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Understanding Pain Relief: How Different Types of Painkillers Work

Pain is a complex and multifaceted experience, and understanding how different types of painkillers work can help you make more informed choices for managing your discomfort. In this blog, we’ll explore the mechanisms behind various pain relief options and highlight specific medications you might come across in your search for effective pain management.

The Basics of Pain Relief

Painkillers, or analgesics, are designed to alleviate pain by targeting different pathways and mechanisms in the body. Broadly, they can be categorized into three main types:

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

Acetaminophen (Paracetamol)

Opioids

Each of these classes has its unique action and uses, so understanding them can guide you in choosing the right medication.

1. NSAIDs: Reducing Inflammation and Pain

NSAIDs are commonly used to treat pain associated with inflammation, such as arthritis or muscle strains. They work by inhibiting enzymes (COX-1 and COX-2) that are involved in the production of prostaglandins, chemicals in the body that promote inflammation, pain, and fever. Common NSAIDs include ibuprofen and naproxen.

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2. Acetaminophen: The Pain and Fever Reducer

Acetaminophen, known as paracetamol in some regions, is widely used for mild to moderate pain relief and to reduce fever. Unlike NSAIDs, acetaminophen does not have significant anti-inflammatory properties. Instead, it works by inhibiting the synthesis of prostaglandins in the brain.

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3. Opioids: Strong Pain Relief for Severe Pain

Opioids are powerful painkillers used for more severe pain, such as that from cancer or major surgeries. They work by binding to opioid receptors in the brain and spinal cord, which reduces the perception of pain. Due to their potency, opioids are typically prescribed for short-term use and under close supervision due to their potential for addiction and side effects.

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4. Combining Painkillers: Safe and Effective Strategies

Sometimes, a combination of painkillers might be recommended for more effective pain management. For example, using acetaminophen alongside an NSAID can offer enhanced relief while minimizing the risk of side effects associated with higher doses of a single medication.

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Understanding Dihydrocodeine: Your Guide to Pain Relief

Dihydrocodeine is a medication widely used to relieve moderate to severe pain. If you're considering dihydrocodeine to buy, it's important to understand what it is, how it works, and what you need to know before making a decision.

What is Dihydrocodeine?

Dihydrocodeine is a type of medicine known as an opioid. It's used when other painkillers like paracetamol or ibuprofen aren't strong enough to manage the pain. This medication works by changing the way your brain and nervous system respond to pain signals, making you feel more comfortable.

Why Do People Use Dihydrocodeine?

People use dihydrocodeine when they have pain that's too strong for regular painkillers. It can be for different reasons, like after surgery, from injuries, or for ongoing conditions like arthritis. Sometimes, it's used for nerve pain, which is pain caused by problems with the nerves.

How Does Dihydrocodeine Help?

When you take dihydrocodeine, it blocks the pain signals going to your brain. This means you feel less pain and can do everyday activities more easily. It's important to take it exactly as your doctor tells you, because taking too much can be dangerous.

Important Things to Know

Side Effects: Like all medicines, dihydrocodeine can have side effects. These might include feeling sick, constipation (which means it's harder to go to the bathroom), feeling sleepy or dizzy. If you have side effects, it's important to talk to your doctor.

Addiction: Dihydrocodeine can be addictive if not used correctly. This means some people might rely on it too much and have trouble stopping. Always follow your doctor's advice and never take more than prescribed.

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The advantages and disadvantages of Tapentadol for Pain Relief

The US Food and Drug Administration of the United States (FDA) has validated the synthetic prescription opioids tapentadol for the administration of moderate to severe pain. It reduces the perception of pain by attaching to certain receptors in the brain and spinal cord. Tapentadol is frequently used to treat pain brought on by ailments like fibromyalgia, back pain, and arthritis. It comes in both immediate-release and extended-release formulations. Using tapentadol for pain management has both benefits and drawbacks, just like any other medicine. We shall examine the benefits and drawbacks of tapentadol in this post.

Advantages of Tapentadol for Pain Relief

Effective Pain Management: Tapentadol is a strong analgesic that effectively controls moderate to severe pain. When other painkillers are ineffective, this one is frequently utilised.

Dual Mechanism of Action: Tapentadol has a unique dual mechanism of action, which means it lessens pain in two different ways. It functions as an opioid agonist, attaching to the same receptors as other opioids, as well as a norepinephrine reuptake inhibitor, which helps prevent norepinephrine, a neurotransmitter involved in pain perception, from being resorbable.

Magerer Risk of Constipation: Constipation is an ordinary adverse impact of opioid use, but tapentadol has a decreased risk of causing it more than other opioids. This is so because it has a lighter impact on the intestines than additional opioids do.

Smaller Cognitive Effects: Tapentadol has less potential to retain cognitive side effects than different opioids. Patients may discover it manageable to concentrate on because it does not cause as much sleepiness or somnolence.

Decreased Risk of Respiratory Depression: The hazardous side impact of opioid use is respiratory despair, which is characterised by decreased breathing. Corresponding to other opioids, tapentadol has less  potential for respiratory problems.

Disadvantages of Tapentadol for Pain Relief

Tapentadol has a danger of addiction and dependence, just like all opioids do. People who use tapentadol frequently or at large dosages risk building a tolerance to it, which can result in addiction.

Danger of Withdrawal: Individuals who stop taking tapentadol after a protracted period of treatment may encounter withdrawal symptoms such nausea, vomiting, and insomnia.

Respiratory effect: Although tapentadol is less likely than different opioids to result in respiratory problems, it is however a possible side consequence of the prescription. Respiratory depression is more feasible to occur in patients who accept high doses or who have underlying respiratory problems.

Overdose risk: Using opioids holds up a significant risk of overdose. A patient is more likely to overdose if they take too much tapentadol or if they mix it with other medications like alcohol or benzodiazepines.

Tapentadol can interact with a number of additional medications, comprising particular antipsychotics and antidepressants. Before beginning tapentadol treatment, patients who are on further drugs should converse with their doctor.

Conclusion

A strong analgesic that works well for treating moderate to severe pain is tapentadol. Compared to other opioids, it has a special dual mode of action and a lesser risk of constipation and cognitive consequences. Tapentadol does carry the same addiction, dependency, withdrawal, and overdose risks as other opioids do. Those who are using tapentadol should be constantly watched by their healthcare professional because it can interact with other medications. Patients should speak with their healthcare practitioner about the dangers and advantages of the medication before beginning tapentadol in order to make an intelligent choice about

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Different medications have different effects and work in various ways. Certain medications have more side consequences and perform faster some, while others may cause withdrawal symptoms or dependence. To ensure the safe and efficient usage of Zopiclone UK 7.5 mg tablets, it is essential to be familiar with a wide range of topics. This article will discuss the top questions to ask prior to buying the medication.

What exactly is Zopiclone?

If you're suffering with insomnia or other sleep issues, then Zopiclone may be the solution for you. It assists in falling to sleep quickly, keeping your from awakening during the night, and also prolonging your rest. It stimulates the brain's chemical pathways to promote sleep and relax. It is best to use Zopiclone only for a brief period and in the lowest dosage, usually for about 5 to 10 weeks and no longer than four weeks. In contrast to other medications, Zopiclone is not the kind of medication should be taken daily for a long time. Regular and long-term use will make the body dependent and the medication will stop working like normal.

When is Zopiclone best taken?

If you buy zopiclone online are a patient, you could also buy an 3.75 mg tablet. In general, adults and those who are not suffering from any other illness must take one 7.5mg tablet before going to sleep. It takes approximately an hour for the medication to kick in. For people over 65 with kidney or liver problems the lower dose should be used.

Who is not advised to take Zopiclone?

Before taking buy zopiclone, you should make sure that the medicine is safe for you. Zopiclone shouldn't be used by anyone under the age of 18 years of age. This is due to the fact that this medication is not safe for children. Patients with liver, kidney or allergies to Zopiclone or other similar medicines should not take Zopiclone.

What effect does Zopiclone have on the brain?

Zopiclone can be taken as short-term remedy for severe insomnia as it's a type of sleeping pill. It can help you sleep quicker and keeps you from being constantly awake at late at night. GAB, a chemical found within the brain, is responsible for the medication's relaxing effects.

What are the main components of Zopiclone?

It is essential to be aware that Zopiclone UK 7.5 mg tablets come in a film coated tablet. The 7.5mg tablet is made up of 7.5mg Zopiclone. Monohydrate and sodium are the ingredients of this tablet.

With which drugs do Zopiclone tablets react?

These medications interact with Zopiclone:

Painkillers that are strong, like methadone Codeine, oxycodone tramadol, morphine, pethidine as well as clarithromycin and erythromycin.

Antibiotics for treating infections.

Antifungal medications for fungal infections, like ketoconazole or itraconazole.

Medicines for HIV infections, including ritonavir

What is the reason Zopiclone starts working within an hour?

Zopiclone enhances the efficiency of GABA (a chemical that is found in the brain that is referred to as gamma-aminobutyric acids). It improves both the sleep quantity and quality and aids in falling asleep faster and prevents frequent awakenings in the night.

How long can Zopiclone be in your blood?

Zopiclone's half-life is approximately 2-6 hours. Therefore, for healthy individuals, the body is able to eliminate the smallest amount of the medicine in about two-and-a-half hour. The time for the complete elimination of Zopiclone in the body is around 11 to 16.5 hours.

Can I stop using Zopiclone abruptly?

In the event of sudden withdrawals from Zopiclone, it could result in physiological and psychological effects. Doctors suggest that you gradually reduce the dose of the medication. The last withdrawal will occur following that. This technique of tapering the dose helps to avoid withdrawal's effects as well as the associated symptoms.

Do I have the ability to cut the tablet Zopiclone in half?

If you type buy zopiclone online buy zopiclone UK, it will be delivered in white, biconvex, and round, film-coated tablets. Tablets can be divided in half by having an unbroken line on each side. Using a lower dose is recommended as the starting dose for patients over 65 and with certain health problems.

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Different medicines are different and have different effects. They also work in various ways. Some have more side effects and are more effective and can trigger withdrawal or dependence symptoms. This is why it is critical to understand the various aspects before buying Zopiclone 7.5 mg tablets UK for make use of it in a safe and effective manner. This article will inform you about some of the most crucial questions and the answers you must know before buying this medicine.

What is Zopiclone?

Zopiclone is a possible treatment option for insomnia and other sleep disorders. It helps you fall to sleep quickly, keeping your from awakening throughout the night and also prolonging your rest. It alters brain chemical levels that induce relaxation and sleep. It is recommended to take Zopiclone only for a brief period and at the lowest dose generally for about 5-10 weeks, but never more than four weeks. Zopiclone, unlike other medications is not recommended to be used daily or for long durations of duration. Daily and prolonged usage will make the body dependent and the medication will stop working like normal.

When is Zopiclone best taken?

If you buy zopiclone UK have a medical condition, then you could also buy a 3.75 mg tablet. Usually, adult patients and those who are not having any other health disorder should take one 7.5mg tablet before going to go to bed. It takes approximately one hour for the medicine to begin working. If you are over 65 and have kidney or liver problems A lower dose must be taken.

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Before you administer buy zopiclone online ensure that the medication is safe for your health. Children and adolescents younger than 18 years of age should not be taking Zopiclone. It is because the drug is not considered to be safe for children. People who have liver, kidney, or allergies to Zopiclone or similar medicines should not be taking Zopiclone.

What is Zopiclone's effect on the brain?

Zopiclone is a type of sleeping pill that can be employed to treat serious insomnia. It stops frequent awakenings throughout the night and also helps to fall asleep more easily. The drug works on an ingredient in the brain called GAB or gamma aminobutyric acid. It creates a calming effect.

What are the principal ingredients of Zopiclone

When you purchase Zopiclone 7.5 mg tablets UK be aware that it is a film-coated tablet. The 7.5mg tablet is made up of 7.5mg Zopiclone. The ingredients that make up the tablet are sodium and monohydrate.

What medications can Zopiclone tablets be used with?

The substances that are in a relationship with Zopiclone include:

Painkillers that are strong, like methadone Codeine, oxycodone morphine, tramadol, pethidine clarithromycin, and erythromycin.

Antibiotics to treat infections.

Antifungal medications for fungal infections, such as itraconazole or ketoconazole.

HIV drugs, such as Ritonavir, are available.

Why does Zopiclone begin working in just one hour?

Zopiclone boosts the efficacy of GABA (a chemical found in the brain that is referred to as gamma-aminobutyric acids). It increases sleep quantity and quality and helps fall asleep quickly and prevents frequent awakenings during the night.

How long can Zopiclone be in your blood?

Zopiclone's half-life is around 2-6 hours. In healthy individuals, the body is able to remove the entire amount of Zopiclone within two and a half hours. It takes between 11 to 16.5 hours to completely eliminate Zopiclone out of your body.

Can I stop using Zopiclone abruptly?

Sudden withdrawals from Zopiclone may result in physiological and psychological adverse effects. Doctors advise that you gradually decrease the dose of the drug. The final withdrawal occurs after that. This dosage-tapering strategy avoids withdrawal symptoms and reduces withdrawal effects.

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If you enter zopiclone buy the tablet will be delivered in white, biconvex, and round, coated tablets. The tablet is able to be split in half by having a broken line on each side. For those over 65 years old older and suffering from certain health conditions, a lower starting dose is recommended.

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Day 4: Shopping at Hongdae and Gangnam, visited Coex Starfield Mall

Shopping day! We looked forward to this the most because somehow it’s our favourite thing. I dropped a bomb (of moolah) on this day, and so thankful that I went to the pharmacy the previous night and got all my prep like a heat-pad, painkiller and a muscle spray, this was all for my back-pain I smelled like medicine the whole day.

We started off our day at Hongdae, having breakfast at Eggdrop where we waited for an hour! After Lotte World, everything else we had to wait for. But on this day a lot of thing was delayed even the train was delayed and when we got to our station destination for Hongdae there were police forces there, we had no idea what was happening but I was so curious. So apparently in the duration that we were there a lot of things happened, there was a rally regarding the South Korean President, asking him to step down. Then North Korea fired a missile? Or was it a warning gunshot? Then we all know what happened at Itaewon I’ll go into that in my future posts.

Anyway, after breakfast we went to ABC Mart where I bought two FILA shoes, it was only the start of the day and I was already dragging two boxes of shoes. Diana wanted to go to ABC Mart to look for a world cup merch for her dad but we didn’t find any. I bought a white FILA shoes for myself and an all black one for Safwan, it was his gift for editing my Vlogs. 

Hongdae was a bit boring for me, even though we shopped a lot. We even bought socks and my first duffel bag (RIP this duffel bag) then had croffle and coffee in one of the random cafe that was there. We almost wanted to buy a cat costume for our cats but we didn’t because it was too expensive and why do cats even need a costume right?

We explored a few vintage stores too, their vintage game is so strong! So many high end luxury items, but of course it is without price tag so if you want to know you have to ask, I know I won’t buy it so I didn’t even attempted. I noticed that food and shirts are expensive but shoes are cheap? What I get for 900 or 500-600 in Malaysia I can get RM300 or less than RM200 in Korea. 

Heading to Gangnam was a different vibe, it was literally the capital of aesthetician and plastic surgery. I bought my Casetify there finally, and bought my MLB shoes there as well, they didn’t carry Diana’s size so we had to head to another Lotte Mall for that. 

We were supposed to go to Busan the next day and in my head we can buy the tickets tomorrow but then when I googled they suggested we pre-book the tickets? I was so stressed, then I asked Latun how she bought hers and she said she bought hers on the spot as well which made me feel slightly better but we still decided to go to Seoul Station to get the tickets that night. The online prices were insane!

We were pretty much rushing through by that time and went to see the famous library/bookstore at Coex Starfield Mall after having our dinner at the same mall, and guess what I bought a Carhartt shirt at the Carhartt flagship store there, the SA were all so good looking by the way.

Perhaps it was at night and lack of sunshine, but the library was underwhelming for me, it does look really pretty in pictures but when I was there I did feel like it was underwhelming, at least we get to touch V’s vogue cover magazine.

We walked the most on this day, heading to the ticketing counter at Seoul Station felt so far away when in reality it was not at all, but we were carrying a lot of stuff and we were tired so even 500 metre felt like 10km that night. The train ticket to Busan costs us around 300+ return, but this will be our first time taking a bullet train so it’s worth it and we are heading to Jimin and Jungkook’s hometown aka our hometown hahaha.

 Looking forward to our Busan adventure.

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First, let’s start with a quick overview of what Percocet is. Percocet is a prescription painkiller that contains acetaminophen and oxycodone, two very strong drugs that work together to reduce pain. The formula has been around since the 1960s, when it was first created by a team of chemists at Parke Davis Labs in Detroit. Over time, it has become one of America’s most popular painkillers because of its ability to relieve pain without requiring surgery or other invasive procedures—and without causing physical dependency or addiction. Buy Percocet

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(A/N: Full requests are closed right now so I'm answering this in the small ask/mini request format. You may have already realised this, and if so, sorry, I'm dumb. Also, thank you for your kind words! Hope you feel better soon, as a fellow AFAB genderqueer with a shit immune system, I feel you.)

Bruno Bucciarati- Always goes easy on his underlings when they're sick, but it's more so for you when you've got the added struggle of a dysphoria-inducing period to help with. Lets you have a few days free of tasks to do and checks in on you every few hours to see how he can help.

Giorno Giovanna- As far as the sickness goes, he gives you tips for things he sometimes tries to cure himself of his own colds. For the period, he knows he can't pretend to know how to help you, but he gives his full sympathies, being the one to check on you when Bruno can't.

Leone Abbacchio- If nothing else, he can relate the general experience of feeling like utter shit. He's happy to commiserate with you and eases up on his criticisms until you feel better. Leaves you a box of high-brand painkillers in your room.

Guido Mista- Makes for great sick company. His immune system is pretty strong so there's little chance of passing it on, and he isn't squeamish about period stuff. He knows exactly what to say to give you gender euphoria, so he can help on that front as well.

Narancia Ghirga- He has no idea how to nurse someone but as your friend, he at least wants to do what he can to cheer you up. He buys you a ton of snacks and whatever you ask for, and offers to play games with you if it might help.

Pannacotta Fugo- Cordial and understanding in how he responds. He lets you explain your feelings about the situation as much as possible and answers with sympathy. He looks up online remedies to improve your comfort, suggesting you try contraception before your next cycle if you haven't before.

Trish Una- Absolutely hates periods as well, but for different reasons to you. Still, she has that first-hand experience and can offer advice where relevant. She lends you whatever of hers might help (she has this really cute water bottle with a cotton coat if you're interested).

[icequeenoriginal]

The Pain of Secrets

Author’s Note: This was supposed to be fluffy, that was my original intent. But then my brain decided to make it super angsty. So I apologize. Also, I am not transgender. I’m using the information I learned online as well as from what friends who are have told me. I hoped I portrayed a transgender person correctly. I meant to finish this before the end of pride month but writer’s block did not let that happen. Stay safe everyone.

Summary: Roman hates secrets and he hates keeping them, but he still has one. Is it worth keeping from Virgil?

Warning: Fear of Rejection, transphobia, self-hatred, internalized transphobia, keeping secrets, crying, running away, surgery mention, not taking care of yourself, anxiety, divorce mentioned, inappropriate touching, bad past relationship, hurt/comfort, roman angst, body image issues, bad binding practices, fear of breaking up (Let me know if I missed anything)

Pairing: Prinxiety 

~ Roman hated secrets. Even the word would cause him to have an icky feeling in his chest. To have secrets, you have to lie to the people you care about. Secrets were the reason his parents weren’t together. His mother kept her emotions and suspension secret while his father kept his intimate relationship with a young coworker a secret. 

At age 9, Roman swore to his grieving mother when he found her crying in the kitchen in the middle of the night when he could sleep. The smile on his mother’s face was enough to make him never want to break that promise. 

That only lasted a couple of months and it was all his stupid body’s fault. If he had just been born in the right body, it wouldn’t be an issue.

You see, Roman wasn’t born a boy. Everyone told him he was a girl because he looked like one, but he didn’t feel like it. He knew he wasn’t but he didn’t know why.

He learned about the word transgender when his uncle took to a very fun and colorful parade that summer after he made his promise. It would later be the first of many Prides he attended and where his uncle met his other future uncle.

It took a few days for him to muster up the courage to tell his mother but his drive to never have a secret was the final push he needed.

His mom accepted him, she got him on HRT and even bought him his first binder. Though, he did notice how there seemed to now be a distance between them. They did fewer things together, his mother slipped up with pronouns, and always seemed like she was herself back from saying something. 

But it was fine because at least there were no secrets between them. 

“Everything is fine.” Roman would say as he ignored how much that hurt him.

“This is fine,” Roman said to himself as he only applied to colleges out of state. He and his mom just needed some time apart.

“Everything is great,” He told his mom through tears caused by the stress of school and being on his own. 

“It’s okay,” said Roman when his first boyfriend told him he couldn’t be with a ‘fake man’ anymore after a couple of months of dating.

“It’s fine,” said Roman his second boyfriend angrily dumped him when he found out that Roman is trans. Roman didn’t blame him, he hadn’t told him right away as he did with his first boyfriend. This was his punishment for it.

It was really all fine. Roman didn’t mind being alone, he could handle it just fine. He was fine with always coming home to an empty apartment and an empty bed. A home without someone to hold him, kiss him, reassure him.

…

No, no he couldn’t. But he was a good actor and every good actor can lie to themselves.

He, at age 25, decided to put off dating until after he got his top and bottom surgery. It just seemed like the easiest option. His HRT did as much as it could but it couldn’t get rid of that feeling he had every time he looked into the mirror and touched his chest. It was one of the few things he had gotten straight from his mother.

After a late-night of research, he came up with a plan. To get both surgeries, he needs 20,000 dollars in total. Damn you America and your expensive medical costs! Well, there isn’t anything he can do other than every time he got paid, he saves all the extra money he had left after paying his bills and groceries. It wasn’t fun, there was time he wanted to buy that expensive tablet or go to that bar but he wouldn’t touch the money. Not until he had enough.

It was the perfect plan, in his opinion, but the universe was never on his side. He went to the library one day to borrow a book since that was a fun free thing to do, and he accidentally bumped into a young man. After a quick apology, Roman noticed the man was holding a large book of fairy tales. That led to a two-hour debate about the messages of fairy tales.

The man’s name is Virgil and Roman was sure at that moment he is his soulmate.

They spent more of their days texting one another whenever they could. Their first few dates would consist of free things like walking through the park or sitting together in the library. It was lovely. It’s why Roman figured he didn’t have to tell him that he was trans. It wasn’t like they were going to become more than friends. Roman figured this is how their relationship would stay, sweet and simple. That was perfectly fine with him.

Then Virgil invited to dinner to ask him to be his boyfriend. Virgil told him he had never asked anyone else out before but he felt such a strong connection with Roman. Everything about that moment was perfect, the restaurant, Virgil, the music, everything.

It wasn’t until he got home did Roman realize he still hadn’t told Virgil his secret. Roman cried himself to sleep that night. 

After that first date, Virgil seemed to only take him to movies or dinners. Places that cost money, money Roman did not have living paycheck to paycheck. Virgil had a high paying office job so he said he didn’t mind. Roman still, at least once a month, would use his grocery money to buy fancy ingredients to make Virgil dinner and eat ramen for the rest of the week. It was nice, Roman had almost forgotten what it was like to go out.

Roman loves Virgil, he told him on their 5th date. He loved him so much that every day he would want to tell him his secret but the fear of losing Virgil would take over and make him chicken out.

That led him to today, almost a year later, sitting in Virgil’s apartment where he was staring at Virgil as his past flashed in front of his eyes like he was Angelica Schuyler during Satisfied.

Why? Because Virgil was inviting him to go to the beach. A place where you wear a swimsuit. Pushing aside how much he hated how he looked in a bathing suit, that meant he had to take off his shirt.

He was so screwed.

A cold hand jolted him out his thoughts so quickly that a small yelp escapes Roman’s lips. Roman scared eyes lock with Virgil’s loving and concerned eyes. 

“Ro? What’s wrong? Do you not want to go?” Virgil asks softly, gently rubbing his knuckles

“No! I do! I do!” Roman replies quickly, a bit too quickly to alleviate Virgil’s concern.

“Ro, princey, you don’t have to agree just because I suggested it. We can do something else.”

Roman could have burst into tears at that moment. Virgil was just so good to him. He should take the way out, it would just make everything easier. He oh so wanted to but the nagging voice in the back of his head shouted at him that it was a trick, that Virgil was testing him, secretly questioning why Roman wouldn’t want to.

So, Roman shook his head, “I do want to Virgil, I-I just need to check when I can take off of work. You know how busy the restaurant business is during the summer.” Roman replies nervously.

Virgil sighs, “Alright, I believe you.” Virgil leans back against the couch, “You should quit that awful waiter job, they demand so many hours from you and barely pay you enough.”

Roman stares off into the distance before replying, “I wish I could quit too but I need the money and you know how hard it is to get a new job.” Especially if you’re trans.

Virgil nodded, knowing that he was very lucky to have the job that he did, all thanks to his friend Janus. Still, he hated how the light behind Roman’s eyes dim every day he is at that job and the physical strain it had on Roman’s gorgeous body. He wishes there was something he could do that wouldn’t seem like a handout. It would be too much of a blow to Roman’s pride.

Virgil smiles, he has a perfect idea. He turns to Roman and asks, “Roman, what would you think about--”

Roman whines in pain and Virgil’s eyes widen in fear. “Are you alright?!”

Roman nods and waves his hand dismissively. “Just chest--I mean stomach pains. I’ll be right back.” Roman runs off to the bathroom. As soon as he locks the door, Roman rips off his shirt and binder. He gasps, taking a deep breath of fresh air. 

He knows he shouldn’t be wearing his binder all day, he knows it is not healthy but he can’t help himself. He rather be what (he thinks) Virgil wants than be comfortable. 

Meanwhile, Virgil is frowning and whispers, “Hey Ro? Want to move in with me?”

Roman pants as he sits on the toilet. His chest was killing him but he could not care less. He took a painkiller from Virgil’s medicine cabinet. Swallowing it dry, he puts his binder and shirt back through the pain. He gets up and leans up against the wall to catch his breath.

“This is fine,” he mumbles to himself like he does every morning, “Everything is fine” ~

Two weeks had pasted and Roman still hadn’t given Virgil an answer. Virgil didn’t bring it up, he knew Roman would give him an answer when he was good and ready.

Roman was pacing, in a big shirt and boxers, with his phone in his hand, open on it was his bank account. 

Once he got home from Virgil’s apartment, he quickly checked how much money he had saved. He was surprised to see that he had $8,654 saved up. It had been a while since he last checked. He quickly called around to get top surgery that fit into his budget.

He had a new plan. He would get the surgery, he would go to the beach with Virgil about 3 weeks later, and Virgil would see his surgery scars. Then Roman tell him and they could figure it all out there. If Virgil broke up, 

No more avoiding it.

His phone began to vibrate and Roman vibrate and Roman quickly answers it, “Hello? Oh hi, Dr. Travis!”

This doctor had excellent reviews and she was to be trusted. One pleasant conversation later and Roman had an appointment set for a week later for $6,000 with insurance covering some of the cost. He also calls his job, who approves his two weeks of medical leave.

He squeals as soon as he hangs up, this was going to be wonderful. He had to celebrate.

So he calls Virgil, “Stormcloud?”

“Hey Ro, what’s up?” Roman smiles, “I have great news. Four weeks from Tuesday, I can spend the entire day at the beach with you.”

“Jeez, your job really won’t let you catch a break, can they?”

Roman chuckles, deciding it was best not to mention he was one of the last days off he had after the ones he is using for his appointments and recovery for this. “Well, in any case. I would like to see you before then. I’m working the early shift tomorrow so I’ll be done by 1.”

Roman could hear Virgil smiling on the other side of the line, “Well, you’re in luck Princey. I only have one big meeting after lunch tomorrow. How about we meet for lunch, I hide you in my office while I go to this meeting and then we can go back to my place at 5?” “That sounds perfectly wonderful.”

~

The lunch was nice. They went to a cheap sandwich shop that was close to Virgil’s work and had a small debate on whether or not putting mayo on Salami was a good or bad thing. 

Roman almost immediately regretted agreeing to sit in Virgil’s office. He sat silently, and almost immediately, chest started to ache. Even worse, Virgil’s office needed a key to get into, one that Virgil only had because it was his ID card. Something about security or whatever.

Roman sat in Virgil’s office chair for 3 hours, he kept time on his phone. The second Virgil opened the door, Roman practically threw himself into Virgil’s arms.

“Missed me?”

“Something like that.”

They took the subway home, and Virgil could almost immediately tell something was wrong. Roman seemed to keep fidgeting and had on a fake smile. Virgil contemplated saying something, but by the time his anxiety let him decide, the train had arrived at their stop.

Virgil figured Roman would tell him in due time. Right?

Once they arrive, Virgil sighs as he pulls off his tie. “I am going to take a shower, you can set up a movie or something.” Roman smiles and kisses Virgil, “Don’t be long.” “Excuse me princess, but you take over two hours in the showers, I will take all the time I want.” Roman laughs, “Touché, touché. Go on now. Hurry your cute butt back.” Roman gently pats Virgil’s butt to emphasize his point. Virgil sent him a playful glare and heads off to his bedroom. 

Roman smile drops and he immediately takes off his shirt and binder. He loudly gasps and rubs his chest to ease the pain in his chest. He sighs and stretches, Virgil usually takes 30 minutes in the shower, so he was going to give him a 30-minute break.

Or he was...until he turns and sees Virgil standing at the end of the living room where the hallway is attached. He, like Roman, did not have his shirt on. Neither his pants. 

Virgil opens and closes his mouth a few times before saying, “I forgot to mention, I-I-I have a bottle of wine.” He gestures vaguely to the kitchen,

Roman covers his chest with his arms, tears appearing quickly.

Virgil takes a step closer, “Ro...have you been...this whole time…?”

“I have to go,” Roman says as he runs to the door, shirt and binder in hand.

“Ro, wait--” Virgil makes a grab for Roman’s arm but misses as Roman runs out of the apartment. Virgil watches him go, knowing he shouldn’t run out in his boxers. He begins pacing, his nerves are on an all-time high, and he tries to steady his breathing so he can come up with a plan to talk to Roman.

Because they really, really, need to talk.

~ Roman didn’t stop running until he got home. Once he got in, thank goodness his keys were safely tucked into his pocket, he threw himself onto his bed and broken down. That had to be the most humiliating moment of his entire life. Virgil’s face had said it all, he was definitely breaking up with him. 

He sobs and sobs for what it seems like hours until he tires himself out. He walks up at 4 am to 10 miss calls and 30 texts from Virgil.

From: Stormcloud

Ro, please call me back.

Princey, let’s just talk, please.

Babe, please, let me know if you’re okay. 

I’m not mad. I just want to talk.

Roman. I’m not going to say what I have to say through text. Call me, please. 

Roman shuts off his phone. He can’t face Virgil right now. He can’t face anything right now. His only saving grace is that he has the night shift at work. He closes his eyes and had a restless sleep. 

His dreams were of Virgil walking farther and farther away from him. No matter how much Roman pleaded and begged for him to stay, Virgil just kept walking.

Once he walks up, he remembers reading somewhere that dreams tell the truth, and he knows his truth: Virgil does not want to be with him.

~

Roman ignores Virgil’s calls and texts between the Bad Day, as Roman dubbed it, and his surgery day. Though it started because Roman couldn’t face him, it then became just because of the surgery. 

Roman didn’t like his job, for the most part, but he did have a friend. His name is Patton and he is the nicest person Roman has ever known. Patton was one of the few people who knew Roman is trans and he is a bug supporter in Roman’s life. Patton let him cover all of his shifts so Roman wouldn’t lose money on his time off. He was exhausted from all the work, but the happiness of what is to come pushed him through it. He stopped checking his phone as often as he normally would, despite Patton pushing him to go talk to Virgil.

”It may bit be as bad as you think kiddo,” Patton would say, but Roman was not sure.

Anytime he wasn’t working, he was making trips to the grocery store for his treatment or moving everything off of high shelves since he is not allowed to stretch his arms.

His bottom drawers are filled with baby wipes, scar cream, and ice packs. He also bought big comfy sweaters and ice cream to keep himself comfy. 

Roman couldn’t sleep the day before the surgery. He felt every emotion attacking him at once. This was going to be one of the most important days of his life.

The surgery itself wasn’t as bad as he expected, though the anesthesia probably had something to do with it. He found out later he sang a love song to “a very lucky young man” through the 2 hours and 30 minutes. He was embarrassed, to say the least.

Finally came time to see the scars. He froze when the doctor told him. He was lucky to be facing away to the doctor. Could he do this? Would the scars look bad? Would this actually make him as happy as he hoping?

He let out a watery chuckle, he sounded like his boyfriend--his ex-boyfriend. Thinking of Virgil reminded him of all the breathing exercises he learned from Virgil.

He takes a deep breath for four seconds, holds it for seven seconds, and lets it out for eight seconds.

After doing it a few more times, he turns to the mirror. The tears are almost immediate. The scars were bright red but they were thin, as thin as his pointer finger. His chest was as flat as he hoped it would be. This is the happiest he has ever been.

He shakes Dr. Travis’s hand since he is unable to say words. Dr. Travis simply smiles at him and pats his back.

“Now sit down, I have to put the bandages on. Now, make sure to change them every day.” Dr. Travis says.

”Got it, thank you, doctor.” Roman says, managing to get his voice back.

”You’re welcome.” Dr. Travis replies as she gently wraps the bandages around his chest, ”Now, do you have someone coming to pick you up?”

”Yes, of course, as you told me to,” He wasn’t exactly lying, he was planning to call an Uber.

”Good, because all you have to worry about is recovering, okay?” she says with a smile.

Roman nods and soon after, Dr. Travis finishes putting on the bandages. He has to stay in the hospital for another hour to rest before he is properly discharged. He spends most of the hour taking a nap and only 15 minutes on the phone with Patton, which seems strange to him. Roman, once he is allowed to leave, puts on his red zip-up hoodie, ignoring the feeling of his heart pulling because he remembers Virgil buying it for him and heads out of the hospital. Dr. Travis gives him a treatment plan on the way out and Roman puts it into his pocket.

The Uber ride is pleasant enough, the driver lets him drift off in the backseat. He is woken up by the car jerking to a stop in front of his apartment building. He scrambles out of the car while apologizing to the driver. 

He runs up the stairs to his apartment, each step making him more tired and as each second passes, the painkiller wears off more and more.

He weakly smiles as his door, knowing that a few behind it is his bed that he can pass out in.

He opens the door and is so shocked to see Virgil behind it that he can’t bring himself to move. Virgil says nothing as he walks over to him. Virgil wraps his arms around Roman’s waist and moves him into the apartment.

Roman yelps and finds his legs walking up to move with Virgil, ”W-W-What are you doing here?”

Virgil whispers, ”We’ll talk later, you need to get to bed.”

Roman doesn’t argue as Virgil half drags him into his bedroom. Roman lays down and Virgil reaches for his hoodie zipper. Roman tries to push his hand away but Virgil is much faster than him. Roman let's out a small whine as Virgil unzips the hoodie. Virgil shushes him and gives him a painkiller and some water. Roman happily drinks it. 

As he is falling asleep, Roman says, ”I love you V…”

”I know, I love you too Ro.” is the last thing Roman hears before passing out.

~

Roman wakes up two hours later so feeling something cold touch his chest. He slowly opens his eyes to see Virgil putting an ice pack wrapped in a paper towel on his chest.

Virgil softly smiles at him, “Hey Sleeping Beauty, welcome back to the land of the living.” Virgil gently cups his face. “Stay still so that the ice can do its job. I’ll order food in a bit and put on a movie. What would you like to watch?”

Roman stares at him dumbfounded, but Virgil was not fazed. He fluffs Roman’s pillow without uttering a word. He then rubs Roman’s cheek and Roman shutters at the soft and intimate touch. 

“What? How? Why…?” Roman had so many questions he wants to ask. 

“When you weren’t answering your phone, I went to your job and I saw you working. That relaxed me enough to let you have some space. I still would walk by every day, hoping you’d see me, and maybe you would come. When I came by earlier today, your coworker came out and invited me in.” “Patton?” “Patton. He said he noticed me walking by and I told him about you. He spent his break talking to me about you. You have a good friend.” Virgil says with a smile.

“I know, Pat’s great.” Roman can’t help but smile back. “I’m guessing he told you about the surgery?” “Yup so I came here. Knowing you, you wouldn’t ask for help and try to take care of yourself.” Roman looks away and pouts, and Virgil kisses the pout away. The kiss makes Roman stare at him confused, but Virgil just continues, “So I asked your building’s maintenance guy to let me in to surprise you. I did not think that work, you should have seen me, I was so nervous, but he said he’s seen you let me in enough times and he said this was one time only so now I am here.”

Roman blinks at Virgil for a few seconds, trying to figure out what he says. Virgil sits there, so patient and understanding that it only manages to confuse “But why?”

“Why what?”

Roman began to cry, but he is too tired to care. “Why would you want to take care of me? I’ve been keeping a huge secret from you for over a year, I’ve been lying to you over a year. I haven’t been as intimate as I deserve to be and you probably desire to because I can’t be. I will never be a true man physically, no matter what I do. And the way you found out, not from me telling you. You should hate me, be mad, anything. I wouldn't hold it against you.”

Virgil sits on the bed and puts his arm around Roman, “Roman, I don’t know who told you otherwise, but when I tell someone I love them, I love all of them. Especially you, you are my boyfriend. You are everything I want and more. I love your body, I’ve loved it since we met. I wouldn’t care if we never had sex, if it met I could be with you. And don’t call yourself anything but a man, because I will fight you about it and have Patton help me.”

Roman laughs but stops, his insecurities taking over once more, “But the way you were looking at me that day…you looked so disgusted”

“I wasn’t, I will never disgusted with you. I was scared. I saw the binder and how red your chest was. I was scared that you were hurting yourself for me.” “Oh...I’m sorry.” Roam replies while lower his head. Virgil tilts it up, “Don’t apologize to me, you owe an apology to your body. I’ll make you do it too.” Roman pulls Virgil into a kiss and Virgil happily kisses back. They will be okay, actually better than okay. Virgil will take of Roman his whole recovery, taking his vacation time to do so. They would spend the time talking, finally no secrets between them. Virgil will ask him to move in as he drives him home from his checkup with Dr. Travis and Roman will happily say yes. Roman will finally let Virgil help me and Roman saves up the money for his bottom surgery and gets a better job with Virgil’s recommendation. Though he will miss working with Patton, they will hang out every weekend to make up for it. It will be a wonderful future.

But right now, they both just need to kiss and breathe because they are happy and together. 

~

Taglist

I do not have a general Sanders Sides but if you would like to be tagged in all things Sanders Sides I post, let me know.

[grownmd]

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