#u have opened. this isn't even Pandora's box this is fucking pandora's trunk

[kylejsugarman]

I hate to be the one to do this (blatant lie) but what do you think about Jesse’s physical health in El Camino and what sort of treatment do you believe he may need to recover physically? I think about how likely it is that he is experiencing chronic pain and illness, repercussions of what he’s been through, for the rest of his life and it hits me right in the heart.

(all the furniture flies into the walls) LIKE. ok i acknowledge that my fixation on this part of the narrative is motivated by me being in med school and having been obsessed with pathology and treatment since forever, but its also like this little part of me who wants to fill in every detail and realistically approach EVERY aspect of the story, even the ones that aren't necessarily important to the narrative. like it was way more important to show how jesse gets the money together to escape than what kind of electrolyte solution he needs DFGHDFGH

but yeah :( its hard because i know there's not really a place in the story for this physical recovery to take place, but he would absolutely need intravenous intervention for dehydration and severe malnutrition, especially in the context of electrolyte loss (i am making the horrifically realistic assumption here that he was subsisting on scraps at the compound). he specifically needs sodium and potassium, so he would need ringer's lactate IV fluid or 0.9% saline for initial hydration and so he could actually absorb the nutrients of anything he eats. then we have the matter of all those scars we see at the beginning of el camino and although most of the ones we see are keloided, there could definitely still be open or half-healed wounds and the ones that are "closed" are more likely than not infected due to him Living In A Hole and not having sufficient nutrition or time to rest given jesse was probably still cooking for them up until the very end. even if he wasn't in sepsis from untreated infection, he would at least probably need to go on antibiotics and have his wounds irrigated, disinfected, and properly closed/sutured. if u look at the physical state jesse would realistically be in at the very beginning of el camino, it's insane that he was able to drive away (adrenaline probably) and survive the night at skinny's.

as for the fucking. longer-term :( we know that jesse was physically tortured, not just at the compound but throughout the entirety of the show. based on what we see in the finale and el camino, he didn't have adequate safety gear at all when he was cooking for jack's gang, not even fucking gloves. again (digging my fingernails into tabletop) he was living in a Fucking Pit with exposure to the elements, disturbed sleep, and limited self-maintenance, which is a recipe for general illness and infection. we know that he at least survives long enough to make it to alaska, but it's going to basically be impossible for him to live there for longer than a couple of weeks without medical care. he's probably breathed in a LOT of hazardous vapors that might trigger adult asthma. his immune system is going to be absolutely destroyed. the neurological ramifications of the (many) head injuries he sustained are going to require some kind of intervention and might lead to problems with coordination and walking and memory, as well as migraines. even if his wounds heal correctly and any broken bones/muscle strains are resolved, he's going to experience chronic pain from the injury to his nerves, especially in his back and limbs from the mechanical and nerve stress of cooking while in shackles. he'll probably have more cardiovascular problems earlier in life too.

LIKE. this is so fucking long already oh my god, but its not even like a. idk, its not a torture porn thing for me, its just where my mind goes and how i think about this stuff. jesse is such an important character to me and i know its like a meme that he suffered more than christ and it would be ridiculous and cruel to want to see him suffer any more, but the idea of him actually receiving adequate medical care and having the physical ramifications of everything he's been through properly treated is just as important to me as like him getting the therapy and psychological help he would also desperately need after surviving this. its important to me.