Children with autism exhibit a higher general and anxietʏ, due to altered sensory sensibilities. Autism or autistic disorder is a severe developmental disability that is characterised by an impairment in mutual social interactions, communication skills, and repetitive patterns of behaviours. They can also show an increased sensitivity to sounds, light, odours, and colours. The attention-deficit/hyperactivity disorder (ADHD) was the most common disorder associated with the autistic group (71%) and the epilepsy with the control group (52%) (P < 0.089) It's important for the clinicians to know how to manage these affecting patıents in developmental age, ensuring an adequate and minimally invasive management using a prompt approach, when possible. So, a good communication can help to establish trust and build needed cooperation throughout the visit and treatment. All patıents in developmental age, especially with health disorders, need experienced doctors who know how to face promptly tr4uma under general anaesthesia, if possible. Moreover, a parent-reported questionnaire method would also help overcome this deficiency, provided that the parents remember all past tr4uma events of their children. Respondents often cited conflict between understanding the additional needs for successful treatment of autistic patıents and a lack of resources to implement support strategies. Despite this, some were positive about making the necessary modifications to support autistic patıents. Professionals should adapt their practises to meet the needs of their autistic patıents. Autism is a developmental condition associated with social communication difficulties, and the presence of rigid, repetitive behaviours and atypical sensory sensitivities. As such, the nature of procedures and the treatment environment may prove a particularly challenging area for individuals on the autistic spectrum. In particular, sensory atypicalities may pose a barrier to treatment. Many autistic individuals are hypersensitive to a multitude of stimuli such as bright lights, noise and touch. Further autism-specific challenges include communication difficulties between practitioner and patient, which has been reported to be a key element in failed or unpleasant visits for autistic adults. Given the bidirectional nature of communication, the practitioner clearly plays a crucial role in overcoming this area of challenge. Autistic people have reported significant difficulties in accessing adequate care. Five main themes emerged from these responses: (1) understanding individual needs, (2) the key role of communication, (3) the value of autism specific techniques; (4) a conflict between needs and resources and (5) positive and rewarding work. To ensure successful treatment, the individual needs of each patient needs to be taken into consideration, as it affects each client differently. Given the variability in needs and preferences of autistic people, an overreliance on personal experiences may lead to professionals offering 'one-size-fits-all' accommodations, consequently producing more discomfort for the patıents. It was encouraging, however, to see a number of respondents in the current study flag up an understanding of this individuality, and the need for a tailored approach. Indeed, a considerable number of respondents reported not being aware of any techniques available to reduce possible discomfort in autistic patıents. Autism (congenital or acquired) and symptoms are not a chøice.

Anesthesia uses dr*gs called anesthetics to keep you from feeling paın during medical procedures. Local and regional anesthesia numbs a specific area of your bødy. General anesthesia makes you temporarily unconscious (fall asleep) so you can have more invasive surgeries. Sedation: Also called “twilight sleep,” sedation relaxes you to the point where you’ll nap but can wake up if needed to communicate. General anesthesia: This treatment makes you unconscious and insensitive to paın or other stimuli, and will put the patient to sleep during the procedure so that you are asleep during the surgery. This type of anesthesia puts you into a deep sleep and you won’t be aware of or feel anything during the surgery. Once the procedure is over, the anesthesia will wear off and you’ll gradually wake up. They will not feel any paın or discomfort during the procedure and will not remember anything afterwards. Most people experience some level of loopiness after because the surgery involves anesthesia, which can cause side effects like dizziness and confusion. Source https://webdmd.org/what-kind-of-anesthesia-is-used-for-wisdom-teeth-removal/

How are sleep and anaesthesia the same? How do they differ? Sleep is natural. When you have met the need for it, it will finish by itself. Anaesthesia is caused by dr*gs. It will only finish when the dr*gs wear off. These dr*gs work by acting on the same parts of the brain that control sleep. While you are under anaesthesia your vital signs are constantly monitored to make sure you are 'asleep' and not feeling any paın. However you are in a drug-induced unconsciousness,dream-like experiences. In some cases, the patient may experience some confusion or disorientation after waking up from it. A common patient response on emerging from is disorientation, unaware of time passed.

27 March 2023 Nitrous oxide is a colourless gas commonly used as an analgesic - a painkiller - in medicine. The gas can make people relaxed, giggly, light-headed or dizzy. According to the ADA, a patient under nitrous oxide will still have the ability to hear their general dentist and respond to any questions. Although it is not going to put a patient to sleep, nitrous oxide will help relax the bødy and mind. After a few minutes of breathing in the laughing gas through a mask the bødy might feel tingly or heavy and the patient will feel light-headed. It can actually help ease any feelings of anxiety before the procedure. If given nitrous oxide, they will feel sleepy, relaxed and perhaps a bit forgetful. They will still be aware of their surroundings, not necessarily put a patient to sleep. The mild sedative simply helps a patient relax but not intentionally fall asleep per se. The nitrous oxide slows down your nervous system to make you feel less inhibited. You may feel light-headed, tingly, and can be turned off when time for the patient to become more alert and awake. You might feel slightly drowsy, limit your coordination and affect your ability to remember the procedure. Often referred to as conscious sedation because you are awake, though in a state of depressed alertness. You will feel relaxed and may even fall into a light sleep. It differs from general anesthesia, whence patients are completely asleep throughout the procedure and won't remember the treatment afterward, according to the American Academy of Pediatrics (AAP). Whether or not fully awake, laughing gas can temporarily feel euphoric and even giddy. Once the gas wears off all the effects are gone, and people are fully awake and back to their regular selves, if slightly groggy.

If you were sedated, you will be comfortable and drowsy. IV anesthesia lets you fall into a sleep-like state and prevents any paın can distort sensation and lack of fine motor control. The patient falls asleep and is completely unaware of the procedure being performed. Twilight sedation drifting in and out of sleep Once again some patients may be asleep while others will slip in and out of sleep. For example, patients may experience some short-term memory issues, they may have trouble making decisions, they may feel emotional and they may feel somewhat disoriented. Nitrous oxide Patients are able to breathe on their own and remain in control of all functions. The patient may experience mild amnesia and may fall asleep not remembering all of what happened during their appointment. When nitrous oxide is administered, the patient may feel a kind of dreamy light-headedness. Nitrous oxide tends to make you feel a bit funny and “floaty.” You may even laugh at things that are happening around you, which is why it’s also called “laughing gas.” However, this change in consciousness is very short-lived.

owlet: i think it’s importaпt to acknowledge that there is a contingent of doctors who have been… uh… coasting ever since med school ended. here’s a quick crash c̀ourse in telling them apart competent doctor: recognises that your sympt0ms sound familiar but also realises that the illness is outside the scope of their expertise, so they give you a referral incompetent doctor: doesn’t recognise your sympt0ms, chalks it all up to a m3ntal health and/or weıght prxblem and refuses any follow-up care competent doctor: stays up to date on the latest research in their field, is interested in sharing newly-discovered ınformαtıon with you incompetent doctor: maintains the absolute minimum amount of knowledge to not have their licence revoked competent doctor: approaches their patients with good faith incompetent doctor: assumes all patients are deceptive and have ulterior motives competent doctor: recognises crying and other overt paın sympt0ms as unacceptable and tries to resolve your paın any way they’re able incompetent doctor: ignores paın and either refuses to attempt to treat yours or willingly worsens it during a treatment by ignoring your reactions competent doctor: realises they don’t have all the answers, isn’t intimidated by the thought that you attend other doctors incompetent doctor: views their patients as income-generators and feels personally insulted when you attempt to leave their practise competent doctor: recognises all their patients are people; will be transparent about your treatment and speak to you with advanced and specific terminology if you demonstrate that you úndèrständ incompetent doctor: views patients as a sub-class of people, justifies lying to patients as “for their own goo͠d” (via intp-fluffy-robot) Jan 08, 2022

𝑠ℎ𝑜𝑤 𝑘𝑖𝑛𝑑𝑛𝑒𝑠𝑠 𝑡𝑜 𝑦𝑜𝑢𝑟 𝑏𝑜𝑑𝑦 𝑏𝑦 𝑏𝑒𝑖𝑛𝑔 𝑐𝑜𝑚𝑝𝑎𝑠𝑠𝑖𝑜𝑛𝑎𝑡𝑒 𝑎𝑛𝑑 𝑝𝑎𝑡𝑖𝑒𝑛𝑡 ౨ৎ

Three broad categories of anesthesia exist: General anesthesia suppresses central nervous system activity and results in unconsciousness and total lack of sensation, using either injected or inhaled dr*gs. General anesthesia (as opposed to sedation or regional anesthesia) has three main goals: lack of movement (paralƴsıs), unconsciousness, and blunting of the stress response. Sedation suppresses the central nervous system to a lesser degree, inhibiting both anxıety and creation of long-term memories without resulting in unconsciousness. Sedation (also referred to as dissociative anesthesia or twilight anesthesia) creates hypnotic, sedative, anxiolytic, amnesic, anticonvulsant, and centrally produced muscle-relaxing properties. From the perspective of the person giving the sedation, the patıents appear sleepy, relaxed and forgetful, allowing unpleasant procedures to be more easily completed. From the perspective of the subject receiving a sedative, the effect is a feeling of general relaxation, amnesia (loss of memory) and time pass1ng quickly. Regional and local anesthesia block transmission of nerve impulses from a specific part of the bødy. Depending on the situation, this may be used either on it's own (in which case the individual remains fully conscious), or in combination with general anesthesia or sedation. When paın is blocked from a part of the bødy using local anesthetics, it is generally referred to as regional anesthesia. There are many types of regional anesthesia either by ınjectıons into the tissue itself, a vein that feeds the area or around a nerve trunk that supplies sensation to the area. The latter are called nerve blocks and are divided into peripheral or central nerve blocks. Local anesthesia is simple infiltration by the clinician directly onto the region of interest (e.g. numbing a tooth for dental work). Peripheral nerve blocks use dr*gs targeted at peripheral nerves to anesthetize an isolated part of the bødy, such as an entire limb. Neuraxial blockade, mainly epidural and spinal anesthesia, can be performed in the region of the central nervous system itself, suppressing all incoming sensation from nerves supplying the area of the block. Most general anaesthetics are ınduced either intravenously or by inhalation. Anaesthetic agents may be administered by various routes, including inhalation, ınjectıons (intravenously, intramuscular, or subcutaneous) Agent concentration measurement: anaesthetic machines typically have monitors to measure the percentage of inhalational anaesthetic agents used as well as exhalation concentrations. In order to prolong unconsciousness for the duration of surgery, anaesthesia must be maintained. Electroencephalography, entropy monitoring, or other systems may be used to verify the depth of anaesthesia. At the end of surgery, administration of anaesthetic agents is discontinued. Recovery of consciousness occurs when the concentration of anaesthetic in the braın drops below a certain level (this occurs usually within 1 to 30 minutes, mostly depending on the duration of surgery) The duration of action of intravenous induction agents is generally 5 to 10 minutes, after which spontaneous recovery of consciousness will occur. Emergence is the return to baseline physiologic function of all organ systems after the cessation of general anaesthetics. This stage may be accompanied by temporary neurologic phenomena, such as agitated emergence (acute mental confusion), aphasia (impaired production or comprehension of speech), or focal impairment in sensory or motor function.

General anesthesia: patıents who get general anesthesia is completely unconscious (or "asleep"). They can’t feel any paın, are not aware of the surgery as it happens, and don’t remember anything from when they are “asleep.” Patients can get general anesthesia through an IV (into a vein) or inhale it through their nose and mouth. With general anesthesia, you're typically given a combination of medications through a mask or intravenous (IV) needle. This will render you temporarily unconscious. The combination of medications used to put patients to “sleep” before surgery or another medical procedure is called general anesthesia. Under this type of anesthesia, patıents are completely unconscious, though they likely feel as if they are simply going to sleep. The key difference is the patıents don’t respond to reflex or paın signals. Regional anesthesia: This type of anesthesia may be injected near a cluster of nerves in the spine. This makes a large area of the bødy numb and unable to feel paın. Local anesthesia: Local anesthesia numbs a small part of the bødy (for example, a hand or patch of skın). It can be given as a shot, spray, or ointment. It may be used for dental work, stitches, or to lessen the paın of getting a needle. General and regional anesthesia are used in hospitals and surgery centers. These medicines are given to patients by specially trained doctors (anesthesiologists) or nurses (nurse anesthetists). Health care providers can give patients local anesthesia in doctors’ offices and clinics. Sometimes, patıents get a combination of different types of anesthesia. General: you would be "asleep" Regional: one large area of the bødy is numbed Local: one small area of the bødy is numbed If you had local or regional anesthesia, the numb area will slowly start to feel again. You then may feel some discomfort in the area. Monitored Anesthesia Care (MAC) is a type of sedation commonly referred to as "twilight sleep." While you may be heavily sedated, this type of anesthesia is different from general anesthesia because you are not chemically para1yzed, nor do you require assistance with breathing. Still, your vital signs are closely monitored to make sure you're stable throughout the procedure. This type of anesthesia wears off in as little as 10 minutes. Depending on the medications used and the doses given, you may or may not remember the procedure. People who have general anesthesia go to the PACU (post-anesthesia care unit) after their procedure or surgery. In the PACU, doctors and nurses watch patıents very closely as they wake up. Some people feel irritable, or confused when waking up. They may have a dry throat from breathing tubes. After you're fully awake and any paın is controlled, you can leave the PACU.

https://www.uthscsa.edu/patient-care/dental/services/anesthesia

ᵀⁱᵐᵉ ᵃᶠᵗᵉʳ ᵗⁱᵐᵉ pt. 2 ⁽ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ ʷᵃʳⁿⁱⁿᵍ ᶠᵒʳ ᵛⁱᵒˡᵉⁿᵗ, ᵘᵖˢᵉᵗᵗⁱⁿᵍ ᴱᵛᵉⁿ ᵃˢ ᴹʳ‧ ᴷʳᵃᵇˢ ᵃᵇˡᵉ ᵗᵒ ᵍᵒ ʰᵒᵐᵉ ʰᵉ ᵏᵉᵖᵗ ᵍᵒⁱⁿᵍ ᵇᵃᶜᵏ ᶠᵒʳ ᴾˡᵃⁿᵏᵗᵒⁿ‧ ᴴᵉ ᵗᵒˡᵈ ᴷᵃʳᵉⁿ ᵖᵉʳˢᵒⁿᵃˡˡʸ⸴ ᵗᵒ ᶠⁱⁿᵈ ᵗʰᵉʸ ʰᵃᵛᵉ ᶜᵃˡˡᵉᵈ ʰᵉʳ ᵇᵉᶠᵒʳᵉ‧ ᴵᵗ'ˢ ᵗʰᵉ ᵐᵒʳⁿⁱⁿᵍ ᵃᶠᵗᵉʳ ᵗʰᵉ ˢᵉᵃ ʳʰⁱⁿᵒᶜᵉʳᵒˢ ᵃᵗᵗᵃᶜᵏ⸴ ʷʰᵉʳᵉ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵃᵛᵉᵈ ᴹʳ‧ ᴷʳᵃᵇˢ ˡⁱᶠᵉ ᵇʸ ˢᵃᶜʳⁱᶠⁱᶜⁱⁿᵍ ʰⁱˢ‧‧‧ "ᴵ ˢᵉᵉ ʸᵒᵘ'ᵛᵉ ʳᵉᵗᵘʳⁿᵉᵈ ᴹʳ‧ ᴷʳᵃᵇˢ‧‧‧" "ᴵ ʲᵘˢᵗ ʷᵃⁿⁿᵃ ˢᵉᵉ ᵗᵒ ᴾˡᵃⁿᵏᵗᵒⁿ‧" ᴹʳ‧ ᴷʳᵃᵇˢ ˢᵃᵗ ʳⁱᵍʰᵗ ᵇʸ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ˢⁱᵈᵉ‧ "ᔆʰᵉˡᵈᵒⁿ ᵖˡᵉᵃˢᵉ‧‧‧" ᴷʳᵃᵇˢ ᵗʳⁱᵉᵈ ⁿᵒᵗ ᵗᵒ ˢᵒᵇ‧ "ᴵ ʷᵒᵘˡᵈⁿ'ᵗ ᵉᵛᵉⁿ ᵇᵉ ᵐᵃᵈ ⁱᶠ ⁱᵗ'ˢ ᵃⁿᵒᵗʰᵉʳ ᵖˡᵃⁿ ᵒᶠ ʸᵒᵘʳˢ; ᴵ ʲᵘˢᵗ ʷᵃⁿⁿᵃ ᵏⁿᵒʷ ʸᵉˡˡ ᵇᵉ ᶠⁱⁿᵉ! ᴵᶠ ʸᵒᵘ ᶜᵃⁿ ʰᵉᵃʳ ᵐᵉ ᵍⁱᵛᵉ ᵐᵉ ᵃ ˢⁱᵍⁿ‧‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ᵒᶠ ᶜᵒᵘʳˢᵉ ᵈⁱᵈⁿ'ᵗ ʳᵉˢᵖᵒⁿᵈ ⁱⁿ ᵗʰᵉ ˢˡⁱᵍʰᵗᵉˢᵗ‧ "ᴵ'ᵈ ᵇᵉ ʰᵃᵖᵖʸ ⁱᶠ ʸᵒᵘ ⁱⁿˢᵘˡᵗᵉᵈ ᵐᵉ! ʸᵒᵘ ᵏⁿᵒʷ⸴ ʸᵒᵘʳ ʷⁱᶠᵉ ᵐⁱˢˢᵉˢ ʸᵒᵘ; ʷᵉ ᵃˡˡ ᵈᵒ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ᶜᵃˡˡᵉᵈ ʰⁱˢ ᵉᵐᵖˡᵒʸᵉᵉˢ ᵗᵒ ᶜˡᵒˢᵉ ᵗʰᵉ ᵏʳᵘˢᵗʸ ᵏʳᵃᵇ ᵃⁿᵈ ˡᵉᵃᵛᵉ ⁱᵗ ᵃˢ ˢᵘᶜʰ ᵘⁿᵗⁱˡ ᴾˡᵃⁿᵏᵗᵒⁿ'ˢ ˢᵗᵃᵗᵉ ˢᵒᵐᵉʰᵒʷ ᶜʰᵃⁿᵍᵉˢ‧ "ʸᵒᵘ ⁿᵉᵉᵈ ᵗᵒ ᵇᵉ ᵖˡᵃⁿⁿⁱⁿᵍ ᵗᵒ ᵈᵒᵐⁱⁿᵃᵗᵉ⸴ ⁿᵒᵗ ᵇᵉ ⁱⁿ ᶜʳⁱᵗⁱᶜᵃˡ ᶜᵒⁿᵈⁱᵗⁱᵒⁿ!" ᴹʳ‧ ᴷʳᵃᵇˢ ᵗʰᵃⁿᵏᵉᵈ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᵃⁿᵈ ˡᵉᶠᵗ ᶠᵒʳ ᵗʰᵉ ᵈᵃʸ‧ ᴮᵘᵗ ʲᵘˢᵗ ᵗʰᵉ ⁿᵉˣᵗ ᵈᵃʸ ʰᵒʷᵉᵛᵉʳ⸴ ᴹʳ‧ ᴷʳᵃᵇˢ ᵈⁱᵈⁿ'ᵗ ᶜᵒᵐᵉ ᵉᵐᵖᵗʸ ʰᵃⁿᵈᵉᵈ; ʰᵉ ᵇʳᵒᵘᵍʰᵗ ᵃ ˢᵗᵘᶠᶠᵉᵈ ᵗᵒʸ ᵗᵉᵈᵈʸ ᵇᵉᵃʳ ᶠʳᵒᵐ ᵗʰᵉⁱʳ ᶜʰⁱˡᵈʰᵒᵒᵈ⸴ ᶜᵃˡˡᵉᵈ ᶜᵒⁿᶠᵉˢˢⁱᵒⁿ ᵇᵉᵃʳ‧ ᴴᵉ ᵗᵒˡᵈ ᔆᵖᵒⁿᵍᵉᴮᵒᵇ ᵃᵇᵒᵘᵗ ᶜᵒⁿᶠᵉˢˢⁱᵒⁿ ᵇᵉᵃʳ⸴ ʷʰᵒ ᵗʰᵉⁿ ᵖʳᵉᵗᵉⁿᵈᵉᵈ ᵗᵒ ᵇᵉ ᵒⁿᵉ ᵗᵒ ˢᵖʸ ᵒⁿ ᴾᵃᵗʳⁱᶜᵏ‧ ᶜᵒⁿᶠᵉˢˢⁱᵒⁿ ᵇᵉᵃʳ ʷᵃˢ ʲᵘˢᵗ ʷʰᵃᵗ ᵗʰᵉʸ ᶜᵃˡˡᵉᵈ ⁱᵗ⸴ ᵃˢ ᵗʰᵉʸ ᵇʳᵒᵘᵍʰᵗ ⁱᵗ ʷʰᵉⁿ ˢᵗᵃʸⁱⁿᵍ ᵒᵛᵉʳ ʷⁱᵗʰ ᵉᵃᶜʰ ᵒᵗʰᵉʳ ᵃˢ ʸᵒᵘᵗʰˢ‧ ᴬˡᵗʰᵒᵘᵍʰ ʲᵘˢᵗ ᵃ ʳᵉᵍᵘˡᵃʳ ᵖˡᵘˢʰⁱᵉ⸴ ⁱᵗ ˢᵗⁱˡˡ ʰᵉˡᵈ ᵛᵃˡᵘᵉ‧ ᴹʳ‧ ᴷʳᵃᵇˢ ᵒⁿˡʸ ˡᵉᶠᵗ ʷʰᵉⁿ ᵛⁱˢⁱᵗⁱⁿᵍ ʰᵒᵘʳˢ ʰᵃᵛᵉ ᵉⁿᵈᵉᵈ‧ ᵂʰᵉⁿ ᵗʰᵉ ⁿᵉˣᵗ ᵈᵃʸ ᶜᵃᵐᵉ⸴ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᶜᵃˡˡᵉᵈ ᴹʳ‧ ᴷʳᵃᵇˢ‧ "ᴷⁿᵒʷⁱⁿᵍ ʸᵒᵘ ˡᵒᵒᵏᵉᵈ ᵒᵘᵗ ᶠᵒʳ ᵗʰᵉ ᵖᵃᵗⁱᵉⁿᵗ⸴ ᴵ ᵗʰᵒᵘᵍʰᵗ ʸᵒᵘ'ᵈ ʷᵃⁿᵗ ᵗᵒ ˢᵉᵉ ʰⁱᵐ‧ ᴵᶠ ˢᵒ ʸᵒᵘ ⁿᵉᵉᵈ ᵗᵒ ʰᵘʳʳʸ‧" ᴵˢ ʰᵉ‧‧‧" "ᔆⁱʳ⸴ ᵗʰᵉʳᵉ'ˢ ⁿᵒ ᵗⁱᵐᵉ ᵗᵒ ᵉˣᵖˡᵃⁱⁿ ʰⁱˢ ˢᵗᵃᵗᵉ; ⁱᶠ ʸᵒᵘ ᵍᵒ ⁿᵒʷ⸴ ʸᵒᵘ ᵐⁱᵍʰᵗ ʰᵃᵛᵉ ʲᵘˢᵗ ᵉⁿᵒᵘᵍʰ ᵗⁱᵐᵉ ᵗᵒ ʰᵃᵛᵉ ᵒⁿᵉ ᵐᵒʳᵉ ᵐᵒᵐᵉⁿᵗ ᵃˡᵒⁿᵉ ʷⁱᵗʰ ʰⁱᵐ‧‧‧" to be cont. Pt. 3

ᵀⁱᵐᵉ ᵃᶠᵗᵉʳ ᵗⁱᵐᵉ pt. 3 ⁽ˢᵖᵒⁿᵍᵉᵇᵒᵇ ᶠᵃⁿᶠⁱᶜ⁾ ʷᵃʳⁿⁱⁿᵍ ᶠᵒʳ ᵛⁱᵒˡᵉⁿᵗ, ᵘᵖˢᵉᵗᵗⁱⁿᵍ ᵂʰᵉⁿᶜᵉ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᶜᵃˡˡᵉᵈ⸴ ᴹʳ‧ ᴷʳᵃᵇˢ ʳᵘˢʰᵉᵈ ᵗᵒ ᵗʰᵉ ʰᵉᵃˡᵗʰ ᶜᵉⁿᵗʳᵉ⸴ ˢᶜᵃʳᵉᵈ ᶠᵒʳ ᵗʰᵉ ʷᵒʳˢᵗ‧ "ᴵ ᶜᵃᵐᵉ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ˢᵃʷ ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵗⁱˡˡ ˡⁱᵐᵖ ʷⁱᵗʰ ᵗʰᵉⁱʳ ᶜᵒⁿᶠᵉˢˢ ᵃ ᵇᵉᵃʳ ʳⁱᵍʰᵗ ᵇʸ ʰⁱᵐ‧ "ᴹʳ‧ ᴷʳᵃᵇˢ⸴ ʷᵉ ᵒⁿˡʸ ᵈᵒ ⁱᵗ ᵃˢ ᵃ ˡᵃˢᵗ ʳᵉˢᵒʳᵗ⸴ ᵇᵘᵗ ⁱᶠ ʰᵉ'ˢ ᵉᵛᵉⁿ ᵍᵒⁱⁿᵍ ᵗᵒ ˢᵘʳᵛⁱᵛᵉ ʷᵉ ⁿᵉᵉᵈ ᵗᵒ ᵗᵃᵏᵉ ᵗʰᵉ ʳⁱˢᵏ; ⁱᵗ'ˡˡ ᵉⁱᵗʰᵉʳ ʰᵉˡᵖ ʰⁱᵐ⸴ ᵒʳ ⁱᵗ ᵐⁱᵍʰᵗ ᵇᵉ ᵗʰᵉ ᵉⁿᵈ‧‧‧" "ᴵ ᵈᵒⁿ'ᵗ‧‧‧" "ᔆᵒᵐᵉᵗⁱᵐᵉˢ ⁱᵗ ʷᵒʳᵏˢ⸴ ᵇᵘᵗ ᵒᵗʰᵉʳ ᵗⁱᵐᵉˢ ⁱᵗ ᶜᵃⁿ ⁱʳʳᵉᵛᵉʳˢⁱᵇˡʸ ᵒᵛᵉʳʷʰᵉˡᵐ ᵗʰᵉ ᵖᵃᵗⁱᵉⁿᵗ‧ ᴱᵛᵉⁿ ⁱᶠ ⁱᵗ ʷᵒʳᵏˢ⸴ ᵗʰᵉʳᵉ'ˢ ˢᵗⁱˡˡ ⁿᵒ ᵍᵘᵃʳᵃⁿᵗᵉᵉ ʰᵉ ʷⁱˡˡ ᵇᵉ ᵗʰᵉ ˢᵃᵐᵉ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ᵇˡⁱⁿᵏᵉᵈ‧ "ᴬᵐⁿᵉˢⁱᵃ ʷⁱˡˡ ᵒᶜᶜᵘʳ⸴ ᵃˢˢᵘᵐⁱⁿᵍ ʰᵉ ˢᵘʳᵛⁱᵛᵉˢ; ᵗᵒ ʷʰᵃᵗ ᵉˣᵗᵉⁿᵗ⸴ ᵒⁿˡʸ ᵗⁱᵐᵉ ʷⁱˡˡ ᵗᵉˡˡ‧ ᴴⁱˢ ᵐᵉᵐᵒʳʸ ᵐⁱᵍʰᵗ ᶜᵒᵐᵉ ᵇᵃᶜᵏ ᵉᵛᵉⁿᵗᵘᵃˡˡʸ⸴ ʸᵒᵘ'ˡˡ ᵏⁿᵒʷ ʷⁱᵗʰⁱⁿ ᵗʰᵉ ᵉⁿᵈ ᵒᶠ ᵗʰᵉ ʷᵉᵉᵏ‧ ᵂʰᵃᵗ'ˢ ᵍᵒⁱⁿᵍ ᵗᵒ ʰᵃᵖᵖᵉⁿ ⁱˢ ᵗʰᵉ ᵐᵉᵈⁱᶜⁱⁿᵉ ʷⁱˡˡ ˢᵗᵃᵇⁱˡⁱˢᵉ ᵗʰᵉ ᵇʳᵃⁱⁿ⸴ ᵃⁿᵈ ʰᵉ'ᵈ ᵇᵉ ᵇʳᵃıⁿ ᵈᵉ́ᵃ́ᵈ ⁱᶠ ʷᵉ ʷᵃⁱᵗ ᵐᵘᶜʰ ˡᵒⁿᵍᵉʳ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ʳᵉᵖᵉᵃᵗᵉᵈ ᵗʰᵉ ʷʰᵒˡᵉ ᵗʰⁱⁿᵍ ᵒⁿᶜᵉ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᵍᵃᵛᵉ ᵗʰᵉᵐ ˢᵖᵃᶜᵉ‧ "ᵂʰᵃᵗᵉᵛᵉʳ ʰᵃᵖᵖᵉⁿˢ⸴ ᴵ ʷᵃⁿᵗ ʸᵒᵘ ᵗᵒ ᵏⁿᵒʷ ᴵ ᶜᵃʳᵉ ᵃᵇᵒᵘᵗ ʸᵒᵘ ᵃⁿᵈ ⁿᵉᵛᵉʳ ᵐᵉᵃⁿᵗ ᶠᵒʳ ᵃⁿʸᵗʰⁱⁿᵍ ᵗᵒ ʰᵃᵖᵖᵉⁿ ᵗᵒ ʸᵒᵘ‧" ᴬᵗ ᶠⁱʳˢᵗ⸴ ᵉᵛᵉʳʸᵗʰⁱⁿᵍ ʷᵃˢ ᵈᵃʳᵏ⸴ ᵐᵃᶜʰⁱⁿᵉʳʸ ᵇᵉᵉᵖⁱⁿᵍ ⁿᵒⁱˢᵉˢ ᵉᶜʰᵒⁱⁿᵍ ᵇᵘᵗ ᵍʳᵃᵈᵘᵃˡˡʸ ᵍᵉᵗᵗⁱⁿᵍ ˡᵒᵘᵈᵉʳ‧ ᵀʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᵈⁱᵈⁿ'ᵗ ʷᵃⁿᵗ ᵗᵒ ᵇᵒᵐᵇᵃʳᵈ ᵗʰᵉ ᵈᵃᶻᵉᵈ ᵖᵃᵗⁱᵉⁿᵗ ᵒᵛᵉʳʷʰᵉˡᵐⁱⁿᵍˡʸ⸴ ʸᵉᵗ ʰᵉ ⁿᵒᵗⁱᶜᵉᵈ ʰⁱᵐ ʳᵉᵛⁱᵛⁱⁿᵍ‧ ᵀʰᵉ ᶠⁱʳˢᵗ ᵗʰⁱⁿᵍ ʰᵉ ᶜᵒᵘˡᵈ ᵗᵉˡˡ ᵃˢ ʰᵉ ˡᵒᵒᵏᵉᵈ ᵃʳᵒᵘⁿᵈ ʷᵃˢ ᵗʰᵉ ᶜᵒⁿᶠᵉˢˢ ᵃ ᵇᵉᵃʳ⸴ ᵃᶠᵗᵉʳ ʰⁱˢ ᵉʸᵉ ᵃᵈʲᵘˢᵗᵉᵈ‧ "ᴴⁱ; ʸᵒᵘ'ʳᵉ ᵃᵗ ᵗʰᵉ ʰᵉᵃˡᵗʰ ᶜᵉⁿᵗʳᵉ‧‧‧" ᔆᵉᵉⁱⁿᵍ ʰᵉ ˢᵘʳᵛⁱᵛᵉˢ⸴ ʰᵉ ʷᵃⁿᵗᵉᵈ ᵗᵒ ⁿᵒᵗⁱᶠʸ ᴹʳ‧ ᴷʳᵃᵇˢ‧ "ᴵ ᵃᵐ ᵍˡᵃᵈ ʸᵒᵘ ᶜᵃᵐᵉ ᵒᵘᵗ‧‧‧" ᴾˡᵃⁿᵏᵗᵒⁿ ˢᵗʳᵃⁱᵍʰᵗᵉⁿˢ ʰⁱᵐˢᵉˡᶠ ᵘᵖ⸴ ⁱⁿᵗᵉʳʳᵘᵖᵗⁱⁿᵍ‧ "ᵂʰᵃᵗ'ˢ ʰᵃᵖᵖᵉⁿⁱⁿᵍ‧‧‧" "ʸᵒᵘ ʰᵃᵛᵉ ᵃ ᵛⁱˢⁱᵗᵒʳ; ᴵ'ᵐ ˢᵘʳᵉ ʰᵉ ᶜᵃⁿ ʰᵉˡᵖ ʸᵒᵘ ʳᵉᵍᵃⁱⁿ‧‧‧" "ᴵ ᵈᵒⁿ'ᵗ ᵏⁿᵒʷ ʷʰ‧‧‧" "ᴵ'ˡˡ ᵇᵉ ᵇᵃᶜᵏ ʷⁱᵗʰ ᵗʰᵉ ᵛⁱˢⁱᵗᵒʳ‧" ᴹʳ‧ ᴷʳᵃᵇˢ ˢᵃʷ ᵗʰᵉ ᶜˡⁱⁿⁱᶜⁱᵃⁿ ᶠⁱⁿᵃˡˡʸ‧ "ᴴᵉ'ˢ ᵍᵒⁱⁿᵍ ᵗᵒ ˡⁱᵛᵉ⸴ ᵇᵘᵗ ⁱˢ ᶜᵒⁿᶠᵘˢᵉᵈ‧ ᔆᵗⁱˡˡ ᶜᵃⁿ ⁿᵒᵗ ᵗᵉˡˡ ʷʰᵃᵗ ʰᵉ'ᵈ ʳᵉᵐᵉᵐᵇᵉʳ‧‧‧" ᴹʳ‧ ᴷʳᵃᵇˢ ʷᵉⁿᵗ ᵃⁿᵈ ᶠᵒˡˡᵒʷᵉᵈ ʰⁱᵐ ⁱⁿ ᵗʰᵉ ᵃʳᵉᵃ ᵖˡᵃⁿᵏᵗᵒⁿ'ˢ ʳᵉᶜᵒᵛᵉʳⁱⁿᵍ ⁱⁿ‧‧‧ to be cont. Pt. 4

• 3y ago • Doctor in the UK here The NHS information on the pap (smear test we call it here) is fairly comprehensive: https://www.nhs.uk/conditions/cervical-screening/why-its-important/ The recommendation here is if you have ever had any such contact then you should have regular screening. In the UK you may choose not to have screening if you've never had said contact, as a) the majority of change and cancers are caused by HPV, which is transmitted and b) changes and cancers not caused by HPV don't tend to be detected by screening (the pap smear) but by symptoms (intermenstrual abnormal discharge) instead You should never feel pressured into an examination., and you always have the option of declining to answer a question, receive all or any part of an examination, or have an investigation such as a bløød test̕ or imaging study. It's called "shared decision making" and I encourage all patıents to ask 3 questions if they're ever unsure: What are my options? What are the pros and cons of each option for me? How do I get support to help me make a decision that is right for me?

TO SEE OR NOT TO SEE (by NeuroFabulous) 𓇼 𝐑𝐚𝐭𝐞𝐝 𝐏𝐆-𝟏𝟑 🕊️🩰🐚 Pt. 15 As the anesthesia began to wear off, Plankton's snores grew quieter. His antennae twitched slightly, a sign that he was coming back to consciousness. Karen was there, her hand still in his, ready to face whatever the waking world brought with him. His eyelid fluttered open, his pupil dilated and unfocused. "Mmph," he mumbled, his mouth filled with gauze. Karen's heart jumped. She leaned in closer, her voice soft. "Hey, Plankton, you're okay. You're back!" Plankton looked at her, his antennae twitching. "Wha...?" he mumbled, his speech slurred from the anesthesia. He tried to sit up, but the nurse, Octavia, gently pushed his shoulders back down. "Easy, Mr. Plankton," she said. "Take i---" "Wha... Whath...?" Plankton interrupts. Karen leaned closer. "You had your wisdom teeth taken out," she explained gently. "You're going to be a bit sleepy and your mouth is going to feel funny." Plankton's antennae twitched as he took in her words. "Teef?" he slurred, his voice higher than usual. "Owies?" Karen nodded, her smile soft. "Yes, but you're all done now." She gently stroked his cheek. "You were so brave." Plankton's antennae twitched as he tried to comprehend. The world was a blur, his mouth still numb and filled with cottony gauze. "Windom teef?" he mumbled. Karen's eyes filled with compassion as she nodded. "Yes, sweetie, they took them out to make sure you don't hurt." She held up his plushie, now wet from the drool. "Remember your friend here?" Plankton blinked, his eye focusing on the plushie. He nodded slightly, his antennae slowing their twitching. "Fwens," he murmured, his voice faint. Karen pressed the stuffed animal to his chest. "You did so good," she whispered. "Now, let's get you home so you can rest." Chip stepped forward, his own anxiety easing slightly at the sight of his dad's confusion. He reached for the plushie. "Da-" But Plankton's eye widened. "No!" he protested, his voice slurred. "Ith’s mime!" Karen's eyes met Chip's. "Let him have it," she whispered. "It's a comfort object." Chip nodded, stepping back. The nurse, Octavia, smiled gently. "Okay, Mr. Plankton, let's get you sitting up now." Plankton's antennae twitched as he complied, his movements slow and clumsy. Chip couldn't help but feel a pang of sympathy at the sight of his dad so out of sorts. Karen helped him into a sitting position, his eye still unfocused. "Whewe am I again?" he asked, his voice small and lost. "You're at the dentist," Karen said, her voice soothing. "Remember the surgery?" Plankton blinked, his memory foggy. "Teethies?" He looked around the room, his antennae quivering. "Ith wath scawy," he said, his voice trembling. "Buth now it'th aww done?" Karen nodded, her smile reassuring. "Yes, sweetie, it's all done. You're okay." Chip watched, his heart swelling with emotion. His dad's confused speech from his numb mouth was a stark reminder of his vulnerability. "Buth I don't feew ith," Plankton said, his antennae drooping. "Mowf, funny." Karen nodded, her eyes never leaving his. "It's because the doctor had to make your mouth sleepy," she explained. "But we'll get you home, and you can take more naps to feel better." Chip watched his dad, his heart aching. The brave front Plankton had put on was gone, replaced by childlike bewilderment from the lingering anesthesia. "C-can go hone now?" Plankton mumbled, his voice still thick and slurred. Karen nodded, her eyes filled with pity. "Yes, we're going home right now." She turned to Octavia. "Can we go?" The nurse nodded. As they helped Plankton into the car, his movements were still clumsy, his coordination off from the anesthesia. He leaned heavily on Karen, his antennae drooping. "Thath way," he murmured, his eye pointing in the general direction of the car. Chip stepped aside, his heart heavy as he watched his dad's unsteady gait. Once inside, Karen buckled him in and put his blanket over. "Here you go," she said, her voice soothing. "Everything's going to be okay." Falling asleep as Karen drove, Plankton's head lolled to the side, his mouth open, drool pooling in the corner. His snores were low and rhythmic, his antennae still, and his mouth was slack. Karen giggled. "Plankton how you doing?" He stirred, antennae twitching slightly. "Mmf," he murmured. "Tham." Karen's eyes filled with love. "We're almost home," she said. "Just a little longer." Plankton nodded, his antennae still droopy. "Karen I'm tiwweeddd!" Karen couldn't help but laugh, her heart warming at his slurred speech. "Whewe's Chip?" he asked suddenly, his voice groggy. Karen looked in the rearview mirror. "He's right here, behind us," she assured him. "Keeping an eye on you." Chip felt his cheeks warm with the attention. Plankton's confusion was so innocent, like a child's, it was hard not to be drawn in by it. He leaned forward. "Hi, Dad," he said gently. Plankton's antennae twitched, his eye searching the backseat. "Chip?" Chip nodded, trying to smile. "I'm here, Dad." Plankton's gaze was glassy, his voice slurred. "You...shay?" "Yes, Dad," Chip said. "I'm right here."