than pale

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In Bloom For You (3/?)

Summary

“I, um. I got you something.”

Phil pulls the squishy blood pouch from behind his back and just holds it out so Dan can see it. There’s all of half a second when Dan’s frowning, confused, and then realisation clearly hits him because his entire self changes, somehow. He looks pale, paler than he ever has, and his posture goes from his usual slouch to painfully upright. He stands very still, like a statue of himself.

Like he isn’t even human.

Warnings: blood and gore (mention)

Word Count: 19574

Extra Tags: vampires

Cardiac distress symptoms in women

In the wake of Carrie Fisher’s death four days after she suffered a massive heart attack, one thing that was reported by some news outlets was that she had been in “significant distress” on the flight. We don’t know the exact details of this, but in my experience as an EMT, it often means “hysterical woman having a panic attack and thinking she’s dying…*woman dies* …oops, guess she really was dying.” 

It is SO IMPORTANT to remember that many women present in what medicine considers an ‘atypical’ manner for heart attack, but it actually IS typical…for women. Women are more than twice as likely to die from cardiac emergencies, not because our physiology is that much different than men and thus gives us a worse chance at survival (it’s actually better if treated promptly and adequately), but because our symptoms are more likely to go unrecognized or to be dismissed entirely.

Thus, please take a moment to review and pass on this list of cardiac distress symptoms as seen in women: 

Shortness of breath - This is the most common one. If a woman, especially one without prior history of respiratory issues or shortness of breath, seems to be having trouble catching her breath and/or complains of such, pay very close attention. If she continues to feel winded after sitting or laying down, it’s probably time to call for help.

Feeling of impending doom - This can range from a sense of general unease to a full-blown panic attack. This one is extremely important, and is the symptom most commonly disregarded by doctors and hospital staff. If a woman tells you that she feels ‘not quite right,’ or like something terrible is about to happen, or that she’s about to die, LISTEN TO HER FFS. 

Nausea and “indigestion” - Also common. Heart attacks frequently present as a feeling of vague nausea or indigestion, but unlike typical heartburn, antacids and other OTC treatments will not alleviate the symptoms.

Hiccups - Unexplained hiccups, especially if seen with any of the other symptoms listed above, can be indicative of heart muscle that is being acutely or chronically starved of oxygen.  The exact mechanism isn’t known, but it’s thought that the enzymes released by the dying muscle irritate the pericardium and adjacent diaphragm, causing spasms in the healthy muscle. 

Fatigue - This is another commonly seen symptom, and is often overlooked or ignored as just transient tiredness. Many women having a heart attack will complain of feeling “flu-like” symptoms of nausea, sweating, fatigue, and shortness of breath, and they’ll lie down for a nap and never wake up. 

Lightheadedness - A feeling of being lightheaded or about to faint isn’t terribly uncommon in many benign conditions, and many women experience it on a monthly basis. However - be aware when it appears unexpectedly or unexplainedly, and/or with one or more of the other symptoms on this list. 

Sweating (diaphoresis) - Heart attack does funny things to the sympathetic nervous system, which is behind reflexes such as sweating and hiccups. If a lady is experiencing unexplained or excessive sweating, pay attention to anything else that might be going on with her. 

Tingling or numb extremities - A feeling of numbness or “pins and needles” tingling in the extremities can be an important sign that cardiac function is being impaired and those body parts aren’t receiving enough oxygen. 

Peripheral and/or central cyanosis - Often accompanies tingling or numbness, and is considered a later-stage symptom of cardiac distress and heart failure. Finger and toe tips will turn pale or blue first, and lips and gums after that. Important to remember that darker-skinned women may present cyanosis as ashen, grey, or darker purple rather than pale or blue. 

Back pain - Pain between the shoulder blades, in the cervical spine, or even further down in the torso or lumbar region can be a symptom of heart attack. Alone, it isn’t that suspicious, but if it’s unrelenting and presents with any of the other symptoms above, keep a watchful eye on things. 

Classic “crushing” or “tight” chest pain or pressure - Women DO experience this classic pain, too, just not as frequently as men do. This may be due to our higher pain threshold, or differences in blood volume, or maybe we’re just not sure because nobody’s bothered to really study it. Whatever the reason, some women do still experience the crushing or tightening pain, and others may experience less painful pressure or tightness that doesn’t seem to be relieved by anything.

Arm and jaw pain - Another “classic” heart attack symptom, and a bit more common than central chest pain. Unexplained pain in the left arm or shoulder, and on the left side of the neck or jaw, should not be ignored by anyone.

anonymous asked:

what kind of colours would you think Semi's hair would look nice with? (like the style he has, just different colours)

Okay so I thought about it and~

I like this range! His original and cream are my faves (but I usually go more into a silver/white or creamy tone when drawing)

I always have this theory that a lot of the companions have high-maintenance looks that take a while to sort out, and getting ready must be a pain. So I was thinking about some of my DAI favourites and ended up with the “six AM and just got up” headcanons: 

  • Cassandra sans-makeup is just as scary gorgeous. But more scary. And the hair is… vertical. She looks glorious. And like she might commit murder. Consciously works to straighten her posture and seem more soldierly.
  • Cullen is insanely curly and eye-bags ahoy, because he barely gets any sleep anyway. Even more pale than usual. Very, very Fereldan in terms of accent, and grumpy if it’s been a bad night. Sheepish if it hasn’t.
  • Dorian can join the vertical-hair camp (though parts of it are also flattened) and is also stubbly plus pissed off because he hasn’t had chance to wax his moustache yet. Probably making his way to the nearest bath ASAP. Slightly hairier than anyone expected.
  • Josephine… glorious cascades of wavy hair. And maybe a lot of frizz. And trying not to tired-blink because it’ll ruin her diplomat-paying-attention image. And I also agree with the frilly-underwear headcanons I’ve seen. She’d so have bloomers.
  • Sera looks like… Sera. Less eyeliner, I suppose.
  • Bull occasionally forgets - or pretends to forget - he has a pillow stuck on his horns. Yawns a lot. Eyepatch slightly askew. Insists he sleeps in the nude but people have mainly just seen an even more awful pair of “circus pants” that must be his pyjamas.
  • Krem tends to end up with his undercut flopping annoyingly into his eyes, and when he’s half asleep he goes all mumbly and even more Tevene. Probably wears something sleeveless by way of pyjamas to show off the arms.
  • Leliana… no-one actually knows. No-one’s ever caught her less than perfectly preened. Everyone’s too terrified not to knock.
  • Blackwall’s bedhead is legendary. Even the beard has bedhead.
  • Vivienne is either never seen unprepared, or perfectly businesslike and will probably politely murder you if you draw attention to the slightly-more-scalp-stubble and the lack of makeup. She’d probably just brazen it out, so maybe the latter.
  • Cole doesn’t sleep. It’s rather unnerving.
  • Solas is just slightly sharper than usual. Other than that, he has a worrying amount of composure. But then, he’s pretty used to dropping in and out of the Fade.

the never ending discourse