#Cardiac Surgery Machine

[mercuryhc]

What is hyper-hypothermia unit? 

Definition of the Hyper-Hypothermia unit. 

A unit that manages body temperature until it returns to the normal levels using electronically regulated blankets and Pads. Normally it is found in every medical hospital and OT (Operation Theater). 

The normal temperature of any human body is around 98.6°F (Fahrenheit), or 37°C (Celsius) is considered to be a normal and healthy body temperature. In real life, there are different situations where body temperature varies with the range of activity that humans exercise i.e, running, eating, drinking, and women’s menses can lower your body temperature. According to the study, body temperature is typically lowest at 3 a.m and its highest at 6 p.m but it found in the range of 97.8°F (36.5°C) and 99°F (37.2°C). 

The Purpose 

The hyper-hypothermia unit acts as a regulator for your body temperature which severely increases or decreased above the range of standard body temperature which can be found in an abnormal situation and it leads to medical emergencies. 

Below are the common impacts of hyper-hypothermia. 

Exposure to extreme heat or cold 

Infections and Reactions 

Certain tumours 

Abnormal reaction to anaesthesia. 

Dehydration 

Surgeries related to heart and lung 

There are certain standards which a hyper-hypothermia unit should maintain that is not to increase the temperature above 105.8°F (41°C) are required medical emergencies and the temperature above 109.4°F (43°C) will usually not survive. 

In today’s technologically advanced world, there are companies like Mercury Healthcare and Soma Medical Parts that provide authorised and accurate Units that can be very helpful for medical emergencies as well as other requirements to maintain humans body temperature. 

Among these, Mercury Healthcare stands out as the premier manufacturer and supplier of Hyper-Hypothermia units in India, offering state-of-the-art technology and unparalleled reliability in temperature regulation solutions. 

#Cardiac Surgery Machine #Cardiac Surgery Machine in India #Fast Cooling machine #Heater Cooler Machine #Hyper-Hypothermia #Hyper-Hypothermia Machine Manufacture #hyper-hypothermia unit #Hypothermia Machine Supplier in India #hypothermia unit #Medical Equipment Manufacturing #mercury hypothermia unit

[mercury-healthcare]

Why Our Hypothermia Machine Is the Ideal Choice for Patient Care – Mercury Healthcare

  When it comes to providing effective therapeutic hypothermia treatment, choosing the right Hypothermia Machine is paramount. With several options available on the market, it is crucial to select a device that prioritizes patient safety, ease of use, and optimal outcomes. In this blog post, we will discuss the key reasons why our hypothermia machine stands out as the ideal choice for healthcare providers, ensuring the highest standard of care for patients in need of cooling therapy.

Precision Temperature Control:

Our hypothermia machine boasts state-of-the-art temperature control technology, enabling precise and accurate regulation of body temperature. Maintaining a stable hypothermic state is essential for effective treatment, and our machine ensures that the target temperature is consistently achieved and maintained throughout the cooling period. This level of precision minimizes temperature fluctuations, optimizing patient outcomes and reducing the risk of complications.

User-Friendly Interface and Intuitive Design:

We understand the importance of user-friendly equipment in a healthcare setting. Our hypothermia machine features an intuitive interface and ergonomic design, making it easy for medical professionals to operate. Clear and concise controls, coupled with a user-friendly touchscreen, streamline the cooling process, allowing healthcare providers to focus on delivering quality patient care. Additionally, the machine’s compact size and maneuverability enhance its versatility and ease of use in various clinical settings.

Advanced Safety Features:

Patient safety is our utmost priority, and our hypothermia machine incorporates advanced safety features to ensure a secure and controlled cooling environment. The machine is equipped with sophisticated temperature sensors and alarms that promptly notify healthcare providers of any deviations from the desired temperature range. This proactive monitoring system helps prevent potential complications and enables immediate intervention, guaranteeing patient safety throughout the cooling therapy.

Customizable Treatment Options:

Every patient is unique, and their treatment requirements may vary. Our hypothermia machine offers a range of customizable treatment options, allowing healthcare providers to tailor the cooling therapy to individual patient needs. Adjustable temperature settings, duration of therapy, and other parameters can be easily modified, ensuring personalized care and maximizing the effectiveness of the treatment for each patient.

Seamless Integration and Data Management:

Integrating our hypothermia machine with existing hospital systems is hassle-free, thanks to its compatibility with electronic medical records (EMR) and data management software. The machine seamlessly integrates with hospital networks, enabling real-time data monitoring, automatic charting, and comprehensive documentation of patient progress. This integration streamlines workflow, enhances communication between healthcare providers, and facilitates accurate and efficient data analysis for improved clinical decision-making.

Conclusion:

Selecting the right hypothermia machine is crucial for delivering optimal patient care during therapeutic cooling treatment. Our hypothermia machine combines precision temperature control, user-friendly design, advanced safety features, customizable treatment options, and seamless integration with hospital systems. By choosing our machine, healthcare providers can ensure the highest standard of care, maximize treatment efficacy, and improve patient outcomes. Invest in our Medical Equipment Manufacturer hypothermia machine and experience the difference it can make in delivering exceptional cooling therapy for your patients.

#Cardiac Surgery Machine #Heater Cooler Machine #Hyper-Hypothermia Machine Supplier #Hypothermia Machine #medical equipment manufacturer #Hyper-Hypothermia Machine #Fast Cooling machine #Hyper-Hypothermia Machine Supplier in india #hypo hyperthermia machine #hypothermia equipment

[octopusmedical01]

Sorin Stockert 3T Heater-Cooling System manufacturer & supplier in India: Octopus Med Pvt Ltd. 

In the realm of medical technology, innovations play a pivotal role in enhancing patient care and outcomes. Among the many advancements, the Sorin Stockert 3T Heater-Cooler System stands out as a crucial component in cardiac surgeries, ensuring optimal temperature management during procedures. As a trusted manufacturer and supplier of Sorin Stockert 3T Heater-Cooler System in India, Octopus Med brings you the Sorin Stockert 3T Heater-Cooler System, delivering unparalleled performance and reliability. 

About the Sorin Stockert 3T Heater-Cooler System 

The Sorin Stockert 3T Heater-Cooler System is a sophisticated medical device designed to regulate the temperature of patient's blood and organs during cardiac surgeries. It consists of advanced heating and cooling components that maintain precise temperatures, critical for the success of complex procedures. Octopus Med offers the Sorin 3T Heater Cooler Systems, recognized for their superior quality and performance in the medical community. 

Key Features of Sorin Stockert 3T Heater-Cooler System: 

Precision Temperature Control: The Sorin Stockert 3T Heater-Cooler System ensures precise temperature management, allowing surgeons to maintain optimal conditions throughout the surgical procedure. 

Reliable Performance: With its robust design and advanced technology, the Sorin 3T Heater Cooler guarantees reliable performance, contributing to seamless surgical experiences and positive patient outcomes. 

Enhanced Safety Features: Sorin Stockert 3T Heater-Cooler Systems are equipped with enhanced safety features to mitigate risks and ensure patient safety during cardiac surgeries. 

User-Friendly Interface: The intuitive interface of the Sorin Stockert 3T Heater-Cooler System facilitates ease of use for healthcare professionals, enabling efficient operation and monitoring during procedures. 

Buy SORIN Stockert 3T at Best Price in India 

Octopus Med offers the Sorin Stockert 3T Heater-Cooler System at the best price in India, making advanced medical technology accessible to healthcare facilities nationwide. Our commitment to affordability and quality ensures that healthcare providers can procure essential equipment without compromising on performance or budget. 

Why Choose Octopus Med for Sorin Stockert 3T Heater-Cooler System? 

Quality Assurance: Octopus Med is dedicated to delivering products of the highest quality, backed by rigorous quality assurance processes and adherence to international standards. 

Expertise and Experience: With years of experience in the healthcare industry, Octopus Med has established itself as a trusted name, offering innovative solutions and unparalleled customer service. 

Customer Satisfaction: At Octopus Med, customer satisfaction is paramount. We strive to exceed expectations by providing timely support, seamless transactions, and personalized service to our clients. 

Nationwide Reach: Octopus Med's extensive distribution network ensures prompt delivery of Sorin Stockert 3T Heater-Cooler Systems to healthcare facilities across India, enabling timely access to essential medical equipment. 

In conclusion, the Sorin Stockert 3T Heater-Cooler System from Octopus Med India represents a paradigm shift in cardiac surgery technology, empowering healthcare providers to deliver superior patient care. With its advanced features, reliability, and affordability, the Sorin Stockert 3T Heater-Cooler System is a valuable addition to any cardiac surgery suite. Contact Octopus Med today to buy SORIN Stockert 3T at the best price in India and elevate your surgical capabilities to new heights. 

#heater cooler systems for patients #Buy Heater Cooler For Heart Lung Machine In India #Buy SORIN Stockert 3T at Best Price in India #Sorin 3t Heater Cooler #Sorin Stockert 3T Heater-Cooler #Sorin 3T Heater Cooler Systems #Stockert 3T Heater-Cooling System #About the Sorin Stockert 3T Heater-Cooler System #Sorin Stockert 3T | Heater/Cooler Systems #What is a Heater-Cooler Device? #Patient Cooling and Warming Systems #heater-cooler unit cardiac surgery #Patient Warming #Cooling in One System #Heater-cooler units used during cardiac surgery #Heater Cooler Device For Heart Lung Machine #Warming & Cooling Devices in Healthcare #Patient Cooling System #Patient cooling system - All medical device manufacturers #Heater Cooler Systems Supplier #Heater-Cooler Devices #heater-cooler device #sorin 3t heater-cooler service manual #heater-cooler perfusion #terumo heater cooler

[ms-demeanor]

IDK that I've ever put it in one post before, but here's the transplant speedrun.

1 - Valentines day 2021, he's admitted to the hospital. We take a pre-hospital selfie then I shave his head and he shaves his beard because he doesn't want to deal with hair at the hospital. Me and his mom drop him off; at that point you can only visit someone as they are actually dying and we're told that he's going to stay in the hospital until he gets a transplant or he dies, and if he's rejected as a transplant recipient he'll receive palliative care in this hospital.

2 - First week of March, they allow patients to have one screened visitor; this is our first visit - I take photos in the hospital to show his mom because at this point he has a pump in his shoulder and it is difficult for him to move his arms to use his phone. He has also been confined to a bed since the week he arrived because he's on the ECMO machine, so he can't walk or move around, though they stand him up every once in a while. At one point one of the ecmo tubes pulls out of his femoral artery, which is Not! Great! He also needed a blood transfusion about every two days at that point, which worried the doctors because it increased his likelihood of rejecting. But he had been approved for transplant at that point!

The first thing he said to me on this visit was "look, I have abs" and then he showed me his abs because it turns out when you're really really dying of heart failure your body begins to eat itself.

3 - Now That's What I Call Jaundice (cardiac cirrhosis is liver failure as a result of heart failure and it's pretty much the big giant neon flashing sign of heart failure that says "hey you're fucking dying" so if you've got heart failure and your bilirubin number is off or the whites of your eyes are yellow please kick up a gigantic stink until they check your liver; large bastard's GP, who is my doctor, who I hate, saw his bloodwork with a very high bilirubin number a month before he was diagnosed with cardiac cirrhosis and wrote it off as a testing fluke fuck that guy)

4 - Don't let the sad face fool you, he's acting pathetic so that his mom will stop yelling about the fact that I'm bringing him cookies. He's allowed to have cookies. At that point he weighed 98kg and was outsourcing his heartbeat, he was allowed to eat whatever he wanted. (have i mentioned that I was moving us from Vegas to LA at this time? I was bringing him cookies because I'd baked hundreds of peanut butter cookies and other cookies to use up the flour, sugar, and peanut butter in the vegas house)

5 - Mid-march, he's got a match! He called me when I was in Vegas filling up the truck with another load and I drove right back and to the hospital. Once he went in for surgery I drove to his mom's house and crashed, then woke up and drove to our storage unit and unpacked the truck while I waited to hear from the doctors. I was unloading a bookcase when I got the call. (There wasn't any point in waiting alone in the hospital for sixteen hours; either he was going to make it or he wasn't and someone was going to have to unload the truck at some point. People have been weird about this, like I should have been sitting at his side all the time, but there was a two-hour daily limit for most visits and look i have sat in a waiting room while this dude had a thirteen hour surgery i do not need a repeat of that experience without the soothing balm of nicotine getting me through it; so unloading a truck it was)

6 - Two days after surgery and kind of mad about it. His chest hurt a lot (obviously) but, like, a lot a lot because they'd had to open him up for the bypass just two years earlier.

7 - First walk outside of his room after transplant in early April; he needed a LOT of PT because of how much muscle he'd lost. He lost sixty pounds in the hospital before the surgery, and only gained back about twenty while he was in there.

8 - A visit from the tiny doggo

9 - I come to visit and I've got a new phone with a portrait mode so he steals it and takes stupid pictures for a few minutes. Dude is bored and restless; this is in late april and he's feeling well enough to be moody. ETA: There is a jar of pickles in front of him because he'd been fluid limited for a long time and his salt levels were off and when he got to the hospital they were like "you need electrolytes and a lot of salt" and he was like "sweetheart can you please please please bring me delicious salty things" so I was bringing him jars of pickled mushrooms and garlic stuffed olives and just a huge number of pickles that he kept trying to share with the nurses. "Alli brought the mushrooms again; would you like a pickled mushroom? I have fancy toothpicks to share them with!"

10 - He comes home for the first time in early May; he ends up getting readmitted two more times because of complications before finally being released in early July. ETA: The second time he got readmitted it was for something that he wasn't at all worried about but that they needed to monitor for a couple weeks so he was *SO BORED* and actually feeling pretty okay; so at one point when I was leaving the parking garage at 8pm my car wouldn't start, I did some troubleshooting with the manual and the internet and didn't figure it out, so I called him and he tried to troubleshoot over the phone and got frustrated and was begging his nurses to let him come out to the parking structure to work on my car (they refused) - I ended up getting a tow and fixing it when I replaced the battery terminals.

Photos are all posted with his permission.

Also I dyed my hair purple between photos one and two because it's his favorite color. I also bought a blue dress, red tights, and yellow shoes to wear to visit him because he always teases me for wearing so much black.

I just love him a lot. It was a hard couple years there, but things are getting better.

#tw medical

[whumpy-daydreams]

Cardiac Surgery

masterlist

Decided to make a whole post about cardiac surgery because goddammit I spent two months in that department and it changed my psychology.

Open heart surgery is the most insane thing I've ever seen (and that's saying something)

First there's the monitoring:

five lead ecg

arterial blood pressure monitoring

two core body temperature probes (one down the throat, the other in the urethra)

central venous blood pressure monitoring

BIS monitor (measures brain activity)

AND THEN

defibrillator pads connected before surgery begins

catheter

central line (basically a cannula that goes in a BIG vein right to your heart)

multiple other cannulas

ALSO BYPASS! Putting people on bypass is insane and I still can't get my head around it.

The surgeon connects all the blood vessels that go into the heart to big plastic tubes which go to a bypass machine, which then pumps blood around the patient's body!

The weirdest thing about it is the heart rate goes to zero and the blood pressure is also non-existent. It can also cool down or heat up the blood which is important for:

AORTA surgery! The aorta is the super super big artery that delivers oxygenated blood from the heart to the rest of the body. However, if you need to disconnect the aorta, you're also taking blood away from the rest of the body.

This isn't a problem for most of the body, which can survive for an hour or two - but brain damage can start after only a couple of minutes. So to prevent this, we cool the patient down.

And by cool the patient down I mean temporarily kill the patient. Core body temperature is dropped to 20 degrees celsius (68 fahrenheit) to stop all brain function, and the heart is also stopped. This way the aorta can be operated on for up to 40 minutes.

In fact, in most open heart surgery you have to stop the heart, even if you don't also stop brain function. But that leaves the question - how do you start the heart again?

In any other situation this would be called a cardiac arrest and treated immediately with CPR and a defibrillator. But not in cardiac surgery! No. In cardiac surgery they don't use your typical defibrillator - they use metal paddles directly on the heart to get it going. No CPR for cardiac surgeons, only high voltage electricity.

(i really want to put a picture in but they're all really graphic. If you're up to seeing open heart surgery search for 'open chest defibrillation')

After surgery the patient isn't woken up immediately. They go to the ICU and stay anaesthetised for a few more hours to allow the heart to recover.

#heart surgery #tw medical #tw surgery #i love cardiac surgery but most of it is boring because it takes so long #youre just sat around for 8 hours because you cant see anything #its still really cool though #fucked up my perception of normal vital signs #brief guide to surgery #medical whump

[guess-my-next-obsession]

Peña’s Anatomy — Chapter Three

pairing: doctor au!javier peña x resident!reader

chapter rating: E (mentions of illness, very brief talk of blood, death, oral sex, protected piv)

word count: 7k

series masterlist

It had been a very long 36 hours since your shift had begun, and your head ached at the recalling of just how much had gone down during it. It turned out that the hot sex in an on call room with your boss was the least dramatic thing that happened to you, shockingly enough.

Your GSW patient succumbed to his injuries first, Dr. Mann seemingly having missed something while inside the man’s chest because right after your 911-page, he went into cardiac arrest and couldn’t be saved. You stood outside the Chief of Surgery’s office waiting to be questioned while Javier and Dr. Mann shouted at each other on the other side of the wall.

“If you’d been more concerned with the man on your table than the resident across from you, perhaps you would’ve caught the tear—“

“Are you insinuating that I was careless, Dr. Peña?”

“Well done, Columbo. You’re a genius.”

“Alright, that’s enough out of you two. Bring in that resident.” You closed your eyes at the sound of your presence being demanded, Javier opening the door and gesturing for you to join them inside the office. You looked meek as you walked in, having never even spoken to the Chief before. “Have a seat, doctor. And tell me about what happened in the OR. Don’t leave anything out.”

“Yes sir. Um, I should preface this by saying that I agree with Dr. Peña…about Dr. Mann being much more interested in talking to me than with the patient, even in the trauma room.” Javier looked over at you with a mixed look of shock and impressment as you so boldly called out an attending. “In the OR, Dr. Mann seemed self-assured, so much so that I truly believed him when he said that everything looked intact. I’d never assisted with a cardio case before this so most of my knowledge had been textbook rather than practical. Anyways, it took him about two hours to open the chest up and locate the bullet, but he’d been chatting to me the entire time—“

“Bullshit. You’re going to take the word of a third year over mine?” Dr. Mann spoke up and disregarded your presence completely as he looked at the Chief.

“Why would a third year risk her career by lying to me about what happened during your failed surgery, Dr. Mann? She’s got nothing to gain from calling out an attending. I’d put my money on her word being far more accurate than yours.” The Chief’s belief in you made it easier to lay out the rest of the events up until Dr. Mann’s exit from the OR, and soon you were excused along with Javier, the two of you walking down the hall together in slightly uncomfortable silence.

“That was…very admirable.” Javier’s voice called your eyes to his as you reached the nurses station. “Not many residents would put aside their careers to call out an attending like that. I just…I think that was a very honest thing to do.”

“Hey, Javi.” Jessica’s voice interrupted Javier’s sincere compliments, your eyes rolling at the sound of her ever flirtatious tone. You watched at he turned to the nurse with that charming smile of his and said hello, their bubbly conversation being your cue to leave.

The second loss of the shift was the eight-year old girl with a brain-tumor far too large to be operable. That was a death you were expecting, but it still didn’t hurt any less when it finally arrived.

Javier found you sitting on the floor of a supply room after the two of you called the time of death, tears soaking your face and neck as you hysterically sobbed into your hands.

“Hey,” he kneeled down in front of you after shutting the door and locking it, holding your wet face in his hands. Your eyes remained closed as you continued to picture the little girl’s weeping mother as Javier unplugged the machine beeping from the child’s flatlined heart rate. “Come here, bebita.”

•••

Javier pulled you onto his lap as he sat back against a shelf of medical supplies, your face burying into his neck as you cling to his scrubs.

His heart felt as though it was being strangled, your sobs spilling out directly into his chest as he tried and failed to soothe your ache. He kissed your temple and continued to coo in your ear, his hands rubbing at your back.

“It’s not fair,” you mumbled through your tears as you lifted your head, his eyes finally meeting yours. His hand stroked the evidence of your sadness away before cradling your face, his brows knitted together in empathy. “She was so innocent. I don’t get it.”

“I know,” he nodded and bounced his eyes across your features. “I, uh—during my fellowship year, I initially set out to go into Peds. I’ve always liked kids, they’re a lot easier to deal with than adult patients, in my experience. Don’t ask too many questions, never expect anything from you besides a smile…anyways…”

He took in a deep breath as his mind flipped back to a case that never left him to this day, one that he tried to avoid thinking about at all costs.

“Uh, I got assigned to be the lead surgeon on a peds case. Was supposed to be simple, just a bowel obstruction. But, uh, the boy never made it out of surgery. Went through so much blood…I was so scared. I thought I did something wrong, I mean…it was so much blood.” He sucked in a sharp breath and noticed that your tears had stopped, your eyes trained on him as he continued with his tragic story. “I kept trying to bring him back, but…he’d just lost too much, and…I had a breakdown in the scrub room. I almost quit medicine, it was just…what I’m trying to say is that I know first hand how hard it is to lose a kids life—to feel completely responsible for it. But she was going to pass regardless of what we tried to do for her. At least she got to go here in the safety of a hospital with her mother there to hold her and a team of doctors to take the pain away. You’ve got to remember that you helped her, you didn’t hurt her.”

“Does it ever go away?” You asked with a broken voice, his eyes falling to your chin as he shook his head.

“It just dulls.” Without giving him much chance to realize what was happening, he felt your trembling lips press against his cheek. He lifted his chin and locked his eyes with yours, pulling you to his lips and holding your face so that you were forced to accept the sincerity of his affections. He moaned as your fingers weaved into his hair, your hips moving against his. Javier found himself doing something he rarely ever did—stopping before things got heated. With his forehead pressed to yours, he panted out over your face and shook his head. “Bebita, sex isn’t always the answer. I didn’t come in here—“

“Please,” you begged in a desperate whimper, Javier’s bodily reaction conflicting with his mind’s rationality. “Just don’t want to think for a little.”

“Not here, not…not here.” He sighed and shook his head, watching your head pull away from his, a look of disappointment all over your face. “Your shift is going to be over in a couple hours. Let me give you a ride to your place instead of you taking that bus like you always do.”

“You’ve been watching me.” Your chuckle sounded like music to his ears, his smile growing as he nodded. “Okay. I’ll meet you out front at six.”

“Okay.” He kissed your forehead and helped you into your feet, his hands still holding your face as you stood together in the small room. His eyes darted across your features as his hands combed back the messy locks framing your face. “Go drink some water, don’t need you getting dehydrated on me.”

“Yes, sir.” His smile grew even wider at the sarcasm in your tone. “Anything else?”

“Just one more thing,” he leaned in and captured your lips in a tender, slow kiss that had both of you reeling. When he pulled away, your eyes remained closed for a moment before they fluttered open, a soft grin appearing on your tired looking face. “Alright, now you can go.”

“Yeah…that’s a good idea.” He chuckled at your flustered state as you quickly made your exit, shutting the door behind you and leaving him all alone to reel over his feelings for you.

He knew this was a bad idea, the two of you keeping this whole affair up, but he sincerely couldn’t stop himself. You were better at soothing his hurt than any whiskey or any woman he’d tried, and though it may have been selfish, he wasn’t about to give up this miracle that fell into his lap over some silly rules.

•••

Mickey found you as you stood out front of the hospital waiting for Javier to come outside, a grin on her face.

“Guess who’s got a hot date tonight?” She nudged your side and called your attention, your face turning to her with an amused grin.

“Ew, with Michael?” You asked with a grimace, watching as she rolled her eyes.

“He’s really great once you get to know him.” She insisted but there was no reality in which you believed that to be the truth. “He’s taking me to Austin for the night.”

“He’s taking you out of town for your first date?” You squinted, not quite understanding why your typically very smart friend would have agreed to this. “Are you sure he’s not cheating or something? Or a murderer? He’s a surgeon. He knows how to—“

“Just because you’re not getting any with Dr. Daddy doesn’t mean you get to rain on my hot sex parade.” She teased with a smirk, your cheeks turning pink as you tried to lie.

“What makes you think I’m not getting any with anybody else? I’m a young, attractive woman. I could have suitors.” She nodded dramatically, mouthing “sure”. “Maybe that’s what I’ll do tonight. Go out, meet some stranger in a bar, have some no-strings-attached hot sex. And still be in San Antonio when I do it.”

“He’s not gonna kill me and I’m pretty sure he doesn’t have some secret family he’s hiding. I think he’s just a romantic,” Mickey insisted again, this time with a softer voice, as though she was begging you to just let her have her fun.

“Fine, I’m happy for you. But please try to keep me updated. Call me if you need anything, or an exit plan.” She nodded and pulled you in for a hug, your eyes locking with Javier’s from over her shoulder. “Alright, go have fun.”

“You too, try not to sulk over Dr. Peña all weekend.” You faked a chuckle at her teasing and watched her disappear into the parking lot before you turned to Javier.

He was smiling at you as he walked over, his bag slung over one shoulder, a book cradled in the other arm. You took a shaky inhale at the sight of him striding towards you as though being by your side was where he always belonged. You batted your eyes to clear those romantic notions out of your head as he finally stood beside you, gesturing out at the parking lot.

“Ready?” His eyes darted across your features and you gave him a slight nod, earning a chuckle. “You look nervous.”

“I’m not nervous. Why would I be nervous? We’ve already—“ You caught the words before they could slip out, realizing that you two were very much in public and that there were gossipers everywhere. “I’m not nervous.”

“It’s okay to be nervous, I get nervous sometimes.” He teased, his head practically turned sideways to look at you the entire time you walked together.

Meanwhile, you couldn’t even bring yourself to look over at him. He was wearing a dark brown, almost black, leather jacket, even in the sweltering Texas sun, a cerulean blue button-down underneath it with its top three buttons left undone to expose his tanned chest. Even his jeans, a very normal thing for a man to be wearing, stirred you—the painted-on nature accentuating his tiny waist and adorable behind. It was a task looking his way even if you paid no mind to his handsome face, so, you chose to ignore him in his entirety.

“Here it is,” Javier pointed at an old Ford truck, opening the passenger door and gesturing for you to climb in.

You weren’t shocked because of the worn state of the truck—your family only ever had old beat up cars since growing up—but you were surprised that a surgeon making 100+ thousand a year would be seen driving something so modest.

“I figured you would’ve been driving a sports car or something.” You joked as you climbed into the truck, your thighs being warmed by the hot leather of the bench seat. Javier shut your door and climbed into the drivers side, still smiling to himself.

“Sorry to disappoint.” You watched as his eyes remained forward as he turned the ignition.

“Not disappointed, it’s actually nice. My grandpa used to have this exact model. He used to take me every week down to the ice cream shop in it—no seatbelt of course.” Javier turned to you with a soft smile and bounced his eyes between yours and your lips, making you turn away from him again due to your overwhelming lust. “Anyways, no. Not a disappointment.”

“You know, I’ve never had an issue with getting women to look at me until you came along.” He teased as he backed out of the lot, your cheeks turning pink at his astute observation. “Is there something on my face?”

“Attractiveness.” You mumbled as you continued to look ahead, your grin growing against your brain’s command. Javier laughed and the sound of it caused your eyes to turn to his again, your body unwilling to show you any mercy.

•••

Javier could hardly focus on the road, his mind swirling with boyish feelings of giddiness as you sat beside him. You weren’t doing a single thing besides existing, and that alone was enough to make him dizzy. It took all his strength not to fawn over you completely when you told him the story about your grandfather—him having a similar experience with his own.

The car ride was relatively silent, the faint country music on the radio providing a nice bit of atmosphere to ease the tension between the two of you. Javier couldn’t help but want to reach over and hold your hand, your thigh, your anything, but he knew that wasn’t his place—not yet, at least.

He wasn’t your boyfriend, was hardly even a hookup, and yet he couldn’t help but feel some sort of closeness with you. A closeness only good friends or lovers shared, and you were neither. He wondered as he pulled into your apartment complex if the two of you would ever get to that point—friends or lovers, either would do.

“You’re coming inside, right?” Your voice brought him out of his daydream of your future together, his head turning to the side to look at you. He realized you were already outside of the truck, standing there with the door open and your bag over your shoulder. He must’ve been sat here staring blankly ahead longer than he realized.

With a clearing of his throat, he nodded, shutting the engine off and stepping out of the truck. He grabbed his bag and book before locking the truck up and joining you.

“Who can’t look at who now?” He heard you tease as he kept his eyes on the sidewalk beneath his feet, the sound of your key being put into the door of your apartment causing his eyes to shoot up. “Javier, you don’t have to come in if you don’t want—“

“What? No, I do. I really do. I just…” He exhaled his nerves and cracked a smile, gesturing to your face. “Attractiveness.”

“It’s past five o’clock. Maybe a drink would help us get over our nerves.” He nodded at your suggestion, following you inside your apartment.

His eyes took in the scene in front of him as you walked off into the kitchen to prepare said drinks. Your walls were a clay color, your couch emerald green and velvet, the two shades complimenting each other more than he assumed they would.

He stepped over to sofa and set his bag down, resting his book on top of it before walking over to the pictures hanging on the wall by the large window overlooking a small dog park. His lips curled into a soft smile as he took in the sight of you as a little girl on Halloween—that dimpled smile of yours unmistakable even in youth.

As if he needed any more reason to be endeared to you.

•••

“Oh, no. Not the baby pictures.” You jokingly groaned as you walked in on him studying your family photos strung up on the wall half-hazardously. His head whipped around at the sound of your voice, his smile much more wide than you expected, the sight hitting you right in the chest. You chuckled and brushed off your cutesy feelings, handing him a glass of amber liquid. “Hope you like whiskey.”

“My favorite.” He smiled at that too. God, did he ever take a break?

“I have to go next door to grab my dog from my neighbor, but feel free to make yourself at home.” He nodded and returned to looking at the pictures, the feeling of your cheeks blushing over him making your eyes roll as you walked outside and over to your neighbors door, knocking on it a couple times until the old woman opened it up with a smile. “Hi, Rose.”

“Hello, sweetheart. Are you off work already? Time flies when you’re not having to save lives, I guess.” She joked before turning around to call for your golden retriever, McCartney.

“Hey, baby.” You knelt down and scratched behind his ears as the two-year-old pup greeted you with a happy tail wag. “Has he been good?”

“Oh, he’s been a saint.” She waved off your concern before turning her eyes to the side, her smile growing wider. You followed her eyeline to see that Javier was standing beside you with a coy smile. “And who is this handsome young man?”

“I’m Javier. You know, she never told me she had such a beautiful neighbor.” He flirted with the old woman, making her blush.

“Are you two going steady? Do you still call it that these days?” She looked to you but you could only blush in response. “Ah, I see. The romance is still a budding one. Well, you both have a good night. Try not to worry about the old woman next door when you’re—“

“Rose!” You gently scolded while Javier started to chuckle, waving goodbye at her as she shut her door. “I’m so sorry about her. She’s too feisty for her own good.”

“No, she’s a sweetheart. Reminds me of my grandma.” Your eyes met his and you forgot how to speak English. He chuckled at your fluster before pointing to the dog you were holding by a leash. “What’s its name?”

“McCartney.” You found your voice and led the boys inside, unhooking your dogs collar and leash once the door was closed.

“Like the Beatle?”

“My dream man, yeah.” You nodded and watched as he gave you an amused look. “Oh, like you don’t have a dream woman.”

“I wouldn’t turn down Farrah Fawcett if she insisted.” He shrugged and sat down on your couch, your dog jumping up into the seat beside him and immediately laying his head on his lap. “Looks like he’s a good judge of character.”

“Oh, I’m sure.” You chuckled and walked over to the couch, moving his bag onto the floor but keeping the book he was reading in your hand. You reached over to the coffee table to grab your glass of whiskey, taking a sip as you read the title. “Relativity by Albert Einstein. Interesting.”

“Just a little light reading.” He joked as you opened up the page his bookmark rested on.

“This makes it a lot harder to get a read on you. Usually I can tell what a guy is all about based on what he reads, or if he reads.” You shut the book and set it down on the coffee table before turning in your seat, eyes locking with Javier’s from across the couch.

“I just like science.” He shrugged and started to pet McCartney as he rolled onto his back, showing your guest his belly in hopes of getting a few scratches. “What do you like to read? Those porn books disguised as romance?”

“No, I’m a classics gal. Anything old will do it for me.” He raised an eyebrow at your words, making you smirk as you raised your glass to your lips, shooting him a wink. “Anything.”

“Are you feeling better?” His sudden shift in conversation had you sighing. You really didn’t want to think about everything that happened during your shift, and you’d almost successfully shoved it out of your mind until he brought it up again.

“Do you like movies? I have a good collection.” You changed the subject and stood up, walking over to the entertainment center and opening one of the cupboards to unveil a binder of DVD’s.

“Yeah, I’m big on movies.” He held his hand out to accept the binder, taking the hint that you weren’t in the mood to talk about things just yet. You watched from over the rim of your glass as he flipped through the pocketed sheets of plastic holding the discs, nodding at a couple titles that stuck out to him before sliding one out. “This is a good one.”

“Rebel Without A Cause, huh?” You took the disc from his hands and walked it over to your DVD player, sliding it in before reaching for the remote on the coffee table to turn the boxy television on. “Want a blanket? Popcorn? Anything?”

“I’ll just share whatever you have.” His smile was so soft, so much different than the smirks he used to give you in the hallway. You turned around quickly, not wanting to spend an extra second studying his tenderness for you.

As you walked to your bedroom to retrieve your biggest and coziest blanket, you tried to remind yourself that this budding connection was not allowed to happen. Sure, you could sleep with the man in secret here and there, but even that was a dangerous game to play.

You avoided his eyes as you delivered the blanket, Javier gently shooing your dog off his lap so that you had a space to sit beside him when you came back from making the popcorn. You had to fight the urge to scream out of frustration at the action, instead choosing to close your eyes and practice more of that stupid mindful breathing shit.

•••

Javier could feel his hands shaking as they rested on the armrest of the couch, his body suddenly feeling hot. He took in a deep breath to try and settle his nerves before realizing he had yet to take off his leather jacket. Peeling it off his body, he stood up to walk it over to the coat rack by your front door, rolling his neck while he was at it.

You stepped back into the room as he turned around, the two of you sharing a nervous look as you both froze in place. He began to wonder if his cheeks were finally turning that same shade of pink as the women he dated whenever they looked his way, his heart skipping more than a few beats as your eyes raked over his form.

“I—uh, didn’t know how much salt you like. So…just brought the shaker.” You held up the white porcelain salt-shaker in your hand, Javier chuckling mostly as his own nerves rather than your words.

“That’s very thoughtful. Cholesterol and all that,” he wanted to wince at his own meaningless ramblings as he walked back to the couch, settling down under the blankets.

He watched as you set the bowl of popcorn in between the two of you, Javier’s heart sinking a bit at the distance you were forcing upon him, but tried not to let it affect him too much.

•••

You wanted to scold yourself for setting the popcorn down beside him instead of sitting there yourself. You wanted to sit beside him—actually, it felt like you needed it—but you were too wound up in your flustered state after watching the way his shoulders and back flexed when he hung up his jacket on your coat rack like it fucking belonged there.

Now, you found yourself sitting all the way across the couch as though the two of you were teenagers being chaperoned on a date in the fucking 20’s or something. It all felt ridiculous. Not even a day before, he was fucking you raw in an on-call room, and now you were too scared to sit beside the man. How much more schoolgirl could you get?

“Is James Dean another one of your dream men?” His voice broke you out of your internal chastising. You turned your head to look at him, but his eyes were glued to the screen. You parted your lips to speak as you also tried your hand at focusing on the film.

James Dean’s character was struggling to stay standing upright, drunk as he stood at the police department, the camera soon panning to a young Natalie Wood in a detective’s office.

“James Dean was everybody’s dream man. Perfect mix of good looks and bad boy persona.” The more you looked at Natalie Wood, the more you realized she wasn’t that bad on the eyes as well, but you wouldn’t take Javier down that train of thought quite yet. “What about you? You consider yourself a James Dean?”

“I’m a Paul Newman who wants to be a James Dean.” He finally turned to you and smiled before grabbing some popcorn and placing it in his mouth. “There’s…no salt on these.”

“Yeah, I didn’t know if you were one of those health conscious doctors, and I didn’t want you to judge me for my sodium preference.” You chuckled and reached for the salt on the coffee table, handing it to him.

“I’m the kind of doctor that knows life’s too short to not indulge every now and then.” He set the salt back onto the table and held the bowl out for you to try some. “I hope I didn’t overdo it.”

“I’d just lie and say you didn’t, anyways.” You reached over and grabbed a few pieces, popping them into your mouth and turning back to the screen as you chewed.

•••

Javier couldn’t take his eyes off you now that he’d finally given himself permission to look. The way you concentrated on the film, the way you laughed at the most inappropriate of times, even the way you fucking chewed. It all did something to him—something he’d never felt before.

Grabbing the bowl of popcorn as you reached inside of it, he moved it out of the way and onto the coffee table. Your eyes turned to meet his as he crawled over the middle seat between you until he was pressing his lips to yours. He could taste the salt and butter from the snack as his tongue swiped across your bottom lip demanding access for more of you. He hummed in contentment when you parted your lips to let him in, your hands holding the back of his head as he shifted you to lay back against the sofa. With his hips between your legs, he could feel the heat radiating from you—you’d been wanting him to make a move just as badly as he’d been wanting you to.

•••

“Here or the bedroom?” He husked out as your hands lowered down to the button of his jeans.

“Here.” You breathed out and tried to kiss him but he sat upright, unbuttoning his shirt and tossing it onto the blanket that was now in a pile on the floor. You hummed at the sight of him, the red glow of the remnants of golden hour coming in through your window and lighting him up like some sort of god. You envied the clothes he was wearing for getting to be so damn close to him all the time, closer than you’d ever get the privilege of being.

“Liking the view?” He asked with a smirk as he stood up and peeled off his jeans and underwear, standing proudly in front of you. He had every reason to look so smug—he was a work of art. Nothing about Javier Peña was unimpressive, and that was the worst thing about him.

Realizing your state, you tugged off your long-sleeved henley and jeans, Javier’s hands helping you to shuck them off completely as remained laying down. He chuckled at the sight of your underwear, drawing your own eyes to them. Gasping, you reached to cover up the printed face of Paul McCartney inside of a red heart.

“Mickey bought them for me as a joke since my washer and dryer hasn’t been working. I wasn’t expecting for them to be seen, especially in this context.” He chuckled at your defense and knelt back down between your legs, hooking his fingers into the waistline and dragging them down your thighs until you were completely ridded of them.

“What do I gotta do to get my face on a pair of your underwear? Write you a song? Be in a band?” His voice was deeper and more of a mumble as he kissed his way up the inner part of your thigh, your stomach tensing as he neared your heat.

“You could make me cum and see if that does it,” you breathed out as his breath fanned over your slit, Javier looking up at you and grinning before placing the softest of pecks to your closed lips. With a shaky moan, you wove your fingers into his dark waves, urging him to move closer to you. He obliged, his hands spreading your thighs further apart so that your lips could spread open for him.

“Been thinking of spreading you open like this since the day I met you,” he husked as his fingertip ran up and down through your slick, your back arching off the couch at the sensation. “Sorry I was such an ass to you.”

“Don’t apologize, just eat me out.” His chuckles were always welcome, but right now they just made you feel desperate, your hips bucking closer to his mouth in hopes of feeling his laughter vibrate through you. Javier didn’t make you beg for anything, though, his tongue poking out and laying flat as he licked a broad stripe up to your clit, tensing the tip of his tongue so that he could circle it with better pressure. “God, that’s so good.”

“My name is Javier, bebita.” There it was again, that cockiness that drove you crazy for an entire month, now driving you crazy for an entirely different reason. “Say it for me.”

“It.” He laughed again, but this time you got to feel it against you. Your eyes fluttered shut and head fell back against the armrest as his tongue got to work, swirling and flicking, pressing and dipping into you. When his lips wrapped around your clit to suck it into his mouth, his name fell from your lips out of instinct, making him moan against you.

“There it is,” he mumbled against your slick as he pressed two of his long fingers inside of your heat, curling them upwards as he sucked your sensitive bud back into his mouth.

“Javi, you’re going to make me cum,” you warned, eyes snapping open to look down at him, his eyes locked on yours as though they’d always been. “Fuck, I could cum just from looking at you.”

He was too focused on making you finish to tell you just how hard your words got him, but he made a mental note to do it in just a little bit when he was inside you.

“Yes…yes…yes!” Your words got louder and more pleading each time you said them until you finally came undone, your head falling back against the armrest and thighs closing around his face.

•••

Javier wasted no time in sitting up, wiping your pleasure from his chin as he reached into the back pocket of his jeans on the floor, pulling out the condom that was in his wallet. He swore he could see a frown appear on your face as he slid the rubber over his length, and though he truly did want to fuck you raw again, it wasn’t the most responsible thing to do given the very vague nature of your relationship.

Javier situated himself between your trembling thighs and leaned over your body, holding your face with one hand while the other kept him upright. He shared your taste with you, his tongue swiping across yours as his cock found its way to your entrance, pressing in deep in one smooth thrust.

He caught the air you exhaled at the feeling of being filled by him, his own moan spilling right into your mouth. He didn’t want to pull away from you, his forehead pressing against yours as he started to fuck you at a moderate pace, making sure his thrusts were as deep as possible so that he could rub against that spot inside of you.

This was so out of the ordinary for him. He was used to fucking nurses from behind, quick, rough, and only caring enough to give them one orgasm before chasing his own. But with you he felt like he could stay here for hours, taking it slow and watching you come undone as much as your body could physically handle. He craved your closeness, your skin against his, your lips pressing together, eyes locked on one another. This was intimacy at its finest, and he never thought something so tender could also be so thrilling.

“It feels so good,” your whimpers were like fuel to him, keeping him going just when he thought he was done for. “How do you feel…so good?”

“You’re so beautiful. All the time. It physically hurts when I see you walk past me in the hallway.” He confessed as his hips dug deeper, your nails scratching up his back making him hiss. He loved the pain mixed with pleasure, and hoped desperately that there would be marks for him to look at when he was home alone later on. “The way you talk to me…do you feel how hard you make me? With just your words? And that smart mouth.”

“Javi, I’m…” you never finished your sentence, your walls clenching around him finishing it for you. He let his head fall into the crook of your neck, his moans now falling freely from his lips as he neared his own release. His voice was higher, needier, nothing like what he’d heard come out of himself before, but the way you gripped him every time he moaned in your ear told him that you enjoyed it.

“Fuck, bebita. I’m gonna cum,” he husked in your ear, only pumping a few more times before he was spilling inside of the condom, his weight falling onto you as the pleasure hit him like a fucking semi-truck.

•••

You laid there completely blissed out, Javier’s weight on top of you heavy but comforting. You drew circles in the golden freckled skin of his shoulder, placing kisses on it every now and then as his breathing slowly went back to normal.

When he popped his head up, he was smiling at you, eyes lidded from both pleasure and exhaustion, much like your own. You wanted to stroke your fingertips across his face, tracing every line in hopes of memorizing them, but something stopped you. That sick feeling in your gut everytime you dared to think of him as anything more than your boss.

Lowering your eyes and swallowing the lump in your throat, you tapped his shoulder to silently ask for him to sit up. He did as you commanded, sitting back into the seat and watching you as you stood up. You padded your feet over to the bathroom, closing the door behind you in an effort to get some much needed privacy as you tried to look yourself in the eye and remind yourself that you were getting in too deep. He wasn’t yours. And he couldn’t be—not if you wanted a career in surgery.

Cleaning yourself up a bit, you washed your hands and dried them before walking back out into the living room where Javier sat, seemingly not even moving an inch since you left him, though the absence of the condom he was wearing told you otherwise.

•••

Javier’s eyes followed your form as you sat back down, picking up your glass of whiskey and downing it without a second thought.

You reminded him so much of himself—too much, sometimes. The sting of your sudden distance made him start to reconsider his past relationships and flings. Did he make them feel as shitty as this?

“You should probably go home. It’s getting dark out.” Your words were spoken without a single bit of emotion behind them, your eyes focusing ahead at the movie that had been playing in the background.

“The movie isn’t even over.” He found himself speaking without giving the command, his heart seemingly calling the shots now.

“You can borrow it.” His eyes followed you as you walked over to the DVD player and pulled out the disk, bringing it back to the binder and sliding it back into its slot before handing it to him. “Here.”

“I don’t want the fucking DVD.” He spat as he stood up and got dressed, you moving to do the same beside him. “You know, it’s possible for us to, I don’t know, be friends? You don’t have to kick me out right after—“

“I do.” You interrupted him, bringing your eyes to his for the first time since you walked back into the room. He felt his breath stall in his chest as he looked into your eyes, the sadness in them reminding him of the kind he saw in his own everytime he looked into the mirror. “I told you, this isn’t allowed to happen.”

“Says who?” He knew exactly who the two of you would be subject to if things were made common knowledge, but part of him trusted his closeness with the Chief to get you both off the hook if things went awry.

“Says the fucking rules, Javier! I’m not going over this again with you! I don’t care how much I may enjoy your company, it’s not worth losing my career over!” He smiled at the admission of your feelings, even if it was vague, and even if it was during a shouting match.

•••

“Stop smiling at me like that!” You grabbed a pillow off the couch and threw it at him, Javier catching it with a chuckle. McCartney strode back into the room with practically a smile on his face, jumping up to play with Javier. You groaned and walked over to your door, grabbing his jacket and holding it out for him to take. “Go home.”

“I could stay. No one is here to tell on us,” he used your first name and you felt the ice around your heart being melted away at the sound. He stepped closer to you and held your face in his hand, admiring you as you tried to look at anything but him.

The sound of Rose’s door opening and her cane against the sidewalk pulled both of your attention to the open door. Rose eyed the situation carefully, her eyes asking you if you were okay to which you only gave her a subtle nod.

“Thought I heard some shouting.” She asked, eyes wandering over to Javier’s.

“She’s just shouting at me because I deserved it. Nothing to worry about, sweetheart.” He smiled at her softly and stepped back from you, walking over to grab his bag from the floor before coming back to take the jacket from your hand. His eyes lingered on yours as he walked past you and out of the apartment. “You two stay safe and have a good night.”

“Will do, honey.” Rose smiled at him as he walked off to his truck, waiting until the engine sounded to turn back to you. “What are you doing shouting at that dreamboat? Reminds me of a young Humphrey Bogart, or Burt Reynolds.”

“He’s an attending surgeon, which makes him my boss.” She rolled her eyes and waved her hand at your excuse. “It’s not allowed, Rose.”

“What you do in your private life shouldn’t be any of their business. Especially with the way it sounded. Back in my day, we were lucky to get one orgasm—“

“Rose! Go back inside.” You chuckled and ushered her back into her apartment, making sure her door was shut and that you heard her close the lock before returning back to your own and doing the same.

Perhaps she was right, perhaps it wasn’t anyone else’s business. But could you realistically keep up a lie like this? And could he realistically be a good boyfriend?

Those were the questions that would linger in your head as you fell asleep, the answers hopefully coming to you in your dreams. Until then, everything would remain as it was—in limbo.

•••

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#pedro pascal #pedro pascal fic #pedro pascal fanfiction #narcos fanfiction #javier peña x you #javier pena #javier peña angst #javier peña fluff #javier peña x y/n #javier peña x reader #javier peña smut #javier pena fic #javier peña series

[kk095]

Morning Rush Hour

*here's a quick story I came up with. Hope you guys enjoy!*

A slow weekday morning turned busy seemingly out of nowhere when 2 patients were brought into the emergency department after being involved in a high speed car accident with each other. The trauma team split up- Dr Lindsay, nurse Nancy and nurse Heather would take one patient, while Dr Jose, nurse Ashley, and nurse Cara would take the other. The two teams donned their yellow trauma gowns, put on fresh gloves, and waited patiently for the ambulances to arrive.

Sure enough in the coming minutes, the first of the two patients arrived and we’re brought to the first trauma room where Dr Lindsay waited. Her patient would be Jen- a cute, petite, 33 year old Asian woman with shoulder length dark hair who worked as an assistant manager at a local bank. Jen arrived at the ER in full cardiac arrest. She laid on a backboard intubated, wearing a c-collar, her eyes half open with a dull, expressionless gaze. IV lines were sticking out of both arms, EKG electrodes were all over her chest, and her nude body was littered with cuts, bruises, and abrasions. From what the medics gathered, Jen had sustained major blunt trauma to the chest and abdomen from the deceleration force of the accident. The medics mentioned Jen had been down for 8 minutes, was defibrillated 3 times, and given 2 doses of epinephrine and atropine intravenously. With the medic’s quick rundown to the ER team, it was now up to Lindsay, Heather, and Nancy to resuscitate the cute, 33 year old bank manager. “alright, let’s transfer her on my count. One… two… THREE!” Dr Lindsay ordered. The monitors beeped loudly and frequently during the transfer since CPR was temporarily stopped. Nurse Heather resumed CPR, delivering deep, violent chest compressions on the petite woman.

While Dr Lindsay’s half of the trauma team began working passionately to save Jen, the second patient arrived. Patient #2 was Carly- a 21 year old community college student who stood at 5’9 with a tall, skinny build, had blue eyes and fair skin, electric blue hair with bangs, and had numerous tattoos and piercings. Carly laid on a backboard wearing a c-collar as well. She was awake, alert, and in tremendous pain. Carly had sustained an open femur fracture on her left leg, which was reduced and stabilized by the medics, while also having some bruising and swelling on her abdomen. Carly’s blood pressure was low and her heart rate was high, which was a clear indication of shock. She was transferred onto the trauma room table underneath the large overhead light, and Dr Jose began his initial examination of her. Since her vital signs showed evidence of shock, Dr Jose decided to hang 2 units of o-neg, 1 unit of platelets, and 1 unit of plasma. While palpating the bruised area of Carly’s abdomen, she winced in pain as the doctor felt that area. “abdomen is tender and rigid. Let’s get an ultrasound.” The doctor ordered. Nurse Ashley set up the ultrasound machine and squirted the gel onto Carly’s abdomen. Dr Jose grabbed the ultrasound wand and spread the gel around, taking a look at the monitor. “bleeding in the upper left quadrant. Probably a splenic lac. Let’s get her over to radiology for a CT scan of her abdomen and leg, then page surgery and Ortho, let’s keep them in the loop.” Dr Jose ordered. With that said, Carly was taken out of the ER and wheeled over to radiology by that half of the trauma team.

Meanwhile, Jen was still being coded violently in the neighboring trauma room. Lindsay discovered and left sided tension pneumothorax, so a chest tube was placed while Carly was being examined, but Jen still remained in full cardiac arrest. An echocardiogram showed cardiac tamponade, so Dr Lindsay decided to perform a pericardiocentesis. Dr Lindsay inserted an 18 gauge needle into the 6th intercostal space, and into the apex of Jen’s heart. Lindsay was met with intermittent aspiration of partially coagulated blood. She positioned the needle at a slightly different angle and carefully moved it a few millimeters further into the patient’s chest, finally obtaining more steady drainage from the site. Lindsay pulled back on the plunger of the needle, filling the body of the needle up with a rather large amount of blood quickly. Lindsay removed the needle and did an echocardiogram, which showed that blood was almost instantly re-entering the pericardium once again. “crap. Get me a thoracotomy tray, I need to open her up.” Dr Lindsay said, shaking her head. Jen’s chest was splashed with betadine and Dr Lindsay picked up a scalpel in anticipation of the first cut.

Over in radiology, Carly was receiving a CT scan. The leg portion of the CT scan showed that the femur only had one, albeit, large break, and didn’t have any impact on any surrounding structures such as nerves or blood vessels. The abdominal portion of the CT scan was performed with contrast to see if the source of Carly’s internal bleeding could be traced to a vessel, or if it was an injury to the spleen alone. The CT scan with contrast confirmed the spleen injury, but it also showed that the splenic artery was partially detached from the abdominal aorta. “page surgery, she needs to go up there asap.” Dr Jose says, looking at the scan. Once again, Carly was taken out of radiology and rushed over to a nearby elevator. Jose breaks the news to Carly about needing surgery. “surgery? What’s going on?! Am I gonna be ok?!” she asks nervously in response. “we need to get you up to surgery to fix your leg and the bleeding inside your belly. You’re gonna be in great hands- I promise!” Dr Jose tells Carly. The girl still seemed nervous, but she knew she didn’t have much of an option. She was shocked this was how her morning turned out anyway. She almost wished she was sitting in her boring algebra class instead of on a gurney in a hospital. “It’s gonna be ok. I’ll be ok. They know what they’re doing.” Carly thought to herself, attempting to calm her nerves. The elevator dinged and the door opened, and she was wheeled out. In a matter of what felt like a few seconds, she was in an operating room, being prepped for her upcoming surgery.

Back in the ER, Jen’s chest was cracked open. A vascular clamp was placed on the descending portion of the aorta, with one end of the clamp sticking out of her chest. The pericardium was incised and the tamponade was relieved, but there was an active bleed in Jen’s chest cavity that Lindsay couldn’t find for the life of her. The incision site filled with blood over and over again, requiring multiple attempts at suction. Lindsay wrapped her hands around Jen’s heart, pumping it forcefully with her own two hands. “come on…come on…” Lindsay said under her breath, looking down at Jen. Jen was pasty white, and her eyes were still half open, staring blankly at the ceiling. “v-fib on the monitors Linds” nurse Nancy called out. “ok. Charge the internal paddles to 20!” Lindsay ordered. The large, spoon shaped paddles were handed to Lindsay, and the first shock was delivered. A dull, wet thump was heard. Jen’s heart stopped for a few seconds, then began fluttering again. “still in v-fib, I’m gonna hit her again at 30.” Dr Lindsay called out. The 2nd shock caused Jen’s toes to curl, showing off the soft, silky wrinkles throughout the soles of her size 7 feet. “damn it, still nothing. Resuming internal compressions.” Lindsay said frustrated, reaching her hands back into Jen’s bloody mess of a chest cavity.

Up in the OR, Carly was prepped for surgery. She was sedated, intubated, and had a blue bouffant cap placed, which almost matched her hair color. Carly’s surgery would have 2 teams working side by side- an orthopedics team to focus on her femur fracture, while a trauma surgery team focused on removing the spleen and repairing the partially torn artery. Carly’s belly was coated in betadine and the opening cut was made. Her abdomen was accessed by a paramedian incision. This was a vertical cut a few centimeters to the left of the abdominal midline. The goal of this was to expose the spleen and the injured artery more easily. A conventional midline incision would be more difficult since more tissue would have to be retracted, and the rectus abdominis muscle would have to be separated, then put back together during closure. Upon entry to her abdomen, there wasn’t much blood loss. In the coming minutes, the stomach and surrounding tissues were retracted, and the spleen was able to be identified. Partial occlusion clamps were placed on the vasculature of the spleen to limit blood loss during the removal of the damaged organ.

Just as Carly’s surgery was getting started, Jen was still being coded back in the ER. “ok, shocking again at 30. Everyone clear!” Lindsay shouted, with the electric whirring of the internal paddles being heard. A dull, wet thunk was heard once the shock was delivered. Jen’s torso flopped in response while her eyes stared lifelessly off to the side. The blood soaked internal paddles were recharged to 30, and Lindsay shocked her patient again. Jen’s feet kicked up slightly, slamming back down in a millisecond, wrinkling the soles of her pretty feet. “still v-fib, shocking again.” Lindsay called out. The paddles were lowered back into Jen’s chest around her twitching heart, and the shock was delivered. The same wet ka-thunk was heard. Jen’s heart twitched and fluttered erratically for a few seconds before falling completely still. The monitors were flatlined, and Lindsay just stood there for a moment holding the internal paddles. She sighs, then puts the internal paddles back on the crash cart. “she’s gone. Time of death, 9:25am.” Lindsay says in a defeated tone, taking her bloody gloves off. The flatlined monitors were switched off and the ambu bag was detached from the ET tube. The EKG electrodes were disconnected from Jen’s chest and her eyes were gently shut for the final time. Her body was covered with a sheet, only leaving her toe tagged feet exposed, bringing a tragic end to her case. Nurse Heather went through Jen’s belongings that the medics brought in and saw that Jen’s phone was going nuts from her job. “hey Jen, hope everything’s ok. I heard there was a bad accident on 31 so take your time coming in today.” A female voice on one of the messages said, completely oblivious to the fact that Jen was the one in said accident, and just had her time of death called. Heather shook her head, “wow… we may have to reach out to them. Me and Nancy will see if we can track down a husband, boyfriend, parent- someone who’s related to her too.” Heather said to Lindsay. “yeah, get on that whenever you can. Death notifications are always hard, so let me know if you need me to step in.” Lindsay replied.

Fortunately, there was only 1 death in this tragic accident. The surgical team was able to repair Carly’s fractured femur via internal reduction and fixation. Carly would now have a rod and some pins in her leg, setting off metal detectors for the rest of her life, but she had a functioning leg. Her spleen was removed and the partially detached vessel was anastomosed to the aorta, and the extra vessels of the spleen were rerouted since it was removed. Carly had a long road of recovery ahead of her, but ultimately pulled through.

[fem-lit]

WARNING! This post contains potentially upsetting, very detailed, graphic text descriptions of a chemical face peel.

Excerpt from The Beauty Myth (1990) by Naomi Wolf:

A “scalpel slave” in She magazine describes a face peel:

“Essentially, it is no different from a second-degree burn…. [It] makes you go brown and crispy, then a scab forms and drops off … [it] takes several hours because it is so poisonous and you can’t risk getting it into the bloodstream.” Dr. Thomas Rees minces no words: “Abrasion and peeling traumatizes [sic] the skin … with either procedure, the skin can be removed too deeply and result in an open wound …. deaths [from cardiac arrest] have followed a chemical peel … the skin is frozen [for dermabrasion] until it assumes a boardlike quality that facilitates the abrasion from a rotating wire brush impregnated with diamond particles.” (“Skin planing,” he informs the reader, “originated in World War II, done with sandpaper to remove shrapnel embedded in the skin.” Plastic surgery developed after World War I in reaction to wartime mutilations never witnessed before.) A woman who has witnessed skin planing said to an interviewer, “If we found that they were doing that to people in prison, there would be an international outcry and [the country] would be reported to Amnesty International for torture of the most horrific kind.” Chemical peeling, that “torture of the most horrific kind,” is up, according to Rees, 34 percent.

It is not easy to describe physical pain, and the words we agree on to convey it are rarely adequate. Society has to agree that a certain kind of pain exists in order to ease it. What women experience in the operating theater, under the mask of acid, laid out open to the mouth of the suction machine, passed out cold in wait for the bridge of the nose to be broken, is still private and unsayable.

#anti cosmetic surgery #tw violence #tw gore #naomi wolf #the beauty myth

[torturing-characters-101]

hi! there’s something i've been wondering about for a long time and hope you can help me out with. i understand that x-rays/ct scans/mri/etc are important to be able to determine the extent of injuries and such but in an emergency situation, is there time for those procedures? or are there other/quicker ways to accurately determine what is going on and how to deal with it? i hope you can answer this for me because it has been on my mind for so long now…

There's generally a lot more time than you think in emergency situations. Or time can be created by giving fluids or intubating a patient, or a number of other interventions.

There are a finite number of situations where a time delay of a minute or two is actually critically important. These are emergencies like an airway blockage (choking, swelling, trauma to the airway, etc..), lack of breathing, extreme blood loss (spurting arterial blood), or the heart not pumping blood.

All of the above can be assessed and supported without imaging. You can intubate someone with an airway problem, intubate and/or provide rescue breathing for someone who is not breathing, put pressure or a tourniquet on someone who is bleeding out, and perform CPR on someone who's heart is not pumping until you can solve the problem that is causing the heart to not pump (or determine that you cannot solve this problem).

Everything else, including heart attacks, strokes, large-scale trauma, and many other things, can spare the time to do EKGs, x-rays, CT scans, and ultrasounds. MRIs are typically not done in emergencies because ain't nobody got time for that, like, ever.

X-rays take literal seconds. You can do them in a brief enough pause in CPR to make them worth it. It's literally "pause CPR-turn the patient-shove the x-ray pad under the patient-roll pt back- snap the pic-roll patient-remove x-ray pad-roll patient-keep doing CPR". The pic can be evaluated right on the machine less than a second later.

You can do ultrasounds literally while CPR is being done. No pauses needed. They can be read right there.

You can set up for a 12-lead EKG while CPR is being done, pause for like 6 seconds while it's being recorded, and go right back at it.

CT scans take minutes, so you're probably not going to do them during CPR, but you would for a stroke or major trauma because it can give a lot of info very quickly that can help make decisions.

Now, modern imaging is really important for a lot of reasons. It's faster and more specific in a lot of cases than other methods, and most modern docs really genuinely don't have the training to do their jobs without them (with the exceptions of very rural or austere practitioners) even when there are technically other ways to get similar information.

HOWEVER, since you happened to ask someone who is a literal physical diagnosis (the practice of diagnosing through history and physical examination) and wilderness first aid instructor, I can say that a lot can *technically* be done without imaging at all.

You can get really close to knowing where a clot in the brain is based on physical exam (something that would generally be done (honestly faster) with a CT scan). You can very accurately tell how bad a pneumothorax or hemothorax is and figure out where to put a chest tube through percussion and physical maneuvers (something you'd generally use a CT or x-ray for). You can locate and treat a life-threatening cardiac tamponade with a long needle and a 3-lead EKG, after diagnosing it with physical exam (something you'd otherwise need ultrasound for). You can tell a bone is broken and what muscles were impacted and whether or not it actually needs surgery with physical exam (usually done with x-ray or CT or even MRI later). You can tell that a problem is appendicitis and even locate where an inflamed appendix is with physical maneuvers (usually done with an ultrasound or CT). These and so many, many more things.

We typically do imaging because it is faster and can (in theory) be more accurate. In the last 40 or so years, practitioners have not been trained to be particularly accurate with physical diagnosis- just trained enough to realize there is a problem that can be further elucidated with imaging. This training takes a LOT of time to be particularly skilled at, and there is already too much information crammed into 4 years of medical school and 3-7 years of residency, and much of what is prioritized is not physical diagnosis (okay, I will get off my dang soap box).

We also do a lot of imaging because insurance expects it and generally feels it is less likely to miss something than physical diagnosis (which I believe is more a problem with training than actual accuracy of the medium). Unfortunately, in prioritizing interpretation of imaging over performance and interpretation of physical exam, we have created an extremely expensive model of diagnosis. The time you'd have to pay a practitioner for to do even a very detailed physical exam costs a hell of a lot less than the price of a single CT scan.

But from the 1910s through 1980s (when computers got good enough to do advanced imaging efficiently), we were pretty dang good at using physical diagnosis exclusively or backed up with more basic (and cheaper) tests like EKGs and x-rays. But like I said above, I'll get off my soap box.

-Ross @macgyvermedical

#whump reference #writing reference #injury #hospital life #medical education #physical diagnosis #medical imaging #medblr #nurblr

[xtremememeteam]

Absolute prayers up for Damar Hamlin. Horrid stuff, especially given how young he is.

People online making speculations but the only rough facts rn is that he required CPR and an AED (he stopped breathing and his heart stopped). He has a pulse but cannot breathe on his own and has been intubated (a tube inserted that attaches to a oxygen machine). He is in Critical Condition.

He is at a Level 1 trauma center at UC hospital here in cincinnati. This is a top of the line facility with a crash cart, full staff, 24/7 care, and a trauma/surgery center. Some cardiologist online speculate Commotio Cordis. This is a when the chest, specifically the heart area, is hit with such blunt force that the heart is put out of rhythm.

The fact of the matter is that NFL must do more to protect their players. From JJ Watt going into cardiac arrest, to Tua Tagovailoa having a whopping 3 concussions this year, and now a young 24 year old man who was drafted only a little less than 2 YEARS AGO, going down on the field.

I hope to the god in heaven and whatever protective dieties are out there that this man comes out alive. I hope that mother leaves the hospital with her son. I hope this man returns to his family, full of head and heart. And I hope to god that the NFL players association raises hell with the NFL board for the shit show that has been this season.

#Damar Hamlin #Buffalo Bills #Cincinnati Bengals #NFL

[dramatic-shitpost-poet]

🦌: hi im back :-) gonna throw headcanons at ya

i love the hc of putty being terrified of needles and hospitals in general. he would force stephanie to come with him on appointments. man would have to be restrained to get a shot. id imagine he just hates the sterile environment and the equipment and just feeling violated.

he would absolutely despise being stuck in a hospital bed and feel so miserable, especially when he had a serious heart surgery. In the first couple of days he would have to be pushed in a wheelchair and feels like a senile old man. he doesn’t like people doing things for him when he can’t do anything to the point when stephanie would have to help him taking his socks off and on.

orel would visit him once in a while and even make him a card or give some kind of gift. steph and orel would help take care of their old man <33

Hey! Nice to see you! I saw your ask this morning and it gave me motivation to finish my cardiology research (which I posted before this!).

I got HCs and info done for Revs that I could do as a separate post but.. I'll do here lol.

Okay, so Revs is very much headcanoned to have heart issues due to his stress and shit diet. A lot of these details including how stress affects the heart and his IBS are discussed in other places. I think around 70s (say.. 72) I think his heart issues come to an all time hgh due to stress, depression, his shitty diet, and general old age weakened. I believe out of the range of heart disorders, he would have one similar most to a heart attack or have blockage issues in his arteries due to said shitty diet and also on and off smoking, both contributing heavy to it. His emotional stress wears him down to the point all his muscles weaken more and this all combines into a myocardia infarction (heart attack).

I would say it's a more survival able one, but he would start experiencing symptoms such as chest pains, shortness of breath, feeling dizzy when moving too fast, and indigestion/his IBS getting worse. He would have these symptoms daily, but not notice or take care of it, simply out of motivational energy issues and a slight fear of going to seek professional help as he is so insecure that reaching for any medical help terrifies him on a phobia level (also embarrassing for him) and like he deserved to suffer, that he will not receive any actual help, and others will see him as more pathetic. This builds up daily and he also does not bother listening or taking note of any arrhythmias as well.

It comes to the heart attack point where I think it'd be early morning on a non-church day and his pain would get so bad that he would call Stephanie for help. She then takes him to a hospital and he probs has a panic attack about it which makes everything WORSE. He goes in and is hooked up to an EKG after being pinned down where it is monitored that he is having a heart attack/the start of one. The doctors then talk to him and Steph a bit before he is told he needs surgery to clear out his arteries. He freaks out MORE, but Stephanie reassures him and he gets a coronary artery blockage removal/bypass (one performed by a cardiac surgeon). The surgery is 3-6 hours roughly.

Coronary artery surgery specifics: the surgeon cuts open the center of the chest and spreads open the rib cage to expose the heart. The heart is then temporarily stopped and the patient is kept alive through a heart-lung machine that acts as his heart and lungs without the action organs moving. The surgeon takes a section of a healthy blood vessel (either heart or leg) and attaches it around the blocked area to create a new pathway of blood flow.

His recovery time would be roughly about 4-5 months and he would be required to be monitored in the hospital for 2 days. Cardiac rehab would also be months long to get you functioning again. During the time in the hospital you will have hourly vitals and temperature checks. Also you might have a breathing tube for a while and there are recovery things you need to do too.

This includes not smoking, eating more healthy, and exercise. I think it's mostly the first two for Revs. Oh and stress management. But he's such a stubborn bastard that Stephanie or someone else is gonna have to force him to do things and chances are I think Revs is going to cry the second he's not as high from the drugs from surgery as he feels so stupid and worthless. There's also check up appointments every 3 weeks about, then yearly over time. Day one of bypass recovery you start drinking liquids again, then are encourage to sit up and cough to prevent lung infections. Day two is walking around at your own pace and solid foods. Discharge has schedules and meds established. 6 weeks after surgery you can start driving yourself again and doing other things including the sex (I am including this for fanfic purposes) and 12 weeks, you are mostly functional again. Mood swings are very common and depression can get worse, so support systems are needed (This is also for fanfic purposes). Revs would go through all stated above and not have any other problems until he reaches lates 80s and 90s where he might have another heart attack as he is stubborn and stressed, but it isn't as survivable. Haven't thought that far.

#reverend putty #moral orel #reverend rod putty #rod putty #moral orel fandom #moral orel fanfic #hyperfixations #cardiology #heart discussion #anon #same anon #thanks anon!

[mercury-healthcare]

Medical Equipment Manufacturer and Supplier in India

   In the field of healthcare, the quality and reliability of medical equipment play a vital role in delivering effective and efficient patient care. Mercury Healthcare, a leading Medical Equipment Manufacturer and supplier in India, has emerged as a trusted name in the industry. With its commitment to excellence, innovation, and customer satisfaction, Mercury Healthcare has been revolutionizing the healthcare landscape in India. In this blog post, we will explore why Mercury Healthcare is renowned for providing the finest quality medical equipment in the country.

Commitment to Quality: Mercury Healthcare is dedicated to producing medical equipment of the highest quality standards. The company adheres to stringent quality control processes at every stage of manufacturing, ensuring that all products meet international quality benchmarks. By using advanced technology and robust manufacturing practices, Mercury Healthcare ensures that its equipment is reliable, accurate, and durable.

Wide Range of Products: One of the key strengths of Mercury Healthcare is its extensive portfolio of medical equipment. The company offers a comprehensive range of products, including diagnostic equipment, surgical instruments, patient monitoring systems, imaging devices, and much more. Whether it’s a small clinic, a large hospital, or a research facility, Mercury Healthcare caters to the diverse needs of the healthcare industry.

Cutting-Edge Technology: Mercury Healthcare stays at the forefront of technological advancements in the medical field. The company invests in research and development to continuously improve its products and introduce innovative solutions. By integrating the latest technology into their equipment, Mercury Healthcare ensures accurate diagnoses, efficient treatments, and improved patient outcomes.

Customization and Personalization: Understanding that different healthcare facilities have unique requirements, Mercury Healthcare offers customization and personalization options. The company collaborates closely with its clients to understand their specific needs and tailor the equipment accordingly. This approach not only enhances the user experience but also optimizes workflow efficiency in healthcare settings

Compliance with Standards: Mercury Healthcare strictly adheres to national and international regulations and standards for medical equipment manufacturing. The company follows Good Manufacturing Practices (GMP) guidelines and holds certifications such as ISO 13485:2016, ensuring that their products meet the highest quality and safety standards. This commitment to compliance instills confidence in customers, making Mercury Healthcare a trusted partner in the healthcare industry.

After-Sales Support and Service: Apart from manufacturing top-quality medical equipment, Mercury Healthcare places great emphasis on Hyper-Hypothermia Machine after-sales support and service. The company provides comprehensive technical assistance, training programs, and regular maintenance services to ensure the smooth functioning of the equipment. Their prompt and efficient customer service team is always ready to address any queries or concerns.

Conclusion: Mercury Healthcare stands out as a premier medical equipment manufacturer and supplier in India due to its unwavering commitment to quality, innovation, and customer satisfaction. With a wide range of products, cutting-edge technology, customization options, and adherence to stringent standards, Mercury Healthcare has earned the trust of healthcare professionals across the country. By choosing Mercury Healthcare, healthcare facilities can be assured of acquiring the finest quality medical equipment that contributes to delivering superior patient care.

#CABG #Cardiac Surgery Machine #Cardiopulmonary Bypass #ecmo heater cooler #Fast Cooling #Fast Cooling machine #Heat exchanger #Heater Cooler Machine #heater cooler unit #Hyper-Hypothermia #Hyper-Hypothermia Machine #Hyper-Hypothermia Machine Manufacture #Hyper-Hypothermia Machine Manufacture in India #Hyper-Hypothermia Machine Supplier #Hyper-Hypothermia Machine Supplier in india #hyperthermia machine #hypo hyperthermia machine #hypothermia equipment #Hypothermia Machine #hypothermia machine uses #hypothermia unit #Liver Transplant Machine #medical equipment manufacturer #Perfusion Machine #Perfusion system

[skippyv20]

Our Prayer List 🙏🏻❤️❤️❤️❤️❤️

Prayers and good thoughts for our friend.  She is awaiting results for pre-cancer test and we pray it is benign.  We pray for good results.

Prayers and good thoughts for our friend’s husband who has not been well.

Prayers and good thoughts for @truthseeker-blogger who is preparing to move and has yet to find a new place.  Prayers for her legal issues to be quickly resolved.

Prayers and good thoughts for friend’s mom. She had a stress test that showed some issues, as well as some indication of a possible old heart attack. She has an appointment on March 16th with her cardiologist & we assume she'll need a cardiac catheterization & stents.

Prayers and good thoughts for formerlyroyal who has passed away unexpectedly.  Prayers for her family and her loving pets.

Prayers and good thoughts for our friend who has severe iron deficiency and the treatment is very harsh and makes her sick.  Her husband has been unfaithful during her illness and her family is ignoring me. She feels very alone.

Prayers and good thoughts for our friend and her mother who both have Covid.

Prayers and good thoughts for our friend’s church friend’s husband who has passed away peacefully!  Prayers for the family.

Prayers and good thoughts for our friend’s family whose lineage is greatly affected by cancer in the family.

Prayers and good thoughts for our friend’s brother in Spain.  Unfortunately, over the past two days he has been having terrible pain in his toe and is needing high levels of pain relief. The doctors have decide to keep him on antibiotics.  Prayers they work, and prayers for his partner.

Prayers and good thoughts for Baby Roy who has passed away.  Praying for comfort for his parents, and family as they mourn his loss.  Praying for Baby Roy as he makes his journey home to God. Prayers and good thoughts for our friend who suffered from sciatica.  The sciatica has resolved itself now, but she has 4 ruptured disks, 2 of which are torn. They have done a laser ablation of the nerves in her upper lumbar region which helped some. Also, she has had several epidurals in her lower lumbar & sacroilliac joints but that hasn't helped. She has an appointment with a neurosurgeon on the 14th.

Prayer and good thoughts for our friend’s newborn grandson who was admitted to the NICU yesterday with a Group B Strep infection.  Baby Elliott was intubated last night and placed on a ventilator.  Please pray for him, his parents, and his grandmother.

Prayers and good thoughts for our friend’s beloved nephew, Norbert.  He is heartbroken after a breakup and is depressed.

Prayers and good thoughts for Rob who may have a re =tear in knee and need further surgery.

Prayers and good thoughts for our friend who is going through a very difficult time.  Her husband is divorcing her after 33 years. After the first hearing, the judge is having him give her so little that she will have no place she can afford to live, while he has already gotten himself a new house. She fears her attorney is firing her due to how emotional she is.  The day after the first hearing she had to go to the hospital for kidney failure, she has stage 4 heart failure, a tumor in her lung and leg. Please pray for judge to rule in her favour.

Prayers and good thoughts our friend’s brother in law. He has severe heart failure and he had colon cancer removed last nov.  He must get chemo to be put on heart life saving machine but heart is too weak for chemo. This is his 3rd week in the hospital and the prognosis is he might live a couple months. Prayers and good thoughts for our friend who has been battling depression long-term due to trauma and the resulting difficult circumstances.

Prayers and good thoughts for Karen.  She has been through much medically, and her sister is worried about her mentally handling changes.

Prayers and good thoughts for our friend’s little boy who will be going through treatment for speech impediment.  We pray for his quick success.

Prayers and good thoughts for our dear friend whose disability renewal was denied.  She has another battle ahead.

Prayers and good thoughts for our friend’s father who has been diagnosed with early stage dementia.

Prayers and good thoughts for our friend’s son-in-law’s mother.   She has cancer in her spine, leg and lung.  She will be having surgery on her spine.     This woman raised 4 boys by herself, her now 23 year old son is  severely autistic and needs 24/7 care, which his mom has provided him his entire life.    She is only 64 years old, a wonderful person, warm, loving and very independent.  My heart breaks for her.  Please also pray for my son in law - he is in the Navy, fortunately stationed only a few hours from his mom.  He has power of attorney for his mom and his brother’s care - he has some very difficult and no doubt heart wrenching decisions to make.

Prayers and good thoughts for our friend’s friend whom was diagnosed with a rare form of cancer called Myelodysplastic Syndrome, or MDS is now in remission.  She is still doing chemo and is still waiting for the bone marrow transplant.

Prayers and good thoughts for our friend’s daughter who is struggling.  She is in much pain mentally. We prayer for her family as well as they try desperately to help her.

Prayers and good thoughts for our friend who is battling an undiagnosed mental illness which led to decisions with consequences.  Praying for her to stay strong in faith, for her family issues to be resolved.  Also, for her to be free of financial hardship.

Prayers and good thoughts for Baby James and his heart brother Matthew.  Also their heart brother Conrad

[writers-holloww]

Can you please do a roboticized sonic X reader like sonic got severely injured and the only way to save his life is to roboticize him and the reader comfort him and say that they love him no matter what he is and if you wondering yes sonic did get roboticize once this is the plot of the story ( during a mission one of eggman robots stab sonic near the heart cause cardiac arrest and the only way to save his life is to roboticized him and the reader didn't want to see him get roboticized so the reader goes into sonic room and cry in his bed and later sonic come in think about what just happened and what he is known then he see the reader cry in his bed and gets under the bed sheets and hug the reader saying that he ok and comfort the reader wow the leader comfort sonic by saying that they love him no matter what he is know)

Hello there,

I do quite enjoy this request. I will definitely be writing this. Will try my hand at a oneshot.

I slightly changed the request, I hope you don't mind.

Mod Shadow

-~-~

Reader's Perspective, doesn't change

Warnings: stab mention, mentions of medical machines, vague mentions of surgery, death mentions (very brief though)

Meanings: (f/c) = favourite colour, (f/a) = favourite animal

Word count: 770

My heart dropped when I saw the Badnik stab Sonic. A loud ring blared in my ears as everyone else tried to get to helping him. Thankfully, Knuckles took out the Badnik before it could hurt anyone else, and told us all to retreat.

Once we got back to headquarters, Sonic found out he'd have to be essentially turned into a robot to survive the injury. I was shocked when he asked to speak with me in private, saying he had some things to ask me.

It definitely felt odd to see him like this. Most of his energy was drained, and he was hooked up to several machines to keep him alive. Even in so much pain, he weakly held up his arm to wave to me with his usual smile and told me to sit next to him.

Pulling up a chair, I held onto his hand reassuringly as I sat down. The room was silent except for the occasional beep of a machine, and the quiet hum of several machines being on at once.

"So... you wanted to ask me something..?" I questioned, running my thumb over his gloved hand.

"Would... you still love me even as a robot?" He replied, averting his eyes to the side. His smile faltered momentarily before he continued.

"I mean yeah, being a hedgehog is the best and I know you love me for me, not what I am, but still, I... can't help but wonder." His voice trailed off, smile falling again.

"Sonic... whatever form you take I will still love you." His eyes flitted over to me and opened wider. "Even if you can't run fast, even if you can. Robot, hedgehog, human, I will still love you because you're Sonic. The same Sonic that cared for me. The same Sonic that stayed up late binging my favourite shows with me because he wanted to see me happy. And the same Sonic that went out of his way to make me happy." I replied, still holding onto his hand.

Suddenly, the doctor came in and asked me to step out as they were beginning the operation. I got up and left, giving Sonic one last wave with a smile.

I subconsciously walked over to Sonic's room and locked the door behind me as I went in. Sitting down on his bed, I glanced around at the different things in his room. Various comics, video games, even some trophies he won at races. I laughed softly as I remembered the time he dyed his quills and pretended to not be Sonic in order to still get a trophy.

I laid down, my head hitting the soft pillow underneath me. Suddenly, my eyes welled up with tears as my mind started wandering.

What if he didn't make it? What if his operation failed? What if he doesn't remember me?

Would he still love me?

The tears fell slowly as I tried to find something in the room to distract myself. My eyes eventually fell on the Nintendo Switch, where we used to play video games every Friday night as our own game night. I picked it up gently as I picked a game and logged into my profile.

-~-~

Hours into the night, the tears wouldn't stop. The sounds of the game and my sniffles were the only sounds in the dark room, once full of life at this time. I paused and put the console down, eyes finding the small stuffed animal I had gotten for him.

I had a matching one. Sonic had a (f/c) hedgehog, while I had a blue (f/a). I checked the timer I set up, softly hugging the plush (f/c) hedgehog.

20 minutes left.

This doesn't include his rest time and physiotherapy to help him get used to his new body. I'd likely see him tomorrow morning.

The tears eventually stopped about half an hour later, but soon started up again as I picked up the console again after taking some time to think back. My worries started up again.

I put the console back, bringing my knees to my chest and resting my head on top of them, letting the sobs shake my body.

A few minutes later, I felt metal arms wrap around me. Confused, I opened my eyes to see Sonic. Only the shoulders-down of him were robot parts. I smiled softly as he moved to lay down next to me. He pulled me into his arms once more, reassuring me that he was alright until I felt myself falling asleep.

He was okay, and he was still my Sonic.

#.⚫🔴writing #.⚫🔴response #.⚫🔴request accepted #sonic #sonic the hedgehog #sth x reader #sonic the hedgehog x reader #sonic x reader

[shadsasaur]

TW PET EVERYTHING MEDICAL HORROR AGAIN UPDATE

monday we get in to see the best surgeon in province [AND THE ONLY VET IN PROVINCE WITH A CT SCAN, WE LITERALLY HAD NO CHOICE TO GO HERE DESPITE HAVING A BAD EXPERIENCE WITH THEM BEFORE. WE WERE TOLD BOOKING THROUGH REFERALS WOULD BE DIFFERENT]. we talk for a bit, shes optimistic, it'd be the second one she'd removed this week actually. she says they'll get us estimates. they say we can do a cardiac workup rn, a ct tomorrow, and amputate the full limb wednesday. they slap us with this.

[the first is cardiac workup, the second is CT, the third is the amputation]

i have a breakdown in the room. we had been warned to expect 6000-8000 total, not 16k. receptionist checks on us, i say as much, get told "well, this is gold star treatment we'd like. honestly the first is completely optional, we'll just err on the side of caution and use heart safe drugs for the CT if you'd like to skip it." we do skip it. we book the CT anyway. we have to know.

monday night at 8pm she eats and starts fasting. tuesday at 8 she is dropped off. we are told she'll be done "early afternoon" check the box saying "text us pics and updates during the day!" 6pm, we have heard NOTHING. we call back in distress saying "please tell us about our cat its been 10 hours and she hasnt eaten for 22".

we drive over. we here someone say remove toopys catheter and we're like ??? why has she had one in for this long after her CT. its been hours. you didnt call us?? how long would oyu have left my cat starving and suffering in fear if we hadnt shown up??? we wait 10 minutes, me crying upset while the worst shortfaced bulldog that keeps choking on every breath and 3 other randos are there. someone comes over, tells us "the doctor is too busy and can't talk to you tonight. she'll call you tomorrow. your surgery can be thursday instead" and hands us the debit machine and a paper.

YOU KNOW. THE KIND OF NEWS YOU WANT TO UNCEREMONIOUSLY HAND A PERSON IN A WAITING ROOM WITH A BUNCH OF STRANGERS AROUND WHILE TAKING THEIR MONEY.

i have a full breakdown. we finally get our terrified starving cat and leave.

all wednesday, we hear NOTHING.

today/thursday morning, lex is so mad and he calls. he gets told she'll call us when she finds time.

she finally calls us back after lunch, confirms it is indeed A Lot of cancer, that should not have been given that paper without anyone to talk to us, it is inoperable, what we can see is 20% of what it is. she walks us through drugs she's giving us for palliative care mode. i ask if its 20%, does this mean it started deeper and we noticed because it pushed out. she confirms that yes, there is no way it was treatable after it became visible, so us feeling guilty about not catching it earlier was unfounded. we did everything as best we could. we could not have changed this.

so yeah. painkillers and a painkilling anxiety pill for a while. we have to Make The Hard Decision when it grows large enough to press on her organs and either affect her going to the bathroom, or her breathing.

she doesnt fucking deserve this.

#despair posting

[radioactiveradley]

FACT 4

Different modalities look at different stuff!

Ooh ooch me bones? Plain-film X-Ray or (if it's gnarly) CT!

Ooh ooch me soft tissues? Ultrasound, MRI, or CT depending on what & where! Or even X-Ray for detection of stuff like small bowel obstructions!

Ooh ooch me swallowing/digestion? Fluoroscopy!

Ooh ooch me spine/brain? MRI (unless it's 'ooh ooch me ischemic/haemorrhagic stroke or head trauma - then we'll whoosh you into CT for a quick whizz in the washing machine (gantry. it's called a gantry. shh))

Ooh ooch me heart? Echocardiography (Ultrasound), Coronary Angiography and Cardiac CT!

Ooh ooch me malignancy? Can be picked up anywhere, but will probably be biopsied with Ultrasound, CT, or even MRI depending on what & where!

Ooh ooch me need surgery? X-ray and/or fluoroscopic-style screening to watch what the surgical instruments or contrast agents are doing inside you in real-time!

#radiography #medblr #radiology #teehee