A few days ago I performed another skin removal procedure. (See #skin removal for more) Here's a writeup of some of the things we learned this time.
The #10 scalpel blade is useful for long+thin removals because the blade is longer. This lets us do the sort of "long, loving cuts" while pulling up the skin, under tension, using the full length of the blade. This is faster than the #15, but you still want that one for precision at the beginning and end.
For this design, there were certain cuts which we wanted to be along the same line, like the edges of the eyelashes:
When doing the procedure, I did each of the eyelashes separately, so I did these cuts at different times. I should have used the sterile ruler that comes packaged with the surgical skin pens and made these cuts all at the same time. This would have helped make sure they're in line.
This time I used sterile dermal curettes to even out the depth after removing the skin. This was a great idea and it made this step so much easier. I used the 4mm curette for this procedure, and I only needed one. I will be recommending this going forward. Here's the tool and me using it:
Have multiple sets of splinter forceps!! (Or whatever your main forceps are.) I had backup adson and hemostatic forceps, but I was acutely aware the procedure would get a lot harder if I dropped my tools. This isn't relevant if you have a flash sterilizer, but those are kind of expensive.
Ask your subject what kind of communication they want from you! This time, xe said "if you had told me [we're halfway done] I don't think I would have been able to finish." Good thing I didn't do that!
EMLA cream (lidocaine 2.5%/prilocaine 2.5%) is quite useful to help those with a lower pain tolerance. It pretty much eliminated the pain from the cutting, but not all the sensations (e.g. skin being pulled up, felt sense of something wrong ("felt like something i could not perceive but my body was reacting to"). I have some prescribed because I've been scared of needles, and the numbing helps with getting blood drawn.
We already know this, but just to reiterate: it's important to get the correct depth on the guiding lines. The skin should separate, like this:
Using sterile bordered gauze + hydrogel for the wound dressing did not work this time. It dried on the wound, and removing the bandage to clean resulted in mechanical debridement. This hurt a lot and irritated the wound in ways that we hadn't planned for. Using tegaderm initially, like we did two times ago, was also not ideal because it resulted in a big gross bubble of exudate. Something in-between these is required, but I'm not sure what. It should stay moist, but still be relatively absorbent. Tegaderm+pad, for the occlusiveness? Recs here appreciated. Pigeon reported it used a bunch of saline to soak the area to help with this, but there were still some issues.
The lines ended up thicker than in the design. We think this is mainly because skin tension pulled the cuts open. This may be mitigated by wound contraction during healing; we will measure how it ends up vs the desired width to determine that. See this video of me removing a full section to see what I mean.
The loupe glasses!! As seen below. These were some cheap ones I got off amazon, but were actually super helpful. They didn't really improve my posture, and my back still hurts >.<
However, they did help me see details a lot better. If I keep doing this I will consider getting a better pair. They gave me a headache after about 30 minutes while practicing, but were totally fine during the procedure. Unsure why!
I need to work on my aseptic technique. I was not adequately monitoring for reaching over the sterile field. My gloves should have covered my sleeves, but there was bare skin exposed. My gown was not sterile (haven't found sterile ones for a reasonable price) and it probably touched the drape a few times. The sterilization pouches I used were difficult to use for the bowls I had - difficult to get them out easily, difficult to load in the pressure cooker. I should really look into getting a secondhand rigid sterilization container. Last I remember, the difficulty was finding filters for these. Maybe I wasn't looking in the right place, or maybe I could make my own (tyvek? like the mushroom growers use...).
My informed consent notes mention the risk of keloid scarring, with a note this is 15x more likely on darker skin. I don't have a source cited for this, and so I don't know how this applies to black vs brown skin. This would have been useful to know!
Needed to print/laminate the handwash/handrub posters.
Re-affirmed a lot of things we already learned. Full-depth removal is the way to go. Ensure guiding lines are deep enough. #11 blade for short/straight lines, #15 for removal, and having separate scalpel handles for each is good.
Dumb one, but having a bunch of tiny individually wrapped gauze pads is annoying as hell. I picked up some bigger ones, we will see if those are what is needed or if I need to find packs of multiple smaller ones.
I'm gonna give it one more go, but I don't actually think pig skin is ideal to practice on, mostly due to the lack of blood/lack of elasticity. Much more difficult to determine the appropriate layer to separate skin at, compared to live human skin. Would appreciate other recommendations here for practice materials...
Okay, I think that's about all the thoughts I want to write out now! I will meld these notes with my existing ones soon, and get those published. As always pls hmu if you want to talk about this, especially if you have experience.
if you get this answer with your top 5 music artists and send it to the last 7 people in your notifications 🎵🖤
YESSS THANK YOU
TOP FIVE, I CAN ACTUALLY ANSWER THIS NOW WITHOUT IT BEING JUST THE SAME ONE FIVE TIMES.
okay it says top 5 music artists, i don't know if i'm supposed to list specific musicians or if i can do whole bands.
but i'm going to do both now. you get two lists. just because when it comes to having an opportunity to talk about my favorite music, i am like a seagull that found an entire french fry on the parking lot.
they're not listed in order by what i like more because i like my favorite bands and my favorite people equally or else they wouldn't be favorites i think.
because that's how my mind works. at least right now anyway. i'll order them by what i knew first.
my favorite bands:
sweet
genesis
badfinger
iron maiden
showaddywaddy
my favorite musicians at the moment, also ordered by who i knew first:
random note about king on that animation, i got really lucky with how simple his animation was and how clean my sketches were to begin with that i was able to do very minimal cleanup on what i had sketched (and add back. his horn. it's supposed to take place just after echoes of the past, Oops) and call it done that way instead of having to redraw the entire thing like i had to on his dad
first sketch > line cleanup > nearly final animation (i'd added slight eye movements last-second but otherwise that's the final)
Good afternoon everypony!! Last night my partner and I got a little silly and rewatched the episode of PPG where Utonium and Ms. Keane start dating and ugghh....why he so FUCKING cute 😭😭💖💖
And tbhhh the reason they sorta didn't work out is cause they weren't able to balance the lives they had with their infatuation with each other (tbh if the cat argument hadn't happened when it did any ol thing would have caused them to break up methinks) and y'know...I think that's why he'd work so well with my s/i 🥺👉👈
Theyre allowed to still be their own people and have their own things even if they do become a couple! Even if they get married! They're still individuals who support their own passions as well as each other's. And they certainly don't need/want to change themselves for each other 💖💖💖
I tried to mod something and the good news is, it didn't crash the game. 🥳 The bad news is, not what I was looking for lmao.
Like, don't get me wrong. I've seen way worse (the stuff of nightmares) on a modding channel I've been teaching myself this stuff lately, so. It's not like I completely fucked this thing up or anything like that.
im aware that this is just like,,,the nature of food. but it’s kind of galling when something takes 5+ hours to make and the family member who had the least to do with its creation eats seventy five percent of it in fifteen minutes
Quackblr4Ethogirls still the best thing to come out of this poll btw.
(also, guy whose thumbnails are just stills and who was entranced by a silly star transition + guy with funniest editing style ever, literally the most striking thing about quackity to me is that i like his editing)
Tumblr is a fascinating place, anything could happen
its crazy how i felt so incredibly lonely yesterday, and then i listened to zaqs new album, and then i found so many kz accs here, and then i thought about all the messages queer kazakh activists got after the hearing and now i think community will always be found and even if were not super loud we exist and i think i just didn’t see that before
i'm begging you guys to start pirating shit from streaming platforms. there are so many websites where you can stream that shit for free, here's a quick HOW TO:
1) Search for: watch TITLE OF WORK free online
2) Scroll to the bottom of results. Click any of the "Complaint" links
3) You will be taken to a long list of links that were removed for copyright infringement. Use the 'find' function to search for the name of the show/movie you were originally searching for. You will get something like this (specifics removed because if you love an illegal streaming site you don't post its url on social media)
4) each of these links is to a website where you can stream shit for free. go to the individual websites and search for your show/movie. you might have to copy-paste a few before you find exactly what you're looking, but the whole process only takes a minute. the speed/quality is usually the same as on netflix/whatever, and they even have subtitles! (make sure to use an adblocker though, these sites are funded by annoying popups)
In conclusion, if you do this often enough you will start recognizing the most dependable websites, and you can just bookmark those instead. (note: this is completely separate from torrenting, which is also a beautiful thing but requires different software and a vpn)
you can also download the media in question (look for a "download" button built into the video window, or use a browser extension such as Video DownloadHelper.)
i constantly re-remember how recently the countries my family are from gained independence. like i have relatives older than their countries' independence
Ya know how everyone is like Simon is black cat energy- well, I don't deny he can be like that what I would like to counter with is black lab energy around the person he's most comfortable with
Simon, who drags you on his morning runs because he will spend the entire time talking about trucks or something boyish
ie: "And so then you gotta- baby? Why'd ya stop?"
"We-just-" heave, "Ran a fort-four miniute-" heave, "mile."
"Yeah? Cmon, six miles today."
Simon, who will do push ups before bed if he has too much energy and knows he will just toss and turn
Simon, who loops a finger in your belt loop whenever you're shopping because lord knows that man has separation anxiety
Simon, who did once hide your shoes when he knew you had to leave super early in the morning so you would be forced to wake him up to ask him where he put them
"Simon."
Hes been awake, obviously, the phone praticallly thrown at the wall when you opened the door was an indicator, "Mm, noo. sleep."
"Simon O'Donnel Riley I swear to god if you don't give my shoes right now-!"
"...I require somethin' in return."
"You birts and your taxes, 'm going barefoot."
Simon who loves intimacy, yeah sex but he likes being close, like if he squeezed you any closer he may actually break your bones on accident
Simon, who doesn't tell you this but that one time when you got the flu? he had the time of his life, normally because you're the one cleaning him up after missions, tending to his needs, and he liked being able to do the same to you
Simon, who has the worst (best) puppy eyes you've ever seen
"one kiss."
"I have a face mask on, do you want to kiss me when I look like a taxidermy panda?" You reply with a frown, book in lap and craning your neck to see your boyfriend from how he leaned over the sofa.
He blinks at your reply and the next thing you are aware of he's laying atop of you on the sofa completely trapping you under his weight, "Jus take it off if it bugs ya tha' much."
You playfully pout your bottom lip out, "But it's supposed to be on for twenty minutes. It's been ten."
"But I wan a kiss."
"But I want to have a pretty face."
Then it was his turn to playfully pout, "You have the prettiest face."
(long story short you obvious gave in cause...I would so therefore so do you <3 )
Simon, who goes from loving and doting boyfriend to scary military man as soon as he gets out of the car
Simon, who is aware you have a video of him baby talking that you took when he wasn't aware that you were recording
(yes based off that one tiktok, I laugh every time I see it)
Simon, who hates pecks but loves giving them, like this man will just hold your face and shower you with kisses for minutes on end (its his hobby or something)
Annnnyway thats it! feedback and comments, an alllll that jazz mean the world to me! <333