#Patient Temperature Monitoring type

[spxllcxstxr]

Love Sick • J.A

(Gif not mine)

Request: Could you do a fic with abbot x reader who’s a nurse and she comes to work sick? 🤒 -- anon

Summary: You just want to get through this shift. Jack just wants you to go home.

Warnings: fem!reader (is called “my girl”), nightshiftnurse!reader, established relationship, reader is sick but it’s more like a cold than anything serious

Word Count: 1.2k

A.N: First time writing for Jack! Lmk what you guys think!

•

You were fine. You weren’t sick. You could make it through this shift. As long as you kept repeating that little mantra throughout your day, maybe it would start sounding more convincing.

Realistically, you knew you shouldn’t have gone into work—no one likes to be seen by a sick nurse, afterall—but you only had one more shift before your weekend off and all you wanted to do was power through it. You hated admitting when you couldn’t do something, so something as trivial as a cold wasn’t going to stop you.

When you woke up in the afternoon it became abundantly clear that you weren’t feeling well at all. Your throat stayed a little sore no matter how much water or tea you swallowed and the splitting headache made you think something was trying to escape from the center of your brain.

But you drove to work anyway.

Dana eyes you the second you place your bag down at the nurse’s station. She all packed and ready to head home for the night but she pauses when she sees you.

“You alright?”

“Hm?”

“You just look like you should be resting, not working a night shift.” Dana shrugs. “Jack know you’re here?” She raises her eyebrows like a mother at her child when she knows they’re about to bullshit their way out of something.

“I’m fine, Dana.” You respond, opting out of the lie. “Thank you for the concern.” Sitting, you glance through the paperwork Princess and Perla left for you.

“Whatever you say.” Dana chuckles, patting you on the shoulder. “Just text me when Abbot inevitably sends you home.”

You glare at retreating figure, watching as she walks out the doors with Robby. Oh to be done with your shift.

"You look like shit." Jack comments, stopping in front of the nurse's station a little bit later. He swings his stethoscope back around his neck.

"Thanks, Jack, you have such a way with words." You reply sarcastically, glancing up from the monitor in front of you.

"You know what I meant, don't get all snarky on me." Jack rolls his eyes jokingly. "Let me check your temperature, you seem sick."

Jack goes to place the back of his hand on your forehead but jerks back as he hears a patient's vitals tanking.

"Jack, he's coding!" Walsh calls from one of the rooms.

He sighs. "I'm not done with you, sweetheart." He turns and jogs over to Walsh, already shouting for certain things to be done.

An hour goes by and you feel yourself getting more exhausted than usual. It takes forever for you to rise from your seat to check up on a patient and Shen’s jokes become more of a nuisance no matter how funny they are. You debate calling it quits and just heading home multiple times but there were only a couple more hours in your shift, why not just fight through it?

Your smiles turn out more like grimaces and your lighthearted banter comes out croaky but your job was still getting done.

Jack narrows his eyes at you from afar, watching as you type something on the desktop in front of you. You seemed distracted to him—languid, if he wanted to be completely honest.

He hadn’t had a moment to assess you further earlier in the night when he first attempted to press the back on his hand onto your forehead. Jack shifts between each foot, taking this rare moment of stillness to take a breather.

You stop typing, the headache radiating pain across your skull. Frowning, you get up from the desk and make your way to the break room. With your head bowed down to avoid the white florescent lighting of the trauma center, you don’t notice Jack tracking your movements.

Inside the break room you wet a paper towel with cold water, placing it directly on your heated face, hoping that it helps regulate the temperature and the pain. You sigh in slight relief.

“Just a few more hours…” You repeat to yourself, pressing your fingertips into your temples.

The door opens and you quickly toss the paper towel from your face and into the trash can. The harsh lights above you make you flinch.

“I was just—“

“Trying to convince yourself that you’re not that sick?” Jack interrupts, worry and amusement mixed across his features.

“I’m not sick.” You scowl.

His eyes run over your frame. “Are you sure you graduated from your nursing program?” Jack chuckles. “Langdon’s kids could easily clock you.”

He ambles up to you, eyes running up and down your figure. You can't imagine you look nice; scrubs wrinkled in a few places and skin lacking its usual luster.

Silently he sticks out his hand to feel your temperature. Why he defaults to rudimentary practices to check you, you're not entirely sure, but having Jack's hand on you is a lot better than a thermometer under your tongue.

He hums as he takes his hand off of you.

"Go home." Jack murmurs, his lips just grazing the tip of your ear. He pulls back only enough for his eyes to connect to yours.

His closeness makes you want to just fall into your lover’s arms and feel the warmth radiating off his body. Jack’s magnetic pull almost gets you, but you hold yourself back, determined to not succumb to your awfully inconvenient illness.

"I have the next two days off, there's no need for me to miss this shift--"

"Don't make me pull rank on you, sweetheart." He raises his eyebrows, daring you to disagree. "And not in a kinky way." Jack crosses his arms over his chest.

Teasingly, you pout. “Such a shame.”

“C’mon,” He continues, voice still light. “Go on home, rest, and I’ll come over after I finish here. I’ll take care of you over the weekend.”

The thought of Jack bustling around your apartment making you soup and disinfecting your furniture is certainly enticing.

“I do love having my own personal Doctor Abbot fussing over me…”

Jack runs his hands over your arms, palms warm against your skin. You suppress a shiver, due to an oncoming fever or the fact he’s so warm in the cold interior of the trauma center, you don’t know for sure.

“Go on, I’ll be there when you wake up, sweetheart.” Jack presses a kiss to your forehead.

“Hm, maybe I should let Robby and Gloria know your bedside manner is improving.” Smiling, you tease and pull away a tad to start moving toward the exit.

“You better not,” he laughs. “I’ve got a reputation to uphold around here. I like being known as the cranky old smartass, can’t have everyone here knowing I melt for my girl.”

Cheeks heating up, you look away. “Of course, Doc.”

“Get home safe, I love you.” He says, watching you exit the otherwise empty break room.

“I love you, too, Jack. I’ll see you at mine.”

You shoot Dana a quick text as you leave the building, not expecting her to text back until later in the day when she finally wakes up for work.

It’s a drag getting home; your mind feels sluggish and your nose starts to drip, but you get into your bed knowing that Jack was going to be in the open spot next to you in the morning.

•

[szarina]

dude I adore ur yandere zayne so so so much

wonder what would happen if MC tried reconnecting with Zayne? We may be able so convince her something is wrong :}

❆ ₊⋆ content warnings. implied emotional cheating + insecurities + heavy angst + ooc zayne + this is a fic, don't go roaring like a wanderer because you didn't like it and sorry for the messy shit, it's 3 am for me.

She came monthly for the check-ups as always.

Yvonne sat at her station. Fixated on the screen in front of her as she monitors every patient's room. As always when Yvonne sees her, she greets her with a smile. Checking her schedule and told her that Dr. Zayne was waiting for her in their scheduled appointment. She thanked her and smiled before walking to Zayne's office.

The walk to his office felt different this time. It was heavy — she can't describe it but something changed. Usually, she looked forward to her check-ups by him or perhaps was the news that Zayne had married you.

Her childhood friend is married.

She knew that it would end up like this since he knew the surgeon was engaged even it was an arranged marriage but it stung her more than she can admit. She thought Zayne was hers in her own way even there isn't feelings involved with his fiancée.

Why would he give all the time to spend it with her when he can give it to you?

She enter the familiar doors of his office and she finds him typing. “Dr. Zayne.” She greets him in the same way. There's a hint of affection in there and Zayne isn't dense not to notice it but he only looks at her the same way he treats his patients.

He didn't even correct her not to call him Dr. Zayne but only "Zayne".

“I received the monthly assessment from the Association and from the results — you're doing better. There's still irregularities and I won't say that there is nothing to be sure considering your condition.” His voice even have the same tone of a physician and the softness in there was gone. It was transferred to someone.

She nods in understanding but her eyes traveled to his desk. It was the same. Neatly stacked documents, his personal computer and laptop in the same position. There was an addition, a photograph is placed besides his PC. A wedding picture — of you and him.

It wasn't all smiles but she can see how Zayne kisses you in that photograph and her heart clenched in a way that she knows it wasn't her condition that was acting up and to make it worse — next to the photograph was a sonogram. Twins. She cannot be mistaken even it's black and white and the two lumps of cells incubating in your belly feels like a slap to her face.

It wasn't only Zayne was married but was also expecting. He's going to be a father soon.

He looks at the man across her. She can't be hurt — Zayne didn't promise anything to her nor said the words she wanted. He was only there besides her but he will belong to you in a matter that even the strongest of gravity in the universe can't pull.

Her primary care physician approach her, activating his stethoscope to check the condition of her heart. She remains silent but as Zayne presses the diaphragm of his stethoscope, she noticed it. The silver wedding band wrapped around his ring finger.

“I heard you got married, Dr. Zayne.” She says in curious manner. Genuinely curious about it and she just needs to hear it even it was obvious and the ring around his finger says it.

Zayne puts his stethoscope down and began to type his recent findings. He didn't look at her. “I did.” He says monotonously.

She sees a brief flicker of revelry in hazel green eyes. The same eyes that looks at her like that too but it wasn't directed to her.

“What happened to you?” She asks

“She happened.” He says indifferently and glances at her. No explanation was need to tell her what really happened cause it was clear he choosed you.

She presses further. “Isn't too sudden marrying her?”

“What are you implying?” The temperature in the room drops. Cold and icy and it wasn't only the temperature but there's no warmth in his voice. “We were bound to be married any time.”

Suddenly, she felt embarrassment creeping up on her face. She said it like it wasn't the most obvious thing. She acted out that Zayne will choose her despite the circumstances and you didn't matter but it was you. It will always be you.

“I think we're done here for the day. I have to go home early.” To her — you mean. Is what she wanted to say but he kept her mouth shut. She only nods and left his office without much of a peep.

Zayne isn't hers anymore.

She met you again.

Zayne wasn't around but you weren't alone either. This time you were with your children, strapped to your chest is your child with Zayne in a carrier. The other is in the stroller. She can hear the distinctive babbles of the other twin while you slowly pushed the stroller as you scanned the displays.

The last time she had seen you in here was you were with Zayne. She realizes the tears in your eyes wasn't cause by allergies but hers. She recognizes that look anytime cause it was you now that is causing the pain but she wasn't crying. The damage was inside.

How painful must it be to you that your husband's affections was once directed to her.

It was wrong of her to be involved with Zayne. Your fiance — although she thought that there were no feelings in both side — you felt strongly. You didn't confront her — didn't told her to stay away from him. You stayed silent for it was better than to make a fool out of yourself and Zayne was no better, kept you at arm's length while they divulged in each other's feeling and then the accident happened.

After that, she didn't exist in Zayne's and they were like strangers again.

The baby strapped to your chest wiggles and coos. She can see how you gently caressed the baby's head, a small smile to your lips as say something and the baby laughs. You check at the other twin in the stroller before continuing to shop.

The sight of her made you freeze before relaxing. She was like a ghost always lingering and you accepted that even though Zayne married you and impregnated you with his children — she will always be a ghost haunting you.

You only got used to her presence.

She wondered. Would things be different if you didn't get into that fatal car crash? Will she be the one in your place? Having their own family and raising children together?

You're good. You didn't flinch nor getting your waterworks opening. She thinks it's the power you held being a mother that even she approaches you, you kept a polite smile.

She take a look to the baby in your chest. The baby looks like Zayne, the same thick, black hair and that eyes. Sharp as ever and even it was in a baby of his. The baby looks at her before it fusses, sensing that she's the one causing the inner turmoil of his mother.

“They're adorable.” She commented. The baby in the stroller waves their arms at her. The toy they're holding rattles and she smiles softly but the bitterness in her chest builds up.

“I told him that he should leave me and be with you.” You started, a smile in your lips but it wasn't mocking or a pitiful one. “He didn't. Never left my side after that.”

“I'm sorry.” You apologized.

Why were you telling her this? Why are you apologizing? She should be the one apologizing for not being able to stay away from him when he have you during the times you were treated like a stranger. Hell, she didn't know you as nothing but the one with Zayne in a arranged marriage until that fateful run in after your accident in the very same store.

You didn't gave her a second look and left.

She should stop chasing ghosts from the last and move on but it does not feel right, it wasn't wrong either.

[pixelatedraindrops]

“Don’t worry, my pokepal. We’re here for you.”

Something I made based on BrightStar’s birthday present fanfiction to me. It’s a RainCode Pokemon AU crossover story. I felt pretty down last night and I needed a distraction. So I drew this. Originally it was going to be a small uncolored doodle I’d attach as a thread to the fic, but I just kept going… xD

Description below read (its long lol)

I kinda drew out one of the scenes, however I added my own element to it. I know that the scene takes place in the normal setting of rain code, except everyone is a Pokemon. But the story itself gave me huge Pokemon Mystery Dungeon vibes so I made the setting similar to the PMD Explorers games. With the straw nested beds, the grass flooring, and the sliced berries.

Tbh, the explorers games are the elements of PMD I’m most used to and prefer. I like the idea of Pokemon living like feral creatures with small living circumstances, like cavemen. Not fully functional furnishings and machines. I feel it gives a cozier domestic aspect and it separates a Pokemon society away from us humans. They have more modern settings in the newer games, but I like the way it was done in explorers the most. So I hope you don’t mind that!

It was rather nostalgic to draw a PMD themed art again after so long. It was a game I loved drawing fanart of in the past and I even had teams with the hero and partner based off my friends. Good times…

Reading this fic got me to thinking how much I would have loved to see a whump or illness scene from the game. Having the hero, partner or even important side character fall ill to have a nursing scene with their whole team tending to them. (The closest we got was the Manaphy post game quest before releasing it to grow up in the sea)

So I did just that. I used the fodder from Bright’s story to create this little piece where Team NDA help their newest member through a status ailment, known as a BRNing fever. (Plus yay an excuse to draw yuma sick as an eevee :D)

Everyone has a role to play in his recovery.

The patient, Kokovee is lying in the infirmary nest bed feeling exhausted, sick and miserable where he is tended to by the rest of his team. Yakgrowth makes sure he stays warm by using his many vines to force wrap a blanket around him, also to monitor his temperature, and to try to feed him. (I can see him doing all sorts of tasks with all his vines, Grass types are grade A caretakers :3) Liepara uses their sharp claws to slice the berries that are brought as medicine to be easier for him to consume. Oran berries for his energy, Rawst berries to settle the heat, and Persim berries to prevent any confusion (delirium) that might be caused by the illness. Desuhichu walks up to him and connects his cheek to his to loan him some energy his way. (though this only works on other Pikachu, it does not harm the sick shiny Eevee) Celibuki uses her psychic powers to pre-soak the towels in the stone bowl for cooling him off later, Duskullgami can’t do much but she makes sure her partner is at least comfortable, and Vivisol merely stands guard. He doesn’t do too much but he forewarned the team of the disaster beforehand so they got everything ready. He did help in his own way... XD

I was actually inspired partially by @asaka-lucy-dr-rc’s birthday work for me where everyone helps tend to sick Yuma in their own way. I wanted to do something similar, except they’re Pokemon now... xD

Desuhiko and Yuma's forms were designed by me, as Eevee and Pikachu are the only Pokémon I have confidence in drawing. It's why everyone else is kinda offscreen (that and to focus on kokobolt since Bright wrote this story as an extra service to her XD)

Ya'll cannot force me to draw anyone else completely so they are just there, feet and heads cut off LOL at Vivia's big-ass claws (shinigami was interesting to try though)

The other designs belong to @snivyartjpeg as part of their own PMD AU. Seems Bright used them for this story, so I had to draw them too. (sorry biggie I know sick whump isn't your thing, but I had to credit you... X'D)

But yeah it was fun to draw this out! (kinda needed a stress reliever)

I hope you all enjoy! ^-^

Thanks again for the cute story Bright!💜

Alt Version where Yuma’s body is free:

[nightingalesandnorco]

Hi! Just found your blog and I think I’m in love, this is my new holy grail.

Could you give me a quick rundown of procedures that have to do with bone marrow? What are they, why are they done, etc.

PS: is there any niche topic you’ve been wanting to mention but have never been asked about? If so, now’s your chance to nerd out! :)

- 🦾

Oh dear anon, you've just activated me like a sleeper agent... I've already done a ton of research on bone marrow procedures for a whumpy daydream, and I just learned about it in school. Little did you know, this is the niche topic that I could talk about for days.

Bone marrow, baby!

So bone marrow in the innermost part of the bones and is most abundant in the long bones (femurs, humeruses, radiuses, ulnas, tibias, and fibulas) and pelvis. The primary function of bone marrow is to produce blood cells, including erythrocytes (red blood cells [RBCs]), leukocytes (white blood cells [WBCs]), and platelets). RBCs carry oxygen, WBCs fight infections, and platelets clump together to form clots and stop bleeding. The bone marrow cells that produce these blood cells are called hematopoietic [he-MAT-o-po-EE-tic] stem cells.

Bone marrow dysfunction can manifest in clinical disorders such as anemias (sickle cell, beta thalassemia, aplastic), malignancies (leukemia, myeloma, lymphoma, polycythemia vera), and other non-anemia deficiencies (leukopenia [deficiency of WBCs], neutropenia [deficiency of neutrophils, a type of WBC], thrombocytopenia [deficiency of platelets]). These disorders can co-occur and result from each other. Some medications like chemotherapy and some anti-infectives can also suppress the bone marrow.

Procedures involving the bone marrow include aspiration and biopsy, donation, and transplant.

Bone marrow aspiration and biopsy: This is a procedure to take a sample of the bone marrow for the purposes of diagnosing any of the above disorders. It is not performed if the patient has bleeding disorders like hemophilia. This is usually an outpatient procedure done in an interventional radiology (procedures are guided by x-ray or other imaging methods) unit. The patient will be admitted to the unit and asked to change into a gown, then will get an IV and have a full set of vitals taken (temperature, heart rate, respiratory rate, blood pressure, oxygen saturation). They will be asked to sign a consent form after the procedure and its risks and benefits have been explained. When it's time for their procedure, the patient will be wheeled in a hospital bed to the procedure room (see the image below) by a nurse.

All staff involved in the procedure will be wearing lead-lined aprons, surgical masks, and goggles. In the procedure room, they will move from the bed to a table, or will be assisted if needed, and positioned on their stomach with a pillow under their hips. They will be hooked up to a cardiac monitor and put on an end-tidal CO2 sampling nasal cannula (see the image below).

They may or may not be given fentanyl and midazolam (Versed) through their IV for pain relief and mild sedation. They will still be awake and aware during the procedure. I've seen people make small talk with the staff for their entire procedures. The patient will then be draped everywhere except for the site (over one of the iliac crests of the pelvis) of the procedure. The radiologist will inject lidocaine into the skin around the site and clean it with betadine (a disinfectant similar to iodine). The radiologist will then make a small incision at the site and insert a needle containing a fine tube down to the bone (see the image below).

The radiologist will work the needle into the bone with a twisting motion. The patient won't feel pain, but some people have said that the sensation of the needle twisting into the bone can be uncomfortable. When the needle penetrates the marrow, it will be removed, leaving the tube to which a syringe will be attached and marrow drawn up. Patients have reported feeling an uncomfortable sucking sensation during this part. Once this is done, the tube will be removed and a biopsy needle (see the image below) will be inserted into the same incision to take a separate sample.

A twisting motion is also used here. The radiologist will then put a pressure dressing on the site. After the radiological equipment has been turned off and the patient disconnected from the monitoring equipment, the staff will move them back to the hospital bed and the nurse will wheel them back to their cubicle in the unit. They will be positioned so that their weight is on the incision to maintain pressure and control bleeding. The patient will stay at the hospital for a few hours while the meds wear off and the nurses monitor them for bleeding, after which they will be discharged with instructions to call the doctor if they experience any excessive bleeding. They should have someone else drive them home.

Bone marrow donation: To be a bone marrow donor, a person has to be between 18 and 35 years old; not have HIV/AIDs, rheumatoid arthritis, systemic autoimmune diseases, bleeding disorders, brain injury, cancer or prior cancer treatments within 5 years of the donation, chronic pain that is treated with medications, chronic Lyme disease, diabetes that requires insulin, heart disease, hepatitis B/C, or kidney disease; and be a match to the intended recipient's human leukocyte antigen (HLA) and blood type. (Note: people can donate to bone marrow banks and be matched anonymously to recipients with their same HLA type) HLA types are different from blood types and are most commonly matched between people of the same ethnic background and family members, especially siblings. The donor will have to undergo extensive tests to ensure that they are healthy enough to undergo the procedure and for their bone marrow to be used for transplant; these include blood tests, tests for all types of infections, an electrocardiogram, and a chest x-ray. Bone marrow stem cells may be harvested from a regular blood donation or from bone marrow aspiration. The procedure for donation is the same as for aspiration, only the patient may be put under general anesthesia and intubated and the doctor will pull off about 1-2 pints of bone marrow. The patient may have to stay in the hospital overnight.

Bone marrow transplant: This is officially called a hematopoietic stem cell transplant (HSCT) and is usually done for leukemia, lymphoma, myeloma, polycythemia vera, aplastic anemia, severe immunodeficiency disorders, sickle cell anemia, beta thalassemia, and other disorders of the bone marrow or immunity. Stem cells can be taken from the recipient before their illness became serious, a related or unrelated donor, or umbilical cord blood. It is often a last resort treatment due to its high cost (up to $500,000) and potential for graft rejection. Before transplantation, the patient will receive high-dose radiation and chemotherapy (myeloablative therapy) to destroy their existing bone marrow. Once the myeloablative therapy has been completed, stem cells will be infused through a central venous catheter (see the image below), which the patient will certainly already have if they have cancer.

Ideally, the cells will seed in the bones and multiply to fill them (engraftment). This can take 2-4 weeks, or may never occur. The patient may not achieve full immunity for months or years. The patient may be in the hospital from the start of myeloablative therapy to 100 days after the transplant. Following the transplant, the patient will be on a regimen of medications to suppress their immune system to avoid graft-versus-host disease (GVHD; rejection of the donor stem cells resulting in a systemic inflammatory reaction). The patient may or may not be on this regimen for the rest of their life; if they never experience GVHD, they may not. They will have to be on the lookout for signs of graft rejection and secondary cancers (due to the myeloablative therapy) for the rest of their life.

Thanks for letting me nerd out and happy whumping!

[delimeful]

a still-glowing ember (3)

warnings: panic, guilt, injury mention, mentions of assumed character death (mistaken), arguing, lmk if i missed any

-

Virgil had spent nearly half the night attempting to coax the sprite’s spark back into something resembling a healthy state, feeling his stress levels spike unbearably with every pained twitch his unconscious patient had made. Working to heal someone that small, even with the assistance of magic, was no simple feat. It had been hours of exacting, meticulous work that had left him exhausted.

So, naturally, mere moments after Virgil finally called the job done, crawled into bed, and managed to fall asleep, the little idiot woke up and started shrieking loud enough to wake the dead.

Virgil had left the sprite on an extra pillow next to him, one of his hands cupped over the tiny figure to monitor any sudden changes in temperature, which basically meant that he’d gotten an unwanted earful at close range.

For someone who’d barely been able to string two words together before, the sprite certainly had a set of lungs on him. Stars almighty, that was loud.

“Will you cut that out?” he groaned with his face still half-mushed into his pillow, only earning himself an alarmed, shrill whistle-chirp and frantic scrabbling under his hand in response. Ugh. Sprites.

Did the guy not remember Virgil literally going to embarrassing lengths to save his life a handful of hours ago, or something?

Well. Actually, thinking back, he was pretty sure the sprite had been more-or-less unconscious at that point, only latching onto Virgil’s proffered magic after much nudging and coaxing of that terrifyingly unresponsive form. Maybe he actually didn’t recall any of that.

In that case, he had a little more sympathy. Not enough to keep him from pushing up onto his elbows and sending the noisy creature a nasty glare, but enough that he didn’t jump directly to mostly-facetious threats on the sprite’s life. See? Forget what everyone who’d ever met him had said, he was a master of restraint and compassion.

“Seriously, pipe down. I’m trying to sleep over here.” Okay, so not that much compassion.

The sprite’s wings were aggressively fluffed up behind him, meaning they hadn’t turned into frostbitten hunks of flesh and fallen off in the night, which was good. Virgil knew elemental beings were far more resistant to physical damage than most mortal types were, but feeling someone so iced-over always brought around that old panic anyhow.

Mostly assured that the sprite wasn’t going to keel over the moment he wasn’t in contact with him, Virgil retracted his hand entirely, leaving the sprite sprawled out on the pillow, breathing hard as his bedraggled feathers puffed up further. Virgil shifted into his fluffier form, as though his fur coat would chase away even the memory of the chill, and curled up more firmly, wrapping his tail around his paws. If he could just get a few more minutes of rest…

“I’ve been abducted,” the sprite said to himself, the words starting as a near whisper and slowly growing to a near wail. “I was nearly frozen, hunted for sport, and now I’ve been kidnapped away for my transgressions!”

Uggghh. He shifted back, mostly for ease of speech, and rolled his eyes when the sprite tried to scramble back and mostly just tripped over himself.

“I didn’t kidnap you,” he grumbled, turning his head to stare with one half-lidded eye. “I basically saved your life, actually, so maybe you should be a little more gracious.”

“Gracious?!” the sprite echoed in a shriek that was far too high-pitched for Virgil’s sleep deprivation-fried brain. “I’m fairly certain you threatened to end my life, not preserve it!”

Now, that much was probably true. Even if he hadn’t meant it, he certainly might have said something along those lines. He tended to get a little snappish when he was irritated, and also when it was cold out, and also when people bothered him in his own damn territory.

In short, the sprite had been dealt an extremely unlucky hand last night, in regards to Virgil specifically. And… intentional or not, he had almost gotten the tiny idiot killed.

He still remembered how his spiteful satisfaction at scaring the living daylights out of a rude intruder had slowly begun to shift into a creeping feeling of dread as the sprite utterly failed to do anything resembling normal flying, let alone escaping. The moment his fingers had wrapped around that ice-cold frame, the apprehension had abruptly firmed into the certainty that something was terribly wrong.

No creature of fire should ever feel so still and icy, especially not a lively, quick-burning sprite.

Virgil’s ears pressed flat against his skull, his guilt swamping him again. He supposed he probably at least owed the guy an explanation. Uuuuggghhhh.

“I’m not going to hurt you,” he told the sprite, tucking his hands under himself in an act of goodwill. “I know we got off on the wrong foot—,”

“The wrong foot?! An upside-down centipede has less wrong feet than our meeting!” the sprite screeched, continuing to be far more verbose when he wasn’t in the middle of freezing to death. Funny how that worked.

“Okay, fine,” Virgil cut in. “I heavily implied that I was going to murder you, but in my defense, I had no idea you were actually in a prime state to be murdered at the time, and also I’d been having a really bad night.”

The sprite stared at him like he was insane, and Virgil felt his shoulders rise to hunch up around his ears. This was why he didn’t talk to people.

“You had a bad night?!” the sprite asked in a near-shout, his tone incredulous.

The indignant question was accompanied by a twitch of movement, like the sprite had attempted to throw his arms up in an exasperated gesture only to find one limb restrained. He looked down at the sling around his injured arm, blinking in bewilderment.

“Okay, that one wasn’t my fault,” Virgil protested preemptively. “You were already like that when I— hey, hey! Don’t jostle it, jeez!”

He reached forward despite himself, gently batting the sprite’s hand away from the sling. Naturally, he earned himself a buffeting slap from one of those tiny wings for his good deed, but going by the horrified stare the sprite sent his own appendage, Virgil was fairly sure the motion had been entirely instinctual.

“Seriously, don’t mess with that,” he instructed, slowly withdrawing once it became clear that the sprite had gone stock-still with fear. “It took me ages to put together a sling that tiny, let alone tie it. Just leave it be.”

The sprite’s face pinched with uncertainty. “You made this? Why?”

There it was, the exact question he’d been trying to avoid. Great, just great.

He shrugged, faux-casual. “Maybe I just didn’t want some random pesky sprite dropping dead in my stretch of woods. Bad for the decor or whatever.”

The sprite narrowed his eyes at him, clearly not buying it.

“Look,” Virgil said, trying to head off the accusations of nefarious plots that he could practically see on the tip of the sprite’s tongue, “I clearly could have murdered you, and I didn’t, so can we just agree to not ask any more questions and part ways as unfriendly strangers?”

“What did you mean, you were having a bad night?” the sprite asked, apparently deciding to completely ignore Virgil’s very reasonable suggestion.

“I mean, I was having a bad night,” Virgil repeated with the slightest growl to the words. “I got robbed by annoying pixies twice, and now I’m going to have to go repair those boundary markers and make sure that nothing snuck in while they were down, which means I’ll have to waste a whole day just scouring the forest when I have winter supplies to be storing—,”

“Twice?” the sprite echoed, face pinching even further into a confused frown. “I only stole one boundary marker— and under severe duress, with all intention of returning the pilfered power once I had recovered at home!”

Virgil rolled his eyes, ignoring the tacked-on excuses. “Yeah, but you were the second sprite to do that. Like, my bad for thinking both times were you, but in my defense, the other sprite looked pretty damn similar—,”

“There was another sprite?” the sprite interrupted again, and this time he didn’t even seem to notice Virgil’s annoyed growl, his entire body gone tense with a sudden sharp focus. “You’re sure?”

Virgil frowned, a foreboding feeling creeping up on him. “Yeah, especially with what you just said. In hindsight, there were signs that the two of you were different. You were tripping over your words, while the first guy nearly woke the whole forest with all the maniacal shrieking laughter.”

“Remus,” the sprite whispered with wide eyes, his hands fisting in the loose fabric of the pillow. “Did you see which way he went?”

For the first time, he was leaning toward Virgil, practically hanging on his every word as he sought the answer.

“I dunno, north-ish?” Virgil replied, ears flicking back in slight bewilderment. “I wasn’t exactly close enough to catch him. What, do you know the guy or— woah! What are you doing?”

The sprite had pushed himself to his feet in one determined motion, and now pinwheeled, trying to keep his balance atop the soft surface of the pillow. His wings were lifting sluggishly into position, like he actually thought the ragged limbs would carry him anywhere in his current state.

Virgil hovered a hand nearby, prepared to catch the idiot when he want toppling down, but the sprite ducked away.

“I’m going to go find my brother,” the sprite spat, looking as though he’d like nothing better than for Virgil to try and stop him. “He’s out there, alone!”

The sense of foreboding doubled. The odds of a fire sprite, even one ballsy enough to steal three territory markers, surviving a winter storm all through the night were extremely low.

“If you go out there in this state, the only thing you’ll accomplish is crashing and dislocating your other shoulder,” he warned, trying to soften the bite in his voice as much as possible. “The forest is huge. There’s no way you’ll find him, wherever he is.”

Whatever condition he’s in, Virgil didn’t add, because even he had some tact.

“I don’t care,” the sprite said, chin lifted stubbornly as he started taking wobbly steps down the side of the pillow, heading for the edge of the bed. “He’s my brother. I’m not going to just abandon him!”

Virgil groaned. There was virtually no way the other sprite was alive, but there was no point telling his guest that, not when the tremble to his chin showed that he was already well aware, and determined to see this through anyhow.

…At the very least, anyone who’d lost family deserved the closure of finding their body.

The sprite reached the edge of the bed and surveyed the drop, lifting his shaking wings into position to catch the den’s still air the best they could.

With a sigh, Virgil reached out and wrapped his hand around the sprite before he could jump, lifting him up into the air despite his furious protests.

“What’s your name?” he asked, and the non-sequitur was enough to grab the sprite’s attention for at least a moment.

“It’s Roman,” he snapped, and the way his wings were smacking at Virgil’s hand in protest were entirely purposeful, this time. “Now, let me go—!”

“Okay, Roman, look. You’re going to get yourself killed if you go alone,” Virgil informed him. “And seeing as I just spent a ridiculous amount of time preventing your untimely demise, I’ll be really irritated if you kick the bucket now.”

Roman’s face screwed up with clear anger, but before he could start shouting, Virgil set him down solidly on his shoulder, making sure that he was well balanced before releasing him.

“So,” he continued, swinging his legs around to stand himself, “if you promise not to yell directly in my ear, I guess I can keep all that hard work from going to waste by going with you.”

He could practically hear the way Roman’s brain ground to a halt, struggling to shift gears. “You’re going to help me?”

Virgil shrugged his unoccupied shoulder, heading for his den’s entryway. “Might as well. It’s not like it’ll be too difficult to track down the scent, if he smells anywhere near as strong as you.”

Roman laughed, a short, surprised bark. “He— Trust me, he’s much worse.”

“Ugh, great,” Virgil replied with a wrinkle of his nose, and tried not to think about what they’d do whenever they did find whatever was left of Roman’s brother.

[theunholyrogue]

if time could stop (REWRITTEN!)(bay!raph ending)

tw: angst, cursing

intro.itcs

“Let's do this.”

Raphael gazed up at the machine, his brow bone contorted into a frown as he listened to Donatello explain the controls of the teleportation device. If only it were on already, he would hop through with no hesitation– but of course his brother was smart enough to know that.

He couldn’t stop himself from thinking of what was to come, but no plague of doubt consumed him over this. The Shredder would be defeated, they would take him down before he had a chance to take over their beautiful home of New York, and he wouldn’t drive his blades through your body another time.

Everytime he had went back to thinking about that night, everytime he turned his body around to look over his shoulder, he saw you pushing April out of the way and taking the fall for her, your blood oozing down over the blades and dripping to the concrete road below, your body falling to the ground with April catching you in her arms, the screaming, crying, and begging that you would make it. It made him sick to think about, and the turtle had blamed himself and April for your death. He blamed himself for not being able to block the Shredder attack, to stop him, or for even assuming he knew the enemy’s next move. He blamed April for being there, in the way, for not realizing what was going on. Hell, he even blamed you for being so compassionate towards your friend that you would put your own life on the line for them.

But, Raphael knew that it wasn’t your fault, or April’s fault, and at moments of clarity– he knew that you wouldn’t blame him for your death, that it wasn’t his fault either, but that was harder to accept. Because why else would you not be here, with him, alive and healthy if he had ran forward instead of moving backwards with his brothers? Why would he had given the Shredder a moment to change his trajectory and go for April instead of staying in the way and blocking him? It was his fault, surely.

“Two turtles at a time to keep the portal from going crazy and changing us getting stuck in the past,” Donatello stated before typing in on a digital keyboard and cutting the machine on. Suddenly, in the middle of the round frame, a purple, swirling mass engulfed the inside of the device, waiting patiently for the turtles to walk through.

“Casey, you’ll be keeping track of our vitals while we’re on the other side, or the past– I mean. These suits has built in monitors to keep track of our oxygen and respiratory rate, blood pressure and heart rate, and temperature,” the tech genius spoke as he handed his brothers a black suit that fit to their bodies. “April, you’ll be keeping track of the portals soundwaves and making sure that it doesn’t want to shut down and trap us in the past. It has an auto-correcting system but for precautions, if the waves don’t die down or a message alert comes up, just yell out. We have a communication system built into these suits as well so that we can you and Casey talking on this side while we’re on the other side.”

“Gotcha,” April and Casey both nodded, understanding their roles in this situation.

“The portal will act haywire at first whenever we go through, but it should calm down after a few minutes. Wait a bit and then send the next two over. If it doesn’t calm down, you know the drill.”

“Understood, Donnie. Good luck.” April responded with a confident smile.

“Raphael and I will go through first, so that Donatello can make sure the portal is doing what it is supposed to. Once it’s clear, he and Michelangelo will come through. We’ll wait for you on the other side and from there, we’ll defeat the Shredder once and for all,” Leonardo stated.

“Sounds good,” Raphael remarked before pushing his eldest brother through, “Let’s stop yapping and get to beating.”

Raphael didn’t hesitate to jump through the swirling mist, falling out through the other side– though once he looked around, nobody was in sight. Mikey, Donnie, Leo… nobody was in the empty lab.

“Leo! Where are you?” He called out, though he received no response in person– though his brother’s voice came through his suit. “In in the lab– where are you?”

Raphael’s brow bone contorted into irritation. “I am too. I don’t see you.”

“Guys…” Donatello’s voice echoed through the suit with a worried tone. “You two aren’t on the same plane anymore.”

“What the hell does that mean?”

“Raph?”

Raphael’s heart dropped as the familiar voice called out from behind him, his gaze slowly trailing the room as he turned his body around to face the direction of the voice.

“I thought you were…” You murmured, watching as the turtle turned around.

There, you were standing with a half-ripped bloody shirt, along with bandages wrapped around the upper half of your torso. You held your hand against your side, evident that you were sore from the attack. But… you were alive.

Raphael uttered your name in a whisper, the first time he had said it in five years.

“You’re… alive,” he murmured, causing you to tilt your head.

“Yeah, I’m alive?” You asked, a breathy laugh escaping your throat then quickly whimpering.

Raphael walked up to you and wrapped his arms around your body. He slowly inhaled, taking in your scent and allowing his tense posture to relax since your death.

“Raph, are you good?” You asked, reaching up and wrapping your arms around his shell, dragging your digits up and down slowly.

“Raph, you have to come back. The portal is going crazy on our end. Leo’s already—,” April was speaking over the comms system, but Raphael pulled away and spoke.

“No.”

“No?”

“No, I’m not coming back,” Raphael firmly started, his hands sliding down to meet your hands. Tightening his grip around your digits, Raphael continued. “I’ve been fucking miserable for five years. Five whole years. I’m finally feeling okay again. Goodbye.”

“Wait, Raph!” April called out as Raphael moved away and took a sai from his side, jamming into his portal and causing the mist to disappear.

He took a deep breath, before looking back at you.

“Yeah. I’m okay.”

[toounknownkingdom]

How IVF Experts Can Increase Success Rates: Key Factors to Consider

In-vitro fertilization (IVF) has revolutionized the field of reproductive medicine, offering hope to millions of couples struggling with infertility. While the IVF process is highly effective, the success rates can vary based on a number of factors. Fortunately, the expertise of IVF specialists can significantly enhance the chances of a successful pregnancy. In this blog, we’ll explore how IVF experts can increase success rates and provide guidance on optimizing treatment for the best possible outcome.

1. Personalized Treatment Plans

One of the most crucial ways IVF experts can increase success rates is by developing a personalized treatment plan. Every patient’s fertility journey is unique, and a one-size-fits-all approach may not work for everyone. By assessing factors such as age, medical history, hormone levels, and the underlying cause of infertility, IVF specialists can tailor the treatment to meet the specific needs of the patient.

Customized medication protocols: Experts adjust the type, dose, and timing of fertility medications to stimulate egg production in the most effective way.

Individualized embryo selection: With a personalized approach, the best embryos can be selected for transfer, increasing the likelihood of successful implantation.

2. Advanced Diagnostic Tools and Testing

IVF success is often greatly influenced by the accuracy of diagnostic testing. IVF experts use advanced diagnostic tools to assess both male and female fertility. By identifying any underlying issues early on, specialists can recommend the most effective treatment strategies.

Genetic screening: Preimplantation genetic testing (PGT) allows experts to screen embryos for genetic disorders, ensuring only the healthiest embryos are transferred.

Hormonal profiling: Hormonal tests help IVF specialists understand the reproductive health of the patient and identify any imbalances that might impact treatment.

3. Optimizing Egg and Sperm Quality

The quality of the eggs and sperm used in IVF plays a significant role in the success of the treatment. IVF experts can help improve the quality of both through various strategies:

Egg retrieval timing: By carefully timing egg retrieval, specialists ensure that eggs are harvested at the optimal moment for fertilization, increasing the chances of success.

Sperm selection techniques: Advanced sperm selection methods, such as Intracytoplasmic Sperm Injection (ICSI), can be used when sperm quality is a concern, ensuring the best sperm is used for fertilization.

4. Embryo Culture and Monitoring

The embryo culture stage is critical in determining the success of IVF. IVF specialists use advanced technology and expertise to monitor embryo development closely. Embryos are cultured in controlled environments, with temperature and pH levels optimized for growth.

Embryo monitoring: Regular assessments of embryo growth help identify the most viable embryos for transfer. The use of time-lapse imaging and embryo grading ensures that the best embryos are chosen.

Blastocyst culture: Transferring embryos that have reached the blastocyst stage (5–6 days old) often increases success rates. This is because blastocysts are more likely to implant successfully compared to earlier-stage embryos.

5. Embryo Transfer Techniques

The embryo transfer process is a delicate procedure, and expert handling is essential to increase the likelihood of successful implantation. IVF specialists use highly refined techniques to transfer embryos into the uterus with precision.

Catheter selection: IVF specialists use the smallest catheter possible to ensure the embryo is transferred gently and accurately into the uterine lining.

Endometrial preparation: Proper preparation of the uterine lining is crucial for embryo implantation. Experts can optimize endometrial receptivity through medications such as progesterone to create the best environment for the embryo.

6. Attention to Patient Health and Wellness

The overall health of the patient is a critical factor in IVF success. IVF experts emphasize the importance of maintaining a healthy lifestyle to support fertility and increase the chances of a successful pregnancy.

Diet and exercise: IVF specialists may recommend dietary changes and exercise routines to improve fertility health, manage weight, and reduce stress.

Stress management: The emotional and psychological aspects of IVF can affect the success of treatment. Experts often suggest counseling, relaxation techniques, or mindfulness practices to help patients manage stress throughout the IVF process.

7. Use of Cutting-Edge Technologies

Advancements in technology have significantly improved the chances of success in IVF. IVF experts stay updated on the latest techniques and innovations in reproductive medicine to provide the best treatment options available.

Cryopreservation: Freezing embryos and eggs for future use can help increase the chances of success in later IVF cycles.

Stem cell research: Experts are exploring the potential of stem cells to enhance fertility and improve IVF outcomes, although this technology is still in its early stages.

8. Managing Multiple IVF Cycles

For some patients, multiple IVF cycles may be required to achieve pregnancy. IVF specialists know when to make adjustments to the treatment plan after each cycle and can help manage the process effectively.

Cycle monitoring: Regular monitoring of hormone levels, egg quality, and embryo development can guide adjustments in the next cycle to improve outcomes.

Optimizing the next attempt: If the first IVF cycle is unsuccessful, experts review the results to make necessary changes, such as altering medications, improving embryo culture, or using genetic testing.

9. Emotional Support and Counseling

The IVF journey can be emotionally challenging, and IVF experts understand the importance of providing emotional support. Offering counseling services and a strong support system helps patients manage the psychological stress of the process and can improve overall well-being.

Counseling sessions: Many IVF centers provide counseling services to help patients cope with the emotional rollercoaster of IVF.

Support groups: Connecting with other couples going through IVF can provide encouragement and reassurance during the process.

Conclusion

The success of IVF is influenced by various factors, but the expertise of IVF specialists plays a pivotal role in increasing the chances of success. From personalized treatment plans and advanced diagnostic tools to optimizing egg and sperm quality, IVF experts use their knowledge and experience to provide the best possible care for each patient. By staying up to date with the latest advancements in fertility technology and offering emotional support, they help couples navigate the IVF journey with confidence and hope.

Take the First Step Toward Your Parenthood Journey

If you’re considering IVF and want expert guidance, don’t wait any longer. Our experienced IVF specialists are here to provide personalized treatment plans and offer the support you need every step of the way. Schedule a consultation today and let us help you increase your chances of success with the latest advancements in fertility care.

Contact us now to learn more about how we can make your dream of parenthood a reality

[spacetimewithstuartgary]

Wearable tech for space station research

Many of us wear devices that count our steps, measure our heart rate, track sleep patterns, and more. This information can help us make healthy decisions—research shows the devices encourage people to move more, for example—and could flag possible problems, such as an irregular heartbeat.

Wearable monitors also have become common tools for research on human health, including studies on the International Space Station. Astronauts have worn special watches, headbands, vests, and other devices to help scientists examine sleep quality, effectiveness of exercise, heart health, and more.

Warm to the core

Spaceflight can affect body temperature regulation and daily rhythms due to factors such as the absence of convection (a natural process that transfers heat away from the body) and changes in the cardiovascular and metabolic systems.

A current investigation from ESA (European Space Agency), Thermo-Mini or T-Mini examines how the body regulates its core temperature during spaceflight. The study uses a non-invasive headband monitor that astronauts can wear for hours at a time.

Data from the monitor allow researchers to determine the effect on body temperature from environmental and physiological factors such as room temperature and humidity, time of day, and physical stress. The same type of sensor is already used on Earth for research in clinical environments, such as improving incubators, and studies of how hotter environments affect human health.

Thermolab, an earlier ESA investigation, examined thermoregulatory and cardiovascular adaptations during rest and exercise in microgravity. Researchers found that core body temperature rises higher and faster during exercise in space than on Earth and that the increase was sustained during rest, a phenomenon that could affect the health of crew members on long-term spaceflight.

The finding also raises questions about the thermoregulatory set point humans are assumed to have as well as our ability to adapt to climate change on Earth.

To sleep, perchance to dream

Spaceflight is known to disrupt sleep-wake patterns. Actiwatch Spectrum, a device worn on the wrist, contains an accelerometer to measure motion and photodetectors to monitor ambient lighting. It is an upgrade of previous technology used on the space station to monitor the length and quality of crew member sleep.

Data from earlier missions show that crew members slept significantly less during spaceflight than before and after. The Actiwatch Sleep-Long investigation used an earlier version of the device to examine how ambient light affects the sleep-wake cycle and found an association between sleep deficiency and changes during spaceflight in circadian patterns, or the body's response to a normal 24-hour light and dark cycle.

Follow-up studies are testing lighting systems to address these effects and help astronauts maintain healthy circadian rhythms.

Wearable Monitoring tested a lightweight vest with embedded sensors to monitor heart rate and breathing patterns during sleep and help determine whether changes in heart activity affect sleep quality. The technology offers a significant advantage by monitoring heart activity without waking the test subject and could help patients on Earth with sleep disorders.

Researchers reported positive performance and good quality of recorded signals, suggesting that the vest can contribute to comprehensive monitoring of individual health on future spaceflight and in some settings on Earth as well.

These and other studies support development of countermeasures to improve sleep for crew members, helping to maintain alertness and lessen fatigue during missions.

(Not) waiting to exhale

Humans exhale carbon dioxide and too much of it can build up in closed environments, causing headaches, dizziness, and other symptoms. Spacecraft have systems to remove this substance from cabin air, but pockets of carbon dioxide can form and be difficult to detect and remove.

Personal CO2 Monitor tested specially designed sensors attached to clothing to monitor the wearer's immediate surroundings. Researchers reported that the devices functioned adequately as either crew-worn or static monitors, an important step toward using them to determine how carbon dioxide behaves in enclosed systems like spacecraft.

Radiation in real time

EVARM, an investigation from CSA (Canadian Space Agency), used small wireless dosimeters carried in a pocket to measure radiation exposure during spacewalks. The data showed that this method is a feasible way to measure radiation exposure, which could help focus routine dosage monitoring where it is most needed. Any shielding and countermeasures developed also could help protect people who work in high-radiation areas on Earth.

ESA's Active Dosimeter tested a radiation dosimeter worn by crew members to measure changes in their exposure over time based on the space station's orbit and altitude, the solar cycle, and solar flares. Measurements from the device allowed researchers to analyze radiation dosage across an entire space mission.

The Active Dosimeter also was among the instruments used to measure radiation on NASA's Orion spacecraft during its 25.5-day uncrewed Artemis I mission around the moon and back in 2022.

Another device tested on the space station and then on Artemis I, AstroRad Vest is designed to protect astronauts from solar particle events. Researchers used these and other radiation measuring devices to show that Orion's design can protect its crew from potentially hazardous radiation levels during lunar missions.

The International Space Station serves as an important testbed for these technologies and many others being developed for future missions to the moon and beyond.

TOP IMAGE: NASA astronaut Nick Hague wears the T-mini device while exercising. Credit: NASA

CENTRE IMAGE: NASA astronaut Sunita Williams wears an Actiwatch as she conducts research. Credit: NASA

LOWER IMAGE: ESA astronaut Thomas Pesquet holds one of the mobile units for the Active Dosimeter study. Credit: NASA

[mastergarryblogs]

How Sustainable & Eco-Friendly Trends Are Shaping Pharma Packaging

Introduction

The global pharmaceutical packaging market, valued at approximately USD 141.37 billion in 2024, is anticipated to experience rapid growth at a compound annual growth rate (CAGR) of 9.7% between 2025 and 2032. This expansion is primarily driven by the accelerating demand for pharmaceutical products, advancements in drug delivery systems, and a heightened focus on ensuring drug safety, compliance, and environmental sustainability. The increasing prevalence of chronic diseases and the aging global population are further intensifying the need for innovative, secure, and compliant packaging solutions.

The pharmaceutical industry is in a transformative phase, with regulatory standards becoming more stringent and new technologies being introduced to enhance packaging security, sustainability, and usability. As the industry evolves, pharmaceutical packaging is taking center stage in efforts to meet the growing challenges of the healthcare sector.

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Key Pharmaceutical Packaging Market Drivers

1. Rising Pharmaceutical Production and Demand

The global rise in pharmaceutical production is a significant driver of the pharmaceutical packaging market. The increasing demand for drugs, especially in emerging markets, coupled with the growth in biologics and personalized medicine, necessitates the development of advanced packaging solutions. With the growing need for precision, safety, and ease of use, pharmaceutical packaging has become integral to drug stability, delivery, and compliance.

2. Technological Advancements in Drug Delivery Systems

Innovations in drug delivery mechanisms, such as prefilled syringes, auto-injectors, and inhalers, are pushing for highly specialized packaging systems that ensure optimal delivery, dosage, and security. The adoption of RFID-enabled packaging and smart packaging solutions, such as temperature-sensitive materials, is enhancing patient compliance by offering precise monitoring and control over drug storage and usage.

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3. Increasing Regulatory and Compliance Requirements

Pharmaceutical packaging is subject to stringent regulations aimed at ensuring drug safety, authenticity, and efficacy. Regulatory bodies such as the FDA, EMA, and other international standards have increasingly focused on serialization, tamper-evidence, and anti-counterfeiting measures in packaging. The growing trend towards global compliance across regions further drives demand for packaging solutions that meet diverse regulatory standards.

4. Focus on Sustainability and Eco-friendly Solutions

Sustainability in pharmaceutical packaging is becoming more prominent as the industry faces rising pressure to reduce its environmental footprint. The adoption of recyclable, biodegradable, and eco-friendly packaging materials is transforming the market. Moreover, the healthcare sector is embracing packaging materials that reduce carbon emissions and improve sustainability, aligning with broader environmental goals.

Pharmaceutical Packaging Market Segmentation

The pharmaceutical packaging market can be categorized based on product type, material type, end-user, and region. Each segment exhibits unique growth trends driven by market needs and consumer behavior.

1. By Product Type

Primary Packaging: This segment dominates the pharmaceutical packaging market due to the increasing demand for contamination-free, high-quality packaging solutions. Blister packs, bottles, ampoules, vials, and prefilled syringes form a crucial part of this segment. The demand for prefilled syringes, especially in biologics, has contributed significantly to its growth.

Secondary Packaging: Secondary packaging ensures the safe transportation of pharmaceutical products and often features anti-counterfeit technologies, labeling, and tamper-evident seals. The rise in e-commerce sales of medications and direct-to-patient shipping models is driving demand for robust secondary packaging solutions.

Tertiary Packaging: Primarily used for bulk transportation and storage, this packaging type focuses on maximizing space and ensuring product safety during large-scale shipping. Although it holds a smaller market share, the growth of global trade and the need for temperature-controlled shipping is pushing its development.

2. By Material Type

Plastics & Polymers: Plastics continue to dominate the pharmaceutical packaging market due to their cost-effectiveness, versatility, and ability to provide tamper-evident solutions. Materials like polyethylene (PE), polypropylene (PP), and polyethylene terephthalate (PET) are extensively used for bottles, blister packs, and flexible packaging solutions. However, increasing demand for environmentally friendly materials is pushing the market toward biodegradable plastics and recyclable polymers.

Glass: Glass packaging is widely preferred for its high resistance to chemical reactions, ensuring drug stability, especially for injectables and biologics. Glass’s inert nature makes it a top choice for packaging high-value pharmaceutical products.

Paper & Paperboard: Paper and paperboard are increasingly being used for secondary and tertiary packaging due to their sustainability benefits and ease of recycling. Companies are exploring the use of molded pulp for eco-friendly packaging alternatives.

3. By End-User

Pharmaceutical Manufacturers: This segment represents the largest share of the market. Pharmaceutical manufacturers are continuously seeking packaging solutions that offer superior protection, ease of use, and compliance with global regulatory standards. The demand for biologics and personalized medicine is particularly contributing to the growth of this segment.

Contract Packaging Organizations (CPOs): Contract packaging organizations provide outsourced services, including packaging design, labeling, and compliance services. The rising trend of outsourcing and the growing complexity of pharmaceutical packaging needs drive the expansion of this segment.

Hospitals & Clinics: With the increasing focus on patient-centric packaging and convenient drug delivery systems, hospitals and clinics are increasingly investing in packaging solutions that enhance patient safety, such as blister packs and prefilled syringes.

Pharmaceutical Packaging Market Regional Overview

1. North America

North America leads the global pharmaceutical packaging market, driven by its advanced pharmaceutical industry, stringent regulatory framework, and growing demand for innovative packaging solutions. The U.S. market, in particular, is experiencing significant growth due to the rise of biologics and personalized medicine. With a projected CAGR of 6.5% from 2024 to 2031, North America will continue to be a major hub for the development and adoption of advanced pharmaceutical packaging technologies.

2. Europe

Europe follows closely behind with a strong CAGR of 6.2%. The pharmaceutical packaging market in Europe is shaped by the European Union’s strict regulations, such as the Falsified Medicines Directive (FMD), which mandates the use of serialization and anti-counterfeit technologies. The growing adoption of smart packaging technologies and sustainable materials is also expected to fuel market growth in the region.

3. Asia-Pacific

The Asia-Pacific region is the fastest-growing market, with a CAGR of 8.1%. This growth can be attributed to the expanding pharmaceutical industries in countries like China and India, where rising healthcare expenditures and increasing access to medications are boosting the demand for pharmaceutical packaging. Furthermore, the increasing contract manufacturing activities in the region are contributing to the rapid expansion of the market.

4. Latin America & Middle East & Africa

The Latin American and Middle Eastern markets are growing at moderate rates of 5.8% and 5.3%, respectively. These regions are witnessing rising pharmaceutical production and expanding healthcare infrastructures, which are driving demand for packaging solutions. The rising need for tamper-evident packaging and serialization technologies is also evident in these regions.

Key Trends and Innovations

1. Smart Packaging Technologies

The integration of smart technologies in pharmaceutical packaging is one of the most exciting trends. RFID-enabled packaging, temperature sensors, and moisture indicators are becoming more common to ensure the stability and safety of pharmaceuticals throughout the supply chain. These innovations not only help track and trace drugs but also improve patient compliance by providing real-time data on the condition and usage of medications.

2. Sustainability Focus

The push towards sustainable packaging solutions is one of the defining trends in the pharmaceutical packaging industry. Companies are actively working to develop biodegradable, recyclable, and renewable packaging materials, such as plant-based plastics, paperboard, and glass alternatives, to align with environmental goals. Packaging that reduces waste and carbon emissions is becoming a key consideration for both manufacturers and consumers.

3. Anti-Counterfeit Measures

With the rise of counterfeit drugs, pharmaceutical packaging is becoming increasingly sophisticated. Tamper-evident seals, holographic labels, and serialization techniques are widely adopted to combat counterfeit products. Blockchain technology is also gaining traction as a way to enhance the traceability and security of pharmaceutical products.

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Conclusion

The pharmaceutical packaging market is experiencing transformative growth, driven by technological advancements, increased demand for drug delivery systems, and evolving regulatory requirements. With sustainability, patient safety, and compliance becoming more crucial, the market is moving toward more innovative and eco-friendly packaging solutions. Leading players in the market are adopting cutting-edge technologies to stay ahead in an increasingly competitive environment. With a projected CAGR of 9.7%, the pharmaceutical packaging market is poised for significant development, meeting the growing needs of the global healthcare sector.

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[silver-rings-and-rabbits]

Open Heart - Chapter 6

Housewarming

The next few days passed quickly. All the interns could talk about was the competition. The second- and third-year residents were furious, having just missed out, but none of the interns cared. They were already used to being treated like the scum of the earth for starting the first year of their medical careers.

Matthew had had a good few days, keeping half an eye out for Rafael but he hadn’t seen him since the game. And then one night his streak came to an abrupt end when he received an emergency page from Danny and sprinted into the patients room to find it in utter chaos.

“Dr Valentine! Your post-op patient is in distress!” Danny reported.

“What happened? I saw her two minutes ago, she was fine!” Matthew cried as he looked around wildly at the wailing machines. In the midst of it all, the patient lay unconscious on the bed, pale and completely motionless.

“She can’t breathe! She has fluid in her lungs,” Marlene said frantically.

“OK, so…”

Danny read the monitor with a yelp. “Atrial fibrillation! Rate’s pushing one hundred and sixty!”

“But…”

“Her BP’s crashing, she’s hypotensive,” Sarah warned.

Matthew’s head pounded. He felt like the walls were closing in.

“Her body temperature’s climbing, she’s burning up,” Danny groaned. “What do you want us to do, Doctor?”

“I…I…”

“Dr Valentine! We need an answer now!”

Matthew had failed them all. He couldn’t breathe, let along think. In the end, it was Marlene who had taken charge and led the intubation; with over twenty years of nursing experience, she had seen it all and Matthew felt like handing his title over to her. He signed the charts as if he had authorised the treatment as he should have done, but he didn’t want to think about what happened if…

“Matthew, are you listening?” Landry broke Matthew out of his haze.

“Hm? Sorry Landry. I got distracted.”

“Still thinking about that patient from last night?” Sienna rubbed his back comfortingly. “You can’t beat yourself up about it. She pulled through.”

“Only because the nurses were ready to bail me out.” Matthew combed his fingers through his hair. “I feel like I’m better at handling things going wrong, but this was a million things going wrong and I panicked. I can’t handle when everything’s spiralling out of control.”

Matthew was not surprised to find he had placed nineteenth in the first post of rankings for the fellowship competition. Jackie was fourth, Landry seventh, Elijah tenth and Sienna fourteenth. Aurora was in first place, much to Jackie’s suspicion. Matthew didn’t care, but a bet was a bet and now he had to pick up a keg for their upcoming housewarming party. Apparently, word had got round to everyone and everyone was buzzing. Elijah was thrilled. He had wanted to go big for his first housewarming.

Matthew faced up to Dr Ramsey, who seemed very distracted and was lurking around the construction area for the new wing of the hospital, but luckily for him Ramsey had already been updated. Even luckier was that Ramsey decided he wouldn’t berate him on the grounds that Matthew had guilt written all over his face already. Nonetheless, he reminded Matthew that he was lucky he was getting a next time. Matthew felt like he was walking on eggshells as he hesitantly knocked on the door of the patient’s room…only to find her sitting up, talking loudly into an earpiece and working on three screens at once.

“Mrs Turner?”

“Just a second, Dr Valentine…No, no, Charlie, have Steve deliver the signed settlements to the court, Jane can speak to the client…oh, hold on…Bastien? If we don’t file at the courthouse by close, they’ll dismiss our motion…OK, great. And my kid’s soccer practice was cancelled. I need Tom to pick them up at three, not five…Thanks Bastien…Charlie?...Yes, good idea…OK, I’ll speak to you later.”

She ended the call but continued to type, smiling at Matthew pleasantly.

“Just a million fires to put out, but I’m sure you can relate.”

“I’ll say,” Matthew muttered. “I just wanted to check in with how you’re feeling today?”

“I’m fine, just a little sore in the throat and operation scars.” She settled back on her bed. “I heard I gave you a scare last night?”

Matthew hesitated but Mrs Turner smiled.

“I might be a lawyer, but I’m not going to sue you for being honest.”

“I thought I was going to lose you,” Matthew admitted, shame-faced. “We’re lucky the nurses are so good at what they do.”

Mrs Turner grew sympathetic.

“You’ll be alright, Dr Valentine. I might not be a doctor, but I am the senior partner of a highly respected law firm. I know what it’s like to have a million things to do and only two hands.”

Matthew hesitated for a second before closing the door and crossing the room to her bedside.

“How do you do it?”

“Delegation. I have a great team behind me and I’m damned good at telling them what to do.” She looked surprised. “Didn’t your doctor bosses tell you that?”

“They tell us all the time to ask for help, but how do you stay calm enough to know what to do? Last night…it was like there was a traffic jam in my brain.”

“Well I just close my eyes, breathe, and count to three.”

Matthew blinked. It seemed…extremely underwhelming. It couldn’t possibly be that simple.

“That’s it?” he asked. Mrs Turner laughed.

“Well it works for me and I pay a life coach two grand an hour for crap like that, so consider it a bargain.” She winked at him. “Try it sometime.”

Later that night, Matthew lugged a keg on his shoulder all the way back to his apartment and found the place completely rammed with people. Interns, residents, attendings…even a few patients. It was amazing how many people could fit into the small space.

“Matthew!” Ines gave him a hug, a drink in her hand that sloshed down Matthew’s back. “Thanks so much for the invite!”

“That’s OK….er, hi Dr Mirani, glad you could make it!” Matthew said as Zaid strolled over.

“This is really great, Valentine. I’m loving this party,” he said, even raising his cup to Matthew as he passed. Matthew couldn’t work out whether he was being sarcastic as he struggled over to the table where he unceremoniously dumped the keg. He looked up to see Bryce, watching him with a big smile.

“Thanks for your help, Bryce!”

“Ah, you were doing a great job!”

Matthew laughed as he ducked into his bedroom and changed into one of his better shirts before rejoining the party. Bryce presented him with a beer and Jackie waved him over to the coffee table where she poured him a Sambuca shot. Matthew downed it, following with a mouthful of beer. Bryce whooped.

“You sure you want to mix those right away?”

“I’ve missed two hours of this party after sixteen hours at work. I’ll drink whatever the hell I like!”

“Hey guys!” Sienna had just joined them, pulling at the hand of a young man. “This is Wayne!”

Wayne had thick, shaggy hair and square glasses/ He looked around with an unimpressed air and, despite the fact he was the same height as Jackie and shorter than Bryce and Matthew, Matthew had the distinct impression he was looking down on them.

“Hey Wayne!” Landry and Elijah had just come over. “We were hoping you could join us for a movie night last weekend.”

Wayne snorted and straightened the knot on his tie.

“I don’t have time to come all the way over here to just hang out, or whatever. I have a very important job.”

Landry looked surprised, as did Bryce. Jackie pursed her lips whilst Sienna fiddled with the end of her braid.

“What is it you do?” Matthew asked. He wanted to keep the peace but was genuinely curious to know what was so important that Wayne couldn’t cut loose for a few hours.

“I’m the lead developer at a software company.”

“Oh yeah, super important,” Jackie said, glaring at Wayne, who puffed up.

“Well it is. No one in the company could do my job but any one of you interns can do Sienna’s job when she’s not there.”

“Wow, you’re a real piece of—”

“Is there any food at this thing?” Wayne practically turned his back on Jackie to look at Sienna, who plastered on a smile.

“Sure, come see the kitchen!”

Sienna led Wayne away, casting an apologetic look back at her friends. Bryce gave a low whistle.

“Quiet Bryce,” Matthew said. Bryce spluttered.

“I didn’t even say anything!”

“I’m gonna need another drink,” Jackie growled. “And now I owe Landry twenty bucks.” She grabbed a liquor bottle from the coffee table and took several swigs.

“Why? What did you do?”

“Jackie wanted to bet that Wayne didn’t exist,” Landry said, triumphant.

Despite the unpleasantness, Matthew was determined to have as much fun as possible. He drank a variety of liquors as he danced and chatted with his colleagues. It was interesting seeing everyone outside of work. Women who usually scraped their hair into a bun now had long flowing locks. Eyebags were covered up, and people who were constantly stressed and snappy were the life and soul of the party. An intern with shoulder length black hair suddenly caught Matthew in a dance. As they twirled together, Matthew spotted Zaid laughing uproariously. It was uncanny.

After his dance, Matthew joined Elijah and Bryce in beer pong. Bryce grabbed another surgical intern – Rosa – and it was a showdown between medical and surgical. Bryce had a good aim and Rosa had apparently been a beer pong champion…but medical came out victorious. Matthew caught Elijah into a clumsy victory hug and they attempted a complicated handshake. Bryce laughed when it fell apart. Apparently handshakes required more thought than ‘hoping the other person could read your mind’.

“Drunk rounds, Matthew?” Jackie called to him. She was sat at the coffee table, which now held a large jug of a very dark drink. Landry and the intern Matthew had danced with sat beside her. Matthew settled beside the other intern – the drink smelled extremely potent – and she smiled at him.

“I’m Meg, by the way. I think I forgot to mention that earlier!”

“Matthew.”

“Landry’s feeling himself because no one’s made him drink yet,” Meg giggled.

“And they never will!” Landry gloated. “Matthew, your turn. Name the five most common causes of post-operative fever!”

This was known as ‘the five Ws’ and was almost too easy.

“Wind, water, wound, walking aaaaand wonder drugs!”

“That was a softball!” Jackie howled. “Your turn to ask.”

An idea flicked through Matthew’s brain as a slow smile spread across his face.

“OK, your majesty, King Olsen. I’ve got one for you…what was the name of your patient in room 1157 today?”

“Wait, what?” Landry’s smug expression was replaced with pure panic. Jackie and Meg shared an excited look. Even a crowd of onlookers had started to gather.

“But…but…that’s not a medical question!” Landry floundered, glancing round the room for help.

“It’s at the hospital, it counts!” Meg insisted.

“It was…er…it was…oh god…”

“Drink, Landry!” Matthew commanded and, to the cheers of everyone watching, Landry forced the jug of liquor down his throat.

A little while later, Matthew poked his head out of the front door of the apartment – somehow there were even more people in the hallway – when he saw Sienna looking glum. She tried to perk up when she saw him.

“Hey Matthew!” She glanced around. “Is your paramedic friend here tonight?”

“No. I wanted to invite him but I haven’t seen him since the game.” It was a shame Matthew hadn’t thought to get his number before he’d left the helicopter.

“Oh.” Sienna looked disappointed and Matthew felt the same, but then she nudged him. “We’ll throw another party and you can invite him to that one.”

“That could work,” Matthew chuckled. “What about you? Where’s Wayne?”

“Oh, he had to leave. He starts work early tomorrow.”

Matthew frowned and Sienna spoke with a touch of desperation.

“He’s been really stressed out recently, you just didn’t meet him on the best day. He gets tired easily…parties aren’t really his scene.”

Matthew wanted to tell Sienna what he really thought, that she deserved much better than someone so dismissive and stuck-up and who appeared the exact opposite Sienna had described. But she was looking up at him, searching for his approval and his words died. Instead he wrapped an arm around her and squeezed.

“I think some more people arrived when you were showing him round. And Landry lost drunk rounds just now so he might not be in the best shape.”

“Oh dear,” Sienna sniggered. “I’ll do my hostess rounds and make sure everyone’s OK.”

She seemed genuinely cheered as she slipped back into the apartment. Matthew leaned against the wall, his mind wandering. He had hoped word of mouth had reached the paramedics and Rafael would show up, but that didn’t appear to be the case. He couldn’t help wondering what it would be like if Rafael was there. He could properly introduce him to his friends, show him round the apartment. Perhaps they could continue to share their conversation from the helicopter…maybe finally share that drink…

A squeal and the sound of glass breaking caught Matthew’s attention and brought him back to reality as Elijah rolled past.

“Hey Elijah…don’t you think this party’s getting out of hand?”

“Farley said we’re good until midnight.”

“It’s 11:58.”

“WHAT?!”

“Guys, it’s midnight!” Landry stumbled over, still a little pale and shaky from the aftermath of drunk rounds. Jackie followed him. “Why’s everyone still here?”

“Landry, I told you to relax. The apartment’s not going to turn into a pumpkin.”

“But if a neighbour complains it’ll turn into not-our-apartment. We’ll get kicked out!”

Sienna came barrelling over, looking frantic.

“I’ve just seen Farley coming over! Someone must have complained!”

“I hate snitches!” Jackie steamed.

Delegation…I’m damned good at telling them what to do…

“Here’s what’s gonna happen,” Matthew said, with an authority they had never heard before and made them all stop and stare. “Jackie, round up everyone in the hallway and get them inside. Elijah, turn down the music. Landry, break out the board games. Sienna, placate everyone with the treats we’ve got left. OK?”

“Sir, yes Sir!” Elijah cried, snapping a salute as they jumped into action.

By the time Farley was knocking on the door, the apartment was calm. A few guests had scattered as soon as they heard the word ‘landlord’ but the ones who had stayed were playing some of the board and card games Landry had passed around. Others were congregated in groups enjoying civilised conversation. Matthew opened the door to see Farley looking annoyed, and then baffled when he heard nothing but gentle indie music.

“What the hell is going on?” he demanded. “Mrs Edelstein just called me with a noise complaint. I was in the middle of Aliens Among Us.”

“We’ve still got a few friends over but the music’s been quiet since midnight,” Matthew fudged. “We didn’t think it would be heard but we can turn it off completely. Sorry if we’re still causing trouble.”

Farley blinked at Matthew’s openness, then shook his head.

“Mrs Edelstein’s such a damn whiner! Carry on, I’m going back to my show.”

“Enjoy, Farley! Thanks for stopping by!” Matthew said cheerfully, before closing the door and turning back to the sea of expectant faces. “You heard the man, carry on!”

The atmosphere relaxed as the guests resumed their boardgames. Matthew poured himself a glass of water and joined Jackie and a couple of others for Simpsons Monopoly. Landry had gone to bed.

It was an hour later when everyone started saying their goodbyes, hugging them and offering congratulations on a successful party. Matthew glanced around the living room: it was completely trashed with food wrappers, cups, cans and bottles all over the place…and he didn’t even care. From the look of satisfaction on Elijah’s face, he seemed to feel the same. They looked at each other and seemed to share a silent understanding: the clean-up was tomorrow’s problem.

“Quick thinking with Farley earlier,” Jackie said, clapping his back as she passed. “More of that and you’ll be top ten in no time.”

Matthew smiled, but he had just noticed Bryce tossing empty cups into a recycling bag and went to land a hand.

“Thanks Matthew.”

“Dude, you’re the one staying late to clean up after our party!”

Matthew hugged Bryce goodbye and then headed for his room, but not before he noticed Sienna and Danny on the couch. They were talking eagerly about books they had read when they were kids. Sienna’s expression was so uplifted, you never would have believed that she had been up for nearly twenty-four hours. Matthew, however, felt every minute of it.

He woke up a couple of later feeling just a little bit tender. He could hear the sound of someone – probably Landry – throwing up in the bathroom.

Matthew stumbled into the living room where Elijah was pouring a cup of coffee. He looked exhausted but grinned at Matthew and poured him a cup.

“The place is still a mess,” Matthew groaned, slumping at the dining table.

“Nope. Tomorrow’s problem.” Elijah nodded towards the sofa. “And look who stayed the night.”

Matthew glanced over to see Sienna and Danny fast asleep, curled up round each other. Her head was on his shoulder. It was picture-perfect really.

“That’s…actually pretty adorable.”

Eventually the six of them stumbled out the door – Sienna and Danny trying not to look to awkward, Landry popping painkillers – and made their way to work. It was only a few hours later when Matthew was paged by Danny himself: Mrs Turner was crashing again.

“Just like last time!” Danny groaned. “Body temp crashing, she’s in A-Fib, BP crashing, and she’s got a pulmonary edema!”

“Oh no…”

“Doctor, what do you want us to do?”

The team of nurses were looking at him frantically. There was no way he could let them bail him out a second time.

“I want to breathe…” Matthew groaned. He could only imagine failing again and Ramsey booting him out the door.

Except…it didn’t have to be that way.

Matthew closed his eyes, drew in a deep breath and counted to three before releasing it. When he opened his eyes, despite the chaos he knew exactly what to do.

“Sarah, prep the IV, she needs fluids. Marlene, get the ice packs and cool her down so she doesn’t get heatstroke. Danny, get the defibrillator and then we’ll intubate.”

“On it!”

“Right away, Dr Valentine!”

Matthew’s team worked efficiently, cooling Mrs Turner and stabilising her heart and breathing. She would be fine. She would be just fine. Matthew couldn’t help smiling.

“Thanks team!”

“Good work yourself, Doctor!” Marlene smiled at him. “You did it!”

Matthew was still grinning as he walked down the hall later still, when he came across Dr Ramsey who was carrying a file.

“Rookie. I heard you kept Mrs Turner alive.” He gave a rare smile. “Sounds like quite the litany of emergencies. Good work.”

“Thanks, Dr Ramsey!”

As Dr Ramsey turned to go, a CT scan fell out of his file. Matthew picked it up and handed it back, but not before seeing the name on the file: Patient X. Ramsey just took the scan with a mumbled ‘thanks’ before hurrying away. Something just didn’t quite add up.

Still, Matthew didn’t dwell on it too much, focusing on his patients instead, and was pleasantly surprised when he came up ranking tenth place in the next published rankings. Landry was thrilled to have moved up to fifth, Elijah was thirteenth and Sienna was seventeenth. Jackie was eleventh. She went quiet when she saw it and then stalked away before anyone could say anything. However, Matthew was more worried about Sienna who admitted that Dr Ramsey had caught her crying in a store cupboard. When he asked her about it, she only shrugged it off.

They resumed talking about the rankings over lunch: Landry and Jackie were fuming that Aurora still held top spot.

“Maybe we should get some one-on-one time with Dr Ramsey,” Sienna suggested. “Does he have office hours?”

“I don’t know if he even has time for interns right now. He seems really wrapped up in some secret case,” Matthew said, suddenly remembering.

“What do you mean?”

“I saw one of his files last week that had the name patient X. He seemed really distracted by it, and I’ve seen him hanging around the construction area more than once too.”

“Patient X sounds bad-ass. Maybe it’s a cutting-edge new treatment?” Elijah said.

“Maybe we could help him with it!”

“Um, I really don’t want to get on Dr Ramsey’s bad side by prying into his business,” Landry gasped.

“C’mon Landry,” Elijah coaxed. “You must want to know what he’s working on.”

“With every fibre of my being, but I have self-control,” Landry said, primly.

Jackie had been quiet throughout the meal, barely glancing at Matthew. He had to hurry to catch her before she left the cafeteria.

“Jackie…hey, wait!”

She turned to look at him, simply raising her eyebrows. Matthew gulped.

“Are you…mad at me for something? If I’ve done anything to upset you…”

“Jesus, Matthew,” Jackie snorted. “Don’t be such a martyr.”

“You’ve been ignoring me all day. I just want to know why.”

“I’m not mad at you, I’m mad at myself, OK?” Jackie told him, suddenly. “I came to Edenbrook to be the best, and right now I’m not. I can’t be distracted now.”

“What do you mean by distraction?”

But Jackie ignored him and walked away. Matthew watched her go, unhappily. What was distracting her and why did it make her take it out on him when she still seemed OK with Elijah, Sienna and Landry? He remembered their first day when they had made out in the closet…but they had already agreed it was just some casual fun and neither of them had mentioned it again, so what could be bugging Jackie?

He tried to forget about it as he worked on his patients. A young man with a surfing affinity had a wonderful philosophy that it was pointless to worry about what you couldn’t control. Matthew agreed but it was impossible to change his mindset just like that. On the positive side, the surfer’s bronchial infection had cleared up. He would be free to go soon, Matthew just wanted to run a quick test on a rash that had appeared on his leg.

This was followed with some unexpected entertainment when he and Bryce caught Dr Ramsey heading towards the construction area and Bryce flirted with Zaid and Ines to distract them, allowing Matthew to follow Ramsey. The baffled look on Dr Mirani’s face was priceless, but Ramsey caught Matthew before he could find out anything useful. Matthew played dumb and even got a coffee recommendation out of Dr Ramsey: the café round the corner – Derry Roasters, which Ethan ‘didn’t hate’ – served a good espresso Romana.

Matthew was just wrapping up for the day when he heard his voice.

“Matthew!”

Rafael was walking towards him, his smile wide, the warmth in his eyes soothing any lingering concerns of the day. Matthew was glad to see him.

“Hey Rafael!”

“I was hoping to see you around again,” Rafael admitted, making Matthew’s stomach flutter.

“Me too. Made any heroic rescues today?”

Rafael chuckled.

“I’m not sure what counts as heroic…but everyone got the help they needed. Is your shift over?”

“Just about,” Matthew said, as Danny jogged over.

“Sorry to interrupt, Dr Valentine, but I have the results from your patient’s biopsy.”

“Right! Remy’s tests…thanks Danny.”

Matthew accepted the chart gratefully and scanned over the results with a sigh of relief.

“Good news?” Rafael asked, and Matthew nodded.

“Panniculitis…stems from his infection, that’ll clear up soon…” He turned the page and his face fell. “Oh no…”

“What?” Rafael asked, gently.

Matthew indicated for Rafael to walk with him down the corridor and into the elevator. As the doors slid shut he turned to Rafael.

“He has the markers for genetic muscular dystrophy. It’s late onset but someday, years from now, he could lose the ability to walk.”

“Oh geez…” Rafael looked sympathetic.

“Surfing’s his life. This will devastate him. And it’s all because I was curious about something he didn’t care about,” Matthew lamented as the elevator slowed and the doors opened. He paused as they stepped into the hallway.

“But…it won’t come on for another twenty years almost. I could just…not tell him and let him enjoy his life.” Matthew bit his lip, turning to Rafael as if he had the answers.

Rafael rubbed the back of his neck awkwardly.

“I haven’t been in your shoes but as a paramedic I have seen a lot of heavy things and had to comfort a lot of bereaved folks. But sometimes the truth does more damage than good.” He spoke cautiously. “What are you going to do?”

“I don’t know,” Matthew murmured.

They stopped at a door where Rafael got a glimpse at the young man with floppy blonde hair casually playing on a ukulele. Matthew took a deep breath and turned to him.

“Would you mind waiting for me out here?”

“Of course I don’t mind.”

Matthew managed a grateful smile before heading into the patient’s room. Rafael gave him a supportive nod as he looked over his shoulder, then he leaned against the wall next to the door, waiting.

The room was quiet for a minute – just the indistinguishable hum of voices – until a sudden shout made Rafael jump. He heard the soft hum of Matthew’s voice, and then something hit the floor with a thud. The patient shouted that Matthew had ruined his life and needed to leave.

Rafael straightened up as Matthew stumbled out the door, looking pained.

“Are you alright?” Rafael asked gently.

Matthew pushed his hand through his hair.

“I really don’t know if I’ve done the right thing.”

Rafael put a reassuring hand on his shoulder and led him away from the patient’s room.

“You have to trust your gut, and yours said to tell the truth.”

Matthew nodded, but as he glanced behind him he didn’t look entirely convinced.

“How about I help you take your mind off this?” Rafael offered. “Let’s go get something to eat. I can take you somewhere you’ve never been before. The tour of Boston continues.”

He smiled. Matthew couldn’t help smiling back.

“…I would love that.”

Matthew got changed quickly and met up with Rafael in the atrium. He was excited, despite the difficult news with his patient; he had been hopeful to see him again soon.

Rafael took them on the T for a few stops before getting off and walking through the back streets. Matthew plagued Rafael with questions about where they were going and made him laugh.

“OK, OK, hang on a few more seconds, we’re almost there…”

They rounded a corner and came across a bustling night market, decorated with lanterns and colourful hangings, filled with a huge mix of people.

“It’s a bit of a melting pot,” Rafael said. “But it has the best street food you’ll ever find in Boston.”

He led Matthew through the market slowly, allowing him time to look around and take it all in, until they came to a group of various food vans: Indian, hot dogs, giant pizza slices, freshly made pasta, all kinds of worldly cuisine.

“What do you fancy?”

“I’m not sure…” Matthew looked around, spoilt for choice, but then saw a sign that looked interesting.

“How about ‘the best jerk chicken in Boston’?”

“My personal favourite!”

“Seriously?” Matthew smirked. “You’re not just saying that to impress me, are you?”

“No, I really mean it!” Rafael’s eyes were bright as he led Matthew to the counter, warmly greeting the woman behind it. She beamed at the two of them.

“Who’s your friend, Raf?”

“This is Matthew. He just moved to Boston to work at the hospital,” Rafael said, proudly. Matthew greeted the woman cheerfully.

“Just moved here, huh?” She said to him. “Well Matthew, stick with Raf and you’ll soon know all the best places to visit in Boston, better than what the guidebooks might tell you. And make sure you come here for food, you won’t find better. Trust me!”

“I will,” Matthew laughed.

The woman took their orders and brought said she’d bring it over. Rafael led Matthew to a small table under the lanterns. The evening was pleasantly warm and people cheerfully greeted Rafael as they passed.

“How many people do you know around here?” Matthew asked.

“Quite a few, I guess. I like using these markets, and a lot of these people live around my neighbourhood.” Even as he spoke, Rafael was nodding and smiling at the people who passed them.

Matthew’s eyes continued to roam around. Amongst the tightly-packed stalls, the canvas covers stretched overhead and the lanterns giving off a soft, ethereal light, he felt like he was far away from Boston. He could have been anywhere. The market was its own world.

“I love it,” he said, and Rafael glanced over at him. “You’ve got a real community here.”

“I love it too,” Rafael said. “Community is one of the most important things in my life.”

It was easy to picture Rafael being a figure in his community, carrying on his uncle’s legacy. The way people had been greeting him made it impossible to imagine anything else.

The woman brought their food over – steaming jerk chicken on a bed of fluffy rice and vegetables. They thanked her and as she left they both fell silent, focusing on their food.

It was one of the best things Matthew had tasted. Tender chicken flavours exploded like a firework in his mouth, gently cooled by the soft rice. From his sigh of contentment, Rafael was enjoying it too.

“This is exactly what I needed after today,” Matthew said as he stretched in his seat.

“I’m a strong believer in comfort food,” Rafael said emphatically. “So, what about you?”

“About me what?”

“Do you prefer community or your own space?”

“Oh! Well…” Matthew thought about it and frowned. “I used to very much keep to myself. When I was studying I was devoted to it, but I didn’t have any long-lasting friends. Don’t get me wrong,” he added. “I was invited out for birthday drinks or post-exam celebrations, but I wouldn’t just drop studying when someone suggested we hit the bar.” He sighed and looked at Rafael. “I didn’t expect to meet such a good group of friends so quick when I moved here…now that I have, I wouldn’t want it any other way. Besides,” he added. “Now that I know places like this are here, I want to visit more often! Have you seen the foods?”

Rafael laughed. “I know exactly what you mean about the foods,” He said. “Though I have to say, it’s surprising you were so introverted.”

“I wanted to do better on the social front when I graduated and realised I had no strong feelings about staying in touch with anyone,” Matthew admitted. “Good thing too, or I wouldn’t have made it through my first week.”

“Give yourself some credit, Matthew.”

The statement came out of nowhere, taking Matthew by surprise. He glanced away for a second, not knowing what to say. Luckily another employee came by to clear their plates and wish them a goodnight.

“Can I walk you home?” Rafael asked.

“I would like that.”

They took their time again as they went back through the market. A stall selling animal paintings caught Matthew’s attention but the vendor was wrapping up for the night.

“Would you, y’know, be able to bring me back here sometime?”

“Absolutely! There’s so many hidden gems if you know where to look.”

They kept up their conversation all the way home, a little talk about work, a lot of talk about life in Boston. Matthew wanted to tell Rafael about Casey…but it was hard, and there was a time and a place.

“This is me,” he said wistfully as they reached his apartment building. He couldn’t help wishing the walk was longer.

“So, did it work?” Rafael asked as they came to a stop. “Do you feel better?”

“I do,” Matthew said. “I’m really glad I ran into you tonight.”

“I start early tomorrow, so I guess I should say goodnight.” Rafael sounded like he didn’t want the night to end either.

Matthew looked up at him. His brown eyes twinkled and his lips looked so soft. Rafael slowly leaned in…until a cry down the street made them both jump. They looked over to see a small child had tripped over. Disappointment struck Matthew’s chest.

“Do you think he’s alright?” Rafael asked. The small boy’s father helped him up and brushed him down before giving him a cuddle. Within minutes, the boy was skipping alongside him again.

“He’ll be fine,” Matthew nodded, relaxing. “You’re off the clock tonight, Superman.”

“Superman.” Rafael shook his head. “That blew up out of nowhere. I don’t get it, I’m just a regular guy.”

Regular guys didn’t tend to run into burning buildings. Matthew gulped. “In all seriousness…please be safe. I’d hate for you to get hurt…” he trailed off, not wanting to think about it. Rafael squeezed his arm.

“I’ll do my best.” Then he looked a little nervous. “Matthew…could I have your number?”

“Oh, sure!”

They exchanged numbers and said good bye – Rafael promising to text Matthew when he got home – and Matthew opened his front door into his quiet apartment. He had a small smile on his face.

So they had almost kissed, but not quite. It was disappointing, but Matthew was hoping the chance would come again soon. He absently brushed his fingers over where Rafael had squeezed his arm and his smile got wider. Wandering into his bedroom, he grabbed his laptop and flopped onto his bed to check his emails.

He was just starting an email to Holly – he wanted to tell her about Rafael and the night market – when Sienna knocked on his door and poked her head round.

“How did it go?”

“What?”

“You and Rafael.” She came in and sat beside him on the bed. “I a few feet behind you and you looked all intimate, so I took a diversion round the block.” She raised her eyebrows expectantly.

“Nothing happened.”

“But you want it to.”

Matthew groaned. “Yeees I want to.” He glared at her. “And maybe he wants to as well.”

Sienna smiled in delight as she nudged up to him. “If you both want it to, it will happen. Trust me!”

Later that night, Matthew was sat in the living room, doodling in his sketchbook: a bustling market scene. He was waiting for Elijah, who had suggested they all watch Battlestar Galactica after hearing no one else had seen it.

“What are you drawing?” he asked as he rolled into the living room.

“Just doodling.” Matthew showed him the drawing.

“Damn! If that’s doodling, I wanna see a masterpiece!” Elijah rolled to the TV. “Would you ever do commissions?”

“Maybe. It just depends if I have the time.”

Sienna trotted into the living room and placed a tin of cookies on the coffee table before settling on the couch. Landry had also joined them.

“Is Jackie coming out too?” he asked.

“I asked her and she said she was studying. Then she closed the door in my face.” Matthew scowled as he remembered. “Apparently, being friends with me is distracting. I wish we’d never joined this stupid competition.”

“Hey, don’t lose sleep over it. We’re only a month into the year. The rankings will change and she’ll get over it,” Elijah reassured him.

“Do you want me to talk to her?” Sienna asked.

“Nah, don’t worry, I’ll deal with it somehow. Right now I just want to relax.” He smiled a little. Med-school Matthew would be proud of his socialising.

“Alright my friends! Prepare to be blown away!” Elijah announced dramatically, as he set up the TV show.

Matthew wasn’t usually a sci-fi person, but the show seemed promising, with good characters and an interesting premise. It did start out slow, but started to pick up and Elijah promised another viewing party soon to finish the series. Matthew went to bed with a smile on his face.

The smile was gone the next morning when he went to check on his dystrophy patient.

“How are you feeling today, Remy?”

Last night had been lovely, but Matthew hadn’t forgotten the look on Remy’s face as Matthew had explained that one day he may lose the ability to walk and, once he did, would likely never surf again, with no cure for the condition. Remy now looked up at him with tired eyes and Matthew braced himself for another onslaught.

“Like an ass.” Matthew blinked. Remy looked uncomfortable. “I’m really sorry for what I said last night, about you ruining my life.”

“No, don’t apologise. What I told you would have been difficult for anyone to hear,” Matthew said, crossing the room to Remy’s side.

“I was thinking about it all last night…most people don’t know how long they’ve got, but now I do. I know I’ve got a good twenty years left in me so I’m going to appreciate them down to every last wave.” Determination crossed his face. “When the disease hits, I’ll know I used my time properly.”

“That’s…a poetic way of looking at it.” Remy’s acceptance filled the room with peace. Remy looked at the ukulele that was on his bedside table…and held it out to Matthew.

“Remy…I can’t take this…”

“It was, like, five bucks,” Remy dismissed. He looked at Matthew and Matthew was taken aback by the pure gratitude in his eyes. “Please. It’s an apology, and a thank you. For giving me my twenty years.”

Matthew’s hand shook slightly as he accepted the ukulele.

“I’ll keep it safe for you,” he promised.

Matthew put the ukulele in his locker, then had to take a second to blow his nose. He expected to give bad news, but Remy’s new outlook on life, and his kind gesture, he was unprepared for. It was elating to know he had done that for someone. No matter the outlook, he could make a positive difference in people’s lives. It was where he should be and that wasn’t going to change.

He still felt uplifted as he walked through the hospital and passed the construction area, where a definite gut feeling stopped him in his tracks. If no one knew about Patient X…and Dr Ramsey had been lurking around here a lot…

Matthew glanced around to make sure no one was watching before nervously ducking under the construction tape and edging around the building materials. He wasn’t sure what he was looking for, or even why the construction had anything to do with it. He was sure he was being paranoid…except that there was a light on behind the window blinds up ahead.

Matthew gulped and edged closer, angling himself to get a better view.

It was Dr Banerji. He lay in a bed, dressed in a hospital gown and looking almost unbearably weak and frail. His eyes were only half-open behind his glasses. Matthew could see an IV in his hand and a dialysis machine, and something else too…

Dr Ramsey was there, looking right at him.

“…Shit!”

Matthew jumped back from the window, almost tripping over his own feet to get away but it was pointless. He heard the door being yanked open behind him and cringed. He was in so much trouble. He shouldn’t have come down this way. Why couldn’t he just mind his own business?

“Rookie, don’t move another step!”

“Dr Ramsey…I’m so sorry…I didn’t…”

“Matthew.”

Dr Ramsey put his hands on Matthew’s shoulders, but didn’t seem angry. He looked very, very grave. This close, Matthew could see the bags under his eyes and how thick his stubble had grown.

“Listen to me,” Ramsey commanded. Matthew couldn’t look away. “You cannot tell anyone what you’ve seen here. Do you understand?”

Matthew swallowed. He had stumbled on something bigger than he had imagined, much bigger than just the two of them.

“I understand,” he said. “But…didn’t Dr Banerji retire? What’s going on?”

“He…”

Ethan hesitated. His face paled and he was gripping Matthew’s shoulders as if to keep himself upright.

“He’s dying. Dr Banerji is dying.”

[ronearoundblindly]

The Stark Legacy (21)

Tony Stark's daughter (OC) x Bucky Barnes epic slowburn

Under, part of Book II: Mind (see previous or series)

Summary: Bucky is sedated while Samantha Stark replaces his arm. Doom shows up in Wakanda just as Tony phones in control of his suit.

Warnings for canon-level self-experimentation/medical testing and violence/action. Rated Teen/15+ ONLY, please. WC 2.8k

CHAPTER TWENTY-ONE—February 2039

After every effort had been made to ensure he was relaxed, Bucky still felt uncomfortable.  Sam had turned up the temperature in her lab, he was covered other than the top left of his torso and the nub of metal beneath his detached arm, and Sam had let him put on whatever music he wanted. While he would have preferred some jazz, the beat would have encouraged him to move, so he opted for classical instead. The tunes may have been soothing, but Sam’s very light, soft touch tickled.

“The scar tissue surrounding your shoulder…piece,” she mumbled, face close to his chest, “I have to make some measurements and re-graft that skin in the cradle. You won’t be awake for that either because—just sit still.” She looked up over her magnifying glasses. “I’m sure you’ve had enough experience being a lab rat.”

“Yes, I have.” He continued to watch her mark length and width of each scar he’d clawed into his own body in the few lucid moments he experienced before the Hydra brainwashing took hold. No one had ever offered to smooth them, heal them; at this point, Bucky thought his pain a simple, esthetic choice the Avengers could exploit when they needed emotional jaunts. He watched how meticulously she worked to perfect him, only after he’d asked to be made, well, normal. Every detail was calculated and thoroughly planned. She ensured as little need for his presence and time. She wasted nothing. Sam looked down when their eyes met briefly. “Are you nervous?”

The corner of her mouth twitched, her brows tightened, but Sam only shrugged.

Bucky continued to pry, gaging each micro-reaction carefully. “You aren’t exactly a doctor. You’ve never had a patient before.” 

Sam’s expression was surprisingly blank before rolling over to type a few measurements, lowering her chin to hide her eyes. “You don’t pay attention as well as you think.”

Bucky balked, furrowing his own brows. “I don’t understand.”

“You wouldn’t be able to tell right away because of the clothes I wear,” she started casually, finger moving across a few lines of her notes, checking every word and formula against her screen. “I told you about the motorcycle accident, and you saw the scars. I also badly burned myself after Cooper’s wedding when Lucas…” Sam trailed off but continued with the clicks on her monitor. “There’s a regen-cradle in my room—“ her hand waved over to the corner “—and now I can replace your arm with vibranium-enhanced flesh, right?”

“Yes,” he allowed, but she said nothing further. She measured and typed intently. His eyes followed her hand back and forth, every movement of her fingers, her tendons, and then he really saw her hand, her arm, her shoulder until the strap of her tank top. No sleeves. There wasn’t a single mark, no faded scars, not a pucker from stitches. His mind had attributed the light clothing to her increase in the temperature for him. Why had he not realized before? “You did it to yourself,” he breathed.

“Well,” Sam frowned, “I didn’t replace my limbs, but I’ve been my own patient…of sorts.”

“Is it why you lost so much weight?” Bucky could see how thin her arm had become, and when he thought back to how full her face had been at the wedding, he saw a large difference in her cheeks and neck. Her collarbone seemed sharp and prominent now.

“Ongoing treatment,” Sam mumbled, still imputing measurements.  A whirring noise started inside the cradle, and its mechanical arm ran a test cycle of movements.

Bucky watched Sam, so focused on working on him that she hadn’t touched whatever she was drinking when he’d arrived. The giant bottle contained what looked like one of her father’s smoothies but even thicker and more disgusting. Call me old fashioned, Bucky thought, but that’s not food and never will be. Sam must have seen him sitting with a sour face.

“Don’t worry, you don’t have to drink that. It’s not for you.” In fact, it was barely even for her now. The nutrition in place of the nutrient baths was not working. Sam knew her condition was deteriorating, but she kept telling herself she would fix it after Captain Barnes was complete. He was her most important project; he would prove so much to her and to the Avengers.

A few minutes more, and Sam wheeled back over to her patient. “You ready?”

Surprised by the lurch in his stomach, Bucky nodded. He didn’t know it was still possible for him to be anxious, excited even. In a few hours, the last visible reminders of his time with Hydra would be gone.

“Tony, that’s great, but we are kinda busy here,” Bruce prefaced his receiving of the data on Annihilus. The surrogate suit that relayed Tony’s movements from his headset in space squatted awkwardly in front of Dr. Banner because its controller was seated lightyears away. “That threat is on the other side of the galaxy. I’ve just had to send Falcon to Wakanda. It seems without the Fantastic Four, a man named Doom’s terrorizing North Africa.”

“Doom? Seriously,” Tony’s voice projected through the Iron Man suit in New York.

A few seconds later, Bruce shook his head. “Doctor Doom, actually, and this time I agree with you on the name. Victor Von Doom, meaning he is either DVD, or VVD, which sounds like a venereal disease—” Banner sighed, removing his glasses a moment. “Could you get back here, Tony? My brain hurts trying to think like the both of us. Your jokes are—”

“Hilarious,” Tony tried, standing back up.

“Terrible,” Bruce finished, launching an eyebrow up in concern, “and I believe your feed has a lag. Not surprising from outside the Solar System.”

“Then where am I the most useful? I’ve only got about two hours before the relay point has to change,” Tony checked the map on the monitor past his headset, a bright map showing his shuttle’s path in blue and the bouncing relays time coded by F.R.I.D.A.Y. in red and orange. “Then I’m dark again.”

“One-hundred and twenty-three minutes, Mr. Stark,” his system chirped.

Bruce shrugged, blandly ordering, “better hop your metal ass over to Wakanda then.” No sooner had Dr. Banner given him the instruction, Tony’s NY suit powered down, kicking on its automated, robotic return to the storage closet.

“Barnes!” 

The banging on the door made Sam jump in her desk seat. “Shit,” she mumbled when Missy brought up the security pinpoint camera to show Princess Shuri in her full war gear.

“Samantha Stark, open this door!” The banging continued.

Sam glanced at the progress bar reading only 89% COMPLETE—it ticked to 90%. The banging stopped. She knew what came next; they’d just break the door down.

“Missy, open it.”

Shuri came in after a moment of hesitation, a suspicious look melting into curiosity. She saw Bucky prone in the cradle first, her eyes following across the messy room to Sam at the other end.

“I thought…” Shuri straightened. “Barnes must come with me now. We will discuss all this—” she waved her hand around, the other wrapping her gauntlets to her chest “—later.”

Sam glanced again at the monitor: 93%. “How about in five minutes?” Sam was not used to being given direct orders and cowered quickly at the Princess’s sharp advance to her corner of lab.

“No, girl, now,” Shuri demanded, trying to get at the console behind Sam.

“Ok, I’ll stop it, just,” Sam scrambled to shut down the cradle and revive Bucky, “he’ll meet you…where?”

“He’ll know,” Shuri squinted at Sam all while her eyes flickered over as many details of the room as she could before leaving. From down the hall, one more shrieked “NOW” rang out.

Trying not to think of all the things that could go wrong, Sam grabbed the small pile of clothes Bucky had set on the dresser. “Damn it,” she breathed. She’d been anxious enough watching the slow pieces of progress, staring in concern between every rise and fall of his chest in the glow of the cradle, and to have her golden opportunity cut short—with so little time left to begin again or think of a new, impressive contribution—Sam was gutted. What if she’d screwed something up? What if Barnes couldn’t fight anymore? What if he got hurt because the arm wasn’t right?

Bucky stirred. Sam’s heart pounded. She choked back rippling tears, so afraid to admit she may be wrong. Before she moved into his view, Sam pressed the fabric of his clothes against her face and screamed. Even on the floor of the kitchen in Massachusetts, covered in scalding water, alone, she had never been this afraid. It felt as if she’d been sitting at a table learning the rules of poker only to blink into the spotlight of world-wide broadcast competition. She was not ready.

Bucky’s eyes fluttered.

“Captain Barnes,” Sam’s voice wavered, “they need you to meet the Princess for a mission.” If she had screwed up, she didn’t deserve to call him a familiar name.

The stimulant the cradle administered was strong with very little grogginess. “Did it work?” Bucky asked calmly. Sam wished he were not so lucid while she admitted their current situation.

“I—I had to stop to wake you. It’s mostly done, but I don’t have time to check anything. Here,” she handed him the shirts as he sat up. “You have to go,” she said, and then quietly, “I’m sorry.”

He stared intently at the door as he jumped off the table. “Ok, I’ll be back then,” he replied monotonously and left. Perhaps it should have reassured Sam that Bucky noticed nothing different, sliding on one layer without a glance to his new shoulder before he was out of sight.

If she’d eaten enough, Sam would have vomited right then. Her stomach whirled about. She felt light-headed. A vicious part of her brain stopped her from rushing after him. What could you do now? What help would you be? You’ve done enough…

T’Challa gave a small nod towards the remote-controlled Iron Man suit that emerged from a storage chamber in Shuri’s lab. The King of Wakanda’s image was projected in rippling nanoparticles activated when Tony’s signal woke the suit. “We are grateful to have your assistance, Stark.”

“What exactly am I helping with?” Filtering out the suit’s vital statistics, Tony’s eyes flickered over the ticker tape of information Friday delivered now.

“Coordinates have been entered for you to meet us.” The Panther stood fully uniformed except his helmet.

“What does Doom want?”

“Vibranium to enhance himself and his followers,” the king responded.

The suit paused, then jerked its neck to the side. “What is he, some sort of cult leader? Where did he come from?”

“Latveria,” T’Challa’s projection fell away to leave the voice speaking through Tony’s suit directly. Iron Man shot out the door and into the sky. “But that’s not where you’re going.”

Tony heard Sam Wilson on the comms demanding, “anyone found Barnes yet? Get him out here. Get—”

“Falcon, you’re fighting again?” Though he trusted the life-long militant man, after such a devastating head injury, Tony allowed himself a fleeting hesitation. He’d work with what he had.

“Stark?” Wilson’s surprise was equal to Tony’s. “Are you topside?”

“It is good to have you back, Stark,” Thor’s booming voice echoed in Tony’s headset, “did you bring the Rabbit?”

“When am I ever gonna be enough for you,” Tony feigned emotionally, then jumped right into assessing the situation, “who else we got?”

“I brought Maximov,” Wilson chimed, “and the Sub-Mariner may show up since Doom is over the Gulf of Aden.”

“Still not much of a team player, that guy,” Iron Man’s comms crackled. Tony hadn’t had a real conversation with Wanda since she stopped offering him his bizarre therapy a few years before. They’d fought together sure, but nothing any deeper was spoken of than the weather. As far as he knew, she’d moved on to spend most of her time teaching mutants at Xavier’s school. Luckily, this didn’t seem like the occasion where lengthy discussions were imminent. “What’s Doom working with?”

“Tech suit and various energy-projectile capabilities, magic—” Sam Wilson replied.

“Strange?”

T’Challa hesitated. “The Sanctum is not answering.”

“Figures,” Tony mumbled.

“On our way,” Shuri sounded off.

“Great, I’ve got a visual from Red Wing,” Falcon hollered, “you guys land at the beach.” The background cut out, and Tony pressed his suit to render-vous faster.

“Is the atmospheric anomaly the target?” Several scans of temperature, infrared, and electromagnetic readings showed for the area where his surrogate suit would programmed to land.

“Tis I,” Thor unnecessarily boomed over comms. Outdoors, the demigod never fathomed the need to adjust volume for sensitive mics. “But I can see the enemy as well. He is over the water.”

“Keep an eye on him. We are almost there,” Shuri answered. Tony shifted the suit’s head to see her and Bucky’s shuttle zipping past at a lower altitude, beating him to the beach. He had to hand it to her: the princess was a remarkable innovator and genius.

The Mark XLII suit landed gently. Shuri stepped out of her shuttle, gauntlets at the ready, and Captain Barnes followed shield on his back, three handguns in various holsters, and assault rifle at the ready. Tony looked curiously on at the hundreds of slender-billed gulls gathering on the beach with more soaring towards them from inland.

“Is this breeding season?” He mused. 

Barnes traipsed over in the sand, directing Tony’s gaze towards Falcon’s recon high above. “It’s actually him.”

“Coast is clear of civilians,” Wilson rattled. “Why isn’t Doom advancing?”

“I don’t know,” Thor replied.

“Guys,” Tony said, spotting a rise in sea level from behind the hovering metallic figure, “is he doing that?”

The swell rolled forward, passing just below Victor Von Doom’s feet, and as it grew closer, a pale spot appeared in the middle of the wave. Bucky braced the butt of his rifle on his chest. Shuri lifted her arms at the ready. 

A massive, bare-chested being broke from the swell of water as it passed under Thor. A shining, humanoid robot fought to release its ankle for Namor’s grasp, but the King of Atlantis, wrenched the poor pawn down, grabbed it by the neck, and ripped its head off in one clean motion.

Wilson admired over comms, “this dude is cool as f—”

Shots fired on Tony’s right. “They’re coming from the water,” Barnes called out, his attention fixed on the shoreline dotted with dozens more emerging robots. 

Tony’s deja vu wrapped him in a vague terror. Just for a moment, Doom became Ultron; the enemy became his fault again. He didn’t know that for sure—whether Doom was born of something Tony started—but all roads always seemed to lead back to him. He’d have to break the cycle eventually. For now, he called back, “light ‘em up,” and flew forward to blow some shit to high hell.

T’Challa clawed his opponents in half like scrap metal. Wanda raised her prey to blossom red fire in between manufactured joints, severing the cables of their insides. Bucky’s controlled burst sniped down target after target. Shuri blew limbs and heads off with shockwaves. Tony played hop-scotch from bot to bot, blasting his boot stabilizers to incinerate where he hoped their CPUs were built in. All-in-all, the pawns were surprisingly weak, but expendability was their purpose.

“Thor, we gotta take out the puppet master,” Tony deduced.

Thunder cracked, Lightning flashed down to Stormbreaker and bolted towards Doom, but their adversary’s metallic shielding repelled the blast back at the beach, and Iron Man barely vaulted out of its path. 

Barnes wasn’t as quick. The full force of Thor’s wrath hit him square in the chest.

“Buck,” Sam Wilson yelled, a bazaar of peregrine falcons swooping past him aimed at Doom while the soldier landed to check on his friend. The hunting birds dodged and distracted the floating figure, tossing flying boots off balance. Doom scrambled momentarily.

The sea rose again below him, but this time, it was all Namor’s doing. The king called forth a swirling mass of frothing water to encase Victor Von Doom, roiling his metal body in chaotic circles.

Bucky’s screams rang over comms with crackling force. 

“He’s sparking my wings. I can’t get near him,” Falcon called out for help, “we gotta get him off the beach.”

“Stark, take him before we lose your connection,” T’Challa insisted. 

The Iron Man suit raced forward, tossed Bucky’s rifle away, grabbing the secured straps holding Cap’s shield and launched them both inland. From Tony’s feed in space, he could tell that Barnes was still dissipating the chain’s force by the flashes of black interference. He had only 25 minutes of connection to return a 40-minute trip. Luckily, if he was right, the super-soldier he carried could survive a break in the sound barrier…maybe.

[Chapter 22: Failure]

[Main Masterlist; Light Masterlist; Ko-Fi]

[macnman-techno]

What is the difference between LoRa and LoRaWAN?

Introduction:

LoRaWAN serves as the communication protocol connecting the LoRa signal (which carries sensor data) to the respective application(s). To simplify, think of LoRa as the radio signal transporting the data, while LoRaWAN acts as the governing framework that dictates how this data travels and communicates within the network.

What is LoRa? 

LoRa, short for Long Range, is a wireless technology known for its extended range and energy-efficient characteristics. It operates within unlicensed wireless frequencies, similar to how Wi-Fi utilizes the unregulated 2.4 GHz and 5 GHz bands. The specific frequency employed by LoRa varies depending on the geographic location of the deployment. For instance, in North America, LoRa operates in the 915 MHz band, while in Europe, it utilizes the 868 MHz band and in India it is 865 MHz to 867 MHz.  

It is crucial to be aware of the legally permitted frequencies for LoRa deployments in each respective location. In terms of its communication range, LoRa can transmit data up to a distance of 10 kilometers in ideal conditions with a clear line of sight.

Low Power Wide Area (LPWA) technology can be categorized into two main types. On one hand, there's cellular LPWA, which utilizes mobile networks. Examples of cellular LPWA technologies include Narrowband IoT (NB-IoT) and Long Term Machine Type Communications (LTE-M). On the other hand, there's non-cellular LPWA like LoRa, which disseminates data by dividing it into encoded packets and transmitting them across various frequency channels and data rates.

What is LoRaWAN? 

LoRaWAN is a network protocol that serves as the bridge between the LoRa signal, which carries sensor data, and the applications that use this data. In simpler terms, LoRa represents the radio signal responsible for transmitting the data, while LoRaWAN is the communication protocol that manages and defines how this data is transmitted across the network.

LoRaWAN offers several valuable advantages, including low power consumption, extensive coverage range, and cost-effective connectivity for devices that don't require high data transfer speeds. It's an excellent choice when cellular connectivity is too expensive or Wi-Fi coverage is unavailable. Some of the most compelling use cases for LoRaWAN include:

Agriculture: LoRaWAN's long-range capabilities provide reliable connectivity for rural applications where high data transfer rates are not necessary, making it ideal for agricultural applications. LoRaWAN sensors for agriculture are used for cattle management, soli monitoring, and temperature monitoring.

Asset Tracking and Logistics: LoRaWAN supports cost-effective location tracking of assets, with optimized battery life, making it a practical choice for asset management and logistics.

Smart Metering: LoRaWAN's sensors have the ability to reach even in underground utility locations makes it a suitable choice for smart metering applications.

Smart Homes: LoRaWAN can penetrate obstacles like walls and supports battery-powered devices with low data consumption, making it an attractive connectivity option for smart home applications.LoRaWAN sensors for smart homes are used for Air quality monitoring, water quality monitoring, and temperature & humidity monitoring. 

Healthcare: The low power consumption, affordability, and reliability of LoRa technology make it suitable for connected health applications. IoT solutions based on LoRa hardware can monitor high-risk patients or systems around the clock, ensuring comprehensive health and medical safety management.LoRaWAN Gateways and sensors enhance production practices, enable efficient tracking and monitoring of shipments, and facilitate the development of cutting-edge medications. 

Industrial Applications: LoRa-enabled devices and sensors play a crucial role in the transformation of industrial IoT operations like mentioned above. They digitize legacy processes and equipment, leading to increased profits, lower costs, and enhanced efficiency. These devices provide real-time data for predictive maintenance, machine health monitoring, reduced downtime, and more.

[skyfallights]

Ingestible Sensor Market Sixe Pioneering Internal Health Monitoring Solutions

The Ingestible Sensor Market Size is reshaping the future of digital healthcare with innovative technology that allows health monitoring from within the human body. These miniature electronic devices, swallowed like capsules, transmit critical physiological data to external systems in real-time. With applications in diagnostics, drug adherence monitoring, and sports science, ingestible sensors are projected to revolutionize personalized medicine. According to Market Size Research Future, the global market for ingestible sensors is expected to reach USD 3.1 billion by 2030, registering a robust CAGR of 18.9% during the forecast period from 2023 to 2030.

Market Size Overview

Ingestible sensors, also known as digital pills or smart pills, consist of biocompatible materials embedded with microelectronic components that monitor parameters such as pH level, temperature, pressure, and medication intake. These sensors transmit data wirelessly to smartphones, tablets, or healthcare systems, offering non-invasive, real-time insights into a patient's internal environment.

The technology is particularly valuable in chronic disease management, remote patient monitoring, and high-performance sports, where continuous data collection is vital. As the demand for precise, real-time health tracking increases, ingestible sensors are rapidly gaining traction across both developed and emerging healthcare systems.

Market Size Segmentation

By Component

Sensor

Data Recorder

Software

By Sensor Type

Temperature Sensor

Pressure Sensor

pH Sensor

Image Sensor

By Application

Medical Adherence Monitoring

Diagnostic Imaging

Sports and Fitness

Others

By End-User

Hospitals and Clinics

Home Healthcare

Sports Organizations

Research Centers

By Region

North America

Europe

Asia-Pacific

Latin America

Middle East & Africa

Trends

1. Remote and Non-Invasive Diagnostics

Healthcare is increasingly shifting towards remote and non-invasive monitoring solutions. Ingestible sensors enable real-time diagnostics without the need for invasive endoscopy or biopsies, significantly improving patient comfort and clinical outcomes.

2. Smart Pills for Medication Adherence

Smart pills with ingestible sensors are being used to ensure medication compliance, especially in psychiatric and chronic care. These pills send a signal to a wearable patch or mobile app once the medication is consumed, improving patient accountability and reducing hospital readmissions.

3. Integration with Digital Health Platforms

Modern ingestible sensors are designed to integrate seamlessly with digital health ecosystems. This integration allows healthcare providers to collect, visualize, and analyze patient data via cloud-based platforms and mobile applications.

4. Biocompatibility and Miniaturization

Innovations in biocompatible materials and nanotechnology are leading to safer, smaller, and more durable sensors. These advancements have extended the usability of ingestible sensors across a broader demographic, including children and elderly patients.

5. Use in Sports and Military Applications

Elite athletes and defense personnel are adopting ingestible sensors to monitor core body temperature, hydration, and gastrointestinal health in extreme environments, supporting performance optimization and safety.

Segment Insights

By Sensor Type

Temperature and pH sensors dominate the market due to their widespread use in internal diagnostics and gastrointestinal monitoring. Image sensors are gaining popularity in capsule endoscopy, offering non-invasive internal imaging alternatives.

By Application

Medical adherence monitoring is the fastest-growing application, particularly in mental health and oncology treatment. Diagnostics continue to be a strong segment, especially with the rising need for gastrointestinal tract monitoring and early cancer detection.

By End-User

Hospitals and clinics remain the largest end-users, leveraging these sensors for accurate diagnostics and treatment management. Meanwhile, home healthcare is growing rapidly with the global surge in telehealth adoption and aging populations.

End-User Insights

Healthcare Providers

Clinicians use ingestible sensors to track medication intake, monitor internal conditions, and manage treatment efficacy. This helps reduce guesswork and ensures better patient outcomes.

Pharmaceutical Industry

In clinical trials, ingestible sensors help researchers track dosing adherence and gather pharmacokinetic data in real-time, improving trial accuracy and safety.

Sports and Military

Professional sports teams and military units deploy ingestible sensors to prevent heatstroke, optimize hydration, and monitor physiological changes during intense physical activity.

Consumers

Health-conscious individuals are exploring ingestible sensors for digestive health monitoring and personalized dietary optimization, opening new opportunities in the wellness industry.

Key Players

Leading companies are focusing on research and development, strategic partnerships, and regulatory approvals to drive adoption and expand product offerings:

Proteus Digital Health – A pioneer in digital pills for medication adherence, integrating sensors with ingestible pharmaceuticals.

Capsovision, Inc. – Specializes in imaging-based smart capsules for gastrointestinal diagnostics.

Medtronic PLC – Offers capsule endoscopy technology for non-invasive internal imaging.

BodyCap – Develops ingestible sensors for temperature monitoring in healthcare and sports applications.

Olympus Corporation – Manufactures endoscopic capsules with integrated sensors for internal examination.

Future Outlook

The ingestible sensor market is set for dynamic evolution. Future innovations may include biosensors capable of detecting pathogens, real-time biomarker tracking, and smart capsules with therapeutic delivery capabilities. As AI and machine learning become embedded in health systems, the data from ingestible sensors will enable predictive healthcare models and tailored treatment strategies.

The convergence of ingestible sensors with wearable tech, IoT, and cloud computing will enhance early disease detection, enable proactive interventions, and drive down long-term healthcare costs globally.

Conclusion

The Ingestible Sensor Market Size represents a significant leap in non-invasive health monitoring. By enabling real-time, internal data collection, these sensors provide a new layer of medical intelligence that can revolutionize diagnostics, treatment adherence, and preventive care. As healthcare systems worldwide shift toward personalized and value-based care, ingestible sensors will become indispensable tools in the digital health arsenal.

Trending Report Highlights

Explore more transformative markets and technologies:

Microprocessor and GPU Market Size

InGaAs Camera Market Size

Far-Field Speech and Voice Recognition Market Size

Functional Printing Market Size

Predictive Emission Monitoring System (PEMS) Market Size

Soft Robotics Market Size

Photoelectric Sensor Market Size

Laser Sensors Market Size

Proximity Sensor Market Size

Wi-Fi Adapter Card Market Size

5G Processor Market Size

[yejiasilicone]

What Are Silicone Valves? Types, Applications & Custom Manufacturing

Silicone valves are essential components used across a wide range of industries, from food and beverage to medical devices, home appliances, and personal care products. Known for their flexibility, durability, and excellent sealing properties, silicone valves help regulate fluid, gas, or powder flow under specific pressure conditions.

In this article, we’ll explore what silicone valves are, the different types available, where they’re used, and why custom silicone valve manufacturing is key to performance and reliability.

What Are Silicone Valves?

Silicone valves are elastomeric one-way or two-way valves made from high-quality silicone rubber. These valves are engineered to control the flow of liquids, gases, or powders based on applied pressure. Under no pressure, the valve remains sealed; when sufficient pressure is applied, it opens to allow controlled dispensing or venting.

They are typically produced using:

Compression molding

Liquid injection molding (LIM)

Silicone valves are valued for:

Leak-proof sealing

Excellent flexibility and durability

Resistance to temperature extremes and chemicals

Safe contact with food, beverages, and pharmaceuticals

Types of Silicone Valves

Silicone valves come in a variety of materials, shapes, and functional designs depending on the application.

By Material

Food-grade silicone valves: Certified for direct contact with food and beverages

Medical-grade silicone valves: Biocompatible, suitable for use in medical devices

By Shape & Function

Cross Slit Valves: Designed with intersecting slits for controlled dispensing; widely used in squeeze bottles

Duckbill Valves: One-way valves that open under pressure and close when the pressure drops

Umbrella Valves: Dome-shaped diaphragm valves that regulate one-way flow in fluid or air systems

Flapper Valves: Hinged silicone membranes used for controlled air or liquid flow

Dome Valves: Used for low-pressure venting or directional control

Vent & Relief Valves: Designed for pressure equalization in sealed containers

Applications of Silicone Valves

The versatility of silicone valves makes them ideal for use in a wide range of industries:

1. Food & Beverage Industry

Used in squeeze bottles for condiments like ketchup, syrup, and sauces

Prevents drips and leakage while ensuring clean dispensing

Maintains product freshness through controlled air intake

2. Medical & Healthcare Devices

Medical check valves prevent backflow in IV sets, respiratory devices, and fluid systems

Duckbill and umbrella valves are essential in devices like oxygen masks, blood pressure monitors, and suction systems

Made from medical-grade, biocompatible silicone for patient safety

3. Personal Care & Household Products

Applied in dispensing caps for shampoos, lotions, hand sanitizers, and cleaning products

Provides clean, consistent dispensing while minimizing waste

4. Automotive & Industrial Systems

Used in vacuum and air control systems, fuel systems, and fluid management

Umbrella and flapper valves help maintain flow direction and pressure balance

Custom Silicone Valve Manufacturing

At Yejia Silicone, we specialize in custom silicone valve manufacturing to meet your exact application needs.

To request a custom silicone valve, simply provide:

A 3D drawing or physical sample

Required opening and closing pressure

Application details (fluid type, environment, etc.)

We are happy to sign an NDA to protect your design.

Our Manufacturing Capabilities:

Over 10 years of experience in silicone valve production

In-house mold design and manufacturing

ISO-certified 100,000-class cleanroom for high-purity production

Automated cutting and punching for slit precision

Comprehensive testing: leak-proof, flow rate, pressure, and noise performance

We’ve supplied millions of high-quality silicone valves to global clients across medical, food, and consumer industries.

Why Choose Yejia Silicone for Silicone Valve Production?

✅ 10+ Years of Industry Experience ✅ Custom Mold Design for LSR & Compression Molding ✅ Strict Quality Testing & Traceability ✅ Fast Prototyping & OEM/ODM Service ✅ Trusted by Global Brands & Fortune 500 Companies

Whether you're designing a new product or replacing an existing valve, our team can help you create reliable and high-performance silicone valve solutions tailored to your specifications.

Contact Us for Custom Silicone Valves

If you’re searching for a trusted silicone valve manufacturer for your next project, Yejia Optical Technology (Guangdong) Co., Ltd. is ready to support you with technical expertise and scalable production.

Contact us today to request a quote, sample, or consultation.

[visionhealthandcare]

Is the future of infection control in hospitals about to be revolutionized

Why is sterilization more crucial than ever for medical devices Sterilization is the backbone of safe healthcare, ensuring that medical devices are free from harmful microorganisms before use. As the complexity and volume of medical procedures increase worldwide, effective sterilization has become a non-negotiable priority. This heightened focus is fueling rapid growth in the Medical Device Sterilization Market, driven by the need to prevent infections and maintain patient safety.

What are the most common methods used for sterilizing medical devices Medical devices are sterilized using various techniques including steam autoclaving, ethylene oxide gas, gamma radiation, and plasma sterilization. Each method has advantages depending on the type of device, material sensitivity, and operational requirements. Innovations in sterilization technology are improving efficiency, reducing cycle times, and minimizing damage to delicate instruments.

How is the sterilization market evolving with technological advancements Advancements such as low-temperature sterilization methods are enabling the processing of heat-sensitive devices without compromising safety. Automation and real-time monitoring are also being integrated into sterilization systems, enhancing quality control and traceability. These improvements are crucial as medical devices become increasingly sophisticated and diverse.

What role does regulation play in shaping this market Strict regulatory standards globally mandate sterilization validation and documentation to ensure patient safety. In regions like Europe, the France Medical Device Market demands rigorous compliance with EU MDR guidelines, driving demand for advanced sterilization solutions. Regulatory pressure encourages healthcare providers and manufacturers to adopt state-of-the-art sterilization technologies.

How is the growth of healthcare infrastructure impacting the sterilization industry Expanding healthcare infrastructure in emerging markets, especially in Asia-Pacific, is boosting the need for efficient sterilization facilities. In China, digital healthcare developments linked to the China Medical Second Opinion Market are increasing procedural volumes, which in turn amplifies demand for reliable sterilization systems to support patient safety at scale.

Who are the major end users driving this market expansion Hospitals, surgical centers, diagnostic labs, and medical device manufacturers are the primary consumers of sterilization equipment and services. The rise of minimally invasive surgeries and implantable devices necessitates high-level sterilization protocols, contributing to market growth.

What challenges does the industry face in meeting growing demand Challenges include balancing cost-effectiveness with sterilization efficacy, managing sterilant toxicity, and addressing environmental concerns related to chemical sterilants. Additionally, the need for operator training and maintenance of complex sterilization equipment can be barriers for some healthcare facilities.

How are innovations addressing these challenges Emerging sterilization technologies focus on eco-friendly methods with reduced chemical residues and lower energy consumption. The integration of smart sensors and IoT technology is improving process validation and compliance monitoring, reducing human error and enhancing safety.

What trends are shaping the future of medical device sterilization The market is trending toward faster, safer, and more sustainable sterilization solutions. Increased adoption of single-use devices is influencing sterilization demand patterns, while the growth of home healthcare devices presents new sterilization challenges. Personalized medicine and digital health ecosystems will further drive innovation in sterilization practices.

Why is this market critical for global health Effective sterilization prevents healthcare-associated infections, which are a significant cause of morbidity and mortality worldwide. As healthcare systems become more complex and interconnected, robust sterilization processes ensure that advances in medical technology translate into safer patient outcomes.

The Medical Device Sterilization Market is more than just a technical niche—it is a cornerstone of modern healthcare that safeguards millions of lives daily. With continuous innovation and global demand rising, this market is set to play an even bigger role in the future of medicine.

[draditibhattsblog]

Revolutionizing Cancer Care: HIPEC Cancer Surgery in Ahmedabad by Dr. Aditi Bhatt

In the evolving field of oncology, innovations like HIPEC have emerged as life-saving solutions for patients battling abdominal cancers. Hyperthermic Intraperitoneal Chemotherapy (HIPEC) is an advanced treatment technique that combines surgery with heated chemotherapy to combat cancers that have spread within the abdominal cavity. If you are searching for expert HIPEC Cancer Surgery in Ahmedabad, Dr. Aditi Bhatt stands out as a leading name offering world-class care backed by years of specialization in surgical oncology.

What is HIPEC?

HIPEC (Hyperthermic Intraperitoneal Chemotherapy) is a two-step treatment process. First, cytoreductive surgery is performed to remove visible cancerous growths from the abdominal cavity. Once the surgery is completed, a heated chemotherapy solution is circulated within the abdomen for about 60–90 minutes. This heated solution targets any microscopic cancer cells left behind after surgery, providing a higher concentration of chemotherapy directly to the affected area, minimizing systemic side effects.

HIPEC is primarily used to treat:

Peritoneal carcinomatosis

Ovarian cancer

Colorectal cancer

Appendix cancer (pseudomyxoma peritonei)

Mesothelioma

Why Choose HIPEC Over Conventional Chemotherapy?

One of the major advantages of HIPEC is the localized delivery of chemotherapy. Because the chemo is heated and applied directly to the peritoneal cavity, it penetrates cancer cells more effectively. The high temperature increases the efficacy of the drugs and promotes better absorption by tumors. Moreover, because the treatment is confined to the abdominal cavity, patients avoid many of the adverse effects of traditional intravenous chemotherapy.

Dr. Aditi Bhatt – Pioneering HIPEC Cancer Surgery in Ahmedabad

Dr. Aditi Bhatt is a renowned surgical oncologist with a keen focus on peritoneal surface malignancies and HIPEC. With international training and vast experience in treating complex abdominal cancers, Dr. Bhatt has successfully performed numerous HIPEC procedures in Ahmedabad and is recognized for her meticulous surgical skills and compassionate patient care.

Her approach integrates global best practices with patient-centric solutions, ensuring that each treatment plan is tailored according to the patient’s specific cancer type, stage, and overall health.

Benefits of HIPEC Surgery at Dr. Aditi Bhatt’s Clinic

Patients opting for HIPEC Cancer Surgery in Ahmedabad under the care of Dr. Aditi Bhatt gain access to:

Cutting-edge technology: Dr. Bhatt uses advanced surgical tools and HIPEC perfusion systems to ensure precise treatment delivery.

Holistic cancer care: The clinic offers end-to-end services, from diagnosis to post-surgical rehabilitation.

Multidisciplinary expertise: Dr. Bhatt collaborates with medical oncologists, radiologists, and palliative care teams to provide a comprehensive treatment strategy.

Patient education and transparency: Every patient is informed in detail about the procedure, expected outcomes, and recovery timelines.

Patient Journey: What to Expect

Initial Consultation: The journey begins with a detailed evaluation, including imaging tests (CT/MRI), biopsy reports, and a complete medical history assessment. Dr. Bhatt explains whether the patient qualifies for HIPEC and what the success probability is.

Surgical Procedure: Cytoreductive surgery and HIPEC are typically performed under general anesthesia and may take 6–10 hours depending on cancer complexity.

Post-Surgery Care: Patients may stay in the hospital for about 10–14 days. Recovery includes nutritional support, physiotherapy, and close monitoring for any complications.

Follow-up and Monitoring: Regular follow-up visits ensure early detection of recurrence and monitor long-term outcomes.

Success Stories and Outcomes

Dr. Aditi Bhatt’s center for HIPEC Cancer Surgery in Ahmedabad has recorded numerous success stories. Patients who had previously been considered inoperable or were told there were limited options have found renewed hope through HIPEC. Clinical outcomes have shown prolonged survival rates and improved quality of life, especially in patients with colorectal and ovarian cancers.

What makes Dr. Bhatt’s outcomes notable is her commitment to pre-surgical evaluation and patient selection. This ensures that only those patients who are likely to benefit from the procedure are taken forward, improving both success rates and patient satisfaction.

Why Ahmedabad for HIPEC?

Ahmedabad has emerged as a medical hub, offering high-quality healthcare at a reasonable cost. With increasing accessibility, excellent infrastructure, and experienced specialists like Dr. Aditi Bhatt, HIPEC Cancer Surgery in Ahmedabad has become a viable option not only for residents of Gujarat but for patients from across India and abroad.

Is HIPEC Right for You?

HIPEC is not suitable for all cancer patients. Ideal candidates are those whose cancer is confined to the abdominal cavity and have good overall health to withstand a major surgery. If you or a loved one has been diagnosed with peritoneal carcinomatosis or a similar cancer, consulting with Dr. Aditi Bhatt can provide clarity and direction.

Her honest evaluation, evidence-based guidance, and personalized treatment approach make her a trusted choice for complex abdominal cancer care.

Final Thoughts

HIPEC is transforming the way abdominal cancers are treated. With the expertise of Dr. Aditi Bhatt, patients seeking HIPEC Cancer Surgery in Ahmedabad receive not only medical excellence but also empathetic support throughout their cancer journey.

If you're looking for hope, innovation, and experience in one place, Dr. Aditi Bhatt’s clinic is the destination for you. Early diagnosis and timely intervention can make a significant difference—don’t wait to explore your options.