#Joint Preservation Surgery

[drrajputorthocentre]

Dr. Rajput: Your Trusted Partner for Advanced Orthopaedic Treatments in Delhi

Dr. Rajput, a distinguished Consultant Orthopaedic Surgeon with over 33 years of experience, stands out as one of the Best Orthopaedics in Delhi. His extensive training at esteemed institutions, including the Royal Liverpool University Hospital, U.K., has solidified his expertise. Over the last 5 years, Dr. Rajput has pioneered Cellular Therapy in India, offering groundbreaking treatments for conditions like Duchenne Muscular Dystrophy, Degenerative Arthritis of the Knee, and Autism. With over 2000 successful procedures, Dr. Rajput's practice is a beacon of hope for those seeking advanced Orthopaedic Surgery in Delhi. His dedicated team at the Rehabilitation Center in Delhi ensures comprehensive care tailored to each patient's needs.

Book an appointment with Dr. Rajput and take the first step towards a pain-free life!

[swastikacancerfoundation]

Best Orthopedic Surgeon in Lucknow

Our paediatric orthopedic department provides a comprehensive range of services to meet the unique needs of children and adolescents, including

Arthroscopy Surgeon in Lucknow

[devasha2021]

Discover top-notch knee preservation surgery in Vadodara, designed to restore and enhance your active lifestyle. We provide lasting relief from pain and improve overall joint health. Visit or call us today- Vaishvi Hospital

[supremeuppityone]

This was written for Klaroline Fanfic Week @klarolinefanficweek; Week 5 [April 27-April 30, 2025] – Horror.

Shadows in the Mirror

            She always avoided mirrors. Even as a child, they frightened Caroline. The stories she used to make up about mirrors were shockingly dark. Too dark for a little girl, her parents always admonished with furrowed brows and angry, tight voices. That was how she learned to lie. She would smile, laugh, and exude bubbly charm so that no one ever suspected that sometimes mirrors would whisper to her.

            Caroline, Caroline.

            A lovely name for a lovely creature.

            Did you know that you’re mine?

            The whispers had grown bolder over the years, no longer entreating her to listen to bedtime stories and instead teasing her with seductive promises of a hot, eager bed. 

            Belonging. Kinship. Mates. 

            She may be young, but she wasn’t stupid. Whatever else this was, above all, it was a seduction. And as lonely as Caroline could be at times, even surrounded by idiotic hangers-on desperate for a taste of popularity, she never caved in to that charismatic voice. It was too charming, too perfect, too everything that she longed for. There had to be a price.

_____________________________________

            The car wreck changed everything. Tyler had insisted he was fine to drive, but Matt had drunkenly argued with him from the backseat about going too slow and then Bonnie spilled her beer all over the console. She knew she should’ve been driving tonight. Caroline hadn’t been drinking and hadn’t even succumbed to Jeremy’s good-natured cajoling about lighting up with him. Given the other influence in her life, Caroline preferred to stay in control. 

            She saw the truck before her friends did, and she shouted Tyler’s name seconds before the blinding headlights flooded the SUV. The radio drew her attention when its blaring song cut out into static. It was an unpleasant humming noise that burrowed into her bones and left her cold. Those terrifying seconds stretched out, and she was frozen in the backseat, helpless to stop the inevitable. She was still screaming when the EMTs arrived to cut them out of Tyler’s SUV.   

_____________________________________

            Whatever drugs the hospital had her on were amazing. She was floating several inches above the scratchy sheets, she was sure of it. The stark, sterile walls felt warm and inviting. Friendly. 

            “Caroline.” The familiar voice playfully called out, “Talk to me, love.”

            No. Whatever beautiful, glowy feelings the drugs provided were gone as quickly as they arrived. She squeezed her eyes shut, breathing deeply as she ignored that haunting voice. Even after all these years, she didn’t know what it wanted from her. Some primal instinct of self-preservation had prevented her from seeking out mirror lore. It may have been childish, but she reasoned that avoiding everything about mirrors had kept whatever this entity was at bay for years. And the glimpses into mirrors she’d gotten had done the rest. Golden eyes. Double fangs. Black veined-skin. 

            A no-nonsense knock on her hospital room door and a cheerful ‘hello’ interrupted her frenzied thoughts and a doctor came in with a touchscreen, telling her, “You’re a very lucky girl, Caroline. Your surgery was a success and we were able to repair the damage to your AC joint.”

            Caroline followed the doctor’s gaze to her bandaged left shoulder that was wrapped up in a sling. Stalked by a monster for years. But lucky. Sure. She nodded along with the doctor’s too-cheery explanation of her injuries and surgery, unable to focus on the actual words. But the tone was nice. So, she held onto that instead. Caroline’s eyelids started to flutter and she drifted a bit, only for the doctor’s hand squeezing hers to bring her back out.

            There was a soft weight on her chest and then the doctor wrapped her free hand around what seemed to be a plastic handle. She glanced down and was horrified to see she was holding a mirror.

            Double fangs grinned at her and she let out a shrill, jagged noise like a wounded animal, startling the doctor who had been rambling on about showing her how the shallow cuts from the shattered glass were healing nicely. Like she gave a fuck about scars. The mirror pulsed in her hand like a living thing and she shrieked, flinging it across the room where it skittered across the ugly green and white tile, mercifully landing face down.

            “No mirrors. Ever,” Caroline snarled at the doctor, turning on her good side to face away from the doctor. She refused to acknowledge anything else the doctor said, and finally her stubbornness won as she could hear footsteps softly padding away.

            Sleep. The drugs wanted her to sleep. Yes. Good. Sleep pulled her under and she existed in a gray fog of nothingness. This was nice. Too nice. Her dreams were usually nightmares of anxiety-fueled terror coupled with rage. Why her? What was the creature that stalked her? What did it want? The questions normally pecked at her mercilessly in her dreams (even more so than they did when she was awake.) She drifted along on a breeze of supreme indifference, stupidly hoping it would last.

            And then she jerked awake. The room was lit by the ugly yellow rectangle of light from the hospital room’s door left slightly ajar. Caroline sleepily rolled onto her back, hissing at the sharp tug of an IV in her uninjured arm. The steady murmur of hospital activity in the hallway outside was reassuring. She wasn’t alone. Was she ever?

            That terrible thought was squashed quickly with a stubborn jerk of her chin. The dull throb of her shoulder told her the drugs had started to wear off. Wincing, she carefully reached for the call button draped over the nightstand. And froze when she saw the mirror next to it. Lying face up.

            It’s fine. Fine. Fine. Fine. Just flip it over — but don’t look. It can’t get you if you don’t look. Even as Caroline’s body screamed at her, she forced her fingers to creep closer to the handle. Almost there. Ears strained to listen for that dark voice with a razor-sharp edge. Nothing. Do it quickly. Fingers brushed the cool plastic, nails catching the mirror’s edge. She let out a sigh of relief and quickly flipped over the mirror. There. Safe.

            And that was the moment a clawed hand streaked with dried blood shot out and seized her wrist.

[covid-safer-hotties]

Also preserved on our archive

By Hannah Alberga and Nicole Ireland

The federal government’s decision to not provide Novavax’s COVID-19 vaccine this respiratory virus season raises health equity concerns, experts and advocates say, as some Canadians look to the U.S. to get the shot.

The Public Health Agency of Canada said it won’t provide the protein-based vaccine called Nuvaxovid because the manufacturer required a minimum order that far exceeds last year’s uptake of the vaccine.

The health agency said 125,000 Nuvaxovid doses were ordered in 2023, but only 5,529 were administered. This fall, it will only supply provinces and territories with the reformulated Pfizer-BioNTech and Moderna mRNA COVID-19 vaccines.

But some Canadians who say they are immunocompromised and have had adverse reactions to the mRNA vaccines are calling the decision unfair.

Among them is 64-year-old Linda Wilhelm, who has rheumatoid arthritis and takes immunosuppressive drugs for the chronic inflammatory disorder. The Bloomfield-N.B. resident said she received six mRNA COVID-19 vaccines over a three-year period, but her last shot caused a flare-up in her joints that lasted eight months.

Wilhelm said the flare-up was so bad that she even had trouble brushing her hair or chopping vegetables.

After searching for Nuvaxovid at various pharmacies and public health clinics, she said she eventually got a dose in April at a pharmacy in Saint John, N.B., and had no adverse reactions.

“And now, again, I have no options,” Wilhelm said, adding that she’s considering driving across the border to Maine to get the updated Nuvaxovid shot.

Barry Hunt made the cross-border trip last month from Port Ryerse, Ont., to a pharmacy near Buffalo, N.Y., where he paid US$200 to get the Novavax vaccine.

The 61-year-old, who has a lasting joint infection from a knee surgery complication, said he had a six months-long adverse reaction to his fourth mRNA shot that caused tightness in his chest and fatigue.

But he acknowledged that most people seeking Nuvaxovid don’t have the means to travel to the U.S. to get it.

“I think it’s unfair to people who can’t afford it. I think it’s ridiculous to both pay taxes here in Canada for universal health care under the Canada Health Act and not be able to access a non-mRNA vaccine,” Hunt said.

Angela Rasmussen, a virologist at the University of Saskatchewan’s Vaccine and Infectious Disease Organization, said some people may be sensitive to some components of mRNA vaccines but overall they are safe for immunosuppressed people.

“It’s disappointing that Novavax won’t be available here because I think it could increase vaccine uptake just by virtue of overcoming objections to mRNA vaccines, whether based in truth or not,” she said in an email.

Other experts say research also shows that, except in very rare circumstances, it is safe for people taking immunosuppressive drugs to get an mRNA vaccine, even though some patients report flare-ups of their conditions.

Specialists often ask patients with autoimmune diseases to stop taking their medications while they get vaccinated to ensure they can mount a good immune response, and the absence of medication may be what’s actually triggering the flare-ups rather than the mRNA vaccine itself, said Dawn Bowdish, an immunology professor at McMaster University in Hamilton.

Still, Nuvaxovid is “clearly less what we call reactogenic, meaning you’re less likely to feel poorly or have a sore arm or have any of those side-effects that some people … get from vaccines,” said Bowdish, who has worked with immunocompromised people in clinical studies on mRNA vaccines.

Novavax’s vaccine, reformulated to target the recently circulating JN.1 subvariant of Omicron, was authorized by Health Canada in September.

People who have concerns or had a bad immunization experience should have access to Nuvaxovid, Bowdish said, because it’s crucial they get some kind of vaccination against COVID-19, which is especially dangerous for the immunocompromised.

The Public Health Agency of Canada said people worried about getting an mRNA vaccine should consult their health-care provider.

Those who are medically unable to receive an mRNA vaccine should protect themselves by practising hand hygiene, wearing a well-fitting mask and improving indoor ventilation, the agency said.

“That response is absolutely appalling,” said Michelle Burleigh, co-chair of the Canadian Immunocompromised Advocacy Network, which sent a letter to the federal government in July urging it to procure Novavax.

“It’s great if somebody has the financial means and ability to travel to the U.S., but this causes a real health equity issue because there are a lot of Canadians who are not in a position to afford $200 for a vaccine in the United States or have the ability to get there.”

Bowdish said she’s also aware of people travelling to the U.S. to get Nuvaxovid and that’s “really problematic.”

Although the latest data suggest flare-ups of certain conditions are unlikely to be a direct result of the mRNA vaccine, it’s still important to accommodate patients, she said.

“If a person’s personal experience was, ‘I got vaccinated and I had a flare that put me in bed for two months and … I missed a part of life,’ how on earth do you counter that while being respectful over their autonomy and knowing their own bodies?”

This report by The Canadian Press was first published Oct. 3, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

[mxchineherald]

scars

𝐬𝐜𝐚𝐫 𝐟𝐫𝐨𝐦 𝐟𝐚𝐥𝐥 :: Viktor, as a young child, took a bad fall and hit his face on the edge of a staircase. This resulted in a broken nose and cut above his left eyebrow, which is still visible to this day. This scar is not sensitive, but it does darken and become more noticeable in cold weather. Viktor is not shy about this scar, and treats it as a simple aspect of his face. He doesn't remember life without it.

𝐥𝐞𝐠 𝐬𝐮𝐫𝐠𝐞𝐫𝐲 :: After a fall down a set of stairs (which sealed his vendetta against the architecture) Viktor required extensive surgery on his knee and ankle to salvage his broken joints and preserve his mobility. The scars are ticklish and sensitive to rough textures, requiring Viktor to wear softer fabrics on his legs. He will gladly talk about the science behind the procedure, showing the ankle off more.

𝐩𝐮𝐥𝐥𝐞𝐝 𝐢𝐯 :: During a lung infection that almost took his life when he was in his late twenties, Viktor deliriously pulled his IV out to try and get out of bed and return to the lab for work. Luckily for him, Sky was present at the bedside and managed to keep him in the room until a nurse arrived with medication. Viktor doesn't remember any of this, and was told second hand by his assistant later, after his full recovery.

��𝐩𝐢𝐧𝐚𝐥 𝐬𝐮𝐫𝐠𝐞𝐫𝐲 :: After putting the experimental surgery off for years past when it should have been performed, Viktor finally got it done after the incident with his leg. The recovery was a several months long stretch in the hospital, full of memories Viktor prefers not to recall. He is very shy about this scar and the implants that dot it. It is very sensitive to temperature/touch, and actively aches/itches in winter.

[blank template found here.]

[talkethtothehandeth]

Omg you have hip dysplasia too? Mine was corrected but it’s so cool to see another person with it

I was born with it, yes. I *had* it on both sides but got three corrective surgeries from Dr Caroll at Shriner’s hospital and I was the first patient she had to redo a surgery on because I apparently wanted to be extra. My left hip got a deceased donor bone graft, and I’m not sure what happened with my right hip, but I have three 7” long scars on my bikini line (my surgeon told my mom she operated there so if I ever wanted to wear a swimsuit in the future I wouldn’t be insecure) but they’re my favorite scars, truly.

My left hip has arthritis now, and visible deterioration. So the graft kinda… got eaten away after time and I experienced my first ever hip subluxation the other night. No, this NEVER happened before because I’ve always been careful with my hips. They were the most stable joints *because* of that surgery.

So, in short, and as found in this post, I *had* it, had 3 surgeries up to the age of 4/5(?) double sided half body casts, and lots of PT. But because of my EDS and scoliosis, my joints are rubbing up against each other. I’ve had arthritis since I was 16, but until yesterday, I never experienced a full hip subluxation. And now I have to work so fucking hard to preserve my joints for as long as possible.

[prevailinghatred]

☆ drabble | Morning Spar

Scorched Earth in the open field from stray blaster fire. Ruined human crops, and great ruts deep in the soil set the stage for a cathartic morning spar.

Megatron circled the ruined bot he'd reanimated with the Blood of Unicron, both of them leaking Energon from various wounds on their frames, though it seemed to Megatron's keen optics that the other's wounds were leaking ever-more sluggishly and the beast would soon be out of fuel. Not that that would stop its onslaught.

He'd had this particular bot modded by Shockwave. Something of a test-run, for subsequent super undead. Their reflexes, further honed, and combat AI improved to encourage learning patterns that should only have been possible of living bots. But by the same token, their self-preservation modules had had their wires cauterized ( read: lobotomized ) to discourage defection and disobedience, even in the face of insurmountable odds.

In no uncertain terms, these creatures — for they were no longer Cybertronian, as far as Megatron was concerned — were far more coordinated than their first attempts at reanimaton. But by the same token, required that bodies be harvested or otherwise spared the smelter to have the augmentations, which in turn required far more labor.

If the initial few were successful, he would commission Shockwave for more of them. Perhaps even consider a way to automate the surgeries, if it proved to be too time-intensive for one bot to do alone.

He dodged artfully aside as the creature swung its rudimentary sword in a glistening arc where his shoulder once was. Megatron twisted his frame, as if for partial transformation into his jet alt, and swept his own sword attachment in a clean arc into the other's side. A warm spurt of dark oil coated the blade, and the beast shrieked in pain from its vocalizer, but didn't flinch away and instead stood firm.

Before Megatron could withdraw the blade, the beast punched him in the face, with a ferocious crunch of metal on metal, and the warlord actually laughed aloud despite the pain. He reached up in response, seized its servo in a vicelike grip and squeezed at just a fraction of his full strength. Joints gave first, the creature howled, and still Megatron pushed forward with it until their servo yielded beneath his own and crumpled inward uselessly. He deftly twisted, and it popped off at the wrist with a shower of sparks and energon.

Megatron spat contemptuously at the wasted part as he tossed it aside, then turned upon his weakened quarry with a wild grin, his optics flashing in triumph.

Yes, these creatures would do nicely for his forces...

Insp.

[mastergarryblogs]

General Anesthesia Drugs Market Growth Unveiled: Breaking Down the Billion-Dollar Boom

Comprehensive General Anesthesia Drugs Market Insight and Strategic Forecast

The global general anesthesia drugs market is undergoing a transformative phase marked by evolving surgical practices, aging populations, and expanding access to healthcare infrastructure across emerging economies. With a forecasted CAGR of 3.8% from 2024 to 2031, the market demonstrates steady growth driven by advanced pharmaceutical innovation, rising surgical volumes, and the increasing demand for outpatient surgical procedures.

Request Sample Report PDF (including TOC, Graphs & Tables): https://www.statsandresearch.com/request-sample/40479-global-general-anesthesia-drugs-market

Overview of General Anesthesia Drugs Market

General anesthesia drugs are essential for modern surgical practices, enabling reversible loss of consciousness, pain sensation, and muscle control. These agents are administered through intravenous (IV) or inhalational routes and are chosen based on patient-specific factors, procedural complexity, and desired pharmacokinetic properties.

Get up to 30%-40% Discount: https://www.statsandresearch.com/check-discount/40479-global-general-anesthesia-drugs-market

General Anesthesia Drugs Market Segmentation Analysis

By Drug Type: Diversified Options for Varied Clinical Needs

Propofol remains the cornerstone for rapid induction and short-duration procedures, favored for its fast onset and recovery. Sevoflurane and Desflurane, volatile inhalation agents, are widely adopted for their controllability and minimal residual effects. Isoflurane, while older, continues to be used for its economic value and long-lasting effects. Ketamine, unique for its dissociative properties and airway preservation, is increasingly used in trauma and pediatric care. Midazolam, a benzodiazepine, is essential in pre-operative sedation protocols. Fentanyl, a powerful opioid, is indispensable for pain management in surgical settings. Etomidate, thiopental, and other agents fulfill niche requirements in high-risk or specific patient populations.

By Route of Administration: Optimizing Delivery for Efficiency and Safety

Intravenous Route IV administration is preferred for rapid induction, offering precise control and minimal environmental exposure. Agents such as propofol, ketamine, and midazolam dominate this segment, often initiating the anesthesia cascade.

Inhalational Route Inhalational agents maintain anesthesia during prolonged procedures. Modern volatile agents—sevoflurane and desflurane—are favored due to low blood-gas partition coefficients, ensuring rapid titration and post-op recovery.

By Application: Expanding Utility Beyond the Operating Room

Surgical Procedures

General Surgery: Appendectomies, hernia repairs, cholecystectomies

Cardiac Surgery: Coronary artery bypass grafting, valve repair

Neurological Surgery: Craniotomies, spinal cord decompression

Orthopedic Surgery: Joint replacements, fracture management

Other Specialties: Urological, gastrointestinal, gynecological surgeries

Non-Surgical Procedures

Diagnostic Applications: MRI, endoscopy, interventional radiology

Pain Management: Nerve blocks, chronic pain interventions, cancer-related procedures

By End-User: Versatile Usage Across Healthcare Ecosystems

Hospitals remain the dominant users due to high-acuity surgical needs and robust monitoring capabilities. Ambulatory Surgery Centers (ASCs) have surged with increased demand for outpatient procedures, leveraging agents with quick recovery profiles. Clinics cater to minor surgical and diagnostic interventions with moderate anesthesia needs. Specialized Facilities, such as dental surgery centers and pain clinics, apply anesthesia to enhance procedural comfort.

Regional General Anesthesia Drugs Market Dynamics

North America

A mature market characterized by high surgical rates, robust reimbursement policies, and a strong presence of top pharmaceutical firms.

Europe

Rising geriatric population and universal healthcare systems fuel demand. Countries like Germany, the UK, and France lead in consumption and innovation.

Asia-Pacific

Poised for rapid growth driven by expanding medical infrastructure, increasing healthcare access, and rising surgical tourism in countries like India, China, and ASEAN nations.

Middle East & Africa

Growing healthcare investments and partnerships with global pharmaceutical firms support long-term market expansion.

South America

Steady progress led by Brazil’s evolving surgical capabilities and supportive regulatory framework.

Competitive Landscape

The general anesthesia drugs market is moderately consolidated, with leading firms focusing on novel formulations, regulatory approvals, and regional expansions. Prominent players include:

Baxter International Inc. – Pioneer in inhaled anesthetics.

AstraZeneca – Innovator in intravenous agents.

AbbVie Inc. – Known for propofol and other premium drugs.

B. Braun Melsungen AG – Key player in pain and anesthesia management.

Fresenius SE & Co. KgaA – Strong presence in critical care pharmaceuticals.

Pfizer and Hospira Inc. – Extensive global reach in injectable anesthesia.

Aspen Pharmacare Holdings Limited – Expanding presence in emerging markets.

Hikma Pharmaceuticals plc – Aggressive in biosimilars and generics.

Abbott Laboratories – Innovation-driven portfolio in surgical therapeutics.

Strategic Growth Opportunities

Development of Targeted Anesthetics with shorter half-lives and fewer side effects

Integration with AI and Monitoring Systems for personalized anesthesia dosing

Expansion in Emerging Economies through cost-effective formulations

Increased R&D Collaborations for next-generation delivery methods (e.g., intranasal, transdermal)

General Anesthesia Drugs Market Trends Shaping the Future

Outpatient Surgery Surge: A driving force behind fast-acting anesthetics

Aging Population: Fueling demand for elective surgeries and anesthesia usage

Sustainability in Anesthesia Practice: Adoption of low-emission anesthetics

Pharmacovigilance and Regulatory Compliance: Heightened focus on safety, especially in pediatric and geriatric cohorts

General Anesthesia Drugs Market Forecast Outlook: 2024–2031

The general anesthesia drugs market is projected to exhibit steady growth, underpinned by a robust demand curve, technological innovations, and the global resurgence of elective surgeries post-pandemic. Key investments in healthcare infrastructure, especially in Asia-Pacific and Latin America, are expected to further stimulate market penetration.

Purchase Exclusive Report: https://www.statsandresearch.com/enquire-before/40479-global-general-anesthesia-drugs-market

Conclusion

We anticipate sustained global demand for general anesthesia drugs, with continued diversification in applications, robust pipeline development, and a clear shift toward outpatient care models. Market players with agile innovation strategies and a strong foothold in emerging markets will command competitive advantage through 2031.

Our Services:

On-Demand Reports: https://www.statsandresearch.com/on-demand-reports

Subscription Plans: https://www.statsandresearch.com/subscription-plans

Consulting Services: https://www.statsandresearch.com/consulting-services

ESG Solutions: https://www.statsandresearch.com/esg-solutions

Contact Us:

Stats and Research

Email: sales@statsandresearch.com

Phone: +91 8530698844

Website: https://www.statsandresearch.com

[littlesixxwrites]

"Matching a Malfoy" - Chapter 30 Preview

Catch up with MaM here on AO3. Also available on FFN.

Below is a snippet from the upcoming chapter. Workshopping, and I hope to have it posted in a couple days.

The beeping.

The bloody beeping.

Hermione opened her eyes, a bit easier this time. The garish fluorescent lights remained exhausting. She rolled her head just the slightest bit to the left and saw Oliver was still in the uncomfortable-looking chair, scrolling through his phone. She managed to croak out,

“You remember the last time you saw me in hospital?”

“Yes,” he replied without looking up. “As I recall, it was after your sixth surgery and three physical therapists. I used to work with Premiere League footballers, so I can handle any and all levels of bullshit. I also have the unique quality of not being afraid of you.”

“Wish more people did.”

Oliver looked up and said, “Bullshit.”

Hermione laughed, and her throat burned. It felt as though acid had come up from her stomach, or she’d screamed for a half hour on end. Oliver offered her water, which she sipped eagerly. Then he made for the door, saying over his shoulder,

“Doctor needs to be in.”

He was back twenty seconds later with a decent-looking man in hospital scrubs. The man introduced himself as,

“Dr. Kettleburn, Ms. Granger. I performed the operation on your shoulder, and Mr. Wood, here, has asked to give you the overview of what was done and what his plan is for the rehabilitation of the joint. I am here to provide additional insight if needed.”

“Thank you.” Oliver sighed and said, “Hermione, I won’t lie, this day is going to be shit for you. You’re going to have a lot of shit days.”

Always the sunshine with him.

“You had a couple rather severe tears in your rotator cuff tendons, and things went about as well as they could have.” Oliver was blessedly blunt in his descriptions. “They repaired the new tear in one tendon, and managed to sort of stretch the other tendon enough to screw it back into your shoulder. No true concerns there for me. Because of the damage, it necessitated what’s called a reverse total shoulder replacement. It’s exactly what we’ve talked about the past seven years, except the ball and socket is reversed.”

Hermione squeezed her eyes shut and tried to understand what that must look like. What they must’ve taken out of her to make that happen.

“Oi, Hermione,” Oliver snapped his fingers to get her attention, “if you’re going to have a breakdown, do it after I finish giving you the information.”

She mumbled, “M’kay.”

“They did a fairly new procedure to extend the life of the prosthesis and preserve the bones in your shoulder. I’m quite stoked to learn more about it, but it required the removal of the plate from your clavicle, so that is gone.”

How many incisions had they made? Did she have stitches? Hermione still wasn’t certain she had an arm—

Oliver snapped his fingers again and demanded, “Listen to the information. If this operation was successful, Hermione I think you’ll get about eighty-five percent of the movement back in your arm. Lateral and rotational. This is going to change the quality of your life, and it will change your career for the better, I promise you.”

Hermione smiled. Oliver didn’t make promises he couldn’t keep.

“It’s going to take loads of physical therapy to get there; and I’m not talking about you being in Wiltshire and me visiting weekly. That’s fucking gone, now. You need to be here in London, seeing me every day these first six weeks or so, and we’re going to get your shoulder to where it needs to be. My core concerns are any blood vessel damage that might’ve gone unnoticed because your arm just wasn’t moving for so long, and I am concerned about a dislocation. We’ve got to go easy on it, transition your way into the new range of motion. I am concerned your bones may be weakened, so we will keep an eye out for potential fractures as well. Overall, I am quite confident your arm will be mobile, Hermione.”

“Thank you.” Hermione wondered, “What happened? Why do I feel this weight in my chest? It’s heavy,” she pressed her right hand upward and between her breasts, “here.”

Oliver’s face crumbled. He shook his head and said,

“That’s not for me to tell you. That comes after me.”

“After you?”

“You’ve got a load of people in the waiting room, hoping you’re okay. I have the delightful job of telling them you’re going to be alright.”

“Am I?” asked Hermione. “Going to be alright?”

“When aren’t you?” Oliver stood up from his chair and said, “I’m going to give you a kiss on the cheek because I care for you and I can’t hug you because they’ve just torn your whole fucking arm apart. Do me a favour and don’t make it weird.”

Hermione tilted her head the slightest bit and laughed when she noted Oliver’s cheeks had turned just a bit pink. His lips lingered on her cheek before he whispered,

“You’re not done fighting. No matter what you hear next, remember that. You’re not done.”

[healthtipsbysumedha]

Protect Your Joints: Everyday Habits for Orthopedic Patients

For orthopedic patients, maintaining joint health is essential to improve mobility, manage pain, and prevent further deterioration. Small lifestyle changes and mindful habits can make a big difference in how well you protect and preserve your joints. This article will cover effective, everyday habits that orthopedic patients can adopt to safeguard their joint health and support long-term wellness.

1. Stay Active with Low-Impact Exercises

Exercise is key to maintaining joint health, but it’s essential to choose activities that won’t strain or damage the joints. Low-impact exercises like walking, swimming, cycling, and yoga can help keep joints flexible without adding too much stress. These exercises promote circulation and strengthen the muscles around the joints, providing them with better support and reducing the likelihood of injury.

Tip: If you’re starting a new exercise routine, consult with your orthopedic specialist. They can guide you on which exercises are most suitable for your condition and physical abilities.

2. Maintain a Healthy Weight

Excess body weight adds stress on weight-bearing joints, especially the knees, hips, and spine. Studies show that even a small reduction in weight can have a significant impact on reducing joint pain and preventing further wear on these joints. Maintaining a healthy weight is one of the most effective ways to protect your joints, as it reduces the load they need to carry.

Action Step: Incorporate balanced meals into your daily routine, focusing on portion control and nutrient-dense foods. Cutting down on sugary, processed foods and increasing your intake of vegetables, lean proteins, and whole grains can help manage weight effectively.

3. Focus on Proper Posture

Posture isn’t just about looking poised; it’s critical for joint health. Poor posture puts unnecessary strain on joints, particularly those in the back, shoulders, and neck. Whether you’re sitting at a desk or standing, maintaining good posture helps distribute your weight evenly, relieving pressure on individual joints.

Tip: When sitting, ensure your back is straight, shoulders relaxed, and feet flat on the floor. If you’re standing, keep your weight balanced on both feet to avoid putting excess pressure on one side.

4. Prioritize Joint-Strengthening Exercises

Strengthening exercises are a great way to improve joint stability. Focus on exercises that strengthen the muscles around your joints, such as leg raises, squats, and gentle resistance training. Strong muscles act as shock absorbers for the joints, reducing strain and minimizing the risk of injury.

Action Step: Try incorporating strength-building exercises two to three times a week, with guidance from a physical therapist or orthopedic expert, especially if you’re recovering from an injury or surgery.

5. Incorporate Anti-Inflammatory Foods

Inflammation can be a significant contributor to joint pain and stiffness. By incorporating anti-inflammatory foods into your diet, you can help manage pain and prevent flare-ups. Foods like fatty fish (rich in omega-3 fatty acids), turmeric, ginger, and leafy greens have anti-inflammatory properties that support joint health.

Tip: Consider adding these foods to your daily diet and reducing your intake of inflammatory foods like red meat, sugary treats, and processed snacks. Over time, this can help reduce overall joint pain and discomfort.

6. Use Assistive Devices When Needed

Using assistive devices such as braces, canes, or splints can provide extra support to affected joints. These tools help to reduce the strain on your joints by evenly distributing your body weight. Whether you need them temporarily or long-term, they can make a significant difference in managing pain and mobility.

Tip: Discuss with your orthopedic specialist which devices are most appropriate for your specific condition and how to use them correctly for optimal support.

7. Avoid High-Impact Activities

High-impact activities, such as running, jumping, or heavy lifting, can place excessive stress on the joints, particularly if they’re already weakened by an orthopedic condition. Replacing these activities with joint-friendly alternatives will help preserve the cartilage and prevent injuries.

Suggestion: If you enjoy sports, consider low-impact options like swimming or stationary biking that are easier on the joints but still provide a cardiovascular workout.

8. Practice Good Ergonomics

If you work in an office or spend a lot of time on a computer, good ergonomics can be beneficial for joint health. Using an ergonomic chair, adjusting your monitor to eye level, and keeping your wrists straight when typing are all simple adjustments that reduce strain on your joints, especially those in the neck, shoulders, and wrists.

Tip: Take regular breaks to stretch and reposition throughout the day, which can reduce stiffness and improve joint comfort.

9. Rest and Recover

Listening to your body is crucial, especially for orthopedic patients. Resting after strenuous activity gives your joints a chance to recover and prevents overuse. Make sure you’re getting sufficient sleep, as this is the body’s natural time for healing and recovery.

Tip: If you experience joint pain or stiffness after an activity, give yourself time to rest before resuming. Overworking your joints can lead to inflammation and long-term damage.

10. Stay Hydrated

Staying hydrated is essential for joint health, as water helps keep the cartilage in joints lubricated, reducing friction during movement. Dehydration can lead to joint stiffness, making it difficult to stay active.

Action Step: Aim for at least eight glasses of water per day. If you’re physically active, you may need to increase this amount to stay properly hydrated.

Conclusion: Small Changes, Lasting Impact

Protecting your joints requires consistent, small changes that can add to significant improvements over time. Whether managing an existing orthopedic condition or trying to prevent one, these every day habits can support your joint health and overall quality of life. If you’re a resident of Navi Mumbai, consulting with specialists at Navi Mumbai Kokilaben Hospital can provide additional guidance tailored to your needs. With expert care and personalized advice, you can create a sustainable plan for joint protection and long-term wellness.

[alexhealthflex]

From Pain Relief to Cartilage Regrowth: Exploring Treatments for Degeneration with ResearchAyu’s KneeVeda

 Cartilage degeneration, commonly seen in conditions like osteoarthritis, is a significant contributor to joint pain and limited mobility. This article reviews available treatments, highlighting ResearchAyu’s KneeVeda clinics and their pioneering approach to non-surgical cartilage regeneration.



Introduction to Cartilage Degeneration

Cartilage serves as a cushion between bones, providing the necessary structure and flexibility for smooth joint movement. When cartilage begins to wear down due to aging, injury, or conditions like osteoarthritis, it leads to painful symptoms, swelling, and restricted movement. This degeneration progresses slowly, but the effects can dramatically reduce one’s quality of life. With no blood vessels or nerves in cartilage, its capacity to self-heal is minimal, making effective treatment challenging.



Understanding the available treatment options is crucial for managing symptoms, preserving joint function, and exploring long-term solutions for cartilage regeneration.



1. Conventional Treatments: Managing Symptoms

Conventional treatments are often the first line of defense against cartilage degeneration, providing temporary relief and improving joint function.



Pain Relievers and Anti-Inflammatories

Nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroid injections are frequently used to manage joint pain and inflammation. By targeting inflammation, these medications can temporarily relieve pain and improve mobility. However, while NSAIDs and corticosteroids offer short-term symptom relief, they do not promote cartilage regeneration and may come with side effects, especially with long-term use.



Physical Therapy and Exercise

Physical therapy and structured exercise programs focus on maintaining joint function and strengthening the muscles surrounding the knee. Strengthening these muscles helps support the joint and may slow down the progression of degeneration. Exercises prescribed are low-impact, such as swimming or cycling, which reduce stress on the knee joint.



Regular physical therapy can improve joint stability and increase mobility, enhancing the overall quality of life. However, similar to anti-inflammatory drugs, physical therapy primarily manages symptoms and does not address the underlying issue of cartilage loss.



Viscosupplementation

In cases where pain persists despite physical therapy and medication, viscosupplementation might be considered. This involves injecting hyaluronic acid—a substance naturally found in joint fluid—directly into the knee. The injections temporarily improve joint lubrication, allowing for smoother movement and reducing pain.



Although viscosupplementation offers moderate pain relief, it is temporary, with effects lasting anywhere from a few weeks to several months. The procedure does not halt or reverse cartilage loss.



2. Surgical Interventions: Addressing Severe Cases

When conventional treatments fall short, surgical interventions are considered for managing more advanced stages of cartilage degeneration.



Arthroscopy

Arthroscopy is a minimally invasive surgical procedure in which a small camera and instruments are inserted into the knee joint to remove damaged cartilage fragments. While arthroscopy can relieve symptoms by eliminating loose cartilage, it does not regenerate tissue or restore cartilage thickness. This makes it suitable for mild to moderate cases, but it is not a regenerative solution.



Osteotomy

Osteotomy is another surgical procedure aimed at relieving stress on degenerated cartilage. During an osteotomy, the knee is realigned to shift pressure away from the damaged area. This surgery can delay the need for knee replacement in some patients and is ideal for younger patients with cartilage degeneration in one specific area.



However, osteotomy does not stimulate cartilage regrowth, and it requires a significant recovery period. As a result, it’s typically a temporary solution that offers symptom relief rather than regenerative outcomes.



Knee Replacement

Knee replacement surgery is often reserved for severe cases where cartilage is significantly damaged, and other treatments have proven ineffective. In this procedure, the knee joint is replaced with an artificial implant, essentially eliminating the symptoms of cartilage degeneration by replacing the affected joint.



While knee replacement can restore mobility and reduce pain, it is a major surgery with a lengthy recovery period. There is also a risk of complications, and the artificial joint may wear out over time, potentially requiring revision surgery.



3. Regenerative Therapies: Emerging Hope for Cartilage Regrowth

Recent advancements in regenerative medicine have given rise to therapies that seek to address the root cause of cartilage degeneration by promoting tissue regeneration.



Platelet-Rich Plasma (PRP) Therapy

PRP therapy involves drawing a patient’s blood, processing it to concentrate the platelets, and injecting it into the affected knee. Platelets contain growth factors that stimulate healing and may reduce inflammation. Some studies suggest that PRP can relieve joint pain and improve function in people with early cartilage degeneration.



However, the effectiveness of PRP therapy can vary, and it remains an emerging area in cartilage treatment. More research is needed to fully understand the extent of PRP’s regenerative capabilities for cartilage.



Stem Cell Therapy

Stem cell therapy is another promising approach to cartilage regeneration. By injecting mesenchymal stem cells (often sourced from bone marrow or fat tissue) into the knee, the goal is to stimulate the body’s natural regenerative processes. Stem cells have the potential to differentiate into various cell types, including those needed to regenerate cartilage.



Despite its promise, stem cell therapy is still experimental, and the long-term effects and efficacy in cartilage regeneration require further investigation. Regulatory approval and widespread clinical use may take years, but it represents a hopeful direction in regenerative medicine.



4. ResearchAyu’s KneeVeda Clinics and SKETS Therapy: A Revolutionary Ayurvedic Approach

In recent years, ResearchAyu has emerged as a leader in cartilage regeneration through its KneeVeda Clinics, which offer a unique, non-surgical solution known as SKETS. This therapy combines research-backed Ayurvedic formulations and therapeutic techniques, presenting an innovative approach to treating cartilage degeneration.



SKETS Therapy: A New Paradigm in Cartilage Regeneration

SKETS therapy focuses on natural cartilage regeneration rather than symptomatic relief. The treatment utilizes specialized Ayurvedic herbs with scientifically proven anti-inflammatory and regenerative properties, offering a holistic alternative to conventional and surgical methods. ResearchAyu’s approach is rooted in Ayurveda’s ancient wisdom, but it’s reinforced with modern research and clinical validation.



A recent retrospective clinical study, approved by an Institutional Ethics Committee, assessed the effectiveness of SKETS therapy in cartilage regeneration. The results were highly encouraging, with 80% of patients experiencing an increase in cartilage thickness of over 75% within just a few weeks of treatment. These results represent a significant breakthrough in the field of regenerative medicine, particularly for non-surgical approaches to knee health.



Clinical Evidence and Patient Outcomes

ResearchAyu’s SKETS therapy goes beyond simply managing pain; it aims to restore joint function and improve cartilage structure. By incorporating selective Ayurvedic herbs and therapeutic techniques, KneeVeda Clinics offer an option that has shown positive results in both clinical studies and patient testimonials.



The impact of SKETS therapy is twofold: it relieves joint pain while promoting cartilage regeneration. This is a significant advancement, as most current treatments only address symptoms without improving cartilage health. ResearchAyu’s holistic approach provides a sustainable solution, enabling patients to avoid invasive surgeries while achieving long-term relief and mobility.



Conclusion: Choosing the Right Path for Cartilage Health

For individuals facing cartilage degeneration, the choice of treatment depends on various factors, including the severity of degeneration, overall health, and personal preferences. Conventional treatments offer symptom relief, while surgical options may be suitable for advanced cases. Emerging regenerative therapies, such as PRP and stem cell therapy, are hopeful but still under development.



ResearchAyu’s KneeVeda Clinics and SKETS therapy offer a unique and effective option, especially for those seeking a natural, non-invasive treatment path. Combining the time-tested knowledge of Ayurveda with modern scientific validation, SKETS therapy stands out as a promising solution for cartilage regeneration. With clinical studies supporting its effectiveness, ResearchAyu has become a pioneer in knee health and regenerative medicine.



By providing a natural, sustainable approach to cartilage regeneration, ResearchAyu’s KneeVeda treatment embodies a holistic philosophy in healthcare, offering hope and relief to those dealing with cartilage degeneration and joint pain.



For more information, visit ResearchAyu's website or review their latest study at IJMEDPH.

[apexfootankleinstitute]

Finding the Right Foot Doctor in Agoura Hills and West Hills, CA

Introduction:

Foot health is often overlooked, yet it plays a crucial role in our overall well-being and mobility. When foot problems arise, seeking professional care from a qualified foot doctor becomes essential. In Agoura Hills and West Hills, CA, residents have access to expert podiatrists who specialize in diagnosing and treating a wide range of foot and ankle conditions. In this article, we'll explore the importance of foot care, the role of a foot doctor, and how to find the right foot doctor in these California communities.

Understanding the Importance of Foot Care:

Foundation of Mobility: Our feet bear the weight of our entire body and facilitate movement. Healthy feet are essential for maintaining balance, stability, and mobility, allowing us to perform daily activities with ease.

Early Detection of Problems: Regular foot care appointments with a foot doctor enable early detection of foot problems such as bunions, corns, calluses, heel pain, and fungal infections. Timely intervention can prevent conditions from worsening and improve treatment outcomes.

Management of Chronic Conditions: Individuals with chronic conditions like diabetes or arthritis require specialized foot care to manage associated complications such as neuropathy, ulcers, and joint deformities. A foot doctor plays a crucial role in preventing complications and preserving foot health.

Customized Treatment Plans: Foot doctors create personalized treatment plans tailored to each patient's unique needs and goals. Whether addressing acute injuries, chronic conditions, or preventive care, they utilize advanced techniques and therapies to promote healing and improve quality of life.

The Role of a Foot Doctor in Agoura Hills and West Hills, CA:

Comprehensive Evaluation: A foot doctor begins by conducting a comprehensive evaluation of the patient's foot health, including a physical examination, medical history review, and diagnostic tests such as X-rays or ultrasounds. This thorough assessment allows for accurate diagnosis and treatment planning.

Diagnosis and Treatment: Once a diagnosis is established, the foot doctor develops a customized treatment plan that may include conservative measures such as orthotics, physical therapy, medication, or minimally invasive procedures. In cases requiring surgery, they perform precise and effective procedures to address foot and ankle issues.

Specialized Expertise: Foot doctors specialize in various areas of podiatric care, including sports injuries, pediatric foot conditions, diabetic foot care, orthopaedic foot and ankle surgery, and more. Their specialized expertise ensures comprehensive and effective management of a wide range of foot and ankle problems.

Patient Education and Prevention: In addition to treatment, foot doctors prioritize patient education on foot care practices, preventive measures, and lifestyle modifications to promote long-term foot health and prevent future problems. They empower patients to take an active role in their foot care journey.

Finding the Right Foot Doctor in Agoura Hills and West Hills, CA:

Referrals and Recommendations: Seek referrals and recommendations from primary care physicians, friends, family members, or trusted healthcare professionals to find a reputable foot doctor in Agoura Hills or West Hills. Personal experiences and testimonials can help guide your decision.

Credentials and Experience: Verify the credentials, certifications, and experience of potential foot doctors. Look for board-certified podiatrists with extensive experience in diagnosing and treating a diverse range of foot and ankle conditions.

Specialized Services: Consider the specific services and treatments offered by foot doctors, such as sports medicine, orthopaedic surgery, diabetic foot care, pediatric podiatry, and more. Choose a foot doctor whose expertise aligns with your individual needs and concerns.

Patient-Centred Care: Opt for a foot doctor who prioritizes patient-centred care, effective communication, and collaborative decision-making. A compassionate and attentive approach fosters a positive patient-doctor relationship and enhances the overall treatment experience.

Conclusion:

Foot health is integral to our overall well-being and quality of life. By prioritizing regular foot care and seeking professional assistance from a skilled foot doctor in West Hills, CA or Agoura Hills, individuals can address foot problems, prevent complications, and maintain optimal foot health for years to come. With a commitment to personalized care, specialized expertise, and patient education, foot doctors play a vital role in supporting patients on their journey to healthy, pain-free feet.

[somahandtherapy]

Navigating Hand Health: Finding the Right Hand Specialist in Nashville

The hands are remarkable tools that we use every day, playing a vital role in our ability to interact with the world around us. From simple tasks like buttoning a shirt to intricate activities like playing a musical instrument, our hands are constantly at work. However, when hand injuries or conditions arise, seeking the expertise of a hand specialist becomes essential. In a vibrant city like Nashville, known for its rich musical heritage and active lifestyle, finding the right hand specialist is crucial for maintaining optimal hand health and function.

Understanding Hand Specialists

Hand specialists, also known as hand surgeons or orthopedic hand surgeons, are medical professionals with specialized training in diagnosing, treating, and managing conditions affecting the hand, wrist, and forearm. They possess in-depth knowledge of the complex anatomy of the hand and are skilled in both surgical and non-surgical treatment modalities.

Why Seek a Hand Specialist?

While general practitioners and orthopedic surgeons can address some hand-related issues, a hand specialist offers a higher level of expertise and precision when it comes to diagnosing and treating conditions specific to the hand and upper extremity. Whether you're dealing with a traumatic injury, a degenerative condition like arthritis, or a repetitive strain injury, a hand specialist can provide personalized care tailored to your unique needs.

Common Conditions Treated by Hand Specialists

Hand specialists treat a wide range of conditions, including:

Fractures and dislocations: Hand specialists can realign fractured bones and stabilize dislocated joints to promote proper healing and restore function.

Carpal tunnel syndrome: This common condition occurs when the median nerve, which runs through the wrist, becomes compressed, leading to numbness, tingling, and weakness in the hand.

Tendon injuries: Tendons are vital structures that enable movement of the fingers and thumb. Hand specialists can repair damaged tendons and restore function.

Arthritis: Arthritis can affect the joints of the hand, causing pain, swelling, and stiffness. Hand specialists can offer both surgical and non-surgical treatment options to manage symptoms and improve quality of life.

Finding the Right Hand Specialist in Nashville

Nashville is home to a diverse array of healthcare providers, including hand specialists who are committed to delivering high-quality care to patients. When searching for a hand specialist in Nashville, consider the following factors:

Credentials and expertise: Look for a hand specialist who is board-certified in orthopedic surgery or plastic surgery with additional fellowship training in hand surgery. This ensures that they have undergone rigorous training and possess the necessary skills to address complex hand conditions.

Experience: Consider the hand specialist's experience in treating specific conditions relevant to your needs. A surgeon who has successfully treated a high volume of cases similar to yours is likely to offer superior outcomes.

Patient reviews and testimonials: Take the time to read reviews and testimonials from previous patients to gauge their satisfaction with the care they received. Positive feedback regarding communication, bedside manner, and treatment outcomes can help you make an informed decision.

Accessibility and convenience: Choose a hand specialist with a convenient location and flexible appointment availability to ensure that you can easily access care when needed.

Conclusion

Maintaining optimal hand health is essential for preserving independence and quality of life. Whether you're a musician striving to perfect your craft or an active individual pursuing your passions, finding the right hand specialist in Nashville is key to addressing hand-related issues effectively. By seeking out a qualified and experienced hand specialist who understands the intricacies of hand anatomy and function, you can embark on a journey towards improved hand health and enhanced well-being.

[germanshepherdcare]

German Shepherds: A Comprehensive Guide to Care, Health, and Training

German Shepherds are a breed of dogs renowned for their muscular build, agility, high intelligence, and unwavering loyalty. Their reputation is built on qualities like bravery, loyalty, and confidence, making them one of the most popular dog breeds in the United States today.

These dogs have earned their place as exceptional working dogs, frequently employed by the military and police for roles such as patrolling, bomb detection, and search and rescue missions. Their extraordinary combination of strength, intelligence, and capability sets them apart in these fields. In conclusion, German Shepherds are not just remarkable pets; they are also reliable working companions, making them a truly special breed.

German Shepherds are high-energy canines, necessitating intensive training and regular exercise to keep their bodies and minds engaged. They thrive in families with an active lifestyle and experienced dog owners who can provide socialization and consistent training, especially during their puppy phase. German Shepherds sport a thick double coat that sheds year-round and undergoes a more substantial molt once or twice annually. Regular grooming is essential to prevent matting and tangling. Proper care will ensure a long and healthy life for your furry companion.

Despite their relatively longer lifespan for a large breed, German Shepherds are susceptible to various health issues. Responsible breeders screen both male and female dogs for conditions like degenerative myelopathy, hip and elbow dysplasia, gastric dilation, volvulus (bloat), cancer, allergies, and heart disease. Pet parents should stay informed about potential symptoms, as early detection is crucial for positive outcomes.

Degenerative Myelopathy

Degenerative myelopathy is a progressive nerve disorder affecting a dog’s spinal cord, leading to hind leg paralysis. Early signs include hind leg weakness and difficulty standing. While there is no cure, physical therapy can strengthen muscles and preserve leg use. DNA tests are available to detect this condition.

Elbow and Hip Dysplasia

Elbow and hip dysplasia are degenerative joint diseases causing chronic pain. Symptoms include limping and reduced mobility. Treatment options include weight management, joint supplements, pain medication, and surgery. Preventive testing like PennHIP can assess the risk.

Cancer

German Shepherds are prone to various cancers, including bone, lung, intestinal, and hemangiosarcoma. Symptoms may include internal bleeding, pale gums, weakness, and a swollen abdomen. Treatment options range from chemotherapy and surgery to radiation, depending on cancer extent.

In summary, German Shepherds are remarkable dogs, but they require dedicated care, training, and attention to their unique health needs to ensure a fulfilling and healthy life. Read More: https://germanshepherdcare.us/ #GermanShepherdscare.us

[othernaut]

Yeah, sure, I dig this worldbuilding. I love applying demonstrated human ingenuity to fantasy cliches.

It’s a pretty common misconception that dark mages tend to have, like, skulls and demons around the place. Neither of these things are in any way conductive to the practice of dark magic; they mostly just clutter up walkways. Light mages with secluded lairs/hermitages tend to keep a friendly flock of bats handy, though, as they serve as a harmless canary-in-a-light-mine: if the bats take flight, lay off the light magic for a bit, maybe make some tea.

This world’s also got “fire mages” and “cold mages”, but only in that fire mages specialize in exciting things at a molecular level and releasing energy into a system, while cold mages slow things at a molecular level and remove energy from a system. Neither favors the kind of long, flowing robes historically attributed to magic-users: cold mages have pretty much universally set their unseen servants to the task of knitting their required endless amounts of fluffy sweaters, and fire mages have both prototyped and popularized the infamous “Bikini of the Archmage”.

Speaking of knitting, most necromancers are more than passing seamsters. When animating a woeful mortal shell, well, zombies do provoke a certain amount of cleanliness issues. As embalming is time-consuming and the reagents are really expensive at scale, a large majority of necromancers take the skeletal route. Absent connective tissue, though, animating a dry skeleton just kind of results in loose bones clattering around. A significant portion of a necromancer’s job (well, at least one who wants an ambulatory undead servant that can actually undead serve) involves carefully anchoring and sewing leather straps at the skeleton’s joints. Fine enough work at elbows and knees, but really fiddly in the phalanges. And the spine? Oh, dead Gods, that’s a few months of podcasts and needlework for you.

Fortunately, this habit has done quite a lot to dampen the evil reputation that necromancers have historically held. See, there’s a strong overlap in the kind of gothy bullshit necromancers tend to wear and the kind of gothy bullshit that goes for thousands at fashion shows. Given the professional skills of adept, quick stitchwork, willingness to sew people into their clothes, and the need to perform spot repairs in seconds, the overlap in skill sets between necromancer and fashion designer is pretty significant. Add to this the fact that leather, as a formerly dead and preserved bit of corpse, is pretty easily manipulable through necromancy, and you have a dramatic fashion splash that affects culture for decades hence.

The reputation of alchemists, though, is wholly deserved. One actually masqueraded as a nephrologist so he could rootle around in an existentialist’s kidney surgery after taking the phrase “philosopher’s stone” really, really literally.

magic system where “dark magic” and “light magic” are literal terms - dark magic consumes photons, making an area around the spell visibly darker, sometimes to an Extreme extent, and light magic releases photons.

because of this most dark mages tend to work in very brightly-lit areas (either artificial light or outside in the daytime) to fuel their spells and wear and use lightly coloured clothes and tools so that they’re easier to see in the dimness their spells create, whereas light mages wear heavy, sometimes leaden robes (depending on the work being done) and the magical equivalent of welding masks to protect themselves from what can be an extreme amount of light, and sometimes other kinds of electromagnet radiation!

needless to say this is incredibly confusing for anyone unfamiliar with the culture