#sickle cell treatment

[apollocbcc]

Sickle cell disease is an inherited disorder. It affects the shape of red blood cells, which carry oxygen throughout the body. 

Red blood cells are usually round and flexible, so they can move easily through blood vessels. In sickle cell disease, some red blood cells become crescent or sickle-shaped. These cells also become rigid and sticky, restricting the blood flow.

If you have any cancer related queries, book your appointment at https://apollocbcc.com/make-an-appointment/ 

[banglajobnews]

Treatment

How do you evoke treatment:   Do I really, really like this take a glance at our procedure?   Are there easier, safer options?   What happens if I do nothing?   What proportion can it cost? Unit sensible inquiries to boost a patient: There are some crucial inquiries to boost every patient.   What unit is your medical and surgical histories?                    What is your smoking, alcohol and…

[kayzero]

FELLAS

you ever have such a bad body day that you can’t even READ FANFIC?!

this sucks.

[digimarketresearch]

 Sickle Cell Disease Treatment Market Size, Share, Trends, Growth and Competitive Outlook

"Data Bridge Market research has recently released expansive research titled Global Sickle Cell Disease Treatment Market guarantees you will remain better informed than your competition. This study provides the broader perspective of the market place with its comprehensive market insights and analysis which eases surviving and succeeding in the market.

The persuasive Sickle Cell Disease Treatment Market report comprises of strategic profiling of key players in the market, systematic analysis of their core competencies, and draws a competitive landscape for the market. This market research study lends a hand to the purchaser in comprehending the various drivers and restraints with their effects on the market during the forecast period. The report has been prepared based on the market type, size of the organization, availability on-premises and the end-users’ organization type. Sickle Cell Disease Treatment Market business report puts across the idea of high level analysis of major market segments and identification of opportunities.

Access Full 350 Pages PDF Report @

The sickle cell disease treatment market is expected to witness market growth at a rate of 16.4% in the forecast period of 2021 to 2028. Data Bridge Market Research report on the sickle cell disease treatment market provides analysis and insights regarding the various factors expected to be prevalent throughout the forecast period while providing their impacts on the market’s growth. The rise in the immigration is escalating the growth of the sickle cell disease treatment market.

Key points covered in the report: -

The pivotal aspect considered in the global Sickle Cell Disease Treatment Market report consists of the major competitors functioning in the global market.

The report includes profiles of companies with prominent positions in the global market.

The sales, corporate strategies and technical capabilities of key manufacturers are also mentioned in the report.

The driving factors for the growth of the global Sickle Cell Disease Treatment Market are thoroughly explained along with in-depth descriptions of the industry end users.

The report also elucidates important application segments of the global market to readers/users.

This report performs a SWOT analysis of the market. In the final section, the report recalls the sentiments and perspectives of industry-prepared and trained experts.

The experts also evaluate the export/import policies that might propel the growth of the Global Sickle Cell Disease Treatment Market.

The Global Sickle Cell Disease Treatment Market report provides valuable information for policymakers, investors, stakeholders, service providers, producers, suppliers, and organizations operating in the industry and looking to purchase this research document.

What to Expect from the Report, a 7-Pointer Guide

The Sickle Cell Disease Treatment Market report dives into the holistic Strategy and Innovation for this market ecosystem

The Sickle Cell Disease Treatment Market report keenly isolates and upholds notable prominent market drivers and barriers

The Sickle Cell Disease Treatment Market report sets clarity in identifying technological standardization as well as the regulatory

framework, besides significantly assessing various implementation models besides evaluation of numerous use cases

The Sickle Cell Disease Treatment Market report is also a rich repository of crucial information across the industry, highlighting details on novel investments as well as stakeholders and relevant contributors and market participants.

A through market analytical survey and forecast references through the forecast tenure, encapsulating details on historical developments, concurrent events as well as future growth probability

The major players covered in the sickle cell disease treatment market report are Addmedica, Emmaus Medical, Inc., Global Blood Therapeutics Inc., bluebird bio, Inc., Pfizer Inc., Novartis AG, Bristol-Myers Squibb Company, Endo Pharmaceuticals Inc., Teva Pharmaceutical Industries Ltd., Sun Pharmaceutical Industries Ltd., Mayne Pharma Group Limited, CELGENE CORPORATION, Ironwood Pharmaceuticals, Inc., Amgen Inc., Zydus Cadila, Silver Lake Research Corporation, Ionis Pharmaceuticals, Inc., Vertex Pharmaceuticals Incorporated, Alkem Labs and Purdue Pharma L.P among other domestic and global players. Regenerative medicine market share data is available for global, North America, South America, Europe, Asia-Pacific (APAC), and the Middle East and Africa (MEA) separately. DBMR analysts understand competitive strengths and provide competitive analysis for each competitor separately.

Browse Trending Reports:

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About Data Bridge Market Research:

Data Bridge set forth itself as an unconventional and neoteric Market research and consulting firm with unparalleled level of resilience and integrated approaches. We are determined to unearth the best market opportunities and foster efficient information for your business to thrive in the market. Data Bridge endeavors to provide appropriate solutions to the complex business challenges and initiates an effortless decision-making process.

Contact Us:

Data Bridge Market Research

US: +1 888 387 2818

UK: +44 208 089 1725

Hong Kong: +852 8192 7475

Email: corporatesales@databridgemarketresearch.com "

[aimarketresearch]

Sickle Cell Disease Treatment Market Size, Share, Growth, Trends, Demand and Opportunity Analysis

Data Bridge Market research has recently released expansive research titled Global Sickle Cell Disease Treatment Market guarantees you will remain better informed than your competition. This study provides the broader perspective of the market place with its comprehensive market insights and analysis which eases surviving and succeeding in the market.

The persuasive Sickle Cell Disease Treatment Market report comprises of strategic profiling of key players in the market, systematic analysis of their core competencies, and draws a competitive landscape for the market. This market research study lends a hand to the purchaser in comprehending the various drivers and restraints with their effects on the market during the forecast period. The report has been prepared based on the market type, size of the organization, availability on-premises and the end-users’ organization type. Sickle Cell Disease Treatment Market business report puts across the idea of high level analysis of major market segments and identification of opportunities.

The sickle cell disease treatment market is expected to witness market growth at a rate of 16.4% in the forecast period of 2021 to 2028. Data Bridge Market Research report on the sickle cell disease treatment market provides analysis and insights regarding the various factors expected to be prevalent throughout the forecast period while providing their impacts on the market’s growth. The rise in the immigration is escalating the growth of the sickle cell disease treatment market.

Access Full 350 Pages PDF Report @

Key points covered in the report: -

The pivotal aspect considered in the global Sickle Cell Disease Treatment Market report consists of the major competitors functioning in the global market.

The report includes profiles of companies with prominent positions in the global market.

The sales, corporate strategies and technical capabilities of key manufacturers are also mentioned in the report.

The driving factors for the growth of the global Sickle Cell Disease Treatment Market are thoroughly explained along with in-depth descriptions of the industry end users.

The report also elucidates important application segments of the global market to readers/users.

This report performs a SWOT analysis of the market. In the final section, the report recalls the sentiments and perspectives of industry-prepared and trained experts.

The experts also evaluate the export/import policies that might propel the growth of the Global Sickle Cell Disease Treatment Market.

The Global Sickle Cell Disease Treatment Market report provides valuable information for policymakers, investors, stakeholders, service providers, producers, suppliers, and organizations operating in the industry and looking to purchase this research document.

What to Expect from the Report, a 7-Pointer Guide

The Sickle Cell Disease Treatment Market report dives into the holistic Strategy and Innovation for this market ecosystem

The Sickle Cell Disease Treatment Market report keenly isolates and upholds notable prominent market drivers and barriers

The Sickle Cell Disease Treatment Market report sets clarity in identifying technological standardization as well as the regulatory

framework, besides significantly assessing various implementation models besides evaluation of numerous use cases

The Sickle Cell Disease Treatment Market report is also a rich repository of crucial information across the industry, highlighting details on novel investments as well as stakeholders and relevant contributors and market participants.

A through market analytical survey and forecast references through the forecast tenure, encapsulating details on historical developments, concurrent events as well as future growth probability.

The major players covered in the sickle cell disease treatment market report are Addmedica, Emmaus Medical, Inc., Global Blood Therapeutics Inc., bluebird bio, Inc., Pfizer Inc., Novartis AG, Bristol-Myers Squibb Company, Endo Pharmaceuticals Inc., Teva Pharmaceutical Industries Ltd., Sun Pharmaceutical Industries Ltd., Mayne Pharma Group Limited, CELGENE CORPORATION, Ironwood Pharmaceuticals, Inc., Amgen Inc., Zydus Cadila, Silver Lake Research Corporation, Ionis Pharmaceuticals, Inc., Vertex Pharmaceuticals Incorporated, Alkem Labs and Purdue Pharma L.P among other domestic and global players. Regenerative medicine market share data is available for global, North America, South America, Europe, Asia-Pacific (APAC), and the Middle East and Africa (MEA) separately. DBMR analysts understand competitive strengths and provide competitive analysis for each competitor separately.

Browse Trending Reports:

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About Data Bridge Market Research:

Data Bridge set forth itself as an unconventional and neoteric Market research and consulting firm with unparalleled level of resilience and integrated approaches. We are determined to unearth the best market opportunities and foster efficient information for your business to thrive in the market. Data Bridge endeavors to provide appropriate solutions to the complex business challenges and initiates an effortless decision-making process.

Contact Us:

Data Bridge Market Research

US: +1 888 387 2818

UK: +44 208 089 1725

Hong Kong: +852 8192 7475

Email: corporatesales@databridgemarketresearch.com

[healthcare-gomedii]

Navigating Sickle Cell Treatment Excellence: A Comprehensive Guide to Affordable and Advanced Care in India with GoMedii

Sickle cell disease, a genetic disorder affecting red blood cells, has long been a concern globally. However, India emerges as a beacon of hope, offering not only advanced treatments but also cost-effective solutions. This comprehensive guide aims to shed light on the various facets of sickle cell treatment in India, emphasizing its affordability, skilled healthcare professionals, and cutting-edge medical technologies.

Affordability and Expertise in Indian Healthcare

Unlike many other countries, the cost of sickle cell treatment in India is described as budget-friendly, making it an attractive option for patients seeking quality care without a hefty financial burden. The page highlights the presence of highly-trained healthcare professionals specializing in sickle cell treatment, underlining India's commitment to providing accessible and proficient medical care.

State-of-the-Art Treatments

Indian hospitals are portrayed as pioneers in offering the latest treatments for genetic diseases, including sickle cell disorder. The narrative assures prospective patients that they can benefit from advanced medical technologies without facing exorbitant costs, creating a narrative that positions India as a leading destination for sickle cell treatment.

GoMedii's Commitment to Cost-Effective Robotic Surgery

The guide introduces GoMedii, a platform committed to providing top-notch and cost-effective robotic surgery to both international and domestic patients. It emphasizes the compatibility of advanced medical procedures with economic considerations, positioning GoMedii as a reliable partner in accessing state-of-the-art treatments.

Understanding Sickle Cell Disorder

The guide provides a thorough understanding of sickle cell disorder, explaining its impact on the shape and oxygen-carrying capacity of red blood cells. It introduces the various types of sickle cell disorders, focusing on Sickle Cell Anemia (Hb SS) as the most common form. The concise yet informative language serves to educate readers about the intricacies of the disease.

Treatment Options

Detailed information is provided on the types of treatments available, including medications, blood transfusion, and stem cell transplant. The guide emphasizes the genetic nature of the disorder, highlighting that stem cell transplant remains the only permanent solution. This section aims to empower readers with knowledge about the available medical interventions.

Cost Considerations

A critical aspect discussed is the cost of sickle cell treatment in India, ranging from $13,000 to $15,000. The guide reassures readers that even in severe cases, the cost does not exceed $22,000, making India an economical yet high-quality option for bone marrow transplants.

Recovery and Success Rates

The recovery period for different treatments is outlined, with an emphasis on the relatively high success rates in India. The presence of highly-qualified hematologists and state-of-the-art equipment contributes to success rates ranging from 60-80% for bone marrow transplants and 60-90% for blood transfusions, building confidence in the effectiveness of treatments.

Risks and Post-Treatment Care

Potential risks, such as graft failure, graft vs host disease, and bloodborne infections, are transparently presented. The guide then provides a comprehensive list of do’s and don'ts for post-treatment care, offering practical advice for patients and their families.

Frequently Asked Questions

The guide addresses common queries about sickle cell disease, its permanence, lifestyle considerations, and the latest treatments like gene therapy. This section aims to alleviate concerns and provide a well-rounded understanding of the disease.

GoMedii as a Medical Tourism Partner

The guide concludes by presenting GoMedii as a medical tourism company in India associated with top-class hospitals and doctors. It assures readers of a superior medical care experience, encouraging them to reach out for further assistance via WhatsApp or email.

Conclusion

This comprehensive guide serves as an invaluable resource for individuals seeking information on sickle cell treatment in India. It bridges the gap between affordability and advanced medical care, positioning India as a favorable destination for those navigating the challenges of sickle cell disorder. The inclusion of GoMedii as a reliable partner adds credibility to the narrative, offering a holistic perspective on the available options for patients seeking effective and budget-friendly treatment solutions.

[whats-in-a-sentence]

In 1983, at a conference on gene therapy, Ola Huntley, the mother of three sickle-cell anemic children and a counselor of sickle-cell patients, declared, "I am angry that anyone presumes to deny my children the essential genetic treatment of a genetic disease. I see such persons as simplistic moralists."

"In the Name of Eugenics: Genetics and the Uses of Human Heredity" - Daniel J. Kevles

[reasoningdaily]

Sickle cell disease patient Samuel Price speaks during a roundtable on sickle cell disease at the White House on September 2020.

November 6, 2023

FDA advisors support groundbreaking sickle cell therapy 

Two new treatments for sickle cell disease, a painful and deadly condition that affects more than 100,000 Americans, most of whom are Black, may be approved by the end of the year.

An FDA panel that met last week agreed one of the genome editing treatments is safe enough to move forward. The Food and Drug Administration is expected to rule on the treatment from Vertex Pharmaceuticals and CRISPR Therapeutics by Dec. 8. It will decide on another genome editing therapy from Bluebird Bio by Dec. 20.

Sickle cell disease reflects the structural racism and inequities in the American health care system more broadly. “It is a Black Lives Matter issue because it’s primarily a genetic disease that affects Black people who often also have fewer financial resources,” Oakland nurse Wendy Bloom told Momo Chang , a CHJ Impact Fund grantee, in her 2018 deep dive into sickle cell’s devastating impact on Black Americans. 

Sickle cell research has received fewer research dollars than comparable genetic conditions. Its funding is often compared to that for cystic fibrosis, a genetic disease that affects primarily white people. While nearly three times as many people have sickle cell, cystic fibrosis has received more than triple the funding. 

While treatments have improved for children — in part due to the efforts of Black activists in the ‘60s and ‘70s, Chang wrote — young adults often fall through the cracks once they age out of pediatric care. 

For people with sickle cell on public insurance, life expectancy is about 53 years.  

Pain and other symptoms often send people with sickle cell to the emergency room for help, where they face additional barriers in obtaining pain relief. “They receive treatment like they are drug addicts because they come in needing pain medication that sometimes people can get addicted to,” James Burroughs, chief equity and inclusion officer at Children’s Minnesota, told Ava Kian at MinnPost earlier this year. “They’re not treated with respect and dignity.”

Recent data indicate that white patients in pain are 26% more likely to receive opioid pain meds, such as morphine, compared to Black people. 

A bone marrow transplant is already a treatment option, but it requires patients to have a matching donor. The new genetic treatments would repair the patient’s own cells, so a donor match isn’t necessary.

But both of these potentially curative treatments share similar hurdles. The costs and the need for weeks of hospitalization, often far from home, associated with transplants already prevents some patients from accessing that treatment, and the new gene editing treatments will likely create similar hardships.

“The new therapies are also not easy to endure and come with hardships for patients, who will have to undergo chemotherapy and spend more than a month in the hospital,” writes Gina Kolata at The New York Times. “Family members are affected too — they may need to take time off work during the most intensive phase of the treatment.”

Prices for the new genome treatments are not set, but they are expected to cost millions of dollars per person — but then, so does treating an individual with sickle cell disease for a lifetime, notes Karen Weintraub at USA Today.

And some patients may not trust the latest treatment from a medical system that has failed them time and again, Kolata adds. 

With genetic therapy, there’s also a concern that the wrong genes could be altered, potentially leading to blood cancer. While this has not been observed in the clinical trials for the new treatments, the number of patients treated so far numbers in the dozens.

“The company’s data were sufficiently reassuring that the expert committee said on Tuesday they saw no reason to hold the treatment back,” Kolata writes.

Infant mortality up in Native families, high among Black communities

After trending downward for the better part of three decades, the United States infant mortality rate shot up by 3% in 2022, according to the latest data from the Centers for Disease Control and Prevention. 

The rate rose to 5.6 infant deaths per 1,000 births in 2022, compared to just over 5.4 deaths the year prior. 

Infant deaths remained highest among Black people, with nearly 10.9 deaths before the first birthday per 1,000 live births. 

Rates also rose significantly among American Indian and Alaska Native populations, from just under 7.5 deaths per 1,000 births in 2021 to nearly 9.1 deaths per 1,000 births in 2022.

The reasons for the increases are unclear. Rebounding flu and RSV infections in the wake of the pandemic wake might be a factor, reports Mike Stobbe at AP News.

“The U.S. infant mortality rate has been worse than other high-income countries, which experts have attributed to poverty, inadequate prenatal care and other possibilities,” writes Stobbe.

The deaths of infants are linked with maternity care. “Today’s data underscores that our failure to better support moms before, during, and after birth is among the factors contributing to poor infant health outcomes,” said Dr. Elizabeth Cherot, president of the March of Dimes, in a statement. 

Black women are three times more likely to die of a pregnancy-related complication than white women, due to factors including implicit bias and structural racism. 

“The wealthiest Black woman in California has a higher risk of maternal mortality than the least wealthy white woman,” writes Black midwife Jeanine Valrie Logan in a USA Today opinion piece. “It is a systemic disregard for Black lives.”

Logan adds: “It is our collective duty to transform the rhetoric of birth equity into a tangible reality where every Black woman and birthing individual receives the care they need and deserve.”

Tooth decay rates are an overlooked health disparity

Jenny Gold at the Los Angeles Times highlights the poor dental health among California children, where more than one in six children had cavities or tooth decay in the past year, according to a 2020–21 survey. 

“As with so many health issues, children from socioeconomically disadvantaged families are most at risk,” Gold writes. Latino and Black children had the highest rates of tooth decay in a 2018–2019 state survey. 

The consequences are serious: Kids with poor dental health are more likely to experience tooth pain, miss school, and perform poorly at school. 

While the dental health of California kids is among the poorest in the nation, the problem is hardly limited to a few states. One 2020 study called poor oral health “the national symbol of social inequality.”

Tooth decay is also more prevalent among American Indian, Alaska Native, and Native Hawaiian children, according to a 22-state survey by The Pew Charitable Trusts in 2022.

Many people lack dental insurance, can’t afford dental care, or can’t get the time off work to go to the dentist, according to the CDC. Lower income communities are more likely to lack access to fluoridated water, healthy foods, and public transportation to get to the dentist.

In rural parts of California, it can be difficult to find a dentist that takes Medicaid insurance, but that’s even true in some parts of Los Angeles, Gold writes.

“Some families can’t even afford to buy toothpaste or toothbrushes,” she adds. “Others don’t know the basics of dental hygiene.”

There are long-term health risks as well: oral bacteria have been connected to high blood pressure, cancer, and diseases of the heart, kidneys and liver. 

From the Center for Health Journalism

Nov. 19 is the deadline to apply for the California Health Equity Impact Fund, designed for journalists who want to illuminate untold stories about systemic issues that block good health for Californians. Grantees receive a $2,000–$10,000 grant for reporting costs, five months of mentorship, and monthly online development and brainstorming sessions. Learn more here!

A recent webinar, “Reporting on Alzheimer’s Unequal Toll in Communities of Color” featured Stephanie J. Monroe, vice president of the advocacy organization UsAgainstAlzheimers; Kat Stafford, global race and justice editor at Reuters; and Petra Niles, a gerontologist at Alzheimer’s Los Angeles. Watch here!

The Lori Yearwood Fund for Reporting on Homelessness will provide grants to journalists reporting on the lives and health challenges of people who are unhoused. Find out more by emailing us at editor@centerforhealthjournalism.org or donate here. 

What we’re reading

“Treating rural America: The telehealth solution,” by Hyacinth Empinado, STAT

“Green spaces promote health but don’t cancel discrimination’s effects, by Erin Blakemore, The Washington Post

“Californians who need help paying for ’round-the-clock home care are stuck on a state waitlist,” by Emily Alpert Reyes, Los Angeles Times

“Pregnant farmworkers in California are eligible for paid time off — but many don’t know it exists,” by Jessica Kutz, The 19th

“Medical school on Cherokee reservation will soon send doctors to tribal, rural areas,” by Arielle Zionts, KFF Health News

“Few transplant surgeons are Black. Giving medical students a rare peek at organ donation may help,” by Lauran Neergaard, AP News

“Johns Hopkins nursing school launches D.C. institute focused on health equity,” by Sarah True, The Baltimore Banner

Related Articles

Physicians eliminate diagnosis linked to police brutality; abortion restrictions endanger pregnant people

Charged as adults: Telling the stories of incarcerated youth in Texas

Want to build trust at your outlet? Address the harmful way Blacks are being portrayed

[healtheverywhere786]

Sickle Cell Anemia Treatment Cost in Coimbatore | Sri Ramakrishna Hospital

Sickle cell anemia: A genetic blood disorder causing altered red blood cells and health challenges. Learn about its impact, treatment progress, and how you can support those affected. For more details and Sickle Cell Anemia Treatment in Coimbatore, visit our website.

[drnandinihazarika]

Doctor for Sickle Cell Anemia Treatment in Delhi

Dr. Nandini Hazarika, an experienced doctor with 20 years in oncology, specializes in the treatment of Sickle Cell Anemia in Delhi. She practices at the renowned Madhukar Rainbow Children's Hospital in New Delhi. Dr. Hazarika is highly regarded Doctor for Sickle Cell Anemia Treatment in Delhi, a trusted choice for patients seeking quality care in Delhi.

[neha24blog]

Sickle Cell Disease Treatment Market Segment Analysis By Treatment, Country And Forecast Till 2030 : Grand View Research Inc.

San Francisco, 2 May 2023: The Report Sickle Cell Disease Treatment Market Size, Share & Trends Analysis Report By Treatment Type (Blood Transfusion, Pharmacotherapy, Bone Marrow Transplant), By Major Markets, Vendor Landscape, And Segment Forecasts, 2018 – 2023 The global sickle cell disease treatment market size is expected to reach USD 5.5 billion by 2023, according to a new report by Grand…

[gomediitechnologies]

Get the treatment at Best Sickle Cell Treatment Hospital In India , to know more Whatsapp (+91 9654030724) or call us at (+91 9599004811

[insightslicelive]

Sickle Cell Disease Treatment Market Sales Statistics, Key Players, Growth Projection Outlook to 2032 | Global Blood Therapeutics Inc, GlycoMimetics Inc, F. Hoffmann-La Roche AG

Sickle Cell Disease Treatment Market Sales Statistics, Key Players, Growth Projection Outlook to 2032 | Global Blood Therapeutics Inc, GlycoMimetics Inc, F. Hoffmann-La Roche AG

insightSLICE has compiled key insights and presented a research report on market titled “Global Sickle Cell Disease Treatment Market 2023-2032” the report begins with an overview of the industrial environment, analysis of market size, by-products, regions, application, market competition within active companies. The research analyzes market share, demand, trends and forecast in the coming years.…

[mrsshabana]

Patient!Gyutaro x Nurse!Reader - CHAPTER 1

Chapter 2

✦ CW: 18+ MDNI, female reader. Mentions of mental illness, suicide, and sexual abuse of a minor. This fic has many dark themes, please do not read unless you are comfortable!

✦ AN: The long awaited nurse au is finally here! Sorry it took me so long, but I wanted to make sure it was perfect. Lots of thought and research went into making this fic. There will also be art included in this chapter!

✦ WC: 2,146

This is what you should have expected from a job in the medical field that didn’t require much qualifications. Working at an asylum wasn’t ideal, but they are incredibly desperate for new nurses. As most of them are unable to handle the physical and mental toll that a place like this puts on someone. 

It’s your first day at your new job. You were excited until you entered the building. The dreary interior mixed with the groans and screams of unruly patients wasn’t the welcome that you had been hoping for.

You’re young, almost too young to be working at a place like this. The other nurses didn’t take you seriously, and they were going to make the transition for you more difficult than it needed to be. You were being assigned to a patient that is notorious for being difficult to work with. The other nurses use him to weed out the weak. Always shifting the new hires to care for him. They usually leave within the first week, so his care returns to one of the veteran nurses known for having a mind of steel. She’s cold hearted, but that helps you deal with a job like this. The complete opposite of you. A warm young woman, eager to treat and rehabilitate.

Currently you are being led to your new patient. Quickly scanning over his records as you follow the nurse through the halls of the sanatorium.

Rashomon Riverbank Asylum

Patient Record

Name: Shabana, Gyutaro

Identification Data: Sex: Male Age: 23 Height: 6’ 3” Weight: 134

Race: Asian Hair: Black Eye: Blue

Special Handling Code: Code Red; Keep medicated Special Handling Instructions: Keep away from sharp objects

Medical History: Multiple suicide attempts, Complications due to sickle cell anemia, Treated for Congenital Syphilis

Diagnoses: Sickle Cell Anemia Hutchinson’s Teeth Borderline Personality Disorder Antisocial Personality Disorder Depression Insomnia

Current Medical Treatment: Special diet for weight gain Medications given AM & PM

Medications: Wellbutrin - 100 mg twice daily Abilify - 10 mg once daily Carbamazepine - 350 mg twice daily Xanax - 2 mg twice daily Trazodone - 150 mg once daily Voxelotor - 500 mg once daily Adakveo - 5 mg IV infusion once every 4 weeks

Gyutaro Shabana, your very first patient at Rashomon Riverbank Asylum. Looking over his record, this is going to be a difficult one. You’ve learned about a majority of these diagnoses in college, so you have a good idea about the kind of treatment he will require. It’s strange though, he seems to have lost the genetic lottery. And you haven't even seen his face yet, you can only imagine what he may look like.

An asian man with sickle cell anemia is almost unheard of, roughly 0.0022%. And on top of that he was born with Congenital Syphilis. It’s quite frankly amazing that he’s lived past 20.

“Just introduce yourself, then I’ll take you to your other patients,” the other nurse says as she stops in front of his door. 

Not wanting to be impolite, you hesitantly knock on his door. There’s no response. You figured that there wouldn’t be, so you open the door anyways.

“Hello, Mr. Shabana?” you say coyly.

When you peek into the room, you are instantly frozen by his icy gaze. He’s sitting on his bed with a book in his lap. His cold blue eyes send shivers down your spine.

“I’m um… I’m your new nurse.” you choke out. He’s feet away from you but you feel as though his hands have a tight grasp around your throat.

“My name is Y/N. Um… If you ever need anything d-don’t hesitate to call for me…”

The expression on his face is unchanging, as he remains silent.

“Well I’ll see you later tonight Mr. Shabana…”

Closing the door, breaking the line of sight that he had on you, instantly you feel a surge of relief.

You go on to visit the rest of your patients, then you come back later that night to give Mr. Shabana his dinner. A high protein meal, specifically for weight gain.

Knocking on the door a few times before you push it open, “Mr. Shabana, I have your dinner.”

He’s in the same spot where you left him, sitting on his bed with a book in his lap. But this time he doesn’t even bother to look at you when you enter the room.

Stepping closer to place the food tray on his table, you inspect his appearance. 

His clothes hang off of his frame, enveloping his skeletal body. You can make out lean muscles on his arms, but his face is sunken and his pants hang low on his hips. There are large black marks scattered across his face, and you can barely see one peeking out from below his sleeve. Were these marks from his Congenital Syphilis? Dark circles sit below his eyes, he looks as though he hasn’t slept in weeks.

He’s wearing the standard issue uniform that all patients wear. A plain t-shirt and pants, made of the same material as scrubs. Though his feet are bare, slippers sitting below the edge of the bed. His hair is long and wavy. Black as midnight, unruly in the way it hangs in front of his face. The top of his hair is half haphazardly tied up.

“Got a problem…?” He rasps, drawing out each word.

The venom of his sour tongue sends a jolt of electricity through your skin. 

“Huh?” you’ve been sitting there staring at him for too long, “O-oh! I’m sorry sir! There’s no problem, please enjoy your dinner,” you quickly rush out of the room.

As you continue on giving food to the rest of your patients, Mr. Shabana’s voice echoes through your skull.

Got a problem…? Got a problem…? Got a problem…?

A few hours later, you go back to retrieve the tray and whatever food may have not been eaten. Stopping yourself before you open the door. It’s ok. He’s just a patient. Then why does he make you so nervous?

*Knock knock*

“Hello Mr. Shabana, I’m just here to collect your tray,” you chime, masking your fear with a smile.

Walking back into the dimly lit room, the fluorescent lights flickering. His eyes staring into you.

His food has been untouched. The only thing that was eaten was a packaged cookie.

“Not hungry today?” your voice shakes as you try to ignore his harsh gaze.

He remains silent. Watching you as you step closer. The buzzing of the fluorescent bulbs filling the room, filling your brain with static.

“Was it not to your liking? I can have the cooks make something else for you if you’d like.”

“...”

Your eyes meet. His thin eyebrows furrow, the rest of his expression remains unchanging. The pressure of his glare makes the air around you feel heavy. Pressing down on you, compressing your spine, you feel so small when he looks at you. You’re desperate to fill the cold aura with some warmth.

“Mr. Shabana you really should eat-”

*CRASH*

He slaps the tray out of your hand, food splattering onto your uniform, dripping onto the floor. 

Silence. You’re stuck staring down at your feet. Watching the pool of meat, vegetables, and milk spread around you. It takes you a few moments to fully process what has just happened, only able to snap out of it when you feel the wetness of the food seeping through your skirt, making you feel cold.

You regret looking up at him. Regret meeting his eyes. Filled with amusement.

“You better clean that up… don’t chu think…?” He smirks. Showing his sharp canines and crooked teeth.

“I-I…” you mumble, looking back down at the mess. He’s right, you should clean it up before it gets everywhere.

Going into the hallway, you grab some towels and return to his room. Not thinking your next actions through as you get down on all fours and start picking up the mess. All you want to do is hurry and clean this up so you can leave. But Mr. Shabana has different plans.

He slowly stands up. Looming over you, looking down on you with a twisted grin. He’s so tall… he makes you feel so small as you look up at him. So pathetic. So worthless.

“You look good down there…” he steps on your hand, “On your knees like a whore…”

His words leave you speechless. Your vision begins to blur and your heart starts to race. He pushes his weight further onto your hand, until you feel a crack.

“I’d like to see you like this more often…” he chuckles, the sound rumbling in his hollow chest.

Every instinct within your body is screaming at you to run. But you feel so trapped. So paralyzed by him. Like a rabbit cornered against a wall by a vicious predator. His eyes. It’s his eyes. No, it's his touch. It’s… everything about him. 

You try to speak up, but your words escape you. Coming out in a pathetic whine that makes his grin widen and his laughter intensify. 

He’s reaching for you. His hand is coming towards your face. Your mind is telling you that if you let him get any closer you will die. He will kill you. And he won’t even care.

Your body is pumped with enough adrenaline for you to break free from the physical and psychological hold he had on you.

Pulling your hand away from under his foot, you push yourself backwards. Stumbling to stand up on your feet. You run out of the room and through the halls, not risking looking back at him. All you hear as you escape is his laughter on repeat. You can’t tell if his laughter is echoing through the halls, or if it has just been ingrained into your mind.

You keep running until you get back to the nurses quarters and to your room. 

Tears running down your cheeks, food staining your clothes, and pain throbbing in your hand. You collapse on the floor and cry.

Why would he be so cruel? You understand that he’s a patient and has a list of mental illnesses, but you were trying to help him! You can’t even remember what you were doing or why you were in his room. All you remember is him and how he made you feel. His stare. His voice. His touch. 

Fuck him and fuck this job.

Clambering over to your desk, you immediately start writing your resignation letter.

You don’t get paid enough for this shit. All you wanted to do is help people, and you get repaid with this? It’s just not worth it. Through your sobs, your tears fall onto the page as you hastily move your pen on the piece of parchment in front of you.

There. It’s done. You’re done.

You won’t have to see this place, see him, ever again once you submit this letter.

Looking around your desk, searching for an envelope. You come across a thick manilla folder. The tab on the side reads, Shabana, Gyutaro.

Something compels you to open it. You already skimmed through his information, but you never looked at everything here.

His psychiatric notes? From his psychiatrist? These shouldn’t be in here… you shouldn’t have access to this confidential information.

But if you’re leaving anyways… then there’s no harm. Right?

Shabana, Gyutaro - Dr. Hantengu

August 14

Childhood trauma starting since birth

Single mother, no father

Raised as a female. Mother would dress patient as a daughter. Would cover up his deformities with makeup. (Feelings of worthlessness, not belonging)

Sister born at age 6 (turning point in patient’s life)

Mother cast aside patient for sister. (When he learned he was actually a boy. Feeling of confusion. Child cannot comprehend)

Sexual abuse started at age 10

Mother was a prostitute, would offer children to adult clients.

 Patient record, “She would bring men into our house… and let them touch us. (long pause) They wanted my sister. They wanted to do bad things to her. So I… (patient gets upset) I would offer myself to them. I would perform sexual acts for them so they would leave Ume (sister) alone.”

Sexual abuse continued until age 15

Mother died of overdose. The children were left in the home for over a week until someone found them.

Children taken to orphanage. 

Patient held in orphanage for 8 months until incident.

Brought to Asylum at age 16

End of first session 

You are left speechless. 

Reading his records reminds you of why you wanted to be a nurse in the first place. To help people that have gone through trauma such as this. He didn’t lash out at you because of something you did. It’s not your fault. And it isn’t his either. He just needs help. 

And you will be the one to help him.