#asks are answered

[ionfusionpunk]

hello, what’s this about awake craniotomies and clone chip removal? (I don’t follow you, I just saw your note in the reblogs and went “oooo this seems interesting!”)

Heyo! Of all the things I've commented on a post, I think this is exactly the one I expected to hear about the least lolol. I'm warning you, this is... a long post. It got away from me, I'm so sorry T-T (It's heckin long. I'm really sorry. I'll summarize at the top and you can read more beneath the break if you want.)

Long story short, I hyper fixated on this tiny little detail that really doesn't actually affect anything within the SW universe lmao.

TL;DR: The clones should be awake for their chip removal procedures with the exception of extenuating circumstances. Also, disclaimer, I'm not in the medical field, I just love research. If I get anything wrong, anyone is free to correct me :)

If you have any questions, please ask, I'm not very good at explaining things in way others understand at first. So it all makes sense to me, but you might not follow my leaps in logic 😅

Longer story: I was reading a fic this morning, and the clones involved got their chip removed. The text said something about 'waiting for them to wake up from the surgery', and it just kinda... idk, hit me that I have never ever read any fic where the clone doesn't have to wake up from being completely sedated for brain surgery.

Now, look. Write what you wanna write, like I said, it's not a big thing. But one of my neurodivergent quirks is that inaccuracy/misinformation/ignorance (willful or innocent) kinda bugs me? I like knowing that other people know things - know correct things. It brings me satisfaction and helps me sleep at night. So I kinda notice trends in what people seem to not/know.

My first thought when I realized the trend of complete sedation for brain surgery/chip removal led to me to draw two conclusions: a) As happens in fandom, most everyone just writes clones completely sedated for this procedure bc everyone else does. No biggie. It's easier, and again, doesn't really matter. b) Most everyone is working off misinformation pulled from inaccurate medical dramas and the assumptions made by the average fic writer. Again, not an issue. It's fiction. I just like... accuracy. So my brain took this and went ham.

Kay. So, there's this really cool thing about the brain that I'm starting to think isn't common knowledge? I'm kinda a nerd for weird medical things, and it's been a long time since my high school biology class where I first learned about this, so maybe it's just me. The brain doesn't have any pain receptors. None. Like, if you had just a living brain in the palm of your hand and you stabbed it or punched it or whatever, it wouldn't feel pain. Pressure maybe, since it still has touch receptors, but no pain whatsoever. The only pain receptors present around the vicinity of the brain are the ones around the brain.

This little fact led to a really cool and helpful medical advancement several years ago: this thing called awake craniotomies, or brain surgery where the patient is still conscious. The benefit is that it allows the surgical team to engage the patient and actively monitor cognitive function; this is a far step from waiting for the patient to wake up in order to determine if the surgeon done effed up and turned the patient into a vegetable - if they woke up at all, that is.

Originally this was practiced on epileptic patients bc, yanno, epilepsy. It's a really finicky condition, after all. Since then however we've managed to find other treatment options for epilepsy and other related conditions, so awake craniotomies (or conscious craniotomies as I call them, since it alliterates lol), so we've moved away from brain surgery there. Instead, awake craniotomies are now most often performed when removing or recessing a brain tumor. Again, it's a really finicky process, and the surgeon and their team really like being able to check on the patient during the whole process.

Before anyone freaks out about the pain receptors around the brain, there's an answer for that, too. A local anesthetic is used to completely numb the skull and scalp. Think of an epidural; it's the same idea.

Now, you may ask, how this all relates back to SW? Well, that's a great question lmaoooo. Now, in all of canon SW, there are only... seven (maybe eight) instances of a clone getting their chip removed. Tup, Fives, Rex, Hunter, Wrecker, Tech, and Omega (and Crosshair if his chip actually was removed like he said, I haven't watched TBBS2 yet). Actually, did Kix? I don't remember. Anyway.

I'm operating off the assumption that SW medical knowledge/tech is about equal to our own - i.e. that they still use many of the same procedures/practices/techniques for most things bar canonical exceptions. My friend in the server however pointed out that they weren't sure any clone medic could perform a complex brain surgery. Now, that's a fair point. The Kaminoans wouldn't care to teach the medics how to perform those surgeries on each other; they're products, they can be replaced, so what's the point?

But. Here are my counterpoints to that.

First. In the event of an emergency, it would only make sense that a clone medic be prepared to perform any sort of necessary procedure on a natborn officer or even their Jedi general/commander in the event they could not make it to a medical station or a proper surgeon in time. If there were natborn medics trained in complicated procedures and stationed on the ships, then there's always the chance there would be far more clone medics than them, and thus if they die, the clone medics would need to be able to step up in their place. So. Clone medics can probably perform brain surgery.

Second. With Fives, Rex, and CF99 (minus Crosshair), they remove their chips via surgical droid/machine. In fact, both Rex and CF99 do so on a GAR class ship. This shows that not only did the clones have access to the necessary technology, but it could also be easily operated. And not only that, but the only thing they needed was a program to locate and remove the chip. I think the importance of the program is that the machine itself can't perform a Level 5 Atomic Scan, so the program is needed to triangulate the position of the chip for the surgical machine itself.

Now. As to why an awake craniotomy is the way to go. Again, it allows the team to actively monitor cognitive function. Only in extenuating circumstances will the patient be completely sedated. This could be preference on the patient's part or due to certain circumstances.

Look at Tup, for example. His chip was rotting in his skull, and it's treated like a tumor (technically it is). Keeping him awake risked damage to himself and others. In light of this, it was safer for him to remain fully sedated. Additionally, he probably couldn't be revived completely either due to the already existent brain damage. This is an extenuating circumstance. Note however that there was still a qualified individual present for the surgery: the AZI droid maybe Nale Se, maybe Fives, I legit don't remember I'm so sorry). Now, there is another side to Tup's case: the Kaminoans. Nale Se wouldn't have cared for Tup's continued functionality; she only wanted his chip. She would have kept him sedated out of convenience, because the intent was always to have him decommissioned anyway.

Now for Fives. Fives learned about the chips. He had his removed. Who helped him? AZI. However, my theory here is that it isn't actually AZI performing the surgeries. I think he just... holds the programs for various surgeries and programs the surgical machine. We don't see anything of Fives' actual chip removal procedure, only the aftermath. I hypothesize that Fives was awake in the machine however, just properly anesthetized by AZI - who, as a medical assistant droid, would most likely be programmed as an anesthesiologist - and also observed by AZI. What I'm saying is that AZI probably was monitoring Fives' cognitive functions while he underwent an awake craniotomy to remove the chip in his head.

Rex. We know nothing about that procedure, just that it happened (unless we do, idk). Either another clone medic helped him and was there to monitor cognitive function, or Rex involved the help of another droid in order to be properly anesthetized for the process. Given the intense nature of the circumstances, he wouldn't have wanted to be fully sedated for the process in case he had to respond quickly to the chaos - which he did, leading ultimately to him and Ahsoka escaping with their lives. So, he wouldn't have been monitored (except maybe by a droid), but he definitely wouldn't have been fully sedated, either.

Then for CF99. For these procedures, we see Tech program the machine and then stand watch as they go in. They aren't sedated, with the technical exception of Wrecker (iirc, he was stunned unconscious). It's not just caution or paranoia that makes him observe, and not even just his knowledge of what's happening: it's procedure. He's there, as the only one who would know how to check, monitoring the cognitive function of his family.

Now, the conclusion, lol.

I mentioned my two hypotheses earlier about why fandom as a whole writes the clones being completely sedated. After going through all of this, I'm leaning more towards a simple abundance of misinformation. It's technically and tactically safer and more correct for the clones to be awake for their chip removals, and in fact seems to be subtly portrayed in canon (though it's really written in a way that can be interpreted either way).

The moral of this story is that TV medical dramas are shit and should never be taken at face value. Honestly. No one wakes up after CPR. They remain unconscious for a while. Defibrillation doesn't wake a person up, either. If you're hit hard enough to be knocked unconscious, you have a concussion. It takes seven minutes to kill a person by choking them, not seven seconds, but you can make them pass out in seven seconds if you apply pressure to the write spots on their neck in order to cut blood flow to the brain. Stuff like that. Oh, and yeah: awake craniotomies are a thing and are the safe way to remove a clone's chip.

[dacianfalx]

i guess if you ever play 'two truths and a lie' you can beat everyone easy with the lightning strike story, huh... did you not get any scars? sorry if this is a weird question, but the fact that you mentioned having a lichtenberg figure that faded made me wonder if anything actually 'stuck' so to speak. (i'll admit i'm very curious about the aftereffects in general, if you don't mind me asking! scars, health conditions, et cetera. after a couple near-death experiences myself (unrelated to lightning) i've sort of gotten an interest in hearing from other NDE survivors about short- and long-term effects.)

Truly, if I found myself in that game, I’ve a wealth of terrible experiences that make good fodder: lightning strike, terminal cancer (made it through, barely), major impalement, caught in a collapsing building, drowned, stabbed, shot…etc etc. I’m very much a “wrong place, wrong time” person. 🤷😁

Anyways, main “scar” is that the strike spot atop my head won’t grow hair well…wispy strands that break off easily. Gets about 2-3 cm at best, then fractures..had been 4-5 cm before the cancer, but of course it worsened! Heh. Otherwise, my main after effect has been weird physiological reactions to common medications. Most OTC painkillers worsen pain, cough suppressants make me cough, I can’t feel the effects of menthol (lineaments, muscle rubs), etc. Most folx in my fam start greying in their 60s/70s, I started at 11. I might know more of what was or wasn’t lightning effects if my parents had sought medical treatment fir me. 🤷

Fun fact, most Lichtenberg figures fade within 10-14 days. Which sucks, cuz that would have been a rockin’ scar to have!

I’m happy to talk about this stuff, now it’s in the world. I’m not a subject that comes up much. Cheers.

[yamujiburo]

clothes shopping!

[ineed-to-sleep]

Collection of memes with mostly my tav/astarion to keep myself sane

[bixels]

Baffled.

[carlyraejepsans]

When I was like 15 I dated this guy named Wes and we would roleplay Soriel so then when we broke up it made me have a vendetta against the ship for a few years. You made me like them again though so thanks. Also I'm a lesbian now.

[samble-moved]

post itself

false flags

trans/adjacent tags

accessibility features

tumblr live post (thanks for the link, @problemnyatic)

flashing / strobing / lights

unblockable flashing ad

buying ad free

staff @/macmanx guilt trip

list of staff + more issues

[ao3commentoftheday]

do you know where "no beta we die like x" comes from and how it is used?

The term "beta" in this context is short for "beta reader" - a person who reads a fic while it's still in the editing stage and helps the writer get it ready to post. Some betas check grammar. Some check canon compliance. Some are sensitivity readers. There are lots of things that betas can do.

So functionally, saying "no beta" means that the writer didn't get this checked by a second person before they posted it. It's a warning that there might be errors or typos etc. It's mostly used when an author has written something quickly and is posting without doing a lot of (or any) edits first.

As for where it comes from? It all started with a bumper sticker.

This image was an internet meme at one point, and it got meme'd on in the form of "no ___ we ___ like men"

Here on tumblr, one of the versions that got really popular was from now-deleted user @grec1a who created this version:

From there, it migrated to AO3 as the "no beta we die like men" tag, and very often the word men is replaced by the name of a character who dies in canon.

[evilwizard]

what is the difference between a witch and a wizard

wizards are mathematicians and physicists. witches are chemists and biologists

[dayiightdemon]

Btw can I name one of my pokemons after u??

go for it legend

[fluffydancer618]

Have you ever partaken in the flesh of another?

[thenon-fictiondays]

lmao he looks so smug about this

[deep-space-netwerk]

What do you mean by Venus floating cities?

I'm hoping to write a science fiction story about visiting Venus as part of the space race and I would love your input

Alright so the thing with Venus is that we're all very familiar with her horrible hell-death clouds and 900°F surface temperatures. We all understand the surface of Venus is not a fun place for humans to be.

But, nobody ever talks about the fact that ABOVE the hell-death clouds, Venus is a paradise. The most Earth-like environment we know of in the solar system, beyond Earth itself, is actually in the skies of Venus.

About 30 miles above the surface, the pressure is ~1 atmosphere, and the temperature ranges from 30 - 100°F, which is Happy Human™ standard pressure and temperature.

What's more, a breathable mix of oxygen and nitrogen provides over 60% the lifting power on Venus that helium does on Earth. In other words, a balloon full of human-breathable air would float to the habitable range of Venus's atmosphere. We could float a ship with the very air we breathe.

The other great thing about this is that it avoids one of the big problems with Mars colonization. On Mars, any habitat on the surface full of breathable air is vulnerable to leaks and explosive decompression, a la the Martian.

Floating on Venus, a balloon full of breathable air doesn't have a significant pressure difference between the inside and the outside. Which means, any leaks or tears would be very slow and manageable. You could fix that shit with duct tape!

Similarly, because the environment outside the balloon is so Earth-like, humans living there wouldn't need any big fancy pressurized suits for extravehicular work. We'd need air to breathe, maybe some heat protection, and protection against the acid rain. That's it. 

Venus also provides the tools to keep us fed! It's atmosphere is made primarily of carbon dioxide, even above the dense horrible clouds. What likes carbon dioxide? Plants from Earth!! Lets grow FOOD on FLOATING PLATFORMS in the SKIES of VENUS.

This whole idea actually came out of a NASA effort exploring potential Venus colonization. The program was called HAVOC - the High Altitude Venus Operational Concept.

It hasn't really gone anywhere, and as far as I know there are no real plans to revisit it. Unfortunately, from a practicality standpoint, Mars is a much more viable target for human colonization. Not only is it better poised for outer solar system exploration, being farther away from the sun, but living on Venus would come with too many complicated contingencies. In the event of a major failure on Venus, you'd need to fly to another base, or fuck off all the way to orbit. I understand why people aren't really in a hurry to live somewhere where landing on the surface means certain death.

But that doesn't mean I won't be forever and always enamored by the skies of Venus. Here's one of the artist concepts to come out of HAVOC.

I want to be there.

[singlethread]

I just learned today that Blorbo is a made up term and NOT the main character in the Hobbit

Anon I’m obsessed with you

[runawaymarbles]

...what is the "sex is just rock climbing" category

It was kind of a joke between me and a friend ("you wouldn't judge someone for having gone rock climbing with a bunch of different people") but honestly the more I thought about it the more I bought into it unironically because:

It is a physical activity done with one or more partners

You should only go rock climbing with people you trust to not let you fall

You should not go rock climbing with someone who is drunk or currently incapable of rational decision-making

Some people get super super super into rock climbing and do not shut up about all the places they have climbed and how many are left on their bucket list and these people are usually men between the ages of 20 and 35 and like it's fine dude I'm glad you're happy but I don't know what most of those mountains even are

While many consider it a fun activity, pressuring someone into climbing when they don't want to (or ignoring their feelings and just dangling them off a cliff,) could cause both psychological and physical trauma

There is no moral value to it whatsoever. Who you have gone rock climbing with (or whether you have rock climbed at all) has no bearing on who you are as a person. Imagine telling someone "it's not that heights make you nauseous, it's just that you haven't found the right person to belay you!" or "you need to save your first time rock climbing for someone special." That would be absurd.

For some people it is a deep and moving personal experience.

historically I have not asked myself "will this aggravate my hip flexor injury" before participating when perhaps I should have 😔

[decolonize-the-left]

As a fellow trans person, do you by chance have an up to date map of "safe states" in the US? bc as someone who lives in florida and is getting Very Concerned about my health and safety, i can't seem to find any that are more recent, and i don't trust trying to google that shit rn.

This is up to date as of April 2.