#Colloidal Generators
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Colloidal Generators
Discover top-quality colloidal silver generators at BioSilverStreamGen. Our product category features a range of innovative Colloidal Generator options for your health needs. Harness the power of colloidal silver with our reliable generators.
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Colloidal Silver Generator: The Ultimate Solution for Clean Drinking Water
Drinking safe and healthy water is now a must in our modern times, which is not surprising. As pollution and pollution levels increase, obtaining healthy and pure drinking water is increasingly difficult.
Location: Canada Email Us At: [email protected] [email protected] Phone Us At : 289–464–0114 OR 1–877–315–4823
#colloidal gold#colloidal silver generator#colloidal gold generators machine#colloidal waters generator#commercial colloidal silver generators#colloidal generators#pemf#colloidal zinc generator#pulse electro magnetic field therapy#colloidal gold generators
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Electrodes For Residential Colloidal Generator
Ever wondered about the future of at-home wellness? Enter Bio Silver Streamgen—your gateway to a personalized and transformative health journey. Have you considered the powerful synergy of Electrodes for Residential Colloidal Generators? With Bio Silver Streamgen, unlock the potential of these electrodes, designed to seamlessly integrate into your living space. Call 289-464-0114 to order now!

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Electrodes For Residential Colloidal Generator
Ever wondered about the future of at-home wellness? Enter Bio Silver Streamgen—your gateway to a personalized and transformative health journey. Have you considered the powerful synergy of Electrodes for Residential Colloidal Generators? With Bio Silver Streamgen, unlock the potential of these electrodes, designed to seamlessly integrate into your living space. Call 289-464-0114 to order now!

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much to ponder
my wrestler name is Lunar Caustic and im a tiny goth faggot who seduces all the jocks in the ring
#technically any kind turns you blue not just silver nitrate#but 'colloidal solution of silver' is less catchy LOL#silver is antimicrobial but may also kill healthy you-cells so its not used much anymore except in a few types of wound dressings#historically lunar caustic (silver nitrate) was used to disinfect newborns' eyes in case of germs transferred during childbirth#actually really important and effective but can burn a little itself so we have safer stuff for that now#plus like STI screening and antibiotics in general lmao
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New blue light-emitting lasers leverage low-toxicity colloidal quantum dots
Blue lasers, lasers that emit a light beam with a wavelength between 400 nm and 500 nm, are key components of various technologies, ranging from high-resolution displays to printers, medical imaging tools and data storage solutions. A key advantage of these lasers is that they generate coherent and intense light beams that can be leveraged to develop highly advanced optical technologies. One approach to developing blue lasers entails the use of colloidal quantum dots (CQDs). These are nanoscale semiconducting particles with unique optical properties associated with their size. Lasers based on these nanoscale particles could have notable advantages, including enhanced power-efficiency and tunability. Most quantum dot-based lasers developed so far utilized cadmium (Cd) particles that emit red light, while efforts to introduce similar blue light-emitting lasers were sparser.
Read more.
#Materials Science#Science#Lasers#Colloids#Quantum dots#Zinc selenide#Zinc sulfide#Zinc#Selenium#Sulfides
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suicide tw, this is to do with ECT. Feel free to ignore. I grew up with a neighbour who I loved greatly who had had terrible mental illness since she was about 20. She was orphaned quite young and had a thyroid issue that led to depressive episodes every 5 years. She tried so so hard, and I looked up to her greatly. She had a wonderful marriage and a beautiful son. She ended up using ECT and for a while she said it was magical for her, but she ended up passing away in February 2020. I don't know how to feel about ECT, because I only know about it from her and Carrie Fisher. It is just a painful thing idk
yea i also know people who have chosen to get ECT and believe it successfully treated their depression/bipolar. one thing about medicine is no matter how quack or dangerous a cure is, there will be people who swear up and down it helped them. like. there are people who swear by colloidal silver or megadosing vitamins or food combining, there are people who think vaccines are more dangerous than getting ill, there are people who feel better after chiro appointments or cupping. you see this across the history of medicine too like truly any remedy you can think of, there's someone on record saying it cured them: bloodletting, aromatherapy to treat plague, hydrotherapy to treat cirrhosis, using human excrement in cosmetics, bathing in mercury. anecdotes should generally be taken seriously as a reflection of how people experience their unwellness but that's not the same as assuming that they understand medically or physiologically what made them sick or better.
so like i said before there are people who absolutely will swear by ECT and im never going to argue with them about whether or not they are indeed better or happier now -- but again when i look up actual studies on this it looks, in the aggregate, very unreliable and ineffective and with a very high risk of serious side effects like persisting memory issues. that narrative is never going to capture every single patient testimony. but like, neither is the extremely well-supported claim that eating lead paint chips is bad for you & i'm actually still not going to fuck around with that one either.
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Astrological Charms to bring luck and avoid misfortune.
Sun-
Fire
1st: wearing gold, sunflower, or sun shaped jewelry on the face or head
5th: making art about the Sun, donating something solar to a children's center, wearing a golden heart
9th: praying to the Sun, traveling to sunny places, praying to child gods
Aries: wearing gold crowns or head pieces, wearing Gold glyph of your sun sign, having a solar-themed knife
Leo: wearing gold, Amber jewelry over the heart, wearing a gold glyph of your sun sign,
Sagittarius: wearing golden spiritual symbols (gold crucifix for instance), meditating on the nature of light, wearing gold pants, wearing a gold glyph of your sun sign.
Earth
2nd: wearing gold necklaces and chokers, keeping gold coins on your person, singing to the Sun,
6th: eating foods ruled by the Sun, helping a child with an everyday task, taking gold oil
10th: spreading collective merriment, wearing a gold tooth, branding with solar imagery and or working at a place associated with light and children
Taurus:wearing gold necklaces and chokers, using gold mirror, wearing a gold glyph of Taurus
Virgo: wearing gold rings on the ring finger, taking gold oil, wearing a gold glyph of Virgo
Capricorn:wearing highlighter on the cheekbones, wearing gold oil on the joints, wearing a gold glyph of Capricorn
Air
3rd: wearing gold rings, using solar-based aromatherapy, be generous with dominant sibling
7th: wearing a golden scale, pursuing justice, using a gold mirror
11th wearing gold ankle jewelry, participating in community theater, imagining a better tomorrow
Gemini: wearing gold arm bands, using solar-based aromatherapy, wearing a golden glyph of Gemini
Libra: using a gold mirror, keeping the tarot cards justice and the sun together on your person, wearing a gold glyph of Libra.
Aquarius: wearing gold jewelry on ankle, donating to heart charity, wearing a gold glyph of Aquarius
Water
4th: decorating the home with solar imagery, gold furniture, gold or solar imagery on your home altar
8th: facing childhood fears, wearing gold undergarments, leaving sunflowers at the cemetery
12th: donating art supplies or toys to a prison, praying to solar deities, praying to child gods
Cancer: wearing gold jewelry on the nipples, drinking golden milk, wearing a golden glyph of cancer
Scorpio: keeping a golden knife or solar knife on your person, Golden Private part adornment, Golden glyph of Scorpio
Pisces: doing recreational substances within reason, praying to the Sun, wearing a Gold glyph of Pisces
Moon-
Fire
1st: wearing silver jewelry or lunar iconography on the face and head
5th: making art about the moon, tending a moon garden, wearing a silver heart
9th: praying to the moon, traveling to the ocean, praying to mother goddesses
Aries: wearing silver head jewelry, having lunar-themed knife, wearing a silver glyph of the zodiac sign Aries
Leo: Sun Moon imagery together, silver jewelry over the heart, eating sweets from childhood
Sagittarius: wearing silver religious iconography, meditating on lunar concepts, wearing silver glyph of Sagittarius
Earth
2nd: collecting silver coins, wearing silver jewelry around throat or jewelry that belongs to your mother, using a silver mirror
6th: following an ancestral diet, eating lunar foods, nurturing others daily
10th: following an ancestral path or destiny, wear silver tooth, give readings to others free of charge
Taurus: use silver mirror, Go outside, wear silver Taurus necklace
Virgo: wear silver rings and waste beads, take colloidal silver, wear silver Virgo necklace
Capricorn: wear silver highlighter, where silver oil or lunar oil on the joints, wear silver Capricorn jewelry
Air
3rd: where silver arms jewelry, use lunar aromatherapy, be kind to gentle sibling
7th: used silver mirror, fight for women's rights, wearing silver scale
11th: wear silver ankle bracelet, donate to charities for moms, getting digitally popular/making a family fanbase
Gemini: use different languages daily, wear silver jewelry on the arms, lunar aromatherapy
Libra: Wear a silver scale, practice Feng shui, use silver mirror
Aquarius: wear silver ankle jewelry, trap a cloud in a bottle and wear it, wear silver Aquarius necklace
Water
4th: decorating the home in silver and lunar iconography, creating an altar with silver and lunar iconography in the home, creating a strong family
8th: silver undergarments, leaving lunar flowers at cemetery, facing fears around security
12th: praying to lunar deities, donating emotional labor to prison,
Cancer:wearing silver, carrying moonstone, wearing silver cancer jewelry
Scorpio: silver knife, carrying the ashes or belongings of a dead loved one, wear silver Scorpio glyph
Pisces:silver glyph
Mercury-
Fire
1st: wearing cinnabar head jewelry, wearing mercurial archetypal iconography, using I am affirmations
5th: wearing your poetry, turning old school books into talisman, roleplaying out loud your desires
9th: praying to Mercurial gods and spirits, mentally traveling to different places, learning something new everyday
Aries: making a knife out of newspaper,wearing silver glyph of mercury sign, rubbing forehead with mercury dime
Leo: positive affirmations, giving compliments, wearing a silver glyph of mercury sign,
Sagittarius: out loud prayer, reading out of sacred texts, wearing silver glyph
Earth
2nd: carrying a Mercury dime, speaking as is everything is yours, singing
6th: taking homeopathic mercurius vivus or solubilis, write your schedule as you'd like it to go every day, carry dried Mercurialis annua in a light blue sack
10th: speaking in archaic form your desires or intention, write a book, carry a written list of your ambitions always in your wallet
Taurus: carrying a Mercury dime, using cinnabar inspired makeup, wearing a glyph of your mercury sign
Virgo: carrying mercurius annual, write down your intentions and carry them with you, speak over your schedule
Capricorn: using archaic language, right down your intentions and carry them with you, manifest through "what if"
Air
3rd: carry written words of a beloved sibling, your will is words, write your intentions in a language you are learning
7th: use legal language to demand what you want,debate with yourself often, carry a word of power with you
11th: write your goals in your phone or computer,
Gemini: speak your intentions, Make new words and carry them, Carry a glyph of your zodiac sign
Libra: carry a constitution with you in a purse or back pocket, use legal language to State your intention, carry a glyph of your sign
Aquarius: poster goals privately on social media, write them in your phone, carry a glyph of your sign
Water
4th: speak to your ancestors, Carry the words of a loved one, decorate the home with cinnabar
8th: speak to the dead, Carry the words of someone who's passed on with your intention, do research on the nameless graves around you
12th: speak to the angels, Carry words from a sacred book, write letters to someone in prison
Cancer: learn ancestral languages, carry the words of a loved one, where the glyph of your sign
Scorpio: Carry the words of someone who's passed, Carry somebody's secrets written down to dominate them, where the glyph of your sign
Pisces: Carry the words from a sacred book, write letters to someone in prison, where the glyph of your sign
Venus-
Fire
1st: Wear copper jewelry on the head, wear lots of makeup and dress beautifully, wear jewelry in the shape of dollar signs, money signs etc or hearts
5th: Make candy and give it to others, wear a copper heart, start a fling
9th: pray to love and lust goddesses, meditate on luxury and money, travel to decadent locations
Aries: wear copper sword accessories EX earrings, rings etc, where spicy fragrances, wear your Venus sign glyph
Leo: Wear copper sun accessories, wear citruses, wear your Venus sign glyph
Sagittarius: Wear copper religious iconography and bow and arrow, wear smokey incense smells, wear your Venus glyph
Earth
2nd: collect rare coins and carry them in a bag, use a copper mirror, Wear copper jewelry around throat
6th:take cuprum metallicum, Make art or do something beautiful daily, meditate on your intentions
10th: where ancient copper jewelry, where the literal glyph of Venus publicly, carry sugar cane with you in a pocket when in public
Taurus: collect rare coins, use a copper mirror: wear copper glyph of Taurus
Virgo: treat yourself to sugar, do yoga/Pilates, wear your glyph
Capricorn: sensually embodied death, where ancient jewelry, wear your glyph
Air
3rd: being sweet to your sibling, intimately getting to know where you grew up and keeping a trinket from that region on your person, wearing copper jewelry on your arms
7th: entertaining multiple lovers and enemies at a time, making contracts with women and fem aligned people, wearing jasmine and rose perfume
11th: creating a fan base that desires you/donating to an artist collective, making art that reflects your vision of an ideal world, wearing copper jewelry on your ankles
Gemini: wearing copper jewelry on your arms, villusion aromatherapy, wearing a copper glyph of Gemini
Libra: using a copper mirror, and effigy of all their relationships to carry totemic power,carrying a glyph of Libra in copper
Aquarius: wearing copper ankle jewelry, creating fake internet persona, wearing a glyph of Aquarius in copper
Water
4th: decorating your home beautifully, using copper decor, making an altar with copper and devoted to love, money, or beauty spirits
8th:constantly change your aesthetic to be terrifying, carry a jar of a lovers fluids, leave money at the cemetery
12th: praying to spirits and goddesses of beauty, love, money and desire, donating to a women's prison or shelter, meditating on venusian things
Cancer: wearing an ancestral piece of jewelry on the chest are, leaving out for for ancestors, wearing glyph of cancer in copper
Scorpio: putting blood on your vanity,wearing copper knife themed jewelry, wearing a copper glyph of your sign
Pisces: copper toe rings, praying to love goddesses, wearing a glyph of your sign in copper
Mars-
Fire
1st: wearing iron head jewelry or face jewelry, wearing red, keeping an iron blade on your person
5th: carrying galangal root, wearing an iron heart, playing a sport
9th: worshiping or praying to martian God's, meditating on war and destruction, iron religious icons
Aries: carrying an iron blade, carrying a vial of blood, an iron glyph of your Mars sign
Leo: leaving an iron object for the spirits at a theater, making red sigils, wearing iron mars
Sagittarius: praying to gods of war, visiting battlefields, wearing iron mars
Earth
2nd: carrying an iron coin, wearing iron jewelry around the throat, carrying art that depicts harm
6th: spicy foods/taking type caipsasun, taking iron supplement, wearing iron jewelry on the hands
10th: becoming a sex symbol, wearing a sex symbol made of iron, collecting historical military memorabilia
Taurus: carrying iron coins, wearing iron around neck or in nose, wearing iron glyph of sign
Virgo: iron waste beads, taking caipsasun, wearing iron glyph of sign
Capricorn: putting iron oil on joints, carrying iron bones, wearing a glyph of the sign
Air
3rd: competing with sibling, carrying iron in your car, wearing iron on your arms
7th: wearing an iron scale, burying iron at a courthouse, wearing the blood of your enemies
11th:donating to firehouse/place of danger, carrying an iron star, joining a dojo
Gemini: wearing iron on your arms, Martian aromatherapy, wearing an iron glyph
Libra: using an iron mirror, burying iron at the courthouse, wearing iron glyph
Aquarius: wearing iron ankle bracelet, wearing iron star, wearing iron glyph
Water
4th: putting blade on your altar, keeping iron horseshoe above the door, decorating the home with weaponry
8th: honor the violently killed dead, leaving iron at the cemetery,
12th: praying to mars, praying to martian God, meditating on war
Cancer:fighting ancestral battles, sprinkling iron dust around home, wearing iron glyph
Scorpio: honor the violently killed dead, carry iron blade, wearing iron glyph
Pisces: wearing iron toe rings, praying to war spirits, wear iron glyph
Jupiter -
Fire
1st: wearing tin head jewelry, wearing religious iconography, carrying a sacred text on your person
5th: have a child pray for your intention, create devotional art, donate to children's charity
9th: pray and meditate often,donate to a church/temple, make a pilgrimage
Aries: pray to war gods, recite war verses, wear a tin glyph of your sign
Leo: pray to sun God's, recite verses of light, wear a tin glyph of your signSagittarius: pray to king God's, recite holy scripture or mantra, wear a tin glyph of your sign
Earth
2nd: carry foreign currency, make offerings to money/fertility spirits, donate to a place of your values
6th: take tin supplement, make offerings to nature spirits, donate to hospital/environmental agency
10th:make offerings to death gods and time gods, start a business, wear tin oil on joints
Taurus: pray to beauty goddesses, recite sacred texts about love or nature, wear tin glyph of your sign
Virgo: pray to nature mother's, recite texts about healing and nature, wear a tin glyph of your sign
Capricorn: pray to nature spirits, death and time keepers, recite texts about eternity, wear a tin glyph of your sign
Air
3rd: wear tin armbands, pray to Gods of learning, recite scholarly texts in spiritual context
7th: use tin mirror, pray to Gods of strategy,justice and diplomacy, recite the law
11th:wear tin ankle bracelet, pray to Gods of stars and heaven and time, recite verses about utopia
Gemini:pray to Gods of learning and education,recite texts about learning, wear tin glyph
Libra: pray to Gods of love and justice, recite the law and love, wear tin glyph
Aquarius: pray to Gods of heaven and sky, recite hopeful texts, wear tin glyph
Water
4th:big altar in the home, pray to your ancestors/lunar goddesses of night and oceanic spirits, use tin in the home
8th:donate to cemetery, pray to Gods of the grave and underworld, recite texts about death
12th:donate to monastery and ashram, pray to water spirits, use substances wisely
Cancer:pray to ancestors, recite ancestral texts, wear tin glyph
Scorpio: pray to death, recite texts of death, wear tin glyph
Pisces: pray to spirits, recite texts of liberation and ecstasy, wear tin glyph
Saturn-
Fire
1st: Wearing obsidian or hematite head jewelry, wearing bone jewelry, wearing black
5th: wearing a black heart, making dark art, visiting cemeteries for fun
9th: worshiping gods of death, decay in time, traveling to places of struggle, meditating on restriction
Aries: ram bone blade, asceticism, glyph in obsidian
Leo:putting bones in a dried heart and keeping it on you, asceticism, glyph in obsidian
Sagittarius: equine bones, asceticism, glyph in obsidian
Earth
2nd: wearing obsidian around the neck, keeping a black wallet, collecting bones
6th: foraging,plumbum metallicum,wearing obsidian ring
10th: collective environmentalism, wearing relics, wearing black
Taurus: using it obsidian mirror, asceticism, glyph of Taurus
Virgo: wearing waist beads, asceticism, glyph of Virgo
Capricorn: wearing ashes on joints, wearing bones, glyph of Capricorn
Air
3rd: saturnian aromatherapy, wearing obsidian armbands, words of Power
7th: allowing yourself to be karma, using an obsidian mirror, wearing a obsidian scale
11th: wearing an obsidian ankle bracelet, donating to a funeral home or cemetery, holding a black star
Gemini: words of power, asceticism, glyph of Gemini
Libra: pursuing justice, a staticism, glyph of Libra
Aquarius: committing to a group, asceticism, glyph of Aquarius
Water
4th: having an altar outside of the home, obsidian on the altar, decorating the home with lots of clocks or timepieces
8th: attending to the graves in a cemetery, speaking to the dead, developing relationships with older people
12th: praying to death, praying to time, meditating on limitation
Cancer: memento mori, asceticism, glyph of cancer
Scorpio: blade made of obsidian, staticism, glyph of Scorpio
Pisces: praying to death, asceticism, glyph of pisces
Ceres-
Aries/1st: wearing the color green, wearing symbols of healing and health, eating spicy food
Taurus/2nd: attending a garden, burying money in a garden, eating sweets
Gemini/3rd: aromatherapy, carrying a clay hand with seeds in it, giving seeds to the wind
Cancer/4th: venerating agrarian ancestors/ deities, putting wheat on your altar, feeling your home with plants
Leo/5th: exercise, eating and cooking childhood favorites, planting sunflowers
Virgo/6th: environmentalism/animal rights advocacy, worshiping the earth, carrying barley or wheat
Libra/7th: practicing Pilates/yoga, making environmental laws and writing them and carrying them, planting roses
Scorpio/8th: meditating on death, making charms to heal others, putting dark chocolate powder on the windowsill
Sagittarius/9th: praying to mother nature, traveling to beautiful places, planting exotic plants
Capricorn/10th: meditating on death, burying bones in your garden, crushed up egg shell in the doorway
Aquarius/11th: feeding the collective, donating to a hospital, spreading environment to live them online
Pisces/12th: saving the ocean, planting a fish head, carrying seaweed
Athena-
Aries/1st: wearing a vial of courthouse dirt, wearing balance and symmetrical outfits, carrying a spearhead
Taurus/2nd: leaving money on the scale that a courthouse or by a statue of justice, sowing your own clothes, wearing a coin from a successful business
Gemini/3rd: engaging in debate, putting a bay leaf under your tongue with your intention, drawing a glyph of the scales on arm
Cancer/4th: bringing justice to your ancestors, bringing scales into your home, decorating your home with legal decor
Leo/5th: advocate for children, wear chain from an athlete, where the hair of a lawyer
Virgo/6th: practice yoga, wear glass beads, fight for environment
Libra/7th: be fair always, carrier scale with you, Wear an object of your enemy
Scorpio/8th: carry salt in your back pocket, give blood to the right side of justice at the courthouse, abstain from revenge
Sagittarius/9th: give Justice to Holy places, travel for advocacy, carry foreign symbol of legal or judicial meaning
Capricorn/10th: carry a copy of The ten commandments
Aquarius/11th: advocacy work
Pisces/12th: praying to spirits of justice, law and balance, meditate on justice
Juno-
Aries/1st: wear crowns.
Taurus/2nd: wear Royal neck jewelry
Gemini/3rd: carry pages of a book about royalty
Cancer/4th: Carry ancestral emblems of royalty
Leo/5th: Wear Golden crown
Virgo/6th: wear Royal Flowers and plants essences
Libra/7th: Carry a royal object associated justice
Scorpio/8th: carry a royal object associated with death
Sagittarius/9th: carry a royal religious symbol
Capricorn/10th: carry a royal scepter
Aquarius/11th: carry a star
Pisces/12th: worship royalty
Vesta-
Aries/1st: include iron, red, fire or spicy things on your altar
Taurus/2nd: include sugar, luxury items, perfume and cosmetics on your altar
Gemini/3rd: include fresh sense, books, tools on your altar
Cancer/4th: include ancestral objects, lunar symbolism and iconography on your altar
Leo/5th: include childlike things, toys and solar symbolism and iconography on your altar
Virgo/6th: include memorabilia connected with healers, doctors in therapists on your altar
Libra/7th: include things associated with justice law and partnership on your altar
Scorpio/8th: include things associated with death, fear and despair on your altar
Sagittarius/9th: include things associated with traditional religion on your older
Capricorn/10th: include old things, the color black, or bones on your altar
Aquarius/11th: include man-made things, metallic things and literature on your altar
Pisces/12th: traditional spiritual symbolism
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Badly need a colloidal silver generator, considering stealing my mom's 🙏
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Sketchbook Week Day 7 - Cellularity
Summary: Trolberg General Hospital is a lovely place to work in. Unless you piss the pathologist off, of course, in which case it's hell. But she is hardly ever even seen in those white corridors, anyway, and apparently her mood has gotten better in the past few months since the new paediatrician had been hired.
That day was an unfortunate exception to Dr. Underhill's new wave of goodwill, though.
Notes: Written for @sketchbookweek Day 7 - Alternate Universe
‘Oh if we give people a free/AU day, they’ll surely make good use of it!’. WRONG. HOSPITAL AU 🧠🫀🫁🦴🧑🔬🔬🏥🏥🏥 🏥🏥🏥🚑🚑🚑🚑🚑🚑🌡️🌡️🌡️🌡️🌡️🥼🥼🥼🥼🥼🥼📋📋📋🧪🧪🧪🧫🧫🧫🧬🧬🔬🔬🔬🔬🔬🔬💊💊💊💊💊🩹🩹🩹🩼🩼🩺🩺🩺🩻🩻🩻🩻🧠🫀🫁🦴
That being said, content warning for discussion of health conditions, cancer, hospitalisation… all that stuff. Nobody actually suffers, this is silly fanfic, but keep that in mind if those are sensitive topics for you <3
-> The reference numbers scattered throughout the chapter are all things that I thought might be nice to explain. You can find the notes at the bottom of the fic, though they will be easier to read if you do so in ao3 (I put return to text options there)
Read it on ao3
When anyone asked Kaisa the reason why she’d picked this job, there were many different answers she was used to giving. She wanted to help people. It was all terribly interesting. It was the area that felt the least overwhelming. She just had a natural affinity for it. None of them were lies, and she’d gotten good at choosing which sides of the truth to reveal to each person who asked her, depending on how close they were. But the embarrassing truth that she was never going to admit anyone, was that she’d chosen pathology, simply put, because cells were pretty. She’d chosen it way before she could rationalise any of those other explanations. Way before she’d even realised her path had been traced, back when she was still so certain she’d follow in her tutor’s footsteps during histology class.
It couldn’t be helped. One look into a microscope and she’d been a goner. Those blasted hepatocytes would always be remembered as the thing she fell in love with the most quickly in her entire life. Though not by much.
So here she was, at this crossroads. Because she’d chosen this specialty - before she’d seen its other merits - for its beauty. Because for all that this might sound silly, the fact that she was in on this hidden, miniscule world and therefore was the only one who could find answers to truly essential questions sent her reeling every time.
But how the fuck was she expected to explain what was going on with the cells if there were none of them?
Kaisa huffed, giving up on the endeavour of finding a single useful cluster after she’d already run through the entire slide with no luck. Only useless blobs of stringy colloid [1] - which, okay, did look pretty but was not at all helpful - and the odd cell here and there. It was not, in any way, shape, or form (and it’s worth mentioning that a pathologist knows a lot about shapes and forms) enough for a diagnosis. And that’s because she knew what she was looking for, because truly, a child with a single thyroid nodule, irregular outlines and microcalcifications? She knew what that reeked of. And so did the paediatrician, who had immediately ringed Kaisa about it. She’d picked up the very second it had rang, of course. Kaisa didn’t much like using her cellphone to actually talk, but for her she always did.
And it had been a good thing, too. Always helped to know what to expect of the new slides that came in. Most doctors in the hospital liked to think of pathology as a magic lab you could send your problem to and just have it miraculously disappear, but contrary to popular belief Kaisa was not some sort of magician. She was not going to guess which card you picked. Nor was she going to throw around diagnosis without knowing the first thing about a patient’s case.
She shouldn’t have to, at least. But anyone would be hard pressed to remember a single time she’d gotten her verdict wrong, even when the information she’d been provided with was nowhere near sufficient.
Perks of having chosen the superior area of medicine.
That, and talking to nobody.
Which was clearly not working for her at the moment since she had to hastily turn off her microscope’s light to strut down Trolberg General Hospital’s not-so-busy corridors (admissions were on the lowermost floor), people in scrubs and white coats moving out of the way at the inpatient look on her face. She wouldn’t ever knock over anyone, of course. But they didn’t all necessarily know that, and would probably rather not try their luck.
The silent halls began gradually filling with sound as she moved out of the labs area. One floor down, to the surgical wards; now there were companions, friends and family of those admitted spread across some of the chairs lining up the walls, hushed conversation over the phone as someone delivered whatever news they had to the family members that weren't able to be present. Another flight of stairs and she was at the clinical wards, this one with corridors much more busy not because of companions, since patients there usually didn’t stay for long - for good reasons, get your mind out of the graveyard, Christ’s sake - but rather because of the rustle of nurses and technicians going from ward to ward. Kaisa rather thought that one blond woman she saw walking around was a nutritionist. Must be lunch time for them.
She really wouldn’t know. She’d been so caught up in going through every millimetre in all the slides from that damned fine needle aspiration (fancy way of saying you reverse-injected someone’s throat, that was) that she’d completely lost track of time and internal cues of hunger.
Come think of it, that may just play a part in why she was so damn pissed. Maybe she should take a break. The case wasn’t filed as urgent. She could easily go to the cafeteria, get her blood sugar levels back to normal, and deal with that issue later like a cool, controlled person.
She didn’t do that, of course. Kaisa knew very well what her hurry was about, and it wasn’t lunch time. Instead, she went down the last flight of stairs, where the clinics were, and marched straight up to radiology, uncaring if the patients all waiting to be called for their consultations, sitting or standing calmly near the walls, thought she was mad as she walked around with her white coat flowing behind her like a cape.
Oh, hell, she’d forgotten to close it all the way through again, hadn’t she?
The point was, when she’d arrived at the imaging centre, she’d worked herself up to such an unpleasant-looking state that no one so much as tried to stop her from strutting right in. ‘White coat effect’ means more than just blood pressure rising when you’re around. It was why she still wore it to work even though there was nothing to get dirty with at the lab.
Well, to avoid contamination too, she supposed. But it was mostly to Look Cool and to Open Doors, and everybody knew that.
The secretary let her know right away where the doctor was. All the aspiration’s slides had come with Lloyd’s stamp under the analysis request, so there was luckily no doubt about who she had to go to for this.
He had locked himself away in one of the report rooms, and was understandably startled once Kaisa opened the door up without as much as a knock to warn him. Light from the corridor immediately flooded the dark room, making him shield his eyes since he’d looked back at the sound of someone entering. He didn’t even have the time to ask her what was going on before Kaisa reached beside the door frame and turned on the ceiling lights.
“Come on, man!” It was the most emotion she’d ever heard him put in a sentence. Perhaps she should attempt to blind him more often.
Unwilling to remain there any longer than strictly necessary, Kaisa picked the folded request from her pocket and extended it towards him. “Did you do this FNA [2]?” The question was redundant given his stamp and signature were both present, but an accusation being the first thing out of her mouth sounded like it was a step over ‘rude’ and already inside ‘might get you kicked out of the imaging clinic’ territory. The younger man reached out to grab it and attempted to read even though he was still blinking from having to adjust his eyes so suddenly to the brightness. Even so, it took a couple moments longer than Kaisa would have deemed reasonable for him to give an answer.
“Hmmm, yeah?”
“Yeah?” She repeated a bit mockingly. “There isn’t a period at the end of your sentence. I’m only asking to be polite, what is yeah? supposed to mean?”
He rubbed the back of his head, with its ridiculous monk-like haircut. The man didn’t look shameful, only tired and more than a little annoyed at Kaisa’s presence.
“I mean, I asked for the cytology. But I didn’t do it.”
There was an answer already ready at Kaisa’s tongue. It went something among the lines of ‘what the fuck do you even think cyto means [3] if you don’t give me any damn cells to bloody look at?’ The plan was, however, foiled by the last part of his sentence. Her mind screeched to a halt
“What?”
Aware of what that must have sounded like, Lloyd raised his hands before Kaisa could start screaming at him. The sooner he got rid of her, the better. It was way too bright in there for his tastes.
“I let one of the students do it.” He said it as if it were a good thing, but Kaisa actually thought she was about to faint. “There’s this quiet little guy that shadows me often. I thought he was ready to give it a try. He’s already in his third year, you know. Was scared shitless, but it worked out in the end.”
Many thoughts swarmed Kaisa’s mind all at once, all fighting for a chance to reach her mouth and to maybe influence her to hit the radiologist’s extremely punchable face. Third year is far from old enough and are you fucking talking about David?!, but the one that came out instead was:
“You thought it’d be a good idea to let him practise it for the first time on a ten year old?”
Lloyd blinked, but it was the only show of emotion in his face. His brows, eyes and mouth remained as inexpressive as ever.
“Oh, the kid was ten? I didn’t really read the examination request all the way through.”
TIldy was going to be so very upset if she got expelled from the hospital for attacking a fellow doctor. Her left eye twitched. She bit her own tongue to try to keep it from spilling something that she’d come to regret. Her hands balled into fists. Yes. Tildy would be very upset indeed.
“Yes.” Kaisa said through clenched teeth. “The patient is ten.”
Lloyd seemed to take a moment to consider the information, though Kaisa doubted he was using more than two neurons to do so. It took him no longer than five seconds to lose whatever train of thought he'd been running after (if there had ever been one at all) and raise both eyebrows at her. Only slightly, of course. No one would ever be able to accuse him of emoting any more than was strictly necessary.
"So?"
"So?"
"I mean, it went well. He told me he'd gotten the patient to cooperate and had done what had been requested. By the looks of it, you got the material, didn't you?"
She had gotten the material, which was something he should give more thought to. It meant she had several useless pieces of glass to spare, and she really wouldn't mind using them to play target practice with him.
"Did you-" Kaisa spoke slowly in hopes that a little bit of breathing would ground her. "Instruct him on how to do it properly, and on what to ask the patient for? Because the cellularity in the slides you sent me is shit. I can't see anything. At all."
The man shrugged. "Well, I didn't just send him to test his luck. I let him watch me do it several times."
"But was he present when you talked to the patient? Does he know you need to ask the patient to, I don't know, stay silent? Or to not swallow? Or to not breathe too deeply when the exam is being done?"
"Well, no. I tell them that before they go to the ultrassonography, and the boy usually stays there. But, you know."
The sentence was left there. Right there. Kaisa began popping her fingers joints. Raven would be beyond annoyed.
"I do not know." She growled, and Lloyd just sent her a level look.
"It's very instinctive to ask for these things." He completed, to which she took what she hoped looked like an intimidating step closer. It was hard to feel in charge near most of her coworkers, but Lloyd's energy was so perfectly described by 'wet and pathetic' that it helped matters along for her.
"Well, clearly it's not instinctive!" She poked pointedly at the exam request with his stamp, his signature, and what she now understood to be David's calligraphy. "You know what's instinctive, though?" He shook his head, letting the tiniest bit of apprehension show by the bob of his cricoid cartilage. "To speak, breathe deeply and swallow when you are ten and someone's sticking a needle in your throat!"
The message finally seemed to have come through his thick skull, and he moved to his monitors to close the thorax radiographies he'd been looking at (someone had a pretty nasty pneumonia, apparently) to look for images and notes on that exam in the system. Kaisa wondered if he'd ever done a tomography on himself. She doubted the rays would have managed to have made it inside his head.
Maybe that was exactly the problem, though. Maybe he had been smart once and all that radiation had just melted his brain into something gooey and bright green. Heavens knew it was entirely likely.
"See the nodule?" He asked once he had found the young boy's file, and all the exams that had been performed on him in it. "It's not markedly hypoechoic, which is good. But the contours aren't precise and there are some calcification foci. What do you think?"
She thought it looked black and white and blurry. People who understood ultrasonography were either able to see stuff that other people weren't, like they were medicine's shrimps, or were just straight up making that shit up to make everybody else feel dumb. Kaisa saw a black ball in the middle of a light grey streak, thank you very much.
"I think the nodule's image matters very little to me right now. I need the material."
"Well..." Lloyd rubbed at his chin, looking entirely disinterested. "That's gonna be a problem. I already told him to send you all the slides that could be used."
"I only got four!"
"Yeah, the other ones were hemorrhagic [4]. You wouldn't have seen anything either."
Kaisa took a deep breath, and was proud of herself when the exhale didn't come out a scream. She also put a fingertip to Lloyd's chest and told him in no uncertain terms what he had to do, and what she'd do to him if he didn't go through it.
She was also proud of herself for that.
.........
It was a common misconception that hospital food only sucked for patients. Kaisa had no idea where it had come from, since it seemed very cruel from the people who had actually promised to only ever help them to have good food and only give them access to the soggy, saltless one. No. Hospital food was just all around trash. They all blamed the nutrition department for it; they were right to do so, too.
It wasn't like they didn't have other places to eat (the hospital staff, that was; the patients truly had no choice). They were in the middle of a bustling city, there was no lack of dining options in the blocks surrounding the hospital.
Did they ever go to any if it wasn't a special occasion? No. Because the laziness to even leave the building during their working hours united them all and made them hostage to hospital food.
"Hemorrhagic." Kaisa mumbled under her breath as she toyed with a roasted baby potato on her plate. "Fucking erythrocytes. They shouldn't even be real cells."
"What are ye whining about this time?”
There was a clatter as Edmund not so gently placed his tray on the table, sitting down on the spot right in front of her. He looked tired, and Kaisa would have worried that his morning had been too harsh except that tired was just how he usually looked. She threw her hands up in the air, not really caring that she probably sounded like a toddler.
“Red blood cells! They’re a pain, they don’t-”
“They don’t even have nuclei, yeah, I know, we’ve had this conversation a couple of times before. It’s never about them, though. Which slide is kicking your ass this time?”
Kaisa crossed her arms and slid a few inches down the back of her chair. The cafeteria was mostly empty, way past its rush hour. That meant the food was no longer as fresh, but Kaisa preferred that over the insufferable noise of every physician in the place talking all at once. It was mostly the technicians who ate at that hour of the day; they were eons more bearable. Especially because they didn’t try to engage her in small talk.
Edmund being there didn’t bother her, though. She hadn’t gotten truly close to many people regardless of how long she’d been working at that same hospital, but the infectologist was someone she was reasonably sure she could call her friend. Him, and the psychiatrist as well, she had to admit, even if she’d known her for a long time before; madwoman had grown on her like an MRSA colony [5]. Which unfortunately didn’t mean she wasn’t stressed enough to prefer not to speak to anyone.
“None.” She lied. “It’s nothing. You’re looking far worse for wear than me, though. What is it?”
Though she was under no illusion that he was convinced, Edmund took the bait. That meant, of course, that he must be bursting to talk about it. Which he did, rubbing his eyes with the heels of his hands, his food remaining untouched while Kaisa took the opportunity to continue eating hers.
“I think I’ve got a case of spotted fever.”
She raised an eyebrow, barely finishing her chewing before speaking. “Why the suffering over it? You like these weird diagnostics. If you already narrowed it down to spotted fever you can begin treating it, right?”
“Yes!” He laid both hands flat on the table surface. “That’s not the problem! The problem is that he could have been diagnosed and treated long ago if his GP had been moderately inquisitive. Wanna know how I found out?”
Kaisa nodded, though she knew she’d end up hearing it no matter her answer.
“I asked about any recent travels and the patient, unprompted, showed me a picture. Of himself in a forest.” Edmund leaned forward towards her, lowering his tone of voice to a conspiratorial whisper. “Holding an Amblyomma sculptum.”
Nodding slowly, Kaisa leaned towards him across the table as well, keeping his gaze and a deadpan face. When she was close enough that she could feel the man’s breath across her chin, she whispered with the same solemnity as he had.
“Your little bug names mean nothing to me. [6]”
“Wow!” He leaned back in a swift motion and crossed his arms. “See if I ever let you show me a ‘pretty eosinophile’ again!”
Kaisa also returned to her previous position, except this time her right elbow was on the table and she was pinching the space between her brows. “Ugh, sorry, Ed. I didn’t mean it in a rude way, I’m just not in a good mood today. And I really do have no idea what that name means.”
For all his talk, Edmund was a patient man. Not that he’d ever admit it, but he was. He opened (though ‘open’ might be too strong of a term for the subtle expression on his face) a compassionate smile for her
“It’s one of the tick species that transmits the Rickettsia rickettsii.” He answered, and Kaisa patted herself in the back for not calling him a nerd for throwing another scientific name at her. “Now will you tell me why you’re grumpier than normal?”
“I- yes, well, I suppose I should.” She sighed, not even bothering to protest the accusation. It was hard even for her to bear herself at the moment. “I’m just frustrated because the cytology samples for a patient I wanted to diagnose as soon as possible came with very low cellularity. Couldn’t see shit. And when I went to Lloyd to talk about it, it became clear that it was his fault. He let a student do the aspiration for the first time without any supervision whatsoever. So now we’ll have to wait two more weeks [7] to redo it and see if I can get some decent slides.”
“Hm.” Edmund played with his food more than he ate it. Kaisa had a good inkling that he was probably wishing it was a sandwich instead of an actual meal, but didn’t want to eat one in front of his coworkers. Had to set an example, and all that. “Well, not Lloyd’s smartest idea - not that Lloyd ever has many of them - but I guess the student had to begin somewhere.”
“Somewhere didn’t have to be a ten year old.”
The infectologist lifted his gaze to her, suddenly looking a lot more excited. Which never bore well, of course.
“Oh, so this isn’t about the slide, is it?” He asked with a mischievous twinkle to his eyes. Kaisa squirmed in her seat in front of him.
“What else would it be about?”
Humming in fake contemplation, he rubbed his chin before answering. “Maybe, just possibly, it could be about the new paediatrician who someone has oh so kindly been trying to befriend?”
Kaisa almost choked on her food. Almost, because her mouth hadn’t actually been full, so it would have actually been an achievement if she’d done so. She was certain her cheeks were getting red, no doubt giving her away.
Fuck, this was the major downside of having friends. She’d thought she was being subtle.
“Edmund, I’m a professional!”
“Of course you are.” He said, a little more seriously. “And honestly, you need to get rid of this idea that being a professional means not talking to anyone. It’s healthy to have people you rely on. Nothing more natural than getting close to the people you work with, too.”
Kaisa tried to look away, but he petulantly flinged a crouton at her to get her to pay attention to him.
“Listen, it’s been cute seeing you try to hide this crush-” At that point she opened her mouth to argue against the accusation that she had something as embarrassing as a crush, but he lifted his hand to ask for her silence. For some reason, she acquiesced. Probably because she knew she had no good arguments against him. “But I just want you to know you can be straightforward about it to me. I can be your wingman!”
Impaling a potato with her fork, Kaisa grumbled. “I don’t need a wingman. I need sufficiently cellular slides.”
“Which brings me to my next point.” He continued as if he had never been interrupted, completely unfazed. “You should be there for the kid’s next FNA.”
“What?” It was bold of him to suggest she leave the comfort of her lab. Very bold. “Why would I do that? I don’t know shit about ultrasonography.”
“‘Course not. But I bet it would be easier for the patient.”
“How the fuck does having another nitwit in a white coat in the room help the patient?”
Edmund rolled his eyes. He was a good decade older than her, and even though most days it didn’t feel like it, every now and then he’d act just condescending enough that she’d remember it. It made her want to deck him each time.
“Do you have kids, Kaisa? Nephews?” He asked even though he knew damn well the answer. She shook her head anyway, glaring at him. “Well, I do. And let me tell you, a ten year old patient will not be happy about going through all that again. It’s a wonder they even managed to do it the first time.”
“And you want me to do what, distract him?”
“Comfort him. You can’t do a lot but you can make sure the kid and his parents know that there is at least one doctor who truly cares about the case.”
Bastard. He had a point. And he probably knew she’d recognize it too, judging by his smug smile.
“Besides, that’s the way to know the procedure will be done correctly, isn’t it? Get your slides as soon as possible and run to your lab. Wouldn’t want to leave the patient’s doctor waiting.”
She didn’t even acknowledge the jab, but Edmund’s smirk made Kaisa hyper aware that this wouldn’t be the last time they talked about the subject.
…......
A lot of time had been lost with her whole mad dash for proper cytology samples, so after she came back to the lab Kaisa found out she was behind schedule. That sure did put a damper on her plans to sneak down to the paediatrics clinic, but unfortunately she had to admit it wasn’t actually necessary to go there.
“Hey, Johanna. Kaisa here.” She said and immediately cringed, turning her face away from the microscope’s lens and to her phone, deleting the audio she’d begun recording right away. It was an audio message in a chat they’d already begun. She didn’t need to introduce herself, for heaven’s sake.
Pressing the recording button again, she went back to the prostate biopsy on her microscope, even if only to pretend - to herself, seeing as there was nobody else nearby - that she wasn’t completely focused on Johanna.
“Hey, Johanna. Sorry for the audio message, I didn’t want to call you so I wouldn’t bother your consultations. I looked at the slides from that patient you were worried about. The ten year old with a papillary carcinoma suspicion. I’ll have to get back to you about it, though. The cellularity was awful, Lloyd will have to call him back to repeat the FNA. I’m so sorry about that. You, uh, you might want to contact the family to tell them that yourself. Both because they know you better and because Lloyd has the sensibilities of a rock. Um. Yeah. That’s all. Good afternoon.”
Kaisa sighed and dropped her head to her hands as soon as she’d pressed send. Her brain hadn’t actually registered a single thing she’d seen on that slide.
Her answer came around half an hour later - meaning she’d been right not to call - when Kaisa had actually already managed to diagnose a benign hyperplasia, write her report on it (easily the worst part of her job), and move onto the next slide. It was a couple of short messages in a row, which initially disappointed her, silly as that was. She’d sort of been hoping she’d also get an audio message back so she could at least hear Johanna’s voice. However, when she read it, she immediately decided it was better than a few seconds long recording.
Johanna (ped)
Hi, Kaisa!
Ugh, that’s frustrating to hear, but I’m sure they will understand. Thank you for letting me know, I do prefer to tell them that myself
Also thank you sooo much for checking that out and getting back to me so quickly. I truly appreciate it <3
Are you free this evening? Heard there was an italian place two blocks away and I thought we might try
Well, I might try with you, at least. I’m sure you’ve been around long enough to already have eaten there 😅
Kaisa bit back an embarrassing giggle - even if her microscope would have been her only witness - and down on her bottom lip. She’d finish looking at this slide and then she’d answer, she promised herself. It would be her first time visiting whatever place that was, and she couldn’t be more excited even if she didn’t care about the food. Though she’d never admit to Johanna that the promise of her company was the only thing strong enough to ever get her to leave her hospital-home routine.
…......
The procedure was uneventful the second time around. Not that it didn’t involve a fair bit of whining from the patient’s part, but Kaisa rather thought he was more than justified in it. Like hell she’d have allowed someone who looked like Lloyd to pierce her throat. He was a lot more cooperative than he could have been, and all in all, Edmund had been right (not that she’d ever tell him that). It seemed like Kaisa’s presence really did mean a lot to both him and his father.
Not to blow her own horn, but she kind of could see why. She definitely thought - hoped - she inspired more confidence than bloody Lloyd.
As soon as it was done, Kaisa took the slides to her lab technicians right away. They seemed to take her pleas for speed seriously, given that in almost no time at all she had the samples on top of her microscope’s stage.
No unusual architecture; the cells weren’t arranged in papillae or swirls. No enlarged nuclei, nor were they irregular, pale, or had grooves or pseudoinclusions. She searched every inch of the six slides she’d gotten and there wasn’t a single atypia, psammoma body, giant cell, hobnail cell, or anything else that might give away a papillary carcinoma. There wasn’t anything that might indicate any malignancy, truth be told. All Kaisa saw were clusters - six in her least cellular slide and fifteen in her most cellular one, thank the heavens - of perfectly normal looking cells. That, and a lot of colloid.
She breathed a sigh of relief. It wasn’t usual for her to get attached to cases. But she’d actually seen this patient and it was a child. She’d have been lying if she said she wasn’t hoping to find nothing. That, and she bet Johanna would also be pleased.
Foregoing her usual etiquette of not leaving her lab unless something urgent was going on, Kaisa turned off her microscope and began the path down to the paediatrics clinic. The fact that it was a cyst didn’t erase that it had been big enough to bother the patient, and that there had been small calcifications on the ultrasound. She supposed that could be a remnant of past inflammation on that area; she definitely wouldn’t know, since nobody had given her the patient’s history as per usual (though this time she wouldn’t admit it was Johanna’s fault as preferred to blame the universe for it).
Johanna would probably have to sit down with an endocrinologist to decide which would be the best course of action. Kaisa had heard that ethanol ablation [8] worked well for some of these cases, it would likely be a better option than having the kid undergo surgery. Even if that would mean having to work with Lloyd again for the procedures. Either way, whatever it was, and whatever would need to be done, it wasn’t cancer. And that was reason enough to brave the packed full corridors of the lowermost floor of the hospital to deliver the news herself.
The paediatrics clinic was by far the loudest one in the hospital. Not because of the poor children (though there was a fair bit of crying and screaming going around), but because of parents. Kaisa still remembered with terror her paediatrics rotations from her time in med school. One of them had almost made her cry.
At least the structure was uplifting, seeing as the walls were covered in drawings and all the nurses in that area had white coats embroidered with fun patterns and the doctors had decorations on their stethoscopes. They all looked genuinely alive, which was more than could be said about the workers in any other area of the hospital, really. They had the kindness of palliative care workers and the energy of emergency room physicians; Kaisa couldn’t feel more out of place if she tried.
Luckily, it didn’t take her long until she found the room in which Johanna was consulting. The door was open, so Kaisa could see her give the young girl sitting on stretcher a lollipop, meaning she was probably done there. After five minutes and a couple of words exchanged with the parent (keeping the aspirin bottle where the kid couldn’t reach was of the highest importance, apparently. Kaisa really wanted to know what the story there was), the patient and the adult walked out hand in hand, and Kaisa nodded in acknowledgement to them before walking in.
“Hey, are you free right now?” She asked with just her head stuck inside the office, immediately startling Johanna, who had been rubbing a wet wipe on her stethoscope. Kaisa laughed while the other glared at her half heartedly, and she let herself in.
“Sorry for interrupting you in the middle of your work day, I just thought I should come talk to you personally.”
Johanna hummed, putting away a box filled with flavoured tongue depressors of every colour there was. “You do that a lot.” She remarked.
By then, Kaisa had been leaning her hip against the stretcher, but her balance hadn’t ever been all that so she nearly lost it (along with all her rational thought) when she heard that.
“I- what? I thought I didn’t interrupt all that much. I’m sorry, I’ll avoid-”
Halted by a whip of Johanna’s head in her direction, she blinked when she saw Johanna frowning at her with worry.
“No, dear, you never interrupt me.” She said softly. The endearment did something weird to Kaisa’s insides which she couldn’t really explain. What was an itch in the hypogastric region [9] a symptom of? “I mean you say sorry a lot. And it’s never warranted.”
Kaisa opened her mouth, to say sorry, obviously, but caught herself before she could. Which resulted in the likely pathetic image of her standing there with wide eyes and a hanging mouth. Noticing exactly what had happened, Johanna laughed, stepping closer to her.
“It’s always good to hear from you, Kaisa. Now, what did you want to tell me about?”
Shaking her head (maybe a good waggle of her synovial fluid would do her well. Yes. That made sense), Kaisa tried to remember why she’d come down to the clinics in the first place. Oh yeah. Thyroid cyst.
“You will be pleased to hear that you guys were wrong in your papillary suspicion.” She said and watched a grin spread on Johanna’s face. “No malignant cells in sight, lots of liquid. No clue what you’ll do about the symptoms, but lo and behold-” Kaisa made her silliest dramatic voice. The atmosphere of paediatrics was contagious, apparently. “It’s not cancer.”
“Oh, Kaisa!” Taking her completely by surprise, Johanna threw herself in her arms. She was pretty sure she actually yelped, but at least her reflexes didn’t let her down and she hugged her back instead of just standing there uselessly. Her heart took to beating embarrassingly quickly, and she really hoped Johanna wouldn’t feel it.
“That is such good news! I’ll phone the parents immediately, thank you so much!”
The noise Kaisa made was hopefully a hum of ascent. Heavens knew she couldn’t manage to actually say something as complex as ‘no problem’ at the moment, busy as her brain was just trying to process the scent of apple pie and the warm softness that came with having Johanna so close. So very close. Touching her.
When the woman drew back, it was so that she could look at Kaisa’s face (blushing, no doubt) and she still held her by the elbows. To say that Kaisa felt out of her element was un understatement. She let herself wonder, briefly, if the woman reacted like this to anyone who brought her good news about her patients. She quickly decided she didn’t want to know.
“I really have no words for how grateful I am for your commitment to this case, dear. You did a lot more than you had to.”
Kaisa emitted a sound she wasn’t aware she was capable of, like her airways were constricting around something that wasn’t there. Maybe she was asthmatic and just didn’t know.
“It’s nothing.” And the way Johanna’s face was so close she could see herself in her eyes was making her forget everything else so effectively that it might as well really be nothing. She had to make a herculean effort to focus on what they were talking about. “I’ll write you the report in a couple of minutes. Just thought I should let you know already.”
Humming in delight, Johanna proved her intentions of murdering Kaisa by leaning forward and placing a kiss on her cheek. “It was much appreciated. How can I repay you?”
It was a wonder that Johanna didn’t immediately admit her, because Kaisa was certain she must look like she was going into cardiac arrest. The place where her lips had met her skin tingled, to the point where she was immensely glad that Johanna was still close enough for them to be holding each other’s arms so that Kaisa couldn’t immediately take a hand to her face in disbelief.
There was no chance she was going to be able to answer that question like a normal human being. Her brain had just given her a minus two seconds notice and fucked right off. But Johanna was nothing if not merciful, apparently, and didn’t even let the silence stretch into awkwardness before suggesting something herself.
“I’ll tell you what, Hilda has exams next week so she’ll probably be studying the whole weekend. Since that means I’ll be free, why don’t we go to that park you mentioned the other day? We could both use some fresh air, I bet.”
Kaisa nodded dumbly; that was the extent of her reaction capabilities in that moment. The other doctor just smiled, and they managed to decide they’d settle the details later over the phone. It was all Kaisa could do to put some distance between herself and the paediatrics clinic before allowing herself to fully process what had happened and grin like a lunatic.
Well. It sure would be hard to focus on cells for the rest of the day. As unlikely as that was, she’d found something even more beautiful to fall in love with.
NUMBERED NOTES:
1- Colloid is the stuff that’s inside your thyroid follicles! It’s where the hormones are produced & stored 2- FNA = Fine Needle Aspiration. Basically what Kaisa said earlier, you use a needle to collect some material from the nodule 3- It means ‘cell’, btw! Not sure how common this knowledge is, but someone who went through med school would know it, I promise. 4- When an aspiration slide is hemorrhagic, that means that there is waaay too much blood and not enough of the stuff you actually want the pathologist to see. Means it’s useless, basically :/ 5- MRSA stands for multiresistant Staphylococcus aureus! It is a. Very big problem. Hard to kill yk. 6- Meiri isn’t in this fic but if she were she’d remind Kaisa that ticks are NOT bugs. They’re arachnids :) 7- You can’t redo an FNA right away because the thyroid needs time to heal before you poke a needle through it again! 8- ok ok this is actually super interesting so hear me out. You can inject ethanol on benign thyroid cysts and that basically makes it dry out. You have to repeat the procedure maybe once or twice depending on its size, but the thing actually just. Shrinks. Just because you put alcohol in there. How cool is that?? 9- This is the best way I found to convey butterflies in your belly when you’re a nerd and avoiding your feelings
#you might think Kaisa’s characterization is leaning too heavily on her pre s2 fanfic self#but consider this:#med school is a literal villain origin story. Thank you for your attention.#sketchbookweek#fic: cellularity#my fic#verse: tgh#sketchbook ship#sketchbook ship hilda#sketchbook ship fanfic#kaisa hilda fanfic#johanna hilda fanfic
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In the realm of innovative wellness technology, Colloidal Copper Water Generators have surfaced as a transformative player, offering a unique approach to hydration and potential health benefits.

Understanding Colloidal Copper Water Generators
Deciphering the Essence of Colloidal Copper Water Generators
Colloidal Copper Water Generators are cutting-edge devices designed to produce colloidal copper-infused water through a process known as electrolysis. In this electrolytic process, copper electrodes release ions into the water, creating a colloidal suspension with purported health advantages.
Mechanisms Behind the Copper Currents
The magic of copper currents lies in the intricate mechanisms within Colloidal Copper Water Generators. As electrodes undergo controlled electrolysis, copper ions are released, forming colloids in the water. These colloids, with their small particle size, contribute to the unique properties of colloidal copper water.
Exploring the Advantages of Copper-Infused Hydration
1. Antioxidant Properties
Colloidal copper water is celebrated for its potential antioxidant properties. Copper, when ionized in water, may act as an antioxidant, neutralizing free radicals and potentially supporting the body's defense against oxidative stress.
2. Immune System Support
Advocates suggest that copper-infused water generated by these machines may provide immune system support. Copper is an essential mineral known for its role in immune function, and its presence in colloidal form may contribute to overall well-being.
3. Skin Health and Vitality
Copper is renowned for its involvement in collagen formation, a key component of skin health. Drinking colloidal copper water may be considered by some as a holistic approach to supporting skin vitality.
The Role of Bio Silver Streamgen in Recommending Colloidal Copper Water Generators
1. A Trusted Name in Wellness Technology
When it comes to reliable and state-of-the-art wellness technology, Bio Silver Streamgen emerges as a trusted name. With a commitment to excellence, this company has been at the forefront of recommending quality Colloidal Copper Water Generators, providing users with innovative solutions for their wellness journey.
2. Expertise in Colloidal Generators
Bio Silver Streamgen's expertise extends beyond colloidal copper water generators to a range of Colloidal Generators. Their commitment to quality, precision, and user-friendly operation makes them a recommended choice for individuals seeking reliable solutions in the realm of colloidal technology.
Navigating the Copper-Infused Wellness Landscape
1. Copper-Silver Synergy
The wellness landscape expands with the exploration of copper-infused hydration, and some users find synergy in combining copper and silver colloids. Bio Silver Streamgen, with its diverse range of Colloidal Generators, caters to those seeking a holistic approach to wellness.
2. Tailoring Hydration to Individual Needs
One of the key advantages of Colloidal Copper Water Generators recommended by Bio Silver Streamgen is the ability to tailor hydration to individual needs. With customizable features and precise control, users can create colloidal copper water that aligns with their wellness goals.
Integrating Copper-Infused Water into Daily Life
1. Morning Wellness Routine
Incorporating copper-infused water into a morning wellness routine is a simple yet impactful way to benefit from its potential advantages. A glass of colloidal copper water can become a refreshing start to the day.
2. Culinary Exploration
Beyond drinking, some enthusiasts explore culinary applications of colloidal copper water. Incorporating it into recipes adds a unique element to the culinary experience, potentially enhancing flavors and nutritional content.
Considerations for Informed Wellness Choices
1. Quality of Colloidal Copper Water Generators
When considering the adoption of Colloidal Copper Water Generators, quality is paramount. Bio Silver Streamgen's recommendation aligns with a commitment to providing users with generators that meet high standards in terms of design, materials, and functionality.
2. Awareness of Individual Health Needs
Individual health considerations play a crucial role in the decision to integrate colloidal copper water into one's wellness routine. It is advisable for users to be aware of their health needs and, if necessary, consult healthcare professionals for personalized advice.
The Future of Wellness with Copper Currents
1. Advancements in Colloidal Copper Technology
As technology continues to advance, the future holds promise for further enhancements in Colloidal Copper Water Generators. Innovations may include improved electrode materials, advanced control features, and increased accessibility for users.
2. Wellness Trends and Personalized Hydration
With the growing emphasis on personalized wellness, the integration of copper-infused hydration into daily life aligns with evolving trends. As individuals seek solutions tailored to their specific needs, the role of colloidal copper water generators recommended by Bio Silver Streamgen becomes increasingly significant.
Conclusion: Riding the Waves of Copper Wellness
In conclusion, Colloidal Copper Water Generators stand as pioneers in the realm of wellness technology, ushering in a refreshing wave of copper-infused hydration. With Bio Silver Streamgen at the helm, recommending quality generators, users can embark on a journey to discover the potential advantages of copper currents. As we dive into the intricacies of these generators, we ride the waves of copper wellness, unlocking new possibilities for individualized and holistic well-being.
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Colloidal Silver Generators: What You Need to Know
Colloidal Silver Generators has been utilized throughout history as a safe treatment for battling infections and improving overall health.
Location: Canada Email Us At: [email protected] [email protected] Phone Us At : 289–464–0114 OR 1–877–315–4823
#colloidal generators#colloidal silver generator#colloidal waters generator#colloidal gold generators machine#colloidal zinc generator#commercial colloidal silver generators#colloidal gold generators
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𝗕𝗮𝘁𝘁𝗹𝗲 𝗧𝗶𝗺𝗲
⇛𝙒𝙤𝙡𝙫𝙚𝙨! 𝙁𝙖𝙣𝙜𝙨 𝙤𝙪𝙩!⇚
𝗠𝗼𝗼𝗻'𝘀 𝗣𝗢𝗩
‧˚₊꒷꒦︶︶︶︶︶꒷꒦︶︶︶︶︶꒦꒷‧₊˚⊹
When we arrived at Seabrook Power, we all slowly snuck in from the sides and when we saw the coast was clear proceeded forward but not even a moment later a loud alarm went off.
"Shit!" I cursed out.
"We triggered the alarm, hurry!" Wyatt said and we turned only to be stopped by a loud voice.
"Wolves, freeze where you are!" I heard the voice of Addison's dad Dale yell out just as Z- patrol surrounded us.
"Oh fuck" I muttered seeing my dad.
‧˚₊꒷꒦︶︶︶︶︶꒷꒦︶︶︶︶︶꒦꒷‧₊˚⊹
Meanwhile at the school Bree and Addison were talking with each other in the hallway all of a sudden, the Z- alarm went off startling them.
"The Z- alarm, why would that be going off?" Addison asked Bree who just shrugged.
"Attention! Attention! Monster activity at Seabrook Power" a loud announcement came on.
"It's the wolves! Wait, if that's the case then Moon is in trouble!" Bree exclaimed.
"We need to help them. Bree, would you?" She said and Bree nodded.
"I will. I'm in. Always." Her friend said in a determined tone.
"We can't do this alone. We need to rally the Z-team." Addison instructed.
"Right." Bree said and was about to run off when Addison grabbed her arm.
"No. Actually, we're gonna need everyone."
"Aye-aye, captain."
Come on!" Addison ushered.
"Okay"
‧˚₊꒷꒦︶︶︶︶︶꒷꒦︶︶︶︶︶꒦꒷‧₊˚⊹
"You're trespassing, werewolves!" Dale yelled at us but stopped when he saw me.
"Moon?" He asked in a surprised tone.
"Yeah, that's me" I said but not in a kind way.
"How can we be trespassing on our own land?" Wyatt pointed out.
This is werewolf territory!" I yelled out and my pack yelled in agreement with me.
"I don't know anything about that," Dale said.
"Of course, you don't know anything except what those dumb history books said about us zombies aren't that different so why are we huh answer that" I said.
"Moon don't do this' ' My dad said even though I had my real dad I still saw him as a father figure.
I sighed and turned to Willa giving her the signal "We can take them!" She yelled and we all bared out fangs and claws at the patrol making them step back in fear.
‧˚₊꒷꒦︶︶︶︶︶꒷꒦︶︶︶︶︶꒦꒷‧₊˚⊹
youtube
(Willa) Hear it getting louder, a call for revolution
(Moon) Yeah, we came for what was ours, it's time for restitution
(Willa) We'll protect our own
(Moon) Take back the stone
(Willa) No, human nature cannot hold us down
(Wyatt) Stranded at the bottom, but we're more than a whisper No, we'll never be forgotten, our blood's thicker than silver, yeah When worlds collide, it's do or die So tell me, is it wrong to stand your ground?
(Moon, Willa, Wyatt) Hear us howl, all or nothing Fangs are out, we ain't running Hear us howl, it's all or nothing
(Wolves) Oh-oh-oh-oh This is a declaration Oh-oh-oh-oh Of a new generation It's now or never, we're in this together We'll fight through the highs and the lows No, we won't break, we're more than flesh and bone
‧˚₊꒷꒦︶︶︶︶︶꒷꒦︶︶︶︶︶꒦꒷‧₊˚⊹
"Arrest them!" Dale yelled out all of a sudden they sprayed this smoke at us and I felt an excruciating pain in my lungs so I could guess it was silver of some kind.
"Colloidal silver. That'll tame these beasts" I heard Dale smugly say as I felt handcuffs be tightly placed on my wrists.
"Wait what about Moon-"
"What about her? She's nothing more than a beast as well" I felt anger bubble up in me at what he just said about me.
I didn't give a damn if he was Addison's dad.
"Demo time. Everybody clear out!" He called out and turned around.
"You son of a bitch!" I yelled out.
I felt my breathing get heavier and everyone's attention was slowly going towards me.
I let out a loud growl as I felt my bones break and all of a sudden everything went black.
‧˚₊꒷꒦︶︶︶︶︶꒷꒦︶︶︶︶︶꒦꒷‧₊˚⊹
Everyone jumped back as what once was Moon was a giant black wolf standing in her place.
The wolf let out a loud roar of anger and started swiping at the z- patrol managing to knock some into the wall.
She bared her teeth as she focused her attention on Dale within one second Moon lunged landing directly on his pinning him down with her giant paw.
Saliva dripped down her mouth as she leveled her face down towards him, staring into his soul before pushing him back against the wall like the others.
"No! Moon stop!" She snapped her head towards where the voice was and she immediately stopped in her movements when she saw Willa looking at her with a teary eyed look.
Her eyes widened and her ears flattened against her head taking her distraction as an opportunity one if the z- patrol grabbed the taser and zapped Moon directly in the neck.
The wolf let out a wine and desperately swiped at the worker but was hit by another taser and then another one turning her growls into whimpers and cries of pain.
"Moon!" Wynter, Wyatt, and Willa yelled when the wolf finally went limp.
"Oh my god!" Willa yelled.
The workers slowly backed up as the wolf slowly faded back into an unconscious Moon.
"Moon? Moon!" Willa tried to call out to her mate but the z- patrol had a tight grip on them and one of the officers grabbed Moon and dragged her off to the side.
"No!" A voice yelled out and the wolves turned and was surprised to see Addison and the rest of the cheerleading squad.
"Addison?!" Dale and Moon's dad said at the same time in surprise.
‧˚₊꒷꒦︶︶︶︶︶꒷꒦︶︶︶︶︶꒦꒷‧₊˚⊹
(Addison) The world has gone crazy and no one seems to listen Gotta step in, no more maybes, and stop the demolition Is it hope or fear? Look in the mirror Everything we built is coming down
(Eliza) No more hesitation, it's time we start to realize With all this separation, silence is still taking sides So use your voice, make a choice And tell me, are you standing with the crowd?
(All) Oh-oh-oh-oh This is a declaration Oh-oh-oh-oh Of a new generation It's now or never, we're in this together We'll fight through the highs and the lows No, we won't break, we're more than flesh and bone
(All) Ayy, ayy, ayy-ayy We say no more bad blood, no more bad blood Ayy, ayy, ayy-ayy No way, they can't stop us, no, they can't stop us Ayy, ayy, ayy-ayy We say no more bad blood, no more bad blood Ayy, ayy, ayy-ayy No way, they can't stop us, no, they can't stop us
(Zed) History changes, but we lost the pages we wrote When you lose direction, can't see the reflection you know We came from the bottom then became the problem Now everything's out of control So hey, are you with me? Let's go!
(All) Oh-oh-oh-oh This is a declaration Oh-oh-oh-oh Of a new generation It's now or never, we're in this together We'll fight through the highs and the lows No, we won't break, we're more than flesh and bone
‧˚₊꒷꒦︶︶︶︶︶꒷꒦︶︶︶︶︶꒦꒷‧₊˚⊹
"You gotta stop the demolition, Dad. I know how hard you worked to get this job. But if it's gonna hurt the werewolves, you have to stop it" Zed said in a pleading tone looking over to Moon's body and at the wolves seeing a sobbing Willa being comforted by Wynter and Wyatt as she tried to get to Moon.
"You're right. And Addison's right. Shut it down. Stop the detonation. Tomorrow, when it's safe, we'll find what you're looking for. But right now, you can all go home!" He announced.
Everyone cheered and Addison pulled Zed in for a hug, but the moment was quickly dropped by the cries of Willa.
"Moon!" She yelled and ran towards the girl as soon as she was unlocked from the cuffs with the rest of the pack following her.
"Moon please wake up I just got you back I can't lose you again" she sobbed burying her head into Moon's chest.
Wynter and Wyatt wrapped their arms around Willa feeling tears come to their eyes as they looked down at the body of their sister.
"Oh god Moon" Zed said and ran over with Addison, Bree, Bonzo, and Eliza following behind him and they all ran towards where Moon was.
"All I wanted was to have Moon back. Is that too much to ask for?" Willa sobbed, clutching Moon's jacket tightly.
Wyatt hugged Wynter as tears were also running down her cheeks, but he was barely doing fine himself.
Zed took Moon's hand and gripped it tightly "you gotta wake up Moon" he whispered.
‧˚₊꒷꒦︶︶︶︶︶꒷꒦︶︶︶︶︶꒦꒷‧₊˚⊹
Moon gasped as she looked around not being sure where she was.
"Where the hell am I?" she mumbled to herself while looking around.
"My little pup oh how you've grown" Moon snapped her head to the voice and froze up at the sight of the woman.
Those identical hazel eyes and sharp cheekbones that made her face look exactly like a model.
"There's no way....i-it can't be you it can't be" Moon stutters feeling the tears cloud her vision.
"It is me dear who else had you in the womb for nine months" the woman chuckled out.
"I missed you so much," Moon cried running into her mother's arms.
"I miss you more, more than anything that this world can offer you and your sister, we're the purifying stages of my life" Samantha soothed petting Moon's hair.
"But you have people who need you such as your pack, your sister, your friends, and most importantly Willa," Samantha said, tilting Moon's chin up with her finger.
"You two have something big just around the corner and as much as I want you to be here she needs you there because without you that important thing won't exist" she explained.
"What is that important thing?" Moon asked.
"You're just gonna have to find out my dear but for now it's time for you to go just promise me that you'll make me proud?"
"I promise mom"
‧˚₊꒷꒦︶︶︶︶︶꒷꒦︶︶︶︶︶꒦꒷‧₊˚⊹
All of a sudden Moon's body started to move and seconds later she started to cough profusely Willa quickly looked up and saw that Moon was still alive.
Moon slowly looked around and raised an eyebrow "Why is everyone crying? Did someone die?" She asked.
Willa said nothing and just threw herself onto Moon hugging her tightly and pressing kisses all over her face.
"Don't ever do that again you asshole do you understand me?!" Willa exclaimed, slapping Moon's chest.
"Don't remember what exactly happened, can someone tell me what happened please?" she said and Wynter and Wyatt helped her up before pulling her into a hug.
"You turned into a wolf, a very huge one at that" Wynter explained, expanding her arms to show how big she was.
"Wow... didn't know I could do that" Moon mumbled.
"And also they stopped the demolition, they're gonna help us find the moonstone" Wyatt said happily.
"So me turning into a wolf actually paid off" Moon said smugly but when she saw her pack's expressions she quickly closed her mouth.
"Oh and also where's that one guy....oh! There you are'' she said and walked up to the guy who tased her in the neck and kicked him right in between the legs.
Everyone winced except for Moon's pack which laughed as the guy let out a cry of pain and collapsed to the floor in pain.
"Next time will be a broken nose" she said, giving him a face before smiling smugly and wiped her hands.
"Sorry about attacking the rest of you including you Dale but I'm definitely not sorry for that guy" she said.
"As long as you're still alive that's all that matters" Wynter said and hugged her sister tightly.
All of a sudden the ground started to rumble and all of the wolves' moonstones turned green making them burst into a fit of coughs.
"The remote shorted out, and now the detonation timer's running" one of the men said.
"Well, shut it off!" Dale demanded.
"I can't," the worker said.
"No, no!" Wynter struggled through her coughs and she almost fell to the floor but Moon quickly caught her before she could.
"What have they done" Willa whimpered and Moon quickly wrapped her arms around her as well.
"We gotta get home" Moon said and led the pack to the exit.
"Moon!" She turned around and saw Zed. She gave him a small smile before turning around and leaving with her pack.
#angst#fluff#music#lesbian#lgbtq#willa#willa lykensen#willa x reader#zombies 3#zed necrodopolis#zombies 2#disney zombies#addison wells#alpha/beta#baby ariel#mates#dancing#meg donnelly#gp#eventual smut#Youtube
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Hello friend! I hope you're doing well.
I've been working with "Arcana Restored" to make something to charge talismans and amulets and I so far have a basic idea. I also used the whole Ayleid lore where they used starlight as a spiritual energy which means I now need to make a bowl with the constellations on the standing stones but now I have another issue.
What do I use to channel energy from Aetherius? The book mentions gold and that could colloidal gold or an actual piece of it but if I'm working on the Ayleid Praxis, especially with the whole Magnus and the Magna Ge rending holes where allows Magicka to flow into the world, then should I rather use something like a crystal?
Ooo, a thing to ponder! Sorry this took so long to get to, I was not doing well for a while there, but I'm back in business, baby!
You know, I always saw the Welkynd Stones as being analogous to clear quartz for those of us not in Nirn. For me, I've found that clear quartz is helpful for both generating and storing raw magic energy, just like the Welkynd Stones store Magicka. Even the formations of them remind me of quartz points!
In-universe, however, Welkynd Stones are made of meteoric glass. And when a meteorite hits the ground in our world, sometimes they will make things like Libyan desert glass. If you don't have access to meteorite-made glass, perhaps normal glass may also suffice? And as you said, gold is another option thanks to the book mentioning it.
So many possibilities! Thanks to my own experiences with clear quartz, I'd probably lean towards trying that first, but you'll have to let me know how your own experiments go!
~Jasper
#answered#witches bottle#the elder scrolls#elder scrolls paganism#elder scrolls witchcraft#in-game lore
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@magnetronic I think the easiest way to think about a routine for dry skin is to start by discussing moisturizing ingredients.
humectants - draw water from the inner layers of the skin (and from the external environment if there's sufficient humidity) to help keep the top layers of skin moist
some popular humectants in skincare are: butylene glycol, hyaluronic acid, sorbitol, honey
emollients - lubricate and fill in gaps between skin cells
some popular emollients in skincare are: silicones, squalene, jojoba oil, and meadowfoam oil
occlusives - slow moisture evaporation from skin by creating a physical barrier
petroleum is the best for this task by a long shot (and is extremely well-tolerated), but other occlusives include lanolin, beeswax, palm kernel wax, and mineral oil
These aren't entirely separate categories, and some ingredients have both emollient and occlusive properties. Anything you're looking to use to should have something from at least one of these categories pretty prominently in the ingredients list. This is a pretty widely accessible writeup with a lot more ingredients than I listed, and this one has a lot to chew on if you're interested in more technical stuff. This one is about reading ingredient labels, which is helpful if you're not used to it.
There's also a large number of ingredients that aren't serving any of these purposes explicitly that are also used to help dry skin with various levels of clinical backing and widespread use. Ceramides are the most important item in this category, but it also includes things like colloidal oatmeal, centella asiatica, panthenol, etc etc. There's a whole bunch of them and they're talking about new ones every single week it feels like. They can be further down the ingredients list and still be effective.
So, when you're looking at creating a routine around dry skin, it can be helpful to think of trying to get kind of a sundae bar of these various ingredients and ingredient categories while not creating a burdensome routine. Especially if you're having other skin issues like dermatitis or a damaged skin barrier, sticking to a routine with 2-4 products that don't irritate your skin and that you apply consistently will be your ideal goal. This will give you some consistent products that you know will behave, and a full routine to go back to if try a new product and it irritates your skin.
You're aiming to set up something that'd look sort of like this:
Face Wash: a particularly mild and hydrating foaming wash OR a face milk or other less-stripping cleanser OR the least-drying option, a micellar water (I'm trying to keep this general, and I've never personally used it, but it's my understanding that Bioderma Sensibio is a best-in-class, ultra mild micellar water that doesn't have fragrance). If you can't tolerate any of those, rinsing your skin with water is also viable. I wouldn't worry too much about getting moisturizing ingredients here, because you'll be rinsing it off anyway.
Moisturizer 1: a thin moisturizer that's got water, humectant ingredients, and maybe some emollients. Hyaluronic acid is one of your better options here, unless you live in a very dry climate or don't tolerate HA. I sincerely think the Japanese do this step better than anyone else on the planet, and if you import nothing else, this step would be the step to do it. Even now that Japanese and Korean toners have been in the West for close to a decade, the West is still not really making products that provide a lot of moisture that you can layer. I love Hada Labo (both this Moist version and the much more moisturizing but stickier Premium version), but if you hate hyaluronic acid, there are a handful of options, including Matsuyama and Kikumasamune (which does have added fragrance, but it's never bothered me).
Moisturizer 2: A thicker lotion with more emollient ingredients and maybe even an occlusive ingredient or two. Japanese or Korean emulsions fit this category, as well as any lighter or creamier lotions you may have.
Occulusive: something chunky to seal in everything that's come before. Petrolatum is ideal if you're very dry, either by itself in something like Vaseline or in a product with additional ingredients like Cerave Healing Ointment. If you can get away with less here, something like shea butter or lanolin are ideal. This should be a really thick cream or an ointment texture. You may not need this during the day, but you will almost certainly need one at night.
I think one of the big issues when designing this part of your routine is finding basic skincare that is basic enough. I think it's really important that these four items (or three, if you decide you desperately want or need to skip one of the moisturizer steps) have no fragrance (or extremely minimal fragrance that has never bothered you), no essential oils, no actives (why does every Western toner have glycolic acid and every Japanese toner have retinyl palmitate?), and I try to keep plant extracts to a minimum too just because of my own allergies unless I know already that it's beneficial (I also can't do snail mucin, another popular moisturizing ingredient in Asian skincare circles, because I'm allergic to it).
So, for example, my routine is in flux right now because a bunch of items I've been using for years have been reformulated and I'm allergic to the new versions, so I am trying some new stuff, but the stuff I'm currently using in these spots we discussed above are are:
Face Wash: Face Shop Rice Water Bright cleanser - a foaming cleanser with fragrance that I've been using for a decade, but if I was replacing this with something milder I'd probably pick something like LRP Toleraine cleanser or Sioris Cleanse Me Softly or SANA Cleansing Milk.
Moisturizer 1: Isntree HA Toner, but I slightly prefer Hada Labo Moist and I'm going back to it when the bottle is empty.
Moisturizer 2: Hada Labo Premium Emulsion, which is a thicker and creamier formulation than the regular lotion. My Soon Jung Barrier Cream fills a similar niche as a very liquid-y cream.
Occlusive: Now that my skin is fairly stable and I patch test and stop using things as soon as it's obvious they're drying me out or giving me a rash, I rarely need to use Cerave Ointment as my occlusive on my face, but I still use it on my arms and legs and in the winter sometimes.
I can usually get away with Illiyoon Ato Ceramide Cream (Though I am trying Aestura Ato Barrier once the Illiyoon is empty).
My other advice for Western skincare brands is I look for stuff that says it's safe for eczema. "Fragrance free" doesn't mean much, and neither does "hypoallergenic," but a formulation that says it's good for eczema (or people with eczema on the internet recommend) at least gives me an idea it might be suitable for my skin.
Also, Yesstyle isn't always the cheapest place to buy, but they happen to be a place that does both Korean and Japanese stuff that actually lists ingredients and keeps them semi-current (unlike posting Amazon listings, for example).
#ICTD responds#ICTD Part 5 Personal Care#Part 5 skincare#this post may sound like Obvious Stuff but if you're in skincare circles on the internet this post contains no less than THREE heresies
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'Countercation engineering' for thermoresponsive graphene-oxide nanosheets
Graphene-based two-dimensional materials have recently emerged as a focus of scientific exploration due to their exceptional structural, mechanical, electrical, optical, and thermal properties. Among them, nanosheets based on graphene-oxide (GO), an oxidized derivative of graphene, with ultrathin and extra wide dimensions and oxygen-rich surfaces are quite promising. Functional groups containing oxygen, such as carboxy and acidic hydroxy groups, generate dense negative charges, making GO nanosheets colloidally stable in water. As a result, they are valuable building blocks for next-generation functional soft materials. In particular, thermoresponsive GO nanosheets have garnered much attention for their wide-ranging applications, from smart membranes and surfaces and recyclable systems to hydrogel actuators and biomedical platforms. However, the prevailing synthetic strategies for generating thermoresponsive behaviors entail modifying GO nanosheet surfaces with thermoresponsive polymers such as poly (N-isopropylacrylamide). This process is complex and has potential limitations in subsequent functionalization efforts.
Read more.
#Materials Science#Science#Graphene#Graphene oxide#Carbon#2D materials#Thermal properties#Shinshu University
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