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#i wanted to focus on a vital case but that can happen w kids there!!
aurorangen · 2 months
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After an eventful day at work for both of them, they shared what happened with each other. Vincent talked about Isaac while Renee expressed her frustrations with the useless cases she had been assigned to. He laughed at her lettuce story and smirked, "I could take your mind off things right now".
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drmmyrs · 3 years
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Remember Me (Becca x MC)
So, weird story. I was randomly browsing tumblr one time when this ask pops out at the top of the screen (req about amnesia au Becca’s POV). It wasn’t even related to anything I was reading but checked my inbox and it wasn’t there. Most probably the ask isn’t for me but still wrote it just in case 😅
PS if someone DID send me this ask, kindly drop me a message just so I know I’m not seeing things 😭
PPS I’m trying out a new writing style and I’m not sure if it’s any good so I’d really appreciate any feedback 🥺 (this will be a mini series too, I think, since the angst potential is definitely there 😂)
PPPS title is inspired from the song in Coco just cause I’ve been playing it a lot on piano recently
tag list: @whackawriting @samanthadalton @crazzyplays @uselesslesbianfr @baexpoppy @alexroyard @alexlabhont @veenast @noixngn @sillyandcutewizardstuffs (If you wanna be added or removed or just prefer a certain ship just let me know ❤️)
Pairing: Becca x MC (Emily)
Word Count: 2090
I don't remember what happened, nor know where I am, but I hear shouting, lots of it. I try to move, but my body feels completely numb; the only thing I can feel is the trickle of liquid that splatters across my face. Rain? I open my eyes strenuously, but all I can see past my blurry vision are brown eyes glistening with tears. I can't quite make out her face, but for some reason, seeing her cry sends a flurry of emotions that hurt more than my throbbing head. I try to open my mouth, hoping to provide comfort somehow, but no words come out. She is saying something over and over again, something about leaving? But my head hurts too much to be able to comprehend. A siren then blares from a distance, growing louder by the second as flashes of red cloud my vision. And that is when everything turns black.
I slowly open my eyes–still reeling from the nightmare that somehow felt too real–and harsh, blinding lights immediately greet me. I hastily shut my eyes back and suddenly become well aware of the ache engulfing my entire body. It isn't before long that I realize that someone is holding my hand, tracing lazy circles against my skin ever so often. I try to move it but only manage to lift a finger, and at once, the grip tightens and becomes still for a moment before I hear a voice– How can a voice sound so familiar... yet so strange? It's saying my name, urgent and gentle at the same time as though I might break at any second. I try to open my eyes, but exhaustion grips me powerless. And soon, I succumb to its fiery grasp as I slip back into slumber.
When I wake up again, I already feel much stronger than before. The ache in my body has turned into a dull hum as if sharp nails are gently caressing my skin, enough to be felt but not to hurt. I look around the room, panic swelling in my chest as I take in the sight of different medical equipment looming around my bed and needles sticking out of my arm. I fight the urge to squirm as I take big, calming breaths, ignoring how the four white walls seem to close in on me. Thankfully, the door opens, and a nurse walks in, temporarily distracting me from my distress. She smiles upon seeing me awake and walks towards me.
"Welcome back, Ms. Davenport. How are you feeling?"
"W–where am I?" I ask weakly.
"In the hospital. A month ago, you were involved in a car crash, and your head was hurt pretty badly," the nurse says sympathetically. She is now taking my vitals, scribbling something on her chart from time to time.
Car crash?
I scrunch my eyes, trying to remember, but the harder I try, the more my head hurts.
"Wait. A month? Are you saying that I've been here... for a month?"
The nurse nods. "You've been unconscious the entire time. But your vitals now are looking good. The doctor will just run a few tests to make sure we don't miss anything."
I stay quiet for a while, my mind still processing everything the nurse just said, which has only raised new questions.
"Your friends and family were really worried about you, you know. There wasn't a day when you didn't have any visitors. Especially that special friend of yours you were in the car with." The nurse turns towards me, holding a pen against her chin. "What was her name? Em–Emma, I think? She barely left your side. She actually just went to grab some food before you woke up."
...I don't know any Emma, but I don't tell her that.
"What about my parents?"
"Your mom and sister usually visit during the evening."
"And my father?"
The nurse shakes her head. "I don't think I've ever seen your father."
The nurse leaves after a while, and the doctor comes inside the room shortly. I answer a few questions before I'm escorted outside to take some tests. Afterward, the nurse leads me back to my room and gently guides me to bed.
"Would you like me to call in your visitors?" the nurse asks.
I nod.
The nurse goes out, and soon my mom walks in followed by–
"Emily." I frown. "What the hell are you doing here?"
Both of them stop in their tracks. My mom looks at me in concern and confusion, while Emily looks like I just punched her in the gut.
Anger bubbles up inside me as a realization comes to mind. "Y–you. You're the one who did this, aren't you? You're the reason I'm here."
A guilty look flickers across her face, confirming my suspicions. And before I can stop myself, I shout at her to leave, but she stands there motionless, tears threatening to spill from her eyes.
"Go get the doctor," my mom tells her, which snaps her out of her shock. She scurries out of the room at the same time my mom starts walking towards me.
"Why is she here, Mom?"
My mom stops at the side of the bed and reaches out to stroke my hair. "Honey, the accident was not her fault."
"But she was there with me..."
"Yes."
"Why?"
My mom's hand goes still, resting on top of my head. "Becca, what was the last thing you remember?"
"I..." I close my eyes and think hard for a moment. "I–I remember hosting the Kappa party. But that doesn't make any sense. Why would I leave with Emily?"
A brief look of panic flashes across her eyes.
"Mom? What's wrong?"
My mom smiles at me, but it looks forced. "It's nothing, sweetie. The doctor will be here soon."
But I can see that she's trying her best to keep calm–the look on her face similar to when she would talk to my little sister and me right after we would hear her and dad fight.
The doctor comes in a little while later, asking a bunch of questions similar to my mom's. They then do more tests on me, and I grow scared by the minute, not understanding what the hell is going on. Eventually, I'm back in my room alone, my mom and the doctor staying outside to talk. After some time, they enter the room, and my mom sits beside me, taking my hand as the doctor walks towards the other side of the bed.
I look at my mom, drained from all the medical tests I went through the entire day. "What's happening, Mom? I'm scared."
My mom squeezes my hand and gives me a reassuring smile. "The doctor will explain it to you, sweetie. But I'll be right here the whole time." She then gives a single nod to the doctor.
The doctor smiles at me politely. "How are you feeling, Becca?"
I stare at him, suddenly annoyed at being asked the same question over and over again.
"Right then." The doctor clears his throat. "During the accident, your brain was affected more than we initially thought." He pauses, and I meet his gaze, willing him to go straight to the point. "It seems like you have retrograde amnesia, meaning that you have no memory of the past three years of your life."
The doctor goes on and on about the technicalities, but I'm not listening anymore. His voice is reduced to background noise as I repeat his words inside my head, trying to grasp the implications of what he just said. I prop myself up, looking wildly around the room, tugging at my shirt as if it would help me breathe. But it doesn't. My body feels numb, which is why I almost don't notice my mom pulling me into a tight hug, stroking my back comfortingly as she whispers reassurances. I focus on her voice, forcing myself to take deep breaths as I slowly begin to calm down. I pull away after some time, recomposing myself as I find my voice.
"Three years," I whisper.
"We'll help you recover your memories, honey. But for now, you can ask me anything you like."
"I–I think I just need some rest."
My mom nods, helping me settle back in bed before she leaves, promising to be back tomorrow.
Sleep comes easy to me, and I wake up the next day with Madison sitting at the chair next to my bed, browsing her phone.
"Hey, Maddie."
She looks up from her phone, a smile lighting up her face before she practically jumps out of her chair to hug me. "Becca!"
"Ow, that... kinda hurts."
When she pulls away from me, her eyes are teary.
"Sorry, I just missed you so much. You were gone for so long! I thought–"
"Hey, hey, none of that," I say, smiling at her.
She pulls the chair closer to my bed and sits down. "How are you, Becca? Your mom told me about your... condition."
I stare at the ceiling. "Yeah, it sucks." I snap my head back to her. "Tell me something. Do we still hang out a lot?"
"We still meet up from time to time. Not as much as we used to, though," Madison says, smiling sadly.
I nod. "Who do I usually hang out with now?"
"Emily."
I furrow my eyebrows. "Did we become close friends or something?"
"Oh, right. You've only been together for like two years," Madison murmurs contemplatively. "She's your girlfriend, Becca."
I let the information sink in. "You have got to be kidding me." I stare at her wide-eyed. "How–What–Why?"
Madison recounts our 'love story,' each detail more absurd than the last. I don't want to believe any of it, but Emily as my girlfriend... it actually explains everything. I rub my temples. How the hell did that happen? I remember like it was yesterday when she tried to steal Chris away from me. And now... and now...
"Maddie? Can you do me a favor and grab me something to eat? I'm starving."
Madison smiles. "Of course."
Madison goes out in a while, leaving me alone with my thoughts.
***
After a few more days of recovery, I am finally allowed to leave the hospital. Despite my protests, my mom explains that I will have to stay with Emily and her friends at what I assume has been my home for the past two years. She explains that she prefers for someone to look after me constantly, and she will not be able to do that with her job and all.
Outside the hospital, I find Emily waiting near a car; her eyes are bloodshot, as if she hasn't slept a wink in days. When she sees me approaching, her face immediately brightens up. Our gazes lock briefly before I turn back to my mom.
"Are you sure I can't stay with you?"
My mom smiles sadly. "I'm sorry, honey. I wish you could, but..."
"It's okay, I understand."
"Look, I know you don't remember, but these people you've been living with... they care about you very much.”
I nod.
My mom pulls me into a hug before guiding me inside the car, shutting the door afterward. She and Emily talk for a brief moment outside, and I watch as she hugs Emily before walking away. Emily steps into the passenger seat.
Zack, who is sitting in the driver's seat, turns around and smiles at me warmly. "I'm glad you're back."
I shift uncomfortably, ignoring his gaze. "Thanks."
We drive home silently, awkwardness saturating the car space. Upon arriving, I observe the details of the house, seeing if it sparks any memories... but nothing. I see Emily looking at me intently, probably thinking the same thing. They then lead me inside the house, and I step in hesitantly, taking in the surroundings, which vary immensely from the sorority house, the last place I lived based on my memories. Emily guides me to my room, lingering near me as I open the door.
"Becca–"
I turn towards her. "Please don't. I know you think I'm your girlfriend. A–and I guess I was. But as far as I remember, I don't like you at all. So I would appreciate it if you just leave me alone." I turn around and go inside my room, shutting the door behind me. I then lie on the bed, trying to forget how the light dimmed out of Emily's eyes as I broke her heart.
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KIA (Natasha Romanoff X Reader)
Characters: Natasha Romanoff x Reader
Universe: Marvel, Avengers
Warning: Character death
SAD ANGST
Request: Hi, can you please do a Natasha x reader, where reader is killed in action and the impact it has on the team. You write Natasha really good!
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It was nearly midnight, and Natasha was awake, awaiting a call from a phone booth number to her burner phone. She got a new one every few weeks, and sure it cost a bit, but if it was worth it if it meant she got to talk to her partner when either of you were on a mission.
While she was a more of a ‘get it done in a day’ type of gal, you did the long, dragged out ones. You went undercover, befriending the enemy and working yourself up to get information. This sometimes meant you went out of America to work, and she would have to wait till later in the day for a call. She didn’t mind. She didn’t care. Because if meant you were safe.
But it was getting later and later, but she tried to not worried. You’d kept her up till 4am waiting, and she’d wait days for you. Her focus on the phone on the table made her mind block out the banging on the door for half a second. She got up, stalking the door, grabbing a gun on the way and tucking it into her pants as she checked the peephole. She sighed, realising who it was, and swinging it open.
“Clint, what are you doing here?” She asked. It was a good question, but she was quickly getting an idea that he had something to tell her, and it wasn’t good.
“Natalie, can I come in please?” He asked. His voice was lower, almost scratchy. He’d been crying. She nodded, realising just how bad it was, closing the door behind him. “Sit down.” He requested. Now that confused her. She was expecting to be the supporter… why would she need to sit down? She didn’t protest though, sitting down at the table, fiddling with the phone she’d left there, checking it to make sure that in that split second you hadn’t called. “Nat.” Clint begged at her, making her put the phone down.
“Sorry… what is it? What’s happened?” She apologised. Clint was breaking with every second that past, and any thought of it being work related was going out the window. This was closer to home. “Are the kids-“
“It’s Y/N.”
Natasha’s heart stopped, freezing at his words. “What?” Natasha questioned in disbelief. “What happened?” She begged at him. Clint gulped, avoiding her eyes.
“I was listening to the telegram. Y/N sent a cryptic message through two hours ago that set off alarms. We checked their tracking and it their vitals had picked up before plummeting… Their team finished their job, but they found Y/N with a bullet in their head… I’m so sorry Natalie. I’m so, so sorry.”
Natasha went quiet for about an hour. She was crying, but wasn’t making much noise. Clint stayed with her, knowing if he took his eyes off her for a second, she’d dig through this case and take down the group you had infiltrated and make them pay, all without planning, a team or any care for her own safety. While he knew she cared about him and his family, being an auntie for his kids, he knew that you were her world, and now you were dead.
“W-Where are they now?” Natasha whispered finally. She was turned away from him, her body learnt against the doorframe of the kitchen, him at the table still.
“Being flown back. They’ll be at base in less than an hour.” Clint responded. “Do you want to go say goodbye?” He asked. She nodded, grabbing the jacket off the coat hanger by the door, before she froze. Clint knew what she’d done. She’d picked up your coat. She pressed the fabric to her face, starting to physically shake and sob. Clint stood up, hugging his old friend and grabbing the proper jacket for her and leaving the house.
Clint sent the call for the Avengers to come into work as soon as possible that morning, and all arrived accordingly. First Steve, then Vision, Wanda, Thor, Bruce and Tony. “Where’s Nat?” Steve asked, noticing her absence.
“Agent Romanoff is currently with Agent L/N.” Maria answered.
“Y/N finished the mission that quick? I thought they weren’t due back for another week.” Tony commented, but he saw Clint’s wince. “What?”
“Um… Agent L/N was killed in action, early this morning. They were flown back, and Natasha’s been paying her respects since then.”  Clint struggled to explain, but when he got it out, there was a long silence.
“No.” Wanda spoke first. She was shaking her head, her eyes becoming watery. “No, please no.” She sobbed. Vision put his arm out, letting the young woman hold onto him for comfort. Bruce had to walk away, and Tony followed after him. Thor followed a familiar plan to what Clint expected of Natasha- revenge… Steve came up to Clint, putting his hand on his shoulder.
“What do you need me to do?” He asked. Steve was Natasha’s friend, so you were his friend as well. But he never knew you as well as Clint did, and he didn’t know you as well as Natasha. Natasha was so protective of you, and both men knew she was beating herself up over it right now, and will continue to.
“The mission wasn’t completed. Y/N’s killers are still out there, and because of how thorough they… were, we know enough to take them down. We need a team to take them down, and I know Natasha and I are in, and I don’t think the rest of the team will refuse. I need to make sure Natasha doesn’t go off by herself, think you can get the mission arranged?” Clint asked. Steve nodded, sharing a second of silence. “She’s downstairs.” Clint informed him.
The team walked down with Steve to the room, where they opened the door, seeing Natasha still in her lounge wear, stood beside the table where you laid, a light blanket covering you. She looked over at her friends. The team gathered around you. It felt surreal. Some had only seen you a few weeks ago, laughing and talking. Now you were silent.
“I promise we’ll make them pay for this Natasha.” Steve promised from across the table. She didn’t take her eyes off you.
Hope you like it! If you have any questions, please send them in!
*Not my gif
TAGS: @imbuckypositive @waywardemo @httpmcrvel @mutantjediavenger @theoraekensnotsosecretlover @gayasfridge @courtneychicken  @graysonmalfoy @bellero @captain-peanut-at-your-service @likiyoshi-lijie @aesthetjic @originalpottervengerlock @supernatural-pan @esoltis280 @lena-stan-xavier @lady-of-lies @sebstanismylife 
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podcastdx · 3 years
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Bleeding Disorders
  Bleeding Disorders, also known as Hemophilia, von Willebrand Disease, Coagulation Disorders, Blood Clotting Disorders, Clotting Factor Deficiencies
​Bleeding disorders are rare disorders affecting the way the body controls blood clotting. If your blood does not clot normally, you may experience problems with bleeding too much after an injury or surgery. This health topic will focus on bleeding disorders that are caused by problems with clotting factors, including hemophilia and von Willebrand disease.
Clotting factors, also called coagulation factors, are proteins in the blood that work with small cells, called platelets, to form blood clots. Any problem that affects the function or number of clotting factors or platelets can lead to a bleeding disorder. A bleeding disorder can be inherited, meaning that you are born with the disorder, or it can be acquired, meaning it develops during your life. Signs and symptoms can include easy bruising, heavy menstrual periods, and nosebleeds that happen often. Your doctor will review your symptoms, risk factors, medical history, and blood test results to diagnose a bleeding disorder. Your doctor may recommend medicines or clotting factor replacement therapy to treat the bleeding disorder. Some bleeding disorders are lifelong conditions, and some can lead to complications. Even if you do not need medicine to treat the bleeding disorder, your doctor may recommend taking precautions before a medical procedure or during a pregnancy to prevent bleeding problems in the future. (credits to NIH)
  TRANSCRIPT
Lita T  00:07  Hello and welcome to another episode of PodcastDX. The show that brings you interviews with people just like you whose lives were forever changed by a medical diagnosis. I'm Lita.
Ron  00:18  I'm Ron
Jean  00:19  and I'm moving to Hawaii.
Lita T  00:21 No, she's not
Jean  00:22   it snowed again last night.
Lita T  00:23  I know but
Ron  00:24  and today
Jean  00:25  and today
Lita T  00:26  still not moving to Hawaii.
Jean  00:27  ohhh moving to Hawaii
Lita T  00:28  Remember when you said you cannot shovel lava?
Jean  00:30  Lava 
Lita T  00:31  Okay,
Jean  00:31  this is true.
Lita T  00:32  We're staying here.
Jean  00:33  Okay.
Lita T  00:33  Collectively we're the host of podcast dx. March is bleeding disorders Awareness Month, although bleeding disorders may be acquired. On today's show, we're going to be talking about the most common inherited bleeding disorder, von Willebrand disease,
Jean  00:53  someone with (unitelligable) the blah...blah
Lita T  00:55  What?
Jean  00:56   Someone living with a bleeding disorder has blood, which does not clot properly.
Ron  01:02  When someone is injured and bleeding, a blood clot forms to hopefully...to hopefully stop that person from losing too much blood. This process requires both blood platelets and clotting factors which clump together to form something like a dam to stop the bleeding.
Lita T  01:20  Right?  I remember watching Grey's Anatomy.
Ron  01:22  (Chuckle)
Lita T  01:23  Okay, we need more platelets, right?
Jean  01:26  I don't watch Grey's Anatomy...but sure I could see them saying that.
Lita T  01:28  Yeah, cuz you know, somebody is bleeding. They need more platelets!
Jean  01:31  Right
Ron  01:31  That's not scripted.
Lita T  01:33  No, it's not.
Jean  01:33  No.
Lita T  01:35  Someone with a bleeding disorder may notice that they bruise easily bleed; excessively during medical or dental procedures or when cut; have unexplained nosebleeds and bleeding gums and internal bleeding. And when I was on blood thinners...no
Jean  01:54  Here we go...
Lita T  01:54  Right? Wait was I am blood thinners or aspirin? I was either on blood thinners or a baby aspirin at one time. And I was outside gardening. And I grabbed a thorn bush.  Right? I was clipping and the thorn punctured something on my wrist. And I'm watching it and it's going: squirt, squirt, squirt, and I'm just watching it. I like Isn't that interesting? As it squirting like a squirt gun every you know it would like with my pulse. Squirt, squirt, squirt. And then finally I said: "Okay, better stop this." So, I put pressure on it to stop it. But um, yeah.
Jean  02:24  We're all surprised she's still here. (Chuckle)
Lita T  02:36  (Boisturious laughter)
Ron  02:36  But you definitely painted a picture.
Lita T  02:38  Yeah. Right. So that's what it would be like, if you have a bleeding disorder.
Jean  02:41  I don't know if that's exactly what it would be like, that sounds like an arterial spray that squirting in very, very dangerous.
Lita T  02:47  Okay, that's a bleeding disorder.
Jean  02:49  Bleeding problem.
Ron  02:50  So
Lita T  02:51  yeah.
Ron  02:52  In addition to obtaining a complete medical history, your healthcare provider may order a complete blood count, a bleeding time test and or a platelet aggregation test to help diagnose your condition.
Jean  03:07  And have you guys ever had a bleeding time test?
Ron  03:10  Me personally? No.
Jean  03:11  Oh, they like cut your, nick, your ear and then stand there and wait to see when it stops bleeding.
Lita T  03:18  (chuckling)
Jean  03:19  That's what I remember.
Lita T  03:19  like watching. paint dry?
Ron  03:20  I don't like your doctor's.
Jean  03:21  Yeah, well, that wasn't my doctor. That was my mom. Oh, no, just kidding. Okay. Um, treatment for bleeding disorders will likely depend on the severity and cause of the specific bleeding disorder an individual has.
Lita T  03:33  Right. And although I had never heard of it before, today, the most commonly inherited bleeding disorder is von Willebrand disease.
Ron  03:45  Well I can say that approximately 1% of the population here in the US are affected by von Villa brain disease. And it's characterized by an insufficient amount of a protein. Ironically, the von Willebrand factor or VFW
Jean  04:03  VWF
Lita T  04:04  The VFW hopefully doesn't. It's causing you to bleed you're going to the wrong  VWF
Ron  04:11  Did I say I do glasses. I'm sorry, the von Willebrand factor or v w F, which aids in the clotting,
Lita T  04:18  right? There are three forms of von Willebrand disease.
Jean  04:24  We're gonna say it differently every time you say
Lita T  04:26  Yes, okay. Individuals with type one have less VWF than average and may have associated bleeding issues.
Jean  04:37  Were and those living with type two von Willebrand disease have enough v wF in their system, but their Vidya wF does not function correctly or is incorrectly formed. And
Ron  04:49  type three, v w.f
Jean  04:52  Vwd  willen brand disease Oh, tight as opposed to von Willebrand factor. Oh, Okay,
Lita T  05:00  okay. So type three v WD.
Ron  05:03  Okay? So type three v WD is very serious individuals with this form of von Willebrand disease, do not make v w f at all. Oh, yeah, right. And their platelets cannot clot and this is very This is a very serious condition which makes bleeding difficult to control.
Lita T  05:23  That sounds terrible. Individuals with von Willebrand disease should typically avoid taking medications which may increase their risk of bleeding such as aspirin, or non steroidal anti inflammatories.
Jean  05:37  And if you have a bleeding disorder, it is vital that you inform your health care providers, including your doctors and dentists. And I would suggest if you know if it's a very serious form, that you have an ID bracelet that states that
Lita T  05:50  Oh, yeah, for sure. And carry a lot of gauze.
Jean  05:54  I don't get a tourniquet. I don't think you should be able to carry a tourniquet, no band aids. I think people that carry Okay, tourniquets are very serious,
Lita T  06:02  right. Okay. If you would like to know more about bleeding disorder awareness, check out the link to the national hemophilia foundation Foundation's website which will be on our web page, or you may want to donate to a red tie fundraiser.
Jean  06:21  And I think Haemophilia is what we've all associated with writing disorders. That's what I've heard, right? But it's very, very rare. It just gets a lot of publicity, because you hear about, you know, like Royals hat being haemophiliac and or being haemophiliacs because,
Lita T  06:34  you know, that's, that's where it came from.
Jean  06:37  No, it's just inbreeding, and the those, you know, because then you're passing the factor on and you're increasing the chance, or likelihood that two people with the same factor will pass it on. But
Ron  06:47  that's the most common, right. No,
Jean  06:49  no, no, it's not. It's very rare. von Willebrand disease is the most common. Isn't that weird? And we've never heard of that. Yeah, right. That's Yeah, it's very counterintuitive. It is very counterintuitive. But that's what the internet says, and we believe everything on the internet.
Lita T  07:07  And gene would like you to know about a blood parfait recipe in case you wanted to share this with your friends.
Jean  07:17  Well, the National hemophilia foundation does try to utilize different techniques to help people understand more about their blood and clotting. And to help illustrate that, they suggest that you could try to make a blood purvey, you could use a cream colored substance like vanilla ice cream, or maybe a yogurt as your base use Cheerios. And that will represent your platelets, although they're nice and round, which I don't understand. And you kind of want something like awkwardly shaped but red m&ms or red Hots, and those could be the red blood cells, white chocolate chips, or mini marshmallows. And these can be the white blood cells, pretzels. And these can be the fibrin which is the kind of the stuff that joins with platelets to form that your clot, okay. Gummy worms in the eye can actually represent the V WD. And to top it off, put on some rainbow sprinkles, and that'll represent the 13 other blood factors.
Lita T  08:14  Yeah, we'll be doing that.
Ron  08:18  I gotta tell you, I learned quite a bit on this. This morning. 
Lita  08:21  Oh well, that's
Jean  08:22  that's good.
Lita T  08:23  Yeah, I'm glad somebody did. Yeah, I
Jean  08:24  learned we're not moving to Hawaii.
Lita T  08:26  No, we're not moving to Hawaii.
Ron  08:28  Well, for our listeners, if you have any questions or comments related to today's show, you can drop us a line at podcast [email protected] through our website, podcast, dx comm on Facebook pitter pitter pitter patter pitter patter on
Jean  08:47  his own app. Wow. Have you heard from somebody on Twitter? I hear they have a lot of patter.
Ron  08:54  Let's try this again. Okay, through our website, podcast, dx.com on Facebook, Twitter, Pinterest, or Instagram,
Jean  09:02  I can appear as a combination of Twitter and Pinterest. I like it.
Lita T  09:05  Yeah. Okay. And if you have a moment to spare, please give us a review wherever you get your podcast. As always, please keep in mind that this podcast is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regime. Never disregard professional medical advice or delay of seeking it because of something you have heard on this podcast till next week.
Check out this episode!
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sontwine88 · 3 years
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Residence Improvement South East London.
Do I Need An Architect For An Expansion?
Content
Just How The Property Restoration And Refurbishment Providers In London Work.
Rj Repair Services.
Beginning Your Task.
Tiny Orangery Conservatories As Well As Glass Conservatories.
Allow The Sunlight In! Everything You Wished To Know About Sunrooms
I know this is a late posting, but in trying numerous high quality develops, one I'm currently making use of htat is rather intriguing is the NR/quality. The reality that this tool is offered rather early in the game, paired with the large damage it can handle every hit, makes it one of the very best tools in Dark Souls by a nation mile. In fact, the only tool that is probably far better than the Zweihander is another preferred greatsword. The Longsword is quickly among the most trustworthy weapons in Dark Soulsand a fantastic tool for any individual seeking a Quality develop.
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So what I need to be asking is whether or not making a high quality develop is viable or if locating a tool I such as, infusng it and alloting points as necessary is the method to go. The most effective means to raise your damages is to focus on one stat that scales one of the most with your weapon. If you are a Ninjyutu individual as well as want to level up successfully, Kusarigama is the perfect tool kind.
It is also the only stat that boosts your natural damages. The very first soft cap goes to 25, after which the returns lessen up until the 2nd soft cap at 50. Not all spears make good high quality tools as far as I'm worried.
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It has a frostbite quality, which slows endurance regrowth for foes, in addition to high damage scaling on each upgrade. The only issue with it is that it calls for Twinkling Titanite to upgrade, which is an unusual upgrade product. Even then, it'll scale to 200+ damage quicker than your Broadsword, and its frostbite feature is a cool perk.
All round outstanding expert solution, we are really completely satisfied clients; highly advised undoubtedly. Qualitybuild have just recently completed a spectacular, large downstairs bathroom consisting of shower, wc. Simon as well as his team have the highest possible standards, take pride in their job as well as pay very close attention to the tiniest information. He wants designing as well as drawing what the consumer wants, as well as has the experience to make sound recommendations to address any difficulties.
Can a sunroom be built on a deck?
Building a sunroom on an existing deck is often a great idea because if the deck's framing and foundation meet the current building code usually the homeowner can save up to 35% and the project can be completed in less time. The foundation can be piers, footers or similar.
Begin Your Project.
completely pleased with the work they did the ended up work looks fantastic. As the job was all completed to a high typical i have asked him to do some more job and also i would gladly suggest him. From the area of our advancements, to the layout of the residences to the materials selected, we guarantee that our remarkable attention to information goes to the center of our quality construct procedures. Quality Build Shrewsbury were acquired to make as well as build a Garden Room and also landscape our very high grass. The Yard Space was well intended and also implemented to a high quality.
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Because most tools can be instilled with tailored stat bonus offers, in most cases all that matters is including enough of a tertiary stat to be able to make use of a weapon, and after that pumping stats right into the primary incentive stat. also at 150 in bloodarena with all the tryhards, high quality develop still sensible if you make the most of tool button. Instilled and also buffed tools are normally stronger for the time of the buff. Infusing physical STR or DEX weapons generally kills the scaling, no matter what the scaling-letter states. I came across quite a few to warrant additional investigation, as well as have not truly discovered much that was existing, and even from SOTFS.
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If adhering to a Stamina construct, remain to go for the complying with stats by heart degree 50. Presuming you're choosing a Stamina develop, you may intend to aim for the following statistics. Keep in mind that Toughness as well as Dexterity are highlighted in red to denote that it's your selection as to how many factors you place in these two stats relying on what weapon and also bonuses you're aiming for.
What's the average cost of a single story extension?
https://sexfather20.wordpress.com/2020/10/29/pulte-homes-agrees-to-acquire/ per m2 for an extension outside of London is between £1,200-£1,500. In London and the South East, the average cost per m2 is around £1,500-£2,000+. For two-storey extensions, add 50% to the cost of a single-storey extension. If you want to add a bathroom or kitchen, add £5,000-£10,000.
How you spend your statistics depends greatly on which weapons you wish to make use of. You might favor Strength weapons, like the Butcher's Knife, or perhaps Quality based tools that include both Stamina and Mastery into their base bonuses, like the Sellsword Twinblades.
How do you calculate glazing area?
The glazed area for each zone in your model is calculated. This is the total area of planes that are tagged as glazing in your 3D model and that are external glazing. In the example above: 1. Floor area = 20m2. 2. Total window free area = 2 windows @0.6m2 each = 1.2m2. 3. Free Area for room = 1.2m2 / 20m2 = 6%
The tool is quick sufficient to land 2 hits and afterwards roll away from any kind of threat, leaving the adversary without any hint as to what happened. It's one of one of the most cherished weapons in the whole game, and also it's simple to see why this holds true. When crafting a Quality build for Dark Hearts, it is essential to get ready with only the best weapons to suit a gamer's staminas and skills. Visceral damages ranges off your Skl stat, the gems slotted within your tool, and your level. Purchasing this stat will enable you to major fast, light tools.
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When an issue came up, Nathan would certainly offer it with prospective remedies to select from. Fantastic versatility with our stop/start task as well as was extremely fitting of our random demands.
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It is recommended to maintain this stat over 50 as weapons are made use of invariantly in the video game. In-game your personality has a variety of statistics differing from Arcane to Stamina. And as you progress in the game, defeating all enemies and also finish the projects and also objective, you level up which permits you to level up the stats. Towards the end of your time in Undead Negotiation you will be given a Irithyll Straight Sword after killing an Outrider Knight. This weapon is extremely effective, resembles the Lengthy Sword, and also can last you the entire video game if you take pleasure in the fast attacks of straight swords.
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HOMEBUILDERS ® therapists deal with risky households involved with the youngster protective services system.
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contrasted to various other statistics, so it's finest to level up Body and Heart to 10 overlooking your tool of selection. We used Nathan for a tiny renovation to an existing building. Initially we liked his very easy way and also wonderful communication.
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So I guess what I'm mainly asking is whether these situations are still the same? Maybe what I review was simply individuals trying to construct as optimally as feasible.
Let The Sunlight In! Whatever You Would Like To Know Concerning Sunrooms
Recently Developed Residences.
i mainly implied the tools that receive darksoulswiki under straight swords. You can go with 40 toughness 40 dex, itll offer you space for health and wellness and also endurance with alot of weapons to expirament with. i was very pleased with the job that was accomplished by top quality constructed they were very dependable very specialist and also spick-and-span.
Do sunrooms need foundations?
If you are building a sunroom from the ground up, you will want to start with a slab foundation. If the land that you want to build your sunroom on will not be able to be graded and leveled for construction, you will have to build a framed foundation using concrete or cement block walls.
When you strike around 35 to 40 Vigor, you may want to think about putting points right into Vigor to be able to bring heavier tools or armor. Having a large swimming pool of health and wellness is only completely efficient if your Estus Flask can recovery you up to complete promptly without numerous usages. So, exactly how you stabilize Vigor, Vitality, as well as Stamina from mid to late game depends partially on the amount of Estus Flask upgrades you have actually obtained. Note that heavy armors aren't as reliable as in previous games, yet do aid you mitigate damages.
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jon-newcomb · 5 years
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Jon Newcomb Visits Austin’s Thinkery Children’s Musem
Part One of ‘Jon Newcomb Austin Reviews’ Series
Parents and kids alike love Austin's hands-on children's museum where science, innovation, engineering, arts and math (STEAM) exhibits get families finding out and chuckling. Thinkery is Austin's version of a children's museum. The environment itself challenges your mind (and some may call it a bit too crowded at times). Jon Newcomb visit Thinkery all the time and has quite a bit to review about it.
Thinkery is an effective method for kids to establish analytical skills, crucial thinking, and curiosity about the world around them. The exhibitions and programs motivate children-- along with their caregivers-- to fix imaginative obstacles, check out a range of products, and to establish brand-new ways to complete unknown jobs. Through these activities, children get the tools and confidence to grow and establish into enthusiastic, innovative, long-lasting STEAM learners and thinkers.
The Many Benefits of Thinkery
Children find out through play-- whether it's a child-led expedition of the connections between water and sound in Currents; together with an adult directing your own Stop Motion Animation Station motion picture in Innovators' Workshop, an exploration of experiences in Kitchen Lab; experimentation with motion in a Move Studio barrier course; diving into fictional worlds during Storytime; or checking out an idea with new products making your own cardboard production in a Spark Shop making activity. Play helps develop the ability to envision, perceive, factor, and issue solve while developing a foundation for a life time of learning.
Build Knowledge
Kids start to establish an understanding of STEAM concepts as infants. To support this, Thinkery offers enjoyable, engaging, high-quality STEAM experiences that cut across disciplines and set the phase for how they approach learning into adulthood. Thinkery kids check out cause and effect with electrical power and switches throughout a Scribble Bot Birthday Party, have fun with patterns manipulating colors in Light Lab, test structure and function developing a catapult in Camp, and examine the size and function of tiny structures at Micro Eye.
While all kids are born with an innate sense of interest about the world around them, they require grownups to cultivate, guide and enhance their interests in STEAM. By offering chances for caregivers and moms and dads to share in a cheerful, positive STEAM finding out experiences and to see themselves as crucial parts of their kid's early learning, it sets children up for future success.
Cultivate Curiosity
Nurturing clinical thinking is necessary for developing curious, bold and innovative long-lasting STEAM students and thinkers. Thinkery utilizes the process of query to promote clinical thinking. We "hand the reins" to kids and adults to explore what they discover curious-- which leads to asking concerns, making discoveries, and screening those discoveries in the search for brand-new understanding.
Promote Positive Adult-Child Relationships
Thinkery supports grownups in the vital work of parenting and caregiving. Adult engagement within a free-choice learning environment is multi-faceted and necessarily varied. Thinkery supplies multiple entry points for adult engagement, incorporating opportunities for grown-ups to observe - a child to produce a work of art at Paint Wall, help with-- an enhancement on a co-designed bridge at Build Landscape, and collaborate with-- creating a temporal "household portrait" in Frozen Shadows.
History of Thinkery
Austin Children's Museum was founded in 1983 by a grassroots group of teachers and parents who wanted regional kids to have more cultural and educational chances. At that time, it was a "museum without walls"-- the founder drove tabletop exhibitions around town in her station wagon and provided activities and programs in schools, parks, libraries and, yes, even shopping malls.
In 1987, they settled into their first brick-and-mortar home-- a 5,000-square-foot building on W. 5th St. For the next 10 years, they presented exhibitions, experiences and curricula for local kids and households. Throughout this time, they established exhibits that traveled to other kids's museums around the country, acquiring rather a track record.
By the mid-1990s, Austin was flourishing, and they had outgrown their home. Fortunately, the community acknowledged the significance of the organization and supported an expansion project. The outcome was the 1997 relocate to downtown Austin's warehouse district. Transferring to the 2nd St. center through a 10-year, rent-free lease was a huge action for Austin Children's Museum, however they understood when they opened the doors that Austin was growing and we 'd eventually need to expand.
In December 2013, Austin Children's Museum became Thinkery and opened at its brand-new location-- a 40,000-square-foot facility in the Mueller neighborhood. Thinkery delivers its mission through a variety of displays and programs that concentrate on science, technology, engineering, art and mathematics (STEAM). Museum activities focus on academic experiences led by personnel, so each visit is various from the last!
My Review
Today I'm excited to tell you all about our current see to Thinkery. Tess likes going to the interactive museum and I love enjoying her expand her mind in numerous ways. Whether it's through art, building with logs, designing airplanes, or pretending to run a farm-to-table dining establishment.
Area
Thinkery is located in the Mueller location, which is simply east of I-35 near Dell Children's Hospital. The entrance to Thinkery is a few steps away from Mueller Lake Park's Playground.
If you're headed there on a weekend early morning or weekday early morning after traffic wanes, you can arrive in about 25 minutes from the Four Points area. With traffic, however, it could be closer to 45 minutes.
Parking
Thinkery visitors can have up to 3 hours of parking validated in the McBee Street District Garage which is ideal across the street from (but behind) Thinkery With children in tow it can take about 5 minutes to obtain from your car, however, so strategy accordingly.
Exploring Thinkery.
Immediately kids love climbing up all over the lock ness beast at the entrance. Lake Mueller Park Playground will interest kids of any ages. It can get crowded!
When you first walk into Thinkery, you'll immediately find a huge train table, an electronic camera for taking silly images (which then get blown up on the wall-- the kids like to see themselves up there), and a giant block table.
Ongoing Exhibits
The Thinkery routinely updates their permanent displays and each is created for hands-on learning. Here are some favorites that kids will love to explore:
Currents
Currents functions hands-on water activity stations for households to explore fluid dynamics and discover the connections between water and sound. The museum offers smocks and hand dryers however load a modification of clothes or a towel in case you are worried about your kid getting too wet!
It can get crowded, however it's extremely nice that there is a confined "baby" space in the middle for parents with both older and more youthful kids. Genius! So moms and dads can wait their infant however watch on and engage with their older kid( ren) at the very same time.
Trigger Shop
Next we headed to the Spark Shop where kids can find out all about aerodynamics. You can also design your own gliders and launch them in the air in this space.
Light Lab
Light Lab allows families to investigate the impact of color, light and shadows. Visitors can draw with light, freeze shadows, and build light structures utilizing mini and magnets blocks with LEDs. On this wall, you could push on the various pressure zones to get it to alter a variety of colors.
Our Backyard
Our Backyard is an amazing outside play area that welcomes museum goers to scale the heights of an accessible, custom-made climber, or rest under the branches of our native elm tree. This is Thinkery's outdoor play area. There you will discover a separate water play area, a huge playscape (tailored towards older kids), a location where kids can construct with foam noodles, and more.
Let's Grow
Upstairs you'll discover the Let's Grow Exhibit which includes a farmer's market, a play space for more youthful kids (0-3), a reading nook, and more. Kids LOVE the farmer's market.
Repeating Events
Every Wednesday, the museum remains open late for Community Nights from 4-- 8 p.m., admission is by donation. There is likewise a Bilingual Storytime on Wednesdays beginning at 6 p.m.
For households with children ages 4 and up, Think Lab allows for expedition of intricate procedures and usage of real scientific tools. Inspect their website for the schedule.
Toddlers take control of the museum during Baby Bloomers, when the museum is open just for visitors ages 0-- 3 years and their households. Held Mondays (9 a.m.-- noon) and Saturdays (9-- 10 a.m.), the program is produced for the earliest students. Saturday Baby Bloomers activities are restricted to the second level of the museum, so other ages can still access other locations of the museum during the event.
Every Winter, The Thinkery uses Gingerbread Workshops where families utilize fresh gingerbread and sweet treats to construct gingerbread houses. Make your appointments in advance.
Plan Your Trip to Thinkery Today!
Okay, so if you can't tell, we enjoy Thinkery. My review didn't even cover half of whatever they provide. I want I could but there are still areas of the museum we have not hung out in, and as the kids age I'm sure we'll start to find even more.
Admission
General admission to Thinkery is $10 for anybody 2 years old and up. Thinkery provides wonderful subscription bundles for households and I completely suggest getting one. Although we can't make it to Thinkery as typically as we 'd like, we probably happen as soon as every two months and it's nice to not need to pay anything each time! Plus, members have numerous other advantages, consisting of early gain access to on a couple Sundays every month and a discount rate at the present shop.
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New Post has been published on https://fitnesshealthyoga.com/wisconsin-woman-died-after-ambulance-prevented-from-going-to-best-closest-hospital-journal-sentinel/
Wisconsin woman died after ambulance prevented from going to best, closest hospital | Journal Sentinel
Family rushes to hospital
Word about Tate was spreading quickly among family members.
Her mother, Daisy Tate, received a call from Tiffany’s supervisor, who told her Tiffany had a serious reaction to her medication and that she was going to Froedtert. The supervisor didn’t mention anything about a stroke.
Daisy Tate dialed Tiffany’s brother, David, who was at his factory job in Waukesha.
She told him to get to the hospital right away.
David and Tiffany were especially close.
The pair were two years apart, and nearly shared the same birthday. The family, including their two older sisters, lived near N. 24th and W. Burleigh streets. As kids, David and Tiffany went to Auer Avenue School and learned to swim at nearby Moody Pool.
Their love of swimming translated into frequent trips to Wisconsin Dells water parks with their own kids.
To friends and family, Tiffany was “Tipp,” a nickname she picked up as a girl when she would often stand on her “tippy toes.” It was on her license plate.
Now, Tipp was in trouble. And David Tate had to get to her.
Across town, Alvin Blalock also got word something was wrong. He and Tiffany, his longtime girlfriend, had known each other for more than 10 years and were together for five. The couple planned to get married someday.
Alvin and Tiffany lived in the downstairs unit of a bungalow on Milwaukee’s near north side, with their newborn son and her 15-year-old daughter from a previous relationship. Tiffany’s mother lived upstairs.
Blalock was stunned by the news. Tiffany had seemed fine when she left for work. He didn’t have much time to think.
Blalock took 8-month-old Alex to stay with his mother and rushed out.
John Diedrich / Milwaukee Journal Sentinel
Tiffany Tate’s brother, David Tate.
John Diedrich / Milwaukee Journal Sentinel
Tiffany Tate’s brother, David Tate.
David Tate was already speeding to Froedtert, 10 anxious miles punctuated by calls to and from other family members.
As David ran through the front door and inquired at the information desk, he was shocked to learn his sister wasn’t there.
“It didn’t make any sense to me,” David Tate said in an interview. “Damn, she was at Froedtert. She works there. She was right there.”
David called one of his sister’s co-workers, who told him where Tiffany had been sent. David jumped back in his car and raced to West Allis.
He told his wife and father to meet him there.
Meanwhile, Daisy Tate got another call — this one from West Allis. A nurse said Tiffany had a stroke and was at the hospital.
The news hit Daisy like a bolt. She, herself, had suffered a mild stroke years earlier.
“I said, ‘Oh my God.’ I just broke down,” she said. “I knew what a stroke was like. I knew.”
Trying to get the attention of her granddaughter, who was downstairs, Daisy Tate frantically banged her cane on the wooden floor.
Octayvia Fountain ran up the stairs, but when she heard the news, she couldn’t process it. That morning her mom had come to give her kisses, like she did every morning. They were going to go together for school registration later that day. Octayvia would be a sophomore starting at a new high school in a few weeks.
To her, mom was “Superwoman.”
This can’t be happening, she thought. This can’t be happening.
John Diedrich / Milwaukee Journal Sentinel
Tiffany Tate’s daughter, Octayvia Fountain (left), and mother, Daisy Tate.
Rare option becomes common
The practice of ambulance diversion has long been under fire.
A 2001 report from the U.S. House Committee on Government Reform found diversions were so widespread they represented a threat to emergency medical readiness, including in the event of a terrorist attack.
In 2004, a study on diversion in Houston attributed several deaths to the practice.
Two years later, a report from the non-profit Institute of Medicine — which provides advice on health and medical issues to Congress and the government — concluded diversion “should be eliminated except in the most extreme circumstances, such as a mass casualty in a community.”
A 2017 study found that African-American patients had an increased chance of dying from heart attacks and strokes as hospitals in largely minority neighborhoods were going on diversion more often than others.
“Diversion has been aggressively abused,” said Corey Slovis, chair of emergency medicine at Vanderbilt University and the medical director for the Nashville Fire Department. “There is a diversion scandal, with too many hospitals going on diversion when they could be open.”
Study after study has found diversion does not even work.
The reason is simple: Ambulances account for only a fraction of patients arriving in emergency rooms. So, the front door is not really even closed.
Instead, experts say, the focus should be on the “back door” — getting patients already in the emergency room either discharged or admitted to the hospital.
“Picture pouring water into a cup that’s full,” said Howard Mell, an emergency room doctor and spokesman for the American College of Emergency Physicians. “Once you start spilling, it doesn’t matter if you pour a little less or how much you pour, you still have a mess.
“You have to solve the back door, and diversion does not do that.”
So why not end it?
A 2008 study from the Society for Academic Emergency Medicine found hospitals may actually make more money during times of diversion. That’s because there are often higher profits on scheduled surgeries. And those surgeries can wind up canceled when beds are filled by patients coming from the emergency room.
In a statement, the Wisconsin Hospital Association said “true diversion” is necessary at times for unanticipated, critical situations and in such cases, it is important that hospitals and ambulance crews quickly communicate to divert patients safely. 
Hospitals might also turn away ambulances if equipment breaks down or if there is an unexpected problem, such as flooding or electricity being out. In a case several years ago, Children’s Hospital of Wisconsin shut down for several hours because a man with a gun was in the building.
Still, the vast majority of diversions, experts say, are due to overcrowding.
Defenders describe diversion policies as “a necessary evil” intended to protect patients from long, dangerous waits at a crowded hospital. The key, they acknowledge, is to get the ambulance patient to another less-crowded hospital that has the same capabilities.
Rutgers University
Lewis Nelson
Rutgers University
Lewis Nelson
The problem: When one hospital closes its doors, it simply spills more water — and sends extra ambulances — onto the next hospital, which may then have to close its doors. Indeed, sometimes hospitals close simply in anticipation of getting more patients.
“You really don’t want to be brought to a hospital that doesn’t think they can do the job properly,” said Lewis Nelson, a doctor and chair of emergency medicine at Rutgers Medical School in New Jersey.
On the morning Tate fell ill at the Medical College, seven of the 12 hospitals in Milwaukee County were on diversion for at least part of the day — including Aurora West Allis Medical Center.
Taken together, the hospitals turned away ambulances for a total of 34 hours that day, according to a Journal Sentinel analysis of state data. The data doesn’t show how many ambulances were diverted as a result.
Froedtert was on diversion for 690 hours in 2014, the equivalent of nearly 29 days. Yet that only ranked it sixth among Milwaukee hospitals that year. Aurora St. Luke’s was highest, with 1,319 diversion hours — the equivalent of nearly 55 days.
When half of the county’s hospitals were on diversion at the same time, the EMS director could force them all to open. Between 2014 and 2015, that happened on at least 97 days, state data shows.
It did not happen on Aug. 19. 2014.
Large clot leads to crisis
The ambulance carrying Tate arrived at the West Allis hospital emergency department at 9:23 a.m.
It had been a little more than an hour since Tate first began showing signs of a stroke.
Share your story
Have you or someone you know been affected by ambulance diversion? We want to hear from you.
Tell us more
Share your story
Have you or someone you know been affected by ambulance diversion? We want to hear from you.
Tell us more
Tate had a large clot that had broken off from somewhere in her body, perhaps one of her legs, her medical records show. The clot had moved through her body and become lodged in her carotid artery — a large and vital vessel carrying blood through the neck to the brain.
Tate had experienced problems with veins in her legs for years and she contended with other health problems. Like her mother, she had diabetes. The years on her feet cooking had taken its toll.
Nevertheless, cooking was what she loved.
She learned to cook on childhood trips to Mississippi to see aunts and uncles and cousins. She mastered fried chicken, Chinese rice and homemade egg rolls. She made southern catfish whenever her aunt came up from Alabama.
After graduating from Milwaukee Tech High School, she started as a cook at Whitefish Bay schools and Nicolet High School, then at Potawatomi casino restaurants and finally at Davians, which stationed her at the Medical College.
After a shift, she’d head home and cook more there — lately with a spatula in one hand, the newborn on the opposite hip.
Cooking was a way to keep the family together.
“She’d call and say, ‘Fatty, you gonna come over for some barbecue?’” David Tate said. “We’d drink some fruit drinks and listen to the blues.”
When he arrived at the West Allis hospital, Tate found his sister in an emergency room bed in a hospital gown. Her work uniform — a black polo shirt and khaki pants — was stuffed in a bag nearby.
David Tate, brother of Tiffany Tate, recalls the day of Tate’s stroke.
She was disoriented and tapping her hand against her right ear.
A nurse explained to her brother the tapping was because of the stroke and the pressure on her brain.
“She said, ‘There’s something in my ear. There’s something in my ear,’” David Tate said. “That’s the last thing I heard her say.”
One doctor ordered a clot-busting drug be administered through an IV in her arm, records show. But another doctor ordered that treatment stopped because possible bleeding was detected in her brain.
The policy at West Allis was to transfer all patients having a serious stroke to a hospital capable of a higher level of care, either Froedtert, Aurora St. Luke’s Medical Center or St. Mary’s Hospital, said Matthew Braun, a spokesman for Aurora.
“We can’t change the fact that she was brought to West Allis,” Braun said. “The team did the best they could to get her to the highest level of care as quickly as possible. Time is of the essence in these cases.”
With Froedtert closed, the closest top-level care was at St. Luke’s — five miles away.
The problem: The fire department ambulance that had brought Tate to West Allis was gone. The crew’s job was to make the hand-off, then get back to Wauwatosa.
A private ambulance was summoned. It arrived 15 minutes later. By this point, Tate had lost consciousness.
As the ambulance was leaving, David Tate, his wife and father rushed to his car to follow. In those moments, the West Allis hospital went on diversion.
They were racing the clock to St. Luke’s. 
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This video by Johns Hopkins University School of Medicine shows how a blood clot is removed during a stroke.
Paramedics had to follow orders
In Milwaukee County, ambulance diversions had been commonplace since at least the early 1990s.
Initially, there was little direction provided to paramedics on what to do when a hospital closed, sometimes leaving them to search willy-nilly for an open hospital, said Ronald Pirrallo, who was then the head of Milwaukee County’s Emergency Medical Services department.
Paramedics sometimes found ways around the diversions. 
One veteran paramedic said they might drive a patient to the hospital, stop in the parking lot, have the patient sign out “against medical advice” and point them to the front door of the emergency room. 
In other cases, 911 wouldn’t be called at all. Instead, patients would have someone drive them to the hospital to ensure treatment.
Pirrallo spearheaded creation of a new policy.
“It was designed to improve patient care and avoid overcrowding at any one individual hospital,” said Pirrallo, now a professor of emergency medicine at the University of South Carolina.
That policy meant the crew that transported Tate had no discretion.
Joe Schwark was the lead paramedic and commander on the call with Tate. For him, it was likely one of a half-dozen that day. In a year, he had hundreds.
He could not remember the specific call, but knew exactly how it would have played out once he was told that diversion was in effect.
For paramedics, Froedtert is the go-to facility, given its top-level designations in all areas. But unless Tate was bleeding uncontrollably or had a blocked airway, he had to follow orders.
“There were bigger players making the rules,” he said. “You just followed directions even if you didn’t generally agree with a lot of this stuff.”
Schwark said his most likely route that day would have been to take 87th Street south out of the medical center grounds. 
That would have sent them right past the entrance to Froedtert’s emergency room — “close enough to spit on the driveway,” Schwark said.
Emergency departments nationwide have been quietly deploying a controversial tactic of turning ambulances away.
Grasping at straws
With possible bleeding in the brain, the next step for Tate was a technique in which doctors use a tiny catheter to try to physically remove the clot.
Froedtert had been able to do this since 2005 and became one of the first hospitals in the country to receive the advanced certification in 2013. St. Luke’s had received its designation as an Advanced Comprehensive Stroke Center three months before Tate’s stroke. 
The ambulance carrying Tiffany Tate, now unconscious, arrived shortly after noon. More than three-and-a-half hours had passed since she first showed signs of having a stroke.
Studies have found the best outcomes when patients receive the treatment inside of three hours, though it has been shown to work up until 24 hours later.
Using the catheter, doctors tried to reach the clot in Tate’s neck through an artery in her leg. The procedure didn’t work.
Family photo
Tiffany Tate, right, and her daughter, Octayvia Fountain.
Family photo
Tiffany Tate, right, and her daughter, Octayvia Fountain.
By now, Tate’s family had gathered at St. Luke’s. Blalock, her boyfriend, was in the waiting room. So was her brother and his wife, her older sisters, her parents and her daughter.
They tried to grasp how she had deteriorated so quickly. Family members were pacing, asking anyone who came by what was happening.
“It was really an emotional time,” David Tate said. “We just wanted answers, to know that she was going to be alright.”
Doctors emerged with bad news: Tate’s prospects were dim.
Pressure was building in Tate’s brain from the bleeding. Doctors wanted to try a radical step: Remove part of her skull to relieve the pressure.
Her family thought about the future, about how baby Alex and Octayvia would not have a mother if she died now. How Tiffany Tate had always dreamed of owning a home and had finally made that happen. And how much she loved family, how she held everyone together.
There was so much to live for.
They told the doctors to do whatever they could.
Plan to end diversion had been drafted
On the day Tiffany Tate suffered her stroke, a preliminary plan for ending ambulance diversion in Milwaukee County had already been drafted.
It ran two pages and was the brainchild of Riccardo Colella.
Office of Emergency Management
Riccardo Colella
Office of Emergency Management
Riccardo Colella
When Colella took over the county’s emergency medical services a year earlier, in 2013, he began examining how the diversion policy could be putting patients at risk. He set out to change it.
Colella, trained as an emergency medicine doctor and professor at the Medical College of Wisconsin, didn’t have the authority to force the issue. Rather, he had to talk, one by one, with all the major health care players in the area, including Aurora, Froedtert, Ascension and Children’s Hospital. 
What would it take to end diversion? Not curb it, but end it, he said.
The solution, studies had shown, was not even in the emergency department.
Rather, it came from addressing things that left the emergency room bottlenecked: slow paperwork, rooms not being cleaned quickly enough, the time it took to discharge patients.
For Aurora Health Care, which owns one-third of the hospitals in Milwaukee County, the changes that needed to be made were far-reaching, said Steve Francaviglia, who is in charge of the system’s Milwaukee hospitals.
It meant creating a new process where patients would receive their initial diagnosis over video monitors from doctors in another location. That would help get tests ordered quickly.
The X-ray Department was examined to make it move more quickly, as was patient transport. Housekeeping was studied and improvements made to better notify other departments when a room was ready for a new patient. Schedules were tweaked.
Other health care systems made similar changes.
The first thing phased out, in January 2015, was diversions for those who had the most severe cardiac issues, such as needing to be resuscitated. The end of diversions for other stroke and heart attack cases came in March — six months after the day Tiffany Tate suffered her stroke.
All diversions were ended in April 2016.
Milwaukee County hospitals were on diversion for nearly 4,800 hours during a six-month period in 2015. In the same time frame the following year, the figure plummeted to 13 hours, according to a county report.
Colella said there have been no reports of problems with patient care to his office since diversions were ended.
Advocate Aurora Health
Steve Francaviglia
Advocate Aurora Health
Steve Francaviglia
Nevertheless, ambulance diversion is still happening in other areas around the state including in Waukesha and Racine counties, according to state data. At least 65 hospitals in the state have diverted patients to some degree over the last two years.
That includes some Aurora hospitals outside Milwaukee County. Francaviglia said efforts are underway to end diversion throughout the health care system.
Colella said he was not aware of Tate’s case until the Journal Sentinel brought it to his attention. But, he said, it illustrated all the problems with the diversion system.
“Cases like this, where there are issues with access, was really one of the principles behind changing the policy,” he said, adding the aim was “to bring people with time-sensitive illness to the closest place that could take care of them.”
Bedside vigil kept
For weeks, Tate’s family and friends kept a vigil at St. Luke’s.
The diagnosis was grim. She was being fed through a tube. One of the doctors told David Tate his sister would never get up from the bed.
Still the family wasn’t ready to let her go. They directed that she be resuscitated if she had a heart attack or stopped breathing. When more intensive hospital care was not practical, they had her transferred to a long-term care facility and eventually to a nursing home in Glendale.
Frustrated by what happened, David Tate called lawyer after lawyer to see if the family had a case against Froedtert, against the Medical College, against anyone.
In Wisconsin, non-economic awards in any wrongful death cases are capped at $350,000. In medical malpractice cases, the cap is $750,000 for damages such as pain and suffering. The limits were established by the state Legislature and upheld by court decisions.
That means many lawyers are not interested in taking such cases, which are often expensive to prepare. David Tate said he was also told by some of the lawyers that he would never win against Froedtert. It was too big.
More importantly, there was a question of who to sue. It wasn’t as if the hospital gave her negligent treatment. Rather the system itself delayed his sister’s treatment.
What’s more, a 1993 federal appeals court decision made the prospects of winning a case less likely.
In Chicago, a newborn who lived five blocks from the University of Chicago hospital went into cardiac arrest. The hospital was on diversion and refused to take the child, who later died. The court ruled in favor of the hospital.
It is considered a bedrock case in the area of ambulance diversion and liability, cited by attorneys and judges who face the issue nationwide. It was decided in the 7th Circuit Court of Appeals, which has jurisdiction over Wisconsin.
At the Glendale nursing home, the weeks stretched to months. Every day, visitors came, but Tiffany Tate did not improve. Instead, she got worse.
She died shortly before midnight on Dec. 9 — two weeks before her son’s first birthday.
Experts say diversion was wrong
Maria Raven
Maria Raven
Several health care experts who reviewed the case for the Journal Sentinel said Tiffany Tate should have been taken to Froedtert, regardless of any diversion policy.
“To me, if someone is on the grounds of your hospital, they are yours,” said Raven, the emergency room physician and professor in San Francisco. “It is really sad. There were so many failures.”
Michael Carome, a former top official in the U.S. Department of Health and Human Services and now medical director of Public Citizen, a public policy group, said the delay in getting Tate to a top-level stroke center diminished her chances of survival.
“I would think there is a very high probability that the (delay) reasonably contributed to her adverse outcome given what we know about the golden window to quickly treat an ischemic stroke,” Carome said.
The experts said it is impossible to know if Tate would have survived if she had gone straight to Froedtert.
But they were unified in this: She would have had a better chance.
Alvin Blalock, longtime boyfriend of Tiffany Tate, recalls the day of Tate’s stroke.
Years of questions
Four years have passed since Tiffany Tate’s death.
The family has tried to make peace with the case, but frustration has simmered under the surface. When a reporter unearthed the case, David Tate initially did not want to participate. It was still too raw.
He has since decided sharing his sister’s story could help end ambulance diversions in other places around the country.
“Why are they turning away ambulance patients when people like my sister are having a stroke?” David Tate said. “Maybe that’s why I’m here doing this interview today so this doesn’t happen to anybody else in the future.”
Blalock, Tiffany Tate’s longtime boyfriend, remembers her cooking and her smile, trips they would take to Lambeau Field, all the good times.
“I miss her. I just miss her,” he said. “She was just gone too soon.”
Family photo
Tiffany Tate and boyfriend Alvin Blalock.
Their son, Alex, is now 5. He started kindergarten this year.
Alex has questions.
“Only thing I got are pictures,” Blalock said. “Everybody else’s mama is around. All I can teach him is with the pictures.”
It helps, he said, that “Little Al” is going to Sunday school now and learning about heaven.
That’s where his mama is, his father tells him.
He tells him that a lot.
Kevin Crowe and Cary Spivak of the Milwaukee Journal Sentinel staff contributed to this report.
We want to hear your story about ambulance diversion
The Milwaukee Journal Sentinel is investigating the issue of ambulance diversion including the consequences when people don’t get timely care from hospitals. We are looking for information from patients, paramedics and other health providers across the country.
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How to file a complaint
To file a complaint about care by a hospital, doctor or other provider, go to the U.S. Centers for Medicare and Medicaid Services webpage.
How we reported this story
For this article, a Milwaukee Journal Sentinel reporter reviewed more than 7,000 pages of medical records covering the care of Tiffany Tate on the day of her stroke and the months that followed. This was done with the consent of Tate’s family.
Also reviewed: Reports from the Wauwatosa Fire Department, Medical College of Wisconsin Public Safety Department and the Medical Examiner’s Office, court records and dozens of studies on ambulance diversion, hospital overcrowding, and stroke care.
The Journal Sentinel also analyzed five years of data from a state of Wisconsin system used by hospitals to alert each other of their status. The WI Trac system is voluntary. Not all hospitals participate; those that do sometimes do not send in data about closures. Thus, the findings reveal a minimum amount of time the hospitals are on diversion.
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The gift of foresight
I’m going to start with something I think is vital for every teenager, especially those going through a hard time, to know. IT GETS BETTER!
Foresight is not an easy thing to have as a teenager. As I’m now in my late 20′s I can look back and see just how small a part of my life school has really become. I was able to pass this information on to my sister, W, when she was going through school and had me as living proof that it all changes after high school and if you decide, it can be for the better.
If you don’t have someone to tell you this (parents don’t really count when you’re a teenager as they are so far from where you are in your life it’s sometimes impossible to relate to one another) it can feel like this is it. This is your life forever!
If you’re the nerd you may feel like you will always be the nerd. If you’re the ugly duckling you may think that will never change. I’m here to tell you things can ALWAYS change! Any sort of label or unfortunate event that may have placed you in the unpopular category during your school years is not permanently stuck with you for the rest of your life. If you’re nerdy at school that can quite often lead to success and influence later in life. For some of us beauty doesn’t appear at age one and it takes us time to master our looks and highlight our features. I’ve known girls who went from large to slim and vice versa. Sometimes the smart ones lose their focus and don’t do so well in the end and it goes both ways. Other times girls who didn’t feel they soared in high school do so afterwards. It can always go either way, you have to learn to decide which way YOU want to go and how YOU can make that a reality for yourself.
This may seem like a difficult concept when you’re in high school, where everyone has known you since you were practically a baby and you don’t have your own income or don’t always have the means to make what you want happen. But it certainly can become easier once you have finished high school.
The school I went to was very tame, I never had any major dramas and have fond memories of friends, teachers and school camps (though I despised the camps at the time). I know this is not the case for everyone and for some teenagers school is a prison, a living hell… something that seems to have no end. Unfortunately, it is hard to convince someone going through their perceived hell that it could all be better in a few years. A few years is forever in the land of the ‘Teenage Psyche’! If you can just remember that once you graduate from high school the possibilities are only limited to what you limit yourself to. So to all the teenagers who feel like their life is a daily struggle, if you dislike the kids you go to school with, have a teacher who gives you a hard time, aren’t academically minded or don’t fit in hang in there! I hope I can give you foresight and one day it will all be a distant memory… what was once a big deal won’t seem so big when you are older.
TO PUT IT IN PERSPECTIVE At school you are just beginning to learn who you are and you have no idea what lies ahead. All you’ve really known so far is creche, kindergarten and school. Which if you think about it makes up probably the smallest portion of your life. If we live to just 70 years old, from the day you are born to the day you leave high school, doesn’t even account for half your life, in fact it makes up only 25%. The good news here is this means that the other 75% of your life is totally up to you. You’re an adult and within the parameters of the law you can do just about anything you like.
IN THE MEAN TIME? Like anything in life, easier said then done. I may have a glossy memory of high school now that I’m almost a decade away from it but rest assured I was not one of the ‘popular kids’, highly intelligent or a swan.
I certainly could have used a few tips and some guidance to help make my life a little smoother. I grew up in Australia and being Lebanese I had wild frizzy hair and about ten times more then any of the other kids. To add to that I had eyebrows that could be defined as an eyebrow. I also went through a glorious stage where my mother allowed me to get highlights but sadly this turned out to be more like blonde tiger stripes… it was not a great look!
None of these things really had a great impact or ruined my school life but they didn’t exactly help my confidence. A few small things can go a long way when you’re under the microscope that is a school community. So here are a few tips and tricks to get yourself into a place where hopefully you feel you have a few less things to worry about.
Academically: If you’re struggling to understand a class ask your teacher if they can go over some of the parts that aren’t quite clear to you. If you’re really struggling see if you can organise a tutor to help you get a better understanding of the subject you are working on. Even a friend who excels in the class may be willing to help you better understand.
Beauty: Beauty can be tricky as your parents may have certain rules, things they don’t want you to do until you reach a certain age which is their way of protecting you. Schools also have rules in place, some do not allow nail polish or hair down and so on. So you will need to stay within the rules of both institutions.
BO – BO is a big one for teenagers. If you don’t have any BO issues then you’re already one step ahead. Some teens sweat more then others and everyone is growing and developing at a different pace. If you do have issues in this department there are a few things you can do.
One, if you don’t wear a uniform try changing your clothes. Sometimes certain fabrics can make you sweat more then others. It’s different for everyone so try a few different pieces with different fabrics and arm lengths and note if there is any difference.
Two, try changing your deodorant. Again, every body is different so what works for your best friend may not work for you. Sometimes it can even be as simple as using the same deodorant for too long that your body becomes accustomed to and it is no longer effective.
Three, keep deodorant with you in your locker or school bag and reapply during the day. You can also use wet wipes to clear any BO before reapplying your deodorant.
Skin – Skin is another big one. All the changing hormones make it hard to really control your skin during your teen years but you can do a few things to help. Cut down on the junk food. I found my skin, even now, worsens greatly if I eat junk food. As soon as I cut down it begins to improve again.
Clean your face daily, most department stores will have a Clinique or equivalent makeup stand where you can go and get tested for what type of skin you have, where your oily zones are and what daily routine will best suit you. If you can’t afford the bigger brands you can apply the advice to less expensive brands which don’t have their own stand.
If you have very bad skin or even acne it may be a good idea to seek out a dermatologist. They specialise in skin and can help you find a solution for your needs.
Hair – We all get a little hairy in different areas. If you have hairy legs or underarms, try shaving or waxing. Shaving will most likely require a daily up keep but is cost effective and quick. Waxing can cost more but has a better outcome and for most leaves them with smoother legs then shaving would.
In the facial hair department consult your parents first and do what makes you comfortable. All faces react differently to wax, bleach and plucking so always go to a professional for these services to begin with. You don’t want to make things worse!
Socially: If things are really bad stick to what makes you happy and gets you through the day. If it’s your friends spend time with them, if you’re more of a reader find solace in your books.
All these little things can affect how you feel at school, if you’re comfortable being around others, if you’re comfortable in your own skin. The ‘Teenage Psyche’ is a complex thing but sometimes the smallest changes can help things feel better.
AND FINALLY Remember to stay true to you. Don’t change anything for anyone but yourself. If you are happy the way you are then that is perfect. If you’re not happy then explore your options but make sure they are always reversible. You are at an early stage in life and never know how your tastes may change as you grow.
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8 Vital Ways Dads Can Support Their Partners’ Mental Health Postpartum
You’ll be bringing your baby home soon. Or maybe you already have. And you want to be there for your spouse. You know that having a baby not only affects your wife’s body, but it also affects her mental health. You want to be supportive, encouraging and helpful.
But you’re not exactly sure how to do that.
What does it look like to support your spouse’s mental health? Where do you start? What should you avoid?
Here, you’ll find suggestions from Kirsten Brunner, MA, LPC, a perinatal mental health and relationship expert. She’s the co-author of The Birth Guy’s Go-To Guide for New Dads: How to Support Your Partner Through Birth, Breastfeeding & Beyond with Brian W. Salmon, a dad, doula and certified lactation consultant. Their new book is filled with relatable stories and practical, wise strategies. You’ll also find several excellent tips from the book below.
Listen and validate. Don’t try to fix the problem or talk your partner out of their feelings, Brunner said. (Which is something most people do.) For instance, your partner is devastated that she had to have a C-section or got an epidural. You’re trying to be supportive and reassuring, so you say there’s no reason to be upset, because your baby is perfectly healthy, and she did an amazing job. 
This sounds helpful, but it actually minimizes and dismisses her feelings. Instead, what’s more helpful is to validate what your partner is saying, and empathize, Brunner said. For example, you might say: “I hear that you are feeling sad and disappointed. That wasn’t how we imagined the birth would be and we had to switch gears so quickly. I know that must have been difficult for you. I love you, I’m here for you and I’m so proud of how you navigated those unexpected challenges.”
Also, don’t get defensive, quickly change the subject or skip to your own experience, Brunner said. For example, don’t immediately blurt out, “Oh, you think you are tired? I only got 3 hours of sleep last night because of the baby crying and I had to get up and go to work this morning. I hear you on being tired!”
Help your partner get some sleep. “Sleep is essential to emotional wellness,” Brunner said. But, of course, when you have a newborn, sleep can feel like a distant dream.
Brunner suggested encouraging your partner to rest when the baby is resting. “Tell her that you’ll take care of the dishes or the laundry while she sleeps and restores her energy.”
Know what postpartum illness looks like. Brunner noted that new moms can struggle with a wide array of mental health challenges, such as depression, anxiety and/or obsessive-compulsive behaviors (known as perinatal mood and anxiety disorders or PMADS).
Thankfully, women can recover from these conditions and concerns, but the key is to get professional help. It can be hard for moms to recognize that they’re struggling with an illness, which is where you step in. If you notice any of these signs, encourage your spouse to seek help.
Symptoms of postpartum depression last for more than 2 weeks and might include: sadness, frequent crying, intense anxiety, irritability, loss of interest in usual activities, guilt, appetite changes, excessive worry about baby’s health and suicidal thoughts.
Postpartum anxiety disorders might include: “panic attacks, hyperventilation, excessive worry, restless sleep, and repeated thoughts or images of frightening things happening to the baby.”
Postpartum psychosis can be severe and life-threatening, and it’s vital to get an evaluation and treatment immediately. According to Postpartum Support International, postpartum psychosis can include: delusions (thoughts that aren’t based in reality); hallucinations (hearing or seeing things that aren’t there); irritability; hyperactivity; inability to sleep; paranoia; rapid mood swings; and difficulty communicating.
Dads can struggle with postpartum depression and anxiety, too. In fact, Brunner is seeing more and more dads at her counseling practice. It’s not surprising: You’re also likely sleep deprived and stressed out. Maybe you don’t feel like you’ve really bonded with your baby. Maybe the transition to parenthood has been tougher than you imagined. If that’s the case, it’s important for you to seek help, too.
Learn your partner’s love language. “I encourage dads to make sure they are showing mom appreciation and affection in a way that feels sincere,” Brunner said. One way to do this is to know your partner’s love language and to do things that honor it.
If you’re not familiar with this concept, it comes from Gary Chapman’s book The Five Love Languages. Each of us speaks a different love language: how we want to experience love. Chapman notes there are five love languages: words of affirmation; acts of service; receiving gifts; quality time; and physical touch.
(You and your partner can both take the quiz to discover your love language.)
For example, if your wife’s love language is “words of affirmation,” you can regularly discuss the incredible job she’s doing, Brunner said. If it’s “acts of service,” you can look for opportunities to help around the house and with the baby, she said.
Remind your partner you’re newbies. For new moms, it’s all-too easy to feel like a failure with everything they do. One big reason is the expectation that moms are supposed to inherently and intuitively know how to breastfeed, soothe the baby, and basically do everything else. So when they have any kind of trouble, they’re devastated (sleep deprivation, of course, only exacerbates this).
Brunner noted it’s natural for everything to feel like a struggle as your baby “adjusts to being in the outside world and as mom and dad gain confidence.” It will get easier, but it’s hard to see it right now. Which is why it’s so helpful for you to keep reminding her. 
Practice patience with postpartum recovery. It can take women a while to recover from birth, Brunner said. It’s also common for moms to feel “touched out” because of breastfeeding and snuggling the baby, she said. This can be frustrating, but you can find other ways to feel close and connect with your partner.
For instance, you might cuddle on the couch while watching a movie; exchange shoulder rubs; hold hands while walking, lying in bed or sitting on the sofa; and share a long hug, Brunner said.
Take care of yourself. Brunner emphasized making sure that you’re getting enough sleep and reaching out to friends and family. Of course, this can feel impossible when you’re trying to help with household chores, support your partner and be with your baby.
This is when having a solid support network and postpartum plan are critical. Can a loved one watch the baby while you catch up on sleep? Can you hire a housecleaning service? Can you ask friends and family to bring meals? (More on the plan below.)
And, again, if you’re struggling with symptoms of depression or anxiety, don’t hesitate to seek counseling.
Create a postpartum plan. Salmon noted in The Birth Guy’s Go-To Guide for New Dads that in his experience, couples who create a thorough postpartum plan have a much easier time coping after they bring their baby home. When creating your plan with your partner, he suggests considering the following:
the type of help you want: For instance, maybe a relative stays with you for a week, and your partner’s best friend comes over to help with chores. Be very specific with loved ones when making these requests.
meal delivery: If you’d like loved ones to bring food, also be specific about the food you want (and don’t want). If you’d like to keep visits to a minimum, place a big cooler on your porch. Ask loved ones to drop off the food, and come back when your partner is feeling more settled.
breastfeeding and baby care support: Include a list of local lactation consultants and infant-sleep experts. And consider if you’d like to hire a postpartum doula, whose main focus is to support mom in whatever she needs.
self-care and relationship care: Think about days and times you can get breaks and extra sleep, along with who can babysit so you can occasionally go on a date.
If you have other kids, Salmon recommends creating a separate postpartum plan for them. It might include: who’ll be watching them during the birth and hospital stay; play-dates with friends; and little outings with relatives to make them feel special.
One of the greatest gifts you can give your partner is to support their mental health—along with supporting your own.
from World of Psychology https://psychcentral.com/blog/8-vital-ways-dads-can-support-their-partners-mental-health-postpartum/
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erraticfairy · 5 years
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8 Vital Ways Dads Can Support Their Partners’ Mental Health Postpartum
You’ll be bringing your baby home soon. Or maybe you already have. And you want to be there for your spouse. You know that having a baby not only affects your wife’s body, but it also affects her mental health. You want to be supportive, encouraging and helpful.
But you’re not exactly sure how to do that.
What does it look like to support your spouse’s mental health? Where do you start? What should you avoid?
Here, you’ll find suggestions from Kirsten Brunner, MA, LPC, a perinatal mental health and relationship expert. She’s the co-author of The Birth Guy’s Go-To Guide for New Dads: How to Support Your Partner Through Birth, Breastfeeding & Beyond with Brian W. Salmon, a dad, doula and certified lactation consultant. Their new book is filled with relatable stories and practical, wise strategies. You’ll also find several excellent tips from the book below.
Listen and validate. Don’t try to fix the problem or talk your partner out of their feelings, Brunner said. (Which is something most people do.) For instance, your partner is devastated that she had to have a C-section or got an epidural. You’re trying to be supportive and reassuring, so you say there’s no reason to be upset, because your baby is perfectly healthy, and she did an amazing job. 
This sounds helpful, but it actually minimizes and dismisses her feelings. Instead, what’s more helpful is to validate what your partner is saying, and empathize, Brunner said. For example, you might say: “I hear that you are feeling sad and disappointed. That wasn’t how we imagined the birth would be and we had to switch gears so quickly. I know that must have been difficult for you. I love you, I’m here for you and I’m so proud of how you navigated those unexpected challenges.”
Also, don’t get defensive, quickly change the subject or skip to your own experience, Brunner said. For example, don’t immediately blurt out, “Oh, you think you are tired? I only got 3 hours of sleep last night because of the baby crying and I had to get up and go to work this morning. I hear you on being tired!”
Help your partner get some sleep. “Sleep is essential to emotional wellness,” Brunner said. But, of course, when you have a newborn, sleep can feel like a distant dream.
Brunner suggested encouraging your partner to rest when the baby is resting. “Tell her that you’ll take care of the dishes or the laundry while she sleeps and restores her energy.”
Know what postpartum illness looks like. Brunner noted that new moms can struggle with a wide array of mental health challenges, such as depression, anxiety and/or obsessive-compulsive behaviors (known as perinatal mood and anxiety disorders or PMADS).
Thankfully, women can recover from these conditions and concerns, but the key is to get professional help. It can be hard for moms to recognize that they’re struggling with an illness, which is where you step in. If you notice any of these signs, encourage your spouse to seek help.
Symptoms of postpartum depression last for more than 2 weeks and might include: sadness, frequent crying, intense anxiety, irritability, loss of interest in usual activities, guilt, appetite changes, excessive worry about baby’s health and suicidal thoughts.
Postpartum anxiety disorders might include: “panic attacks, hyperventilation, excessive worry, restless sleep, and repeated thoughts or images of frightening things happening to the baby.”
Postpartum psychosis can be severe and life-threatening, and it’s vital to get an evaluation and treatment immediately. According to Postpartum Support International, postpartum psychosis can include: delusions (thoughts that aren’t based in reality); hallucinations (hearing or seeing things that aren’t there); irritability; hyperactivity; inability to sleep; paranoia; rapid mood swings; and difficulty communicating.
Dads can struggle with postpartum depression and anxiety, too. In fact, Brunner is seeing more and more dads at her counseling practice. It’s not surprising: You’re also likely sleep deprived and stressed out. Maybe you don’t feel like you’ve really bonded with your baby. Maybe the transition to parenthood has been tougher than you imagined. If that’s the case, it’s important for you to seek help, too.
Learn your partner’s love language. “I encourage dads to make sure they are showing mom appreciation and affection in a way that feels sincere,” Brunner said. One way to do this is to know your partner’s love language and to do things that honor it.
If you’re not familiar with this concept, it comes from Gary Chapman’s book The Five Love Languages. Each of us speaks a different love language: how we want to experience love. Chapman notes there are five love languages: words of affirmation; acts of service; receiving gifts; quality time; and physical touch.
(You and your partner can both take the quiz to discover your love language.)
For example, if your wife’s love language is “words of affirmation,” you can regularly discuss the incredible job she’s doing, Brunner said. If it’s “acts of service,” you can look for opportunities to help around the house and with the baby, she said.
Remind your partner you’re newbies. For new moms, it’s all-too easy to feel like a failure with everything they do. One big reason is the expectation that moms are supposed to inherently and intuitively know how to breastfeed, soothe the baby, and basically do everything else. So when they have any kind of trouble, they’re devastated (sleep deprivation, of course, only exacerbates this).
Brunner noted it’s natural for everything to feel like a struggle as your baby “adjusts to being in the outside world and as mom and dad gain confidence.” It will get easier, but it’s hard to see it right now. Which is why it’s so helpful for you to keep reminding her. 
Practice patience with postpartum recovery. It can take women a while to recover from birth, Brunner said. It’s also common for moms to feel “touched out” because of breastfeeding and snuggling the baby, she said. This can be frustrating, but you can find other ways to feel close and connect with your partner.
For instance, you might cuddle on the couch while watching a movie; exchange shoulder rubs; hold hands while walking, lying in bed or sitting on the sofa; and share a long hug, Brunner said.
Take care of yourself. Brunner emphasized making sure that you’re getting enough sleep and reaching out to friends and family. Of course, this can feel impossible when you’re trying to help with household chores, support your partner and be with your baby.
This is when having a solid support network and postpartum plan are critical. Can a loved one watch the baby while you catch up on sleep? Can you hire a housecleaning service? Can you ask friends and family to bring meals? (More on the plan below.)
And, again, if you’re struggling with symptoms of depression or anxiety, don’t hesitate to seek counseling.
Create a postpartum plan. Salmon noted in The Birth Guy’s Go-To Guide for New Dads that in his experience, couples who create a thorough postpartum plan have a much easier time coping after they bring their baby home. When creating your plan with your partner, he suggests considering the following:
the type of help you want: For instance, maybe a relative stays with you for a week, and your partner’s best friend comes over to help with chores. Be very specific with loved ones when making these requests.
meal delivery: If you’d like loved ones to bring food, also be specific about the food you want (and don’t want). If you’d like to keep visits to a minimum, place a big cooler on your porch. Ask loved ones to drop off the food, and come back when your partner is feeling more settled.
breastfeeding and baby care support: Include a list of local lactation consultants and infant-sleep experts. And consider if you’d like to hire a postpartum doula, whose main focus is to support mom in whatever she needs.
self-care and relationship care: Think about days and times you can get breaks and extra sleep, along with who can babysit so you can occasionally go on a date.
If you have other kids, Salmon recommends creating a separate postpartum plan for them. It might include: who’ll be watching them during the birth and hospital stay; play-dates with friends; and little outings with relatives to make them feel special.
One of the greatest gifts you can give your partner is to support their mental health—along with supporting your own.
from World of Psychology https://ift.tt/2INMTS3 via theshiningmind.com
0 notes
8 Vital Ways Dads Can Support Their Partners’ Mental Health Postpartum
You’ll be bringing your baby home soon. Or maybe you already have. And you want to be there for your spouse. You know that having a baby not only affects your wife’s body, but it also affects her mental health. You want to be supportive, encouraging and helpful.
But you’re not exactly sure how to do that.
What does it look like to support your spouse’s mental health? Where do you start? What should you avoid?
Here, you’ll find suggestions from Kirsten Brunner, MA, LPC, a perinatal mental health and relationship expert. She’s the co-author of The Birth Guy’s Go-To Guide for New Dads: How to Support Your Partner Through Birth, Breastfeeding & Beyond with Brian W. Salmon, a dad, doula and certified lactation consultant. Their new book is filled with relatable stories and practical, wise strategies. You’ll also find several excellent tips from the book below.
Listen and validate. Don’t try to fix the problem or talk your partner out of their feelings, Brunner said. (Which is something most people do.) For instance, your partner is devastated that she had to have a C-section or got an epidural. You’re trying to be supportive and reassuring, so you say there’s no reason to be upset, because your baby is perfectly healthy, and she did an amazing job. 
This sounds helpful, but it actually minimizes and dismisses her feelings. Instead, what’s more helpful is to validate what your partner is saying, and empathize, Brunner said. For example, you might say: “I hear that you are feeling sad and disappointed. That wasn’t how we imagined the birth would be and we had to switch gears so quickly. I know that must have been difficult for you. I love you, I’m here for you and I’m so proud of how you navigated those unexpected challenges.”
Also, don’t get defensive, quickly change the subject or skip to your own experience, Brunner said. For example, don’t immediately blurt out, “Oh, you think you are tired? I only got 3 hours of sleep last night because of the baby crying and I had to get up and go to work this morning. I hear you on being tired!”
Help your partner get some sleep. “Sleep is essential to emotional wellness,” Brunner said. But, of course, when you have a newborn, sleep can feel like a distant dream.
Brunner suggested encouraging your partner to rest when the baby is resting. “Tell her that you’ll take care of the dishes or the laundry while she sleeps and restores her energy.”
Know what postpartum illness looks like. Brunner noted that new moms can struggle with a wide array of mental health challenges, such as depression, anxiety and/or obsessive-compulsive behaviors (known as perinatal mood and anxiety disorders or PMADS).
Thankfully, women can recover from these conditions and concerns, but the key is to get professional help. It can be hard for moms to recognize that they’re struggling with an illness, which is where you step in. If you notice any of these signs, encourage your spouse to seek help.
Symptoms of postpartum depression last for more than 2 weeks and might include: sadness, frequent crying, intense anxiety, irritability, loss of interest in usual activities, guilt, appetite changes, excessive worry about baby’s health and suicidal thoughts.
Postpartum anxiety disorders might include: “panic attacks, hyperventilation, excessive worry, restless sleep, and repeated thoughts or images of frightening things happening to the baby.”
Postpartum psychosis can be severe and life-threatening, and it’s vital to get an evaluation and treatment immediately. According to Postpartum Support International, postpartum psychosis can include: delusions (thoughts that aren’t based in reality); hallucinations (hearing or seeing things that aren’t there); irritability; hyperactivity; inability to sleep; paranoia; rapid mood swings; and difficulty communicating.
Dads can struggle with postpartum depression and anxiety, too. In fact, Brunner is seeing more and more dads at her counseling practice. It’s not surprising: You’re also likely sleep deprived and stressed out. Maybe you don’t feel like you’ve really bonded with your baby. Maybe the transition to parenthood has been tougher than you imagined. If that’s the case, it’s important for you to seek help, too.
Learn your partner’s love language. “I encourage dads to make sure they are showing mom appreciation and affection in a way that feels sincere,” Brunner said. One way to do this is to know your partner’s love language and to do things that honor it.
If you’re not familiar with this concept, it comes from Gary Chapman’s book The Five Love Languages. Each of us speaks a different love language: how we want to experience love. Chapman notes there are five love languages: words of affirmation; acts of service; receiving gifts; quality time; and physical touch.
(You and your partner can both take the quiz to discover your love language.)
For example, if your wife’s love language is “words of affirmation,” you can regularly discuss the incredible job she’s doing, Brunner said. If it’s “acts of service,” you can look for opportunities to help around the house and with the baby, she said.
Remind your partner you’re newbies. For new moms, it’s all-too easy to feel like a failure with everything they do. One big reason is the expectation that moms are supposed to inherently and intuitively know how to breastfeed, soothe the baby, and basically do everything else. So when they have any kind of trouble, they’re devastated (sleep deprivation, of course, only exacerbates this).
Brunner noted it’s natural for everything to feel like a struggle as your baby “adjusts to being in the outside world and as mom and dad gain confidence.” It will get easier, but it’s hard to see it right now. Which is why it’s so helpful for you to keep reminding her. 
Practice patience with postpartum recovery. It can take women a while to recover from birth, Brunner said. It’s also common for moms to feel “touched out” because of breastfeeding and snuggling the baby, she said. This can be frustrating, but you can find other ways to feel close and connect with your partner.
For instance, you might cuddle on the couch while watching a movie; exchange shoulder rubs; hold hands while walking, lying in bed or sitting on the sofa; and share a long hug, Brunner said.
Take care of yourself. Brunner emphasized making sure that you’re getting enough sleep and reaching out to friends and family. Of course, this can feel impossible when you’re trying to help with household chores, support your partner and be with your baby.
This is when having a solid support network and postpartum plan are critical. Can a loved one watch the baby while you catch up on sleep? Can you hire a housecleaning service? Can you ask friends and family to bring meals? (More on the plan below.)
And, again, if you’re struggling with symptoms of depression or anxiety, don’t hesitate to seek counseling.
Create a postpartum plan. Salmon noted in The Birth Guy’s Go-To Guide for New Dads that in his experience, couples who create a thorough postpartum plan have a much easier time coping after they bring their baby home. When creating your plan with your partner, he suggests considering the following:
the type of help you want: For instance, maybe a relative stays with you for a week, and your partner’s best friend comes over to help with chores. Be very specific with loved ones when making these requests.
meal delivery: If you’d like loved ones to bring food, also be specific about the food you want (and don’t want). If you’d like to keep visits to a minimum, place a big cooler on your porch. Ask loved ones to drop off the food, and come back when your partner is feeling more settled.
breastfeeding and baby care support: Include a list of local lactation consultants and infant-sleep experts. And consider if you’d like to hire a postpartum doula, whose main focus is to support mom in whatever she needs.
self-care and relationship care: Think about days and times you can get breaks and extra sleep, along with who can babysit so you can occasionally go on a date.
If you have other kids, Salmon recommends creating a separate postpartum plan for them. It might include: who’ll be watching them during the birth and hospital stay; play-dates with friends; and little outings with relatives to make them feel special.
One of the greatest gifts you can give your partner is to support their mental health—along with supporting your own.
from World of Psychology https://ift.tt/2INMTS3 via IFTTT
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republicstandard · 6 years
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The Modern Ladies' Guide to the Apocalypse: Making Your 'Bug Out' Bag
Ladies, We live in a tumultuous time. It's no secret that the political landscape is fraught with underhanded warmongers, and bad actors pushing for dangerous legislation. The media has created boogeymen of nations and leaders of nations to blame for the goings on of which that they don't approve. The media also plays off existing tensions to instigate agenda that could blow back unexpectedly.
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Our foreign policy, flawed though it may be, has done a good job of keeping those tensions across the pond for the most part. The risk to us as citizens has remained low in regard to seeing combat on our own soil; save for a few events we refer to as “terror attacks" and view as isolated incidents with mitigating factors that prevent us from recognizing them as acts of aggression from foreign entities. Meanwhile, the contention of limited immigration and the struggle to stifle the flow of incoming players and the failure to pass meaningful legislation regarding their expulsion has left us open to the possibility of covert organized operations like the compound in New Mexico and potentially much worse.
The low-risk environment we have all grown up with, having the protection of the greatest military in the world has made us naive, lazy, and ill-prepared. Our enemies, especially those disguised as allies, don't suffer the same misfortune. Israel, for example, practices conscription for all citizens, which means their entire able-bodied population is combat ready whether they are active military or not. Meanwhile, a large portion of our population neither uses nor understands basic sidearm home protection. It's a scary thought.
It's not the only danger. We have many active and dormant volcanoes. We have annual disastrous weather events, and we live in a society wholly dependent on a fragile electrical grid. Any number of things can happen, locally or nationally, that can strand you in an emergency situation. What are you gonna do?
Well, I am going to tell you.
Most of us spend a significant time in our vehicles traveling to and from work, shuffling kids to activities, shopping, going to dinner, and vacations. Any fictional show or film you have seen about a disaster demonstrates that inevitably there will be long lines of cars cluttering up roads. Many of you will have experienced evacuations already and have first-hand knowledge of the hours spent trying to vacate an area. How many people have what they need already inside their car? Hardly anyone.
That's where the Bug out bag (or go bag) comes into play.
The first thing that you will need is a bag that's large enough for your family or several bags, one for each family member.
A phrase that you need to become familiar with, that I will repeat, and you need to repeat. Two is one and one is none. That means you need 3 of anything of which you need one. If you have one you can assume it's already used or broken. If you have two of an item and one is used or broken then you still only have one of it and it can get used or broken. That's why you need a third. Simple, right?
Let's pack!
Water: Even in our world of abundance, we hover perilously close to death by dehydration. Depending on your lifestyle you are anywhere from a few hours to a few days away from critical body failure due to lack of water. Each family member needs 3 large bottles of water, or 1-3 quarts. This is the first thing that you need. Periodically you should replace the water, especially if you live in a warm and wet your climate. In addition to bottled water, you should have water treatment methods such as water purification tablets and a life straw.
Food: Trailmix without chocolate and beef jerky are fast sources of protein and vital nutrients that you will need to maintain energy levels needed to get yourself to safety. MREs are compact, lightweight, and can be purchased at any outdoor store or online. Plus, they are fun to taste test with the family while figuring out which ones you'd like to store. You need to prepare three meals for three days for each member of your family, on top of the emergency rations.
First aid kit: You can either make your own or purchase pre-packed first aid kits from the pharmacy. Bandages, alcohol wipes, a thermal blanket, hot and cold chemical compress, and pain relief are typically already included. If your family member has medical needs you should also include a baggy of their daily medications for 3 days. Normally people don't lug about their medicine cabinet for their daily activities but if you are caught unable to return home or have to wait for rescue it would be a shame to not have your blood pressure medication available.
Fire: Two is one and one is none. A lighter would come in handy if the need to make fire comes up but if it gets wet it won't work. You need multiple ways to make fire and multiple of the multiples. 3 lighters, 3 sets of matches, a magnesium fire starter are great items to have. In order to start a fire, you will need tinder. Sticks don't just enkindle on demand and will need help to burn into something that can keep you warm. Dryer lint is a readily available source of tinder that we all have in the home. Place enough for a few fires in a waterproof bag; wet tinder will not start a fire. Remember to spread it out before laying the sparks, the surface area is important.
Flashlights: Half of each day darkness and the need to see is important especially to identify rustles as dangerous or not. Those nocturnal critters (bug and small) are generally averse to light, so shining torches at them is sometimes all you need to scare them off. If you are awaiting rescue, waving lights can alert rescuers to your location in the dark where otherwise they wouldn't see you. Finally, flashlights can start a fire if all the other fire starting methods fail. The silver curved part of a flashlight that reflects the bulb into a beam is called a parabolic lens. It can be used to focus sunlight onto tinder in the same way a magnifying glass can use the sun to burn ants.
Eyeliner: What self-respecting lady would find herself in an apocalyptic or emergency situation without proper eye-makeup? Hollyweird tells us that there is no situation where it's acceptable to have unlined eyes and that includes zombie apocalypse, nuclear fallout, and running through dense forests. In addition to looking fabulous no matter the circumstances, no-smudge eyeliner is an every surface friendly message scrawling device. It will write on glass, wood, cloth, concrete, paper, skin, plastic, and metal. If you are forced to move from a clear open good for rescue location due to the need for shelter you'll appreciate being able to leave a note for your rescue team that won't wash off easily. So will they. Two is one and one is none. Lipstick serves the same purpose, just don't put it on your eyes.
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Self-defense: Gun, ammo, knife, pepper spray.
If you have a gun I hope I don't need to explain that the ammo should not be stored inside the gun, but just in case: store the ammo separately from the gun. You don't want a misfire on the way to soccer practice and it's pretty basic gun safety.
Hygiene: Baby wipes for sponge baths. Travel toothbrushes and paste or tooth powder, and feminine hygiene items. Don't bother with shampoo or other hair care items, do bring deodorant if it has aluminum silicate as an ingredient as it can be used as a burn treatment for mild burns. Don't believe me? Next time you get popped with grease, a nasty sunburn or a curling iron injury rub (new) deodorant on it and feel the soothe.
Clothes: This is not a vacation, and you don't need a suitcase amount of clothes, however, three pair of socks and underwear per family member is practical. Keeping your feet dry is important if you want to stave off hypothermia or gangrene.
Emergency Binder:
Yeah, you're never gonna escape paperwork, sorry. You need to make copies of a bunch of paperwork so that you can be verified upon rescue and receive medical treatment. In the case of fleeing your home in case of disaster, you may need to replace documents. Birth certificate, insurance card, driver license, social security card, passport, medical records including blood type, prescriptions, marriage certificate, divorce papers, child custody papers, diplomas, school transcripts, military documents, weapon permits, credit/debit card, deeds and titles, insurance and registration, emergency contacts.
Make sure to do front and back copies of any double-sided document.
How you prepare for trouble is key to coming through unscathed. Get the basics right, first time!
from Republic Standard | Conservative Thought & Culture Magazine https://ift.tt/2CMolp5 via IFTTT
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whatrosesupposes · 7 years
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Vocation - A Trio
A short story written several years ago for an assignment.
I've never been privy to the lazy mornings of the TV generation. Waking up is a quick and painful duty. Cracking the sleep from my joints I stand bruised in front of the mirror, counting my ribs in the half-light. It's 5:30 am and Pilates starts at 6. Jake's still in bed, a shifting mass of duvet resolutely on the left hand side. I can't remember the last time I wanted to reach out and touch him or even to talk to him . Mostly when we're together I just sit and stretch while he sits stoic at his laptop with eyes full of hurt; his frustration at sitting on the wrong side of the literary agent's desk taken out on its keys.
This is our life together; like the north and south hemispheres we coexist, revolving in harmony, but always separate. I bind my toes round with gauze, swaddling blisters and masking the bunions until I'm left with a clean canvas. Today I will create something a miraculous to justify the theatre rental and to prove wrong the ballet teacher, who told me I couldn't do it. I scrape my hair in to submission, driving pins in to the thinning coil of hair and look deep in to my own eyes, willing success to come from 28 years of life experience. Constanze said that dancing is like dreaming with your feet and it's been a long, long nightmare. Grabbing water and a banana I run for the tube.
***
It is a perfect morning on the Westminster Bridge. Sliding in to a minor cadence, I leave the small group of Nikon wielding tourists waiting for more and lean back against the balustrade. The air is clean and it sings in my lungs and caresses my cheeks. It's that early spring warmth which melts away the winter despondency; warming your chest and crowning green beauty with a rhapsody of blossom, I breathe it all in. The change falling in to my guitar case is superfluous noise as London composes its own never-ending soundtrack of bells and languages, traffic and water. Filled with the hope of the morning, I swing my guitar round and serenade the harassed commuters who are hurrying past with the good in the world, as told by Aerosmith.
'It's amazing , with the blink of an eye you finally see the light It's amazing, when the moment arrives that you know you'll be alright'
***
09:06am and I'm still tired. 12 hours sleep, 3 cups of coffee and a 15 minute cycle won't shake the lethargy of a Monday morning. I wonder if perhaps this is what it feels like to be dying; to be slowly melting in to nothingness with no way out and no idea when it will end. Or maybe I'm dead already and passing time in purgatory by filling in God's paperwork, one author rejection at a time.
Dear Mr Patterson,
Further to your phone call, we would be delighted to read a sample of your manuscript with aview to representing your work. Please send an extract of no more than 50 pages, a briefsummary and a covering letter to the address provided along with a self-addressed SAE forfuture correspondence.
Sincerely
<>
What I should really tell them is not to do it. Not to bastardize what is likely a terrible, generic but ultimately beloved manuscript in to 50 pages which will be skimmed by a bored intern, assigned two adjectives and returned to them in a A4 paper coffin whose weight will tell them that it's all over. It takes a certain cool callousness to do this job; the ability to detach human emotions and consequence from the sealing of the envelope, dismissing the tender memoirs of a grandfather as easily as an expose on cheating at the Gloucestershire Cheese Rolling Festival.
I don't think I'm cut out for this; this temporary job is taking over my life. My own writing is suffering, buried under the weight of all the rejections as I imagine each one I address landing on my doorstep. Every lunchtime I ignore the invitations to go out and live, curling in my chair and deleting page after page of what I had written the night before. There's always stuff to delete, born out of the ashes of my relationship with Anna, pages of hurt, tawdry in the light of day, cheapened by my lousy prose and clumsy metaphor. It tells the story of a writer who cannot write, but instead destroys the work of others and a dancer who dances around the truth of an injury which will never fully heal. Seeing her each evening, contorting her body in an attempt to regain the technique which age and a drunken motorcyclist have stolen from her breaks my heart, but the words which I find are no longer a language she can understand. The tragedy of our small lives is not lost on me but bows to the greater sadness of the world.
Perhaps it would be better if I went out today.
***
The lunchtime rush is about to begin and I'm singing Jerome Kern to an audience of confused teenagers. I continue, rising through a semitone and spiralling up through every note of the scale. This is a gift, exposing them to something new which is so old and so perfect in its construction; though it's a gift they refuse. They move off leaving a young couple behind, standing loosely apart as the diminuendo in to the final lines begins and I give them the words of Oscar Hammerstein,
'You are the angel glow that lights a star, the dearest things I know are what you are'
Their hands move unnoticed, bumping together and they look at each other as if they hardly realise what is happening.
' Someday my happy arms will hold you, and someday I’ll know that moment divine,
When all the things you are, are mine.'
As the final chord dies they smile in the sunlight, bound by the song and walk away, each wrapped in the perfection of the other.
***
Inhale and lengthen my spine. Feel each sinew separate and the muscles knit to control the movement; extend, extend, extend, tipping forwards in to beauty as my leg rises in an arc towards the ceiling. The perfect arabesque. Until I glance at the mirror and see the kink in what is supposed to be a straight line. This is the gift of the accident, a pelvic fracture and a deformed sacrum. My ballet will never be the same again and I've known for a year.
God! What am I doing? Am I really going to sell the apartment just to pay for a third class theatre to put on a show that I can't even perform? This isn't vocational anymore, it's deluded. Deranged. A lie. As I stand upright, the world falls in to focus, the sun is shining and I can hear music on the street. And I'm hungry, starving. I don't even pay for the studio before sprinting down the stairs to rejoin the world.
***
I sit down on a bench in the Victoria Tower Gardens and watch a pair of kids chasing each other around the Buxton fountain. I've always loved the fountain, especially the story it has to tell of freedom and of family. Today it glows against the sky, all the roof's little tiles wearing the sunlight, sparkling erratically where imperfections in the glaze refract the light. If ever there was a moment to write, this is it.
Ignoring the manuscripts in my bag I open up my Mac. I swear I can almost see the imprints of my fingers on the keys, the whole thing looks battered and tired matching itself perfectly to its owner. It strikes me as a sad comment on us all that you can identify a person more accurately by their appliances than by their hair colour or their clothes. Seems like we all look like our blackberries now instead of our dogs, I'm just a guy in a tired suit with a cardboard coffee cup working through lunch on his laptop .
Now that it's fully booted I hesitate to open the file, not wanting to sully the day with the imperfections of my writing. But I do it, beginning to read; there's no colour here. My work and I sit here, a dark spot on a postcard picture; conspicuous in our lack of vitality, our lack of life. I start to edit. Normally I cut out anything that I would reject in a submitted manuscript, but today I decide to cut out anything which is not real to me. I remove the forced sentences, delete the pretence and the dead hopelessness, the sections where nothing happens to anybody likeable. And I find myself staring at a blank page.
Nothing. Empty nothingness.
At a loss I close the laptop and pull out the scripts. The first, a story of a Polish immigrant whose brother transforms in to a dog, goes straight to the no pile. The next, Life as the Bird Flies, catches my eye as the sun slowly toasts me by the river.
***
In the mid afternoon lull the bridge is at its quietest. Pigeons search for the smallest scrap and take advantage of the lack of traffic to shake out their feathers in the sun. I strum a few chords with no one to sing to and serenade the day with David Gilmour's melody and the words of the bard,
'Nor shall death brag thou wander'st in his shade,
When in eternal lines to time thou grow'st.'
***
Who am I if I am no longer a dancer? Ever since I was a little girl I've pictured myself dancing, alone on a stage framed by a single spotlight. I never imagined how lonely that spotlight could be; all-consuming and cold, holding you apart from not only other dancers but from everyone. Swallowing the last of the hot-dog I bought, I smile at the grease on my hands and marvel at my body's easy acceptance of long-forbidden carbs. On a whim I pull out my mobile, wanting to find Jake and tell him of my realisation, but then pause before pressing the button.
How must it have felt to live with me? After two blissful years of almost sickening happiness he watched me replace him with a guest soloist role at the Royal Ballet. But it was him who sat at my bedside for a month when the motorbike tore my body apart, taking a job he didn't want to pay for private surgery and my recovery. He must hate me. I would hate me.
I've been walking a while so I sit to take stock of where I am. It's the South Bank, quiet on a week day but still dotted with of entertainers and families. I sit on a bench absently running my fingers over the inscription, thinking of Jake and how to prove to him that the girl he fell in love with still exists.
The inscription says
'Dearest April,
Love sat here every Sunday for 52 years, but will be remembered forever.
Always yours, Jack.'
***
All the things I ever wanted to write but couldn't find the words to say; words of comfort and hope for Anna, an imagined future for myself, a lovingly crafted spectrum of emotion encompassing the history of human grace, tragedy and remembrance. There is a twinge of sadness as I realise that a long-cherished dream of writing may never be realised, but at the same time I feel a new faith in the ability of humanity to survive and flourish.
I will survive and I will flourish. I yank out my phone and dial the number on the front of the script. I tell the answering voice to send me the rest of the book post-haste and schedule a tentative meeting should the conclusion match the breathtaking opening. My first book, first author and I know I can succeed. I consider running back to the office, to start planning my new life; mentally listing publishers, potential reviewers and readings at Foyle's. But I decide to wait for the rest of the script. Instead I begin to walk along the river bank towards Covent Garden determined to find Anna, and to make her look me in the eye. Tonight is either the end or the beginning for the two of us; I'm scared that it's the end, she's been so far away but I can't live like this anymore.
***
An hour later and I'm still sitting on the bench, palm resting on Jack's everlasting love letter. I'd never really thought before about how long life was, and how beautiful it could be. A little girl in a pink dress and tiny ballet shoes runs across my consciousness. I try to block out the memories, squeezing my eyes tight shut and to imagine the future instead of the past. The tiny dancer stubbornly trips across the floor, arms raised to her father and it's Jake scooping her up and holding her close, kissing the auburn curls. He crosses the room smiling at someone and I see myself, the dance teacher, healthy and happy, watching my daughter and her father together. I don't want to open my eyes and break the picture but as a pigeon brushes my leg the spell is over. I sit a moment longer with ancient love at my back and a tentative future before me and then start to walk towards Westminster Bridge.
***
She looks as though she's sleepwalking; tiny steps and a detached expression, ballet shoes dangling from their ribbons in one hand. He's just watching her. I think they know each other, or at least they used to but I can't read his expression. I'm struggling to find the right song to make things right for them. It's melancholic but beautiful, a song of hope and recovery and I can't think of it. I search her face, delicate features picked out in a pale ecru, eyes shadowed and almost violet in the sunshine. Something more or maybe less than human in her manner, she leans on the railings dangling her shoes over the drop and closes her eyes.
I find the song, Sarah McLachlan's Angel, and as I strum out the opening lines I see a tiny smile.
'Spend all your time waiting, for that second chance, for a break that would make it okayThere's always a reason, to feel not good enough, and it's hard at the end of the day'
I'm glad that she knows it, and I see him mouthing along eyes fixed on the side of her face, where her beauty is cut by a cheekbone sharpened with hunger. When a passer-by brushes her elbow, my fingers tighten on the frets, as if they could break her. I see him take a step forward too but still he's unsure. The verse's not enough, so I roll in to the chorus, pouring a lifetime of small moments in to the words,
'In the arms of the angels, fly away from here.
From this dark cold hotel room and the endlessness that you fear.'
But it falls short, she won't turn around and he's taken a step back again. Desperate I reach for inspiration and with a rush of breath I leap up on the balustrade. Someone shrieks and she turns around and darts towards me as he does the same. Feigning obliviousness I deliver the last two lines and leave them to end their story.
'You are pulled from the wreckage, of your silent reverie.
You're in the arms of the angels, may you find some comfort here'.
***
She's a body width away from me and looking at me in a way I barely remember.
'Anna', I reach a few millimetres in to the gap between us and she's in my arms, tiny and broken but all mine again. She doesn't say anything but just breathes in to me, filling my chest with her warmth. She fumbles for my hand, unsure of a welcome and I take it without hesitating.
As we turn to leave I see her pointe shoes are still on the railing. She sees me looking, tugs on my hand and with a smile she says,
'Jake, leave them there'.
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