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Happy thanksgiving internet acquaintances,

In honor of social distancing and my gf working 3-7 today unexpectedly, I’m going to need some entertaining this morning. Go ahead and send me a number between 1 and 6 for the book and a number between 1 and 400 for the page (via ask box) and I’ll tell you a cool medical fact from that page.

If the book in question does not contain the page you requested, I’ll go down by hundreds until I get to an existing page.

Have fun!

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I realize its been a bit since I last updated. I have a need yall.

And that is method development. Let’s say your scientist is experimenting on your poor whumpee. But perhaps they’re the first person doing this and the “methods” they use are new to them. (This could be actual experimentation or just straight up torture. You decide.)

But method development is trial and error with a side of research, and a dash of aggravation. Have them have to rerun experiments because they cannot get the instrument to cooperate or their method is clunky and causes the whumpee to pass out. Have the whumpee experience the same thing over and over with gradual differences until the scientist finally gets it right. Maybe the celebrate with the whumpee? Or maybe it just gets worse as they can move on to the next phase.

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What is in my heart, if not the desire for home? Undoubtedly, I pray for a fixed place in the world like the stars in the sky and the stones within the earth. His question rings in my ears, tolling like the groan of the bronze bells of the island fastness where once I been loved. What do you do now?
The challenge in his eyes is clear cut as diamonds on jeweller’s cloth, the edge to his words almost rattling like a coin upon a table. What are you willing to do? How far are you willing to go to?

-Extract from Val 7, BOOK 9 of The Thirteen Kingdoms series

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Your friend does have some say in their (xheir?) medical care.

Before we begin, there are many, many things that cause abdominal pain, and without very specific tests (various physical diagnosis maneuvers as well as a CT or ultrasound) its unlikely xhe would know that it was indeed appendicitis (or any other problem requiring abdominal surgery) that was the problem. So essentially, xhe should go to the hospital if xhe’s concerned.

If something did end up being appendicitis, your friend is going to talk to a surgeon before the surgery and get the chance to explain xhier fears surrounding a laparoscopic surgery. From a purely medical standpoint, laparoscopic surgeries are generally better- lower risk of complications, shorter recovery time, less pain, etc…), and hopefully the surgeon would be successful in explaining this.

Usually to justify taking the extra medical risk to an insurance company (which would be paying for a longer hospital stay), there has to be a medical need (such as the appendix being in a place the surgeon couldn’t get to laparoscopically). However, if the patient absolutely refused to have a laparoscopic procedure, the medical need of them having the surgery vs refusing could override this.

I had a patient who would come in every 3 months or so with appendicitis because they kept refusing surgery. We’d give them IV antibiotics and pain meds and they’d have a 3-or-so day stay, and go about their life until it happened again. Obviously not ideal, but it was the best we could do for them without being able to get them to agree to surgery, and patients have every right to refuse, assuming they know and understand the risks.

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Fantasy Guide to the Medieval Household (The noble family)


*I may have sang that in the Addams family theme*

I often get asked what goes down in the noble household of a lord, an Earl or a Duke & how the family unit usually worked. So I have decided to compile everything one needs to know in this guide. If you are looking for the description of the actual house of the family or the jobs of their servants, check these links.

The Lord/Title Holder


So the Lord (or insert any noble title & insert other genders, its really that simple) is the head of the estate as well as the household & family unit. They were in charge of hearing the troubles of the tenants either local or from afar depending on the severity of the case being heard and the size of the lands ruled by the lord. They would adjudicate criminal and civil matters. They would also meet with the alderman and other servants of both the household and estate such as their Marshall and steward to oversee the accounts and protection matters of the land. Their main role within the family unit is a decision maker and  a driving force. Nothing gets said nor done without their permission or at least their knowledge of it.

The Lady/Consort


Again, insert other titles & genders. The lady or Consort was usually involved in the running of the household. They would have their finger on the pulse of the house, and expected to be on top of all the goings on within the household, such as knowing the expenses, the stock of supplies and the welfare of the servants. The Consort basically works as the manager of the actual home, with the servants communicating with them or the steward. They will also be heavily involved with the poor of the region, heading charities. The Consort would also act as an ambassador of mercy, preaching mercy and forgiveness on behalf of criminals to their spouse who would be judging their case.



The children of the household lead relatively similar lives in their early years. Before puberty, children would grow up in the nursery. Babies would be given around the clock care, cared by wet nurses, rockers and a governess. Older children when about five, will begin their lessons with their tutors. When about ten or so, they to emerge in the household, trained by the Consort in how to run a household, the Lord on how lands should be ruled, how to fight from the master at arms and how to comport themselves in a mannerly way by their dancing master. They would also share their lessons with foster children known as wards (noble children taken in to be schooled by the Lord) & sometimes are sent to other nobility to be fostered. Thus tightened relations between nobles as well as provided the child with education. Teenagers would usually begin to be used as pawns in the marriage game about now but were rarely married young as some fantasy works suggest, most nobles would be married by the time they were 20. During their teen years their parents would begin to look for a spouse for them, they will usually begin to enter the society at this point, going to court and entering royal service.

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Hi there! Sorry that it took me a couple days to get to your question.

There are definitely some breeds that can’t tolerate the extremes of the planet’s weather, but for the most part, any horse can live in any reasonable climate. All horses can grow a winter coat, and begin to do so automatically as the days get shorter. Similarly, as the days lengthen, the grow a sleeker summer coat.

Horses do seem to struggle at times to acclimate to a brand new climate. You can find plenty of anecdotes about this online when people either buy a horse from another area or move their horse to another area for some other reason. A horse that’s been living for years in the high desert, for example, may not grow a particularly dense winter coat it’s first winter in Vermont. Usually, though, they seem to get recalibrated within a year or two, though some may always require a little extra attention to combat the cold.

For the most part, especially if they were born and raised there, horses seem to do fine in frigid places as long as they have plenty to eat all winter.

You’ll often see films where it’s supposed to be the dead of winter and the horses all have sleek, shiny coats. Then, you can assume that either the horses for the shoot were supplied by someone who brought them from year-round warm climate, or more likely, the film/scene is being shot in a warm place with fake snow. ;)

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One of them is riders that jerk on the reins and kick all the time. Horses are so sensitive they can feel an insect land on them and the bridle reins usually connect to a bit that’s in their MOUTH, an extremely sensitive area for almost any animal. You can read an old answer I wrote to see more reasons why characters who do this are being objectively bad riders. But because these phrases are used so much in fiction, authors assume without asking that their depiction is correct.

I have another one that’s so weird for a horse lover to admit that I almost don’t want to add it, but I also don’t tend to enjoy depictions of knights or soldiers who ride a war horse that they’re super attached to and have ridden for years. If they’re in a lot of combat situations, the likelihood they haven’t lost a horse and replaced it, probably more than once, is hideously small. I think authors do this because in fiction and movies, it’s really rare to show realistic horse-involved battles, because while audiences are often unfazed by gory human deaths, they don’t tolerate seeing animal deaths. There’s a suspension of disbelief problem for me here because a horse was almost always an easier target than its rider, and the risk to a horse was therefore several times greater. The likelihood of fighting a long time without losing your horse to death or injury is incredibly small.

Wow, this isn’t the lighthearted answer you were probably looking for. 😂

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