Date: 15/12/22 Support Tips: Preparation: in order to best prepare some actions might include ~ Considering your sensory needs- pack a bag with sensory aids such as headphones, earplugs, coloured glasses, stim tools, comfort items and so on to support your comfort whilst at your appointment. Considering your communication needs- perhaps take a trusted friend or family member to support with verbal communication, a hospital passport that you can share with staff or notes including scripted comments or responses that you can refer to during the appointment to support with or replace verbal speech. Wear suitable clothing that can be easily taken on and off. To minimise uncertainty, research what is involved in the procedure before attending so that you have a good idea what to expect. Write out a list of questions to avoid relying on memory during a potentially stressful experience. Plan your travel route in advance and leave plenty of time to get to your appointment to minimise anxiety and allow time to adjust to the environment upon arrival. Engage in calming, grounding techniques prior to the appointment start time. During: whilst at the appointment it may be helpful to ~ Ask for the nurse practitioner to talk you through the procedure in full before it commences, preferably with use of images or demonstrations with relevant equipment. Be open about which aspects of the experience you might struggle with as an Autistic person and request particular adjustments. Engage in grounding techniques such as mindful breathing. Hold on to a stim object that is comforting or acts as a stress reliever. Listen to music to support self-regulation. Share your concerns or worries with the nurse practitioner to invite reassurance or helpful advice. Remember your reason for attending and why it is important for you. Aftercare: following the procedure, it is a good idea to plan in some time for self-care and self-regulation, some ideas might include ~ Get yourself into a sensory safe space where things feel predictable and calm (for e.g. a quiet room with dim lighting, weighted blanket etc). Arrange to debrief/chat to a friend or another supportive person about your experience after leaving your appointment. Arrange to meet with a trusted person following the procedure to support you with getting back home or perhaps to do something you might enjoy together. Engage in your dedicated interest. Acknowledge your achievement in attending and getting through the appointment. Journal about your experience to help with emotional processing. Engage in your favourite stim to release any tension that may remain in your b0dy. Allow yourself to physically rest or sleep once back at home. Date: 15/12/22

Cͨaͣrͬdͩiͥoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf hͪeͤaͣrͬᴛⷮ dͩiͥs͛eͤaͣs͛eͤ oͦrͬ hͪeͤaͣrͬᴛⷮ aͣᴛⷮᴛⷮaͣcͨᴋⷦs͛). нⷩeͤmͫoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf вⷡloͦoͦdͩ). Noͦs͛oͦcͨoͦmͫeͤрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf hͪoͦs͛рⷬiͥᴛⷮaͣls͛). Рⷬhͪaͣrͬmͫaͣcͨoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf mͫeͤdͩiͥcͨaͣᴛⷮiͥoͦn). ᴛⷮoͦmͫoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf mͫeͤdͩiͥcͨaͣl рⷬrͬoͦcͨeͤdͩuͧrͬeͤs͛ liͥᴋⷦeͤ s͛uͧrͬgeͤrͬiͥeͤs͛). ᴛⷮrͬaͣuͧmͫaͣᴛⷮoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf iͥnjuͧrͬy).

⚕️🏩💉🚑🩻🦴🩺🩹💊

( ̲̅:̲̅:̲̅:̲̅[̲̅♥]̲̅:̲̅:̲̅:̲̅ )

TIPS For CHECKs Feel the instruments and get comfortable with them. Ex: at the dentist, you’re weary of the suction straw. If no plastic cups for rinsing, ask them for some or, have them turn the suction on a low setting and feel it with your finger before they use it in your mouth. Perhaps they can put something on if you don’t like the sucking noise. See how you feel with the specific doctor. Ex: Dr. A seems hurried and strict, but Dr. B seems more empathetic. Or perhaps ask if a nurse can be in the room with you to. Try having the doctor teach you how much you can do. Ex: for a strep throat test, ask if you can swab your own throat, even have them hold your hand whilst you do it in a mirror. Or tell them the way your throat’s structure may find it easier to tilt, etc. (my search NeuroFabulous)

\\\\\\ _________________ / \ [|--O-O| / \ | | | ] | __/ / | | _ _\ _o_\_ \_________________/ | | |*/ ## \ /\ / |/ | \ \ ________________ \__________________/ / |____\ _|_| /\ @@@@@@ \ \_______+/ == \ \ @@ -- @@ \ |*|*****/__/ \ \ @@@ > @@ \ |*|********_____ \ \ @@@_\ o/_@@@ \ |**\_________ \ \ \ @@/ __@@@ \ \************|\ | \ \ | \_/ =/ | \ \***********|| | \ \ \ ___/__ / \_ ** || | \ \ |\\\\\\\\\\ \_ ** \|__|__ \ \_\\\\\\\\\\\\\\ \_ ************ |#####] \__\_\_ \\\\\\\\\\ \_ / \_\_ \\\\\\\\\\\ \_ / \_\_ {_} {_} \ |_________\ \_______________\ \/_______________/

🏩🩹🫁🎈🧸💉🔪💀🕷️🩰🫀🦠🩸⚕️🔮👁️‍🗨️

💉 🩹 💉 🩹 💉 🩹 💉 🩹

💊🧪👁️🩸🍄🩺☠️☎️🏥🚑💉🦷🩹🧠🔪

🩹🦴🤍🐁☁️

💉 💊 💉 💊 🏩 💊 🩹 👁 🩹

Autism and Anxiety AUTISM Medical Visits and Autism: A Better Way Strategies to reduce anxiety during doctor visits. Posted April 6, 2019 Going for a medical visit can be a scary proposition for any child. A child on the autism spectrum has to cope with all of the usual fears associated with seeing a doctor. However, for the autistic child, there are a host of other factors that can make seeing the doctor not only unpleasant, but also downright terrifying. Some of these factors are: Waiting Waiting is unpleasant and difficult for most children to do. However, for the autistic child, waiting can result in very high distress. Children on the spectrum may struggle with the concept of time, and thus may not find comfort in being told that they will be seen in X number of minutes. Waits at the doctor's office also tend to be unpredictable, and this unpredictability often creates high anxiety for autistic kids. Abrupt Transitions Doctor's offices are busy places. When it is time to move from one part of the visit to another, there is often pressure to do it quickly, without advance notice. These types of abrupt transitions can be very unsettling for the child on the autism spectrum. Sensory Sensitivities Doctor's offices are not very sensory-friendly places: bright lighting, unfamiliar sounds, unpleasant smells, and multiple intrusions on the tactile senses (e.g., blood pressure cuff, feel of stethoscope) can be very difficult for an autistic child to process and cope with. Language Processing Being asked multiple questions—often at a quick pace—can quickly overwhelm the language-processing capacity of a child on the spectrum. The use of abstract language and unfamiliar medical terms can further contribute to anxiety. The Consequences of Health Care Anxiety Health care-related anxiety can have serious consequences. The child on the spectrum may be distressed not only during the visit, but for days (or even weeks) before. Challenging behaviors during the visit (due to anxiety, not intentional) can prevent health care providers from conducting a thorough evaluation, and may make it difficult for parents to ask questions or to express their concerns. A Better Way Fortunately, there are a number of strategies that parents and health care providers can use to substantially reduce the anxiety associated with medical visits. Ideally, parents and providers should work together in developing a plan that will target each individual child's needs. These strategies include: Bring comfort items. A favorite toy or stuffed animal can help to reduce anxiety during procedures. Use distraction. Distraction can divert attention away from fear-filled procedures. Distractions can be physical items (such as toys or video games) or the use of a familiar person that the child feels comfortable with. Do a "dry run." Visit the office and meet the staff before the first official appointment. Use clear language. Health care providers should use concrete terms and a conversational pace that is manageable. Bring communication systems. Ensure that communication systems include words and phrases which may be used during an appointment. Use a visually supported schedule. This can help the child to understand what will occur next during a visit. Use familiar staff. Ensure that staff the child feels comfortable with are available on the day of the appointment. Get paperwork done ahead of time. Office staff should send forms and other paperwork home for completion ahead of time to avoid unnecessary waiting. Address sensory sensitivities. Health care providers and office staff should address all sensory aspects of the visit and minimize unnecessary noise, smells, and other forms of stimulation. Summary Health care visits can be really scary for kids on the autism spectrum, but it doesn't have to be this way. With some minor accommodations, health care visits can become a much more tolerable experience for autistic children and their families Christopher Lynch, Ph.D., is a psychologist who specializes in stress and anxiety management for children with autism. He is the Director of the Pediatric Behavioral Medicine Department at Goryeb Children's Hospital.

"We removed Plankton's wisdom teeth. He's still asleep, you can stay with him." Said the oral surgeon to Karen. They've just finished and lead Karen into the room. Plankton is lying in the hospital bed, his face a mask of peace, the only signs of the recent surgery being the gauze in his mouth and the drool seeping out the side. His cheeks are slightly swollen, and she wonders when he'll wake up. The doctor said it could take a while. The IV line snakes up his arm. Karen pulls a chair up beside the bed. She takes his hand and holds it gently, feeling the warmth of his skin contrast with the coolness of her own palm. The room is sterile, the air conditioning humming steadily in the background. The faint smell of disinfectant fills the space. She looks around the room, noticing the monitors beeping in rhythm with Plankton's breathing and heart rate. The nurse comes in and checks the machines, making a few quiet notes on a clipboard. She smiles at Karen, "He's doing well. Just let him sleep. It's the best thing right now." Karen nods, squeezing Plankton's hand slightly, willing him to feel her presence. She wonders what dreams he's having, if any, behind his closed lid. Time seems to crawl as Karen watches him sleep. She tries to read a book, but the words blur together. Her thoughts drift to their lives before this moment, their shared laughter, their arguments, the quiet moments of understanding. Her gaze lingers on his swollen cheeks, his chest rising and falling with each breath. A soft groan escapes his lips and his eye begins to flutter open. Slowly, Plankton comes to, his vision blurred by the anesthesia's last hangover. He blinks, trying to focus on Karen's face. She sets aside her book and smiles at him, her screen welcoming him back to the world of the conscious. "Hi," she says softly. "How are you feeling?" Plankton makes a sound that's somewhere between a whine and a grunt. His eye wanders the room before finally settling on hers. "What...what happened?" he slurs, the words barely audible through the gauze. Karen's smile widens a bit. "You had your wisdom teeth removed, remember?" He nods slightly. The nurse reappears, checking his vitals again with a gentle touch. "Time to go home," she says, removing the gauze. They make their way out of the hospital, Karen supporting Plankton gently as he stumbles, his legs still wobbly from the anesthesia. The sun is setting, casting long shadows across the parking lot. Karen helps Plankton into the car, buckling him in and adjusting the seat so he can lean back and rest. He nods off almost immediately, his breathing evening out as the car starts and they pull away from the hospital. The drive home is quiet, Plankton's snores punctuating the hum of the engine. Karen keeps glancing over, checking on him, her concern etched into every line on her screen. The pain medication is strong, keeping him in a half-awake state. Each time he wakes, he looks around, disoriented, before his eye finds hers and his expression relaxes. Once they arrive, Karen guides him to the couch, his body feeling heavier than ever before. He slumps into the cushions and she grabs the ice pack from the cooler. "Hold this to your cheeks," she instructs, placing the cold compress against his skin. He nods obediently, his eye already glazing over with the promise of sleep. The TV flickers on, its blue light washing over the room. Karen finds a sitcom they both enjoy, hoping the familiar laughter will ease his pain and keep them both company. But Plankton's snores soon overpower the TV's audio, his head lolling to the side. She smiles, knowing he's in a deep slumber, and covers him with a blanket. The house is eerily quiet except for the steady tick of the clock on the wall. Karen moves around the kitchen, preparing a soft meal for when he wakes, her mind racing with thoughts of what the next few days will be like. Plankton's recovery will be slow, but she's ready to take care of him. She's his rock, his support, and she'll do anything to help him feel better.

"I know your antenna hurts, Plankton. Why do you think I'm driving you to the doctor?" Karen exclaimed. The Bikini Bottom Hospital looms right up ahead. Plankton winced as he touched his antenna, which was swollen. "Don't you dare say 'I told you so' to me," he mumbled. "Why would I do that?" Karen replied, feigning innocence. They both knew it was because of his latest invention, a crazy contraption that was supposed to harness the power of jellyfish to make the perfect Krabby Patty. But, as usual, it went awry, and he wasn't quick enough to get out of the way. They arrived at the hospital. The receptionist glanced up from her desk. "Hello! How may I help you?" "It's Plankton," Karen said, nodding to her husband. "He's got an antenna problem. It's swollen and he's in pain. He got it slammed in between..." "Karen please.." Plankton interrupts. The receptionist remained professional. "Alright, let me get you checked in. Have a seat and will be with you shortly." The waiting room was filled with the usual assortment of Bikini Bottom residents nursing their injuries. Plankton tried to ignore the pain. A few minutes later, a doctor with a stethoscope around his neck called, "Plankton?" Karen gave him a gentle nudge and they followed into an examination room. The doctor took a look at his antenna, examining the swollen appendage, and Plankton's face contorted with each touch. The doctor spoke calmly, "We're going to need to perform surgery to repair the damage. It's nothing to worry about. The surgery is scheduled for tomorrow morning." Plankton's eye grew wide with dread, while Karen took the news in stride, already planning what she would need to bring him for comfort during their stay. Once outside the hospital, Plankton's mood quickly soured. "Surgery? How could you let this happen, Karen?" he snapped. "It's your own fault for messing with those inventions," she retorted. They both knew the real culprit was his relentless pursuit of the Krabby Patty secret formula, but the pain made Plankton more irritable than usual. They went home in silence, the tension between them thick enough to cut with a spatula. As they approached the Chum Bucket, Plankton's laboratory and their shared home, Karen finally spoke up. "Look, Plankton, we need to get you ready for tomorrow. You should rest." Plankton nodded begrudgingly. Karen sighed, knowing she had her work cut out for her if she wanted to ensure Plankton's recovery went smoothly. She helped him to their bedroom. Karen began to pack a bag filled with things to keep his spirits high during their stay. She tossed in a blanket, and a stack of comics featuring Mermaid Man and Barnacle Boy, and even a teddy bear. Karen couldn't help but reflect on how Plankton's obsession with the Krabby Patty formula had led to so many disasters. Despite his constant failures, she couldn't help but feel a twinge of pity for his never-ending quest. It was clear that he was driven by something deeper than mere greed; perhaps it was the desire for respect or the thrill of the chase that kept his tiny body and mind going. The next morning she got out of bed. Plankton's surgery was scheduled for 8 AM. She needs to get him up so they can go. Plankton was lying in bed. Karen sets the bag by the door before turning back to him, his good antenna twitching in his sleep as he continued to snore. She sighed and sat down on the edge of the bed. Gently, she shook him. "Plankton, it's time to wake up," she whispered. He groaned and opened his eye, looking up at her with a mix of fear and resentment. She knew the surgery was weighing heavily on his mind. The hospital was quiet this early as they made their way to the surgery wing. Plankton's heart raced as they walked in, his antenna throbbing. He took a deep breath to focus on the comforting sound of Karen's voice as the doctors and nurses prepared for the procedure. Karen sat by the bed with their bag in her lap. "Here," she said, handing him the teddy bear, "This will help you feel better." Plankton took it, feeling slightly embarrassed but also some comfort. He squeezed it tightly to his chest as the nurse draped the blanket over him. The nurse came in to administer the medication. Plankton's grip tightened on the teddy bear. "Just breathe deep," they coached. Karen watched as the medicine began to take effect. Plankton's eye grew heavy and his breathing slowed. He looked so vulnerable lying there, his defensive armor of anger and sarcasm stripped away. It was moments like these that reminded her why she put up with his shenanigans. As the anesthesia took hold, Plankton's grip on the teddy bear loosened. His body went slack, and he was soon fast asleep, his breaths deep and even as his mind drifted into oblivion. The doctors and nurses moved swiftly once he was out, preparing the surgical instruments as Plankton's snores echoed gently through the sterile room as Karen watches them begin the operation on his antenna. Her gaze was firmly fixed on Plankton's sleeping face, studying the way his expression softened in slumber, his mouth parted slightly in a way that made him almost seem... peaceful. When they finished the procedure, the doctor smiled. "Went perfectly, he did so well," he said to Karen. The nurse nodded in agreement. Karen felt a weight lift from her shoulders. They wheeled Plankton to a recovery room, and she followed closely behind, her eyes never leaving his tiny form. The room was dimly lit, with a gentle beep from the monitor attached to him, keeping track of his vital signs. The nurse helped transfer him to the bed, his arm draped over the side. She pulled the blanket over him as the teddy bear was placed under his arm. The nurse helped him settle into the bed, adjusting his pillows and covering him with a warm blanket. Plankton's chest rose and fell rhythmically, his snores now quiet. Karen sat in the chair beside his bed, holding his hand, her thumb brushing over his knuckles in a soothing motion. The room was dim, the only light coming from the glow of the medical equipment. The steady beep of the heart monitor was the only sound in the otherwise silent room. It was a stark contrast to the chaotic environment of the Chum Bucket, filled with the clanking and whirring of his never-ending inventions. Plankton stirred, his single antenna waving slightly as he woke up groggily. The pain from his surgery was managed by the drugs, but his mind was a fog. He blinked several times, trying to bring the room into focus. He felt a warm hand in his. "Karen?" he croaked out. Her eyes snapped to his, relief flooding her face. "You're awake," she said, her voice soft. She squeezed his hand back gently. The doctor walked in, a clipboard in hand. "How are you feeling?" he asked, looking at Plankton. "Tired," Plankton replied, his voice hoarse from the surgery. Karen leaned over the bed rail to get a better look at him. The nurse offered him a cup of water with a straw, which he took gratefully. "Your antenna is going to be okay," the doctor said, his tone reassuring. "We've managed to repair the damage. You'll need to keep it wrapped and protected for a today, but it should be as good as new soon." Plankton nodded, still feeling the fog of anesthesia. His eye searched the room slowly, taking in the unfamiliar surroundings of the recovery room. "You might sleep for the rest of today, which is normal and totally ok!" The doctor left the room, leaving Karen to watch over Plankton. She sat in the chair beside him, her hand still holding his, feeling his fingers tighten around hers as he fought the urge to drift back into sleep. "What's the plan?" Plankton mumbled, his voice slurred from the anesthesia. "Rest," Karen said firmly. "Lots of it. That's what the doctor ordered." She gave his hand another squeeze. The nurse checked his bandages and removed his IV. "Hah?" "Alright, Plankton," she said with a smile, "you're all set to go home." Karen stood up, feeling the relief wash over her. She helped him sit up, his movements sluggish from the lingering effects of the anesthesia. He swung his legs over the side of the bed and she noticed his antenna wobble slightly as he found his balance. With Karen's assistance, They made their way slowly down the corridor. The hospital's bright lights felt harsh to Plankton's half-open eye, and the smell of antiseptic made him twitch. His antenna, now wrapped in a fresh bandage, pulsed with a dull ache, but the pain was nothing compared to the exhaustion that weighed down his every movement. Karen walked beside him, her hand ready to catch him if he fell. Outside, the early afternoon sun shone down on Bikini Bottom, casting long shadows over the sidewalk. Karen helped Plankton into the car, making sure he was buckled in tightly before putting the bag in the back. She got his blanket and leaned his seat back, giving him extra room to rest. Plankton leaned his head back, his eye already closing. The gentle hum of the engine was soothing, and he felt his body begin to relax. Karen started the car and pulled out of the hospital's parking lot. The drive home was quiet, with only the occasional snore from Plankton to break the silence. She glanced over at him, his chest rising and falling steadily.

Going into Hospital When you are suddenly needing to go into hospital it can be scary, and the last thing people want to do is think about what they need to take with them. For this reason we have compiled this list to help you prepare. Comfortable/ Loose fitting clothing Several pairs of underwear Thick socks Ipad/Tablet/ Ipod w/ earphones Money Sanitary pads Mobile phone and charger Food to snack on Books/ CD’s/ Magazines Toiletries/ face wipes/hairbrush Own Pillow Clothing for going home Dressing gown and slippers An overnight bag is a good idea (although you may not need this) Heating pad

~ Considering your sensory needs- pack a bag with sensory aids such as headphones, earplugs, coloured glasses, stim tools, ice, comfort items and so on to support your comfort whilst at your appointment. Considering your communication needs- perhaps take a trusted friend or family to support with verbal communication, a hospital passport that you can share with staff or notes including scripted comments or responses that you can refer to during the appointment as verbal speech. Wear suitable clothing or dress that can be easily taken on and off. To minimise uncertainty, research what is involved in the procedure before attending so that you have a good idea what to expect. Write out a list of questions to avoid relying on memory during a potentially stressful experience. Plan your travel route in advance and leave plenty of time to get to your appointment to minimise anxiety and allow time to adjust to the environment upon arrival. Engage in calming, grounding techniques prior to the appointment start time. During: whilst at the appointment it may be helpful to ~ Ask for the nurse practitioner to talk you through the procedure in full before it commences, preferably with use of images or demonstrations with relevant equipment. Be open about which aspects of the experience you might struggle with as an Autistic person and request particular adjustments. Engage in grounding techniques such as mindful breathing. Hold on to a stim object that is comforting or acts as a stress reliever. Listen to music to support self-regulation. Share your concerns or worries with the nurse practitioner to invite reassurance or helpful advice. Remember your reason for attending and why it is important for you. Aftercare: following the procedure, it is a good idea to plan in some time for self-care and self-regulation, some ideas might include ~ Get yourself into a sensory safe space where things feel predictable and calm (for e.g. a quiet room with dim lighting, weighted blanket etc). Arrange to debrief/chat to a friend or another supportive person about your experience after leaving your appointment. Arrange to meet with a trusted person following the procedure to support you with getting back home or perhaps to do something you might enjoy together. Engage in your dedicated interest. Acknowledge your achievement in attending and getting through the appointment. Journal about your experience to help with emotional processing. Engage in your favourite stim to release any tension that may remain in your body. Allow yourself to physically rest or sleep once back at home.

ᴡᴀʀɴɪɴɢ: ʙʟᴏᴏᴅ & ꜱᴜʀɢᴇʀʏ “Good morning, Ms!” Ms has hypersensitivity due to autism. Even a slight touch is unbearably painful! How will Ms get through the medical exam? Ms sits on the exam table, heart racing. Ms tries to focus on the poster of a serene beach scene to calm herself. Dr. Hartwell, noticing her distress, approaches carefully. "Ms I know this can be overwhelming. But I'm here to help you. We'll take it slow, okay?" Ms nods, gripping the cold metal bar tightly. He starts with gentle explanations of each step, his voice calm and steady. Ms tries to breathe deeply, fighting the urge to retreat. The door clicks shut, a soft, final sound that echoes in the sterile room. He asks if she's ready, and she shrugs. His gloved hand touches her skin, and she tenses. "Ms, I'm sorry," Dr. Hartwell says, retreating slightly. He tries a different approach, his voice softer now. "How about I touch with less pressure?" The pain subsides a fraction, but it still remains. Dr. Hartwell then gets out a big metal speculum. Ms sees it, feels it, she’s uncontrollably shaking. "Ms," Dr. Hartwell says calmly, placing the speculum down. “Sorry. To big and hard,” Ms manages. The doctor nods thoughtfully, his gaze never leaving hers. “Let's use this instead,” he says, picking up a smaller, plastic one. It's less daunting, less cold, but the pain lingers, unbearable. Ms grips the bar tighter, her knuckles white with strain. “You're doing great,” Dr. Hartwell whispers, his voice a balm. He inserts the speculum slowly, his eyes on her face, reading every twitch, every flinch. Ms squeezes her eyes shut, body rigid with tension. The plastic touches, slides, and she gasps, but it's more unbearable than she feared. Dr. Hartwell stops immediately, his expression filled with concern. "Would you like to insert it?" He gently withdraws the tool. They’re running out of time. He looks around the room. "How about we try this?" he asks, his voice a gentle coax. "You can sit in the chair, lean back, and I'll examine you that way." Ms nods, desperation in her eyes. Dr. Hartwell adjusts the chair, bringing the foot rest closer. He tells her to put her feet up, the action itself traumatizing. He takes the smaller speculum, coated it in gel, and tells her to breathe deeply. Dr. Hartwell proceeds, his movements precise and gentle. Ms feels the pressure, the intrusion. She whimpers. The doctor's eyes meet hers, filled with understanding. "Let's try this," he suggests, picking up a small object. "I'm going to use this cotton swab instead. It's softer, less intrusive." Ms nods, the fear lessening ever so slightly. The cotton swab touches her gently. The pain does not vanish, but it's tolerable, a dull throb instead of a piercing scream. The doctor's voice remains calm, guiding her through the motions. “Good. Now for a mammogram..” Ms feels a new wave of anxiety crash over her. The machine looms in the corner, cold and unforgiving. "It’s important we check everything today," Dr. Hartwell explains, his eyes kind and patient. "But I know this is hard for you. Can you please stand up and come…” Ms, however, is still shaking, knows her hypersensitive condition will render it. The doctor notices and quickly adapts. "How about we skip the mammogram for now and discuss other options?" They talk through alternatives, like manual self-checks at home. Dr. Hartwell assures her that her health is his priority. He's willing to work with her to find the best approach, one that's comfortable and effective. Ms feels a glimmer of hope, a hint of trust and gratitude. They agree on a plan: a manual exam for today, and they'll explore further options for if needed. Her eyes light up with hope. They go over the instructions, simple steps she can do herself. Ms feels empowered by the idea of having control over the process. The doctor's empathy is palpable. They practice together, a mock exam with a plastic model. Mis's hands shake slightly as she mimics his gentle touch. He corrects her grip, praising each small victory. “Your in need of two hormone inoculations.” Dr. Hartwell says. Mis's heart sinks. She hates the sharp sting, the feeling of invasion. She looks at the needle, so thin and yet so terrifying. Her anxiety spikes, her chest constricts, making it hard to breathe. Dr. Hartwell notices and nods. "Ok let's try something different," he says, his voice calm and measured. He shows her a cream, explaining how it can help. They apply it, waiting for it to work. Finally, the time comes. Dr. Hartwell holds the needle, his grip steady and firm. His touch is swift and sure, but Ms feels the pain, a sharp reminder of her vulnerability. “One down, one more to…” But she cries. Dr. Hartwell pauses, understanding in his eyes. "It's ok," he says gently. "We can find another way." He sets it aside and pulls out a small device. "This is a topical anesthetic spray. It will numb the area so you don't feel as much." Mis nods, desperate. He applies the spray, and she feels a coldness spread where the inoculation will soon be. The doctor waits patiently, letting the numbing agent work its magic. Mis's breathing slows, the panic easing slightly. "Ready?" he asks, his voice soothing. This time, the approach is less terrifying. It’s administered with minimal discomfort. Ms winces but does not pull away. The pain is there, but it's muffled. Dr. Hartwell nods, his expression a mix of relief and determination. "Good job, Ms. You're doing so well." Ms needs a blood draw. She's not just afraid of needles, but the anticipation of pain, the cold touch of the alcohol swab, the pressure of the phlebotomist's grip...it's all too much. Not to mention the actual poking prick.. Dr. Hartwell notices and suggests a compromise. They'll use a butterfly needle, smaller and more comfortable, and a warmer to heat before drawn. The nurse prepares the equipment, movements efficient and kind. She's used to dealing with anxious patients, but Mis's fear isn’t just fear or annoyance; it’s autistic condition and hypersensitivity that Ms herself knows limited pain tolerance. The nurse wraps the warm cloth around Mis's arm, and the gentle heat seeps. Dr. Hartwell takes his place beside her, holding the small butterfly needle with a cotton ball at the tip. The nurse places the heated alcohol swab on the inner elbow, and Ms tenses. It's a gentle poke and she feels the slight sting as the nurse inserts it. But of course the sting is magnified for Ms. The nurse is quick, her hands steady with expert ease, and the whole process is over in seconds. Mis's heart is racing, her body shaking. Dr. Hartwell rubs her shoulder, his touch a reassurance. "It's over," he says softly. "You did it." Ms nods. "What can we use for next time?" The nurse asks. “X-rays, different form of the hormonal injection where no needles are involved, urinal test instead of bleeding? A bigger room? Child sedatives?” Ms murmurs. Dr. Hartwell nods, scribbling down notes. "We'll explore all those options. In the meantime, you can go home!" “Thanks..” Ms says. The next appointment, Mis goes knowing her sensitivities have not changed. This time, Dr. Hartwell meets her in the hall. Mis breaks down, despite being gratefully understanding and trying to be brave. They take her to a quieter, more private exam room, decorated with soothing colors and a soft, plush chair. "Take your time, and tell when you're ready." Ms sits down. She sees a box labeled "DIY Health Kits" and feels a spark of curiosity. Dr. Hartwell opens the box, revealing an array of tools and instructions tailored to her needs. "This is your DIY health kit," he explains, his voice calm and soothing. "You can use to perform self-exams at home. It's less invasive, and you can do it on your own terms." Ms nods, a flicker of hope in her eyes, tears of relief instead of upset tears. He hands a small container with a test strip inside. "This is for urine. It's quick and easy, and it will tell what needs to know." Ms takes the container, follows his instructions, each step a small victory. Dr. Hartwell shows her a slim device, similar to a tampon but with a small cap. "This is DIY Pap. You insert it like so, then twist to collect a sample." The vibrating ice pack is next. "For finger pricks," he says, his voice calm. Ms looks at it, a strange mix of relief and curiosity. The thought of doing it herself is less terrifying than the clinic. "Now, let's talk mammograms," Dr. Hartwell says, his gaze soft. He shows her a handheld scanning device. "This is a DIY mammogram. It uses sound waves, no radiation, and it's less invasive than the traditional. You can use it in the privacy of your home, at your own pace. It's designed to be gentle." Ms nods, the fear slightly eased. The doctor opens another compartment in the DIY health kit, revealing a pack of colonoscopy strips. "These are for checking your bowel health. They're painless and easy to use. All you do is defecate on this, will tell what’s going on down there, ok?" Ms nods. The idea of self-examination is less daunting than the traditional methods. Dr. Hartwell's empathy is a balm, his patience unyielding. He opens the last compartment. Inside, she finds a set of small patches. "These are the hormonal patches," he says, holding one up. "They're like stickers. You just apply one to your skin, and it delivers the medicine through your skin. No needles." Mis's eyes widen. It's like he's reading her mind, offering a solution tailored to her fears. Ms feels a surge of gratitude to Dr. Hartwell. His understanding and willingness to adapt to her needs make her feel seen and heard, something she's not used to, in a medical setting. For the first time, Ms feels a glimmer of hope that she can take control of without the debilitating pain nor fear of ableist microaggressions. ( emojicombos.com/neurofabulous )

Baby Moses law for abandoning newborns In Texas, if you have a newborn that you're unable to ca̢re for, you can bring your baby to a designated safe place with no questions asked. The Safe Haven law, also known as the Baby Moses law, gives parents who are unable to ca̢re for their child a safe and legal chøice to leαve their infant with an employee at a designated safe place—a hospıtal, fire station, free-standing emergency centers or emergency medical services (EMS) station. Then, your baby will receive medical ca̢re and be placed with an emergency provider. Information for Parents If you're thinking about bringing your baby to a designated Safe Haven, please read the information below: Your baby must be 60 days old or younger and unhἀrmed and safe. You may take your baby to any hospıtal, fire station, or emergency medical services (EMS) station in Texas. You need to give your baby to an employee who works at one of these safe places and tell this person that you want to leαve your baby at a Safe Haven. You may be asked by an employee for famıly or medical history to make sure that your baby receives the ca̢re they need. If you leαve your baby at a fire or EMS station, your baby may be taken to a hospıtal to receive any medical attention they need. Remember, If you leave your unhἀrmed infant at a Safe Haven, you will not be prosecuted for abandonment or neglect.

https://www.rcoa.ac.uk/sites/default/files/documents/2022-06/12-SedationExp2021web.pdf

MAR 08 When you are admitted to a hospital, they place on your wrist a white wristband with your name on it. But there are other different colored wristbands which symbolize other things. The red wristbands are placed on dead people. There was one surgeon who worked on night shift in a school hospital. He had just finished an operation and was on his way down to the basement. He entered the elevator and there was just one other person there. He casually chatted with the woman while the elevator descended. When the elevator door opened, another woman was about to enter when the doctor slammed the close button and punched the button to the highest floor. Surprised, the woman reprimanded the doctor for being rude and asked why he did not let the other woman in. The doctor said, “That was the woman I just operated on. She died while I was doing the operation. Didn’t you see the red wristband she was wearing?” The woman smiled, raised her arm, and said, “Something like this?”

The Red Wristband A doctor was working at a hospital, a hospital where the patients were tagged with coloured bands. Green: alive. Red: deceased. One night, the doctor was instructed to get a few supplies from the basement of the hospital, and so he headed to the lift. The lift doors opened and there was a patient inside, minding her own business. Patients were allowed to roam around the hospital to stretch, especially those who have stayed long. The rule was to be back in their rooms before ten. The doctor smiled at the patient before pressing the number for the basement. He found it unusual that the woman didn’t have a button already pressed. He wondered if she was heading to the basement too. The lift finally reached the floor where the doors opened. In the distance a man was limping towards the elevator, and in a panic the doctor slammed the elevator button to close. It finally did and the lift began to ascend back up, the doctor’s heart pounding. “Why did you do that? He was trying to use the lift.” The woman stated, annoyed. “Did you see his wrist?” The doctor asked, “It was red. He died last night. I would know because I did his surgery.” The woman lifted her wrist. He saw red. She smiled. “Like this one?”

ᔆᵃⁱⁿᵗ ᴮᵃˢⁱˡˡⁱˢᵃ ᴹᵉᵐᵒʳⁱᵃˡ ⁶ ᴶᵃⁿᵘᵃʳʸ ᴾʳᵒᶠⁱˡᵉ ᴹᵃʳʳⁱᵉᵈ ᶜʰᵃˢᵗᵉˡʸ ᵗᵒ ᔆᵃⁱⁿᵗ ᴶᵘˡⁱᵃⁿ‧ ᵀʰᵉ ᵗʷᵒ ᶜᵒⁿᵛᵉʳᵗᵉᵈ ᵗʰᵉⁱʳ ʰᵒᵐᵉ ⁱⁿᵗᵒ ᵃ ʰᵒˢᵖⁱᵗᵃˡ ʷʰⁱᶜʰ ᶜᵒᵘˡᵈ ʰᵒᵘˢᵉ ᵘᵖ ᵗᵒ ¹⸴⁰⁰⁰! ᴮᵃˢⁱˡⁱˢˢᵃ ᶜᵃʳᵉᵈ ᶠᵒʳ ˢⁱᶜᵏ ʷᵒᵐᵉⁿ ⁱⁿ ᵒⁿᵉ ʷⁱⁿᵍ⸴ ᴶᵘˡⁱᵃⁿ ᵗʰᵉ ᵐᵉⁿ ⁱⁿ ᵃⁿᵒᵗʰᵉʳ‧ ᴰⁱᵉᵈ ᵒᶠ ⁿᵃᵗᵘʳᵃˡ ᶜᵃᵘˢᵉˢ ᶜᵃⁿᵒⁿⁱᶻᵉᵈ ᴾʳᵉ⁻ᶜᵒⁿᵍʳᵉᵍᵃᵗⁱᵒⁿ

These levels of sedation under anesthesia are defined by the American Society of Anesthesiologists (ASA) and are crucial in determining the appropriate level of sedation for each patient and procedure, ensuring patient safety and comfort throughout the perioperative period. Minimal Sedation: Also known as anxiolysis, minimal sedation involves a drug-induced state during which patients respond normally to verbal commands. Their cognitive function and physical coordination remain unaffected, and there is no compromise in airway reflexes or protective reflexes. This level of sedation is commonly used for procedures requiring minimal discomfort or anxiety relief, such as minor dental procedures or diagnostic tests. Moderate Sedation/Conscious Sedation: Moderate sedation, also referred to as conscious sedation, induces a drug-induced depression of consciousness, during which patients respond purposefully to verbal or light tactile stimulation. While maintaining spontaneous ventilation, patients may experience decreased anxiety and may have impaired cognitive function and physical coordination. However, they retain the ability to maintain their own airway and respond to commands. This level of sedation is commonly used for procedures such as endoscopic examinations, minor surgeries, or interventional radiology procedures. Deep Sedation: Deep sedation involves a drug-induced depression of consciousness, during which patients may not respond purposefully to verbal or tactile stimulation. Patients under deep sedation may require assistance in maintaining their airway, and spontaneous ventilation may be inadequate. However, patients still maintain cardiovascular function. This level of sedation is often used for procedures requiring significant analgesia and amnesia, such as major surgical procedures or certain diagnostic imaging studies. General Anesthesia: General anesthesia involves a drug-induced state during which patients are unarousable, even in the presence of painful stimulation. Patients under general anesthesia require assistance in maintaining their airway and ventilation, and cardiovascular function may be impaired. General anesthesia is characterized by a complete loss of consciousness and protective reflexes, allowing for surgical procedures to be performed without pain or awareness. This level of sedation is utilized for major surgical procedures or invasive diagnostic procedures where unconsciousness and muscle relaxation are necessary. Procedural sedation and analgesia (PSA) is a technique in which a sedating/dissociative medication is given, usually along with an analgesic medication, in order to perform non-surgical procedures on a patient. The overall goal is to induce a decreased level of consciousness while maintaining the patient's ability to breathe on their own. Airway protective reflexes are not compromised by this process

"Hi, my boss Mr. Krabs told me I need to work on my people skills and to volunteer.." SpongeBob says in the surgery room before recognizing Plankton and Karen. Plankton lay on the operating table, a small tube delivering medicine that kept him asleep. Karen sat by him. "Plankton‽" "Plankton's had his wisdom teeth removed." She glanced at the sleeping Plankton with affection. Sponge Bob leaned closer. He poked Plankton gently. "Hey, Plankton; wake up, buddy!" No response. Plankton's breathing remained slow and even, the rhythm unchanged by Sponge Bob's nudges. Karen's robotic hand shot up to stop Sponge Bob's poking. "He's not going to wake up anytime soon, Sponge Bob. The anesthesia will wear off in a couple of hours," she explained in her usual monotone. Sponge Bob's bubbly demeanor deflated a bit. He had never seen Plankton so... peaceful. Usually the tiny villain was full of mischief and plotting his next Krabby Patty heist. But the sight of his arch-nemesis helpless and snoring? "Karen, do you think a little light chat would help him wake up?" "Sponge Bob, the purpose of anesthesia is to keep him unconscious during surgery and ensure a painless recovery. Your efforts are futile." Undeterred, Sponge Bob leaned in closer. "Come on, Plankton. Time to wakey-wakey!" He waved his hands in front of Plankton's face, creating a gentle breeze that tickled his antennae. Still, Plankton remained steadfast in his slumber, oblivious to the world around him. Karen sighed again, the closest she ever got to expressing exasperation. "As I said, Sponge Bob, he's under the effects of anesthesia. There's nothing you can do to wake him up." She went back to reading her magazine, the glow from her screen casting a soft blue light on her metallic features. Sponge Bob studied Plankton's sleeping features. His mouth was open just enough to reveal his top row of teeth, and Sponge Bob had to stifle a giggle when a small bubble of drool formed at the corner of his mouth. "You know," he mused aloud, "I never realized Plankton had such a... cute snoring sound." The statement hung in the air, and even the normally stoic Karen couldn't resist cracking a smile. "Cute is hardly the word I'd use," she murmured, but the warmth in her voice belied the affection she had for her partner. Sponge Bob's curiosity grew as he continued to gaze at the unconscious Plankton. He'd seen him in various states before—angry, plotting and occasionally defeated—but never so vulnerable. The sight was strange yet fascinating. He reached out and carefully wiped away the drool. Plankton's head lolled to the side, but he remained asleep. SpongeBob put his head back up on a pillow. Plankton's snores grew quieter as his head settled into the cushioned embrace. "Don't worry, Plankton," he whispered, patting the villain's arm gently. "I'll watch over you." Sponge Bob's curiosity grew stronger as he watched the drool form at the side of Plankton's mouth. He leaned in closer, studying the phenomenon. He'd never noticed Plankton drool before. "It's like a tiny river," he said to himself. What would happen if he tried to touch it? He tapped it lightly. It wobbled, bulging slightly before collapsing back into its original state. He poked the drool again. This time, it grew slightly larger before popping, leaving a tiny, wet splatter on the pillow. Plankton's snores grew louder for a moment, but didn't stir. Sponge Bob couldn't resist a grin spreading across his face. "Looks like he's enjoying his nap," he whispered to Karen who remained engrossed in her magazine. The drool was fascinating—like a living organism, pulsating with every one of Plankton's breaths. He poked it again, gently this time. The drool grew larger, stretching out like a bubble of gum. It was almost mesmerizing. "I wonder if I can make it pop," he thought, eyes gleaming with child-like excitement. Slowly, Sponge Bob poked the drool bubble once more. It grew to the size of a marble before it burst with a tiny splat, splattering on to the pillow. Plankton's snoring remained undisturbed. Sponge Bob could see the light from the ceiling reflecting off the droplet's surface. He waited, the anticipation building, eyes fixed on the wobbling mass. At the last second, he poked it. The bubble popped with a sound that echoed through the quiet room. Plankton's snore caught in his throat for a split second, then resumed with renewed vigor. The splatter was more substantial this time, leaving a wet spot on the pillow. The sudden noise made Karen look up from her magazine. "What on earth are you doing, Sponge Bob?" she asked, voice a mix of annoyance and amusement. "Just... science," Sponge Bob said, his grin unabated. "I'm studying Plankton's snoring pattern... and drool." Karen rolled her digital eyes. "Fine. Just don't wake him. And for the love of Krabby Patties, please don't make a mess." She returned her focus to her magazine, seemingly unfazed by the sight of her arch-enemy playing with drool. Sponge Bob nodded solemnly, his eyes lighting up with newfound purpose. He decided to be more strategic in his scientific endeavor. He would need precision and timing. The drool bubble grew again, this time larger and more robust. Sponge Bob waited, his heart beating faster with every pulse of Plankton's snore. He took a deep breath, held it, and at the peak of the snore's crescendo, poked the bubble with a controlled flick. It exploded with a sound like a miniature water balloon, splattering across Plankton's cheek. The pillow was now a Jackson Pollock canvas of drool. Plankton's snoring hitched but he didn't wake. "Oops," Sponge Bob whispered, giggling quietly. He reached for a near by tissue to clean up the mess, his eyes glancing nervously at Karen. She peeked over her magazine, the corners of her robotic mouth curving upward slightly. "If you're going to play, at least be tidy," she said, voice a blend of reprimand and amusement. Sponge Bob nodded, eyes sparkling with mischief. "Of course, Karen," he whispered back, dabbing at Plankton's cheek with the tissue. The drool was sticky and clung to the fabric but Sponge Bob managed to clean when Plankton's snoring hitched. This time, Plankton's eyes opened a crack, his single eyelid revealing a sliver of his iris before dropping shut again. "What's going on?" he mumbled sleepily. Sponge Bob froze, tissue in mid-air. "Oh nothing," he said quickly, trying to sound nonchalant. "Just admiring your snoring." Plankton's eyelid quivered but remained shut. "Mmph." His mouth moved around the word. "Don't worry, buddy," Sponge Bob said softly patting Plankton's arm. "You're just resting. Nothing to worry about." The half-awake Plankton mumbled something unintelligible, and Sponge Bob took it as a sign to back off. He retreated to his chair, watching as Karen put down her magazine and began to fuss over Plankton, checking his vitals and making sure he was comfortable. For once, he wasn't at odds with Plankton.

https://archiveofourown.org/works/41690487/chapters/105246894#workskin A Cry For Kelp DiscardMyHeart Fandom: SpongeBob SquarePants (Cartoon) Characters: Squidward Tentacles, Sheldon J. Plankton, Karen (SpongeBob)Sandy Cheeks, Eugene Krabs https://archiveofourown.org/works/41690487/chapters/104866263#workskin Language: English Stats: Published:2022 https://archiveofourown.org/works/41690487/chapters/105246894#workskin

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ᴡᴏʀᴅ ᴄᴏᴜɴᴛ: 𝟷.𝟶𝟼ᴋ At the Neptune Medical Center, Karen parks the car and goes with her husband Plankton into the building after an injury to his antenna. "I still don't see why you didn't press charges against Krabs, Sheldon," Karen sighs, as they walk through the gleaming, sterile corridors of the medical center. "Karen I'm not gonna give him the satisfaction." Plankton's antenna now hangs limp and damaged. The doctor had assured him it was a simple repair job, yet Plankton's nerves were as frayed as the antenna itself. They enter the reception area, the automatic doors whispering shut behind them, as if sealing off the outside world's chaos. The smell of antiseptic fills the air, mingling with the faint scent of fear and hope. The receptionist, a young squid with a friendly smile, looks up from her computer screen. "Mr. Plankton, your appointment is with Dr. Marlin, the antenna specialist," she says, her tentacles typing efficiently. "You can go straight to the third floor, room 304." The elevator ride is silent, save for the rhythmic ding of each passing floor. Karen notices his distant gaze and squeezes his arm reassuringly. "You'll be fine, Sheldon," she whispers. Plankton nods. They arrive at room 304, and Karen opens the door, revealing a state-of-the-art examination room. Dr. Marlin, an octopus with a gleaming scalpel in one tentacle and a clipboard in another, looks up from his notes. "Ah, Mr. Sheldon Plankton, right on time," he says, his eight eyes blinking in unison. "I understand you've had a bit of an injury?" Plankton nods, his voice tight. "Krabs... he... snapped it." Dr. Marlin's tentacles twitch in concern. "Mr. Eugene Krabs, eh? He's had his share of accidents around here." He scribbles something on the clipboard. "Well, let's get you fixed up. I've seen worse, and you're in good hands." The doctor leads Plankton to the examination chair, which is surprisingly comfortable for someone so tiny. He adjusts the chair's height and angles the light to shine on the antenna. Plankton winces as the doctor gently prods the damaged area. "It's definitely snapped," Dr. Marlin says, his voice calm and professional. "But the good news is, it's not to far gone. We can repair it with a simple procedure." "You'll need to be under for this," he explains. "It's nothing to worry about. You'll be out Before you know it." Plankton's heart races as he lies back in the chair, the cold metal pressing against his back. He glances at Karen, who gives him a forced smile, her screen filled with concern. The doctor notices and pats his shoulder reassuringly. "It's just a little sleep," he says. "You'll be back in no time." Karen reaches for his hand, giving it a comforting squeeze. The anesthesiologist, a bluefish with a gentle demeanor, enters the room, pushing a trolley with a variety of bottles and tubes. She introduces herself as Nurse Bella and explains that she'll be administering the anesthesia for the surgery. Plankton swallows hard, eye darting from her to Karen's screen and back again. Karen's gaze follows the anesthesiologist, Nurse Bella, as she meticulously prepares. "Ready? Count as high as you can," she asks, her voice as soft as a lullaby. Plankton nods, his grip on Karen's hand tightening. "One... two... three..." Plankton's voice starts strong, but the medicine's effect begins to take hold. His eyelid grow heavy, and the numbers begin to slur. Karen watches as Plankton's count descends into a whisper. "Five... six... sev..." His tiny hand relaxes in hers, and his body goes slack. She watches the rise and fall of his chest slow as he succumbs to the anesthesia. Karen squeezes his hand one last time. The door to the exam room opens again, and Dr. Marlin's head pokes out. "Everything's gone well," Dr. Marlin says, peering over his mask. "We're to halt anesthesia." "You're okay," Karen whispers, her voice cracking. "You're okay." "He's doing great," the nurse whispers. "You can talk to him if you'd like. Sometimes they can hear you." Karen leans closer, her voice low and soothing. "Hey, Plankton, it's Karen. You're safe now. They've fixed your antenna. No more pain, okay?" Her thoughts are interrupted by a soft groan from the bed. Karen's screen snap to Plankton, who's beginning to stir under the blankets. "Shh," she whispers, stroking his arm. "You're safe." "K...Karen?" His eye opens. "Yes, it's me. You're okay, you're in the hospital. They've fixed your antenna." "Karen... antenna... Krabby Patty... wait, what?" He giggles, the words jumbling together in a way that makes no sense. Plankton's eye widen with childlike excitement. "Oh, right! The antenna!" He tries to touch the bandage but ends up nearly slapping himself in the face with his own arm. "Oops!" He giggles again, the sound echoing through the quiet room. He tries to sit up, but cannot. "Whoa, Nelly!" "Easy," Karen laughs. "I'm the king of the jellyfish prom! They got no flair!" Once in the car, Karen buckles him in with care, double-checking the seatbelt. "Remember, no funny business," she warns. Plankton's eye droop, and his head lolls to the side. "You're going to sleep, aren't you?" she says, her voice a mix of amusement and exhaustion. "M'not sleeping," Plankton mumbles, his eyelid fluttering, his voice fading into a snore. The drive home is peaceful, with Plankton snoring lightly beside her. As they approach their place, she gently shakes him awake. "We're home, Sheldon," she says, her voice gentle. "Can you wake up for me?" Plankton's eye blink open, and he looks around in confusion. "Home?" he mumbles. "Already?" Karen nods with a smirk. "Yeah, you slept through the whole drive. Came out of it just in time." They get out of the car, and Plankton wobbles slightly on his legs, the after-effects of the anesthesia still lingering. Karen wraps an arm around his waist, supporting him as they make their way to the front door. With a chuckle, Karen helps him inside, the warm light of their living room washing over them. Plankton's snores become more pronounced as they move through the hallway. "Come on, you need to get to bed," she says, leading him to their bedroom. The room is cozy, with a large bed that seems to swallow Plankton whole as he collapses into it. Karen carefully pulls the covers up to his chin. "Rest now," she whispers, placing a gentle kiss on his forehead.

😷 https://lifehacker.com/what-your-pediatrician-should-and-shouldnt-do-during-a-1822524179 😷

DOCTORs APPOINTMENTs Before a procedure, get to meet the physician and acknowledge their authority before you mention your sensitivities. Find a way to make a compromise. Even request more time for an appointment if you want to have topical numbing agents wait to work, to discuss alternatives, etc. Before a procedure, look up the physician and/or the clinic website. Find pictures of the inner building and search for FAQ, policies, procedures, reviews, etc. Before a procedure, bring a fully charged phone and any sensory necessities such as plastic cups for water, ice pack, self testing kits, written notes and copies, etc.

May 19th, 2010 My boyfriend died about a year ago. I was in the hospital for kidney problems and he was driving to visit me on a rainy day. The police said his car flipped over due to the rain. He died an hour later in the same hospital I stayed at. Before he died, he told the doctors to give me his kidney. His love GMH.