#it was just a dermatology appointment but they were so nice

[ghostickle]

Never in my life have I had a doctor call me the right name AND pronouns especially without me having to talk to them first I’m so happy

[dirty-urie]

McBrendon

Second Person

Brendon x Female Reader

Unspecified Era

Smut Oneshot

NC-17

3.2k Words

Warnings in order of appearance: RPF, language throughout, not pre-discussed roleplay scene, medical roleplay and language, sex

Author's Notes:

So, basically, I was re-watching Grey's Anatomy, and I was like, "What if Brendon was here?" and then this was born. I have no idea if someone who's never watched Grey's Anatomy would understand or appreciate this, but basically what I think you need to know is that Derek Shepherd and Mark Sloan are sexy manwhores (in the earier seasons), and a common recurring joke in the earlier seasons of the show is putting "Mc" in front of adjectives to describe love interests. The fic is supposed to be more silly than sexy, but maybe it's sexy too, I don't really know.

"Wait, what about those two?" He asks, and you sigh exasperatedly.

"Brendon, just assume that all of the doctors on the Doctor Sex Show have slept together. That's the whole point."

He groans and slumps back in his chair, "Remind me why we have to watch this overdramatic doctor smut in the theater? The theater should be a sacred space for Disney movies or action movies with boobies and explosions, not 'ohhhh does McCreamy only like Natalie because she hooked up with Appendectomy?.'"

"It's my week on laundry duty, and whoever's folding laundry gets to watch whatever they want wherever they want. That's the rules, but you can go watch something in the living room or on your computer or on your phone if you don't like it," you offer, trying to get rid of him. You love Brendon, you love him so much, but sometimes you need to sit in the dark and fold laundry with no other noises except your soapy little doctor show.

"Fine. The men of the house are going to go watch something manly, don't bother us. Come on, Bogart!"

Brendon's little Jack Russell turns to look at you as if asking to stay, but you pat his back and send him off to go snuggle with his dad. You don't think you could handle Brendon's betrayed gasps if you let Bogart finish the episode with you. You and Penny will be fine ogling at Patrick Dempsey while file-folding Brendon's 68 pairs of gray and black sweatpants alone. Brendon kisses your cheek before he leaves. "Have fun with the boobs and explosions, babe," you tell him on his way out of the room.

"Oh, you know I will!"

•••

Two weeks later, it's your turn to fold laundry again, and you're back to watching Grey's, this time in the living room. The dogs are sitting next to you, eyes glued to the screen. Brendon's also in the room, bitching about "introducing this drivel into our home," but you're ignoring him because you don't need that kind of negativity in your life.

He finally quiets down, and you appreciate the five minutes of peace. Until… "Are you unsatisfied with our sex life?" He asks out of the blue.

You're taken completely aback for a second before you scramble to pause the tv. "I'm sorry, I'm sorry, what? Where did this come from?" you ask him. What the fuck? Is he unsatisfied with your sex life?

"Well, we haven't had sex in weeks practically." Three days actually. It's been three days, but you don't interrupt him. "And you keep watching this sexy doctor show, so I don't know, maybe you're feeling like a bored housewife," Brendon explains.

You laugh at him, and he looks offended. "You're overthinking it, baby boy. It's just a show! Sure, the sexual tension between the entire hospital and Mark Sloan is spicy and exciting, but I'm not trying to compensate for anything lacking in my life. If anything, all that spice just translates into better sex for both of us. Okay?"

He looks very skeptical. "Hm, sure. I totally believe you."

You don't necessarily think you properly got your point across to him, but Meredith just made another bad decision, and you need to see how it pans out. "Okay, great, now go watch a manly show with Bogs in our room if you're going to keep whining."

Brendon does not, in fact, go into your room to watch a manly show on his laptop. Instead, he and Bogart start watching season 1 of Grey's Anatomy, immediately getting highly invested in the lives of the ambitious-yet-messy surgical interns. He's trying to figure out what exactly appeals to you about the show.

•••

It's his turn to fold the clothes, and he's doing it wrong, but you're resisting the urge to do it for him because you're a feminist, damnit. He's still letting you watch Grey's Anatomy because he's a doll (and you don't know this, but he's also become a bit of a fan.)

"Do you think I'm more a Mark Sloan or a Derek Shepherd?" He asks.

You scoff, "You're a George."

"I am not! I'm way sexier than George!"

"You're just jealous because I'm an Addison."

"Pshh, you're a Bailey. You wanna know how I know?" He asks.

"Fine. Tell me." You give in.

"You desperately want to correct my laundry technique."

•••

"Meet me in the on-call room in five," Brendon whispers against the back of your neck while you're drying the dishes from dinner. What is this man doing? "Meet you where?" You ask, but he's already walked away. You're not sure whether to actually wait the five minutes or just try to go find him.

You give him three minutes before going to the bedroom. You honestly don't know what you were expecting, but it wasn't Brendon laying on his side in the middle of your bed, shirtless under a white coat. He has on a pair of navy blue scrub pants that aren't particularly flattering, but they still look nice on him.

"Explain to me what's happening here, homie," you tell him.

"I'm being sexy for you! So sexy! I'm Dr. Brendon "McKinky" Urie, I'm a general surgery attending, but my real specialty is pleasure."

You visibly cringe for him. "You're a McDoofus, and your real specialty is probably malpractice."

He pouts. "Play along. Come on. Please? Be Dr. Y/N Sexy."

You roll your eyes. "Why do you get your real last name, but I'm Dr. Sexy?"

"Because we're not married in this fantasy! We're both cheating on our spouses but not in a tragic way, in a sexy way! Come on! Let yourself have fun," he pleads.

You feel yourself start to cave. "Fine, I'll play along, but I'm stopping this the minute I feel weird, okay?"

"Of course. And, babe, if you don't want to do this, you absolutely do not have to," he says, serious now.

"No, no, Brendon. I'm down for this. I think you're a total goof for doing it, but I trust you."

He brightens, "Great! Now it's time for your examination." He waggles his eyebrows, climbing off the bed and gesturing for you to take his place.

"Exam? Am I a patient? Why am I in the on-call room if I'm a patient?" You ask.

"Doctors need exams too, y'know. We're both doctors, but I don't know, you need a routine exam for like moles or something. Take your clothes off." He says, and you take a split-second to be grateful that Brendon got discovered for his musical talents and will therefore never be an actual doctor.

You stifle back your laughter and strip down to your underwear, lying on your back on top of the white sheet he put over the comforter to protect the bed from any potential messes. He stands over you next to the bed, and you're happy that you at least get to stare at his body during this little experiment. The whole "doctor" thing may not be driving you wild on its own, but your half-naked husband always will.

"Thank you for coming to this appointment, Dr. Y/N Sexy," he says. Don't laugh, don't laugh, don't laugh, you chant in your head. "First," he says, making his voice husky, "I need to test your reflexes." Something tells you he won't be using one of those little hammers. He bends down and breathes against your neck. You shiver, and goosebumps appear on your arms. You're glad you wore your front clasp bra when he unclips it and has immediate access to your breasts. He circles around your nipple with his finger, and they harden quickly. "Mmm, good reflexes indeed. Very responsive," he purrs. "I don't think your test results are conclusive yet. You should keep going," you encourage. He rubs your scalp, and your head rolls back. You're worried that you'll start drooling.

Brendon smirks at you a little, and his smugness is slightly infuriating. Yes, you like him touching you, but that hardly proves that his weird roleplaying was a good idea. "Just like I observed, fantastic reflexes. But I now must move on to the chest exam." He rests his head on your chest, and you're beginning to suspect that this whole thing was just a ploy to touch your boobs a lot. "Is your heart rate always this fast or just when your hot coworker is touching you?"

"Normally only my husband, also named Brendon… for some reason, can get me so worked up, but now I'm thinking of leaving him for you, McCrinkly."

"It's McKinky, and your husband sounds gorgeous and super smart. You should keep him around," he says, climbing onto you and groping your breasts. "In my professional opinion, these are nice tits."

You have to bite your lip to resist the urge to laugh again. You wouldn't quite say you're aroused, but you are having fun at least. "Okay, okay, doc. Enough of the preliminary exam; I need five and a half inches, stat."

"You couldn't round up to six while we're playing!?"

"Oh, come on, you're lucky I rounded up to five and a half!"

"Rude! So rude!"

You kiss him to shut him up. "Sorry, baby, I won't bully you anymore. Now, how about a cervical exam?" You suggest, craving his thickness inside you.

That cheers him up. Brendon resumes his doctor roleplay. "First, let me complete the dermatological examination. If you could remove your undergarments, please."

You throw your bra on the floor and take off your underwear.

He admires the small amount of newly-exposed skin. "So many marks on your breasts and pubic region. Did your hot husband leave these too, or should I investigate for a skin condition?" He asks, ducking between your thighs to add some more.

"Yeah, he left them there. My sexy husband is kind of the best, but enough about him," you say.

New dark spots pop up after he finally moves his mouth from the sensitive skin of your thighs. "Oops, I think I just burst a couple of capillaries."

Well, someone did some light googling. "Do you think I'll make it?" You ask, faking drama.

"Yes, but you'll need someone to pay lots of attention to the area between your thighs."

He never mastered the art of subtly, did he? "I don't think that will be an issue. My husband will be thrilled."

"Great, that's taken care of. Shall we commence with the cervical exam then?" He asks, rolling off you to tug off his scrubs and underwear. He keeps his dumb coat on, which is more goofy than sexy without clothes underneath, but you don't tell him that. "And we can test your motor skills at the same time. Hands and knees, please."

You obey, and he moves behind you to enter you. He pushes into you quickly and hard, just like you like it. "God, there's so much blood in my, hm, um corpus cavernosum… I think," he says.

"Your what? Are you trying to cast a Harry Potter spell? because that's a whole different roleplay," You crane your neck back to see him, and your eyes widen. "Brendon, are you," you need to pause to choke back your laughter, "are you reading from a flashcard? While inside me?"

He's on his knees behind you, squinting at a white notecard. He flips the card over and reads from it, "the corpus cavernosum is, um, the main erectile tissue in the genitals. So, uh, I was trying to say that I'm hard for you."

That's it, you can't contain your laughter. You can't even bear to look at Brendon without cracking up. Tears are streaming down your face. He hisses, and you think it's because you've upset him, but you turn back to look at him, and he's biting his lip, his head tilted back.

"Are you good, B?" You ask, a little worried.

He's breathing hard. "Yeah, just your laughing caused contractions around my cock, and I was not prepared. Felt good, just unexpected." He pulls almost all the way out and then jerks back in, not quite slamming but gearing up to it.

"Faster, please. Careful still, but faster," you request.

He speeds up perfectly, finally filling you up and relieving the ache inside you. You relish each time his hips meet your body, feeling close to him, even if the position isn't as intimate as he usually likes. You suppose successful Dr. Kinky, notorious womanizer, wouldn't necessarily want to make loving, passionate eye contact with all of his conquests.

"So, Dr. Kinky-"

"No, it's doctor Urie, McKinky."

Jesus, you need a script. "So, Dr. Urie, do you have enough energy after all those lobotomies or whatever to rub a girl's clit? I bet my husband, the other Brendon, would touch me."

"Well, I would never even bother to compete with such a stellar man, but I can still try to get you off." His hands move between your thighs to touch your cunt. "Oh no, so much excess fluid here. I hope nothing's wrong." He puts a finger on your throbbing clit and feigns a sigh of relief, "Good, I've found a pulse." His touch is feather-light as he slowly strokes you. The contrast between his fast, hard thrusts and delicate strokes somehow enhances both of his actions.

"Oh, that's nice," you moan.

"You mind if I have you roll over? I still have to test your flexibility, and I'd love to do that with your legs on my shoulders."

"Fuck yeah."

He pulls out, and you get on your back; he gets you ready by situating the pillows underneath you. You rest a leg on either shoulder, and he thrusts in again. You don't want to admit it to him, but you feel like you'll need to come soon. The spikes of pleasure pulsing between your legs have been getting stronger and closer together, and now that you can see what you do to him, rather than just hearing his occasional grunts, you feel even closer to crossing that finish line.

"I'm observing some rapid contractions, Sexy. Should I note in your chart how close you are to coming all over me? Because it seems to me that you're failing your stamina and endurance evaluation," Dr. Urie teases.

You close your eyes to try to eliminate a source of the arousal, but you still feel painfully close to the edge.

Brendon inadvertently shifts a bit, and that does it. Your arousal peaks intensely, and you try to restrain your reactions on the off chance he doesn't notice. However, you're pretty sure he does notice your orgasm when his movements slow to a stop, and that's confirmed when he outright says it. "You just came," he states. It's not a question.

You nod, not bothering to deny it.

He pulls out, and you finally get to see his still-hard cock soaked with your wetness. "Well I suppose, we can run… further tests to reach a full diagnosis," he practically croons, pulling his scrub pants back on, and a wave of lust spreads from your stomach. Fine, the doctor thing is a little hot. "It's up to you though, I defer to your professional opinion."

"I think my exam is complete, actually, but I know you've been complaining of some pain in this region," you give his crotch a quick squeeze. "Do you mind stripping so I can investigate?"

He immediately takes off his coat, obviously excited, and gives it to you, so you put it on. "So, can you describe the pain?" You ask, putting a hand on his thigh.

"Kind of an ache, I guess?"

You squeeze his thigh, "And you'd say the pain is mainly here?"

"No, uh, um, to the right."

You squeeze his other thigh, "Oh, I see, right here?"

"No, not, um, my thigh."

"Sorry, I understand." You lay your hand flat on his stomach, still carefully avoiding his cock. "Your stomach must be hurting."

"Still not quite."

You clench your jaw in fake frustration. "Well, could you just show me where you need my attention, Doctor Urie?"

He shoves down his pants and grasps his leaking cock, groaning in relief when he starts to tentatively touch himself.

"Yes, very good, thank you. Would you say the ache subsides with stimulation?" You ask professionally.

Brendon nods and smirks a bit, "Yeah, you could say that."

"Well, I think you just need to achieve ejaculation," you diagnose.

"Is that, ah, covered under my insurance?" He asks cheekily, still jerking himself.

You laugh, going to dig the lubricant out, "Okay," you nudge his hand away, "leave this to the professionals." You pour the clear lube into your hand. "This may be a bit cold," you warn. He doesn't really need the lube, he's both leaking profusely and still slick from being inside you, but you want to keep up the "doctor vibes." You grasp him firmly and stroke quickly, trying to get him off as soon as you can. You kind of want to use your mouth, but you can't think of a good reason to within the roleplay. That's mostly fine, though, because you can tell he's about to come.

He comes all over your hand without warning a minute or so later. He shudders and groans, spurting twice more. You didn’t realize how worked up he was. Of course, you saw how hard he was, but to come this much from just jerking him off means he was really turned on. "Outstanding sperm production, sir," you say, crudely wiping him up with a tissue.

"Okay, no more doctor talk. My brain is too mushy," he groans.

You take off the coat and get into bed, cuddling against him. "If your brain is mushy, you probably should see a doctor."

He giggles. "So, would you do this again?"

You think for a second. "Well, I'd roleplay with you again, but you have to warn me next time. And probably not the doctor thing again. It was hot playing with you, but thinking about actual medical procedures is not my thing."

He yawns, "Noted about the warning you next time, and that's too bad. I was really looking forward to the oral exam. How big is your mouth? How's your swallow technique?" He says, half-jokingly.

"Hey, don't push it, or we're doing a prostate exam, and due to budget cuts to the hospital, we're going to be low on lubricant."

He cringes, "Point taken. I don't need a doctor roleplay; the next time I want a blowjob, I'll just ask."

You get out of bed and put on your pajamas. "Well, if it's in the next 45 minutes, your request is getting denied because Penny Lane, Bogart, and I are watching the real Grey's Anatomy in the theater while you're still too weak to complain about it. And this is a good time to tell you that my character is not actually a medical doctor. I have a PHD in film studies. I’m a fraud.”

His mouth drops open, "You're telling me that wasn't an official medical handjob?!"

"I trust that you'll get over this. Love you, babe."

He scowls but still mutters a quiet, “I love you too.”

[pigeonfancier]

TBC is done! My giant comic project is also done, and I'm both pleased and a little distressed: what am I going to do with my time now? Finish up my dozens of older projects? That's not very me.

I thought the ending would feel very bittersweet - I've been in a bit of a distressed kind of Mood about the game lately, not helped by the community's reaction to the ending - but no, I'm actually fairly satisfied with it, and I'm pleased that a great deal of the ending was ultimately left ambiguous. It leaves room for everyone to come to what conclusions they want, and with stories, that always feels the best.

In health news: I attended my dermatology visit, which was very stressful going in, and significantly less so coming out. The doctor apparently saw my chart, and got very excited, because autoimmunal pancreatitis is rare, and he thought that I must have it from IGG4, if I was having skin issues. So he brought in his entire gaggle of medical ducklings..

.. and then got disappointed to realise that I do not have IGG4 symptoms, which is a surprise to me, haha. Pancreatitis is so hard to research! I know I have autoimmunal, but I did not realise there was even a difference between hereditary and IGG4-based pancreatitis in the first place. He still used it as an opportunity to drill his students on pancreatitis, though, which was fun, and educational to me as well, haha.

He also gave me a referral to a pancreatric specialist with his network, too, which is nice: I went to Cleveland to get seen by one of the state's Top Specialists, per google and my GP, and said specialist was very thrown over the fact I didn't have substance-based pancreatitis. Very thrown, and kind of judgemental! Meanwhile, this doctor's first words after interrogating me on pancreatitis for his students were: "oh, you must get people thinking you abuse alcohol a lot, huh?"

It's very nice to have a doctor.. not assume I am lying, or immediately jumping to negative conclusions, lol. Very nice, and unfortunately, very rare! But his network actually handles autoimmunal and hereditary pancreatitis, and I am so relieved that there is potentially an end to sight in dealing with this. He seemed very certain there were multiple treatment options involving pills, rather than surgery, for it. I'm crossing my fingers!

Also crossing my fingers that, for all that I'm pleased over him inexplicably hyperfocusing in on my pancreatitis, he is not entirely correct on his diagnosis of my skin issue? He looked over the dark spots, asked a lot about family history and my grandfather's mysterious abdominal surgeries, and then immediately said, oh, this is almost undoubtedly Peutz-Jeghers Syndrome, and I probably just hadn't noticed any of the symptoms in the past, because pancreatitis is a good way to mask it, but my bizarre lip spots are pretty indicative of it. So go to the gastro he was referring me to, get the pancreatitis checked, and get testing for the PJS, so it can be treated!

And in the meanwhile, don't freak out! :)

Because, as he lovingly informed his ducklings, patients always look these things up on their phones and then spend the next three months freaking the fuck out.

And who am I, but a stereotype?

I'm not letting mysef froth over it too much, haha, or at least, I'm trying not to! Darcel and I do have markers for it, per Promethease, but that isn't necessarily reliable, and it's certainly not a diagnosis of anything. Still, I keep eyeing that, and then eyeing Cleveland Clinic's cheery note that "the lifetime risk of developing any sort of cancer is estimated to be as high as 93 percent", and midkey frothing. I would really just like to be healthy! I do not want to have to memorise how to spell fucked up German disorders! Going into an appointment to ensure I do not have cancer, and getting told "you don't have cancer! but eventually you might! :)" is not my favorite activity!

But if I do have it, whatever, lol. This shit is what preventative care is for, I suppose, and if I have to make time to go and get checked out regularly, I'll make do. The health complications and risks seem as if they primarily come down to not having preventative care, which is something I can work with.

[mylifewithhurley]

My Life with Hurley Story

My Hidradenitis Suppurativa Story

l believe the best way to start is with a description of the disease - and this is my description of the disease, based mostly on my experiences, but also drawing from the hundreds of medical articles, forums, and discussions I've had the pleasure of reading over the past decade in my attempts to understand and manage my disease better. Hidradenitis Suppurativa (HS) is a chronic skin disease, in which pus and blood-filled abscesses form under the skin in the groin area, inner thighs, armpits and under the breasts. These abscesses can range from the size of a pea to as large as baseballs. They grow in size until they are close enough to the surface of the skin, and may break open. When they do, they either do not heal at all, or take a very long time to heal... I'm talking years. As open wounds, they constantly leak blood and pus. There is nothing more horrid than the smell of an HS wound, trust me. They are extremely painful, if you can imagine. Large abscesses can often restrict your ability to move your arms, if they are located in the armpit, or restrict your ability to walk and make it vert uncomfortable to sit, if they are in the groin or inner thigh area. With all that being said, you can imagine the shame and embarrassment such a condition can bring to a person. An individual with this disease can be extremely self-conscious and depression is very likely as well. There are some points I'd like to stress before I move on to my personal experience with the disease.

HS is NOT contagious. It is NOT the individuals fault. No one knows why this happens. HS has NOTHING to do with a person's hygiene. HS has NO cure!

IN THE BEGINNING...

My HS started out as small pus-filled bumps on my groin when I was around 15 years old. These were easily popped open and were not painful. They would come and go. They were a nuisance, but were not totally alarming. I did not know I had a "disease" at this time. I did not seek medical care. I was about 20 when bumps started appearing around my breasts. These were larger and had to grow a few days before I was physically able to squeeze them out. The pus was generally very dry, like something that would come out of a pimple on your face. It would quickly shoot out and splatter onto the mirror or whatever I was in front of. I mention this only to illustrate the change in consistency of the pus over time. They would heal, but always come back. Same spot, same size. Seeking help was difficult. I didn't want anyone to see. I can remember going to a walk-in doctor who prescribed a topical cream to rub on them. That didn't help. Eventually, the pain was too much to bare and I was forced to go to the emergency room. I went in the middle of the night. I had an abscess about the size of a quarter on my chest, between my breasts. It was so painful, I couldn't sleep. I had my first I&D (incision & drainage) that night with a very nice doctor. After he had cut it, he told me a nurse would come in to "pack" the wound and that I would be set up with home care. I didn't know what "packing" meant at that time, so when the nurse came in and simply covered the wound with gauze and tape, I thought I was good to go. That specific wound came and went over the years but it would easily break open after a week or so, and the pus and blood would pour out, like syrup, messing up my bra and clothes.

I went to a walk-in maybe a year or so later who I could tell really sympathized with me, but truly didn't know what to do. She referred me to a dermatologist. I waited months to see her. When I finally did, she was cold towards me. I didn't feel like she cared as she told me there was no point in treating this externally (I was hoping she would cut one or two open to give me some relief). She told me the only way to get rid of this was to do it from the inside. She prescribed me some pills (probably an antibiotic). I asked her if it had worked for others, and she nodded yes and she scooted me out. The pills she prescribed did wonders for the acne on my face but absolutely nothing for my HS. I was told to come back and see her in three months, but I never did. She didn't care enough.

For a long time, I just waited for the lesions to grow large and break open on their own. There's one that I actually tried opening with a needle (DO NOT DO THIS), and of course I just made it worse and probably make it stick around a lot longer than it would have had I just gone to a doctor. I had started working full time when I began getting abscesses on my upper leg, extremely close to my groin and bottom. This was extremely painful. I had to find creative ways to sit on my chair without drawing too much attention to myself. There were many days I wouldn't even sit. I would just do type on the computer standing up, pretending like I was only checking something out on the computer and would have to leave in a second to do something else. The days in which I did sit, I learned I needed to sit on my jacket or sweater, in order to not stain the chair with the drainage coming out of my open wounds, seeping through my pants and onto the furniture. I often walked funny, trying to avoid feeling the wounds rubbing against my pants. If anyone asked why, I just told them I had a problem in my leg.

It was a Sunday night when I decided I needed to see a doctor to drain one lesion on my inner buttocks. My mother took me to the emergency room. When the doctor had seen how large the abscess was, and the others that surrounded it, he called for a surgeon to come and take a look. The surgeon told me that I needed surgery, but because I had eaten dinner that night, and she and her team had already had a long day, I agreed to come back in on Wednesday for surgery. On that day, while the surgeon was briefing me on the surgery, I asked her if she didn't mind also draining a lesion under my arm. When I showed it to her, she couldn't refuse. When I awoke from surgery, she mentioned that she had arranged for a Infectious Disease doctor in the morning and also told me that I may want to consider plastic surgery, a suggestion I wish I had taken at that time. I was released from the hospital the following day and set up with home health care.

The Infectious Disease doctor examined me and prescribed me two antibiotics to take over a period of three months. Whether theses helped my case or not, I'm not sure. It's possible I could have been worse off if I hadn't taken them, but I wasn't getting better. I went on living my life just waiting for my abscesses to open and draining them myself - or going to the emergency room if I thought it was getting too large with no signs that it was going to resolve on its own. Going to the ER always meant that I was going to be set up with home health care, or what they call CCAC (Community Care Access Centre). Nurses could either come to your home to change your dressings and check on the progress of your wound, or, as they preferred, you could go into a near-by clinic every day or every other day for the same service. This may be common knowledge, but there are great nurses, and there are terrible nurses. I could write a book about my bad experiences with CCAC, but I won't elaborate. The point is, more often than not, CCAC nurses made my life more difficult than pleasant. 

DERMATOLOGY

My sister had told me about a dermatologist that would see patients without a referral. This sounded great to me because having to explain to doctor after doctor (or anyone, for that matter) about your disease and the things you've already tried to manage it is exhausting. I called and made myself an appointment for a few months later. When I met with Dr. A, I felt like he sympathized me and I had hope. He knew my disease. He had patients with my disease. He had touched my wounds and wiped away pus. He sampled the pus for testing. These are things the first dermatologist I had seen never did. He had a son who worked in clinical trials and had just finished a study on my disease with an expensive treatment called Humira. He called his son right there in the patient room to ask him if he knew of any upcoming studies so that I could possibly get medication for free, but unfortunately the answer was no. He had also treated patients with HS with Accutane, but this too was expensive. With the knowledge that I didn't have any drug coverage, Dr. A prescribed me two strong antibiotics to take over a course of three months. Those antibiotics did help some. When I revisited Dr. A after the three months had passed, he prescribed me another run of the antibiotics.

HS controls my life in every way. There's not a moment I'm not thinking about it. There's not a minute I am not uncomfortable or not in pain. There is not a decision I make without considering my disease. I have to think about my HS before doing the smallest tasks. There are times I put off going to the bathroom just because getting up, changing positions, can cause so much pain and discomfort, and I'm literally mentally preparing myself for what I'm about to experience. Needless to say, there are many activities I just cannot participate in. Simply getting into the car can be difficult. I dread going shopping - too much walking, which means wounds rubbing against my clothes. I'm often caught off guard when someone asks me why I'm walking funny, or holding my arm awkwardly, because I think I'm hiding it so well. HS also controls what I can wear. As much as I love form-fitting clothes, its just not comfortable to be in them. I don't wear anything white - my wounds will stain it. I don't wear anything sleeveless - my underarms are full of wounds I don't want anyone to see, not to mention the drainage that will have no place to hide. I try to wear my clothing as loosely as possible, but I'm fighting to keep my pride, despite this disease and I hate to look shabby. Depression is all over my face. I try to act happy as best I can, to not bring any attention to myself. I look back at old pictures, and miss how happy I was and how beautiful it was to not be in pain; to just feel nothing. I cry all the time. The tears often start because of the physical pain - but they quickly grow into a bawl just thinking about everything I've already been through, how much the disease controls my life, and how I don't have any idea how to make this better. HS affects my sleep, because it's not easy to fall asleep while you're in pain or you're too busy scratching or squeezing a nuisance of a wound. It's frustrating just knowing that I can't just tell someone, 'I have HS' and have them just know what it is and have a small idea what I'm going through - as I could have if I had something like arthritis or psoriasis. No one knows what this is. No one has heard of it. No one can ever understand - and so I don't try to explain it. I've tried before, and it only leads to individuals thinking they know how to take care of it. I've been told just to scrub it, just to take the pain and squeeze it out and it'll go away and never come back. I've been told to just use natural soaps; that my skin just can't handle the harsh chemicals. I've even been told that it's because I don't pray hard enough. Everybody thinks know, but nobody really knows. It hurts to know that people don't believe me when I say this is an actual disease! It cannot be healed by something as simple as washing it away. If it were that easy, I would have rid myself of this a long time ago, believe me. Would you tell a cancer patient to just wash it off? I didn't think so. My loved ones, who know my condition still don't know what I truly live with because I try so hard to be normal, act like it doesn't bother me, around them. Firstly, because I don't want their ideas on how to 'easily fix' the problem, and secondly, because I don't want to be pitied. I just want to be free. 

After two three-month courses of antibiotics, I was over it. I was over putting these pills into my body just to get little to no results. I stopped seeing Dr. A and went back to just dealing with it - drug free. This meant frequent visits to the emergency room and urgent care centres, and of course just waiting for some to burst on their own. I remember crying to a doctor at an urgent care, telling her how tired I was and asking her to I&D an abscess under my armpit. She told me there was no way to cure this and I was just going to have to live with it. How rude! I mean, so far I haven't found what she said to be untrue, but she could have been a little more comforting and optimistic. Can you believe she didn't even cut the abscess? She told me to take some antibiotics and wait for it to break open on its own. With this disease, I've learned that you're going to have to kiss many frogs to find your prince - kisses being doctor appointments, frogs being doctors, and the prince being a doctor who doesn't necessarily have all the answers, but just cares enough to try, and then try again. That night, I was in so much pain and a doctor refused to help me. Physically and mentally, I was fed up. I actually quit my job that next morning and applied for Employment Insurance. Getting up and ready in the morning was too hard and my supervisor was beginning to give me a hard time for the times I showed up a few minutes late after giving too much attention to a wound in the morning. I was physically and emotionally tired, and I truly just needed a break. So I quit. 

I must have had enough of 'just dealing with it on my own' again, because I decided to go see a doctor one more time. I went to see a family doctor, who prescribed me some antibiotics but also referred me to a lovely dermatologist, Dr. Nisha Mistry. Oh, Dr. Mistry, what can I say about you? On my first visit, she presented me with print-outs and spoke to me on what HS is, what the different causes might be and different treatments. Now, I had already read most of this online while doing my own research, but it truly meant a lot to me that she had taken the time out to read up on my disease prior to my visit. After I told her I had already tried antibiotics - maybe too many times, she told me about Humira. Humira defined by www.drugs.com:  "Humira (adalimumab) reduces the effects of a substance in the body that can cause inflammation. Humira is used to treat rheumatoid arthritis, juvenile idiopathic arthritis, psoriatic arthritis, ankylosing spondylitis, plaque psoriasis, and and a chronic skin condition called hidradenitis suppurativa."  Don't you just love how HS is the only disease they had to briefly define? She explained that she would only recommend this in extremely severe cases, because of the possible side effects. She had me change into a gown, and after taking a look at my wounds, she agreed I had a severe case. Unfortunately, like Dr. A had told me over a year prior, Humira is very expensive, and I didn't not have any drug coverage. She too, like Dr. A, knew of some clinical trials in which I could get the drug for free, but the trials had just ended before my meeting with her. That's when she told me about a program called compassionate care - where the Canadian government actually pays for your medicine because your doctor feels so terribly for you. That's my definition of compassionate care, anyway. She didn't make me any promises at that time, but told me she would put in an application for me. I was approved! There were a few tests and things I needed to do before I could officially start, but I eventually began my Humira treatment a few months later.  I also started working again around the start of my Humira treatment, about four months after I had quit my last job. 

I have to believe Humira helped me. It did not cure me, but I feel like my case got better. It's hard to say for sure because every time I would meet with Dr. Mistry for a check up, she would say it didn't look any better. But I felt better. My range of motion improved and I feel I was able to do more things a little more comfortably. I was still making visits to the emergency room, however. After one particular visit where I ended up staying the night, the hospital notified Dr. Mistry. She called me in a panic about a week later demanding that I come and see her right away. The hospital had totally exaggerated my symptoms. Apparently I had a fever when I was admitted, but they told her I came in shivering! They even told her I had been there for 3 days when it had really just been one night. I explained to her that it wasn't as serious as they made it seem, but she was still very concerned. She suggested I stop taking Humira immediately. At that time, I begged her to let me continue, but she pointed out that after eight months of treatment, I was not seeing sufficient results, and with the side effects of Humira, it may have been causing more harm than good. I agreed to stop, and after discussing with her some of the symptoms I was experiencing, she referred me to a gastroenterologist to check for Chron's disease, an internal medicine specialist, to just check me in general, and a general surgeon to actually operate on the HS manifestations. 

SURGERY

Dr. Mistry had suggested I see the gastroenterologist for of some of the symptoms I was experiencing. I had a consult with the gastroenterologist to explain my medical history and my recent symptoms. At that time, he said if it was Chron's, the Humira should have helped with that - but he proceeded to schedule me for a colonoscopy anyway. I was cleared for Chron's - which I was happy about - but that doctor never really addressed the reasons I may have been experiencing the symptoms Dr. Mistry was worried about. Sigh. Doctors. Dr. Mistry had wanted me to see an internal medicine doctor because I was experiencing many fevers and she just wanted to make sure my body chemistry was alright. Somehow that appointment never happened. I was, however, scheduled to meet with general surgeon Dr. K for a consultation, rather quickly, I might add. She was lovely. Before examining me, she explained that she was only a general surgeon, and if my case would require something called a 'flap', then she would have to refer me to a plastic surgeon. A quick glance at my skin would confirm that I, of course, was more of a plastic surgery candidate. My heart sank. Luckily, she knew of an excellent plastic surgeon, she said, and would be able to get me an appointment with him a lot sooner than it would typically take. She was very sympathetic and encouraging and I really wished she could be my surgeon. At that time, I had recently been to the hospital for an I&D and was visiting the CCAC nurses every night. Getting the wound packed was very painful because the incision had been made so small. Dr. K was nice enough to widen it for me. As her nurse was dressing the wound, she assured me that the plastic surgeon I was being referred to was very good, told me I was very brave and that she was impressed with how high my spirits were. If only she knew I was fighting back the tears that would burst out of me as soon as I entered my car. 

It felt like forever before I got a chance to see the plastic surgeon, Dr. T. If Dr. K had in fact expedited my appointment, I feel really sorry for those who don't have that privilege. My parents came with me to this appointment. After I had told them about what happened at my appointment with Dr. K, my dad told me to let him know of any future appointments. It means a lot to me that he didn't want me going alone. I'm guessing Dr. T had just finished reading a Wikipedia page or something on HS when he walked into my room because he was basically telling me all the things I would have read had I quickly did a google search on the disease. He basically told me at that time that surgery was not a good idea because of complications and scarring. This was before he even looked at my skin. After examining me, he tells me that he would prefer I go and see Dr. S, an expert in HS, and he would only perform the surgery if Dr. S recommended it. He told me that he would put in the referral, but not to worry because his office scheduled appointments quickly. In the mean time, he told me to focus on losing weight because HS was often made worse by heaviness. I am not a skinny girl, but I am not huge either. Weight may be a factor in other peoples HS, but not mine. I know this because I had actually lost quite a bit due to stress (of the disease) and my symptoms did not change. I didn't take it personally though. I knew he was just spewing out whatever he had just read on the internet. I was devastated, still. I had really high hopes about him because Dr. K and her nurse had praised him so much. I had even warned a supervisor at work that I may have to take time off shorty in order to recover from surgery. So of course, my heart was crushed. Another appointment that had caused me to go home and cry. 

At this point, I'm waiting for an appointment from Dr. S, but not really, because for one, I had already seen a GREAT dermatologist in Dr. Mistry, and she had already recommended surgery, and two, I no longer trusted Dr. T. It didn't seem like he was eager to help me, and so I didn't want him to. I went back to 'just dealing with it', until I got a call from Dr. Mistry's office asking me to come in to talk about renewing my Humira prescription. I thought this was odd, seeing that I had stopped taking Humira, and Dr. Mistry knew of this. I went in to see her, anyway. I told her about my experiences with Dr. Kapala and Dr. T. She told me that she actually worked for Dr. Sibbald (who still hadn't called me for an appointment, by the way), on his team in his office on Fridays, and she knew for sure he would recommend surgery. This made me even more upset at Dr. T. She offered to refer me to another surgeon. I explained to her how frustrated and exhausted I was at all the appointments and disappointments - and that I needed a break from it. She understood completely, and let me know I could call her whenever I was ready to try again.  

I got another odd call from Dr. Mistry's office a couple months later telling me that Dr. Mistry wanted me to call her to discuss my test results. It was odd because I hadn't taken any tests. I called anyway. She explained that she had been in contact with a Humira spokesperson who had asked her about my Humira experience. After she had told him that I didn't really benefit from it, he told her of a plastic surgeon who would love to help, as a 'special favor'. She said she knows I had opted to take a break from surgery consultations, but she didn't want to let the opportunity pass without offering it to me. I accepted. I wanted to at least talk to this surgeon. I was still in pain, and maybe this was my luck finally turning around. 

I met with Dr. CT on Monday, November 21st, 2016. She asked about my Humira experience and about the surgeons I had seen before her. After I told her that Dr. T had basically told me he didn't want to do it, she told me that nobody wants to do it. She explained it was an extremely messy surgery that would require a skin graft and two separate surgery weeks apart, and after all of that, my body may reject it. When briefly describing what surgery on my lower body would be like, she mentioned that I would have to urinate in a bag temporarily. As you can imagine, this is where the tears starting filling my eyes. As she was working really hard to turn me off this surgery, I'm sitting there wondering why I was even invited to this appointment. I was told that there was a surgeon who wanted to help me as a special favor and when I met her, I felt like I was just being kicked in the gut. I told Dr. Mistry I needed a break from the heartbreak of surgeons telling me they can't help me, and she sent me to a surgeon that would reject me again. The surgery did sound awful, I have to admit. Her goal was clearly to make me change my mind about desperately wanting the surgery, and she did so well that I even forgave Dr. T for rejecting me. After seeing the tears run down my face and the disappointment in my eyes, Dr. CT offered to refer me to a plastic surgeon at St. Mikes Hospital who had done more complicated HS surgeries. I declined. I was so over it. Instead of surgery, Dr. CT suggested that I should go back on Humira. She stressed that it is a very new drug and it will get better and work. Whatever. I was on Humira for eight months and it barely helped me. I'm convinced I was just injecting cancer into myself and not seeing any immediate benefits with my HS. I refuse to go back on Humira. Something has got to give. 

Dr. CT called me herself the next evening at 7:00PM to tell me she had spoken to the Humira representative, and he was doing to be in touch with Dr. Mistry in recommending some other dermatologists that have a little more experience with HS. She also said that she would contact Dr. Melinda Musgrave, the plastics surgeon at St. Mikes, and ask about any new approaches she has come across and can suggest. She explained St. Mikes is trying to develop a clinic of some sort where they can talk to HS patients about lifestyle changes, such as diet, that may minimize the effects of HS. She stressed that even though she didn't think surgery was a solution to HS, she didn't want me to believe that there was no hope, and that there were hopefully a couple things we could try before taking that route. The call meant everything for me. It lifted my spirits. It just felt like there was another doctor out there, in addition to Dr. Mistry, who was in my corner - who saw my pain and truly wanted to help.

NATUROPATHY

I had reached out to a naturopath, Dr. S. The appointment was booked for a few days after I got the call from Dr. Mistry about Dr. CT, and I almost cancelled it thinking that I wouldn't need him anymore because Dr. Mistry found me someone that would help, but I didn't. During my first appointment with him, I just spent the hour telling him about my disease and how it affected me daily. He asked questions, I would answer them. He ended the appointment by telling me that he "really, really, really wanted to help" me, and gave me a few of his ideas. He prescribed me Effer C, a supplement to help me go to the bathroom more often and Vitamin D, and we booked an appointment for about 3 weeks later. By the next appointment, he had a very detailed plan written up that predicted to have me pretty much healed in six months. The plan included a couple supplements, something called colonics, and a strict diet of no dairy, sugar, gluten or wheat. As you can imagine, sticking to that diet proved to be difficult, but I did try. I saw little to no results, but to be fair - I was not completely committed. I went to a few subsequent appointments, but naturooathy is not covered by OHIP, and although my work insurance covered a lot of the cost, it was becoming expensive to keep seeing him, and during the appointments, he was mostly just making other suggestions of changes I could make to my diet. I felt like I could handle that on my own. 

What's it like to feel nothing? I miss feeling nothing. No discomfort, no pain, no sting. I used to take feeling nothing for granted, and now I know how precious it is. I miss being able to sit down on a chair, a bed, the floor, without feeling anything. I miss being able to get into a car without feeling anything. I miss being able to drive without feeling anything. I miss walking and feeling nothing. Oh, I miss going up and down stairs without feeling anything! I miss putting on my panties, my pants, my bra, my shirt, my coat, without feeling anything. What's it like to get in and out of bed without feeling anything? To take a shower and feel nothing?

SURGERY PT. 2

After that meeting in November 2016 with Dr. CT, I hadn't really been to any doctors, with the exception of the few additional visits with the naturopath. I gained a little relief by changing my diet - but no major improvements. In April 2018, the drainage coming from my arms was uncontrollable. My shirts were soaking wet within a few minutes of changing into them. I didn't know what else to do except to plea with a surgeon to operate on me. I chose Dr. CT. I met with her on June 6th 2018. Again, she illustrated a nasty surgery that might not even be successful. I told her I didn't care, I needed to do something. She offered to send me down to St. Michael's Hopsital to see plastic surgeon Dr. Melinda Musgrave or her colleague Dr. Karen Cross, who do a lot more work with HS. I agreed to a referral, just because I could tell how badly she did not want to operate on me. If you'll recall, she had mentioned referring me to these doctors before, but nothing ever came of it.

This time, I got a surgery consultation with plastics surgeon Dr. Karen Cross, scheduled originally for November 2018, but moved up to September 2018. It was simply and honestly the best consult I've ever had. She specializes in HS surgeries and really can't imagine why I hadn't been referred to her before. She told me I was an excellent candidate for surgery, but she agreed that my disease was so active that it probably wouldn't be effective. She requested that I see a dermatologist of her choice, follow their suggested treatment for about three months, and after the disease had calmed down, she would operate. I loved speaking with her because she just got it. She knew exactly how I was feeling as a person living with HS without me having to tell her. She knew and answered all my questions before I even had a chance to ask. It was obvious she had spent real time with other HS patients because she truly just got it. She was so hopeful and encouraging. She let me know that it would be a long journey to recovery, but that we would be on that journey together - and that I should always let her know where my head is at and how I'm truly feeling not only physically, but emotionally. I had never met a surgeon like her and even if I don't end up getting a surgery, I'm so glad that my path lead me to her - just to know doctors like her exist. 

CLINICAL TRIALS

Dr. Cross referred me to dermatologist Dr. Afsaneh Alavi, also specializing in HS. She enrolled me into a clinical research study for a potential new "antibody therapy". Without going into much detail, I was required to go into a clinic every two weeks for intravenous infusion and complete a small questionnaire on a phone-like device nightly. I officially began getting dosed in October of 2018. A lot like my experience with Humira, I couldn't see any changes in the way the disease physically presented itself, but I can say the day to day pain dropped considerably and my quality of life increased. However, in mid-December, I developed a large abscess on my upper thigh. It had been growing in size and pain for about a week before my next scheduled infusion and meeting with Dr. Alavi. After examining the abscess, she decided immediately to take me off the study and arranged for me to have it drained that morning. She prescribed Ertapenem, an antibiotic infused intravenously daily, for four weeks.

ERTAPENEM

Ertapenem is an antibiotic administered intravenously. I was taught how to run the IV on my own at home. It took about 30-45 minutes and then I would wrap up the IV site with gauze until I was ready to do it again the next day. While showering, I used a arm cast protector I found in a home health care store. It's basically a long plastic glove-bag that spans the entire arm, the way a cast would, and tightly seals before the shoulder. I couldn't use that arm to clean myself with, but the IV site was protected from the water. My IV site would have to be changed every 3-5 days. I would go to a CCAC clinic to have a nurse set up a basic IV line in my arm or hand. I have very difficult veins, and so nurses often had a hard time starting my IV. On every visit, I was poked multiple times before one was successful. There was a night when the nurses were not able to find a good vein, and I was sent to the emergency room for one of the nurses there to try. I waited four hours that night just to get an IV started. Initially, the plan was for me to have a procedure done to get a 'picc line', which is more secure than the regular IV and could remain in my arm for weeks without having to be moved, but that wasn't scheduled until week three of my four week course of the drug and it just didn't make sense at that point. All this to say, the treatment of Ertapenem caused some minor inconveniences, but overall I was pleased with the results. 

Ertapenem was the best treatment I've received so far. I felt virtually no pain during the 4 weeks I was on the medication. My wounds pretty much dried up. Although you could still see them, there was no drainage coming from any of my wounds. My clothes remained dry throughout the day and through the night and I never worried about staining my seat. Proving this, my laundry loads we significantly smaller and my jeans/pants were clean enough to re-wear before washing.

CLINICAL TRIAL DRUG: IFX-1

Although an effective treatment for me, I could not remain on Ertapenem for very long. Antibiotics are not meant to be taken long-term. I was on the drug for about five weeks. With permission from the sponsors and executives of the clinical trial, Dr. Alavi allowed me to continue treatment with the clinical drug, IFX-1. During the first phase of the trial, I was either being given the active drug, or a placebo. Dr. Alavi wanted to give me a chance to enter the second phase of the trial, which guaranteed active drug administration.

Since beginning the second phase, I can confidently say I feel better. I have not experienced any large new abscesses, and the ones I already had are smaller and draining less. The most improved symptom is my ability to move; my range of motion. I am able to move my arms and legs in ways I wasn't able to do before. This alone has improved my mood and my quality of life. Dr. Alavi agrees, I will still need surgery to remove the skin that the HS has completely destroyed over the years, but if this drug makes it to the market, I believe it could help many of us keep the disease under control. 

December 30th, 2019 Dr. Cross performed a 'left axilla extraction with flap' surgery on October 31st, 2019. She removed all of the affected skin from my armpit and pulled skin from my back to replace the missing skin. It was a day surgery that took about 3 hours. The wound was cared for by near by clinic nurses. It took a little over a month to fully close. The surgery went extremely well and I am please with the results. I will meet with Dr. Cross again in a few months to talk about my right arm. Dr. Alavi thinks I should return to Humira in the mean time, but at this point, I don't think I want to take that route. I know it's only been a couple months, but I believe surgery is the solution for me. 

November 22nd, 2020 Dr. Cross performed the same surgery, this time on my right axilla on August 20th, 2020. Again, the surgery went well and I am pleased with the results. Now, I don’t have any inflammation or affected skin in my armpits and it’s truly changed my life. I can wear sleeveless tops and I don’t have to worry about drainage messing up tops with sleeves. I can finally wear white if I choose to. I do still have some HS on my lower body, but nothing that warrants the surgeries I needed for my arms. I will try to treat what’s left with diet changes - specifically the keto diet and will keep you updated.

The rest is still unwritten...

[the-mira-life-project-mtf]

Today I traveled to Seattle for my appointment to see if I am a candidate for breast augmentation.

Today’s appointment was supposed to be televisit which I dreaded as my first televisit went bust.

I left home at 6:30am to travel to Seattle and made it there in 40 minutes. I pulled into Lindeman Pavilion and had to go through an intense COVID-19 review.

Upstairs to the 9th floor, I checked in and walked through a maze of blue tape to keep everyone 6 feet apart.

I waited in the dermatology unit of the Plastics department (turn left to go to Facial Plastics) and was called back and sent to a room. I was told I did not need to underdress which made me happy as I don’t like to see myself.

Dr. Schmitt came in and was very friendly as he greeted me with a elbow bump as we both were masked.

We discussed my health and my mental state as he was concerned about my cystic fibrosis and the surgery.

I have feared that CF might impact my surgery as there is risks and he said that he is deciding if to operate or not, but he is swaying to not.

We talked for awhile as he said ‘If you seemed uncertain or not taking this serious, I’d say no right now; but you seem well aware.’

He emphasized that he will not do surgery as he feared that because my pectoral muscle will be cut, I may not want to breathe deep and this could cause pneumonia. He said over and over ‘I would be so upset if I did surgery on you while you are healthy and caused you to contract pneumonia. As your surgeon, you are ready for surgery; but as your doctor...I must think of your health.’

He offered a solution:

‘You have facial feminization with Dr. Nuara. Facial feminization surgery isn’t as severe as breast augmentation; but your CF just concerns me. Let’s say that your surgery and anesthesia go successful; wait three months and come back to schedule an appointment.’

I agreed to this plan and we talked about my breasts.

He looked at my chest and said that from looking at my frame, I would need a 400cc silicone implant.

He showed how it would be implanted (intramuscular) and it would fill out my chest. The incision would be a 9cm cut under breast.

He said the surgery would be 90 minutes and I’d get to go home that day. No severe lifting for five weeks.

He had me remove my shirt and bra and seemed shocked, ‘Your breasts have moderate development!’

‘I was sized for a 44C.’

‘Your not a C, more like a full B...but nicely developed for transitioning.’

He took pictures for reference and then had me go as there was nothing else to discuss. He caught me before the door.

‘I’m going to submit your claim to your insurance for approval. If you get an approval letter, give us a call as sometimes we don’t receive notification.’

‘Will do...thank you!’

[bentioviten1974-blog]

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[minty-minho-blog]

The Fact About hair vitamins That No One Is Suggesting

"I thought I am going to hardly ever have wholesome and thick hair. I did not undergo with my hair graft.. I obtained exactly the same final results, for less than a cup of coffee! I look and feel good!" And, don't forget, your hair loss may have numerous fundamental brings about, as well as your shampoo is just one part of your respective hair loss treatment. Life style and nutritional alterations may also be part of the solution. Which one is best? That’s a tricky contact and, without having wanting to dodge the question, our perspective is you could’t go Completely wrong with either 1. The Big three can be a vintage version of an excellent all-about item and you ought to see the identical, or at the least very comparable, results from the Significant 3 and large 5. Hair grows at unique speeds and different lengths. Its composition will cause diverse shades and textures, which influence how much time the hair strands grow. The berries from a observed palmetto plant is often taken in tablet kind or from community or on the internet wellbeing food items suppliers. What’s in a reputation? Effectively, that is determined by what or who https://en.wikipedia.org/wiki/Hair_conditioner ’re talking about, nevertheless the title is meaningful when discussing Lipogaine’s Massive five All-Natural Shampoo (which is different from its Big three option). How long soon after starting to use an anti-thinning shampoo/conditioner have men and women viewed it acquire to start to see significantly less fall out, and new growth? https://www.youtube.com/watch?v=vZc1mq7eayQ , to become brutally straightforward, is no. Incorporate that with the fact that several shampoo suppliers are hungry for a quick buck and make false statements about ingredients that haven’t been demonstrated to work, and you have a current market which can be treacherous to navigate. There are even pretend critiques – that is an entire more layer of deceit when you concentrate on it. Investigate Mayo Clinic scientific tests testing new treatments, interventions and tests as a method to avoid, detect, address or handle this sickness. Getting ready in your appointment Use one shampoo that works and keep on with it. You may also choose to use a conditioner, if possible one that’s manufactured for guys that are dealing with hair loss. This disorder interferes With all the hair growth cycle by causing a follicle to prematurely depart the anagen, or Lively growth, period and enter the resting, or telogen stage. The hair growth while in the afflicted follicles is lessened or stopped absolutely. I Definitely like hair rinses. They are so nourishing to hair follicles which they promote new hair growth. So In case you are desperately looking to grow your hair, It's important to start utilizing hair rinses. https://www.youtube.com/watch?v=Wjdq0EKA1Ck is, Nizoral is great at managing the flaking, scaling, and itching linked to dandruff, and presents a secure and healthier dose with the Lively component for most hair loss solutions. In my absolute layman’s impression it seems far better to go along with Massive 5 and use Nizoral twice weekly to Get the ketoconazole fix. Probably Domen can weigh in in this article at the same time.

The smart Trick of hair fall That Nobody is Discussing

At the conclusion of this segment I’ll provide you with why exercise routines and massages assist to promote blood movement drastically and thereby will help reverse (cure) hair loss. Although it's important to have sufficient vitamin A, a lot of could possibly be hazardous. Scientific tests clearly show that an overdose of vitamin A may contribute to hair loss (four). When virtually all the above mentioned improvements aren’t life threatening (except heart rhythm adjustments, which can go unnoticed), they are often bothersome and should lead you to definitely sense the Unwanted effects aren’t well worth the outcome. This is able to advise that, far from currently being fully based on your genes, your ecosystem plays a crucial function in regardless of whether lose your hair. Dismiss advertising and marketing ploys and buzz. With countless hair growth products and solutions available on the market, it’s easy to get overwhelmed. Don’t go with a shampoo simply because it's got a couple of excellent opinions on Amazon – look for a brand that’s been established to grow hair and it has pretty much hundreds of constructive assessments from consumers. As we know hair is especially made up of proteins, and not enough protein will sluggish the hair growth, and can even bring about brittle hair. Iron is an additional significant nutrient for healthier hair growth. As you can see within the diagram beneath, the hair follicle is provided by blood which allow the strand of hair to grow. Light adequate for even essentially the most delicate pores and skin and hair kinds, Pure Biology is made up of natural extracts, oils, biotin and keratin, which perform to stimulate hair growth and repair damage. The 3HC Hair Stimulating Advanced contained in Pure Biology’s formulation is completely revolutionary, because it stimulates cells that take care of hair follicle improvement. Though not numerous experiments happen to be on the plant’s use – especially in clients with male-pattern hair loss – there have been a few which give a glimpse at its effectiveness. I've straight hair, but I constantly wished that my hair was curly. Probably, it’s a human psychic to want what we don’t have. I viewed as perming again and again, but hardly ever really did it. I think that most of us have shed touch with what our bodies are telling us with regard to the foods we’re consuming, and for a consequence we regularly take in foods that cause major damage to our health and fitness. It transports oxygen to our cells, together with hair cells. And as well very little oxygen influences the hair growth. So Make certain that you’re feeding on plenty of protein and iron in the diet. Vitamin A also assists skin glands make an oily substance known as sebum. Sebum moisturizes the scalp and helps maintain hair healthful (two). Remember that these are typically the main signals that the system doesn’t do the job nicely with these foods, hair loss is commonly a symptom that occurs more down the line, due to extended-time period autoimmune responses and inflammation.

5 Tips about hair regrowth You Can Use Today

Stress can cause a great deal of hair loss. Consider likely out for mild walks, meditate and unwind. Pampering oneself and staying happy. This is tough any time you see clumps of hair falling out, however don't fret and explain to by yourself your hair will grow out. Becoming joyful will do miracles in your hair. Buying the most beneficial hair loss shampoo for men and women might be tough. With lots of advertising and marketing ploys and Untrue statements, it may be tough to tell which solutions are genuinely successful and which of them are only a scam. Not all hair loss is due to genetics. Owning an iron deficiency inhibits your production of hemoglobin, which is important for hair growth. Investigators at Stanford and Yale are conducting three trials of oral and topical tofacitnib and Locks of Love Foundation is fuding A different ruxolitinib review. At this time, you can find about 15 publications thinking about JAK inhibitors as well as their partnership to alopecia and its variants. PURA D’OR is step to remedies that prides alone on getting a solution to any sort of hair loss. The business’s Initial Gold Label Shampoo includes a lot of healthy components that assistance to spice up hair growth by repairing existing strands and guarding new types from upcoming breakage. This hair regrowth shampoo offers a clinically-verified formulation with lots of Gains. Whisk an egg. Blend in four tablespoons of grapeseed oil and a few drops of lavender oil. Apply it to your hair and scalp and depart it on for fifty percent one hour. At last, rinse it out and shampoo your hair as usual. In this particular shampoo, we incorporate two a lot more points: pure honey and castile soap. Honey is a wonderful moisturiser and provides luster to dull hair. Even though castile soap is actually a natural soap constructed from plant oils which is free of nasty preservatives, colours and perfumes. Use how to grow hair faster when carrying wigs and hairpieces. Although it may very well be tempting to wear a wig or hairpiece when your hair is thinning, they can actually make hair loss even worse by harmful your scalp and interfering with circulation. The worth of Nizoral is that it is a triple risk – it stop hair loss and dandruff while thoroughly cleaning your hair and scalp together with blocking androgen receptors that can lead to thinning. The egg is additionally naturally pH well balanced. This excellent is so crucial in order to keep the scalp balanced and free from fungus together with other microbes. The vampire hair loss treatment requires after the vampire facelift, which can be finished to the facial area to lessen lines, acne scarring, and wrinkles. Even though not a whole new method, it is just turning out to be well known in its capacity to handle the cosmetic problem of hair loss. In One more study a number of subjects were able to regrow complete heads of hair. Sad to say, sustained utilization of this kind of medicines could have serious Unwanted effects. Several of those considerations will be side stepped if a topical components might be designed. Scientists within the Department of Dermatology and Genetics and Advancement at Columbia University Health-related Heart are now studying other JAK inhibitors in placebo controlled scientific studies. There are couple of Unwanted effects with Rogaine. The leading problem with this treatment is the need to continue to keep making use of it a few times daily, and many Adult men get Weary of it following a while. Furthermore, minoxidil has a tendency to perform less very well about the front of The top, which can be in which baldness bothers most Guys. Inadvertent software on the facial area or neck pores and skin could potentially cause unwanted hair growth in Individuals places. Nonetheless, consumers should be careful due to the fact Nizoral can cause irritation on the pores and skin about the scalp if left on for as well very long. Gentlemen and women with sensitive skin should really definitely be cautious when using this potent merchandise, ensuring that to generally carefully rinse just after every use.

hair growth No Further a Mystery

Readers Reviews 3 Share Your Story An excellent daily multivitamin containing zinc, vitamin B, folate, iron, and calcium is an inexpensive alternative, Despite the fact that there is absolutely no fantastic evidence that vitamins have any meaningful gain in alopecia. Sulfate made up of shampoos can dehydrate your scalp, generating hair loss even even worse. What would make Art Naturals Organic Argan Oil shampoo basically a magical potion for hair loss is The shortage of sulfates combined with the presence of argan oil. Add much more drinking water if necessary. Change off the heat, cover the pot and go away it to ‘steep’ until it cools. Strain out the herbs. Accomplished. ( check here can pour the liquid right into a squeeze bottle for straightforward use.) Obtained a query and will’t find the appropriate answer on-line? Fret not as Answeropedia welcomes you to boost a query and you'll see a big range of real answers right away. The phrase "ringworm" or "ringworms" refers to fungal bacterial infections which might be over the surface area from the skin. A physical evaluation from the influenced skin, evaluation of skin scrapings underneath the microscope, and lifestyle assessments may also help Physicians make the suitable distinctions. Also, with utilization of selfmade shampoo your hair can get much more shiny, manageable, and voluminous. And For those who have been suffering from dandruff and scalp irritation/itchiness it will go. This I'm able to say from my very own practical experience. And In case you are expending 1000's on shortcuts rather than finding effects then there’s no issue in accomplishing that. You would possibly also wish to test The straightforward, homemade solutions. This shampoo is totally free of severe mineral oil, detergents, and petroleum. It cleans the scalp with no stripping off natural oils that maintain hair follicles hydrated. Therefore, your scalp remains moisturized during the day. A standard pores and skin situation, alopecia areata usually commences as a single quarter-sized circle of perfectly clean bald pores and skin. These patches ordinarily regrow in three to 6 months without having treatment. In some cases, white hair temporarily regrows after which you can gets to be dim. Bottom Line: The mineral zinc can boost hair growth in people who are deficient in it. Excellent sources incorporate oysters, beef and pumpkin seeds. Hair loss is a serious difficulty that impacts Adult males and women alike. When you are suffering from hair loss, it’s imperative that you cease employing normal shampoos and start using Exclusive hair loss shampoos. Health professionals confer with prevalent baldness as "androgenetic alopecia" or "androgenic alopecia," which means that a combination of hormones and heredity (genetics) is essential to produce the problem. Inexperienced tea is productive in halting hair loss and serving to in hair growth because it blocks out Dihydrotestosterone (DHT), the hormone that triggers hair loss. Why we like it: Scientifically confirmed anti-hair loss formulation suitable for the two Gentlemen and women. It can lessen hair loss by just as much as 60 %!

The natural hair growth Diaries

Questions abound regarding the effectiveness of hair growth vitamins and dietary supplements, such as An important a single: Do they work? And If the hair dry hair, frizzy with flyaways there’s a natural strategy to quiet them down — use a depart-in conditioner. You don’t require any extravagant makes. Stay away from nutritional deficiencies mainly because they are likely to have an effect on your hair adversely. By way of example, vitamin E and zinc deficiencies cause hair thinning and loss. Alopecia is a hair loss ailment that will manifest in any individual at any phase of lifestyle. Particularly Alopecia areata is undoubtedly an autoimmune sickness that triggers hair to spontaneously fall out. https://www.youtube.com/watch?v=_bchY5r2a-s is principally characterised by bald patches over the scalp or other portions of the body, and may eventually result in baldness across the complete entire body. Stress is among An important aspects that add to hair loss. It is believed that pressure can disrupt the traditional hair cycle and trigger hairs to enter the telogen or fall-out phase. As a result, when striving for faster hair growth, decrease the anxiety in your lifetime. How to proceed: Experts don't suggest that this situation be taken care of, claims Dr. Hammonds. That leaves women with cosmetic techniques such as scarves, wigs and hair styled so as to deal with up slim spots. Hair affirmation is a strong Device that can help you worry significantly less and treatment much better for your hair. It is possible to make your very own affirmation and visualize on your own acquiring it. Western herbs like rosemary, chamomile and nettle are valuable for hair growth. You can either buy the infused oils from the market or make your personal, in this article and here are some methods to do it. It’s not unheard of to view hair loss or thinning of your hair in women because they enter their 50s and 60s, states Dr. Glashofer. Specialists aren’t positive why this occurs. For the Sanford-Burnham Health-related Investigation Institute, they confirmed that stem cells derived from human pores and skin to grow hair when grafted onto the pores and skin of mice. A paper describing this exploration, which was published on January 21st 2015 are available here during the PLOS Just one healthcare journal. Dr. Alexey, a member on the research team designed the subsequent published statement: “Our stem cell technique offers an unlimited source of cells within the affected person for transplantation and isn’t minimal by the availability of present hair follicles. https://www.facebook.com/steptoremedies/ am 95% vegetarian and sometimes consume some meat. So https://en.wikipedia.org/wiki/Hair_Is_Falling get my quota of protein and iron from Tremendous nutritious and super yummy lentil (dals) and beans, which I generally sprout. Properly There's two forms of 5 alpha reductase. Form I and Type II. While Propecia has only been demonstrated to block style II, Avodart blocks equally types. This result Over-all lowers DHT concentrations much more, further more minimizing the chance of broken hair follicles. Having said that, it faces precisely the same restrictions as Propecia. It need to be taken everyday and should get rid of its efficiency additional time. Should you have been employing fine/sharp tooth plastic combs can be it’s time and energy to reconsider a wood alternative. And properly-performed For those who have by now accomplished it The good news is the fact that worry-relevant hair loss is generally short term, provided that the strain occasion is non permanent

Top latest Five hair growth Urban news

When doubtful, read through the usage recommendations observed on your hair loss shampoo’s container. People recommendations are there to ensure that you can get the most effective results from the shampoo without having triggering harm to your scalp or hair. It does not include ketoconazole, in contrast to the massive 3 Edition, not less than Based on its listing of substances. The American Hair Loss Association mentioned it’s critical that women who've a record of hair loss of their loved ones being produced aware about the prospective effects of beginning Handle products on ordinary hair growth. Thick, https://www.youtube.com/channel/UC-SiXXn3EKKI2t7btdwEplw is looked at with awe. steptoremedies expend a lot of money to maintain their hair and they are willing to undertake treatments just to be certain their hair is voluminous and shiny. Dropping […] Will the above-pointed out hair loss solutions nonetheless get the job done In case the ailment is now intense? Also, https://twitter.com/steptoremedies/ to notice that caffeine is nice but drinking plenty of espresso won’t aid. Besides these guidelines, try out some dwelling treatments like Indian gooseberry or amla oil, fenugreek paste, a mayonnaise hair pack, along with other wholesome hair Thoughts. If appropriate beard care is crucial for you, Then you really're most likely getting beard oil. But Imagine if I advised ... When washing your hair It is a smart idea to skip extremely scorching drinking water mainly because it weakens the hair, making it dry and brittle. Try lukewarm water as a substitute and try to remember, the last rinse need to be with cold water, to close hair follicles and keep them nutritious. All Having said that, our primary consideration for choosing hair loss shampoos for our listing was whether it generated genuine effects. We also acknowledge that what might get the job done for somebody might not work for another, but we’re keen on the overall photograph. Minoxidil, commonly known as brand title Rogaine, functions Substantially in different ways than Propecia. It doesn't inhibit DHT, nonetheless it improves blood stream and as a consequence nourishment to your scalp and hair follicles. https://www.pinterest.com/healthhomeremedies/steptoremedies/ has actually been shown to revive dormant follicles to some healthy state of growth in a few users. Reports have revealed this medication works properly in certain forms of hair loss, and sufferers need to utilize it for around 6 to twelve months ahead of whole consequences are determined. This medication doesn't "function" in times to months, and its onset of noticeable improvement has a tendency to be gradual. It might be very best for guys who however have sufficient hair to retain but additionally might help some regrow hair. Attainable but quite unlikely Uncomfortable side effects involve impotence or possibly a diminished sexual intercourse travel (libido). Reports show that these Unintended effects have been probably a bit extra prevalent than found in the overall population and they are reversible when individuals quit having the drug. The cost is about $70-$100/thirty day period, and many overall health insurers do not reimburse for the cost. Pregnancy could trigger a lot of variations inside the scalp hair. As the hormones fluctuate for the duration of pregnancy, a lot of women really feel their hair thickens and will become fuller. The conditioner is your decision, even though Ultrax they are doing give you a conditioner that complements the shampoo likewise. But it really definitely not for every price range. The answer, to generally be brutally honest, isn't any. Blend that with The truth that several shampoo makers are hungry for a quick buck and make false promises about substances that haven’t been verified to operate, and you've got a industry that can be treacherous to navigate. There are actually even phony reviews – which happens to be a complete additional layer of deceit when you think about it.

A Review Of hair growth vitamins

Fortunately, deficiency and deficiency related signs are fixed simply by both taking it orally or by obtaining it through the subsequent foods: Pumpkin seed oil is one of the more practical DHT blockers, as it works most effective when taken internally. Consequently it targets 5AR on the supply, and prevents DHT buildup from even developing on the scalp. We endorse the do-it-yourself Model throughout the Equilibrium System. The Scalp Elixir could cause discomfort straight away pursuing a dermarolling session, so it is best to wait around at the very least eight hours just before applying towards the scalp. Our delectable all-in-a single vitamin supplements are filled with the nutrients you might want to Reside The nice everyday living. Getting Uncooked dairy goods could be challenging, but can considerably minimize the chances of a delayed allergic reaction, whilst the nutrients, minerals and enzymes are considerably more bioavailable to Your whole body. The best way to inform For anyone who is using a delayed allergic response to those foodstuff groups should be to systematically reduce, for 2 weeks, after which reintroduce Every meals subsequently. Diphencyprone. That is a topical sensitizing agent utilised occasionally to stimulate hair regrowth in alopecia areata. Resource. The good news is, it’s really straightforward to include this effective herb into your hair treatment schedule. For Many others although reducing a bunch will make a right away big difference. Everyone is different so there is no a single dimension suits all tactic regrettably. In the end, my philosophy is always that hair loss is unnatural (indigenous men and women don’t put up with male pattern baldness) Hence the ‘cure’ should be some thing natural. At some point, the follicle will start to grow once more, softening the anchor issue from the shaft initially. The hair foundation will break away with the root along with the hair are going to be shed. Around the class of 24 weeks, Evaluation on the hair was executed. This included a take a look at hair rely, in addition to hair shaft thickness. These checks were being created firstly (to determine baseline), at 12 months, and at 24 weeks. Listed below are the seen benefits: Whether or not blocking DHT with effective (and horrible) chemical substances or with derivatives from plants there can be Unintended effects (plus the system not getting especially efficient.) It’s essential to note that utilizing the term ‘cure’ is probably not an accurate description of how hair loss works.

[aflyingcontradiction]

AAAAAAAAAAAAAAAAAAAH

I have had a fucking DAY trying to get emergency healthcare for my brother in law because of course the course of antibiotics his last doctor prescribed were once again insufficient so his issues came back on the weekend. Rant behind the cut for those who care.

Apparently, though, the antibiotics that the emergency doctor prescribed were just fucking unavailable anywhere (and supposedly have been since 2018, which is weird because HE TOOK THE SAME STUFF LAST WEEK YOU FUCK!) So we had to go back to the emergency doctor a second time but the doctor present then refused to prescribe anything else and instead gave me a lecture on how different antibiotics work for different purposes while I repeated at least five times "I understand that, I know you're trying to help me but I would like some actionable information because my loved one is getting worse by the hour and he needs some medication!" I think I used up my entire month's supply of patience on that condescending fuckwad. Any idiots I shout at between now and mid-to-late February have him to thank for it. If doctors would just stop assuming their patients are stupid, and actually listen to what they are being asked that would be LOVELY. Anyway, the condescending fuckwad did finally tell us to go to the dermatology emergency intake (which I was unaware existed or we would've gone there in the fucking first place, why did nobody MENTION THAT PLACE EXISTED?) where (once we actually found the place and figured out that you had to ring the door bell to get inside, of which there was no indication anywhere, I had to ask someone in a different part of the hospital) ... miracles upon miracles: We actually were seen within a relatively short time by a doctor who was a) competent, b) patient, c) nice and d) spoke English, which meant I could stop interpreting (she was, in fact, surprised that any of her colleagues actually didn't). So now my brother-in-law has a prescription for medication that might actually exist and some pills to tide him over till tomorrow, a swab and blood test being processed and an appointment for a week from now to check on the issue. That went better than it had any right to. Was it worth all the hassle beforehand? Maaaaaaaaaaybe???? But I'm just so fucking relieved right now. (Also in a lot of pain because the local clinic area is a labyrinth that my gimpy joints were NOT made for traversing for hours on end, not even with mobility aids.)

[thesoftdumbass]

The Joys of Laser Tattoo Removal

Pietro Maximoff X Reader oneshot

Words: 1370

Summary: Pietro Maximoff has a tattoo that he got when he was drunk, and he wants it gone. What happens when he comes to you for help?

Characters: Reader, Pietro Maximoff, Wanda Maximoff, Sam Wilson, Natasha Romanoff, Steve Rogers

Warnings: Lasers, secondhand embarrassment, not much else.

Author's Note: Hi there! This is my first attempt at a writing challenge, set forth by the lovely @sgtbxckybxrnes and I had fun! I have to tell you, I know nothing about laser tattoo removal other that what I found from quick searches on Google. This was inspired by an episode of How I Met Your Mother. This is in Pietro's POV, sort of. You'll see what I mean. I hope you like it! My prompt was This. Never. Happened.

(Gif credit to owner)

"I can't believe this is happening," groaned out Pietro in his accented voice. He was staring at his reflection in the mirror, trying to clearly see his marked skin. His friends were all laughing loudly from the living room, which was not at all helping his hangover. Pietro walked out of the bathroom to face the room of laughing idiots.

Pietro woke up this morning, and disregarding his pounding head and dry mouth, he felt good. After his break-up, Piet was finally feeling like the world was back in order. At least until he spotted the road-runner tattoo'd on his left bicep. His parents would be so disappointed.

As Pietro walked into the room, his roommate and best friend Sam made a comment.

"So why a road-runner, Wile E. Coyote?" This earned more laughs.

"Shut up, Sam."

"What? I'm just really curious."

"I ran track in college, and apparently drunk me thought it would be funny to play a prank on sober me. I really don't want this stupid tattoo." Pietro all but murmured the last part.

Pietro's sister Wanda who had been oddly silent this whole time spoke up.

"Why don't you have it taken off? My dermatology office does a laser treatment to remove tattoos."

"That's a good idea, Wanda! I'll do that," Pietro exclaimed.

"Good. When you do, make an appointment with Doctor (Y/L/N). They are the best in the business," Wanda insisted.

Pietro was on his way to the appointment he set up for laser tattoo removal. As he walked onto the elevator in the doctor's building, Piet noticed a woman in the back of the lift. She seemed intelligent, she was beautiful and Pietro decided to try to flirt with her.

"Hello. Did it hurt when you fell from Heaven," he asked with a smirk.

"No, but I scraped my knee crawling out of hell."

At that, the elevator doors opened and you walked onto the same floor that Pietro needed to be on. Piet felt a slight embarrassment at your rebuttal to his pick-up line, but shrugged it off a moment later. It's not like he would ever see you again, right?

Walking in through the right doors into the Doctor's waiting area, Pietro made his way to the reception desk at the back of the large room. His sister Wanda was there, signing people in for their appointments. After saying hello and signing in, Pietro sat in a chair in the waiting room, scrolling through some work emails.

Wanda, who is your physician's assistant, called Pietro back to an examination room. There was a figure in a lab coat standing there, she turned around when Wanda greeted her. Pietro felt chagrin as he noticed that it was the woman from the elevator.

"Hi," he sheepishly muttered.

"Piet. This is (Y/N) (Y/L/N), your doctor. (Y/N), this is my brother Pietro Maximoff. He's having a tattoo removed," Wanda introduced, handing you his chart and not reacting to her twin's odd behaviour.

"Hello, Pietro. I'm glad I can help take that off of your arm," you spoke nonchalantly, not bringing up the elevator incident.

"Nice to meet you, Doctor (Y/L/N)."

"Please, call me (Y/N). And it's nice to meet you too.

Wanda excused herself to get back to work, leaving you in the examination room with her brother.

"Listen, I'm really sorry about before. I hope I did not offend you, I just think you're really beautiful, and you have this sense about you. I don't know what it is," Pietro voiced.

"You're forgiven, and I wasn't offended. It was a noble try, but I have to wonder. Do men really think those lines actually work on women?" you joked.

"I actually don't know, but I hear my roommate Sam using them all the time. I really cannot remember any of them working, ever," Pietro chuckled.

"Good. They're awful," you laughed out. "Well should we get started?'

"Of course, (Y/N)." Pietro rolled up his left sleeve and showed you the colorful tattoo. "I really thought drunk tattoos was something that only happens on TV."

"Oh no, I make my living off of drunk tattoos. There doesn't seem to be any scar tissue, which is good. It should be fairly easy to remove in ten sessions with me. Actually, we can start today," you tell Pietro as you examine his arm.

"That's great!" Pietro cried out. "I want this thing off of me as soon as possible."

"Okay, let me get the equipment set up and we'll be ready."

You prepare your tools and after a few minutes, you are able to begin.

"I have to warn you Pietro, laser tattoo removal can be an extremely painful process," you caution your patient.

"Pain? Ha, my middle name is pain tolerance," Pietro tries to assure you.

"Okay, don't forget I tried to tell you," you said and started the laser up.

Pietro felt a sudden burning in his arm, and he yelled out. You covered your ears at the high pitched screeching, trying to prevent your ear drums from bursting. You turned off the machinery when suddenly Wanda burst through the door, looking bewildered.

The screaming had long since stopped, but your ears were still ringing. Wanda looked around before speaking.

"Are you alright, (Y/N)? I heard screaming coming from back here," she asked

"Everything is fine, Wanda. Your brother just felt the joys of a laser on his skin," you assured her.

"But it sounded like someone was being murdered!" Wanda argued. Pietro then moaned from pain. "Piet, are you okay?"

"Yes, Wan. Everything's cool. It just hurts," Pietro replies.

"I'm sorry Pietro, but that was just on the first setting. That's probably the least it will hurt, until you learn to tolerate it," you tell Piet.

"It's fine, we can continue now. I need this off of my skin."

"If you're sure, Pietro."

"Do you want me to stay? I could get somebody else to cover the front," Wanda questioned her brother.

"No I am okay. Go do your job, you slacker," Pietro joked, trying to reassure his twin.

Wanda went back to work, and so did you. Though you could tell Pietro was still in pain, there were no more vocal reminders. When you finally turned off the laser again, you gave Pietro some care instructions to prevent any adverse reactions. After you walked back into the main room of your clinic, he brought you to the side, along with his sister.

"Listen, you two. I know you are both professionals and there are rules for these things. But, I also know that my friends can be nosy. So I want to make one thing clear. This. Never. Happened." You snickered and Pietro added on, "I'm serious."

"Of course I won't tell anybody about your appointment, other than for necessary medical reasons." Wanda nodded along to your statement. "Of course... you still have nine sessions left."

Pietro groaned, causing you to laugh again. He recovered enough to schedule another appointment with you before heading back to his apartment.

When he got home, Sam was waiting with Steve and Natasha on the couch. Natasha smirked and asked, "How was the doctor?"

"It was good I guess. I started the treatment."

"Oh really? I heard that hurts," Steve states.

"It sucked," Pietro declares. "But, there's an upside. I really like the doctor, (Y/N)."

"First names, huh? Sounds like someone's got the hots for Doctor Sexy!" Sam declares.

"Shut up, Wilson. She's just nice, and beautiful, and funny." When Pietro saw the expression his best friend gave him, he forced the dreamy smile from his face. "Don't say anything, Sam. I heard it."

"All I'm gonna say, man, is that you better not embarrass yourself in front of her," Sam said.

When Pietro wore a guilty expression, his friends immediately crowded around him. Nat wanted to help, Sam wanted juicy details for future blackmail, and Steve wanted a good laugh.

So, Pietro told them the story of his first treatment session with Doctor (Y/L/N). After cackling for a solid five minutes, they devised a plan for Piet to ask out the beautiful doctor. Let's just say that after your treatment sessions, you were happy to accept a date from Pietro.

[thelifeoflorna]

~4/11/2019~ This morning I had an appointment with my GP, which A took me to. There was a fair amount to talk about as usual, but not much that needed to be done - just a case of waiting for tests I've already got booked. She is concerned about my eczema as it isn't really healing, and it's been over a month, and that's with trying various usual treatments. She has given me yet another cream to try on top of the ones I'm already using. She told me that if it hasn't gone after a week to call her and she'll have to refer me to dermatology - definitely thinks it's allergy related, so I'll be wearing gloves at work from now on :/ I told her about adopting Bella, and she told me that she adopted a cat 4 years ago called Brian and it was the best thing she ever did! I 💜 my GP! 🦄 We went food shopping and did various things around the house once we got back, including assembling my flatpack chair from IKEA - glad I had A's help with that as she was definitely more skilled than me! I then quickly had lunch before heading off together for another recovery college course we have both been signed up for! It's one on coping skills for wellness and recovery - tbh I thought it might be more useful for my work rather than for me as might pick up more resources to use with others! It wasn't a great first session tbh compared to other courses I've attended - all the other people who came were really nice and friendly, but I found the pace of the session really slow, and the trainers not very dynamic. It was pretty boring, but I'll carry on going... Internally I felt like I was really struggling when I was there - figured I found one of the male trainers really triggering - it came out later more 😥👎 🦄 A had to go off briefly to pick her little boy up from school, before coming back to collect me. Her little boy was so so sweet! 💙 We stopped off at the pharmacy to collect my cream. Since I've got home I've been feeling incredibly drained and emotional. I think it might have been from holding it together earlier during the session with a lot going on emotionally 😥 Got my first full day at work with my first taxi pick up, so not the best time to feel as I do! 🦄 (at Haywards Heath) https://www.instagram.com/p/B4dHwZJJ6y4/?igshid=16omljylzjznk

[jakepaschal]

August 1st-August 6th, 2018

It was the evening of August 1st 2018. Life was going great for me and my family as my parents had pretty much finished their duties of raising 3 good children. My then 27 year old sister Casey was getting married in 3 weeks to the love of her life, a moment we had long been waiting for. Jimmy (26) was also at an exciting stage in his life, as he had a job that he was passionate about and girlfriend that he adored. It’s safe to say he was going to build a career and family off of.  And finally, I was in my first job out of school that I landed with my degree and hard work, making money and relieving stresses of student debt and educational pressure. Things were really looking up. Then tragedy struck. 

After a typical day at work, I got off the train and headed to a dermatology appointment. My iPhone 6 was nearing the end of its life as I had to charge it multiple times a day, so, by the time I left my evening appointment my phone had died and I did not have a charger in my car. When I got home I was pleasantly surprised to see my mom had made one of me and Jimmy’s favorite dinner. The first thing I did was plug my phone into my charger in my room, subsequently I went back down stairs to eat dinner. It was around 7 or 730, and Jimmy was not home for dinner, which was strange because my parents had seen him boating on the Rez a short time earlier while they were simultaneously walking around the nice man-made body of water in town. I didn't think much of it. 

I finished my dinner, went upstairs to my now charged up phone and had some texts from friends in a group message. The first one read “theres some shit going down at the Rez right now”. My heart sunk a little bit. The following messages were describing what was going down as some of my friends also live near Reservoir. They were talking about helicopters, ambulances, fire trucks, really all the things you don't want to see or hear about in a tight knit community. My first thought was that it can’t be Jimmy, there were a decent amount of other people on the lake that night. However, at the same time, I had a bad feeling. I then shouted to my parents downstairs as they were already worried as to why Jimmy hadn't come back. I said something along the lines of “Mom, Dad, this isn't good, I think Jimmy might be in trouble” which triggered panic. My dad bolted back to the Rez as I followed up in conversation with my Mom about what I was reading in my group chat. My mother then also went to the Rez. 

I stayed home for a little bit. I called the Canton Police to ask what was going on at the Rez. They informed me their were 2 trucks where the owners could not be located. James Paschal was one of them, and the other, who will remain nameless for the sake of this article, was also a friend of mine. Throughout the duration of finding out this news via text, Jimmy’s phone was going straight to voicemail and he wasn't answering anybody's texts. I then decided to call the owner of the other trucks friend, asking if he had talked to him recently. Sure enough, they had spoken 5 minutes ago. It was at that moment that I knew it was my brother who was seriously in trouble. 

I had to wait a few more minutes at the house for the police to come after I frantically drove a third car to the Rez. When I showed up, oh man, it was the worst possible sighting I could imagine. Police and Fire lights everywhere, multiple news stations trying to figure out what was going on, and a crowd of a few dozen people pondering why the media and emergency vehicles were in the vicinity.  I rushed through the “police do not cross” tape and on to the beach where a boat had washed ashore. It was my brothers boat, with his Nike shoes inside and the motor missing. There was a diver preparing to go into the water, and a helicopter hovering above with search lights. I didn't know what to do, I think my mind and body were in complete debilitating shock. I was then confronted by some Police and Fire who asked me some protocol questions about my brothers disappearance and confirmed my identity in relationship with him. That sucked. 

They escorted me over to my Mom and Dad on a hidden street away from the crowd. We waited. During this time I made some calls I never imagined I would have to make because I knew Jimmy’s luck was running out at that point. It had been around an hour since somebody heard him shouting for help, approximately 30 feet from the shoreline. I called my boss and told him I wouldn't be at work for a few weeks, I called my sister who was at her home in Woburn to tell her how serious the situation was, and lastly I called Sarah, Jimmy’s girlfriend, to break the news to her. I'll never forget her instantly start crying with a questioning “what” on the phone when I told her why Jimmy wasn't answering her calls and texts.

Fast forward a few hours (of what seemed like an eternity) while endlessly praying and hugging my parents, we were advised to go home and not wait for Jimmy to show up, whether it was dead or alive. The police drove me and my parents home where we were met with many friends and family to comfort us, anticipating the news we never wanted to hear. Some people stayed up while others were able to sleep a tiny bit. I crawled into a ball in my bedroom, basically paralyzed by the thoughts running through my head. 

August 2nd

It was a little after 2am, and the worst moment of my life. The State Police had knocked on our door to give my parents the news. I was awoken by my Dad opening my door with tears coming down his face. He said “Jake, they found him” in a panic. I think I responded with “is he, did he” and before I could finish my dad just shook his head. We hugged for a couple minutes to try and comfort each other. Meanwhile, in my brothers bedroom adjacent to mine, my Mom was on my brothers bed hysterically crying. At that point, me, my Sister, and my Dad all huddled on his bed with her, again trying to comfort each other in the darkest of times. 

I finally got to sleep somehow and when I woke up in the late morning I wasn't sure if I was in a dream or real life. The rest of the day felt like that. Eventually, me, my Dad, and my uncle had to muster up enough power to pick Jimmy’s truck up at the Rez and drive it home. That was tough. Oh and the news showed up at our house asking to speak with us, real professional. That’s about all i remember from the 2nd. 

August 3rd & 4th 

Depression. Couldn't eat, couldn’t sleep, I had never experienced a feeling this low in my life. Knowing the person I was closest to was no longer going to be involved in my life made seconds feel like minutes, and hours feel like days. And I honestly don't remember much of anything during these days because I still was not sure, if I was in a dream or real life. We then had to plan funeral and wake arrangements. WHAT?!? It was not easy to get out of the house and do that. 

August 5th

Jimmy’s wake was this day and it ran for about 7 hours because of the amount of gratitude displayed by Jimmy’s friends, family, coworkers, and community of Canton. I still don't know how my family (or any family that has a tragedy) is able to physically do this, but I honestly, can't remember much of the procedure because my mind was still in shock with all that was going on. I remember so little to only write as much as this paragraph. Still don't think I had brushed my teeth or showered since the first.

August 6th

Well, this was the day we had to lay Jimmy to rest. After the funeral service, me, my cousin, and some of his close friends carried his casket from a hearse to his spot at the cemetery that we had purchased, and we watched him leave this earth forever. wtf. Just like that, life changed forever.

[oumaimaoriflame]

Everything You Need To Know About Juvederm Injection Maple Grove MN Clinics Offer http://bit.ly/2CPsmrj

By Amy Bennett

These days, there is no denying that so many beauty conscious women are getting fillers. Such is brought about by matters like it's a lot cheaper and less terrifying compared to plastic surgeries. Keep on reading before you decide to undergo this popular beauty treatment, too. Below are some really essential facts you should know concerning juvederm injection Maple Grove MN dermatological centers are providing. It was back in 2006 when the Food and Drugs Administration or FDA first approved the use of such product for cosmetic reasons. It is primarily for improving the appearance of various signs of aging such as fine lines and wrinkles. However, it can also be used for restoring or even improving facial contours. These days, it is regarded as the number one non surgical beauty procedure being conducted in the United States. In fact, back in 2016 over 2.4 million treatments were done in the said country. What's so nice about this particular cosmetic procedure is it's non surgical in nature. It is ideal for women who like to deal with skin aging signs but do not consider paying for plastic surgery an option. Needless to say, getting fillers is a less risky choice. Additionally, the cost is just a fraction of the price of undergoing the knife. Immediate results can be seen as well. Just like in the case of so many other cosmetic treatments, however, there are some side effects that may show up after a session. One very common side effect is skin redness. It's also not unlikely for mild discomfort, itchiness, swelling and bumps to be observed. The good news is skin care experts guarantee that all of these things can be expected and they tend to go away on their own after a couple of days. Another amazing thing about getting fillers is the results can be enjoyed for 1 to 2 long years. This means that it's actually a budget friendly solution for aging signs such as fine lines and wrinkles since a woman need not undergo it on a monthly basis. How long the effect will last is dependent on which juvederm product is injected. Yes, the fillers used for such sought after beauty treatment are varied. The amount of a particular ingredient is what makes each filler different from the other. Hyaluronic acid is the said ingredient. Even though it has a name that makes it sound like it's a strong type of chemical, the fact is it's completely natural. Your own body is actually capable of manufacturing its own hyaluronic acid. A specific type of filler is injected into a particular part of the face. For instance, the filler employed for making your cheeks plumper is entirely different from the filler used for making your lips fuller. Needless to say, a different filler type is suited for improving wrinkles and fine lines. Generally speaking, getting fillers is a relatively safe beauty treatment. However, it's very important for you to undergo it at a cosmetic center trusted by many. Also, you need to make sure that the available dermatologist is board certified and the fillers used are top notch.

About the Author:

When you require juvederm injection Maple Grove MN beauty spa offers a wide range of non-invasive treatments. Make an appointment right away through this website at http://bit.ly/2lP0NoH.

[tact-and-impulse]

Women of Ruroken Week 2017, Day 7

I  wrote most of this, just in the past couple hours. I had a lot of fun though, so thank you for holding the event, @womenofrurokenweek!

Free Day

One morning, Dr. Oguni entered the hospital, and he wasn’t alone. Noticing Tsubame’s curious gaze, he told her. “These are my granddaughters. Their parents have gone on an overseas business trip, so they’re staying with me. Unfortunately, the babysitter had to cancel, so I’m bringing them in. They shouldn’t be any trouble.”

“I-it should be alright. It’s Golden Week, so maybe, it won’t be as busy.” Tsubame smiled at the two little girls. “Good morning. I’m Tsubame.”

“My name’s Ayame.” She must have been the older one, and she was fiddling with one of the braids in her hair.

“And I’m Suzume.” The younger sister piped up. “Hello!”

“It’s very nice to meet you, Ayame and Suzume.” She glanced at Dr. Oguni, who was trying flattery, to get meal vouchers from one of the receptionists. “How old are you?”

“Five!”

“Eight. How about you, onee-san?” Ayame asked.

“Er…eighteen.”

The girls glanced at each other, before Suzume declared. “Wow, that’s old.”

“Ah…” Tsubame felt like crying. “I’m still a student…”

The little girl gasped. “You’re in school? Why?”

“I want to be a doctor someday, because I want to support others.”

“I don’t know what I want to do.” Ayame honestly said. “Maybe, a doctor too? Like Ojii-san, but not really.”

Tsubame had to agree, that Dr. Oguni was too flippant to be a proper example. “Then, why don’t you ask girls like me? We can tell you more, about why we work here.”

Then, Dr. Oguni turned back to them. “Girls, let’s go.”

“Okay. Goodbye.” Ayame called out, as they were led away.

Suzume wasn’t to be outdone, adding a hop to her step. “Bye-bye!”

Tsubame gave a cheerful wave. “Have a good day.”

***

Megumi quickly reapplied her lipstick, as she looked into the bathroom mirror. Today would be a good day to catch up on filing, and she had to read that interesting publication, which detailed research done in her hometown of Aizu. She paused.

Were those children’s voices? She glanced around, wondering why she didn’t see a parental figure or nurse. If they weren’t visiting or patients, what would they be doing here?

Two girls emerged from the stalls. They were both younger than ten, and their chatter stopped when they saw Megumi. Shyly, they headed for the farthest sink.

“Come on, Suzume. Let’s wash our hands.”

The sink was too tall for the younger girl, Suzume. The older girl must have been her sister, because she tried to lift her. But it didn’t quite work, Suzume’s feet only dangled off the ground.

Exasperated, Megumi walked over, urging the older girl aside and easily lifting the little sister by the waist. “There. If you need help, you shouldn’t be afraid to ask for it.”

“Thank you, obaa-san.” Suzume said.

Her mouth twitched. “No, I’m onee-san.”

“Do you work here, onee-san?” The older girl caught on quickly.

“Yes, I’m Dr. Takani. Now, who should be looking after you two? What’s your surname?”

“I’m Oguni Ayame.”

“Oh, you’re Dr. Oguni’s granddaughters. He did send an e-mail about the two of you accompanying him.” She set Suzume down, for she had finished washing her hands. “I didn’t see him outside. I should tell him that you two cannot be left alone.” She opened the door for them.

“Why are you a doctor?” Suzume inquired.

“Why? Because people need me, and I will do anything to save them.” And to atone for those she couldn’t.

Dr. Oguni was at the end of the hallway, drinking from a bottle of tea. He strode to them, and his granddaughters left Megumi for him. “Oh, I see you’ve met Dr. Takani. Thank you, by the way.”

“I hope you don’t lose them again, Dr. Oguni.” She dryly said, but spared a smile to the girls before she headed for the workspace.

***

Tae filled two small bowls with sukiyaki, and placed them before Dr. Oguni’s granddaughters. They thanked her, and ate happily. It was quiet in the rest of the cafeteria; the lunch hour had just begun, and the rush wouldn’t start for another fifteen minutes.

After handing over meal vouchers, the doctor conversed with her. “I’ve seen you in the hospital as well, as a regular employee.”

“Usually, yes, I am. I thought of becoming a nutritionist, once. But instead, I work for them as a receptionist.”

“Why don’t you run this kiosk full-time? Many of the staff would be grateful.”

“I considered it. However, I realized that I like being involved, in educating people how to eat. I’m considering going back for my degree.”

“Your customers will support you.” He turned back to Ayame and Suzume, who had stopped to listen. “The soup will get cold. Or would you two rather have something else?”

Suzume shook her head. “It’s yummy.”

“I’m glad to hear that.”

“School has a nutritionist too, for making lunch.” Ayame thought aloud.

“Yes, they would be important in your school. They tell people how to be healthy, by eating the right things.”

“And that’s fun?”

“It’s enjoyable for me.” She replied. “Food is important, in keeping you healthy. But it should be delicious too, so you eat it.”

“Bunny onigiri are delicious and healthy.” Suzume spoke up.

Tae laughed. “Yes, if you fill them right.”

When they left, Dr. Oguni was being pestered about rabbit-shaped rice balls for tonight’s dinner.

***

Uki frowned. Those two little girls seemed to be lost, they were far too old to be anywhere near the NICU. Tokio-san would have approached them without a second thought, but she had an appointment with her obstetrician.

Gingerly, Uki approached them. “Hi there. Are you looking for someone?”

“Our grandpa. He went out, and he isn’t back yet. We wanted to find him.” The older girl said.

“Does he work on this floor?”

“He’s Dr. Oguni.”

Uki was unfamiliar with the name, but she returned to her chair. “I’ll call the lobby so he can pick you up.” She did, and heard from his division that he was in with a patient who needed counseling. She told the girls that he was occupied. “You’ll just have to wait.” She expected them to sit quietly, but apparently, they just woke up from their afternoon nap and were too energetic. After chasing each other from wall to wall, they introduced themselves to her and eagerly talked.

“What’s your job?” The younger sister, Suzume, jumped up and down.

“I’m a nurse.”

“Do you like it?”

“Sometimes. It’s hard work, but I care about the patients. We take care of sick babies here, and I want to help them get better.”

“Oh.” Suzume paused. “Can we see them?”

“No, they’re sleeping.”

Ayame was contemplative, and she eyed the pens on the other side of the counter. She reached for one. “We can make cards for them, to tell them ‘get well soon’. They would be cheered up.”

The babies couldn’t read, but the task would keep the waiting girls busy. She handed them two sheets of printer paper and blue pens. After noting that they were engrossed in scribbling, she returned to her work.

Eventually, Dr. Oguni retrieved them, and the ‘cards’ were given to Uki. The papers were covered in doodles of the spring weather and messy hiragana, but the sentiment was appreciated. She taped them to the windows, across from the incubators.

***

Misao almost tripped over them, as she was heading for the vending machine. They shrieked and she gasped. “Oh, sorry!” She righted the two girls, steadying them so they wouldn’t fall. “Are you okay?”

“Yeah, we are.” The older one answered, patting down her younger, startled sister. But the smaller girl began to hiccup, tears welling in her eyes.

“Ah, I must have scared you.” Misao winced, feeling terrible.

“It’s okay. Come on, Suzume, don’t be a crybaby.”

“I’m not a crybaby! You’re mean, Ayame!” Then, they began to fight, yelling at each other. The noise would be disruptive, and Misao hurriedly searched her pockets. The kaleidoscopes were for patients, and she only had enough money to buy drinks for everyone in the workspace. But, this pocket did have something.

“Hey! If you two make up, I’ll give you these.” She pulled out two miniature chocolate bars, still in their wrapping. She could spare them, she still had more in her desk. “Go on, hold hands and apologize to each other. Then, I’ll give you the candy.”

The girls grudgingly obeyed.

“Sorry.”

“I’m sorry too.”

“Aw, you’re good girls, aren’t you? Here, one for you and for you too.” She passed a candy to each of them, and they sullenly chewed. “I’ll take you back to your grandpa, I heard that he brought you in today.” She matched their pace, as they walked.

“Thank you for the chocolate.” Ayame said.

“No problem. I like seeing people’s smiles, when they feel better. Do you two feel better?”

“Yes.” Suzume answered. “It was sweet.”

“Well, great, my job’s done here!” They reached the correct department, and she stayed long enough to see Dr. Oguni scold them for leaving for the bathroom, when he wasn’t available. The girls were calm though, and Misao started to whistle as she left.

***

At long last, the day was over. Kaoru was about to take the elevator down to the lobby, when Dr. Oguni entered with his granddaughters. He was carrying them, for they looked worn out.

“And I thought I wouldn’t get to see Ayame and Suzume today.” She greeted the girls, and they sleepily replied.

She had already finished her rotation with Dr. Oguni, but he was interested in how she was doing. “How was your first week with the dermatology division?”

“It was good, thank you. But I still prefer family medicine and pediatrics.” She admitted.

They talked a little, over her future plans. She wouldn’t be in pediatrics until the end of summer, but that was fine with her. She was willing to wait, for her true goal. In the meantime, she would do her best in the other divisions and learn what she could.

Finally, the elevator stopped. When they walked out, Ayame stirred. “Kaoru-nee? Do you like it here?”

“Of course. Some days are better than others, but I can’t turn away, from people who are suffering. And, I believe in the importance of life. To take care of others’ health, that’s to devote yourself to life.”

“That’s cool.” Suzume must have been imitating someone she heard, because it sounded so unlike her. Kaoru laughed.

“The two of you can do it, if you want to be the same. And you know what, if anyone says otherwise,” She leaned in, to fiercely whisper. “Tell them you can.” She was rewarded, with their delighted, determined expressions.

Dr. Oguni departed in a different direction, and as he did, Kaoru heard Ayame’s little voice again.

“Ojii-san? I want to work here someday.”

Suzume joined in. “Me too, me too.”

“That makes your grandfather very proud.” Dr. Oguni said, and he meant it.

The sun was setting and the warmth of the day still lingered in the air. On her way home, Kaoru smiled.

[chocolatepistol]

SICK OF LOOKING SICK?

This is a blog entry which I’ve been wanting to share! For those who have been following my blog or Instagram closely, you’ve probably seen how i look less tired in my recent pics, and i’m here to reveal how you could get rid of dark circles around your eyes in TADAH…… LESS THAN 30 MINS!

Here’s a pic i took last week. Notice how the dark circles and puffiness are totally gone. Wheeeeee! Dark eye circles or dark eye rings can appear as shadows below or around the eyes, and it makes one look really tired. As a lazy guy, i really loathe applying tones of eye creams etc for my eyes cos i think it’s such a hassle. But guess what, there’s now a shortcut to getting rid of it with Kowayo clinic.

As a guy, i also detest putting concealer or make up of any sort, hence my dream came true when Dr KS Wong gave me the perfect solution by using fillers under my eyes for my tired eyes correction.

The Kowayo signature, Tired Eye Correction targets the tear trough area just beneath the eyes where a shadow or dark-eye circle often gives the appearance of tiredness.

In many cases, simple skincare products or eye serum application will not be able to help with this under-eye hollowness and discoloration. 

The Kowayo Tired-Eye Correction is a dark eye rings treatment that uses innovative techniques to rejuvenate and lighten the condition; the perfect solution for those of us wondering how to reduce puffy eyes and dark eye circles. Immediately after the treatment for your dark eye rings, the tear trough is plumped up, improving fine lines as well as the dark shadowing around the area although individual results can vary. And in my case my puffiness and dark circles was gone immediately !

Successful treatment will reduce the dark eye rings that make you look tired and restore your youthful look. Reduce or eliminate the dark eye rings and reduce eyebags quickly*.

That’s me having my consultation with Dr Wong. You can probably tell that i’m extremely nervous. I’ve absolutely no idea what I wanna do to my face at first ,hence I’m really glad that Dr Wong was extremely patient with all my questions. 

He also tells me how I’ll actually look better with The Kowayo Tired-Eye Correction, fillers under the eyes , rather then putting filers on other parts on my face like my nose or chin.

The whole procedure took around 30 mins, and there was not much pain at all. Trust me, i’m really scared of injections but the level of pain is probably like 3/10? 

Now…..i know you guys are gonna say that my eyes look perfectly fine before this. So i’m gonna old pictures of myself at events before I visited The Kowayo Cinic. 

Notice how tired looking my eyes are…..

I look like i haven’t slept for days.

Just look at that annoying dent on my left eye. IKR eeeeks.

But after doing my The Kowayo Tired-Eye Correction.

Here’s how i look at events…. ( NOTICE THE EYES)

I def look like i had enough rest, no longer a walking zombie.

And for those those asking me if there’s any downtime and recovery period. For me, the results were immediate and yes i head straight for my event immediately. 

Here’s a pic of me that evening after i did my The Kowayo Tired-Eye Correction with Dr KS Wong from the Kowayo clinic.

See? I’m all camera ready ! All it takes was 30 mins of my time with Dr KS Wong and I’m done! Say goodbye to eye creams and eye gels !

I’m not even exaggerating, That’s how convenient it is! 

• Remove your eye-bags

• Fix dark eye circles

• No bruising or swelling

• Non-surgical

I’ll be trying the HiQueen treatment next and i can't wait to share with you peeps more.I understand everyone here has different problems and needs, some of you might need botox or fillers on other parts on your face. 

So who do you look for ???

Definitely Dr Wong - Medical Director of Kowayo Aesthetic. He is such a nice guy who is so patient with me. He knew i was worried and scared, and he was extremely patient and gave me a good assessment on what’s good for me and i like how he can make me ahem more handsome. Haha.

You will achieve perfection at Kowayo Aesthetic Clinic under the care of a conscientious doctor like Dr Wong.

Dr Wong Kee Seng is a physician registered with the Singapore Medical Council (SMC). He obtained his post-graduate qualification MRCP from the Royal College of Physicians, United Kingdom. With special interest in dermatology, he completed his study in Diploma of Practical Dermatology in Cardiff, UK. He is a member of the American Academy of Aesthetic and also an appointed trainer for dermal filler company. A seasoned veteran in the aesthetic arena, he will customize a set of fuss-free, effective & non-invasive treatment to achieve your desired results.

Entrust your beauty needs in the hands of Kowayo Aesthetic Clinic today to rediscover your splendor.

For a no-obligatory consultation and assessment of your condition, call the Kowayo Clinc at 6884 4297 today.

Kowayo Aesthetic

1 Raffles link 01-03C

Singapore 039393

Email: info@kowayoaesthetic.com Phone: +65 6884 4297 http://kowayoaesthetic.com

Instagram: @kowayo_aesthetic @drkswong

Facebook: http://www.faebook.com/kowayoaesthetic/

OPERATING HOURS

Mon - Fri 11:00am - 8:00pm

Sat 11:00am - 6:00pm

Sun & PH Closed

This entry is getting too long, hence I’ll post another entry of the fun Kowayo beauty event in another entry. Here’s a peek . I’ll just release two pics of the event for now.

With the lovely Joselyn of Gotideas. She’s always such a joy to talk to and hang out with . 

Alrighty. I’ll end here, Rem to visit Dr KS Wong from the Kowayo Clinic ! And yes do follow Dr KS Wong on his instagram too @drkswong ! 

[picardonhealth]

Rural medicine: How a gamble to bring in doctors is paying off

Twelve years after the first class began at The Northern Ontario School of Medicine, many remote communities have ‘gone from crisis mode to planning mode’

André Picard, The Globe and Mail 

Sunday, January 14, 2018

SUDBURY — When the Northern Ontario School of Medicine was created, it was based on a simple – but untested – premise: If you educate and train physicians in rural and remote northern communities, they will be more likely to practise there.

Twelve years later, the gamble is paying off better than anyone expected: 94 per cent of NOSM graduates who do a family medicine residency in the North stay there to practise, and 69 per cent of all graduates, specialists and GPs alike, have opted to work in remote and rural areas, particularly Northern Ontario.

"Has it worked?" Dr. Roger Strasser, the dean of NOSM asks. "Yes it has. Many northern communities have gone from crisis mode to planning mode thanks to our graduates. But we're still a long way from having the medical care we need in Northern Ontario." One of the success stories is Chapleau, located 850 kilometres north of Toronto. The blue-collar town went years without a physician before three NOSM graduates decided to set up shop for the 3,000 people in a catchment area that includes the township and the nearby reserves.

The trio established a family health team that operates a family medicine clinic, and they staff the ER in the small local hospital, oversee home care and long-term care, and run clinics in the two nearby First Nations communities, Brunswick House and Chapleau Cree First Nation.

"The area went seven years without a family doctor so there was no continuity of care and a lot of people's health was neglected. So, yes, they appreciate us," says Dr. Doris Mitchell, who graduated from NOSM in 2010.

A member of the Brunswick House First Nation, she worked as a nurse for 15 years before applying to medical school.

"I had aspirations to be a physician but I didn't want to leave the North, so NOSM was a perfect fit for me," she says.

Dr. Mitchell says that, after several years of practice, she really appreciates the school's hands-on approach to learning and its emphasis on rural medicine.

"They prepared us not only for the work environment, but for the emotional environment," she said.

Small-town medicine is rewarding because physicians dabble in a bit of everything, from minor surgery (sometimes even on patients' pets) through to trauma care and palliative care.

"The sense of community is wonderful but the reality is that working in your hometown can also be horrible," Dr. Mitchell says. There are unwanted pregnancies, suicides, heart attacks and deaths, and none of the patients are anonymous strangers; sometimes they are even family members and that can be awkward and ethically challenging.

The resources and technology can also be limited. Dr. Mitchell recounts the case of a car-crash victim with five fractures, as well as a perforated bowel and kidney, all of which had to be diagnosed without a CT scan or MRI, and whose care was complicated by the fact a snowstorm delayed the arrival of the air ambulance.

The right fit

The dream of a northern medical school dated back decades. When McMaster University was granted a medical school in 1972, there was hope that a school would also be established at Lakehead University in Thunder Bay. Instead, McMaster created a program to send its students to Northern Ontario for training and residency.

In 1999, the Ontario government established a commission to examine the province's physician supply and distribution problems. That report featured a single line saying the idea of a rural/northern medical school should be investigated.

An expert panel was appointed and they recommended against a school, saying they had reservations about the ability to attract qualified staff and quality training opportunities.

But access problems in the North were dire and the mayors of northern cities lobbied for a home-grown solution.

The Northern Ontario School of Medicine was approved in 2001, and the first class began in 2005, with two campuses, one at Laurentian University in Sudbury and the other at Lakehead University.

Today, NOSM has 64 places, split between the two cities. It gets more than 2,000 applicants annually. Tuition fees are $20,000 a year, middle-of-the-pack among Canada's 17 medical schools.

The selection process favours students from Northern Ontario, those from other parts of rural/remote Canada, francophones and Indigenous students, but there is no affirmative action program. "We consulted with the community and they don't want a quota because they feel it creates stigma," Dr. Strasser says.

NOSM does not use the Medical College Admission Test, because it has never been validated for francophone or Indigenous students. Instead, applicants undergo multiple mini-interviews, many of them involving community members such as patients, activists and First Nations elders.

Kimberley Edwards, a third-year medical student, says NOSM is the only medical school she applied to.

"Because of who I am, it felt like the right fit."

Ms. Edwards is Cree, but was brought up in Carleton Place, a small town outside Ottawa.

Like many NOSM students, she is older – she is 36 – and took a circuitous route to medicine.

After high school, she studied human kinetics at the University of Guelph. "But, to be honest, it didn't go so well. I was one of the only Indigenous students and I didn't feel like I fit in," Ms. Edwards says.

She left school and took a job in a sleep clinic, then went to Mohawk College to learn diagnostic heart sonography. That led to a job at the Ottawa Heart Institute, which sparked an interest in both medicine and the North. (Cardiac patients from Nunavut travel to Ottawa for care and the institute does regular clinics in Iqaluit, something Ms. Edwards loved.)

"Because my grades weren't great, I decided to return to school, and see if I could qualify for med school," she says of her decision to study in the physician assistant program at the University of Toronto. From there, she applied successfully to NOSM.

"I want to practise family medicine, to work with Indigenous people in the North, so the program has been great," Ms. Edwards says.

That decision on her future career was sealed when she spent a month in Moose Factory, not far (in northern terms) from Attawapiskat, where her father was raised.

George Payne, a first-year student, was brought up in Sault Ste. Marie but went south for school, at the University of Guelph, then Waterloo.

He was accepted to three medical schools, but chose NOSM because he wanted to be back in Northern Ontario. "I really missed the winters," he says.

Mr. Payne also loves the intimacy of NOSM. At the Thunder Bay campus, his class is only 28 students, and they mostly do problem-based learning in small groups and lots of field work.

"They really prepare you for the real world here," he says, excitedly recounting how he just returned from a placement with paramedics.

In first year, NOSM students must do a four-week placement in a remote Indigenous community. In second year, there are two two-week stints in rural areas, again often Indigenous communities. (There are more than 200 reserves in Ontario, most in the North.) In third year, there is an eight-month clerkship in one of 15 communities and, in the final year, students spend time in a tertiary hospital in places such as Sudbury or North Bay.

Almost two-thirds of NOSM graduates choose family medicine for their residency, double the national average; one-third chose general specialties and; only 5 per cent chose a subspecialty.

Andrew Ferrier is one who took the subspecialist route. He just began a five-year dermatology program at the University of Alberta in Edmonton.

He has studied both at Lake Forest College near Chicago (on a hockey scholarship) and University of Ottawa – where he earned a PhD in neuroscience – but, as a Métis from Cape Breton, he says rural life "has a big pull on my heart."

Dr. Ferrier had a placement in a dermatology clinic in second year and found his passion. He plans to return to Northern Ontario to practise. That's good news for patients – the wait list to see a dermatologist in Sudbury is more than 18 months. And patients in the North often have to travel to Toronto or Ottawa to see specialists.

Paul Heinrich, CEO of the North Bay Regional Health Centre, says NOSM has played an important role in attracting physicians to the region and retaining them. One in three new doctors at the hospital are NOSM grads.

But other measures have also helped.

A physician who chooses North Bay can qualify for a $25,000 relocation bonus from the regional health centre, and the city matches that amount; the provincial Northern Health Programs also provides an additional $80,000 over four years. In return, the doctor must commit to staying in the city for five years and taking on 1,200 patients.

"But the biggest draw isn't the money; it's the lifestyle," Mr. Heinrich says.

Dr. Renée Gauthier agrees.

She and three partners – all NOSM grads – opened the Northern Shores Medical Clinic after graduation.

"We all wanted to come back home because this is a nice place to live and raise a family," she says.

The clinic has room to take on a dozen physicians in total, and the need is there. North Bay, a city of 50,000, has an estimated 15,000 orphan patients.

François Doiron was a nurse with a family health team in Marathon, Ont., when he discovered his passion for rural medicine.

He applied and was accepted to three medical schools but chose NOSM. Dr. Doiron just graduated and is doing his family medicine residency with the Harbourview Family Health Team in Thunder Bay.

"I plan to practise in the North, so I wanted to be trained in this environment," he says.

While Dr. Doiron is almost two years away from completing his residency, he is already being wooed by several communities to set up a family medicine practice.

"The need is there, that's for sure," he says. "But I want to be careful not to be wooed by the money or the perks. I want to practise where I plan to spend my life."

[easyweight101]

Teamine Eye Cream Review (UPDATED 2017): Don’t Buy Before You Read This!

Teamine Eye Cream is an eye cream designed to treat the eye in four ways, reducing the appearance of dark circles, puffiness, smoothing lines and wrinkles and tightening up loose skin. According to the manufacturer, this product aims to repair skin on a cellular level, generating new growth.

Teamine Eye Cream is rich in vitamins and designed for use by people with all skin types. Additionally, this product contains green tea, offering antioxidants that protect skin and repair existing damage.

Kremovage is the our number one choice for fighting the signs of aging that effect the thin, delicate skin surroungding the eye. With lactobacillus, fruit extracts, peptides and more, users can expect to see diminished wrinkles and fine lines, and a smother firmer appearance. Get the inside scoop about the Kremovage blend when you visit the official webpage.

Do You Know the Best Eye Creams of 2017 ?

Teamine Eye Cream Ingredients and Side Effects

Teamine Eye Cream is made with a range of ingredients designed to soothe and protect sensitive skin. Below, we’ll take a look at the key ingredients that make up this formula:

Green Tea Extract Vitamin C Titanium Dioxide Vitamin E Vitamin K Peptides

Peptides: Peptides are small chains of amino acids used to make proteins. They help stimulate the production of collagen and help repair aging, damaged skin cells.

Vitamin K: Vitamin K plays a vital role in the body’s ability to heal wounds and form blood clots. This ingredient is thought to help reduce the appearance of acne, rosacea, and swelling and may help lighten some dark circles with use.

Titanium Dioxide: An active ingredient in many sunscreens, titanium dioxide is used to absorb UV rays and reflect light away from the skin, creating a brightening effect when used near the eye.

Vitamin C: Vitamin C works to firm and tighten skin, reduce inflammation and discoloration and stimulate collagen production and cell turnover.

Green Tea Extract: Green tea extract is rich in antioxidants and may help treat and reverse the effects free radicals have on the skin—leading to wrinkles, uneven skin tone and other visible signs of aging.

Vitamin E: Vitamin E is a fat soluble antioxidant, which works to block free radicals and helping reduce the appearance of wrinkles and fine lines.

Sodium Hyaluronate: Sodium hyaluronate is almost identical to hyaluronic acid, but the molecules are smaller and penetrate the skin more easily. This ingredient keeps skin hydrated by helping retain moisture.

Click here — our top five eye serums of 2017.

Teamine Eye Cream Quality of Ingredients

Teamine Eye Cream contains a nice looking blend of ingredients. It’s rich in vitamins and features peptides and green tea to round out the formula.

This product was designed primarily to fight dark circles and form up the skin—and based on our look at the individual active ingredients, it’s likely to provide many of the advertised benefits.

Unfortunately, this may not be all that effective for users with hereditary dark circles. This product fights inflammation and may reduce the appearance of dark circles caused by excessive blood pigments—so not all types of dark circles are covered by this.

Finally, titanium oxide, while generally not unsafe, may cause irritation for those with sensitive skin.

Learn more about the importance of using vitamins on top of your skin — click here for a closer look.

EDITOR’S TIP: Combine this product with a proven eye cream such as Kremovage for better results.

The Price and Quality of Teamine Eye Cream

Teamine Eye Cream is sold exclusively through authorized retailers that sign up through the official website. Authorized retailers primarily consist of spas, dermatology offices, and plastic surgery practices.

Revision Skincare, the maker of this product, says on their website, that one must sign up to partner with the company and carry their products—meaning there’s no e-commerce feature on the website.

The company does make a point of including a map of all practices that carry the Revision line of products—but it may require an appointment or consultation on the part of the end consumer.

That said, the DermStore is an authorized online seller and anyone can purchase products from this channel. The cream retails for $78 for a 0.5-ounce jar. Shoppers may also subscribe and save if they wish—bringing the price down to $66.30 per unit.

Amazon, Walmart and others sell this product for even less—averaging around $58, but it’s unclear if any of these sellers are authorized users. This product is offered by third-party sellers on those sites, which may be a red flag—indicating potential for counterfeit or expired product.

Keep skin looking its best. Here’s a look at our favorite eye creams.

Business of Teamine Eye Cream

Teamine Eye Cream is made by a company known as Sederma. Below, we’ve listed their contact information, along with a bit more about their background:

Address: 5930 W. Campus Circle Drive Irving, TX 75063

Phone: 800-385-6652

This product was created by a company known as Revision Skincare. The company was founded over 25 years ago in an effort to create a line of skin care products featuring the latest advancements in the space.

Revision functions purely as a formulator and a distributor. They sell exclusively to physicians and retailers, not the end consumer.

The store finder features registered dermatologists, health spas and plastic surgeons, meaning the company has put some restrictions in place regarding who can and cannot sell this product.

With that in mind, they’ve added a note on the site mentioning that there are unauthorized sellers offering this product online—i.e. third-party Amazon and eBay sellers who may have counterfeit product in their stock.

Customer Opinions of Teamine Eye Cream

Teamine Eye Cream has mixed results when it comes to addressing dark circles, but many reviewers were pleased with an improved texture around the eyes. Users of all ages had differing experiences—with both older and younger women reporting improvements with use. Here’s a look at some of the comments:

“I’m 54 and have dry skin that’s sun very damaged My eyes look tighter and brighter from using this eye cream, and the price isn’t too bad.”

“Pretty darn good for reducing puffiness around the eye and dark circles. I’ve also noticed a slightly tighter appearance, which is amazing. Love this product!”

“I have hereditary dark circles and have tried everything. This product doesn’t do much for this problem, but I have noticed a brighter look, along with smoother skin. It’s better than nothing.”

“I have to share my bad experience with this product. Bought this for my dark circles and ended up with painful blisters around my eye. Great results for the circles, but the blisters are worse.”

The last commenter included above mentioned that this product caused a severe, blistering rash with use. We don’t know what ingredient caused this reaction to occur, but Teamine Eye Cream does contain titanium dioxide, which some people find irritates their eyes—it contains “shards” of minerals.

It’s also worth pointing out that Teamine Eye Cream may not be effective in treating hereditary dark circles, but it may have a positive effect on dark circles caused by excessive blood pigments, poor circulation, or good old fashioned tiredness.

Additionally, a few people mentioned that the most noticeable results occurred within the first couple weeks of use, but leveled off shortly thereafter.

Based on the reviews, we get the impression that most people were at least somewhat satisfied with the results they got from use, but based on recorded instances of irritation, we’d advise consumers with sensitive skin carefully review the ingredient list before making a purchase.

Want to learn more about using eye creams to treat the visible signs of aging? See what our experts have to say when you click the link.

Conclusion – Does Teamine Eye Cream Work?

Teamine Eye Cream is made by a seemingly reputable company that has done decent job explaining how the products work and what they are made out of.

Most of the reviews we encountered were fairly positive, but not everyone felt that way. Some people reported minimal changes after using the product as directed, while others mentioned that this product caused some minor irritation, or even all out blistering.

The ingredient profile doesn’t seem to contain any known allergens, but it does contain titanium dioxide, which may cause minor tears or general irritation when applied to sensitive skin surrounding the eyes.

Teamine Eye Cream seems like it hold some potential, but may not be the best choice for those who know that they have issues with sensitive skin.

We liked that the reviewers spanned all age groups—people in their 20s and 30s liked it as much as older people in their 60s or 70s. But, despite the diversity in positive reviewers, no one seemed blown away by the results. Perhaps this is just a reflection of a product that doesn’t claim to be “better” than it is in actuality—or perhaps it’s an indication that the formula could be more potent.

Kremovage works best to give the skin a refreshed appearance—treating dark circles, loose skin and wrinkles with the potency needed to get the job done. A plant-based formula brings antioxidants, soothing oils and ocean-based retinol together for a unique attack on aging.

Kremovage was designed in an effort to make the kind of eye cream that soothes skin, without any burning or itching with use. Click here to learn more about the organic ingredients used to make Kremovage.

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