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thoughtsonhurtandcomfort · 1 year

Text

poppet

Author’s Notes: based on this post

poppet [pop-it] noun: A doll (such as a voodoo doll) made in witchcraft to represent a person, used in casting spells on that person.

- also a British term of endearment or diminutive, much like the words "dear" or "sweetie."

Content Warnings: tiny whump, faerie whump, magical whump, captivity, manhandling, torture, stomach/abdominal whump, blows to the stomach, pain, bruising, stomach ache, nausea, dizziness, illness, exhaustion, internal bleeding, medicine, painful caretaking

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-day 1-

"He always...commented on my stomach. It wasn't flat enough or whatever."

“I’m so sorry, dear. We could starve him if you like? Or give him nausea?”

“I actually thought...something more external. Punch him in the stomach or - or something.”

The client sits sheepishly on one side of the desk. At the other sits Jade, a witch who has made a living by fulfilling the vengeful wishes of others.

Surrounding Jade on all sides are tables and shelves with an array of items: plants, herbs, spices, jars of liquid, stones, bowls and jars, fabric and string, tools and utensils of all sorts, dozens of books.

And a row of metal birdcages.

Only one is occupied - that is, until the witch plucks Shae from it and lays him out on his back on the surface of the desk. She waves a hand over him and whispers a spell. A tingling sensation fills him, like static in his veins.

“We can do something like that. But we can drag it out, if you like. Since you’ve booked the whole week.”

The client’s eyes glimmer. “Yeah? How?”

“Well, for example...pressure, applied over time.” She puts her thumb on Shae’s bare belly and presses. He jolts even though it doesn’t hurt - yet. “Just uncomfortable at first. Then we increase it - “ She presses and Shae’s breath catches. “And increase it...” Now it hurts. “...until it becomes unbearable.”

The client is nodding along. “And then?”

Jade smiles and removes her thumb. Shae breathes a sigh of relief too soon.

“Then we punch him.”

She demonstrates with several sharp flicks to Shae’s body that make him cry out.

By the third cry the client is already writing a check.

Just as promised, the torment is delivered slowly. That same day, the witch and her client simply sit across from each other, leaning over the faerie while Jade presses her thumb to his stomach just enough to make him squirm, releases him long enough for him to catch his breath, and then does it again.

It doesn’t take long for a mild bruise to form on the fragile faerie’s skin. When Jade presses on the print she left, Shae inhales so suddenly that it sends him into a coughing fit.

“I think that’s enough for today,” she decides, removing her hand quickly. “Don’t want it to be over too quickly, do we?”

While the witch sees her client out, Shae rolls onto his side with a groan and loosely wraps his arms around his aching stomach.

-day 2-

The next day the client doesn’t come in; Shae is foolish enough to believe he is safe. With a sigh he turns his face away from the light of morning and brushes his fingers over the painful thumbprint. I don’t think I could take anymore...

So it is a jarring, unpleasant surprise when Jade scoops him up. Groggy and stiff, he grumbles out quiet protests as he’s set once again on the desktop. He opens his eyes and looks around for the client.

“I bet you thought you got out of this,” she says with a smile. She has a calm, confident aura about her that would be a comfort if it didn’t hide a cruel streak.

“Wait, not - not again?” he rasps, still struggling to wake.

“No not again.”

He closes his eyes with a sigh of relief. Maybe she’s going to make it better.

“Something else today.”

“H-huh - “

She uncurls his body and pulls his arms away from where they try to shield his injury. She presses them out to his sides with her thumb and pinky, leaving him flat on his back and helpless.

With her other hand she reaches for something beside her - a one pound hand weight. Almost nothing for a human to hold, but the sight of it it sends a chill through the faerie. He knows exactly what that’s for.

“If you don’t move your arms they’ll be trapped,” she warns.

Shae moves them just in the nick of time, saving them but leaving his poor stomach defenseless as she settles handle of the weight across his body. The sudden pressure knocks the air from him. Shae hyperventilates - a big mistake.

“A-AH!”

His movements pull at his bruised skin, now pressed beneath the unyielding weight, indented by the curve of the handle. It hurts, which makes it hard to breathe, which makes it hard to stay still, which makes it hurt and hurt. The faerie pushes uselessly against the object with his little hands; of course, it doesn’t budge.

After a while he is too exhausted to panic anymore. Shae lies there panting with his arms sprawled out. His head droops to one side and he opens his eyes.

Only then, peering through his mop of hair, does he notice that the witch is gone. Instead of her face watching him closely there is a camera set up on top of a stack of books with a red light on.

Shae stares miserably into its dark eye and somehow knows the client is looking back.

Late that evening he weight is finally removed. The unconscious faerie lets out a sigh but doesn’t wake. The witch returns him to his cage, where he spends the night in a fitful sleep.

-day 3-

“She liked that one,” is how Jade greets him.

Shae has dragged himself to the back corner of the cage. He is sitting slumped back against one of the bars, staring down at the damage he has sustained - a new band of discolored bruising across his abdomen, slightly darker at the center where it has layered atop the thumbprint bruise. Whimpering, he hovers a hand over the inflamed skin, wanting soothe it, to give himself the comfort no one else will. He can’t bring himself to touch it for fear of worse pain.

Jade has no such qualms. She reaches in and lifts him with a hand around his torso, then lays him on his back on the desk. The camera is on.

The witch examines him carefully, clinically. She takes his pulse and his temperature, gives him droplets of water and juice. Shae gasps and claws at the desk when she rubs a minty-smelling ointment onto the tender bruising.

“We should take it easy today,” she tells the client over the phone. “Or this little guy isn’t going to make it until Friday...yeah, I know, but trust me, it will be worth it...yes, you can see closer.”

Jade holds Shae up, turning him this way and that. When the client is satisfied, they begin a short ‘session’, as the witch calls them. Shae lies there unrestrained but powerless nonetheless while, much like on the first day, Jade presses on various parts of his stomach and he cries and pleads.

-day 4-

The client is back. She watches while, at her request, Shae is forced to remain standing. His stomach muscles twinge. His legs wobble. He holds his sore belly and breathes through waves of nausea.

Occasionally he’ll open his teary eyes and peer up at the client, hoping she’ll decide to show mercy. But she is focused, watching him closely, waiting.

Shae holds out longer than the witch or her client expected, but there is only so much one little body can take. He collapses onto the desk.

At the same moment, all the way across town, the client’s ex collapses at work and is rushed to the emergency room.

-day 5-

“Last day. Any special requests?”

“What we discussed is perfect.” The client chews on her lip before adding, “I want him to feel like he’s dying, but not actually die.”

“Don’t worry, I’ll be careful. I’ve been doing this for ten years and I have never killed a target.”

The same cannot be said for the faeries who have stood in for her targets. Most she heals and keeps to reuse session after session. However, a few died moments after the spell was lifted, before she had the chance.

Jade retrieves the faerie and lays him out on the desk.

Shae is beyond exhausted from restless nights spent searching for a comfortable position - an impossible task for a badly bruised body lying on the floor of a metal cage.

His arms remain curled protectively over his stomach but the witch easily moves them out of the way so the client can see the damage that has built over the week.

“There are no breaks, no organ damage,” she assures the client. “Only severe bruising and maybe a fractured rib.”

Reassured, the client writes out a final check.

Shae remains flat on his back with his arms out and his eyes closed. He almost manages to drift off when a shadow falls over him, blocking out the lamp. Fear forces his eyes to open.

The witch’s hand hovers about a foot above him. She is looking right at him and speaking quickly, words Shae doesn’t understand but he tenses with fear all the same.

And he is right to.

No sooner has the last word left Jade’s lips than some invisible force slams into Shae’s tender stomach. It knocks the breath from him.

She speaks the same final word again, and a third time, and a fourth, and each time it is followed by a swift blow. His body spasms with each impact.

When the blows cease Shae is left coughing and wheezing, sparks in his vision. The longer he lies there the worse he feels. This time it doesn’t just hurt; this time something is very wrong.

He feels lightheaded, clammy, nauseous. His little heart is pounding fast. He can hardly breathe. When he holds a trembling hand to his stomach the touch is so excruciating that he almost blacks out.

He feels like he’s dying - but he doesn’t die.

Shae doesn’t remember turning onto his side but somehow finds himself doubled over and coughing until he tastes blood. He’s so sick, so delirious with pain that he doesn’t notice the final conversation between witch and client, nor the satisfied look the client gives him before she leaves.

The next thing he knows he’s being held in a cool hand. A steady voice whispers to him and in an instant the tingling feeling of the spell has disappeared, breaking the faerie’s connection to the human victim. If only the pain would disappear along with it.

Jade lifts a dropper to Shae’s lips and gives him something something bitter and syrupy. He swallows it, coughs raggedly, grimaces at the taste.

“You’ll be good as new by morning,” she promises.

The witch dotes on the faerie methodically, efficiently, but not gently or with care. She rubs more of the mint-smelling ointment onto him, gives him water, even dresses him in new clothes.

She is about to put him back into the cage when, Shae utters a breathless little, “wait.”

To his surprise she stops and looks at him. He is draped over the curve of her thumb and forefinger, half-conscious and limp in her loose grip.

“What is it?”

“Could - could I - “

He has to stop to cough. The witch waits, curious, while he catches his breath.

“C-could I - have a - a blanket - a pillow - anything. Please?” Shae practically sobs the words; he can’t bear another night seeking rest on cold metal.

“Yes, alright. I think you’ve earned it.”

Maybe he shouldn’t feel grateful given what he’s been through, but when a few moments later Shae is settled onto a washcloth, and a second just like it is draped over him, it reduces him to tears. He sinks into the soft, clean cotton; he sighs as the medicine starts to kick in, just a little, dulling the edge of his pain.

He sleeps well for the first time all week. In the morning, just like she promised, he is healed - as though none of it ever happened.

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franchiseindia · 1 year

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Why does a generic medicine look different from a branded medicine?

Before going directly into why generic medicines look different from branded medicines, we should first know what these generic and branded medicines are. So, to start with, let us look at what is branded medicine.

Branded medicines are the original medicine that is manufactured under the name of the brand or company which does research on their composition, patents the composition and manufactures it. After the manufacturing is completed following thorough research, the company names the drug on its brand name and then sends it for approval to the institutions of its country of origin which deals with the safety and quality check of the medicines like the FDA in the US. Following the approval received by the company, the medicine composition is patented by the company. This makes them suffer a huge cost and thus, the cost of the brand medicines is very high. Alongside this, this patenting of the medicine provides the company security that till the patent is there, only the original company can sell the brand drug for the specific purpose. This also allows the company to spend sums on the advertisement of the drug and sell them in the local markets with the guarantee of safety, efficiency, and quality. Now when the patent of the brand drug has expired, then using the same active ingredients, the company itself and the other companies can produce an alternative version of the brand drug. These are known as generic drugs. Generic drugs are alternatives for the particular branded drugs available in the market. They contain the same effectiveness, active component, and safety as the brand drug, but they are different from each other only in their appearance.

Generic medicine looks different from the branded medicine

Since generic medicines are made of the same active component as branded medicine, so to differentiate from branded medicine, the generic drugs are given differentiations based on their looks. Since, the looks of the medicine like its appearance, color, and flavor don’t have any impact on the quality and safety of the medicine, so they are provided with different appearances. Other than these, generic medicines are known well for providing the same level of benefits to the users as brand medicines. Also, the side effects of generic medicines are also found to be the same as the brand drugs. But the difference is in the inactive component content of the generic drugs. They possess a different inactive ingredient than that is present in the brand drug. This also provides an edge for generic drugs to reduce their cost. So, finally, we can see that since the functionality and advantages of generic medicines are exactly of the same kind as that of brand medicines, so to differentiate them from the real brand name, the looks of the generic drug are varied.

Even though there are present around multiple of generic medicine for the same brand drug, so each generic alternative must have a different identity to create a market for itself. Therefore, not just the generic drugs look different from brand drugs, but also they look different from similar generic drugs manufactured by other companies.

Approvals provided by FDA

FDA or Food and Drug Agency is a federal agency of the United States that looks into the safety and quality of generic drugs and then only they provide approvals to the companies for selling their drugs in the market. FDA wants that the generic medicines produced must be identical to the bioequivalent range of their brand drugs. This is done to ensure the almost exact similarity in the properties of the generic drugs.

To ensure the quality of generic drugs, the FDA in the US continuously keeps its eyes on the approved generic drugs. It takes care of monitoring and investigating all the negative patient side effects and reactions. In any case, if any form of the problem is found, then FDA experts perform thorough testing and analysis of the drugs and provide a thorough recommendation for changes to the manufacturers. Besides, the FDA also provides health advisory notices and awareness events for the patients to make them aware of the various generic drugs present and their qualities.

Before providing approval to the applications submitted for a generic drug as a substitute for any brand drug, FDA looks into the following points while analyzing. Some of these points are mentioned below.

A generic drug has the same strength as a brand drug.

The inactive ingredients used in the generic drug must be of acceptable quality and standard.

The expiry time of the generic drug must be the same amount of time as the brand name.

The containers used for the carriage of the generics must be appropriate.

Generics must address the relevant patents on their labels and should use the same kind of label as the brand drugs.

Strict specifications are followed while producing generic drugs. The drugs must contain the highest quality, purity, and effectiveness as the brand drugs.

Once all these qualities are met by the applicant's generic drug, approval is provided by FDA for the distribution of the generic drug as a substitute for the brand-name drug in the market.

Approvals for the sale of generic medicines/drugs in India

In India for the sale of generic drugs, the companies must seek approval from the Drug advisory board of India. Only after approval from this board, the drugs are allowed to be sold and used in the Indian markets. Even the special, Central Drugs Standard Control Organization is present in India, which monitors the manufacturing of generic medicines in the country. Not just this, the medicines are tested for checking their efficiency and to ensure the safety of the user. Alongside this, the special organization in India as mentioned above investigates the potential problems related to the drugs and provides suggestions to the manufacturing units, the public, and healthcare experts. Thus, after total checking and approval provided for a specific generic medicine, only the medicine is launched for use in the market.

Generic or branded, which is better

When it comes to deciding a better choice between the generic and brand drug, the complete decision-making should lie in the hands of the healthcare professional, prescribing the medicines. Many types of research and studies have been conducted to find out, which, generic or branded drugs are beneficial for patients. The studies have found that although there is very little difference in the quality, efficiency, and safety between generic and branded drugs, some differences have been found in the health of the patients. It is found in a study that those who totally rely on generic drugs for the treatment of their illness are found to suffer worse health outcomes than those who used branded drugs as well. But this is not the case everywhere; this outcome is more prevalent in cardiovascular issues and is found among the socioeconomically weaker section of society. This is because these people never look to go for buying branded drugs due to their very high cost and thus switch themselves to cheaper alternatives which are generic drugs.

Still, a thorough study is left to be conducted before directly concluding which one will be better for the long run, branded drug or a generic drug. But still, we can say if there are no constraints on the affordability of the customer, then they should prefer brand names. But in case of economic constraints, the patient should consult with a doctor, who knows better about the different generic drugs and their illness. So, he will prescribe the best generic drug available for your purpose.

Benefits of generic drugs

Generic medicines as we know are the same active ingredient containing branded medicines, but the difference is visible in their appearance, packaging, and the name given to them. These are not provided in the market until the patent on the branded medicines is expired. After the expiry, the same company or other companies can move to produce generic medicines of the same medicine.

Generic medicines are developed to ensure the availability of the medicine in the market even after the expiry of branded medicines’ patent and thus it has some of the major advantages due to which people choose them. Let us look at these benefits one by one.

Affordable price

Generic medicines are significantly low in cost than their branded drug counterparts. This makes them very affordable to buy by the population. This low-cost nature of generic drugs comes from the fact that these drugs are produced using the same active component as the branded drug. This saves the cost of trials and tests and approvals for the generic drug company.

Besides, generic drugs are not advertised. And the marketing policy used for their promotions is also very cost-friendly. This makes the company cut the cost of the marketing, advertisement, and approval of generic drugs. Thus, they are able to sell the drugs at such a huge price margin and make them available in the market at lower prices.

Easily available

For any branded drug, there are present around 12000 varieties of generic drugs. Each one of which is affordable and safe to use. Whenever you go out to buy a branded drug but it's unavailable, you can easily find one of its alternative, generic drugs. This easy availability of generic drugs provides the benefit that every patient should get the necessary treatment for the illness they are suffering from. Patients don’t have to wait for the procurement of branded drugs in order to take the medicine.

So, the ease of availability of generic drugs in the market benefits the customers to the highest level. To further ensure that each citizen of India is aware of the presence of generic drugs in almost all common branded drugs, the Government of India has established the Pradhan Mantri Bhartiya Janaushadi Pariyojana (PMBJP). It works to aware the maximum population of the country about generic drugs and makes sure that in the coming future generic drugs related to maximum branded drugs be made available to citizens of India.

Covers insurance benefits

Generic medicines are low in cost, thus they are very much affordable to almost everyone. This provides another benefit that most of these drugs are covered under various insurance policies provided by different companies. This is because of their low cost. Insurance coverage means, you won’t have to pay for buying your generic drugs, but the insurance companies will pay for them. This will help you cut down your regular spending on medicines and thus provides you with an added advantage. But care must be taken as this can vary based on the insurance company and their insurance policies. So, make sure you earn complete knowledge of the insurance policy and the drugs they cover, before buying them.

Safe and have quality

Generic drugs, as are made of the same active component as the branded drug, so they provide the equivalent level of quality as well. But the safety and quality of the generic medicine are ensured before introducing them in the market by providing them the license. The medicines are thoroughly checked, and after complete approval for their quality and safety, these medicines are given licenses.

To ensure that only quality and safe generic drugs are sold in the Indian markets, the Government of India has a separate department. The Pradhan Mantri Bhartiya Janaushadi Pariyojana takes care of the procurement of only quality medicines in the country. These drugs include only those which are manufactured by companies that are CE, FSSAI, and WHO-GMP certified. Thus, through proper checks on the medicines, Government ensures that they are manufactured following strict guidelines and are beneficial for the consumers.

Conclusion

Generic drugs are alternative drugs that are manufactured for serving the purpose the same purpose as the brand drugs. These are the cheaper alternatives that look different from the brand drugs but contain the same qualities as the brand drug. They have a variety of benefits that makes them so popular among the population.

Even the health advisories of all the countries conduct awareness campaigns to spread awareness among people about these generics. This is done to ensure that everyone gets the appropriate medicine for their illnesses at a lower cost. Only thing is that generics are given different looks than the brand medicines to ensure their distinction from the brand drugs.

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