#Staphylococcus Question And Answers

[eureka-its-zico]

Residuals Pt. 4

Ongoing Series

Synopsis: You and Robby spent seven long years together until the day it ended. You’ve done your best to create space; to become invisible. You can’t miss what you don’t see. Unfortunately, the universe (Gloria and the Board of Directors) seemed to have missed the memo.

Pairing: Michael ‘Robby’ Robinavitch x Reader

Genre: Established previous relationship, slight age gap (by about 15 years give or take), a little bit of tension mixed in with a little bit of hate yearning, cause she’s a saucy angsty fic ok

A/N: First, I read an article on burns to try and make this as accurate as possible, (article here by the NIH) but it’s still not terribly accurate. So, please, I tried lol. Secondly, I’m still screaming at the amount of love you guys have shown this series. Truly, I appreciate it more than y’all know. Thirdly, enter in a little extra dash of drama by Gloria (who redeemed herself in ep.12 but we ain’t there yet) and ya girl is just having a rough-ass day. Fourthly, yeah…she’s a thick chapter. Hopefully, it's still good because I’ve edited it as much as I can. As always, I hope you all enjoy. Thank you for the support and for being here. Much Love, Jenn

Warnings: Mentions of death, language

Words: 10k +

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Whitaker proved to be an adept student. He followed directions well and answered whatever questions you threw his way about proper wound care at home and possible infection risks around the burned areas. When you’d finished with the first patient, you ensured he knew to return to the emergency room immediately if they experienced any new or persistent discomfort, like pain or tenderness in the area, increased warmth, discoloration, or advanced swelling. 

“If the infection is invasive and takes hold of the wound, what is the main course of treatment, Dr. Whitaker?”

“We would contact surgery.”

“Correct. Why?” 

“The need for surgery would be based on the high concentration of the bacteria levels found present in the wound.”

“We’d check for signs of possible sepsis and a full check-up to narrow down if it's gram-negative or positive bacteria, which tells us further about our treatment plan. What is the chief cause of burn wound infections?”

“Staphylococcus Aureus - MRSA.”

“How would we verify the patient had MRSA or any other type of possible bacterial infection?” 

“By taking a sample from the area for testing -“

“You guys aren’t about to cut me up or anything, are you?”  

The sudden input from the patient caused a nervous tick from Whitaker. It halted his hands from finishing the last few loops around with the gauze. The patients' eyes darted nervously from you to Whitaker and back again. You gave your best reassuring smile while making sure the dressing was secured on his chest and shoulder.

“Well, Kyle, the faster we get you out of here, you take the antibiotics I prescribe you, and make sure you keep your burns dressed and away from exposure to possible germs, then no. We won’t be ‘cutting you up’ today.”

“Okay. Cool. Because that sounds really uncool.”

Dilaudid truly did wonders for conversations. You’d have to make sure the discharge papers were clear on his care and warning signs to look out for. Plus, add extra emphasis on trying to make sure not to share any items in the frat house bathroom. 

In truth, it wasn’t him, but his fellow frat boy neighbor in four that had you worried. So far, he showed no obvious signs of infection, but once the adrenaline of the moment wore off he noticeably seemed to slip into shock at having half his face, eyelashes, and eyebrow singed off. Not enough shock, however, to keep from asking if he’d make a handsome Harvey Dent for Halloween. 

The burns to his neck and chest indicate to you he was closer to the fire pit than his buddy Whitaker currently patched up. You’d ordered blood work, x-rays, and a culture swab on two-face and his friend just to rule out any surprises. 

You did your full assessment, asked questions, and directed Whitaker the best you could. You wanted to be the good mentor like Adamson and Singh had been for you. A good mentor like Robby was too. You would never admit it out loud but a small piece of you wanted Robby to see how capable you were. A silent bid to prove he could trust you with his interns and medical students. Between Robby, Abbot, and the previous attendings you knew you could teach. 

It wasn’t a hidden thing that you’d both meet here during your residency. Yes, it was Adamson’s circus, but Robby thrived under Adamson’s direction and the insanity the Pitt offered. He was funny, charismatic, incredibly smart, and showed a level of empathy that bordered on worrisome at times. A tidal wave of grief encapsulated him and carried him under if he wasn’t careful. Robby was exactly the physician any patient should want taking care of them when they arrived in the ED. 

And hell, you weren’t blind. Anyone with eyes could see that Robby was handsome. Painstakingly, stupidly, egregiously, fucking handsome. It was fucking criminal. 

Robby taught you so much in the time you’d spent here and you knew he probably still could but that would mean being around him. The two of you standing closer than you’d been in years was proving to be a dangerous thing. He’d fallen back into the habit of stealing touches and you’d fallen back into the habit of shamelessly teasing him with things he’d usually make you pay for later trapped between his body and whatever surface in your house.

It was a dangerous game neither of you realized you were playing, and both of you were losing fast. Instead of having your focus one hundred percent on the patients and being back in the ED for the first time in years, your focus repeatedly returned where it shouldn’t. At first, you could lie to yourself and say you were simply scanning the hallways and nursing stations to make sure you didn’t see him. Of course, that’s what you wanted to believe; to coast through this shift without any additional emotional trauma following you home. 

It was fucking impossible.

You could continue to lie to yourself all you wanted, but the truth was blatantly clear. Your eyes didn’t comb over the hallways and desks in hopes of not finding him. You didn’t quickly peer into rooms in anticipation that he wouldn’t be in one. You wanted to see him just as much as you denied that you didn’t. 

The day you left, you made sure to do it while Robby was working because you knew, that if he’d been home and asked you to stay, you would’ve. And if he didn’t fight for you - never uttered a singular word of pleading to keep you from leaving, you weren’t sure you could survive it. 

So now you found yourself hopelessly looking for him in all the places you swore you’d never go again. You may have chosen to leave, but it never meant you stopped loving him. The fact you were still in love with him made seeing the lost look in his eyes sting harder. You watched as he spoke to the parents of the kid who overdosed with no possible hope of waking up again, and you wanted to go to him. It was the shattering look of grief that made you forget how to move. Robby knew what was coming better than anyone else did. 

How many times was Robby the one in charge of giving the heartbreaking news that loved ones weren’t coming home? Shouldering the burden of listening to the breakdown of their world and being the pillar of strength and comfort while families struggled to rearrange? 

You hadn’t realized the black hole of anxiety was leading you down a rabbit hole until the sound of Whitaker calling out, “Dr. Fullerton,” at your side left you practically jumping out of your skin. 

Shit. How long had you been zoned out? Hopefully, you hadn’t said anything weird. Or incriminating.

“Sorry,” he swiftly followed up. “I was trying to ask where we were off to next, but, uh, you seemed a little…preoccupied.”

“Oh, yeah, no sorry. You can go back to the red zone. I’m just going to help McKay up in triage.”

“Did I do something wrong?”

“What? No, not at all. You’ll have more of a chance to learn with Langdon and Collins.” What you actually meant was to see more if that was what he was into. “Also, maybe check on your last patient I pulled you away from earlier.”

“Oh, yeah, of course.” You watched him take your advice and, in real time, get ready to dispute it. “Why am I checking back in with Mr. Milton?”

What should you tell him? In the Pitt, it was easy to be thrown from one patient to the next - forgetting their faces and names as the minutes blurred into hours. Easy to forget they were waiting on test results that needed to be read by you and needed a treatment plan discussed and planned by you. Major issues could present as something small, something easily missable until further testing exposed the truth of the situation. If you went just the smallest amount of time without checking the results, without popping your head in for a visual, well, it wasn’t hard to imagine how sometimes those major issues finally presented themselves and everything got much, much worse. 

“Look, Whitaker. As much as the powers constantly stress about getting people in and out quickly like this is a drive-thru, we have an obligation to each patient to give them the best care we can. It means staying on top of orders and checking in regularly. Trust me, Whitaker, things can change quickly down here.”

“Okay, yeah. That makes perfect sense. Thanks, Dr. Fullerton.”

“You bet. See you around, Whitaker.”

He gave you an awkward wave and didn’t move right away. It wasn’t until you turned away from him that you heard him shuffle on his feet. A part of you was curious if you glanced behind you he’d still be standing there, deciding where to go.   

All that mattered to you was that you currently needed a new patient. It didn’t matter what the chief complaint was. Ideally, for the all-seeing eye of admin, quick and easy ones would look better. At this rate, you were positive your Press Ganey score was dipping. You were seeing patients at the speed of an R3; two patients per hour and they were after fast and loose results. But you wanted something with the capability to keep you occupied for hours. Preferably something that would require so much of your attention it would force you out of your head. 

Yeah, that would be good. It was too damn early still to be spiraling into a midlife crisis just because you had to work with your ex. An ex, you realized, who was wearing the damn navy blue hoodie you’d bought him on his last fishing trip to Canonsburg. 

No. No. Nope. You weren’t supposed to be thinking about him or stupid hoodies or the gold chain of his necklace that used to drag over your collarbone. How your fingers curled around the thin chain, using it like a lead, to bring him down on top of you on the couch. Absolutely not - you were at work and he was your ex. He was your ex and you shouldn’t fucking care how you could still tell after all these months he was sleeping like shit. 

You were almost back to Dana’s station, the monitor looming overhead like a beacon to salvation when you noticed Whitaker walking in tandem beside you. You cocked a brow in question that Whitaker rushed to answer. 

“The board is this way, so…”

Right. You knew that. 

“I was trying to talk to you but I think you were in deep thought or something. Again.”

Or something. God. That was twice. Twice your head was everywhere else but where it needed to be, which was at work. You should’ve fought harder when Gloria came to reassign you, but none of this should’ve mattered. 

You were a damn good doctor. You’d trained under the best, learned from the best, and kept progressively learning and didn’t stop. You spent years of your life on this because helping people was your passion. It shouldn’t matter where you were placed if you were down here to help for days, months, or years. 

Yet, in the matter of an hour, your mind waded into memories that were better off left for dead with your eyes searching for someone you shouldn’t. 

You didn’t know how to answer him. “Sorry, I should remember where everything is but find myself stuck daydreaming about the past and looking for signs where I shouldn’t and sexually fantasizing about your attending”, didn’t seem appropriate to tell a med student. So, you ended with a weak, “Sorry about that,” which passed for understanding. It made you feel like an ass, but you didn’t trust yourself to speak. 

You came to a stop just a few feet from Dana’s desk. Her back turned to you as she went through folders preparing patient's charts for transfer upstairs. Her eyes shifted up at the board and over to a newer resident you hadn’t met yet. 

Her gaze was fixed on the monitor; eyes scanning rapidly down the chart as if there was a code that needed cracking. You knew that look. It was a shared one you’d no doubt mirrored only an hour ago. 

“What do you need, Fullerton?”

Your head swiveled back to Dana and found her now facing you, her glasses removed, and waiting for your answer. 

“How’d you know it was me?”

“Are you kidding?” The question fell out of her in a chuckle. “You’re the only one I know who goes around taping on every damn surface when they’re thinking. You act like my five-year-old grandson, just less noisy. Barely.”

“That’s offensive,” you pointed out. 

“For who? You or my grandson.”

You felt the first crack in your defenses tug at the corners of your mouth. If you weren’t careful, Dana’s whip-smart comments were going to make you fold back into a routine you hadn’t been a part of in a while. It wasn’t just you who was slipping at this point, and you clocked the moment Dana began to realize it too. 

She was supposed to be upset with you - grumpy, mean remarks only. You were supposed to take them and dish them back so you could comfortably stay in your bubbles of denial and anger. The denial of what, exactly, was achingly easy to see. 

You both missed each other. More than either of you were willing to admit. 

Your reply sat cocked and loaded on your tongue when you remembered what transpired half an hour before. As much as you missed one another, you had to be careful with what you shared around her. It was obvious, whatever the ‘It’ may be, Robby would magically seem to find out. 

“Any quick ones up here? It’s only 8:30, and Robby’s already on my case for being too slow. I can usually at least make it to lunch before he starts hounding me.” 

Your attention swiveled back towards the resident. Her gaze fixed on the board before glancing between Dana and you. Hopefully, her question wasn’t meant for you to answer. You weren’t very good at picking off the board either. 

“Cut him a little slack today, ok? It’s the anniversary of Dr. Adamson’s death.”

Of course, Dana would cover for him. Intercept all incoming rapports of Robby being prickly and sometimes downright mean to bury them under the rug of understanding. 

Yes, it was the anniversary of Adamson’s death. It always would be. Grief wasn’t easy. It was messy and unrelenting in the moments it chose for sights, smells, and touch to materialize memories that recalled moments you wouldn’t get the chance to share with them again. A constant reminder of all that we lost. Time didn’t seal up that cavern their loss created; it just became more manageable over time. 

Robby never coped. Never allowed himself to grieve, heal, and thrive in the good memories he did have. The doubts and guilt haunted him every day in every step, every decision, he made. He housed it inside him like a ghoul in a cemetery feasting on the remains of who he was before Adamson’s death - before the pandemic. 

“That’s sad. But it’s still no reason to take it out on me. I’m just saying.”

You liked her. She got it. You wanted to properly introduce yourself. By the look on Dana’s face, you need to do it quickly before she breaks out into a lecture. Luck wasn’t on your side because Whitaker beat you to the punch. 

You didn’t want to eavesdrop on their conversation but you also didn’t want to go back to having a conversation with Dana, either. It left you the only option of staring back up at the beloved board. You’d just decided on 7 North when Dr. Collins walked by, her hands digging in the glovebox on the wall to retrieve a pair. Her eyes were on Whitaker and yours were on her. 

It wasn’t a secret that Robby and Heather had dated. Well, maybe to those in the Pitt, and not including Perlah or Princess because they suspiciously seemed to be psychic. Or just really loved to gossip. No, you’d learned about them when a friend spotted Robby and Heather out on a date. You’d only assumed it was a date because she repeatedly kept using the word cozy. 

And why should you have cared? It’d been almost a year since you’d left. You chose to leave and that meant making him free to date and find new love or whatever. You didn’t have a right to lay claim to him just because he’d been yours. And Heather? She was gorgeous. She was fucking brilliant, with a beautiful smile, and it suddenly made you feel uncharacteristically subconscious. 

Whether it’d been a date or they just seemed cozy (it was a damn date) you shouldn’t have felt jealous. You were fine. It was perfectly fine and healthy for people to seek out relationships and companionship. It was normal and you were fine. You weren’t any saint either. You’d dated someone briefly and, if you were honest with yourself, you could’ve stayed in that relationship. It was nice and easy. Simple. But you didn’t love him and you weren’t sure if you ever could. 

The problem of loving Robby - still being in love with Robby - was that he stood witness to your most intimate memories of love. There were stories woven into your bones that bore witness to the man he was and how he loved you. They were told in joy and tragedy, laughter and sadness. When Nathan kissed you, the earth kept spinning. He didn’t taste of bourbon or smell of leather and sandalwood. He didn’t spend time in the backyard sanding down tables or staining decks. He didn’t wear glasses that somehow slid minute by minute inch down his nose until he subconsciously tilted his head back to see.

In the end, you left because of one glaring fact: Nathan would never be - could never be - Robby.  

Dr. Collins told Whitaker to come with her for a teaching experience - an unconscious unhoused man was being brought in. Whitaker quickly moved to follow her lead in grabbing a pair of gloves just in time for the paramedics to wheel in the gurney. Said man was very much unconscious and appeared very much unhoused. 

Your time playing the gawking bystander had come to an end and you needed to get to 7 North. You pushed away from the counter when you were stopped by the resident from earlier barreling into your line of sight. 

“Dr. Fullerton? I’m Dr. Samira Mohan - R3. It’s a pleasure to meet you.”

Dr. Mohan stuck out her hand and you accepted it warmly. Besides the obvious annoyance from Robby hounding her existence, it seemed Dr. Mohan was friendly. She held a kind air about her that reminded you of Robby - only now that kindness held an edge of grumpiness because his empathy was playing an overwhelming game. By the sleepless bags under his eyes, you could tell he was losing. 

You wanted to point the probability of this out to her, maybe offer her a consultation for Robby’s apparent hard-ass demeanor, but quickly shoved it off. 

“It’s nice to meet you, as well, Dr. Mohan.”

“Would it be okay if I could confer with you later?” Dr. Mohan’s eyes shifted to where Dana stood only inches away. “In private?”

You weren’t sure if you should be flattered or wanting to run for the hills. Dana’s eyes practically bore into the back of your head, waiting to hear your answer. You knew no matter what you chose to say this was getting back to Robby. 

Fuck it. 

“Of course, Dr. Mohan. I’ll come and find you after my next patient.”

“Thank you. I look forward to speaking with you.” 

She cut a cautious glance over her shoulder and turned on her heel towards the south hallway. It must have been nice to make an easy exit. It was definitely something you were down to try but Dana stood closer to the counter, her glasses down the bridge of her nose, and accused you with a look of being a troublemaker. Your only defense was a shrug. 

“What?”

“What the hell was that about?”

Your brows converged together as you shrugged again. 

“How am I supposed to know, Dana? I haven’t even talked to her yet.” 

“Talked to who about what?”

Fucking kill me. 

What was with today? Were you unknowingly walking around with a ‘Kick Me,’ sign written by life? You’d gone over two years without ever running into Robby and within an hour in a half, you couldn’t seem to avoid him. 

And why was he standing so fucking close again? 

You didn’t need to glance over to your left to know he was close. The heat of his body, the nudge of his elbow against your arm informed you at breakneck speed you were close. Too fucking close, Michael. 

“Mohan seems to want to speak with Fullerton. In private.”

“You couldn’t just wait for me to answer, Dana?”

The words rose up your throat like bile, acidic with its irritation. You couldn’t help it. You didn’t need this shit. You didn’t know what Dr. Mohan wanted but the cryptic way she asked wasn’t doing you any favors. It was at this moment you finally chose to look in Robby’s direction. He was leaning into his elbow that rested on the counter. Even with his body slightly slouched the height difference was substantial causing you to crane to look up at him. 

The problem with this? He was close enough that your temporal lobe was overloaded with thousands of memories of his thumb gliding across your lips. Large hands taking hold of your neck and tilting you back at just the right angle for his lips to claim yours. 

When you were no longer held hostage to the sensory manipulation your brain concocted, you prayed to whoever was listening that you didn’t look as lovestruck as you felt. By the dark glint in Robby’s eyes, you were doing a piss poor job at being Switzerland. 

“What? So you can conveniently disappear by the end of the shift without any context or explanation? No, thanks. Been there. Done that. Not a fan of the outcome.”

“This bipolar verbal assault is getting real tiring, Dana,” you huffed. 

“Alright. Alright, enough!” Robby cut in. “I expect this behavior from patients, not my staff. Now, Dr. Fullerton, what did Dr. Mohan want to discuss with you?”

“Jesus Christ,” you sighed, “I have no fucking clue, okay? She just asked if she could speak in private and seeing as how she did ask for it to be private, I don’t see why you need to know.” 

“Ugh,” a dry huff of what might have passed for a laugh - a cough maybe? - exited his lips. His brow was drawn tight while he looked at you. No doubt wondering where you’d gained the audacity. “Because this is my emergency department. I’m in charge of the entire thing and I think I need to be aware of what is going on with my staff.” 

“Well, maybe if you stopped acting like an ass to said staff they wouldn’t be seeking outside counsel.”

A mirthless laugh exploded from between his lips. The sound carried part of the disbelief his eyes showed while he took you in. He was no longer leaning against the counter but had his arms crossed against his chest. You weren’t sure if he was looking at you like he wanted to throttle you or found you unbelievable. Neither option would make you a winner if you guessed right.

“You gotta be fucking kidding me,” he grumbled under his breath. “Are you a fucking counselor all of a sudden?”

“And what if I was? I would ask if you’d require my services, but we both know you’re allergic to seeking help.” 

You should’ve stopped while you were ahead. You were bringing up personal shit - inviting a possible fucking mess to happen - and yet you couldn’t help yourself. You kept poking the proverbial bear and damn it, you weren’t exactly sure you felt bad about doing it. Were you so desperate for a reaction from him - after all this time? What the hell was it going to prove? 

You watched the storm of emotions roll in. The deep set of his forehead and the dark clouds that zapped all residual warmth from his eyes. You weren’t sure if Robby was even aware he’d taken a step towards you, jaw flexing, and body slowly seeping into whatever free space you had left. 

Whatever words he would’ve said died in the aftermath of hearing shouts a few rooms down. It jarred you both out of your staring contest and sent him into action. One minute he was standing in front of you, the next, he was running to see what the commotion was. 

The second Robby was removed from your space, you took a deep breath in. Why did it feel like you were in a constant state of fight or flight? Your answer came in a set of blue eyes who homed in on you the moment Robby was gone. 

“When’s your next smoke break?” 

“Who says I still smoke?” 

“Dana, be serious. The day you quit smoking is the day hell freezes over. So - when?”

She regarded you for a moment. The scale in her mind no doubt weighed if this was going to be worth her time or possibly ruining her nicotine break. 

“I usually take it around 9:30. Why? You suddenly have the urge to open up?”

“Do you want to talk or not?.”

She could bitch, make jokes, and moan and groan all she wanted. You knew offering up a chance to talk would be all Dana would need to agree. Was it something you honestly wanted to do? Not really. Were you willing to do it so that at least you had one less person hounding you the rest of your shift? 

Abso-fucking-lutely.

“Ah, what the hell. I’ll see you on break kid.” 

A sigh of relief eased through you and you prayed Dana hadn’t noticed. You didn’t think she’d agree but, now that she had, you had a tiny ounce of hope this day wasn’t going to be so much of a shit show. 

“What was all that screaming about?”

You knew the question wasn’t directed at you. Robby must have made his return and the soft laughter wasn’t what you expected to hear. 

“We seem to have involuntarily just admitted rats,” he replied. 

“You’re kidding?” Dana scoffed. 

“If only I was. Whitaker was saying it was about three or four of them.” 

“And on that note,” you drummed your hands on the counter, “I am going to 7 North.” 

It wasn’t until you went to take a step forward you noticed the weight on your left foot. A weight that felt like something was sitting directly on it. You looked down just in time to watch a rat - a damn rat - scurry off your foot to run around the edge of the nursing station. 

What you did next wasn’t your proudest moment. You even used to pride yourself on being rational when it came to rodents. The shout that clawed its way from the depths of your stomach proved you wrong at lightning speed. 

You felt your body jump backward and collide with Robby. His hands were on your hips to steady you. You were bouncing back and forth on your heels, eyes scanning the area to make sure no further surprises snuck up on you. Your arms were bunched up at your sides and you were trying to talk yourself down from sweeping the remaining area with your leg. Just for good measure.

It was the feeling of his hands on your waist, the soft sound of his chuckle touching your hair that brought you careening back down to earth. Robby was close. Not like last time when your arms touched - closer than when he followed behind you into Allan's room. Even through your scrubs, you could feel the scorching heat of his palms spreading like wildfire through the fabric that sent your heart racing. 

He should’ve let go by now. The threat of you possibly knocking him over or you both tripping and falling was over. He could let go. He could just let go, but Robby’s hands were holding you firmly in place with neither of you willing to move. You refused to look behind you - afraid of what he might see if you did.

You were afraid of what you might see if you dared to look too. 

Slowly, you took a step forward, disengaging his hands from you. The sensation of loss was instant and you almost stepped back into him. Your body and mind were at war between desire and being rational. Fuck being rational. There was nothing rational about the way your heart brutalized your ribs. The need to ask stupid fucking questions that no longer mattered. The consuming way your body craved for him to wrap his large hand around your throat, whispering words of filth into your ear. 

You had to get away before you made a mistake. 

“Sorry about that. I’m going to just, ugh, go do my rounds now.”

You didn’t turn around while you softly spoke. You may have been delusional at times, but you weren’t crazy. If you looked back and Robby’s eyes gave away any hint of emotion - anything that sparked that dying ember of hope inside you - you would crumble. 

You should’ve fought harder to stay upstairs in family medicine or threatened Gloria with firing you. You were safer there. Now, you were rushing off to remember what patient room you were going to with Robby’s cologne clinging to your skin. 

You were a pain in the ass. But you were his pain in the ass. 

Used to be, his mind reminded him. 

Could still be, came his stupid heart's reply. 

Robby used to love it when you challenged him; called him out on his bullshit. You weren’t afraid to stand in the current of his disapproval or to openly have a debate, especially when you could see he was missing something. You challenged each other to be open-minded to change, because it happened so fast, and to accept that being wrong wasn’t failure but a moment to grow and learn. 

When you both stopped being open with one another, and being honest with yourselves, was when the challenging energy took a turn. Everything felt like a confrontation. Even in moments when the constructive criticism came from colleagues - from you - it felt like an attack he had to defend against. 

Robby saw it in you too. The small hints of walls slowly being built to keep the inquiries at bay. When your responses become short and brief or not at all. 

Now, before nine o’clock, you were in the Pitt not only wreaking havoc on his already fragile mental state but accusing him of…what? When you’d thrown the counselor's comment at him, Robby wanted to rage. How many times was it the main part of your arguments near the end of your relationship that he needed to talk to somebody? Anybody. How many times did he deny it? 

You’d thrown it in from the sidelines and it jarred him so much, Robby felt disoriented. For the briefest moment, Robby forgot that you were no longer together. His mind reflexively thought you were arguing about the same old tired thing. He’d taken a step toward you and wanted to ask, “And what about you?” 

You who wasn’t as honest and open with yourself just like him. There were things left unsaid between the two of you - the things that eventually buried the hatchet too far in to safely remove. 

What about all the times he’d found you in the bathroom sitting against the tub crying in the middle of the night? Your panic attacks and OCD tendencies that started after…

Every time Robby reached out to be there for you, your response was always the same. 

“It’s nothing, Michael.”  “I’m fine.”  “I said I don’t want to talk about it.”

Sure, Robby wasn’t open and was guarded in his own right but neither were you. Where he used to read the transcript of your emotions so delicately on your face, you’d closed yourself off to him and he no longer knew how to get in. 

An angry shout from down the South hallway thankfully tore his attention back to reality. His feet were already moving him robotically forward where he could see Olson entering Central 15. 

“Whoa, whoa what is going on?”

Robby directed the question specifically to one of his many team members in the room. Thankfully, Kiara started to explain or, more appropriately attempted to explain but he couldn’t fucking think through all the damn shouting. 

“Ok, ok, okay ENOUGH!” Robby couldn’t believe he was already raising his voice. Yelling at grown-ass adults like they were children. “This is a hospital. This isn’t ‘ The Jerry Springer Show’.” Although it was really, really starting to fucking feel like it with the morning he was having. “Ma’am, nobody’s trying to take your child. So why don’t you stay here with him while your husband talks to our social worker outside and straightens all this out?”

“Well, I don’t want him speaking for me and my son.”

It was clear by the wavering of her voice, that this was a tough spot for the mom to be in. Robby could sympathize but what he couldn’t sympathize with was starting a miniature war zone in one of his rooms. 

“Well, it is either you or him. Your son is not leaving, but you can be escorted out and even arrested if you refuse to cooperate. Nobody wants that. So you tell us. What do you want to do?”

Robby knew the answer before she replied. There wasn’t a doubt in his mind that this mother didn’t fiercely love her son. Whatever situation the husband did to get them in this position was unfortunate, but the only option they had now was to press forward. 

“I’m staying with my son.”

“Ok, great. You do that. Are we all on the same page here?”

The last question he sent out was rhetorical. A feeler to see if anyone else was confused about what was about to happen and if further clarification was needed. God, Robby sincerely hoped it’d all been made crystal clear what the only two real options were; the only choice being to cooperate. 

“You okay?”

Robby could see Langdon was shaken up. It could be a lot dealing with a combative patient - harder when it was a parent just trying to make the right choices for their child. You were always the best at coming in and soothing cases like this one. Somehow able to give relief and comfort while giving the most gut-wrenching news of a parent's life while calmly explaining the next steps. You were able to keep people from feeling lost in the bad news and prepare them for the onslaught of change. 

Robby waited until Langdon confirmed he and Dr. King were good before he walked out of the room. Regarding parents with kids, Robby almost forgot Teresa asked to speak with him about David. 

Central 12 was just a few steps away from Langdon’s patient. It was close to being comfortable but too close to give Robby time to think. He felt out of his element here because he was running out of options. He wanted to help Teresa, because, while she did this to help her son, she knowingly put her own life at risk to get him the help he needed. 

But isn’t that what parents did?  

At times, they blindly waded into the fire if it meant that their child would be safe. 

All Robby could do was watch and listen while he told her about how he left. While he followed up her questions with his own and did his best to try and ward off the sick feeling burying itself inside his gut. 

“Do you think David would hurt anyone?”

Even allowing the question to come out of his mouth made a rush of nausea swell back behind his tongue. He didn’t want to ask it. Nobody wants to ask any parent if they think their child - a fucking child - could be capable of harming another human being. 

Robby carried his thoughts on the reasons why young men are more prone to violence these days. With idiotic podcast hosts spewing their hatred for women who were goal-oriented and not focused on babying them like their mothers. Boys who were told to bottle up their emotions: “Don’t share your feelings. Don’t get caught crying,” unless you want to be told that you were weak. There was so much bullshit in the world for kids to have to contend with these days that Robby didn’t find it surprising a lot of them were overloaded - overwhelmed by a constant flurry from the world to be someone different than who they are. 

Robby had plenty of talks with Jake about these things. He found it easy to lean into him with the both of them connecting during shared trips and quiet nights at the house. Robby made sure his stepson knew that Robby would always be a safe place for him to land. When the world got too crazy and if he couldn’t tell his mom Janey, Robby would be there. 

Because that’s what parents do - willingly walk through fire if it meant their kid would be okay.

“The nasal swab came back negative for COVID, RSV, and Flu - which is a good thing.” 

“Then what’s wrong? What about her eyes?”

The her in question was a three-year-old named Jasmine who was vocally letting you both know that she was not in a good mood, which was very fair. Nobody liked being sick. The only issue with her actively voicing her bad mood was that any high octave screams were soon followed up by a violent cough. 

The moment you stepped inside the room you’d been worried about RSV, especially because of her age. Lungs sounded clear with slight wheezing indicated in the upper left lobe. Thankfully, all major possible viruses came back negative. The unfortunate thing was that this specific viral infection just meant mom was going to have to ride it out.

“It’s still a viral infection. The conjunctivitis, since it started coming from both eyes this morning, it’s from the infection and sinus blockage. The whites of her eyes aren’t red in any way. The best thing to do is apply a compress every few hours on the eyes to help with drainage, saline drops, or spray on the nose to help clear up the congestion and suction as often as you can. Over-the-counter cough medicine is fine unless you need a prescription?”

“No, no, it’s okay. We have some at home. So, she’s okay?”

“Yes, perfectly fine. I just recommend having her sleep elevated to help with drainage and if you have a humidifier, use it. Follow up with her pediatrician in two to three days or come back to the ER if any new or persistent symptoms occur.”

“Thank you so much, doctor.”

“You’re so welcome. Make sure to wait for a nurse before leaving. I hope you feel better, Jasmine.”

 You gave them both a wave before exiting out of the quiet of the room and back into the noise. The nurse assigned to the room came over and held out a tablet and pen for you to take. Quickly, you scribbled a signature down, because doctors were notoriously known for sketchy penmanship, and began to walk towards a nursing station. 

Technically, you did have a second option you could take before throwing yourself into the next patient room. Dr. Mohan asked to speak with you. She didn’t necessarily give a time or a preference. It was more focused on secrecy, which you found a little odd. This was Pittsburgh Medical Trauma Center - it was a rare thing to have a private conversation here. You were curious to find out what it was Mohan wanted, a bigger part of you wasn’t ready for the headache of Robby undoubtedly finding out later. The worst option: is if you were the one who had to tell him to be the advocate for his resident.

The scent of his cologne still held tight to the fabric of your scrubs. Slowly, it was beginning to fade but if you leaned in close enough to your right shoulder you could almost get a hint of -

“Dr. Fullerton.”

You were a millisecond away from calling out, “I wasn’t doing anything!”. Was it too early in the shift to consider a name change?

Glancing over your shoulder, you find Gloria making her way towards you. Each step in your direction sent your fight or flight raging back into gear because fuck no. Between Gloria and Robby, the two of them were about to have you so damn stressed out there was a high chance for premature balding to occur. 

“Oh no. I’ve had enough surprises from you today.”

“I just wanted to have a chat - “

“And definitely enough of those,” you shot back. 

You weren’t exactly sure why you kept moving. If previous experiences told you anything, it was that she would follow you until you stopped on your own or she got you into a corner. At least stopping to face her was a choice compared to being cornered with no way out. 

Resigning to your fate, you took in a big meditative breath through your nose and turned around. 

“What can I help you with, Gloria?”

Your voice was so monotone you sounded like a robot. 

“I’m glad you’ve decided to stop running and actually talk to me like an adult.”

“I’m sorry, Gloria. You brought me down here to assist in decreasing triage wait times and that is what I am doing. Stopping to have a chat with you will reflect poorly on my scores.”

“Cute,” She bit back. The smile on her face was too harsh to be genuine. “Well, it’s funny you mention scores. I’ve been keeping an eye on the numbers and the system is showing barely any signs of process or improvement. Can you explain why that is?”

The simplest answer you could’ve given her came with one name, one word, and one human being. Robby. Robby was your fucking problem; the bane of your existence. 

Gloria shoved you down here not knowing all the variables that could hinder productivity. There were moments of clarity where your brilliance shined through and in a matter of seconds it evaporated again. Realistically, it was your fault. Your inability to control your stupid fucking emotions - you didn’t need to react every time you saw him. 

How could you not react when Robby did exactly the same? 

You weren’t stupid. You’d spent years, months, days, and hours with him. Every minute is accounted for in conversations and touch. It wasn’t insanity (although the jury was still out on that one) that made you believe - to fucking notice - Robby was affected too. 

But no way in hell were you divulging any of your innermost thought demons to Gloria. 

“Look around, Gloria,” you said, arms opening up to motion around the Central rooms. “There are no beds available. You ask for solid care, for good patient satisfaction scores and that requires multiple factors. To be a good doctor you have to listen to the patient's chief complaint that they’ve been waiting almost eight hours to tell you.”

“I am well aware of the current wait times in triage, Dr. Fullerton.”

“Oh, that’s awesome. Problem solved then because once we assess them and decide they need monitoring and tests to ascertain the issue, it’s only another three to six-hour wait. Maybe longer if it’s life-threatening. Not to mention if any trauma patients come rolling through the red zone adding another twenty-five to fifty minutes on their time.”

“I don’t see what any of this has to do with not having any beds. Not every situation in triage necessarily requires a bed to be seen.”

“Gloria, your precious Press Ganey scores are going to stay low if a patient doesn’t get back to a room. You can make beds available by sending people upstairs or how about removing the deceased guy in nineteen who’s been posted here since before I arrived?” 

“Robby is in charge of contacting the coroner's office about picking up the deceased.”

“And yet, the body is still here,” you pondered. “I know Robby, Gloria. He wouldn’t knowingly leave someone’s loved one here if it didn’t mean the coroner is backed up, which means our morgue must house him until then. And why are you complaining to me like I'm attending here? Robby is the attending - “

“I’m well aware of that - “

“You keep saying you’re well aware, Gloria but the fact is it feels like you’re not. It’s easy to come down here making demands but the reality is without the proper staffing and moving boarders out of the emergency department to free up space the numbers will never fucking change. Sending one doctor down here isn’t going to change shit.”

“Are you just about done, Dr. Fullerton?” She did a dramatic pause to allow you time to cut in. “The board and its administration are well aware of the pressures that staff face down here in the emergency department - that all hospitals are currently facing shortages. The fact of the matter is studies show close to seventy-five percent of ER visits are non-life threatening, which means more than half of those patients could be fairly seen in triage without needing a room.”

You could feel your mouth opening; primed for a response that Gloria was not going to let you detonate. Her hand waved to warn you not to cut her off. 

“I don't want to hear any more about boarding or staffing. I want to see the results, Dr. Fullerton. It’s already bad enough that there are rats inside.”

“To be fair, they piggybacked on an unconscious unhoused man, so,” you shrugged. If looks could kill, you’d have dropped dead right then and there. “Not helpful?”

“No. Not helpful,” she confirmed. “I do, however, have a proposition for you.”

You sucked in a sharp breath through your teeth. The earlier annoyance at seeing Gloria twice in less than two hours of your shift changed course. Dread ice cold and paralyzing coiled in the pit of your stomach. You didn’t like where this was going. 

“Is there a pass option?”

“This is an offer from myself and the administration. So, no, there isn’t a ‘pass option.’ How would you like to be considered for an attending position?”

“No.” 

The word barreled out of you without thinking. You didn’t need to think about this proposition Gloria, the administration, or whoever was trying to dangle in front of you. It was any doctor's dream to become an attending at a facility - it made you the doctor. 

You didn’t want it like this. 

“You didn’t even hear the terms.”

“I don’t need to hear them to know that you’re trying to be sneaky.”

“Robby is failing to meet standards -“

“Robby is a fucking good physician.” You fumed. “He’s one of the best physicians in trauma medicine you have here outside of Abbot.”

“No one is disputing that, Dr. Fullerton. The board is open to having you both down here during the morning shift, maybe even making a swing shift for you to help between shifts.”

You raked your hands over your face scrubbing hard to try and cut off a mirthless laugh that came out in patches between your fingers. 

“No - you want me to be a Judas. It’ll be a swing shift until you can get whatever data you need to confirm whatever fucked up plan you’re making.”

“Dr. Fullerton -“

“No!” You didn’t mean to shout the word at her. Or maybe you had. Whatever it was, it surprised you both. You should be quieter - don’t draw attention but your heart was thrashing wildly. Your hand swiped through the air to cut her off before she could attempt to continue. You didn’t want to fucking hear it. “Robby is a damn fine physician and to try and - I don’t fucking know, get rid of him because he doesn’t kiss the boards or your ass is fucking stupid. I don’t know half of what Robby or Abbot knows. I’m not them and it would be beyond idiotic to lose him.”

“Your opinion will be taken into consideration and I’ll dismiss your…outburst, for now, because of the current situation. But make no mistake, Dr. Fullerton this will move forward with, or without, you.”

You wondered if any natural disasters were named Gloria. It seemed possible since she came and created an instant upheaval of your day, completely devastating it in a matter of minutes and once she was done simply went about her day like nothing happened.  

She left you to deal with the aftermath. The rushing thoughts with a million questions - thousands of things you should’ve said to defend Robby. There were dozens of ways you could prove her wrong about him - that he fucking cared about his patients and was such a damn good doctor, phenomenal at times, that to equate all that he was and all that he did down to a simple metric of numbers was fucking ridiculous. 

All the sound in the room began to drown out around you. Somewhere in the background of the hum you heard a shout for help. It could be Code Blue. It could be anything. You tried to get your body to react, but the hurricane of anxiety was sweeping in fast and you were running out of air. 

You needed to sit. You had to act normal because the last thing you needed was Princess or Dana or fucking anybody else coming over to speak with you. Your hands used the counter like a rope to pull you along to the nearest computer. You quickly sat down and swiped your credentials to enter the computer, quickly clicking on anything just to appear busy. 

“How are you holding up today?”

The last person you expected to see at that very moment was Heather Collins. What did you expect? This was an emergency room and doctors worked inside of it. She offered up a close-lipped smile that matched the kindness in her eyes. She was genuinely wanting to know how you were doing and for the first time, you hated the question because you couldn’t answer it. 

Not truthfully, anyway. Who was ever truthful in answering that specific question?

So, you painted on a grin that more than likely resembled a grimace and prayed you didn’t look as tired as you felt. 

“It’s been…an adjustment.”

“What’s taking adjusting?”

Good god, this man was fucking everywhere. 

Robby came into view as he moved across the station to get to the opposite computer. The question was thrown out carelessly; he didn’t expect a response. He was pulling out his glasses and sliding them over his nose, his full focus on the screen. Test results thankfully took priority over your response. 

You were quickly forgotten by Collin’s who walked over to where Robby read the test results. She waited until he removed his glasses and stood to his full height. 

“Please don’t tell me you are going to intubate that poor old man?”

“It’s what the family wants.”

“So what? They want to torture him?”

“I explained all that.” 

It was painfully obvious this was a case you knew nothing about. By the sound of it, you were willing to bet five dollars that it was one of the elderly patients from a home who came in a little after 7:30 that morning. It meant it wasn’t your case. You didn’t need to know the information and you could continue counting down backward from ten while you reminded yourself that no, you weren’t Judas and -

“Dr. Fullerton, if a family came in -“

Fucking hell, you needed to stop zoning out. You brought your attention back to the two of them, wondering what you missed.

“You don’t need to ask her,” Robby interjected.

Collins continued like he’d never spoken. 

“And they had durable power over an elderly family member who had a pre-existing DNR. His family wants to intubate. It’s not what he wants. Whose choice do you honor?”

“What are you doing?” 

A singular brow of hers arched in defiance. 

“Asking for a second opinion.”

“I didn’t ask for one.”

They continued to bicker about the decision Robby made to not fight for a dying man’s wishes. You would’ve told Collins to let it go because once Robby’s mind was made up, it was like talking to a wall. Maybe she already knew that. 

God, what fucking twilight zone episode were you stuck in? You actively wanted the floor to open up and swallow you whole. Your eyes darted to the time on the bottom of the screen and you had to fight to keep your forehead from landing with a thud on the keyboard. It was only 9 o’clock. There were ten more hours of this day and you needed it to be over. 

Robby released a sigh that reflected how exhausted you felt. It wasn’t a physical exhaustion but one of the soul; a weariness that vines grew thorns and were beginning to tear you slowly open. You could feel your legs wanting to shift out of the chair and go to him. The urge was so strong your hands scrunched into fists to keep from moving - to quell the urge because he wasn’t yours anymore and you weren’t his. 

“Shit.”

“What?”

Robby’s best magic trick? Deflecting. Whenever he wanted the current conversation to end, and didn't like where it was heading, he diverted it completely into something else. Anything else that kept him from having to continue down a conversation he wanted no part of. You knew that trick all too well. 

“I got to go tell those parents their 18-year-old son is brain-dead.” 

“You want me to go with you?”

It should’ve been you offering to go with him. A comfort to the harbinger of bad news because it was never easy to give it. Never easy to stand in the storm of grief and simply be a bystander while their world ends in a matter of words. 

What did it matter who went with him? Who offered? At the end of the day, a family was forever going to be encapsulated by a loss too many people unfortunately knew. 

Vaguely, you caught the end of their argument. Robby wanted to perform an apnea test and a cerebral perfusion study. Dr. Collins didn’t agree. It offered the family false hope but Robby was right - maybe it did offer a false sense of hope, but with each test completed and results read off it was a graceful way to ease a family into acceptance. It gave them the time to process and grieve and come to the very heavy realization their son wouldn’t be going home with them. 

“They need time to process before they can accept what’s happening.”

“You ever consider taking that advice? Physician, heal thyself.”

Dear floor, please fucking open up wide so you can just swan dive right on in. Thanks a bunch. 

Heather knew. She fucking knew about the wall of grief - of acceptance - Robby himself was unable to accept. The King of dishing out advice left and right but unyielding in taking it. Suddenly, all the cool reserve of not caring about them dating evaporated in a crushing wave of heartbreak you shouldn’t have felt in the first place. 

Did he tell her about you? Did he share with her about…about what happened? Was he able to open up to her in ways he stopped doing with you? Their relationship was gone, but the respect and care were still there. 

The irritation came off him in waves. You should’ve told her Robby’s least favorite thing is being told to take his own advice. Or to heal for that matter. Oh, and to also maybe seek therapy. All three of those would turn his mood sour and aggravate him to peak levels at hyper speed. 

He shoved his hands down into his hoodie. His head swiveling between Collins and probably anywhere else in the ED. 

“Don’t you have patients?” 

There it was. The dismissal. The, in not so many words, “I’m done talking to you about this and everything else,” so he could make a quick exit. The magician's last trick before his temper was lost. 

Don’t look up. Do not look up. Don’t fucking do it. 

You didn’t need to look up. There wasn’t any reason to do so. You weren’t on their radar the last half of their conversation. You were just a bystander to a miniature car crash. The issue with crashes? Everyone who drove by couldn’t stop themselves from looking. 

The itch between your shoulder blades was your first warning sign. The weight of his gaze was bearing down on you. You didn’t have to react to it but it was a reflex to look up for him. To search for him in every crowded room and find yourself wishing he was there when he wasn’t. 

Your eyes found he was still looking at you. An in-house debate flashed across his features. If it was whether or not to come to you, you hope he chose not to. You just need a few moments of space. It was too much. You’d run from him and now he was just here all the time and -

“Why are you looking at puppies? You getting a dog?”

“What?”

For the first time since you’d opened the computer, you realized whoever was on it last left it open to an ad for a puppy. 

“Oh, no. This wasn��t me. Hey, earlier did someone shout a Code Blue?” 

You could also perform your own magical change of subjects. Robby took a moment to answer before giving a curt nod. 

“Whittaker’s patient that’d been placed in the hall. If you heard it, why didn’t you go assist? All hands on deck for a code, you know that.”

God, was he chastising you right now? A flood of irritation rippled over your skin. You wanted to snap at him. You weren’t a med student. But he was frustratingly right - you’d heard it and instead of running you’d kept yourself here. 

And Whitaker. It was his first patient of the day. He’d been so excited that he’d done good. He’d gotten praise from Dr. Robby about his work up and Whitaker wouldn’t shut up about it. It meant something to him. 

“I’ll go see if they need someone to switch.”

You went to get up but Robby was too close. If you got up from the chair you would bump straight into his chest. 

“You okay?”

The sudden care behind the question jarred you. How did he expect you to answer? There was no way you could be honest with him - not at that second. He was supposed to go break the worst news a parent could ever receive and he was worried about you. He should be worried for himself. You could warn him about Gloria but what good would it do if he thought you might possibly be in on it with her? Your sudden reappearance, while inconvenient, hadn’t raised suspicion like an ulterior motive waited in the wings just yet. 

“Yeah. Yeah, I’m good. You?”

“Never better.”

His smile held every worn line of fatigue that signaled his lack of sleep. His attempt at strength in a moment he refused to seek outside help. You found the same words Dr. Collins asked moments before crawling their way up your throat before you swallowed them back down. He wouldn’t change his mind and agree just because it was you. 

You wanted to be there because whether he voiced it or not, this kid whose family was seconds away from being told was gone wasn’t that much older than Jake. A single accident of taking non-prescribed Xanax ended his life. Jake was a good kid. You wanted to reach out and take his hand and tell him Jake would never - Jake was different. 

Jake was still a kid. 

Robby didn’t wait for you to reply before he headed towards the room. You kept telling yourself to get up and move. Go find Whitaker and the team performing cpr on his patient and do your part. Between everything that’s happened this morning: being forced down with Robby, seeing Robby, Dr. Mohan requesting to speak with you, Gloria’s ultimatum and now the news this young kid didn’t make it you were officially mentally exhausted. 

You needed to move but by the time your legs finally lifted out of the seat, Robby told them. The mother’s wail of agony resounded through the room and rose in octaves. The soul-wrenching loss of her child, her baby, turned the Pitt into a mausoleum of mourning. Her cries followed you down the hallway until you reached the curtain where Whitaker and others were on their third round of Epi, and you could see the continued despair evident in the room. 

It was barely 9 AM and you already wanted to fucking go home. 

As always, thank you so much for reading! Reblogs and comments are always appreciated <3

Tag list: @whatdoesntkillyoumakesyoustrange @travelingmypassion @jupiter-sky @catsgoogander @rosiepoise88 @It-jakeseresin @blackpopcorn @celmentine111002 @dcgoddess

[bonesvoid]

Sugar, Spice, and Everything Nice

II. THE BEST LIES HAVE A BIT OF TRUTH

word count: 4.2k

pairing: sugar daddy!jayce x sugar baby!reader

contains: pretty wholesome content with a dash of LIARS

summary: jayce returns with gifts and a desire for a friendship. the two of you go to the local roller rink and spend an evening at the beach. you confront jayce as to why he's so adamant about being your friend.

author's note: SHOUTOUT TO @bb-enablefreebuild FOR BETA READING!!! this is a pretty fluffy chapter as an appetizer before the slaps you shall receive from chapter 3... ok enjoy <3

The clock in The Last Drop chimes with the change of the hour as you step inside. It’s too early for the sun to rise and you take refuge in such a blessing. If I’m touched by a single sunray, I will spontaneously combust. Perhaps, your “late to bed, early to rise” routine is damaging your circadian rhythm.

You stroll down the various parts of the café and open the shop up for the morning. Your hands flip on the switches for the lights and for the machinery; the coffee machines and ovens emit a low whine in response, warming up. You scan the floors for any mess and let out a sigh of relief. For once it seems the closing shift did their damn job.

It takes half an hour for you to open up and another hour for the first customers to pop in; you seize this opportunity to grab a table and dump out the contents of your satchel. A bulky textbook thuds against the wooden table, followed by a notebook and highlighters. You resume your studying from last night, as you flip through the chapter on pulmonary medicine and jot down notes. Soon, you reach the knowledge quiz at the end.

The first question intimidates you. It asks for you to identify the disease at risk for an 8-year-old boy with chronic pneumonia and a productive cough. It mentions specific bacteria found in sputum cultures, though that seems like a red herring. A productive cough… a productive cough means a buildup of mucus. Chronic pneumonia means recurrent infection, recurrent infection and mucus means… Bronchiectasis! 

You turn the page over to reveal the answer and grin when it confirms you were correct. Okay, okay! I got this!

The next questions are marginally easier, though your head swims as you attempt to differentiate the difference between "Streptococcus" and "Staphylococcus". Strep, strep, strep– Strep throat! You write "Strep = Throat" on notepaper, but what about Staphylococcus? 

Staph is for skin! Your professor’s voice pops in your mind. You make a note of that in your notebook and choose the answer you think is right. As you continue to answer questions, you slowly relax, seeing how you’re getting a majority of them correct. 

I’m totally gonna ace this exam!

A sudden chime from the overhead bell interrupts your studying.

“Hey, Mylo, you’re earlier for–” your words fall short. That’s not Mylo.

Instead of your coworker, the bearded man from yesterday had entered the café, dressed in workout gear. Shit, what’s his name? Start with a Ja– Jason? Jamie? Jay— 

“Jayce?”

“Hey there” he greets you with a smile, too bright for your sensitive eyes. Jayce holds a paper shopping bag in his hand, “I hope you don’t mind the early visit. I didn’t want to keep you waiting for your gift. 

You abandon your study setup and approach Jayce, circling around him like a bird of prey. What kind of guy does such a gesture? You peer down at the bag, “Oh shit, you were serious?”

“Of course! It’s your gift,” Jayce hands the bag off to you. It feels heavier than just a T-shirt and you take a look inside, “What. The. Fuck,” you pull out a variety of The Firelights merchanise from the shopping bag. Two shirts, a jacket, and a poster?! 

You’re wary of Jayce’s kindness. Yesterday, he was a stranger and now, he’s gifting you a plethora of fan merch from your favorite band, so you grunt to Jayce, “What gives?” 

A frown graces his lips and a pang of sadness hits you in the chest, “What do you mean?”

“Er– Well,” you clear your throat. Now, I feel like a dick, “It’s just...I only needed a new shirt, y’know?”

Jayce pales at your explanation and lets out a sheepish chuckle, “Oh, that, uh… that makes sense,” he rubs the nape of his neck, providing you an opportunity to foam over his muscular arms, “I tend to go a little, uhm,” Jayce sways his head side-to-side, trying to find the right word, “Overboard! I go a little overboard when it comes to gift-giving.”

“You should work on that,” you scold him with a ‘tsk’ and add on, “If you don’t, you’re gonna end up in debt.”

Jayce parts his lips to respond, but decides against it; you don’t question as to why. 

With your gifts in hand, you return to your table and pick up with your studying. Jayce follows you to the table and sits across from you, much to your confusion, “What are you doing?”

“Oh!” he flashes his shining teeth, “I was curious about what you’re studying.”

You lower your defenses at the sound of genuinity in Jayce’s tone and close the textbook, so he could see the title, “It’s one of my many brick textbooks for the semester,” you explain, “You’d think they would scale back on the books when you get to third year, but I guess not.”

“You’re in medical school,” his hazel eyes glow under the café’s fluorescent lighting, “That’s amazing.”

You narrow your eyes at Jayce and scan for any ulterior motives, but find none. He seems awkward, does he just not get out much? Or is he really just naturally friendly? “Thanks,” you reply, a small smile blooming, “Just trying to make the world a better place.”

Jayce’s eyes widen at your words. Did I strike a nerve with him? 

Before you can ask, he notices your worry. Jayce shakes off his surprise and fires off rapid reassurances, “No, no! Sorry, sorry! Nothing bad, I promise,” a fond twinkle flickers across his pupils, “I feel the same way.”

“I’m glad you do,,” you hum, as you return your study materials back into your satchel, “I should get going, though. I’m sure a customer is gonna walk through the—”

The overhead bell chimes, signaling the arrival of an elderly man. He enters the café at a snail’s pace and gives the two of you a smile, “Good morning! Lovely day, isn’t it?”

“Indeed,” you answer, returning the pleasantry, “I’ll be with you in one moment to take your order,” you stand up from the table and turn towards the ‘employees only’ door, “Thanks for replacing my shirt, Jayce.”

“No problem!” he grins.

“Alright, have a good life,” you step towards the breakroom when Jayce calls out to you, “Wait, before you go!” You turn around and see him holding up his phone, “Can I give you my number?”

“Don’t guys usually ask the other way around?” you question.

“Maybe, I’m just different,” Jayce retorts. 

You crack a smile, “You trying to date me or something?”

Jayce’s cheeks redden at your comment, “No! No, I mean– Not that I don’t think you’re–” Jayce zips his mouth shut and exhales a frustrated sigh, “Look, I think you’re neat and we like the same band. I want to be friends with you.”

Rarely does a guy want to be friends with a woman without the hope of bedding her in the back of his mind. You cross your arms and inquire, “You sure?” 

“Yes,” he answers.

“Positive?”

“One hundred percent.”

“Not one hundred and ten percent?”

“I’m a scientist, I don’t consider one hundred and ten percent to be feasible.”

“A scientist?” you didn’t think Jayce was a scientist; if anything, you assumed that he was a dispensary technician, “I didn’t peg you as a scientist.”

“I guess I’m challenging many of your assumptions,” Jayce chuckles.

“Can’t argue with that,” you snatch Jayce’s phone from his hands and open his contacts app. Less than ten contacts? No wonder, he’s desperate for friends. You punch in your phone number and save your contact, “There. Shoot me a text and we can talk about The Firelights.”

“Awesome, will do!” Jayce salutes. 

You stifle back a laugh at his antics. He reminds you of those “golden retriever boyfriends” you see on Tiktok. Not that you want to date this guy! You’ve known him for less than a day. 

“I gotta run now,” you toss your satchel over your shoulder, “But I’ll talk to you later.”

“Talk to you later!” Jayce waves you goodbye and you disappear through the ‘employees only’ door. He lets out a small sigh, a goofy grin plastered on his face. 

“Good luck, lad. She seems like a tough fish to catch!” the elderly man–who Jayce forgot was present–chimes in. 

Jayce’s cheeks shift to a deeper red, “Uh–” he gives the customer an awkward nod, “Okay, thanks,” Jayce makes a beeline for the door and opens it, jogging outside the café for his morning run. 

“Young love, young love,” the wrinkly gentleman smiles fondly. 

───── ⋆⋅☆⋅⋆ ─────

Your shift goes by in a blur. In customer service autopilot, you serve drink after drink during the morning rush, prepping every concoction available from lattes to espresso shots. You could go for an espresso shot yourself as you feel your eyes droop and your energy deplete throughout the shift. 

“Uh, what are you doing?” Gertrude pops her head in the breakroom. 

A line of empty cups lay before you and you gulp down another, “Espresso. Need,” you gulp another espresso shot and let out a relieved sigh, “I got class and I need to stay awake.”

“Fun fact,” Gertude takes a seat beside you and frees her dreadlocks from her visor, some sweat sticking to her head, “If you consume more than 400 milligrams of caffeine, you can drop dead from it.”

“Sorta true,” you reach for another espresso shot, but Gertude smacks your hand away, “Oi!”

“No more, can’t have my work bestie die from a caffeine overdose,” she chasities you, intercepting your second attempt to get the cup and chugging it herself, “Oh, this is good shit, though.”

“I know, right?” you smile. The clock in the breakroom hits 4pm and you hop up from your chair, “Off the clock, I’ll talk to you later, Gert.”

“See yah, dork,” Gertude pats your shoulder and squeezes it, “Try not to collapse in class.”

“I’ll do my best,” you return the affection with a side hug.

You collect your belongings and place your work uniform in your locker, clocking out and exiting the breakroom. The hustle and bustle of Piltover City welcomes you with a biker nearly running you over and a little boy sneezing snot close to your pants. The City of Progress, my ass. 

You exhale and maintain your composure, as you head off to the nearby bus stop. A miscellaneous bunch waits with you for the bus, most in their own worlds with their phones. Your own phone buzzes with a notification and you pull it up to check.

UNKNOWN NUMBER: Hey, it’s Jayce!

Huh, he did text me back. You save his contact to your phone as ‘Jayce’ with a clown emoji, snickering at the choice you made; you then shoot Jayce a text back:

Hey. What’s up?

A minute goes by and our phone buzzes with a notification.

Nothing much! I’m at work. Just wanted to say hi and ask if you wanted to hang out with me next week.

You open your calendar app and check for any weekend events. No events. I should study instead. You look back at the text and frown, But I could use some people time to recharge. 

Sure. What will we do? 

The engine of the bus roars close and rolls to a stop before you, the doors opening with a high-pitched wheeze. You board the bus and grab a spot close to the doors. Once settled, you continue your conversation with Jayce.

Jayce 🤡: We go to the roller rink in Waverly. I’m trying to be more active. Buuut If you want something more lowkey, we could go to the waterfront park in Canton.

You: Roller rink sounds fun. What time?

Jayce 🤡: Saturday at 2pm?

You: Okay, I’ll put you down in my calendar. See you then.

Jayce 🤡: See you then! ☺️

You left your messenger app and into Spotify. With your earbuds in, you play your liked songs playlist on shuffle. Sinners by Barns Courtney echoes from your earbuds and you watch the passing greenery and pedestrians, as the bus drives you to campus.

───── ⋆⋅☆⋅⋆ ─────

The elevator on Hex Engery’s executive floor beeps and reveals a sharply-dressed Jayce Talis behind its doors. The CEO strides through the glass doors of the executive offices, flashing his signature smile at the shocked workers, “Hello, folks! Happy to see me?”

“Mr. Talis!” Tessa—Jayce’s executive assistant—is the first to react, her worn out loafers smacking against the quartz floors, as she approaches her boss. She hugs a dossier to her chest and smiles wide, “It’s so good to have you back, sir!”

Jayce offers an arm for a side hug and Tessa accepts, “It’s nice to be back, Tess,” he agrees. 

“There’s a lot of work that I haven’t been able to complete because it requires your signature, but rest assured, I’ve been manning the ship as COO,” Tessa explains. 

Jayce nods, “Remind me to give you a raise when I have a chance,” he leaves the waiting area and waltzes down the hallway, Tessa running behind him.

“Sir, where are you going? Don’t you want to get reacquainted with your office first?” inquires Tessa, desperate to keep up with Jayce’s long legs. 

“I have one thing I need to do before that, Tess,” Jayce stops in from one of the many oakwood doors, “In the meantime, can you make a pile of papers that need my signature, please?”

Tessa salutes the CEO, “Yes! Right away!” and runs off to Jayce’s office, red braids bouncing against her back while she runs.

Good kid. I shouldn’t have left her with this mess. I’ll make sure to give her a raise and some new loafers. Jayce stares down the door, muffled voices coming from the room. He grasps the doorknob and squeezes it. You can do this.

Jayce swings the door open and the voices die down. There’s a rectangle table in the center of the room, five people in a variety of professional attire on each side. Viktor sits closest to the door where Jayce had entered from and cracks a small smile, “Ah, Jayce. It’s nice to see you. I was just reassuring Director Salo about your capabilities as CEO.”

The snobbish platinum blonde in question turns his nose up at Viktor’s jab. Other executives exchange mixed glances, some relieved and others worried. 

“It’s lovely to have you back,” Caitlyn Kiramman, the chief compliance officer, jumps in. She gives Jayce a knowing glance and adds on, “Let’s continue our debrief, shall we?”

The executives and directors mumble in agreement. Jayce takes his seat between Viktor and Caitlyn, whispering to both, “Thanks for the save.”

“Just glad to have you back,” Caitlyn murmurs.

“You’re welcome, now get your shit together,” Viktor scolds. 

“I got it under control,” Jayce replies. 

The three refocus their attention on the debrief. Directors and executives review various financial and progress reports, then some suggestions to increase profitability, and–

Jayce loses focus on the debrief and hops on his phone. He goes to his texting app and clicks on your contact, shooting you a text so you could save his number. You reply quickly and Jayce grins to himself. A spark of boldness flickers in his chest and he takes a leap of faith, asking you to hang out. After a small exchange, you agree to hang out at the Waverly roller rink on Saturday at 2pm.

Jayce can barely control his excitement, as the debrief finally ends and the board disperses to their offices. He exits the office without a goodbye and with a spring in his step.

Viktor and Caitylin are the last people in the boardroom. The CTO raises his eyebrows at the COO, “You saw what I saw, yes?”

“Yes,” she confirms, “He was practically vibrating.”

“I wonder why,” Viktor hums, “At least he seems happy, that’s what matters most.”

“Agreed,” Caitlyn smiles, “Very much agreed.”

───── ⋆⋅☆⋅⋆ ─────

You arrive at the Waverly roller rink, dressed in the most roller-rink appropriate clothes you could find. Unfortunately, that boils down to a T-shirt, leggings, and thick socks; you lack athletic wear beyond a sports bra. 

Colorful lights pulsate around the roller rink and pop music reverberates off the walls. Families, couples, and friend groups alike skate around the rink to the beat of the music. A few skaters show off a cool spin or jump, wowing the others on the rink. 

“Hey there!” Jayce’s voice booms over the music. You see him waving you over from the skates rental and you weave your way through the crowd to reach him. Jayce stands with a pair of quad skates in hand, dressed in a muscle tee and jeans. 

“I don’t recommend the jeans,” you warn Jayce, strolling up to the rental spot. You give the employee behind the counter your shoe size and receive a pair of skates in return, “They’re gonna get in the way when you skate.”

“Oh, really?” Jayce’s shoulders droop.

“But I’m sure you’ll be fine!” you reassure. 

Jayce relaxes at your words and you lead him off to the closest open spot to change your shoes. With skates on, you stand up from your spot and wobble; you extend your arms out to steady yourself. Jayce picks up your shoes and his, securing them inside the rental locker.

“Ready to skate?” Jayce bellows, standing proud with his own pair.

“Yeah!” you yell back. You step forward and push yourself off the ground, trying to skate. However, the toe of your skate hits the carpeted floor hard and you trip, letting out a panicked squeak.

A strong arm catches you and pulls you back to your feet before your face can make friends with the filthy floor.

"You good?" Jayce asks, relinquishing his arm from you.

Jesus, he’s beefy. You regain your composure, "Yes, uh, thanks for catching me." You try to keep your gaze from drifting to his pecs, trapped behind fabric

Jayce scrunches his nose and grins, “Of course!,” he holds out a hand to you and nods his head towards the rink, “Let’s skate.”

You accept his hand and grip it steady for support. Jayce whizzes off towards the roller rink, your roller skates gliding onto the wooden floor with ease. The two of you join with your fellow skaters in the rink while the music shifts to a slower tempo. Jayce keeps you stable with his hand and after a few rotations around the rink, you’re comfortable enough to let go and try on your own.

You make your way around the rink, laughing jubilantly; when was the last time you did something so fun with someone? Jayce catches up to you and skates beside you, “Look at you! You’re a natural!”

“I guess I am!” you boast.

You and Jayce lap around and around the roller rink, as the number of patrons dwindle by the hour. By the time you finish up and leave the roller rink for the day, the moon shines under the streets of Waverly. 

“Can’t believe we were in the rink for that long,” Jayce laughs, his hazel eyes glistening under the moonlight. 

You hum in agreement and stretch your arms out, exhaustion weighing you down, “Me neither,” you rub the sleepiness out of your eyes and hold back a yawn, “I should get going, the next bus should come soon.”

“I can drive you home, if you want? Jayce suggests. 

You think on his offer, swaying between hesitation and acceptance. I rather not take the bus this late. You nod at Jayce and answer, “Okay, you can drive me home. Where’s your car?”

“Follow me!” Jayce guides you to the parking lot behind the roller rink. Only a few cars remain in the lot and Jayce whips out his key, unlocking his car. A beep comes from the nearest car, a sleek BMW. 

“Damn,” you let out a low whistle, “You got a fancy car.”

“Oh, uh,” Jayce bites his bottom lip, “I, uh, saved up for it,” he opens the front passenger door, “Ladies, first,”

You slide inside the car and scan over its prestigious interior, clean and shiny with the light fragrance of lavender coming from the air freshener. What a beauty. Jayce hops into the driver’s seat and you buckle up, as the car’s engine roars to life. You input your address on the dashboard’s maps app and Jayce drives out of the parking lot. 

The roads of Piltover City are strangely empty, barely any cars out and about. You two pull up to a red light and Jayce peers over at you from the rearview mirror, a mischievous smirk on his lips. You tense up at his mischief, “Something on your mind?”

“Yeah,” his smirk grows, “Wanna see something cool?”

You smile back, “Sure.”

Jayce presses a button on the steering wheel and the top of the car retracts, lowering into the back. You enjoy the night chill against your sweaty skin, “Huh! Nice!”

“Wanna do something even cooler?” Jayce adds on.

An eager glint shines in your eyes, “Absolutely.”

The traffic light turns green and Jayce hits the gas, zooming through the streets. The two of you soon emerge onto the twisty roads of the outer city, the echoes from the waves and ebbs of ocean water like music to your ears. Your hair whips wildly against the wind and you throw your hands in the air, “Woo! This is awesome!”

Jayce focuses on the road ahead of him, but he can’t stop smiling at the sound of your cheers and hollers. You see the ocean on your left and shout to Jayce, “Hey! Can we stop by the beach for a bit?”

“Of course!” he yells back.

Soon, the BMW comes to a stop by the beaches of Canton and Jayce parks it in the sands. You exit the car and walk across the sands towards the water. The waves roar against the shoreline, accompanied by cricket chirps and the skittering of nocturnal critters. 

“Gods, I love the beach,” you exhale, collapsing onto the sands. Jayce lays beside you and you two stare up at the night sky, clear enough for you to see the twinkling stars and constellations, “Are you a fan of the beach?”

“Definitely,” he responds, his gaze fixated on the stars, “Honestly, it’s one of my happy places. My mother used to take me here all the time as a kid.”

“You’re a native to the city?” you question. Most residents you've encountered were transplants, drawn in by the allure of partaking in the wonders of ‘The City of Progress’.

“Yes, born and raised,” Jayce confirms, “What about you?”

“Same,” you lie through your teeth. Well, it’s not a full lie, but the best lies have a bit of truth in them. Truth be told, you hail from St. Zaun, the impoverished subsector in the heart of the city, but you keep that information to yourself; there’s no need for people to know. 

“Piltover isn’t perfect, but I do love it here,” Jayce murmurs. He turns onto his side and stares you down, you do the same. You two share a comfortable silence, as the world around you keeps moving forward. Moonlight shines against Jayce’s face, highlighting his chiseled features and gentle eyes. A strange, pretty man, you comment to yourself.

“Why are you so interested in me?” you break the silence.

Jayce’s cheeks turn rosy and he clears his throat, “It’s kinda silly.”

“Tell me,” you shimmy closer to him, curiosity written on your facial features.

“You make me feel normal,” Jayce begins to trace miscellaneous shapes in the sand.

“You barely know me,” you counter, “And I barely know you.”

“Then let’s get to know one another!” Jayce fires back. He takes your hand into his and embraces it, “Take a chance on me,” his eyes gaze intensely into yours, “Please.”

You soften at his words, never had you met such a determined man. With a small chuckle, you state to Jayce, “You’re one weird guy, Jayce…” you furrow your brow, “What’s your last name?”

Jayce does his best to remain calm at your request and frees your hand from his. Shit, what do I say? I don’t want to lie, but if I say Talis, I’ll blow my cover. Shit, shit, shit–

“Flores, Jayce Flores,” he finally replies. He knows that the best lies have a bit of truth, Flores being his mother’s maiden name, “What about you?”

“Davenport,” you share before proclaiming, “Now, that we got that out of the way,” you grasp Jayce’s hand for the first time and shake it, “We can be friends.”

Jayce beams like sunlight at you, contrasting against the moon, “Cheers to our new friendship.”

“Cheers,” you profess, “To our new friendship.”

Jayce Talis finally has a normal friend. 

[horse-reviews]

Please can you tell me 5 interesting things about cow and sheep diseases

i have waited my entire life to hear this very question thank you my friend. my answers are very focused on aotearoa as that is where i did my masters

facial eczema is a fungal disease of sheep and cattle that is caused by eating fungal spores in grass which release a toxin into the gut of the animal and cause liver and systemic damage, including facial lesions. my interesting fact here is that a study was done to attempt to vaccinate sheep against the toxin, but instead of reducing the disease, it somehow made it significantly worse

listeriosis in sheep (infection with the same listeria that can cause food poisoning in humans) can present as repeated circling or staggering followed by death, as it is a neurological disease in sheep. my father once saw a sheep circling in one of our paddocks and by the time he reached it, it had already died

the techniques used in aotearoa and later globally for tracking covid-19 variants were prototyped here in aotearoa for tracking bovine tuberculosis outbreaks! cattle here frequently catch it from the invasive brushtail possum (one major reason why we are trying to eradicate them, the other being the harm they cause to native birds) and this method of disease mutation tracing was pioneered for working out where these outbreaks were coming from

sheep have their own prion disease called scrapie which (like chronic wasting disease in deer) can be transmitted through soil and water. here in aotearoa we accidentally imported scrapie in the 1970s to mana island and as a result had to torch and burn an entire mob of sheep and abandon the island for sheep farming - to this day there are restrictions on visiting the island for safety

MRSA (Methicillin-resistant Staphylococcus aureus) has been detected in nz cattle, which is concerning by itself, but it is also transmissible to humans, particularly through the drinking of unpasteurised milk. Never drink unpasteurised milk. The most common victims of this here are farmers drinking milk from their own cows due to the belief that fresh milk is still safe

[writingtips-resources]

Well- If you're writing about a character with burn scars, the details right matters alot.

Burn scars aren't just a visual trait; they come with physical, emotional, and social challenges that shape a person’s daily life.

If you want your portrayal to feel authentic, here are some things to consider.

First, burns vary in severity.

A first-degree burn, like a mild sunburn, won’t leave lasting scars.

Second-degree burns can, depending on depth and healing.

Third-degree burns, which destroy deeper layers of skin, almost always leave significant scars.

Fourth-degree burns extend to muscle and bone, often requiring surgeries like skin grafts.

If your character has major burn scars, they likely underwent medical treatments, faced mobility challenges, and had to manage long-term skin care.

Burn scars don’t just “heal and go away.” They can be tight, raised, discolored, and sometimes painful for years.

Hypertrophic scars stay within the original burn area and can feel thick and rigid.

Keloid scars go beyond the burn site and grow over time.

Contracture scars, common with deeper burns, can limit movement, especially if they form over joints.

If your character has scars on their hands, face, or neck, they might struggle with flexibility, facial expressions, or even simple tasks like gripping objects.

Healing Process

The healing process isn’t just about scars fading. Burn survivors often deal with chronic itching, sensitivity to heat and cold, and the need for moisturizers, compression garments, or silicone treatments.

Some undergo laser therapy or surgery to improve mobility or appearance, but complete "removal" is unrealistic.

Skin grafts can help, but they leave their own scars and don’t fully restore normal skin texture.

Socially, people with burn scars face reactions ranging from curiosity to outright rudeness. Strangers might stare or ask intrusive questions. Some assume scars are from accidents, self-harm, or abuse, making conversations awkward or painful. Others might offer unwanted advice—suggesting miracle creams or home remedies that don’t actually help.

If your character is self-conscious about their scars, they might cover up, avoid certain situations, or struggle with confidence. If they’re comfortable with them, they might develop a tough exterior, educate others, or challenge beauty standards.

Psychologically, burn survivors often deal with more than just physical recovery. Trauma, PTSD, body image struggles, or a changed sense of identity are common. Some people accept their scars as part of their journey, while others struggle with them for years.

Your character’s reaction depends on their, support system, and experiences.

If you want your portrayal to feel real, avoid clichés. Scars don’t have to define a character, but they do affect their life. They aren’t just a “tragic backstory” feature or something that instantly gives someone a hardened personality.

NOW, it's time to talk about sea salt water thing......

I resesrched alot but couldn't find a better answer other than this...

This is a big misconception

People say the minerals in seawater speed up recovery, smooth out scars, or even “fade” them over time.

No doubt, medical-grade saline solutions are used in hospitals for wound care but raw sea salt and ocean water aren’t the same.

The reality is "exposing burn scars to seawater can be risky".

The ocean isn’t sterile; it’s full of bacteria, pollutants, and irritants that can cause infections, especially if the skin is still healing.

Salt itself is also drying, which can make scar tissue feel tighter and more uncomfortable. Instead of soothing the skin, it often leads to irritation, redness, and even more itchiness.

A study conducted in Western Australia's Gascoyne region examined 28 patients with marine-associated wound infections. The findings revealed that 64.3% of these wounds were infected with Staphylococcus aureus, and 32.1% with Vibrio species. Notably, 39.3% of the infections were polymicrobial, involving multiple bacterial species. ( resource)

Some other myths

Some people believe scrubbing scars aggressively will “remove” them, but that just damages the skin further.

Others swear by home remedies like lemon juice, claiming it lightens scars, but all it does is cause stinging and potential burns from sun exposure.

Oils and herbal creams are often promoted as miracle cures, but most don’t penetrate deep enough to change scar tissue.

Remember that hydration and proper care can improve a scar’s appearance, no natural ingredient can erase one completely. The best approach isn’t following every home remedy suggestion—it’s understanding what actually works and what might make things worse.

So do your research too before using aby home remedy.

About me | Free resources | blog

[sunaleisocial]

Study of facial bacteria could lead to probiotics that promote healthy skin

New Post has been published on https://sunalei.org/news/study-of-facial-bacteria-could-lead-to-probiotics-that-promote-healthy-skin/

Study of facial bacteria could lead to probiotics that promote healthy skin

The composition of bacterial populations living on our faces plays a significant role in the development of acne and other skin conditions such as eczema. Two species of bacteria predominate in most people, but how they interact with each other, and how those interactions may contribute to disease, has been difficult to study.

MIT researchers have now revealed the dynamics of those interactions in more detail than previously possible, shedding light on when and how new bacterial strains emerge on the skin of the face. Their findings could help guide the development of new treatments for acne and other conditions, and may also help to optimize the timing of such treatments.

The researchers found that many new strains of Cutibacterium acnes, a species believed to contribute to the development of acne, are acquired during the early teenage years. But after that, the makeup of these populations becomes very stable and doesn’t change much even when exposed to new strains.

That suggests that this transitional stage could be the best window for introducing probiotic strains of C. acnes, says Tami Lieberman, an associate professor of civil and environmental engineering, a member of MIT’s Institute for Medical Engineering and Science, and the senior author of the study.

“We found that there are some surprising dynamics, and these dynamics provide insights for how to design probiotic therapy,” Lieberman says. “If we had a strain that we knew could prevent acne, these results would suggest we should make sure we apply them early during the transition to adulthood, to really get them to engraft.”

Jacob Baker PhD ’24, who is now the chief scientific officer at Taxa Technologies, is the lead author of the paper, which appears today in Cell Host and Microbe. Other authors include MIT graduate student Evan Qu, MIT postdoc Christopher Mancuso, Harvard University graduate student A. Delphine Tripp, and former MIT postdoc Arolyn Conwill PhD ’18.

Microbial dynamics

Although C. acnes has been implicated in the development of acne, it is still unclear exactly why acne develops in some people but not others — it may be that some strains are more likely to cause skin inflammation, or there may be differences in how the host immune system responds to the bacteria, Lieberman says. There are probiotic strains of C. acnes now available, which are thought to help prevent acne, but the benefits of these strains have not been proven.

Along with C. acnes, the other predominant bacterium found on the face is Staphylococcus epidermidis. Together, these two strains make up about 80 percent of the strains in the adult facial skin microbiome. Both of these species exist in different strains, or lineages, that vary by a small number of genetic mutations. However, until now, researchers had not been able to accurately measure this diversity or track how it changes over time.

Learning more about those dynamics could help researchers answer key questions that could help them develop new probiotic treatments for acne: How easy is it for new lineages to establish themselves on the skin, and what is the best time to introduce them?

To study these population shifts, the researchers had to measure how individual cells evolve over time. To do that, they began by obtaining microbiome samples from 30 children at a Boston-area school and from 27 of their parents. Studying members of the same family enabled the researchers to analyze the likelihood of different lineages being transferred between people in close contact.

For about half of the individuals, the researchers were able to take samples at multiple time points, and for the rest, only once. For each sample, they isolated individual cells and grew them into colonies, then sequenced their genomes.

This allowed the researchers to learn how many lineages were found on each person, how they changed over time, and how different cells from the same lineage were. From that information, the researchers could infer what had happened to those lineages in the recent past and how long they had been present on the individual.

Overall, the researchers identified a total of 89 C. acnes lineages and 78 S. epidermidis lineages, with up to 11 of each found in each person’s microbiome. Previous work had suggested that in each person’s facial skin microbiome, lineages of these two skin bacteria remain stable over long periods of time, but the MIT team found that these populations are actually more dynamic than previously thought.

“We wanted to know if these communities were truly stable, and if there could be times where they weren’t stable. In particular, if the transition to an adult skin like microbiome would have a higher rate of acquisition of new lineages,” Lieberman says.

During the early teens, an increase in hormone production results in increased oil on the skin, which is a good food source for bacteria. It has previously been shown that during this time, the density of bacteria on the skin of the face increases by about 10,000-fold. In this study, the researchers found that while the composition of C. acnes populations tended to remain very stable over time, the early teenage years present an opportunity for many more lineages of C. acnes to appear.

“For C. acnes, what we were able to show was that people do get strains throughout life, but very rarely,” Lieberman says. “We see the highest rate of influx when teenagers are transitioning to a more adult-like skin microbiome.”

The findings suggest that for topical probiotic treatments for acne, the best time to apply them is during the early teenage years, when there could be more opportunity for probiotic strains to become established.

Population turnover

Later in adulthood, there is a little bit of sharing of C. acnes strains between parents living in the same household, but the rate of turnover in any individual person’s microbiome is still very low, Lieberman says.

The researchers found that S. epidermidis has a much higher turnover rate than C. acnes — each S. epidermidis strain lives on the face for an average of less than two years. However, there was not very much overlap in the S. epidermidis lineages shared by members of the same household, suggesting that transfer of strains between people is not causing the high turnover rate.

“That suggests that something is preventing homogenization between people,” Lieberman says. “It could be host genetics or host behavior, or people using different topicals or different moisturizers, or it could be active restriction of new migrants from the bacteria that are already there at that moment.”

Now that they’ve shown that new C. acnes strains can be acquired during the early teenage years, the researchers hope to study whether the timing of this acquisition affects how the immune system responds to them. They also hope to learn more about how people maintain such different microbiome populations even when exposed to new lineages through close contact with family members.

“We want to understand why we each have unique strain communities despite the fact that there is this constant accessibility and high turnover, specifically for S. epidermidis,” Lieberman says. “What’s driving this constant turnover in S. epidermidis, and what are the implications of these new colonizations for acne during adolescence?”

The research was funded by the MIT Center for Microbiome Informatics and Therapeutics, a Smith Family Foundation Award for Excellence in Biomedical Research, and the National Institutes of Health.

[nursingwriter]

Methicillin-Resistant Staphylococci (MRSA), most common Healthcare Associated Infections The PICOT question to be discussed is: For adult patients using catheters, does the use of sterilization practices reduce the future risk of health associated infections like MRSA compared with standard procedure in one week? The answer is yes. The support given to answer the question will be based on peer-reviewed journals and scientific literature. A summary of the evidence will be availed in a chart plus a conclusion that summarizes evidence used will also be given. Methicillin-resistant Staphylococcus aureus (MRSA) bacteria is resistant to several antibiotics. A significant proportion of MRSA infections in the community are on the skin. It results in alarming infections of the bloodstream, surgical site infections and pneumonia in health facilities. Studies have revealed that one person in every three individuals have staph in the nose - most of the time they don't show any illnesses (General Information About MRSA). 2% of people carry with them MRSA. No data exists highlighting the population of patients that contract skin infections due to MRSA in any community. Any person can contract MRSA if there is a direct contact made with a wound that is infected or when personal effects like razors or towels are shared. The risk of an MRSA infection can increase in situations involving crowd activities or where skin contact is prevalent (General Information About MRSA). The people who risk such infections include children playing in a daycare, the military in their barracks and athletes. Treatments provided for MRSA skin infections might include draining the infection or taking of antibiotics. The patient should secure the services of a health professional and not try to drain the infection themselves as there is a risk that the infection might spread or someone might be infected (General Information About MRSA). The risk of infection will be drastically reduced if proper sterilization is always done. Healthcare-associated infections (HAIs) are acquired when patients are still being treated for a different illness in a health facility. HAIs are deadly and costly but are preventable (Preventing IV - Catheter Associated Infections). An approximate 5% of patients are likely to develop HAIs as they get treated in a health center. Included in this are IV catheter-associated bloodstream infections (CA-BSI). Approximately 250,000 CA-BSIs take place every year with around 80,000 cases taking place in ICUs. One infection can (Preventing IV - Catheter Associated Infections): Cost a lot of money in treatment costs - around $25,000 for every episode Lengthen a patients stay - an extra 6-22 days in a facility Lead to a death or disability - a mortality of 12-25% Patients may develop bloodstream infections (BSI) where a IV device isn't used but a higher rate is likely in the case of catheter usage. Evidence Review The question was: For adult patients using catheters, does use of additional sterilization practices reduce the future risk of health associated infections like MRSA with standard procedure in one week? The answer is yes. Evidence 1: In 1980, the Efficacy of Nosocomial Infection Control (SENIC) study revealed that HAIs could be prevented by infection control practices and surveillance for nosocomial infections. Therefore, a key role that has been assigned to practitioners in infection control as well as epidemiologists is infection control (Sydnor and Perl, 2011). Further, HAIs lengthen a patient's stay in the hospital and increase expenditures in health care. Responding to patient risks as well as increasing costs, the Centers for Medicare and Medicaid Services (CMS) put in place a strategy to withhold reimbursement for some HAIs like catheter-associated urinary tract infections (CA-UTIs) as well as central line-associated bloodstream infections (CLABSIs). Institution specific surveillance driven by or pushed by infection preventionists (IPs) and hospital epidemiologists is required to ensure the infections are detected early and strategies to prevent and curtail HAIs are thus developed (Sydnor and Perl, 2011). Currently, there exists several external influences like legislative mandates, accrediting agencies, payers, industry, professional societies as well as consumer advocacy groups (Sydnor and Perl, 2011). The groups are always opposing each other. Surveillance on Methicillin-resistant Staphylococcus aureus (MRSA) is an instance of such conflict. CDC makes recommendations to the effect that strategies for MRSA surveillance be done locally and is not a proponent of routine MRSA surveillance cultures (Sydnor and Perl, 2011). Society for Healthcare Epidemiology of America (SHEA) makes recommendation getting cultures of MRSA surveillance from patients that are at high risk upon their being admitted and periodically afterward; however, the guidelines cause controversy because MRSA surveillance effectiveness is being debated. In spite of the controversy, the Department of Veteran Affairs has given mandate to MRSA surveillance. The CMS is also making considerations for the withholding of MRSA infection reimbursement. Evidence 2: The prevention of CAUTI was not always given top priority in our acute-care hospital but the CMS regulation was put in place in 2008, thereby putting to a halt reimbursements for CAUTI forced hospitals to take some action (Stokowski, 2009). Several hospitals are putting in place several measures to reduce these infections. A recent study done by Saint and colleagues revealed that not even one strategy had wide usage across hospitals as a prevention measure. More than fifty percent of hospitals were not monitoring which specific patients were using urinary catheters or the length of time of the use of the catheters (Stowoski, 2009). Limiting the use of catheters or minimizing the length of time of their usage is a primary strategy to prevent CAUTI (Stokowski, 2009). SHEA/IDSA guidelines make recommendations to the effect that various alternatives of urine collection such as the use of condom catheters or in-and-out cathetarization ought to be considered in place of indwelling catheters (Stokowski, 2009). Condom catheters are not only comfortable but also limit the entry of bacteria for patients that are male who do not have dementia. Suprapubic catheters also result in lower bacterial infection. Even small volumes of urine can be measured accurately by portable bladder ultrasound scanners (Stokowski, 2009). Devices like these might lead to a reduction in urinary cathetarization as a way of assessing residual volume of the urine. Fewer cases of cathetarizations means less infection cases. A hospital had its CAUTI rate reduced by 30% to 50% over a period of 12 months through the use of portable bladder scanners. Data shows that 30% of hospitals in the United States have adopted the strategy (Stokowski, 2009). Evidence 3: The prevention of HAIs helps enhance the safety of patients. Recently, several guidelines, meta-analysis, systematic reviews and some other evidence-based recommendations have come up to help clinicians and policy makers prevent HAIs in their hospitals (Sanjay, et al. 2013). While the availability of such information is good, it is crucial that we comprehend the view of those championing these recommendations. For example, if a recommendation is grounded on weak evidence and it is being championed by experts in a sector then the uptake of the recommendation is unlikely (Sanjay, et al. 2013). There is limited data showing the strengths of the evidence fronted for the usage of HAI infection prevention practices. A nationwide survey of personnel in the industry assessing the strengths of the evidence supporting the practices revealed that the following practices are viewed by professionals to have strong evidence: aseptic urinary catheter insertion, alcohol-based hand rub, chlorhexide for antisepsis prior to central venous catheter insertion, avoidance of the femoral site for central venous catheter insertion, maximum sterile barriers during sterile venous catheter insertion as well as semi-recumbent positioning of the patient being ventilated (Sanjay, et al. 2013). If the implementation is to be successful then there should be an evaluation on how professionals in the field view the strengths of the evidence supporting the practices. Evidence 4: Proper control of infections is a key part of clinical practice management given its importance to the safety and health of patients and practitioners as well as the broader community (Fathima, 2014). With the public being increasingly concerned about HAIs, bacteria that is resistant to antibiotics and their spread all over the world, this area has become a major focus. HAIs pose a serious problem in several hospitals around the world, with an estimated 4-10% prevalence in the surveyed countries regardless of the type of infection (Fathima, 2013). The best approach to reducing infection transmission is a multi-faceted program which makes use of the latest standards that are evidence-based and also incorporates training and continuous monitoring. Evidence-based practice can be defined as the incorporation of patient values and clinical expertise with best research evidence. The best practices are grouped together to form 'care bundles', that are specific evidence-based practice sets, usually 3 to 5, which when reliably and collectively performed can improve the outcome of patients (Fathima, 2013). The major challenge facing health facilities currently is the consistent and timely implementation of proposed best practices and the incorporation of such measures into workflows so as to do away with HAIs. The main evidence-based strategies for prevention which should be integrated by health facilities into daily practice include (Fathima, 2013): Proper hand hygiene among the professionals in healthcare The development of proper precautions for contact for those patients that have been colonized and known to have drug-resistant dangerous organisms like MRSA or difficile. Development of strategies for the prevention of catheter associated infections in acute care. Hygiene of the environment. Surveillance of infectious diseases. Educating patients and healthcare professionals. Clinical studies repeatedly demonstrate that environmental surfaces that have been contaminated aid transmission of HAIs in health facilities. Disinfecting such surfaces should always be standard practice (Fathima, 2013). Patients having pathogens like methicillin-resistant aureus (MRSA), Acinetobacter, Clostridium difficile and vancomycin-resistant enterococci (VRE) always contaminate the surfaces around them. The organisms might be viable in the surroundings for a very long time. Cleaning and properly disinfecting will reduce the population of environmental pathogens and so lead to a reduction in the transmission risk and so the potential for infection (Fathima, 2013): Routine disinfection and cleaning of the environment of the patient with disinfectants that are U.S. EPA -registered (like quaternary ammonium compounds, iodophors, phenolics and sodium hypochloryte) to be used according to the directions provided by the manufacturers. In case of an outbreak setting or CD infection - an EPA-registered bleach or sporicidal cleaning agent should be used to clean the environment and kill the CDI spores. Clean and disinfect environmental surfaces regularly or when they are visibly dirty. When using a disinfectant make sure the directions given by the manufacturer are followed. Surfaces that are frequently touched should be paid attention to. Such surfaces include carts, bed rails, taps, doorknobs and bedside commodes. Mop heads and cloths used for cleaning should be decontaminated regularly. Use a disinfectant to decontaminate buckets, mops as well as cloths - make sure they have dried before they are used again. Evidence 5: CLABSI is an intravascular therapy complication that is used in the delivery of nutrition, blood or medication. Central venous cathetarizations is made use of in invasive procedure and has been shown to drastically increase bloodstream infection risk (Beyond The Bundle). The risk is heightened when catheters are inserted in cases of nosterile emergent situations. Usage of central lines is increasingly becoming common in patients outside of the ICU (Beyond the Bundle). CLABSIs linked to CVCs occurring in the initial 10 days of an insertion often have correlations with extraluminal biofilm formation. The currently used prevention bundle has a primary focus on extraluminal colonization prevention since the skin surrounding the site of infection is the main bacteria source (Beyond the Bundle). The first colonization takes place when the bacteria attaches to the tip of the catheter as well as the catheter's outside surface as it passes through the patients skin at the time of insertion and so it can be effectively prevented by having good hand hygiene, using maximal sterile barriers and disinfecting the skin appropriately. The CDC draft Guideline for thePrevention of Intravascular Catheter-Related Infections that was posted on November 3, 2009, Was a case when Federal Register updated and expanded evidence-based recommendations given in 2002 in the Guidelines for the Prevention of Intravascular Catheter-Related Infections. Recommendations were made that chlorhexidine skin disinfectant be used because of the effectiveness and persistence it has registered in lowering catheter colonization in cases of skin flora and serum presence at the site of insertion. The usage of both alcohol and chlorhexidine increases the drying time as well as kill rate (Beyond the Bundle). CLABSI still pose a threat unless the prevention strategies that have been proposed are implemented. Solutions should also be found to address the pathogenic mechanism that is linked with vascular access devices (Beyond the Bundle). Practitioners in the industry ought to adopt best practices to ensure the reduction of CLASBI risk as well as associated mortality and morbidity and so lower the costs of health care. Hospitals will be instrumental in the process if they participate in collaborative efforts and also network with other hospitals that have succeeded in lowering the rates of infection (Beyond the Bundle). Table evidence Summary Evidence Rating Study on the Efficacy of Nosocomial Infection Control Surveillance specific to institutions - there is need for driven programs 3 Saint Survey Recommendations have been given to contain the utilization of catheters in order to cut down the infection rates 3 Sanjay To successfully execute evidence-centered practice, take into consideration the viewpoint of major individuals in the translational procedure on the evidence strength 3 Fathima The major problem in the implementation of evidence practice is consistency and the integration of the measures in workflows so as to do away with HAIs. 4 Beyond The Bundle CLASBI will still pose major threats until the implementation of solutions addressing pathogenic mechanisms linked to vascular devices. 3 Synthesis Healthcare-associated infections are gotten by patients as they undergo treatments in health institutions (The Global Burden of Healthcare Associated infections). Infectious agents like fungi, viruses and bacteria cause them. The risk factors are a contaminated healthcare environment, communicable infections transmission between healthcare workers and patients, improper antibiotic usage, injections and surgical procedures as well as usage of indwelling devices like urinary catheters (The Global Burden of Healthcare Associated Infections). Consequently, research done shows that there is a need to have control and prevention strategies that factor in the aspects present in a healthcare setting. The findings made were that in spite of the controversy existing over MRSA surveillance effectiveness, the Department of Veterans Affairs has facilitated hospital-wide MRSA surveillance in their facilities and the CMS is also considering withholding MRSA infection reimbursement (Sydnor and Perl, 2011). A small number of cathetarizations will result in less chances of infecting the urinary tract. A hospital reduced its CAUTI rate between 30% and 50% over a period of 12 months through the use of portable bladder scanners. Data shows that an estimated 30% of hospitals in the United States make use of the technology (Stokowoski, 2009). The practices below were considered by at least 90% of polled respondents to have strong evidence: aseptic urinary catheter insertion, alcohol-based hand rub, avoidance of femoral sites in cases of central venous catheter insertion, maximum sterile barriers as well as semi-recumbent positioning of the ventilated patient. The CIC status was linked significantly with the perception of the evidence for most of the practices (Sanjay, et al. 2013). "References" 1) General Information About MRSA in the Community. (n.d.). Retrieved February 21, 2015, from http://www.cdc.gov/mrsa/community/index.html 2) Sydnor, E., & Perl, T. (2011). Hospital Epidemiology and Infection Control in Acute-Care Settings. Clinical Microbiology Reviews,24(1), 141-173. Retrieved February 21, 2015, from http://cmr.asm.org/content/24/1/141.full 3) Stokowski, L. (2009, February 3). Preventing Catheter-Associated Urinary Tract Infections. Retrieved February 21, 2015, from http://www.medscape.com/viewarticle/587464 4) Sanjay, S., Greene, Olmsted, R., Chopra, V., Meddings, J., Safdar, N., & Krein, S. (2013). Perceived strength of evidence supporting practices to prevent health care-associated infection: Results from a national survey of infection prevention personnel. American Journal of Prevention Control,41, 100-106. 5) Fathima, S. (2013). Evidence-based infection control practices: An essential component of patient safety. Arab Health. 6) Beyond the Bundle: Reducing the Risk of Central Line-Associated Bloodstream Infections. (2010). Pennsylvania Patient Safety Advisory,7(1), 1-9. Retrieved February 21, 2015, from http://patientsafetyauthority.org/ADVISORIES/AdvisoryLibrary 7) The Global Burden of Healthcare Associated Infections. (2013). The Global Journal. Retrieved February 21, 2015, from http://theglobaljournal.net/photo/view/1780/ 8) Preventing IV-Catheter Associated Infections. (n.d.). Retrieved February 21, 2015, from http://www.carolinashealthcare.org/documents/ACEModules/Preventing IV Catheter-Associated Infections - MODULE.pdf Read the full article

[supriyapuram]

Staphylococcus Question And Answers

[lucasproducts]

Lucas-Cide Cleaners FAQs: Answers to Your Frequently Asked Questions

Why is Lucas-Cide Thyme a great cleaner?

Lucas-Cide Thyme is a powerful disinfectant made from natural thyme oil. It effectively kills germs, bacteria, viruses, and fungi. This non-toxic and environmentally friendly cleaner, including salons, can be used in almost any space. It provides a safe and effective way to keep high-traffic areas clean and sanitary.

How does Lucas-Cide Thyme work?

Lucas-Cide Thyme is one of our natural cleaning products that's tough on microbes. Lucas-Cide Thyme works by breaking down the outer membrane of microorganisms, leading to their destruction. The active ingredient in Thyme, known as Thymol, attacks the cell walls of bacteria and viruses, which kills them.

Is Lucas-Cide Thyme safe to use?

Yes, Lucas-Cide Thyme is safe to use. The natural thyme oil used in the formula is non-toxic and poses no risks to humans or pets. It's one of our green cleaners you can use almost anywhere.

What is Lucas-Cide TB?

Lucas-Cide TB is a hospital-grade disinfectant and cleaner. It is specifically designed to be effective against tuberculosis bacteria and other viruses and bacteria commonly found in public areas. This powerful formula ensures that most surfaces are thoroughly disinfected, reducing the risk of spreading infections.

Can I use Lucas-Cide TB at a Salon?

Yes, you can use Lucas-Cide TB at a salon. This is especially useful if you have customers or workers with weakened immune systems or want to ensure thorough disinfection during increased illness activity, such as during a flu season or pandemic.

What does Lucas-Cide CA kill and clean?

Lucas-Cide CA is a multi-purpose cleaner and disinfectant. It is effective against a wide range of germs, including Staphylococcus aureus, Salmonella, E. coli, and more. This versatile cleaner can be used on various surfaces, such as countertops, floors, walls, and equipment. It provides a convenient way to maintain a clean space in commercial settings. It's a powerful cleaner you can use almost anywhere.

Can I use Lucas-Cide CA on electronics?

Yes, Lucas-Cide CA can be safely used on electronics. It is designed to be safe to use on various surfaces, including electronics, without causing any damage. This allows you to keep your devices clean and germ-free without damaging them.

Why are Lucas-Cide Wipes Convenient?

Lucas-Cide Wipes are ready to use wipes that are formulated with Lucas-Cide CA disinfectant solution. These wipes offer a convenient and portable way to disinfect surfaces. They can be used in various settings, such as offices, classrooms, gyms, and even traveling.

Is Lucas-cide Thyme safe to use without gloves?

Lucas-Cide Thyme is an EPA category IV disinfectant. As our greenest disinfectant, it is highly biodegradable and requires no PPE when using it – including gloves! This herbal thyme-based product is designed to quickly disinfect surfaces in spas and salons.

Sources

Source URL:- https://sites.google.com/view/lucasproducts09/home

[rohans18]

North America Bacteriophages Therapy Market Demands, Analysis, Size, Trends, Revenue by 2029

North America Bacteriophages Therapy Market, By Target (Escherichia Coli, Staphylococcus, Streptococcus, Pseudomonas, Salmonella, Others), Type (Lytic, Lysogenic), Base (Sterile Broth Culture, Water-Soluble Jelly Base), Application (Bacterial Dysentery, Infections Of Skin And Nasal Mucosa, Suppurative Skin Infection, Lung And Pleural Infections, Postoperative Wound Infections, Others), Route Of Administration (Oral, Parenteral, Rectal, Dermal, Others), End-User (Hospitals, Speciality Clinics, Academic Research And Institutes, Others), Distribution Channel (Direct Tender, Third Party Distributors), Country (Germany, U.K., France, Italy, Georgia, Netherlands, Russia, Switzerland, Belgium, Turkey, Poland, Rest of Europe) Industry Trends and Forecast to 2028.

In the consistent North America Bacteriophages Therapy market research report, industry trends are put together on macro level with which clients can figure out market landscape and possible future issues about North America Bacteriophages Therapy industry. The scope of this market report include but is not limited to latest trends, market segmentation, new market entry, industry forecasting, future directions, opportunity identification, strategic analysis and planning, target market analysis, insights and innovation. The report presents with the CAGR value fluctuations for the specific forecasted period which helps decide costing and investment strategies. An influential North America Bacteriophages Therapy market report brings precise and exact market research information that drives business into the right direction.

Key Players

Aesculap, Inc. (U.S.)

Braun Melsungen AG (Germany)

Corin Group (U.K.)

Medical Devices Business Services, Inc. (U.S.)

Smith+ Nephew (U.K.)

Stryker (U.S.)

Zimmer Biomet (U.S.)

Exactech, Inc. (U.S.)

Medacta International (U.S.)

MicroPort Orthopedics Inc. (Switzerland)

Medtronic (U.S.)

 Browse More Info @ https://www.databridgemarketresearch.com/reports/asia-pacific-bacteriophages-therapy-market

The research studies entailed in the winning North America Bacteriophages Therapy market report supports to estimate several important aspects that includes but are not limited to investment in a rising market, success of a new product, and expansion of market share. The strategies underlined here mainly consist of new product launches, expansions, agreements, joint ventures, partnerships, acquisitions, and others that boost footprints in this market. Several other factors such as import, export, gross margin, price, cost, and consumption are also analyzed under the section of production, supply, sales and market status.

Key questions answered in the report:

Which product segment will grab a lion’s share?

Which regional market will emerge as a frontrunner in coming years?

Which application segment will grow at a robust rate?

Report provides insights on the following pointers:

Market Penetration: Comprehensive information on the product portfolios of the top players in the North America Bacteriophages Therapy Market.

Product Development/Innovation: Detailed insights on the upcoming technologies, R&D activities, and product launches in the market.

Competitive Assessment: In-depth assessment of the market strategies, geographic and business segments of the leading players in the market.

Table Of Content

Part 01: Executive Summary

Part 02: Scope Of The Report

Part 03:  Global Market

Part 04: Global Market Size

Part 05: Global Market Segmentation By Product

Part 06: Five Forces Analysis

 More Reports:

Diuretic Drugs Market

Patient Engagement Technology Market

Healthcare Business Intelligence Market

Chinese Hamster Ovary cells (CHO) Market

Anti-cancer Drug Market

About Us:

Data Bridge Market Research set forth itself as an unconventional and neoteric Market research and consulting firm with unparalleled level of resilience and integrated approaches. We are determined to unearth the best market opportunities and foster efficient information for your business to thrive in the market

[thehealthcareinsights-blog]

The Role of AI in Healthcare

The rise of artificial intelligence (AI) in the healthcare industry has been revolutionary, reshaping the way we diagnose, treat, and monitor patients. AI is being used to deploy efficient and precise inventions that will help take care of patients and find a solution for them in diseases such as cancer and radiology. Using AI technology results in more accurate diagnoses and more personalized treatments. It also improves healthcare research and yields more accurate results.

According to one study, AI can outperform humans at key healthcare tasks. It can easily analyze large amounts of clinical documentation and assist medical professionals in identifying disease markers and trends that would otherwise go unnoticed. AI has a wide range of potential applications in healthcare, from scanning radiological images for early detection to predicting outcomes from electronic health records. We believe that it will be many years before AI replaces humans in broad medical processes, for a variety of reasons. Continue reading this article to learn about the role of AI in healthcare.

Use of AI in healthcare

The use of artificial intelligence in healthcare technologies improves health outcomes, reduces costs, and enhances the patient experience.

Diagnosis of cancer and fatal blood diseases

AI provides immense help when it comes to the early diagnosis of cancer and fatal blood-related diseases. PathAI allows pathologists to make accurate diagnoses because it is one of the best machine learning and AI tools in the healthcare industry. It reduces errors in cancer diagnosis and provides a variety of new techniques for individual medical treatment. With increased accuracy in cancer diagnosis, the majority of Cancer patients can be treated or cured at an early stage, saving many lives.

AI-enhanced microscopes can help doctors scan for harmful substances and bacteria in samples of blood, such as Staphylococcus, E. coli, etc., much faster than manual scanning. Scientists used over 25,000 blood sample images to teach machines how to detect harmful bacteria. The machines learned to identify these bacteria in the blood and predict their presence in new samples with an accuracy of 95 percent, reducing fatalities.

Customer Service Chatbots and Virtual Health Assistants

NLP technology develops chatbots that allow patients to ask questions regarding appointments, bill payments, etc. Chatbots can also communicate with patients about their illnesses and symptoms, reducing the workload of medical professionals. Aside from these benefits, it can help patients find the solutions they need, allowing healthcare professionals to focus on more important tasks.

Virtual health assistants can answer routine patients’ calls and emails, manage their medical information and protect sensitive data, schedule appointments with doctors, send follow-ups and clinical appointment reminders to patients, and so on. Cognitive computing, augmented reality, and body and speech gestures are all used to create this. Virtual health assistant applications are the most useful AI in the healthcare industry, providing patients with a personalized experience in terms of managing their health and answering their questions.  

New Medicine Development and Dosage Error Reduction 

When new drugs come for clinical trials, it takes a lot of time and money. AI enables healthcare professionals to scan pre-existing medications and use them to redesign medications to combat specific diseases. This reduces the cost of developing new drugs.

Patients should take the right amount of medicine as prescribed, as even one extra dose can have dire effects on their bodies. Otherwise, there could be serious consequences. AI in the healthcare industry has the potential to reduce the margin of error in medication. 

Robotic Surgery

Robot-assisted surgeries are now very popular. Many hospitals are implementing robotics to assist them in performing tasks that require precision, control, and flexibility, such as open-heart surgery, which is beyond the capabilities of humans.

Robots have mechanical arms, cameras, and surgical instruments that supplement doctors’ knowledge, skills, and experience, resulting in a new type of surgery. In this way, surgeons sit at a computer console and control the robot’s mechanical arms, while the robot provides a magnified, three-dimensional view of the surgical site that is impossible to see with the naked eye. AI-assisted robotic surgery results in fewer complications, less pain for patients, and a faster recovery rate. 

Clinical Trial Participation

A large amount of data must be gathered and organized in clinical trials in order to develop the best theory for a specific disease and its treatment. With the help of AI applications, hospitals can now facilitate a results-driven approach to clinical trials. AI allows neural networks to predict the bioactivity and characteristics of each patient in this type of trial.

AI platforms have aided researchers in identifying suitable candidates for testing developmental drugs for a variety of diseases and disorders. As a result of AI, the healthcare industry has seen a statistical increase in the success rate of clinical trials with greater speed and fewer costs.

Closing Thoughts

There is no doubt that the future of AI in healthcare is bright and full of opportunities for further innovation. AI in the healthcare industry will become an invaluable asset as we transition into a more connected digital world. With enormous potential, it is clear that AI can aid in the diagnosis of cancer and fatal blood diseases, customer service chatbots and virtual health assistants, new medicine development and dosage error reduction, robotic surgery, and clinical trial participation.

Visit More: https://thehealthcareinsights.com/the-role-of-ai-in-healthcare/

[citrusrealm]

Is your art style heavily influenced by Adventure Time?

Definitely, at least when I draw in my simpler style! I started watching Adventure Time when I was about 11 or 12 and I was super jazzed about it, so I started drawing a bunch of fanart trying to mimick the same style. It’s kind of stuck with me since then (especially since I’ve never truly moved on from Adventure Time).

When I draw in semi-realistic, I definitely see a lot of Avatar in my art (especially recently). But, I’ve also taken inspiration from different artists. I specifically remember looking up to therebemorefoolery back in the day. They’re not active nowadays, but I still recommend looking through their archive. Some of my favorite artists nowadays are Beverly, Cyarin, and Picolo (I’ve linked to all their instagrams). I also get so excited to draw when I see vetyr’s art (linked to Tumblr this time). The colors are so bold, but the anatomy is still very realistic.

[intracinpharma]

Why Flasin-Tylosin Tartrate Is A Must-Have Drug In Cattle Medicine Supplies?

Flasin-Tylosin tartrate has been one of the most common drugs the vet prescribes for farm animals. Many animal owners are not sure about the health issues of the animal. Experts believe that this macrolide antibiotic works as an antimicrobial growth promoter in animals. In simple words, it helps in eliminating bacterial infections in pet animals.

If you are a farm owner looking for answers related to this drug or health issues, this blog is for you. Here you can find details about the drug and answers for many of your queries related to various health issues.

Let’s address the first common questions first. Flasin – the Cattle medicine is Tylosin Tartrate Powder for oral administration, which generally helps treat microbial infections. Most vets believe that it is very effective in treating gastrointestinal and respiratory infections caused by Tylosin sensitive micro-organisms like Campylobacter, Chlamydia, Mycoplasma, Pasteurella, Streptococcus, Staphylococcus and Treponema spp . Such health issues are common in Calves, Goats, Poultry, Sheep and Swine.  

Though this is one of the most popular veterinary drugs for cattle, you need to avoid it if your pet is hypersensitive to tylosin, as it could complicate the health issue. If your farm animal is being administered penicillin, cephalosporins, quinolones or cycloserine, then you need to avoid this drug. The other situation in which you should avoid this drug is if the animal has active microbial digestion. All the contraindications mentioned in this paragraph helps to eliminate further complications.

The vet manufacturer believes that like any other drug, this medication also has few side effects. Diarrhoea, epigastric pain and skin sensitiveness could be some issues that the animal could experience. One should understand that all the animals would not show the same side effects. A few animals would not have any side effects of this drug. You need to maintain some caution while administering to a pregnant pet.

If you are an owner of a large set of animals, it would be ideal for you to purchase the 1000g jar. You could also try the 30 g or the 100 g sachet, as they are part of the popular cattle medicine supplies. The various packaging provides convenience for people to purchase the product and use it without wastage. This same drug can be used for dogs, cattle, sheep, goats, hens and other pre-ruminant calves.

Like any other veterinary drug for cattle or other farm animals, the dosage of this drug would depend on the animal type and weight. The powder is generally administered orally; but in few cases, the pet owners can mix it in water or food. Experts believe that many animals would show resistance to have the powder, as it is bitter. They suggest placing the powder into an empty gelatine capsule or cold butter. If the pet vomits or acts sick after taking the drug (without food), then you could try mixing it with food or treat. The medication generally shows its effect in about one to two hours. But, you can notice a significant difference in few days. This Flasin-Tylosin tartrate powder should be stored in an air-tight container, away from light and moisture. Room temperature would be the ideal condition.

If you missed a dose, you need not worry; you can give it when you remember. If it is close to the next dosage, then it would be ideal to miss the dose and continue with the schedule as per the prescription. You should never give any pet two doses at once or opt for an extra dosage. You would not need any specific monitoring, but the vet would prefer to keep an eye to ensure that the medication is working.

If you suspect an overdose or adverse reaction, then you need to call the vet immediately. If the vet is not available, contact the nearest vet hospital and explain the condition.

One should understand that any drug should not be administered without a vet prescription, as self-medication could be fatal.

[captaintanyawheelerlove-blog]

https://ultraskillpills.com/

Ultraskillpills  As with any surgical procedures, there are dangers, and you need to make an effort to talk about them along with your doctor to put your mind at ease. Despite the fact that laser surgical operation really is much less invasive than other options, there are nevertheless dangers, and being privy to them and what the clinical team is doing to reduce them allow you to experience substantially reassured. Troubles to speak approximately consist of the chance of contamination, the duration of the surgical procedure, what you can count on to sense during surgical procedure and different subjects that subject you.

Whilst you go to the health practitioner, count on to be asked questions primarily based on the chills in addition to different factors. Preferably maintain a record of facts like how regularly the chills have come on, how lengthy they have got lasted, the best temperature your body has long past to and whether there have been another signs and symptoms together with the chills. The more accurate the answers, the quicker it is going to be for the medical doctor to diagnose the problem. A bodily exam of the eyes, nostril, neck, throat and abdomen may also be carried out. The wrongdoer of this disease is a bacterium that produces pus or an eubacteria. Doctors normally classify osteomyelitis depending on what brought on the unhealthiness, wherein the bacterium got here from, how lengthy the affected person has had the discomfort and in which the affliction is positioned in the body. There have been instances in which the patients with bad bones and articulations have died, however that was because the disease became now not detected at an early stage. This contamination is not very common in adults however it could be more normally seen amongst new child infants. Latest research have discovered that the bones can be affected with the micro organism in distinctive forms. One bacterium that affects bones more normally is known as staphylococcus aureus.

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[musette-thornsong]

OJ: God’s Right Here

Aura Zurie had found out years ago during her childhood that she was not all cell but only half. If being treated like crap by the entire city of Frank wasn’t bad enough, the virus, Thrax, whom she once called friend betrayed and stabbed her in the back (in more ways than one). After losing so much and being used by those she trusted, she had become officially devoid of all emotion and decided never to trust or let anyone inside ever again. The return of Thrax may change that when they are paired off to hunt down the resurrected mob boss, Scabies, who has kidnapped Ozzy and Drix and will only release them if they hand over a recently acquired rare artifact. But soon everyone (including Thrax) will realize the huge mistake they have made when messing with the wrong girl.

One-Shot Parody

Warning: Violence, gore, language, psychological humor

Words: 6,216

Aura, Meth, & Opius girls belongs to me

Staphylococcus Aureus borrowed from a real bacterium.

It was a dark time in the City of Frank. The Chief of Frank Police had just recently assigned a case to Osmosis Jones, Drix, and (recently hired) Thrax. The case followed the inconspicuous murder of Leah Estrogen from only a day ago. Apparently, she was killed in her sleep with no visible signs of a struggle and then her corpse was hung upside down from Ozzy’s apartment door with a message from (horrifyingly enough) the late mob boss Scabies. This gave an indication that somehow, he was still alive (even though Thrax had turned him into a pile of goop). The team had split up to find clues and came across one at the memory banks archive in ancient text about a gem that revives the dead. Ozzy and Drix went to go find it only to suddenly get kidnapped by unknown assailants. Thrax was then left a note by Scabies that if he wanted his teammates alive, he would find the item in question and bring it to them. Knowing he had little to no intel on ancient artifacts or spells and apparently had no other options, he sought out some help from his fellow coworkers. They suggested he talk to Aura Zurie since she was one of the few citizens who dabbled in that department given her “recently discovered” heritage. Thrax found this to not only a big help but also a chance to get close to her. Although she grieved for the loss of her foster mother, Leah, certain circumstances would have Thrax find that Aura would be less than willing to help him.

Thrax: (eagerly catches up to Aura as she walked down the street) Hey, baby, wait up!!

Aura: (continues walking on, stubbornly) I have nothing to say to you.

Thrax: (tries to play it cool in attempts to charm her) Aw come on, baby. I thought it would a nice opportunity to reconnect… (whispers in her ear) especially given our “special” history together.

Aura: (stops dead in her tracks before turning around facing him, angrily stating) First of all, as far as I’m concerned, we have no history. Secondly, I know why you came breezing down my path and I’m not pulling the pin on that grenade. I made the mistake of trusting you once all those years ago. And in return, it destroyed what was left of the innocence that was my life. I’ll be damned if I get involved with you and make the same mistake again (turns her back to him and proceeds to continue walking on)

Thrax: (feels guilty, knowing she was right but decides to play on her insecurities as a last resort, sighing) Well, I guess I can’t fault you there. I don’t blame you for not wanting to help. But even if you don’t, just know…it’s not your fault.

Aura: (halts with wide eyes upon hearing those words, flashes back to her mother on her deathbed when she was a child uttering those same words)

-FLASHBACK-

*Lisa: (sick in bed, barely stable) I’m afraid I don’t have the strength to go on any further. I’m sorry, Aura. I’m going to leave you all alone.

*Aura: (tearfully holds her mother’s hand) Please don’t go, Mommy

*Lisa: (weakly smiles while cupping little Aura’s cheek, wiping her tears away) Don’t cry, sweetie. I know it’s hard, but you must be strong and endure. I just wish your father could have been here with us (coughs) but know that he did love you very much. I love you, Aura. If things were different back then, we could have become a happy family. Even though my life was turned upside down, I don’t regret having you for a daughter. Just know, this is not your fault (utters before her hand falls from Aura, dying peacefully)

*Aura: (tears fall as she screams agony)

-END OF FLASHBACK-

Aura: (hears the words “Your fault” torment her mind over and over until her mental barrier suddenly breaks down from the inflicted guilt, shouting painfully while barely keeping her composure) WHAT’S WRONG, THRAX!?

Thrax: (surprised he got through to her and gave her the details [unfortunately more details than necessary for dick-move torment]) Well, I suppose it all started when I was born, my mother…

Aura: (facepalms her eyes before pulling the metaphorical pin off the grenade in her mind, groaning) Uuuuuuuuuugh….

Knowing this would take long, they stopped a nearby pub where Thrax continued the conversation for several hours until finally getting the main point for why he sought her out in the first place. He explained how Jones and Drix had disappeared and somehow Scabies was alive demanding for the artifact they were previously looking for in order to bring Leah back. Aura’s brain was about ready to implode from all the mental torture.

Thrax: (continues) …and then that old fart of a germ left this note stating where he was and that he had Jones and the cold pill. And unless the gem is given to the old codger, they can kiss their asses goodbye. And, well…you know the rest, baby.

Aura: (bangs her head on the table repeatedly from the long conversation until Thrax finishes, vents her frustration) GOD, DO I EVER!!! I CAN NEVER UN-KNOW!!! These nuclei receivers could have been used to formulate the perfect strategy in solving this case! Instead, they’ve memorized the different types and amounts of beatings you used to receive since you were four!!!

Thrax: (makes a callous reference) Yeah, much like you, my mother was one emotionally unstable bitch

Aura: (retorts sarcastically) Yeah, I know. And it’s because of that shit to this day, you are still a continuously blunt, all-around, never-ending ASSHOLE!!! (calms down after getting it all out of her system, sighs) Look, if I tell what you need to know about your stupid rock, will you leave me alone?

Thrax: (corrects her) Gem.

Aura: (annoyed) Honey, no language on Earth has a word for how little I care. A quantum super-computer calculating for a thousand years could not even approach the numbers FUCKS I do not give. The friggin’ heat death of the universe could not-

Thrax: Baby, are you going to tell me or not?

Aura: Eh, sure. Whatever. Allegedly, the once lush garden of Frank that was closed off (due to the strange death tolls) was turned into a restricted grave site called “The Valley of Remembrance”. At its center is a jeweled staff known as the Archangel’s Beacon which can pin-point the exact location of the Revival Gem.

Thrax: (mildly happy to hear this news) Seriously, then let’s go get it right now!

Aura: (halts him) Upbupbup, cool your jets, Hot-Shot. There’s more to it than that. For one thing, the gem can easily work on viruses at any time of death, within 15 years for germs and bacteria, but won’t work for cells 3 days after death. And seeing as how a day and a half has gone by already, not to mention you just spent the last 7 HOURS making me consider the pros and cons of a lobotomy via soup spoon, I’d say you got your work cut out for ya.

Thrax: (shocked by this news, eager to get going with only one day left) Oh boy! Well, let’s get going. We’ve got no time to lose (cups his hands around hers)

Aura: (brow twitches before giving her answer) Yeah, about that…

Aura was suddenly outside the pub walking through the crowd of cells out at night, minding their own business. Thrax trudged alongside her confused by the answer she gave him.

Thrax: (hysterically states his predicament) What do you mean you’re not going?! This is completely different from my life on the run trying set a record and getting into the medical books. I don’t know the unknown territories of this body like you do nor what dangers to expect from any of this. I could die on my own!

Aura: I believe I made myself clear about my number of FUCKS and willingness to give them.

Scabies: (pops out of nowhere looking worse for wear in many ways) Ebola Boy? Oh my god, how are you? I believe the last time we met was….oh yeah! When you sliced me up and painted the steam room floor with my carcass

Thrax: (expresses rather irritably, but restrains himself not wanting lose it and kill the only suspect they had in this case, grunting) Fiiine…

Scabies: (mockingly) And where’s the old crew? Haven’t seen them for quite some time

Thrax: They’re dead. Much like how you’ll be again if you don’t beat it.

Scabies: (feigns caring nature) Aww, ain’t that a pity? You at least make some good trophies out of em’?

Thrax: (disgusted) AW HELL NO!! I may be one sick sadistic motherfucker but I ain’t that sick, old man!

Scabies: Ah, such a waste…

Aura: (callously adds on) He’s right you know. Keeping specific remains of your enemies can make for some pretty-sick trophies.

Thrax: (annoyed) Okay, seriously, Aura!? That’s not funny. Now if you’ll excuse me, I’ve got a gem to find, two idiots to save, and a dead broad to revive.

Scabies: (looks to Aura scanning over with familiarity) Oh, Aura is it? You his new girl? Well, ain’t you a saucer of cream! It’s so nice to see that even the legendary Ebola-knockoff found someone on his level.

Thrax: (growls at the remark and how he was looking at Aura)

Aura: (laughs casually before eyes widen, clearly insulted) Ehehehe…What?

Scabies: Oh no, it’s cute. I just love the whole “tough-girl” persona ya got goin’ on here. Very convincing. Well, don’t wanna take up any more your time. Sure you sweet kids got a lot to do. I’m sure you’ll have no problem clearing “The Valley of Remembrance”.

Thrax: (attempts to speak for Aura) Actually, Aura just made it clear that she’s not-

Aura: (slightly deranged) Come on, Thrax. We got two idiots and a broad to save (starts walking past Scabies)

Thrax: (walks beside her rather delighted) So, you’re actually gonna help now? Well alright! Operation: Damage Control is a go (places his arm around her)

Aura: (firmly) Don’t touch me

Thrax: Still not there yet?

Aura: Not even close.

Scabies: (smiles wryly)

Thrax and Aura had stopped at a nearby inn for the night in order to get an early start on their mission for the Revival Gem. However, some would come to find it difficult to sleep that night. By morning, they had left the inn and made their way to the Valley of Remembrance where Thrax burned off seal to the gate to save time. Aura lead the way through the silent yet beautiful gardens and enchanted glades. It was all lovely but had an eeriness to it considering there was not one living thing around thus hinting to the term “silent as the grave”.

Aura: (calmly yet alert) Keep your eyes and ears open for anything. There’s no telling what might be lurking around.

Thrax: (smugly) Please. There ain’t nothin’ Big Daddy Thrax can’t handle.

Aura: (rolls her eyes, grunts) Uuugh

Thrax walked on casually next to Aura. He figured this would be a good opportunity to try to get close to her. But given the atmosphere, he wasn’t entirely sure how to break the ice nor certain if she even wanted to talk. Aura was unsure of a couple things too but figured she’d ask just to be sure.

Aura: (chuckles awkwardly) Hey, uh, random question. Uh, you didn’t hear anything…weird last night…Did you?

Thrax: (ponders back to last night) Uuuuuh….

 -FLASHBACK-

*Aura: (cries loudly through the wall) Momma Lisa!!! (cries more) Oh god, why couldn’t I save you?! Why?! Momma! MOMMA!!! (cries even more)

*Thrax: (hears her sorrowful wails in confusion unable to sleep)

-END OF FLASHBACK-

 Thrax: (slightly goes bright crimson, goes into immediate denial not wanting to say the wrong thing) Uh, no. Definitly not. I’m like a super heavy sleeper, so… (walks on)

Aura: (laughs nervously) Good, good (clears throat) Yeah, sleep is…sleep is good (continues walking)

Thrax: (comes to her, curiously) Sooooooo…Who’s Momma Lisa?

Aura: (snaps) I KNEW IT!!!

At the same time of her outburst, random vines sudden bursts out from bushes and quickly wrapped around Thrax’s ankles, lifting him straight off the ground. The vines revealed to belong to a giant Audrey II-like plant monster that became attracted to closest heat source. It opened its trap preparing to devour Thrax.

Aura: (slightly giggles at Thrax’s awkward predicament)

Thrax: (screams at the sudden lift coming face-to-face with the monster, embarrassment sets in as this was happening in front of Aura of all people) AAAAAAAAAAHH!!! Baby don’t stare at me like this!!

Aura: (yells in response) First off, I’m not your baby so quit calling me that! Secondly, I think you have more pressing concerns!!

Thrax: (slashes around frantically) Well, WHAT DO I DO?!

Aura: Just stay calm. You already have everything you need to beat it.

Thrax: (responds sarcastically) Oh, and what’s that? The power to believe in myself?

Aura: (irritated that Thrax was deliberately trying pluck a nerve) Noooooo, your claw, smartass!! Stab it!!

Thrax: Oh…right (slices off the vines from his ankles before diving at the plant beast, burying his claw straight through and causing it to explode before landing safely on the ground)

Aura: (sighs, locking arms Thrax against her better judgement) Yeah, maybe you should stick closer to me. Those things are attracted to heat and will not think twice about snuffing it out. And seeing as how you’re walking blazing inferno, you’re aggroing everything in this place.

Thrax: (blushes a bit then puts back on the “tough guy” façade before pulling away from her with a smirk) First off, if it’s one thing I know how to turn up and down, baby, it’s heat. Secondly, there’s need no need to worry your pretty, little head. Big Daddy Thrax can take care of himself (walks ahead before suddenly stepping on a random vine which woke up several more plant monsters, screaming) AAAAAAAAAAHH!!! BAAABYYYYYYY!!!!!

Aura: (raises a brow, unimpressed before sighing) This is gonna be my whole day, isn’t it?

After saving Thrax’s hide many a time from becoming every plant’s main course, they had finally reached the center of the valley. There atop an ancient pedestal stood the bejeweled Archangel’s Beacon staff in all its shiny, dusty, cobweb-covered glory.

Thrax: (grabs the staff) Hey, look. There it is!

Aura: Alright, now all we need is the dust!

Thrax: (excited before suddenly catching on to her sudden remark) Yeah- wait, what do you mean?

Aura: Well, I mean, we’re going need the Spark Powder to activate the staff. And we can only purchase said powder from the only drug dealer in this part of Frank who deals in the mystical department (for a certain price). Then once activated, the staff will guide us to the stronghold containing the gem where we’ll navigate ourselves through a series of traps within the catacombs (where most people would never think to look first), leading us to said gem and hopefully the quickest path to the throne/ritual room.

Thrax: (felt like his head was about to explode from the news) That’s INSANE! Just how paranoid were these people?! And since when did this magic stuff get so complicated?!

Aura: You don’t know much about Viral Ancient History or Magic, do you?

They continued their mission in hunting down the only drug dealer, Methadoneus Papaver, who contained the mystical Spark Powder. Once found at a nearby Opium Den, they could see the place was full of ill-repute as there were several Opius female germs publicly seducing several male cells on either ends of the establishment. When they all caught sight of Thrax, they brushed pass the others to gather around him since they never had a virus visit before (let alone a tall, strong, and handsome one). Though Thrax was flattered, he was more concerned with the mission at hand. Seeing as how it would take longer pushing through to get to Meth, Aura decided to take the high road and push Thrax into the crowd of horny germs who wasted no time in smothering him. Thrax was completely helpless in this situation. While he was known for being quite the “Ladies Man” & “Lady Killer”, he never had to deal with so many girls at once.

Aura: Hey look, girls! A present! (pushes Thrax into the Sea of Opius girls)

Thrax: Whoa!! (sees predicament he was suddenly in as the girls wasted no time going down on him, screaming out) NOOOOOO!!! They’re soooo hornyyyyyy!!!!

Aura: (caddy) But I thought there wasn’t anything Big Daddy Thrax couldn’t handle.

Thrax: (glares at her menacingly) Oh, you are SO gonna pay for that later!!

Aura: (chuckles sarcastically) Relax, this won’t take long. If anything, I’ll probably be down by the time you finish (heads upstairs the main den)

Once she found Meth, she got straight to the point about the Spark Powder. He attempted to hustle from her a ridiculous price as that was one of his rarest products that tended to go out quick. He even caused greater insult by trying to get Aura to “entice” the deal further. Meth asked her how much she thought the powder was worth believing she couldn’t do much to threaten him since she was a cop or the fact that she was just a dumb pheromone capable of only screwing her way to the top. But that was a mistake he would soon come to regret. The room suddenly went dark as Aura wasted no time in suddenly grabbing him by the throat, brandishing her claws near his chest, bearing fangs, and her crimson red eyes flashing gold as a warning. Getting the picture, Meth gave her a 75% discount on the powder in exchange for not killing him. When the lights came back on in the room, Aura warned him not to push his luck from now on before heading back down only to find that all the girls completely whored out and Thrax looking an absolute mess, barely keeping his composure and covered in kissy marks.

Aura: (looks over in shock and disbelief) DAAAMN!!! When I said I’d be down by the time you were finished, I was kidding!! But…DAMN!! (sees all the girls with blissful satisfied looks on their faces) Who would have thought you had that kind of stamina. Remind me never to question your libido again.

Thrax: (pants in moderate exhaustion) I never thought…in a million years…that I’d have to screw my way…out of a jam…like that. You got what we need?

Aura: (holds up the bag with the powder) Right here.

Thrax: Good (weakly grabs her by the collar, pulling her close to him) So don’t you EVER…do that…AGAIN!!

Aura: (pushes him off before dusting the staff with the powder) Oh, chill. I thought you would appreciate a group of women going ga-ga over you. (snarky) At least they’re the only ones dumb and horny enough to anyway. Now let’s get going, nearly half the day is gone and we’re running out of time.

Thrax: (grunts, thinking in frustration) *Why do I bother with this girl*

The staff glowed and blinked leading them to the gem’s location. When they were nearing the end of their journey, they came to the stronghold known as Mrsa Castle where they found a secret door leading to the catacombs. Just far up ahead was the Revival Gem on a pedestal. They made their way up to the end when suddenly trap after trap went off as they narrowly escape each one (especially Thrax as he was already worn out the orgy earlier). By the time they had barely made it out of the traps alive, they grabbed the gem and luckily found an elevator that lead them straight to the center of the throne room.

Aura: Man, I thought we were done after that 7th trap with the spiked wrecking balls, but then BAM!! There’s number #8 with the projectile acid worms!

Thrax: (less than enthusiastic) I just…I just want to go home.

Aura: (stops Thrax in his tracks) Wait. Hold on, Thrax. Do mine eyes deceive me?! Tis the fable Blob Throne of Staphylococcus Aureus! A being of microscopic knowledge and devourer of souls! Quickly, good sir! We must spirit away before- Oh my god! Will you just come out already?!

Scabies: (comes out from behind the throne and sat down in all his zombified glory) Well, for a pheromone you’ve got some rather keen instincts for you to have known I was here.

Aura: (casually) Scabies?! Oh my god, how are yo- Oh god, wow, that’s enough of that. (disgusted) Jesus, how do you put up that act all day?

Scabies: Ah, so you saw through me, did ya? You’re quite the clever pisha to haves figured I was once leader of the Sweat Gang

Aura: (laughs) The Sweat Gang? Wow, I thought you might be someone more dangerous, like Thrax over here or even Ebola! Never even heard of you.

Thrax: (looks to her, mildly blushing at the partial compliment)

Scabies: (confidently) Laugh all you like. We’re still one of the most feared gangs in the restricted zones of Frank.

Aura: (snarky) Ooh, impressive. You can frighten cells that think Pollen Pods are terrifying.

Thrax: (points out) Actually, some cells do find them rather terrifying considering Frank’s allergic to them. I mean, when you think about it, have you seen their eyes? They have no souls.

Scabies: Ah, so quick with the snark. Of course, that’s really all ya’ have goin’ on, isn’t it? A witty retort to distract everyone from what you really are. A sad, lonely little girl with no one who loves her. Someone so dead inside, she’d use a lethal virus as bait just to lure me out

Thrax: (defensively) Ok, seriously? My girl may have done some terrible things lately, but I know for a fact that she would never do something that horrible!

Aura: (bluntly) Nah, he’s right. I totally did that.

Thrax: (shocked) What?! How could you do that?!

Aura: Not so much fun when the shoe is on the other foot, is it? Keep in mind that you used and deceived me to meet your ends, remember? I just simply gave you a small taste of your own medicine.

Thrax: (dumbfounded by this newfound sinister change to her personality, though remained silent knowing she was right and should have seen this coming)

Aura: Yeah, that’s what I thought.

Scabies: And to top it all off, you play the “tough girl”. This invincible force you could never hope to be out there in the real world. Getting promoted to the FPD as a top-rated cop was probably the only best thing to ever happen to you. But there’s one thing your position will never let you hide. The one thing that’s haunted you your whole life, that you can never escape…

Aura: (narrows her eyes in annoyance)

Scabies: (smiles smugly) You are the bastard child of former cop-turned-all-around-whore. And trust me, I should know. She was one of my top earners

Aura: (laughs) What?! No, I’m not bastard child of a-…my mother wasn’t a-… (slips into psychotic laughter, finally snapping from the repressed memories of her dear mother) That’s crazy. That’s CRAZY!! HAHAHAHA!!!

Thrax: (looks at her worriedly) Uuuuh, baby, you feelin’ a’ight?

Scabies: Well, looks like my work here is done. I do so enjoy our chats, but I really have a ritual to get going. We’ll be taking the Revival Gem now, if you don’t mind.

Aura: (deranged) Really? Little old you is going to take from us? That’d be a neat TRICK!!

Scabies: Indeed. But a magician is nothing without his lovely assistants (snaps his fingers, giving a signal)

Suddenly, the old crew of the Sweat Gang suddenly came out of their hiding places looking as bad as Scabies. Like Scabies, they were all zombies out for revenge and ready to strike up some mayhem the second they were back to normal. The largest of the crew soon dragged two familiar faces tied up securely

Ozzy: (expresses joyfully upon seeing them) THRAX!! BABY GIRL!!! Boy, aren’t you two a sight for soar eyes!! It’s the funniest thing really. We found out the gem was here as well and came to retrieve it. And we would have called but (chuckles) these guys nabbed us out the blue and we’ve been trapped here ever since. (put on his usual facade) But of course not before Germinator Daddy opened a can of WHUP-ASS in honor of your moth-

Drix: (interrupts) Uh, Ozzy? I’d hate to interrupt such a “tearful” reunion, but do you think it could wait until after we’re rescued?

Thrax: How the hell are these clowns alive anyway?

Drix: (explains) It would appear when you killed Scabies and what was left him disappeared into the pipes, somehow the pipes were connected to the ones here at Mrsa Castle. The power of gem manifested once it sensed a dead soul, bringing Scabies back from the dead…um, partially. He then used a spell stolen from the archives to bring back the rest of them to seek out revenge. He used all of us to get to the gem so he could fully return all of them and himself to their original states before his 15 years comes to an end tonight!! (points out one last thing) Oh, and right now we’re probably about to die. Did I miss anything?

Ozzy: Uuuuhh, nope. That’s seems about right

All Germs: (start to move in on Thrax & Aura for the kill, snickering sinisterly)

Thrax: (worried, steps in front of Aura defensively) Oh crap, there’s too many of them, baby. I may be tired but that’s never stopped me before. I’ll back you up.

Aura: (places her hand on his shoulder, calmly but still in deranged state) Aww, that’s adorable.

Thrax: (raises a brow, confused) What is?

Aura: You think they’re a threat because we’re out numbered and they’re twice as strong due to them being undead. Well, you just sit tight. Show’s about to start. Careful, though. The first 3 rows are a ♫splash zone♫ (walks ahead of Thrax)

Thrax: (goes wide-eyed, worried) Baby, what do you mean by that?

Aura: (laughs psychotically)

Aura had officially snapped. As if things weren’t bad enough when she was reminded of her guilt. Or when she unknowingly aided Thrax in his plans to take down Frank when she was a child. Or when others saw her as a monster or a dumb pheromone whose only purpose in life is to screw or to kill just because she was born half-cell and half-virus. She could deal with all the taunts and slanders. But the moment someone insults her mother, the one organism in all of Frank that brought her into this world and held dear to her heart, that’s the moment when all she can see is red and loses her mind completely. All of that became clear when the entire throne room suddenly got darker and started to freak everyone out, especially Thrax. He had never seen her like this or any cell or virus with this kind of aura. He actually found it to be more terrifying than he was. It was at that moment Thrax realized all that she had to endure from the time of her birth, through her mother’s death, and living as an orphan on the street for years treated poorly by everyone in Frank. But the worst of it was when he walked into her life and used her in his scheme even though she trusted him, believing she had finally found a friend. His betrayal became the official turning point for what she was now. And the germs who were set to kill, started to get nervous and began to think otherwise about the whole situation.

Joe Cramp: (concerned) Um, boss? A-A thought occurs. This cop thought she was going up against someone as dangerous as Ebola, yet she brought herself and our…former boss. We sure we wanna mess with this chick?

Scabies: (callously confident) Please! The girl is all talk! And now that I’ve broken her, she’s not even THAT, anymore! She’s nothing but a gibbering mess, grasping at straws!

Aura: (still emanating the dark presence) Ooh, another one of your famous theories! Tell ya what. I’ll give you the first shot (eye twitches) See how that goes!

Joe Cramp: (thinks momentarily before concluding) Boss, I think this might be a trap.

Scabies: (abruptly) Enough! You’re all undead with twice your normal strength and there’s SEVEN of you! I think you’ve got this!

Aura: (smiles wryly, baring her fangs and eyes glowing yellow like a cat)

Scabies: Now, kill her!!

In a flash, they all came bearing down on her with no restraint. Each one either slashed at her with claws, beat her with a club, bit at her, stabbed her with knives, etc. And the whole time, she stood there not screaming in pain or giving in an inch. This made the others worry and wonder why she was refusing to do anything.

Drix: (shocked at the damage being done) Oh no, I knew it! Scabies must’ve really gotten into her head! She’s not even fighting back.

Ozzy: (worried for his adoptive daughter urges Thrax to help) Thrax, don’t just stand there! Help her!!

Thrax: (snaps out of it, adjusting himself while getting ready to jump in, thinking) *Oh, baby. Now I understand completely. It’s my fault this all happened to you. And right now, you need me more than ever* Well, I guess it’s up to me to save her or else-

Aura: (smiles as one of her wounds suddenly healed instantly along with the rest of her injuries)

Thrax: (stops in his tracks, stunned at the sight) Wait what?

All Germs: (pants, completely exhausted and shocked that she didn’t scream or go down after all they did to her)

Aura: Man, you guys are out of shape! Really oughta do some cardio.

Scabies: (frustrated) What are you Sissy Marys’ doing?! Quit screwing around and finish her!

Bruiser: (pants) I don’t understand, Boss! We threw everything we had at her! How is she still standing?!

Aura: How? Well, it’s quite simple, really. You see, ASSHOLE, you may think you’ve got all figured out. True, I was born a pheromone cell but that’s only half of it. There’s just one thing you didn’t account for.

Scabies: (getting angry)

Aura: As it turns out, the 2nd half of my makeup…is Chiroptera DNA!

Ozzy: (confused) Chiro-what now?

Drix: (explains) If I may, Chiroptera is the scientific classification order of bats more particularly the common vampire bat. They have many known diseases with one being the only rarest exception among them. And that rare disease is known as the legendary Draculine virus.

All: (gasps)

Ozzy: (curious) And you know this how?

Drix: (admitted truthfully) I studied her during that time she was in the hospital fighting Thrax’s venom. I managed to dig up some research on the subject as well as her background. I felt it was necessary for future medical reasons should you need it.

Aura: (sarcastically explains, chuckling) It’s funny how life works really. A respected female cop doing her job has an unexpected run-in with a virus that later puts her in a position she has absolutely no control over. Said events soon results into a half-breed child who eventually loses everything. But after years of loneliness and hell, you hoped you finally found someone whom you could trust that you felt connected to. And that goes out the window when he stabs you in the back in more ways than one and leaves you drifting in the void between this world and the next. Suddenly, the part of you that you didn’t know existed ends up being the thing that saves you from a near-death experience. Get to that point in your life where that side brings out more in you emotionally and physically, turning you a lethal force to be reckon with, and you’re basically untouchable. My wounds heal faster than you can make them. We could do this all day and you dumbasses would not be any closer to killing me. (laughs) Not that it wouldn’t be fun. But I’ve got good news! You see, there’s no need to wonder where your God is. Cause she’s right here… (whispers menacingly) and she’s fresh out of mercy.

All Germs: (whimpers and cries in terror)

Scabies: (scared, finally fed up) W-Well, way to prove my point, bitch! Lording your origins over them like some kind of god! Your strength is nothing but an illusion to cover-

Aura: (blazes swiftly like a gust of wind)

And what happened next shocked everyone. When everyone looked up, Aura was no longer where she was. They turned see that she was where Scabies was, who looked pale with fear as blood came out the corner of his mouth. It was at the moment they all could see something big and slimy pulsating. Aura had drove her claws deep into Scabies, creating a huge hole in his chest and ripped his barely beating heart through his back. Never had anyone there seen someone do anything so ruthless without hesitation or mercy. Scabies was shocked by this revelation as well as he weakly turned to meet her deadly gaze.

Ozzy & Drix: (shocked and horrified at the scene)

All Germs: (jaws dropped in shocked)

Thrax: (shocked and amazed, yet horrified)

Scabies: (whimpers, choking on his blood) Uuuugh….

Aura: (whispers before crushing his heart with her bare claws) I’m gettin’ real tired of your first-year-psych-student bullshit.

Scabies: (weakly) Enjoy this…while you can. It’s the deepest…a man will never be…in…you (goes up in blue flames disappearing from existence)

All Germs: (go up blue flames as well at the death of their master)

Thrax: (stares in confusion of everything that just transpired)

Aura: Yeah, well, you’re dead, soooooooooooo…. (frustrated, unable give a retort) DAMMIT!!!

An hour had passed since the incident. Aura sat on the throne staring off into space with a soulless gaze. Ozzy and Drix were still in shock that she had that kind of force in her and were worried for the well being of her current mental state. Thrax was even more worried for Aura as he was still processing the fact that this was all his fault for turning her into this, feeling untold guilt that she had become as ruthless and virulent as he was. It was all completely opposite of the sweet soul she used to be. Unable to bear the silence anymore, one of them had to speak up.

Thrax: (came up and sat beside her, concerned) Soooooo…how are you doing, baby?

Aura: (glumly) Fine. Why?

Drix: (points out) Well, you did just kill someone.

Ozzy: Which in turn killed a bunch more.

Thrax: As someone who’s killed more than his fair share of organisms, I usually feel a great sense of satisfaction from it. Which makes me kinda wonder, doesn’t that make you feel…something?

Aura: (nonchalantly) Oh, feelings? Yeah, thanks to you, I no longer have those. Went cold turkey

Ozzy: (shocked) What?! Baby girl, you can’t just do that! What’s the point in living if you can’t feel happiness, wonder, love…?

Aura: (lights up a little) Or the sweet taste of revenge! You’re right, Ozzy! What’s the point in living if I can’t enjoy such simple things?

Thrax: (sighs before lightly smiling) Close enough.

Aura: (feels a slightly new sense of being) You guys are good friends. We should go on more missions like this.

Drix: Um, I don’t think so

Ozzy: Don’t take this the wrong way, sweetie. We’re grateful for your help, but you’re-…

Thrax: Like the worst person we’ve ever had to work with.

Aura: (silent for a moment before responding) Is that your big plan? Huh? Make me feel feelings so you can cut me down a peg? That cuts deep, guys. But I respect that.

Ozzy: Yeah, that’s kinda the problem. But I suppose it’ll all be worth it to have Leah back.

Aura: That’s the spirit. Let’s get started.

They set up the ritual circle where Drix took Leah’s corpse out of his compartment (to keep her body from decaying) and laid her in the center. Using her blood, Aura brought the Revival Gem to Leah’s body. As the drop of blood glowed from the gem’s power, it fell onto the body making it glow brightly. It got brighter and brighter until suddenly…

Gem Voice: *Lifeline time limit has expired*

Leah: (goes up in blue flames, disappearing)

Ozzy: (stares in shock at what just happened)

Aura: I’m…sorry for your loss

Ozzy: (bloodcurdlingly screams) AAAAAAAAAAAAAAAAAAAAAAAAHHHH!!!!

The aftermath of that incident was no better. After everything they went through, it was all a waste. And now Ozzy was running around the streets of Frank going on rampage, having officially lost the love of his life.

Thrax, Aura, & Drix: (suffers Ozzy’s wrath with some rather critical injuries, shocked)

Thrax: He took that well.

[artdecco531]

NHRA exam questions and answers

If you are preparing for the NHRA exam, it's important to practice with questions and answers to help you better understand the types of questions you might encounter on the actual exam. Here are some example NHRA exam questions and answers:

Which of the following is an essential component of a patient's medical record?

A) Date of birth

B) Patient's address

C) Blood type

D) Chief complaint

Answer: D) Chief complaint

Which of the following is not a component of the SOAP note format?

A) Subjective

B) Objective

C) Assessment

D) Procedure

Answer: D) Procedure

Which of the following is a type of bacteria that is commonly associated with food poisoning?

A) E. coli

B) Salmonella

C) Staphylococcus aureus

D) All of the above

Answer: D) All of the above

What is the recommended dose of acetaminophen for adults?

A) 500mg every 4 hours

B) 1000mg every 6 hours

C) 650mg every 8 hours

D) 325mg every 12 hours

Answer: D) 325mg every 12 hours

What is the primary function of the respiratory system?

A) To pump blood throughout the body

B) To remove waste products from the body

C) To exchange oxygen and carbon dioxide

D) To regulate body temperature

Answer: C) To exchange oxygen and carbon dioxide

What is the most common type of cancer in men?

A) Lung cancer

B) Prostate cancer

C) Colon cancer

D) Skin cancer

Answer: B) Prostate cancer

Which of the following is not a type of insulin?

A) Regular insulin

B) Long-acting insulin

C) Intermediate-acting insulin

D) Rapid-acting insulin

Answer: D) Rapid-acting insulin

What is the normal range for blood pressure?

A) 120/80 mmHg

B) 140/90 mmHg

C) 160/100 mmHg

D) 180/110 mmHg

Answer: A) 120/80 mmHg

Which of the following is not a symptom of a heart attack?

A) Chest pain

B) Shortness of breath

C) Numbness in the arms or legs

D) Sweating

Answer: C) Numbness in the arms or legs

What is the recommended time frame for a colonoscopy screening?

A) Every 5 years

B) Every 3 years

C) Every year

D) Every 10 years

Answer: D) Every 10 years

Remember, practicing with questions and answers is just one part of preparing for the NHRA exam. Make sure to review your medical knowledge, utilize study materials, and take care of yourself during your exam preparation. Good luck!

[rohans18]

Middle East and Africa Bacteriophages Therapy Market Demands, Analysis, Size, Trends, Revenue by 2029

Middle East and Africa Bacteriophages Therapy Market, By Target (Escherichia Coli, Staphylococcus, Streptococcus, Pseudomonas, Salmonella, Others), Type (Lytic, Lysogenic), Base (Sterile Broth Culture, Water-Soluble Jelly Base), Application (Bacterial Dysentery, Infections Of Skin And Nasal Mucosa, Suppurative Skin Infection, Lung And Pleural Infections, Postoperative Wound Infections, Others), Route Of Administration (Oral, Parenteral, Rectal, Dermal, Others), End-User (Hospitals, Speciality Clinics, Academic Research And Institutes, Others), Distribution Channel (Direct Tender, Third Party Distributors), Country (Germany, U.K., France, Italy, Georgia, Netherlands, Russia, Switzerland, Belgium, Turkey, Poland, Rest of Europe) Industry Trends and Forecast to 2028.

In the consistent Middle East and Africa Bacteriophages Therapy market research report, industry trends are put together on macro level with which clients can figure out market landscape and possible future issues about Middle East and Africa Bacteriophages Therapy industry. The scope of this market report include but is not limited to latest trends, market segmentation, new market entry, industry forecasting, future directions, opportunity identification, strategic analysis and planning, target market analysis, insights and innovation. The report presents with the CAGR value fluctuations for the specific forecasted period which helps decide costing and investment strategies. An influential Middle East and Africa Bacteriophages Therapy market report brings precise and exact market research information that drives business into the right direction.

Key Players

Aesculap, Inc. (U.S.)

Braun Melsungen AG (Germany)

Corin Group (U.K.)

Medical Devices Business Services, Inc. (U.S.)

Smith+ Nephew (U.K.)

Stryker (U.S.)

Zimmer Biomet (U.S.)

Exactech, Inc. (U.S.)

Medacta International (U.S.)

MicroPort Orthopedics Inc. (Switzerland)

Medtronic (U.S.)

 Browse More Info @ https://www.databridgemarketresearch.com/reports/asia-pacific-bacteriophages-therapy-market

The research studies entailed in the winning Middle East and Africa Bacteriophages Therapy market report supports to estimate several important aspects that includes but are not limited to investment in a rising market, success of a new product, and expansion of market share. The strategies underlined here mainly consist of new product launches, expansions, agreements, joint ventures, partnerships, acquisitions, and others that boost footprints in this market. Several other factors such as import, export, gross margin, price, cost, and consumption are also analyzed under the section of production, supply, sales and market status.

Key questions answered in the report:

Which product segment will grab a lion’s share?

Which regional market will emerge as a frontrunner in coming years?

Which application segment will grow at a robust rate?

Report provides insights on the following pointers:

Market Penetration: Comprehensive information on the product portfolios of the top players in the Middle East and Africa Bacteriophages Therapy Market.

Product Development/Innovation: Detailed insights on the upcoming technologies, R&D activities, and product launches in the market.

Competitive Assessment: In-depth assessment of the market strategies, geographic and business segments of the leading players in the market.

Table Of Content

Part 01: Executive Summary

Part 02: Scope Of The Report

Part 03:  Global Market

Part 04: Global Market Size

Part 05: Global Market Segmentation By Product

Part 06: Five Forces Analysis

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Data Bridge Market Research set forth itself as an unconventional and neoteric Market research and consulting firm with unparalleled level of resilience and integrated approaches. We are determined to unearth the best market opportunities and foster efficient information for your business to thrive in the market