fluid loss

Not Like This (Part 3)

Read:
Part 1: Here
Part 2: Here
Part 4: Here
 
Part 5: Here


Fandom:  Star Trek AOS (Soulmate AU)
Pairing: Reader x Bones
Word Count: 3,028
Rating: Teen+
Warnings: Injuries, blood, surgery/hospital
Tag List: @outside-the-government @littlecarowrites @star-trekkin-across-theuniverse  @feelmyroarrrr @trekken81 @lurkch @yourtropegirl @answer-the-sirens
Author’s note:  I’m still absolutely flabbergasted by the amount of love I’ve gotten for this fic.  Thank you guys so much for the support!   I’ve added everyone who asked to be tagged since the last time, please let me know if I missed your name!   There will definitely be a part 4 to this fic, as I have more to write than I thought.  It is NOT written yet, though, so there’s a chance it will be a *little* longer for the last part.  
Please enjoy!! 



              South? Where, behind the shuttle?  Or closer to the water?  Leonard sends a few more questioning thoughts as he runs, but he quickly realizes that his soulmate has completely stopped responding.  He slows to a walk for a moment, breathing hard, straining to catch any thoughts, but he can’t sense anything at all.  He’s approaching the crash site now and hurries forward at about the same time as the first responders, most of whom beeline for a crowd of people near the beach.   Remembering what she had told him, with the fear of her silence making his heart clench, he jogs around behind the shuttle, away from the crowd to the south.  There are many large pieces of the destroyed shuttle scattered around the area, smoking and smoldering, and it takes him a few minutes of searching before he sees a figure, prone on the ground, a short distance away.

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anonymous asked:

Is there a difference between the symptoms of cardiogenic, hypovolemic and neurogenic shock? Are there any specific symptoms that might appear more in a certain type of shock?

Hey there nonny! 

The answer to your question is yes, and this is something I’m really happy to go over, so thank you so much for this ask! 

First, let’s talk shock, which is, at its heart, just poor perfusion; the body can’t get blood to the organs in a manner effective to support life. 

The cardiovascular system is made up of three parts: the heart (a pump), blood vessels (a fluid tank), and blood (fluid). The three types of shock you’re talking about are cardiovascular failure of three different types! 

Hypovolemic shock is the loss of fluid. The pump works, and the tank can change size appropriately, but there just isn’t enough fluid to go round and round, and not enough red blood cells to carry the oxygen. This is the most common form of shock, and the one people think of when they think the word shock

Hypovolemic shock looks like: pale/sweaty/clammy skin, low blood pressure, high heart rate, confusion, feeling of impending doom, nausea/vomiting, rapid breathing. 

Cardiogenic shock is heart failure, typically as the result of a heart attack. The tank is the right size and the fluid is there, but the pump just isn’t working. What happens here is that the pump backs up. 

In addition to pale/sweaty/clammy skin and the confusion of shock, pump failure can also include pulmonary edema – fluid backs up into the lungs, causing shortness of breath and gurgling sounds in the lungs. 

Cardiogenic shock like: pale/sweaty/clammy skin, low blood pressure, high heart rate with or without arrhythmia (and slow heart rate in certain kinds of heart attack), confusion, feeling of impending doom, nausea/vomiting, rapid and possibly labored breathing. Characters may be sitting forward with their fist on their chest (Levine’s sign), may have significant chest pain. 

Neurogenic shock is a problem with regulating the size of the tank. Blood vessels dilate and constrict based on orders from the nerves, and when the nerves sending those signals are cut – if the spinal cord is transected – blood vessels simply lose their tone. So blood vessels below the site of the injury dilate. This causes shock because the character’s blood is in the wrong place as it leaks out of the capillaries. 

What results is that the tissue actually gets flushed and warm. If the nerve severing cuts off nerves that innervate the heart, the heart rate will actually slow (where in most forms of shock the heart rate rises). This is, again, because the heart rate is in part set by the nervous system. Without nerve impulse telling the heart to speed up because of the drop in blood pressure, the heart will plug along around 60 beats a minute or so. 

Neurogenic shock looks like: warm/flushed skin, low blood pressure, low heart rate. The character may or may not be conscious. 

I hope this was what you were looking for!!

xoxo, Aunt Scripty

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D&D Homebrew Poisons

So, im working on a mini series for badassdanddpics and was wondering if you guys had any ideas. im calling the mini series “Bewildering Botany and Perilous Poisons” that will basically showcase magical plant homebrew that will aid adventures and villains alike. for the poison section of it, i put together some basic information from D&D about the rules as well as how they are applied and used against others as well as common symptoms from plants in the real world.

different poisons are applied to victims by

  • contact
  • ingested
  • inhaled
  • injury
  • smoke from being burned

common rules (for 5th edition D&D regarding poison)

  • A weapon coated with poison will dry out in one minute.
  • When you are poisoned, you will usually suffer from the poisoned condition.
  • Poison can be bought or crafted using the downtime rules and a poisoner’s kit.
  • Cures for poison include low level spells or anti-toxin.
  • Truth Serum is listed under poisons, and is something I think could be useful in your campaign in many different ways.
  • Poisoned: A poisoned creature has disadvantage on attack rolls and ability checks.
  • each round until you make a saving throw.

Common symptoms of poisoning include nausea, vomiting, convulsions, liver failure, disables nerves, lowers blood pressure, and can stop the heart, muscle twitches, and sometimes paralysis, irritation of skin throat and mouth, swelling, burning pain, breathing difficulties and stomach upset. dilated pupils, sensitivity to light, blurred vision, tachycardia, loss of balance, staggering, headache, rash, flushing, dry mouth and throat, slurred speech, urinary retention, constipation, confusion, hallucinations, delirium, convulsions and photo-toxicity

underneath the “keep reading” i have included some actual plants that could help with creating realistic homebrew.

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Eczema Hacks #54

Eczema can be a complete nightmare. It hurts, its uncomfortable, and if you are anything like me, it can be a major blow to your self-esteem. Heres a few tips for dealing with eczema, although you should always consult a qualified GP or dermatologist first.

1. Don’t use any lotion or soap that has added fragrance, as it tends to exacerbate eczema symptoms. Dr. Adrienne M. Haughton (Director of the Department of Dermatology at SUNY at Stonybrook) suggests a scented spray rather than lotion if you still want to smell like something. Ivory soaps tend to be more gentle, so if you can, it can sometimes help to swap out your liquid soaps for a plain bar soap. Also, make sure to thoroughly rinse your skin after using the soap, as left over residue tends to further irritate and dry out already  damaged skin.

2. Watch out for household irritants and use fragrance free and gentle cleaner when cleaning your home. One example is to mix dawn dish soap and vinegar, which doesn’t have the greatest smell, but it is gentle and effective on most tile, plastic, and metal surfaces. If you can find a scrub brush at your local grocery or convenience store which has a cavity in the handle in which to put your soap mixture, you can keep it for months without having to make a new batch, saving energy and time.

3.Excerise can also be an irritant, especially if it involves a lot of sweating. The skin can become more dehydrated after exercise due to fluid loss, which can contribute to eczema. Additionally, sweat contains a lot of different compounds including sodium, which causes even further dehydration, stinging, and more irritation. If your an avid athlete, make sure you shower and change clothes as soon as possible following your activity. Another suggestion is to try swimming, which limits the concentration of soda coming in contact with the skin, however, chlorine and other pool chemicals can also cause irritation.

4. Find a good anti-itch lotion to use. My personal favorite is Neosporin Anti-Itch cream, which can be found at your local drug store for under ten dollars. Other options include Benadryl and some forms of Cortisol, but these contain medications so they should be used sparingly and according to the directions of the packaging.

5. If you scratch unconsciously at night while asleep, try cutting your fingernails short and wearing knit gloves to bed. Although this can be a pain especially in the summer when its warm out, it puts a layer between your nails and your skin which can help protect you from further damage.

6. In some cases dietary changes can help limit skin irritation. Dairy especially is a common one. I gave up dairy for about a month and a half this year and my skin quality dramatically improved. This one is a bit harder and a bit more extreme, especially if you already have additional dietary restrictions. Remember to take care of yourself and of course, always consult a doctor.

7. Let your skin breathe. I always used to but bandages over the parts of the skin which had broken, but after some time, I realized this sometimes did more harm than good. You should keep the areas clean, but in my experience wrapping them can lead to gross infections which are even less fun than eczema.

8. Drink water and stay hydrated! Dehydration causes a whole lot of issues, including eczema and dry skin. So make sure you pack a water bottle for going to school, work, or any other activity. One way to stay hydrated is to place a cup of water by the bathroom sink and each time you go past it, drink the cup. This makes sure that you get at least some water each day without having to really think about it.

These are just some basic tips, make sure to comment if you have any to add :)

~Hannah

Best of Both Worlds- Barry Allen Smut

Prompt: Request from Anon “Would you do a Dom!barry imagine? Pleaseeeeee”

Author’s Note: I spent all afternoon writing this, oops. Kind of a continuation of my first Barry fic “Different.” I wasn’t sure how dom you wanted Barry to be, so I kind of let loose. Hope this is what you wanted! Also, I do plan to try to start writing more gender-neutral fics, but if you want a gender specific fic (or if you want a different character other than Barry Allen), feel free to ask!

Warnings: NSFW, rough sex, swearing, Dom/sub relationship


After your first experience with the kinkier side of things, you both had realized that it was something that really worked for both of you. Barry got to let off steam and you got to watch him go wild. After a particularly frustrating day of being a superhero, Barry came home a little worse for wear. You barely had time to say hello before he rushed you into your bedroom. You found yourself handcuffed to the bed.

“One of those days?” you inquired as he knelt in front of you.

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Oh and now it’s the train station scene (spoilers for the end of North and South ahead!)

I know it’s hugely anachronistic and I really do prefer the ending scene in the book in some ways– not least because book!Henry is a lot more perceptive than movie!Henry and spares me from feeling embarrassed for his dumb self– but seriously, I love this scene so much. As soon as their eyes meet I start not being able to breathe and then he’s just watching her, thinking “Sure it’s just a business proposition, tell me again how it’s purely a business proposition”:

He’s only interested in how her proposition will benefit Marlborough Mills.

Uh huh.

Seriously his face I can’t take it.

So then he takes her hand because that’s what you do with a prospective business associate who also happens to be your landlord:

And Margaret joins me in not breathing. And then she kisses his hand because clearly that’s the only possible thing to do:

And he thinks, “Let’s not stop at hand kissing, shall we?”

HIS FACE I JUST CAN’T

I once read a blog post about the acting Richard Armitage does with just his thumb during this scene. It was strangely accurate.

Margaret’s train is called and she blindly gets up and walks jerkily away (I cannot blame her AT ALL for her sudden loss of fluid motor skills) and poor John thinks that he’s overstepped and she’s leaving but then she’s standing next to him with her bag in her hand and he asks in this wondering, almost breathless voice, “You’re coming home with me?” because apparently he stopped being able to breathe as well and he just looks SO HAPPY.

Of which there apparently aren’t a lot of pictures out there (why?) but this is the dawning of the super-happy-I-now-have-everything-I-ever-wanted-how-is-that-even-possible face:

Of course, this would NOT have happened, it’s like 1855 and she wouldn’t have just hopped on the train and gone back to Milton with him and does she really want to have his mother (who hates her) as a chaperone until they can obtain a marriage license?

But who cares about that when clearly the correct answer is: “YES!!! Do not pass go, do not collect $200, let’s head straight to a Milton vicar!”

The music swells and off they go, dappled with sunlight and the reflection of leaves and they’re so happy and I notice I’m still not breathing.

So as the credits start to roll I take a deep, wheezing breath.

Then I press the back button on the remote and watch it again.

youtube

5 Great Benefits of Water You Probably Didn’t Know!

1. Drinking Water Helps Maintain the Balance of Body Fluids. Your body is composed of about 60% water. The functions of these bodily fluids include digestion, absorption, circulation, creation of saliva, transportation of nutrients, and maintenance of body temperature.
2. Water Can Help Control Calories. For years, dieters have been drinking lots of water as a weight loss strategy. While water doesn’t have any magical effect on weight loss, substituting it for higher calorie beverages can certainly help.
3. Water Helps Your Kidneys. Body fluids transport waste products in and out of cells. The main toxin in the body is blood urea nitrogen, a water-soluble waste that is able to pass through the kidneys to be excreted in the urine.
4. Water Helps Energize Muscles. Cells that don’t maintain their balance of fluids and electrolytes shrivel, which can result in muscle fatigue.
5. Water Helps Keep Skin Looking Good. Your skin contains plenty of water, and functions as a protective barrier to prevent excess fluid loss. But don’t expect over-hydration to erase wrinkles or fine lines.

Viktuuri Sickfic

WARNING(S): descriptions of vomit, nausea, diarrhoea & stomach issues below !!!
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Breath hitching, Viktor lurched forward as his stomach rebelled, causing him to heave up another mouthful of vomit.

It wasn’t even dawn before stomach pains had awakened him from a dead sleep. He’d laid still for a few minutes, willing the pain to ease, instead his stomach had lurched and sent him scrambling to get up into the woods for a more appropriate place to expel one’s stomach contents.

So here he was, bent over bracing himself against a the toilet as he continued to be violently sick. Holding his stomach with one arm, as the other held himself over the toilet bowl.

Gasping as the latest episode ended, although the nausea hadn’t, Viktor still bent over the toilet over trembling from his exertions. He didn’t want to move just yet with his stomach still doing flips and he had yet to gain his bearing back from the previous episode.

“Viktor?” Yuuri called as he rapt his knuckles against the door.

A retch followed by coughing spell was the only answer Yuuri thought he was going to get until a level yet hoarse voice called back, “Ah, Yuuri. I’m sorry to wake you.”

Immediately the heaving sounds resumed causing the younger of the pair to shift from one foot to the other, hating that his fiancé was so ill and wanting to do anything to ease the others discomfort but not wanting to encroach on the other’s privacy if it’s only make things worse.

A lull in the retching had Yuuri speaking again, “I was already awake. Can you let me in?” He explained, hand gripping the door handle but he wouldn’t turn it without premisison.

Panted breath met his ears after the gagging ceased, a beat of silence before any response came forth, “Oh, do you need the restroom? Give me a moment.”

“No, I’m worried about you. You sound really sick.” Yuuri answered back, leaning up against the door as anxiety coiled within his chest.

“I-” A cough turned retch interrupted him, the churning of his stomach unrelenting, swallowing down another gag, Viktor tried again, “I’m okay, but the door’s unlocked.”

Turning the knob Yuuri stepped in; momentarily stunned to exactly how miserable his fiancé was. Viktor kneeled before thes toilet, curled forward as his arms braced against the rim. A slight tremble visibly shaking his lithe frame. Viktor couldn’t acknowledge the other at his entrance, eyes closed tightly and jaw clenched as his throat convulsed to keep the next wave at bay for long as possible.

“Oh, Vitya.” Yuuri breathed, his tone bleeding sympathy and a kindness that had Viktor own breath hitching.

Casting a glance underneath a pinched brow over to Yuuri, though his features paled severely a moment later that had him grimacing and returning to his previous position. Breath catching, then deepening as he tried to breath through the nausea.

“I’ll text Yakov to tell him we won’t be at practice today.” Yuuri offered as he crouched beside his love, a hand immediately coming up to rub the other’s back.

A nod was all Yuuri received, all Viktor was capable of at the moment. Yuuri hadn’t expected a response, from the looks of it his partner didn’t have much control over his actions currently, illness taking over.

A shape inhale brought Yuuri’s gaze snapping up from his phone, the other’s head dipping instinctively as a heave drew his shoulders forward with the force of it. Retching heavily several times before actually spilling his stomach contents into the bowl.

“There you go.” Yuuri encouraged, “You’ll feel better once it’s all up.”

Coughing thoroughly to clear his throat, Viktor ran the back of his hand over his mouth. Pressing it against his lips, frame trembling slightly from being so physically ill, to vainly ward off the lingering nausea. Removing it only to spit excess saliva that collected in his mouth and the sour taste that stuck to his tongue.

Queasiness quelled to a more controllable level, Viktor reached up to pull the flush lever and slowly lean back to rest on his hunches. Eyes closed against the reoccurring dizziness and unpleasant upset still warring within his stomach. Nausea twisting within his gut, causing unrelenting cramps to grip at the muscles there.

“Think you’re finished?” Yuuri asked gently, knowing Viktor wasn’t very vocal when it came to asking for help when he truly needed it.

Viktor merely shook his head, lips pressed together tightly and eyes closed against the mounting nausea. Then his stomach flipped and lunged back towards the toilet. Retching horribly, bringing up more bile than anything else, lapsing into a fit of dry heaves after. His body mercilessly working to expel every last ounce left in his stomach.

“Ugh, I feel miserable.” Viktor moaned, a reprieve from the nausea didn’t mean his stomach settled any, still cramping and knotting.

“I bet.” Yuuri agreed, then shifted his position to glance at Viktor’s features, “Want to sit back for a bit? Relax?”

“Still feel sick.” Viktor replied thickly, hiccuping softly once the words were out.

“Okay. That’s okay.” Yuuri assured, running his hand along his love’s shoulder blades soothingly, “We can take it slow. I just want you to be comfortable.”

Viktor hesitated, breathing deeply for a few moments then nodding his consent. Yuuri gently helping him lean back and rest against his frame as he sat against the bathtub. Even though Viktor was taller, he easily fit between Yuuri’s legs and folded nicely against his chest.

“Mm.” Viktor hummed, taking great comfort from simply having Yuuri with him.

Idly running his fingers through his husband’s sweaty hair, glad he could offer a bit of comfort despite Viktor still being horribly nauseous, the older skater leaned into each of Yuuri’s touches. Whether it be him trailing his fingers through his hair or rubbing along his back as they cuddled the best they could on the tile of the bathroom floor.

A low groan from Viktor had Yuuri pausing in his menstruations, leaning his head forward to scrutinise the other, worry creasing his brow as concern over how badly Viktor stomachache was getting , “Still doing okay?”

Unable to answer due the an abrupt lurch from his stomach, Viktor scramble out of Yuuri’s hold, movements hurried and urgent. Acting quickly, Yuuri rolled up onto the balls of his feet to crouch behind Viktor as he did before, a hand coming up to rub along his back and the other cupping along his forehead; keeping his bangs out of the way and protecting his forehead from impacting the seat with each forceful retch the nausea pulled from Viktor.

“You’re okay, you’re okay.” Yuuri kept up a soothing mantra, knowing Viktor prefers noise to silence, “Just get it all up. You’ll feel better.”

Groaning openly, curling forward a slight at the stomach cramping sharply, panting heavily form excretion and the knotted nature of his abdomen muscles. Arms trembling from the weakness spreading throughout his frame, being so physically ill taking a lot out of him.

Completely drained, Viktor shifted to slump back against the bathtub with Yuuri’s help; knees drawn up with his arms resting on them, creating a convenient place to rest his forehead. His frame racked with minute tremors bred from strained, exhausted muscles. Head pounding and feeling viciously overheated, sweat beaded along his skin to drip rivulets down the sides of his face, giving his pale features a sickly wet shine, he simply breathed. In and out. Methodically, in an attempt to starve off the persistent churning of his stomach and lessen the severity of the cramps assaulting his middle.

Yuuri bit his lower lip before opening his mouth to tentatively say, “Viktor, I - I know you don’t like hospitals but-”

“No hospitals. Please?” Viktor was quick to interject, his voice hoarse but eyes pleading, “I usually never get sick. So it’s bad when it first hits. This is rather normal.”

Yuuri gave his fiancé a sceptical look, but nodded nonetheless, “Okay, no hospital. For now. But if you get any worse, I’m not hesitating.”

“Deal.” Viktor nodded.

“Think you’re okay to relax in bed for a while?” Yuuri asked, noticing his husband’s drifting state and knowing the bed would be more comfortable than the bathroom.

“Mm, think so. But I can make no promises.” Viktor miserably replied, trying to content himself to rest on the hard bathroom floor again.

“I’ll set a waste bin by the bed and some towels around just in case. And I don’t mind cleaning any messes. You’ll sleep better in a bed.” Yuuri countered, rising to his feet and coming over to help Viktor stand, holding his steady as he got to his feet.

“Let’s take it easy.” Yuuri held an arm around his fiance’s waist as they slowly made their way back to the bedroom and to the bed. “Wait here. I’ll get the supplies and you some tea as well.”

Viktor leaned against the headboard, relaxing the best he could despite his stomach still aching quite badly. Closing his eyes as he laid his head back as well, trying rest and ignore the churning within his belly. Yuuri would be back soon and then he could rest properly. He focused on that.

Only his stomach wasn’t finished torturing him as it gurgled audibly, his hand came up to rub at his middle in hopes of calming it down. A few moments passed, the ache then turned sharp, though it cramped fiercely along his lower abdomen. This had him sitting upright and scrambling off the bed towards the bathroom once more.

Slamming the door behind him, not bothering the lock, pulling at the hem of his sweatpants and letting them fall to his ankles as he sat on the toilet. Immediately a stream of liquid diarrhoea splattered into the toilet water below. Body then forcefully evacuating wave after wave of diarrhoea with minimal conscious effort on his part. Leaving him trembling at the loss of fluids, chilled yet sweating despite the even temperate of the bathroom.

Left panting now, feeling worse than when he came into the bathroom, stomach up in knots. He had to wonder how he could still feel so awful. And still feel so bloated, and as if more were to come.

“Viktor, are you okay?” Yuuri asked urgently from outside the door, having heard said door slam despite being in the kitchen and rushed back into the bedroom to ensure Viktor was okay.

A muffled groan answered Yuuri’s question followed by a tersely spoken, “I’m fine. I’ll be out in a minute.”

Anything further comment was drowned out by a sharp inhale from Viktor. His stomach cramping vehemently, near doubling him over his arms that lay tightly wrapped around his abdomen, and instinctively baring down, forcing the diarrhoea to expel with exceeded force. Burning as it made its exit and eliciting another muted groan from the ill skater.

“Oh Vitya,” Yuuri voice was saturated with sympathy despite being muffled by the door separating them, “You’re really not feeling well, are you?”

“My stomach’s a bit upset, yes.” Viktor answered truthfully as he caught his breath back, feeling his cheek heat up in embarrassment, knowing the younger skater had heard everything.

“Vitya. I want to make sure you’re all right.” Yuuri pressed, anxious over the welfare of his husband to be.

“I will be. It’s all right, yu- !” Interrupted once again by his bowels ; them cramping so severely he doubled over, continuous diarrhoea splashing loudly into the bowl for several seconds. More following in a splatter of liquid intermixed with grotesque sounding farts.

Groaning lowly, still bent double, arms pressed against his stomach in hope to dull the pain there. It doing little to abate the cramping, sick feeling still twisting within his gut.

“Vitya, I’m , I’m worried.” Yuuri’s anxiety was palpable in his tone, not wanting to guilt Viktor into letting him in but feeling desperate to be of use. Especially when Viktor was always there for him whenever he needed it.

“I didn’t lock the door…”

Not rising from his position, even when the door knob turned and Yuuri entered ; certain once his fiancé caught whiff of the smell, he’d cringe then depart with some excuse. Instead he felt a hand rest on his back, rubbing soothing circles against taunt muscles there. Relaxing a margin at the sensation, comforted more so than he thought at having Yuuri beside him.

Opening his eyes to peer to the side, seeing Yuuri having seated himself on the lip of the bathtub. Still rubbing his back, though his expression display a deeply felt worry and saddened sympathy at seeing his love so miserable.

“Hey.” Yuuri called softly at seeing Viktor looking at him, uncertainty clouding his beautiful features “Is this helping any?”

Viktor nodded, “It’s nice. Warm.”

Yuuri’s eyes widened at noticing the shivers coursing through his fiance’s body periodically, thus pausing in his menstrations , Yuuri quick shed his unbuttoned cardigan to place over Viktor’s shoulders. Adding an additional layer to Viktor’s own clothing before going back to rubbing along the other’s back.

Viktor smiled lightly at the extra show of kindness, then grimace at physically feeling his stomach churn and hearing an audible gurgle from it. Arms tightening around his mid section at the intensity of the cramps, dropping his head a slight to shield his eyes in embarrassment, just before an expulsion of semi solid feces began splashing violently into the toilet. It was most solid things Viktor had managed to pass all day, even tho it held the consistency of mush. Though he wasn’t sure which was more embarrassing, this or pissing out his ass liquid diarrhoea.

“That’s good. You’ll feel better once it’s all out.” Yuuri encouraged, not patronisingly, “And I want you to feel better.”

The round ending with an instinctual contraction of his stomach muscles, forcing the excrement to expel more violently into the toilet and proceeding a sharp pain coursed through his abdomen, causing a grunt to slip past his lips as a large amount gas intermixed with bits of liquid sped from his rear. Tampering off into a massive stream of diarrhoea pouring into the water below.

Then several minutes of nothing, nearly ten minutes of silence. Nothing passing nor any audible noises. Yet his stomach continued to cramp and twist, feeling knotted and still unhappy about whatever else was left inside. Though Viktor still felt the need to go, he had to wonder how there could be anything left.

“Are you done?” Yuuri asked, now concerned that Viktor merely didn’t have the strength to get up.

“I - I don’t think so. It still hurts. Still feel … too full, but nothing is moving.” Viktor’s tone sounded mildly distressed, Yuuri noting the telltale signs of the other man baring down. Feeling the tension return to his back muscles, as the other’s stomach visibly concaved and his form hunched over, expression hidden but the panted breaths telling much ; straining to expel whatever was left.

“Vitya, Vitya don’t.” Yuuri rubbed a bit more rushed like along his partner’s back, until he felt his fiancé relax with a forceful exhale and laboured breaths “You’ll only hurt yourselves. Maybe a belly rub would help more?”

Viktor nodded weakly, willing to try anything at this point so that he could be finished & go to bed. Leaning back a slight, elbows now propped up on his knees and his frame no longer doubled over but too exhausted to sit all the way upright. Then feeling Yuuri slip a hand between his arms to press gently into his stomach then moving it in a circular motion had Viktor dropping his head and moaning.

Yuuri froze at that reaction, “I’m sorry! Are you all right?”

“No, no it felt good.” Viktor corrected, immediately missing the contact of Yuuri’s warm hand.

Tentatively Yuuri returned to massaging circles there, pressing a bit more so in spots to hopefully kick start things or allow them to relax enough for viktor to rest a bit. Feeling the oddly bloated nature of his fiance’s stomach, Yuuri felt horrid that his Viktor was suffering so. Hating that he couldn’t take away this illness from him right then.

Around a minute of continuous massaging, then Yuuri physically felt the gurgle that rippled through the others stomach. Vitkor breath hitching as he hunched forward more so and a massive splattering of diarrhoea hit the toilet water, liquid seemingly mixed with semi solid feces. Gas forcing it to expel all the harsher. it continuing for a good thirty seconds then tampering off into a load of gas echoing loudly into the bowl.

Pressing a single hand to his stomach, relief at finally feeling like he wouldn’t explode from his rear the moment he stood up yet oddly a different form of churning took him by surprise. Features paling at a sudden surge of nausea, his other hand rising to press against his mouth.

“Yuur- hurk!” Viktor dryly gagged into his palm, speaking jonlonger an option if he wished to ngo get sick on himself.

Yuuri though understood immediately and sprang up to snatch the small bathroom trash can from under the sink and thrush it into Viktor’s lap. Not a moment too soon as Viktor lurched forward with a wet retch, salvia dripping into the trash bin with the barest hint of bile. Then a rumbling belch had the silver haired skater lurching into the bin, bringing up a flood of partially digested food and bile. Barely a moment to take a breath before another heave forced its way up, a gush of pure liquid content splashed into the bin. Vitkor’s back arching with each following heave, bringing up more & more of his stomach contents until dry retching took hold of him.

Sweat collecting along his forehead, excretion and discomfort playing a role in that. Yet the dry heaves continued for another six or so minutes, sporadically jerking him forward to fruitlessly gag and retch over the bin. Mere strings of salvia and splattering of bile coming up, coughs racking his frame post each heave ; the acidic taste burning his throat.

“It’ll be over soon, it’s all right. Just breathe.” Yuuri kept up a steady stream of words, rubbing along his fiance’s back, “You’ll feel better soon, I promise.”

Coughing harshly to clear his throat, it burning horribly but at least the nausea seemed to have finally eased up. Even the cramping seemed to have tempered for the moment. Breathing heavily to gain his breath back, feeling a slight better now that his stomach was completely empty, though he now felt wrung out; exhausted and weak. Chilled yet sweaty. But grateful he was no longer losing it from either end.

Moving sluggishly to set the trash bin down, Yuuri’s hand came up to take it from him and set it beside the bath to be washed. He turned on the tap to do just that, but hearing Viktor clear his throat had him turning back.

“I think Im good for now.” Viktor’s voice was hoarse, cracking mid sentence.

“All right, let’s get you cleaned up, okay?” Yuuri directed gently, helping Viktor stand on wobbly legs and strip off his shirt.

Yuuri turned the tap to warm and waited for it to get to the right temperature before switching it to a shower. And helping Viktor step into the tub.

Gently guiding Viktor under the stream then making sure he was steady before stepping back, removing his shirt and boxers to join his husband. Keeping him upright and steady as they cleaned up. Then grabbing one of the big fluffy towels from the rack outside there shower and wrapping Viktor up in it, then sitting him on the closed lid of the toilet.

Leaving for only a moment before returning quickly with new pajamas for the both of them. Simple sweats and a t - shirt for himself. And Viktor’s favourite pair of pj pants with small poodles on them, and a t - shirt that embodied the Russian flag. Viktor brighten slightly at Yuuri’s kind thought towards him.

Quickly dressing himself and then helping Viktor do so, taking extra care when drying his hair ( no need in adding to his misery by letting him get a cold on top of everything else ) and even adding a pair of fluffy socks to the other’s feet. Wanting him to be warm and comfortable. Plus they too had a poodles on them. And the fever seemed to have lessened thus Yuuri was willing to risk it for now. He’d keep any eye on Viktor though throughout the night, just in case.

“Still feeling okay?” Yuuri asked, standing after putting the last sock on Viktor’s foot.

“Mmhm, want to sleep though.” Viktor murmured, eyes already halfway closed, he was exhausted and now warm; perfect sleeping conditions in his mind.

Yuuri chuckled lightly, relieved that Viktor was feeling better, “All right, come on. To bed we go.”

Viktor weakly wagged his eyebrows as he was helped up and back into the bedroom, this made Yuuri hummed a laugh, glad that his fiancé was feeling well enough to jest with him. Even if he was carrying most of he other’s weight, slowly making their way to the bedroom.

Yuuri held Viktor steady as he climbed back under the covers, making sure his love was situated before announcing, “I want you to drink something real quick before you sleep. Just a little. Please?”

“… Okay.” Viktor consented after a moment, not wanting to put anything in his stomach but wanting to help ease some of Yuuri’s worry, “For Yuuri.”

Leaning forward, Yuuri brushed Viktor’s damp bangs from his forehead to place a kiss there (secretly checking his temperature; glad to find it still only warm) not caring of the slight sheen of sweat there. Then stepping back, Yuuri offered a small smile, eyes filled with love for his fiancé, “I’ll be right back.”

Two minutes and Yuuri was returning with some green tea, sweetened with a bit of honey and some ginger. He tasted it before to ensure the ginger hadn’t spiced the tea too much and to ensure the right amount of honey to entice Viktor Ito drinking it but not sweet enough to upset his stomach again.

“Here.” Yuuri said as he passed the mug over to Viktor, ensuring the other’s trembling hand could hold its weight before letting go.

“Mm! It’s good!” Viktor praised after taking a small sip, then another slightly bigger one to appease his love, “You remembered I like my tea sweet.”

“It’s difficult not to when even your coffee has mounds of sweetener and cream.” Yuuri answered, smiling openly at Viktor, “I’ll let you have jam in it tomorrow, if your stomach is feeling better.”

“Ah, Yuuri, you’re spoiling me.” Viktor countered, taking another sip then setting it aside, not wanting to overdo it all at once, “I should fall ill more often.”

“I’d rather spoil just for fun then have you get sick to be spoiled.” Yuuri’s smile faltered, anxiety over having Viktor so ill returning, “I don’t like it when you’re sick.”

“Oh, my Yuuri. I’ll be all right.” Viktor reached out to take Yuuri’s hand, kissing the ring that rested on his fourth finger, “I’m Russian, sickness doesn’t stay long with us.”

Yuuri grasped at Viktor’s hand before he could pull away, leaning down to kiss his fiance’s knuckles, “I know. I love you.”

“And I love you.” Viktor murmured, voice thickening with exhaustion.

“Rest, I’ll be here.” Yuuri moved to let Viktor’s hand lay on the bed, but didn’t release it, his thumb stroking along the top of the other’s hand.

“Thank you, Yuuri, taking such good care of me.” Viktor opened his eyes to gaze at Yuuri, blue eyes meeting brown eyes, “Even though I’m sick and gross.”

“Never are you gross, sick yes, but never gross.” Yuuri reassured, knowing Viktor held insecurities deep down, “And I’ll always take care of you, Vitya. I’ll always be here. Nothing will change that.”

A light snore met Yuuri lovingly spoken proclamation, making the younger man grin at his sleeping fiancé. Glad to have him resting, even if it was during a tender moment. He’d just have to repeat himself in the morning over a light breakfast with his soon to be husband.


A/N: Im sorry if it’s bad. This is the first time I’ve written for Yuri on Ice and the first sickfic I’ve written. I sent this on mobile also so I’m sorry if the formatting is wrong.

(This is amazing! Your descriptions are awesome!)

8

Whoniverse: Class - 3/? times there’s more to Miss Quill than meets the eye. (1x01)

10 Facts About Water + Your Body

Water is virtually everywhere, from soil moisture and ice-caps to the cells inside our own bodies. On a normal, day-to-day basis, maintaining a well-hydrated system is easy to manage for those of us fortunate enough to have access to clean drinking water. So what role does water play in our bodies , and how much do we actually need to drink to stay healthy?

1. Depending on factors like location, fat index, age and sex, the average human is between 55 and 60% water. 

2. At birth, human babies are even wetter – being 75% water they are swimmingly similar to fish - but their water composition drops to 65% by their first birthday. 

3. The H2O in our bodies works to cushion and lubricate joints, regulate temperature and to nourish the brain and spinal cord. 

4. Water isn’t only in our blood: an adult’s brain and heart are almost three-quarters water - that’s roughly equivalent to the amount of moisture in a banana. 

5. Lungs are 83% water, which is roughly the amount of moisture in an apple.

6. Even seemingly dry human bones are 31% water. 

7. Each day we lose 2 to 3 liters through our sweat, urine and bowel movements, and even just from breathing. While these functions are essential to our survival, we need to compensate for the fluid loss.

8. Maintaining a balanced water level is essential to avoid dehydration or overhydration - both of which can have devastating effects on overall health. Increased dehydration can cause notable drops in energy, mood, skin moisture and blood pressure as well as signs of cognitive impairment.  In fact, a dehydrated brain works harder to accomplish the same amount as a normal brain - and it even temporarily shrinks because of its lack of water.

9. For a long time, conventional wisdom said that we should drink eight glasses a day. That estimate has since been fine-tuned; now the consensus is that the amount of water we need to imbibe depends largely on our weight and environment. The recommended daily intake varies from between 2.5 to 3.7 liters of water for men and about 2 to 2.7 liters for women - a range that is pushed up or down if we are healthy, active, old or overheating. But don’t go crazy - it’s possible to overhydrate if you consume too much water in a short amount of time - a risk mostly encountered by athletes because of complications in regulating water levels in extreme physical conditions.

10. Water within food makes up about a fifth of our daily H20 intake. Fruits and vegetables like strawberries, cucumbers and even broccoli are over 90% water and can supplement liquid intake while providing valuable nutrients and fiber.

Drinking well might also have various long-term benefits. Studies have shown that optimal hydration can lower the chance of stroke, help manage diabetes and potentially reduce the risk of certain types of cancer. No matter what, getting the right amount of liquid makes a world of difference in how you’ll feel, think and function day-to-day.

From the TED-Ed Lesson What would happen if you didn’t drink water? - Mia Nacamulli

Animation by Chris Bishop

Let me talk to you for a moment about

HYDROCEPHALUS

.

Hydrocephalus is a condition, caused by congenital or acquired factors, in which abnormal levels of spinal fluid accumulate on the brain. It is a medical condition which, if left untreated, can cause massive brain damage or, at its worst, prove fatal.

It should go without saying that it is NOT FUNNY.

Still, I have seen children–infants, even–with hydrocephalus mocked online because of their large heads. But they have spinal fluid accumulating in their skulls. Of course their head is enlarged; their bones are still pliable. The spinal fluid fills their skulls and there’s nowhere to go but out. THEY CAN’T HELP IT. You are mocking and laughing at a child who is in excruciating pain. I know from recent experience how painful it can be.

I have had hydrocephalus since infancy.

I will proudly tell my story to anyone who will listen, because I’m alive today to tell it. (You can read it in full here, if you want, but I’ll give the condensed version…)

I had a ventriculoperitoneal shunt placed when I was about 3 months old.
Last year, in September of 2014, my shunt failed. My head started filling with spinal fluid, causing debilitating headaches, loss of motor skills–and eventually seizures. When hydrocephalus occurs in adults, the head can’t expand, like that of the child above, so the symptoms manifest everywhere else. For an entire month, as I struggled to be treated, my hydrocephalus wreaked havoc on my brain. I had a constant, excruciating headache (imagine the worse migraine you’ve ever felt never letting up); I had no appetite, and lost a lot of weight; my vision tripled (I was seeing three of everything); I couldn’t walk, stand, bathe or even use the restroom unassisted. I had seizures, which I’d never had in my life up until that point.
Please keep in mind that I am a 26 year old woman, not some small child laughed at on the internet because “their head looks funny”. I was aware of everything that was happening to me, felt every bit of the pain caused by it, and knew what the outcome would be if it wasn’t quickly treated. I could have easily died, and almost did.

Does everything I went through sound funny to you? Well, imagine a child experiencing it. One who can’t convey how they feel, how bad their pain is, or even comprehend what is happening to them or why.

Do yourself a favor, if you think photos like this are any way humorous or entertaining: educate yourself about hydrocephalus. Laughing at what you deem “looks funny” only makes you look ignorant and immature. Instead, spread awareness. Help those who can’t help how they look or what their body is doing to them. Make a difference.

Waiting for surgery scheduling to call me with a date for the OR to have my ureter stented and the fluid drained before loss of function becomes permanent and I wind-up on dialysis.

Also waiting for an appointment with a G.I. liver specialist to find out why my abdomen is swelling-up like a starving person’s.

I want to live long enough to see how Donald Trump dies.

Basics for the Wards: Ob note

**NOTE: The field of ob-gyn is geared toward people with uteruses, and the things that can happen with ‘female anatomy’. In this post, the most common ob-gyn patient is a person with a uterus who identifies as a woman and that is the language used. I understand that not everyone with a uterus is a woman, and that not every woman has a uterus. Trans and nonbinary folks do come to ob’s for care, and I would hope all healthcare providers will respect every patient’s preferred pronouns and identity.  

This post has been mostly written by Baby Dragon (future ob-gyn extraordinaire) over my feeble attempt.

In Ob-gyn there is a lot: from routine ob-gyn notes to specifically ob/L&D notes. This post we’re going to cover how to write a note for a pregnant patient.

HPI: What brings her in today? Is it a routine prenatal visit? Is there a problem? When talking to your pregnant patients, Big four are vaginal bleeding, loss of fluid, contractions, and fetal movement. Ask every time. Even if they’re probably not feeling movement because it’s impossible (and therefore gas.) Even if it’s obviously dehydration-induced contractions. Every time. Ask about a dating ultrasound. If it’s a first visit, figuring out last menstrual period (LMP) is fine but not specific. Other things you can ask if you have time: any nausea/vomiting, how is her appetite, how is her energy, how is she sleeping, and if she is doing any physical activity.  Ex: Ms. Smith is a 25 yo who presents to clinic to confirm intrauterine pregnancy. Her last menstrual period was 8 weeks ago, home pregnancy test was positive three weeks ago. She has had nausea/vomiting every day for the last 2 weeks, crackers and ginger ale help. She would like some medication for the nausea. She has not had any spotting or abdominal/pelvic pain.

PMH/PSH: If this is a first visit, ask about medical conditions that can affect the management of her pregnancy like diabetes, hypertension, seizures, etc. Ask how many times she has been pregnant and how many living children she has had. If the number of pregnancies and the number of living children do not match, you need to find out why. This can be a sensitive subject for many women, for some they have had multiple miscarriages or a stillbirth and those lost pregnancies still hurt; some have had abortions and may feel fear of being judged for their choices.

You need extended Gs and Ps. G3P1102 = gravida, 1 term birth, 1 preterm birth, 2 living children. Previous pregnancy complications, explicitly high blood pressure, and diabetes. Were her previous deliveries vaginal or C-section, and if C-section, why. If baby went home with mom/why not. Vaccination history, especially Tdap, Hep B, flu, Rhogam in this and previous pregnancies. Rubella and varicella we get from titers so that’s fine to ignore. Ex: She is a G2P0, she has had one elective D&C at age 20. She is up to date on her vaccinations.

Meds: MAKE SURE YOU FIND OUT ALL MEDICINES, PRESCRIPTION AND OVER THE COUNTER, THAT SHE IS TAKING! So many meds are immediately off the table when a patient becomes pregnant- ibuprofen, decongestants, warfarin, many diabetes and hypertension meds, most psych meds. Be sure to emphasize the importance of taking prenatal vitamins- if she is struggling with nausea, suggest taking them at a time of day when she isn’t nauseous like right before bed. There are gummy prenatals, or if the pill is solid and too big she can break it in half (I break my prenatals in half and take them at night because the iron and fish oil made my morning nausea 100x worse) Ex: She takes Clartitin and prenatal vitamins.

Allergies: What is she allergic to and what happens? Ex: She has seasonal allergies, no known drug allergies.

FH: For family history, on top of the other things, be sure to ask about family pregnancy history. Any history of birth defects or genetic diseases in her or the father’s families? Ex: Family history is significant for maternal uncle with cystic fibrosis. Father of the baby has no significant family history that she is aware of.

SH: Who does she live with? What does she do for a living? Smoking, alcohol, and substance use history is crucial here because they are all known to negatively impact the baby. Not only are we worried about fetal health, but maternal, too. Saying something is bad for baby is fine, but “also we don’t want you to get a blood clot in your lungs that won’t let you breathe” is important.  Ex: She lives with her boyfriend of 3 years who is the father of the baby, she works as a secretary for a CEO, she does not use tobacco, alcohol, or illicit substances.

ROS: Always do a thorough head to toe review of systems.

Physical exam: Do a brief focused physical exam and you CANNOT do invasive exams by yourself. That is not even an option. You cannot do it, it’s illegal, end of sentence. If the uterus is palpable, specify where: it’s not in the pelvis anymore if you can feel it, so is it “at the umbilicus, 2cm below, 4 cm above” or not at all. Fundal height, when measured, is done for IUGR screening. Always remember why you’re doing a step when reporting the results. Formal U/S findings are separate from physical exam, like labs, since we get those from reports. Dopplers are fine in this section. Ex: Cranial nerves grossly intact, regular S1/S2 with no murmurs, lungs clear bilaterally with no wheezes, belly soft and nontender with active bowel sounds, skin clear of lesions, pelvic exam showed normal vagina and cervix with no lesions, uterus is firm and enlarged in the pelvis.

Assessment/plan: Always ask about postpartum plans. Breastfeeding, contraception, circumcision, pediatrician. Contraception especially is key, because many states and insurance plans require tubal papers signed 30 days before delivery for postpartum tubals, and LARC can require pre-auth as well. These things need to be documented extensively. It’s also a good opportunity for students to do patient education, which is rare in preggo-land. Ex: This is a healthy 25 yo G2P0000 who presents to establish pregnancy, confirmed single fetus dated by ultrasound at 8 weeks. She is having nausea/vomiting and fatigue. Told patient to take a single 25mg unisom and 75mg vitamin B6 before bedtime through the first trimester for her nausea. Followup in 4 weeks unless patient experiences bleeding or pain, will discuss contraception and breastfeeding at the next visit.

anonymous asked:

A bump should not change enough that it's noticeable to us. If it does, the baby has either lost or gained fluid in the sack. A fluid gain is not as bad as a fluid loss. But she consistently seems to always be losing the bump.

She does indeed.

anonymous asked:

I agree with the other anon, maybe H had a bad stomachache thats why he left early. Idk we need to stop thinking that EVERYTHING that happens with H is because of MM. If you guys say she is only a booty call, why do you assume she is a big part of his life and is affecting his relationship with his family? She is not that important guys... H has other things going on + the queen would never change anything because of MM, H is working solo a lot, like he always did.

Thank you anon, I said that last night, he does have solo events all the time and he shines when he does them. It was so hot 3 guards fell down from heat exhaustion this can lead to sorry diarrhea, excessive fluid loss, the man is in formal uniform, MM is not that important, end of

thanks anon

3

at this time of year the female geckos in particular may go off eating- I’ve also found that because of this- they may not get enough fluids, so about once a week I’ll make sure any girls who aren’t feeding get at least a few drops of water into them. THEY’LL HATE it, but for some reason, I found a few years ago that one of mine didn’t drink at all during this time and more than not eating- the dehydration was the dangerous thing. Obviously if your gecko looks like it is losing condition quickly- get it to a vet- but I found that this little bit of extra attention got them out of ovulation season more safely.


In particular look out if they get wrinkly soft sunken tails- this a big sign of dehydration. (this can also be a sign of other things- but in particular it signifys fluid loss- and should a warning sign to watch or feel for.)

anonymous asked:

what sort of things would you do if somebody had been electrocuted; not to the point of death but they'd be incapacitated, at the very least? this is a very cool blog btw, may your time off be full of warm, fuzzy feelings and nice things! THANK YOU FOR SETTING THIS BLOG UP.

EXCELLENT QUESTION, MY FRIEND! I actually had to hit up a few of my emergency nursing reference books for this one, since I’ve never taken care of an electrocuted person before and I wasn’t sure how it would be different from caring for regular burn injuries (as it turns out, it’s not that different! ~*the more you know*~)

So when you’re writing about electrocution injuries, there are two major things to remember:

  • any time you’re dealing with electricity, you run the risk of ROYALLY fucking up the heart
  • tissue damage from electrical injury can be a lot more extensive than it initially appears

The degree to which the victim is incapacitated and the type of trauma they sustain will depend largely on the source of the initial injury, and also how long it lasted. A lightning strike can be a pretty hefty dose of electricity, but it’s also FAST and tends to affect the surface area of the body more than anything. Someone who touches a live wire, on the other hand, may not be getting as much electricity voltage-wise, but it may be sustained over a longer period of time, especially in situations where the skeletal muscles lock up and they PHYSICALLY CAN’T LET GO OF THE THING ELECTROCUTING THEM. When it comes to physiological injury, current is often more important than voltage in a lot of ways – a sustained low-voltage current can do a FUCKTON of damage, mostly because of what happens to the heart.

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