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#anaphylaxis
thebibliosphere · 2 months
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If you feel like talking about it — what’s the *aftermath* of anaphylaxis like? I know that an epipen is just step one, and further treatment and observation follows at a hospital, but I’m curious about what the subjective experience is like in the longer term; whether one can bounce back fairly well or whether there’s lingering unpleasantness.
So with the caveat that everyone experiences things differently (and putting this under a cut because I don't want to trigger anyone):
After epi is administered, you're usually put on a cocktail of drugs ranging from several different IV antihistamines (typically a mix of h1 and h2 histamine blockers and a giant whack of benadryl), anti-nausea meds, a beta-agonist to assist with breathing, and a shit-whack of steroids.
Once you've been stable for a few hours and discharged, you'll be told to watch for symptoms for up to 72 hours, which is the period in which a biphasic reaction can happen. (For me, it's always within 20 minutes to 8 hours after rescue medication is administered if I'm going to slip back into an allergic response, but everyone is different.)
Depending on your symptoms, you'll sometimes be told to take an antihistamine for up to 72 hours (if you're not already taking one daily), but the one thing they always send you home with is a steroid like prednisone. I usually need a 5-7 day dose because I need to taper off it or my adrenals crash, but some people get a 3-day dose and come off it with no problems.
Body-wise, it's a draining experience, and the medications often leave you both tired and wired. It's an odd sensation.
Mentally and emotionally, it takes me a lot longer to recover because I've just been smacked with a proverbial mallet of stress hormones and adrenaline, and that can often lead to depressive moods and even rage for some people. The prednisone also heightens emotions, so it's not unusual to be having some of the wildest mood swings of your life while also processing the stress of what just happened.
It takes me a while to bounce back, typically about a week on full rest, but I know some people who claim to feel fine in a couple of days. Couldn't be me, haha. My body goes into hibernation mode for quite a while, and I'll be lying in bed exhausted and jittering like I've had ten espressos, but I don't know how much of that is general anaphylaxis or how much of that is specific to my mast cell disorder.
So, for me, it's a desperate need to sleep, jitteriness, depression, and rapid mood swings from the prednisone followed by a general feeling of blegh. It also takes me about 72 hours to be able to eat solid foods again because of the effect anaphylaxis has on the digestive tract (the esophagus is lined with histamine receptors; that's why some heartburn meds are actually antihistamines.), but I suspect that's my MCAS.
It's basically just a bit shit, lol.
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IMPORTANT PUBLIC PSA
Take less than three minutes to read this and save lives.
Epipens do not require professional training and can be given by anyone as long as they know how to do it.
Just remember … “blue to the sky, orange to the mid-outer thigh.”
Reblog this to help educate others and save lives :)
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cuteguywhump · 7 months
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The Escape Artist (2013)
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macgyvermedical · 3 months
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Drug Orders and Doses
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@whumpsmith
Cool, so I think the first thing to know is how medication is ordered.
Generally speaking, it will be ordered in 5 parts, known as the "5 Rights" of medication administration:
#1 What patient is getting the medication
#2 What medication is to be given
#3 How much medication is to be given
#4 What time it is to be given (or how often)
#5 What route it is to be given
So an order might be "Give John Smith (5/13/1995) lorazepam 0.5mg IV once prior to MRI"
In this example, John Smith is the patient and 5/13/1995 is his birthday to differentiate him from all the other John Smiths. "Lorazepam" is the drug's generic name, "0.5mg" is the amount of the drug. "IV" is the route, and "once prior to MRI" is the time.
Drugs have generic and brand names. For example, acetaminophen is a generic name. Many companies make acetaminophen, and each has their own brand name for the drug. Probably the most well-known brand name for acetaminophen is Tylenol, but there are others, like Calpol and Panadol. For most people, it doesn't matter which brand of a particular drug is used, just that the active ingredient (the generic name) is the same. For some people it matters because the non-active ingredients may be different between brands, and they may be allergic to a non-active ingredient that is in one brand, but not another.
In a hospital setting, we're going to use the generic name, because the brand of the drug that is cheapest to the hospital pharmacy varies contract to contract, and there are a lot of drug shortages these days. That's why if you're in the hospital you might get an oval green pill one day and a round white one the next day. They're the same drug, just different brands.
The dose is given in milligrams, usually abbreviated "mg". Milligrams are a measure of weight. Cubic centimeter (cc), on the other hand is a measure of volume. At some point we switched from volume based to weight based measures because we had a lot of different concentrations and using volumes for everything made mistakes really common. If you're using weights, it doesn't matter if the concentration you have is 1mg/mL or 10mg/mL for a given drug, you can do the math and come up with a volume that is right instead of just hoping you picked the one the doctor was thinking about when they wrote the order.
There are many routes a drug can take into the body. There is oral (a pill or liquid), IV (injection in a vein), IM (injection in a muscle), SQ (injection into fat), rectal/PR (a suppository, gel, or liquid inserted into the rectum), SL (under the tongue), TD (a paste or patch that sends medication through the skin) and many more.
Times can be once, once every x hours, once every x hours as needed (PRN), once under a particular circumstance, daily, or pretty much any other interval you can think of. "Stat" is a term meaning "right now".
Here's a list of common medications and their dosages:
CODE DRUGS:
Epinephrine 1mg IV for cardiac arrest every 3-5 minutes, 0.3mg for anaphylaxis
Amiodarone 150-300mg IV over 10 minutes for cardiac arrest
Lidocaine 75mg for cardiac arrest initially, if that doesn't work then 37.5 10 mins later
Adenosine 6mg given very quickly for PSVT, if that doesn't work, give 12mg
Atropine 1mg every 3-5 minutes for low heart rate until heart rate is normal
OTHER DRUGS:
Albuterol 2.5mg in nebulizer for brochospasm/asthma attack
Metoprolol 5mg IV every 5 minutes up to 15mg for severe high blood pressure
Furosemide 20-80mg IV for fluid on lungs
D50 25g IV for low blood sugar
Diphenhydramine 12.5-50mg IV for allergic reaction
Morphine 2-10mg IV or IM for pain
Fentanyl 50-200mcg for sedation
Mannitol 20-150g for increased pressure inside the skull
Nitroglycerin 0.3-0.6mg every 5 minutes up to 3 times for chest pain (angina)
Naloxone 8mg nasal spray every 2-3 minutes for opioid overdose
Flumazenil 0.2mg IV for benzodiazepine poisoning, if that doesn't work give 0.3mg, if that doesn't work, give 0.5
Diazepam 15mg rectal gel for seizures that don't stop
Phenobarbital 1-1.5g IV for seizures that don't stop
Etomidate 22mg IV for anesthesia (for things like intubating someone)
Midazolam 5mg IV for sedation prior to surgery
Olanzepine 5-10mg IV for agitation (emergency sedation)
Haloperidol 0.5-10mg oral or IM for agitation (emergency sedation)
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spaceshipkat · 7 months
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i was talking to my dad about how i once had a doctor who’d never met anyone with such severe dairy and egg allergies as mine, so poll time. feel free to say whatever your allergies are in the tags bc i’m curious.
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lifewithchronicpain · 5 months
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Believe 👏 People 👏 When 👏 They 👏 Say 👏 A 👏 Scent 👏 Is 👏 Making 👏 Them 👏 Sick!!! 👏
Obviously it's impossible to stop people from using unnecessary scents, but for the love of God if you work in a medical setting don't wear heavy perfume or use air fresheners! It should be standard practice in any doctors office, because of all people you should know better than that.
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i-eat-worlds · 4 days
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A&F Platontic Omegaverse AU
This idea manifested after a rather late night for me, and refused to leave until I wrote it. I’d be open to writing more, so if you enjoyed it, please do share.
Content: A/B/O dynamics, non-graphic medical neglect, recent past violence, medical whump, made up omegaverse medical BS that I took way to seriously, minor injuries, medic caretaker(s), and graphic depictions of anaphylaxis and allergic reactions
Eric turned out of the Wendy’s parking lot, grabbing several fries and shoveling them into his mouth. Next to him, Joseph was slurping on a chocolate frosty. He flicked on the turn signal, pulling into the left lane, when a call came in.
“It’s for us. 5067 Prince Street, apartment 134. Female omega in unpartnered heat. Neighbor called it in, said she smells sick and scared,” Joseph read from the screen.
Eric turned in the direction of the call, flipping on the lights and sirens. The sea of other vehicles parted as he accelerated down the street, speeding towards the newer apartment blocks that rose several blocks over.
“Can you get a blocker ready for me?” He asked, taking another left onto Prince Street. Joseph hummed, peeling the back o of his and pressing it onto the back of his neck over his scent glands. “Sure.”
The Prince street apartments were a newer development, meant to house the ever growing population of college students who needed a place to live. Since it was early afternoon, there was plenty of space. They grabbed the stretcher, bags piled on top of it, and headed towards the building.
It was easy to tell that the apartment number they’d been given was the right one. They could smell it from several meters away in the hallway, thick and pungent, rancid enough to make you gag if you weren’t used to it.
Hand in a fist, Joseph knocked on the door. “OEMS! We got a call for an omega in heat?”
There was a beat of silence, and the scent grew more potent. Joseph’s stomach twisted. Still no response. Behind him, Eric held up the key that had been hidden under the mat. He waited for another beat. “We’re going to come in.”
The smell was nearly overpowering as they cracked the door open. Between the apartment’s size and its sparse furnishing, it did not take long for them to locate their patient.
She was in the bathroom, half dressed and curled up on the threadbare bath mat. One eye was puy and swollen, well on its way to becoming a black eye, while the other was brimming with tears. Her mouth was hanging open, hands shaking. When she saw both of them enter the room, she inched back, a scared yelp falling out of her lips.
Joseph knelt down in front of her. “I’m Joseph, and that’s my partner Eric. What’s your name?”
“Alex.” She cringed over in pain as a cramp rolled through her.
“How are you feeling right now, Alex?” Her breaths were fast and shallow.
“Cramps are really bad, feel hot, and I’m really tired. It’s like a heat but worse.” The tears had started to dry, but she was still obviously shaken.
“I…I have a care worker but he…he…he left,” she sobbed.” He left me. He was here to give me my dose of suppressants and I was in heat so he couldn’t because I guess they stopped working for some reason…” She trailed off, trying to hold off tears.
“You’re okay, breathe for me,” he comforted. Her pulse was rabbit quick, and her skin was sweaty and warm. Behind him, Eric cracked open an oxygen tank.
“He said he didn’t want to deal with it-” She prodded at her bruised eye. “I threatened to report it and he hit me. I don’t know what to do.” Another cramp cut her off.
“We’re going to take care of you, alright?” He smiled at her, concealing the flash of anger that flared inside of them. “Do you know which suppressants you take?”
Eric looped that mask around her head. “Metip…Mecip…I don’t know how to pronounce it?”
“Mecipromide?” That was one of the more potent suppressants, and older too. It had mostly been replaced by now.
She nodded. “I don’t know how much. He alway did it.”
“Alright. Breakthrough heats aren’t rare with that. Do you take any other medications?”
She shook her head, whimpering in pain again.
“I’m going to feel your glands now, tell me if it hurts.” He reached back around to her neck, fingers pressing into the warm and swollen glands.
“Ow.” She flinched away again.
“Now for your armpits, sorry if it tickles.” They were enlarged as well.
“Czerniaks and axillaries are inflamed,” he reported to Eric before turning his attention back to Alex. “When was your last heat?”
“Three, maybe four years ago? I was eighteen or nineteen.” Her voice was shaky, fear still rolling off her.
“Aright.” That was a pretty long time to be on Mecipromide for. “Is it just your eye that’s hurt, or did you get hit in other places?”
“Just my eye.”
“How many fingers am I holding up?” He put up two fingers.
“Two.”
“Good.” He shifted back. “Is your vision blurry? Any dark spots?” She shook her head. “Do you remember getting hit?”
A quiet “yeah.”
“Good. Any dizziness, nausea, or head ache?” Her breathing had slowed, and she seemed to be calming.
“We’re gonna get you on the stretcher and to the hospital now, alright?”
She nodded, leaning closer towards him. “Thank you.” Slowly, she pushed up to standing, using the counter to steady herself. The stretcher was outside the door, only a few steps, but she faltered, stumbling forward.
Joseph immediately reached an arm out, catching her before she could hit the ground. She yelped, and her eyes went wide as her body ung itself around him and latched on tight. Her legs became Jello, and he was the only thing holding her up.
It was textbook erstratory comfort seeking behavior. He’d seen it plenty of times, at least once or twice a week, while working for OEMS, but Alex seemed more surprised by it. She immediately tried to pull away, but her body didn’t let her.
“I’m sorry,” she mumbled, her head pushing into the crook of his neck.
The scent blockers prevented her from smelling what she was looking for, as did the fact that he was a beta. “It’s okay. Nothing I haven’t seen before.”
Her scent had changed, less bitter, more relaxed, but still worried. “I didn’t mean to, I promise.” Another cramp tore through her, and he had to support even more of her weight.
“You’re alright. I’ll help you over to the stretcher and we’ll see if you can let go then.” He kept his arms wrapped around her, mainly to keep her upright, but also because the touch was obviously soothing for her.
She groaned, nuzzling in closer as he helped her out of the bathroom. “I’m sorry.”
“You’re okay. It’s normal.” He slowly let her down on the edge of the stretcher. “Do you think you can let go now?”
There was a tearful “no,” as she pressed into him.
“Alright.” He was quiet for a second. “I’m going to scoot you all the back to the crease, and then Eric’s gonna help you let go.”
“Thanks.” Unconsciously, she squeezed him tighter.
Joseph kept her supported as he moved her up the stretcher, one hand supporting her head and the other holding her back. She muttered something quietly into the crook of his neck. “What was that, Alex?”
“I don’t wanna let go.” Her voice was a little louder this time. “ ‘m sorry.”
“It’s alright.” Gently, he let her head down. “There's a cuddle pillow for you in the ambulance. We just gotta get you there, alright?”
“Oh…okay.” She nodded a little.
“Eric’s gonna help you let go, alright?”
Behind him, Eric started to carefully uncouple her hands, peeling her fingers off her wrists. He set them down on the stretcher, and she whimpered trying to push closer. Joseph pulled away, finally breaking contact.
Alex shrunk in on herself, another cramp ripping through her. “It ‘urts.”
“We’ll get you to the hospital, just a little longer,” he said. She reached out, wrapping a hand around the bare skin just above where his glove ended. It was clear her touch needs weren’t being met. Hopefully, the hospital would be able to set her up with a better care worker.
They put the stretcher up and pushed her to the ambulance. The scent had repelled most people, and Joseph was glad they didn’t have an audience. He locked the stretcher in place, taking a seat on her left side.
“I’m gonna get a line in while Eric gets your vitals, then we’ll get you that pillow,” he said. Her hand was still locked around his wrist, and he gently removed it so he could use her hand.
Eric clipped the pulse ox to her finger and wrapped the cuff around her upper arm while Joseph slid a 22 into her hand. She laid there, tensing up as another cramp pumpled her. “Are you allergic to anything?”
She shook her head. “Nope. Not that I know off.”
Eric rattled off her vitals, along with her weight and height, before turning around to dig out the pillow. She was warm, too warm, even for an omega in heat. Her breathing was still fast, along with her heart rate. Between that, the cramps, and the touch hunger, it seemed to be a pretty severe breakthrough estrus.
“Alex, I’m gonna give you some meds to help with your heat, alright?” He unzipped his medication bag as he spoke. “We’ll get on the road after this.”
She nodded, but was more distracted by the cuddle pillow Eric was laying beside her. Immediately, her arms and legs were wrapped around it, and exhaled as she nuzzled her face into it.
“I’m gonna get us up and moving,” Eric said as he peeled his gloves off and dropped them into the bin.
Joseph nodded, and the door closed behind him with a thunk. He quickly drew up the meds, a small dose of a mild suppressant and a synthetic hormone that would help relieve the cramps. “I’m gonna need your hand.”
She groaned, but pulled it off the pillow for him anyway. “Thank you.” He ushed the line and pushed the drugs.
Eric pulled them out of the parking lot, accelerating as he hit the main road. Alex wrapped her hand back around the pillow, curling up tighter. The pillow was helping. Her breathing and pulse had slowed, and her scent was much more relaxed. She still smelled sick, but signicantly less distressed. He made his report to the hospital, listing off the info they would need to know.
A couple minutes later, she started to scratch at her hand, picking at the Tegaderm. “I know it’s uncomfortable, but try to leave it alone. We’re only about five minutes away.”
She stopped messing with it, instead moving up higher and dragging her fingernails up and down her arm. “It itches.”
A pit opened up in his gut. This was going to be a thing now, wasn’t it? Just great. “Can I see?”
He took her arm in her hands, turning it over as he examined it. It was covered in hives. “Alex, you said you weren’t allergic to anything. Did your parents have any allergies?”
“I…uh…I don’t know. They both died when I was pretty young.” The fear had returned to her scent in full force, stinking up the back of the ambulance in the same way only it could.
“Okay. You having any diculty breathing?” Her tongue or face weren’t swollen, but he could hear each inhale and exhale.
She pulled the pillow closer. “A little.”
“I think you’re having a reaction to the meds I gave you,” he said as he drew up a syringe of epinephrine as he watched her. “I’m going to give you something to counteract it.”
Alex didn’t fight it as he took her hand in his so he could push the epi. She started to smell more frantic, her breathing speeding up. After updating the hospital and a brief chat with Eric, the sirens started to wail.
“It feels like there's something in my throat.” She said, eyes flickering around frantically. Her voice was pitched up, stress.
As he spoke, he set up his fluids. “It might take the epi a little bit to kick in. I’ve got you.”
Her expression grew more frantic, and her scent went sour, intensifying to an overpowering level. “It’s hard…It’s hard to breathe.”
“I know, I know.” He went ahead and started prepping an infusion, and upped the amount of oxygen she was receiving. “We’re nearly to the hospital. Is it getting any better?”
The epi should’ve started properly working by now, and they were only a few minutes away from the hospital. He didn’t want to stop and tube her now if he didn’t absolutely have to.
“It’s not getting worse.” She stammered, mouth hanging wide open.
“That’s good. You’re doing great.” The mass of hospital buildings was visible out of the back window. They were inches away from the ER.
She squeezed the pillow tighter, making a distressed keen. Her stats weren’t dropping and her blood pressure was holding steady. It looked like they would make it through the doors with her consciousness.
Eric turned into the parking lot and drove them up the entrance, and they wasted no time getting her into the hospital. He gave report as they transferred her from stretcher to bed, then quickly got out of the way after they weren’t needed anymore.
He’d ignored the odd pull on his heart as they left the building, chalking it up to the absolutely stink-fest the back of his rig was.
It was only ten hours later when his phone rang.
Taglist: @pigeonwhumps @rainydaywhump @painful-pooch
@rainbowsandwhumperflies @snaillamp
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A bill to lower the cost of a lifesaving medication is headed to the Governor’s desk.
The proposal, which passed the General Assembly, would cap the cost of a twin pack of EpiPens at $60.
Families who need them say it would make a huge difference.
“You shouldn’t have to go, ‘Am I going to pay a bill or am I going to make sure that my child has this medication,’” Tiffany Mathis, the CEO and executive director of the Boys & Girls Clubs of Central Illinois, said.
One night, Mathis’ daughter was eating butter pecan ice cream, when her face and lips started to swell. At the hospital, doctors discovered she had a tree nut allergy.
Her daughter has needed to carry an EpiPen for nearly a decade. But the lifesaving medication can come at a high cost.
“I was a single mom, I was on Medicaid, she was on All Kids insurance, and around that time, some years later, the EpiPen skyrocketed, and they went from no copay, low copay to $100 an EpiPen,” Mathis said.
Mathis said her family doesn’t need just one pack — they use multiple.
“She needs to have at least four or five to split between all the households, daycare, extracurricular activities that she was participating in,” Mathis said.
EpiPens also have an expiration date, which means they need to be replaced.
“We’re not talking about Tylenol, or ibuprofen, you’re talking about an EpiPen that you can’t just not have,” Mathis said.
For many people with allergies, they could experience a life threatening reaction known as anaphylaxis. They could have hives, redness on their skin, swelling of their lips and tongue, wheezing, and even trouble breathing.
But using the EpiPen in someone’s leg can help save a person’s life.
“Having an allergic reaction is scary, because everyday you live with a threat that your child might have something happen to them, and they might die over their allergy and it’s a very severe allergy at that,” Mathis said.
Lawmakers say they want to make the medication more affordable for families.
“This shouldn’t be an area where companies are making profits off of,” State Sen. Mike Halpin (D-Rock Island), one of the bill’s Senate sponsors, said. “This is life or death for little kids, as well as adults.”
A couple of years ago, the state passed legislation requiring insurance companies to cover the cost of EpiPens for people 18 or under.
“But it didn’t say affordable coverage for EpiPens and that’s where the General Assembly’s now having to go back and try to either define that or stipulate that with a specific dollar amount,” Garth Reynolds, the executive director of the Illinois Pharmacists Association, said.
A two-pack of name brand EpiPens can cost more than $600 and up to $300 for the generic version.
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abhainnwhump · 8 months
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Accidently or purposefully, Whumper gives Whumpee food they're allergic too. It's not anaphylaxis shock bad (until it is), but lightheadedness and day-long stomach cramps. The kind where Whumpee is so hungry but their stomach hurts worse when they eat. They constantly feel like they're going to throw up. With their head spinning and body too warm, they're miserable.
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Quebec schools could soon be instructed to keep epinephrine injectors, or EpiPens, on hand for emergency use. The recommendation is part of school-based care guidelines currently being developed by Quebec's education and health ministries, The Canadian Press has learned. Part of the guide will deal with distributing and administering medications, such as Epipens, in emergencies. Some schools already keep Epipens on site, but it's the legal responsibility of students with allergies to bring their own to school.
Full article
Tagging: @politicsofcanada
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imaginedreamwrite · 1 year
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A momentary scare — A Permanent Claim drabble
A/N: I have never been through anaphylaxis and I’m not allergic to anything so my medical knowledge might not be completely accurate
Behave, Mousey. I’ll know if you aren’t, and I’m not afraid to dole out some punishments — Curtis
“He’s still worried? He needs to relax a little, its dinner not a strip club.” Park side-eyes Nat and gives her a little smirk, the two women communicating silently while you sit around a table.
“Its Mousey,” Nat teases affectionately, “the only people Curtis is more protective over is Theo & James.”
“We’re not…” you lean forward and rest your forearms against the edge of the table. “…going to a strip club are we?”
“Not now, hun.” Nat reaches over to squeeze your hand, her smile meeting her eyes. “We’ll let you get a little more used to the club business before we throw naked men at you.”
“Or at least try to throw naked men at her. If Curtis doesn’t throw her over his shoulder first.” Pari and Nat’s teasing comes with ease, and you don’t feel dismayed by their comments.
The idea of Curtis becoming so jealous of you going to a strip club that he throws you over his shoulder was another thing altogether.
“She’s thinking of it.” Nat continued, lifting her glass to her lips. “Let that imagination run wild, its not even close to what Curtis is capable with you.”
“Oh! No, I mean I’m not…” you felt warmth pool in your belly, desire quick to follow when you think of all 6ft+ of him tossing you around.
“Ladies,” the waiter had come back to the table, first setting your drinks down, “your order will be out shortly. Another few minutes.”
“Seafood free, right? I hate to be anal but…”
“Allergies.” The waiter had nodded his head, an astute yet kind of distance in his gaze. “Everything’s taken care of.”
The waiter is quick to leave, and the three of you fall into a comfortable conversation. You drink and talk for the few minutes until your food comes, and then you add your final bits of dialogue before you start eating.
It doesn’t hit you at first, the sense that somethings wrong. Its subtle, almost as if it wasn’t there to begin with and then you feel it. You chew and swallow before you feel it becoming harder to breathe, your hands clutch the table as you recognize what’s happening.
“Y/N, sweetheart…” Natasha reaches for your hand, turning your wrist over to feel the drop in your pulse. “Call an ambulance!”
“They said it was taken care of!” Pari stands so abruptly, the chair toppled over and she’s immediately at your side, giving you support.
You feel like gasping for air yet your throw keeps growing tighter. You don’t know whether its the anxiety of going into anaphylactic shock or the idea that someone could have messed with your food that has you unable to comprehend the chaos.
“Call Curtis! Get him to meet us at the hospital!” Natasha stays behind, Pari is already leading you out toward the door.
A manager, the general manager or someone with absolute dread on their face, is coming toward you both. Your eyes burn, your skin feels hot and the urgent need to throw up is hitting you with the weight of train.
It could’ve been minutes, hours or days. You don’t recollect time between being in the restaurant to being strapped to an ambulance board. You don’t know how you managed not to completely collapse as the paramedics talk to you with muffled voices.
You feel accosted by the lights of the ambulance, you feel detrimentally conscious and aggravated with yourself for not having your EpiPen.
Everything hurts, everything is grating to your body. Your eyes begin to close as rest finds you.
“…i’m sorry…” you whisper to the person next to you, the back of an ambulance traded for a hospital bed. “…I screwed up…”
“No,” a handle yet rough hand brushes your hair back, his bright eyes linger on you, “you didn’t do anything, Mousey.”
“I didn’t know, Curtis. I told them over and over…” you felt weak still, but the oxygen mask you were given by the doctors and nurses helps enough.
“Someone fucked with your food. The cooks adhered but somewhere between it leaving the kitchen and being given to you, it was fucked with.” He leans in and brushes his lips against your forehead, kissing you softly.
“I should’ve had my EpiPen.” You whined, turning your head in embarrassment for being foolish. “I should’ve…been more careful.”
“You’re okay, you’re going to be okay.” He astutely gentle, keeping a rather level head now that he’s here though you know he likely gave someone hell.
“Theo & James..?”
“They’re taken care of. Steve’s girls’ got them.” Curtis answered you and slowly inched you over so he could lay beside you, and then he wrapped an arm around you.
“I told you not to get into trouble.” His grip on you was protective and firm, he was careful not to squeeze. “This is never happening again, Mousey.”
“Curtis-“ he stopped you before you could stop, pressing a finger to your lips.
“We’re getting you an allergy protection dog. That’s not a question, its happening. And you’re going to start carrying your EpiPen.” Curtis spoke with finality, you couldn’t have argued with him if you wanted to.
“I’m sorry,” you apologized again, feeling emotional and anxious.
“I can’t fucking lose you, baby. I won’t lose you, I can’t.” Curtis closed his eyes and breathed in deep. “I would never recover.”
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The Addams Allergy
Pairings: Thornhill x Weems x Reader (platonic)
Word count: 1.7K
Summary: Reader's allergy is a thing of myth, and someone decides to do some myth-busting. This won't end well for anyone.
TW: allergies, anaphylaxis, needles, hospitals, ambulance, difficulty breathing, bullying, attempted manslaughter (fancy legal terms hehe), mentioned heart attacks, physical violence
A/n I have added a link at the end for very simple instructions for how to administer an epipen. Spend like three minutes reading it and save lives. Also please reblog the linked post to help other educate themselves as well.
You suppose it wasn’t too bad being an Addams. But then again you weren’t quite the same as your sister Wednesday. You were more of an interim between Pugsly and Wednesday. You were soft but not squishy, cold but not frigid. You were actually most likely the most seemingly normal of all the Addams’s.
But being Wednesdays twin, you shared many things, a womb (for all of nine tortuous months), black hair, pale skin and your most inconvenient shared trait, an allergy to colour. Luckily though you did not share a dorm. You were roomed with Yoko who was much more palatable than the ball of colour who was Wednesday's ‘roomie’ as the wolf-pup had put it.
Unfortunately, most people were sceptical bordering on disbelieving about the colour allergy. Taking it as another Addams lie. And you being the easier target of the two of you often copped the most teasing. Everyone knew not to mess with Wednesday, but you were slightly easier. You cared more.
Yoko and you were sat in the library studying at the tables down the back when a group of siren boys came in. They had been teasing you a lot as of late and Yoko knew about it, but you begged her to keep quiet, you didn’t want to attract any more attention than you already had.
The boys were quick to spot you down the back and grinned wolfishly beelining straight for you. You let out a soft groan and Yoko looked up.
“If they lay a hand on you, I’ll drain them dry.”
“It's fine Yoko. I’ve got this.”
“The same way you ‘had it’ when you got a black eye i had to help you hide for two weeks?” She asked with a deadset tone. You grumbled a response when you felt your chair being pulled back.
“Hey!” Yoko said, “leave her alone.” She started but one of the boys spoke with his siren song.
“Sit” he commanded, and Yoko found herself no longer in control of her muscles as she sat and watched helplessly.
“So, a birdie told me your allergic to colour?” The main boy said, he was light-skinned with deep rich blue eyes and blonde curls. He looked like the type to be a surfer with the tan he had.
“That would be correct.” You nodded trying to remain calm and mimic your sister's tone.
“Well, how about we check you still have this … so called ‘allergy’” he said in a mocking tone. Pulling something from his pocket, you tried and failed to stop your eyes widening.
Between his thumb and forefinger was probably the most colourful and bright piece of fabric you had ever seen.
Despite the allergy, you hadn’t given any of your friends and epipen for you yet and the only people who had one were the nurses and weems. So, in other words unless Yoko was fast at running because the headmistress's office wasn’t too far, you may be looking at the object that would kill you.
Drawing a shaky breath, you looked the boy in the eyes. “As much as i love attempted murder, this isn’t a good idea.” You said
“Huh? Really?” He mocked “You think your smarter than me, don’t you?” He sneered and you gulped.
“Obviously.” You muttered and the boy scowled. Before you could stop him, he pinned you to the floor and shoved the scrap of fabric in your mouth. Your eyes went wide, and you began to flail and kick wildly trying to get him off.
Yoko was screaming bloody murder which seemed appropriate on more than one front.
After a second the boy rolled off you and stood brushing off his uniform.
“See… lies.” He said as you rolled onto your stomach, propped up on your elbows and spitting out the wet cloth onto the floor.
“Gross.” The boy said.
“You moron, let me go i need to get her epipen.” Yoko screamed and the boy's face morphed into something else for a second.
“Wait is she … actually?” He asked starting to look a little scared.
“Yes, you tool what would she gain from a fake allergy. Now let me go.” Yoko screamed and the boy froze before bolting. Luckily as he grew further away Yoko felt his song fading. She stood running over to you. You were laid on your back gasping as the anaphylaxis began to set in.
“W-weems.” You rasped and then coughed, your throat feeling ridiculously tight. Yoko nodded.
“You’ll be ok Y/n/n. Im going to get weems.” She said and raced out the doors.
Yoko ran the fastest she probably ever had in her immortal life. In a matter of seconds, she was banging hand over fist on the wooden doors before she simply pushed the open wasting no time.
“Ms Tanaka-“ Weems began, she was sat on the couch with Ms Thornhill looking equally startled.
“No time… y/n … epipen…now.” Yoko said between gasps. In a second both teachers were on their feet. Weems hurried over to her desk throwing open the second draw and pulling out the epipen she kept there just for you.
“Where is she?” Weems said with a commanding and scarily calm voice.
“Library.” Yoko replied and the three of them ran to the room of books.
Yoko led the two teachers to the back of the room where you were still gasping. Luckily for them you were already on the floor which made this next part easier.
“Christ.” Weems said, “Marilyn, call an ambulance.” She commanded as she uncapped the giant needle.
The Botany teacher scrambled to find her phone pulling it out and punching in the numbers for the emergency services.
Weems mentally recited the rhyme from when she had to do this for Morticia as a student as she pulled off the blue safety cap.
‘Blue to the sky orange to the mid-outer thigh.’ She thought and in one swift motion she lined it up with your thigh, Yoko having helped her pull down your skirt. She quickly stabbed your outer-mid thigh listening for the click and then counting to three before gently removing it. She gingerly deposited the epipen on the table.
The two teachers sat either-side of you while Yoko sat next to Ms Thornhill on your left. Your breathing began to even out, becoming less and less raspy as the epinephrine began to take effect.
Ms Thornhill was still on the phone with the emergency services who had assured her they were on their way now.
Both teachers and the vampire sat and watched with bated breath as they realised your breathing had stabilised.
After about ten minutes you tried to sit up, but the headmistress placed a hand on your shoulder.
“No. Stay lying down the EMTs will be here soon darling. Then I’ll come with you to the hospital, and they’ll check you out alright?” She said and you nodded and laid back down.
“Can i come too? I need to tell you something.” Yoko said and Weems made a thinking face and then nodded.
“Yes. After all, I do need to know how this happened. The Addams family know their limits and are quite good at avoiding this so any insight you could provide would be helpful.” The principal said and Yoko nodded. After another few minutes of tense silence, the emergency services came in and the paramedics gently lifted you onto a clean white stretcher. You hated the idea but luckily weems made sure nobody saw as you were taken to the ambulance that sat by the nevermore gates. Yoko and Weems joined you in the ambulance and Ms Thornhill waved as you were driven off.
About an hour later you were being held for observation. It was another three hours before they would let you go. You were sat up in a hospital bed with Yoko and weems sat in plastic chairs beside you.
“This feels like one hell of a power imbalance.” You muttered and both of them laughed.
“Well, you did just cheat death.” Yoko teased and you nodded.
“As an Addams it's an expected weekly occurrence. Kind of like a grim ostentatious weekly period.” You grinned always finding ways to relate everything to blood. Yoko groaned dramatically and facepalmed.
“And as the principal of two Addams’s who weekly try and take me with them to then grave, I’d say I’m cheating death myself with the number of heart attacks you and your sister attempt to induce upon my poor heart.” Weems said sounding exasperated.
“It wasn’t y/n/n’s fault though!” Yoko exclaimed and weems raised a brow while you opted to look out the window and avoid eye contact.
“You never did explain how this happened.” Weems said gesturing with a sweeping motion to the bed you were still in.
“Well i guess now’s as good as any and i doubt Ms. I-cheat-death-daily is going to spill.” Yoko said before launching into an explanation starting a few weeks ago when the teasing began. It was safe to say the principal was outraged.
“I will not have students attempting to murder each other.” She huffed with pure unadulterated rage in her eyes burning with fire, rage and brimstone with the likeness of hell itself. The look would have scared Satan into being as straight as a nun.
In a matter of seconds, she drew a deep calming breath, and you were reminded of the saying, the calm before the storm. Then she opened her eyes again and excused herself, walking out into the hallway and pulling out her phone. Not even five minutes after Yoko’s story ended, she was on the phone in the school board arranging his immediate expulsion.
About a half hour later, Weems returned looking flustered but when her eyes settled on you, she deflated slightly and gave a tender smile in your direction. Her eyes locked with yours, scanning for any hints of pain.
She had also texted the anxious botanist who had agreed to come by once you were discharged to drive the odd team home. As well as ordering about a dozen epipens for all your close friends and her office.
Once Weems had decided you were defiantly not in pain, she walked over to your bedside and gently brushed the hair from your eyes.
“It's dealt with darling. Nobody will hurt you now.” She assured and you blushed slightly at the contact, leaning into her hand.
You were safe. Alive. Breathing normally. And safe … again.
Masterlist
How to give an epipen here
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thebibliosphere · 2 years
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Hey, so, feel free to ignore this question if you don't have the spoons, but I was wondering if you and your MCAS followers might be able to give me some tips.
I've recently started driving alone, and today I went into anaphylaxis (after eating a safe food!) while on a highway in a rural area. The paramedics got to me before I passed out, but my question is - any tips on what to do to ensure safety in that type of situation? Anything I can keep in the car to help first responders out, that sort of thing. Idk what might be useful, especially because I don't have an official MCAS diagnosis.
Thanks for everything you do!
Ps. Also loving the pride and prejudice stuff 😍
Oh no! Dawnie, I'm so sorry, that's so scary.
A good rule of thumb is to always carry all your meds and to also wear medical jewelry. A simple medical bracelet with "anaphylaxis" on it is a good place to start, as the rescue meds for allergic IgE anaphylaxis and MCAS anaphylaxis are the same.
If you have epi-pens, never ever store them in the car for any length of time if you live in an area where things can get hot as it can make the epinephrine not work as well. You can and should however keep them on you at all times, and also have an identifying tag on your bag that lets people know there's an EPI pen inside. I have these ones attached to visible places on my backpack (link) You can get custom ones too that say things like "inhaler inside" or "medication inside."
The mast cell disease society also has a handy protocol guide which you can keep on you and shove at doctors/first responders/leave visible in your bag in the event you are brought in unconscious (link). I have mine in a red folder that says "IN THE EVENT OF MEDICAL EMERGENCY" in big bold font.
It also has a handy guide at the back for what to say to doctors/paramedics so you don't have to think too hard about it, as well as further suggestions for what to put on medical alert jewelry which might be helpful. You should also make sure your emergency contacts are listed clearly on those forms/somewhere in your belongings, and if possible have a protocol in place with them for what to do if they don't hear from you at a certain time if you've been traveling alone.
If I think of anything else, I'll drop you a message, but those are the first few things I can think of off the top of my head. I hope you're resting and recovering well <3
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cuteguywhump · 2 months
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Anaconda (1997)
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macgyvermedical · 2 months
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What would have been the standard treatment for anaphylaxis in the 1950s? Was epinephrine the standard alongside anti-histamines or had that not been figured out yet?
This was a surprisingly difficult thing to figure out. It wasn't in any of my books, but I was able to find some info online.
Anaphylaxis was first described in the scientific literature in 1906. It was known very soon after this that histamine injected into animals could create an anaphylaxis-type reaction, leading to the understanding of anaphylaxis as a histamine response.
By some time in the 1920s, asthma (and somewhat later anaphylaxis) was being treated with self-injected epinephrine. Honestly I could not find why they had decided to do this, but it worked great.
The first antihistamines went on the market in 1937, and due to the understanding of anaphylaxis as a histamine problem, were probably used pretty quickly for anaphylaxis, though in the 1940s they were marketed more for prevention of anaphylaxis, not necessarily treatment.
By the late 1940s, corticosteroids were introduced and began being used for allergies, allowing anaphylaxis to be treated in much the same way it is today.
So to answer your question, by the 1950s, all three common medication classes used to treat anaphylaxis were in existence, and as far as I could find were being used almost the same way they are today.
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transgendz · 2 years
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I hear it a lot and I just wanna say, people with severe allergies don't choose their allergens. We aren't being difficult, and we hate the hassle of having allergies more than you hate dealing with us.
And people with allergies deserve to be respected. I'm not saying "I can't eat that, I'm allergic" to everything you offer me out of spite. I actually feel very sad having never taken offered food or eaten communal at events for years, especially because no one has ever offered to make something allergy friendly. I am not alone in having these feelings. You just think people with food allergies are "difficult"
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