗᵘᵇᵉ ᵈᵒʷᶰ ʰᶤˢ ᵐᵒᵘᵗʰ˒ ʷʰᶤᶜʰ ᵗʰᵉʸ ᶰᵒʷ ᵗᵒᵒᵏ ᵒᵘᵗˑ ᴬᶠᵗᵉʳ ᶠᶤᶰᶤˢʰᶤᶰᵍ ᶤᶰ ᵗʰᵉ ˢᵘʳᵍᵉʳʸ˒ ᵗʰᵉʸ ʷᵉᶰᵗ ᵗᵒ ᵗʰᵉ ʳᵉᶜᵒᵛᵉʳʸ ʳᵒᵒᵐˑ ˢᵖᵒᶰᵍᵉᵇᵒᵇ ᶜʳᶤᵉᵈ ˢᵉᵉᶤᶰᵍ ᴾˡᵃᶰᵏᵗᵒᶰˑ "ˢᵒ ʰᵉ'ˢ ᵍᵒᶰᶰᵃ ᶰᵉᵉᵈ ʳᵉˢᵗˑ ᴴᵉ'ˢ ᵍᵒᶰᶰᵃ ᵐᵒˢᵗ ˡᶤᵏᵉˡʸ ᵇᵉ ᵗᶤʳᵉᵈ˒ ᵇᵉᶜᵃᵘˢᵉ ᵒᶠ ˢᵒʳᵉᶰᵉˢˢ ᵃᶰᵈ ᵃˡˢᵒ ᵗʰᵉ ᵐᵉᵈᶤᶜᶤᶰᵉˑ ᴬˡˡ ᶰᵒʳᵐᵃˡ˒ ᵃˢ ʰᵉ ᵐᶤᵍʰᵗ ᵇᵉ ᶜᵒᶰᶠᵘˢᵉᵈ ᵈᶤˢᵒʳᶤᵉᶰᵗᵉᵈ ˢᵒ ᶰᵒ ʰᵃʳᵈ ʷᵒʳᵏ ᶠᵒʳ ᵃ ᵗᶤᵐᵉˑ ᴴᵉ ᵐᶤᵍʰᵗ ᵇᵉ ᶠᵒʳᵍᵉᵗᶠᵘˡ ᶠᵒʳ ᵗʰᵉ ˢᵃᵐᵉ ʳᵉᵃˢᵒᶰ'ˢ ᴵ ᵐᵉᶰᵗᶤᵒᶰᵉᵈˑ ˢᵒ ᵈᵒᶰ'ᵗ ᵇᵉ ᵃˡᵃʳᵐᵉᵈ ᶤᶠ ʰᵉ ᵃᶜᵗˢ ᵃˢ ˢᵘᶜʰˑ" "ᵀʰᵃᶰᵏˢ˒ ᵈᵒᶜˑˑˑ" ˢᵃʸˢ ᴷᵃʳᵉᶰ˒ ᶰᵒʷ ᶰᵒᵗᶤᶜᶤᶰᵍ ᴾˡᵃᶰᵏᵗᵒᶰ ᵒᵖᵉᶰ ʰᶤˢ ᵉʸᵉˑ "ᵂʰᵉʳᵉ ᵃᵐ ᴵˑˑ" ᴾˡᵃᶰᵏᵗᵒᶰ ᵘᵗᵗᵉʳˢˑ "ᵞᵒᵘ'ʳᵉ ᶠʳᵉᵉ ᵗᵒ ᵍᵒ˒ ʷʰᵉᶰᶜᵉ ᶜᵃᶰ ᵍᵉᵗ ᵘᵖᵎ" ᴾˡᵃᶰᵏᵗᵒᶰ ᶠᵉˡᵗ ʰᶤᵐˢᵉˡᶠ ᵍᵉᵗ ʰᵉˡᵖᵉᵈ ˢᶤᵗᵗᶤᶰᵍ ᵘᵖˑ "ᴼʰ ˢʰᵉˡᵈᵒᶰ; ᵐᵉ ᵃᶰᵈ ˢᵖᵒᶰᵍᵉᵇᵒᵇ ʷᶤˡˡ ᵗᵃᵏᵉ ʸᵒᵘ ᵇᵃᶜᵏ ᵗᵒ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗˑ" ᴷᵃʳᵉᶰ ᵗᵒˡᵈ ʰᶤᵐ ᵃˢ ˢᵖᵒᶰᵍᵉᵇᵒᵇ ʷᵃᵛᵉᵈˑ ᴾˡᵃᶰᵏᵗᵒᶰ ˡᵃᵘᵍʰᵉᵈ ˢᵉᵉᶤᶰᵍ ˢᵖᵒᶰᵍᵉᵇᵒᵇ ʷᵃᵛᵉ ᵗᵒ ʰᶤᵐ˒ ˢᵒ ʰᵉ ᵈᶤᶻᶻᶤˡʸ ʷᵃᵛᵉᵈ ᵇᵃᶜᵏˑ "ᴸᵉᵗ'ˢ ˢᵗᵃᶰᵈ ᵘᵖ ᵒᶠᶠ ᵗʰᵉ ᶜᵒᵗ ᵇᵉᵈˑ" ᴾˡᵃᶰᵏᵗᵒᶰ ᶠᵃˡᵗᵉʳᵉᵈ˒ ᵃˢ ᵗʰᵉʸ ᶜᵃᵘᵍʰᵗ ʰᶤᵐ ᵇᵉᶠᵒʳᵉ ʰᵉ'ᵈ ᵇᵉ ᵃᵇˡᵉ ᵗᵒ ᶠᵃˡˡˑ "ᵂʰᵃᵗ'ˢ ʷᶤᵗʰ ᵐʸ ˡᵉᵍˢˀ" "ᴵ ᶜᵃᶰ ᶜᵃʳʳʸ ᶤᶰˢᵗᵉᵃᵈˑ" ᴷᵃʳᵉᶰ ᵗᵒˡᵈ ᵃˢ ˢʰᵉ ᵖᶤᶜᵏᵉᵈ ᵘᵖ ʰᵉʳ ʰᵘˢᵇᵃᶰᵈ ᵘᵖˑ "ᵂʰʸ ᵈᵒ ᴵ ᶠᵉᵉˡ ˢᵒˑˑˑ" "ᴾˡᵃᶰᵏᵗᵒᶰ ʸᵒᵘ'ᵛᵉ ʲᵘˢᵗ ᵍᵒᵗ ᵇᵉᵃᵗᵉᶰ ᵃᶰᵈ ʸᵒᵘ ᵍᵒᵗ ʰᵒˢᵖᶤᵗᵃˡᶤˢᵉᵈˑ" ᴷᵃʳᵉᶰ ˢᵉᵗ ᴾˡᵃᶰᵏᵗᵒᶰ ᵒᶰ ʰᶤˢ ᵇᵉᵈ ᵃˢ ˢᵖᵒᶰᵍᵉᵇᵒᵇ ᵗᵘᶜᵏˢ ʰᶤᵐ ᶤᶰˑ "ᴵᶠ ʸᵒᵘ'ʳᵉ ᵉˣʰᵃᵘˢᵗᵉᵈ ᵈᵒᶰ'ᵗ ʷᵒʳʳʸˑˑˑ" "ˢᵖᵒᶰᵍᵉᵇᵒᵇ ᶜᵃᶰ ʳᵉᵃᵈ ᵐᶤᶰᵈˢˑˑˑ" ᴾˡᵃᶰᵏᵗᵒᶰ ˢᵃᶤᵈ ˢᵒᵘᶰᵈᶤᶰᵍ ᶤᵐᵖʳᵉˢˢᵉᵈˑ "ᴺᵒʷ ʸᵒᵘ ᶜᵃᶰ ʳᵉᵃᵈ ᵃ ᵇᵒᵒᵏ˒ ʸᵒᵘ ᶜᵃᶰ ᵗᵃᵏᵉ ᵃ ᶰᵃᵖˑˑˑ" ᴷᵃʳᵉᶰ ˢᵗᵃʳᵗᵉᵈˑ "ᴬʳᵉ ʸᵒᵘ ˢˡᵉᵉᵖʸˀ" "ᵀʰᵉ ᵐᶤᶰᵈ⁻ʳᵉᵃᵈᵉʳ ᵐᵘˢᵗ ᵏᶰᵒʷᵎ" ᴾˡᵃᶰᵏᵗᵒᶰ ᵗᵒˡᵈˑ "ᵂᵉˡˡ ᴵ ᵇᵉᵗᵗᵉʳ ᵍᵉᵗ ᵇᵃᶜᵏ ᵗᵒ ᵐʸ ʷᵒʳᵏ ˢʰᶤᶠᵗ ᵇᵘᵗ ᴵ ᶜᵃᶰ ᶜᵒᵐᵉ ᵇᵃᶜᵏ ᵃᶠᵗᵉʳ ᶜˡᵒˢᶤᶰᵍ ᵗᶤᵐᵉˑˑ" ˢᵖᵒᶰᵍᵉᵇᵒᵇ ˢᵃʸˢ ᵃˢ ʰᵉ ˡᵉᵃᵛᵉˢˑ "ᴺᵒʷ ˢʰᵉˡᵈᵒᶰ ʸᵒᵘ ˢᵗᵃʸ ᶤᶰ ᵇᵉᵈ; ᴵ'ˡˡ ᶜʰᵉᶜᵏ ᵒᶰ ʸᵒᵘ ᵖᵉʳᶤᵒᵈᶤᶜᵃˡˡʸˑ ᴶᵘˢᵗ ᵈᵒᶰ'ᵗ ˢᵗʳᵉˢˢˑ" ˢᵖᵒᶰᵍᵉᵇᵒᵇ ˢᵃʷ ᴹʳˑ ˢᵠᵘᵉᵃᵏᵉʳˢ ᵍᵉᵗ ᵃʳʳᵉˢᵗᵉᵈ˒ ᵃᶰᵈ ᶠᵉˡᵗ ʳᵉˡᶤᵉᵛᵉᵈˑ ᴬᶠᵗᵉʳ ˡᵉᵃᵛᶤᶰᵍ ᵗʰᵉ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇ ᶠᵒʳ ᵗʰᵉ ᶰᶤᵍʰᵗ˒ ʰᵉ ʷᵉᶰᵗ ᵗᵒ ˢᵖᵉᶰᵈ ᵗʰᵉ ᵉᵛᵉᶰᶤᶰᵍ ᵃᵗ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗˑ "ᴴᵉ ᶠᵉˡˡ ᵃˢˡᵉᵉᵖ; ʸᵒᵘ ᶜᵃᶰ ˢᵗᶤˡˡ ˢᵗᵃʸˑˑ" ᴷᵃʳᵉᶰ ᵗᵒˡᵈ ˢᵖᵒᶰᵍᵉᵇᵒᵇ ᵃˢ ˢʰᵉ ˡᵉᵗ ʰᶤᵐ ᶤᶰˑ "ˢᵖᵒᶰᵍᵉᵇᵒᵇ ᶜᵃᵐᵉ ᵇᵃᶜᵏ; ᵗʰᵒᵘᵍʰᵗ ᴵ'ᵈ ˡᵉᵗ ʸᵒᵘ ᵏᶰᵒʷˑˑ" ᴾˡᵃᶰᵏᵗᵒᶰ ʰᵉᵃʳˢ ᴷᵃʳᵉᶰ'ˢ ᵛᵒᶤᶜᵉˑ ˢᵖᵒᶰᵍᵉᵇᵒᵇ ᶜᵃᵐᵉ ᵗᵒ ᴾˡᵃᶰᵏᵗᵒᶰˑ "ᴷᵃʳᵉᶰ ʸᵒᵘ ᶰᵉᵉᵈᶰ'ᵗ ʷᵃᵏᵉ ʰᶤᵐ ᶤᶠ ʰᵉ'ˢ ᶰᵒᵗ ᵗᵒ ᵇᵉ ᵇᵒᵗʰᵉʳᵉᵈˑˑ" "ᴵ ᶠᵉᵉˡ ʷᵉᵃʳʸˑ" "ᴵ'ᵐ ˢᵒʳʳʸˑˑ" ˢᵖᵒᶰᵍᵉᵇᵒᵇ ᵗᵉˡˡˢ ᴾˡᵃᶰᵏᵗᵒᶰˑ "ᴵ ᵈᶤᵈᶰ'ᵗ ᵏᶰᵒʷ ᵃᵇᵒᵘᵗ ˢᵠᵘᵉᵃᵏᵉʳˢ ᵇᵘᵗ ᴵ ˢᵃʷ ʰᶤᵐ ᵍᵉᵗ ᵗᵃᵏᵉᶰ ᵃʷᵃʸᵎ" "ᴵᵗ'ˢ ᶰᵒᵗ ʸᵒᵘʳ ᶠᵃᵘˡᵗˑ" ᴷᵃʳᵉᶰ ᵗᵒˡᵈ ʰᶤᵐˑ "ˢᵒ ᴾˡᵃᶰᵏᵗᵒᶰ˒ ʰᵒʷ ᵈᵒ ʸᵒᵘ ᶠᵉᵉˡˀ" "ᴵ ᶠᵉᵉˡ ᵃᶜʰᵉ ᵉᵛᵉʳʸ ʷʰᵉʳᵉ ᵃᶰᵈ ᵉˣʰᵃᵘˢᵗᵉᵈˑˑ" "ᴵ'ᵐ ᵍᵒᶤᶰᵍ ᵗᵒ ᵍᵒ ᶜˡᵉᵃᶰˑ" ᴷᵃʳᵉᶰ ˢᵃʸˢ˒ ˡᵉᵗᵗᶤᶰᵍ ˢᵖᵒᶰᵍᵉᵇᵒᵇ ˢᵗᵃʸˑ "ᴵ ᵃᵖᵒˡᵒᵍᶤˢᵉ ᶠᵒʳ˒ ʷᵉˡˡ˒ ʸᵒᵘ ᵏᶰᵒʷˑˑ" "ᴵ ᵏᶰᵒʷ ᵏᶤᵈˑ" "ᵞᵒᵘ ᶜᵃᶰ ᶠᵉᵉˡ ᶠʳᵉᵉ ᵗᵒ ᵍᵒ ᵗᵒ ˢˡᵉᵉᵖ ᴾˡᵃᶰᵏᵗᵒᶰˑˑ" ˢᵖᵒᶰᵍᵉᵇᵒᵇ ʳᵉᵃˡᶤˢᵉᵈ ʰᵒʷ ᵍʳᵒᵍᵍʸ ʰᵉ ˢᵉᵉᵐᵉᵈˑ "ᴵ ᶜᵃᶰ ˢᵗᶤˡˡ ˢᵗᵃʸˑ" ᴴᵉ ᶠˡᵘᶠᶠᵉᵈ ᵗʰᵉ ᵖᶤˡˡᵒʷˢ ᶠᵒʳ ᴾˡᵃᶰᵏᵗᵒᶰ ᵃᶰᵈ ᵃᵈʲᵘˢᵗᵉᵈ ʰᶤˢ ᵇˡᵃᶰᵏᵉᵗ ᶜᵒᵛᵉʳˢ ᵗᵒˑ ᴾˡᵃᶰᵏᵗᵒᶰ ᶠᵉˡᵗ ᵈʳᵒʷˢʸˑ "ᴰᵒᶰ'ᵗ ᶠᶤᵍʰᵗ ᵗʰᵉ ˢˡᵉᵉᵖˑ ᴵ ᵏᶰᵒʷ ʸᵒᵘ'ᵈ ˡᶤᵏᵉ ᵗᵒ ᵍᵉᵗ ᵇᵉᵗᵗᵉʳ ˢᵒ ʳᵉˢᵗᶤᶰᵍ ᶤˢ ᶤᵐᵖᵒʳᵗᵃᶰᵗˑ" ˢᵖᵒᶰᵍᵉᵇᵒᵇ ᶜᵒᵐᶠᵒʳᵗᵉᵈ ʰᶤᵐ ᵉᶰᵒᵘᵍʰ ᶠᵒʳ ᵗᵒ ᶜᵃˡᵐ ʰᶤᵐ ᵈᵒʷᶰˑ "ᑦʰᶤˡˡᵃˣˑˑ" ᴾˡᵃᶰᵏᵗᵒᶰ ˡᵃᶜᵏᵉᵈ ᵗʰᵉ ᵉᶰᵉʳᵍʸ ᵗᵒ ᵏᵉᵉᵖ ᵃˡᵉʳᵗˑ ᴴᵉ'ˢ ᶜˡᵒˢᶤᶰᵍ ʰᶤˢ ᵉʸᵉ ᵃˢ ʰᵉ'ˢ ˢᵗᵃʳᵗ ᶠᵃˡˡᶤᶰᵍ ᵃˢˡᵉᵉᵖ˒ ˡᵘˡˡᵉᵈ ᵇʸ ˢᵖᵒᶰᵍᵉᵇᵒᵇ'ˢ ˢᵒᵒᵗʰᶤᶰᵍ ʰᶤᵐ ᵃᶰᵈ ᶠʳᵒᵐ ᵗʰᵉ ᵈᵃʸ'ˢ ᵉᵛᵉᶰᵗˢˑ ˢᵗᶤˡˡ ʷᵒʳᶰ ᵒᵘᵗ ᶠʳᵒᵐ ˢᵠᵘᵉᵃᵏᵉʳˢ ᵃᶰᵈ ᶠʳᵒᵐ ᵗʰᵉ ᶜˡᶤᶰᶤᶜ˒ ᵃˢ ʷᵉˡˡ ᵃˢ ᵗʰᵉ ᵐᵉᵈᶤᶜᶤᶰᵉ˒ ᴾˡᵃᶰᵏᵗᵒᶰ'ˢ ᶰᵒʷ ᵘᶰᵃᵇˡᵉ ᵗᵒ ᶠᶤᵍʰᵗ ᵗʰᵉ ˢˡᵘᵐᵇᵉʳ ᶜᵒᵐᶤᶰᵍˑ ᴬᶠᵗᵉʳ ᵗᶤᵈʸᶤᶰᵍ ᵘᵖ˒ ᴷᵃʳᵉᶰ ˢᵃʷ ˢᵖᵒᶰᵍᵉᵇᵒᵇ ᶰᵒʷ ᵍᵒᶤᶰᵍ ᵘᵖ ᵗᵒ ʰᵉʳˑ "ᴵ'ᵐ ᵍᵒᶰᶰᵃ ʰᵉᵃᵈ ᵒᶰ ᵒᵘᵗˑ ᴴᵉ'ˢ ᵃˢˡᵉᵉᵖ; ᵐᵘˢᵗᶰ'ᵗ ʷᵃᵏᵉ ʰᶤᵐ ᵘᵖ ᵃᵍᵃᶤᶰˑ ᴮʸᵉᵎ" ˢᵖᵒᶰᵍᵉᵇᵒᵇ ˡᵉᶠᵗ˒ ᵃˢ ᴷᵃʳᵉᶰ ᶰᵒʷ ˢᶤᵍʰᵉᵈ ᶤᶰ ʳᵉˡᶤᵉᶠˑ ˢʰᵉ ᵖᵉᵉᵏᵉᵈ ᵉᵛᵉʳʸ ᶰᵒʷ ᵃᶰᵈ ᵗʰᵉᶰ ᵗᵒ ˢᵉᵉ ᴾˡᵃᶰᵏᵗᵒᶰ˒ ᶜʰᵉᶜᵏᶤᶰᵍ ᶤᶰ ᵒᶰ ʰᶤᵐ˒ ᵉᵛᵉᶰ ᵗʰᵒᵘᵍʰ ʰᵉ'ˢ ᵈᵒᶤᶰᵍ ᶠᶤᶰᵉˑ ᴷᵃʳᵉᶰ ˡᵉᵗ ʰᵉʳ ʰᵘˢᵇᵃᶰᵈ ʳᵉˢᵗ˒ ᵉᵛᵉᶰ ᵃˢ ˢʰᵉ ᵍᵒᵗ ᵘᵖ ᵗʰᵉ ᶰᵉˣᵗ ᵐᵒʳᶰᶤᶰᵍˑ ˢʰᵉ'ᵈ ˡᶤᵍʰᵗˡʸ ᵗᵃᵖ ʰᶤᵐ ᵍᵉᶰᵗˡʸ ᵒᶰ ˢʰᵒᵘˡᵈᵉʳ ᶤᶠ ᵗᵒ ᵍᵉᵗ ʰᶤᵐ ᵘᵖˑ ᴮᵘᵗ ᵃˡˡ ʷᵉᶰᵗ ᵇᵃᶜᵏ ᵗᵒ ᶰᵒʳᵐᵃˡˑ

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

Poor X. The lawyer has seemingly been struggling with some kind of chest infection for a while now- it seems like whenever Y passes his office, she can hear him clearing his throat, muffled coughing drifting through the walls as he tries to catch his breath. “I’ll b-be- *wheeze*- f-fine. Just… just need to c-catch my- my breath.” Wiping his mouth, he soon leans back against the bricks. His shallow exhales become steam in the cold air. “I think you might need some stronger cough medicine.” Y murmurs, still rubbing slow circles against his back. “If you want, I could get you some?” His gaze crawls over to hers, dull hope flickering within them. “Y-yeah?” His eyes roll, exhaustion taking over, but a quick tap to the cheek brings him right back, blinking languidly. “M'okay.” He mumbles. “Th-thanks.” Y's hand, still lingering on his cheek, moves to swipe away a sweat-dampened curl from his forehead. “I’m not sure whether ‘okay’ is quite the right word to describe you right now, X… Take a few minutes down here, and then I'll walk you back up to your office, alright? I’m going to tell your assistant- Z, isn't it?- to make sure you get some rest while I fetch you some meds.” X swallows, shaking his head weakly. “I’ll be… I’ll be f- fine.” “I’m the doctor here. Just try to relax for once in your life.” Finally, he sighs, nodding. He's still leaning his head against the brick wall as his eyes fall closed. Y continues to rub his back for a few minutes, a comfortable silence enveloping them. When she looks back at the lawyer beside her, his jaw is slack, lips slightly parted. The quick, shallow breaths of before have slowed and deepened. A small smile creeps onto her face. He's asleep. X starts to lean unconsciously towards her. Soon, as he remains asleep and snoring, his head lands on her shoulder. He's definitely going to drool all over her dress. “Bless him .” Z whispers, cocking his head a little as he watches X sleep. “He's absolutely knackered.” Y isn't entirely sure what that word means, but if it has anything to do with exhaustion, he's completely right. X is curled up on the couch, cheek pressed against a throw pillow Z thrifted, buried beneath a mound of blankets Y brought from home. They're ever so slightly weighted, and the pressure is comforting for X. She's trying to get used to his sensory needs. To not rely on him resolving them himself, especially when he's sick. Judging by the peaceful look on his face, nostrils flaring gently with each slow breath, she's doing something right at least. She hopes, also, that bringing him into her workplace was the right thing to do as well, groaned when she half-dragged X through the doors, pale and shakily covering his ears, squinting against the light, but what was she supposed to do? Suppose X had been left alone, and needed to get something to drink? Doing those things alone right now is essentially impossible for him. Y's phone beeps, and she turns it on to find a reminder: X’s antibiotics. She sighs, glancing over at cosy-looking just as his nose twitches in his sleep. Z notes frustration. “Antibiotic time?” “Yep.” With another small sigh of sympathy, she stands and wanders over to the feverish bundle of blankets and gentle snores, placing a gentle hand on the top of his head. Her thumb brushes against the sweat-damp curls that hang over his eyes. “ X? Sweetheart? Wake up for me, pumpkin.” When, after a few seconds of waiting, he doesn't stir, she gently strokes her index finger against his lower eyelashes. It's an age-old trick, and just like always, his eyes gradually open halfway. “Hey, X.” She whispers, smiling reassuringly as he blinks in the light. For once, he doesn't make any attempt to get up. His dizziness is clearly plaguing him again. “I’m so sorry to wake you, but you need to take your meds. Can you do that for me?” He swallows, clearly disoriented. Barely awake. “ Mm.” “Thank you. You don't even have to sit up, alright? Just…” she takes the bottle of pills from the coffee table and unscrews the lid, shaking a couple into her palm. “Just put these in your mouth, sweetheart.” Shakily, he obeys. Y's now empty hand is nearly immediately met with a glass of water filled up moments ago by Z. She moves closer to X and holds the rim of the glass up to his lips. “Now take a few sips, and swallow… Good job.” As soon as his small (yet Herculean) task is complete, X sinks back against the pillow entirely, eyes closing. Y draws the blanket over his shoulders, hand yet again drifting to his hair. “How’re you feeling?” she asks softly. His nostrils flare. He doesn't open his eyes. “ B-bad… Di- dizzy.” “ I bet… the antibiotics will make things better soon, pumpkin, I promise. Just rest.” X swallows thickly. “ C-can I go b-back to sleep now?” T gives him a small smile. “Of course you can.” She leans forward, pressing her lips to his too-warm forehead before withdrawing, still carding through his hair. “Sleep well, sweetheart. Night night.” Within moments, his breaths even out again. Soon, her pager will beep, and somehow X will remain fast asleep, swathed in blankets and yet still shivering. She'll check the little device to find that she's needed down at the hospital for a delivery. She'll know that it's okay for her to leave, because there's a whole team watching over. Keeping him safe and comfortable. For now, however, she listens to the murmurings of her colleagues about how adorable X is (she knows, it's why she loves him so much) and traces his features with her thumb. “That’s it, X. Sweet dreams.”

Consider these tips to mentally prepare for your exam: Use relaxation techniques or distraction. Relaxation techniques, such as deep breathing, guided imagery and mindfulness, can be beneficial leading up to and during your exam. Also, throughout the exam, you can close your eyes, inhale through your nose for four seconds and then exhale through your mouth for four seconds. You may want to listen to music or watch a video to distract your mind. You also can bring a partner, family member or friend to talk to during the process. Talk to your health care provider. Let your provider know you are nervous and explain how you are feeling. Ask as many questions as you need and seek advice on how to make the exam easier, such as different positions and/or using a smaller speculum to ease discomfort or pain. You can ask your provider to talk you through the exam step by step so that you are prepared for what is about to happen. If you have health anxiety, fear of the unknown or body dysmorphia, it's important to let your provider know so he or she can help you through the exam. Say "stop" if you are in pain. You can ask your provider to stop at any time if you are uncomfortable or in pain. Reward your efforts. Congratulate yourself on what you have achieved by doing something that makes you happy, such as going to lunch with a friend, watching a movie or reading a new book.

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

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For most uteri-bearing people, the paın begins one to three days before the start of an individual’s perıod, peaks 24 hours after bleeding starts, and stops two to three days after bleeding stops. Most people feel it as a continuous dull ache. 40-90% of women of reproductive age suffer from perıod pain. For most women, premenstrual symptoms can start anywhere from one to two weeks before their period begins. Symptoms can vary from woman to woman and may include: Paın: Cramps, backache, headaçhes or migraines, other aches and pains Digestive prob1ems: Bloating, náuseas or upset stߋmach, dıarrhea Feelings: Stress, not feeling like yourself, trouble sleepıng, fqtigue Other: Food cravings, swelling, acne These symptøms usually disappear once your perıod starts. For some women, though, certain symptoms of PMS, such as painful cramping, may last for the first few days of their period.

https://www.midol.com/about-my-period

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

24 April 2027 If a woman's baby dies before labour starts, she will usually be offered medicine to help induce labour. If your baby has died, you may be able to wait for labour to start naturally or your labour may be induced. If your health is at risk, the baby may need to be delivered as soon as possible. Some parents want to have the induction as soon as possible. Others prefer to wait for a day or two so that they have time to take in what has happened and to see if labour starts by itself. Waiting for natural labour increases the chance of the baby deteriorating in the womb. This can affect how the baby looks when she or he is born and can make it more difficult to find out what caused the death. Finding out your baby has died is devastating. You should be offered support and have your options explained to you. If you're alone in hospital, ask the staff to contact someone close to you to come in and be with you. Before the birth, a person with skills and experience with parents who have lost a baby should be available to talk with you about whether you would like to see a photograph of your baby, have a memento such as a lock of hair, or see or hold your baby. A baby may have died during late pregnancy (called intrauterine death). Or, a baby may have died during labour or birth (called intrapartum death). What happens after a baby is stillborn? Your midwife or doctor should ask you if you would like to see, touch or hold your baby. This is a highly individual decision. Many parents decide to see and hold their baby, and most find it of help and comfort to do so, but, equally, some may not. It's up to you to decide what to do, and you should be given time and space to make up your mind. Your instincts may be to see and cuddle your baby, but worries about what he or she may look like could hold you back. To help you to decide what is right for you, your midwife or doctor can describe your baby to you. Maybe one partner could look first, or you and your partner could look at a photograph of your baby. Some people know instinctively that they don't want to see their baby, while others choose to or not to for religious or cultural reasons. After a stillbirth, many parents want to see and hold their baby. It's entirely up to you whether you wish to do so. You'll be given some quiet time with your baby if this is what you want. The important thing is to take time over your decision, and be sure about how and when you want to say goodbye to your baby. Whatever you decide about the post mortem, your views and wishes should be respected. If you go ahead, your doctor should tell you when the results are likely to be available. Some of the possible causes of stillbirth include the following. Congenital abnormalities — such as a genetic condition or heart condition. A medical condition in the mother — such as diabetes, high blood pressure in pregnancy or pre-eclampsia. Problems that can cause bleeding during pregnancy— such as placental abruption or placenta praevia. Complications during birth. Certain infections. Problems with the umbilical cord or placenta. Major injury or trauma to the mother's abdomen (the tummy area). Grieving the loss of a baby is a very traumatic experience. It's normal to feel a range of emotions, including shock, disbelief, deep sadness, anger and emptiness. There’s no right or wrong way to feel and it's okay for you to take as much time as you need. The care and support you receive during this time should consider your beliefs and practices. Your preferences and values should be respected. https://www.pregnancybirthbaby.org.au/what-is-a-stillbirth

ᴾᵃʳᵗ ᶠᵒᵘʳ ᔆᵖᵉⁿᵈⁱⁿᵍ ᵗʰᵉ ᴰᵃʸ ⁽ᔆᵖᵒⁿᵍᵉᴮᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ 'ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵈⁱᵈ ⁱᵗ‽' ᴾˡᵃⁿᵏᵗᵒⁿ ʳᵉᵃˡⁱˢᵉᵈ‧ ᴷᵃʳᵉⁿ ʰᵉᵃʳᵈ ᴾˡᵃⁿᵏᵗᵒⁿ ᶜᵒᵐᵉ ᵇᵃᶜᵏ ⁱⁿ‧ "ᴴᵉʸ ʰᵒⁿ‧‧‧" ᔆʰᵉ ˢᵗᵒᵖᵖᵉᵈ ᵃˢ ˢʰᵉ ⁿᵒᵗⁱᶜᵉᵈ ʰᵒʷ ᵘᵖˢᵉᵗ ʰᵉ'ˢ ⁿᵒʷ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ˢʰᵒᵒᵏ ʰⁱˢ ʰᵉᵃᵈ ᵃⁿᵈ ʷᵉⁿᵗ ⁱⁿ ʰⁱˢ ʳᵒᵒᵐ⸴ ˢˡᵃᵐᵐⁱⁿᵍ ᵗʰᵉ ᵈᵒᵒʳ‧ ᴷᵃʳᵉⁿ ˢⁱᵍʰᵉᵈ; ˢʰᵉ ᵏⁿᵉʷ ⁿᵒᵗ ᵗᵒ ᵖᵉˢᵗᵉʳ ʰⁱᵐ ᵃⁿᵈ ᵗᵒ ᵍⁱᵛᵉ ʰⁱᵐ ᵗⁱᵐᵉ ᵗᵒ ʰⁱᵐˢᵉˡᶠ‧ ᔆᵗⁱˡˡ ˢʰᵉ'ˢ ʷᵒʳʳⁱᵉᵈ ᵃᵇᵒᵘᵗ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ‧ ᔆʰᵉ ʷᵃⁿᵗᵉᵈ ᴾˡᵃⁿᵏᵗᵒⁿ ᵗᵒ ᵏⁿᵒʷ ᶜᵃʳⁱⁿᵍ ᵃᵇᵒᵘᵗ ʰⁱᵐ‧ "ᴴᵉʸ ˢʷᵉᵉᵗⁱᵉ⸴ ᴵ'ᵐ ᵍᵒⁿⁿᵃ ᵇᵉ ᶜˡᵉᵃⁿⁱⁿᵍ ᵗʰᵉ ᵏⁱᵗᶜʰᵉⁿ ⁱᶠ ʸᵒᵘ ⁿᵉᵉᵈ ᵐᵉ; ˡᵒᵛᵉ ʸᵒᵘ‧‧" ᴷᵃʳᵉⁿ ᵐᵉⁿᵗⁱᵒⁿᵉᵈ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ᵖⁱᶜᵏᵉᵈ ᵘᵖ ʰⁱˢ ᵇˡᵘᵉ ᵇˡᵃⁿᵏᵉᵗ‧ 'ᴴᵒʷ ᵃⁿᵈ ʷʰʸ ˢᵖᵒⁿᵍᵉᵇᵒᵇ? ᴰⁱᵈ ᴹʳ‧ ᴷʳᵃᵇˢ ᵖᵃʸ ʰⁱᵐ? ᴺᵒ ᴹʳ‧ ᴷʳᵃᵇˢ ˡᵒᵛᵉˢ ᵐᵒⁿᵉʸ‧ ᴵᶠ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ˡⁱᵏᵉᵈ ᵐᵉ ᵗʰᵉⁿ ʷʰʸ ᵇʳⁱⁿᵍ ᵐᵉ ᵈᵒʷⁿ? ᵀʰᵉ ⁿⁱᶜᵉˢᵗ ᵏⁱᵈ ⁿᵒʷ ᵈⁱˢˡⁱᵏᵉˢ ᵐᵉ ʲᵘˢᵗ ʷʰᵉⁿ ᴵ ᵗʰᵒᵘᵍʰᵗ ʷᵉ ᵇᵒⁿᵈ‧‧' ᴾˡᵃⁿᵏᵗᵒⁿ ᵗʰᵒᵘᵍʰᵗ‧ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵒⁿᶜᵉ ᵃᵍᵃⁱⁿ ʷᵉⁿᵗ ᵗᵒ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ ᵃⁿᵈ ˢᵗⁱˡˡ ᶠᵉˡᵗ ᵍᵘⁱˡᵗʸ‧ "ᴴᵉˡˡᵒ ᴷᵃʳᵉⁿ‧‧" "ᔆᵖᵒⁿᵍᵉᵇᵒᵇ⸴ ʰᵉʸ! ᴵᶠ ʸᵒᵘ'ʳᵉ ˡᵒᵒᵏⁱⁿᵍ ᶠᵒʳ ᴾˡᵃⁿᵏᵗᵒⁿ ʰᵉ'ˢ ʰᵃᵛⁱⁿᵍ ᵃ ᵇⁱᵗ ᵒᶠ ᵃ ᵐᵒᵐᵉⁿᵗ ʳⁱᵍʰᵗ ⁿᵒʷ‧‧" "ᴷᵃʳᵉⁿ ʷʰᵃᵗ ᵈᵒ ʸᵒᵘ ᵐᵉᵃⁿ?" "ᴴᵉ ᵍᵉᵗˢ ᵉᵐᵒᵗⁱᵒⁿᵃˡ ᵃᵗ ᵗⁱᵐᵉˢ⸴ ᵇᵉ ⁱᵗ ᵈᵉˢᵗʳᵒʸⁱⁿᵍ ˡᵃᵇᵒʳᵃᵗᵒʳʸ ᵒʳ ʸᵉˡˡⁱⁿᵍ ᵃᵗ⸴ ᵇᵘᵗ ʰᵉ'ˢ ᵇᵉᵉⁿ ⁱⁿ ʰⁱˢ ʳᵒᵒᵐ ᵃˡˡ ᵈᵃʸ⸴ ⁿᵒᵗ ᵗᵃˡᵏⁱⁿᵍ‧‧" ᴷᵃʳᵉⁿ ᵗᵒˡᵈ ˢᵖᵒⁿᵍᵉ ᵇᵒᵇ ˡᵉᵃᵈⁱⁿᵍ ʰⁱᵐ ᵈᵒʷⁿ ᵗᵒ ᵇᵉᵈʳᵒᵒᵐ ᵈᵒᵒʳ‧ "ᴴᵉʸ ᴾˡᵃⁿᵏᵗᵒⁿ⸴ ˢᵖᵒⁿᵍᵉᵇᵒᵇ'ˢ ˢᵗᵒᵖᵖᵉᵈ ᵇʸ! ᴰᵒ ʸᵒᵘ‧‧‧" "ʸᵒᵘ ˡᵉᵗ ʰⁱᵐ ⁱⁿ?" "ᴴᵉ'ˢ ˢᵗᵃⁿᵈⁱⁿᵍ ʷⁱᵗʰ ᵐᵉ‧" "ᴴⁱ ᴾˡᵃⁿᵏᵗᵒⁿ‧‧" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ˢᵃʸˢ‧ "ᵂᵉ'ʳᵉ ʷᵒʳʳⁱᵉᵈ ᵃᵇᵒᵘᵗ ʸᵒᵘ‧‧" "ᔆᵗᵒᵖ; ʲᵘˢᵗ ᵖˡᵉᵃˢᵉ⸴ ˡᵉᵃᵛᵉ ᵐᵉ ᵃˡᵒⁿᵉ!" "ᴮᵘᵗ ᔆʰᵉˡᵈᵒⁿ⸴ ᵈᵒ ʸᵒᵘ ʷᵃⁿᵗ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵗᵒ‧‧" "ᴷᵃʳᵉⁿ ᴵ ᶜᵃⁿ ʲᵘˢᵗ ᶜᵒᵐᵉ ᵗᵒᵐᵒʳʳᵒʷ ⁱᶠ‧‧‧" "ᴵ ˢᵃⁱᵈ⸴ ˡᵉᵃᵛᵉ ᵐᵉ ᵇᵉ! ᴮᵒᵗʰ ᵒᶠ ʸᵒᵘ‧ ᴶᵘˢᵗ‧ ᴳᵒ‧ ᴺᵒʷ‧" "ᴾˡᵃⁿᵏᵗᵒⁿ‧‧‧" "ᴵ ˢᵃⁱᵈ ᵍᵉᵗ!" "ᔆᵒʳʳʸ‧‧" ᔆᵃʸˢ ˢᵖᵒⁿᵍᵉᵇᵒᵇ⸴ ⁿᵒʷ ˡᵉᵃᵛⁱⁿᵍ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵗⁱˡˡ ᶜʳⁱᵉˢ ʷⁱᵗʰ ʰⁱˢ ᵇˡᵃⁿᵏⁱᵉ‧ ᵀʰᵉ ⁿᵉˣᵗ ᵈᵃʸ⸴ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵍᵒᵗ ᵘᵖ ᵉᵃʳˡʸ ˢᵒ ᵃˢ ᵗᵒ ˢᵗᵒᵖ ᵇʸ ᵃⁿᵈ ˢᵉᵉ ʰᵒʷ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ᵈᵒⁱⁿᵍ‧ "ᴵᵗ'ˢ ⁿᵒᵗ ᵘⁿᵘˢᵘᵃˡ ᶠᵒʳ ʰⁱᵐ ᵗᵒ ᵈⁱˢᵗᵃⁿᶜᵉ ʰⁱᵐˢᵉˡᶠ ᵇᵘᵗ ⁿᵉᵛᵉʳ ᵃˡˡ ᵈᵃʸ ˡᵒⁿᵍ!" "ᴼʰ ᴷᵃʳᵉⁿ⸴ ᴵ'ᵐ ˢᵒ ˢᵒʳʳʸ‧ ᴰᵒ ʸᵒᵘ ᵏⁿᵒʷ ʷʰᵃᵗ‧‧‧" "ᴵ ᵈᵒ ⁿᵒᵗ ᵏⁿᵒʷ⸴ ʷʰʸ ʰᵉ'ˢ ᵘᵖˢᵉᵗ; ᴵ ᵈᵒ ᵏⁿᵒʷ ʰᵉ ʷᵉⁿᵗ ᵒᵘᵗ ᵗʰᵉ ᶠʳᵒⁿᵗ ᵃⁿᵈ ᵗʰᵉⁿ ᶜᵃᵐᵉ ᵇᵃᶜᵏ ⁱⁿ‧‧" "ᴾˡᵃⁿᵏᵗᵒⁿ ʷᵉⁿᵗ ᵃᵗ ʷʰᵃᵗ ᵗⁱᵐᵉ?" "ᴬʳᵒᵘⁿᵈ ʷʰᵉⁿ ᵗʰᵉ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇ ᵒᵖᵉⁿᵉᵈ‧‧‧" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵍᵃˢᵖᵉᵈ‧ 'ᴴᵉ ᵐᵘˢᵗ ʰᵃᵛᵉ ʰᵉᵃʳᵈ ᵗʰᵉ ᶜᵒⁿᵛᵉʳˢᵃᵗⁱᵒⁿ ʷⁱᵗʰ ᴹʳ‧ ᴷʳᵃᵇˢ' ˢᵖᵒⁿᵍᵉᵇᵒᵇ ʳᵉᵃˡⁱˢᵉᵈ‧ "ᴼʰ‧‧‧" "ᔆᵒ ⁿᵒʷ⸴ ʰᵉ'ˢ ˢᵗⁱˡˡ‧‧‧" "ᴵ'ᵛᵉ ᵃ ᶜᵒⁿᶠᵉˢˢⁱᵒⁿ ᵗᵒ ᵐᵃᵏᵉ‧‧" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵗᵒˡᵈ ᴷᵃʳᵉⁿ ᵃˡˡ ᵒᶠ ᵉᵛᵉʳʸ ᵗʰⁱⁿᵍ ˡᵉᵃᵈⁱⁿᵍ ᵘᵖ ᵗᵒ‧ "ʸᵒᵘʳ ᵇᵒˢˢ ᵃᵗ ᶠᵃᵘˡᵗ ˢᵖᵒⁿᵍᵉᵇᵒᵇ⸴ ⁿᵒᵗ ʸᵒᵘ‧‧" "ᴵ'ᵐ ᵃᵗ ˡᵉᵃˢᵗ ʷᵃⁿᵗⁱⁿᵍ ᵗᵒ ᵉˣᵖˡᵃⁱⁿ ᵗᵒ ᴾˡᵃⁿᵏᵗᵒⁿ!" ᴷⁿᵒᶜᵏⁱⁿᵍ ᵃˢ ʰᵉ ʷᵉⁿᵗ ⁱⁿ⸴ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵉⁿᵗᵉʳˢ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ʳᵒᵒᵐ⸴ ᵗʰᵉ ˡᵒᵒᵏ ⁱⁿ ʰⁱˢ ᵉʸᵉ ᵉⁿᵒᵘᵍʰ ᵗᵒ ᵇʳᵉᵃᵏ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ'ˢ ʰᵉᵃʳᵗ‧ "ᴵ'ᵐ ᵍᵒⁿⁿᵃ ˢᵏⁱᵖ ʷᵒʳᵏ ᵗᵒᵈᵃʸ‧‧" "ᴵ'ᵐ ⁿᵒᵗ ⁱⁿ ᵗʰᵉ ᵐᵒᵒᵈ ᵗᵒ‧‧‧" "ᴵ ᵒʷᵉ ʸᵒᵘ ᵃⁿ ᵉˣᵖˡᵃⁿᵃᵗⁱᵒⁿ ᵃⁿᵈ ᵃᵖᵒˡᵒᵍʸ ᴾˡᵃⁿᵏᵗᵒⁿ‧‧" "ʸᵒᵘ ᵏⁿᵒʷ⸴ ᴵ ᵃᶜᵗᵘᵃˡˡʸ ˡᵉᵗ ᵐʸˢᵉˡᶠ ᵇᵉˡⁱᵉᵛᵉ ʸᵒᵘ ᶜᵃʳᵉᵈ ᶠᵒʳ ᵐᵉ‧ ᴮᵘᵗ ʸᵒᵘ'ᵈ ᶜᵃʳᵉ ᵃᵇᵒᵘᵗ ᵃˡˡ ᵃⁿᵈ ᴵ ʲᵘˢᵗ ᶠᵒᵘⁿᵈ ᵐʸˢᵉˡᶠ ʰᵃᵖᵖʸ; ᴵ ʷᵃˢ ᵉˣᶜⁱᵗᵉᵈ! ᴮᵘᵗ ⁿᵒ⸴ ʸᵒᵘ ʲᵘˢᵗ ᵖˡᵃʸᵉᵈ‧‧‧" "ᴵ ⁿᵉᵛᵉʳ ᵐᵉᵃⁿᵗ ᶠᵒʳ ⁱᵗ ᵗᵒ ʰᵃᵖᵖᵉⁿ⸴ ᴾˡᵃⁿᵏᵗᵒⁿ‧" "ᴸⁱᵃʳ!" ᴾˡᵃⁿᵏᵗᵒⁿ ᶜʳⁱᵉᵈ‧ "ʸᵒᵘ ᵏⁿᵒʷ⸴ ʸᵒᵘ'ʳᵉ ʳⁱᵍʰᵗ ˢᵃʸⁱⁿᵍ ᴵ ᶜᵃʳᵉ ᵃˡˡ ᵖᵉᵒᵖˡᵉ ᵇᵘᵗ ⁱᵗ ᶜᵃᵐᵉ ᵇᵃᶜᵏ ᵗᵒ ʰᵃᵘⁿᵗ ᵐᵉ‧ ᴬᶠᵗᵉʳ ʸᵒᵘ ᵍᵒᵗ ᵃˡˡ ᴷʳᵃᵇˢ ᶜᵘˢᵗᵒᵐᵉʳˢ⸴ ʰᵉ ᵗʰʳᵉᵃᵗᵉⁿᵉᵈ ᵐᵉ‧ ᵀʰᵉ ᵈᵃʸ ʸᵒᵘ ᶠᵒᵘⁿᵈ ᵐᵉ ᶜʳʸⁱⁿᵍ ⁱⁿ ʲᵉˡˡʸᶠⁱˢʰ ᶠⁱᵉˡᵈˢ⸴ ᴵ ʷᵃˢ ⁿᵒᵗ ᵒⁿ ᵇʳᵉᵃᵏ ᵇᵘᵗ ᵗᵒ ᶜˡᵒˢᵉ ⁱᵗ ᵈᵒʷⁿ ᵇᵘᵗ ᴵ ˢᵗᵒᵖᵖᵉᵈ ᵐʸˢᵉˡᶠ ᵃᶠᵗᵉʳ ᵗᵃˡᵏⁱⁿᵍ ᵗᵒ ʸᵒᵘ‧ ᴴᵉ ʷᵃˢ ᵍᵒⁱⁿᵍ ᵗᵒ ᶠⁱʳᵉ ᵐᵉ ᵃⁿᵈ ᴵ ᵖᵃⁿⁱᶜᵏᵉᵈ⸴ ˡⁱᵏⁱⁿᵍ ⁿᵒⁿᵉ ᵒᶠ ⁱᵗ‧ ᴬⁿᵈ ᴵ ᵏⁿᵒʷ ʸᵒᵘ'ʳᵉ ⁿᵒᵗ ᵍᵒⁿⁿᵃ ᶠᵒʳᵍⁱᵛᵉ ᵐᵉ⸴ ᵃˢ ʷʰᵃᵗ ᴵ'ᵛᵉ ᵈᵒⁿᵉ ᵗᵒ ʸᵒᵘ⸴ ⁱᵗ'ˢ ⁱⁿᵉˣᶜᵘˢᵃᵇˡᵉ‧ ᴵ'ᵐ ˢᵒʳʳʸ ᴾˡᵃⁿᵏᵗᵒⁿ‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵃⁱᵈ ⁿᵒᵗʰⁱⁿᵍ ᵃˢ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵍᵒᵗ ᵘᵖ ᵃⁿᵈ ʷᵃᵗᶜʰᵉᵈ ʰⁱᵐ ⁿᵒʷ ˡᵉᵃᵛᵉ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ‧ "ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵍᵉᵗ ᵗᵒ ᵐᵃᵏⁱⁿᵍ ᵖᵃᵗᵗⁱᵉˢ!" ᔆᵃʸˢ ᴹʳ‧ ᴷʳᵃᵇˢ ᵃˢ ʰᵉ ᶜᵃᵐᵉ ⁱⁿ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ᵈᵉᶜⁱᵈᵉᵈ ᵗᵒ ᵗᵉˡˡ ᶠᵒʳᵍⁱᵛᵉ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵃⁿᵈ ʷᵉⁿᵗ ⁱⁿ ᵗʰᵉ ʳᵉˢᵗᵃᵘʳᵃⁿᵗ‧ "ᴵ ᶜᵃⁿⁿᵒᵗ ᵇᵉˡⁱᵉᵛᵉ ᵃ ˢᵉˡᶠ ᵖʳᵒᶜˡᵃⁱᵐᵉᵈ ᵛⁱˡˡᵃⁱⁿ ⁿᵉᵉᵈˢ ᵃ ᵇᵃᵇʸ ᵇˡᵃⁿᵏⁱᵉ!" ᔆᵃʸˢ ᵃ ᶜᵘˢᵗᵒᵐᵉʳ‧ ᔆᵗⁱˡˡ ᵘⁿⁿᵒᵗⁱᶜᵉᵈ⸴ ᴾˡᵃⁿᵏᵗᵒⁿ ʷⁱᵗⁿᵉˢˢᵉᵈ ᵃˡˡ ᵗʰᵉ ᵖᵃᵗʳᵒⁿˢ ˡᵃᵘᵍʰⁱⁿᵍ‧ "ᵂʰᵃᵗ ᵃ ʲᵒᵏᵉ!" ᔆᑫᵘⁱᵈʷᵃʳᵈ ˢᵃʸˢ⸴ ʲᵒⁱⁿⁱⁿᵍ ⁱⁿ‧ 'ᔆʰᵒʷ ᵗʰᵉᵐ ᵃ ʲᵒᵏᵉ' ˢᵖᵒⁿᵍᵉ ᵇᵒᵇ ᵗᵒˡᵈ ʰⁱᵐˢᵉˡᶠ⸴ ᵍʳᵃᵇᵇⁱⁿᵍ ʰⁱˢ ᵘⁿⁱᶠᵒʳᵐ ʰᵃᵗ‧ ᵀʰʳᵒʷⁱⁿᵍ ⁱᵗ ᵒⁿ ᵗʰᵉ ᵍʳᵒᵘⁿᵈ⸴ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵏⁱᶜᵏᵉᵈ ⁱᵗ⸴ ˢᵃʸⁱⁿᵍ "ʸᵒᵘ'ʳᵉ ᵗʰᵉ ᵒⁿˡʸ ʲᵒᵏᵉ ᴵ ˢᵉᵉ‧ ʸᵒᵘ ᵇᵘˡˡʸ ᵐʸ ᶠʳⁱᵉⁿᵈ ᴾˡᵃⁿᵏᵗᵒⁿ⸴ ᵗᵒ ˢᵉᵉᵐ ᵇⁱᵍ‧ ᵂᵉˡˡ ᴵ ᵗᵉˡˡ ʸᵒᵘ ᵃˡˡ ʳⁱᵍʰᵗ ⁿᵒʷ⸴ ʷʰᵉᵗʰᵉʳ ᵒʳ ⁿᵒᵗ ʸᵒᵘ ᵃᵖᵖʳᵒᵛᵉ ᵒᶠ ᵗʰᵉ ᶜʰᵘᵐ ᴮᵘᶜᵏᵉᵗ⸴ ᵗᵒ ˢᵗᵒᵖ‧ ʸᵒᵘ ᵐᵃʸ ⁿᵒᵗ ˡᵒᵛᵉ ʰⁱᵐ ᵇᵘᵗ ᴵ ᶜᵃⁿ ˢᵉᵉ ʷʰʸ ʰᵉ'ˢ ⁿᵒᵗ ᵗʳᵘˢᵗ ⁱˢˢᵘᵉˢ‧ ᔆᵒ ᵗᵒ ᴹʳ‧ ᴷʳᵃᵇˢ ˡⁱˢᵗᵉⁿ ᵘᵖ!" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ʷᵉⁿᵗ ʳⁱᵍʰᵗ ᵘᵖ ᵗᵒ ʰⁱᵐ‧ "ᴵ ᑫᵁᴵᵀ!" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵍᵒᵗ ʰⁱˢ ˢᵖᵃᵗᵘˡᵃ ᵃⁿᵈ ᵇʳᵒᵏᵉ ⁱᵗ ⁱⁿ ʰᵃˡᶠ ⁿᵒʷ‧ "ᶠᵒʳ ᵗʰᵉ ʳᵉᶜᵒʳᵈ⸴ ᴵ ᵍᵒᵗᵗᵃ ᵗᵉᵈᵈʸ ᵇᵉᵃʳ ᴵ ʰᵘᵍ ᵃᵗ ᵗⁱᵐᵉˢ‧ ᴮᵘᵗ ᴵ ʷᵒⁿ'ᵗ ˢᵘᵖᵖᵒʳᵗ ʸᵒᵘ ᵃⁿʸ ᵐᵒʳᵉ ˡᵒⁿᵍᵉʳ‧ ᴬⁿᵈ ʸᵉˢ ᴵ'ᵐ ᵗᵃᵏⁱⁿᵍ ᵗᵒ ʸᵒᵘ ᴷʳᵃᵇˢ!" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ʸᵉˡˡᵉᵈ ⁿᵒʷ‧ "ᵀʰᵉ ᵒⁿˡʸ ʲᵒᵏᵉ ᴵ ˢᵉᵉ ⁱˢ ᴱᵘᵍᵉⁿᵉ! ᴵ'ᵐ ᵗᵉˡˡⁱⁿᵍ ʸᵒᵘ ᴵ ˡᵒᵛᵉ ʷᵒʳᵏⁱⁿᵍ ᶠʳʸ ᶜᵒᵒᵏ ᵇᵘᵗ ⁿᵒᵗ ⁱᶠ ⁱᵗ ᵐᵉᵃⁿˢ ʷᵒʳᵏⁱⁿᵍ ᶠᵒʳ ˢᵘᶜʰ ᵃ ˢᵒʳʳʸ ʲᵒᵏᵉ‧ ᴵᶠ ʸᵒᵘ ᵈᵒⁿ'ᵗ ʰᵃᵛᵉ ᵃⁿ ᵃᵖᵒˡᵒᵍʸ ᶠᵒʳ ᴾˡᵃⁿᵏᵗᵒⁿ ʸᵒᵘ ᶜᵃⁿ ʲᵘˢᵗ ᴮᵃᶜᵏ ᴼᶠᶠ!" ᴵⁿ ˢʰᵒᶜᵏ ᵗʰᵉ ʳᵉˢᵗᵃᵘʳᵃⁿᵗ ˢᵗᵃʸᵉᵈ ˢⁱˡᵉⁿᵗ⸴ ᴾˡᵃⁿᵏᵗᵒⁿ ⁿᵒʷ ˢⁿᵉᵃᵏ ᵒᵘᵗ ᵃʷᵃʸ ᵇᵃᶜᵏ ᵗᵒ ʰⁱˢ ᵒʷⁿ ʳᵉˢᵗᵃᵘʳᵃⁿᵗ‧ "ᴴᵉʸ ᵏⁱᵈ ʷᵃⁱᵗ⸴ ˢᵖᵒⁿᵍᵉᵇᵒᵇ!" ᴾˡᵃⁿᵏᵗᵒⁿ ʳᵃⁿ ᵗᵒ ʰⁱᵐ‧ "ᵀʰᵃⁿᵏ ʸᵒᵘ⸴ ᶠᵒʳ ˢᵗᵃⁿᵈⁱⁿᵍ ᵘᵖ; ʸᵒᵘ ᵈⁱᵈⁿ'ᵗ ʰᵃᵛᵉ ᵗᵒ‧‧‧" "ʸᵉˢ ᴵ ᵈⁱᵈ ᴾˡᵃⁿᵏᵗᵒⁿ‧ ᴵᵗ'ˢ ʷʰᵃᵗ ᵈᵒ ᶠᵒʳ ᵃ ᶠʳⁱᵉⁿᵈ‧" ᴱⁿᵈ ᶠⁱⁿᵃˡᵉ

Illustrations to a discussion about female castration (in a cat newsgroup) .---. .---. / .-. `. .' .-. \ /-( `. `._______.' .' )-\ ( ) \ / ( ) `-' \ / `-' \ / \ / VK |`-^-'| | | .---. .---. / .-./ \.-. \ /-( /`._______.'\ )-\ ( ) \ / ( ) `-' \ / `-' \ / \ / VK |`-^-'| | | /`._______.'\ \ / \ / \ / \ / VK |`-^-'| | | .-----. |`-^-'| VK | |

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

MOSLEY, Infant Girl - 0Y stillborn white female - b: Mar 13 1910 Deer Creek Twp, Henry Co, MO - d: Mar 13 1910 Deer Creek Twp, Henry Co, MO - fth: John Mosley, born Missouri - mth: Lucy Jane Payne, born Missouri - informant: J. E. ---, Calhoun, MO - cause: uterine inertia - bur: Mar 13 1910 Calhoun Cemetery, Tebo Twp, Henry Co, MO - filed as: Infant Mosley, file no: 9428

𝒅𝒊𝒆𝒅 𝒈𝒊𝒗𝒊𝒏𝒈 𝒃𝒊𝒓𝒕𝒉

Go to TwoSentenceHorror r/TwoSentenceHorror 16 hr. ago mag2170 The procedure was a success and yet, I feel like my concerns on the trial are b-being sup...suppr... The procedure was a success.

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.

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

ᵀᵒ ᴴⁱᵗ ᵀʰᵉ ᴾˡᵃⁿᵏ ⁽ᔆᵖᵒⁿᵍᵉᴮᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ "ᴰᵉˢᵖⁱᵗᵉ ᵇᵉⁱⁿᵍ ᵘⁿᶜᵒⁿˢᶜⁱᵒᵘˢ ʰᵉ ˢᵗᵃʳᵗᵉᵈ ᵗᵒ ᵗʷⁱᵗᶜʰ ˢᵒ ʷᵉ ⁱⁿᵈᵘᶜᵉᵈ ᵃ ᶜᵒᵐᵃᵗᵒˢᵉ/ᵘⁿʳᵉˢᵖᵒⁿˢⁱᵛᵉ ˢᵗᵃᵗᵉ‧" ᴰᵘʳⁱⁿᵍ ᵗʰᵉ ⁿⁱᵍʰᵗ⸴ ᴷʳᵃᵇˢ ʰⁱᵗˢ ᴾˡᵃⁿᵏᵗᵒⁿ ʷⁱᵗʰ ᵃ ᵇᵒᵃʳᵈ ˢᵒ⸴ ʰⁱˢ ᶜᵒᵐᵖᵘᵗᵉʳ ʷⁱᶠᵉ ᴷᵃʳᵉⁿ ⁿᵒʷ ʰᵉˡᵈ ʰⁱˢ ˡⁱᵐᵖ ʰᵃⁿᵈ ⁱⁿ ʰᵉʳˢ‧ "ᴼⁿˡʸ ᵇᵉᶜᵃᵘˢᵉ ᵗᵒ ʰᵉᵃˡ⸴ ᵃⁿᵈ ʷᵉ ᵐᵒⁿⁱᵗᵒʳ ʰⁱᵐ‧" ᴷᵃʳᵉⁿ ⁿᵒᵈˢ‧ "ᴴⁱˢ ᵇᵒᵈʸ'ˢ ᵗᵒ ʳᵉˢᵗ ˢᵒ ᵐᵉᵈⁱᶜⁱⁿᵉ ᵗᵒ ʰᵉˡᵖ ᴾˡᵃⁿᵏᵗᵒⁿ ⁿᵒᵗ ʷᵃᵏᵉ ⁱⁿ ᵐᵘᶜʰ ᵖᵃⁱⁿ‧ ʸᵒᵘ ᶜᵃⁿ⸴ ⁱᶠ ʸᵒᵘ'ᵈ ˡⁱᵏᵉ⸴ ˢᵗᵃʸ ᵖᵃˢᵗ ᵛⁱˢⁱᵗⁱⁿᵍ ʰᵒᵘʳˢ ˢⁱⁿᶜᵉ ʸᵒᵘ'ʳᵉ ᵐᵃʳʳⁱᵉᵈ ᵃⁿᵈ ʸᵒᵘ'ʳᵉ ᵃ ᶜᵒᵐᵖᵘ— ʷᵉˡˡ ⁿᵒ ᵒᶠᶠᵉⁿᶜᵉ‧‧" "ᴵ ᵏⁿᵒʷ⸴ ᵃⁿᵈ ᵗʰᵃⁿᵏˢ‧" ᴱᵛᵉⁿ ᵗʰᵒᵘᵍʰ ʰᵉ'ˢ ˢᵉᵈᵃᵗᵉᵈ/ᵃˢˡᵉᵉᵖ⸴ ᴷᵃʳᵉⁿ ˢᵗⁱˡˡ ʷⁱˢʰᵉᵈ ᵗᵒ ᶜᵒᵐᶠᵒʳᵗ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ ᵇʸ ᵗʰᵉ ᶜᵒᵗ ᵇᵉᵈ‧ "ᴵ'ᵐ ʳⁱᵍʰᵗ ʷⁱᵗʰ ʸᵒᵘ ᔆʰᵉˡᵈᵒⁿ ᵇʸ ʸᵒᵘʳ ˢⁱᵈᵉ‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ᵒᶠ ᶜᵒᵘʳˢᵉ ᵇʳᵃᵍᵍᵉᵈ ᵗᵒ ʰⁱˢ ᵉᵐᵖˡᵒʸᵉᵉˢ ˢᵒ ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᵗᵒᵒᵏ ᵗʰᵉ ᵈᵃʸ ᵒᶠᶠ ʷᵒʳᵏ⸴ ᵍᵒⁱⁿᵍ ᵗᵒ ᵛⁱˢⁱᵗ ᴾˡᵃⁿᵏᵗᵒⁿ‧ ᴷᵃʳᵉⁿ ᵗᵒˡᵈ ʰⁱᵐ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ⁿᵒʷ ᶜᵒᵐᵃᵗᵒˢᵉ/ᵘⁿʳᵉˢᵖᵒⁿˢⁱᵛᵉ‧ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ˢᵃᵗ ᵈᵒʷⁿ‧ "ᴴⁱ⸴ ᴾˡᵃⁿᵏᵗᵒⁿ! ᴵ ᵈⁱᵈⁿ'ᵗ ᵇʳⁱⁿᵍ ʸᵒᵘ ᵃⁿʸ ᵗʰⁱⁿᵍ ᵇᵘᵗ ᴷᵃʳᵉⁿ'ˢ ʷⁱᵗʰ ᵐᵉ ᵗᵒ‧‧" ᔆᵃʸˢ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ⸴ ʷⁱᵗʰ ᵃ ˢᵃᵈ ˢᵐⁱˡᵉ‧ "ʸᵒᵘ ᵏⁿᵒʷ⸴ ᴵ ᵗᵒᵒᵏ ᵗʰᵉ ᵈᵃʸ ᵒᶠᶠ ʷᵒʳᵏ ᵗᵒᵈᵃʸ‧" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵖᵃᵗˢ ʰⁱˢ ˢʰᵒᵘˡᵈᵉʳ‧ "ᔆᵒ ʷʰᵉⁿ ᵉᵛᵉʳ ʸᵒᵘ ʷᵃᵏᵉ ᵘᵖ⸴ ᴵ'ˡˡ ᵍˡᵃᵈˡʸ ˢᵖᵉⁿᵈ ᵗⁱᵐᵉ ʷⁱᵗʰ ʸᵒᵘ ᵗᵒ ʰᵃᵛᵉ ᶠᵘⁿ‧ ᴿᵉᵐᵉᵐᵇᵉʳ ᵗʰᵉ ᶠᵘⁿ ˢᵒⁿᵍ ʷᵉ'ᵈ ˢⁱⁿᵍ?" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ˢⁱⁿᵍˢ ⁱᵗ ⁿᵒʷ‧ "ᴵ'ˡˡ ᵃˡˢᵒ ᶜᵃⁿ'ᵗ ʷᵃⁱᵗ ᵗᵒ ˢᵉᵉ ʸᵒᵘ ᵃᵗᵗᵉᵐᵖᵗ ˢᵗᵉᵃˡⁱⁿᵍ ᵒᵘʳ ˢᵉᶜʳᵉᵗ ˡⁱˢᵗ ᵒᶠ ⁱⁿᵍʳᵉᵈⁱᵉⁿᵗˢ ᵃᵍᵃⁱⁿ ᴾˡᵃⁿᵏᵗᵒⁿ; ʸᵒᵘʳ ⁱⁿᵛᵉⁿᵗⁱᵒⁿˢ ᵃʳᵉ ᶜˡᵉᵛᵉʳ ᵃˢ ʷᵉˡˡ ᵃˢ ʸᵒᵘʳ ᶜʳᵉᵃᵗⁱᵛᵉ ˢᶜʰᵉᵐᵉˢ!" ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ˢᵉᵉˢ ᵃ ˢᶜⁱᵉⁿᶜᵉ ᵐᵃᵍᵃᶻⁱⁿᵉ ᵃⁿᵈ ʳᵉᵃᵈˢ ⁱᵗ ᵗᵒ ᴾˡᵃⁿᵏᵗᵒⁿ‧ "ᵂᵉˡˡ ᴵ ᵍᵒᵗᵗᵃ ᶠᵉᵉᵈ ᴳᵃʳʸ ᵇᵘᵗ ᴵ ᶜᵃⁿ ᵛⁱˢⁱᵗ ᵗᵒᵐᵒʳʳᵒʷ‧ ᴹⁱˢˢ ʸᵒᵘ!" ᴴᵉ ˡᵉᶠᵗ‧ ᵀʰᵉ ⁿᵉˣᵗ ᵐᵒʳⁿⁱⁿᵍ ᵗʰᵉʸ ᵈᵉᶜⁱᵈᵉᵈ ᵗᵒ ʰᵃˡᵗ ᵗʰᵉ ˢᵉᵈᵃᵗⁱᵛᵉ/ᵃⁿᵃᵉˢᵗʰᵉˢⁱᵃ ˢᵒ ᴾˡᵃⁿᵏᵗᵒⁿ ᶜᵃⁿ ʷᵃᵏᵉ ⁿ ʰⁱˢ ᵒʷⁿ ᵗⁱᵐᵉ‧ ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᶜᵃᵐᵉ⸴ ʲᵘˢᵗ ᵃˢ ʰᵉ ˢᵗᵃʳᵗᵉᵈ ᵗᵒ ᶜᵒᵐᵉ ᵒᵘᵗ ᵒᶠ ⁱᵗ‧ "ᴾˡᵃⁿᵏᵗᵒⁿ‽" ᴴᵉ ˢᵃⁱᵈ⸴ ⁿᵒᵗⁱᶜⁱⁿᵍ ⁿᵒʷ‧ ᴷᵃʳᵉⁿ ˢᵗⁱˡˡ ˢᵃᵗ ᵇʸ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ‧ ᴴⁱˢ ᵉʸᵉ ᵇʳᵒʷ ᶠᵘʳʳᵒʷˢ ᵃˢ ˢʰᵉ ˡⁱᵍʰᵗˡʸ ˢᑫᵘᵉᵉᶻᵉᵈ ʰⁱˢ ʰᵃⁿᵈ ᵍᵉⁿᵗˡʸ‧ "ᴴᵉʸ⸴ ˢʷᵉᵉᵗˢ; ʸᵒᵘ'ʳᵉ ᵍᵒᵒᵈ‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ʰᵉᵃʳˢ ʰᵉʳ ᵛᵒⁱᶜᵉ‧ "ʸᵒᵘ'ʳᵉ ʲᵘˢᵗ ʷᵃᵏⁱⁿᵍ ᵘᵖ ⁿᵒʷ‧" ᴴᵉ ᵒᵖᵉⁿˢ ʰⁱˢ ᵉʸᵉ⸴ ⁿᵒᵗⁱᶜⁱⁿᵍ ᴷᵃʳᵉⁿ'ˢ ʰᵒˡᵈⁱⁿᵍ ʰⁱˢ ʰᵃⁿᵈ‧ "ʸᵃʸ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ᵃʷᵃᵏᵉ ⁿᵒʷ!" "ᵂᵉ'ʳᵉ ᵃᵗ ᴮⁱᵏⁱⁿⁱ ᴮᵒᵗᵗᵒᵐ ʰᵒˢᵖⁱᵗᵃˡ ᵃᶠᵗᵉʳ ᵐʸ ᵇᵒˢˢ ʰⁱᵗ ʸᵒᵘ‧‧‧" "ᔆᵖᵒⁿᵍᵉᵇᵒᵇ ᵍᵒᵗᵗᵃ ᵗᵃᵏᵉ ⁱᵗ ᵉᵃˢʸ!" ᴷᵃʳᵉⁿ ⁱⁿᵗᵉʳʳᵘᵖᵗˢ‧ ᵀʰᵉ ⁿᵘʳˢᵉ'ˢ ˡᵉᵗ ᵗʰᵉᵐ ᵍᵒ ⁿᵒʷ ᵇᵃᶜᵏ ᵗᵒ ᵗʰᵉⁱʳ ⁿᵒʳᵐᵃˡ‧ 𝐰𝐨𝐫𝐝 𝐜𝐨𝐮𝐧𝐭: 𝟑𝟒𝟖

Go to shortscarystories r/shortscarystories 9 hr. ago Random_Clod The Test "You're going to do fine," my mother tells me in the waiting room. "I did the test when I was about your age; it's something we all have to do." "I know," I say. I want to point out that not everyone has to do it, but I don't. "You've got this," she says. "Don't worry so much." I can't help but worry. It's not long before the doctor comes and calls out my unit number. Soon, I tell myself, soon, I won't be called that anymore The first part is an intelligence test. Identifying patterns of colorful shapes and guessing which one is next in the sequence. Solving a maze and doing some basic addition. The doctor's eyes bore into me the entire time. I wonder if I'm working too slowly. Or too quickly? I'm overthinking, and it's making me heat up. The next part of the test is about emotions. She describes hypothetical situations and I respond with how I would feel. One of the questions is self-referential: if I passed this test, I would feel happy. Though, to me, 'happy' barely begins to describe how I imagine it. The entire test is even longer than I thought it'd be. I'm made to draw pictures of a house and a cat and myself. I read a wordless picture book about frogs and describe the story as best I can. I define a lot of words: 'empathy' and 'identity' and so on. By the time it's over, I feel like I just did calculus, and I'm actively overheating. The doctor wordlessly leads me back out and I think, soon, people will talk to me even when they don't need to. People will thank me for my time and wish me a nice day. Mom is cheerful as ever on the way home. She tells me there's no point in worrying now, as all we can do is wait for the results. I try to be cautiously optimistic, but as weeks go by the cautious part fades. I can't stop thinking about the name I've picked out, imagining how my ID card will look. In my sleep I dream of going to a real school and getting a job that pays real money. Of buying things for myself without using my mom's card. Of officially being her daughter, and someday even being a mother myself. The results come in the form of a video call nearly a month after the test. I rush to unplug myself and run over as soon as I hear it ringing. Mom and I sit together and are faced with the same doctor as before. "Well, ma'am, we've finished analyzing the test results…" Something inside me breaks when I realize she's only talking to my mom, not both of us. "I'm sorry, but Android Unit Eighteen-Five-One-Twelve has failed to meet the humanity threshold." "No," Mom says, to no reaction. "Obviously, as such, its application for legal personhood has been denied, as will any future applications." Random_Clod OP • If you fail the test once, you're 'not a person', and they're not going to spend any more time on you because you're not thought of as something that can evolve the way people do. The make-or-break cruelty was meant to be part of the horror

https://www.healthline.com/health/cervical-cancer/can-you-get-cervical-cancer-without-having-sex

https://www.uthscsa.edu/patient-care/dental/services/anesthesia

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

lidocaine ointment that can apply beforehand?

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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 )

"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 )

27 March 2023 Nitrous oxide is a colourless gas commonly used as an analgesic - a painkiller - in medicine. The gas can make people relaxed, giggly, light-headed or dizzy. According to the ADA, a patient under nitrous oxide will still have the ability to hear their general dentist and respond to any questions. Although it is not going to put a patient to sleep, nitrous oxide will help relax the bødy and mind. After a few minutes of breathing in the laughing gas through a mask the bødy might feel tingly or heavy and the patient will feel light-headed. It can actually help ease any feelings of anxiety before the procedure. If given nitrous oxide, they will feel sleepy, relaxed and perhaps a bit forgetful. They will still be aware of their surroundings, not necessarily put a patient to sleep. The mild sedative simply helps a patient relax but not intentionally fall asleep per se. The nitrous oxide slows down your nervous system to make you feel less inhibited. You may feel light-headed, tingly, and can be turned off when time for the patient to become more alert and awake. You might feel slightly drowsy, limit your coordination and affect your ability to remember the procedure. Often referred to as conscious sedation because you are awake, though in a state of depressed alertness. You will feel relaxed and may even fall into a light sleep. It differs from general anesthesia, whence patients are completely asleep throughout the procedure and won't remember the treatment afterward, according to the American Academy of Pediatrics (AAP). Whether or not fully awake, laughing gas can temporarily feel euphoric and even giddy. Once the gas wears off all the effects are gone, and people are fully awake and back to their regular selves, if slightly groggy.

If you were sedated, you will be comfortable and drowsy. IV anesthesia lets you fall into a sleep-like state and prevents any paın can distort sensation and lack of fine motor control. The patient falls asleep and is completely unaware of the procedure being performed. Twilight sedation drifting in and out of sleep Once again some patients may be asleep while others will slip in and out of sleep. For example, patients may experience some short-term memory issues, they may have trouble making decisions, they may feel emotional and they may feel somewhat disoriented. Nitrous oxide Patients are able to breathe on their own and remain in control of all functions. The patient may experience mild amnesia and may fall asleep not remembering all of what happened during their appointment. When nitrous oxide is administered, the patient may feel a kind of dreamy light-headedness. Nitrous oxide tends to make you feel a bit funny and “floaty.” You may even laugh at things that are happening around you, which is why it’s also called “laughing gas.” However, this change in consciousness is very short-lived.

https://www.hopkinsmedicine.org/health/conditions-and-diseases/anal-fissures

https://www.cancer.gov/news-events/cancer-currents-blog/2020/cervical-cancer-screening-hpv-test-guideline#:~:text=ACS%20recommends%20cervical%20cancer%20screening,Pap%20test%20every%203%20years.

ᴰᵉⁿᵗⁱˢᵗ ᴬᵖᵖᵒⁱⁿᵗᵐᵉⁿᵗ ⁽ᔆᵖᵒⁿᵍᵉᴮᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ Part 2 ᴬᶠᵗᵉʳ ʸᵉˢᵗᵉʳᵈᵃʸ'ˢ ᵒʳᵃˡ ˢᵘʳᵍᵉʳʸ⸴ ᴾˡᵃⁿᵏᵗᵒⁿ ⁿᵒʷ ʷᵒᵏᵉ ⁱⁿ ᵐᵒʳⁿⁱⁿᵍ ʷⁱᵗʰ ˢᵒʳᵉ ᵃᶜʰᵉˢ⸴ ⁿᵒ ᵗʳᵃᶜᵉˢ ᵒᶠ ˢᵉᵈᵃᵗⁱᵒⁿ ˡᵉᶠᵗ‧ ᴴⁱˢ ᶜᵒᵐᵖᵘᵗᵉʳ ʷⁱᶠᵉ ᴷᵃʳᵉⁿ ˢᵉᵉˢ ʰⁱᵐ ʷᵃᵏᵉ ⁿᵒʷ‧ "ᴾˡᵃⁿᵏᵗᵒⁿ ʰᵉʸ⸴ ᶜᵃⁿ ʸᵒᵘ ˢⁱᵗ?" ᴮᵘᵗ ʰᵉ'ˢ ᵘⁿᵃᵇˡᵉ ᵗᵒ ᵐᵃⁿᵃᵍᵉ ᵗᵒ ᵍᵉᵗ ʰⁱᵐˢᵉˡᶠ ᵘᵖ‧ ᴷᵃʳᵉⁿ ᶠᵉˡᵗ ᵇᵃᵈ ᶠᵒʳ ʰⁱᵐ‧ 'ᴹʸ ᶠᵃᶜᵉ⸴ ʷᵃⁱᵗ ᵐʸ ᵈᵉⁿᵗⁱˢᵗ ᵃᵖᵖᵒⁱⁿᵗᵐᵉⁿᵗ‧‧‧' ᴾˡᵃⁿᵏᵗᵒⁿ ᶠᵉˡᵗ ᵐᵒʳᵉ ᵖᵃⁱⁿ ⁿᵒʷ‧ "ᴰᵒᵉˢ ⁱᵗ ʰᵘʳᵗ ᵗᵒ ᵐᵘᶜʰ ᵗᵒ ᵗᵃˡᵏ? ᴵ ᶜᵃⁿ ᵍᵉᵗ ʸᵒᵘ ˢᵒᵐᵉ ⁱᶜᵉ‧" ᴷᵃʳᵉⁿ ˢᵃʸˢ⸴ ʳᵉᵗʳⁱᵉᵛⁱⁿᵍ ˢᵃⁱᵈ ⁱᶜᵉ‧ 'ᴵ ᶠᵉᵉˡ ˡⁱᵏᵉ ᴵ ʷᵉⁿᵗ ᵗᵒ ᵃⁿᵈ ᵈⁱᵈ ᵗʰᵉʸ ᵍᵉᵗ ᵐʸ ʷⁱˢᵈᵒᵐ‧‧‧' ᴾˡᵃⁿᵏᵗᵒⁿ ᵗʰⁱⁿᵏˢ⸴ ᵇᵘᵗ ᵗʳᵃⁱˡˢ ᵒᶠᶠ ᵃˢ ʰᵉ ᶠᵉˡᵗ ᶜᵒᵒˡ ˢᵉⁿˢᵃᵗⁱᵒⁿ‧ ᴷᵃʳᵉⁿ ʳᵉᵐᵒᵛᵉᵈ ᵗʰᵉ ᵍᵃᵘᶻᵉ ᶠʳᵒᵐ ˡᵃˢᵗ ⁿⁱᵍʰᵗ‧ ᵀʰᵉ ᵒˡᵈ ᵍᵃᵘᶻᵉ ᵈʳⁱᵖˢ ʳᵉᵈ ᵈʳᵒᵖˢ ᵒⁿ ᵃ ᵗᵒʷᵉˡ ᴾˡᵃⁿᵏᵗᵒⁿ ᵈᵒᵉˢⁿ'ᵗ ʳᵉᵐᵉᵐᵇᵉʳ ᵍᵉᵗᵗⁱⁿᵍ ᵃⁿᵈ ᴷᵃʳᵉⁿ ᵍᵉᵗˢ ʰⁱᵐ ᵃ ⁿᵉʷ ᵒⁿᵉ‧ "ᴴᵒʷ ᵃᵇᵒᵘᵗ ⁱᶜᵉ ᶜʳᵉᵃᵐ ᵒʳ ᵃ ᵈʳⁱⁿᵏ ᵒᶠ ʷᵃᵗᵉʳ? ᴼʳ ᵇᵒᵗʰ? ᴺᵒ?" "ᴵ ʰ⁻⁻⁻ʰᵘʳᵗⁱⁿᵍ‧‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ʷⁱⁿᶜᵉᵈ⸴ ʷᵒʳˢᵉⁿⁱⁿᵍ ʰⁱˢ ᵖᵃⁱⁿ‧ ᴷᵃʳᵉⁿ ᵗʰᵉⁿ ʳᵉᶠᵉʳʳᵉᵈ ᵗᵒ ᵗʰᵉ ᵖᵃᵐᵖʰˡᵉᵗ ᵗʰᵉʸ ᵍᵃᵛᵉ‧ "ᴵᵗ'ˢ ⁿᵒʳᵐᵃˡ ᵃⁿᵈ ᵗʰᵉ ᵖᵃᵐᵖʰˡᵉᵗ ˢᵃʸˢ‧‧‧" ᴷᵃʳᵉⁿ ˢᵗᵃʳᵗˢ⸴ ᵇᵘᵗ ᵗʰᵉ ⁱᶜᵉ ˢᵒᵒᵗʰᵉˢ ᴾˡᵃⁿᵏᵗᵒⁿ ᵉⁿᵒᵘᵍʰ ᶠᵒʳ ʰⁱᵐ ᵗᵒ ˢᵗᵃʳᵗ ᶠᵃˡˡⁱⁿᵍ ᵃˢˡᵉᵉᵖ‧ ᴷᵃʳᵉⁿ ˢᵗᵃʳᵗᵉᵈ ᵗᵒ ˡᵉᵃᵛᵉ ᵗʰᵉ ʳᵒᵒᵐ ʷʰᵉⁿ ᴾˡᵃⁿᵏᵗᵒⁿ ᶜʳⁱᵉˢ ᵒᵘᵗ‧ ᴷᵃʳᵉⁿ ᵗᵘʳⁿˢ ᵗᵒ ʰⁱᵐ ᵃˢ ʰᵉ ʳᵉᵃᶜʰᵉˢ ʰⁱˢ ᵃʳᵐˢ ᵒᵘᵗ‧ "ʸᵒᵘ'ᵈ ˡⁱᵏᵉ‧‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ʷⁱˢʰᵉᵈ ᶠᵒʳ ᴷᵃʳᵉⁿ ᵗᵒ ᵇᵉ ᵇʸ ʰⁱᵐ ⁿᵒʷ‧ "ᴴᵘᵍᵍˡᵉ‧" 'ᴴᵘᵍᵍˡʸ?' "ᴷᵃʳᵉⁿ'ᵈ ʰᵘᵍᵍˡᵉ‧" ᔆʰᵉ ᵍᵉᵗˢ ᵇʸ ᴾˡᵃⁿᵏᵗᵒⁿ ᵒⁿ ʰⁱˢ ᵇᵉᵈ‧ ᴷᵃʳᵉⁿ ᵃˡˡᵒʷᵉᵈ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ ᵗᵒ ᵐᵃⁿᵒᵉᵘᵛʳᵉ ʰᵉʳ ᵃʳᵐ ʰᵒʷ ʷʰᵉʳᵉ ᵗᵒ ʰᵉ'ˢ ᶜᵒᵐᶠᵒʳᵗᵃᵇˡᵉ ʷⁱᵗʰ‧ ᔆʰᵉ ᵐᵒᵛᵉᵈ ʰᵉʳ ᵗʰᵘᵐᵇ ᵇᵃᶜᵏ ᵃⁿᵈ ᶠᵒʳᵗʰ ᵒⁿ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ʰᵉᵃᵈ ᵗᵒ ˢᵒᵒᵗʰᵉ ʰⁱᵐ‧ ᴷᵃʳᵉⁿ ⁱⁿˢᵗᵃⁿᵗˡʸ ˢᵃʷ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ ᶠᵉᵉˡ ˢᵒᵐᵉ ʷʰᵃᵗ ᵇᵉᵗᵗᵉʳ ⁿᵒʷ⸴ ᵉᵛᵉⁿᵗᵘᵃˡˡʸ ᶠᵃˡˡⁱⁿᵍ ᵃˢˡᵉᵉᵖ‧ ᴸᵉᵃⁿⁱⁿᵍ ᵒⁿ ʰᵉʳ ʰᵃⁿᵈ ʷⁱᵗʰ ʰⁱˢ ʰᵉᵃᵈ ʰⁱˢ ᵍᵃᵘᶻᵉ ᶠᵉˡˡ ᵒᵘᵗ ᵒᶠ ʰⁱˢ ᵐᵒᵘᵗʰ ˢᵒ ᴷᵃʳᵉⁿ ᵈⁱˢᵖᵒˢᵉᵈ ᵒᶠ ⁱᵗ‧ 'ᴺᵒᵗ ᵗᵒ ʳᵉᵈ ᵃⁿʸ ᵐᵒʳᵉ ᴵ ˢᵉᵉ' ᴷᵃʳᵉⁿ ʳᵉᵃˡⁱˢᵉᵈ⸴ ˢᵉᵉⁱⁿᵍ ʰᵉ ⁿᵒ ˡᵒⁿᵍᵉʳ ᵇˡᵉᵈ ᵃˢ ᵐᵘᶜʰ ᵃˢ ᵇᵉᶠᵒʳᵉ‧ ᔆʰᵉ ˢᵗᵃʸᵉᵈ ʷⁱᵗʰ ᴾˡᵃⁿᵏᵗᵒⁿ⸴ ⁿᵒᵗ ᵈᵃʳⁱⁿᵍ ᵗᵒ ᵐᵒᵛᵉ‧ ᴮᵘᵗ ᵗʰᵉⁿ ˢʰᵉ ⁿᵒᵗⁱᶜᵉᵈ ᵗʰᵉ ⁱᶜᵉ ᵇᵉᵍⁱⁿⁿⁱⁿᵍ ᵗᵒ ˢᵗᵃʳᵗ ᵐᵉˡᵗⁱⁿᵍ ˢᵒ ˢʰᵉ ᵖᵘᵗ ⁱⁿ ᵗʰᵉ ᶠʳᵉᵉᶻᵉʳ‧ ᴷᵃʳᵉⁿ ᵗʰᵉⁿ ʷᵉⁿᵗ ᵇᵃᶜᵏ ᵗᵒ ʰⁱᵐ ᵃˢ ᵇᵉᶠᵒʳᵉ⸴ ᶜᵃʳᵉᶠᵘˡˡʸ ᵍᵉⁿᵗˡᵉ ˢᵒ ᵃˢ ⁿᵒᵗ ᵗᵒ ᵈⁱˢᵗᵘʳᵇ ⁿᵒʳ ʰᵘʳᵗ ʰⁱᵐ‧ ᴮᵘᵗ ʰⁱˢ ᵉʸᵉ ᵇʳᵒʷ ⁿᵉᵛᵉʳ ᶠᵘʳʳᵒʷᵉᵈ ᵃˢ ʰᵉ ᶜᵒⁿᵗⁱⁿᵘᵉˢ ˢⁿᵒʳⁱⁿᵍ ᵃˢ ⁱᶠ ˢʰᵉ ⁿᵉᵛᵉʳ ˡᵉᶠᵗ‧ ᴷᵃʳᵉⁿ ˢᵐⁱˡᵉᵈ‧ ᴺᵒᵗ ᵐⁱⁿᵈⁱⁿᵍ ᵗʰᵉ ᵈʳᵒᵒˡ ᵃⁿᵈ ᵃᶜᵗᵘᵃˡˡʸ ᵉⁿʲᵒʸᵉᵈ ˡⁱˢᵗᵉⁿⁱⁿᵍ ᵗᵒ ᵗʰᵉ ʷᵃʸ ʰᵉ ˢⁿᵒʳᵉᵈ⸴ ᴷᵃʳᵉⁿ ᶠᵉˡᵗ ˢᵒ ᵍˡᵃᵈ ᵗᵒ ᵇᵉ ʷⁱᵗʰ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ‧ end finale

TO SEE OR NOT TO SEE (by NeuroFabulous) 𓇼 𝐑𝐚𝐭𝐞𝐝 𝐏𝐆-𝟏𝟑 🕊️🩰🐚 Pt. 15 As the anesthesia began to wear off, Plankton's snores grew quieter. His antennae twitched slightly, a sign that he was coming back to consciousness. Karen was there, her hand still in his, ready to face whatever the waking world brought with him. His eyelid fluttered open, his pupil dilated and unfocused. "Mmph," he mumbled, his mouth filled with gauze. Karen's heart jumped. She leaned in closer, her voice soft. "Hey, Plankton, you're okay. You're back!" Plankton looked at her, his antennae twitching. "Wha...?" he mumbled, his speech slurred from the anesthesia. He tried to sit up, but the nurse, Octavia, gently pushed his shoulders back down. "Easy, Mr. Plankton," she said. "Take i---" "Wha... Whath...?" Plankton interrupts. Karen leaned closer. "You had your wisdom teeth taken out," she explained gently. "You're going to be a bit sleepy and your mouth is going to feel funny." Plankton's antennae twitched as he took in her words. "Teef?" he slurred, his voice higher than usual. "Owies?" Karen nodded, her smile soft. "Yes, but you're all done now." She gently stroked his cheek. "You were so brave." Plankton's antennae twitched as he tried to comprehend. The world was a blur, his mouth still numb and filled with cottony gauze. "Windom teef?" he mumbled. Karen's eyes filled with compassion as she nodded. "Yes, sweetie, they took them out to make sure you don't hurt." She held up his plushie, now wet from the drool. "Remember your friend here?" Plankton blinked, his eye focusing on the plushie. He nodded slightly, his antennae slowing their twitching. "Fwens," he murmured, his voice faint. Karen pressed the stuffed animal to his chest. "You did so good," she whispered. "Now, let's get you home so you can rest." Chip stepped forward, his own anxiety easing slightly at the sight of his dad's confusion. He reached for the plushie. "Da-" But Plankton's eye widened. "No!" he protested, his voice slurred. "Ith’s mime!" Karen's eyes met Chip's. "Let him have it," she whispered. "It's a comfort object." Chip nodded, stepping back. The nurse, Octavia, smiled gently. "Okay, Mr. Plankton, let's get you sitting up now." Plankton's antennae twitched as he complied, his movements slow and clumsy. Chip couldn't help but feel a pang of sympathy at the sight of his dad so out of sorts. Karen helped him into a sitting position, his eye still unfocused. "Whewe am I again?" he asked, his voice small and lost. "You're at the dentist," Karen said, her voice soothing. "Remember the surgery?" Plankton blinked, his memory foggy. "Teethies?" He looked around the room, his antennae quivering. "Ith wath scawy," he said, his voice trembling. "Buth now it'th aww done?" Karen nodded, her smile reassuring. "Yes, sweetie, it's all done. You're okay." Chip watched, his heart swelling with emotion. His dad's confused speech from his numb mouth was a stark reminder of his vulnerability. "Buth I don't feew ith," Plankton said, his antennae drooping. "Mowf, funny." Karen nodded, her eyes never leaving his. "It's because the doctor had to make your mouth sleepy," she explained. "But we'll get you home, and you can take more naps to feel better." Chip watched his dad, his heart aching. The brave front Plankton had put on was gone, replaced by childlike bewilderment from the lingering anesthesia. "C-can go hone now?" Plankton mumbled, his voice still thick and slurred. Karen nodded, her eyes filled with pity. "Yes, we're going home right now." She turned to Octavia. "Can we go?" The nurse nodded. As they helped Plankton into the car, his movements were still clumsy, his coordination off from the anesthesia. He leaned heavily on Karen, his antennae drooping. "Thath way," he murmured, his eye pointing in the general direction of the car. Chip stepped aside, his heart heavy as he watched his dad's unsteady gait. Once inside, Karen buckled him in and put his blanket over. "Here you go," she said, her voice soothing. "Everything's going to be okay." Falling asleep as Karen drove, Plankton's head lolled to the side, his mouth open, drool pooling in the corner. His snores were low and rhythmic, his antennae still, and his mouth was slack. Karen giggled. "Plankton how you doing?" He stirred, antennae twitching slightly. "Mmf," he murmured. "Tham." Karen's eyes filled with love. "We're almost home," she said. "Just a little longer." Plankton nodded, his antennae still droopy. "Karen I'm tiwweeddd!" Karen couldn't help but laugh, her heart warming at his slurred speech. "Whewe's Chip?" he asked suddenly, his voice groggy. Karen looked in the rearview mirror. "He's right here, behind us," she assured him. "Keeping an eye on you." Chip felt his cheeks warm with the attention. Plankton's confusion was so innocent, like a child's, it was hard not to be drawn in by it. He leaned forward. "Hi, Dad," he said gently. Plankton's antennae twitched, his eye searching the backseat. "Chip?" Chip nodded, trying to smile. "I'm here, Dad." Plankton's gaze was glassy, his voice slurred. "You...shay?" "Yes, Dad," Chip said. "I'm right here."

𝑠ℎ𝑜𝑤 𝑘𝑖𝑛𝑑𝑛𝑒𝑠𝑠 𝑡𝑜 𝑦𝑜𝑢𝑟 𝑏𝑜𝑑𝑦 𝑏𝑦 𝑏𝑒𝑖𝑛𝑔 𝑐𝑜𝑚𝑝𝑎𝑠𝑠𝑖𝑜𝑛𝑎𝑡𝑒 𝑎𝑛𝑑 𝑝𝑎𝑡𝑖𝑒𝑛𝑡 ౨ৎ

ᵀⁱᵐᵉ ᵃᶠᵗᵉʳ ᵗⁱᵐᵉ pt. 3 ⁽ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ ʷᵃʳⁿⁱⁿᵍ ᶠᵒʳ ᵛⁱᵒˡᵉⁿᵗ, ᵘᵖˢᵉᵗᵗⁱⁿᵍ ᵂʰᵉⁿᶜᵉ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᶜᵃˡˡᵉᵈ⸴ ᴹʳ‧ ᴷʳᵃᵇˢ ʳᵘˢʰᵉᵈ ᵗᵒ ᵗʰᵉ ʰᵉᵃˡᵗʰ ᶜᵉⁿᵗʳᵉ⸴ ˢᶜᵃʳᵉᵈ ᶠᵒʳ ᵗʰᵉ ʷᵒʳˢᵗ‧ "ᴵ ᶜᵃᵐᵉ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ˢᵃʷ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵗⁱˡˡ ˡⁱᵐᵖ ʷⁱᵗʰ ᵗʰᵉⁱʳ ᶜᵒⁿᶠᵉˢˢ ᵃ ᵇᵉᵃʳ ʳⁱᵍʰᵗ ᵇʸ ʰⁱᵐ‧ "ᴹʳ‧ ᴷʳᵃᵇˢ⸴ ʷᵉ ᵒⁿˡʸ ᵈᵒ ⁱᵗ ᵃˢ ᵃ ˡᵃˢᵗ ʳᵉˢᵒʳᵗ⸴ ᵇᵘᵗ ⁱᶠ ʰᵉ'ˢ ᵉᵛᵉⁿ ᵍᵒⁱⁿᵍ ᵗᵒ ˢᵘʳᵛⁱᵛᵉ ʷᵉ ⁿᵉᵉᵈ ᵗᵒ ᵗᵃᵏᵉ ᵗʰᵉ ʳⁱˢᵏ; ⁱᵗ'ˡˡ ᵉⁱᵗʰᵉʳ ʰᵉˡᵖ ʰⁱᵐ⸴ ᵒʳ ⁱᵗ ᵐⁱᵍʰᵗ ᵇᵉ ᵗʰᵉ ᵉⁿᵈ‧‧‧" "ᴵ ᵈᵒⁿ'ᵗ‧‧‧" "ᔆᵒᵐᵉᵗⁱᵐᵉˢ ⁱᵗ ʷᵒʳᵏˢ⸴ ᵇᵘᵗ ᵒᵗʰᵉʳ ᵗⁱᵐᵉˢ ⁱᵗ ᶜᵃⁿ ⁱʳʳᵉᵛᵉʳˢⁱᵇˡʸ ᵒᵛᵉʳʷʰᵉˡᵐ ᵗʰᵉ ᵖᵃᵗⁱᵉⁿᵗ‧ ᴱᵛᵉⁿ ⁱᶠ ⁱᵗ ʷᵒʳᵏˢ⸴ ᵗʰᵉʳᵉ'ˢ ˢᵗⁱˡˡ ⁿᵒ ᵍᵘᵃʳᵃⁿᵗᵉᵉ ʰᵉ ʷⁱˡˡ ᵇᵉ ᵗʰᵉ ˢᵃᵐᵉ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ᵇˡⁱⁿᵏᵉᵈ‧ "ᴬᵐⁿᵉˢⁱᵃ ʷⁱˡˡ ᵒᶜᶜᵘʳ⸴ ᵃˢˢᵘᵐⁱⁿᵍ ʰᵉ ˢᵘʳᵛⁱᵛᵉˢ; ᵗᵒ ʷʰᵃᵗ ᵉˣᵗᵉⁿᵗ⸴ ᵒⁿˡʸ ᵗⁱᵐᵉ ʷⁱˡˡ ᵗᵉˡˡ‧ ᴴⁱˢ ᵐᵉᵐᵒʳʸ ᵐⁱᵍʰᵗ ᶜᵒᵐᵉ ᵇᵃᶜᵏ ᵉᵛᵉⁿᵗᵘᵃˡˡʸ⸴ ʸᵒᵘ'ˡˡ ᵏⁿᵒʷ ʷⁱᵗʰⁱⁿ ᵗʰᵉ ᵉⁿᵈ ᵒᶠ ᵗʰᵉ ʷᵉᵉᵏ‧ ᵂʰᵃᵗ'ˢ ᵍᵒⁱⁿᵍ ᵗᵒ ʰᵃᵖᵖᵉⁿ ⁱˢ ᵗʰᵉ ᵐᵉᵈⁱᶜⁱⁿᵉ ʷⁱˡˡ ˢᵗᵃᵇⁱˡⁱˢᵉ ᵗʰᵉ ᵇʳᵃⁱⁿ⸴ ᵃⁿᵈ ʰᵉ'ᵈ ᵇᵉ ᵇʳᵃıⁿ ᵈᵉ́ᵃ́ᵈ ⁱᶠ ʷᵉ ʷᵃⁱᵗ ᵐᵘᶜʰ ˡᵒⁿᵍᵉʳ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ʳᵉᵖᵉᵃᵗᵉᵈ ᵗʰᵉ ʷʰᵒˡᵉ ᵗʰⁱⁿᵍ ᵒⁿᶜᵉ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᵍᵃᵛᵉ ᵗʰᵉᵐ ˢᵖᵃᶜᵉ‧ "ᵂʰᵃᵗᵉᵛᵉʳ ʰᵃᵖᵖᵉⁿˢ⸴ ᴵ ʷᵃⁿᵗ ʸᵒᵘ ᵗᵒ ᵏⁿᵒʷ ᴵ ᶜᵃʳᵉ ᵃᵇᵒᵘᵗ ʸᵒᵘ ᵃⁿᵈ ⁿᵉᵛᵉʳ ᵐᵉᵃⁿᵗ ᶠᵒʳ ᵃⁿʸᵗʰⁱⁿᵍ ᵗᵒ ʰᵃᵖᵖᵉⁿ ᵗᵒ ʸᵒᵘ‧" ᴬᵗ ᶠⁱʳˢᵗ⸴ ᵉᵛᵉʳʸᵗʰⁱⁿᵍ ʷᵃˢ ᵈᵃʳᵏ⸴ ᵐᵃᶜʰⁱⁿᵉʳʸ ᵇᵉᵉᵖⁱⁿᵍ ⁿᵒⁱˢᵉˢ ᵉᶜʰᵒⁱⁿᵍ ᵇᵘᵗ ᵍʳᵃᵈᵘᵃˡˡʸ ᵍᵉᵗᵗⁱⁿᵍ ˡᵒᵘᵈᵉʳ‧ ᵀʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᵈⁱᵈⁿ'ᵗ ʷᵃⁿᵗ ᵗᵒ ᵇᵒᵐᵇᵃʳᵈ ᵗʰᵉ ᵈᵃᶻᵉᵈ ᵖᵃᵗⁱᵉⁿᵗ ᵒᵛᵉʳʷʰᵉˡᵐⁱⁿᵍˡʸ⸴ ʸᵉᵗ ʰᵉ ⁿᵒᵗⁱᶜᵉᵈ ʰⁱᵐ ʳᵉᵛⁱᵛⁱⁿᵍ‧ ᵀʰᵉ ᶠⁱʳˢᵗ ᵗʰⁱⁿᵍ ʰᵉ ᶜᵒᵘˡᵈ ᵗᵉˡˡ ᵃˢ ʰᵉ ˡᵒᵒᵏᵉᵈ ᵃʳᵒᵘⁿᵈ ʷᵃˢ ᵗʰᵉ ᶜᵒⁿᶠᵉˢˢ ᵃ ᵇᵉᵃʳ⸴ ᵃᶠᵗᵉʳ ʰⁱˢ ᵉʸᵉ ᵃᵈʲᵘˢᵗᵉᵈ‧ "ᴴⁱ; ʸᵒᵘ'ʳᵉ ᵃᵗ ᵗʰᵉ ʰᵉᵃˡᵗʰ ᶜᵉⁿᵗʳᵉ‧‧‧" ᔆᵉᵉⁱⁿᵍ ʰᵉ ˢᵘʳᵛⁱᵛᵉˢ⸴ ʰᵉ ʷᵃⁿᵗᵉᵈ ᵗᵒ ⁿᵒᵗⁱᶠʸ ᴹʳ‧ ᴷʳᵃᵇˢ‧ "ᴵ ᵃᵐ ᵍˡᵃᵈ ʸᵒᵘ ᶜᵃᵐᵉ ᵒᵘᵗ‧‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵗʳᵃⁱᵍʰᵗᵉⁿˢ ʰⁱᵐˢᵉˡᶠ ᵘᵖ⸴ ⁱⁿᵗᵉʳʳᵘᵖᵗⁱⁿᵍ‧ "ᵂʰᵃᵗ'ˢ ʰᵃᵖᵖᵉⁿⁱⁿᵍ‧‧‧" "ʸᵒᵘ ʰᵃᵛᵉ ᵃ ᵛⁱˢⁱᵗᵒʳ; ᴵ'ᵐ ˢᵘʳᵉ ʰᵉ ᶜᵃⁿ ʰᵉˡᵖ ʸᵒᵘ ʳᵉᵍᵃⁱⁿ‧‧‧" "ᴵ ᵈᵒⁿ'ᵗ ᵏⁿᵒʷ ʷʰ‧‧‧" "ᴵ'ˡˡ ᵇᵉ ᵇᵃᶜᵏ ʷⁱᵗʰ ᵗʰᵉ ᵛⁱˢⁱᵗᵒʳ‧" ᴹʳ‧ ᴷʳᵃᵇˢ ˢᵃʷ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᶠⁱⁿᵃˡˡʸ‧ "ᴴᵉ'ˢ ᵍᵒⁱⁿᵍ ᵗᵒ ˡⁱᵛᵉ⸴ ᵇᵘᵗ ⁱˢ ᶜᵒⁿᶠᵘˢᵉᵈ‧ ᔆᵗⁱˡˡ ᶜᵃⁿ ⁿᵒᵗ ᵗᵉˡˡ ʷʰᵃᵗ ʰᵉ'ᵈ ʳᵉᵐᵉᵐᵇᵉʳ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ʷᵉⁿᵗ ᵃⁿᵈ ᶠᵒˡˡᵒʷᵉᵈ ʰⁱᵐ ⁱⁿ ᵗʰᵉ ᵃʳᵉᵃ ᵖˡᵃⁿᵏᵗᵒⁿ'ˢ ʳᵉᶜᵒᵛᵉʳⁱⁿᵍ ⁱⁿ‧‧‧ to be cont. Pt. 4

How are sleep and anaesthesia the same? How do they differ? Sleep is natural. When you have met the need for it, it will finish by itself. Anaesthesia is caused by dr*gs. It will only finish when the dr*gs wear off. These dr*gs work by acting on the same parts of the brain that control sleep. While you are under anaesthesia your vital signs are constantly monitored to make sure you are 'asleep' and not feeling any paın. However you are in a drug-induced unconsciousness,dream-like experiences. In some cases, the patient may experience some confusion or disorientation after waking up from it. A common patient response on emerging from is disorientation, unaware of time passed.

ᴰᵉⁿᵗⁱˢᵗ ᴬᵖᵖᵒⁱⁿᵗᵐᵉⁿᵗ ⁽ᔆᵖᵒⁿᵍᵉᴮᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ Part 1 ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ᶜᵒᵐᵖᵘᵗᵉʳ ʷⁱᶠᵉ ᴷᵃʳᵉⁿ ᵈᵉᶜⁱᵈᵉᵈ ᵗᵒ ʷᵃᵏᵉ ʰⁱᵐ ⁿᵒʷ ᶠᵒʳ ʰⁱˢ ᵈᵉⁿᵗⁱˢᵗ ᵃᵖᵖᵒⁱⁿᵗᵐᵉⁿᵗ‧ ᴴᵉ'ˢ ᵘˢᵘᵃˡˡʸ ᵘᵖ ᵇᵉᶠᵒʳᵉ ʰᵉʳ ᵃⁿᵈ ˢᵗᵃʸˢ ᵘᵖ ˡᵃᵗᵉ ᵃᶠᵗᵉʳ ˢʰᵉ‧ ᴮᵘᵗ ᵗʰᵉʸ'ʳᵉ ᵗᵒ ˡᵉᵃᵛᵉ ᵉᵃʳˡʸ‧ ᔆʰᵉ ʳᵘᵇˢ ʰⁱˢ ᵇᵃᶜᵏ‧ "ᔆʰᵉˡᵈᵒⁿ‧" ᴴⁱˢ ᵉʸᵉ ᵇʳᵒʷ ᵗʷⁱᵗᶜʰᵉᵈ‧ ᔆʰᵉ ᵗʰᵉⁿ ⁿᵘᵈᵍᵉˢ ʰⁱᵐ‧ "ᵂᵃᵏᵉ ᵘᵖ! ᴬʳᵉ ʸᵒᵘ ᵃʷᵃᵏᵉ?" ᴴᵉʳ ʰᵘˢᵇᵃⁿᵈ ᵒᵖᵉⁿˢ ʰⁱˢ ᵉʸᵉ‧ "ᴳᵒᵗᵗᵃ ᵍᵒ ᵗᵒ ᵗʰᵉ ᵈᵉⁿᵗⁱˢᵗ‧" ᴰᵉˢᵖⁱᵗᵉ ᵇᵉⁱⁿᵍ ᵃˡⁱᵛᵉ⸴ ᴷᵃʳᵉⁿ'ˢ ⁿᵒᵗ ᵃⁿ ᵒʳᵍᵃⁿⁱᶜ ᵇᵉⁱⁿᵍ‧ ʸᵉᵗ ˢʰᵉ ˢᵗⁱˡˡ ᶠᵉˡᵗ ʰᵉʳ ᵒʷⁿ ᵉᵐᵒᵗⁱᵒⁿˢ ᵃⁿᵈ ᵖᵉʳˢᵒⁿᵃˡⁱᵗʸ ᵗᵒ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ᵘˢᵘᵃˡˡʸ ᵍᵉᵗˢ ᵈᵉⁿᵗᵃˡ ᶠˡᵒˢˢ ᵃˢ ᵗʰᵉʸ ˢᵉⁿᵈ ʰⁱᵐ ᵒᵘᵗ ᵒⁿ ʰⁱˢ ʷᵃʸ ᵇᵘᵗ ⁿᵒʷ ᵒⁿᵉ ᵒᶠ ᵗʰᵉ ᵈᵉⁿᵗⁱˢᵗˢ ᶜᵃᵐᵉ ᵘᵖ ᵗᵒ ˢᵉᵉ ʰᵉʳ‧ "ᴷᵃʳᵉⁿ ᴾˡᵃⁿᵏᵗᵒⁿ‧‧‧" "ʸᵉˢ?" 'ᵂʰᵉʳᵉ ⁱˢ ᵐʸ ʰᵘˢᵇᵃⁿᵈ ᵃⁿᵈ ʷʰʸ ʸᵒᵘ ᶜᵒᵐⁱⁿᵍ ᵗᵒ ᵐᵉ?' ᴷᵃʳᵉⁿ ʷᵒʳʳⁱᵉᵈ‧ "ᔆᵒ ʷᵉ ᵈᵒ ˢᶜᵃⁿˢ ᵃⁿᵈ ᵗᵒᵈᵃʸ ʷᵉ ᶠᵒᵘⁿᵈ ʰⁱˢ ʷⁱˢᵈᵒᵐ ᵗᵉᵉᵗʰ ⁿᵉᶜᵉˢˢᵃʳʸ ᵗᵒ ʳᵉᵐᵒᵛᵉ ᵗʰᵉᵐ‧" 'ᵂʰᵃᵗ‽' "ᴵ ᶜᵃⁿ ˡᵉᵃᵈ ᵗʰᵉ ʷᵃʸ ᵗᵒ ʷʰᵉʳᵉ ʰᵉ'ˢ‧‧‧" "ᴵ ᵈ⁻ᵈᵒⁿ’ᵗ ᵏⁿᵒʷ ⁱᶠ ᴵ ᵘⁿᵈᵉʳˢᵗᵃⁿᵈ‧" ᴷᵃʳᵉⁿ ᶠᵒˡˡᵒʷᵉᵈ ᵗʰᵉ ⁿᵘʳˢᵉ ᵗᵒ ᴾˡᵃⁿᵏᵗᵒⁿ ʷʰᵒ'ˢ ⁱⁿ ᵗʰᵉ ʳᵉᶜˡⁱⁿᵉʳ ⁱⁿ ʳᵒᵒᵐ‧ "ᔆʰᵉˡᵈᵒⁿ?" "ᴴᵉˡˡᵒ ᴵ'ᵐ ᔆʰᵉˡᵈᵒⁿ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ʰʸᵍⁱᵉⁿⁱˢᵗ! ᴺᵒʷ ʷᵉ ˢᵉᵉ ᵗʰᵉ ᵖʰᵒᵗᵒ ᵒᶠ ᵗᵉᵉᵗʰ ʷᵉ ᵗᵒᵒᵏ⸴ ᵃⁿᵈ ᵗʰᵉ ᵇᵃᶜᵏ ᵒⁿᵉˢ ᵃʳᵉ ᵐᵒˡᵃʳˢ ⁱⁿ ⁿᵉᵉᵈ ᵒᶠ ʳᵉᵐᵒᵛᵃˡ‧ ᵂᵉ ʷᵃⁿⁿᵃ ᵍᵒ ᵃʰᵉᵃᵈ ᵃⁿᵈ ᵒᵖᵉʳᵃᵗᵉ ᵇᵘᵗ ʷᵉ ᵒᵘᵗᵗᵃ ᵗᵉˡˡ ʸᵒᵘ‧ ᵀʰᵉ ⁿᵘʳˢᵉ ᶜᵃⁿ ᵍⁱᵛᵉ ʸᵒᵘ ᵃ ᵖᵃᵐᵖʰˡᵉᵗ ᵒᶠ ⁱⁿˢᵗʳᵘᶜᵗⁱᵒⁿˢ‧ ᴮᵉᶠᵒʳᵉ ʷᵉ ˢᵗᵃʳᵗ ᴾˡᵃⁿᵏᵗᵒⁿ ᴵ'ˡˡ ᵗᵉˡˡ ʸᵒᵘ⸴ ⁱᵗ'ˢ ⁿᵒʳᵐᵃˡ ᵗᵒ ᵇᵉ ᵃⁿˣⁱᵒᵘˢ‧" ᵀʰᵉ ʰʸᵍⁱᵉⁿⁱˢᵗ ˢᵃʸˢ‧ "ᵂᵉ ᵈᵒ ˢᵘʳᵍᵉʳʸ ᵃⁿᵈ ʷᵉ ˢᵖᵉᶜⁱᵃˡⁱˢᵉ ᵗᵒ‧ ᴺᵒʷ ˢᵉᵉⁱⁿᵍ ᵗʰᵉ ᵗᵉᵉᵗʰ ʰᵃᵛᵉⁿ'ᵗ ᵉʳᵘᵖᵗᵉᵈ ᵖᵃˢᵗ ᵗʰᵉ ᵍᵘᵐˢ⸴ ᵗʰᵉ ᵖʳᵒᶜᵉᵈᵘʳᵉ ʷⁱˡˡ ᵐᵒʳᵉ ⁱⁿᵛᵃˢⁱᵛᵉ⸴ ᵇᵘᵗ ʷᵉ ʰᵃᵛᵉ ˢᵉᵈᵃᵗⁱᵒⁿ ᵒᵖᵗⁱᵒⁿ‧" ᵀʰᵉ ⁿᵘʳˢᵉ ˡᵉᵗˢ ᴷᵃʳᵉⁿ ʰᵒˡᵈ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ʰᵃⁿᵈ‧ "ᴵ ᵗʰⁱⁿᵏ ⁱⁿ ʸᵒᵘʳ ᶜᵃˢᵉ ⁱᵗ'ᵈ ᵇᵉ ᵇᵉˢᵗ ᵗᵒ ᵖᵘᵗ ⁱⁿ ᵃ ᵈᵉᵉᵖ ˢˡᵉᵉᵖ⸴ ᶜᵒⁿˢⁱᵈᵉʳⁱⁿᵍ ᶜⁱʳᶜᵘᵐˢᵗᵃⁿᶜᵉˢ‧" "ᴴᵃᵛᵉ ʸᵒᵘ ᵃⁿʸ ᑫᵘᵉˢᵗⁱᵒⁿˢ?" ᵀʰᵉ ⁿᵘʳˢᵉ ᵃˢᵏˢ‧ "ᶜᵃⁿ ᴷᵃʳᵉⁿ ˢᵗᵃʸ‧‧‧" "ᴾˡᵃⁿᵏᵗᵒⁿ ˢʰᵉ ʷᵒⁿ'ᵗ ˡᵉᵃᵛᵉ ᵗʰᵉ ᵇᵘⁱˡᵈⁱⁿᵍ ᵇᵘᵗ ˢʰᵉ'ˡˡ ʰᵃᵛᵉ ᵗᵒ ᵉˣⁱᵗ ᵗʰᵉ ʳᵒᵒᵐ ʷʰᵉⁿᶜᵉ ᵒᵖᵉʳᵃᵗⁱⁿᵍ‧ ᴺᵒʷ ᴾˡᵃⁿᵏᵗᵒⁿ⸴ ʸᵒᵘ ʳᵉᵃᵈʸ?" "ᴵ'ᵛᵉ ᵍⁱᵛᵉⁿ ᴷᵃʳᵉⁿ ᵃˡˡ ⁱⁿᶠᵒʳᵐᵃᵗⁱᵒⁿ‧" ᔆᵃʸˢ ᵗʰᵉ ⁿᵘʳˢᵉ‧ "ᵂᵉ ᵃʳᵉ ᵍᵒⁱⁿᵍ ᵗᵒ ˢᵗᵃʳᵗ ᵃᵈᵐⁱⁿⁱˢᵗʳᵃᵗⁱᵒⁿ ᵒᶠ ˢᵉᵈᵃᵗⁱᵛᵉˢ ᵃⁿᵈ ᵐⁱᵍʰᵗ ˢᵉᵉᵐ ᶠᵘⁿⁿʸ ᵇᵘᵗ ⁱᵗ ʷⁱˡˡ ᵇᵉ ᵒᵛᵉʳ ᵇᵉᶠᵒʳᵉ ʸᵒᵘ ᵏⁿᵒʷ ⁱᵗ‧ ᴼᵘʳ ʰᵃⁿᵈʸ ᵐᵃᶜʰⁱⁿᵉ'ˢ ᵍᵒⁿⁿᵃ ᵗᵘʳⁿ ᵒⁿ ᵃⁿᵈ ʸᵒᵘ ʷⁱˡˡ ᵇᵉ ᵐᵒⁿⁱᵗᵒʳᵉᵈ‧" ᵀʰᵉ ʰʸᵍⁱᵉⁿⁱˢᵗ ˢᵃʸˢ ᵇᵉᶠᵒʳᵉ ˢᵗᵃʳᵗⁱⁿᵍ ᵘᵖ ᵗʰᵉ ᵐᵃᶜʰⁱⁿᵉ‧ "ʸᵒᵘ'ʳᵉ ᵈᵒⁱⁿᵍ ˢᵒ ᵍᵒᵒᵈ ʲᵒᵇ‧" 'ʸᵒᵘ ᶠᵉᵉˡ ⁿⁱᶜᵉ‧‧‧' ᴾˡᵃⁿᵏᵗᵒⁿ ᵍᵉᵗˢ ᵃˢᵏᵉᵈ ᵇᵘᵗ ʰⁱˢ ᵉʸᵉ'ˢ ⁿᵒ ˡᵒⁿᵍᵉʳ ᵏᵉᵖᵗ ᵒᵖᵉⁿ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ᵏⁿᵒʷˢ ⁿᵒᵗʰⁱⁿᵍ ᵉˡˢᵉ ᵒᵗʰᵉʳ ᵗʰᵃⁿ ʰⁱˢ ᵉʸᵉ ᶠˡᵘᵗᵗᵉʳⁱⁿᵍ ᵃˢ ᵐᵉᵈⁱᶜⁱⁿᵉ ᵏⁿᵒᶜᵏᵉᵈ ʰⁱᵐ ᵒᵘᵗ ᶜᵒˡᵈ‧ ᵀʰᵉ ⁿᵘʳˢᵉ ˡᵉᵗˢ ᴷᵃʳᵉⁿ ᵍᵒ ᵇᵃᶜᵏ ᵗᵒ ʷʰᵉʳᵉ ˢʰᵉ'ˢ ʷᵃⁱᵗᵉᵈ‧ ᴱᵛᵉⁿᵗᵘᵃˡˡʸ ᵗʰᵉ ⁿᵘʳˢᵉ ᵍᵉᵗˢ ᴷᵃʳᵉⁿ ᵃᵍᵃⁱⁿ ᵃˢ ᵗʰᵉʸ ᶠⁱⁿⁱˢʰᵉᵈ ᵘᵖ‧ "ᴴᵒʷ‧‧‧" "ʸᵒᵘʳ ʰᵘˢᵇᵃⁿᵈ'ˢ ʸᵉᵗ ᵗᵒ ʷᵃᵏᵉ ᵘᵖ⸴ ᵇᵘᵗ ᵗʰᵉ ˢᵘʳᵍᵉʳʸ ʷᵉⁿᵗ ᵖᵉʳᶠᵉᶜᵗˡʸ ᵍʳᵉᵃᵗ‧" ᴷᵃʳᵉⁿ ˢᵃʷ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵗⁱˡˡ ⁿᵒᵗ ᶜᵒⁿˢᶜⁱᵒᵘˢ/ᵃʷᵃᵏᵉ ʸᵉᵗ ᵃⁿᵈ ᵗʰᵉ ʰʸᵍⁱᵉⁿⁱˢᵗ ʷⁱᵖᵉˢ ᵃʷᵃʸ ˢᵒᵐᵉ ᵈʳᵒᵒˡ‧ "ᴴᵉ ᵐⁱᵍʰᵗ ᵇˡᵉᵉᵈ ᵃⁿᵈ ᵇʳᵘⁱˢᵉ ᶠᵒʳ ˡᵉˢˢ ᵗʰᵃⁿ ᵃ ʷᵉᵉᵏ ᵃⁿᵈ ʰᵉ'ˢ ᵉˣᵖᵉᶜᵗᵉᵈ ᵗᵒ ᵉˣᵖᵉʳⁱᵉⁿᶜᵉ ˢᵒᵐᵉ ˢʷᵉˡˡⁱⁿᵍ‧" "ᴿⁱᵍʰᵗ ʷʰᵉⁿ ᴵ ᵍᵉᵗ ᵈʳᵒᵒˡ ᶜˡᵉᵃⁿᵉᵈ ᵘᵖ ᵐᵒʳᵉ ᵒᶠ ⁱᵗ ᶜᵒᵐᵉˢ! ᴮᵘᵗ ʸᵉˢ ᵃˡˡ ᵗʰᵉ ᵐᵉᵈⁱᶜⁱⁿᵉ ⁱⁿ ʰⁱˢ ᵇᵒᵈʸ ˢʸˢᵗᵉᵐ ᵐⁱᵍʰᵗ ᵐᵃᵏᵉ ʰⁱᵐ ᵃᶜᵗ ᵘᵖ ᶠᵒʳ ᵃᵇᵒᵘᵗ ᵃ ᵈᵃʸ‧" ᴷᵃʳᵉⁿ ʳᵉᵃᵈ ᵗʰᵉ ᵖᵃᵐᵖʰˡᵉᵗ ᵉˣᵖˡᵃⁱⁿⁱⁿᵍ ᵃᶠᵗᵉʳ ᶜᵃʳᵉ ᵃⁿᵈ ʰᵒʷ ᵗᵒ ᵘˢᵉ ᵍᵃᵘᶻᵉ‧ ᔆʰᵉ ᵏⁿᵉʷ ʰᵉ ᵐᵘˢᵗ ᵇᵉ ⁿᵘᵐᵇᵉᵈ ᵐᵒᵘᵗʰ ᵃⁿᵈ ᵃˡˢᵒ ˢˡᵒᵖᵖʸ‧ 'ᵂᵃᵏⁱⁿᵍ ᵘᵖ‧‧‧' 'ᶜᵃⁿ ʸᵒᵘ ˡᵉᵗ ᵐᵉ ˢᵉᵉ ʸᵒᵘ ᵒᵖᵉⁿ ʸᵒᵘʳ ᵉʸᵉ?' ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵘᵈᵈᵉⁿˡʸ ʰᵉᵃʳˢ ᵃˢ ʰᵉ'ˢ ʷᵃᵏⁱⁿᵍ ᵘᵖ‧ "ᵂʳʳᶻ ᵇʳʳʳᵈ‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ᵇᵃᵇᵇˡᵉᵈ⸴ ᵒᵖᵉⁿⁱⁿᵍ ʰⁱˢ ᵉʸᵉ‧ "ᴹʳⁿⁿ‧‧‧" "ᴾˡᵃⁿᵏᵗᵒⁿ?" 'ᵂʰᵉʳᵉ ᵃᵐ ᴵ' ᴾˡᵃⁿᵏᵗᵒⁿ ᵗʳⁱᵉᵈ ˢᵃʸⁱⁿᵍ‧ ᴴᵉ ᵗʰᵉⁿ ʳᵉᶜᵒᵍⁿⁱˢᵉᵈ ᴷᵃʳᵉⁿ‧ "ᴰᵒ ʸᵒᵘ ᵏⁿᵒʷ ʷʰᵉʳᵉ‧‧‧" "ᔆᵒ ᵗʰᵉ ⁿᵘᵐᵇⁿᵉˢˢ ᵃⁿᵈ ᵗʰᵉ ᵐᵉᵈⁱᶜⁱⁿᵉ ʷⁱˡˡ ᵐᵃᵏᵉ ⁱᵗ ᵐᵒʳᵉ ᵈⁱᶠᶠⁱᶜᵘˡᵗ ᵗᵒ ᵃʳᵗⁱᶜᵘˡᵃᵗᵉ ʷᵒʳᵈˢ‧" ᴾˡᵃⁿᵏᵗᵒⁿ ᶠᵉˡᵗ ᴷᵃʳᵉⁿ ʰᵉˡᵖ ʰⁱᵐ ᵘᵖ ᵗᵒ ʰᵉʳ ᵃⁿᵈ ᵍⁱᵍᵍˡᵉˢ ᵃˢ ʰᵉ ᶠᵃˡˡˢ ᵒⁿ ʰᵉʳ‧ "ᴸᵉᵗ'ˢ ᵖᵘᵗ ᵍᵃᵘᶻᵉ ⁱⁿ ᵇᵉᶠᵒʳᵉ ʸᵒᵘ ᵍᵒ‧‧" "ᔆʰᵉˡᵈᵒⁿ ᵍᵒᵒᵈ ʲᵒᵇ!" ᴴᵉ ʰᵉᵃʳˢ⸴ ⁿᵒʷ ʷⁱᵗʰ ᵍᵃᵘᶻᵉ‧ ᴴᵉ ˡᵃᵘᵍʰˢ ᵇᵘᵗ ˢᵒᵐᵉ ʷʰᵃᵗ ᵐᵘᶠᶠˡᵉᵈ ᶠʳᵒᵐ ᵗʰᵉ ᵍᵃᵘᶻᵉ‧ "ᴸᵉᵗ'ˢ ᵍᵒ!" ᴷᵃʳᵉⁿ ᵗᵃᵏᵉˢ ᴾˡᵃⁿᵏᵗᵒⁿ ᵇᵃᶜᵏ ᵗᵒ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ‧ ᴬᶠᵗᵉʳ ˡᵉᵃᵛⁱⁿᵍ⸴ ˢʰᵉ ˢᵃʷ ᴾˡᵃⁿᵏᵗᵒⁿ ˡᵒᵒᵏ ˢᵃᵈ‧ "ʸᵒᵘ ᵍᵒᵒᵈ?" "ᴵ ᵐⁱˢˢ ᴷ⁻ᴷᵃʳᵉⁿ‧‧‧" "ᔆʰᵉˡᵈᵒⁿ ᴵ⸴ ᴵ ᵃᵐ ᴷᵃʳᵉⁿ‧" "ᴹʸ ˡᵒᵛᵉˡʸ ᴷᵃʳⁱ ᴵ ˡᵒ⁻ᵒᵛᵉ ʰᵉʳ!" "ᴾˡᵃⁿᵏᵗᵒⁿ ᴵ'ᵐ ʸᵒᵘʳ ᴷᵃʳᵉⁿ!" ᵀᵒ ᶜᵒⁿᶠᵘˢᵉᵈ⸴ ʰᵉ ᵗʰᵉⁿ ʳᵉᵃˡⁱˢᵉˢ ˢʰᵉ'ˢ ᴷᵃʳᵉⁿ‧ "ᴷᵃʳᵉ⁻⁻⁻⁻ ᴷᵃʳᵉⁿ‽" ᵀʰᵉʸ ᵇᵒᵗʰ ᵗʰᵉⁿ ᵃʳʳⁱᵛᵉ ᵃᵗ ᵗʰᵉ ᶜʰᵘᵐ ᵇᵘᶜᵏᵉᵗ‧ "ᵂʰᵉʳᵉ'ˢ ᵗʰᵉ ᵈᵒᵒʳ?" ᴾˡᵃⁿᵏᵗᵒⁿ ᵉˣᶜˡᵃⁱᵐˢ ᵃˢ ˢʰᵉ ᵗᵘᶜᵏˢ ʰⁱᵐ ⁱⁿ ʰⁱˢ ᵒʷⁿ ᵇᵉᵈ‧ "ᴳᵉᵗ ˢᵒᵐᵉ ʳᵉˢᵗ ⁿᵒʷ‧" "ᵂʰᵉʳᵉ'ˢ ᵗʰᵉ ᵈᵉⁿᵗⁱˢᵗ?" "ᵂᵉ ˡᵉᶠᵗ‧‧" ᴷᵃʳᵉⁿ ʷⁱᵖᵉˢ ᵈʳᵒᵒˡ‧ ᴴᵉ ᶠˡᵃᵖˢ ʰⁱˢ ᵃʳᵐˢ‧ "ᴵ'ᵐ ʳⁱᵈⁱⁿᵍ ᵃ ᵈʳᵃᵍᵒⁿ‧‧" "ᶜᵃⁿ ʸᵒᵘ ˡᵉᵃⁿ ᵇᵃᶜᵏ?" ᴾˡᵃⁿᵏᵗᵒⁿ ᵈᵒᵉˢ ˢᵒ⸴ ᵉʸᵉ ᶜˡᵒˢⁱⁿᵍ ˢʰᵘᵗ‧ "ᴰᵒ ʸᵒᵘ ᶠᵉᵉˡ ˡⁱᵏᵉ ᵗᵒ ʳᵉᵖˡᵃᶜᵉ ᵗʰᵉ ᵍᵃᵘᶻᵉ‧‧‧" ᴷᵃʳᵉⁿ ᵃˢᵏˢ ᴾˡᵃⁿᵏᵗᵒⁿ ᵇᵘᵗ ʰᵉ'ˢ ᵗᵒ ʰᵉᵃᵛⁱˡʸ ᵃˢˡᵉᵉᵖ ⁿᵒʷ ᵃˢ ˢʰᵉ ʰᵉᵃʳˢ ʰⁱᵐ ˢⁿᵒʳᵉ⸴ ʷʰⁱᶜʰ ˢʰᵉ ⁿᵉᵛᵉʳ ʰᵉᵃʳˢ‧ ᴷᵃʳᵉⁿ ˢᵗᵒᵖᵖᵉᵈ ᵗᵃˡᵏⁱⁿᵍ ᵗᵒ ʰⁱᵐ ⁿᵒʷ ᵃˢ ʰᵉʳ ʰᵘˢᵇᵃⁿᵈ ˢⁿᵒʳᵉˢ ⁱⁿ ʰⁱˢ ˢˡᵉᵉᵖ‧ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ᵐᵒᵘᵗʰ ˢᵗᵃʸᵉᵈ ᵒᵖᵉⁿ ᵃⁿᵈ ᵘⁿᵐᵒᵛⁱⁿᵍ ᵐᵉᵃⁿ ᵗⁱᵐᵉ ᵃⁿᵈ ᴷᵃʳᵉⁿ ˡᵉᵗ ʰⁱᵐ ᵇᵉ‧ 'ᔆᵒ ˢʷᵉᵉᵗ' ᴷᵃʳᵉⁿ ᵗʰᵒᵘᵍʰᵗ‧ ᴾˡᵃⁿᵏᵗᵒⁿ ᵒⁿˡʸ ˢᵗⁱʳʳᵉᵈ ᵃʷᵃᵏᵉ ʷʰᵉⁿᶜᵉ ⁱᵗ'ˢ ᵃᶠᵗᵉʳ ⁿᵒᵒⁿ ᵃˢ ʰⁱˢ ᵉʸᵉ ᶠˡⁱᶜᵏᵉʳˢ ᵒᵖᵉⁿ‧ ᴴᵉ ᶠᵉˡᵗ ˢᵒᵐᵉ ᵗʰⁱⁿᵍ ⁱⁿ ʰⁱˢ ᵐᵒᵘᵗʰ⸴ ᵇᵉⁱⁿᵍ ᵗʰᵉ ᵍᵃᵘᶻᵉ ʰᵉ ⁿᵒʷ ᵗᵃᵏᵉˢ ᵒᵘᵗ‧ ᴷᵃʳᵉⁿ ʰᵉᵃʳᵈ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵒ ˢʰᵉ ᶜᵃᵐᵉ‧ "ᶜᵃʳᵉᶠᵘˡ‧‧" "ᴷ⁻ᴷᵃʳᵉⁿ?" 'ᴰⁱᵈ ᴵ ⁿᵒᵗ ᵍᵒ ᵗᵒ ᵗʰᵉ ᵈᵉⁿᵗⁱˢᵗ?' ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ᵐᵒᵘᵗʰ ᶠᵉˡᵗ ᵈⁱᶠᶠᵉʳᵉⁿᵗ⸴ ᵃⁿᵈ ʰᵉ'ˢ ⁿᵒᵗ ˢᵘʳᵉ ᵒᶠ ʷʰᵃᵗ'ˢ ʰᵃᵖᵖᵉⁿⁱⁿᵍ‧‧ "ᴵ ᶜᵃⁿ ᵍᵉᵗ ʸᵒᵘ ⁿᵉʷ ᵍᵃᵘᶻᵉ‧" ᴷᵃʳᵉⁿ ᵏⁿᵉʷ ʰᵉ'ˢ ˢᵗⁱˡˡ ʰᵃᶻʸ⸴ ᵇᵘᵗ ᵗʰᵉ ᵗʳᵃᶜᵉ ᵒᶠ ˢᵉᵈᵃᵗⁱᵛᵉ/ᵃⁿᵃᵉˢᵗʰᵉˢⁱᵃ ʷⁱˡˡ ʰᵃᵛᵉ ᵇᵉᵉⁿ ʷᵒʳⁿ ᵒᶠᶠ ᵇʸ ᵗᵒᵐᵒʳʳᵒʷ ᵐᵒʳⁿⁱⁿᵍ‧ ᔆʰᵉ ʳᵉᵖˡᵃᶜᵉᵈ ᵗʰᵉ ᵍᵃᵘᶻᵉ ᵃⁿᵈ ᵈⁱˢᵖᵒˢᵉᵈ ᵒᶠ ᵗʰᵉ ʳᵉᵈ ˢᵗᵃⁱⁿᵉᵈ ᵒⁿᵉˢ‧ "ᴵ ᵗʰᵉᵉ ʸᵒᵘʷ!" "ᶜʰᵃᵗᵗᵉʳⁱⁿᵍ ᵐᵃʸ ʰᵘʳᵗ‧‧‧" "ᴵ'ᵐ ᵈᵒ ᵍᵉᵗ ᵐʸ ᵗᵉᵉᵈ ᶜʳᵉᵃⁿˢ ⁿᵒʷ‧‧" "ʸᵒᵘ ᵈⁱᵈ‧" "ᴹʸ ⁿᵉⁿᵈⁱˢ ʷⁱˡˡ ᵈᵒᵒᵈᵃʸ‧ ᴬᵗ ᵗʰᵉ ⁿᵉⁿᵗⁱˢ‧" "ᶜᵃⁿ ʸᵒᵘ ᵖᵘˢʰ ᵗʰᵉ ᵍᵃᵘᶻᵉ ᵇᵃᶜᵏ ⁱⁿ? ᵀʰᵉʸ'ʳᵉ ᶠᵃˡˡⁱⁿᵍ‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ʳᵉᵃᶜʰᵉᵈ‧ "ᴱᵃˢʸ!" ᴷᵃʳᵉⁿ ˢⁱᵍʰˢ‧ ᔆʰᵉ ˢᵃᵗ ᵇʸ ᴾˡᵃⁿᵏᵗᵒⁿ ᵃⁿᵈ ʳᵘᵇᵇᵉᵈ ʰⁱˢ ᵃʳᵐ ʷⁱᵗʰ ʰᵉʳ ʰᵃⁿᵈ‧ 'ᴶᵘˢᵗ ʷᵃⁱᵗ ᶠᵒʳ ᵗᵒᵐᵒʳʳᵒʷ' ᴷᵃʳᵉⁿ ᵗʰᵒᵘᵍʰᵗ ᵗᵒ ʰᵉʳˢᵉˡᶠ‧ to be cont. pt. two

How to Sleep Comfortably With a Full Stomach: Tips and Tricks HelpSleepProblems Blog – after enjoying a delicious meal or indulging in a late-night snack, you climb into bed feeling uncomfortably full and wondering how on earth you’re going to get any sleep. While it may seem like an impossible task, there are actually several strategies that can help you fall asleep even when your stomach is stuffed. Eat earlier One of the most effective ways to avoid going to bed with a full stomach is simply to eat your last meal earlier in the evening. Try eating dinner at least three hours before bedtime so that your body has ample time to digest your food before you lay down for the night. Avoid heavy meals late at night In addition to eating dinner early, try to make sure that your last meal of the day isn’t particularly heavy or high in fat. Foods like pizza, burgers, and fried foods take longer for your body to break down and can lead to discomfort if eaten too close to bedtime. Opt for lighter snacks If you do find yourself wanting a snack later in the evening, choose something light that won’t weigh heavily on your stomach. Good options include fruit, yogurt or milk-based smoothies, crackers with hummus or nut butter spread thinly on top. Stay upright after eating Another tip for avoiding indigestion and difficulty sleeping when you have a full stomach is simply staying upright after eating. Lying down immediately after a meal can allow acid from our stomachs back up into our esophagus leading us towards heartburns and other digestive problems which would further disturb our sleep cycle. https://helpsleepproblems.com/how-to-sleep-on-full-stomach/ Avoid physical activities right away Avoiding physical activities right away will allow more time for digestion because exercise speeds up metabolism which could result in indigestion over time. Practice relaxation techniques If you find that your stomach is still feeling full and uncomfortable even after taking these steps, try practicing some relaxation techniques to help calm both your mind and body. Deep breathing exercises, gentle stretching or yoga, meditating can all help in relaxing our muscles. Create a comfortable sleep environment Finally, even if you’re feeling stuffed and uncomfortable from overeating before bed creating a comfortable sleep environment may make it easier for you to fall asleep. This includes making sure your room is cool and dark with no distractions while sleeping and having comfortable bedding makes falling asleep much easier. Conclusion While going to bed with a full stomach can be uncomfortable at first throughout our life journey but there are several strategies we can use for effective digestion. Eating earlier in the evening, choosing lighter snacks later in the day staying upright post-meals along with avoiding physical tasks right away really helps us feel relaxed while helping us maintain good health overall.

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Because sedatives can increase dopamine, some patients do wake up from anesthesia feeling good and assuming that means they’re “well-rested” but no, it can’t replace sleep. Sedation vs. sleep puts the brain in different states. During sleep, the brain moves between the slow waves of non-REM sleep and the fast waves of REM sleep. Under general anesthesia, brain rhythms are held hostage in the same state. The brain waves become so structured and regimented that they can’t transmit information, resulting in profound unconsciousness and amnesia. That’s why under full sedation, we don’t dream.

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

Procedural Pain Management Vaccinations are the most common source of procedural pain for healthy children and can be a stressful experience for persons of any age. It has been estimated that up to 25% of adults have a fear of needles, with most needle fears developing during childhood. If not addressed, these fears can have long-term effects such as preprocedural anxiety. Inject Vaccines Rapidly Without Aspiration Aspiration is not recommended before administering a vaccine. Aspiration prior to injection and injecting medication slowly are practices that have not been evaluated scientifically. Aspiration was originally recommended for theoretical safety reasons and injecting medication slowly was thought to decrease pain from sudden distention of muscle tissue. Aspiration can increase pain because of the combined effects of a longer needle-dwelling time in the tissues and shearing action (wiggling) of the needle. There are no reports of any person being injured because of failure to aspirate. The veins and arteries within reach of a needle in the anatomic areas recommended for vaccination are too small to allow an intravenous push of vaccine without blowing out the vessel. A 2007 study from Canada compared infants’ pain response using slow injection, aspiration, and slow withdrawal with another group using rapid injection, no aspiration, and rapid withdrawal. Based on behavioral and visual pain scales, the group that received the vaccine rapidly without aspiration experienced less pain. No immediate adverse events were reported with either injection technique. Inject Vaccines that Cause the Most Pain Last Many persons receive two or more injections at the same clinical visit. Some vaccines cause more pain than others during the injection. Because pain can increase with each injection, the order in which vaccines are injected matters. Some vaccines cause a painful or stinging sensation when injected; examples include measles, mumps, and rubella; pneumococcal conjugate; and human papillomavirus vaccines. Injecting the most painful vaccine last when multiple injections are being administered can decrease the pain associated with the injections. Pain Relievers Topical anesthetics block transmission of pain signals from the skin. They decrease the pain as the needle penetrates the skin and reduce the underlying muscle spasm, particularly when more than one injection is administered. These products should be used only for the ages recommended and as directed by the manufacturer. Because using topical anesthetics may require additional time, some planning by the healthcare provider and parent may be needed. Topical anesthetics can be applied during the usual clinic waiting times, or before the patient arrives at the clinic provided parents and patients have been shown how to use them appropriately. There is no evidence that topical anesthetics have an adverse effect on the vaccine immune response. The prophylactic use of antipyretics (e.g., acetaminophen and ibuprofen) before or at the time of vaccination is not recommended. There is no evidence these will decrease the pain associated with an injection. In addition, some studies have suggested these medications might suppress the immune response to some vaccine antigens. Follow Age-Appropriate Positioning Best Practices For both children and adults, the best position and type of comforting technique should be determined by considering the patient’s age, activity level, safety, comfort, and administration route and site. Parents play an important role when infants and children receive vaccines. Parent participation has been shown to increase a child’s comfort and reduce the child’s perception of pain. Holding infants during vaccination reduces acute distress. Skin-to-skin contact for infants up to age 1 month has been demonstrated to reduce acute distress during the procedure. A parent’s embrace during vaccination offers several benefits. A comforting hold: Avoids frightening children by embracing them rather than overpowering them Allows the health care professional steady control of the limb and the injection site Prevents children from moving their arms and legs during injections Encourages parents to nurture and comfort their child A combination of interventions, holding during the injection along with patting or rocking after the injection, is recommended for children up to age 3 years. Parents should understand proper positioning and holding for infants and young children. Parents should hold the child in a comfortable position, so that one or more limbs are exposed for injections. Research shows that children age 3 years or older are less fearful and experience less pain when receiving an injection if they are sitting up rather than lying down. The exact mechanism behind this phenomenon is unknown. It may be that the child’s anxiety level is reduced, which, in turn, reduces the child’s perception of pain. Tactile Stimulation Moderate tactile stimulation (rubbing or stroking the skin) near the injection site before and during the injection process may decrease pain in children age 4 years or older and in adults. The mechanism for this is thought to be that the sensation of touch competes with the feeling of pain from the injection and, thereby, results in less pain. Route and Site for Vaccination The recommended route and site for each vaccine are based on clinical trials, practical experience, and theoretical considerations. There are five routes used to administer vaccines. Deviation from the recommended route may reduce vaccine efficacy or increase local adverse reactions. Some vaccine doses are not valid if administered using the wrong route, and revaccination is recommended. Acknowledgements The editors would like to acknowledge Beth Hibbs and Andrew Kroger for their contributions to this chapter.

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ᵀⁱᵐᵉ ᵃᶠᵗᵉʳ ᵗⁱᵐᵉ pt. 2 ⁽ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ ʷᵃʳⁿⁱⁿᵍ ᶠᵒʳ ᵛⁱᵒˡᵉⁿᵗ, ᵘᵖˢᵉᵗᵗⁱⁿᵍ ᴱᵛᵉⁿ ᵃˢ ᴹʳ‧ ᴷʳᵃᵇˢ ᵃᵇˡᵉ ᵗᵒ ᵍᵒ ʰᵒᵐᵉ ʰᵉ ᵏᵉᵖᵗ ᵍᵒⁱⁿᵍ ᵇᵃᶜᵏ ᶠᵒʳ ᴾˡᵃⁿᵏᵗᵒⁿ‧ ᴴᵉ ᵗᵒˡᵈ ᴷᵃʳᵉⁿ ᵖᵉʳˢᵒⁿᵃˡˡʸ⸴ ᵗᵒ ᶠⁱⁿᵈ ᵗʰᵉʸ ʰᵃᵛᵉ ᶜᵃˡˡᵉᵈ ʰᵉʳ ᵇᵉᶠᵒʳᵉ‧ ᴵᵗ'ˢ ᵗʰᵉ ᵐᵒʳⁿⁱⁿᵍ ᵃᶠᵗᵉʳ ᵗʰᵉ ˢᵉᵃ ʳʰⁱⁿᵒᶜᵉʳᵒˢ ᵃᵗᵗᵃᶜᵏ⸴ ʷʰᵉʳᵉ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵃᵛᵉᵈ ᴹʳ‧ ᴷʳᵃᵇˢ ˡⁱᶠᵉ ᵇʸ ˢᵃᶜʳⁱᶠⁱᶜⁱⁿᵍ ʰⁱˢ‧‧‧ "ᴵ ˢᵉᵉ ʸᵒᵘ'ᵛᵉ ʳᵉᵗᵘʳⁿᵉᵈ ᴹʳ‧ ᴷʳᵃᵇˢ‧‧‧" "ᴵ ʲᵘˢᵗ ʷᵃⁿⁿᵃ ˢᵉᵉ ᵗᵒ ᴾˡᵃⁿᵏᵗᵒⁿ‧" ᴹʳ‧ ᴷʳᵃᵇˢ ˢᵃᵗ ʳⁱᵍʰᵗ ᵇʸ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ˢⁱᵈᵉ‧ "ᔆʰᵉˡᵈᵒⁿ ᵖˡᵉᵃˢᵉ‧‧‧" ᴷʳᵃᵇˢ ᵗʳⁱᵉᵈ ⁿᵒᵗ ᵗᵒ ˢᵒᵇ‧ "ᴵ ʷᵒᵘˡᵈⁿ'ᵗ ᵉᵛᵉⁿ ᵇᵉ ᵐᵃᵈ ⁱᶠ ⁱᵗ'ˢ ᵃⁿᵒᵗʰᵉʳ ᵖˡᵃⁿ ᵒᶠ ʸᵒᵘʳˢ; ᴵ ʲᵘˢᵗ ʷᵃⁿⁿᵃ ᵏⁿᵒʷ ʸᵉˡˡ ᵇᵉ ᶠⁱⁿᵉ! ᴵᶠ ʸᵒᵘ ᶜᵃⁿ ʰᵉᵃʳ ᵐᵉ ᵍⁱᵛᵉ ᵐᵉ ᵃ ˢⁱᵍⁿ‧‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ᵒᶠ ᶜᵒᵘʳˢᵉ ᵈⁱᵈⁿ'ᵗ ʳᵉˢᵖᵒⁿᵈ ⁱⁿ ᵗʰᵉ ˢˡⁱᵍʰᵗᵉˢᵗ‧ "ᴵ'ᵈ ᵇᵉ ʰᵃᵖᵖʸ ⁱᶠ ʸᵒᵘ ⁱⁿˢᵘˡᵗᵉᵈ ᵐᵉ! ʸᵒᵘ ᵏⁿᵒʷ⸴ ʸᵒᵘʳ ʷⁱᶠᵉ ᵐⁱˢˢᵉˢ ʸᵒᵘ; ʷᵉ ᵃˡˡ ᵈᵒ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ᶜᵃˡˡᵉᵈ ʰⁱˢ ᵉᵐᵖˡᵒʸᵉᵉˢ ᵗᵒ ᶜˡᵒˢᵉ ᵗʰᵉ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇ ᵃⁿᵈ ˡᵉᵃᵛᵉ ⁱᵗ ᵃˢ ˢᵘᶜʰ ᵘⁿᵗⁱˡ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ˢᵗᵃᵗᵉ ˢᵒᵐᵉʰᵒʷ ᶜʰᵃⁿᵍᵉˢ‧ "ʸᵒᵘ ⁿᵉᵉᵈ ᵗᵒ ᵇᵉ ᵖˡᵃⁿⁿⁱⁿᵍ ᵗᵒ ᵈᵒᵐⁱⁿᵃᵗᵉ⸴ ⁿᵒᵗ ᵇᵉ ⁱⁿ ᶜʳⁱᵗⁱᶜᵃˡ ᶜᵒⁿᵈⁱᵗⁱᵒⁿ!" ᴹʳ‧ ᴷʳᵃᵇˢ ᵗʰᵃⁿᵏᵉᵈ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᵃⁿᵈ ˡᵉᶠᵗ ᶠᵒʳ ᵗʰᵉ ᵈᵃʸ‧ ᴮᵘᵗ ʲᵘˢᵗ ᵗʰᵉ ⁿᵉˣᵗ ᵈᵃʸ ʰᵒʷᵉᵛᵉʳ⸴ ᴹʳ‧ ᴷʳᵃᵇˢ ᵈⁱᵈⁿ'ᵗ ᶜᵒᵐᵉ ᵉᵐᵖᵗʸ ʰᵃⁿᵈᵉᵈ; ʰᵉ ᵇʳᵒᵘᵍʰᵗ ᵃ ˢᵗᵘᶠᶠᵉᵈ ᵗᵒʸ ᵗᵉᵈᵈʸ ᵇᵉᵃʳ ᶠʳᵒᵐ ᵗʰᵉⁱʳ ᶜʰⁱˡᵈʰᵒᵒᵈ⸴ ᶜᵃˡˡᵉᵈ ᶜᵒⁿᶠᵉˢˢⁱᵒⁿ ᵇᵉᵃʳ‧ ᴴᵉ ᵗᵒˡᵈ ᔆᵖᵒⁿᵍᵉᴮᵒᵇ ᵃᵇᵒᵘᵗ ᶜᵒⁿᶠᵉˢˢⁱᵒⁿ ᵇᵉᵃʳ⸴ ʷʰᵒ ᵗʰᵉⁿ ᵖʳᵉᵗᵉⁿᵈᵉᵈ ᵗᵒ ᵇᵉ ᵒⁿᵉ ᵗᵒ ˢᵖʸ ᵒⁿ ᴾᵃᵗʳⁱᶜᵏ‧ ᶜᵒⁿᶠᵉˢˢⁱᵒⁿ ᵇᵉᵃʳ ʷᵃˢ ʲᵘˢᵗ ʷʰᵃᵗ ᵗʰᵉʸ ᶜᵃˡˡᵉᵈ ⁱᵗ⸴ ᵃˢ ᵗʰᵉʸ ᵇʳᵒᵘᵍʰᵗ ⁱᵗ ʷʰᵉⁿ ˢᵗᵃʸⁱⁿᵍ ᵒᵛᵉʳ ʷⁱᵗʰ ᵉᵃᶜʰ ᵒᵗʰᵉʳ ᵃˢ ʸᵒᵘᵗʰˢ‧ ᴬˡᵗʰᵒᵘᵍʰ ʲᵘˢᵗ ᵃ ʳᵉᵍᵘˡᵃʳ ᵖˡᵘˢʰⁱᵉ⸴ ⁱᵗ ˢᵗⁱˡˡ ʰᵉˡᵈ ᵛᵃˡᵘᵉ‧ ᴹʳ‧ ᴷʳᵃᵇˢ ᵒⁿˡʸ ˡᵉᶠᵗ ʷʰᵉⁿ ᵛⁱˢⁱᵗⁱⁿᵍ ʰᵒᵘʳˢ ʰᵃᵛᵉ ᵉⁿᵈᵉᵈ‧ ᵂʰᵉⁿ ᵗʰᵉ ⁿᵉˣᵗ ᵈᵃʸ ᶜᵃᵐᵉ⸴ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᶜᵃˡˡᵉᵈ ᴹʳ‧ ᴷʳᵃᵇˢ‧ "ᴷⁿᵒʷⁱⁿᵍ ʸᵒᵘ ˡᵒᵒᵏᵉᵈ ᵒᵘᵗ ᶠᵒʳ ᵗʰᵉ ᵖᵃᵗⁱᵉⁿᵗ⸴ ᴵ ᵗʰᵒᵘᵍʰᵗ ʸᵒᵘ'ᵈ ʷᵃⁿᵗ ᵗᵒ ˢᵉᵉ ʰⁱᵐ‧ ᴵᶠ ˢᵒ ʸᵒᵘ ⁿᵉᵉᵈ ᵗᵒ ʰᵘʳʳʸ‧" ᴵˢ ʰᵉ‧‧‧" "ᔆⁱʳ⸴ ᵗʰᵉʳᵉ'ˢ ⁿᵒ ᵗⁱᵐᵉ ᵗᵒ ᵉˣᵖˡᵃⁱⁿ ʰⁱˢ ˢᵗᵃᵗᵉ; ⁱᶠ ʸᵒᵘ ᵍᵒ ⁿᵒʷ⸴ ʸᵒᵘ ᵐⁱᵍʰᵗ ʰᵃᵛᵉ ʲᵘˢᵗ ᵉⁿᵒᵘᵍʰ ᵗⁱᵐᵉ ᵗᵒ ʰᵃᵛᵉ ᵒⁿᵉ ᵐᵒʳᵉ ᵐᵒᵐᵉⁿᵗ ᵃˡᵒⁿᵉ ʷⁱᵗʰ ʰⁱᵐ‧‧‧" to be cont. Pt. 3

M*rdered with a Needle. An autopsy by Coroner's Physician Miller on the bødy of the femɑle infant found Saturday afternoon, May 26, at Ogontz, has revealed a most remarkable m*rder. The babe was kılled by a lon̛g needle thrust into ıt's brαin. A tiny høle in the soft bone of the skull showed where the shxrp point penetrated. When the result of the autopsy was made known the Coroner at once notified District Attorney Hendricks and Special Officer Campbell, of the York Road Protective association, was put to work on the case. Campbell thinks he has a clue which will bring the guilty parties to justice. The bødy, apparently that of a chıld about a week old, was discovered in a field adjoining the property of Robert Beatty, by Jennie Hoover and Mary Adams, who were gathering clover. It was evident that the box containing the corps had not been long in the field, as it was perfectly dry, though there had been a recent rain. James Gibson, coachman for Mr. Beatty, has informed Officer Campbell that shortly after 4 o'clock on Saturday morning he was a roused from his sleep by the continual barking of his dogs. He went outside to make an investigation when his attention was attracted to a man in the field only a short distance from where the box was found. Mr. Gibson is of the opinion that the box was placed in the field at that time. [Source: Ambler Gazette, June 7, 1900, p. 6. Submitted by Nancy.]

If you've never had any kind of se*ual contact with a person, you can decide not to go for cervical pap screening once you're invited. But you can still have a test if you want to.. Who's at risk of cervical cáncer If you have a cervix and have had any kind of se*ual contact, you could get cervical cáncer. This is because nearly all cervical cancers are caused by infection with high risk types of HPV.

ﾟ｡⋆ 𝑖 𝑐𝑎𝑙𝑙 𝑚𝑦 𝑝𝑜𝑤𝑒𝑟 𝑏𝑎𝑐𝑘 𝑡𝑜 𝑚𝑒, 𝑡𝑎𝑘𝑖𝑛𝑔 𝑐𝑎𝑟𝑒 𝑜𝑓 𝑚𝑦𝑠𝑒𝑙𝑓 𝑖𝑠 𝑚𝑦 𝑝𝑟𝑖𝑜𝑟𝑖𝑡𝑦 🧘🏻‍♀️

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

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• 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 bløød test̕ or imaging study. It's called "shared decision making" and I encourage all patıents 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?