antibiotic treatment

anonymous asked:

I just don't believe Sarah has real health problems. She supposedly had a sinus thing but it didn't keep her from flying to Greece for vacation. She says she can't personalize books but somehow she can sign hundreds of them for preorders and for all the people buying tickets to events? She's just not willing to meet with readers anymore, even for photos and stamping. I've been with her since the beginning and this hurts.

I’ve been wrestling with whether or not I should even publish/respond to this ask because I don’t generally endorse contributing to drama in our fandom. 

I may still delete this ask. 

But basically my thoughts are as follows:

1. If I had a sinus infection but got antibiotics or other treatment fuck if that would stop me from travelling. I had invasive surgery in 2016 and a few weeks later went to Europe for a week (I live in the US so that’s a far, stressful trip). If you truly love travelling, like Sarah very obviously does, sickness (esp something minor like sinus stuff that can generally be treated easily) won’t stop you unless your doctor forbids you from going (and even then… maybe not). 

2. I believe the point of not personalizing books is minimizing the pressure to her wrist. Like, she can sign a lot but adding personalized detail doubles or even triples the work on her wrist since that includes way more words than her signature. She likes to write a little sentence in addition to your name (it’s what she used to do) because she’s sweet and likes to talk to fans as long as she can. She even has her own book that fans can sign. 

3. Please respect that authors are people. I have extremely bad anxiety and depression and if I had to deal with that many fans, especially when writers don’t often get as popular as SJM, I would eventually burn out if I didn’t check myself.  I’m just saying that if Sarah isn’t meeting with fans as much maybe there’s a reason. Maybe she doesn’t live her life only for us (even though she loves us and says it all the time! Even though she appreciates us! That doesn’t mean she has to be there ALL THE TIME for all of the millions that buy her books! She’s a person with needs and she’s allowed to take breaks!). She has a marriage and a dog and more books to write and health problems to deal with. Even if it’s just sinus stuff and a sore wrist, health issues are stressful AF especially combined with any mental health issues or other issues. Anyway my point here is, Sarah isn’t just an author who loves her fans. She’s a person with a life that we don’t (and shouldn’t!) know everything about.

Thanks for reading and please know that I’m not saying OP is an awful person for being upset that SJM isn’t as interactive anymore. We’re all allowed to be upset and sad! We love her! But just please remember that she’s just a human being, like us. 

Aloe Vera (Mod MC)

OVERVIEW 

Aloe is a cactus-like plant that grows in hot, dry climates. In the United States, aloe is grown in Florida, Texas, and Arizona. Aloe produces two substances, gel and latex, which are used for medicines. Aloe gel is the clear, jelly-like substance found in the inner part of the aloe plant leaf. Aloe latex comes from just under the plant’s skin and is yellow in color. Some aloe products are made from the whole crushed leaf, so they contain both gel and latex. The aloe that is mentioned in the Bible is an unrelated fragrant wood used as incense. Aloe medications can be taken by mouth or applied to the skin. People take aloe gel by mouth for weight loss, diabetes, hepatitis, inflammatory bowel diseases, osteoarthritis, stomach ulcers, asthma, radiation-related skin sores, fever, itching and inflammation, and as a general tonic. A chemical in aloe called acemannan is taken by mouth for HIV/AIDS. Aloe extract is used for high cholesterol. Aloe latex is taken by mouth mainly as a laxative for constipation. It is also used for seizures, asthma, colds, bleeding, lack of a menstrual period, swelling of the colon (colitis), depression, diabetes, eye conditions that cause blindness (glaucoma), multiple sclerosis, hemorrhoids, varicose veins, joint inflammation, osteoarthritis, and vision problems. Fresh aloe leaves are taken by mouth for cancer. People apply aloe gel to the skin for acne, an inflammatory skin condition called lichen planus, inflammation in the mouth, burning mouth, radiation-induced skin damage, dental plaque, diaper rash, frostbite, gum disease, bedsores, scabies, dandruff, wound healing, hemorrhoids and pain after surgery to remove internal hemorrhoids, osteoarthritis, inflammation, and as an antiseptic. Aloe extract and aloe gel are also applied to the skin for genital herpes, scaly and itchy skin, burns, sunburns, and dry skin. Aloe extract is applied to the skin as an insect repellant. Aloe leaf juice is applied to the skin for anal fissures. A chemical in aloe called acemannan is applied to the skin for dry sockets in the mouth and canker sores. 

How does it work? 

The useful parts of aloe are the gel and latex. The gel is obtained from the cells in the center of the leaf; and the latex is obtained from the cells just beneath the leaf skin. Aloe gel might cause changes in the skin that might help diseases like psoriasis. Aloe seems to be able to speed wound healing by improving blood circulation through the area and preventing cell death around a wound. It also appears that aloe gel has properties that are harmful to certain types of bacteria and fungi. Aloe latex contains chemicals that work as a laxative. 

USES 

Possibly Effective for 

  • Acne. Research suggests that applying an aloe gel in the morning and evening, in addition to a prescription anti-acne medicine, improves acne by about 35% in both children and adults. 
  • Burns. Applying aloe gel to the skin seems to improve burn healing. Also applying cream that contains aloe to the skin twice daily appears to improve itching and reduce skin picking compared to applying corticosteroid medication in people with chemical burns. It is unclear if aloe reduces healing time compared to applying antibiotics. Some research shows that applying aloe cream reduces healing time and wound size compared to applying antibiotics in people with first or second degree burns. But other early research suggests that applying fresh aloe or aloe extract daily is not more effective than antibiotic treatments for reducing wounds or improving healing in people with first or second degree burns. 
  • Constipation. Taking aloe latex by mouth can reduce constipation and also cause diarrhea. 
  • Genital herpes. Evidence shows that applying an aloe extract 0.5% cream three times daily increases healing rates in men with genital herpes.
  •  Itchy rash on the skin or mouth (Lichen planus). Research shows that using a mouthwash containing aloe gel three times daily for 12 weeks or applying a gel containing aloe gel twice daily for 8 weeks can reduce pain associated with itchy rashes in the mouth. Other research shows that using a mouthwash containing aloe four times daily for one month or applying an aloe gel three times daily for 2 months reduces pain and increases healing similarly to the corticosteroid triamcinolone acetonide in people with itchy rashes in the mouth.
  •  A mouth condition called oral submucous fibrosis. Early research suggests that applying aloe gel (Sheetal lab Surat) on each side of the inner lining of the cheeks three times daily for 3 months improves burning, the ability to open the mouth, and cheek flexibility in people with a mouth condition called oral submucous fibrosis. Other research suggests that applying aloe gel twice daily for up to 6 months along with other treatments can reduce burning and improve movement of the mouth. 
  • Psoriasis. Applying a cream containing 0.5% aloe extract for 4 weeks seems to reduce the skin plaques. Also applying cream containing aloe gel seems to decrease the severity of psoriasis better than the corticosteroid triamcinolone. But using an aloe gel does not seem to improve other symptoms associated with psoriasis, including skin redness. 
  • Weight loss. Research suggests that taking a specific aloe product (Aloe QDM complex, Univera Inc., Seoul, South Korea) containing 147 mg of aloe gel twice daily for 8 weeks reduces body weight and fat mass in overweight or obese people with diabetes or prediabetes. 

Possibly Ineffective for 

  • Burning mouth syndrome. Applying aloe gel to sore areas on the tongue three times daily before wearing a tongue protector for 12 weeks does not appear to improve pain or reduce symptoms in people with burning mouth syndrome. 
  • HIV/AIDS. Early research suggests that taking 400 mg of a chemical that comes from aloe four times daily does not improve immune function in people with human immunodeficiency virus (HIV). Also, eating 30-40 mL of aloe gruel does not improve immune function in people with HIV compared to antiretroviral therapy.
  •  Skin damage caused by radiation treatment for cancer. Most research shows that applying aloe gel to the skin during and after radiation treatment does not reduce skin damage caused by the radiation, although it might delay the appearance of skin damage. Some early research suggests that applying a specific cream product (Radioskin 2, Herbalab di Perazza Massimiliano Company) to the skin two to three times daily at least 3 hours before and after radiation treatment from 15 days before the start of treatment until one month after, along with another specific cream product (Radioskin 1, Herbalab di Perazza Massimiliano Company), might improve skin hydration and reduce skin damage caused by radiation therapy in people with breast cancer. But it’s not clear if the effects of these creams are related to aloe or other ingredients in the creams. 

Insufficient Evidence for 

  • Dry socket (alveolar osteitis) . Research shows that applying a specific product (SaliCept patch) containing acemannan, a chemical from aloe, to the tooth socket of people with dry sockets after standard treatment, reduces pain and improves symptoms more than standard treatment alone. 
  • Anal fissures. Early research suggests that applying an aloe cream (Zarban Phyto-Pharmaceutical Co, Iran) three times daily for at least 3 weeks, along with sitz bath three times daily, using a laxative, and eating a full fiber diet, improves pain, wound healing, and bleeding in people with anal fissures. 
  • Cancer. Early research suggests that, when given with standard chemotherapy, three daily doses of a mixture containing fresh aloe leaves and honey dissolved in alcohol increases the number of patients with lung cancer who are able to heal completely, partially, or maintain control of their disease when compared to just chemotherapy alone. However, taking aloe does not seem to be linked with a lower risk of getting lung cancer.
  •  Canker sores. Early research suggests that using a wound dressing containing acemannan, a chemical that comes from aloe, shortens the amount of time needed for canker sores to heal. Also, applying a gel containing acemannan might reduce ulcer size in some patients. But using the corticosteroid triamcinolone acetonide seems to work better. Other research suggests that applying a gel containing aloe does not seem to increase the length of time between canker sores. 
  • Dental plaque. Some early research suggests that using a toothpaste containing aloe daily for 24 weeks reduces plaque. Other research evaluating a specific aloe-containing toothpaste (Forever Bright, Forever Living Products) found it to be comparable to a toothpaste that contains fluoride at reducing plaque. 
  • Diabetes. There is conflicting information about whether aloe can reduce blood sugar in people with diabetes. Some studies indicate that taking aloe gel by mouth can reduce blood sugar in people with type 2 diabetes. But another study did not show the same benefit. Also, other research suggests that taking a specific aloe gel product (Aloe QDM complex, Univera Inc., Seoul, South Korea) twice daily for 8 weeks does not affect blood sugar in patients with diabetes or prediabetes. 
  • Diaper rash. Early research suggests that applying a cream containing aloe gel and olive oil three times daily for 10 days reduces the severity of diaper rash in children younger than 3-years-old. 
  • Dry skin. Early research suggests that applying a cream containing aloe extract to the skin for 2 weeks increases the amount of water in the outermost later of the skin, but not on the inner layers. Other research suggests that wearing gloves coated in aloe improves symptoms of dry skin in women. However, it is not clear if the benefits were from the aloe or the gloves.
  •  Frostbite. When applied to the skin, aloe gel seems to help skin survive frostbite injury. 
  • Gum disease. Some research shows that using a specific aloe-containing toothpaste (Forever Bright, Forever Living Products) is comparable to a toothpaste that contains fluoride at reducing gingivitis. Other research suggests that using a toothpaste containing aloe daily for 24 weeks reduces gingivitis, but not as well as a toothpaste the contains the drug triclosan. 
  • Hepatitis. Early evidence suggests that taking aloe three times daily for 12 weeks reduces symptoms of hepatitis in people with liver fibrosis mainly caused by hepatitis B or C. High cholesterol and other blood fats (hyperlipidemia). Early research suggests that taking 10 mL or 20 mL of aloe extract by mouth daily for 12 weeks can reduce total cholesterol by about 15%, low-density lipoprotein (LDL) cholesterol by about 18%, and triglycerides by about 25% to 30% in people with hyperlipidemia. Insect repellent. Applying a product (Zanzarin, Engelhard Arzneimittel GmbH & Co. KG, Niederdorfelden, Germany) containing coconut oil, jojoba oil, and aloe to the feet twice daily for one week intervals seems to reduce the number of sand fleas in people with flea infestations. 
  • Inflammation in the mouth (oral mucositis). Some evidence suggests that using an aloe solution three times daily during radiation therapy lowers the risk of developing painful inflammations in the mouth. 
  • Bedsores. Some early research suggests that applying aloe gel does not improve the healing rate of bedsores compared to using gauze moistened with salt water. However, other research suggests that using a spray containing aloe does reduce the severity of sores compared to a salt water spray. 
  • Scabies. Early research suggests that aloe gel might reduce itching and wounds similar to benzyl benzoate lotion in people with scabies. Dandruff (seborrheic dermatitis). Early research suggests that applying aloe twice daily for 4-6 weeks improves dandruff.
  •  Inflammatory bowel disease (ulcerative colitis). Early research suggests that some people with mild to moderate ulcerative colitis who take aloe gel by mouth for 4 weeks have significantly reduced symptoms. 
  • Wound healing. There is conflicting information about whether aloe works to improve wound healing. Some research shows that applying an aloe gel product (Carrington Dermal Wound Gel) to surgical wounds might actually delay wound healing. Other research shows that applying a hydrogel containing the chemical in aloe called acemannan (Carrasyn, Carrington hydrogel) doesn’t affect wound healing. But other research suggests that applying an aloe cream (Zarband, Phytopharmaceutical Co., Iran) to hemorrhoid-related wounds improves wound healing and provides some pain relief. Also, applying aloe gel under a dry gauze to a caesarean wound seems to improve initial healing compared to applying dry gauze alone.
  •  Epilepsy. 
  • Asthma. 
  • Colds. 
  • Bleeding. 
  • Lack of a menstrual period. 
  • Depression.
  •  Glaucoma. 
  • Multiple sclerosis.
  • Varicose veins. 
  • Vision problems. 
  • Other conditions.

 More evidence is needed to rate aloe for these uses.

 SIDE EFFECTS 

Aloe gel is LIKELY SAFE when applied to the skin appropriately as a medicine or as a cosmetic. Aloe is POSSIBLY SAFE when taken by mouth appropriately, short-term. Aloe gel has been used safely in a dose of 15 mL daily for up to 42 days. Also, a solution containing 50% aloe gel has been safely used twice daily for 4 weeks. A specific gel complex (Aloe QDM complex Univera Inc., Seoul, South Korea) has been used safely at a dose of about 600 mg daily for up to 8 weeks. 

Taking aloe latex by mouth is POSSIBLY UNSAFE at any dose, but LIKELY UNSAFE when taken in high doses. Aloe latex can cause some side effects such as stomach pain and cramps. Long-term use of large amounts of aloe latex might cause diarrhea, kidney problems, blood in the urine, low potassium, muscle weakness, weight loss, and heart disturbances. Taking aloe latex 1 gram daily for several days can be fatal. There have been a few reports of liver problems in some people who have taken an aloe leaf extract; however, this is uncommon. It is thought to only occur in people who are extra sensitive (hypersensitive) to aloe. 

Special Precautions & Warnings: 

  • Pregnancy or breast-feeding: Aloe – either gel or latex – is POSSIBLY UNSAFE when taken by mouth. There is a report that aloe was associated with miscarriage. It could also be a risk for birth defects. Do not take aloe by mouth if you are pregnant or breast-feeding. 
  • Children: Aloe gel is POSSIBLY SAFE when applied to the skin appropriately. Aloe latex and aloe whole leaf extracts are POSSIBLY UNSAFE when taken by mouth in children. Children younger than 12 years-old might have stomach pain, cramps, and diarrhea. 
  • Diabetes: Some research suggests that aloe might lower blood sugar. If you take aloe by mouth and you have diabetes, monitor your blood sugar levels closely. 
  • Intestinal conditions such as Crohn’s disease, ulcerative colitis, or obstruction: Do not take aloe latex if you have any of these conditions. Aloe latex is a bowel irritant. Remember, products made from whole aloe leaves will contain some aloe latex. 
  • Hemorrhoids: Do not take aloe latex if you have hemorrhoids. It could make the condition worse. Remember, products made from whole aloe leaves will contain some aloe latex. 
  • Kidney problems: High doses of aloe latex have been linked to kidney failure and other serious conditions. 
  • Surgery: Aloe might affect blood sugar levels and could interfere with blood sugar control during and after surgery. Stop taking aloe at least 2 weeks before a scheduled surgery. 

INTERACTIONS 

Major Interaction: Do not take this combination 

  • Digoxin (Lanoxin) interacts with ALOE When taken by mouth aloe latex is a type of laxative called a stimulant laxative. Stimulant laxatives can decrease potassium levels in the body. Low potassium levels can increase the risk of side effects of digoxin (Lanoxin). 

Moderate Interaction: Be cautious with this combination

  • Medications for diabetes (Antidiabetes drugs) interacts with ALOE Aloe gel might decrease blood sugar. Diabetes medications are also used to lower blood sugar. Taking aloe gel along with diabetes medications might cause your blood sugar to go too low. Monitor your blood sugar closely. The dose of your diabetes medication might need to be changed. Some medications used for diabetes include glimepiride (Amaryl), glyburide (DiaBeta, Glynase PresTab, Micronase), insulin, pioglitazone (Actos), rosiglitazone (Avandia), chlorpropamide (Diabinese), glipizide (Glucotrol), tolbutamide (Orinase), and others. 
  • Medications taken by mouth (Oral drugs) interacts with ALOE When taken by mouth aloe latex is a laxative. Laxatives can decrease how much medicine your body absorbs. Taking aloe latex along with medications you take by mouth might decrease the effectiveness of your medication.
  •  Sevoflurane (Ultane) interacts with ALOE Aloe might decrease clotting of the blood. Sevoflurane is used as anesthesia during surgery. Sevoflurane also decreases clotting of the blood. Taking aloe before surgery might cause increased bleeding during the surgical procedure. Do not take aloe by mouth if you are having surgery within 2 weeks. 
  • Stimulant laxatives interacts with ALOE When taken orally aloe latex is a type of laxative called a stimulant laxative. Stimulant laxatives speed up the bowels. Taking aloe latex along with other stimulant laxatives could speed up the bowels too much and cause dehydration and low minerals in the body. Some stimulant laxatives include bisacodyl (Correctol, Dulcolax), cascara, castor oil (Purge), senna (Senokot), and others. Warfarin (Coumadin) interacts with ALOE When taken orally, aloe latex is a type of laxative called a stimulant laxative. Stimulant laxatives speed up the bowels and can cause diarrhea in some people. Diarrhea can increase the effects of warfarin and increase the risk of bleeding. If you take warfarin, do not to take excessive amounts of aloe latex. 
  • Water pills (Diuretic drugs) interacts with ALOE When taken by mouth aloe latex is a laxative. Some laxatives can decrease potassium in the body. “Water pills” can also decrease potassium in the body. Taking aloe latex along with “water pills” might decrease potassium in the body too much. Some “water pills” that can decrease potassium include chlorothiazide (Diuril), chlorthalidone (Thalitone), furosemide (Lasix), hydrochlorothiazide (HCTZ, HydroDIURIL, Microzide), and others.

 DOSING 

The following doses have been studied in scientific research: 

ADULTS BY MOUTH: For constipation: 100-200 mg of aloe or 50 mg of aloe extract taken in the evening has been used. Also, a 500 mg capsule containing aloe, starting at a dose of one capsule daily and increasing to three capsules daily as required, has been used. For weight loss: A specific aloe gel product (Aloe QDM complex, Univera Inc., Seoul, South Korea) containing 147 mg of aloe twice daily for 8 weeks has been used. 

APPLIED TO THE SKIN: 

  • For acne: A 50% aloe gel has been applied in the morning and evening after washing the face, along with a prescription called tretinoin gel in the evening. 
  • For burns: Aloe and olive oil cream, applied twice daily for 6 weeks, has been used. Also, aloe cream, applied twice daily after changing a wound dressing, or every three days until the burn heals, has been used. For herpes: A cream containing 0.5% aloe extract, applied three times daily for 5 consecutive days once or twice over a 2-week period, has been used. 
  • For itchy rash on the skin or mouth (Lichen planus): Aloe gel, applied two to three times daily for 8 weeks has been used. Two tablespoons of aloe mouthwash, swished for 2 minutes and then spit, four times daily for one month has been used. 
  • For a mouth condition called oral submucous fibrosis: 5 mg of an aloe gel (Sheetal lab Surat) applied on each side of the cheeks three times daily for 3 months has been used. 
  • For psoriasis: Aloe extract 0.5% cream applied three times daily for 4 weeks has been used. A cream containing aloe, applied twice daily for 8 weeks, has been used. 

CHILDREN APPLIED TO THE SKIN:

  •  For acne: A 50% aloe gel has been applied in the morning and evening after washing the face, along with a prescription called tretinoin gel in the evening. 
  • For a precancerous mouth condition called oral submucous fibrosis: 5 mg of an aloe gel (Sheetal lab Surat), applied on each side of the cheeks three times daily for 3 months, has been used. ~Mod MC
Insomnia

This was requested sometime back. I’m not too thrilled with it, but it wasn’t going to get much better than this. I had something else written, but decided to write about something I had personal experience with instead. Thank you all for your patience and for reading!

        The blaring horn sound of Shawn’s alarm echoed through the bus, letting me know that it was seven in the morning. I didn’t move, continuing to stare at the ceiling of the back room which I had been doing for the past two hours. I was exhausted, mentally and physically, yet sleep seemed content with skipping over me the last three nights. It was my first-time visiting Shawn on tour and from night one, it was a disaster.

           I had been sick before I’d even arrived. I had a cough that just wouldn’t go away and it peaked the second day I was here. Shawn took me to Urgent Care without hesitation as I was wheezing and could hardly breathe. After a chest x-ray, it was confirmed that I had a mild case of Walking Pneumonia. I was given a breathing treatment, steroids, antibiotics, an inhaler, and extremely potent cough syrup and sent on my way.

Keep reading

Fledgling dove! Saw the mama sitting in the middle of the road with it, so stopped to check on them. Baby was fine (no visible wounds, wings flapped easily, clear eyes, nice and plump, gripped with both feet) so I moved it out of the road and under a bush. Heard it calling for mom as I left, she’ll be back soon.

Annual reminder that any birds you find like this, I.e. feathered and on the ground with a parent nearby, is a fledgling. The process is dangerous, but they’re learning how to be birds. Doves look especially helpless during fledging, but they need to be left alone. If a bird isn’t in immediate danger (near a predator, in a road or other dangerous area, injured, badly underweight, or in any sort of contact with a cat) the best thing you can do is not touch it. I took the opportunity for a cute photo, but only while in the process of moving this bird about 10 feet to get it out of the road.

A naked, helpless baby bird should be put back in the nest, or kept indoors very temporarily until a new nest (any sort of basket, including plastic strawberry ones, lined with grass or shredded paper) can be made and put in a tree near where it was found. Easter baskets are good as they have handles.The parents should find it easily enough. 

An emaciated, unresponsive, injured, or cloudy-eyed bird, or any bird that a cat may have scratched, bitten, licked, or mouthed at all should be taken to a wildlife rehabilitator for treatment. Signs of injury include bleeding (beyond minor cuts), legs or wings that don’t work, and large, visible bruises along the featherless underside. Not having feathers under the wings is absolutely normal on fledgelings, as is looking scruffy and being unable to fly. 

And, again, if a cat has scratched a bird, even just slightly, or touched the bird with its mouth at all, or if you think it may have mouthed the bird, the bird needs to be taken to a wildlife rehabilitator for antibiotic treatment or it has a high chance of dying of sepsis. Cats have gram-negative bacteria on their saliva that is meant to kill prey animals like birds, and baby birds in particular have extremely thin skin. The bacteria can be dangerous even through intact skin. 

“Darth Flopsy” – for @brawlite because I also like the idea of Kylo Ren having a HUMUNGOUS BUNNY RABBIT


Kylo Ren and General Hux stand side by side in the Finalizer’s medbay, ignoring one another. 

A medical officer bustles in clutching a datapad. “Ah, sirs.”

Both men acknowledge the doctor. They still do not acknowledge each other.

“Let’s start with you, General, and miss Millicent.”

The cat is sleeping on a small high sided cot. There is a shaved patch at the base of her tail.

“How is she? When can she come home?”

“Miss Millicent is responding well to antibiotic treatment, and we have cleaned the wound. It needs to be kept clean and bacta cream applied every eight hours. If you can commit to that sir, then we can release her into your care.”

“Of course I can commit to that.” 

The cat stirs. “Oh, Millie, I was so worried when they kept you in overnight. Daddy’s here now and we’ll be going home, and I shall never let that nasty rabbit and that horrible man near you ever again.”

Hux turns round to face the suddenly worried medical officer. “Why are you keeping her next to this vile murderous creature? She’ll be traumatised.”

“Hey,” says a dark voice , in a tone of wounded pride. “Don’t slander my bunny rabbit.”

“Your bunny rabbit sunk its vicious poisonous teeth into my darling Millie!”

“Darth Flopsy was defending himself! She hit him! And he doesn’t have poisonous teeth.”

Darth. Flopsy? You call him Darth Flopsy?”

“I do. That’s his name. He’s a good bunny and your horrible little fleabag was intimidating him.”

“Fleabag? My Millie does NOT and has NEVER had fleas, I give her all the treatments and this is a VERMIN FREE SHIP.”

Ren pouts.

Hux carries on. “With the possible exception of YOU and the unsanctioned animals you bring on board. I should have you fumigated every time you step off that shuttle of yours.”

This is too much for Ren, who steps right into Hux’s personal space. “I should be very careful if I were you, and I should remember who I was talking to and what powers could be brought to bear…”

“Gentlemen? Sirs?” The medical officer’s interruption breaks the spell.

“I do apologise, Major. On behalf of Ren, also.”

“Now, Commander Ren, sir, if we could turn to your companion”

Ren leans over the other cot and makes kissy faces at the enormous rabbit occupying it.

“Darth Flopsy has sustained a few superficial wounds, just here on the face from the other animal’s front claws…”

“She’s a brave kitty” Hux says. “Aren’t you, Millie? Yes.”

“…and here on his belly from the back claws. He was quite lucky, as I understand a cat’s back paws can do quite a bit of damage.”

“Vicious cat,” Ren hisses.

“Brave kitty cat. Good kitty cat.”

“The stitches will dissolve in a couple of days time. Try not to let him scratch them.”

“I won’t.” Ren reaches in to the cot and strokes the rabbit’s ears. “Look at your face, Flopsy. Just like a real Sith Lord. Just like Grandfather.”

How to Treat Fin Rot

No pet owner ever wants to have a sick pet…

In the fall of 2012, my roommate and I had a sick betta fish on our hands. We had went away for a vacation and returned to find our boy, Ianto, in a rough state. Although it was scary, we managed to bring our boy back to his usual self with patience and care.

Unfortunately, it can often be difficult to find good information about how to treat sick bettas, so I’m making it my mission to do what I can to help make it easier for other betta owners to diagnose and treat their fish. 

Because we were able to successfully treat our sick betta, here is handy information about fin rot and what you can do to hopefully make your pet healthy again as well:

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Anti-Hero

#Egotober Day 6 - Sepsis


Chase Brody burst into the doctor’s surgery, startling Schneeplestein and Charlie as they worked on dissecting an eyeball. Jackieboy Man was draped over Chase’s shoulders, his legs limp and face flushed.

“Doc!” he panted. “It’s urgent - please, he needs your help…”

Dr Schneeplestein abandoned his dissection, chucking his bloodied gloves in the bin and gesturing for Chase to lay the hero on the operating table. Charlie scampered across the workbench and picked up a stethoscope, bringing it to the doctor. Schneeplestein thanked the rat as he bent over Jackieboy Man while Chase explained.

“He came back from saving some citizens three days ago, per usual. But he was really tired and complaining that his left eye hurt - his left, my right. Next morning his face was bright red, and yesterday he was breathing really quickly and kept having chills. Tonight he fell unconscious, just after dinner.”

“Charlie, did you get zat down?” asked the doctor. The rat nodded from Henrik’s computer where he was typing up the symptoms Chase listed. Schneeplestein unzipped Jackieboy Man’s suit and rolled down his sleeves. Chase gasped. Large patches of discoloured skin lined Jackieboy’s arms. Schneeplestein pressed a stethoscope to the hero’s stained chest and frowned.

“Charlie, heart rate higher than 90 beats per minute and temperature higher than 38 degrees Celcius. Begin a wound secretion test on his left eye, while I conduct a blood test.”

‘Already on it, doc.’ confirmed Charlie, passing Schneeplestein a needle and running up to Jackieboy’s face, examining the infection. The doctor took some blood from Jackieboy’s arm and placed it into a tube set in the workbench. He loaded up his computer and performed a blood pressure test while the computer loaded. Chase tapped his foot anxiously in the background, hoping against hope that the hero would make it. Finally, the results came up on the screen as the doctor finished checking Jackieboy’s blood pressure. Charlie scurried over to look and Schneeplestein read aloud for Chase to hear.

“Signs of clotting, decreased amounts of oxygen, imbalance of electrolytes. Confirmed case of septicemia, or sepsis. Charlie, treatments?”

Antibiotics via IV, painkillers, insulin to stabilise blood sugar, corticosteroids to reduce inflammation and vasoactive medications.’ the rat reeled off, hurrying to find some insulin.

The doctor addressed Chase, taking some painkillers off a shelf. “It’d be best if you vould leave now.”

“Will he be OK?” asked Chase as he opened the door.

The doctor smiled. “You did all you could, and I am very grateful for zat. But I need to focus on zis, and you should get some rest and let ze ozzers know vhere I am, and vhat has happened to Jackieboy.”

Chase nodded and left, closing the door behind him.

“Right!” exclaimed Schneeplestein, snapping on a new pair of gloves. “To vork.” 


It was early - almost 2am - and the doctor was slumped against his desk, knocked out like his patient. Charlie was curled up next to Schneeplestein, snoozing, his tail twitching every now and then. Jackieboy Man still lay on the operating table, his condition slightly more stable. But he still wan’t in the clear, not yet.

This was the scene that met Anti’s eyes when he entered the room.

He stared at the doctor and his rat, then at Jackieboy Man. He read the diagnosis on the computer, the prescribed treatments and visible symptoms. He sighed.

“Yo̡u us҉ed your laser v̶i̕s͜i͜o҉n ̨too much, ̵ḑidn’t ya?̶”

Anti walked over to the hero and looked at him for a while, deep in sleep, unconscious and unaware as the demon glitched away. He didn’t feel his skin slowly become less inflamed, his heart rate and temperature lower to much healthier levels, his blood pressure rise slightly. He couldn’t possibly know his blood was unclotting, being filled with more oxygen and electrolytes. 

Anti finally exited his body, his work done, and left the room. The hero would wake up the next morning and be well again, as if it was just a glitch in his system that didn’t last.


@martinplier

@katniss-the-dragon-101

@archivefullofyoutubers

@ego-protection-squad

@ego-surveillance-squad

@daggerkid

Bacteriophages: Antibiotic Alternative or Just a Phase?

It is now clear that we are rapidly approaching a post-antibiotic era, and the need for an alternative is more vital than ever. The CDC estimates that approximately 2 million people are infected with antibiotic resistant bacteria each year, and of that 23 000 of them die as a result of the infection [1]. Our antibiotic pipeline is drying up and the development of new antibiotics is both slow and expensive, making antibiotics unappealing investments for pharmaceutical companies. Although alternatives to antibiotics are far from the market, the field is slowly expanding. Amongst the alternatives, bacteriophages (phages) are a potential candidate for both diagnostic and therapeutic medicine.

Quite simply, phages are viruses that infect bacteria. These are the most abundant biological entity on the planet and are thought to outnumber bacteria 10:1. Their sheer abundance has led to a vast diversity that has yet to be exploited by modern medicine. This is in part due to a number of problems with phages that haven’t made them ideal candidates for therapy. This article seeks to look at some of the problems with phages, and what steps are being taken to improve them for application in humans.

Rapid clearance from the host:

Delivery systems for phages have not been thoroughly assessed for systemic phage application. In other words we are still lacking a way of delivering a bacteriophage drug intravenously to ensure that phages have the maximal effect on the patient. Annoyingly, our immune systems are great at rapidly inactivating and removing them from our bodies [2], with animal studies showing that phage can be completely cleared within 24 hours [3]. Early work carried out in germ-free mice in the 70s showed that phages are passively collected in the mononuclear phagocyte system (MPS), where they remain viable until inactivated by immune cells [3].

There have been two solutions developed so far to amend this problem [2]. The first was developed in the late 90s by the National Institute of Health in the US, which involved the serial passage of phage through a living organism. It was hypothesised that some phage would have mutations in their coat proteins that would give them increased protection from the natural filtration systems in the body over wild type phage [3] and by selecting for these phage, you could gradually produce a population of long-circulating phage. When applied, these phage would have longer circulation times, and therefore a greater chance of colliding with their target bacteria. Animal studies have shown far better recovery of animals given long-circulating strains of virus over wild type, when presenting symptoms of otherwise fatal bacteraemia [4].

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Figure 1. Diagram showing a few of the possible receptors for Salmonella sp. phage [5]

Additionally, to prevent degradation or inactivation of phages, polymers can be added to the coatings of phages [1]. The polymer polyethylene glycol (PEG) has been shown to increase systematic circulation and decrease T-helper cell activation in response to phage. It is likely that a combination of these two methods may improve delivery strategies in the future of phage therapeutics.

Altering host range and preventing resistance:

Unlike antibiotics, phages have incredibly refined, narrow host-ranges. This property is in reality a double edged sword: in many cases, phages are only able to target a few strains of a single species, whereas antibiotics relentlessly target multiple branches of the bacterial phylogenetic tree. Antibiotic treatment can lead to disruption of the host’s own microbiota which can permit the colonisation of nastier and less cooperative microorganisms.

In contrast, phages can target their host whilst leaving the surrounding organisms in relative peace. When a patient presents symptoms of infection, the particular species or strain causing the infection would be unknown. Identifying the culprit before selecting the right phage would take time a patient may not have.

Receptors on the bacterial cell surface are what determine which phage are able to bind to the cell. A wide variety of receptors are used by phage, but many still remain a mystery. To curtail these issues and ensure that as many receptors can be targeted for a particular bacterium, phage cocktails are used [6]. These are mixtures containing a number of different phage strains. In theory, the cocktail should be designed so that the phages together should be able to target all the known clinically relevant strains of a particular species of bacteria.

Creating phage cocktails from natural sources can be laborious [7], however viral DNA provides a platform for genetically engineering phages with desired properties. Improving phage cocktails with modified phages expressing structures that could target a wide variety of receptors on a bacterial cell could ensure that a cocktail could target the maximum number of strains, whilst reducing the selection pressure on a sole receptor. Resistance to the phage cocktail would then also be avoided.

Much of this work looks at genetically engineering phage tail fibres [7, 8]. These ‘spider-leg’ like components regulate the initial binding step between a phage and a target cell. It has been shown by Mahichi et al, 2009 and Ando et al, 2015 that switching tail fibres between phages with different host ranges can confer host-range specificity from one phage to another. Hopefully, modular engineering of phages will push phage technology forwards, offering new strategies for developing phages for therapeutic purposes.

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Figure 2. Diagram showing how the modular shuffling of tail fibres between viral strains can confer host range of parental strain [7].

Preventing the release of cellular toxins

A major health risk of phage, is that like β-lactam antibiotics, they interfere with the bacterial cell wall integrity and ultimately lead to cell lysis. Lysing cells prevents further replication, but also releases all the cell’s content. This may include but not be limited to superantigens and lipopolysaccharides (LPS) [2]. These toxins will trigger the inflammatory response, and in extreme cases cause organ failure and death.

Phages have a simple dual-lysis system consisting of a holin and endolysin. The holin is a pore-forming membrane protein that creates an exit from the cytoplasm for the endolysin. The endolysin is then able to attack the peptidoglycan of the bacterial cell wall, resulting in its rupture. To generate phage incapable of lysing a cell, the dual lysis system simply needs to be inactivated.

To restore killing power to the phage in the absense of the dual lysis system, a bacterial toxin needs to be incorporated into the phage genome. Hagens et al, 2004 has shown that by engineering the filamentous phage M13 to encode a non-native restriction enzyme, antimicrobial activity can be restored through the generation of double stranded breaks in chromosomal DNA. Upon infecting Psuedomonas aeruginosa with this phage, there was a 99% drop in viable cell counts over the time course [9]. Other research has looked into other uses for the non-lytic killing of bacteria, including proteins that interfere with regulatory systems and other bacterial toxins.

Conclusions:

Phage therapy has shown promise in recent years as being a good candidate for either working in synergy with or replacing antibiotics. The appalling lack of human based clinical trials haven’t helped to expose their potential for human use. Although this is the case, a significant amount of work has been done on improving phage therapy in preparation for further studies with human application. The past 15 years have seen an improved outcome for this technology as obstacles with phages are gradually manoeuvred by intelligent reengineering. With hindsight we have now acquired through our experiences with antibiotics, hopefully we will not make the same mistakes with phages as we have done with antibiotics.

1. CDC (2013) Antibiotic resistance threats. US Dep Heal Hum Serv 22–50

2. Lu TK, Koeris MS (2011) The next generation of bacteriophage therapy. Curr Opin Microbiol 14:524–531

3. Carlton RM (1999) Phage therapy: past history and future prospects. Arch Immunol Ther Exp (Warsz) 47:267–274

4. Merril CR, Biswas B, Carlton R, Jensen NC, Creed GJ, Zullo S, Adhya S (1996) Long-circulating bacteriophage as antibacterial agents. Proc Natl Acad Sci U S A 93:3188–3192

5. Chaturongakul S, Ounjai P (2014) Phage host interplay: examples from tailed phages and Gram-negative bacterial pathogens. Front Microbiol 5:1–8

6. Moradpour Z, Ghasemian A (2011) Modified phages: Novel antimicrobial agents to combat infectious diseases. Biotechnol Adv 29:732–738

7. Ando H, Lemire S, Pires DP, Lu TK (2015) Engineering Modular Viral Scaffolds for Targeted Bacterial Population Editing. Cell Syst 1:187–196

8. Mahichi F, Synnott AJ, Yamamichi K, Osada T, Tanji Y (2009) Site-specific recombination of T2 phage using IP008 long tail fiber genes provides a targeted method for expanding host range while retaining lytic activity. FEMS Microbiol Lett 295:211–217

9. Hagens S, Habel A, Ahsen U Von, Gabain A Von (2004) Therapy of Experimental Pseudomonas Infections with a Nonreplicating Genetically Modified Phage Therapy of Experimental Pseudomonas Infections with a Nonreplicating Genetically Modified Phage. Antimicrob Agents Chemother 46:3817–3822

How to Treat Swim Bladder Problems

Is your pet fish swimming oddly these days?

When you have a sick betta fish on your hands, it is never a good feeling, and especially since few people readily know how to diagnose or treat fish illnesses. 

I have experienced swim bladder problems myself with bettas and have done treatment and plenty of research on the topic. So, to help you out if your fish is swimming oddly, the following is what you need to know about swim bladder problems and possible treatments:

(Thank you, betta-adventures, for providing pictures of the female betta used in this article.)

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Sick: Chanyeol scenario

A/N: Hey everyone! I want to say a few things about this one shot before I post it. First and foremost I wanted to tell you that this actually happened to me.. I got sick this exact way and this one hits home big time for me so bear with me because its also a really long fic, like over 2k words. So pull up a chair, grab a snack and I sincerely hope you enjoy this. Love you guys! -admin A


“Someone just come kill me please” I whine, cuddling into the covers. I’ve been sick for the past week and I feel like complete death.

I’ve been to the hospital twice now and they can’t figure out why my temperature has been out of control and why I don’t feel like eating anything. I can’t keep down that I eat anyway, so there’s really no point in trying.

The only reason I have even eaten anything all week is because Chanyeol makes sure of it. I love him, but he worries about me too much sometimes. He’s been working so hard and the last thing I need is for him to stress himself out any more trying to take care of me.

Today was the worst of it and I couldn’t get out of bed if I wanted to. I was so weak that if I wanted to go to the bathroom or do anything for myself I had to crawl.

I reach for the thermometer at my bedside and check my temp. 104.7F, the highest it’s been all week. I lay back down but it feels like a brick is sitting on my chest. I’m absolutely miserable, but I muster up the energy to sit upright, only to start coughing profusely.

I cough so hard that my eyes water and I can barely breathe. I try to stand to go to the bathroom and my knees go weak, but I catch myself in time to get back onto the bed and I do the only thing I can think of. I call Chanyeol.

I know he’s at work and I don’t want to worry him, but I also need to tell him. His phone rings a few times and I leave him a voicemail telling him what’s going on and ask him to call me back.

He calls me back almost immediately. Just hearing his voice makes me feel a little bit better, but I know that I can’t take care of myself with how I’m currently feeling.

I tell him everything that’s going on and tell him that I think it’s a good idea that I go to the hospital to get checked out. He agrees and I hear rustling from the other end of the phone.

“Baby? What’s going on?” I inquire. After about a minute, he replies.

“Sorry I was talking to my manager. Since I’m done with my part of the photoshoot they’re going to let me leave so I can take you to the hospital. I’ll be home in twenty. I love you.”

“I love you too. See you when you get here.” I hang up the phone and try to look presentable to no avail. I can’t even get out of bed let alone dress myself, so I lay in bed until he arrives. He finally gets here after what feels like ages and walks into the bedroom to see me in my pitiful state.

“Jesus babe you weren’t kidding.” He says as my body goes into another coughing spell. Once I finally stop coughing I tell him about the fever and how weak I am. He puts one of his masks on and helps me out of bed. He walks me to the bathroom, helps me get dressed and takes me to the hospital.

Keep reading

3

This tiny little vole was brought into us recently after being attacked by a cat. It was given a full examination by our veterinary team but was luckily uninjured and very feisty!

It was give a course of antibiotics to combat the infection risk from a  cat attack and will hopefully be back to the wild very soon!

Tail Biting and Fin Rot

One of the things that people consistently ask me about is how to tell the difference between tail biting and fin rot. Unfortunately, it can be a bit tricky to tell the difference if it’s your first time dealing with the problem – and it can be tricky to tell even when you’re experienced, too!

Since we’ve experienced both cases with late bettas, here is a basic look at tail biting and fin rot:

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Another fox cub arrives at the centre!

This young red fox was brought into us by the RSPCA after an attempted reunion failed. He was very flat, dehydrated and had a nasty cough and an injury to his left ear. 

Our vet team set to work and, after cleaning the wound and, after confirming a heavy worm infection, gave him painkillers, antibiotics and worming treatment. He was placed on a course of daily nebuliser treatment (a process in which medication is vaporised to be inhaled) and has quickly improved!

He is now much more lively, though still has the remains of his cough and is struggling to eat by himself. We are keeping a close eye on him and will do our very best to ensure he gets back to the wild once again :)

Please like and share!

If you want to help patients like this cub, please consider donating him a meal by texting WILD5 to 70300 and donating £5. Every pound goes towards giving animals like him a second chance at life.

anonymous asked:

I just recently started on T (gonna be three months) and I was wondering if you or anyone had come across good acne products? I've struggled with acne for months now and it's only gotten worse since the start of HRT, so I'm just wondering if anyone had found something that works for them (I've tried several products and haven't found one that seems to work)

I have heard people recommend african black soap which might be worth a try if you havent already. Tea tree oil can help. Seen it recommended to use products containing salicylic acid. It can depend on the severity of it. For cases of mild to moderate then topical treatments not requiring a prescription are more likely to be effective. Cases that are severe are less likely to respond to it and generally require medical treatment.  I have the same problem, though existed before T, unfortunately not found anything to help so cant personally recommend anything, am seeing a dermatologist. Tried loads of different products, multiple different antibiotics and medical treatments, nothing has helped. What works for one person wont necessarily for another so it can often be difficult to find something that will work for you. There are of course hundreds of different products, many of them quite similar, so its not possible to try all of them. If you havent tried them already, maybe try face/body wash containing salicylic acid and african black soap sounds like something worth trying as well. Been meaning to try it myself but not got to buying any yet

Here is another Hudson’s link about acne

Followers have any recommendations?

Everything I Need

Originally posted by hryhoney

The waste bin at the side of your bed is now filled to the top with tissues, electing a sigh from your body. You had just emptied it an hour ago, but Harry’s incessant sneezing and coughing caused the bin to line the top in record time for him. 

“Baby,” He groans, a hand practically taped to his stomach as he called out for you. “come ‘ere, I need you.”

You stride over to his side but only to collect the rubbish, standing to frown at his sick body.

“I’ve got to empty this out and call the doctors after you’ve had your tea first, my love.”

Harry pouts, shaking his head.

“I want you ‘ere, cuddlin’ with me. I think it’s the best way for me to get better.”

Your eyes roll whilst you begin to walk out of the room, “There’s nothing a bit of medicine can’t help as well.”

The tea is scalding hot as it steeps in the mug. You find yourself rummaging through random paperwork till the number of you and Harry’s usual doctor’s office is located. He is hardly ever sick, let alone an illness attacking him whilst he is at home with you. For a while, you were beginning to think the man was invincible. But until last night when he spilled his guts out into the toilet bathroom, your heart went out for your favourite human, hating to have him suffer through.

“Hi, yeah, I’d like to schedule an appointment with Dr. Hansen for my husband, Harry, he’s been complaining about his throat…”

-

“Careful darling, it’s still really hot.” You inform Harry, who gingerly takes the mug into his own hands. He blows over it a few times before taking a miniscule sip, deciding to let it wait a bit longer.

“Mm…” He hums, the simple herbal tea soothing him slowly.

“Come lie here with me.” He pats the spot next to him, your space usually. You give him one look of authority before giving in. He hums again as the bed dips for you, tugging you closer to his body. You risk a possible infection but soon melt into him as you always would.

Harry moves to kiss the top of your head, “I’m feelin’ better already.”

You chortle, “We have an appointment at 11:30 with the doctor.”

“What time is it now?” He grunts, throat already extremely dry. You urge him to drink more time before replying.

“9:45, ish. You’ve got a bit of time to nap some more before I’ll wake you.”

His lips curve downwards as he questions, “You’re not going to stay ‘ere with me?”

“I would love to,” You start, going over to peck his cheek before getting up, “but we both know I can’t get sick, my love. And you need something else in your stomach besides tea. I’m going to make you soup.”

You begin your walk to the kitchen when he calls out for you. The whine in his voice causes you to chuckle, silly man.

“I’ll be back in a few moments, H.” You tell him commandingly before heading off to the kitchen with your phone in hand.

“Hi Anne, did I wake you? I’m so sorry if I did.” 

Anne only chuckles on the other side and you can picture the smile on her face from hearing from you.

“You didn’t, sweetheart. I get up early nowadays to care for the little zoo we have going on in our backyard. Have you seen the photos in the group chat?”

You laugh, “I did, and they’re adorable. I’d love to come and see them with Harry soon.”

“Oh please do! It’s been so long since you guys have visited, we miss you! How’ve you guys been?”

“Not so well lately.” You frown, “Harry’s caught some sort of bug or something. I think it might just be a sore throat because he tells me it hurts and he’s got a fever so I scheduled an appointment today.”

“Aw,” You can practically see her frowning as well, “how long has he been complaining about it?”

“Today’s the third day, last night he threw up so I decided then.” You tell her, well-aware of how matronly you are sounding. “I didn’t know how clingy he gets when he’s sick, jeez.” 

Anne laughs on the other end, “Yeah, he’s always been like that, ever since he was a child. He’d always want me to be with him, and I’d always tell him I’d get sick but he’d only shake his head and say, “If you get sick, mum, then I’ll be the one to take care of you”, he was so sweet.”

“God, I love that.” Your eyes sparkle at the sight, a wave of love for Harry coursing through you.

“And as God would have it, I did get sick one time, and Harry kept on his word and took care of me!”

You giggle through the phone with her at the silly boy you both love.

“That’s so sweet of him, I can see it now. Anyways, I called to ask about that soup recipe you say he loved whenever he was sick? I’ve lost the paper telling me how to make it.” 

“Oh!” Anne then goes to ramble off instructions and ingredients. You whirl around the kitchen, finding yourself fortunate to have all of the needed things. The soup was relatively simple but equally as flavourful and useful to a sick Harry.

-

It’s a little past 10:30am when you finish cooking. The soup simmers warmly on top of the stove, waiting to be served. You smile to yourself, shutting the gas off before pouring some into the bowl.

You tip-toe into the bedroom in case Harry’s fallen asleep. To your surprise, he’s not fallen asleep, but drifted into space with his thoughts. His eyes are fixed to the corner of the room, seeming to study the miscellaneous things you two have scattered in your room.

It takes a the scrape of your knuckles against the door for him to be knocked out of the stare and pulled away from whatever he was thinking of.

“You were gone for a while…” He speaks. You notice the raspiness of his voice and wonder if it’s just because it’s still morning or of his sickness. Though whatever it is, the accent you adore can’t be more present.

“Your mum taught me how to make your favourite soup. I have it here if you’d like.” You smile and he replicates your face.

“You didn’t sleep though?” 

He shakes his head, “I was thinking of a new song, actually. Could you hand me my journal, love?”

His hands soon become filled with the leather-bound book, fingers flying to write the lyrics that were occupying his mind. You bite your lip, admiring the scrunch of his face as he concentrated on remember. 

This is Harry in his element. This is Harry doing exactly what he’s meant to do. This is Harry, the man you’ve fallen so deeply in love with because he’s decided to do what makes him happy. 

“You’re staring.” Harry notes, taking another moment before looking to you. 

You blush, “I’m your wife. I have a free pass to stare all I want, thank you very much.”

He rolls his eyes but you add on, “Don’t act like you haven’t taken your glance at me as well.”

“I’m your husband, I can admire you all I’d like, thank you very much.”

This time your eyes reach the back of your head before you move to hand him his soup. Harry sets his journal aside and takes the bowl in his hands.

“Hm…” He sniffs the concoction, eyelids shutting to take in the aroma. 

“Just like home.”

You grin as he happily takes in the prepared food. Flopping down on your side of the bed, you feel the smooth material of his book in your hands. Papers stick out and though it seems just a bit used, you hold a love for the journal since it means so much to your husband.

From what you are able to peek at, his handwriting varies from neat to rushed, depending on how fast his ideas were sprinting through his mind. Ink smears and small doodles pop out. Harry catches your interest in his writing and temporarily puts his food away. 

“D’ya want to see what I wrote?” You nod eagerly. Though you two had practically no secrets in between, you kept out of his writing to give him the space he needs.

I wanna write you a song
One as beautiful as you are sweet
With just a hint of pain
For the feeling that I get when you are gone
I wanna write you a song

Harry watches intently as your eyes light up even further.

“This is really nice, H.” You whisper, rereading the lines again. “What’s this about, though?”

He gestures to you, scooting even closer.

“It’s the truth, really, about how I feel whenever we’re separated because I have to go on tour or whatever.” He says the last bit dreadfully. 

“It’s sort of like a thank you song for putting up with me whenever I’m like this. Or in general, really.” 

You chuckle, “C’mon Haz, I know you love being babied when you’re sick, I understand.” 

He only groans, burying his head into your neck. 

“I love taking care of you, you’ve always taken care of me even if it was physical. Besides, gives me extra time with you before you go back to the studio and gets me out of work for a bit.”

His warmth radiates off to you and you’re forced to hold yourself back from a kiss.

“I don’t understand how you’re able to write so wonderfully even when you’re sick.”

“It’s cause I love you.” Harry utters gently, meeting your eyes with sincerity. 

You smile, “I love you more, darling.”

-

The waiting room of the doctor’s office is filled with all sorts of people; those probably sicker than Harry, looking miserable and absolutely freezing in their place, those who are just around for their physical as they look like they could do anything and those who rocked the in between status.

Though everyone stares at you and Harry with curiosity as he clings to your body for warmth. You assume that they’re only looking because of what Harry does for a living, but in truth they’re just wishing they could have a relationship like yours with him. But you don’t know that, and neither does he.

“Harry Styles?” All the heads snap towards him as he readies to follow the nurse.

“Would you like me to come with you?” He rolls his eyes as if you’ve just asked a stupid question, which you have.

“It’s necessary.” 

You simply laugh, standing on your feet to move towards the exam room. The nurse points out that Harry shouldn’t be holding on to you so much if he’s contagious, but he tries to explain to her that he requires you to be with him for warmth. She then attempts to argue but loosens up as she sees there’s no point in arguing; you two are going to stand-cuddle no matter what.

Minutes later after an exam with Dr. Hansen, she decides that your boyfriend bears a bacterial infection and is prescribed antibiotics as treatment but will have a blood test done on him as well.

“I might have mono?!” Harry’s eyes bulge out in disbelief. 

You speak softly, “I-If he has it then… then there’s a chance that I’ve got it as-as well…”

“It probably isn’t since I assume you two only swap saliva with each other and since she hasn’t got any symptoms for it, but we like to check just to be safe.”

“Baby, I swear I didn’t even drink from the same cup as anyone-”

“I know, H.” You sigh. But apparently Harry’s sore throat, fatigue and fever are consistent with mono. 

“I’d um… I’d refrain from any sort of actions that would swap bodily fluids from either of you until the results come back.” She informs you both reluctantly. Harry’s mouth becomes ajar, no kissing? He can’t even go several hours without kissing you, let alone days. 

-

“Fuck.” Harry mutters once in the car. He is not only shivering as the fever medicine wore off but is also agitated about not being able to kiss you for the possibility of having mono.

“I’m pretty sure you don’t have it, Haz. They just want to be sure.”

He lets out a frustrated breath, crossing his arms whilst tightening the jacket around him. London is fairly warm but he’s feeling nowhere near that.

“I haven’t even shared a drink with anyone in weeks and now I can’t kiss you!”

You chuckle, “I can’t have kissed you anyways since you’re sick.”

“Yeah but, now we’ll have to wait days before I can sneak one in, love!” He pouts like a child and you laugh even harder.

“I think someone needs a nap because they’re quite cranky.” You refer to the usual afternoon nap he usual took, now being needed even more due to his illness.

“If I nap, you’re going under the sheets with me.”

“Harry!” You roll your eyes once nearing the house, “You’ll be even more tempted to kiss me.”

“Yeah, but you know I can’t fall asleep anymore without you, darling. At least not comfortably.” You glance at him, to find his eyelashes being batted at you with his bottom lip showcasing itself.

“Fine, fine, my little spoon.” 

-

Harry falls asleep shortly after you’ve lied down with him, mumbling something along the lines of “that’s more like it…” before muttering gibberish and drifting off. You have yet to join him in dreaming, and so you decide to fill your time with re-reading earlier’s lyrics.

His journal is wide open in front of you, flipped to the page you were hoping to see. You don’t mean to intrude on him, but he seems to have added a few more lines to the song.

Ooh, everything I need I get from you
Ooh, givin’ back is all I wanna do

A smile creeps onto your face, it really is a “thank you” just for being his wife. You look to your sleeping angel with amusement. He’s never not been the most beautiful man you know, with his clever words and talent beyond a level you can comprehend. His heart is made of gold but he’ll hide the jewels and show you modesty out of the respect he carries for everyone. 

“God, I love you.” You whisper, eyes locked on him. He stirs slightly and you quiet yourself from not wanting to wake him. 

You then find yourself gazing at the wedding ring he so lovingly placed on your finger to symbolise it all. It gleams in the sunlight streaming through and your own heart swells with love for the man you find utterly perfect.

His chest rises and falls gently. You put the journal away and sling an arm around his warm body, deciding to join him in his sleep.

-

Two hours later, Harry wakes to your side of the bed being empty.

The faint nose of the living room TV enters his ears and he chuckles to himself, “Probably watching House.”

And as he stumbles into the the living room with a blanket around his body, his prediction is correct. There you sit with your laptop with your work loaded, an old episode of House M.D. from Netflix playing as background noise.

“You left..” He fake pouts. 

“You’re awake.” You grin, shutting your laptop before meeting his eyes. He nods, laying his body down in the spot next to yours.

“I’m sorry, I just didn’t want to get too behind on work.”

“House isn’t a show you just put on an ignore, you have to watch the whole thing through.”

You roll your eyes, “I know, I’ve seen the series top to bottom and thoroughly if I might add. I was just in the mood for it since we were at the doctor’s.”

“It’d be kind of cool if I had one of those, puzzle type cases.”

You then gape at his words, “No it wouldn’t! Those are almost impossible to solve and Hugh Laurie only does it because a piece of paper told him the right answer.”

He laughs, “Calm down, my love, only joking.” 

“You better be.” You shut your laptop and place it elsewhere before snuggling up next to him.

“I can’t even stand you having a sore throat, let alone something your regular doctor can’t figure out.”

You shift your body so that your face is up in front of his, lips just a push away from touching.

“What’re you doing, baby? Doctor said we shouldn’t kiss…” You shake your head at his words. The tables have turned completely when it comes to following the rules. 

“I’ve decided that I’d rather be sick with you than go forever without kissing you. Life’s too short not to kiss you.”

-

Weeks later, you find yourself bent over in front of the toilet, clutching your stomach in agony.

“Love? Are you alright in there? I’m comin’ in.” Harry suddenly enters the bathroom much to your protest, going over to ignore the smell and hold your hair back.

You shrug, flushing the toilet before going over to brush your teeth. Harry remains on the floor, puzzled.

“Maybe I just ate somethin’ bad, don’t worry about it, Haz.” You reassure him.

“Maybe we shouldn’t have ignored the doctor when they said not to kiss when I was sick.” He rolls his eyes and you sigh.

“They called and said you don’t have mono, they even said your blood work was perfect! Besides, even if I did catch it from you, I would’ve gotten sick a long time ago.”

Your husband lets out a sharp breath before following you back into the bedroom. Your stomach still feels a bit uneasy but you try not to let it show as you rub it gently. 

“I think I’m going to call Dr. Hansen, because if you had anything that I had, it feels like utter hell and I don’t want you-”

“Harry!” You cut him off, “I’m fine. I don’t have a sore throat or even a fever. Here, feel my forehead.” His warm hand goes to the spot before looking at you suspiciously.

“If there’s anythin’, darling, tell me right away.”

“Alright!” You laugh, “Now go! You’re going to be late for those meetings with management. 

His eyes only roll again, “Please, let me.”

-

Holy. Fucking. Shit.

You’re in complete awe and shock whilst standing in the bathroom, unable to trust your eyes. 

Of course, there has to be a reason behind your sudden illness earlier this morning. It wasn’t from you catching Harry’s sore throat and it definitely wasn’t from him sharing mono.

“Oh my god.” You whisper, tears beginning to pool in your eyes.

Three little sticks on top of the sink bring back the thoughts you had once pushed off and explain all that you’ve been feeling besides morning sickness. Three little sticks telling you that your dreams with Harry are now going to come true. 

Three little sticks stare back at you excitedly, confirming all you’ve ever wanted with Harry as they read;

Pregnant.


Oops, lol. Got inspired to write this after listening to sick Harry talk so that’s why I haven’t been posting anything else honestly. Well that and I’ve only been watching Skins, fuck I’m in too deep. I’m also still thinking about the other things I promised to write, don’t worry.

If you ever need a friend (as I know I do most of the time), message me. I’m always here. I’m never going to be able to comprehend how fucked up the world we have to live in is because of all the indirect hate that flows around.

Love to you if you’re reading this, 

Iz xx

2

This beautiful (and slightly plump) bird is an adult quail, and it was brought into the centre recently after being attacked by a dog.
Luckily, it was not badly injured and escaped with just a scratch and a few feathers missing from its back. It was given antibiotics and painkillers and put on constant watch by our vet team. It quickly went from strength to strength and was recently moved from our ICU into its own outdoor aviary for a bit more space!

Confronting the ICU beast

I met you on Sunday, the first day of my work week. It was early afternoon, my preceptor and I were all caught up with tasks and charting when they called the code overhead. “Code Blue ER ETA 5 minutes.” The charge nurse started to head down to help (they are required to go to all codes in the hospital to help).

“Why don’t you go down with her?” My preceptor suggested. “We’re not doing anything.”

I’m always down for a field trip to break up the day. When we got to the ER the charge nurse assigned everyone a job for the code, she had no job for me and decided that I would be in the way. So I was relegated to the hallway until I was needed.

I was standing across from the ambulance bay doors when you were rolled in on the EMS stretcher. Someone was doing chest compressions as you were rolled into the ER. The brief glimpse I got of you was not promising, you didn’t look good. I found out later that you’d been out with friends and started complaining of some heartburn. You got out of the car to get some air and you went down. 911 was called, but you were down over 5 minutes before they got there.

You had no pulse when the paramedics got to you. You were found to be in PEA, they began CPR and you got a couple doses of Epi. Four members of your family came in through the ambulance doors a few minutes after you and they were lead away by the house supervisor to a private room.

Within a minute of getting into our ER room a pulse was detected and we started the hypothermia protocol. This is when I got involved. I was sent for the pads for our temperature management system. This protocol is started in an attempt to preserve brain function in patients that do not regain consciousness after coding. I entered the room and I saw you laying there, tubes had been inserted into your throat, bladder, and veins. You didn’t move at all when we touched you. The ER doc prepared to insert a central line into your neck while we applied the pads and started the cooling process. I looked up and noted out loud that you’d gone into a junctional rhythm. Your heart rate was in the 40s and your blood pressure was dropping too. I helped hang a bolus and get the pressor ready to go.

At that point my charge nurse motioned for me to follow her. Our work with you at this point was done. You’d be coming up to the ICU shortly and would be another nurse’s responsibility.

The rest of the day passed, I took care of my patient and helped reintubate our other patient.

When I came back a day later, we were assigned your room. The news wasn’t good. Your CT yesterday showed a severe anoxic brain injury. The EEG over night showed no seizures, but it also didn’t show any other activity. The doctors ordered an MRI to confirm what the CT showed… which it did.

Your neuro assessment was unchanged since you’d arrived even after you’d been rewarmed. GCS of 3-6. Pupils unequal and sometimes reacting to light. Cough and gag reflexes come and go. No reaction to pain or spontaneous movement. You’re not breathing on your own, the ventilator is doing all the work for you.

Your daughter and one of your siblings arrive later that morning. Your daughter asked me lots of questions and I answered honestly. She apologized for all her questions and I assured her it was ok. The crit care doctor came in and was bluntly honest with her. The chances of you getting better are extremely slim. Your daughter is realistic and understands that this is it. You have a large family and she wants everyone that wants to to have a chance to visit, so the plan is made to withdraw care tomorrow afternoon.

Your family spends the next hour in your room on the phone and crying. I bring them tissues and continue to care for you. As your family looks like they’re getting ready to leave, I approach your daughter and ask her if anything were to happen over night if she would want us to try to bring you back (it seems silly to ask, but I had to just in case). She says no and you are made DNR. We also minimize treatment, discontinuing antibiotics and your insulin gtt. No longer are we in life-saving mode, we are just giving your family a bit more time to say goodbye.

The next morning there’s a blizzard… your favorite kind of weather, I’m told later.  We care for you all morning while waiting for your family to arrive. It is late morning before your daughter finally makes it in. She’s pregnant with your second grandchild. You were so excited for your first grandson, she tells me. I give your family some time alone to say goodbye after they confirm with the doctor that we are withdrawing care.

Your family leaves, they’ve decided that they don’t want to be here for the end. It’s ok, I’ll be here. After coordinating with the RT, we begin. I give you large boluses of Fentanyl and Versed, per the doctor’s instruction, and the RT extubates you. Nothing happens. Within a minute your SATs begin to drop. You don’t appear to be breathing at all. I hold your hand and watch the monitor, pausing alarms whenever they go off. It takes several minutes, but your heart rate finally begins to slow. Your SATs are in the 20s and soon so is your heart rate. The SAT no longer registers, so I turn it off so it won’t alarm. Your lips and fingers are grey. I listen. There is no heartbeat, despite the ugly QRSs that continue to blip across the screen. You’re in PEA. My preceptor listens too and confirms. We call time of death.

I’m sorry we had to meet like this. Though, truthfully, I’m not sure I ever met you. I think you were probably gone before you were even rolled into the ER. I’m sorry you’ll never get to meet your grandson and that your family is going to be without you. It’s an awful situation. I am grateful you have such a loving family that did not  make us torture your body with modern medicine for way longer than necessary hoping for a miracle.

This was my first patient death in the ICU, but it will not be the last. It is the nature of the ICU beast.

I’m nervous that my partner has an STD. How do I bring it up?

Someone asked us:

im scared my significant other might have an std and i dont know how to bring it up or if i even should cos it wont really change anything now ????

Anytime you think you or your partner has an STD, it’s a good idea to talk about it. Different STDs mean different things for your life and there are different ways to proceed, depending on what you’ve been diagnosed with. A few go away on their own, but most require some kind of treatment — like antibiotics to cure it, or ongoing medicine to treat symptoms.

Talking about STDs can feel scary, but it doesn’t have to be a big deal. The best way to bring this stuff up is to just be direct and honest. Ask if they have whatever STD you think they may have, and explain your feelings and needs around that. Are you asking because you want to have the info you need to stay healthy yourself? Are you asking because you want to talk about using condoms or getting tested together? Try not to be accusatory or judgmental — STDs happen to the best of us, just like any other kind of infection.

If you’re worried you might have this STD you think your significant other has, it’s important to get tested. It’s also important for your partner to get tested, and then you’ll both know what’s up.

-Julia at Planned Parenthood

I’m not going to lie to you guys: it gets pretty sickfic-hurt/comfort pwp from here on out (minus the sex part). You’ve been warned.

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When Nico woke up again it was because he was freezing. He shivered under Will’s embrace, wrapping his own arms around his shoulders in an attempt to keep warm. It didn’t seem to help much, so very slowly, Nico extracted himself from Will, noting how sluggish and exhausted he still felt. Overseas jet lag was the worst, he decided.

He went to the bathroom and splashed some water on his face, frowning at the pale, haggard expression that greeted him in the mirror. He looked like he hadn’t slept in days, and the way his body dragged, he almost believed it.

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