pulmonary artery

There’s a quiet sound inside your chest,

As blood moves fast from your pulmonary artery into the capillaries of your lungs,

Through your pulmonary veins and then into your left ventricle.

I think that’s right, I’m not sure, it’s been so long since I opened a science book and learned something new.

Either way there’s a quiet sound inside your chest,

And whatever’s making it, it means you’re here and alive and warm and you’re you,

You’re you, you’re you.

pallette 79

(I’ve started a little “series” thing. I’ve got ideas for all of the Potter-Malfoy kids and I’ll be releasing drawings and headcanons of them. I hope you enjoy!! I’d advise that you go look at the other kid’s stuff to avoid confusion)

The next of the Potter-Malfoy kids I’d like to introduce you to is Eltanin

  • It was May of 2006, and Eudora was about 4-5 months along with Alsafi when Harry opened the front door to find a baby snoozing on his doorstep. 
  • The baby looked newly born, with tufts of hair on his head, two patches of which, Harry noticed, were bright white.
  • With the shock of it all, Harry dropped a quite heavy bag he had been planning to bring with him to work
  • It made a loud thunk right next to the baby + harry just winced expecting to hear shrieks of crying
  • but the baby was silent
  • Harry ofc immediately hurried him inside to make sure he was warm and alive with no obvious problems.
  • and that’s when the baby began to wail 
  • It’s crying echoed through the house, loud enough to wake up the whole house. (8 y/o Teddy, 4 y/o twins, 2 y/o Cassiopeia and of course, nearly 26 y/o Draco)
  • Harry wasn’t able to quiet the baby + was v scared that perhaps the baby was in pain or had some sort of medical issue.
  • So, Draco stumbles down stairs + before he sees the baby he’s yawning and asking why Cassiopeia is shrieking that loudly 
  • … and then he freezes. that baby is not Cassiopeia. He’s much smaller, and much darker. 
  • he’s only frozen for a grand total of 2 seconds before he starts to freak out
  • “whO’S BABY IS THAT?! WHY DO YOU HAVE A BABY ?! OH GOD. HARRY DID YOU STEAL A BABY?!” 
  • + for just a hot, terrifying second, Draco looks around expecting to find Eudora. But no, this wasn’t their baby, Alsafi. It was too big to be so premature.
  • Harry , still trying to rock the baby attempts to calmly explain that no, he did not steal a baby
  •  In the wee hours of this morning, Draco + Harry are running around trying to figure out what to do.
  • They finally get the baby to quiet down in Draco’s arms, while Harry sits across from him. 
  • Draco’s looking down at the boy and with a jolt, sees that his eyes are open. and he just kind of… gaps down at him. 
  • “…harry… his eyes… one’s- one’s bright blue.” He just whispers distractedly and bit concerned. 
  • He generally wouldn’t be concerned about Heterochromia, but the fact that this boy did not seem to be able to genetically have any shade of blue eyes worried him 
  • perhaps he had been cursed and left to them?
  • Harry comes over too and stares down at the infant. Something is itching at the back of brain
  •  “We have to take him to St. Mungo’s don’t we?” 
  • So they send a fire message to Molly to come watch the kids while before flooing over to St. Mungos.
  • Mediwitches take the boy and inspect him, all while Draco and Harry wait in another room, anxious.
  • They’re eventually told that the boy is a newborn and looks to have “Moderate Sedendum Syndrome” which the muggles call “Type II Waardenburg Syndrome.”
  • The boy is permanently deaf and has pigmentation issues. The only major concern is that they need to watch him for Kidney and Pulmonary Artery Abnormalities, but he should be fine. 
  • The mediwitch also shows them that a boy had been written on on his stomach, leaving a message that his parents did not want him because of his condition (in which, they thought it a curse) and that they left it with Draco and Harry because they’re “collecting kids anyway? What’s one more?”
  • This message later leaves Hermione to make the note that the baby’s parents are probably purebloods, as they didn’t think it could be a mundane defect
  • Harry gently scrubs it off with his own hands, feeling a bit angry and protective over the boy already 
  • Then starts the long and complicated meetings with the Social work department of the Ministry. + the long conversations over whether or not they should keep the boy, especially with a son already on the way.
  • They end up deciding to send him to the “international foster home” I mentioned before bc two newborn babies to take care of in the span of 5 months didn’t seem like something they could realistically handle with all their children.
  • but that night neither of them can sleep, and in their guts it just feels right to take the boy in. because over all the time trying to figure out what to do with him, they had both been thinking about things like names, and what his room would look like and whether Anita would share with him or not. What house he would be in. What kind of magic he would do.
  • So they take him (bc shit, their first children were twins, they could do this) and name him Eltanin (Lucius). and get him fitted for hearing aids (cute little ones with nifflers on them) 
  • They begin to teach the other kids sign language immediately, learning themselves constantly, so that by the time Eltanin is 6 months old, they can start working with him on it. 
  • they also try to anticipate his future life, Hogwarts and beyond that. 
  • they meet with lots of people. deaf wizards and muggles as well as parents of deaf wizards and muggles. speech therapists. doctors. specialists. anyone who can give them a full view. (one of these people happen to be Theodore Nott, who had recently had a son who was born with profound hearing loss)
  • They had a few main questions: Should they encourage him to learn to speak and sign at the same time? Can he even learn to speak with profound hearing loss? Should he get a cochlear implant or not? Should he not go to Hogwarts and instead go to a school for the deaf, where he could feel more culturally intact? 
  • In short, it all boils down to, how much will his deafness affect his life?
  • They decide to go ahead with a witch speech therapist, specifically trained to deal with children with profound hearing loss. 
  • They want him to learn to speak and sign, but were advised not to invest in a cochlear implant, because Eltanin may not want it in the future. He could go to Hogwarts, but should probably have regular contact with other deaf wizards. Which means lots of playdates with Hyacinthus Nott.
  • he’s not a crier, or a complainer, or a tantrum thrower.
  • He’ll cry if he needs something and stops when he gets it. If he falls, he asks for a bandaid and moves on. If he’s upset he hides it.
  • As Eltanin gets older this concerns Harry greatly. He begins to tell Eltanin when he’s 5 that he can come to Harry if he’s upset. That he won’t be mad or judge him if that’s what he’s worried about. That it’s okay to be upset, it’s okay to show that sometimes, even if they aren’t your shining and most proud moments.
  • But Eltanin is happy kid. He’s very bubbly and one that jokes around a lot
  • but he’s also sassy. Like.. too sassy for his own good. He’s a back talker and frequent sarcasm user. (He signs sarcastically, I mean. no one even knows how he manages it) 
  • He insists on continuing the whole “niffler hearing aids” thing for his entire life bc this boy is obsessed with extremely random things
  • He loves nifflers, finds them fascinating. and the Goblin Rebellions? Don’t even get him started. He also likes Korean Wizard rock bands that Harry constantly dad jokes him about
  • Though he and Alsafi are only 7 months apart, they end up going into separate years bc of the August cut off and Eltanin never lets him forget it. “I am your older brother, therefore my clear authority over you dictates that…”
  • He gets to Hogwarts and the hat takes a very long time to decide. Is he a Gryffindor or is he Ravenclaw or …”Slytherin!” 
  • Eltanin was well liked by his housemates, who immediately learned sign language for him. Even the Slytherins who didn’t know Eltanin learned to sign
  • It eventually got to the point of being a tradition in the Slytherin house, which was upheld for many decades past Eltanin being there.
  • (Around 12 Eltanin’s hair turned completely white, which his housemates thought was super cool.)
  • Everything seemed amazing for Eltanin and the other kids but, at this point people started to talk. 
  • Those who went through the war and knew what Draco Malfoy did. Those who were so anti-dark wizard that they couldn’t believe- didn’t believe - that Harry Potter, savior of the wizarding world, could really marry Draco Malfoy of his own free will, in his right mind. and on the other hand, why would Draco Malfoy want to marry and have kids with Harry Potter anyway? Not to mention, they were turning out mostly Slytherin children…
  • It was still only whispers and rumors and conspiracy, still things whispered behind hands and laughed at by most. The kids were teased sometimes, something Teddy always put a stop to.
  • .. until about a year later when Rita Skeeter released a 962 page book. “Draco Malfoy’s Dark Secret” 
  • It outlined (with plenty of extremely convincing evidence) how Draco is continually slipping Harry love potions in order to trap him, and is now taking in children to brainwash and turn into soldiers, “or worse, experiment on”. It painted Harry as a tragic victim and their kids as possibly dangerous.
  • To the general public this accusation seemed extremely far fetched and completely silly. Some saying it “worthy of the Lovegoods” until they read it.
  • When Draco and Harry got a copy in their hands, they were sure that if they hadn’t been them, they would have a hard time not believing this theory, with all the evidence they’d no idea how Rita acquired. 
  • Ron even half believed it. Harry caught him checking a mug of coffee Draco had made for him, and tried to ask Harry if he was sure of what was going on. 
  • Harry had just snatched the drink away and gulped it down, looking Ron straight in the eye and refusing to speak to him for days. 
  • It was the kids who took the brunt of it really. Teddy had graduated and the Slytherins were the only ones who took up for them.
  • It got so bad that Sirius ended up taking refuge, sleeping in turns in her sibling’s beds and studying between breaks in the Slytherin common room. 
  • It began to be a normal sight to see red and gold Sirius sitting in their common room.
  • Rita’s book was even banned in Hogwarts in an attempt to help the kids.
  • Harry and Draco had to keep holed up inside, with Ginny bringing the necessities.
  • It was interestingly Neville who came to the aid of Harry. With the help of Luna and Hannah, he put together a book with interviews, pictures and stories from anyone who knew Harry and Draco well.
  •  Rolf, Hermione, Ron, Dean, Seamus, Pavarti and Padma, all the Weasleys, Dennis Creevey, Eltanin’s speech therapist, Narcissa and Lucius, Andromeda, Hagrid, Professors Mcgonagall, Sprout, Slughorn and Flitwick, Eleanora, various Mediwitches and healers. Mrs Figg, Cho Chang, Viktor Krum, Gabrielle Delacor, and even Blaise, Pansy, Theodore and their spouses showed up to help. 
  • The book was exactly 963 pages and was simply labeled “the Truth About the Potter-Malfoy Family” 
  • It didn’t exactly cause the Potter-Malfoys to be considered a group angels, but it did finally quiet the craziness Rita had started.
  • Eltanin had a relatively normal Hogwarts-career after that fiasco.
  • He’s the only of the kids that didn’t play quidditch, but you bet your ass he was out there with their names on hid forehead whenever they played.
  • Eltanin is a fantastic Potioneer
  • He ended up going by “Malfoy” 
  • + after being told about their parents as students, he and Alsafi jokingly sneered “Potter” “Malfoy” at each other whenever they passed

8/13/2017

4

146/365
September 13th, 2015
This is the cardio pulmonary vein system.
It turned out super well. Like damn. It will be so worth the tiny scraps of paper I will find all over my room for the next 2 months.

My heart skip skips a beat

HEARTBEATS!!

The pause is to allow the atria to fully empty into the ventricle.

Heartbeat on an ECG trace

P Interval (Ventricular Diastole)

  • Atria and ventricles are relaxed
  • blood is flowing into the atria from the veins. 
  • Atrial pressure increases above that of the ventricle, AV valves open allowing blood to flow into the ventricle

P Wave (Atrial Systole) P-Q

Signal transduction from SA to AV nodes. 

  • SA node fires 
  • Atria contract causing atrial systole 
  • which forces all blood into the ventricles
  • emptying the atria.

Q Interval (End of Ventricular Diastole)

Depolarisation of interventricular (IV) septum 

  • AV valves remain open - all remaining blood squeezed into the ventricles. 
  • impulse from the SA node reaches the AV node 
  • which spreads the signal throughout the walls of the ventricles via bundles of His and Purkinje fibres
  • R peak is the end of ventricular diastole and the start of systole.

R Interval (Ventricular Systole)

Ventricular contraction

  • All blood is now within the ventricles
  • so pressure is higher than in the atria - AV valves close
  • ventricles start to contract although pressure is not yet high enough to open the SL (semilunar) valves

ST Segment (Ventricular Systole)

Ventricular contraction

  • Pressure increases until it equals Aortic pressure,
  • SL valves open
  • blood is ejected into the Aorta (and pulmonary artery) as ventricles contract
  • At this time the atria are in diastole and filling with blood returning from the veins.
  • plateau in ventricular arterial pressure

T Wave (Ventricular Diastole)

T= moment of Ventricular repolarisation immediately before ventricular relaxation

  • Ventricles relax
  • ventricular pressure is once again less than the aortic pressure 
  • so SL valves close

shatterstag  asked:

Hi Scriptmedic, long time fan, first time writer! I have a gothic horror fantasy protagonist who's a surgeon in a Victorianish setting. The character gets into some necromantic shenanigans, and performs a ritual where he cuts out his own heart. He 'survives' the process by becoming undead/a ghost during it. How would I viscerally describe a surgeon doing this if there was no pain, no need to stop bleeding, no need to be delicate, yet keep the vibe of a surgeon operating on himself? Thanks! <3

Hey there @shatterstag ! Congrats on the first ask of October! This one is spooky enough for Halloween.

Here’s a special trick treat. Feel free to modify it, scorn it, or copy and paste it directly into your story.

Squeamish readers, skip this one. 

The mirror wasn’t strictly necessary. He was good enough to do it by feel if he had to. But the mirror added theatrics. Made it real. Made it a show, one only he could see.

He was so used to the operating theater: the rows of doctors murmuring in their seats as the surgery happened. But now it was just him.

He opened his shirt. Lay down a clean towel in his lap. The pain wouldn’t bother him. But the trousers were too nice to spoil.

He began with a cut down the breastbone. From the V at the hollow of his throat to the tip of the breastbone. A red trail preceded the tip of the scalpel as the wound oozed. The white shine of bone could be seen, underneath the skin and parting muscle.

Next were the pruning shears.

He had considered a saw, but it would have proven ineffective. He had used it on cadavers before, but the angle made it impossible.

Instead he began with the shears on either side of the sternum. The cartilage where the ribs spread off was thick and tough.

The first one gave with an awful thunk and a sound like a small branch snapping.

It was peculiar. It should have hurt. The snapping of the bone should have done more than made him grind his teeth from the sound. He should have felt agony. The only people this was done to were the dead, and they didn’t mind.

He smiled. Perhaps he was dead already.

He made his way from bottom to the top: tenth, ninth, eighth, all the way through the first. The snap snap snap of the ribs echoed in the empty theater.

The right side followed. This was more awkward: his left was not his strong hand, but he managed.

He pulled his breastbone off his chest like a flap.

What remained was a window into the workings of his organs. He could see his gray-purple lungs expand and collapse with his breath. His heart hung beating nestled between them.

Even as a doctor he had never seen a human heart beat. The science of medicine had not yet advanced to being able to cut a man’s chest open and have him live.

He reached out his fingers to touch it. He felt the chambers pump. It squeezed and released over and over. The very foundation of his pulse was at his command. 

He held the scalpel against the arch of the aorta, that main thoroughfare of blood from the heart to the body. He watched his own deep breath in the mirror. The hand that held the scalpel did not betray him. It was steady as a rock.

He sliced.

Blood sprayed as much as a yard from his heart. It splattered on the mirror and soaked the white towel in his lap red. He could feel it soak through and into his trousers in moments. It was warm. 

He knew he would not die as he watched the blood slow to a trickle. His heart began to quiver under his hand, and then was still.

Perhaps he was already dead. Or perhaps he was well beyond death, into the thing that lay just on the other side of a heartbeat.

He finished the incisions: pulmonary artery, pulmonary veins, vena cava high and low. His bare hand was slick with his own blood as he held his heart up to the light.

Morbidly he squeezed it: top for the atria, bottom for the ventricles. It dribbled a dark red trickle down his ruined shirtsleeve.

He stood, chest yawning open to the world.

He dropped his stone-dead heart on the floor. It hit with a wet thud. He thought he saw it quiver once and then go still. 

Then he stood, and put down the towel, and walked out of the theater.

He did not look back.

Anyway, that’s how I’d do it.

xoxo, Aunt Scripty

[disclaimer] – wait does fiction need a disclaimer?!

Done. - Bucky Barnes

request:  prompt one 25 38 41 buckyyy @aweways

summary: One training session with Bucky turns nasty and soon your ready to hand in your resignation. But does Bucky really want to see you go so soon? 

word count: 2.4k

warnings: angst / fluff / asshole!Bucky / fluffy!bucky /


“I just don’t see the point, Bucky!” Letting out a frustrated growl as the Soldier rolled his eyes again, I tucked my head behind my knees, trying to regain my vision and a healthy heart beat again.

For some reason today, Bucky was not letting me go down without a fight. Maybe it was the fact that I was his first ‘Trainee’ and he felt the need to get it right, or the fact that Steve supervised the training process and if I didn’t get better, he’d be disappointed. No one likes it when the Captain is disappointed, it felt as if you punched a kitten when I caused disappointment to gather in his baby blue eyes.

“Get it, now. I’m not kidding Charlie, now get up and keep going.” Embarrassment at my ass being kicked in our gym filled with all of us Avengers, training for the next deathly task we had to take.

The way he’d been kicking my ass, I was 90% sure my ass had vanished.

I had no ass to be kicked anymore, it had fallen off when he did his last move of literally kicking me in the ass so I’d stumble to the ground. I felt red flames on my cheeks, and the stare’s that were starting made me freeze.

I’d rather be smothered to death with a couch pillow than exerting any more energy in this session. I muttered to Bucky with my face hidden, my head was on my knees in pure shame.

“I can’t…”

“I’m sorry, what was that? I don’t think I heard you correctly!”

“I said, I can’t anymore…” A crack at the end gave my eyes the feeling to leak with salty drops of ‘weakness’. I didn’t want to become more pathetic than I already was, and crying was as pathetic as this moment could get for me.

“We don’t use ‘I can’t’ here. If you want to be an Avenger, then act like one, dammit!”

“I’m trying!” I cried out, finally looking up at the chocolate hair and glaring blue eyes that stared down at me with such intensity. Maybe I wasn’t good enough, maybe it was for the best if I left…

What the hell is wrong with you? Dammit. Okay.. well, maybe it’s best if you throw in the damn towel now. Before you get yourself and the rest of us killed out on missions!”

Bucky’s words stung, but what stung more was that no one raised an objection. They just were in some silent agreement with Bucky.

“Wha-”

“If that’s what you think is best, then by all means…” I turned around to see the twin doors open by FRIDAY listening to our conversation. What a cold hearted bitch, that AI was…

The gym was deadly silent now, Sam stopped punching the bag that Steve was effortlessly holding. Tony wasn’t spotting Clint anymore at the weights and so Barton laid there, with his head poking up to watch Bucky and I exchange our heated argument. Breathing in heavily like everyone else was. The gym air felt thick now, to me. It was thick with pity.

I was stumbling to my feet now, holding onto my knees as I got up on my feet. I felt like the wind just got knocked out of my chest, just from these small movements. It was painful enough to have the attention of everyone in the room, but to be this feeble and vulnerable…this felt like a whole new level of humiliation that I’ve unlocked in a very cruel video game.

I prayed for someone to at least look at me and see I needed some help! No one met my eyes that spun while I stood still, even with the room spinning, no movement was heard throughout the gym, nothing but Bucky’s invisible shoving at me to get the hell out of this gym.

I was on my own, just like before. I have always been on my own. Even after I had joined this group of misfits, I was the one looking in from the outside.

I somehow made it to the gym door, and grasped onto it, catching my dying breaths. I felt like I was going to be sick, and I wasn’t going to shame myself further by vomiting on my exit out of this gymnasium hell.

I gathered a steady balance and immediately set myself off to the bathroom down the hall. It was private so I could sob with no interruptions. Getting there was easy. Throwing up was easier. Coming to terms with the fact that I’d just unveiled my weakness in front of the people I called, ‘family’? A family that frowned on weakness, by the way. That was something by mind couldn’t conquer, or convey. How was I ever going to get off of this cold tile and make it to my room? What was going to happen next to me? Would I be kicked off? Or just sent into filing mission reports with the nerds in the basement who all had this weird look of fascination every time they saw me bring them the files that needed to be written up. It creeped me out, and I really didn’t want to leave Stark tower, too.

“FUCK!” I yelled to the audience of the vacant bathroom. I hated this damn world right now, nothing could get worse. I was absolutely sure nothing would be worse than right now.

Today, though, the lord was mad at something I’d done in the past, I believe. Because after splashing my face with cold water, washing out my mouth and smoothing down my unpleasant post-gym hair-frizz, I walked out of the bathroom, ready to bolt to the elevators and get to my room as fast as possible.

However, I was blocked by a 200 lb mass of muscle that had been lingering outside the door, anxiously waiting for the lock to turn and for me to emerge.

I yelped and felt my tired knees buckle but before I smashed my body onto the tiling, I was caught by two strong hands. Two strong, strangely different in texture and temperature, hands.

“Woah, sorry! I didn’t mean to scare you.” Opening my eyes I was met with eyes that we’re the summer sky’s afternoon colored blue. The midnight’s bewitching sky was the color of straight hair that framed the face that those eyes belonged to.

Bucky.

“S-s-sorry,” I muttered, feeling a weird mix of anger, fear, and embarrassment inside my chest. I stood up as fast as I could and shook myself out of those, surprisingly comfortable, arms. “I came here to just say that what happened in the gym today was complete-”

“Save it. What you said in there was all true. So don’t apologize for shoving my face in a pie of reality…” I tried to push my way past the mass of man but Bucky put an arm up against the doorframe, blocking me once again.

Bucky’s face was drowning in confusion and frustration. He knew why I was so pissed and wanted to run, but he didn’t understand the words I let fall from my lips so freely.

“No! That not what I came to say-”

“What! More insults! Fine, then… bring it on. I’m dead inside already, you’re just trying to kill a corpse now, Barnes.”

Bucky felt devastated, did I really think that low of him? He sure made it easy to make it so I did, but he always believed I held onto a bit of light for him.

Apparently not.

“You think I came to insult you-”

“Why else would you speak to me!”

“Let me fucking finish a goddamn sentence and you’ll find out! Fuck! Why does everything turn into a fight with you!”

“Because you make it one, Bucky! I can never satisfy you in the gym. You never even glance at me anytime we pass each other. I don’t even remember a thank you after I saved you from that sniper you missed!”

“I didn’t miss him! I knew he was there, I was gonna knock his ass out!” I bellowed a fake laugh at Bucky’s attempt to gain himself some sort of manliness just because I let him live…men.

“Were you going to knock him on his ass before or after he released the trigger you wouldn’t even hear, letting a bullet hit you right in the pulmonary artery. I like to call that shot instant death… so when would it be, James!”

“Don’t talk to me like that and use my name as if we’re friends.”

Bucky sneered down at me. I had nothing left to lose. So, why not take a few verbal swings at the man who dashed my dreams of helping the world just one more time?

“What are you gonna do? Kill me? Hit me? Take me to Fury? Go ahead, do all three, I have nothing left, Bucky! In 24 hours I’m going to be homeless and you’ll be here, sleeping in night terrors that we all fuckin’ hear at night. So go ahead and hurt me. Hurt me like you did not even an hour ago in front of my used-to-be family…” I had tears running down my cheeks that were just two ripe tomatoes. I was breathless from my rant, making my chest rising up and down.

“I just wanted to fucking tell you that I’m sorry! I was a dick in there and I’ve been one since I met you. I wanted to clean our slate because you are an amazing fighter. One of the damn best, counting Romanoff and Barton. Look,”

Bucky absentmindedly tucked a tuft of hair that had fallen from my loosened braid, behind my ear. Leave his hand lingering near my cheek, wiping my tears away. This was no Bucky that I’d ever known, this was a new one, one that I thought I was going to meet two years ago, but I was met with passive aggressive Bucky. This… this was James Buchanan Barnes. Not Bucky, Barnes, Winter Soldier… just James B. Barnes.

“Then why tell me to leave? Why kick my ass in front of everyone, telling them I should leave?”

“Because! I- I was trying to save face… but like always, I went too far.”

“Wait, what?”

There was a pregnant pause before I heard a mutter come from Buck, “Punk read my diary…”

I couldn’t help the giggle that released from my tense chest, letting the steam that lingered in there, die down. I had no tears threatening to fall, and I had no shake in my voice. I felt… safe? No… I think I felt comfort, with Bucky right now. That was a first.

Bucky’s shoulders fell with no more tension tightening them. His face brightened, illuminating his usually flat, creamy, pale skin.

”I’m so sorry I hurt you. Verbally and physically… that the last thing I’d ever want to do to you… all I want is to protect you, give you a happy life. I don’t know where my head has been these last two years but seeing you walk out those doors… made me finally accept that I can’t be without you. You’re a chatterbox, an amazing midnight sandwich chef, a terrible dancer, a loving, kind person…”

Our bodies we’re moving closer to each word Bucky spoke, his metal hand now slithered it’s way to the small of my back, bringing me finally nose to nose with the man who kicked my ass an hour ago. Now confessing his feelings for me…

Bucky Barnes was not one to be subtle, I guess.

“What are you asking me, James?” I was dipping my foot into the pool again, testing my waters with him. This time, though, when I said his real name, a broad smile appeared, and the hold on me just got tighter, and stronger with a sense of desire awaiting in his grasp.

“I’m asking you, to forgive my horrible, facade, and accept me telling you that I’m crazy about you doll…” I let out a breathless laugh, almost astounded to hear such words come from his lips.

“What can I do to make it up to you? I’ll do anything, Even if it’s going to China and back for a chocolate bar… what can I give you? Do for you?” A smile on my face brought a laugh, I brought my hand to cup his worried face, stroking it to calm the pounding in his heart. “Just… kiss me where it hurts,” 

Bucky’s tentative eyes almost frantically started looking me up and down, trying to find a spot of pain. “Where does it hurt, doll?” 

“Right here…” I whispered. With a dip of my head and nudge of my nose on his cheek, I kissed him. Feeling no longer like I was being held in his embrace, I was now, just floating in thin air. His arm didn’t weigh me down it lifted me up. His lips didn’t hurt my heart, they made it pump in a thrilling manner. His eyes didn’t frantically search the room around us whenever they made a connection with mine, now they just stayed staring at me. Never leaving my big and bright, loving eyes that looked into his with desire.

I no longer felt lost, like I had no family. Like I was on my own. With Bucky, now, I had a home. And that home traveled with me when I left those blue eyes. My home only felt more secure when I was finally laying in these arms, talking about my day, the things that happened. The good and the bad.

I guess I had been looking for a home for so long I’d forgotten what home felt like…

My home was never a place, but a feeling. One that only your soulmate could ever give you. I’ve realized, now, that your soulmate can be that one person you’d thought hated with a passion.

I guess soulmates have a good way of hiding behind smoke and mirrors until the time is right, though.


a/n: Let me know your thoughts! I hope this one is a bit different then the normal asshole bucky suddenly becomes sweet!Bucky. I always love hearing from you guys! Never be afraid to hit me up!! 

Here’s what’s up next: Last part to @giftofdreams and I’s collaboration three part: A Hidden Hero: 1 & 2 

my last imagine: Keep Holding On

masterlist

Keep reading

2

August 21, 2017

Assistant state’s attorney for Cook County, Illinois, Natosha Toller, told Associate Judge, Adam Bourgeois Jr., the account of
Northwestern University microbiologist Wyndham Lathem, 46 (above left), who murdered his young boyfriend, Trenton James Cornell-Duranleau (bottom photo), with the assistance of Andrew Warren, 56 (above right).

The two men killed Cornell-Duranleau, a 26 year old hairstylist, on July 27, 2017. The murder scheme was hatched over months of online chat room discussions, fueled by mutual sexual fantasies to murder people and then commit suicide.

Several days before murdering the young man, Latham, who did academic work on the bubonic plague, paid for Warren to fly to Chicago from the U.K., where he was a treasury assistant for Oxford University. After picking him up at the airport, Latham put Warren up in a hotel near the professor’s residence.

Cornell-Duranleau was sleeping in Lathem’s condo when Warren was allowed inside by Lathem. The plan had been for Warren to record the murder but he apparently failed to do so. Lathem began stabbing his boyfriend in the neck and chest, with a 6 inch drywall saw, as the victim slept. When the young man awoke he began to scream and fight back, at which point Warren was instructed to assist in holding Cornell-Duranleau down. Warren struck the victim in the head with a lamp while Latham continued stabbing. Warren then left the bedroom and soon returned with two kitchen knives and joined in on the stabbing.

Cornell-Duranleau was stabbed over 70 times during the ordeal, being nearly decapitated with his throat slit and pulmonary artery torn. According to the prosecutor, Cornell-Duranleau’s last words to his boyfriend were “Wyndham, what are you doing?”

After the murder, both killers showered, left the apartment and went on the lam. An anonymous phone call to authorities alerted the police to the presence of Cornell-Duranleau’s body in Latham’s condo. Both men were on the run for 8 days, winding up in California where they separately surrendered to police.

Before surrendering, on the same day as the murder, Latham made a donation of $5,610 to Chicago’s Howard Brown Health Center in his dead boyfriend’s name. After driving to Lake Geneva, Wisconsin, Latham made another donation, of $1,000 in his lover’s name to the local public library. Latham also recorded video of himself confessing to the murder and, according to the prosecutor, confessed that he “ is not the person people thought he was,” sending the messages to his friends and family. No explanation has been given, as of yet, for why the men did not complete their fantasy of committing suicide after the killing.

Latham had been fired by Northwestern University before surrendering, and both he and Warren have been charged with first-degree murder. Judge Adam Bourgeois Jr. declared both men a flight risk and potentially dangerous, ordering them to remain in jail until trial.

Congestive Heart Failure: Left Versus Right.

So what is congestive heart failure (also known as CHF)? CHF is when the heart isn’t able to pump blood to the body correctly, and as such various clinical signs occurs. In doggies, this frequently happen to degenerative valve disease, Dilated Cardiomyopathy (DCM), or other heart diseases. A post further explaining these can be found here.

Now heart failure can manifest as left-sided (from diseases on the left side of the heart), or right-sided (from disease on the right side of the heart). Knowing what clinical signs are associated with which one is related to blood flow. To review, the veins of the body flow into the RIGHT ATRIUM -> RIGHT VENTRICLE-> LUNGS (via pulmonary artery) -> LEFT ATRIUM (via pulmonary vein) -> LEFT VENTRICLE -> BODY (via aorta).

In Right-sided failure, there is blood back-flow (the “congestive” part of CHF), from the RIGHT side of the heart to the BODY. This causes fluid to accumulate in the abdomen, called ascites. This can also lead to fluid building up in the limbs called edema

In left-sided heart failure, there is blood back-flow (the “congestive” part of CHF), from the LEFT side of the heart to the LUNGS.  This causes fluid to accumulate in the lungs, called pulmonary edema. This leads to coughing and difficulty breathing!

TIP: Left-side CHF is most common!!! Therefore one of the most common clinical signs of CHF is coughing and respiratory distress! Having trouble breathing is not always a primary lung disease, but can be secondary to heart failure!

TIP: CHF, once established, can always be a problem and acute clinical signs can reoccur. However, it is possible that CHF can be well managed for some time with proper treatment.

doctorwhom456  asked:

So glad your ask is open! Is there any disease that could have someone coughing up blood and kill them within a few days? The timeframe of my story is short, so tuberculosis with its long incubation period wouldn't work. And the character isn't injured in any way, it's an attempt of biological warfare. Thanks!

Note: I initially missed the “biological warfare” portion of this ask. 

Hmmmm. So hemoptysis – bloody sputum – is a symptom of a few things. 

One of those is arteriovenous malformation (AVM) of vasculature in the pulmonary system. If that’s the cause, and the AVM is a symptom ob a bigger vascular problem, they could cause a fairly sudden death. I wouldn’t throw the book across the room if that’s explained in the story. 

The major causes of hemoptysis I’m aware of are pulmonary edema – blood flow backing up into the pulmonary vasculature until it floods the lungs – and tuberculosis, which is legendary for it. 

Perhaps your character had a heart attack, and they can’t clear their pulmonary vasculature, and they die fairly quickly of it. However, this would come with other unwanted side effects. A pulmonary artery aneurysm is possible but honestly fairly unlikely, because the pulmonary arteries are low-pressure systems. 

One other cause: it’s really rare, but an aneurysm of the aorta can cause a fistula with the tracheobrochial tree (the physical space in which air passes), causing blood to enter the airway, and this could be rapidly fatal. 

My issue in general with the bloody cough trope is that it’s… kind of misguided. Sure, it’s visually dramatic and so forth, but, if I’m honest, basing a disease around one symptom is backwards. Bloody cough is what you want. What you seem to need is a rapidly fatal disease to give your character. 


NOW THAT I’VE REREAD THE QUESTION LIKE A NOT-MORON, let me take this down the biowarfare tack. (I’m leaving what I’d already written because other people might have questions about bloody coughs.) 

Biowarfare is interesting, and I honestly don’t know too much about it. Fortunately, in modern times it hasn’t been used much; chemwar is much more common and much easier to control and target. 

Biowar weapons typically include difficult-to-kill viruses (such as ebola) or bacteria (like anthrax). 

However, if you’re willing to make up a disease, you could realistically have a genetically engineered virus that attacks the lining of the lungs and airways, and they basically have bloody asthma to death. You’d get a fever, wheezing, swelling in the airways, cough, then bloody cough, then death. Your evil bioweapon-maker characters could probably, in fact, modify a version of [RSV – Respiratory Syncytial Virus] – to suit their evil plans. (They’d have to modify it so that it’s extremely aggressive and also doesn’t “look” like RSV to the immune system; adults are typically immune to RSV as we know it, but kids under 2 can have really bad cases of it. In fact, maybe this disease is special-built to target children…) eRSV (for Engineered) as a name, perhaps? 

Sorry I don’t have anything realistic off-hand to give you as a bioweapon, but in all honesty, I feel a lot safer knowing that, too :) 

Hope this helped! 

xoxo, Aunt Scripty

[disclaimer]

Patreon: a magical land where the ask box never closes. Care to visit?  

Ebook for Free! 10 BS “Medical” Tropes that Need to Die TODAY!

Time

  0337am.  I rubbed my bleary eyes on my sleeve and looked at the monitor.  Night shift.  I don’t do night shifts.  But overtime is scarce and I want to pay off a few vacations. 

“Balloon up…” the PA said quietly, breaking into my blank stare. I quickly added the 1.5ml of air that was required to float a pulmonary artery catheter.

I watched the waveforms. 

“Uhh… I don’t see a change- looks RA to me…” I said.  He sighed. We repeated the drill 4 times and every time it coiled somehow.

I stood at the edge of the bed, reflexively doing what the PA needed me to.  I checked on the patient, squeezed his hand, murmured encouragement.  I changed screens on the monitor, flushed lines, made sure the time-out was in.  My hands moved quickly, instinctively.  

Maybe it was that it was 3 in the morning, but I suddenly felt like I stepped back from myself and was watching.  I saw myself doing things without thinking.  I surveyed the room littered with trash and mayhem.  I took in the toes sticking out from under the blue sterile drape and the hand that gripped the side rail.  I could see the drape moving with each rapid breath he took.  I could see the blood splattered across the gauze and the PA’s gloves.  I heard the monitor screaming its alerts. I watched myself go through the steps I had gone through a thousand times before.  Years of training at work.

 I looked at the darkened window and saw the reflection.  The tall PA hunched over, working his hardest to put in a line, the blue lump that was the patient below him.  And me.  Standing beside him, doing everything I could to help. 

I stared at the image and thoughts floated through my mind.

How many?   How many more patients would I endure this with?  How many more times would I be standing in a room, holding a patients hand with one hand and helping with another?  How much longer could I do this and survive? How many more lives would I save while losing a bit more of my own?

In three short months I will have been an ICU RN for 7 years. 5 in the same unit I am in now.   My mind wandered as I cleaned up the debris and wiped the blood off the side rail.

Would I miss it?  If I walked away tomorrow… would I miss it? A friend that I work with once said that ICU nursing was my calling.  That I was born to do what I do. 

And, that thought… Scares me more than anything.

2

Richard Trenton Chase: Renfield’s Syndrome, Hypochondria, and Paranoid Schizophrenia

A post by mean-old-mr-gein

Richard Trenton Chase (23 May 1950 - 26 December 1980), more commonly known as the “Vampire of Sacramento”  or the “Dracula Killer,” was born and raised in Santa Cruz, California by a father who abused alcohol and was domestically abusive to Chase’s mother and Chase himself and a mentally unstable mother. By the age of eight, he was already a near-nightly bed wetter, and by age 10, he was known to set fires for self-satisfaction and to brutally murder, dismember, and drink the blood of animals, fully satisfying the Macdonald Triad of Sociopathy often used by psychologists and criminologists to link serial killers through the common traits that they share. By the age of 10, Chase had also developed acute hypochondria, and the origin of this condition is unknown.

By Chase’s teen years, he became more susceptible to unusual and eccentric behaviors and ways of thinking. The reasoning behind his animal abuse and hematolagnia developed as a delusion that he was suffering from blood poisoning. He believed that he needed to drink the “pure” blood of animals–and eventually human beings–in order to cleanse his own tainted blood. To add on to this, Chase became a heavy chronic drug user in high school, which only served to perpetuate and worsen his violent, paranoid delusions and a desire to cure himself of imagined illnesses through vampiric and sometimes cannibalistic methods.

In young adulthood, Chase’s mutilation and blood-letting of animals continued as his acute hypochondria worsened as he fell into further delusions of impure, poisoned blood. As he began to take an interest in women, it was discovered that he was suffering from erectile dysfunction. Out of a delusion that his heart was somehow shrinking and causing his erectile inabilities, he began to drink even more blood, which was giving him blood poisoning, and raw organs in order to treat his hallucinated condition. Chase’s relationship problems and erectile dysfunction contributed to the sort of sexual sadism with which he later treated all of his female victims, whom he shot and subsequently raped post-mortem.

Shortly after his first murder at the age of 27, Chase was institutionalized for complications related to his paranoid schizophrenia, as he was experiencing a delusion involving his head rapidly changing size and someone trying to steal his pulmonary arteries. He was institutionalized for a short time, immediately returning to zoosadistic violence after his release.

Throughout his series of erratic murders by shooting, Chase vampirized, cannibalized, and sexually abused most of his seven total victims, often fueled by his desire to purify his own blood and organs and also to gratify his sexual sadism. In addition to the disorganization of his murder-rapes, Chase also made no effort to discard evidence or even to be stealthy. He only entered homes where the doors were unlocked, as he believed that locked doors indicated that he was not welcome in the home, and allowed himself to be seen in the neighborhoods. He also consistently left fingerprints, handprints, and footprints throughout the crime scenes. It is likely that this disorganization came as a result of his paranoid schizophrenia, as his thought process throughout his murders was fueled by paranoia, fractured thoughts, and schizoid hallucinations.

After Chase was apprehended, he blamed his crimes on his inability to have sex with girls as a teenage boy, on abuse at the hands of his alcoholic father and mentally unstable mother, and on his consistent hypochondriacal belief that he was dying. His delusional and paranoid thinking continued well into his incarceration. During interviews with former FBI agent Robert Ressler, he requested access to a radar gun with which to track Nazi-driven UFOs, and also handed Ressler copious amounts of macaroni and cheese out of the pockets of his pants, claiming that the prison kitchen staff were Nazis and were trying to kill him with poisoned food.

After countless urges by other inmates, Richard Chase killed himself on the day after Christmas in 1980 with an overdose of antidepressants. This medication had been prescribed to him by a prison doctor, and he had been hoarding the pills for several weeks in anticipation of his suicide.

Citations

Ressler, Robert K., and Tom Shachtman. Whoever Fights Monsters: My Twenty Years Tracking Serial Killers for the FBI. Reed Business Information, 1993. 

Turner, Jessica. Psychological Analysis and History of Richard Trenton Chase. Regis University, 2013.

2

Blood and Coca-Cola: The Story of Richard Trenton Chase, The Vampire of Sacrimento

Richard Chase believed that his heart would stop sometimes, that the bones in his skull shifted, that if he held two oranges against his head his brain would absorb the vitamin C.

He also claimed that someone stole his pulmonary artery. Chase believed that Nazis and extraterrestrials were poisoning him, causing the blood to dissolve from his veins.

Richard Chase believed that if he didn’t drink blood he would die.

Chase started out life with three characteristics said to be common among serial killers: he abused animals, was a bed wetter and liked to set fires. His father was described as violent and abusive.

During his adolescence, Chase abused alcohol and drugs. While Chase was attracted to women he found he was impotent and incapable of having an erection.

Chase was sent to counseling and was told his problem was suppressed anger.

After high school, Chase moved into an apartment with some friends but the arrangement didn’t last long. Chase was often drunk or high on LSD or weed. He also walked around the apartment naked even if his roommates had visitors.

When asked to leave, he refused. His roommates left instead, leaving Chase alone in the apartment.

Chase began to catch animals and eviscerate them. Sometimes he would eat their flesh raw.

Chase also concocted an interesting smoothie by putting their organs in a blender with Coca-Cola. He believed that drinking the Coca-Cola and animal organ mixture would prevent his heart from shrinking.

Chase was admitted to a mental institution in 1975. He became sick from injecting rabbit blood into his veins. His father had to take him to the emergency room and Chase was admitted to the mental institution from there.

Staff at the mental institution found Chase with his mouth covered in blood. He claimed he cut himself shaving. The staff found out that he was catching birds through the window of his room, drinking their blood and throwing their bodies out of the window. Chase earned the nickname “Dracula.”

Chase later said that he also fed his need for blood by injecting the blood of therapy dogs with syringes stolen from the doctors’ offices.

Chase was diagnosed as paranoid schizophrenic, prescribed medication and released.

Back at home, Chases’ mother took him off his meds because she thought that they were turning her son into a “zombie.”

Chase’s ’ parents continued to support him and got him his own apartment. On his own, Chase’s thirst for blood resurfaced, shifting from zombie back to vampire.

He trapped, tortured, killed and ate dogs and cats. Chase made some phone calls to neighbors sometimes to let them know that he ate their pet.

Besides blood and guts, Chase was also obsessed with guns. He bought many handguns and practiced shooting on a regular basis.

Another obsession for Chase was the Hillside Strangler case that was current news at the time. Chase believed that the Hillside Strangler was also being poisoned by the Nazis and extraterrestrials.

Chase also had a disregard for personal hygiene. He became dirty and emaciated.

Chase went to his mother’s house with a dead cat. When she answered the door, he shoved the cat in her face. He then threw it down on the porch, tore it open with his bare hands and smeared the blood all over his face and hands. Chase’s mother didn’t report it.

Nevada state police found Chase near Pyramid Lake naked, screaming and covered in blood. The officers had seen Chase’s car, a Ford Ranchero, stuck in a sand drift.

Inside the car, they found a pile of clothes, two rifles and a bucket of blood with a liver inside. The liver was later determined to be a cow’s liver.

When asked where the blood came from, Chase claimed it leaked out of his body.

In December 1977, Richard Chase also started to go shooting - in residential neighborhoods. His first time out he shot into a random home of a Sacramento woman. No one was harmed and police found the slug.

But … Chase was just warming up. Two days later, on December 29, 1977, Chase would commit his first murder by drive-by shooting.

Ambrose Griffin, age 51, was shot and killed by Chase as he was bringing groceries into his house.

It was determined that the bullet came from a .22 caliber rifle. The bullet matched the one found in the Sacramento woman’s house.

Some interesting events occurred leading up to Chase’s second murder.

In January of 1978, Chase’s first recorded incident of the New Year was an assault on a neighbor. He asked her for a cigarette, then restrained her until she gave him a whole pack.

Chase continued prowling the quiet neighborhoods of Sacramento. On January 11, two weeks after the altercation with his neighbor, Chase attempted to break into a house. He later told police that he found the door locked. Chase interpreted a locked door as a sign that he wasn’t welcome and that an unlocked door was a sign that he was welcome.

He found an unlocked home to enter. Chase stole some of their valuables, urinated in a draw of baby clothes and defecated on a bed. The couple returned home from grocery shopping to see Chase coming from the back of the house. The husband tried to stop him but Chase got away.


Chase entered the home of Teresa and David Wallin on January 23, 1978. Wallin, age 22 and three months pregnant, was taking out the trash when she met Richard Chase at the door. Chase shot her three times, then dragged Wallin into the bedroom. Chase stabbed her multiple times with a butcher knife as he had sex with her corpse. Wallin was found by her husband in the bedroom with her pants around her ankles, legs spread and sweater pulled up over her breasts. Her left nipple was cut off and her intestines were pulled out of her abdomen. An empty yogurt container was found near the body with some blood at the bottom of it. Dog feces was shoved down her throat.

Chase committed his last murders on Jan. 27. Evelyn Miroth, age 38, had been babysitting her 20-month-old nephew David Ferrara. A friend, Danny Meredith, age 51, was also visiting and Miroth’s son Jason, age 6, was also home.

The group was found dead by a concerned neighbor when Jason Miroth failed to show up for a play date with her daughter. Danny Meredith had been shot in the head with a .22 caliber handgun, Evelyn Miroth was found in her bedroom eviscerated like Teresa Wallin. Chase had sodomized her corpse. Her son Jason was found on the other side of the bed shot to death. David Ferrara was missing.

Chase left behind hand prints and a bloody shoe print.

Chase drank Miroth’s blood. He took David Ferrara into the bathroom, opening up his head and spilling pieces of brain into the tub. It may have been a knock at the door that caused Chase to run out of the house with the body. Chase took the baby’s body home with him and decapitated it. He then ate little David Ferrara’s organs.

Police were closing in on Chase. Eyewitnesses provided a description and the FBI had developed a profile.

Chase recognized and approached an old classmate, Nancy Holden, at a local shopping center. Holden didn’t recognize the filthy disheveled stranger until he asked, “Were you on the motorcycle when Kurt was killed?” Holden had dated a boy named Kurt who was killed in a motorcycle accident. She asked Chase who he was and was shocked when he replied, “Rick Chase.”

The person standing in front of her bore no resemblance to the Rick Chase she knew from high school. Holden spoke to Chase briefly looking for a way to get away from him. She described him as behaving agitated and nervous. Chase followed Holden into the store parking lot but she managed to jump in her car and drive away.

Holden had read about the crimes in the newspaper. She recognized Chase from the description of a dirty, disheveled, tall, skinny man in an orange parka who had been seen in the neighborhoods where the crimes were committed. Chase fit the description right down to the orange parka he had been wearing when he approached her in the store. Holden reported Chase to the police.

When detectives looked into Chase’s background, they found that a .22 caliber semiautomatic handgun had been registered to a Richard Chase, his history of mental illness, a concealed weapons charge, some minor drug busts and his arrest in Nevada. Detectives found out his address and went to the apartment complex on Watt Avenue, apartment number 15.

When Chase didn’t answer the door, detectives pretended to leave but waited for Chase outside. Chase came out of the building holding a large box and detectives closed in. Chase put up a struggle but they managed to arrest him. They noted dark stains on Chase’s orange parka and that his shoes were bloody. Dan Meredith’s wallet was also found in Chase’s back pocket along with a pair of latex gloves. The box contained, bloody rags and paper.

At the station, Chase wouldn’t talk about the murders He would only admit to killing several dogs. Police went to Chase’s apartment to search it.

Detectives were horrified at what they found. The apartment had a horrible smell and there was blood everywhere. There were dishes in the kitchen with body parts in them, one with human brain tissue in it. There was also a calendar with the word “today” scrawled over the dates of the Wallin and Miroth murders as well as 44 more dates.

The body of David Ferrara was found on March 24. Chase had left the child’s remains in a box beside a church where it was found by a janitor. David had suffered multiple stab wounds and a gun shot to the head.

Chase pled guilty by reason of insanity. But, believe it or not, was judged sane by the jury. He was sentenced to death and sent to San Quentin State Penitentiary.

FBI profiler Robert Ressler interviewed Richard Chase in prison. Chase told Ressler that he drank blood to sustain his life and that Nazis and extraterrestrials were poisoning him through his soap dish. Chase explained that if the soap is wet and gooey underneath, that this indicates the presence of the poison but if the dish underneath is dry there is no poison. It’s the poison that turns blood into powder, he said. The powder then depletes your energy and starts to eat away at your body. Chase took a handful of macaroni and cheese out of his pocket and told Ressler to have it analyzed for poison.

Richard Chase committed suicide. He died on December 26, 1980, having overdosed on his psychiatric meds which he had been storing up.

Doctor I Need You: Chapter 3

Chapter Summary: After saving Choi Haru’s life the doctors really seem to respect you now. Except Yuta, he still hates that you’re his teacher. At the end of your shift, Taeyong asks if you want to grab a drink with him.

Originally posted by nctaezen

Prologue / Part 1 / Part 2 / Part 3 / Part 4 / to be determined

a/n: Next chapter will have more romance (possibly smut? *wink wink*)

Warnings: Surgery and mentions of death

Genre: fluff, smut, angst, romance

Rating: M

Characters and their roles:

Attendings:

  • You (Head of Cardiothoracic Surgery)
  • Dr. Kim Jisoo (Head of General Surgery)
  • Dr. Kim Seokjin (Jin) (Attending Anesthesiologist)
  • Dr. Lee Taeyong (Head of Trauma Surgery)
  • Dr. Kim Taeyeon (Head of Neurosurgery)
  • Dr. Kim Xiumin (Head of Pediatric surgery)
  • Dr. Park Leeteuk (Chief of Surgery)

Residents:

  • Dr. Jeon Wonwoo (5th year Surgical Resident)
  • Dr. Nakamoto Yuta (5th year Surgical Resident)
  • Dr. Park Rosé (5th year Surgical Resident)
  • Dr. Park Joy (5th year Surgical Resident)
  • Dr. Kim Mingyu (5th year Surgical Resident)

Songs to play while reading: I’ll point out where

  1. My type - iKON
  2. Fire - Taeyeon
  3. Cosmic Love - Florence & the Machines (This song’s gonna appear a lot in the series)

“Unity is strength…when there is teamwork and collaboration, wonderful things can be achieved” - Mattie J.T Stepanek

————

(My type)

Ever since the night you saved Choi Haru’s life, the Heartstone doctors and Serenity doctors have really bonded.

Lunchtime rolled around, you sat with Xiumin, Jisoo, Taeyong, and Taeyeon.

“So Dr. Y/n, how’s working with Yuta?” Xiumin asks you.

“I’m actually impressed, he may in fact be the best resident I’ve ever seen,” You chuckled, “But I don’t think he likes me.”

“Oooh, he doesn’t like you?” Taeyeon laughed, “Well he did get the last 3 Cardio surgeons at Heartstone fired.”

“Yuta just needs a strong Cardio attending that’s all,” Taeyong assured you.

Taeyeon shook her head, “I don’t know Y/n, the last Cardio surgeon- OW! Did you just kick me?” Taeyeon glared at Xiumin.

“No that was me,” Jisoo raised her hand.

Across the room Yuta, Wonwoo, Mingyu, Joy, and Rosé were eating their lunch.

“Are you enjoying working with Dr. Y/n?” Joy asked Yuta, “I heard she’s a Cardio goddess.”

“Ugh,” Yuta rolled his eyes.

“Leave Dr. Y/n alone, she’s not used to working with you,” Wonwoo said.

Yuta scowled, “Why are you defending her? She went to a state school.”

“So did I,” Rosé pointed out.

“But she’s a Serenity doctor.”

“So am I,” Wonwoo pointed out.

“But she’s annoying.”

“So are you,” Mingyu said.

~~~~~~~~~~~~~~~~

Joy was treating a motorcycle victim in trauma 3. Taeyong got her page and ran there.

“Fill me in.”

“Systolic is stabilizing but he’s still having multiple arrhythmias, I’m about to do a chest tube,” Joy said with confidence.

“Joy have you thought about what your specialty might be?” Taeyong asked her.

“No sir.”

“It’s trauma.”

~~~~~~~~~~~~~~~~

You and Jisoo were in the attendings’ lounge drinking coffee.

“Isn’t it time for you to get a boyfriend?” Jisoo asked you.

“Isn’t it time for you to get a Jin?” You fired back.

“What?”

“You know in cartoons when a bear is starving and it looks at an object and the object turns into a turkey?”

“I don’t look at Jin like that,” Jisoo scoffed, “What about you and Taeyong?”

“What?”

“You know in cartoons when a bear is starving and it looks at a cute doctor?”

“Shut up,” You laughed.

*beep beep*

“Dammit, Yuta’s paging me, finish my coffee for me” You excused yourself and ran to the ER.

“Why’d you page me?”

“This is Jinu, 8 years old, asthmatic. Nebs at home haven’t been working. He’s still having trouble breathing,” Yuta said.

“Jinu, I’m gonna take a listen to your heart ok?” You put the cold metal on his chest and listen for awhile, “Has Jinu have any other medical trouble?”

“A febrile seizure at 3 months,” Yuta informed you.

“Ok, page Dr. Xiumin and book an OR.”

“What why?”

“Because I said so.”

“He has asthma.”

“Cardiac asthma.” You corrected him.

“How do you know?”

“The seizure he had, wasn’t from a fever he had a heart attack then and he’s having one now. So book an OR because I’m your attending. When I tell you to book an OR, you book an OR.” You snapped at him.

~~~~~~~~~~~~~~~~

(Play Fire)

Taeyong got a page from Joy, he ran to trauma 1 where Joy was performing CPR on her patient.

“What’s happening Joy?”

“I put in the chest tube but there was no blood. Tried another one there was no pulse.” Joy said.

“How long has he been down?” Taeyong asked her.

“20 minutes. Do I open the chest?” Joy asked him.

“Move on Joy, he’s gone. You can’t save him. Call it.”

Joy removed her hands from the man’s chest, “Time of death 4:55 p.m.”

Taeyong saw the sadness in Joy’s eyes, “You did everything you could. Trauma’s a team sport, you don’t have to be the hero. Just go where you’re needed.”

~~~~~~~~~~~~~~~~

You, Yuta and Xiumin were in surgery.

“See the anatomy here?” Xiumin pointed, “the coronary artery is attached to the pulmonary artery.”

“It’s presented as asthma, but it’s actually alcapa.” You looked at Yuta.

“How’d you know?” He looked at you with astonishment.

“I saw some cardiomegaly on the x-rays and heard a murmur through his wheezing. You’ll know for next time. And after today, you’ll know how to fix it.”

“I thought you and Dr. Xiumin were-”

“Dr. Xiumin, do you mind if Yuta first assists me on this one?” You ask him. He stepped aside for Yuta. Yuta had a happy glint in his eyes and started the surgery with you.

“Let’s see Dr. Yuta’s handiwork,” You smiled at him.

*beep beep beep beep beep beep*

Xiumin stepped up, “The bleeding is behind the coronary artery anastomosis.”

Yuta frowned, “My anastomosis.”

“Ok Yuta how are you gonna fix it?” You asked him.

Yuta frantically tried fixing his mistake, “Help me Dr. Y/n”

“You can do this,” You assured him, “tell me what you want to do.”

“I want to defibrillate.”

“Then do it.”

Yuta grabbed the paddle and put it around the exposed heart.

“Charge to 20. Clear!”

*PA-THUNK*

The heartbeat normalized.

“Good job,” You praised him, “Now keep your eyes on the field and do exactly what I say. We’ll fix this without rearresting the heart. Are you with me?”

“Yes.”

~~~~~~~~~~~~~~~~

The surgery finally finished, your shift was over, you started packing up to go home. Taeyong walked in the attendings lounge.

“Hey, I heard you lost a patient today.”

“Yeah, nothing I could do to save him. But Joy, she’s gonna be an excellent trauma surgeon one day.” Taeyong said.

“I think I got Yuta to like me,” You chuckled.

“Wow, you’re the first Cardio surgeon to do so.” Taeyong laughed, “Hey doctor, are you coming to the hospital party tomorrow?”

“Are you kidding me? A no work day, I’m there.” You laughed, “Are you coming?”

“I’ll see you there.” Taeyong grabbed your bag for you and handed it to you. You moved your body closer to his and looked into his eyes. He looked back into yours.

The door slammed open. Taeyeon walked in.

“Guess what hap-WOAH,” Taeyeon looked at the position the 2 of you were in, “Were you 2 about to kiss?”

The both of you shook your heads vigorously, “No,” you said in unison. You grabbed your bag and left the room in embarrassment.

~~~~~~~~~~~~~~~~

Yuta went into the residents lounge with a huge smile on his face.

“Why are you so happy?” Mingyu asked.

“Today I did a Takeuchi repair,” Yuta bragged.

Wonwoo looked at him in shock, “You did not.”

“Not all by myself but Dr. Y/n did let me do the coronary artery anastomosis.”

“Maybe she is a cardio goddess,” Joy said.

“Yeah,” Yuta agreed.

~~~~~~~~~~~~~~~~

(Play Cosmic Love)

You walked outside the hospital and was about to leave when you felt a tap on your shoulder. It was Taeyong.

“It’s still early doctor, you wanna grab a drink?” He asked you.

“I have to drive Taeyong.”

“Who said it had to be alcoholic?”

“Alright,” You agreed.

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anonymous asked:

What are your thoughts on Irish Setters? (Do you see many over there in Oz? I live in Ireland, so obviously they're pretty popular, I kinda wonder if they're as common elsewhere). As for the question tax, came for the vet posts, stayed for the dog breed analysis!

We don’t see very many Irish Setters down here in Australia, but they’re certainly worth talking about because although they’re uncommon they do have a few notable quirks.

But first, as usual, please note the disclaimer. These posts are about the breed from a veterinary viewpoint as seen in clinical practice, i.e. the problems we are faced with. It’s not the be-all and end-all of the breed and is not to make a judgement about whether the breed is right for you. If you are asking for an opinion about these animals in a veterinary setting, that is what you will get. It’s not going to be all sunshine and cupcakes, and is not intended as a personal insult against your favorite breed. This is general advice for what is common, often with a scientific consensus but sometimes based on personal experiences, and is not a guarantee of what your dog is going to encounter in their life. 

(Image Source  RX-Guru )

For all the noise that gets made about ‘grain-free’ diets, the Irish Setter is the only breed where it might really matter. Irish Setters are the only breed, to my knowledge, which have actually been diagnosed with Celiac Disease, or at least something very similar to it. The symptoms are not as severe as in humans (although admittedly these dogs don’t live as long as humans do, so are only exposed to gluten for 10-15 years instead of 20+), so sometimes it’s called Gluten-sensitive enteropathy. Either way, it’s responsive to dietary control.

Hip Dysplasia is present in the breed, and these dogs are actually on the large side, which is easy to forget looking at pictures. They also get Progressive Retinal Atrophy and breeding dogs should be screened for both.

In terms of congenital conditions, these dogs should have neat eyes, but they can suffer from Entropion which needs surgical correction.

The breed is also over-represented among dogs with Patent Ductus Ateriosis, which is a unfortunate congenital heart defect where the aorta and pulmonary artery connect. It can be treated with heart surgery on an implant, but us obviously not desirable.

These dogs are deep chested enough to get Gastric Dilatation Volvulus, where the stomach twists upon itself, cutting off blood supply and requiring either emergency surgery or death.

The breed has a reputation for various cancers, including Osteosarcoma, and therefore delayed desexing may be of benefit in this breed. I haven’t seen enough of them to say whether other particular types of cancers are more common than others.

The breed must have an interesting immune system, given they are prone to a few conditions which either definitely have an immune mediated component, or are thought to, including Hypothyroidism and Megaoesophagus.

Immune Mediated Haemolytic Anaemia obviously has an immune mediated component, but approximately 50% of IMHA cases have a cancer somewhere which has set it off.

And Canine Leukocyte Adhesion Deficiency is a genetic immune deficiency. There is a genetic test available for this now. 

Cardioversion vs Defibrillation

Cardioversion is a method to restore an abnormal heart rhythm back to normal. Defibrillation is a medical technique used to counter the onset of ventricular fibrillation, (VF) a common cause of cardiac arrest, and pulseless ventricular tachycardia, which sometimes precedes ventricular fibrillation but can be just as dangerous on its own.

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Difference of Cardioversion and Defibrillation

MONA: Immediate Treatment of MI

Remember that MONA does not represent order in which you should administer these treatments. It is a mnemonic to help you remember the components of MI treatment, not the prioritization of them.

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3 Areas of Damage After MI

A heart attack occurs when blood flow to a part of your heart is blocked for a long enough time that part of the heart muscle is damaged or dies. The medical term for this is myocardial infarction.

Blood Flow Through The Cardiac Valves

Blood flows through the Tricuspid valve, then to the Pulmonic Valve, down the Mitral valve then to the Aortic valve.

Cardiac Output

Cardiac output is equal to the heart rate (beats of the heart) multiplied by stroke volume (amount of blood pumped each heart beat).

Treating Congestive Heart Failure

Heart failure is a condition in which the heart is no longer able to pump out enough oxygen-rich blood. This causes symptoms to occur throughout the body.

Pulmonary Artery Catheter

A pulmonary artery catheter (PAC) is a long, thin tube with a balloon tip on the end that helps it to move smoothly through the blood vessels and into the right chamber of the heart.

Osteoporosis

Osteoporosis, which literally means porous bone, is a disease in which the density and quality of bone are reduced. As bones become more porous and fragile, the risk of fracture is greatly increased. The loss of bone occurs silently and progressively. Often there are no symptoms until the first fracture occurs.

Hip Fracture

Hip fractures are cracks or breaks in the top of the thigh bone (femur) close to the hip joint.

Appendicitis

Appendicitis is a painful swelling of the appendix, a finger-like pouch connected to the large intestine.

Peritonitis

Peritonitis is an inflammation (irritation) of the peritoneum, the thin tissue that lines the inner wall of the abdomen and covers most of the abdominal organs.

Diabetic Ketoacidosis (DKA)

Diabetic ketoacidosis is a life-threatening problem that affects people with diabetes. It occurs when the body cannot use sugar (glucose) as a fuel source because there is no insulin or not enough insulin. Fat is used for fuel instead.

Type 2 Diabetes

Type 2 diabetes is a lifelong (chronic) disease in which there is a high level of sugar (glucose) in the blood. Type 2 diabetes is the most common form of diabetes.

Hypoglycemia

Hypoglycemia is a condition that occurs when your blood sugar (glucose) is too low. Blood sugar below 70 mg/dL is considered low. Blood sugar at or below this level can harm you

Anaphylactic Reaction

Anaphylaxis is a severe, whole-body allergic reaction to a chemical that has become an allergen. After being exposed to a substance such as bee sting venom, the person’s immune system becomes sensitized to it.

Autonomic Dysreflexia

Autonomic hyperreflexia is a reaction of the involuntary (autonomic) nervous system to too much stimulation. This reaction may include: Change in heart rate Excessive sweating High blood pressure Muscle spasms Skin color changes (paleness, redness, blue-grey skin color)

Duchennes Muscular Dystrophy

Duchenne muscular dystrophy is an inherited disorder that involves muscle weakness, which quickly gets worse. Duchenne muscular dystrophy is caused by a defective gene for dystrophin (a protein in the muscles). However, it often occurs in people without a known family history of the condition.

Dumping Syndrome

Dumping syndrome occurs when the contents of the stomach empty too quickly into the small intestine. The partially digested food draws excess fluid into the small intestine causing nausea, cramping, diarrhea, sweating, faintness, and palpitations. Dumping usually occurs after the consumption of too much simple or refined sugar in people who have had surgery to modify or remove all or part of the stomach.

Guillain-Barre Syndrome 

Guillain-Barre syndrome is a serious health problem that occurs when the body’s defense (immune) system mistakenly attacks part of the nervous system. This leads to nerve inflammation that causes muscle weakness or paralysis and other symptoms.

Hemophilia

Hemophilia is a bleeding disorder that slows the blood clotting process. People with this condition experience prolonged bleeding or oozing following an injury, surgery, or having a tooth pulled. In severe cases of hemophilia, continuous bleeding occurs after minor trauma or even in the absence of injury (spontaneous bleeding). Serious complications can result from bleeding into the joints, muscles, brain, or other internal organs. Milder forms of hemophilia do not necessarily involve spontaneous bleeding, and the condition may not become apparent until abnormal bleeding occurs following surgery or a serious injury.

Sickle Cell Anemia Crisis

Sickle cell anemia is a disease passed down through families. The red blood cells which are normally shaped like a disc take on a sickle or crescent shape. Red blood cells carry oxygen to the body.

Symptoms of Leukemia

Leukemia is cancer of the white blood cells (leukocytes).

Systemic Lupus Erythematosus

Systemic lupus erythematosus (SLE) is an autoimmune disease in which the body’s immune system mistakenly attacks healthy tissue. It can affect the skin, joints, kidneys, brain, and other organs. The underlying cause of autoimmune diseases is not fully known.

Acromegaly

Acromegaly is a long-term condition in which there is too much growth hormone and the body tissues get larger over time.

SIR Hernia

A hernia is a sac formed by the lining of the abdominal cavity (peritoneum). The sac comes through a hole or weak area in the strong layer of the belly wall that surrounds the muscle. This layer is called the fascia.

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Pulmonary emboli usually arise from thrombi that originate in the deep venous system of the lower extremities; however, they rarely also originate in the pelvic, renal, upper extremity veins, or the right heart chambers. After traveling to the lung, large thrombi can lodge at the bifurcation of the main pulmonary artery or the lobar branches and cause hemodynamic compromise.

Pulmonary thromboembolism is not a disease in and of itself. Rather, it is a complication of underlying venous thrombosis. Under normal conditions, microthrombi (tiny aggregates of red cells, platelets, and fibrin) are formed and lysed continually within the venous circulatory system.

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anonymous asked:

Seeing all this stuff for this RBS AU, but I'm a little late to the party. What does it stand for and can I pretty please ask for a little description of the au?? Also I am in love with all the au's being discussed on this blog, I feel tumblr needs many more smosh blogs we can all follow!!

I agree, the tumblr smosh community is way too small :-:

RBS stands for Red Band Society, a show about the teenage patients of a hospital’s long-term ward. Basically, everyone is there because they have a physically debilitating disease or ailment. This is what we got so far;

Flitz - Eye cancer, Shayne - Brain cancer, Sohinki - Enlarged heart, Olivia -  Hodgkin lymphoma, Courtney -  Ewing sarcoma, Joven - Ventricular tachycardia, Damien - CIPA, Keith - Lupus nephritis, Boze - Undetermined organ issues, Mari - Pulmonary arterial hypertension, Lasercorn - Cystic fibrosis, Wes - Bulimia, Noah - Anorexia, and Ian - Diabetes (???)

(It took me like twenty minutes to track all this down holy shit)

On 28th November 1969, twenty-two-year-old Betsy Aardsma was studying in the library, researching for a paper and sometime between 4:45pm to 4:55pm she was stabbed once through her left breast. This severed her pulmonary artery and pierced the right ventricle of her heart. It’s believed that whoever did this to her, did so from behind, especially since there were no signs of defensive wounds on Betsy’s hands. 

Immediately Betsy slumped over onto the ground while two men were seen exiting the library, telling a clerk at the front desk that ‘somebody better help that girl’. These two men have never been identified. 

Later, after being transported to the hospital, Betsy was pronounced dead at around 5:19pm. Incredibly, the paramedics had no idea that Betsy had been stabbed, since she was wearing a red dress and her wound produced little blood. Instead, they just assumed she had experienced a seizure. 

Now, for 47 years, Betsy Aardsma’s murder has gone unsolved but Pennsylvania State Police are still actively seeking any information.