#its still really cool though

[whumpy-daydreams]

Cardiac Surgery

masterlist

Decided to make a whole post about cardiac surgery because goddammit I spent two months in that department and it changed my psychology.

Open heart surgery is the most insane thing I've ever seen (and that's saying something)

First there's the monitoring:

five lead ecg

arterial blood pressure monitoring

two core body temperature probes (one down the throat, the other in the urethra)

central venous blood pressure monitoring

BIS monitor (measures brain activity)

AND THEN

defibrillator pads connected before surgery begins

catheter

central line (basically a cannula that goes in a BIG vein right to your heart)

multiple other cannulas

ALSO BYPASS! Putting people on bypass is insane and I still can't get my head around it.

The surgeon connects all the blood vessels that go into the heart to big plastic tubes which go to a bypass machine, which then pumps blood around the patient's body!

The weirdest thing about it is the heart rate goes to zero and the blood pressure is also non-existent. It can also cool down or heat up the blood which is important for:

AORTA surgery! The aorta is the super super big artery that delivers oxygenated blood from the heart to the rest of the body. However, if you need to disconnect the aorta, you're also taking blood away from the rest of the body.

This isn't a problem for most of the body, which can survive for an hour or two - but brain damage can start after only a couple of minutes. So to prevent this, we cool the patient down.

And by cool the patient down I mean temporarily kill the patient. Core body temperature is dropped to 20 degrees celsius (68 fahrenheit) to stop all brain function, and the heart is also stopped. This way the aorta can be operated on for up to 40 minutes.

In fact, in most open heart surgery you have to stop the heart, even if you don't also stop brain function. But that leaves the question - how do you start the heart again?

In any other situation this would be called a cardiac arrest and treated immediately with CPR and a defibrillator. But not in cardiac surgery! No. In cardiac surgery they don't use your typical defibrillator - they use metal paddles directly on the heart to get it going. No CPR for cardiac surgeons, only high voltage electricity.

(i really want to put a picture in but they're all really graphic. If you're up to seeing open heart surgery search for 'open chest defibrillation')

After surgery the patient isn't woken up immediately. They go to the ICU and stay anaesthetised for a few more hours to allow the heart to recover.

[tubbytarchia]

@mcyt-yuri-week Day 5, Rose/Thorns I never stop thinking about SL episode 8 never ever

[skitskatdacat63]

2009 Abu Dhabi Grand Prix - Sebastian Vettel(ft. Mark Webber & Jenson Button)

[not-equippedforthis]

really love characters who have varied panic responses. kirk stating himself that he does not panic outright, externally, not in high-stress dangerous situations, but instead becomes tense and level like a wound string, on-guard: mostly because his role as captain necessitates that he maintain level rationality even when facing potential death as his training as 'the guy who tells you what to do when shit hits the fan' requires, but also because his childhood experiences taught him early that drowning in the desperate haziness of panic won't help you survive. especially as kirk already follows his intuition so deeply. he learned to grasp and contort the feeling. spock is the main person who represses his emotions, of course, but kirk does it to those deep-set, personal ones (this includes how he doesn't reveal anything truly personal about himself willingly 90% of the time, only what others already know/shallow anecdotes) in a much more subtle way that's really interesting to me. certified expert at avoiding the subject as long as he isnt caught out on the lie. professional bluffer.

in terms of past or parents we dont know much!!! hes known as the heart-on-his-sleeve guy!!! like yes he yells, he gets irritated, excited, hes a whirlwind of quick-thinking and plans and intuition, he goes out of his way to connect with his crew and shows it, when he puts on a little act or bluff he puts his heart into it and clearly enjoys the dramatics so much, at times he wears his heart on his sleeve, he laughs openly and is honest to spock about what he means to him, he's very sun-coded to me in a burning, passionate way, always intertwined with the stars and seeking them out, but when it comes to genuine deep-set turmoil? we dont actually know all that much about him??? hes so full of emotion and character (i love fics where spock characterises jim's mind/bond as a whirl of colour and sensations, hes a quick thinker!!! intuitive!! lively!!!) and yet its still so outwardly surface level. tarsus iv gets mentioned like twice? so especially here where kirk gets briefly jumpscared by the creature, because like:

its subtle but his eyes. his eyesss!!!!! kirk commands with his emotions but there's always some sort of level of control to it, or he transforms them into something that spurs on others or uses them to ascertain a goal: seeing unguarded fear/distress in his eyes even if its faint and brief (in this instance) makes me go insane every single time. like!!! its such a small moment!!! he isnt even panicking!!! really, he just got jumpscared!!! its insignificant!!!!!!! but seeing a two-second flash of actual, naked apprehension is just...oughhh,,,,,,,,,

oh god, and dont even get me started on the galileo seven episode where he assumes a tense level-headedness throughout the whole thing, irritated and apprehensive but not panicking, making sure he maintains intelligent rationality, even when he has to leave them behind, but when spock and the crew are confirmed safe and the bridge is occupied the camera pans to him and his eyes look like they're fucking watering and he's so achingly relieved. don't even talk to me. im. fuck.

he shows so so much but at the same time reveals so little.

[moeblob]

Sorry I forgot Hanneman suggested Byleth undress after they show up with a different hair color. And I miss Hanneman. And also while swapping between Houses and Hopes and seeing Hanneman pop up to help in a Hopes paralogue is just devastating since he doesn't ever actually join you at all and I am denied my old man rights.

So I had to draw this. Thank you for understanding.

[puppyeared]

vincent voice claim!! hes auggie and anton's son ^_^

VA: Catbug from Bravest Warriors, voiced by Sam Lavagnino

[good-beans]

this is so stupid but i always have fun imagining the milgram characters watching their own/others mvs and seeing their reactions, especially for MeMe

That’s not stupid at all, thank you so much for the ask!! It’s sooo interesting to think about! I planned on just posting this drabble, but the more I thought about it, the more I started jotting down headcanons for everyone 👀 Of course there’s the initial disbelief and shock that Milgram can really do what it claims, but once they accept that, they’d have a lot of interesting reactions…

Es gets to watch the video first, then the prisoners are free to watch their own in the privacy of the courtroom/extraction room/wherever. Other prisoners can watch them only with explicit permission from the video’s singer. No one is allowed to watch Undercover except for Es. At first they spend hours looking at those final frames of themself flinching from the camera, hoping to jog any sort of memories, but eventually they give up on it. While actually watching it, they don’t mind the murder silhouettes. While sleeping, however, it has triggered more than one nightmare.

Haruka: He thinks Weakness is very pretty – he’s amazed seeing himself on the screen and hearing his voice, knowing he’s not that good of a singer. Even before his innocent verdict, it gives him a huge surge of confidence. Once he gets to know the others better, he gives them mv permissions, then stares intently at their faces to see their reactions as they watch it. AKAA scares him a bit, seeing his own intense emotions on screen, and he only gives Muu permission to see it. When he’s alone, Haruka pauses the shots of his mother, just to stare for a while.

Yuno: Laughs at the symbolism her mind used in Umbilical. She’s never shied away from sexual words/thoughts, so it's funny the video was as tame as it was. She thinks the song is fun, and isn’t afraid to show the others and sing snippets of it around the prison. Some days it’s too emotional for her to get into it, but most of the time she tries to display a confident attitude about it. After Tear Drop, she’s satisfied with her anger and more overtly sexual images. If anything, she feels too exposed by the shots of herself looking more vulnerable/sad. 

Fuuta: He experiences a solid mix of embarrassment at the gaming theme in Bring it On and feeling a surge of pride that he looks badass in the knight’s armor. He’s worried the warden won’t take him seriously with the video game obsession, but he absolutely loves the song and thinks it portrays his toughness and ideals well. He’s less thrilled with Backdraft, everything about it unsettles and embarasses him. He’s thrown by the shot of crossing out his own silhouette – he’d had self-harming thoughts, but wasn’t quite ready to confront them so blatantly yet. Like Haruka, he can be caught pausing the arcade shot just for a moment before turning the whole thing off and storming away.

Muu: She has mixed emotions towards After Pain. She hates seeing herself look so weak and pathetic, but it gives her a lot of hope that her story will be understood. She misses her friends, and seeing them again is bittersweet. She closes her eyes at the moment of the stabbing – she’s only gotten the courage to watch it through her fingers once. She watches INMF once, then refuses to look at it again from shame/horror. Despite Haruka’s begging, she doesn’t let him watch it, either. 

Shidou: He asks Es what they saw in Throw Down. Upon finding out his family wasn’t in it, he chooses not to watch it. He believes he already knows all about his emotions and crime, so there’s no need to go through that pain again. He’s tempted to watch it when he’s confused about Es’ verdict, but still holds off. He does watch Triage when informed his family is in it. He spends hours in front of the screen by himself. Only after seeing that one does he watch Throw Down, though he’s still left confused about Es’ decisions.

Mahiru: Absolutely loves TIHTBILWY. She thinks it perfectly describes her situation, and that the song is very cute. She lets others watch it, and unlike Yuno, feels like singing it 24/7. It reminds her of her bf, and she thinks that’s very romantic. Similar to Shidou, she spends a lot of time watching I Love You just to look at her boyfriend. She shows it to everyone, just to show him off and talk about him, even if she does skip over the beginning and end each time.

Kazui: He is very similar to Shidou; he refuses to watch his videos until T2, assuming it would be too painful to watch something he already knows and wishes to avoid. Unlike Shidou, seeing Hinako is far too painful, and he regrets watching it and seeing her so happy on their wedding day. Though maybe he’s still waiting, and hasn’t seen any of the videos yet…

Amane: Magic makes her worry more than anything. She fears she’s poisoned by unnecessary vainness since so much of her video involves cute things, colors, outfits, animals, and is set up like a tv show. She’s also worried that Es and the others will really see her as a child because of how cute the whole thing is. She prevents herself from watching it too many times, but buried under all her fears, it gives her a surge of pride seeing herself so talented and pretty and the star of the show. Purge March only reaffirms her confidence in her crime – the video brings up some awful memories, but it shows her as a leader, a warrior, a hero! It brings her comfort and confidence more than anything.

Mikoto/John: The videos are distressing to both of them, and they spend all their time studying the others’ screentime. Mikoto watches in horror as John does things that line up with his spotty memories, and John panics seeing that his actions distress Mikoto more than they’ve reassured/saved him. John does end up watching his own scenes a few times – it feels incredibly good to appear in a way that Mikoto may finally notice him. He feels seen. Now, logically I think that MeMe would be the final tipping point in which Mikoto finally accepts the situation and his DID, but if I must stick to his canon denial, then I’d say he goes on a whole rant about movie magic andt the crazy things you can do with editing nowadays. He doesn’t have a good explanation on how Milgram found his home and knew so much about him, but he explains everything away as cgi or camera effects. Double manages to sway him a bit more, as he hears John speak so plainly to him. Just as the audience had some debate on who was apologizing at the end of Double, Mikoto and John wonder who is apologizing to whom. Though they both come to the conclusion it’s their own apology, they decide that if it was the others’, they’d accept it and forgive them.

Kotoko: She’s very pleased with Harrow, and is unashamed to show it to the others. Though she’d been able to watch a few of the previous prisoners’ videos, it still shakes her a bit when she realizes that Milgram really does have the tech to look deep inside her. She watches it just a few times – not obsessing over it, but not afraid either. Deep Cover, however, is a once-and-done sort of deal. She claims she’s not letting the others watch it because “they couldn’t handle such harsh but true criticisms about themselves,” but she doesn’t end up watching it anymore herself, either.

[ribbononline]

Away from home for a week or two so im trying to relearn how to draw on iPad. And what better way then how I learned it all those years ago, ponies,

[froginninjago]

I know we always talk about the influence of Kai's element on his emotions and general demeanor, but I think we need to acknowledge the other ninjas as well.

Yeah, the guy with fire is hot-headed, we all saw that coming. But there's also the fact that he's an older brother, and seen to embrace the role. It's easy to forget that fire is necessary for life as well as destruction.

The earth elemental is like a rock. He's usually calm and controlled. But also, when he does get mad? It isn't small. He holds grudges, and doesn't seem to let go of them easily. He's more stubborn than we give him credit for.

I have to say it: The ice guy is cool. He's neutral in most situations, and holds strong values. But also, the things he do take time, like ice. Of course, unlike actual ice, he can't wait centuries to crack one large rock. But at the same time, he does. Through careful planning and considering all the factors, he chips away at everything slowly so you don't realize everything that's happened until it's full force.

Talkative, energetic, sporadic lightning guy, I know. But also: lightning guy that's often underestimated, like actual lightning. A lot of people don't think about lightning as being as destructive as fire or other natural disasters, but that's just because it's so rare that it actually hits full force. He's just the same, he may attack or do things often enough people are careful, but he's incredibly underestimated.

Girl who controls the water having constantly changing emotions, like the tides? Sounds just about right. But also: the way that she's shown as a kind force, like how water is necessary for life. But on the same coin, the immense power she holds and just doesn't unleash often, because she knows the destruction it would cause. She may have moods that change like the tides, but the tides still cause massive waves.

And we don't talk enough about the influence of what seems to be the master of life. He may be called the master of energy or power, but those are so all-encompassing you may as well call them life. But it's the way that he's introduced as someone wild and uncontrollable, incredibly hard to work with. Until you find the trick. Then he's one of the strongest forces you have.

[copepods]

i love suns and pebbles canon dynamic in my head its kind of weird and fucked up and i wish more people depicted it as that (tag ramble incoming)

[aroaessidhe]

2023 reads // twitter thread

To Shape A Dragon’s Breath

YA fantasy

a young Indigenous girl finds & bonds with a dragon hatchling - the first time in many generations for her people - and is required to go to the coloniser’s dragon academy in their mainland city, to learn how to raise her dragon and the science of its magic

historical inspired setting on the cusp of industrial revolution with steampunk vibes

bi polyamorous MC, Black lesbian SC, nonverbal autistic SC

[compacflt]

Would you ever consider writing about a different path Ice and Mav could take, one where they choose to leave the Navy and pursue a more open relationship and civilian life? Thinking it would be easier but maybe the sacrifice to their careers brings its own challenges?

(hi, jan 2024 me here, this was an ask that I answered when it was sent in in May 2023 & didn't post because I felt I actually answered it fictionally in the "icedad" one-shot the week after [and you can obviously see how these thoughts affected the writing of other pieces like "tremors & aftershocks"], but I still mostly agree with this take [though it's a little overgeneralizing] & I think it sums up a lot of my final "meta" modern-military-theory thoughts on ice & mav & their relationship, so im posting it now before I post the compacflt masterpoast)

see,… the thing is, i just… can’t see that happening!! i have no idea how to write that!!! Maybe i really do have a lack of imagination. But i can’t see that happening for a number of reasons. So short answer, no.

Long answer (and it’s long):

1. lame reason to start out, but it, uh, it’s canon that ice ends up at O-10 and mav ends up at O-6. not saying that im beholden to canon obviously (my mav ends up at O-7 and my ice ends up alive) but I do base my characterizations of them on the implications of the political struggles of both their careers so… taking away ice’s fourth star is basically starting from square one wrt my characterization of him. which is a lot of work. i could start from the beginning with a top gun 1986 ice who knows he’s gay—that would be a fun AU (i think other people than me have definitely done that better, though—I’m a one-trick pony). So if that’s what you mean then disregard the rest of this post. but if what you mean is a divergence from my existing work (i.e. homophobic/rank-climbing ice&mav) then… yeah, can’t see that happening, for further reasons below.

2. wrt my characterization of him: it’s based on a broad historical overview of armed service officers and the expectations of their careers. in my view, high-ranking officers aren’t after power—or maybe they started their careers wanting power, but somewhere down the line, it just becomes an expectation. if you do everything right and follow all the rules, you are expected by the institution to lead, whether you want to or not. That’s just the pipeline. at some point you start losing agency. which is what I mean when I keep saying ice doesn’t have a choice in advancing his career (besides the meta fact that this is fanfiction and canon demands that he have 4 stars lol)—high ranking military officers are continually and continually groomed for bigger and better positions; and the longer they spend in the military, the harder it is to leave that lifestyle for something else. And with ice’s canonical (and characteristically INTEGRAL, as I mentioned a week or so ago) refusal to rebel against the wishes of the navy as an institution, plus this historical expectation to lead placed upon the shoulders of excelling officers, I really do think ice is destined for four stars & nothing less, even if it gives him chronic depression. It’s his highest priority not because he wants it to be, but because…it just is. that’s how the institutionalized system of advancement in the military works. it just is. it has to be.

3. I mentioned in this post that I can’t ever see a foot in the door with them talking about their relationship unless maverick dies and is resurrected, and I feel the exact same way about them & their retirement plans. There’s a lot that ice and mav don’t talk about: the biggest one is obviously Goose’s death, the foundation of their relationship; but also their love for each other obv, what they did to rooster, AND their careers, which have to end at some point. Them talking about everything is totally inevitable, it was gonna have to happen eventually before they died, and I think one foot in the door MIGHT have been them eventually talking about retirement (someone sent in a prompt asking for this exactly & i am brainstorming it furiously) but before the Navy FORCES them to retire… i think they would studiously avoid talking about it. For a couple reasons: a) what does retiring with each other mean? living in the same house until they die together? hard to do if you’re just good friends. talking about retirement is tantamount to talking about Them. and b) what are they gonna do outside the navy? Ice has a lot of options, as I mentioned in the slider one-shot—general/flag officers are SUPER sought after in leadership/intelligentsia/management positions post service, so maybe if he were offered a crazy cool civilian position somewhere in San Diego in like the 2000s he would quit the navy for it… but what about maverick? I have no idea what a non-navy mav would do. Civilian airline pilot? Hoo boy. I think he’d hate that. I could maybe see emergency helicopter pilot, lol, or race car driver (i just watched days of thunder can you tell?) but none of the above offers the institutionalized honor the navy does (that, as a reminder, he *killed people* to obtain in the first place). I suggested his test piloting expertise would make him an attractive technical advising candidate to A&D companies like Boeing, LockMart, GD, etc. so that might be one option. But it might have been kind of a touchy subject for him before he racked up the expertise he’d need for those high-level civilian positions… the navy was kinda his only option. So they wouldn’t talk about it because it might hurt his feelings.

4. The biggest reason: again… open rebellion like rocking the boat by quitting the navy to be in an open long-term gay relationship, in upper mil brass ranks, and even retired upper mil brass ranks, just… isn’t done. And REALLY wasn’t done in the 2000s, when i think the scenario in this ask is positioned. And it’s not like “oh but whatever who cares about the navy, ice and mav are in love, they deserve to be happy no matter what, they should do what they want, fuck the navy…” no. Ice and Mav care about the navy. Clearly. Canonically. By necessity. The military requires cohesion and on some level repression of individuality & personal expression to FUNCTION, even when you’re retired. Yes, maverick certainly strains against that repression (which is why you Could spin top gun as an anti-military franchise if you were desperate enough), but he rebels through his ACTIONS (stupid plane maneuvers) not through his personal IDENTITY. his personal identity (headstrong overtly masculine white male pilot, whether gay or straight who cares) is NEVER challenged throughout the franchise (i.e. no one really challenges his masculinity specifically) & his personal identity does not POSE a challenge to the navy. Both he and ice in their outward-facing personal identities really fit in quite neatly to the navy’s overarching identity & contribute to the navy’s cohesion in a way that is favorable to both their careers and the establishment. Lack of imagination or not… i can’t see a universe in which Ice and mav would actively WANT to rock the boat and wreck the navy’s cohesion and their reputations for an open relationship and definitively rebellious personal identities, with the obvious caveat being Maverick’s death recontextualizing both their priorities (yes we’re in love AND we’ve finally proven ourselves to be ultra-capable officers regardless of our sexuality so no one has a license to judge us anymore etc.).

And also, they’re not enlisted seamen. Nor are they mediocre officers who have the luxury of fading into obscurity. Things are different when you’re that high in the ranks, and when your job publicly matters more. sorry, but even post DADT (probably until about biden’s election), an open relationship would end their careers. They might not be fired, but they’d never be promoted again. Too much of a liability getting subordinates to still respect them, from the higher-ups’ perspective, especially if there are other qualified candidates who fit the navy’s core identity better. Like—sorry. This is such a jaded oversimplification. But if you rock the boat like that (i.e. break the service’s united front to be individualistic in a way that does not match the service’s overarching identity), from the perspective of your officer peers, you simply are a bad officer. Being an open individual in a job where you are required to fit in and represent your service is not your job. You are not doing your job well. Straight-up. Even if you’re retired. I met US Army 4-star gen. David Petraeus (retired obv) in February—he led the successful-ish surge in iraq and Afghanistan in the mid-2000s—and he’s STILL a laughingstock for his disastrous affair with his biographer a decade ago, even after he retired from AD service. That’s what people remember him for, not the fact that he was one of our only successful commanders in any of our Middle East campaigns.

Something like that might be one of ice and mav’s worst fears—being known for their affair/scandal instead of the institutionalized honor they’ve fought and killed for. That kind of thing just Isn’t Done. It's bad taste. You have to keep it quiet. If you’re an officer representing the service, you have to represent it well & according to the service’s preconceived identity, even in retirement. (see, for another shitty example of "not fitting in" even in retirement, Lt. gen. Mike Flynn [his whole scandal is actually kinda geopolitically relevant to my fic if you squint lol] whom everyone fucking hates)

To summarize: i hope I’m not mischaracterizing your ask when i reframe it like this—would you ever write ice and mav without the institutionalized pressure to advance in rank and conform to institutional norms?

and yes, I would (and will if you ask—it looks like this: ice & mav meet & fall in love & it’s boring and fine. end of story), but I guarantee you someone else already has. I’m all about interrogation of institutional norms here. And i think until maverick dies & comes back from the dead, there is absolutely no *REALISTIC* incentive for ice & mav to leave the navy and/or have an open relationship. Like it’s just not possible. Idk how else to say it.

[sieglinde-freud]

WHERE WERE THE AWAKENING SECOND GEN ON JULY 21ST 2023

[popponn]

nagi is kinda cute and soff. like his hair and his whole being. squishable.

[gabichanwrites]

Tubbo is literally getting bullied by Chayanne AND Tallulah and he is supposed to be the godfather--

Although they do have a point, locking him in a basement would prevent him from dying xD

[runsouth]

toulouse and I at bernheim part 2 !! I'd love to go back someday and hike more of the trails !! and see all the art installations !!!