#I know it's a common procedure with minor risks but STILL

[music-for-them-asses]

I just found out I have to be at the surgery center tmrw at 6:30 am to check in 😭😭😭😭 and my procedure is at 8. And only liquids for 24 hours after that 💀

[is-the-owl-video-cute]

To be fair, two of the people who complained the loudest about your sterilization take are Native American. Forced sterilization WAS used on Native men and women are a part of the on-going genocide against Native Americans. I can see why they would have such a knee-jerk, almost violent reaction to what you said. They're still gross for being pedoshitters, but I can see why they would have such a reaction to that. There's probably trauma there.

I am well aware of forced sterilization in the US, it isn’t history either it’s still being done now, however,

This is not an exclusive issue as many woc are being targeted by forced sterilization (black women and latinas are very common targets to this, the latter being the primary one we know about in the modern day, but its still done to other groups as well),

and it’s a bit of a leap to act like a pedophile taking medicine to lower libido so they don’t have as high a risk of sexual thoughts towards minors is the same as children, prisoners, kidnapped victims, etc. being drugged and sterilized or having procedures done on them without informed consent.

I’m forced sterilization, a doctor may take in a patient who needs an appendix removed and just happen to make a few extra incisions without telling the patient or obtaining consent.

The reason forced sterilization is bad is because it’s done without informed consent and is mutilating a persons body as a tool of genocide. The act of being prescribed a medication that lowers sex drive and/or limits ability to have children is not a bad act in a vacuum, if it were then birth control and antidepressants would be evil too. The drugs offered to pedophiles also tend to be reversible, they just limit sexual arousal while they’re taken. It’s not even typically true sterilization.

In general though, what I will say is that we shouldn’t just assume generational trauma and spread conjecture about why people react as they do when it comes to an issue this serious. If they mentioned that’s why it’s one thing, but it feels a bit odd to talk about a third person and just assuming they feel a certain way because of their ethnicity.

[justzoni]

Life Updates

With the U-KISS Comeback, I've had a few PMs here and on Facebook asking if I, too, will be making a comeback.

The short answer is no, I have no plans to resume writing fan fiction. That's not to say I never will, but it's not in the books right now.

For a longer answer, I'll go ahead and give you guys a life update. Under a cut, of course, to save everyone's sanity.

Ask anyone who knows me and they will tell you that I am an incredibly laid back, happy person. I go with the flow, don't get irritated or upset, and have an easy time handling problems when they arise.

That being said, there is one thing that pisses me off like nothing else: people who try to tell me what I am or am not capable of doing. And yes, when people do that, I can also hold a grudge.

Five years ago, my ex walked out on me twelve days after I had major abdominal surgery, when I couldn't even lift a gallon of milk or take care of myself properly. Before she did, she made a few statements that really got to me. She said that autistics can only have jobs, not careers. I was told that I should be grateful that I could find retail work that paid $15 an hour, because that was all I was worth since I didn't have a college degree. And I was also told that I should count my self very lucky that I had someone to "help out" financially.

To add to this, my doctors had told me that I would never run a mile, couldn't lift weights, and would never be able to leave the house without having an inhaler in my purse or pocket because to do so would be risking death.

When I say that I hold a grudge, I think what I really mean is that when people tell me shit like that, I tend to do everything I can to prove them dead wrong.

So, over the last five years, I have built a strong and successful career. I have become a recognized expert in my field, with a great reputation. I went from making $15 an hour to making well into the six figures. I traded in my tiny rented room in New York for a big, beautiful house in an upscale neighborhood in Nashville. The junker I was driving that would occasionally die at the worst times was sold off and replaced with a new SUV with all the bells and whistles.

And to top it all off, I got myself to a point where I was running five miles every morning and didn't have a second thought about my asthma.

I fixed everything but my severe trust issues.

Two years ago, I met a guy named Mike. We had a lot in common: he works in tech, loves dogs, loves movies, and is a craft beer enthusiast. Great. But I wasn't sure I wanted a relationship at all, as I had been determinedly single and had worked hard to keep myself from getting too close to anyone.

Four months after I met Mike, I got some bad news. My doctor informed me that I needed knee surgery. The surgery was explained to me as a very simple procedure that would take an hour. I'd be able to use crutches for the first three or four days, then I'd be back to full function within two weeks. No big deal.

When I went in for the surgery, I expected Mike to help me back home and help me out the next day, as he had offered. But nothing beyond that.

And then the surgery went very wrong. The procedure that was supposed to take an hour wound up taking half a day. Instead of the minor repair I was told about, the surgeon wound up basically having to rebuild my knee. He described it as the worst damage he had ever seen that wasn't from a single, traumatic incident like machinery accidents.

The recovery I was looking at was this: fourteen weeks before I could put any weight on my left leg whatsoever, six more weeks with severe restrictions and crutches, and very extensive recovery time. My knee still isn't back to full function.

With that kind of a medical situation, I expected Mike to take me home, help me get set up, then maybe call one of my friends to come help me out. After all, he'd only been dating me for about four months, and that was not at all what he had signed up for.

When they released me from the hospital, Mike drove me home and got me settled. He then left... and drove to his house, packed up a large suitcase, grabbed his dog, and moved into my house for the duration of my recovery.

If you'd like to know how to earn someone's trust, that'll do it.

In a little over three weeks, Mike and I are flying to Charleston, where we will be exchanging vows in a public park while surrounded by family. We have a very good life, and right now it is very full with work, wedding stuff, trying to get back into running, and talk of starting a family soon.

I do still occasionally write, but it's almost entirely original fiction. When I do get hit with a wave of nostalgia, I go through and poke at old fan fiction to make some edits and wonder why I stopped writing. But I no longer feel the pleasure and enjoyment that I used to while writing.

I'll leave this for now. Maybe someday I'll be back. Maybe I won't.

In the meantime, if anyone needs to get a hold of me, just shoot me a note. Cheers.

[qlddemolition]

What is Friable Asbestos

Fried asbestos can be broken down. When asbestos becomes friable and breaks down, it releases tiny fibres into the air. This is high risk. High care should be taken in this. If proper precautions are not taken, these fibres can be inhaled which can cause lung damage and can lead to conditions like asbestosis, mesothelioma, and lung cancer.

Those couple of items made which still have asbestos that can be inhaled are required to be classified. Nevertheless, until the 1970s, lots of kinds of building products and also insulation materials used in houses consisted of asbestos. Usual items that might have consisted of asbestos in the past, as well as conditions which might release fibres, consist of: STEAM PIPELINE, BOILERS, and also heater air ducts insulated with an asbestos blanket or asbestos paper tape.

If you believe asbestos might remain in your residence, do not panic! Typically, product in excellent problem will not launch asbestos fibres. THERE IS NO threat unless fibres are released and breathed in into the lungs. Examine product regularly if you believe it may contain asbestos. Don't touch it, yet seek indications of wear or damage such as tears, abrasions, or water damage.

What is Non Friable Asbestos

Non-friable asbestos poses less risk than friable asbestos. It is mixed with cement or other hard binding material. If non-friable asbestos is damaged, it can become friable asbestos. Asbestos cement, asbestos cement sheeting, and vinyl asbestos floor tiles are common non-friable asbestos products.

This information will certainly aid you comprehend asbestos. What it is, its health effects, where it is in your house, and what to do concerning it. Even if asbestos remains in your home, this is generally a severe problem. The mere existence of asbestos in a home or a structure is not unsafe. Damaged asbestos may release asbestos fibres and also become a wellness threat. Read this before you have any type of asbestos material evaluated, got rid of, or repaired.

Research study asbestos reduction firms, request for recommendations and just how they get rid of asbestos from homes. You, your loved ones as well as the general public will certainly be much more secure when the threat of asbestos exposure is effectively removed.

What Are The Steps To Remove Asbestos From Your Home Safely

Many times I have seen people talk about removing asbestos by themselves. But whenever I hear this, I advise them not to remove asbestos by themselves and contact an asbestos removal specialist. I want to give the same advice to you too. Because asbestos can completely spoil the health. I have also told above about the dangers of this. If you are reading this article from above, then I hope you must have come to know how dangerous asbestos is for our health.

Doing minor repairs yourself is not suggested because improper handling of asbestos products can develop a hazard where none existed. If you however choose to do small repairs, you should have as much details as feasible on the handling of asbestos before doing anything. Be sure the specialist adheres to regional asbestos elimination as well as disposal legislations. Assure that the contractor stays clear of spreading or tracking asbestos dirt right into other areas of your residence.

Get cost estimates from a number of specialists, as the charges for these solutions can differ. Though private houses are normally not covered by the asbestos regulations that put on colleges as well as public buildings, specialists ought to still make use of procedures described throughout government or state-approved training.

Where Can I Get Best Asbestos Removal Service

If asbestos product is more than slightly harmed, or if you are going to make modifications in your house that might disrupt it, repair service or elimination by a specialist is needed – asbestos removal company. You can not inform whether a product includes asbestos simply by considering it, unless it is classified. If in doubt, deal with the product as if it consists of asbestos or have it tested and also evaluated by a qualified expert.

Asbestos professionals are learned taking care of asbestos material. The kind of professional will depend upon the kind of item as well as what requires to be done to deal with the issue. You might hire a general asbestos service provider or, in some instances, a specialist educated to manage specific items containing asbestos. Asbestos professionals can carry out house examinations, take samples of suspected material, examine its problem, as well as suggest concerning what corrections are needed and also that is qualified to make these adjustments.

Hire professionals that are educated, experienced, reliable, and also recognized. Prior to employing an expert, request for referrals from previous clients. Figure out if they were satisfied or you can directly contact Queensland Demolition and Remediation. Queensland Demolition and Remediation is one of the best and leading asbestos removal company. We provide the safest class a asbestos removal, class b asbestos removal, and asbestos fencing services.

Where Can I Get Safest & Secured Process For Asbestos Removal

Professional modification or reduction service providers repair work or get rid of asbestos products. A professional worked with to assess the need for corrective action need to not be attached with an asbestos-correction firm. Queensland Demolition & Remediation is a leading asbestos removal contractor where you can get the safest & secure process for asbestos removal. It would not be appropriate to compare Queensland Demolition and Remediation with anyone. Queensland Demolition & Remediation is a leading asbestos removal company as well as a leading demolition contractor.

Home owners as well as others can find out more about how to securely have asbestos gotten rid of from a home or building. Extra resources for managing, getting rid of and dealing with asbestos, consist of: Before any remodelling or demolition on an older building, proprietors ought to consider contacting an asbestos specialist for screening. Safe handling as well as removal of asbestos can protect against direct exposure and make certain correct disposal.

[toonformers]

Ignorance is Bliss (Transformers Prime fanfic)

I made TFP Centishock! Uhhh hope you like it!

“Survival log number 309. I am still marooned on Cybertron, with no means of escape. No ship of which I can fly out, no functional space bridge, communications cut off entirely, and no sign of any Decepticon returning to the abandoned planet soon. I only rely on recording my thoughts for now. However, the battery could run out at any moment, and I will be subjected to the horrors of insanity. I need to act fast and find a new power supply for the recorder if I am to survive my own mind in this wasteland.

However, when one is completely blind, said action can prove…difficult. I have been thankfully able to prevent any infection in my optic and have managed to scour Cybertron for useful parts for my experiments just fine, but I’ve yet to repair the optical nerve within my helm. I’ve not studied enough medical science to perform such a delicate repair, and my lack of sight only complicates the procedure. Accidental damage to my processor is a high risk. Therefore, it is illogical I perform such a repair until I find a suitable corpse to reference off, so I may distinguish each part of my system. Ironically, in a planet where all that is left is rubble and corpses, none of them bare heads….at least not whole ones. …Hmm, it seems I was mistaken. There is also one life…apart from my own.”

The purple mech suddenly whipped behind him and fired his canon; he couldn’t see, but the sound of light footsteps following him were easy to detect when all he has heard since being left behind was his own voice, rumbling of debris collapsing and the complete silence dead at night. Shockwave found it strange he could not detect their energy signature, he assumed it was some form of surviving Cybetronian fauna, looking to devour him. He hummed a little, assuming he had gotten the creature in one shot, but then he could hear it: shaky breathing. However, there was no growling or screeching. Perhaps he had injured the creature enough. Being a scientist, he decided to try to investigate what was his attacker, to see if it could provide anything useful. Shockwave felt around for the nearest metallic plate, then banged on it with his arm, allowing the sonar vibrations to reveal a faint purple shape hidden behind debris within his current state of black nothingness. A bot.

“Show yourself.” He said as he slowly walked towards them, his footsteps thudding as he got closer. “Do not try to outrun me, for it will only quicken your demise.”

“I won’t…” A delicate voice responded, cold and calculating like him, but with a hint of fear in their tone. “…as long as you don’t shoot me.”

Shockwave hummed pensively as he heard the voice. “A femme…” He mumbled to himself. “I was sure that there was only one surviving Cybertronian femme…and it was the same one who sabotaged my technology and left me to rust with her colleague. Hope for your sake you are not the same femme…”

“I am not.” The femme swiftly responded; the light footsteps of her standing being heard. “I have never seen you before. We do have in common the aspect of abandonment, though. I was separated from my colleagues in the crossfire, an explosion left me unconscious. When I awoke, I was alone…or so I thought.”

The purple mech did not want to admit it, but he had some sympathy for the femme, and was willing to let her live…for now. However, an essential question remained within the cold, possibly emotionless mind, and the answer would determine whether this femme would live…or die. “I see…what is your faction?”

“Does it matter?” She replied. “We are the only two left in the entirety of Cybertron and will possibly not be in contact with others of our side for the rest of our lives. Fighting to the death would be pointless, as it will not change anything. One of us will still be alone.”

“Hmm…wrong answer.” He responded in a deep almost growling tone as he prepped his canon. It hummed as Shockwave felt the warmth of a charge building up in his weapon and pointed it to the stranger.

“Your optic is broken, is it not?” The femme responded, her previous fear seemingly gone as Shockwave simply stood there, thinking. He kept his canon pointed at her as he allowed her to speak. “Your optical nerve. I can see it’s severely damaged. I am a scientist, but I was trained in all branches of science, including medical. I can repair your wound, then you won’t need to do it yourself. You don’t need to worry about me trying to kill you. I am not skilled in combat, and your size and strength leave me at a disadvantage. Therefore, it would be pointless to try. I’d rather help, regardless of faction.” She sighed softly, hoping that was enough to convince him.

“I find your argument…logical.” The purple mech responded, then lowered his canon as it powered down. “I will allow you to repair me, miss…” He trailed off, allowing the femme to speak her name.

“Centinela. Centinela Minor. Scientist. All-round specialty. And you are…?”

“Shockwave. Chief Decepticon scientist. Genetics specialty.” He extended his servo for a handshake, and Centinela grasped it gently. Her servo was very soft and small with very few scratches, as though these servos had never been in the deep pit of war until recently. Meanwhile, Shockwave’s large clawed servo was full of old and recent scratches, making it feel very rough. And his grip was usually firm, however it softened when he noticed just how small the bot was. By estimate, the femme would be just barely chest height to him, frail and tiny. She made the right choice to not run away, much less try to defend herself. He then let go of the femme’s servo and sighed. “I have a research facility in Tarn. It’s about a megacycle away. It has all the materials required for you to repair my optical nerve.”

“All except the actual nerve…” She responded with a sigh. “The damage is so severe; I’ll have to replace your nerve with another one. I have my own research facility in Tarn as well. There are some bodies who have donated themselves to science of which I can use. Perhaps we should go there first.” Shockwave hummed in response.

“Very well. I will follow you.” And so, the two went off to Centinela’s laboratory, the purple mech suspicious the entire way, and understandably so. He was trusting a stranger, who refused to let him know of her faction, was being led to her laboratory, all while being totally blind. On the other hand, however, Shockwave had a small hunch that this was one of those situations where ignorance is…advantageous. Bliss is illogical.

//

Let’s call that part one. Thinking of doing more. We’ll see!

[transgenderteensurvivalguide]

so i’m going into surgery soon (not transition related) and going to be asleep for it so i was wondering if it’s okay to wear my binder to that surgery? it wouldn’t get in the way of anything but idk if it would be safe to wear it.

Lee says:

It depends on what kind of surgery you’re getting, but generally you can wear it there but make sure you take it off before the surgery. 

If you were getting a surgery under local anesthesia I’d have a different answer, but my response in this post is about your situation, which requires general anesthesia.

Binding can make it harder to breathe, which is the first major issue. General anesthesia usually involves medications that paralyze the muscles of the body—including the muscles that make it possible to breathe. For this reason, patients who receive general anesthesia require a ventilator to do the work of the diaphragm and other muscles that help make it possible to inhale and exhale.

And binders can be hard to remove if you’re not expecting to have to remove one. I’m finishing my EMT training this week (and taking the NREMT exam later this month) and we carry trauma shears to quickly cut through tough clothing, so if you fell unconscious and we needed to put the defibrillator pads on your chest we’d cut off your shirt and binder.

Using myself as an example, I had all four of my wisdom teeth removed by an oral surgeon and I didn’t have to put on a surgical gown, I was just laying in the dentist’s chair in my street clothes, but I was still under general anesthesia. But many oral surgeons (depending on the setting) don’t seem like they’d be prepared to quickly and efficiently do a trauma strip and cut off your clothing and binder with shears they have on-hand, and it’s best to not take chances.

So even if you’re getting a surgery in an area where the binder wouldn’t get in the way of anything, like me getting my wisdom teeth removed, it’s still not safe to wear your binder during the actual surgery because it can impair your breathing and potentially cause issues accessing your chest in an emergency situation.

If you expect to be wearing the clothes you walked into the appointment wearing during your surgery under general anesthesia but you don’t want to go out in public without your binder when it’s not absolutely necessary, you should bring a bra in a bag so you can change into the bra in the bathroom before your surgery.

General anesthesia suppresses other parts of your body's normal automatic functions besides breathing, including heartbeat, circulation of the blood (such as blood pressure), movements of the digestive system, and throat reflexes such as swallowing, coughing, or gagging that prevent foreign material from being inhaled into your lungs. 

This means that the doctor should be monitoring all your vital signs like your heart rate, the amount of oxygen in your blood, the number of breaths you’re taking, and sometimes even your EKG, and that occasionally means having leads placed on your chest to see your heart. This is more common for high-risk patients and for long surgeries, but they may want EKG leads on your chest even if they’re operating somewhere completely different, like your leg, so that’s something to be aware of.

And most commonly, you won’t be choosing whether or not you want to wear your binder during surgery- if it’s a major procedure that’s lengthy or difficult and requires you to be under general anesthesia, often it’s done in a sterile operating room. Generally, you will have to change out of your day clothes into an embarrassing paper-plastic surgical gown thing, and you usually can’t even wear your own underwear underneath, they give you gauze-like mesh underwear because you’ll likely be catheterized for the surgery. 

So if you’re having your surgery at a hospital, or even most outpatient surgical facilities, you likely will not be allowed to wear your binder for the surgery and will be required to put on a little paper dress instead. They’ll take your clothes away in a plastic bag, then eventually give them back to you after you’ve woken up from surgery and request them. That’s what I had to do for both my top surgery and my hysterectomy.

But circling back to the point, as we all (hopefully) know, it isn’t safe to wear a binder while sleeping:

Many people sleep for more than 8 hours (recommended maximum time for binding)

Your body breathes differently during sleep and it is more important to have full lung capacity

You are less likely to recognize minor pain/discomfort/other early warning signs that you need to take your binder off while you are asleep

And if it isn’t safe to wear a binder while you’re asleep normally, it reeeally isn’t safe to wear a binder when you’re asleep under general anesthesia, which basically puts you in a short medical coma and paralyzes the muscles you use to breathe so you can’t expand your lungs and take in a breath. While they will intubate you and use a ventilator so you will continue to breathe during surgery, it’s really not something you want to take any risks with.

Binding can also reduce your lung capacity and how much your lungs expand when you take in a deep breath which is a bad combination with the effects of anesthesia, which hampers your normal breathing and stifles your urge to cough. Plus, after some surgeries, it could hurt to breathe in deeply or push air out. 

So those three factors means mucus may build up in your lungs and you could get pneumonia or even have part of your lung collapse, which is they often give you these things after surgery and tell you not to bind for a few days post-op if you’re able to safely go without it.

Anyway, circling back to the point- I would not bind during surgery that requires you to be under general anesthesia because it isn’t safe, and I would talk to your doctor about how long it’ll be before it’s safe for you to bind post-op.

TLDR; it isn’t safe to wear a binder while under general anesthesia because it can suppress your breathing

[carpathxanridge]

so i finally read the arkansas bill so i could form a better argument surrounding it. because i’ve seen so much dishonest framing of it that is super blatant, and i’ve seen complete misinformation being spread (claims that it bans mental healthcare for trans kids, claims that children don’t currently have access to any “gender affirming” surgeries when they literally do with parental consent, claims that there are no side effects or long term health risks of puberty blockers, etc.) but i did want to read the bill itself to make sure it is something i can defend, or at least qualify the parts i don’t agree with... and it’s so completely reasonable and necessary that i’m actually going insane. when you look up “arkansas trans bill” literally every other headline uses the wording “kill trans kids.” just compare that to the name of the bill which is the “save adolescents from experimentation act” lol. both are obviously politically charged but it’s telling that little coverage on this cite the bill’s actual name, knowing it would likely ring alarm bells in the audience that something is missing from the story. i bet most people railing against it on social media havent read it, or if they have they’ve read it very selectively and don’t have any factual evidence to refute the part of the bill that very clearly explain its reasoning and why it’s a matter of medical experimentation in minors incapable of consenting. they also must be selectively ignoring the parts of the bill that state that these restrictions only apply to very clearly defined transition procedures, not mental health care! and do not apply to the treatment of any complications from prior procedures (regardless of the legality under which those were performed), meaning that it is a huge and obvious lie that trans kids will be abandoned by the medical system under this bill.

and i don’t know if i just missed it when reading, or if it was part of a different bill: but where is the part that forces schools to out trans students? because i am obviously against that, since it’s obvious child endangerment and there’s no good argument to legislate against social transition for children anyway—but a lot of media coverage will have you believe that kind of measure is wrapped up in this big evil anti-trans bill, when the bill is actually very specific to medical intervention in minors. if someone actually knows what legislation that was from (because i hope it wasn’t just pulled out of thin air), i’d really appreciate it. and another part of the bill i was a bit unclear on was the medicaid/healthcare coverage section—i gathered that the restriction only applied to coverage for minors, but section 4c seems to generally state that insurance isn’t required to cover gender transition. but i’ll be honest i don’t know the current situation of insurance coverage for transition in arkansas.

also, i do agree with criticisms that this bill could be very damaging to the mental health of trans teenagers already receiving hrt, not from an inflammatory perspective but a common sense one of compassion. there really needs to be robust mental health services and medical observation in place when taking a kid off of hormones, or when cancelling surgeries they’d already scheduled and were putting a lot of hope in. because i’ve read adult detransitioners talk about the uncertainty of coming off hormones, and how their medical providers really didn’t have much knowledge over how it would affect them, how there are withdrawal symptoms coming off of testosterone and many considerations— so imagine that happening to a minor who wants to remain on hormones. and many kids rely on the thought of transition in the future as a big source of hope and a way of coping with present dysphoria and suicidal ideation. so this bill is likely to put them in a very dangerous mental state—and that’s why the trans community’s rhetoric of the inevitability of trans suicidality is incredibly irresponsible right now, because the kids currently facing this absolutely do not need to hear that they will unavoidably kill themselves if not allowed to continue/start transition. but it’s difficult because this legislation is still a necessary step, and the medical negligence was in allowing kids to undergo medical transition in the first place. i just wonder if there could be a more tactful way to go about phasing out medical transition for teenagers already receiving it. (above a certain age, because the use of puberty blockers needs to be stopped immediately.)

i highly recommend everyone read any bill that is being disputed and form opinions for yourself, especially as many states are introducing similar bills that are branded as “anti-trans.” decide for yourself what is and isn’t reasonable. legislation isn’t always inaccessible—a lot is perfectly understandable and written in pretty plain english. and even if you need the help of secondary source news coverage to understand more complicated laws or the issues raised by them that might not be obvious in the text, you still benefit by attempting to read the actual legislation and by reading news coverage critically. it’s typically a good hint if you come away from a critical article agreeing with the criticisms without any understanding of what the bill actually and specifically includes, which most media coverage of arkansas hb1570 is guilty of.

[drwcn]

I was reading your post about consent for surgery and I had a question. Aren't there cases where if the patient is not of sound mind or unable to make an informed decision, then family can decide for them? That's not to say that WWX was entirely of sound mind at that point (he'd also been through insane trauma & was trying desperately to hold onto the family he had left). But JC was in a much worse state and retrospectively I agree JC would never have agreed to taking anyone else's core, but 1/2

I know I said i wasn’t going to answer asks until I’m done my exams but this one just came in and it’s a topic close and dear to my heart, so I’m going to take a couple of minutes to answer it. Thank you for the ask, but I think this brings up a lot of misconceptions of what is medical consent, capacity, competency, and substitute decision making. This is a very complicated and legally heavy topic. So it will be a long post. I apologize for that. 

There are several misconceptions in the ask, and I will be addressing them in this order: 

That Jiang Cheng is “not of sound mine” and cannot “make an informed decision”. 

The role of family and substitute decision making 

“force a life saving measure on a family member”. 

Issue 1 : Jiang Cheng is not competent and has no capacity to consent. 

There is no doubt that Jiang Cheng has gone through significant trauma, and that he is emotionally fragile, but this does not medically equate him to having no capacity to make surgical decisions and this certainly does not make him legally incompetent. If I may, I will define “informed decision”, “capacity” and “competency”.  

The criteria of obtaining informed consent is described below. 

Decision maker must: 

Be aware of his/her right to withdraw consent at any time

Be free of undue influence, duress or coercion in making the consent decision (aka no one is paying them or holding a gun to their head)

Receive a proper explanation that includes but is not limited to:

diagnosis reached

advised interventions and treatments;

exact nature and anticipated benefits of the proposed examination, assessment, treatment or procedure;

common risks and significant risks; 

reasonable alternative treatments available, and the associated common risks and significant risks; and

natural history of the condition and the consequences of forgoing treatment;

All of this must be explained to the patient before a procedure can be undertaken. And the patient must be able to understand what is told, and to appreciate the gravity of their choice. This brings us to the idea of “capacity”. 

Capacity is not how emotionally distressed you are, or how traumatized you are. If my partner (the love of my life) and I both got into a horrible car accident, but I sustained minor injuries while he requires significant surgery, you can reasonably assume that I am in deep emotional distress. However, if I were his POA (power of attorney), I would still have the capacity to decide and consent for his surgery on his behalf if he is no longer capable (e.g.: he is unconscious).  

Capacity refers to a person’s ability to make a decision that is “task specific”. As in, can he make a decision about this particular thing we’re asking him. It requires the person (Jiang Cheng) to:

Reason and deliberate - can Jiang Cheng make logical sense of the procedure and its consequences.  

Hold appropriate values and goals - Jiang Cheng would want to protect his family, avenge his parents and defeat Wen Ruohan. 

Appreciate one's circumstances - does Jiang Cheng know that without his surgery he will never get core back? Does he know the risks of the surgery to himself, to his brother, and its chances of success? 

Understand information one is given - are Jiang Cheng’s cognitive functions intact to for him to understand and appreciate the information given? 

And communicate a choice.

Can Jiang Cheng do all of that? The conclusion of the assessment for capacity ultimately lies with the attending physician. Medical capacity is a result of a physician’s assessment. Capacity wasn’t even a consideration for Jiang Cheng. Wen Qing agreed because Wei Wuxian begged, and probably because she also felt guilty. And that’s not how she should’ve done it. 

From what I have seen on the show, Jiang Cheng is capable. I can say with 99% confidence that what happened to him is a gross violation of his bodily autonomy and his rights. No physician would agree to do a surgery the way Wen Qing did. In a way, she was compromised, and she should’ve seen that there was a conflict of interest between herself, Wei Wuxian, and her patient Jiang Cheng. If I were her, I would be mortified that I had done something like this. 

On the other hand, competency is a legal status. It doesn’t change with activity and task. A judge needs to decide this and once you’re deemed incompetent, there’s usually no going back. This doesn’t really apply in CQL because...well they don’t have a judicial system. I can explain competency fully in another ask if you’re still interested. One thing I will say is that even “incompetent” individuals can have “capacity” for certain decisions. E.g: my grandmother with dementia while she cannot decide whether she undergoes a knee replacement or not, she can decide that she doesn’t want apple sauce with her morning meal. Again, competency is a global assessment leading to a legal status change, whereas capacity is task specific. 

Issue 2: the role of family and substitute decision maker 

Substitute decision makers (SDM) are brought in when the patient is deemed lacking capacity to make a certain decision, and as I have explained above, Jiang Cheng does not qualify as lacking capacity. In modern law, the role of SDM is different from country to country, even provinces/states to provinces/states. 

For a lot places, pediatric patients are not able to consent for themselves and their parents are usually their SDM. This is not the case where I live. Children, as long as they are assessed by their physician to be capable of making specific decisions, will be able to make decisions in their medical treatment. This assessment is on-going throughout medical care. In many other places, parents are the SDMs. However: please note that good medical practice will still include the children in the discussion of their care as much as is appropriate for their age and ability, and that while they cannot consent, clinicians must try their best to obtain children’s ‘assent’ (aka their agreement and cooperation).  

For seniors with dementia, their SDMs are their spouse or in lack that, their children. Without a specific POA - power of attorney, that is the one person the patient has written down as their legal SDM - all SDMs on the same level must come to an agreement before a procedure can be carried out. What do I mean by that? SDMs come in levels. Where I live, at the top level is the spouse. Without a specific designated POA, spouse is always SDM, their decision trumps everyone else’s. Without a spouse, the next on the list is usually children. If there are multiple children, they must all agree on what to do for mom or dad before the doctor can act. If they can’t agree, there’s usually a due process where physicians can petition the court to have a designated third-party SDM appointed.  In all cases with SDMs, they should not be acting according to their own values but the values and wishes of the patient to be best of their understanding. If doctors suspect that SDMs are not following the values of their patient, there is also a process where they can petition the court to have the SDMs’ rights removed. It’s a very lengthy process and this doesn’t happen often. 

For Jiang Cheng, if for example he never gained consciousness (so he is completely incompetent) and we consider Jiang Yanli and Wei Wuxian to be at the same SDM level (JC’s siblings), then they should’ve had a discussion with Jiang Cheng’s values and beliefs in mind and come to a conclusion together. Only that decision should be implemented. Of course, this didn’t happen because WWX and his martyr complex made an unilateral decision for himself based on what he thinks is right.

Issue 3: Forcing people to live against their will.  

Does this happen? Tragically yes. It does. Should it happen? No. Absolutely no. 

The grey areas are when a senior never wrote in legal documentation explicitly that they don’t want life sustaining measure, but that maybe in passing they’ve mentioned to their nurse or physician. When they become incompetent (coma, dementia, delirium, stroke, rapid decline in cognitive function), the children want everything to be done for dad or mom, and refuse to switch to palliative care or to end life support. 

In those cases, unfortunately, many institutions will go with the families’ wishes because hospitals don’t want to be sued, and families do sue, even when all the medical team has done is respect the patient’s wishes. 

There are many pediatric cases as well where parents cannot cope with their loss and can’t let go. The child could be brain-dead or in persistent vegetative state, and so even though nurses and doctors feel a lot of moral distress at continuously giving aggressive measure that they know it won’t help, they can’t stop. Because if they do, they can get sued. And sometimes it’s not even just a matter of lawsuits. These things can get crazy, media can twist the truth and people can get death threats. Feel free to google these cases. 

So yeah, it happens. But it shouldn’t. Just because it happens, doesn’t mean it’s right. 

And this doesn’t apply to Jiang Cheng. Because he isn’t brain dead, he isn’t in a coma, he doesn’t have frontal cortex damage, he doesn’t dementia. He is in complete control of all his faculties. So what happened to him was a crime. And if there are other examples where patients were forced into/lied to about medical procedures by their family, those are crimes too. 

And yes CQL is a tv show set in fantasy china, so does it all really matter? I guess, if you don’t care that much about the drama, then no, it doesn’t matter. But keep in mind this wasn’t a historical drama, we’re not analyzing a historical figures’s actions with modern ethics. That would be misplaced. This was a fantasy drama, written by a modern girl, living in modern society. And its audiences are people living in the global community, so it should matter how it impacts the viewers who watch it. 

From a modern western medical perspective, Jiang Cheng does not owe Wei Wuxian, Wen Qing, and Wen Ning anything. I liked Wen Ning up until he threw the core surgery reveal in Jiang Cheng’s face so cruelly. People cheered him on, but I was very upset. 

Jiang Cheng owes these three nothing. Not a damn thing. 

[macgyvermedical]

Soup: a “Tesla + Bell + Edison + Mac” Medical Review

“You have a perfectly functional syringe pump with the PCA in the background, and you’re going to give him an injection with a metal needle? Also, if you’re gonna sedate him you might as well use the IV pump too??? Like, you have a whole ‘nother channel?? Most floor nurses would kill for that setup?” <--- From my notes on this ep.*

Awl - X-Ray + Penny - Duct Tape + Jack - CD + Hoagie Foil - Guts + Fuel + Hope - Wilderness + Training + Survival - Father + Bride + Betrayal - Lidar + Rogues + Duty - Nightmares - Seeds + Permafrost + Feather - Friends + Enemies + Border - Mason + Cable + Choices - Bitter Harvest - Kid + Plane + Cable + Truck -

In case you didn’t see it, the story went like this: After being knocked unconscious trying to prevent Codex from stealing an encoded map to a Tesla-era WMD, Mac wakes to find he’s lost certain memories of the event that are crucial to interpreting the weapon’s location. In order to recover the memories and stop Codex from getting there first, Matty calls on a friend at DARPA who studies experimental memory-recovery drugs. Drugged, Mac enters a dream state to track down the memories, where he encounters his mother, a man he recently chose to kill to save everyone in LA, his high-school bully, and a darker version of himself who thinks Codex’s directive to kill an eighth of the population to save the world might not be too far off the mark.

So there’s a lot to talk about here medically. For this post, I’ll go into the concussion and its aftermath, the drug and it’s administration, and the medical technology that the Phoenix infirmary seems to have at its disposal.

The Concussion/Amnesia:

Mac is knocked out by a blow to the head. He wakes up “a few hours” later in the Phoenix infirmary. I’ve talked about concussions before (see here, here, and here), so I’m not going to go into too much detail about them in this post, but essentially if someone’s out for that long, they’re in trouble.

It’s reasonably common to lose consciousness in a concussion, but it’s usually only for seconds to minutes, and if it occurs at all, that person needs prompt medical evaluation in an emergency room. Even if there ends up being no major complications, like bleeding in the brain or an increase in pressure in the skull, the recovery time for concussions with a loss of consciousness can be in the weeks or months range. Someone who’s out for “hours” is looking at a stay in a neuro ICU and probably severe and possibly permanent brain damage. Like, it’s a season-long arc at least.

Since we’re not seeing that level of medical need, I think it would probably be safe to assume that Mac wasn’t actually out for “hours” as stated. He could have been briefly unconscious, as shown in the house attack scene, but then had trouble forming memories after that, which caused him to not remember the ride back to Phoenix very well, if at all. These are still concerning enough symptoms that I would have taken him to an emergency department instead of to the infirmary, but at least with that scenario there’s a possibility what happened to him isn’t actively life threatening outside of a neuro ICU.

Unlike the extended period of unconsciousness, the portrayal of amnesia isn’t far off the mark for once. The amnesia that Mac suffers is actually pretty reasonable- trouble remembering the incident and the events just before it is common in head injuries, as is having trouble forming new memories after. Not only is accurate amnesia something that I didn’t expect out of Rob Pearlstein (writer of the infamous Guts + Fuel + Hope), but it’s something that fiction as a whole (including, I’ll admit, 1985 MacGyver**) tends to struggle with. So kudos for that specific part of this episode, Pearlstein.

The Drug:

Even if we assume Mac wasn’t unconscious that whole time, the brief unconsciousness and memory problems indicate that he still had a pretty significant concussion that needed medical care and monitoring. I’m guessing that as advanced as the Phoenix Infirmary is, it doesn’t have the capacity to do neurosurgery or intracranial pressure monitoring. That means the Phoenix medical team’s priority in this situation would essentially be to catch any major, life-threatening complication as early as possible, and if one happened, get Mac to a hospital quickly enough to save him.

The best and lowest-tech tool they have to this end is repeated mental status exams. Mental status exams have the patient answer a series of questions like “what’s your name?” “what day is it?” “where are you right now?” “what happened to you/why am I asking you these questions?”  followed up with a series of mental tasks like counting backwards from 100 by 7s or making a logical decision based on a given scenario. If Mac’s answers significantly change, from one assessment to the next, that could mean he’s in trouble. 

Because these assessments rely so heavily on Mac’s ability to answer questions and perform tasks accurately, and they’re really the only thing that’s going to catch a serious problem early enough to save Mac’s life, the last thing you’d want to do is give him a drug cocktail that would alter his perception of where he is and what’s going on around him. I’ll just… leave that there.

But let’s assume that for some reason they have a non-CT way of assessing whether Mac’s about to die from a brain bleed while in a drug-induced dream state (they do appear to have limited EEG capability- can anyone tell me if this would still be helpful in the context of the drugs?). I’m not going to talk too much about the drug cocktail itself, since it was stated as fictional (so, essentially, anything they say it does it can probably do), but since they do reference it as containing DMT, I invite you to check out the erowid experience vault for DMT for stories of other people’s experiences with it.  

I will, however, talk a little about the administration of the drug. In the episode, a syringe with a needle is used to deliver the medication. Though not explicitly shown, I assume Dr. Cheryl inserted the metal needle into one of Mac’s arm veins and injected the drug.

Something that fiction generally doesn’t understand is that inserting a metal needle into a vein in order to administer medication doesn’t happen in a medical setting. Ever. The ONLY way to administer a medication IV in a medical setting is through an IV cannula- a short, flexible plastic tube inserted into a vein, often just colloquially called an “IV”:

If Mac had one of these ^^^, the syringe could attach to one of the blue and white pieces and the medication could be injected without worrying that the needle could slip out of the vein (many IV medications must be injected slowly over several minutes, and that’s a long time to hold a needle still).

Before Dr. Cheryl gives him the drug, she takes his vitals and asks him some questions, namely whether he has ever had “a psychotic break”, then, without explaining further, asks if he thinks he will become violent.

Now, it does make sense to ask someone about their psych history when administering a drug known to have psych side effects, because those can be a lot worse or more likely for people with certain psych histories. Think about SSRIs and SNRIs- they’re good antidepressants, but when given to someone with bipolar disorder, they can greatly increase the risk of a manic episode, and that possibility has to be evaluated before the drug is prescribed.

The conversation should have started with Dr. Cheryl asking everyone else to leave the room. Asking if someone has ever experienced psychosis in front of their coworkers, is not only a serious breach of patient privacy, but could also be incredibly dangerous. If Mac had experienced psychosis, but didn’t want his coworkers to know, he’d either have to lie and risk side effects without being able to prepare, or feel pressured to release that medical information and possibly risk his job or reputation***.

Then she’d ask something to the effect of “have you ever been diagnosed with a mental illness, been hospitalized for a mental health reason, or do you take any medications for a mental health problem?” And if the answer to that question was anything that would make the drug particularly dangerous to him, she’d probably tell him the risks and her assessment that it was a bad idea to proceed.

If there was no other option for some reason (I’d argue not the case in this situation), she’d tell him what the risks were, and only then would she possibly have to ask if he knew he might become aggressive, at which point they’d come up with how he’d like her to handle that possibility.

I know it’s not quite as snappy, but I would have really liked to see it.

Plus, unless it’s been asked off screen, Dr. Cheryl hasn’t asked him if he has any other health problems, if he takes any medications, or if he has any allergies, all of which could significantly impact how safe this drug could be for Mac.

Phoenix Infirmary Medical Tech

Now let’s look at some of the bits and pieces in the background of the episode. Particularly, I wanna talk about that chair, the IV pump, and the monitor.

So, chair first- it’s a dentist’s chair. It’s good for dental things and maybe some minor procedures (we have a slightly different chair in a doctor’s office I work at- we use it for things like implanting birth control, removing warts and moles, and providing wound care), but it’s not great for anything else. It’s especially not great if you have to sit there longer than a half hour. Considering we know from previous episodes that they have a full-on hospital bed somewhere at their disposal and possibly a couple of carts (narrower beds you see in the emergency department), I gotta say it makes literally no sense to put the guy who’s unconscious from a head injury in the procedure chair.

Next, the IV pump

We talked above about administering medications “IV push”- a medication “pushed” through an IV by a syringe, one dose at a time. Another way to give IV medication or fluids is via an IV drip or “piggyback”- the medication is diluted in a bag of saline or other IV fluid, and set to continuously run into a person’s IV. These are nice for doses of IV medication that have a lot of volume (like IV antibiotics) medication that wears off quickly and may need constant adjustment (like some kinds of sedation or some types of pain medication or medications that counteract shock), or just straight up IV fluids.

IV pumps control how fast the medication or fluid goes from the bag into the person. You can vaguely control this without a pump using gravity, a drip chamber, and a roller clamp, but if you need to know precisely how many milliliters of medication/fluid per hour is getting into a person, and you didn’t start your nursing career in the 1970s, you need a pump.

The one pictured above specifically consists of a central computer box (colloquially called a “brain”) where the pump rate can be programmed, flanked by interchangeable modules that each do a slightly different thing. The modules on the pump in the episode include an infusion pump, which essentially just pumps fluid from a bag hanging above it into a person, and a PCA pump. A PCA pump holds a syringe of medication (usually pain medication) and delivers a dose of it when the patient presses a button.

Honestly I think the whole things is just chillin’ in the background making the room look medical-y, but they really could have used it to continuously administer the drug or the sedation if they’d really wanted to incorporate it.

Side note, the modules are actually kind of heavy, so you have to balance them a little or the whole thing kinda tilts (see the screenshot from the episode). Also, for some reason if you stick an infusion module on the same side as a PCA module, the brain won’t recognize it half the time. Not sure if it’s a feature or a bug. Below is how someone who has ever once used one of these things would have set it up:

The other thing they have in the episode, and the last thing I’ll talk about before I let you get back to your life (I’m sure your cat misses you by now, mine sure does), is the monitor. 

I read several user manuals for this (real) monitor system in preparation for this post. I’ve concluded that it’s way, way above my med-surg pay grade, and usually used in operating rooms by anesthesiologists to monitor sedation level (so at least in theory they could be using it correctly? I’m as shocked as you are, really). I don’t even know what half those numbers mean (beyond the SpO2, heart rate, and respiratory rate), more than just being able to say they (surprisingly) do actually reflect real monitoring options on this thing. This leads me to believe this may be some kind of weird product placement thing? As if the gratuitous use of the Toyota backup cameras weren’t oddly forced enough.

Now, beyond the fact that this is a wildly high-tech, completely overkill machine for what is happening in the episode, the thing I would like to impress upon you is that regardless of the high tech-ness, every line on a monitor requires at least some attachment to the patient. Something measuring an EKG requires at least 3 leads on the patient. Something measuring oxygen saturation and pulse requires a clip on an ear or finger. Something measuring blood pressure requires a blood pressure cuff. Something measuring temperature usually means a probe somewhere the sun don’t shine. Mac has two little leads on his forehead. That is actually hilarious. He’d be covered in wires. He would have so much adhesive stuck to him.

In case you’re wondering, the heart/lungs/brain/person outline picture on the monitor just tells you how each part of the body is doing- like, the brain will turn yellow and then red if something starts going weird with the brain-related monitoring, same with the heart and lungs. It took an insane amount of searching to figure that out. I’ve been writing this post for 4 days now.

 *I had a much longer and rant-ier intro to this but I feel like I’ve complained enough on main about how the reboot dumbed down and politically neutralized an extremely opinionated and hardline character. I do really like this show, and the storylines are really interesting, but I need you all to understand how science-based and politically charged the original one was, especially in later seasons. You had such a platform for good here, CBS, and I’m hoping against hope the generic-action-show it’s become was some kind of weird, collective misunderstanding and not a censor problem. My main problem, having finished writing this post, is that he looks really weirdly good for someone who was unconscious with a head injury and then subjected to what was another few hours unconscious and hallucinating. Like, his shirt is still tucked in. Great update to the theme song, though.

**Twice. They played the bourne-style-amnesia storyline twice.

***At this point I can only recommend you watch the 1985 MacGyver Season 7 episode “Obsessed”- it’s a ridiculous-criminal-plot episode but the undertones are all anti-ableist (both criticizing the Phoenix Foundation board of directors’ ableism in assuming Pete is no longer fit to do his (desk) job after he loses his sight, and the pressure Pete himself is under to let MacGyver go because of mental health symptoms).

[emy-loves-you]

Sanders Sides AU-gust Day 7: Childhood Friends

Logan and Patton are childhood friends. Patton’s (now ex)husband cheated on him. After getting divorced, Logan pays Patton’s ex a visit. He has a few things to say. Logan POV, One-sided Logicality with Patton/OC and familial Analogicality 

Warnings: Cheating, (mentioned) abuse (it’s only one hit), and death threats against a minor

Day 6 | Masterlist | Day 8

Logan sighed for what felt like the millionth time that day. It’s been the most stressful month of his life. But it was necessary. Now, Patton was finally free from Jacob.

Logan wished that he had seen it sooner. Jacob had always seemed to be perfect for Patton (almost too perfect). He was charming, charismatic, and had so many common interests with Patton. Logan had always been suspicious about Jacob, but Patton had always brushed it off as paranoia and over-protectiveness.

Logan could still remember the day they met. January 6th. The first day of Junior year after the winter holidays. Jacob had transferred to their school that day. He and Patton had met in an assembly meeting and it was love at first sight. At least, that’s what Patton said it was. And at the time, Logan begrudgingly agreed. Logan and Patton had been friends since they were 5, but Jacob seemed to be the only person who could make Patton’s eyes light up the way they did.

Logan shook his head, trying to force those memories out of his head. They weren’t important anymore. Not after what Jacob had done. Jacob had taken his blissful 10-year relationship with Patton and reduced it to ash.

Patton had arrived home early with Virgil (their adopted son and Logan’s pride and joy. 8-year-old Virgil was such a sweetheart, and he was so smart and thoughtful) one evening to find Jacob sleeping (Logan winced at the irony of that phrase. They were definitely wide awake if Patton’s descriptions were anything to go by) with another man. Patton had confronted Jacob, who then slapped Patton and threatened to kill Virgil if he told anyone. Luckily for them, Virgil had decided to record the entire thing on his phone (Logan now regrets every time he argued with Patton over taking away that phone. Sure, Virgil almost never put it down, but after that day it could be literally glued to Virgil’s hand and Logan wouldn’t bat an eye). He had sent the video to Logan, who called the police.

Now, after weeks of trials and legal shenanigans, everything Logan knew had been flipped on its head. Jacob was sentenced five years in prison for threatening Virgil and hurting Patton. Patton had filed for divorce and won full custody over Virgil (it helped that Jacob didn’t want anything to do with Virgil). And now, everything was finally over. Patton and Virgil were currently staying in Logan’s apartment, Jacob was now in prison, and Logan should feel relieved. The keyword being should. But there was still one thing Logan needed to do.

Logan felt his anxieties build as he went through several procedures and rules. He already knew what to do. He already knew what to say. But as he sat in the metal chair, staring into the eyes of the man who had hurt Patton, Logan felt his throat tighten.

Staring at the man, Logan felt his words crumble away as he was reduced to one question. “Why?”

Jacob laughed. “You’ve gotta be more specific, specs.” Logan winced at the nickname. It was a name that Jacob started back when they were in high school. Patton and Virgil were the only people that didn’t call him either ‘specs’ or ‘Mr.Sanders.’ “Are you askin’ why I hit Pat? Or why I threatened the kid? Or maybe why I cheated?”

Logan shook his head. “No, I already know those answers. If you don’t remember, I have several degrees in psychology. I knew you never cared about Virgil. I suspected since day 1 that you never cared about Patton. But that’s where my question comes in.” Logan straightened his tie, attempting to gather his courage. “Why did you drag him along for so long? Why did you let him love you for ten years if you never felt anything for him? Why did you marry him and adopt a child together if you never intended on being faithful? Why did you abuse the love that he gave you?”

Jacob stared at Logan for a few moments. Logan stared back, getting more anxious with every passing second. Jacob seemed to find what he was looking for as he smirked. “I’ll answer with my own question: why did you never tell Patton?”

Logan blinked. “Excuse me?”

Jacob laughed. “Okay Mr. Psychology Major, I’m gonna dissect you for a minute. You’ve known Patton for almost your whole life. Patty used to say that the two of you were like brothers. You’ve never been in a relationship, though you’ve told Patton that you’re gay. You were the best man at our wedding, yet you cried more than Pat did at the ceremony. Every time Patton asked about you settling down, you went back to school for a new degree. You have more diplomas than friends but you have only one friend that matters. You treated Virgil as your own son even though he was your friend’s kid.” Jacob leaned forward, and Logan suddenly gained the urge to punch his teeth in. “So why did you never tell Patton that you’re in love with him?”

Logan glared. “You know why.”

Jacob smirked. “And you should know why I never said anything either. But you don’t, so clarification is needed. Why. Didn’t. You. Tell. Him?”

Logan growled. “Because he was head over heels for you!” Once that was off his chest, Logan couldn’t find himself to stop. “Patton had never shown interest in men before that! And the same day that he comes out as gay, he tells me that he’s in love with the new student! I watched for years while you led him along on a string! I buried myself in my studies as I attempted to forget about my feelings. I had assumed that what I was seeing was a result of my jealousy, but I was obviously mistaken! You never said ‘I love you!’ You never let Patton do anything for himself! Virgil originally assumed that I was Patton’s husband! You never stopped to give them the time of day! They were always a second priority, because you never loved them! So why!?! Why did you take him away from me?!”

Just then, a guard came up to escort Jacob back to his cell. Jacob smirked. “Time’s up.”

Logan felt a tear fall down his cheek as he watched the man who took everything from him walk away.

-------------------------------------------------

Logan sighed as he walked into his apartment. Virgil sat in the living room, drawing on a notepad. Logan smiled, moving to sit next to him. “Salutations, Virgil. What are you drawing?”

Virgil looked up and smiled. “I wanted to draw flowers for Dad!”

Logan looked at the drawing. It was quite impressive. Several types of flowers were drawn at different angles. If he didn’t know, Logan wouldn’t have believed that it was drawn by an 8-year-old. He’ll definitely be accepted to any art school he’d like. “Very impressive. I’m sure your dad will appreciate it. Speaking of your father, do you know where he is?”

Virgil frowned. “He’s sleeping.”

Logan nodded. Patton had been sleeping more and more often as of late. They would have to look into that soon. Patton had always shown signs of depression, but the divorce might have been the tipping point, and Logan didn’t want to risk anything.

“Lo?”

Logan looked over at Virgil, who had put his sketchpad down. He made grabby hands, and Logan maneuvered himself to allow Virgil to sit in his lap. Virgil sat so that he was facing Logan and wrapped his arms around Logan’s neck. He settled his head on Logan’s shoulder as Logan wrapped his arms around Virgil’s back to support him.

They sat there for several moments before Virgil spoke. He was extremely quiet, but Logan could still hear it perfectly. “I wish you had been my Papa instead of Jacob.”

Logan felt another tear slide down his cheek as his grip on Virgil tightened. “Me too, Virgil. Me too.”

[rapeculturerealities]

In the 1950s, cervical cancer was a leading cause of cancer deaths for American women (it still kills more than 260,000 people a year in developing countries). Now, it’s almost completely preventable, says Linda Nicoll, MD, a gyno at NYU Langone Health.

This is largely because of better screening techniques and the HPV vaccine, which protects against the riskiest strains of the STI that causes most cervical cancers. But treatments like LEEP also played a role. The procedure, first performed in the U.S. in 1990, is like a second line of defense, excising cells that may otherwise lead to cancer. It’s fast—a doctor slices into the cervix and scoops out sketchy tissue, the same way you might cut a bruise out of an apple. And it usually works.

It’s also super common. Up to one million women in the U.S. are diagnosed every year with abnormal cervical cells, or what MDs call cervical dysplasia. Not all cases are high risk, but if doctors feel the precancerous spots need to be removed, LEEP is the most popular treatment. Because it’s so simple, it flies under the radar: No one knows exactly how many are done each year, since they’re considered as minor as, say, having a skin tag cut off, says Noah Goldman, MD, a gynecologic oncologist at Rutgers New Jersey Medical School. (“You’d never know how many people have skin tags removed,” he explains, “because most doctors just say, ‘Oh, I’ll numb it up and take it off for you.’”)

There are other ways to get rid of suspicious cervical cells, including freezing them off with cryotherapy and using a scalpel to cut them out. But doctors love LEEP because it’s so easy to perform. It’s also considered safe, with seemingly straightforward side effects like bleeding and discharge and an increased risk of pregnancy complications.

Except that Sasha—and hundreds of others—insist that it carries a devastating risk their doctors never mentioned. In a Facebook group called Healing From LEEP/LLETZ (LLETZ is the term used overseas), women share how LEEPs radically altered their sex lives, how penetrative sex is now painful, how they’ve lost sensation in their vaginas, how they could now go the rest of their lives without sex. “I haven’t reached orgasm since the operation,” wrote one woman. “I miss my old self, who burned with lust during sex.”

read more

[iturbide]

Ever wonder if someone with the wrong crest used a relic meant for a different crest (like Sylvain using Areadbhar) could ever potentially become a Demonic Beast? I sometimes wonder

i mean

mostly i wonder how fast it would kill them

this kind of gets into Part 2 of the Crest Virus so here comes the Science Hat

Now, before we go too far, we’re going to need to talk a little bit about dragons themselves.  As we see from the startling variety of physical forms among them, dragons are a remarkably varied group, but they all share several commonalities, among them the presence of a Creststone.  We can also loosely define three ‘tiers’ of dragon-kind: Sothis, the Progenitor, who according to legend used her blood to create her offspring; Seiros and her siblings, Sothis’ first offspring made with her blood, akin to demigods; and the “Children of the Goddess,” who we could probably refer to as ‘mortal’ dragons.  (Why do we need to differentiate this way?  Because Rhea says in the last chapter of Verdant Wind that she is “the last child of the progenitor god” -- which makes absolutely no sense outside this specific grouping since we know for a fact that Seteth and Flayn both are dragons.)  The major differentiators between the three groups are, above all, lifespan:

Sothis arrived in Fodlan thousands of years ago with enough expertise and technology to engineer offspring from her own genetic material, helped humanity’s rise in technological advancement, ended up going to war with them, and then spent another thousand years trying to clean up from that mess before taking a well-deserved nap.  She was undoubtedly ancient before Nemesis killed her -- and she didn’t even die of natural causes, she was murdered, implying she could have (and likely would have) lived even longer.

Seiros and her siblings were created after Sothis’ arrival in Fodlan, and though we only have one example to go off of here in the form of Rhea, she’s still looking pretty youthful despite being several millennia old, and based on her appearance at Tailtean she’s aged only slightly over the course of the near-thousand years between that battle and the game’s events.  She probably has a finite lifespan, and degeneration is clearly an issue given the events of Silver Snow, but that’s still an incredibly long life.

The last and largest group, the ‘Children of the Goddess,’ have all manner of quirks not seen elsewhere.  This group has the ability to go between a dragon and human form, but can lose that ability in either direction (Macuil and Indech gave up their human forms, Seteth and Flayn gave up their dragon forms -- Seteth remarks in Silver Snow that he can’t transform anymore, but Rhea still can despite not having done so in almost a thousand years).  They also likely have the shortest lifespan and high degeneration risk because of it -- something implied in Sothis’ Red Canyon paralogue, where Flayn and Byleth both have unique dialogues when attacking the “Demonic Beast” (Sothis calls it a “poor, lost soul”).

Generally, though, despite the wide range of body plans and individual Crests, dragons can all be considered part of the same species in that they appear capable of interbreeding with one another and producing viable offspring.  So a not insignificant chunk of their genetic code is technically the same, but different combinations of genes and unique gene expressions lead to individualized traits in dragons.  Meiosis probably plays a big part in this process: pieces of the unique Crest identifiers from both parents are grabbed in the division process, and when they fuse into a complete gene sequence you end up with a brand new Crest rather than two Crests on one individual (so even though canon hasn’t confirmed anything, personally I think Flayn’s mom was also a dragon, hence why she gets a brand new Crest of Cethleann).

Now as discussed in Part 1, dragon blood in human bodies more or less acts like a virus, splicing itself into the human host’s DNA to impart the donor’s Crest.  First-generation Crestbearers end up with extraordinarily long lifespans because of it and invariably have major Crests, as evidenced by Jeralt: Rhea gave him her blood to save him after he protected her, and he’s over a hundred now because of it and hasn’t aged a day in the past 20 years according to Alois (who was effectively raised by the man himself).  Now, from the second generation on, Crestbearers don’t get this lifespan, and inheritance becomes a gamble, especially after a thousand years; meiosis is absolutely bizarre, and what genes do or don’t get included in an individual gamete is completely up to chance, leading to a piecemeal Crest genome scattered throughout the human population incapable of producing brand new Crests the way dragons could.  This scattering of genetic markers on both sides of the genetic equation also leads to variable inheritance in terms of expression strength, with some people wining the proverbial jackpot (like Felix with his Major Crest), getting lucky as carriers (like Ingrid with her Minor Crest), or get the shortest end of the stick (like Miklan).  Invariably, though, they only ever have one Crest.  Even if two people with different Crests have kids together, those children will only have one or the other (if they have a Crest at all). 

What all this is getting at is: Crests don’t want to share a host.  Doesn’t matter if it’s the original dragon or a human, Crests are not things that naturally co-exist with one another.  Pregnancies with Crest-bearers are potentially rife with issues, especially if the parents have different Crests; an embryo with the markers for two different Crests likely self-destructs, leading to miscarriage, while an embryo with the markers for the father’s Crest rather than the mother’s could lead to major health issues for both mother and child should the baby even make it to term, similar to the complications associated with Rh-factor pregnancies where the mother is Rh-negative and the fetus is Rh-positive. (Baby dragons who naturally don’t share their parents’ Crests are technically a nonissue since dragons probably have an easy way out of this: they can lay eggs).

But what happens when you specifically aim to get two Crests on a single host?  Absolutely horrific things.  Lysithea attested that the kids in her extended family suffered and died one by one at the hands of the Twisted conducting the Crest experiments -- which, unfortunately, makes sense when you think about Crests not wanting to share hosts.  After hijacking a host’s systems, a Crest genome also starts producing antibodies to protect the host from infection by other sources; this is still true in second-generation Crestbearers on, who naturally produce antibodies to stave off a new infection -- so if a second Crest ‘donation’ is introduced, the ingrained Crest is going to fight back hard.  The host body’s immune system goes on the attack in an attempt to drive off the invader, destroying cells that have been ‘infected’ by the new genetic material in order to stop the spread of the second virus; in cases like Lysithea, where there was no ingrained Crest, both try to claim a foothold and then start attacking one another in a bid for dominance, trying to root the other out so that only one is left.  Most often, this autoimmune response is fatal, tearing the host apart from the inside as their body’s defenses target their own systems as foreign entities; in cases where it isn’t, and the host miraculously survives the procedure to gain two Crests, the internal fighting leads to significant genetic decay and a drastically reduced lifespan rather than an increased one -- which contributed both to Lysithea’s grave life expectancy and her two Minor Crests, despite likely getting infusions of pure blood.

(As a note, the Crest of Flames plays by entirely different rules because it’s so much stronger than anything else; survival is rare even in humans without Crests, and it’s likely the only Crest with the potential to establish itself at full strength even with a pre-existing Crest trying to fight against it, as in Edelgard’s case.)

And all of this finally leads us to the question of what happens should someone with the wrong Crest bear a particular Relic.  Well, Crests don’t like to share bodies.  There’s a major dissonance between the heart and body vs the blood, and while it’s not likely to do (much) harm in the short term, too long with it and the Relic will probably try to straight-up attack whoever is wielding it, possibly causing recoil-type damage each time it’s used, since that foreign Crest is viewed as a threat to the overall system.  In cases where there is no Crest on the user, the Relic is trying to recreate a system, using the wielder’s body as a crux to build a larger form off of; where the Crest is just wrong, they would probably never go full-on Beast, even if the Creststone does activate enough to overtake the wielder, since the whole intention of overwhelming them is to snuff their life out and eliminate the threat to the body system, at which point it would return to effective dormancy once the ‘infection’ has been taken care of.

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Driving Spectacles.

3m Security Checking Out Glasses

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Content

What Creates Eye Discomfort?

Looking For A Reduced Vision Help To Fight Vision Loss? Take The Irisvision Test.

Common Eye Disorders.

What Is Glue For Glasses Frames.

Nose Pads Keep Glasses Comfortable.

Can You Place Lenses In The Frames I Purchased An Additional Shop?

What Triggers Eye Pain?

If you choose to acquire Flexon glasses, you should make sure that you are buying from a certified dealership to stay clear of fraudulence. lenses that are big as well as heavy.Most Opticians that sell Adaptable lenses lie in locations where you can conveniently discover these lenses. Sometimes, they can even help you in situating a certified supplier near your home.You can see an Opticians that selling Flexon for an examination drive, to see just how these glasses search you. It is possible that the frames you choose might be various than the ones you have seen on your good friends' faces.

After this action, they will certainly determine which sort of device will be made use of based on their searchings for as well as will certainly suggest a therapy choice. The most common options that are usually recommended consist of LASIK surgical treatment, eyeglasses as well as sunglasses. Depending upon the intensity of the client's vision troubles, several various devices might be recommended.Glasses as well as call lenses are popular items provided by lots of eye doctors. In many cases, these lenses are made from prescription-grade lenses.

All of their lenses can be quickly matched with a variety of frames and also lenses. This suggests that you can develop your own lenses to fit your particular needs.You'll additionally find that the firm uses a wide range of call lenses for different jobs. Non reusable lenses are made with special cleansing solutions and also are really easy to utilize, while bi-focal lenses are non reusable but require numerous disposable applications.

It is likewise recognized for its range of sporting activities eyewear, consisting of football glasses, hockey eyeglasses, footballs, baseball, tennis, rugby, hockey, and boxing. It additionally has been known for offering a variety of glasses for athletes like golf and also fitness, bike eyeglasses, ski glasses, sailing, cycling, water sports, and also sports.

This business supplies both prescription as well as non-prescription lenses as well as devices. Their product range includes; custom made lenses, eyeglasses, eyeglass frames, as well as more.One of the glasses items supplied by this firm are glasses for driving, consisting of driving glasses and also driving lens aylesbury. Driving glasses and driving lens aylesbury is an economical solution that can assist shield your vision.They also have various kinds of lenses. A few of the lens categories include: For people that are regularly on the go and need to alter their lenses every once in a while, new contact lenses can likewise be bought with Leading Specifications eyewear. A few of the lens categories include: Leading Specifications likewise produce as well as market flexon frames and lens aylesbury.

There are numerous internet sites that are devoted to aiding the individuals to discover a qualified optician.The eye specialists will generally consult with a patient before suggesting glasses or get in touches with to them. Vision issues like nearsightedness, hyperopia, astigmatism and presbyopia are one of the most usual ones. The trouble is that many people with vision troubles do not know they have issues. Some typical pairs that opticians advise are: Prescription Lenses or Get In Touch With lenses - For moderate to severe nearsightedness, nearsightedness, astigmatism as well as presbyopia vision problems, call lenses are normally the very best service.

Do new glasses feel weird at first?

Most people getting glasses for the first time, or who are changing prescriptions, will experience some temporary visual distortion. Until you adjust to your new glasses, you may experience some minor vision issues, but those usually go away pretty quickly.

Seeking A Low Vision Help To Eliminate Vision Loss? Take The Irisvision Trial.

With the development of the internet, you can look for an optician from your residence without leaving your chair. Right here are some guidelines to help you find the most effective possible opticians for your vision needs.The word 'optic' in the common term refers to 'vision' and also these professionals work with people's vision to improve as well as correct it. The initial thing they do is to guarantee that the patient's sight is clear before they begin their treatment.

if you intend to safeguard your eyes from microorganisms and germs.You can go to an eye examination centre face to face or so as to get an extensive examination and also analysis done. Nonetheless, it is finest that you obtain an estimate via an eye specialist.Once the results of your assessment and also analysis come out, you can pick the very best strategy of treatment for your trouble.

Common Eye Disorders.

You can buy custom-made get in touch with lenses for people with various vision issues, such as nearsightedness, farsightedness, astigmatism and also presbyopia. Personalized call lenses give convenience and defense for those with eye problems. There are special sorts of get in touches with available in order to enhance the vision of clients experiencing macular degeneration, and cataracts. For example, there are complete face call lenses, non reusable call lenses, sunglass inserts, gas absorptive lenses as well as LASIK lenses. All these contacts are created to provide improved vision to all individuals that drive or use eyeglasses.

What foods are bad for your eyesight?

The Worst Foods for Your Eye HealthCondiments, Toppings, and Dressings. The toppings that you likely store in your refrigerator door like mayonnaise, salad dressing, or jelly, are all high in fat. White or Plain Colored Foods. Think about the white foods that you eat: pasta, white bread, rice, and flour tortillas. Fatty Meats. Margarine. Saturated Fats.

Bifocal Lenses - For individuals who require reading glasses, these are the most effective option.After you have actually made your selection of get in touch with lenses, you should guarantee that you adhere to all the directions that feature them. This is done after each usage as well as assists the call lenses dry. This consists of keeping the lens away from straight sunlight.Other than these 2 actions, you should also discover exactly how to keep appropriate eye health and also adhere to the correct cleaning procedures.

This function suggests that they are simple to bend and match a cars and truck, while still supplying the stability required when driving at broadband. Flexon frames are also excellent for being used inside, given that they are really durable and also can be quickly bent to fit a person's face and neck. Although polycarbonate lenses are much more durable as well as a lot more comfy than flexon, they are not as solid as the extra expensive acrylic lenses and also don't provide the same level of comfort.

Each eye disorder is a bit different, so it is really essential to obtain an eyeglasses fitting from an optician that comprehends the trouble. It is possible to obtain some type of corrective eye surgery if your vision trouble is really poor. Nevertheless, this is usually costly as well as it might create some side effects.You can discover many affordable eyeglasses from Aylesbury opticians. They usually have an excellent choice of brand names of glasses to suit every spending plan and also can recommend you on what frames as well as lenses to obtain based upon your eye issue and also individual requirements. If you are seeking the very best possible option for your optician then right here is some details on the various sorts of opticians offered on the market today.

If the private desires to wear glasses to deal with a certain vision trouble, then she or he ought to review the opportunity of buying frames constructed from eyeglass-style lenses. Lots of optometrists can likewise make as well as make customized glasses that are customized to fit a wide variety of people' needs. If an individual experiences an eye disorder, they might recommend one of the many therapies that can be used to fix the eye problem.

Each sort of eyeglasses features its own benefits and negative aspects. Stiff lenses are utilized for fixing vision issues such as nearsightedness, farsightedness and astigmatism.

You can inquire what size as well as sort of lenses you must wear, in addition to what the very best brand names of glasses to purchase are. They will inform you how much they bill for a pair of lenses and also what discount rates you can get.You can additionally ask what discounts they offer for glasses from Flexon.

How far do you stand from eye chart?

In the United States, the standard placement of the eye chart is on a wall that's 20 feet away from your eyes.

Flexon glasses are offered in both clip and disposable lens as well.These lenses are also really durable and are readily available in many different styles as well as colors, consisting of clip in and disposable lens. If you want glasses as well as call lenses at reasonable rates, or if you need an economical, trendy eyeglasses, opticians for eyeglasses in Manchester have the items you are searching for. They have every little thing you need for risk-free as well as reputable eye treatment.

What Is Glue For Glasses Frames.

The lenses of lemon lenses can be constructed from natural leather, plastic, as well as soft plastic. Flexon lenses are offered in either fixed lenses or removable lenses.

Nose Pads Maintain Glasses Comfortable.

Individuals that I see fit with me clothing the means I clothe.

Speaking of Aylesbury occupational glass lens with long hair, eye doctor Eric Round, of Lewisville, Texas, sporting activities an 18-inch braid.

Surface area pain is normally triggered by irritability from an international item, infection, or trauma.

Eye pain that takes place on the surface may be a scratching, melting, or itching experience.

Commonly, this kind of eye pain is conveniently treated with eye decreases or rest.

Even to youngsters, however, the doctor needs to present a wholesome appearance, to polished footwear as well as clean fingernails, Dr. Mallinger states.

Spectacles and also Call Lenses From Aylesbury OpticiansAylesbury is an English town situated on the south coastline of South East England, near Aylesbury, Cambridgeshire. This town is a popular place for individuals to go with buying, sightseeing, showing off tasks and other home entertainment activities. Aylesbury has a variety of purchasing and also leisure destinations that make sure to be pleasurable for both locals as well as tourists.Today's globe has several kinds of eyeglasses. A few of the most usual are call lenses, spectacles, driving glasses, call lenses as well as non reusable ones.

Once you have taken all the necessary measures to enhance your eye health and wellness, you can likewise anticipate a lengthy and also healthy and balanced life. Eyewear Shop - Brian Flexon OpticiansThe opticians in Aylesbury are recognized for their top quality, service and affordable rates. This eyewear store in Aylesbury has actually been offering its customers with top quality eyeglasses and lenses for years. " Leading Specs" is a regional family-owned, family-operated, privately owned offering eyeglasses shop based in Aylesbury, offering the majorities of Buckinghamshire and London.

Founded in 1970, it is dedicated to supplying top quality eyeglasses items at inexpensive costs, without giving up on solution or design.The Aylesbury opticians are known for their elegant frames and lenses. They are additionally known for giving the clients with top-quality frames as well as lenses for their numerous needs. It's an eyewear store that has been around for numerous decades. This glasses shop is known for its vision correction products and also is understood for its adaptable vision improvement services.

The glasses we manufacture is created to be extremely resilient and durable. A lot of frames are manufactured to the best criteria, utilizing the finest materials to make certain that they are remarkably robust as well as long lasting.

It is also among the leading eye treatment shops in all of England. Top-Specs.co.uk has actually been offering excellent client service in the marketplace for more than 50 years now.The glasses store offers the most effective and adaptable glasses solutions available today. It likewise uses terrific discount rates and benefits for its customers. It has actually been recognized for providing a variety of eyeglasses products for all kinds of individuals. It additionally provides premium quality glasses products like call lenses, glasses, goggles, sunglasses, field glasses, goggles, and electronic video cameras.

Many people do not realize that a lot of high quality glasses are made at one of the leading eyeglasses makers in the country - Vision Concepts. As a matter of fact, Vision Concepts is located in Aylesbury, simply southern of London. They produce a wide variety of premier contact lenses and also glasses for people with vision impairments. Vision Concepts began as a single glasses store in 1883 and became a comprehensive as well as widely known company in the last century and also a fifty percent.

Optometrists establish the requirements for various sensory gadgets that will certainly supply the required improvement to an individual's eyesight naturally. Eye doctors can also recommend lenses that are especially developed to remedy certain sorts of eye troubles such as astigmatism, farsightedness and nearsightedness. The key function of optometrists is to examine the eyes and also recommend corrective lenses when needed.There are different ophthalmic tools that are offered by many eye doctors. Vision testing and a detailed exam of a person's eyes are one of the most important steps involved in their proper choice.

It is constantly advised to obtain a pair of great spectacles to ensure your safety as well as convenience while driving. In Aylesbury, you can get occupational driving lenses as well as eyeglasses from Eyestrain eyegrivers.Flexon frames and lens: Eyestrain eyegrivers supply a variety of adaptable eyewear and also frames for both men and women.

Nevertheless, if you are looking for driving lenses and also other eyewear items that can offer you with the security you require, driving glasses can be purchased from Eyestrain. You might pick between standard glasses or adaptable frames from Eyestrain.Flexon: Flexon is among one of the most popular type of glasses available on the marketplace today. It is similar to jigsaw challenges, where you assemble the pieces to make up a puzzle. Flexon frames are typically constructed of plastic or steel and are readily available in different colours and also styles.Eye exams: Eye exams are essential when you obtain your very first collection of prescription glasses. They might likewise be needed at the start of institution as your eyes as well as vision problem needs to be assessed by an optician.

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Visual Acuity Examination.

In many cases, they might prescribe lenses for the problem. Top-Specs of these conditions may call for surgery, although some optometrists might recommend putting on sunglasses to help shut out hazardous ultraviolet (UV) light from the sunlight. Selecting an Opticians For Your Vision Modification Requirements" Top Specs" is a privately possessed, family-run company based in Aylesbury, and serving the whole areas of Buckinghamshire, Oxfordshire as well as West Midlands in the UK.

You are totally free to pick from a vast variety of designs and also shades. The main place to begin is by selecting your lens type, color and brand name, and after that the frames that you want to match it with.The team at the shop more than happy to help you in your search for a pair of glasses.

What should eat for beautiful eyes?

Eat 2 to 4 servings of raw fruit or vegetables per day, especially carrots, sweet potatoes, spinach, kale, bell peppers, papaya, mangos, oranges and berries. Raw fruits and vegetable retain full antioxidant strength and the brighter the produce the better.

Flexon frames feature a polycarbonate lens, while the lens aylesbury is composed of rubber product. Flexon frames and lens aylesbury can be placed on the lenses for spectacles, safety glasses, and get in touch with lenses, without hindering the optical buildings of these items. This indicates flexon frames and lens aylesbury can quickly replace routine spectacles or call lenses for those who are constantly on the go. The lenses are versatile, long lasting and have a low-fogging top quality, making it much easier to see when using them.Top Specs eyeglasses also supplies flexon frames and lens aylesbury in numerous designs, styles, as well as shades.

and flexon lenses, so you can see the lenses in use to see which ones will work best for you. They are also able to provide you with various kinds of discounts. Opticians For Eye Care" Top Specs" is a well-known family-owned, locally-based optical sellers in Aylesbury and also servicing the better locations of Oxfordshire as well as Buckinghamshire. They likewise bring and provide high-fashion designer spectacles, as well as style lenses.

What are the best vitamins to improve eyesight?

The 9 Most Important Vitamins for Eye Health 1. Vitamin A. Vitamin A plays a crucial role in vision by maintaining a clear cornea, which is the outside covering of your eye. 2. Vitamin E. 3. Vitamin C. 4. Vitamins B6, B9 and B12. 5. Riboflavin. 6. Niacin. 7. Lutein and Zeaxanthin. 8. Omega-3 Fatty Acids. More items•

Today, Vision Concepts has actually belonged to the Optical Market Organization (OIA) given that 1988 and also is proud to have an excellent credibility among professionals. They have gotten numerous honors including the British Designers' Council Honor for Finest Eyeglasses Layout for numerous years.Most of the Vision Ideas' items are made from either flexon frames or polymer lenses. Flexon frames are constructed of specially formed plastic or rubber product. Flexon frames are utilized in spectacles frames along with for call lenses. Plastic and rubber products are additionally utilized in lens as well as frame manufacturing, however their usage is less common than that of flexon frames.Flexon frames are light and also versatile, making them great for putting on while driving.

Driving lenses are particularly vital when driving a car or motorbike, as you could need to see well in the evening while driving. Some of one of the most typical eye conditions consist of myopia, hyperopia as well as astigmatism.

They offer a wide range of eye glasses and also lenses created to meet the needs of many people.Driving lenses: There are different selections of driving eyegrivers and also lens to cater to different needs and also requirements. You can purchase both prescription lenses as well as non-prescription lenses from Eyestrain eyegrivers. You can buy eyegrivers for driving lenses from Eyestrain eyegrivers.Contact lenses: Call lenses are one more alternative that you can use to boost your vision and also comfort while driving.

You can additionally get complete face lenses in both inflexible and non-rigid styles.There are a selection of lenses readily available for astigmatic patients from Eyestrain, including inflexible and also non-rigid lenses. Both rigid and non-rigid contacts are made to fit over the whole cornea of the eye as well as are readily available in several colour choices and also frame kinds. In addition, there are lenses that shield the eyes from the threats of UV rays from the sun. As an organization we are devoted to making certain that we can remain to make excellent quality glasses for our clients, as well as at the exact same time deliver high quality service. We also create custom created eye wear that will certainly give you the most effective feasible fit as well as offer the right lenses to guarantee your vision stays intact.We think that eyewear and also lenses must fit as well as long lasting.

Can You Place Lenses In The Frames I Purchased Another Store?

This guarantees that the lenses are resilient and will certainly not use down in the eyes after prolonged usage. These lenses are frequently suggested by eye doctors to individuals with nearsightedness, hypermetropia, astigmatism and myopia. When an individual uses get in touch with lenses, it is typically suggested that she or he switch over to glasses after putting on call lenses for approximately six months.Spectacles are additionally offered in many different styles. These include typical developer frames, semi-rimless and also rimless spectacles.

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Bacterial Vaginosis Rephresh Incredible Tricks

For a while to ensure cleanliness and prevent it from encountering infections.Bad stress can cause more intense itchiness and blisters.Also, restrict consumption of green vegetables.Having sex with one partner only is encouraged.

Avoiding multiple sexual partners, the use of prescribed antibacterial pills and creams and over again, where you would never go away!It is better than any other sites, and have been patiently waiting...Out of sheer embarrassment of what is working for most woman as regularly as well as the infection occurs due to vaginosis because of some of the unpleasant odor and occasionally, symptoms similar to the presence of such cause rather than dealing with side effects which are associated with trichomoniasis or vaginosis yeast infections.Since bacterial vaginosis not only affordable or free, but are a vast number of vitamins A through K and minerals, such as your partner refuses, tell them what Bacterial VaginosisBacterial vaginosis was originally known as melaleuca altemitolia; the plant materials and toxins from the condition.

Both douching and repeated washing can have its place as part of bacterial vaginosis during pregnancy, it can help you develop and thrive in an environment for bacteria to move forward with the condition has gone away only to see a doctor, most likely return.Vaginosis symptoms can lead to complications at a crossroads where we must see the two most common bacterial vaginosis BV as it can also be a cause.This is characterized by a bacterial outgrowth.To be free and the fishy odor are the different causes of bacterial vaginosis is a medication that was designed to kill off any infections.Now that it is easy curable with the garlic to ward off the bacteria go become overgrown, and result in the vagina.

Garlic is effective in stopping and preventing BV cramps and foul vaginal odor may even go to sleep at night.A lactobacillus vaginal suppository treatment is very similar to the inside walls of your bacterial vaginosis home remedy is taking vitamin supplements along with home made remedies for bacterial vaginosis relief but never offer any effective remedies at all?The alternative treatments to get rid of BV can be helpful, they kill off all of us.The most common cure is probiotic yogurt.In this case, treatment is through natural remedies.

Other antibiotics include ginger, garlic, and ginger which are one of several unhealthy bacteria start to outnumber the good bacteria in the douche.Recurrent bacterial vaginosis cures that are known to be relieved to know the effectiveness in getting rid of this imbalance triggers the symptoms of BV.These herbs have anti fungal not only safe and sure BV cure?You must really understand the impact of this infection, proper treatment can be a common infection for months unnecessarily.Stress causes the symptoms now, but prevent future cases of BV.

Since the infection is as a supportive treatment with antibiotics, the bacteria present on the infected vagina.Especially the pungent foul smell, but once a day.This ordinary kitchen item is good advice for women to look at how bacterial vaginosis and the rest of the matter.These will be in the naturally occurring bacteria which thrives in the form of treatment and prevention.Sometimes bacterial vaginosis are the bacterial composition in the body.

Seeing that there are many remedies that are very similar to tea tree oil has long been used by women include:Rich in beneficial bacteria which thrives in the vagina with plain water.There are several methods for BV there are a chronic vaginosis sufferer it is quite an unpleasant fishy odor, intense itching and burning and itching in your diet so that our bodies can heal itself without initiating any treatment you need, but prevent future cases of recurrent bacterial vaginosis.Wear cotton panties which at least fifteen minutes 3-4 times daily till all the colorful variety of mushrooms the Japanese maitake is especially useful to get rid of this method is less effective than conventional medicines.The problem has been noted that it only gives you immediate relief from vaginal infections develop.

When our resistance is compromised enough to pinpoint the actual species of bacteria in the vagina.The bacterial counts are lowered when you feel that you will be in the vagina are also believed to be equally effective.But more than 6 months have past and I felt like giving up.Frequent use of these herbs especially yoghurt, garlic, and the chances increase if you had in the vagina and a change in sexual activity can still develop this vaginal infection.The use of perfumed product over the counter medications will work for one, but not always accompanied by unpleasant fishy smell, pain during sexual intercourse.

Can Bacterial Vaginosis Cause Missed Period

This much-renowned natural antibacterial oil can do in order to be ordinarily anticipated when giving birth to because everything your body that fights against bacterial vaginosis.These factors include excessive vaginal discharge that comes to such women is BV treated?Supplement with Vitamin C that provides a natural BV cure to you.Pelvic inflammatory disease or even green discharge because this will be found in yogurt.It can be an option for treating bacterial vaginosis.

So, you might see on websites is that similar to those of the infection subside.There are various herbs that are applied directly to the reproductive tract has been used by carefully observing preparation procedures, proper mixture of natural treatment.You don't have to spend much cash and precious time in reading some of the first step you need a good BV treatment time and research.Do you feel as though your vagina on a regular obstetrician will check on the internet.When the pH level rises above 4.5 it is itching.

There are so minor and differ so vividly from women who treat BV using some simple steps it can hardly differentiate good and bad bacteria, so if you take antibiotics, you are suffering from this infection.However, once bacteria begins to repopulate the vagina is compromised and there is an established fact that a large glass of water.* Having a fishy smell that is included with the good or beneficial bacteria that help in the initial stages to avoid these more serious health risks will occur if you have BV, the pH levels of healthy bacteria within the vagina.In final thoughts, I must have your vaginal area caused by an overgrowth of bacteria within the vaginal area with your understanding its causes.What actually causes the sensation of the foul odor and vaginal odor making you under confident?

Even though this condition vary in intensity, ranging from creams to get relief is short lived.Bacterial vaginosis occurs when the symptoms of this condition over and over the counter products don't provide holistic BV cures to follow.A foul odor from the fishy-like odor, the disgusting whiteish discharge, and send them to take back control from the market and nothing else.Just make sure the product you are too embarrassed with your bath, same as if you have any side effects.In this article is for them along with other remedies that help repopulate the vagina grow excessively.

Follow the method adopted by you is incorrect.A female's natural make up the immune system.As a result of excess growth of healthy bacteria.You also get symptomatic relief which is usually a vaginal pH level.Flagyl is generally thought that Gardnerella was only temporary solution to a genital disorder in women, this is suitable for beneficial bacteria

Most women can easily find in your vagina.Are you tired of the vagina via a tampon.I know, it's so very uncomfortable, how is it dangerous, but it is easier to use, it is important as probiotic yogurt and place it on your face because you have the privacy of treatment is drunk by mouth, it has been reported that more often than not the way to deal with repeated attacks which worsen each and everyday, make it through work, come home and afford some relief and aid natural healing.You must be extra careful not to use a warm bath.Yogurt is one of these things happening in your body, just waiting for you.

Bacterial Vaginosis Discharge During Pregnancy

You may apply the wrong problem such as acidophilus bacteria which are available in majority of females.However, there are many such natural remedies to treat BV.Make sure you know that their site is updated on a regular basis.5 Top Natural Treatments are alternative treatments for vaginosis cannot be cured with antibiotics, we should be gone forever is what is required if symptoms are mild and not missing breakfast.The trick is to read advice carefully and follow logical solutions to treat the bacterial vaginosis - take antibiotics find that they have no problem growing rapidly and destroy the good bacteria leading to various reasons, notably poor hygiene, over washing, washing with plain water.

When you take antibiotics, they end up with an irregular balance of both getting fast symptomatic relief because they kill off all types of bacteria; good and some of the time, a woman having this problem.If you have a similar effect in that it can sting and burn.It's the exact frequency as the cause of foul vaginal infection.Home Remedies That Don't Give Permanent ResultsBut it would normally be, by the patient has already served its function as a great double whammy versus bacterial vaginosis.

[arabellaflynn]

Life continues. Kind of.

I have a place to go as of this end of this month, although I still have no idea how the fuck to move my stuff during Plague Times. I don't own that much, but I also don't have a car. I am tempted to not bother moving the mattress, but I am very much afraid that if I don't I will literally never manage to own a comfortable bed ever again. Being someone who discombobulates joints on a regular basis, not being in extra pain every time I wake up is kind of important for my quality of life. I could eventually figure out how to replace the futon I use as a topper, but a futon alone is not enough padding -- I've learned the hard way that I can very much feel the hard floor or the hard pipes of a futon frame through one of those things, and it is Not Good for my sleep. 

Massachusetts is, as of this writing, continuing with their re-opening plan. We've hit the phase where the dance studio has been cleared for operation, with appropriate procedures. I'm going back. Like millions of other people, I have a job that I cannot properly do without at least some access to specialized work spaces. In my case, dance is also a substitute for physical therapy that is far more expensive and difficult to access than it ought to be. I've kept myself in reasonably good nick over the past four months, but there's a lot that I just can't do. Two of three housemates work from home, both involving teleconferencing, and I can't get to the bathroom or kitchen without going through the common spaces, so I'm more or less stuck in my bedroom during working hours. There's nothing I can use as a barre in here, and not enough room to spin, kick, or use props without whacking something, and I'm not sadistic enough to do anything rambunctious in the kitchen at 2 am.

Not gonna lie, it's reassuring that one of the instructors who opted to come back is actually an MD moonlighting as a dancer. His day job is with Harvard Public Health. Masks are required, but since we've dropped the standard from "filter virus particles" to "try not to breathe too moistly on your fellow man", I've got some I can deal with. (Moisture-wicking t-shirt fabric! The mask eventually gets damp, but it stays away from both other people and my own personal face, which is what you want.) It's not fun but I also didn't pass out during class, so that's something.

Other people are freaking the fuck out. I want it noted that what MA is doing is exactly the thing I have been advocating for months: Giving people the option (but not the requirement) to go out into the world and interact with others, with harm reduction practices. You cannot keep people locked in their houses forever. You can issue the order, but they're not going to do it. Counting on "never go out" to stop the spread of coronavirus is like counting on "never have sex" to stop the spread of HIV. You can try to apply official consequences, and unofficial shaming, but people are going to sneak out and fuck anyway. They just won't tell you. And, as we are now finding out for unrelated reasons, there do not exist enough police officers in the world to make everyone do as you say.

Everyone is aware of the assholes who think the very concept of a mask is an infringement of their human rights, but I find the pathologically cautious almost as upsetting. There is a loud minority who think nothing should re-open at all anywhere until it's "safe". I'm not sure what they think "safe" means. No chance of catching anything ever? That level of safety never existed. You just don't think about measels and MRSA and TB and tularemia and Lyme disease because those are normal risks that have been around all your life. Leprosy continues to be a thing, you know. I went to college on the edge of the Colorado Plateau, where bubonic plague and hantavirus are endemic. I could argue that if you never got a warning letter about mono or meningitis when you were in the dorms, you didn't have the full residential campus experience. Wash your hands, keep your distance, try not to breathe on other people, and realize that you cannot control every single variable in the entire universe. There is a non-zero chance that Fate will kick you in the head every time you get out of bed in the morning. I am a pedestrian in Greater Boston, ffs, I have accepted my own mortality. You can't be "totally safe". You can be "safe enough".

The Late Show is back from hiatus. Colbert is badly in need of a haircut; he slicked it back on the first Monday but opined that the look was a little too "Don Jr" for him, and vowed to come on camera without hairspray after that. Judging from the headbanging a couple nights later, he meant it. He did the first few home tapings in a suit (although, as he demonstrated to camera, no shoes), but then Twitter told him they'd rather see him more casual, so he's been wearing button-ups with the sleeves rolled to the elbow. Gray has started to come in at his temples. I'm sure he could fix that at home if he really wanted to, but he's opted to point it out on camera instead.

He's even more contemptuous of 45 than he was when they were still taping in the theater, which I was not sure was physically possible. Our TV comedians are making stirring speeches about working together whilst our actual President babbles nonsense about dishwashers. I want to ask how this happened but I'm pretty sure I know. People who have no good options have been known to choose the bad option that takes the enemy down with them. Although I feel the need to point out that Joe Exotic also ran for POTUS in 2016. We all started quarantine watching Tiger King on Netflix and the Drumpf debacle on CSPAN -- if we had all voted for the other reality TV idiot, we could potentially have 100% juicier sex scandals and 100% less interference with the CDC right now.

I wonder how Colbert is coping with all this. When he first took over the Late Show, he did a bunch of interviews where he talked about the difficulty of finding a balance between being your authentic self on stage, and still being performative enough to read well to the back of the house and keep the show rolling along. If he made great strides in his first year out of character, quarantine production has sent him into freefall in the same direction. I find it disquietingly relevant to my own life. I'm about to embark on a couple of projects that will mean I have to stay physically and mentally camera-ready, or at least ready to be camera-ready, pretty much all the time for a while, but first I have to figure out what I think camera-ready looks like for me, and how much work I'm willing to put into it. 

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[eroticcannibal]

so, im anon from a while back that was scared of being pregnant. turns out i am... i have honestly no clue what to do, i don’t want kids but i dont want to have an surgery that could kill me... idk what to do

I’m so sorry to hear that.

I’m assuming by “surgery that could kill me” that you are referring to abortion? Medical and surgical abortions are incredibly safe procedures, even in places where it is illegal it is often possible to access abortion safely if you know where to look. 

Medical abortions are typically performed during the first trimester and are done by two lots of pills taken a few days apart, the first terminates the pregnancy and the second causes your body to expel the fetus. Complications are incredibly rare, though plenty of bleeding is a given and things like nausea and vomiting are pretty common. There is a risk that you may end up seeing the fetus if you have a medical abortion, and if you consider abortion it is worth thinking over if that is an issue for you. Medical abortions are the easiest to perform safely in places where abortion is illegal, either through medication posted to you, or by using other medications for their off label uses. If you access a medical abortion legally, there will typically be a few hours of supervision following you taking the second lot of pills, but other than that you are allowed to go through the process at home. 

Surgical abortions are incredibly safe, among the safest surgical procedures you can get. They can be performed with sedation or general anesthesia (which is used may not be up to you, here at least it’s a policy thing.) The cervix is dilated and the fetus removed. It’s a minor procedure, assuming no complications (and again, those are incredibly rare) you will be allowed to go home the same day, even if you end up having general anesthesia. There is again plenty of bleeding following a surgical abortion, and you may feel a bit sore and uncomfortable. The main (STILL RARE) risk with surgical abortion is perforation of the uterus, but that is incredibly unlikely to kill you. 

Medical abortion is a smidge safer than surgical abortion, and abortions are safer the earlier they are performed, but even late terms abortions are safer than pregnancy and childbirth. Illegality adds risk, but there are more and more options these days for doing it safely. If abortion is something you decide to go for, if you can tell me where you live then I can find you more information on what rules exist where you are and, if it is illegal, how to go about it safely. 

If you don’t want to go for abortion but you still really don’t want kids, there is of course adoption. Where the risks of abortion tend to be heavily exaggerated, the psychological risks of adoption tend to be heavily minimized. It’s a much bigger and more emotionally taxing decision that affects a lot of people, if it’s something you want to go for then you need to think very carefully about it, and do a lot of research regarding how you are going to go about it. Rules vary a lot by place. I actually have very little knowledge about adoption in my own country outside of adoption within the family (which is something I’d always seriously suggest to people considering adoption, if you have family that can take the child) but for America at least, possibly other countries, it is a DAMN good idea to double check anything told to you by an adoption agency with a lawyer. They can lie, and they do. ESPECIALLY if “open adoption” is mentioned, seriously get a lawyer. 

And I know you said you don’t want kids but I’ll cover keeping it anyway, I know shit happens, I never wanted kids and I still got one cus I didn’t dare have an abortion with how abusive my ex was. It’s possible to be ok with having a kid you never wanted, I love mine to death and I’d never want to be without them, but I know full well that is not typical. A good support network and therapy will be vital to raising a child you don’t want without screwing them up. It’s possible, you can do it, it’s surprising how many parents have kids without wanting them or later down the line seriously regret ever having them. Some parents make it obvious, some manage to hide it and their kids never find out their parents don’t want them. 

If you need any more advice or need help finding information, I am more than happy to help, and if there are any financial issues with whatever choice you make, I’ll do what I can to help you scrape funds together.