#Point Of Care Ultrasound

[ultrasoundtrainings]

The Benefits of OB/GYN Point of Care Ultrasound

In the realm of obstetrics and gynecology (OB/GYN), rapid and accurate diagnosis is paramount to ensuring optimal maternal and fetal health. Point-of-care ultrasound (POCUS) has emerged as a valuable tool in the OB/GYN setting, offering numerous benefits that enhance patient care and clinical decision-making. 

Enhanced Diagnostic Accuracy: 

OB/GYN point-of-care ultrasound enables clinicians to obtain real-time images of pelvic structures, including the uterus, ovaries, and fetal anatomy, facilitating rapid and accurate diagnosis of various obstetric and gynecologic conditions. From confirming intrauterine pregnancies to detecting fetal anomalies and evaluating ovarian cysts, POCUS provides valuable diagnostic information that informs clinical management decisions and improves patient outcomes.

Immediate Clinical Assessment: 

With POCUS readily available at the bedside, OB/GYN healthcare providers can perform immediate clinical assessments and interventions without the need for referrals or delays. Whether assessing fetal well-being during labor, evaluating pelvic pain in the emergency department, or guiding minimally invasive procedures such as ultrasound-guided biopsies or aspirations, POCUS expedites patient care and enhances efficiency in busy clinical settings.

Minimization of Radiation Exposure:

 Unlike traditional imaging modalities such as X-rays and computed tomography (CT), OB/GYN point-of-care ultrasound does not involve ionizing radiation, making it safe for use during pregnancy and in sensitive populations such as pediatric patients. By minimizing radiation exposure, POCUS offers a non-invasive and low-risk imaging alternative for evaluating obstetric and gynecologic conditions, particularly in situations where radiation-based imaging may pose risks.

Improved Patient Satisfaction: 

OB/GYN point-of-care ultrasound enhances the patient experience by providing immediate visual feedback and facilitating active participation in the diagnostic process. Patients appreciate the opportunity to visualize fetal movements, hear fetal heart tones, and engage in discussions with their healthcare providers based on ultrasound findings. This collaborative approach fosters trust, communication, and satisfaction among patients and healthcare teams.

Cost-Effectiveness:

 Incorporating OB/GYN point-of-care ultrasound into clinical practice can yield cost savings by reducing the need for additional imaging studies, specialist consultations, and hospital admissions. By streamlining the diagnostic pathway and expediting clinical decision-making, POCUS helps optimize resource utilization and healthcare expenditures, ultimately benefiting both patients and healthcare systems.

Portable and Versatile:

 Modern ultrasound machines are increasingly compact, portable, and user-friendly, allowing OB/GYN providers to perform point-of-care ultrasound examinations in diverse clinical settings, including outpatient clinics, labor and delivery suites, and even remote or resource-limited environments. The portability and versatility of POCUS make it an invaluable tool for obstetric and gynecologic care, particularly in situations where access to traditional imaging facilities may be limited.

In summary, OB/GYN point-of-care ultrasound offers a multitude of benefits that enhance diagnostic accuracy, clinical efficiency, patient satisfaction, and cost-effectiveness in the management of obstetric and gynecologic conditions. By harnessing the power of POCUS, healthcare providers can deliver timely, personalized, and high-quality care that meets the unique needs of women throughout the continuum of pregnancy and gynecologic health.

[arlo-venn]

Can’t remember if I’ve mentioned it, but I’ve started having pain on the *left* side of my abdomen (opposite gallbladder) these last few weeks, around the spleen region. It comes and goes but whenever it returns, it’s a little worse. If I push on it and then let go, it leaves a burning feeling inside for quite some time.

I’ve been trying to ignore it, but reminded myself that ignoring issues like this is what got me into the position I’m in to begin with, so I messaged my GI about it. Idk if GIs handle spleens, but he had recently asked if I had pain on that side and I said no, so I went to him with the update.

Why does this man feel the need to remind me that my spleen was fine in the CT I had done 7 months ago? 1) I know that and 2) I wasn’t having pain there 7 months ago. So how is that relevant?? You know what was also apparently fine on that CT seven months ago? The gallbladder that now needs to come out. So like???

[punk-pandame]

note to self: do not tear rotator cuff during holidays

[thecluecourses]

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With a focus on real-world applications and a clue-based learning model, the course offers an immersive experience that will significantly enhance your competence in managing ventilated patients. Clue Courses is always trying to simplify the complex concepts of easy vent mechanical ventilation and Engage with real-life scenarios to sharpen your decision-making skills.

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[industryupdate]

What are the Various Benefits of Point-of-Care Ultrasound Devices?

Ultrasound imaging is an important diagnostic tool for a number of medical specialists as it offers fast and more precise results without the exposure to radiation. With ultrasound, providers can imagine the body’s inner organs in real-time and find out what is happening inside the body. There are a number of benefits for these devices, lets look at some of them in this blog. Get the sample…

[cadriona]

So today I found out that if nothing else, getting forced to listen to the seminar I gave meant that the other students of my department will forever remember that Ultrasound is Not Just For Babies (said affectionately but also menacingly)

[reginaofdoctorwho]

love looking up the medical thing you're supposed to have done before the actual standard for diagnosis will be considered and everything about it is just medical reviews like "This Thing Actually Doesn't Work" "Why Do We Keep Doing This For No Reason?" and people posting about it like "this was the worst fucking experience of my life"

[whateveriwant]

Can you please do Task force 141 finding out they’re having quintuplets! I’d imagine that they wouldn’t plan to have that many….at least not all at once 🧍‍♀️

Ghost

When the technician points out the five distinct dots on the ultrasound, he immediately goes dead silent

I mean, he's always pretty quiet anyway, but this is like quiet quiet

He doesn't utter a single word for the rest of the appointment, nor on the ride back home for that matter

This has you more concerned than you care to admit because you know that, not that long ago, he didn't think he'd ever have (much less want) kids of his own some day

So now that he's learned he's about to have five? You can't imagine what's going through his mind right now

It isn't until you're walking through the front door that you're being stopped with a gentle hand tugging on your wrist

You turn to look at him and, without a word, he drops to his knees before you, rolling up the bottom of your shirt to expose your belly

He'll press the softest of kisses just beside your navel, before looking up at you with expressive eyes that convey the foremost thought in his head: Thank you

Soap

Nearly shits a brick the moment the words leave the technician's mouth

All the color swiftly drains from his face and he has to sit down before he keels over right in the middle of the office

It's not so much fear that has him going paper white but pure shock at hearing the unexpected (yet not unhappy) news

While you'd already discussed having a big family together one day, you didn't think you'd get it done in one fell swoop

However, maybe you should've seen it coming since you both come from families that have had multiples

The possibility of this happening was decently high, so in a way, you're not all that surprised by the revelation

Once he's composed himself and is a little less ghostly pale in the face, he's eagerly requesting the technician to print out an excessive number of copies of the ultrasound

Why? Well, he's gotta send them to everyone, of course! His family, your family, all the lads at work. Hell, maybe your neighbor Charlie would like one too. Better print several just in case

Gaz

"C– Come again?" He thinks he misheard the technician at first

However, even hearing it a second time, he has to stand up, round the bed, and get about an inch away from the monitor to confirm for himself

It's almost comical the way his eyes widen at the screen, darting around the black and white image like he can't comprehend what he's seeing

It'll take some coaxing to get him back in his seat, and as he does, you hear him mumbling to himself – something about nappies, never sleeping again, and *shudders* University

At some point, out of the corner of your eye, you see him messing with his hands

He's putting his palm in front of his own stomach then drawing it about a foot or two away, as if trying to visualize the size your belly is destined to grow

Even when you get back home, it's like reality hasn't fully hit him yet

It's not until you find him at 2am looking up double decker prams that you realize it's finally starting to sink in, and he's more than ready for the challenge ahead

Price

Seems awfully calm when the technician breaks the news to you two

Based on his reaction – a light smile and mere "Oh, that's wonderful" – you'd think he'd just been informed of the weather or something

To be honest, his reaction (or lack thereof) is a little disarming, but you don't comment on it until you're buckling up in the car, mentioning his seeming total lack of nerves about the future

He chuckles and jokes that he already has to look after three big kids at work. What's five little ones at home to compare?

Though you think you can see what he's getting at, his cool-headedness about it all still has you in a bit of a tizzy

Is he not even a little surprised by the news? After all, it's not every day that people fall pregnant with quintuplets

At your question, he smiles and leans to press a bristly kiss to the back of your hand. When he pulls back, he's smirking, giving you the smuggest look you've ever seen from a man

"Told you I've got strong swimmers, love"

[thecluecourses]

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The Clue Courses Critical Care Training: Easy Vent Mechanical Ventilation Course is designed to provide healthcare professionals with a foundational understanding of mechanical ventilation. This course aims to demystify the principles and practice of mechanical ventilation, making it accessible and easy to understand for clinicians who may not have specialized training in respiratory care.

Goal:

To provide healthcare professionals with comprehensive knowledge and practical skills in mechanical ventilation to improve patient outcomes in critical care settings.

Objectives:

Understand the principles and modes of mechanical ventilation.

Learn to set up and operate ventilators.

Identify and manage complications associated with mechanical ventilation.

Interpret ventilator waveforms and adjust settings accordingly.

Develop strategies for weaning patients off mechanical ventilation.

Key Learning Points:

Introduction to Mechanical Ventilation

Ventilator Settings and Modes

Ventilator Waveforms and Monitoring

Patient Management on Mechanical Ventilation

Safety and Complications

To Know Full Details Visit us: https://www.cluecourses.com/contact

[honkytonk-hangman]

All This Love

Jake 'Hangman' Seresin x Reader

Summary: “Congratulations?” Rooster half-praises, half-questions, side-eying Jake, who stiffens just slightly, but finds himself relaxing when he looks back up at the grainy ultrasound. “Thanks,” he says, feeling his stomach flutter at the memory of the first time he saw it.

Warnings: not much in this one, unplanned pregnancy, some light smut, 18+ only!! <3

Jake feels his pulse jump once, then twice as he walks through his front door. He’d already known you were here, not just because of your car parked out front, but because you’d barely left his company since he’d gotten the news. Still, the sound of you moving around his kitchen, and the smell of something heavenly wafting toward him makes his heart leap just a little in a way that is honestly unfamiliar to him.

Jake Hangman Seresin is not a ‘relationship’ guy. He hasn’t exactly been a one-night-stand guy either these past few years, but certainly he isn’t known for his commitment. Partly he could blame this on his schedule, his various and frequent deployments, moves and busyness, but he’d be lying if he didn’t admit that taking an endless string of women home was taking a toll on him.

Quietly, Jake hoped he’d meet someone, have a constant in his life to come home to, maybe have a few little mini-Jake’s running around too, but it also wasn’t really something he was actively seeking out. He knew being with him meant a lot of lonely nights, and he’d internalised the attitude that most women were not up for that.

And then he met you.

You’d laughed sweetly like you’d thought he was just kidding when he’d flirted with you, told him outright you’d expecting him to cancel on your first date, and then rambled about anything and everything for the next three hours as he happily listened.

You weren’t really his normal ‘type’, you weren’t overly affectionate with him off the bat, making your intentions known, you weren’t tall or bleached blonde or anything he was used to from the women who showed an interest in him, though that wasn’t to say he didn’t think you weren’t beautiful. You were a little awkward, and dorky and you’d told him you thought he was funny, which wasn’t really one of the things most of the women he dated tended to point out. Needless to say, Jake had quickly found it very easy, very natural to adore you.

He’d gotten three and a half months with you before his orders came in. 

The two of you had grown close in that time, but you hadn’t really addressed or discussed what you were. He hadn’t really felt the need, or the pressure like he had in the past. He’d realised over the past few days that this might’ve been down to the fact that he hadn’t even really considered any other options besides the two of you eventually becoming ‘exclusive’. If Jake is completely honest, he’s been off the market since our first date.

Not until the imminent date of his deployment had he begun to take note of his rising anxiety, the complete opposite to the way he usually felt after informing a casual fling that he’d be going. With them, he didn’t expect more, he didn’t want to give them more either, but with you… Jake hasn’t been able to stop thinking about how much he’ll be able to contact you while he’s gone, if you’ll make time for him, even if you’ll send him those care packages so many of the guys he knows often received while on the carrier…

The idea that you saw his upcoming deployment as the official end of whatever this is you have going on haunted him, and Jake was determined to make clear that when he returned in fourteen months time, he still wanted to see you.

He toes off his boots as best he can with the large bouquet in the crook of his elbow, before padding down the hall toward where the delicious smell is coming from, finding you buzzing around his kitchen in a manner that forces him to stop dead in his tracks to appreciate the sight.

This is what Jake has been wanting, but it's not until this very moment he realises just how much. It isn’t even about you cooking for him, no, he just craves the domesticity of coming home to somebody who looks up from what they’re doing with an expression like his arrival is the new best part of their day.

“Jake! I didn’t hear you come in!” you say with a smile and a laugh. That wasn’t exactly unusual for you. You didn’t often hear many things, considering you were hard of hearing. You weren’t completely deaf, in quiet rooms when he was facing you, you could hear him enough, helped by lip reading, or if he spoke directly into your ear. However, it was still significant enough that Jake had downloaded an ASL learning app, partly to communicate better with you, but also so that he could see your overjoyed surprise whenever he correctly signed something very simple to you.

“These are for you,” he steps closer, holding out the large bouquet of marigolds and roses he’d stopped for on the way home, making sure his mouth isn’t at all obscured by them as he does. He hadn’t skimped when he’d bought them, requesting the biggest package the florist offered and paying double what he’d ever paid before for flowers. It was worth it though, especially when once you’ve processed what he’s said, your face lights up all over again and you let out a soft little gasp as you move to meet him.

“They’re beautiful!” you croon as you bring the flowers to your nose. Jake had only ever bought flowers for his mother, and for a few girls around Valentine’s Day. They were always roses. He’d never bothered to ask what their preferred flower of choice was. With you, though, you had inadvertently told him on your first date while lost in a story about a failed garden you’d tried growing and how you adored copper marigolds and peach roses, but that no man had ever bought either for you, including your last boyfriend who’d seemed to think flowers were lame and unnecessary. He’d filed that information away, but curses himself for not using it any sooner as you smile widely back up at him, and push the flowers aside so that you can wrap your arms around his neck and kiss him sweetly.

“Thank you! You didn’t have to!” you say in between pecks to his lips, and Jake wraps the arm still holding the bouquet around your back, in the hopes that maybe you’ll stay pushed up against him just a little longer. You do, giggling softly as you continue to deliver soft little kisses to his lips, Jake dutifully returning each one, becoming aware of his own laughter joining your own as he does.

You pull away to grin up at him, and Jake drops one last, final kiss to your lips before giving you a slight squeeze, his own smile growing as you stare up at him.

“Baby, the smoke alarm is going off,” he informs you, chortling when you jump away from him in surprise, and quickly return to the stove to remove the pan from the hob. Jake follows you, placing your flowers down on the counter, and moving over to where the alarm sits high on his wall, reaching up to tap the button in the centre that switches it off.

“Sorry! The good news though is that dinner isn’t ruined!” you tell him happily, turning back around to go digging through one of his other cupboards. You straighten again when you find a large pitcher, and he watches you mill about for a moment, filling it with water before moving to place the bouquet of flowers inside. He feels his chest swell with pride as you primp and preen the roses and marigolds, and pictures you two weeks from now, with more and more petals falling from the flowers with every passing day, but refusing to throw them away because they make you think of him. The swelling of pride begins to turn into a swell of dread, and Jake really, really wishes he wasn’t leaving you in the morning.

You turn back to him and smile.

“Why don’t you go clean up, and I’ll finish this?” you suggest, and Jake immediately pouts.

“Why don’t I just stay here and help you plate up?” he says instead, making you frown playfully and shake your head.

“Jake, you need to shower!” you scold lightly.

“I showered on base,” he shrugs, and pushes away from his counter to capture your waist and draw you near again.

“Jake… just let me do this for you… you leave tomorrow…” it’s your turn to pout. Jake’s heart makes a good effort to leap out of his chest and into yours.

“Exactly. I leave tomorrow, so just let me stay with you as long as I can,” he poses, and you soften, resting your hands on his forearms.

“Jake…” you sigh, and bite your lip a little. “What’re you gonna do for the next fourteen months, huh?” you question playfully, shaking your head.

“Wish I was plating up dinner with you.” he answers immediately, then feels his cheeks heat up a little. Your gaze drops from his face, but you’re smiling softly, and rubbing your thumbs over his skin in a soothing manner.

“Okay,” you relent, before reaching up to cup his cheeks tenderly. “Okay.”

Jake leans into your touch, closing his eyes as he memorises the feeling of you holding him. You remain in pleasant quiet as the two of you go about preparing for dinner, Jake setting the table as you portion out the salad you’ve made.

Jake refrains from insisting you sit side by side as you eat, because he knows you’d struggle to hear him if you did, but after dinner, he does insist that the dishes can wait, convincing you to come up and shower with him instead.

You’ve barely stepped inside the glass cubicle when he’s pulling you closer, lips reaching out for yours and you giggle as you kiss him under the full stream of the shower head, laughing properly when he pulls back to spit a mouthful of water sideways out his mouth like a cartoon character. He grins at having made you laugh, but crowds you up against the wall almost instantly after, his smile pressed back against yours.

“M’gonna miss you.” he says right by your ear, before slipping his mouth down to your neck, and immediately sucking a small mark there. He knows your opinion on hickeys, so he’ll make sure the rest are somewhere you can hide them. You seem to squirm in his hold, your hands dropping from around his neck to press against his chest, his abdomen, though he knows you aren’t pushing him away, simply wishing to see his face.

“I’ll miss you, too.” you say after a moment, watching the water drop from his eyelashes, before you wrap your arms around him, pulling him near once again and pressing your chest up against his in a delightful manner.

“Promise you’ll come see me when I get shore leave?” He’s never asked this question before, and his heart immediately jumps into his throat. Usually he’d wait around for shore leave to go bar hopping, pick up a girl or two and show them a good time while he could. This time however, all Jake can think about is how best he can maximise all his spare moments for the next fourteen months to make sure they’re spent with you.

“I promise,” you say with another giggle, and it makes Jake pull back to look down at you. He’s not sure what he wants to say, if anything at all, but a beat passes where the two of you simply watch one another. Carefully your hand rises, skims along his cheek, but ultimately continues upwards where you smooth back some of the hair hanging down over his forehead.

“By my count we’ve got just under twelve hours,” you say then, and he can tell you’re trying not to sound so sad. It makes his stomach flop about.

“No time to waste, then, huh?” He leans in and murmurs against your lips.

Miraculously, you make it back to his bedroom somehow, shower water replaced with sweat now as you both work to make the most of the short time you have left together.

You let out a heavy breath of air as you adjust yourself once more, hands pressing against his taut abs, feeling the way the muscles move and tighten under your palms and fingers as you bounce in his lap. Your thighs are burning, but that's not going to be enough to stop you from chasing down another high. Jake’s hands at your hips take some of the initiative out of your control though, his grip firm and deliberate as he helps you move for him, forcing you up and damn-near slamming you back down again, his hips flexing in time to make sure he’s fucking you as deep as he can.

Your sounds of pleasure are muted against his lips, swallowed by him as he kisses you hungrily, one hand shooting up to clutch at the back of your neck when you briefly break apart. With one hand helping you move now, he begins tilting his hips more and more, his legs bent at the knee behind you, powering his thrusts and completely taking you apart. He lets you break away from his mouth, but doesn’t move the hand on your neck, and through half-shut eyes, you can see him watching you intently, his jaw clenched as he takes you in. He slows down.

“You look so pretty riding me,” Jake’s voice is deeper and more gravelly than normal, and his words are punctuated by tiny grunts of exertion that make you mewl. “Gonna miss the way you feel around me,” he goes on, using his hold on you to grind up into you with each slow thrust. You gasp when his hand on your thigh pulls a little, widening your legs around him and making you take him even more.

“Fuck! Jake…!” you cry out weakly, doing your best to keep your momentum, but with this new positioning, you barely have enough strength to lift yourself from him. Jake doesn't seem to mind, groaning in approval and suddenly sitting up, twisting your still connected hips to spin you beneath him now, his hand hiking your leg up over his shoulder as you go.

You gasp again, your own hands clutching his shoulders as he begins fucking you impossibly deep, picking up his pace again as he hovers above you, one hand now in the mattress beside your head.

“Take me so well, sweetheart,” he grunts out, closing the distance between you to press his lips back to yours. You chase him when he pulls away again, whining in disapproval, but his lips dont go too far, as he falls to his forearms and really begins to fuck you.

“Gotta give it to you so good you’ll be stuck on me, huh? Won’t think about anyone but me while I’m gone?” he goes on, and all you can do is nod.

“You gonna cum?” he asks a little more coherently, and you nod, because the way he’s driving into you nearly has you toppling over already. “Yeah? Go on, let me feel you, want you to cum around me, honey.”

His words alone are enough to push you off the edge, more so when you feel him join you, and you arch up into him, curl your hips against his own ragged thrusts, desperate to keep him from pulling out halfway through. He doesn’t seem to be planning to this time, and you mewl and moan in delight at the feeling of him filling you up, the feeling of him dripping out of you when he gives you a few last firm thrusts.

Jake pants above you, the hand by your head slipping down to caress your cheek as you both take a moment to come down. He kisses you, long and deep and nearly enough to get you going again. You wait patiently when he pads off to his bathroom to find you a cloth, and you barely notice yourself dozing off until you wake sometime later.

The bed is empty, though the bedside lamp has remained on, and you sit up properly, rubbing your eyes.

“Jake?” you call out, but you don't see him in the bedroom or bathroom. Frowning, you scoot out of his bed and grab one of his old squad shirts, slipping it on as you move out of his bedroom in search of him.

“Jake?” you call out again, trailing your hand along the wall as you step softly down the stairs to the first floor. It doesn’t help that you can’t hear him, but your worries are belayed the moment you turn around the corner and into the kitchen, and you’re greeted with his bare back as he stands at the sink. He’d pulled some sweatpants on, but they’re hanging low on his hips, enough for you to see the little dimples at the base of his back, and you itch you wrap your arms around him again.

You try to be as quiet as you can as you move up behind him, relishing in the small jump of surprise he does when you trail your hands over his skin and around his front, pressing your cheek between his shoulder blades. You feel him chuckle, feel the deep reverberations through his chest as he does, before he’s pulling you by one arm around to his front instead, where your face now rests against his chest instead.

“I thought you’d fallen asleep.” he tells you, leaning down to absently press a kiss to your hair. You shrug, but peek over your shoulder to watch as he continues to wash dishes, moving with him when he has to move, loving the way he briefly wraps you up whenever he does so, as if he’s worried his twisting might scare you off.

“What are you doing?” you ask dumbly, even as he scrubs down the pan you’d used to cook dinner.

“I didn’t want you to have to wake up tomorrow and do the dishes.” He tells you quietly, like he was worried about admitting this to you, like it was something he should feel guilty about. You coo, and squeeze him a little tighter, just as another thought occurs to you. You’d meant to talk to him about it when he got home from work, but with all the messing around that had happened, you’d totally forgotten.

“Do you want me to drive you in tomorrow?” you ask, feeling the way he pauses. You look up at him after he stays quiet for another beat, and find him staring down at you oddly. Your eyes meeting seems to break him out of his reverie though, and he blinks rapidly a few times.

“You don’t mind? It’s an early start…” he tells you, trying to warn you off, but you see right through him. You can tell it means something to him, though you don’t know what, and a part of you wonders if he’d ever had a girlfriend drive him to base for a deployment before.

“I’m not going to see you for fourteen months, Jake, of course I don’t mind.” you say as if it's obvious. You watch him purse his lips, but smile softly.

“I’d like that.” he says at last, moving one arm to wrap around you permanently now, continuing his task one handed until you extract yourself from him to grab a drying cloth. He makes a sound you only feel briefly, but you shoot him an amused shake of your head and remind him that the faster the chore is done, the faster the two of you can go back to bed. He stops his complaining then, and when the sink is empty and the dishes all stacked away, he picks you up and carries you all the way upstairs again with your legs wrapped around his waist, keeping them there until you both fall asleep again.

Jake can’t stop looking back over his shoulder at you as he stands with the rest of Dagger, getting ready to board. You’re right by the front of the crowd of family that has gathered to say goodbye, which doesn’t make it any easier. If you’d disappeared amongst the people, he could fool himself into thinking you weren’t there, but as it is, he can see you clearly, and it’s eating him up.

Even Rooster can tell, watching and following his gaze every time Jake longingly glances back at you, his brown eyes trailing to the beautiful girl in the front of the crowd, occasionally conversing with the people around her, but mostly just eying the group of aviators with a sad little smile.

“You should say goodbye.” Rooster tells him quietly, eyeing up the officers ahead of them and correctly guessing that they would be about to board. Jake swallows, and pushes his sunglasses up his nose.

“We’ve already said goodbye.” He doesn’t mean to sound so snappy or cold, but he really didn’t want to think about leaving you anymore than necessary. Beside him, Rooster shuffles and shrugs.

“Say goodbye again.”

Jake stays quiet for a moment, before he turns to look at his wingman, and then at the line ahead. Quickly shifting his bag and stuffing it into the other man’s hands, Rooster only nods at him before Jake’s body is moving, easily pushing past the junior officers who step out of his way quickly. He barely takes note of the saultes he receives, because his eyes are set only on you, the way you watch him with a frown, but even as he gets right up to you, and you open your mouth to speak, he keeps moving, cupping your jaw and pressing a series of kisses against your lips.

When he pulls back you frown is gone, replaced with a lightness he hasn't seen since before he’d told you he’d be leaving.

“Will you wait for me?” he asks breathlessly, aware now that the carrier had begun boarding, and he needed to get back.

“What?” you ask with a slight laugh. Jake only leans in to kiss you again, and from somewhere behind him, he can hear a few servicemen whistle. You’re still giggling when he pulls back, but he digs into his uniform pockets and brings out his keys, pressing them into your hands.

“Wait for me.” he says again, waiting until you nod your assent before looking away from you. Through the crowd, he can hear someone, Rooster calling him, an edge of warning in his voice.

“I’ve got to go.” he tells you dumbly, and kisses you again.

“I know. Go! I’ll be here when you get back!” you assure him with a laugh, kissing him back but pushing him away at the same time. Jake grins upon hearing the words, and steps in to kiss you again, before finally dragging his body forcefully away from yours, and back to his team.

Phoenix is giving him a funny look that he ignores as he takes his bag back from Rooster with a silent nod of thanks. He receives a pat on the shoulder from the other man, who looks down his sunglasses at him thoughtfully. Jake sees his eyes trail off and he knows Rooster is looking at you again. He pats Jake’s shoulder once more, his lips tipping up teasingly.

“She’s cute,” Rooster tells him. Jake eyes him as he replaces his sunglasses.

“Yeah,” he says. “She is.”

“Hey babygirl, it’s good to see you,” Jake can’t help his wide grin even as he stares at your somewhat blank, reserved expression. Something in his chest wobbles as you eventually give him a weak smile, and he nervously adjusts his camera.

“Hi, Jake.” You say. It only makes his stomach wobble too.

“Is the software working okay? I have captions?” he asks, double checking the program on his end to make sure for the fourth time that everyone is tip top. You nod.

“Yeah, yeah, everything is working fine. I even put my hearing aids in… I’ve missed your voice,” you tell him.

Your words go a small way to alleviate his anxiety, but it’s been four months since he’s communicated with you via more than just email, and he can’t help but listen to the voices in his head from long before he met you, telling him that you don’t want to wait for him any longer.

“I’m honoured, you hate wearing those,” he says with a stiff laugh. You smile a little wider, but don’t seem to relax.

“Too much noise,” you agree. A quiet beat passes between you and Jake steels himself for what he knows is to come. You both speak at exactly the same time.

“Listen, baby, I’m really sorry I haven’t been able to do this sooner, but–”

“–I’m pregnant.”

Jake freezes, and so do you.

“Oh, thank god,” he hears himself say outloud, his entire body sagging as the weight of what he’d thought you were about to say leaves his body entirely.

“That’s… that’s not what I was expecting…” all stress seems to have left your body too, and for the first time since your call connected, you too appear to be completely at ease. “I thought you were going to break up with me…” you tell him, making Jake start.

“I thought you were going to break up with me!” Jake exclaims, before quickly quientening his voice. “Christ you scared me,” he tells you, letting out a sigh of relief.

Your face is a mixture of amusement and bashfulness.

“You’re more scared of me breaking up with you, than me being pregnant?” you ask, and Jake finds himself nodding immediately.

“I wouldn’t say scared, per se…”

“Your own words, Jake,” you remind him, and he chuckles, but shrugs. You both pause for a moment as you take in the wealth of new information and relationship security you now bask in. Jake jumps then, and leans in closer to his screen.

“How far along are you?” he asks, unsure of what really to ask in this situation, it’s honestly not one he’d ever been in before, but he’s proud to discover his mind immediately has calibrated for it.

“I’m going to the doctor in the morning, but I’m guessing around four months,” you tell him with a slightly wry smile. Jake laughs.

“I should hope so,” Jake chortles, before turning serious again when he sees you only laugh weakly.

“How are you feeling, baby?” he asks, then quickly, for your sake, adds; “For the record, I want whatever you want, I just want it with you.”

Your face travels through several emotions, but you at last give him a watery little smile.

“I really thought you’d break up with me, I haven’t even thought about anything else,” you admit, and Jake feels something else in his chest wobble.

“Honey, unless you’re planning on breaking my heart right now, I’m not breaking up with you any time soon… or ever, if I’m honest… I’m sorry that’s not been clearer…” he tells you, feeling a slight lump in his throat at the very thought.

You were it for him, he thinks, he can’t imagine not coming home to you. He’d even considered throwing his medical on purpose the other day, just so he could wait for your email he knew was likely to come. Jake has never even considered that before, not even for family. A knock on the door makes his face fall, and he turns to glare at the ensign who pokes their head in.

“Liuetenant Seresin, sir, Captain Mitchell requires you on deck.”

Jake sighs, but nods grimly.

“Tell him I’ll be there in a moment.”

“Sir!”

Jake looks back at you, already smiling sadly.

“I’m sorry, sweetheart, I need to go,” he says tiredly. He’d wished he got more time to talk with you, but especially about this.

“It’s okay Jake, we’ll be fine,” you tell him. Jake can’t stop the quirk of his lips as he stares at you.

“‘We’ huh?” he asks teasingly, feeling something like excitement, or perhaps pure, sheer joy race through his veins. You cock your head but your arm moves, he can’t see where exactly, but he suspects your hand now rests against your belly.

“Yeah. We.”

Jake swallows thickly, and nods, unable to fight the smile that pulls at his lips.

“Okay, baby, okay,” he hears another knocking on his door and huffs. “Send me everything you can, I don’t know when I’ll get to call you again, okay? Send me everything.”

Jake walks quietly alongside Dagger as they return to their ready room, listening to them discussing possible ‘new’ hand signs for each other to signal readiness for the manuevour they’d been working on not even twenty minutes ago, prior to landing. He checks back into the conversation long enough to watch the proposed sign that Payback suggests, and immediately begins shaking his head.

“That’s ‘math’ in sign language,” Jake tells him, earning a look from Phoenix.

“Since when do you know ASL?” she asks, not fully sounding accusatory, but certainly not shying away from that tone either. Jake looks up at her and opens his mouth, but it’s Bob who gets there before him.

“He’s been practising with me,” Bob informs her, making Phoenix only more curious. She turns back to Jake expectantly. Jake shifts on his feet as the group comes to a halt, clearly also wanting to know what this is about, and for a brief moment, he considers telling them to mind their damn business.

That thought passes though, his spite warmed into a quiet kind of glee at the mere thought of you, his chest tingling slightly under the picture he has tucked into his flight suit.

“My girlfriend is deaf,” he says at last with a small shrug. Phoenix stays eying him for a second, even more curiosity filling her gaze, but after a moment she relents. He knows she’ll have questions later, but for now seems to be content not to make him answer them in front of everyone.

“Huh.” she says, and with that the squad continues moving.

Eventually, Phoenix and Halo peel off to the women’s locker rooms, the boys moving on to theirs, Payback, Coyote, Fanboy and Bob making straight for the showers. Jake can’t shower yet, though, he has precious cargo to return to safety, so moves straight for his locker, peeling it and carefully removing the photograph from his breast. Using the wad of blu-tac he’d acquired a few weeks back, he gingerly sticks the image backup in its home when he’s not flying, making sure not to get any fingerprints on it as he does.

“That was a good exercise,” Rooster’s voice makes Jake almost jump out of his skin, and he turns to look over his shoulder, quickly shooting the other man a nod.

“Yeah,” he replies simply, his lips thinning into a line as Rooster steps closer, opening his own locker but inevitably glancing over at Jake’s in the process. Jake tenses up as he feels Bradshaw pause, but after only a few agonising seconds, Rooster is moving again.

“Congratulations?” Rooster half-praises, half-questions, side-eying Jake, who stiffens just slightly, but finds himself relaxing when he looks back up at the grainy ultrasound.

“Thanks,” he says, feeling his stomach flutter at the memory of the first time he saw it.

Jake reaches up and rapps the ultrasound fondly.

“Twenty-three weeks. She’s supposed to be the size of a peach, but hell if I know what I’m looking at,” Jake shrugs and rolls his eyes, even letting loose a small smile when Rooster leans over to get a closer look. After a moment he too pulls a face and they meet eyes.

“Yeah, looks like topography to me,” Rooster shrugs as well. Jake looks back to the scan thoughtfully.

“Oh. Yeah. There’s a mountain range…. Small valley…” Jake trails off as the showers seem to shut off in near-unisen. 

He quickly shoots Rooster a steely-eyed stare, which thankfully the other man seems to understand the meaning of, because all too soon their conversation comes to an end and Jake shuts his locker door protectively.

Their veil of secrecy is shattered however, when Javy, dressed in only his towel, waltzes right up to Jake, opens his locker door again, places a kiss to the ultrasound, then carries right on as Jake quickly closes it behind him. Rooster shoots him a look, and before the others can make an appearance, Jake explains himself.

“Only Javy knows,” he grinds out, but can’t find himself too annoyed. Javy had immediately taken to his Uncle role, sending little gift packages to Jake's house for you to discover.

The ‘My Uncle Is Single’ onesie was particularly cute.

Jake doesn’t even really have to push his way to the front of the line at the docks. Not only had Dagger made a path for him, but they were actively hauling at the collars of younger sailors, and from behind him he can hear various calls of ‘make way!’ and when one sailor protests a little too loudly, Phoenix saying ‘Hangman’s about to meet his kid for the first time, do you really want to get in the way of that?’. He makes a note to thank them later, but then he sees you, and he sees his baby, and all thoughts fly out of his brain.

He rushes up to you, gathering you both in one tight hug before you even seem to realise it’s him. But then he hears you laughing waterly, and he pulls his face back enough to plant a long, passionate kiss to your lips.

“Hey baby, hi!” he gushes cupping your cheek in his hand, before quickly extracting himself only a little, and focusing his attention on the bundle of excited squeals in your arms.

“Hi Princess, c’mere, I’ve been waiting so long to meet you!” Jake continues to talk before you can even get a word in edgewise. You laugh again, and shift the baby on your hip enough and Jake steps in again quickly relieving you of the weight. His daughter is immediately enraptured by the pins and shinies on his uniform, and she babbles talkatively up at him. Jake had shared his worries with you that she wouldn’t know him, recognise him, but all that is quickly abated when she stuffs a fist in her mouth and all but collapses against his chest.

His whole body fills with a warmth like he’s never known and he looks over at you.

“I think it’s too loud for her,” you say with a laugh, cuddling in closer to the other side of his chest. Jake looks between the two of you lovingly, adjusting his girl so he can show off some of the ASL he’d managed to learn in the last fourteen months.

Sorry, he signs carefully. Just – little – longer. Team – want – meet – you – both.

Your face lights up in recognition and your eyes get a little mistier. So – good – now! You sign back slowly for him, just as he feels several presences come to an anxious stop behind him.

“Bob helped,” he says, getsuring over at Bob, who steps forward with a short little wave.

“It’s nice to finally meet you, Ma’am,” he tells you, before his eyes shift to the baby in Jake’s arms. He tips his hat again at the girl who, as Jake turns, seems to be quietly inspecting the newcomers, drooling all over her tiny little hand. Bob does another little wave, more goofy this time, and she giggles, but turns her face inward briefly to Jake’s chest even more.

Jake uses his free arm to pull you in a little, and nods at his team.

“Baby, this is Dagger, that’s Bob,” he briefly pauses to show you Bob’s sign name, before he goes on to point out the others. “Phoenix, Rooster, Fanboy, Payback, and this is–” he gets cut off as Javy pushes his way to the front of the crowd.

“Uncle Javy!” he announces, balling you up in a tight hug. You laugh and nod.

“Thank you for all the gifts for her! She loves them!” you tell him, which only makes him smile wider, and puff his chest out some as he rounds on Jake and his daughter.

“Can I hold her now?” he asks, with his arms already out. Jake’s features drop into a friendly glare.

“No.” he says firmly, tugging the baby closer. He’s rewarded when she begins to fuss a little at all the new attention, and Jake quickly begins shushing and cooing at her, only for her to relax and fall quiet, her tiny fists now clutching desperately into his jacket.

“That’s right baby, daddy’s not gonna let Uncle Javy take you away from him.” He runs his hand comfortingly up and down her little back, snuggling her closer.

Javy rolls his eyes, but relents, pointing at Jake and you.

“Ya’ll got one week, then I’m crashing,” he tells you. Jake shakes his head, but you nod, looking up at him. You sign ‘babysitter?’ at him, then getsure at Dagger in general, and after he puts two and two together, he’s shaking his head.

“No. No way,” he says. You nod again and gesture back to the group.

“No,” he says.

“Yes.” you reply, Bob nodding quickly along with you. Jake rolls his eyes up at the sky, then back down at you. He looks over at where Rooster, Phoenix, Fanboy and Payback have all started cooing and making faces at his girl, making her giggle and kick her feet, and lets out a sigh.

“Fine. Maybe.”