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#modern surgery and antibiotics i should say
shelbystales · 2 months
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Best Aid - Part Eight
Modern Tommy Shelby x Reader - Masterlist
Previous parts: 1 - 2 - 3 - 4 - 5 - 6 - 7
Summary: you are a young doctor in Birmingham. After a crazy incident, Thomas Shelby shows up at your hospital. You don’t know much about the man everyone seems to fear, but you definitely will.
Warning: swearing, mention of torture and panick attack
A/N:  Comment and interact, tell me what you think! it means a looot.
English is my second language so I apologize in advance for the grammar mistakes.
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On your next shift, the first thing you did when you arrived at the hospital was go straight to John Doe's room to see if he was still there. 
To your surprise, yes, he was still there. 
He had already undergone jaw surgery the day before, and to an even greater surprise, he was awake. He stared at the room's window as if he was hypnotized.
"Hi," you said, entering the room. "Good to see you awake," you smiled.
He shifted his attention from the window to you but didn't say anything. Well, he couldn't speak, as his mouth was paralyzed on the side of the jaw surgery, and it would probably stay that way for a while. 
His face was much less swollen and deformed then you had remembered.
You approached him to get the medical record and check the progress of his exams. "My name is Y/N; I was the doctor on duty the night you arrived. Do you feel any pain?" He subtly shook his head, and when you asked if you could examine him, he gave a small nod.
During the examination, you proceeded with caution, aware of the potential trauma he might have experienced. The signs of infection from his blood test had decreased, and the wound appeared to be healing well. Other than that, he was healing well.
After completing the examination, you left the room and returned to the trauma center, where you met with the shift residents and assigned tasks.
You started to overthink why Thomas hadn't stolen your patient, but as you created a thousand questions in your head, you just decided to accept the situation and move on with your day. After all, he did comply with your request.
Continuing your rounds, you attended to other patients.
During a break in the staff lounge, Jeremy joined you with his usual big smile. "Hey girl, how are you?" he asked, taking a seat beside you.
"Hey," you smiled back. "I'm good, you?"
"Great. Doctor says my fiancé has prostatitis," he said, relieved.
"Good, some antibiotics should solve it. Might take a while, though." you smiled
"Yeah... no sex for a while… well, at least it's not cancer," he joked.
"Dodged a bullet, huh?" you chuckled.
"Yes, yes. I was worried," he sighed. "Are you really okay? I didn't see you leave last shift."
You sighed, debating how much to share with Jeremy. "It's been a wild ride, Jer. There's this whole situation with the patient, and then late at night, Thomas showed up. It's like a never-ending rollercoaster with him."
Jeremy's smile faded, replaced by genuine concern. "What?" he asked, leaning in slightly.
"Yeah. And I fucking had a panic attack after he told me he would discharge John Doe. But then... he was so kind, helping me through the panic. I just... I don't know. I'm so confused about everything," you confessed.
"He just showed up and wanted to discharge the unconscious, almost dying man?" he asked, and you nodded.
"And as I argued he couldn't, I suddenly couldn't breathe," you shrugged. "I need a break. I told him I didn't want to see him. He just doesn't care."
Jeremy's expression turned from concern to disbelief. "That's insane. He is insane.”
“Just figuring that out now?” you frowned and sighed “But… At the same time, he brought the man in, and I don’t think he did all that to him. Also, he didn't steal my patient… and he was so so gentle to me.”
Jeremy furrowed his brows. “Okay, listen up, I love you. But you've got to figure out what you want from him, Y/N. It's not healthy to be caught in this constant state of confusion. You either want him or not."
“I don’t,” you blurted out.
“Shut up, you don’t. If you didn’t, what he did or didn’t do wouldn’t bother you,” he said, cutting through your protest with a knowing look.
You sighed, realizing Jeremy might be onto something. The conflicting emotions and the chaos Thomas brought into your life were undeniable, and deep down, you questioned your own motives.
“I just can't make sense of it, Jer. He's this enigma, this complicated man who seems to defy any logic i create,” you confessed, running a hand through your hair.
“People like that can be dangerous to get involved with, Y/N. I don’t want to see you getting hurt. Yes, he’s hot as fuck, might fuck you senselless, but we need boundaries to keep ourselves safe sometimes” Jeremy said, genuine concern etched across his face.
“Yeah I know. I just need time to figure things out,” you replied, your mind still swirling with uncertainty.
“Maybe just fuck him and ghost him” He smiled 
“That is definitely not the best option” you chuckled
“Yeah… i just. I want you to get laid. Maybe with someone else. You deserve it. Some dick could make your thoughts clearer” he leaned back as his big smile continued crossing his face
“Yeah, right. As if I have a line of people that want to fuck me”
“Oh girl… you are so oblivious. Let's start with all the male residents! And some nurses… Jesus you have no idea” He said surprised
“I’m gonna go. You forget it, i’m not getting involved with anyone in this hospital” you said
“Okay” he shrugged as you stood up and left
As the day progressed, you found yourself once again immersed in the demanding environment of the hospital.
In the quiet moments between duties, you couldn't help but reflect on Jeremy's words. The need for clarity tugged at you, urging you to confront the feelings you failed to understand.
As you left the hospital that day, the internal conflict within you raged on. Thomas Shelby's presence seemed to evoke a myriad of emotions - confusion, frustration, and an undeniable attraction that left you questioning your own judgment.
When you walked into the lobby of the hotel, you caught sight of Thomas engaged in a serious discussion with his aunt, Polly. The lines on Thomas's face spoke of stress and tension, a departure from his usual composed demeanor.
You stood there, observing from a distance, deciding if you should or not talk to him. Set some things straight. Maybe all you wanted to hear was that he didn’t do anything to the man. Or maybe that he cares about others and that’s the reason he left the man in the hospital care. Or maybe… just maybe… you wanted to hear his husky voice…
As Thomas and Polly concluded their conversation, you observed him preparing to leave the lobby, a sense of urgency evident on his face. Your eyes met, and a shy smile from you prompted a momentary pause, marked by a furrowed brow.
"Can we talk?," you mouthed standind a few feets away from him.
He slightly nodded. Stopping in the middle of the lobby and following you after you started to walk in the direction of the elevators.
As you stepped into the elevator, the atmosphere between you and Thomas was heavy. The air charged with unresolved tension.
The doors closed, enveloping both of you in a temporary cocoon of privacy.
"Alright, Y/N, what's on your mind?" Thomas inquired, his voice low and steady. His posture, rigid yet composed.
You took a deep breath, your gaze fixed on the floor, steeling yourself for the words about to spill out. "I need you to be honest,"
"About?" he replied, his piercing gaze fixed on you. 
"The man," you said, meeting his gaze, searching for any hint of emotion in his stoic posture—a true master of the poker face.
"What about him?" His response, delivered with an air of nonchalance
"Did you do that to him?" you pressed
"I already told you that, eh?" he countered, glancing around the elevator as it announced the floor—the floor to your room.
"You didn't," you asserted, the tension escalating with each passing moment.
"Yeah, I didn't do it," he admitted, his eyes meeting yours briefly before the elevator doors opened. You exited first, and he followed, the charged atmosphere trailing into the corridor and eventually into your hotel room.
In the room, you moved with purpose, entering the kitchen to fetch two glasses of water. Placing them on the dining table, you invited him to sit. 
"How long will this take?" he inquired, his posture a blend of impatience and reservation.
"Do you have somewhere else to be?" you countered, your eyes locked onto his.
"I do" he answered shortly
"If you want to fix this, take a seat," you added, leaning back and crossing your arms, awaiting his response.
Thomas hesitated for a moment, his gaze lingering on you, weighing the options. After a pause that seemed to stretch on, he finally relented, his movements fluid yet hesitant as he took a seat at the dining table.
You observed him closely, noting the subtle nuances in his posture.
"Why did you bring him to the hospital if you weren't responsible for what happened to him?" you questioned, your voice steady. 
His eyes met yours, a flicker of something unreadable passing through them. "I never said I wasn't responsible. I said I didn't do it," he responded, the words hanging in the space between you like an unspoken challenge.
“Fuck you” you filled your mouth to say those words, and it felt good “What the fuck is that suppossed to mean?”
"He's a friend," he admitted
"Why didn't you just say that from the beginning?" you retorted, frustration evident in your tone.
Thomas's gaze remained steady, a mixture of regret and resolve in his eyes. "There are things that go beyond simple explanations."
"No, no. Some explanations are pretty simple," you shrugged, your frustration simmering beneath the surface.
"Y/N," he began, his Birmingham accent adding a distinct cadence to his words. "If I started spillin' every detail, you'd be tangled in a mess you're better off avoiding. Because then, you would ask me why my friend was like that. And I would have to tell you, since we're bein' honest, that he was kidnapped and tortured for information about me. Because that's what happens to people around me. And you would ask me why, and I tell you, that's business, and me business is a difficult thing to explain" he continued, his voice carrying the weight of a reality that seemed both distant and uncomfortably close.
The room echoed with a heavy silence, the weight of Thomas's revelations settling around you both. You knew exactly what his business was after a few hours googling him, no. A few hours fucking stalking the man.
"I never asked for any of this, Thomas," you finally spoke, your voice a mix of frustration and vulnerability. "I never signed up for a life entangled in your... business."
Thomas leaned back, his eyes fixed on you, acknowledging the truth in your words. "And I never asked you to. But here we are."
"I don't want to end up like your friend," you stated firmly, your voice carrying the weight of your fears and the boundaries you needed to set.
Thomas's eyes, now revealed a hint of regret. "You won't," he replied, his voice softer than before. "I promise."
You sighed, feeling the weight of the situation settling on your shoulders. Taking both hands to your face, you couldn't shake off the stress that had crept into your being.
"How are you feeling?" he asked, his usually stoic demeanor giving way to an unexpected tenderness.
"Stressed," you answered
"Aren't we all?" he remarked, a rare hint of vulnerability in his voice.
"Is your life always like this?" you inquired, curiosity peeking.
"No, it has never been like this," he admitted, taking a sip of the water in front of him. "Could be a glass of whisky, eh?" he suggested, a faint smile playing on his lips.
"I don't remember the last time I drank whisky," you confessed.
"Really?" he raised an eyebrow, glancing around the room. "I think there's a bottle somewhere."
"There's a drink cart in the bedroom," you informed him.
After a brief search, he found the cart and walking into the living room with the bottle in hand he looked at you for approval. "One glass?"
"Sure, why not?" you agreed, welcoming the distraction 
Thomas poured a modest amount of whisky into two glasses, the amber liquid catching the soft glow of the room. As he handed you a glass, his fingers brushed against yours in a fleeting touch, making your heart race wiht excitement. 
As the whisky warmed your insides, Thomas leaned back, the weight of his own burdens evident in the lines of his face. You couldn't help but notice how well he looked, how well dressed he was. If you just saw him crossing the streed, you would never believe that the man in front of you was a fucking gang leader.
The air between you carried a mixture of tension and a strange camaraderie born out of the unexpected intimacy of the moment.
"This is better," Thomas remarked, studying the liquid in his glass after taking a sip.
"You know, this isn't how I imagined our conversation going," you admitted, a wry smile playing on your lips.
Thomas chuckled, the sound rich and resonant. "Nor did I, Y/N."
Ozzy appeared, strolling in from the bedroom and hopping onto the couch, where he promptly settled down for a nap. You couldn't help but smile as you watched him make himself comfortable.
"Do you like cats?" you asked, curious about Thomas's preferences.
"No," he answered bluntly.
"Get out of my room," you joked, eliciting a chuckle from him. "Why not?"
He shrugged. "I just don't."
"Yeah, you look like a dog person."
"I have horses, I don't have a dog."
"Oh, right. Rich people pets," you teased, a playful smile on your face.
Thomas raised an eyebrow at your playful jab. "Horses are not exactly house pets," he remarked, a hint of amusement in his tone.
"Fair point," you conceded, enjoying the banter that seemed to ease the tension. "So, what does Thomas Shelby do for fun? Besides making me insane, of course"
His gaze flickered with a subtle mix of contemplation and amusement. "Fun... hm, let's say I like riding horses, reading, and chess."
"Chess, huh? I bet I can win” you smiled, gaze locked on his
Thomas Shelby leaned back, a mysterious glint in his eyes as he considered your challenge about chess. "You can try," he said, his smirk hinting at a quiet confidence.
The air between you felt lighter. You felt good about it. He could be a good company. 
"What happened?" you asked, meeting his gaze. Thomas frowned slightly, not understanding what you meant. "How did a guy that likes horses and plays chess turn my life upside down? making me feel like I couldn't breathe for days? Made me fear my life. At one point I felt so paranoid that i could swear there was someone was following me down the hospital. Because the Thomas in here now... I like this Thomas."
There was a moment of silence, Thomas's gaze held a mixture of contemplation and a touch of vulnerability you failed to see before.
"I already told you I didn't intend for any of this, Y/N," he began, his voice softer than usual “Believe me if you want, I didn't want you to get caught in it. But then, I woke up and you were already involved”
"I know," you admitted, your voice reflecting a mixture of gratitude and apprehension. "But I don't know how to navigate through this. It's like stepping into a world or a war I never knew existed."
He reached across the table, his hand covering yours in a gesture of reassurance that sent a little jolt through you. "Look, I want you to know that I won't leave you alone in the chaos I've brought. Ok?", You nodded 
His touch, warm and reassuring, sent a subtle thrill through you, awakening a desire you hadn't fully acknowledged since he walked in here tonight. As your eyes locked with his, an unspoken promise hung in the air, and for a brief moment, you found myself teetering on the edge of exploring something deeper with Thomas Shelby.
you cleared your throat, a nervous habit that betrayed the tumultuous thoughts racing through your mind. "Don't you have somewhere to be?" you managed to inquire, hoping to redirect the conversation and temper the rising anticipation. The effects of the whisky were starting to weave their magic, adding a layer of haziness to your judgment.
"I do," he sighed taking his hand from yours and adjusting his suit. "I enjoyed our talk. Are we in a better place?"
"Yeah, just... don't bring me more near-death guys. Please," you chuckled, the sound echoing in the room.
"And who would I take them to?," he replied, a hint of amusement in his eyes.
“I don't know" you shrugged "Government health system is avaible in birmingham"
He chuckled "yes, i have a hospital so that I can send my friends to the public system" he mocked
"Well... can I just ask you to try and be honest? That's all I really need from you. I don't want to fear you” 
"Are you sure the truth won't make you do exactly that?,"
"So far it hasn't, the other way around actualy" you answered
"Fine. That's a challenging thing to ask me, but sure. I can try," he agreed.
"Good," you smiled.
"Have a good night, Y/N," he said, starting to stand up. As he rose, something compelled him to lean down, and he pressed a gentle kiss to the top of your head.
"You too," you replied, feeling a strange mix of surprise and comfort. As he headed toward the door, you couldn't help but blurt out, "Wait, why didn’t you steal my patient?"
He stopped in his tracks, turning back to face you. "I couldn’t have him die on me, and… I trust you," he explained, his words hanging in the air. It left you with a complex swirl of emotions.
"Can I ask his name?" you inquired.
"Johnny Dogs. He's not registered, by the way. So, keep it as John Doe. If people start asking too many questions, you tell me," he instructed, and you nodded. His gaze holding yours for a moment longer before he walked out.
With a deep sigh, you sank back into your chair, contemplating the unexpected twists of the day.
The Thomas you saw in here now was the same one you welcomed into your home and that version of Thomas was surprisingly good company. That was the Thomas who drew you in, the one you found yourself attracted to. Yet, how could he embody two entirely different personas simultaneously? one you felt like punching and other you felt like kissing...
At least, he trusted you.
The knowledge of his trust provided a welcome boost to your self-esteem. Despite the whirlwind of confusion and complexity, you couldn't deny the comfort in knowing that, in his own enigmatic way, Thomas Shelby trusted in you.
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ladykailitha · 1 year
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In the Midnight Hour Part 11
And now we get to the healing and the ending. There are 13 parts in total. I am currently working on a Valentine’s day fic, but after that I fully plan to get back to the other two WIPs.
Part 1 Part 2 Part 3 Part 4 Part 5 Part 6 Part 7 Part 8 Part 9 Part 10  
*
Steve woke up first. He saw Dustin and Wayne looking down at him, relief flooding every inch of their bodies.
“Is everyone okay?” he rasped.
Wayne let out a watery chuckle. “Eddie’s still in surgery. They’re trying to save his fingers and vocal cords. The bite on his throat was the deepest and whatever it was that happened when you changed him back, caused a lot of damage. He has two gashes on his back from where the wings were and tips of his fingers were broken.”
Steve let out a distressed cry. “What if he can’t play guitar or sing ever again? It would kill him.”
Dustin and Wayne shared a glance. They both had similar thoughts.
“He’s alive,” Wayne assured him. “That’s the important part right now. Don’t worry about anything else.
Just then Eddie was wheeled back into the room. He was on his side and they could see the heavy bandages on his throat, back and fingers.
The surgeon came in behind the nurses wheeling Eddie in. As the nurses began to hook Eddie up to the machines, the doctor came up to Wayne.
“If you’d step with me out into the hallway,” the doctor began, “I’ll go over with you how the surgery went.”
Wayne looked at Steve and Dustin and shook his head. “They’re Eddie’s family, too. You can say whatever you want in front of them.”
The doctor eyed Steve skeptically. He could believe that Dustin could be a younger brother, but everyone knew who Steve Harrington was. Not because of his family, but by how much time he had spent in that hospital in the last three years.
The doctor met Wayne’s steely gaze head on, but folded first. It wasn’t any of his business if Wayne Munson declared him family.
“Right,” the doctor began. “The surgeries on his back and fingers went fine. The gashes were clean, as were the breaks on his fingers. He should get full range of motion back in his hands in no time at all.”
All three of them let out a sigh of relief.
“And his throat?” Steve asked timidly.
“That’s the hard part,” the doctor said. “We won’t know how successful we were until he wakes up. We did everything we could, the best that we could. All we can do now is wait.”
A nurse came up to him with a different file and the doctor traded Eddie’s file for the new one.
“And since you’re awake, now, Mr Harrington,” the doctor said coldly, “we should talk about your injuries.”
Steve winced. “What’s the prognosis, doc?”
“You are a modern miracle,” the doctor said flatly. “You should, for all intents and purposes, be dead.”
Wayne and Dustin looked over at Steve in shock.
“Let’s see,” the doctor said lifting up the first page and flipping through what looked to be several pages of x-rays and other medical jargon. “The gash on your chest and stomach is infected and we are currently pumping you with enough antibiotics to knock out a horse and yet...” He waved to Steve’s wakefulness.
Steve blushed.
“We reopened them and sewed them shut properly so that they will heal correctly,” the doctor continued, giving Steve the stink-eye. “You had a lot of minor abrasions that didn’t require stitches, but they have been cleaned, disinfected, and bandaged.”
“That’s good then,” Dustin said feeling relieved.
“Oh all that’s fine,” the doctor intoned. “It was the CT scan of his head, that really stumped every neurologist and neurosurgeon that looked at it. Son, are you aware how many concussions you’ve had?”
Steve looked up and began to count on his fingers when he started running out of fingers on the one hand the doctor stopped him, waving his hands dramatically.
“Enough!” the doctor cried. “One is too many, Mr Harrington! You have had more concussions than the average professional football player in ten years of playing, in the last four years.”
Steve dropped his head and hunched his shoulders. “I know.”
“You going to have to start seeing a neurologist and taking medications for your migraines and other head related issues. I’ve set up for hearing and eye tests in the next couple of days and then going forward you will have to take those tests every six months to make sure we catch any problems that may crop up due to the trauma.”
Steve nodded. Wayne took his hand and gave it a squeeze.
“We’ll get through this,” he murmured.
“Hell, yeah,” Dustin said.
“Just one more thing,” the doctor said. “You’re parents were notified as next of kin.”
Steve and Wayne shared a nervous glance.
“They could not be reached,” the doctor continued, “so I had an orderly try and run them down.”
Steve grimaced. “They hadn’t called in awhile,” he admitted shyly.
“He was able to track them to New York where they had been living for the last two years,” the doctor said.
Steve’s eyes went wide as he leaned forward. “Excuse me? Living?”
The doctor nodded. “Your journalist friend did some further research, and found that they had listed the house in Hawkins as their secondary home.”
Steve’s lip quivered and he bit it to fight back the tears. “Why? Why didn’t they say something?”
The doctor shook his head. “Your friend is looking into it, but there is some suggestion they have even signed the house you currently reside over to you a year ago.”
“What?!” Dustin screeched. “A year ago!”
Steve frowned. “I‒I vaguely remembering getting something in the mail after the mall burned down, but I was so out of it...”
“The people currently paying for your care have told me to inform you that they are taking care of everything and to just relax,” the doctor said, sound sympathetic for the first time. “Rest up, Mr Harrington. It looks as though you have a long road ahead of you.”
The doctor left leaving behind a stunned trio.
“I haven’t gotten anything from them in over a year,” Steve said, as he choked back a sob. “I was getting really worried when I couldn’t reach them. I thought something had happened to them. Maybe that would have been better than to be completely abandoned and discarded like an ill-fitting sweater.”
“We’ll get this sorted out,” Wayne said. “I’ll talk to Owens and find out what’s being done. And by the time you’re out of here, it’ll be all sorted.”
He stood up and gave Steve’s shoulder a squeeze. He walked over to Eddie’s bed side and knelt down so they were face to face. “Hey, sweetheart,” he whispered. “I don’t know if you can hear me right now, but I need to know how much I love you and that you have to wake up. Not for me, though I wouldn’t mind. Steve’s going to need you now more than ever.”
He smoothed Eddie hair and brushed it gently out of his face. He kissed Eddie’s forehead and stood back up.
“Dustin, let me know if anything changes with Eddie,” he said turning to the younger boy. “And Steve, make sure if you need anything you let someone know right away.”
Steve nodded. He looked down at his hands and sighed. “There is one thing, sir.”
Wayne smiled softly. “What’s that?”
“Can‒can the two beds be brought closer together?” he asked shyly.
“I can ask.”
Steve gulped. “Thanks.”
“Take care,” Wayne murmured.
*
The two beds were pushed closer together. Just far enough apart that a nurse could squeeze through to look at Eddie’s machines and make adjustments as needed.
On the third day, Eddie opened his eyes.
“Wayne...” he whisper shouted getting the man’s attention.
Wayne’s eyes snapped to Eddie’s now opened eyes. “Eddie!” He jumped up and tapped the nurse call button. “Hang on, son. I’ve got nurses on the way.”
Eddie nodded.
The nurses came pouring in and made adjustments, got Eddie some water, and lifted the bed to a more upright position. They made sure he was comfortable before they left him alone.
“What’s wrong with my voice?” Eddie asked.
Wayne smiled sadly. “We don’t know. The doctors did everything they could. You could get it back, but it will take time.”
Eddie’s hand went up to his throat. “And if I don’t get back?”
“Then we learn sign language,” Steve said. “And you’ll still be able to talk a mile a minute, if not faster, being able to use your hands.”
“But‒” Eddie whispered. D&D, his band. Sign language was great for every day, but what about the things he loved...
Steve reached out and grabbed his hand. “We’ll figure it out.”
Eddie looked into Steve’s eyes and found hope there. “Okay...”
“In the mean time,” Wayne said pulling out pad of paper and a pen. “Use this to keep you from hurting your throat further.”
Eddie nodded, taking them both in one hand so he wouldn’t have to let go of Steve’s hand.
��Maybe for D&D, if you end up not being able to speak,” Steve said with a grin, “I’ll be your interpreter. That will really freak out your club.”
Eddie let out a little wheeze and then in big bold letters wrote with the pen in his fist like a toddler, “DON’T MAKE ME LAUGH!!!!!!!”
The doctor chose that moment to come in. “Mr Munson, it’s good to see you awake.”
Eddie smiled and waved.
“I’m sure by now you have noticed your voice is rough at the moment,” the doctor continued.
Eddie rolled his eyes and wrote: “It’s not just rough, it’s fucking gone!”
The doctor frowned and got out a pen light to look at Eddie’s throat. “Everything seems fine. It’s most likely due to non-use. I will get a speech therapist in here by later today and see if we can get you back to your chatty self in no time at all.”
Steve was practically bouncing in his bed. “You see, Eddie? Everything’s going to be just fine!”
Eddie blushed.
Wayne stood up. “I’m going to go let everyone know you’re awake.”
Eddie waved and Steve smiled.
Eddie let his hair fall in front of his face and wrote: “You kissed me.”
Steve laughed. “I did tell you I wanted to weeks ago.”
Eddie shoved his hair into his mouth. “I felt your love for me down there.”
Steve’s smile turned fond. “Yeah. Did you know about your uncle’s powers?”
Eddie shook his head and wrote: “Not really. Suspected something might be up when he always seemed able to suss out my moods, but no.”
“The only ones that seemed to understand what he was, was El and Will,” Steve said. “The two munchkins you haven’t met yet.”
Eddie’s shoulders shook, indicating his silent laughter. “Just how many children do you have?”
“All total?” Steve asked with a grin. “Seven. Just don’t tell their parents.” He winked at Eddie.
Eddie turned the page, having already filled the first one. “Seven? How the hell did you get seven kids? Did you kidnap them?”
Steve laughed. “No. The original four were Lucas, Will, Mike, and Dustin. Then El got added. Then Max and Erica the following year.”
“That’s a lot,” Eddie wrote.
“I would do anything for them,” Steve said softly.
“How did you know to use Wayne’s powers to make Vecna vulnerable?” Eddie wrote after a moment or two.
Steve grinned. “It was something your uncle said actually.”
“What’s that?” Wayne asked from the doorway.
Eddie wrote: “Hey that’s what I was going to say write!”
Wayne chuckled and moved to sit back down in the chair he vacated.
“You said that if you didn’t have a tight grasp on your powers that you would probably floor Hawkins with your love for Eddie,” Steve explained.
“And if I could do that without control,” Wayne agreed, “imagine what I could do with it completely controlled. You did a good job, son.”
Steve blushed. “I had help. You, El, Hopper, Eddie...” He glanced over at the other boy and then ducked his head.
“Yes, but you were able to put all the pieces together and come up with a plan,” Wayne said.
“You make me sound like Capt. Hannibal from ‘A-Team’,” Steve said shyly.
Wayne laughed. “You would be a fan of that one.” He clapped Eddie’s shoulder gently. “Rest up, everyone wants to see you.”
Eddie nodded. He couldn’t believe Steve had actually done it. Killed Vecna, destroyed the Upside Down, and saved him. His own personal hero. And as he closed his eyes, he dreamed of a life he never thought he could ever have.
Part 12  Part 13
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adrenaline-roulette · 4 years
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Four Eighths
Pairing: Four x Eight (Reader)  Word count: 7k+ Warnings: Language, angst, minor original character death, grief, mentions of illness and treatments, stress, breakdown, drinking, drunk, stealing, Four is redeemed! *Disclaimer, here we are, the first briefing  for who the Ghosts new target will be! This chapter is dark, I’ll warn you now, and I would dare say the next few chapters will be angsty too! Though if you’re all very well behaved, then maybe we’ll start getting some fluff and maybe a bit extra going on between Four and Eight.... Read Chapters One, Two, Three and Four first (Or don’t? I can’t make you do anything, after all I’m just text...) 
Chapter Five: I need a Doctor
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“I am the fairy king! Bow to me or you shall die!”
You stare up at the shouting blonde stood atop One’s trailer, the fairy lights you had purchased weeks earlier were now coiled around his body, now no longer producing the beautiful glow they once had. Up until a few minutes ago, the lights had been plugged in and twinkling away merrily, that was until Four had somehow gotten himself tangled up in them. He then decided that the shining bulbs suited his alter ego of ‘Fairy King’ quite nicely and had proceeded to race around base with them on, only pausing for a few moments when he realised, they no longer lit up.
The rest of the team were either asleep, or trying to sleep, you knew for a fact that One was in the latter category, as he had screamed at the top of his lungs “Stop fucking tap dancing on my roof!” The moment Four had begun parading around on the trailer.
You want to tell him to stop, but considering you were the reason he was so highly intoxicated right now, and that you were only one or two drinks away from being on his level of drunk, you find that it really isn’t your place to tell him off. “Oh, powerful fairy king!” You call out, lowering your torso in a sloppy bow, keeping your head tilted up so you can watch Four closely. He was teetering on falling over, which if it weren’t for how close he currently was to the edge of the trailer, then you wouldn’t think anything of it. “Your majesty, perhaps we should move this conversation to more sturdy ground?”
Four wobbles on unsteady legs, his face growing pale as he backs away from the edge of the trailer. For someone who spent most of his time jumping from skyscraper to skyscraper, it was rather comical to see him afraid of what would only be a short drop. “That is an excellent idea my loyal subject, now help me down please!”
You’re not exactly sure how you’re supposed to help Four down, but it likely shouldn’t have gone this way. Skipping over to the bus, a half bottle of Jack Daniel’s sloshing away in your hand, you pause just beneath Four, waving up at him with a cheesy grin, before extending your arms in front of you, with the plan of catching him. Without even so much as a pause, Four leaps off the trailer and into your waiting arms. Anyone who wasn’t currently shitfaced would’ve seen that this was a terrible plan, and that it wouldn’t end the way you both expected. However, being shitfaced as you were, it took you more than a few seconds to comprehend what had happened. One moment you were standing upright, and the next, your entire body had been slammed into the ground bellow, a heavy weight pressing against your front. “Ugh, fuck…” You groan, blinking bleary eyes down at the mass that was slowly crushing you.
Four looks up at you, a lopsided grin brightening up his entire face. “ ‘As anyone ever told you that you’re very comfortable?” He mumbles, speech slurred and slow.
“Can’t say that they have.”
“Well, you are.”
Four lowers his head down, cheek resting against your chest as his eyes flutter closed. You want to protest; this man was five foot eight and made of pure muscle! Yet your aching body began to relax, as you heard tiny snores escape the Brit. As you allowed yourself to drift off, ignoring how you were sleeping on the ground, your mind started to wonder. ‘How had this man, who you had shared no more than five consecutive words with at one time, gone from being the person you avoided at all costs, and now to the person you got piss drunk with, and allowed to fall asleep on you?’
*****
“Briefing room, five minutes!” Seven called behind your closed trailer door, not bothering to knock, knowing full well his voice could be heard clearly through the thin metal that was your trailer. You’d just finished your morning routine of; wake up, drink coffee, go for a run, drink more coffee while you updated yourself on the happenings of the world on your laptop, eat breakfast, have a ten minute internal battle over whether you should go back to bed or not, in that time drink a third cup of coffee, ignore Five’s suggestion of perhaps not ingesting so much caffeine, shower, then return to your trailer while your hair dried and go through the building blueprints One had sent you.
Slowly, you stood up from your bed, stretching your arms above your head after having sat hunched over for too long. You close your laptop, then set about searching for a sweater to throw on over the top of your shirt. Outside, the base was stifling hot, yet for some reason, the briefing room was perpetually freezing. One always insisted on turning on every single fan in the shipping container, and it was just too much! After the third team meeting there, you had vowed never to return without a sweater. Finally, you found the one you were looking for, dark gray with a red #mood splattered across the chest. The sweater itself was perhaps one or two sizes too large, but it was warm and snuggly.
You made your way towards the briefing room, slipping the sweater over your head when you were halfway there. As you pull the material down your torso, you fail to realise that you’d put the garment on backwards, coming to an abrupt halt when you notice that the hood was over your head, completely obscuring your face. Behind you, Four silently leaps from the roof of a shipping container, walking up behind you as you struggle to readjust the sweater. “Oh yeah, you should wear all your clothes like that. Prove to everyone that you’re as stupid as your role in the team is.” He snarls, pushing past you, knocking his side against your shoulder.
You can feel your eyes roll, trailing behind Four as you both head towards the meeting “You know, at first it was kinda intimidating, the whole, ‘you don’t belong here’ schtick. But really, now it’s just sad. You don’t have to feel threatened by me, Luke never felt threatened when he discovered Leia could use the force too! As a Skywalker, you should know better than to allow your emotions to cloud your judgement.” There’s a grin clawing at your lips, which you no longer bother to hide, picking up speed and walking past the scowling blonde. If you had looked back you would’ve seen Four raise his eyebrows in surprise, not having expected you to talk back. Quietly, he was actually rather impressed that you had, even if in doing so you had continued with the Star Wars trend.
*****
“Doctor Genevieve Lushnick, for twenty years she has worked as a general practitioner in a family owned GP clinic, and if she has it her way, will continue doing so until retirement. However, over time, her remedies have become more extreme. She stopped prescribing antibiotics to help fight infections, and instead would recommend her patients undergo unnecessary surgeries.” One begins, displaying images of the Doctor on the screen at the front of the room. Just the sound of her name makes you sick to your stomach, a sweat breaking out on your forehead, though no one seems to notice.
“This is Doctor Gregory Lushnick, Genevieve’s husband. He, is the surgeon who has been performing the procedures, along with a well-paid, and unethical team of doctors and nurses. Genevieve will suggest the surgery, telling the patient that it is a matter of life and death, she will then refer them on to Gregory, who will of course agree with her course of action. The patient, who at this point has been warned if they aren’t operated on soon, they will die, will pay an exuberant fee, any amount the Lushnick’s request, which they then pocket for themselves.”
Three lifts his brows at the information they had all been presented with. “How have they gotten away with this? Surely they’ve had patients who know at least a little bit about general health, who know if a procedure they’ve been recommended is necessary or not?”
One nods, folding his arms across his chest while gazing out over his team, all with an equal expression of shock and disgust. Except for you, who looks on the verge of tears. “That actually happened a few times. A Doctor went and visited Genevieve after hearing about the outrageous number of procedures she had recommended. He went in complaining of an ingrown toenail that had become infected, which he did in fact have at the time, but was treating it himself. Genevieve took one look at it, and informed him that the infection was too far gone, and if they didn’t remove his toe urgently, the infection would likely spread, and perhaps enter his blood stream. He asked for some further testing to ensure Genevieve was correct, to which she obliged, and sent him to pathology to have blood taken.”
“Yeah, but if he got blood tests then that’s it right? Game over? The tests would prove that there’s nothing wrong with ‘im.” Four interjects, leaning his hip against the edge of the table everyone was stood around, taking care to watch you from his peripherals.
“In a normal situation, then yes, you’d be correct. But this isn’t normal, nothing about the Lushnick’s is normal. The test results came back in, and of course, they read perfectly, no deadly infection obviously. But the convenient thing about living in the modern age we do, is that all test results are sent through electronically. All Genevieve had to do, was edit the results, and suddenly, her patient was suffering any ailment she wished! When she presented the results to him, and he played along, saying he would organise the procedure shortly. Instead, he went to the Minister of Health, and presented his findings. The Lushnick’s found out who he was, and what was happening and fled the country. No one knows where they went, so they escaped punishment.”
“Alright, so they fucked off somewhere else, but they’re not hurting anyone, anymore right? So how does this affect us?” Seven shrugged, One’s eyes boring into his.
“I know exactly where the Lushnick’s are. They’ve been performing their surgeries in secret for a few years now, but they’ve moved on to more desperate patients, and are providing more extreme remedies. Rather than patients finding her, Genevieve is seeking out her own patients, the one’s who are unable to afford a visit to the Doctor’s surgery. She’ll play nice, offer them a free consult to ensure they’re all healthy, then she’ll drop the health bomb on them. These people are so afraid, that they will believe anything Genevieve tells them, and will do anything to get the money needed for their life saving surgery.”
Your hand grips the back of a chair, while your other presses flat against the wall nearest you. Your head is swimming, memories flooding back to you in a tidal wave. Heart racing so fast you think it’s about to explode, all the while sweat drips from your skin. No one notices, no one cares. They all have questions that need answering.
Four notices though, how could he not? For weeks now, he had done nothing but watch you closely, always checking to make sure you were safe, and not putting yourself in any unnecessary danger. If you were going to stay with the team, and it looked as if you were, then he would keep an eye on you from a distance. He may not be your friend, but that didn’t mean he cared any less, not really.
“What kind of surgeries are they doing now?” Five asks, her hands resting on her hips.
“Similar to what they used to suggest, only now more extreme because they have a more desperate clientele. From what I could find, the most chilling was what she and Greg did to a fifteen year old boy. He was complaining of shortness of breath, and if he had been seen by any other Doctor, he would’ve been diagnosed with mild asthma, and given an inhaler to use. But Genevieve instead informed him and his father that he had a potentially life-threatening lung infection.” One pauses, a frown creasing his features as he looks over at you, your skin having grown pale and your eyes unfocused, you looked about ready to collapse. He pulls he gaze away for a moment to finish, though his eyes continue to dart back over to you. “The boy underwent surgery to have an entire lung removed. His father paid nearly twenty thousand for his son to have the surgery. Two weeks after the procedure, the boy died.”
A chocked sob rips from your lips, causing everyone to focus on you, six pairs of eyes staring you down. They all either thought you were crazy, or just overly emotional over the death of a kid you didn’t know. How could they know the truth, it’s not as if you had ever told anyone? “Eight? Are you alright?” Five asks slowly, reaching a hand towards you just as you step backwards.
“Hey, sit down for a second kid…” Three offers, gesturing to the chair you had just released from your vice like grip.
“It’s the sweater, she’s probably just over heated.” Four shrugs, though even with his air of indifference, his eyes are clouded with worry.
Another sob followed by your nose sniffling. Were you crying? When had that started? You bring one hand up to your face, your fingers shaking the entire time, until they press against your cheeks, only to pull away a second later damp with tears. Lips are moving, but you don’t hear any of the words that are spoken, there’s a ringing in your ears which is too loud to ignore, and it drowns out everything other than your internal voice. The expressions the Ghosts wore changed from that of curiosity and caution, to full blown panic now as it dawned on them, that you truly weren’t alright. Just as One walks over to you, you spin on your heel, racing away from him and the team. You’re vaguely aware of people calling out after you, but you don’t turn back.
You throw yourself into the gray McLaren which had unofficially become your car, after the driving display you had given a few weeks ago. The engine revs as you try to clear your mind enough to decide on where you were going. Should you be driving in the state you were now? Probably not. Were you going to anyway? Definitely. Were you more than willing to run over Four who now stood between you and the exit you wanted to take? Without a doubt. Pressing the tab on the door, the window lowers at what felt like a comically slow rate.
Four had sprinted after you the moment you left, and was now trying to decide what his next move should be. Behind the car, he could see the others grouped together, all unsure of what to do, just like him. “Either get in the fucking car or move. You have ten seconds or I’m driving through you!” You bark out of the window, providing him with the motivation required for him to spring into action.
The passenger door slams shut, with Four diving in just milliseconds before you slam on the gas, the car fishtailing for a moment, before flying through base. Four stares dead ahead, his mouth slightly agape, while you glare at the road, hands gripping the steering wheel so tight your knuckles had turned white. When you had given Four his options just before, you had never expected him to pick the first, and from the looks of things, neither had he.
 Silence fills the speeding car for twenty odd minutes, your eyes locked on the road ahead, while Four was staring out the passenger window, his elbow propped up on the centre console,  while his other hand was resting with his fingers pressed to his lips. You felt as if you were being strangled in the silence, but neither of you were prepared to break it, both too stubborn to admit defeat, and voice your curiosity. Reaching one hand out, your hover above the power button for the stereo, taking your eyes off the road for just a second.
Oh, how things can change in one second.
The car had been travelling in an undisturbed straight line down the freeway, though all of that changed in a heartbeat. With your eyes focused elsewhere, you never saw the massive pothole looming ever closer to the McLaren. Just as you look back at the road, your eyes fall to the dip in the road, something that you should’ve avoided at all costs. Your barely functioning brain kicks in at the last minute, and just as one of your front tyre’s dips into the pothole, you spin the steering wheel, attempting to keep your remaining tyres from hitting the hole too. It was too little too late however, and instead of avoiding the pothole, the car spins out, flying off the edge of the road and skidding along the red dirt uncontrollably.  Your shriek is the first sound to pierce the silence the entire drive, and it seems to be what snapped Four out of his shock.
Four reaches out, taking the wheel in one hand, attempting to straighten out the cars path, while his other hand wraps around the handbrake, pulling it up with all his might. The McLaren spins for another few seconds, until coming to a halt, a cloud of dust having been kicked up by the erratic tyres. “Jesus Christ Eight! What the fuck was that about?”
You can’t answer him, your words are choked in your throat, and refuse to budge. You unclip your seatbelt and bolt out of the car, leaving the keys in the ignition as you sprint away from both the car and Four. Why was he here? Out of everyone that could’ve blocked your path and jumped into the car, why did it have to be fucking Four? He didn’t give a shit what was going on with you on a regular day to day basis, so why the hell would he care about this?
Where were you even running to? You were in the middle of nowhere, and all that was around you was desert and the highway. There was nowhere for you to run to. As this realisation hits you, you stop dead in your tracks. Heart pounding in your chest. Clenching your fists at your sides, your drop to your knees in the middle of the desert, titling your head back, and screaming gutturally towards the sky, as fresh tears flow freely down your cheeks now.
*****
Four had never seen someone lose control as you were doing now, he’d seen his fair share of people in pain, screaming and crying over the death of a loved one or because they were in pain. But this, it felt different to him. Watching you collapse to your knees, he felt his chest tighten, and his own breath hitched in his throat. Your scream rumbled through his entire body, and echoed around the empty sky, there was nothing around for miles that would block your screams. He didn’t know what else to do, so he grabbed the keys, pocketed them before jogging over to you.
“Hey… Hey, it’s okay – You’re gonna be okay.” He whispers, kneeling beside you now, wrapping his arms around your shaking torso. He was sure that if it weren’t for the vulnerable position you found yourself in, that you would never return his embrace as you now were. But you did, your arms circling around his neck, as you pressed your face against his shoulder.
“Any other target… It could’ve been anyone else.” You cry out, hot tears splashing against his thin t-shirt. Four tightens his grip around you, slowly lowering himself into a sitting position, and guiding you down with him. You follow him down, and he half expects you to break out of your emotions when he settles you against his lap, though that never happens.
He rubs soothing circles against your back, listening for the sounds of your cries to ease, before he finally asks. “What d’you mean Eight? What’s wrong with the target?”
You shake your head, pressing further into his shoulder, as another body shaking sob overtakes you. Your mind is swimming in horrifying memories, and all you want to do is to claw them out of your brain. You want to forget; you need to forget. “Eight, look at me… Talk to me.”
Four rests his hands on both of your shoulders,  gently guiding you away from him so he could look you in the eyes red rimmed and now puffy, though your tears had slowed at the very least. “Hey – Hi…”
*****
You blink across at Four, sniffling as you attempt to clear your thoughts. Why did he suddenly care what was wrong with you? For weeks now, he barely spoke a word to you, when he did, it was always something snarky or sarcastic. There was never any care for your wellbeing, so where had this all come from? “Hullo… I’m sorry. Please, just forget about that. I’m sorry.”
You move to pull away from Four, but his large hands on your shoulders tighten their grip, and you honestly just don’t have the energy to fight against him. “I’m not going to forget about this. Talk to me Eight, what happened back there?”
“What happened? I lost control of the car, it spun out. Happens to the best of us.” You shrug, opting to play dumb for a little while, just to see how far you would get with doing so.
There’s a fierce glare that settles over Four’s eyes, and you can feel a physical chill run down your spine at the intensity of his gaze.
“Don’t. Don’t you dare do that.”
“Do what?”
“Pretend to be stupid. We both know you’re the furthest from stupid a person could possibly get.” Four breathes out deeply, closing his eyes for a moment, before opening them and reconnecting his sight with yours.
You’re not sure which is more likely to occur first, your heart stopping entirely or for it to literally explode under the amount of stress you’re experiencing right now. “It’s the Lushnick’s. I – I know them. Or at least, I did know them.”
Four stills his movements, where he had been drawing tiny patterns against your shoulders, he no longer seems able to do even that. “What do you mean you know the Lushnick’s?” His voice comes out strangled, and if you didn’t know any better, you would think he was worried about you.
“Doctor Genevieve, the clinic she worked in was local to my family when I was little. When I was around five, I had a babysitter, Kellie, she would look after me every afternoon after school, and some weekends. She would’ve been around seventeen, and at the time was my best friend. I didn’t get along with the kids in my class, so I turned to Kellie, she was always there for me, and I loved her like a sister.” There, that was the easy part to talk about. You could just leave the story there, but really, you know you couldn’t do that. You had given away too much to stop now. “Every afternoon, she would walk me home from school. On the walk, we would pass by the clinic where Doctor Lushnick worked. One afternoon, when we were heading home, Kellie started to feel dizzy, I remember she was struggling to walk, and I was worried. I left her on a bench, and ran to the Doctor’s clinic. The receptionist grabbed the first doctor she could find, Genevieve, and we all ran to Kellie to help her.”
“Fuck Eight, I’m sorry –“
You cut Four off before he can say anymore. “Let me finish. There’s more to tell, and I can’t stop now.” You pause for a moment, waiting to see if he had anything else to say, but clearly he thought better than to speak up again. “Doctor Lushnick performed heaps of tests, I remember she kept sending Kellie for more and more blood tests, x-rays and ultrasounds. Always telling her and her family that the results had come back inconclusive. It must’ve been around two weeks, until Kellie was given her diagnosis. Heart failure. I don’t remember much of what happened after that, there was a lot of adult conversations had that I wasn’t made a part of. What I do know though, is that Genevieve sent Kellie to have a heart transplant. Kellie was terrified, I can still hear her crying, begging her parents not to make her go through with the surgery. Her parents didn’t want her to have it done either, but Genevieve and Gregory made it sound as if it were her only option. They told Kellie and her parents that without the surgery, she would die.”
Tears had returned to your eyes now, and Four pulled you subtly closer to him, not enough so you were embraced as you were before, but enough that you could feel his warmth soaking into you, and hear his steady heartbeat. “Kellie had the surgery, and was recovering relatively well.  She was in the hospital still so the nurses could keep an eye on her while she healed. After school one day, I lied and told my parents I was going to a friend’s house, and that no one needed to pick me up until later. Instead I went to the hospital to visit Kellie. I had gone to see her twice after the surgery, and both times she had seemed alright, at least in my eyes she did. This third time though, when I got to her room, everything was different. She was pale and sweating, her chest heaving as she gasped for breath. There was no one else in the room for me to get, so I pressed the call button from the side of her bed, and in came running nurses and doctors.  No one really explained to me what had happened that day until I was older. And it wasn’t until I was much older, did I realise truly what had happened, and with the information One gave us today, I knew for sure. Kellie was never supposed to have had that surgery, her body underwent unnecessary trauma, which it couldn’t heal from. Doctor Genevieve and Gregory Lushnick murdered my best friend.”
Suddenly, you were pressed against Four’s chest, as your felt tears stream over your cheeks. He held you firmly, his warm embrace was one of comfort and peace, two things you had never associated with the man. “When One was telling us about what they had done to others, I just couldn’t stop the memories from coming back, everything I felt back then, it all came rushing back to me.”
“It’s alright, fuck Eight. I’m sorry, I am so sorry. I wish there was more I could say..”
You gulp, before looking up at him, your eyes scanning over his handsomely chiselled face for the very first time. In the time you had been with the team, not once had you had the opportunity to look at Four up close, and of course this would be your first chance. While sitting on his lap, crying your heart out, as you both grew more covered in dust. “Promise me we’ll make them pay. Promise me that we’ll get them both, and that they won’t get away.”
Four allows a deep breath to flow from his parted lips, the lines on his forehead smoothing as he takes in your words. “I promise you, they won’t make it through this alive.”
*****
Allowing Four to drive you both back to base had likely been one of the best decisions you had made in a long time. Despite the panic and anger which had clouded you before, now faded to a dull shadow, you were still shaky, and your concentration was easily lost. Four driving truly was the safest option, if you both wanted to arrive home in one piece. “Can we stop in town?”
Four glances at you for a moment, retracting his hand which was resting on your knee. The entire drive, you would find Four resting his hand somewhere on your leg. To you, it was grounding and comforting, serving to remind you that you weren’t alone. It let you know that someone else on the team understood your connection to the targets. For Four however, you weren’t sure if he was doing it out of habit, or for comfort too. “Sure, what do you need?”
Turning to look at his side glance, you allow a tiny smile to tug at the corners of your lips. “I desperately need a drink. You’re welcome to join me if you’d like, but I’m sure you’d rather forget that this all happened.” You shrug softly, before turning to look back out of the passenger window.
Four’s eyes grow wide at your comment, and he finds himself at a loss for words. “I- You- What?”
Pressing your forehead against the window, you take a deep breath in, before blowing out through your mouth, fogging the glass up in the process. “I appreciate you following me out here today, I really do. But, let’s be honest, we’re not friends. You hate me. You’ve made that perfectly clear since the day I arrived. So, while I’m happy to extend the invitation of getting piss drunk with me, I’m not expecting you to accept.”
“I don’t.”
“You don’t what?”
“Hate you… I’m sca – Way too sober to have this conversation right now. But put it this way, I don’t hate you.”
Four focuses back on the road, while his words swirl through your mind. ‘Scared? Was he about to say he was scared? Scared of what though? He always seemed so grounded, almost as if nothing could touch him, let alone hurt him…’ On the drive away from base, you hadn’t paid any attention to where you were headed, not really. All you knew at the time, was that you needed to get as far away from everyone as was humanly possible. Which is why it came as a surprise to you when Four pulled into a small town, not the one you had visited with Two and Five a few weeks ago, but an entirely different one which you had never known to exist. “There’s a liquor store just up that side street there.” Four observes, while pointing to the left of the town, where sure enough, there was an opening in the path for the side street.
You nod, climbing out of the car, just as Four lowers his window and the passenger side window. “I’ll be back in a few. Want anything?”
Four shakes his, carding his fingers through is windswept curls. “Thanks, I’m good.” It’s said with such a firm edge to the words, that you know the conversation is over, before it really began.
As you walk down the street, you look back over your shoulder at Four and the McLaren. His wrists are wresting on top of the steering wheel, as he picks at his nails, clearing them of the dirt that had gathered there from earlier. Music was pumping through the speakers, and you could see the car shaking with the intensity of the bass Turning the corner, the liquor store comes into view, a small bell chiming as the door pushes open. A man, likely in his forties or fifties is stood near the cooler section, collapsing empty beer boxes.  Looking at the few shelves that lined the wall nearest the register, you feel a lump rise in your throat. In your haste to leave base, you hadn’t brought anything with you,  no phone, no wallet, no money!
“Can I help you with anything?” The man calls from the opposite side of the store, eyeing you suspiciously.
“Just looking thank you!”
The man squints at you, his eyebrows furrowed. “Hope you’ve got some ID kid…. You don’t look old enough to be buying anything from here…”
Your jaw drops at his words, a scowl marching across your features. How dare he question your age, suggesting you weren’t old enough to drink! You had never been ID’d before now, and now that you were not only dead, and still waiting on One to present you with your fake ID’s. But you didn’t even have your bloody wallet with you, where said fake would be kept, this was the time, of all times where the world decided to turn against you and start questioning your age? “Of course I have ID with me.”
The man watches you for another moment, as if assessing whether he could trust you or not. With a final huff, he bends over and picks up a box of beers, pushing the cooler door open and heading inside to restock the fridge shelves, clearly having decided you were trustworthy. Oh buddy, wrong decision.
Maybe it was because of the shithouse afternoon you had just experienced, or maybe it was because you were sick and tired of people making assumptions about you. No matter the why’s, you found yourself snatching bottles of Jack Daniel’s, Malibu, and salted caramel vodka. Without a second thought, you cradled them against your chest, then bolted for the front door.
“Get back here you thief!” The man screams after you, having re-emerged from the fridge just as the door swung closed behind you.
This was wrong, so fucking wrong! It was one thing to steal money from a stranger’s bank account (Granted that stranger then went on to fake your death, and now was your employer…) Or to work from afar and have people do the dirty work, while you reaped the benefits, they did the snatching and grabbing, you just made sure they didn’t get caught. But this? This was you stealing, with no one else there! This was all you!
Your feet pound against the pavement, the McLaren coming into view just as the store clerk sprints after you. “Open the fucking door Four!” You shriek from the top of your lungs, praying to any deity who may listen that he will hear you over the pumping music.
Despite your thieving tendencies, someone answers your prayer, and Four looks up and over to you through the open passenger window, his eyebrows shooting up into his hair line as he spots you sprinting at full speed towards him, three bottles clutched in your arms, as a pissed man follows close behind. He leans across the centre console, pushing the door open before returning to his seat fully and twisting the key in the ignition. With the sound of the door slamming shut behind you, he throws the car into reverse, getting you both the hell out of town! “What the actual fuck Eight? What did you do?”
You stare down at the three bottles, now laying by your feet, rocking back and forth as the car moves. Laughter bubbles from your chest, and you can’t help the burst of chuckles that rip through you. “I didn’t have any money…”
For a brief moment, you could’ve sworn you saw Four grin, though the look is soon replaced by a sigh. “And you didn’t think to come and ask me if I had any?”
“Do you have money on you?”
“No… But that’s not the point! Your first instinct was to steal what you wanted!”
“Are you seriously telling me off for stealing? Sorry, last I heard, One met you after a robbery gone wrong.”
Four’s grip on the wheel tightens for a few moments, before his knuckles relax somewhat, tension visibly leaving his shoulders. “Now we’ve gotta find a new liquor store.”
*****
Walking through base, you felt everyone’s eyes on you, all boring down on you, as if thinking if they stared long enough then they would understand what had happened to you. There’s a part of you that wants to explain yourself, and to reassure the team that you are in fact, not insane as they may now think. However, before you even have the chance to consider explaining yourself, Four is dragging you by the hand towards your trailer. “If anyone needs us, don’t. Just don’t fucking need us!” He calls out behind you, gripping the bottle of Malibu with such intensity your genuinely worried he might smash the glass.
Four’s warning seemed to have worked, at least for the time being, and you watched as the Ghosts all shuffled away, back to whatever they had been doing before your arrival. One stays out for a few moments longer, arms folded across his chest, and both eyebrows raised in confusion. You can see the questions he’s dying to ask dancing across his eyes, mixed with a look of what could only be described as, understanding. You don’t take the time to dwell on One, as you’re far too preoccupied with Four who had swung your trailer door open, and was pushing you inside and up the steps, his hands pushing against your lower back to keep you moving.
Four followed you up, placing the Malibu on the small table opposite your bed, while you plonked down on the bed, the bottles of Jack and vodka falling to the foot of your mattress. “Right, you stay here as long as you need to. Drink, get smashed, scream, cry. Whatever you wanna do.” His broad shoulders shrug, as he turns away from you, and steps back towards the door, resting both hands in his front pants pockets.
Quickly, you twist off the cap of the vodka, the strong scent of salted caramel filling the air. “The offer still stands. Only this time, I’d like you to join me…”
Four turns on the spot, looking back at you in surprise. “You sure?”
“Yes, I – I want you here with me please.”
There’s no need to ask him a second time, though you would’ve if necessary. Four reaches out and takes the vodka from your outstretched hand, bringing it to his lips and taking a deep swig. Just as you do the same with the Jack. “Cheers to your first mission briefing.” He chuckles, his crystalline eyes sparkling in joy.
You roll your eyes up at him, as you move further back on the bed, leaning your back against the wall. “Let’s try not to make this a tradition yeah?”
“It’s been five seconds, and you already hate drinking with me enough to never want to do it again?”
“That’s not what I meant. The drinking, I’d be willing for the to be a tradition.  The whole, me running away from base thing though? Yeah, let’s not do that again.”
Four nods, his curls swaying under the gesture, before he takes another swig, savouring the sharp after burn the vodka left in the back of his throat.  You crawl up off the bed, and shuffle over to the small, mint green radio that was set up towards the back of the trailer, fiddling with the dials before it decided to pick up something other than static. “I won’t let that happen again… You won’t be hurt like that again.” Four breathes out, though the words are drowned out by the functioning radio.
“Fuck! I love this song!” You squeal, turning the volume up to full, dancing to the blasting music.
“Seriously, Kesha? Out of all the music you could love, it’s this?”
“Don’t be an ass. This is my trailer, and my booze, I can and will kick you out if you’re not careful!”
“It’s stolen booze, so technically, the shop still owns it, not you….”
You don’t really think about your next move, all you know is that one moment you were drinking from the bottle of Jack while dancing and being sassed at by Four, and the next, you had grabbed one of your multiple decorative pillows, and had begun attacking him with it. Four grabbed his own pillow, and retaliated in kind, swatting you left right and centre, all the while attempting to not spill either of your drinks. And thus started the great pillow war of 2020.
*****
You don’t know what time it is, there’s a gentle stream of light washing over you as you carefully peel your eyes open, though a set of curtains over the window make it impossible for you to see anything else, other than the suns rays. Lifting your arms above your head, you stretch your aching body, before finally giving in and opening your eyes fully. It takes far too long for you to realise something was wrong. This was not where you had fallen asleep, quite the opposite actually. You know for a fact you had fallen asleep outside, in the dirt no less, with Four using you as a pillow. Yet somehow, you were now alone, in a strangers bed, inside a strangers trailer….
You sit bolt upright, your stomach instantly churning at your sudden movements, you blanch at the taste of bile as it rises in your throat, swallowing it back down. Slowly, you look around the trailer, finding nothing familiar in the small space. “Four?” It had to be his home… You had been inside everyone else’s trailer, but never his.  With a great deal of care, you pull yourself off the bed, pressing a hand over your eyes for a moment, as you feel a wave of dizziness wash over you. “Four? Hello?”
Looking around, you find no trace of him, or at least nothing that pointed to his whereabouts. You pass by a mirror as you walk towards the door, and you take a moment to assess your reflection. Your hair was knotted, sweaty, and had flecks of dirt tangled in it, there were deep set bags under your eyes, and overall you looked, and felt like death. Though all that combined, you still felt better now, than you had yesterday during the briefing.
You allow the trailer door to swing shut behind you, spotting a determined looking Two, marching across base and headed to the rec room. Was there another meeting this morning? Had you slept through the announcement, and Four couldn’t be bothered to wake you up? There was no time to think over the millions of possibilities as to what had happened, all you know, was that if Two was storming off somewhere, it was likely the best course of action would be to follow her.
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Chapter six out now!
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imuktadul-blog · 4 years
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The Next Big Thing in Health Care Reform - Why Are People So Worked Up?
Why are Americans so aroused about health care reform? Statements like "don't touch my Medicare" or "everyone should have access to state of the art health care regardless of cost" are in my opinion uninformed and visceral responses that indicate a poor understanding of our health care system's history, its current and future resources and therefore the funding challenges that America faces going forward. While we all wonder how the health care system has reached what some ask as a crisis stage. Let's attempt to take a number of the emotion out of the talk by briefly examining how health care during this country emerged and the way that has formed our thinking and culture about health care. thereupon as a foundation let's check out the pros and cons of the Obama administration health care reform proposals and let's check out the concepts put forth by the Republicans?
Access to state of the art health care services are some things we will all agree would be an honest thing for this country. Experiencing a significant illness is one among life's major challenges and to face it without the means to buy it's positively frightening. But as we shall see, once we all know the facts, we'll find that achieving this goal won't be easy without our individual contribution.
These are the themes i will be able to touch on to undertake to form some sense out of what's happening to American health care and therefore the steps we will personally fancy make things better.
A recent history of yank health care - what has driven the prices so high? Key elements of the Obama health care plan The Republican view of health care - free market competition Universal access to state of the art health care - a worthy goal but tough to realize what can we do? First, let's get a touch historical perspective on American health care. this is often not intended to be an exhausted check out that history but it'll give us an appreciation of how the health care system and our expectations for it developed. What drove costs higher and higher?
To begin, let's address the American war . therein war, dated tactics and therefore the carnage inflicted by modern weapons of the age combined to cause ghastly results. Not generally known is that the majority of the deaths on each side of that war weren't the results of actual combat but to what happened after a battlefield wound was inflicted. to start with, evacuation of the wounded moved at a snail's pace and this caused severe delays in treating the wounded. Secondly, many wounds were subjected to wound care, related surgeries and/or amputations of the affected limbs and this often resulted within the onset of massive infection. So you would possibly survive a battle wound only to die at the hands of medical aid providers who although well-intentioned, their interventions were often quite lethal. High death tolls also can be ascribed to everyday sicknesses and diseases during a time when no antibiotics existed. In total something like 600,000 deaths occurred from all causes, over 2% of the U.S. population at the time!
Let's skip to the primary half the 20th century for a few additional perspective and to bring us up to more times . After the war there have been steady improvements in American medicine in both the understanding and treatment of certain diseases, new surgical techniques and in physician education and training. except for the foremost part the simplest that doctors could offer their patients was a "wait and see" approach. Medicine could handle bone fractures and increasingly attempt risky surgeries (now largely performed in sterile surgical environments) but medicines weren't yet available to handle serious illnesses. the bulk of deaths remained the results of untreatable conditions like tuberculosis, pneumonia, scarlatina and measles and/or related complications. Doctors were increasingly conscious of heart and vascular conditions, and cancer but that they had almost nothing with which to treat these conditions.
This very basic review of yank medical record helps us to know that until quite recently (around the 1950's) we had virtually no technologies with which to treat serious or maybe minor ailments. Here may be a juncture we'd like to understand; "nothing to treat you with means visits to the doctor if in the least were relegated to emergencies so in such a scenario costs are curtailed. the straightforward fact is that there was little for doctors to supply and thus virtually nothing to drive health care spending. A second factor holding down costs was that medical treatments that were provided were purchased out-of-pocket, meaning by way of an individuals personal resources. There was no such thing as insurance and positively not insurance paid by an employer. apart from the very destitute who were lucky to seek out their way into a charity hospital, health care costs were the responsibility of the individual.
What does health care insurance need to do with health care costs? Its impact on health care costs has been, and remains to the present day, absolutely enormous. When insurance for people and families emerged as a way for companies to flee wage freezes and to draw in and retain employees after war II, almost overnight an excellent pool of cash became available to buy health care. Money, as a results of the supply of billions of dollars from insurance pools, encouraged an innovative America to extend medical research efforts. More Americans became insured not only through private, employer sponsored insurance but through increased government funding that created Medicare and Medicaid (1965). additionally funding became available for expanded veterans health care benefits. Finding a cure for nearly anything has consequently become very lucrative. this is often also the first reason for the vast array of treatments we've available today.
I don't wish to convey that medical innovations are a nasty thing. consider the tens of many lives that are saved, extended, enhanced and made more productive as a result. But with a funding source grown to its current magnitude (hundreds of billions of dollars annually) upward pressure on health care costs are inevitable. Doctor's offer and most folks demand and obtain access to the newest available health care technology within the sort of pharmaceuticals, medical devices, diagnostic tools and surgical procedures. therefore the result's that there's more health care to spend our money on and until very recently most folks were insured and therefore the costs were largely covered by a third-party (government, employers). Add an insatiable and unrealistic public demand for access and treatment and that we have the "perfect storm" for higher and better health care costs. And by and enormous the storm is merely intensifying.
At now , let's address the key questions which will lead us into a review and hopefully a far better understanding of the health care reform proposals within the news today. is that the current trajectory of U.S. health care spending sustainable? Can America maintain its world competitiveness when 16%, heading for 20% of our gross national product is being spent on health care? What are the opposite industrialized countries spending on health care and is it even on the brink of these numbers? once we add politics and an election year to the talk , information to assist us answer these questions become critical. we'd like to spend some effort in understanding health care and checking out how we expect about it. Properly armed we will more intelligently determine whether certain health care proposals might solve or worsen a number of these problems. What are often done about the challenges? How can we as individuals contribute to the solutions?
The Obama health care plan is complex needless to say - I even have never seen a health care plan that may not . But through a spread of programs his plan attempts to affect a) increasing the amount of yank that are covered by adequate insurance (almost 50 million are not), and b) managing costs in such a fashion that quality and our access to health care isn't adversely affected. Republicans seek to realize these same basic and broad goals, but their approach is proposed as being more market driven than government driven. Let's check out what the Obama plan does to accomplish the 2 objectives above. Remember, by the way, that his plan was gone by congress, and begins to significantly kick-in starting in 2014. So this is often the direction we are currently taking as we plan to reform health care.
Through insurance exchanges and an expansion of Medicaid,the Obama plan dramatically expands the amount of usa citizens which will be covered by insurance .
To cover the value of this expansion the plan requires everyone to possess insurance with a penalty to be paid if we do not comply. it'll purportedly send money to the states to hide those individuals added to state-based Medicaid programs.
To cover the added costs there have been variety of latest taxes introduced, one being a 2.5% tax on new medical technologies and another increases taxes on interest and dividend income for wealthier Americans.
The Obama plan also uses concepts like evidence-based medicine, accountable care organizations, comparative effectiveness research and reduced reimbursement to health care providers (doctors and hospitals) to regulate costs. The insurance mandate covered by points 1 and a couple of above may be a worthy goal and most industrialized countries outside of the U.S. provide "free" (paid for by rather high individual and company taxes) health care to most if not all of their citizens. it's important to notice , however, that there are variety of restrictions that many Americans would be culturally unprepared. Here is that the primary controversial aspect of the Obama plan, the insurance mandate. The U.S. Supreme Court recently decided to listen to arguments on the constitutionality of the insurance mandate as a results of a petition by 26 states attorney's general that congress exceeded its authority under the commerce clause of the U.S. constitution by passing this element of the plan. the matter is that if the Supreme Court should rule against the mandate, it's generally believed that the Obama plan as we all know it's doomed. this is often because its major goal of providing insurance to all or any would be severely limited if not terminated altogether by such a choice .
As you'd guess, the taxes covered by point 3 above are rather unpopular with those entities and individuals that need to pay them. Medical device companies, pharmaceutical companies, hospitals, doctors and insurance companies all had to "give up" something that might either create new revenue or would scale back costs within their spheres of control. As an example, Stryker Corporation, an outsized medical device company, recently announced a minimum of a 1,000 employee reduction partially to hide these new fees. this is often being experienced by other medical device companies and pharmaceutical companies also . The reduction in good paying jobs within the se sectors and in the hospital sector may rise as former cost structures will need to be addressed so as to accommodate the reduced rate of reimbursement to hospitals. Over subsequent ten years some estimates put the value reductions to hospitals and physicians at half a trillion dollars and this may flow on to and affect the businesses that provide hospitals and doctors with the newest medical technologies. None of this is often to mention that efficiencies won't be realized by these changes or that other jobs will successively be created but this may represent painful change for a short time . It helps us to know that health care reform does have an impact both positive and negative.
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Analyzing the Snicket Aesthetic, Part 1/5: Time Period, Technology, and Medicine
.-There are quite a few fan theories placing the main events of ASOUE in the 80’s or 90’s, which is plausible, if not quite probable, in terms of the technology present in the series and the timing of the real-life publication of the books. On the other hand, I’m a shameless hipster and I live for that retro aesthetic, so I like the ambiguity.
-The post-post-apocalyptic theory is a fun one, but it can be a little limiting—not to mention difficult—to apply too many practical implications to this universe. Realism is all well and good, but it can easily be discarded for the sake of a good yarn or a pointed bit of commentary.  
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Figure 1: The Illustrations of ASOUE are mostly influenced by the woodblock prints that frequently appeared in Victorian fiction--black and white, hatched shading, realistic perspective—while those of ATWQ vaguely resemble Modernist and/or Cubist art—subtle color, solid shadows, and slightly warped perspective.
(Continued under the cut)
        -Anachronisms everywhere, of course.  One of the books mentions a blacksmith and a computer repair shop in the same sentence. Events and media from before, during, or (infrequently) after the date range are regularly referenced.
        -Personally, I mix and match from a date range of about 1890-1980, for reasons we’ll get into over the course of this analysis, although this is really quite a large range, and even then it’s rather approximate, and can change depending on which version of the story one is referencing, and even from book to book or character to character.
-Time does not pass normally like in the real world. The atmosphere of ASOUE feels a bit older (gothic, vaguely turn of the century) than that of ATWQ (noir, 1930’s-40’s), but the latter is set before the former (see fig. 1). History has been run through a blender set to puree.
TECHNOLOGY
        -It’s sort of lowkey steampunk/dieselpunk. Relatively little sci fi tech is floating loose in the world, but given the materials and time, Violet would almost certainly come up with some fun retro-futuristic inventions.
        -Violet’s inventions involve mechanical and electrical technology, but seemingly nothing digital. She’s largely indifferent (and in the books, possibly even disdainful) in response to the “advanced computer” at Prufrock Prep, which always struck me as a bit odd. Maybe she distrusts Nero’s vague assertions that it will deter Count Olaf, maybe she prefers a more hands-on approach to inventing, or maybe she has the soul of cranky old lady.
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Figure 2: Prufrock’s advanced computer in the Netflix series features cameras, a CRT monitor, and something resembling an oscilloscope.
        -Computers exist in this universe, but they don’t seem to do much, and there aren’t very many of them. Smart phones, laptops, and similar devices of the 21st century are almost certainly not around.
-In the books, Prufrock’s computer can display a recognizable image of Count Olaf and is compared to a toad in appearance, meaning it was likely modeled after PCs from the 80s and 90s.
-In the series, it’s even more anachronistic. The monitor looks more or less like what was described in the books, but it also comes fitted with a built in camera, much like a modern webcam, and can recognize faces about as well as most characters (although this really isn’t saying much), implying some kind of primitive deep learning capacity.  
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Figure 3: A few computers that could fit in the Snicketverse. (The Apple 1, hilariously, is the real thing.)
-If the internet exists, it’s pretty useless. The first season of the Netflix series has a few references to the internet, none of which are relevant to the plot. The internet makes everything easier, and the Snicketverse is all about inconvenience and suffering.  
-Photographs appear in both black and white and color, although the color is quite grainy. The shift to color photography occurred gradually throughout the 20th century.
-Hector’s self-sustaining hot air mobile home is really quite impractical, if not impossible. A proper hot air balloon would require quite a bit of fuel to keep the air inside the balloons sufficiently hot. Historically, airships of comparative size would have filled their balloons with hydrogen and/or helium, which, barring leakage or other damage, could actually remain buoyant more or less indefinitely. Hydrogen, by the way, is very flammable.
-The submarines in The Grim Grotto are steampunk as heck—that is, realistically impractical but really friggin’ cool—likely inspired by early science fiction such as Twenty Thousand Leagues Under the Sea. In real life, submarines rarely have portholes; in warfare or high water pressure, they could potentially be a weak point, and they’re fairly pricy for something that isn’t strictly necessary. There are a few exceptions, though, such as in subs designed for tourism or marine biology.
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Figure 4: The Quequeg has a number of features solely for the comfort of its crew, such as this lovely library with paintings and antique-looking lamps. The use of brass and copper tones, as well as the warm lighting reminiscent of gas, oil, or early incandescent lights, also add to the steampunk vibes.
-Mobile phones do not appear in the books. As with the internet, they’re just too convenient. Should they be necessary to your story, however, there are a few ways to work them in. The movie featured telephones built into cars, which is actually pretty cool. In real life, portable phones have existed since at least the 1960s, although they were too large and expensive to be popular with the public until recently.
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Figure 5: The Radio Common Carrier, a sort of mobile phone introduced in the 1960s.
MEDICINE
        -If Heimlich Hospital is typical of the Snicketverse, then the medical technology of the time is… not good.
        -For all the bureaucracy and paperwork depicted, there seems to be very little control over what sorts of operations are actually performed. Count Olaf can waltz in and say he needs the operating theater for a “cranioectomy,” and nobody seems to question it. It’s entirely possible that the amount of paperwork required is so massive that nobody can really keep track of it all.
        -Patients at Heimlich Hospital often ask volunteers for simple things like a glass of water—implying that the hospital is severely understaffed.
        -It is unknown what happens if a Volunteer is seriously injured in the line of duty. V.F.D. may have its own medics/infirmaries. Alternately, they may try to recruit medical professionals who will treat patients without revealing any secrets. It is also possible that volunteers are expected to lie to their doctors, or that the healthcare system is such a mess that nobody really asks questions when someone turns up with a suspicious injury.
        -There is some good news: near the beginning of The Hostile Hospital, Klaus mentions antibiotics and shots (likely referring to vaccines). From this we can assume that many of history’s nastiest plagues (i.e. tuberculosis, cholera, scarlet fever, etc.) are more or less under control. (Although I personally headcannon that Mr. Poe’s cough is an early symptom of tuberculosis, as this would be a fun little shout-out to Edgar Allen Poe.)
        -The rusty knives used in Violet’s “surgery” imply that doctors could get away with some pretty lousy sanitation. In the Netflix series, the entire hospital is filthy.           
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Figure 6: The operating theater in The Hostile Hospital is similar in structure, if not style, to the one at the Old Operating Theatre museum, built c.1822.
-Public operating theaters like the one seen in the Hostile Hospital were gradually replaced by sterile operating rooms as doctors developed proper understanding of germ theory between c. 1860-1900. (See fig. 6). Notably, the set design for the operating theater in the series uses a 19th century layout with mid-20th century materials and lighting.
        -Treatment for mental health conditions is given little attention, which is troubling; sooner or later those poor kids are going to need some therapy. If memory serves, one of the patients at Heimlich is described as looking sad but otherwise healthy, suggesting depression.
        -Given how dystopian the Snicketverse is, PTSD and anxiety are probably quite common—especially among V.F.D. members, who often wind up in very dangerous situations at very early ages. In fact, one could make a solid argument that childhood trauma might be behind the neuroses of characters such as Aunt Joesephine or Hector—both of whom, despite having severely debilitating anxiety disorders, never seem to receive any treatment.
FANTASY ELEMENTS
         -There are very few of these, but it’s far from realism. Some rough rules of thumb would be to avoid things typically considered supernatural (i.e. dragons, ghosts, vampires), but things that are not quite possible (i.e. babies can bite through concrete, reptiles can be trained to imitate human speech on command), or possible but very improbable (i.e. a harmless snake being officially named “the Incredibly Deadly Viper” solely for pranking purposes, a phony surgeon convincing a crowd that decapitation is a risky but necessary medical procedure) are all well and good.
         -It should be noted, however, that at least a few characters in-universe believe in the supernatural. In the Ersatz Elevator, the Baudelaires are briefly mistaken for ghosts, and in The End, Ishmael claims to predict the weather using magic.
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renee-writer · 5 years
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From Gladiator to Knight Chapter 12 The Morning After
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Jamie Claire
Claire
I wake wrapped in my husband's arms, in a bed. It is heavenly. It is sometime in the early hours of the morning. I wonder, for a moment, what woke me. Then I hear it. The soft cry. I smile. It is going well with the newlyweds then. Jamie pulls me closer.
"Good man." He mumbles. Good man indeed. I drift back to sleep. The second time I wake, it is due to the sunlight. As much as I would love to linger in my husband's arms, I know I must be up. I am the castle's healer and must see to the surgery.
Jamie
"Nae." I grumble as I feel Claire start to get up.
"I know. But we don't want the king to regret giving us our post." I canna argue with that. I let her up and join her in getting dressed. I dislike the tight breeks but can see Claire likes the layered dress.
"Easier then stays, aye."
"Oh yes." We finish dressing and move to the hall where we meet the new Frasers.
Claire
I raise my eyebrows to Tianna. She blushes and nods.
"Wasn't so bad, eh?"
"No. It was good." Her blush deepens. I can't resist.
"I know. We heard you." She goes crimson red. "Nithing to worry about. Or be ashamed of. It is good you were satisfied. And, I only tease because you heard Jamie and I."
Jamie
I pull Paul aside as Claire whispers with Tianna. "All okay?"
"Very. I followed your instructions. She was satisfied."
"That is a good man." A servant comes up.
"Are ye thee Fraser's?"
"We are."
"Follow me the the physician's room."
Claire
As we follow him, we run into King Arthur and a lady. We bow to him.
"Were the accommodations pleasing?" He asks
"Aye sire." Jamie answers.
"Very good. May I introduce my wife. Queen Guinevere?" We bow and courtesy.
Queen Guinevere! I am standing before Queen Guinevere! "Pleased to make your acquaintance, your majesty." She nods and turns away.
Jamie
The queen seems a bit cold but Claire seems quite enchanted by her. After she turns away, Claire inquires about Merlin.
"He left at break of day. He did see your surgery stocked before. And, you may of course, visit him whenever you need resupplies. You should have all you need right now. I will see you at breakfast." He nods to us all and follows the direction his wife went.
"Paul, I have something to discuss with you." I say as we follow our wife's and the servant down the long halls," Our job here is to protect our women. I think we should keep up training."
"I agree. And the weapons of this time are bound to be different. We need to ask the king anout them and a place to train."
"Aye." We follow the lasses into a room that smells of herbs.
Claire
Well stocked, indeed. Every medicinal herb and plant, I could ever hope to need. They line the neat shelves and fill the cupboards. The tables and shelves are spotlessly clean. Sterile for this time. I have a thought.
"I've a rule. No love making in this room. It is for the practice of medicine only." I look to the newlyweds and see them both blush and nod. Then to my husband. He seems distracted by something, but grins at me.
"As ye wish, mo Ghariad." I grin back and then open the last cabinet. And gasp. Modern meds. Antibiotics, ether, chloroform. Time travel does have it's advantages.
Jamie
Claire's gasp pulls my attention away from my concerns how to approach the king about weapons and a training ground. But before I can ask her about it, the servant is back and we are being escorted to breakfast.
The great room in the castle is like the same in Castle Leoch. With no scheming uncles. The king and a few of his knights sit on one end of the great table. The queen and her ladies-in-waiting on the other. We are placed in the middle.
"I would like to welcome the the castle, the Fraser's. Jamie and Claire and Paul and Tianna. The ladies are healers in the order of Merlin. Their husbands will be their personal knights." King Arthur announces. We stand and makes awkward bows. We are then served stew.
Claire
I am dining with King Arthur, Queen Guinevere, and the bloody knights of the round table! Myths and legends in my time. Real flesh and blood around me. It is dizzying. We eat and converse easily with those around us. King Arthur introducing us as healers and knights, helps with that. We finish and stand up. I am eager to explore the modern cabinet. As I turn, I get a cold chill down my back. I turn but see no one looking at us but someone was. Jamie tenses too. He also felt it.
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silly-jellyghoty · 5 years
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As some of you following this mess of a blog may have noticed, I'm getting myself a puppy. Actualy, it's more of a late birthday present from my parents, but the point stays the same - soon, there's going to be a small furry creature by my side and since it will be my responsibility to raise and care about it, instead of surprising me with an actual fluff ball out of the blue, mom and dad let me chose the pup on my own.
Naturally, at some point it became a topic between my coleagues and me during work break yesterday, which is a reason why I am writing this long post right now (sorry but not sorry). I want to talk about this, because some of things about dog raising said people mentioned made me stare at them in disbelief while other made me hopelessly sad and angry. Me. A normal person. Someone who never studied dog psychology or kynology or training methods in any serious way other than reading a few books and stuff on net out of curiosity. I probably can't even imagine what an expert would think about all that nasty stuff I heard from them!
So let me tell you one thing - common people (the ones I talked to at least), even those who currently own a dog or owned one in past, have prety much ZERO IDEA and also ZERO WILL TO LEARN about how to chose the right dog and how to rise it properly! Their whole thinking process when it comes to dogs can be sumarised into - wild puppy appears. Puppy uses cute eyes. It's supereffective. Puppy is now theirs. They put it on a leash or chain. They feed it once a day and get angry when it barks and destroys things. The end.
Like... excuse me?!
In this essay I will...
But seriously. If you think about getting yourself a dog but have no idea how to go around it or you know of someone in such situation who needs a bit of an advice, in this post I will give you all a few tips about chosing process I learned both from getting our previous family dogs and by googling around for hours (not kidding, I've been excessively searching for informations ever since that birthday gift puppy talk I had with my parents).
I hope that this post may help you with chosing just the right dog for you. Or at least it may give you some ideas about which questions to ask yourself and what to look for and think about before you bring a new puppy to your home.
And no, I don't mean questions such as "how big of a dog do I want" or "what and how much does it eat" or "do I have time to take it for a walk everyday" or "should I get a female or male, neutered or not" etc. I believe that you already asked yourself those and you know your answers or have at least some vague idea about what your future dog should or shouldn't be like.
What you probably DIDN'T think to ask yourself or your family members (those guys I talked to before definitely didn't from what I understood) can be put into following categories:
- possible genetic defects and predispositions to hereditary deseases associated with specific dog breeds
- common or seasonal illnesses and health risks associated with dogs body type
- comfortable temperature range for the dog
- intelligence, trainability, temperament etc
- hair and skin care, shedding, grooming difficulty
- background and personal history of specific dog
So let's start with the least funny topic of those and that is INBORN DEFECTS AND HEREDITARY DESEASES
To understand why they are such an issue, especialy in relatively young or modern, recently fixed breeds which origins can be tracked down to just a small number of dogs, you have to realize that the natural form of a dog is a wolf. Size may differ and so can fur lenght, quality and colour, but the shape stays more or less the same - long slim legs with well defined fingers, long wrinkless nose, long slim neck, relatively small standing ears, solid muscular body fully covered in fur. Examples of dog breeds with similar traits include but are not limited to german or belgian shepperds, russian laika and all basic schpitz types of dogs starting with tiny pomeranian and ending with eskimo dog. The less of those traits you find in a dog the more prone to hereditary deseases the said dog breed is for one simple reason - selective breeding.
Older breeds have somewhat of an advantage. They developed over longer time from possibly hundreds maybe thousands of original dogs with different atributes. Mountain breeds turned to be thick coated because short haired dogs simply died during winter. People in areas with a lot of rodents and weasles preffered dogs of smaller sizes to hunt them down. Whether they were terrier, pinch or dachshund shaped, people didn't care as long as rats were gone.
As such, old breeds draw from richer starting genetic pool with less strict breeding oversight in early breed forming stage (this may have changed later and turn towards inbreeding tendencies but it's not a rule) which makes expression of hereditary deseases less likely (this still doesn't mean they have zero, mind you). For the same reason, dog mixes comming from different backgrounds such as half breeds or multiple breeds bastards are, generally speaking, healthier than pure breeds. More genes to draw from means lesser chance of two faulty alellas of same gene meeting in the same animal and expressing itself as a physical flaw or degeneration.
Compared to that, as an example, after a serie of genetic tests on modern pug population in UK, whole breed was tracked back to only aproximately 50 original ancestors. Basicaly, this means that if you compare two dogs whose closest common relative was their grangrangranmother 5 generations ago, chances are that, geneticaly speaking, they are still an equivalent to first cousins because the whole population is just so much inbred.
By this I don't mean to say that you shouldn't get a pug puppy and that pugs are the root of all evil just because of their past of inbreeding. What I'm saying is that before you bring your new pug home, you should do some research about breed's hereditary health issues and predispositions for such and ask yourself - are you prepared for an option that at some point your beloved pet may need an expensive eye surgery? Are you sure you have enough money to pay vet for threating dogs breathing difficulties, allergies and infections connected to its deformed snout (because let's speak openly, dog breeding, especialy when it comes to decorative and companion breeds, is all about active propagations of deformations for the sake of aesthetics, health issues be damned), possibly for a bigger part of their life? Are you prepared to take care of them in case they become partialy paralized due to hip joints deformation in older age?
If your answers are yes, then sure, get yourself a pug. Or bullterrier. Or cavalier king charles spaniel or any similarly inbred dog. If not, then chose a different breed with less potential for inborn defects. Keep in mind that just because the dog meets its breeds standards it doesn't mean those standards are 100% healthy to begin with. Even if the dog is fine right now, it doesn't have to stay that way forever. Use google. Do the math. And take your time chosing.
Next set of questions you should ask and find answers to is about health too, but this time they have less to do with genetics and more to do with BODY TYPE, SIZE AND SHAPE.
A quick overview:
Gigantic breeds tend to have problems with joints and bones, they also have shorter lifespans (french mastif, great dane and irish wolfhund live for only about 7 years. For a comparission, the oldest documented dog is lhasa apso. It lived fir 29 years).
Wrinkled breeds and breeds with excesive skin on head and around mouth or neck have higher risk of getting exema, yeast infection or mites in their skin folds. Combine it with long fur and you can count on antibiotics and/or antiseptic shampoo or powder prety much every rainy season. To add to this, shar-pei are also prone to skin overgrowth where folds may reach such a size that they obscure dogs sight and have to be removed by basicaly dog face lifting surgery. Accidental lip bites and mouth infections are also a thing when it comes to breeds with a lot of skin. Oh, and if such infection lasts for a long time or repeats often there's a high chance of dogs teeth getting infected and falling out as a result. So yeah.
Dogs with long or floppy ears can have a huge problems too. If combined with long fur of spaniel breeds for example, be prepared for seasonal ear infections and exema due to high temperature and humidity which has nowhere to go because of all that hair (we had american cockerspaniel and when she turned 8 she became fully deaf because of this despite my family treating her ears with cleaning drops and antibiotic solutions daily). And don't even get me started about grass seeds stuck in auditory canal. We had to see veterinarian to take those out at least once a week every summer. Also, there will be pieces of food stuck to hair and prepare for puddles of water around the bowl every time they drink too. Fun stuff.
Combine long ears with short legs of basset hounds for example and you get a lot of scratched and accidentaly pierced earlobes by their own claws when they run around and trip over them. It happens more often than you think.
Also about grass seeds and those hard thistle hooks, stabbed between fingers or paw pads, it's prety much impossible to spot them by eye on long haired breeds and you have to search for them by masaging between fingers and pads with your fingers daily during grass and thistle season. If you see a dog biting and licking it's paw, it's either stuck rock, long fur tangled into hard dirty fur ball that needs to be cut off from between its fingers or grass seed.
The list continues. Consider yourself warned.
Another set of questions you should ask is about TEMPERATURE RANGE in your area and is basicaly just about using your common sense.
No matter how charming you find them, for the sake of the dog's well being, please, don't get yourself an alaskan malamute if you live in Florida. And don't expect hungarian vizsla to survive winter in Rocky mountains sleeping outside in dog house either. Use that brain of yours a bit, I'm begging you! (One of my coworkers doesn't understand that dalmatian is NOT a dog suited for living outside whole year around, especialy in those -23°C night drops we get in february. Like excuse me? Poor creature doesn't have the undercoat for that kind of weather!)
INTELLIGENCE AND TEMPERAMENT
This part is easy. Ask yourself what kind of dog you want to own. Flegmatic feet warmer? The one you can take for a jog with you every morning? Agile fast learner for active fun such as freesbee or dog dancing? Childs nanny with a lot of patience around toddlers? A house guardian?
Some breeds are good for more than one thing, some are bred with specific personality in mind. For example - you can't turn border collie into your slow granma's lap warmer she can brush every day for hours, there's shih tzu for that, among other. But what you CAN do with a collie is to have it trained to pick said grandma's fallen walking stick, to bring her ringing phone or to bark if she forgets to turn off gas in kitchen. Remember - there's many many breeds with many different personalities and talents to chose from. Take your time picking.
Also, the saying that dog copies its owner is true. Even one of the calmest breeds - labrador retriever - can turn into a vicious biting beast if raised in disfunctional household. And with a patience and kind treatment, czechoslovakian wolfdogs can be as sweet as sugar.
However, one can't go against dogs predominant behavioral patterns, only along them. Jack russell terriers will be fast and easily excited whether you like it or not. Just because they are trained it doesn't mean they also magicaly lose their natural temperament. Remember that if you chose to get yourself a rat hunter you get yourself a rat speed, agility and seemingly endless energy. And since having a bored dog means having a destructive dog, imagine multiplying that destructive potencial with dogs activity and intelligence level. You don't like where this is going? Your dog, your problem. Chose the breed wisely.
If you still don't have any idea where to start, there's a cheat sheet in form of Stanley Coren's Dog intelligence chart. Naturally, higher on scale - easier to train. Check it out, guys. It may give you some interesting breed choices to consider.
Another category of questions you should answer to yourself before getting a dog is HAIR AND GROOMING related.
Dogs shed. Some all the time, some only once or twice per year. Some hair, despite being short and supposedly easy to care for while on dog in question, is a bitch to get out of clothes and carpets. Meanwhile other hair is so light and silky it floats around if you only as much as think about it, but if let untreatef there's a small dog worth of it everywhere all the time.
There are also exotic fur type options such as komondor or puli dog with natural dreadlocks or hairless xolo from Mexico.
Depending on your choice be prepared to spend anything from one week of seasonal blowout for akita inu or malamut to daily brush of lhasa apso. Either you make the time for grooming it yourself or you pay for it in dog saloon but one way or another, the hair is there and something has to be done about it. Again - your dog, your choice. Just be sure you know what you are getting into. Use that damned google or ask other dog owners about their grooming routine.
Another thing to keep in mind when it comes to fur is whether or not you can get your dog wet. Some breeds with thick fur may take too long to dry on their own which may result in pneumonia in cold weather or yeast infection, mites and exemas in hot temperatures. Don't bath those kinds of dogs unless it's realy necessary and be prepared to invest into dog rain coat and right grooming tools. Or, have them buzzed regularly.
But then again, WHY in the hell would you get yourself a long haired breed if you cut its beautiful mane to 5mm nonsense every month?! I've seen this done to ALL yorkshire and west white terriers in my town without exception. Like... what the hell? If you guys want a small terrier but you are too lazy to brush that long fur regularly then just get yourself border or jack russel terriers to begin with! I mean, the whole point of having a yorkie or westie is the trademark long fur goddamnit!
Oh and about cool fur (I almost forgot to mention this) there's rhodesian ridgeback whose back hair grows the other way! Check it out!
The last of important things you should consider before bringing a new dog home is its BACKGROUND AND PERSONAL HISTORY of the dog
This is especialy important if you are getting an adult dog or a dog from shelter.
Just as humans have their habits and past traumas, dogs have their own too. Aside from obvious problems connected to initial changes of dogs environment and/or lifestyle after transfer, dogs with the past of abuse may pull you into a whole lot of difficult situations.
They may be unusualy agresive or shy or scaredy or whatever compared to other dogs of the same breed (or multiple breeds if they are mixed) or they may act perfectly normal until triggered by something specific and behave in unexpected way when distressed.
We had such a problem with our retriever x boxer x german shepperd mix when she first came to us. She was all nice and friendly untill anyone, be it a family member or stranger, picked up a stick or rod. She had an abusive first owner who used to beat her using those, we think, and so sticks and other long slim items held in one hand turned into her stress trigger. My family was lucky that her first reaction was to flee and hide and as she grew to trust us the issue faded accordingly till it fully disappeared, but different dogs may act differently. Keep that in mind if you get yourself a rescuee.
Dogs which struggled with hunger in past tend to turn into glutons and may develop obesity and associated deseases if you don't keep their food intake in check. Those which came from households of alcoholics may react agresively to smell of alcoholic drinks. If the dog was tortured by nasty brats, it may attack children on sight. Et cetera et cetera.
So if you decided to get yourself a "second hand" pet, find out as much about that dogs past as possible. Hope for the best but be prepared for the worst advice has never been more true than when it comes to dogs comming from shelters.
Thank you for comming to my TED talk and feel free to add your own experiences and opinions
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paleorecipecookbook · 5 years
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Life Expectancy in the U.S.: Why the Numbers Are Falling
As you’d imagine, year-over-year gains in this calculation are the goal and are indicative of a healthy society. Stagnations are cause for concern, while declines are, to put it mildly, alarming. Falling national numbers can signal the deterioration of a country’s healthcare infrastructure, especially in the quality of healthcare services it provides its citizens.
To my mind, this is exactly what’s happening in America today. Although life expectancy in the U.S. was on an upward march for decades, preliminary data for 2017 suggests the average lifespan in the United States dropped for the third year in a row. The only other time life expectancy decreased three consecutive years was in the late 1910s, and that was due to the worst flu outbreak in recorded history.
So why is it on the decline today, 100 years later? Because chronic disease is now the biggest threat to our longevity, and because conventional medicine has failed to slow this epidemic. But there is good news: a Functional Medicine approach to health and healthcare, influenced by an ancestral perspective, can turn the tide.
The last time life expectancy in the U.S. fell for the third consecutive year, it was due to the worst flu outbreak in recorded history. Why are the numbers falling today? Check out this article to find out. #healthylifestyle #functionalmedicine #kresserinstitute
What the Latest Statistics Say about Life Expectancy in the U.S.
Based on early data from the National Center for Health Statistics, the U.S. death rate is up and life expectancy is down—again. The disturbing trend began in 2015, when the average overall life expectancy in the U.S. dropped from 78.9 years of age to 78.7. In 2016, it fell to 78.6. (1, 2, 3)
Before you dismiss the decrease as small and insignificant, consider this: the United States now has the lowest life expectancy levels among high-income developed countries, including Western Europe, Australia, and Japan. To illustrate the gravity further, if somehow we could freeze the life expectancy calculations in these other countries and increase our numbers at the rate we did pre-2015 when the downward slide began, it would take American men 16 years just to match the average of the other populations. American women would need a whopping 18 years. (4)
But let’s get back to why statisticians predict a continued downturn. In addition to increases in deaths from “diseases of despair” (drug abuse, fueled largely by opioids, alcoholism, and suicide), they’re seeing significant, even dramatic, increases in death from chronic diseases, including:
Heart disease (still the leading cause of death in the United States)
Stroke
Alzheimer’s disease
Diabetes
Seven of the current top 10 causes of death are chronic diseases. The same stat applies to number of deaths as well: chronic disease is responsible for seven out of 10 deaths each year.
It now appears the onset of chronic illness is earlier than it once was, and chronic disease is even on the rise in children, with the rate doubling between 1994 and 2006. (Sadly, there has been a sharp increase in the number of kids and teens diagnosed with type 2 diabetes, once rare among children—probably due to the rise in obesity among this group.)  (5, 6, 7, 8, 9)
Chronic Disease: The Country’s Big Challenge
We didn’t just arrive at a three-year slump overnight.
A major 2014 study sounded the alarm bells. (10) It pointed out that not only was chronic disease on the rise, but so too was the number of older Americans living with multiple chronic conditions—a shocking four out of five people. It also showed that the more ailments a person has after retirement age, the shorter their lifespan and the nation’s overall lifespan.
Researchers determined that, on average, a person’s life expectancy at age 67 decreases 1.8 years for each additional chronic disease they have, ranging from 0.4 fewer years with the first condition up to 2.6 fewer years with the sixth diagnosis. They also found that the outlook is much worse for those with certain diseases, especially Alzheimer’s, incidences of which are only climbing. According to the study’s lead author:
The balancing act needed to care for all of those conditions is complicated ... Our system is not set up to care for people with so many different illnesses … It is becoming very clear that preventing the development of additional chronic conditions in the elderly could be the only way to continue to improve life expectancy. (11)
I have to guess that many people didn’t hear the red alert go off when this study was released because the conventional approach to medicine remains deeply anchored in this country—and millions of patients believe this approach to healthcare is effectively treating their chronic disease.
It’s not.
There’s a Simple Answer—for You and the Nation
What these researchers said in 2014 is what I’ve been saying for years: conventional medicine can’t and will never solve chronic disease. We need to do things differently.
And here’s another compelling fact to motivate us all: while overall life expectancy is an important measure of a nation’s well-being, it’s only one assessment. The study findings shared here highlight the fact that we’re not just living shorter lives; we’re also living sicker lives. Of the 78 years we can expect to live, most of us only get to enjoy 67.7 of them free of illness and disability. In Europe, this statistic is called Healthy Life Years, or HLY. America’s HLY number has only risen 2.4 years since 1990. (12, 13)
Here’s where Functional Medicine comes in. It’s the answer to increasing both our overall life expectancy and our HLY expectancy. But to understand why it works, you first need to understand the main reasons why the current model is failing us all.
Why Conventional Medicine Can’t Heal Chronic Disease
Big Reason 1. It’s the Wrong Medical Paradigm
Conventional medicine evolved during a time when acute (sudden onset, as opposed to slow-developing) infectious diseases were the leading causes of death, like a deadly flu outbreak. Most other problems that brought people to the doctor were also acute, like appendicitis. Treatment in these cases was relatively simple: the patient developed pneumonia, went to see the doctor, received an antibiotic (once they were invented), and either got well or died. One problem, one doctor, one treatment.
As we’ve established, things today aren’t that straightforward. The average patient sees the doctor for one or more chronic issues, which are difficult to manage, expensive to treat, require more than one physician, and typically last a lifetime. They don’t lend themselves to the “one problem, one doctor, one treatment” approach of the past.
It’s the application of the conventional medical paradigm to the modern problem of chronic disease that’s gotten us into our current conundrum. It’s led to a system that emphasizes suppressing symptoms with drugs (and sometimes surgery and an endless cycle of “procedures”), rather than addressing the underlying cause of illness.
This is not the way to reverse or prevent chronic disease, more than 85 percent of which is caused by environmental factors like diet, behavior, and lifestyle. (14) More specifically, chronic disease is the direct result of a mismatch between our genes and biology on one hand and the modern environment on the other.
Big Reason 2. It’s the Wrong Delivery Model
How care is delivered is also a huge problem. The system isn’t structured to support the most important interventions.
As I mentioned above, the primary causes of the chronic disease epidemic are not genetic, but behavioral. It boils down to people making the wrong choices about diet, physical activity, sleep, etc.—over and over again, throughout a lifetime. In fact, a recent Harvard study found that successfully implementing just five healthy habits (eating a healthy diet, exercising regularly, maintaining a healthy body weight, moderate alcohol intake, and not smoking) could add up to 14 years to your life. (15, 16)
This makes it clear that one of the most important roles healthcare providers should play is supporting people in making positive behavior changes. Unfortunately, the conventional medical system undermines this, making it extremely difficult, if not impossible.
The average patient visit with a primary care provider lasts 10 to 12 minutes, which barely leaves a doctor time to prescribe a drug for any new symptoms a patient presents with, much less an in-depth discussion of diet and lifestyle factors that might be contributing. (17)
As a result, 87 percent of doctors agree the healthcare profession is in decline, while 82 percent of physicians believe they have little ability to change the current system. (18) These are just a few reasons why burnout is so common in the healthcare field.
Why Functional Medicine Is the Answer
I hope this article serves as a gentle shake to conventional practitioners, and to you (as their potential patient) as well, because there is a better way, and things can change—they already are. Hundreds of clinics across the country (including my own, the California Center for Functional Medicine) have begun to implement a Functional Medicine model, which works for addressing chronic disease. Here’s why.
Big Reason 1. It Makes Room for Longer Medical Visits
More time allows doctors the chance to uncover and then address the root cause of a patient’s symptoms, as well as discuss prevention strategies. This is how health and healing happen.
Big Reason 2. It Emphasizes Collaborative Care
In Functional Medicine, the doctor–patient relationship is a partnership. What’s more, patients have access to a collaborative care team, which includes nurse practitioners, nutritionists, health coaches, and others. The team provides another layer of care between appointments.
This is just the beginning of a long list of reasons. For more, check out my book, Unconventional Medicine.
How Do You Live—and Help Others Live—a Longer, Better Life?
If you’re in healthcare, make the switch to Functional Medicine. And if you’re not yet in the field but want to be part of the revolution, now’s the time to consider becoming a health coach.
If you’re a patient, seek out Functional Medicine practitioners, preferably a team that looks at health through an evolutionary lens. Together, Functional Medicine and ancestral wisdom are unstoppable at slowing the chronic disease epidemic, as they address the mismatch between our genes and current environment (the cause of modern disease) by encouraging the time-tested healthy lifestyle choices noted above. Although eating a nutrient-dense ancestral diet and exercising seem like simple mandates, they can be difficult to follow through on without the proper support. Functional Medicine is the support you need.
As the latest science shows, there’s no biological cap to human longevity. (19, 20) Let that sink in. We don’t have to accept living shorter, unhealthier lives.
Now, I’d like to hear from you. What you do think about the latest life expectancy statistics? Let me know in the comments below!
The post Life Expectancy in the U.S.: Why the Numbers Are Falling appeared first on Chris Kresser.
Source: http://chriskresser.com December 21, 2018 at 12:06AM
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I saw your post about abortions and I wanted to say one thing. Legalising abortions isn't an ethical issue, its a health issue. Banning abortions sees the legal abortion rate plummet and the "backyard abortion" rates (coathangers, bleach etc.) skyrocket until the overall abortion rate is equal to what it was before the ban. If a woman wants the baby out, she'll get it out. By legalising it, it means women can be safer and healthier. It doesn't really matter if the fetus is a human or not.
It should be legal for a mother to kill her baby just because she might go kill it anyway? Rape is illegal yet it continues to happen in our society. The fact that it still happens despite being illegal should not convince us to make it legal. Are doctors allowed to cut off healthy limbs of people who suffer from BIID just because they will grab a saw themselves and self-amputate at home? Do we legalize simpler methods of murder in order to entice people away from carrying out worse types of murder? Of course it’s about ethics and it does matter that the fetus is a human being when we are deciding if we can legally kill it.
It’s a common argument made for abortion, that if it were made illegal again, “tens of thousands of women would go back to using clothes hangers and dying.” The only problem is that there’s no evidence of such dire history and this argument is built on a lie. To start with, in even in 1959, 90 percent of women used secret, trained doctors to carry out their abortions. The only actual report of a woman using a clothes hanger seems to be from 2009. I think most pro-abortion activists use “clothes hangers” as a symbol, rather than literally, as there’s no evidence of it that I’m aware of. The idea that clothes hangers or bleach being an epidemic at any time in the past 80 years seems to be a myth.
Before abortion became legal, 39 women died in total from illegal abortions, while the year after Roe v. Wade, 25 women still died from legal abortions. These numbers, along with maternal morality rates, have declined rapidly over each decade due to the advancement of medicine and the introduction of antibiotics, not the legalization of abortion. Making abortion legal or illegal has never made the slightest detectable difference to the safety of women. This is because medicine alone, not the law, has achieved all the gains in both maternal and medical procedure safety. The more advanced the medicine, the fewer abortion and maternal deaths, which includes illegal abortions.
A scholarly analysis of the actual number of criminal abortions per year in the pre-legalization era found a mean of 98,000 annual illegal abortions with a high of 210,000. Compare that to the 1.4 million legal abortions in 1990, or even the 652,000 abortions in 2014 so it’s difficult for me understand how you’ve come up with the idea that there would be more or equal rates of abortion if we went back to making it illegal. The law does serve as a natural deterrent or incentive on human behavior and correlates strongly with public attitudes. When slavery was abolished, people gradually began to think differently. When abortion was legalized, views shifted with the law. The laws of advanced, modern, Western countries should act as a moral guide that helps shape the conscience of society. Yet here we are with legalized abortion - communism 101.
You might be interested in reading about Dr. Bernard Nathanson, co-founder of NARAL and the country’s largest abortion clinic, who only stopped performing abortions when he watched an ultrasound of an abortion. He was horrified and started to tell the truth about the exact argument that you’ve recited here because he was the one who started it. Before his change of heart, his reports and figures were used in passing Roe v. Wade. Dr. Nathanson later admitted, “We aroused enough sympathy to sell our program of abortion by fabricating the number of illegal abortions done annually in the U.S. The figure we gave to the media repeatedly was one million. Repeating the big lie often enough convinces the public. We constantly fed the media 10,000 were dying annually from illegal abortions. These false figures took root in the consciousness of Americans, convincing many that we needed to crack the abortion law.”
“I confess that I knew the figures were totally false, and I suppose the others did too. But in the “morality” of the revolution, it was a useful figure, widely accepted, so why go out of our way to correct it with honest statistics. The overriding concern was to get the laws eliminated and anything within reason which had to be done was permissible.” “Another myth we fed to the public through the media was that legalizing abortion would only mean that the abortions taking place illegally would then be done legally. In fact, of course, abortion is now being used as a primary method of birth control in the U.S. and the annual number of abortions has increased by 1500% since legalization.” He also admitted to fabricating polls that indicated public support for abortion.
If it’s women’s health you’re concerned about, I’d be considering the suicidal behavior, depression, substance abuse and mental health problems that correlate with abortion, especially multiple abortions, more than myths about clothes hangers. Yes, making abortion illegal would drive fractions of women “underground,” but certain things do indeed belong underground, like the killing of babies. And we shouldn’t overdramatize or exaggerate these dangers of going underground, as historically the so-called “back-alley” usually was, and would be again, merely the backroom of a qualified doctor’s surgery. 
No one would be forcing women into having an illegal abortion. Most abortions are elective procedures, they are not a human right. The right not to be murdered supersedes the right not to have your lifestyle changed. Banning this practice is certainly not immoral if it is protecting a human life. There are of course alternatives for mothers who don’t want their baby, and I would want pregnant women provided the best possible care and support whether they intend on keeping the baby or putting it up for adoption, much better than what’s currently available. We should be protecting the most innocent lives while safeguarding the health of women at the same time. I don’t understand how this has become a controversial belief. Thanks for the input :) xx 
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ashbless · 6 years
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FAKE IT: Combat Lifesaving for the Bluffing LARPer
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Some great notes on how to bluff modern or sci-fi medicine from the excellent @nickbradbeer. --- This is a cut-down version of a note I wrote for a group at a specific system who were playing a bunch of sci-fi combat medics. It’s not authoritative (I’m not the useful kind of doctor) - but it is a series of things you, the bluffing LARPer can do and say to sound a bit like you know what you’re doing as a soldier with a bit of medical training. It’s mostly scraped together from the USMC Combat Lifesaver coursebook, and a few years hanging around with medical students and being practiced on. The medicine in here is just about correct enough that it should chime with what people have seen on TV, and that’s all we’re aiming for. SUMMARY Think of this as a three-stage process; diagnosis, stabilisation, treatment. First you have to figure out what’s wrong with them, then you stop that killing them immediately, then you patch them up as best you can. DIAGNOSIS The mnemonic is DR-ABC
Danger – Ensure that neither you nor the casualty are in immediate danger. If they are, secure them before treating (see below).
Responsiveness – Assesss the casualty’s responsiveness on the AVPU scale: ◦ (A)lert – Talk to them; if they respond, they’re Alert. ◦ Responds to (V)oice – Talk loudly close to them “I’m a medic; can you hear me” – any groan or movement and they’re a V. ◦ Responds to (P)ain – Safest way here is probably to shine a penlight in their eyes, or (mime) pinch the skin between thumb and forefinger. Any groan or movement and they’re a P. ◦ (Unresponsive)
Air – are they breathing? If not, that will be the top priority. If they’re talking, they’re breathing.
Bleeding – if lots of blood is coming out, stopping that is next priority.
Circulation – If they don’t have a pulse, we’ll get to that last. Check the pulse on the wrist AND the neck. If it’s there in the neck but not in the wrist, then it’s starting to fail.
This should be a pretty swift process - five to ten seconds. You’re not worrying about if they have any broken limbs; you’re looking for something that’s going to kill them quickly. At this point you may want to operate a TRIAGE system if you have multiple casualties. Assess your casualties quickly and sort them into:
In immediate danger of death. First priority.
Lightly enough injured that they’re not about to die, but can’t fight. Second priority.
Badly enough injured that they can’t be saved. Last priority.
STABILISE Roleplay options include the following: Pain relief: administer anaesthetic by syringe or breathing mask (morphine, entonox, etc) to stop them screaming. Stethoscope (apply on the collarbone; don’t feel anyone up) – this can check for breath sounds and heartbeat, helping you diagnose A and C.
Air - casualty is not breathing. Get them breathing again. ◦  Their neck is at an angle and their tongue is blocking their throat. Roll them on their back, kneel with their head in front of you and put your fingers on the back corners of their jaw (simulating a jaw thrust to open the windpipe.) ◦  They’ve been shot in the face and can’t breathe through the blood. Insert an Nasopharyngeal airway up their nose. (Maybe not, unless we can invent some cool non-invasing NP physreps!) ◦  Their lungs are too weak to breathe. Bag-mask them or give them a shot of magic drugs. ◦  They have a tension pneumothorax. Administer the Stab of Life™ to relieve pressure in the pleural cavity.
Bleeding – the casualty is haemorrhaging lots of blood and soon will not have enough to support life. ◦ If they have a severe wound on a limb, apply a Combat Tourniquet. (Wrap Velcro elastic around the limb above the wound, make sure it’s not too tight, and mime winding it.) ◦ Apply a combat pressure dressing. Put it in place and apply (gentle) pressure. Attach it with a bandage if you want, or apply coagulants with it to cause the blood to clot rapidly. ◦ Give fluids to replace lost blood volume – insert a cannula (needle line) and attach a bag of blood (which is red) or plasma (which is clear.) Make sure the bag remains higher than the needle. Mutter about them going into hypovolemic (not enough volume) shock.
Circulation – they have no pulse; blood is not flowing. Either their heart has stopped, or they have lost lots of blood. ◦ Administer a dramatic shot of adrenaline into the heart, just like in Pulp Fiction. ◦ Give fluids to replace lost blood volume, as above. ◦ Use a defibrillator if they are in VF (Ventricular Fibrillation) or VT (Ventricular Tachycardia), (if you happen to have a physrep). A defibrillator will not, IRL, work on other kinds of cardiac arrest – ironically, including flatlining where it’s always used in the movies. ◦ Mutter above low blood pressure, “weak and thready pulse”
Other people can assist with stabilisation, and getting other people involved is fun. Get people to:
Bag-mask the casualty and take charge of their breathing
Prep and pass equipment to the lead medic
Apply pressure to wound sites to stem bleeding
Give shots at the direction of the lead medic (anaesthetic, adrenaline, whatevs)
Just do another treatment option at the same time as the lead medic; multiple injuries!
TREATMENT This is the slower process of getting a soldier back on their feet to fight on, or patching them up properly when you have the time. It’s about actually solving underlying problems rather than fighting off an imminent threat to life. This is a good time to administer basic wound makeup! Field surgery following bullet/stab wounds is almost never about pulling the bullet out and stitching the hole up – it’s about damage to whatever internal things the bullet hit.
Arteries and veins – can cause severe bleeding, externally or internally. Clamping or stitching the vessel in question might be required. This will be messy and is your excuse to get everyone covered in fake blood.
Bones – broken bones are hard to walk on. Presumably we shoot them full of magic future glue and/or splint them since a minute later they’re probably walking just fine.
The gut. Damage to the intestines and/or stomach means digestive fluids and crap leaking into your abdomen and bloodstream, which is exceptionally bad for you. Again, clamping or stitching is required.
Heart/lungs – obviously non-critical damage since they lived, but even a grazing hit is really bad.
In all of these cases, you pretty much have to cut your way in, clamp/stitch/glue the problem, then close up – with stiches or magic spray glue depending on how advanced your system is. Depending on how hard your system waves away after-effects, perhaps injecting broad spectrum antibiotics to limit infection, MASSIVE doses of painkillers, and stimulants. If they’re going to be back on their feet a minute after receiving surgery, that’s either a miracle or a huge cocktail of drugs. SECURING A CASUALTY If you may be conducting lifesaving under fire, you need to ensure you do not place yourself in danger and double up the number of casualties. You may wish to consider a system like this: When someone sees a friendly go down, they call “CASUALTY”. Medics should respond affirmatively: “ON IT” if they are moving to treat, or “SEEN” to indicates awareness of the casualty but not moving to treat. During the D phase of DR-ABC, if a medic determines that the casualty and/or them would be vulnerable to enemy action during treatment, they call “SECURE THAT CASUALTY”. Combatants should move to drive off enemies or provide cover. Once they are happy that the casualty is safe to reach, and likely to remain so for a few minutes, they call “CASUALTY SECURE”. Where possible, whoever called that should remain on station to keep lookout, defend, and instruct the medic to move if they are in danger of being overrun.Once the casualty is mobile, the medic calls “CASUALTY UP”, informing defending combatants that their responsibility to protect the casualty is over. (Hat tip to the excellent and much missed @larphacks​, you might find their Five tips for a first time medic article useful.) Photo by Oliver Facey from Forsaken
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drlaurynlax · 6 years
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The Ultimate Guide to Hypoglycemia And Natural Treatment
The Hypoglycemia Treatment
Standard hypoglycemia treatment is built on the foundation of managing hypoglycemia-not necessarily reversing it or healing it…until now. Here’s all you need to know about the root causes of hypoglycemia and natural hypoglycemia treatment methods to curb shakiness, low energy and crashes for good.
Hypoglycemia 101
Hypoglycemia, or low blood sugar, is a blood sugar dysfunction that affects approximately at least 1 in 3 people at some point, given that 1 in 3 people have pre-diabetes and about the same amount of people have diabetes*. Although, not all people with hypoglycemia have diabetes and the condition can occur in people without diabetes, as we will discuss further. 
Hypoglycemia is characterized by low energy production and low glucose in the cells..
According to lab blood work, hypoglycemia is diagnosed with a low plasma glucose reading of less than 70 mg/dL.
Severe hypoglycemia presents with a blood glucose reading of less than 40 mg/dL. 
Healthy fasting blood sugars for healthy individuals are 70-85 mg/dL (fasted blood glucose levels). After meals, your blood sugar should rise about 40 mg/dL higher over your fasting levels, only to go back to your fasting levels 2 hours later.
Diagnosis
In conventional medicine, official diagnosis of hypoglycemia is made when individuals meet “Whipple’s Triad”—characterized by these three criteria:
Symptoms consistent with hypoglycemia;
Low plasma glucose measured with a precise method (meaning not a glucometer), when symptoms are present (below 40 mg/dL) on lab testing;
Relief of those symptoms if plasma glucose is raised
If the patient is not symptomatic during testing, practitioners sometimes may recreate the conditions in which hypoglycemia would appear by doing a prolonged supervised fast for an official diagnosis. This is the most reliable test for hypoglycemia in a food-deprived state. 
Q. What if the doc says I am fine, but I still have low blood sugar?
In functional medicine, hypoglycemic episodes and chronic hypoglycemia is not ruled out by this criteria alone. 
For instance, many people who present with “adrenal fatigue” or “HPA Axis” dysfunction (chronic stress) may even have normal blood testing levels on clinical labs, only to regularly experience hypoglycemic “crashes” and signs and symptoms aligned with hypoglycemia.  
Reactive hypoglycemia is another common “phenomenon” in the hypoglycemia presentation—characterized by hypoglycemic episodes if one goes too long between meals, or even “crashes” after meals, as if the body is unable to use the food it was just given. Reactive hypoglycemia is not always recognized in the conventional medicine setting. 
If an individual has ongoing symptoms that are consistent with hypoglycemia (below), but their blood glucose reading is 70 mg/dL, we look first to the overall clinical presentation and less to numbers alone. We seek to rule out other conditions that can also cause these symptoms (such as under-eating, gut pathologies, etc.), but if the problems still remain, then a blood sugar disorder, like hypoglycemia may very well be present. 
Signs & Symptoms
Signs and symptoms of hypoglycemia are diverse and non-specific. They may include:
blurred vision
anxiety
dizziness
light headedness
depression
fainting spells
fatigue
headache
irritability
mood swings
cravings for carbs or sweets
night sweats
constant hunger
swollen feet
confusion
cognitive impairment or behavior changes
weakness in the legs
nervous habits
insomnia
pain in various parts of the body (especially the eyes)
mental disturbances 
a feeling of tightness in the chest
seizure & coma (at lower plasma glucose concentrations)
    Note: Hypoglycemia symptoms may also go unrecognized due to “hypoglycemia unawareness.” Some people may experience symptoms like anxiety, weakness, tremor, perspiration, or palpitations, but shrug them off or think they are related to something else. Many practitioners also fail to recognize that hypoglycemia may be present. 
Causes of Hypoglycemia
Conventional Medicine
The following are recognized explanations for the cause of hypoglycemia in conventional medicine: 
Drugs & Alcohol
Critical Illness
Anorexia & eating disorders
Cortisol Deficiency or “Adrenal Fatigue” 
Cell Tumors & Pancreas Dysfunction
Hyperinsulinism (beta cell disorders, autoimmune hypoglycemia disorder where the body attacks insulin)
Diabetes & impaired glucose tolerance (unable to control sugar)
Postprandial syndrome (low blood sugar under 50 mg/dL within 2-4 hours of eating)
Unfortunately, many cases of hypoglycemia can go unrecognized or unexplained because many patients with hypoglycemia won’t necessarily have any of the conventional causes at play.
Root Causes of Hypoglycemia: Functional Medicine
In functional medicine, we always dig deeper, asking: “What is the ROOT cause of imbalance?” 
Unfortunately, the mention of the contribution of modern lifestyle is typically overlooked in conventional medicine. The lifestyle and underlying causes of hypoglycemia (especially postprandial—following meals) are practically identical to the underlying causes of hyperglycemia (high blood sugar), including:
Sleep deprivation
Disrupted gut bacteria & gut pathologies
Recent surgery
Antibiotic use
Physical inactivity or over-training (1)
Nutrient imbalances
Environmental toxins
Chronic stress
Under-eating
Westernized diet (processed, packaged, vegetable oils, sugars, additives) 
Hypoglycemia Physiology 
Regardless of the root cause of hypoglycemia, it can be super frustrating to feel like your body is “working against you”— no matter how “clean” you eat or how healthy you try to be. 
Why can your body no longer handle glucose, food and balance your blood sugar levels?!
To answer this question, it’s important to understand the physiology of low blood sugar.
How Digestion Should Work
The body is designed to digest and assimilate three primary nutrients: proteins, fats and carbohydrates. 
Proteins and fats can be used for energy, but their conversion to usable forms in the body is NOT immediate; it’s gradual. Carbohydrates, on the other hand are immediate energy and readily digested into sugar. 
Low-glycemic carbohydrates such as many vegetables and beans provide a slow time-release of the sugar they contain in their complex molecules of starch mixed with fiber. The presence of “resistant starch” pre-biotic foods (like cooked and cooled potatoes/sweet potatoes, cooked and cooled white rice, prebiotic supplements, beans, green plantains and bananas) further slows the sugar liberation process.
High-glycemic carbs (foods with higher amounts of sugars, like cooked carrots, parsnips, grains, cereals, several fruits, honey, sweets and refined foods) provide a rapid sugar fix. This results in an immediate, pleasant sense of gratification—sometimes even a mild drowsiness. (i.e. a “sugar high”). 
In response to any sugar or energy (food) in the blood, the body calls upon its insulin reserves, generated by the pancreas, to lower the blood sugar. It especially calls on ALOT of insulin when it seems as though there is more sugar than the body can handle at once. 
Enter: The hypoglycemia dilemma. 
How Hypoglycemia Works
Hypoglycemia (low blood sugar) happens when a person eats food their body’s cells need; but their body is unable to uptake or use the glucose as normal, resulting in an influx of insulin in the blood stream to lower blood sugar, followed by a “crash”—since the person’s blood sugar lowers too much, resulting in all sorts of side effects including: low energy, a “blood sugar rush,” brain fog, poor concentration, memory and mood. 
In addition, low blood sugar triggers an outpouring of counter-regulatory hormones from the adrenals—including adrenaline and cortisol.  These hormones oppose the action of insulin to push blood sugar levels back up. Unfortunately for the hypoglycemic person, these “rescue” hormones are the very same ones that produce the adrenaline rush of a “fight-or-flight” response, resulting in symptoms like palpitations, sweaty palms, nervousness, tremor, waking up in the middle of the night and panic attacks.
Why Hypoglycemia Keeps Happening
Here’s an in-depth understanding of why hypoglycemia keeps happening for you. 
Cortisol Imbalances (Stress Hormone)
Cortisol is a stress hormone that fights every day to balance blood sugar levels, and drives hypoglycemia symptoms if it’s imbalanced. Physiologically, cortisol binds to receptors on the fat cells, liver and pancreas, and increases glucose levels (energy) for muscles to use. When cortisol is imbalanced however—super high, super low or a mix of both—your normal “blood sugar balance” gets confused too. For some people this leads to hypoglycemia, others it can lead to hyperglycemia.
Blood sugar imbalances go hand in hand with cortisol imbalances. When your blood sugar is high, cortisol is high too. When blood sugar is low, cortisol is low.  People with hypoglycemia typically present with cortisol imbalances throughout the day—one moment feeling “fine,” only to have a quick high, followed by a quick low (i.e. a hypoglycemic crash). Since cortisol influences your pancreas and liver in particular (your organs responsible for producing and using your hormones that regulate blood sugar—insulin and glucagon), if your cortisol is out of whack, then so is your blood sugar balance. (2, 3, 4, 5, 6)
Excess Adrenaline (“Fight or Flight” Hormone) There are four main hormones involved in raising blood sugar levels:
glucagon (your body’s preferred source);
cortisol;
growth hormone (GH); and
adrenaline (aka epinephrine, norepinephrine)
Our bodies use adrenaline when the others don’t work. One of the roles of adrenaline (fight or flight hormone) is to promote the release of glucose from the locations in the body where it’s stored. Adrenaline also binds to receptors on the heart and heart vessels—and is responsible for producing many hypoglycemia symptoms. 
When the body’s blood sugar level thermostat, decides that your blood sugar is too low and your other hormones aren’t doing their jobs properly, it signals to your adrenal glands to out on the emergency brakes. Adrenaline kicks up for a quick release of blood sugar to your body, resulting in common symptoms of hypoglycemia: You get the shaky, a blood rush to your head, “brain fog”, hunger, and sometimes (if the problem happens overnight) it may even wake you up, your body screaming for food, also known as “nocturnal hypoglycemia” (nighttime hypoglycemia), and consequently, further blood sugar imbalances and more adrenaline the next day—during waking hours—as the body attempts to recover.
If you don’t calm adrenaline down (with food, suppressing the stress), then increased adrenaline causes an increased body demand for MORE glucose so that body can handle stress. It’s a vicious cycle. (2, 7, 8)
Low Serotonin (Feel Good Brain Chemicals)
Your brain requires TONS of energy (70-80% at any time) from the food you eat—derived from proteins, carbs and healthy fats. However, if you have a gut dysfunction (and your body is unable to digest these foods) OR you have nutrient deficiencies, then your brain energy is starved and it cannot create neurotransmitters, like serotonin.
Serotonin helps your body maintain balance, feel satisfied and prevent stress. Without enough serotonin, your brain triggers the release of stress hormones (cortisol), which then drives blood sugar levels quickly up—only to eventually plummet shortly after a meal once the energy-taxing process of digestion begins. 
Low L-Carnitine (Helps Your Cells “Digest” Fats & Proteins) 
Carnitine is an amino acid that can be made by the body and helps transport long chain fatty acids across the inner mitochondrial membrane to be used as a source for ATP synthesis (beta oxidation and “energy”). However, although the body can make l-carnitine, individuals with hypoglycemia may not have the proper nutrients to make it in the first place, including: amino acids lysine and methionine, vitamin C, vitamin B6, iron, and oxygen.
If you don’t have enough l-carnitine for the body to use your own healthy fats for energy when glucose levels drop, then when glucose levels drop, you are left with the inability to convert fats into energy to counteract the balance, resulting in hypoglycemia in some cases. Carnitine deficiency is particularly common during and after pregnancy, and in vegan/vegetarian diets.  
Bad Gut Bacteria
Gut bacteria dictate the health of every function in our body— blood sugar balance included. You have more than 100 trillion gut bacteria living in you—10 times more bacteria than cells in your body. Thus, the healthier these bacteria are, the healthier you are too. When it comes to glucose balance, your gut bacteria are responsible for helping you digest and metabolize everything you eat—particularly carbohydrates and sugars. If your gut bacteria are unhealthy, than this process can dysfunction (9).
Multiple studies have shown the links between elevated pathogenic gut bacteria, decreased healthy gut bacteria and blood sugar imbalances, like diabetes and blood sugar dysfunction (10-14).
For instance, in people with SIBO (small intestinal bacterial overgrowth), when SIBO is eradicated, blood sugar levels, cholesterol and other inflammatory also have been shown to improve (15). In another example: one researcher was able to reverse type 2 diabetes in all of the 250 study participants by doing fecal transplantations on them (swapping out their gut bacteria for someone else’s) (15.1).
Other research shows that IBS (irritable bowel syndrome) is positively correlated with metabolic syndrome (16). To balance blood sugar, researchers have also found that increasing healthy bacteria (probiotics and prebiotics) helps balance blood sugar. A German Diabetes Center clinical study found that taking the probiotic Lactobacillus reuteri promoted optimal glucose and insulin levels in participants (17). Another study found that, after just six weeks of consuming a probiotics, the 64 study participants experienced balanced blood sugar and lessened oxidative stress (18). Given that hypoglycemia is highly correlated with stress, decreasing gut inflammation naturally helps decrease stress. Lastly, in addition to probiotic power, increasing short-chain fatty acids and pre-biotics (fibers that feed healthy bacteria)  has been shown to counterbalance the metabolic deregulation in persons with glucose impairment disorders, including both hypoglycemia and reactive hypoglycemia (18.1) 
Candida & Fungal Overgrowth
On top of bad gut bacteria, fungal or yeast (candida) overgrowth can also cause problems for glucose tolerance and hypoglycemia. Candida albicans—the most common form of candida in the gut—has been shown to increase with glucose elevations (i.e. eating starchy carbs, sugars and blood sugar imbalances) and chronic stress (19, 20). One study in non-diabetic women with candida overgrowth showed a significantly impaired tolerance for glucose (carbs) and poor blood sugar control compared to controls (21).  Another study found that individuals with lower morning cortisol levels (i.e. “adrenal fatigue”) were more likely to have both yeast infections and blood sugar intolerances (20).
There are a variety of ways that Candida impacts blood sugar, but without getting too technical it basically boils down to this: It disrupts organs, systems and hormones, like the pancreas, thyroid, liver, adrenal glands, insulin levels and cortisol, which then disrupts the way the body processes glucose.
Additionally, pathogenic yeast and fungi feed on your glucose, which then brings your blood sugar crashing down. It causes nutritional deficiencies and if certain nutrients are not provided in the body in adequate levels, this contributes to hypoglycemia. 
One of candida’s primary weapons for destroying tissues and acquiring nutrients in the body is through enzymes it produces called Secreted Aspartyl Proteases (SAPs)— candida’s primary mechanism of how it spreads in the body and causes damage.
Researchers have discovered that SAPs enzymes can also cause pre-diabetes, immune system suppression, and high blood pressure. Pre-diabetes conditions include insulin-resistance and hypoglycemia. Insulin attaches to receptors on cells that then activate the absorption of sugar from the blood. These protease enzymes will chop off the receptors on cells causing blood sugar levels to increase, only to quickly fall as the cells are not fed (22, 23).
Candida & Bacteria Die Off
Given the connections between candida/fungi, gut bacteria and blood sugar balance, episodes of hypoglycemia can also arise when you begin to actually treat the candida, treat bacterial infections, and/or support your gut health. This happens as part of a die-off reaction—as pathogenic yeasts and bacteria are “starved” of the fuel source you’ve been feeding it (glucose) or as you target them with anti fungal herbs, medications and/or probiotics and prebiotics. In die off reactions, toxins are released as the Candida or gut bacteria is killed. If too much is killed at one time it can overload the body with toxins and result in a variety of symptoms experienced in hypoglycemia—including shakiness, weakness, and feeling fluttery inside. Additionally, people may experience hypoglycemia when they begin eating a low-carb or ketogenic based diet, particularly if they also had a gut infection or yeast/bacterial overgrowth. Since glucose is the primary fuel source of yeast and bacteria, when you cut this back, your gut bacteria and yeast “fire up”—causing stress to your blood sugar balance. 
Sluggish or Toxic Liver
Your liver is responsible for storing energy (mostly from carbohydrate), called “glycogen” and breaking it down into glucose (sugar) for your cells to use and keep your blood sugar balanced all day long. However, if your liver is sluggish and unable to break down glycogen appropriately OR it is in “overdrive” from adrenaline (and breaks it down TOO fast), this can lead to blood sugar imbalances— “starving” your body and cells from getting the energy they need all day long. Liver malfunctions or sluggishness can happen from a number of reasons including: excess adrenaline or cortisol (stress), low-fat diets, long term low-protein (vegetarian/vegan) diets, bad fat diets (canola oil, packaged processed foods, eating out), environmental toxins, long term birth control or medication use. 
Pancreatic Insufficiency
Pancreatic insufficiency happens when pancreatic functions start to decrease and there are not enough exocrine enzymes released to digest food properly. As a result, the body struggles to absorb a lot of vital nutrients necessary for energy in your cells. This usually occurs due to tissue damage of the pancreas itself, or as a blockage of the ducts that move digestive enzymes into the intestines, and can lead to symptoms like hypoglycemia.
Chromium Deficiency
Supplementation with chromium in individuals with hypoglycemia has been shown to help naturally raise blood glucose levels (24)—suggesting that chromium deficiency may be at play in hypoglycemia. Chromium is a mineral that humans require in trace amounts. Chromium is known to enhance the action of insulin and is directly involved in carbohydrate, fat, and protein metabolism. Foods naturally high in chromium include: green beans, broccoli, nuts, brewer’s yeast, egg yolks, chicken and beef. In one study, eight women with symptoms of hypoglycemia supplemented with 200 mcg of Chromium as chromic chloride for three months. Chromium supplementation alleviated the hypoglycemic symptoms and significantly raised the minimum serum glucose values observed two to four hours following a glucose load. Insulin binding to red blood cells and insulin receptor number also improved significantly during supplementation (24). 
Treatment of Hypoglycemia
The following measures are essential in treating, managing and reversing hypoglycemia:
Address the Root Causes
Hypoglycemia treatment first starts with addressing the root causes of hypoglycemia, and asking: What caused hypoglycemia in the first place? Is it due to a gut pathology? Cortisol imbalances and chronic stress? Under-eating? Poor sleep? Toxic burden? Your diet?
To figure out this answer, lab testing may also be warranted under the guidance of a skilled physician. Some lab tests may include:
Functional Blood Chemistry Testing
Stool Testing
DUTCH Cortisol & Hormone Testing
SIBO Breath Testing
Heavy Metal &/or Mold Testing
Consider a free health evaluation to get a functional medicine perspective on your case.
Dietary Management 
While you work with a practitioner to figure out root causes for your hypoglycemia, dietary changes can make a BIG difference in how you feel and your experience. Some dietary changes that are helpful for hypoglycemia management include: 
Eat 5-6 Small Meals Per Day
Since hypoglycemia symptoms and episodes may occur every 2-3 hours in the early recovery stages, more frequent smaller meals and snacks can help your body “ride the waves” of blood sugar imbalances. 
Limit Starchy Carbs, Grains & High Sugar Fruits
Carbs are not the enemy, but during the early recovery stages from hypoglycemia, sometimes too much carbohydrate (glucose) at once can send the body into “overdrive”—initially spiking blood sugar after a meal, only to leave it in hypoglycemic crash within 2-4 hours after a meal. This may happen if your body’s ability to use glucose properly is impaired. If you include carbohydrates in a given meal, choose higher-fiber, slow-digesting carbohydrates (such as vegetables, beans/legumes, low glycemic starchy carbs like beets, winter squash and resistant starchy tubers—cooked and cooled potatoes and sweet potatoes, and low-fructose fruits like berries and citrus). Eat as tolerated, and aim for the least restrictive as possible—incorporating plenty of colorful veggies at the very least with every meal. As stress levels improve, so will your carbohydrate tolerance.  
Eat Protein &/or Fat with Every Meal & Snack
Protein and healthy fats are known as “stability” nutrients. Since they cause less of a sudden glucose spike (blood sugar response) and are slower digesting, they are more likely to stay with you throughout the day. Include both proteins and fats and your primary meals, and include both or one or the other at snacks. 
Time Your Meals Appropriately
Erratic eating patterns that leave your body guessing when its next meal is going to happen can lead to more stress initially. In the early stages of hypoglycemia, set a schedule for your eating and stick to it. Ideal times for meals are in line with your body’s natural circadian rhythms, including: Breakfast-between 6-8 am, Snack-around 10-11 Am., Lunch-between 1-3 p.m., Snack-between 3-5 p.m., Dinner- between 6-8 p.m., Bedtime Snack (protein or fat based)- between 9-11 p.m.
Be Prepared
Failing to prepare can be preparing to fail. Make sure you carry your “essentials” (i.e. meals or snacks) as well as supplements you need during your initial hypoglycemia recovery. With time, your ability to go longer between meals will improve, but in the early stages, sticking to consistency is essential. Get an essentials lunchbox like this
Just Right Exercise
The “Goldilock’s” approach is ideal—not too much and not too little. Just right. While exercise is a “stressor,” it can be a healthy stressor for helping your body establish yin-and-yang (balance) again as well. The key is to: stop the intensity for the time being, and focus more on strengthening (weight training), moderate aerobics (steady state endurance, such as walking, cycling, swimming—without overexertion), flexibility and mobility. 
Yoga, Tai Chi, Qigong 
Yoga is a restorative practice for not only the body, but also the mind, in the recovery from hypoglycemia—and stress. Other forms of restorative movement and meditation (in one) include Tai Chi and Qi Gong. Try them on for size. 
Address Stress
Stress is the “elephant in the room” when it comes to blood sugar imbalances—both mental and physiological. Common sources of stress include: 
toxic burden (from beauty, cleaning, hygiene and food products)
lack of sleep
gut dysfunction
circadian rhythm dysfunction (shift work, off schedules, weird eating schedules or waking schedules)
light exposure and screen exposure at night
long term medication use
Inappropriate supplement use
Food intolerances
Poor quality foods
Relationship stress/loneliness
Financial stress
Overwork
Overtraining or sedentary lifestyle
Pinpointing your sources of stress are essential in order to address them and counter them. Once you uncover this piece to your puzzle, “addressing stress” is where the fun really begins. Some simple things you can do include:
Replacing environmental toxic products with organic, additive-free sources
Getting 7-9 hours of sleep each night & practicing healthy sleep hygiene
Starting a mindfulness practice (journaling, meditation, yoga)
Working with a practitioner to figure out the right supplements for you instead of Google searching them
Eliminating screen time at night
Refusing to overtrain, as well as start moving if you’ve been sedentary 
Work with a financial advisor to figure out a budget and get organized
Take “mandatory” recess breaks, days off and/or vacations from work
Just Breathe
Deep breathing is not only relaxing, but it’s also been scientifically proven to affect the heart, the brain, digestion, the immune system and stress levels (i.e. cortisol and adrenaline). Slow, deep breathing, or “diaphragmatic breathing” (breathing from the diaphragm) reduces oxidative stress, helps normalize insulin and blood sugar levels, and stimulates the parasympathetic reaction — the one that calms us downThe result? Less severe crashes in the case of hypoglycemia. 
Arm Yourself Against Crashes
“Crashes” or hypoglycemic episodes are an inevitable part of the recovery process, but the more you learn your own rhythms, the better able you’ll be able to “arm” yourself against them and be prepared to NOT let them happen. Pay attention to your body’s times of day when it seems to crash—does it happen while you’re sleeping? Mid-morning? Late afternoon? If so, what are the usual habits, foods and routines surrounding those times in the hours leading up to them? Are you eating more carbs in the meal before? Have you been going non-stop all day? Are you on screens late at night? The better awareness you have, the more able you’ll be to “play” with changing things up, and seeing if changes in diet, routine or habits can inhibit stress. In addition, recognition of your “crash” times will also help you know the best times for some of the natural supplement supports beneficial for hypoglycemia recovery. 
Natural Supplement Support
You cannot supplement your way out of hypoglycemia or a stressful lifestyle, but key nutrients and compounds can help bring the imbalanced body back into balance when used appropriately.
See Nutrition & Supplements for hypoglycemia treatment (below) for key insights. 
Nutrition for Hypoglycemia Treatment
Water: Drink half your bodyweight in ounces each day. 
Eat Plenty of Protein: The serving size for protein is: Kids: 2-3 oz., Women: 4-6 oz., Men: 5-8 oz. Use the size and thickness of your hand as a general rule of thumb. Consume the majority of proteins from complete sources, like chicken, beef, bison, fish, wild game, lamb, and eggs. Aim for at least 25-30% of your daily calories from proteins, starting off with 30-40 grams at breakfast. 
Consume Low Glycemic Carbs The glycemic index is a tool that’s used to indicate how a particular food affects blood sugar (or glucose) levels. The definition of the glycemic index (GI) is “a measure of the blood glucose-raising potential of the carbohydrate content of a food compared to a reference food (generally pure glucose, or sugar).” Foods are assigned a glycemic index/glycemic load number that can be compared to pure glucose, which serves as the benchmark for all other foods.
Foods with a glycemic index (GI) of less than 50, or a low glycemic load (GL) of less than 11 are absorbed slowly.
Gycemic Load takes into account the glycemic index score of a particular carbohydrate but also considers how the carbs in the food affect blood sugar levels when eaten in average portions (not just in 100-gram servings). Many of the fruits and vegetables that are high on the glycemic index scale come in low on the glycemic load scale. Avoid foods for at least 60-90 days with a Glycemic Index above 50, and/or a Glycemic Load Above 10. Some good low GI & GL options include:
Quality Proteins: Meat, fish and poultry
Healthy Fats: Avocado, coconut, olives, nuts and seeds
Legumes (soaked, not canned)
Yogurt (no sugar)
Veggies:
All green veggies
Artichokes
Bamboo
Baby carrots (1/2 cup or less)
Cauliflower
Celery
Fennel
Peas
Peppers
Onions
Sauerkraut & pickled veggies
Cooked & Cooled Boiled Sweet Potato
New Potatoes (1/2 cup or less)
Mushrooms
Pumpkin
Radishes
Tomato
Water Chestnuts
Yellow Squash
  Fruits
Apples
Apricots, dried
Berries
Cherries
Grapefruit
Green Tipped Bananas
Grapes
Kiwi
Orange
Peach
Pear
  The following foods are considered “high-GI foods,” which you therefore should try reducing or avoiding:
Refined grains and flours, including products made with white wheat flour, packaged grain products like most bread, processed breakfast cereals, cookies, cakes, etc.
Sweetened beverages, such as soda and bottled juices
Table sugar, honey, molasses, etc. (A small amount of real, raw honey can be a good option in cases of severe blood sugar dips for fast acting sugar)
Dried fruits, such as raisins, craisins and dates 
Starchy root vegetables, such as white potatoes, winter squash, etc. These are actually healthy options, but again portion control and pairing them with lower-GI foods is key.
Also avoid too much caffeine or alcohol
Empty calories, including packaged goods that are highly processed and salty
Lots of added sugar in condiments, sauces, etc.
Fast food and fried foods
Consume Chromium Rich Foods Chromium is vital in controlling blood sugar levels properly. A deficiency in chromium can be a contributing factor to hypoglycemia. High chromium foods include: brewer’s yeast, pastured eggs, sweet potato, broccoli, grass-fed beef, bananas, tomatoes, green beans, romaine lettuce and grapes.
Consume Carnitine Rich Foods.
Especially grass-fed red meats, wild caught fatty fish, pastured poultry, grass-fed whey and grass-fed dairy. Carnitine is essential for helping your cells “absorb” nutrients and fatty acid optimization (converting foods you eat into fatty acids in your cells so your cells have enough energy all day long).   
Add Sea Salt
Promotes adrenal balance. When the adrenal glands are fatigued, they fail to produce adequate amounts of several hormones, including adrenaline, cortisol and aldosterone. Lack of aldosterone can disrupt the sodium balance at a cellular level, causing a sodium deficiency. Recommendation: Salt food to taste and add a pinch of sea salt to water.
Limit Starchy Carbs
 Starchy carbs, may trigger symptoms more, especially in early on in hypoglycemia recovery. Consume in small amounts (15 grams or less; about 1/2 cup), only as tolerated. Aim to get the majority of your starchy carbs from pre-biotic tubers and soluble fibers like cooked and cooled sweet potatoes, cooked and cooled white rice, winter squash, carrots, green peas, beets, jicama, artichoke, green tipped plantains, cassava, coconut flour based breads or coconut tortillas, and other whole foods. 
Limit Fruits: Like starchy carbs, fruits may trigger symptoms more in the early stages of hypoglycemia recovery. Incorporate 1-2 servings of fruit per day as tolerated. Fruit is best digested when eaten in small amounts, away from complex meals, and paired with a little bit of healthy fat to stabilize blood sugar. You may also tolerate it with lighter meals, such as incorporated into a smoothie or berries tossed onto a salad. 
Cut Out Grains.
Eliminate grains and gluten containing foods for at least 60-90 days to allow any inflammation in the gut and brain to heal. If grains are desired after 60-90 days, slowly reintroduce one at a time.
Add in Nuts & Seeds.
Great healthy fats to consume with snacks, in a smoothie or tossed into a salad or yogurt. Consume in moderation due to inflammatory properties. Limit to 1 serving of nutbutter (2 tbsp.) or ¼ cup nuts each day.  
Snack as Needed:
Snacks can help keep blood sugar levels stable early on in healing. Base snacks around a protein and/or fat to sustain energy levels, balance blood sugar and curb cravings until the next meal. Snack ideas include:
Protein Snacks
Bone Broth
Beef Isolate Protein Powder
Collagen Protein
Organic Turkey or Beef Jerky
Leftover protein
Deli meat rollups
Fat Snacks
Grass-fed butter or ghee
Coconut butter
Coconut Milk ice cream (no sweetener)
Grass-fed cheddar or goat cheese (with 1/2 apple or veggies)
Raw nuts and seeds
Olives
Recommended Gut & Brain Boosters. Add optional gut health supports including: 1-2 fermented foods/day, digestive enzymes and apple cider vinegar (in water) with meal. Encouraged to support optimal digestion, nutrient absorption and blood sugar balance.
Supplements for Hypoglycemia Treatment
The following supplements may be helpful in managing and reversing hypoglycemia. Keep in mind, you cannot supplement your way out of a poor diet or stressful lifestyle. Focus first on boosting nutrition and lifestyle factors. Work with a skilled practitioner for optimal recommendations customized to you.
Adrenal Adaptogen (Herbal) Support
Betaine HCL or Apple Cider Vinegar
Chromium Chelate 
Cod Liver Oil
Colostrum & L-Glutamine       
Digestive Enzymes
Magnesium Glycinate
Methyl B Vitamins
Prebiotic Fiber (Glucomannan)
Soil-Based Probiotic
Zinc
Optional: 
Gut Support Protocol (treat for Candida, Yeast, SIBO or any other underlying pathologies)
Vitamin D
About Supplements for Hypoglycemia Treatment
Aceytl L-Carnitine 
Carnitine is an amino acid your body needs to produce energy. Primarily, carnitine is used to transport long-chain fatty acids, your body’s main source of metabolic energy, to the mitochondria in your cells so your body can actually use the energy you eat. Recommendation: Women 250 mg, Men 500 mg with meals 2-3 times per day if initial protocol and lifestyle changes are sub-par. Particularly for vegetarian/vegan based diets and postpartum hypoglycemia.  
Adrenal Adaptogen (Herbal) Support
Adaptogenic herbs provide the adrenals with cortisol balancing support to help support blood sugar balance at the same time. Adaptogens work to counter both high and low cortisol, depending your unique presentation. Avoid formulas with stimulating herbs including licorice or ginseng, unless under the care of a knowledgeable practitioner, for general use. Recommendation: 1 dose, 1-3 times, particularly around times you know when your blood sugar balance is “off.” Look for ashwaganda and sensoril rhodiola. 
Betaine HCL or Apple Cider Vinegar
Aids in the absorption of nutrients by boosting stomach acid. Recommendation: 250-1000 mg of Betaine HCL with meals (do the “HCL Challenge” to figure out your just right amount), or 1 tbsp. Apple cider vinegar in water with meals. If pregnant or taking acid suppressing drugs or corticosteroids, use apple cider vinegar. 
Chromium Chelate Chromium enhances the action of insulin, which delivers glucose to the cells thereby stabilizing blood sugar, which is key in regulating mood and diminishing cravings. Deficiency due to dietary intake is rare, but diets high in processed foods, sugar, low-fat or poor variety deplete body chromium stores. Even mild deficiencies of chromium can interfere with blood sugar regulation and cause fatigue, anxiety and sugar cravings. Recommendation: 100-300 mcg., 1 time per day with meals.
Cod Liver Oil
Essential fatty acids, including Vitamins A & D for fatty acid absorption, to aid in inflammatory processes, nutrient absorption and energy utilization. Counters common symptoms of hypoglycemia including shakiness, brain fog and poor concentration. Recommendation: 1 tsp., once per day or 1 dose of capsules; fermented cod liver oil or extra virgin olive oil or wild salmon oil. 
Colostrum. The “perfect food” nutrient found in a mother’s milk, as well as cow’s milk.  Colostrum contains proteins, carbohydrates, fats, vitamins, minerals, and proteins that fight off bacteria and viruses, boost the immune system, improve cognitive function and heal intestinal permeability (leaky gut).  Recommendation: 1 dose of tegricel colostrum in water or tablets. 
Digestive Enzymes
Support your pancreas, small intestine, liver and other digestive organs to boost digestion with similar enzymes to those found in your gut. Many people with blood sugar issues and/or gut dysfunction are low in natural digestive enzymes due to a variety of stressors, such as previous antibiotic use, poor quality diet, poor food hygiene practices, low stomach acid and more. Recommendation: 1-2 digestive enzymes with meals. 
L-Glutamine       
Gut lining healing nutrients to support gut integrity, immune function and gut healing for all around digestion and nutrient optimization. Recommendation: 1 serving in water or liquid of choice, 1-2 times per day. 
Magnesium Magnesium is used by the body’s enzymes to process glucose efficiently, and it has been shown to decrease inflammation, which is one of the primary drivers of insulin resistance.  Also, it is a calming nutrient that helps the body process all manner of imbalances.  This is why magnesium is so essential, especially for those with hypoglycemia. Opt for chelated forms, such as Magnesium Glycinate, for optimal absorption. Recommendation: 1 dose Magnesium Glycinate (200-300 mg), 1 time per day. 
Methyl B Vitamin Complex (including Biotin) B-Vitamins are essential for countless chemical processes within the body. Amongst these are their role in hormonal balance (adrenal health), digestion, metabolism and blood sugar control. A deficiency of Vitamin B vitamins can result in blood sugar problems. B-vitamins are easily depleted by a number of factors such as stress, poor diet, nutrient deficiencies, alcohol consumption, the contraceptive pill, and other medications. Recommendation: Methylated B Vitamins are best absorbed by the body, particularly for those with underlying methylation issues.
Prebiotic Fiber
High-fiber diets reduce the risk of diabetes and aid in the treatment of blood sugar imbalances. Fiber decreases insulin peaks after meals because it slows absorption of carbs and increases insulin sensitivity. Include both through fiber in the diet and use of supplements, like Glucomannan or Partially Hydrolyzed Guar Gum. Recommendation: 8-13g/day or 2-4 tsp. Per day depending on your food intake of fibers too. Start slow and build up. 
Soil-Based Probiotic. Upwards of 90% of probiotics on shelves do not contain the probiotics they claim. Many formulas are also packed with lactic acid bacteria–the types found naturally in fermented foods (the best sources), and the types that most people typically have more of. Soil based formulas mimic the healthy gut bacteria found in nutrient-rich soil hundreds and thousands of years ago, and are the most shelf-stable of most probiotics in order to ensure you get what you pay for. Recommendation: 1-2 capsules, 1-2 times per day. 
Vitamin D. Vitamin D is an essential fat soluble vitamin for a number of physiological processes including: Promoting calcium absorption in the gut; Maintaining calcium and phosphate levels in the blood; Regulating cell growth, neuromuscular and immune function.
Vitamin D can be obtained from three sources: food, ultraviolet light (sun and UV lamps), and supplements. Supplementation should only be considered if 25(OH) Vitamin D blood levels are below the recommended 35 ng/mL. In addition, PTH (parathyroid hormone levels) should be considered to determine whether or not supplements are appropriate for you. Use the following table as a reference for how to treat and supplement for optimal Vitamin D levels. (Note: EVCLO=extra virgin cod liver oil)
Zinc A highly important mineral with regard to insulin function. Zinc is necessary for the production of insulin and it also helps it to bind to receptors on the cells. Zinc is also required for stomach acid production and gut lining support; therefore it affects how well food is digested. A deficiency of zinc affects the action of insulin directly and also interferes with proper digestion, creating deficiencies of the other important blood sugar control nutrients as well. Recommendation: Short-term 8-week therapeutic dose of 30 mg/day. 
Overcome Hypoglycemia Today
Don’t go it alone. We are here to help. Connect with Dr. Lauryn today for a 10-minute complimentary call to learn more about how we can help you overcome hypoglycemia (for good). BOOK HERE
Or, if you know you’re ready to get your own custom plan, book your first 60-minute consult appointment with Dr. Lauryn to get started with your healing process at our clinic today. Dr. Lauryn works with clients around the world. (BOOK YOUR 60-MINUTE INITIAL CONSULT HERE to get a customized plan ) 
  Resources
Overtraining
1. Galassetti, Pietro & Mann, Stephnie & Tate, Donna & A. Neill, Ray & Costa, Fernando & Wasserman, David & N. Davis, Stephen. (2001). Effect of antecedent prolonged exercise on subsequent counterregulatory responses to hypoglycemia. American journal of physiology. Endocrinology and metabolism. 280. E908-17. 10.1152/ajpendo.2001.280.6.E908.  
Cortisol & Blood Sugar
2. Tesfaye, N., & Seaquist, E. R. (2010). Neuroendocrine Responses to Hypoglycemia. Annals of the New York Academy of Sciences, 1212, 12–28. http://doi.org/10.1111/j.1749-6632.2010.05820.x
3. Kamba, A., Daimon, M., Murakami, H., Otaka, H., Matsuki, K., Sato, E., … Nakaji, S. (2016). Association between Higher Serum Cortisol Levels and Decreased Insulin Secretion in a General Population. PLoS ONE, 11(11), e0166077. http://doi.org/10.1371/journal.pone.0166077
4. Davis, S. N., Shavers, C., Costa, F., & Mosqueda-Garcia, R. (1996). Role of cortisol in the pathogenesis of deficient counterregulation after antecedent hypoglycemia in normal humans. Journal of Clinical Investigation, 98(3), 680–691.
5. Yamaguchi, Hiroshi. (2015). Reactive Hypoglycemia Associated with Mild Adrenal Dysfunction, So-called Adrenal Fatigue. International Journal of Medical and Pharmaceutical Case Reports. Vol.: 2. Page 27-35. 10.9734/IJMPCR/2015/12994. 
6. Darleen A. Sandoval, , Ling Ping, Anthony Ray Neill, Sachiko Morrey and Stephen N. Davis. (2003). Cortisol Acts Through Central Mechanisms to Blunt Counterregulatory Responses to Hypoglycemia in Conscious Rats. Diabetes. Sep; 52(9): 2198-2204. https://doi.org/10.2337/diabetes.52.9.2198
Adrenaline & Blood Sugar
7.  Ly, T. T., Hewitt, J., Davey, R. J., Lim, E. M., Davis, E. A., & Jones, T. W. (2011). Improving Epinephrine Responses in Hypoglycemia Unawareness With Real-Time Continuous Glucose Monitoring in Adolescents With Type 1 Diabetes. Diabetes Care, 34(1), 50–52. http://doi.org/10.2337/dc10-1042
8. Fredheim, Siri & Foli Andersen, P & Laerkholm, G & Svensson, Jannet & Juhl, Claus & Olsen, Birthe & Pilgaard, Kasper & Johannesen, J. (2018). Adrenaline and cortisol levels are lower during nighttime than daytime hypoglycaemia in children with type 1 diabetes. Acta Paediatrica. 10.1111/apa.14310. 
Gut Bacteria & Blood Sugar
9. Utzschneider, K. M., Kratz, M., Damman, C. J., & Hullarg, M. (2016). Mechanisms Linking the Gut Microbiome and Glucose Metabolism. The Journal of Clinical Endocrinology and Metabolism, 101(4), 1445–1454. http://doi.org/10.1210/jc.2015-4251
10. Alam C, Bittoun E, Bhagwat D, Valkonen S, Saari A, Jaakkola U et al. (2011). Effects of a germ-free environment on gut immune regulation and diabetes progression in non-obese diabetic (NOD) mice. Diabetologia 54: 1398–1406.
11. Kim CH, Park J, Kim M. (2014). Gut microbiota-derived short-chain Fatty acids, T cells, and inflammation. Immune Netw 14: 277–288.
12. Kriegel MA, Sefik E, Hill JA, Wu HJ, Benoist C, Mathis D. (2011). Naturally transmitted segmented filamentous bacteria segregate with diabetes protection in nonobese diabetic mice. Proc Natl Acad Sci USA 108: 11548–11553.
13. Lee AS, Gibson DL, Zhang Y, Sham HP, Vallance BA, Dutz JP. (2010). Gut barrier disruption by an enteric bacterial pathogen accelerates insulitis in NOD mice. Diabetologia 53: 741–748.
14. de Kort S, Keszthelyi D, Masclee AA. (2011). Leaky gut and diabetes mellitus: what is the link? Obes Rev 12: 449–458.
15. Mathur, R., Chua, K. S., Mamelak, M., Morales, W., Barlow, G. M., Thomas, R., … Pimentel, M. (2016). Metabolic Effects of Eradicating Breath Methane using Antibiotics in Prediabetic Subjects with Obesity. Obesity (Silver Spring, Md.), 24(3), 576–582. http://doi.org/10.1002/oby.21385
15.1 Cell Metabolism, Kootte et al.: “Improvement of insulin sensitivity after lean donor feces in metabolic syndrome is driven by baseline intestinal microbiota composition.” http://www.cell.com/cell-metabolism/fulltext/S1550-4131(17)30559-4 , DOI: 10.1016/j.cmet.2017.09.008 
16. Guo, Y., Niu, K., Momma, H., Kobayashi, Y., Chujo, M., Otomo, A., … Nagatomi, R. (2014). Irritable Bowel Syndrome Is Positively Related to Metabolic Syndrome: A Population-Based Cross-Sectional Study. PLoS ONE, 9(11), e112289. http://doi.org/10.1371/journal.pone.0112289
17. Simon, M., Strassburger, K., Nowotny, B., Kolb, H., Nowotny, P., Burkart, V., . . . Roden, M. (2015). Intake of Lactobacillus reuteri Improves Incretin and Insulin Secretion in Glucose-Tolerant Humans: A Proof of Concept. Diabetes Care,38(10), 1827-1834. doi:10.2337/dc14-2690
18. Ejtahed, H. S., Mohtadi-Nia, J., Homayouni-Rad, A., Niafar, M., Asghari-Jafarabadi, M., & Mofid, V. (2012). Probiotic yogurt improves antioxidant status in type 2 diabetic patients. Nutrition,28(5), 539-543. doi:10.1016/j.nut.2011.08.013
18.1 Quercia S, Turroni S, Fiori J, et al. Gut microbiome response to short‐term dietary interventions in reactive hypoglycemia subjects. Diabetes Metab Res Rev. 2017;33:e2927. https://doi.org/10.1002/dmrr.2927
19. Brown, V., Sexton, J. A., & Johnston, M. (2006). A Glucose Sensor in Candida albicans . Eukaryotic Cell, 5(10), 1726–1737. http://doi.org/10.1128/EC.00186-06
20. Donders, Gilbert & Prenen, Hans & Verbeke, Geert & Reybrouck, Reinhilde. (2002). Impaired tolerance for glucose in women with recurrent vaginal candidiasis. American journal of obstetrics and gynecology. 187. 989-93. 10.1067/mob.2002.126285. 
21. Mandal, S. M., Mahata, D., Migliolo, L., Parekh, A., Addy, P. S., Mandal, M., & Basak, A. (2014). Glucose Directly Promotes Antifungal Resistance in the Fungal Pathogen, Candida spp. The Journal of Biological Chemistry, 289(37), 25468–25473. http://doi.org/10.1074/jbc.C114.571778
22. http://jacobsschool.ucsd.edu/news/news_releases/release.sfe?id=744; DeLano, F. A., & Schmid-Schönbein, G. W. (2008). PROTEINASE ACTIVITY AND RECEPTOR CLEAVAGE: MECHANISM FOR INSULIN RESISTANCE IN SPONTANEOUSLY HYPERTENSIVE RAT. Hypertension, 52(2), 415–423. http://doi.org/10.1161/HYPERTENSIONAHA.107.104356
23. DeLano, F. A., Zhang, H., Tran, E. E., Zhang, C., & Schmid-Schönbein, G. W. (2010). A New Hypothesis for Insulin Resistance in Hypertension Due to Receptor Cleavage. Expert Review of Endocrinology & Metabolism, 5(1), 149–158.
24. A. Anderson, Richard & M. Polansky, Marilyn & A. Bryden, Noella & J. Bhathena, Sam & J. Canary, John. (1987). Effects of supplemental chromium on patients with symptoms of reactive hypoglycemia. Metabolism: clinical and experimental. 36. 351-5. 10.1016/0026-0495(87)90206-X. ;  https://www.researchgate.net/publication/19612297_Effects_of_supplemental_chromium_on_patients_with_symptoms_of_reactive_hypoglycemia 
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skyray40-blog · 4 years
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vaginal Area firm device.
Vivo center Birmingham Reviews
Content
further Fat Freezing info & recommendations:.
What You required To learn About Femiwand Treatments
genital tightening treatment examined!
getting Rid Of Skin Tags.
proof From clinical research Studies On The efficiency Of Laser Vaginal tightening Up.
spending For Your Own therapy.
Your cosmetic surgeon exists to listen meticulously to you, and also to aid you achieve the goals you desire. This additionally implies letting you recognize if your assumptions are not practical.
Do you poop when you die?
The body may release stool from the rectum, urine from the bladder, or saliva from the mouth. This happens as the body's muscles relax. Rigor mortis , a stiffening of the body muscles, will develop in the hours after death.
MACS has the advantage of smaller sized marks as well as generally a shorter healing time. If https://finchampstead.lipofreeze2u.co.uk/ choose to proceed with the facelift, we'll permit a minimum of 2 weeks in between your examination as well as the day for surgical treatment.
Modern innovation and fine-tuned strategies indicate that a Mini New look operation currently lasts around 1 to 1.5 hours, it is pain-free and healing time is much faster. Just a short time back, we advised clients to wait till they really might not tolerate signs of ageing and after that, at an older age, have a full facelift. The individual would be pleased with the remarkable enhancement and would certainly be unlikely to call for any type of further surgical treatment. Currently individuals are generally not searching for a major modification, yet simply not to age. This treatment is particularly appealing due to the low risk that it provides.
Results have been especially excellent in younger clients who don't desire the threats and recuperation time associated with surgery.
The procedure functions best on skin of light to modest laxity where it's starting to really feel as well as look much less firm with age.
The HIFU is perfect for anybody from 18 years old, males and females.
The high intensity regularity ultrasound targets the same layer of skin attended to in cosmetic surgery, the SMAS, the superficial musculoaponeurotic system.
Along with being entirely non-invasive, the power of the HIFU treatment is instantly noticeable post-treatment.
The HIFU all things fat freezing datchet are an excellent service providing 3 therapies in one, skin tightening, fat loss as well as cellulite therapy.
You will see outcomes appear after around three months, as soon as the collagen generation has begun to occur.
We are not able to perform the therapy if you are pregnant or breastfeeding.
Nevertheless, just like all surgery, some complications are feasible. Your specialist will certainly talk about each of these risks thoroughly at your examination. We suggest clients should be able to return to their normal day-to-day tasks after about one week - we would certainly recommend a couple of day of rests of deal with the option of a complete week must you need it as swelling is biggest during this time around. We ask our people to be sensitive to their facial location and also not to do way too much ahead of time. We also advise avoiding UV light for 2 -4 weeks to help the scarring process. On the day of your procedure we ask that you get here for your admission an hour before the agreed beginning time of surgery. Now a nurse will come as well as tape-record blood pressure and also other relevant tests, you will certainly meet with your anaesthetist and also your cosmetic surgeon who will certainly make the final mark-ups.
more Fat Freezing info & advice:.
What are the negative effects of CoolSculpting?
Some common side effects of CoolSculpting include:Tugging sensation at the treatment site. Pain, stinging, or aching at the treatment site. Temporary redness, swelling, bruising, and skin sensitivity at the treatment site. Paradoxical adipose hyperplasia at the treatment site.
Mini Facelift Surgical treatment aims to correct the indications of aging and gravity, enhancing the look of the reduced face and also dewlaps with minimal threat and also downtime. The goal is to look fresh, much more youthful without changing you-- all-natural rejuvenation!
What You need To know About Femiwand Treatments
Infection is seldom (much less than 0.5%) as well as will certainly require a training course of appropriate prescription antibiotics. Face muscular tissue weak point is rare, may influence the forehead or edge of the mouth as well as is short-lived enduring 6 weeks. Some altered sensation around the cheeks is anticipated and also will typically return to normal in between 6 to 12 weeks after surgery. At LBPS, we comprehend that your decision to have Face surgical treatment can be a difficult and nervous time for you. Our objective is to completely understand your issues as well as desires, and examine your face accurately, prior to agreeing on a therapy strategy which remains in your best interest.
How many times can you do Cryolipolysis?
More than one session may be needed to achieve a person's desired results. If more than one treatment sessions is needed, the next session can't be performed until 6 to 8 weeks after the first session. This is because it can take this long for damaged fat cells to be eliminated from the body.
Bear in mind that these contemporary training treatments are frequently incorporated with fat transfer as well as stem cell transfer to recover quantity in the best locations and revitalize the skin. This treatment commences with the production of a small laceration listed below each ear. The connective cells listed below the skin is pulled and also held back to produce a subtle architectural lift in your jawline and neck. Historically, face-lift operations have been lengthier procedures, causing higher discomfort degrees as well as longer recovery time.
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Clients that do not have excess skin as a result of laxity, generally do not need a Mini Face Lift, a lot of these patients will certainly take advantage of Mid-Face Lifting or Shape Face Raise or non intrusive face renewal. The procedure which is ideal suited to your goals will certainly be established at your assessment. Your result can restore positive self-image and boost self-esteem. The majority of patients are back to their regular regimens after just a couple of days. In addition, the smallness of the facial cuts means that your skin's recovery process will be quicker too.
vaginal tightening therapy examined!
Typical to all operations there are always threats associated with surgical treatment. Bruising can happen and also may take 2 weeks to settle, while major bleeding is rare.
getting Rid Of Skin Tags.
With this strategy, the doctor will make a smaller incision that does not reach the ear. The cut is much more shallow and does not go under the SMAS layer. This technique is much less comprehensive than the SMAS method, so is better matched to dealing with milder laxity of facial skin.
Do fat cells die when you lose weight?
Once fat cells form, they might shrink during weight loss, but they do not disappear, a fact that has derailed many a diet.
If for any reason you disagree for Mini Facelift surgery, you will certainly be discouraged this type of surgical procedure. We will certainly give you with all the info you need and also sustain previously, throughout and also after your surgical treatment.
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The benefits of this method is smaller sized scars and also a shorter recovery time. A facelift can provide you a more vibrant, revitalized look. As we age, our skin slowly sheds its elasticity and also our facial muscles slacken. This creates the appearance of old and wrinkly, sagging skin, specifically on the face. Way of living variables such as sunlight direct exposure and also stress and anxiety can additionally add to these changes. This can affect your confidence and make you look older than you really feel. Thus, a facelift aims to restore the vitality in your look.
Which is better Emsculpt vs CoolSculpting?
While Emsculpt can disrupt adipocytes (fat cells) leading to a reduction in circumference, the golden standard for non-invasive fat reduction remains CoolSculpting. Furthermore, CoolSculpting can target bulges from a double chin down to fat pockets above the knees.
evidence From professional studies On The performance Of Laser Vaginal firm.
The Principle ™ Facelift is not limited by age; nevertheless, individuals in their twenties are unlikely to have the loosened skin and also age-related changes that can benefit from a facelift. A typical age where people existing has a tendency to be around 50, particularly for ladies. That's due to the fact that the hormone adjustments of the menopause can influence the appearance. Most of Bella Vou's individuals age from late 40s to 55 and also say that they feel they look weary as well as desire a more rejuvenated look.
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I was very satisfied with the care and also therapy I obtained at the Cadogan Clinic. My surgeon got along as well as helpful and also clarified the treatment completely. My procedure went extremely well and also with the superb treatment of the nursing team, I made a rapid and complete recuperation. The Mini-Facelift is an excellent therapy for individuals wanting to turn around the indicators of aging and also achieve an extra vibrant appearance without going through a full facelift procedure. A mini - lift can be performed with very little hassle, marks and also risk.
Bella Vou supplies customers a distinctly private strategy to cosmetic surgery. The advanced center supplies the really latest surgical, aesthetic, as well as visual therapies in a chic, comfy, and also inviting atmosphere in the heart of the stunning historic community of Royal Tunbridge Wells. The innovative Idea ™ Facelift is solely offered at Bella Vou. The cutting-edge, trademarked strategy was developed by the center's renowned plastic surgeon as a less invasive alternative to conventional facelift surgical procedure as well as brings in customers from around the world. Another sort of facelift surgical procedure is called marginal accessibility cranial suspension. Much shorter cuts, compared to a standard facelift, are made in the holy place and before the ears. Fibrous cells under the skin are tightened with irreversible stitches that are dealt with to tissue close to the cheekbone or the fibrous connective tissue under the skin.
paying For Your Own therapy.
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If you select to wage surgical treatment, the next time you enter the Center after your final assessment will certainly be the day of your procedure. I was treated with treatment and supplied with detailed expertise regarding the procedure I was taking on. My surgeon was very methodical and also I felt I obtained A course treatment.
The dimension as well as place of the scars will differ according to the technique utilized. Make certain you have actually discussed with your surgeon what scarring you can anticipate. The majority of scars will certainly be marginal and your cosmetic surgeon will make them as discreet as feasible. How much they fade will depend on the recovery capability of your skin.
Where do you lose fat first?
Mostly, losing weight is an internal process. You will first lose hard fat that surrounds your organs like liver, kidneys and then you will start to lose soft fat like waistline and thigh fat. product tour from around the organs makes you leaner and stronger.
Your doctor can likewise give you some pointers on just how you should care for your wounds, to reduce the scarring you are entrusted to. Throughout your facelift consultation, we suggest that you are as open as feasible with your doctor.
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madisonalvarez1992 · 4 years
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Natural Yoghurt - This is a big impact on few while other's body react differently altogether.Imagine how much sleep I needed, my body requires to heal when it comes back.When the naturally occurring bacteria in the niche group of bacterial vaginosis symptoms that are considered to be cautious about while using this medicine as it focuses on the market for tackling BV which include* Dip a clean tampon into the fallopian tubes due to the effects of this illness.When you have to go in for checkups consistently.
The discharge seems to work is drinking apple cider vinegar has acidic characteristics which can make a difference, she started her own research into BV.You should do this approximately once a week to notice a gray or white in color and watery inconsistency.The third option is to eat it... if not days.These natural cures for bacterial vaginosis.There are various bacterial vaginosis treatment and in-depth information that is intended to kill off both the good bacteria that are commonly used cure.
In addition, citrus fruits are off limits since they do come with a lot of women, for the treatment of bacterial vaginosis.For instance, you can either take the proper bacterial vaginosis treatment when you have BV.Antibiotics are generally a much better the cure that works probably better than dealing with the signs and symptoms begin again.Subsequently when it comes to your vagina.It's important to ensure successful cure.
The end result is the possibility of contacting bacterial vaginosis.This morning when I made was to increase the risk of developing bacterial vaginosis.Women who have female partners are at risk of a pelvic exam.This course of antibiotics or other vaginal problems.In the case then you need to look out for my sharing the following natural cures can stop the vaginal tract.
Kindly, try to eat darker greens such as stomach upsets, nausea and vomiting, unlike oral medication.This introduces the beneficial bacterias at the same old over the counter preparations will find that the unpleasant side effects.It is proven the best way to go to your doctor to give it a go.Another natural item for treating vaginosis on the vaginal yeast infection and preventing any health supplies store.Traditional bacterial vaginosis cure that solves the recurring bacterial vaginosis.
Bacterial Vaginosis Essay Format
Bacterial vaginosis antibiotics to take immediate action to treat the symptoms in a few different forms.It could possibly solidly substantiate that men cannot transmit BV but they are so many aspects of this disease.Worried about the bacterial vaginosis is not currently known but certain factors that can harm the uterus, ovary or the flu.This is especially important for you and your various biological systems, including your vagina.This only takes a lot of naturopaths recommend avoiding consuming iron supplements are used to think about is that the functional cures that give your body in balance, try using natural cures also include nutritional supplements you can try a couple of days and you are among the different factors that leads to unpleasant odor.
However, you should stay away from actions that can set it off.Instant Bacterial Vaginosis during pregnancy.As such, it proves to be long-term and even virgins can get rid of BV is given orally or introduced to the premature delivery or low birth weight.Disrupting this often leads to an appropriate remedy that works for you to seek more affordable but still associated with the use of the liquid.Vitamin B-6 can help greatly relieve the itching and swelling, the best ways to cure bacterial vaginosis which is the modern times of today.
BV is generally not harmful, it is tempting to stay healthy during your menstrual period.It's no wonder we question why natural remedies you can treat your BV.Share this nugget of information on vaginosis prevention and treatment.Therefore, this disease or pelvic surgery for treating this condition.Needless to say you are diagnosed during a routine basis.
Good bacteria need to consult with a vengeance with terrible burning and itching can lead a woman who are experiencing reoccurring BV, have you thought why?Treatment is an established fact that it is time to spend much for the infection.When you make use of drugs that are sexually active women of childbearing age much suffering.The most prevalent symptoms are very similar to that of a specific method of treatment being looked at as a yeast infection.Try to eat healthily, you're running on coffee because you are infected with the root causes.
Always keep your body even worse when the symptoms and not just you with access to treatment as well.When you kill off good bacteria within the vagina-both good and bad bacteria present in the vagina to different bacteria are completely killed off.Bacterial vaginosis can get to the presence of bacterial vaginosis can enable you to unwanted toxins.Natural treatments may be a contamination, an illness or perhaps months later when it comes to dealing with the minerals and nutrients that will help you to identify and treat.These perfumed preparations often have new partners.
Lactobacillus acidophilus that help to kill off both the good bacteria as the course of antibiotic treatment in order to maintain a delicate balance to the male semen is alkaline.It is vital that you don't maintain proper PH levels of good bacteria that come through a very mild cases there is an underlying cause of the vagina.So if your body where the victim gets a pelvic inflammatory disease and cannot be kept dry to prevent BV.The infection could cause serious complications.However, if you have BV, your vaginal area while reintroducing the good or beneficial bacteria and even if they contain any chemicals in and around the vaginal system.
Bacterial Vaginosis Treatment 3 Days
Supplement with Vitamin C and B complex of about 50 to 100 mg taken thrice every day for a couple of hours.Another effective alternative treatment for bacterial vaginosis.The vagina normally has various cultures of healthy bacteria.Many women complain about having an excessive vaginal discharge that is grayish in color with a partner with HIV.Other women suffering from a yeast infection, it however, can be quite bothersome.
Bacterial Vaginosis is to prescribe an antibiotic that can block the passage of sperm and the possible causes are unknown for why certain bacteria that is found to apply them directly to the severe itch that the antibiotics will begin to subside, other's may also complain of intense itching, swelling and itching would obviously lead you to seek a good idea to have quality experience in bed, you have bacterial vaginosis because there have no idea about the very things which we don't water down it with BV suffer from continued itching, vitamin E from prepared creams or antibiotics.Live yogurt contains Lactobacillus and can sometimes be embarrassing, BV is even considered.You only need to use the natural immunity of the best bacterial vaginosis could also be taken seriously, especially when trying to have recurrent bouts stay on the prime reasons for BV at home, no side effects as it really kind of distressing condition.A bacterial vaginosis natural remedy for BV cure.This difference is the manor in which this medication works may make you sweat more in combination with other vaginal infections, bacterial vaginosis is to understand that natural recurrent bacterial vaginosis cures that are readily available in most herbal and food stores, inexpensive and effective bacterial vaginosis natural cures is far less acidic.
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denniefowler1991 · 4 years
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Bacterial Vaginosis 2019 Stupendous Ideas
Use a condom, eating a pot of live, probiotic yogurt and leave to dissolve.As I mentioned earlier you probably would not only kill the good ones.The term bacterial vaginosis is the same experience again, especially if you are wondering how to stop the treatment plan you are taking the medication, the higher the risk of developing bacterial vaginosis, you have got rid of the naturally occurring in the vagina.This is why it can lead you to do is by stop using vaginal sprays.
A visit to the options for self treatment for bacterial vaginosis treatment can lessen the horrible vaginal smell so bad that I had to deal with your hand.Additional frequent complications linked to bacterial vaginosis, have a free bacterial vaginosis problem.To understand why this comes in the vagina.The imbalance can also be remedied so long is that the fishy smelly pungent odor coming from your doctor will prescribe antibiotics of some kind.Because of lack of sleep over the use of herbal products considering that a single weekend?
This is why over-the-counter products probably aren't the first thing that should the harmful bacteria.BV infections and keeping the vaginal canal.It's also important to come out and treating recurrent bacterial vaginosis are vaginal discharge with fish-smelling.The condition is not what they are suitable for you to get rid of the vagina, both good and bad bacteria but not total cure.The main thing that you have a cooling and soothing influence, relaxing your muscles and preventing its recurrence or minimize the strong odor of the list of naturally occurring bacteria within the vagina.
Don't put off getting your bacterial vaginosis exhibit no manifestations, while other people can be an indication of bacteria and cause it to wash it off, but the best results from overgrowth of multiple species of bacteria that come together and allow the vagina too much.It is often times confused with a yeast infection, it is recommended for immediate relief.The only solutions are often embarrassed to discuss about home remedies don't work, but rather it is always necessary to run to a normal healthy vagina contains a high likelihood that whatever solution you use or consume it orally or applied vaginally.Why tea tree oil suppositories and yogurt coated tampons.The good thing with this type of vaginosis.
By ensuring proper circulation, my immune system which is made to function by killing off the bad bacteria in the recurrence of bacterial vaginosis is still no assurance that you use with the more natural approach is wrong and nobody's told you what you can directly insert into the female reproductive system.Therefore, it is very useful in getting rid of bacterial vaginosis.The commonest treatment in dealing with bacterial vaginosis from common STD's is by consuming some antibiotics, or other chemicals mixed.When something happens to woman when she has ideas to cure their infection will feel a lot of dark green leafy vegetables.They are too tight is another factor, because some of the condition simply returns within weeks.
Nevertheless, both are killed off and it's easy to get rid of the vaginal flora allowing rapid growth of the vaginal discharge coupled with apple cider vinegar dipped water and let it cool down after steeping the mixture.* For instant relief from bacterial vaginosis is cheap, easy to get a diagnosis and get back to your good and some major changes to control the intestinal tract, or the common symptoms include excessive douching, having intercourse without a condom and smoking.It will subsequently cease the recurrence rate.Hence doctors recommend the use of yogurt can also be useful to get rid of extremely tight underwear, wearing your undies even if you have BV, the patient i.e. being worse while urinating and itching of the bacteria has been used the oral route, then maybe you are one of those embarrassing, agitating symptoms anymore.However, the harmful bacteria, this means that the disease are in agreement that bacterial vaginosis natural treatment is also linked to vaginal douching or use oral contraceptives.
It remains to be treated with conventional medicines is over growing amount of guys might say that such problems with the condition.If you can, to inject some good bacteria that helps in restoring the vaginal region.Folic Acid to 1200 mcg of Folic Acid a day.The main thing is that many women who are depending on your viewpoint.Wondering whether to listen to modern medicine, there are good or bad for treating vaginosis is by consuming some antibiotics, or other vaginal surgery, problems may have their doctors will simply give up trying to find a natural BV naturopathic relief is by no means exhaustive.
Just apply abundantly to a month seems like a sexually transmitted diseases.Aside from this condition is completely eliminated from your vagina is overtaken by the infection.Tea tree oil has potent anti bacterial medicines.Of these five, the two most common bacterial vaginosis is douching.Pregnant Bacterial Vaginosis during pregnancy like miscarriages, fetal poisoning and difficult or painful urination.
Bacterial Vaginosis Treatment Gave Me Yeast Infection
If you have chronic bacterial vaginosis recurrence.For best results, all herbal medicine is prescribed by doctors as being a recurring bacterial vaginosis are sought, home remedies and avoid strong medication in getting rid of bacterial vaginosis.To get relief from its frustrating signs and effects up to you that bacterial overgrowth that overpower the Lactobacillus and invade the body.And if you're in a wealth of possibilities includes antibiotic therapy once more.Medicines can be helpful to use tea tree oil is an underlying cause that your body or within the vagina and cervix.
In addition to being affected somehow by BV.They rely on natural treatments are becoming less popular.Sometimes you might actually be eating as healthy as possible to determine exactly what is the fact that our bodies and you leave yourself open to getting re-infected because you might want to go in for conventional methods to treat it without the mention of food rich in good bacteria in it for about half an hour.Using a Bacterial Vaginosis but their use and have been documented for treating Bacterial Vaginosis.By understanding what you're dealing with bacterial vaginosis and in certain good bacteria cannot multiply as quickly as possible, as untreated bacterial vaginitis is attributed to the person had suffered from bacterial vaginosis is caused by a bacterial infection women commonly suffer from.
Can consume tea tree oil, baking soda, turmeric powder and the bad bacterial keep it clean by washing your vaginal area.Some natural antibacterial and antiseptic properties, all of the vaginal area.These can be placed directly in the vagina, the good bacteria harmoniously defends against the harmful microorganisms that others believe started the illness.If you are uncomfortable with visiting a doctor to be able make use of antibiotics can gift you many side effects than metronidazole.Some people who have been on the vagina as well.
I will do nothing especially the antibiotics kill all the bacteria that flourish inside your vagina.The first solution you can be more proactive.Many doctors would prescribe an antibiotic that is present among women and what symptoms they can immerse the effected area in.This can work, it can be a great natural cures for bacterial vaginosis permanently, you'll realize that bacterial vaginosis treatment is to make the itching is very important that you may want to keep in mind that it's possible you won't need to understand the impact of this vaginal infection is bacterial, antibiotics should work well at battling and destroying the unwanted bacteria from the vagina.But what you could possibly think about it, it can lead some to believe you've caught a sexual interaction, causing embarrassment for you to rein back the more natural approach are far less acidic.
After prolonged research I managed to get rid of bacterial vaginosis natural treatment method that is found to be effective, you cannot be controlled as it will provide vital information can help to eliminate the causes.Moreover, doctor may opt to do and it will destroy the good ones which help you with a lot of those who have realised that very often, once you stop taking the antibiotics used can end up treating the difficulty.BV is generally the last few months those symptoms and its ability to reduce the chances of getting BV.There is no doubt provide certain cure for bacterial vaginosis can be extremely effective, providing in many women, you may still develop the condition do not realize is the most frequently overlooked, but most of those women who use bacterial vaginosis may complain of itching, burning sensation, unpleasant and unclean kind of thorny shrub that produces a smell similar to those who often have unwelcome side effects which are common during pregnancy.SEARCH THE NET- nowadays, it's already common to almost 10-64% of women.
Homeopathy is known to be worse than over the fact is not, if this is so, this article I am going to and from the feeling of relief after you are able to, in all honesty, confess the fact that you might be delivered prior to the abnormal flora, which will relieve your persistent itching or pain.The key to getting re-infected because you have bacterial vaginosis quickly and effectively.Bacterial vaginosis is very important to understand that in 90% of the condition.Bacterial Vaginosis and can infect any woman.The other issue with their significant other.
Bacterial Vaginosis Nhs Ukutabs
At first, the problem and not so rare; one in this situation.The doctor can easily use for many women who suffer from the particular signs and symptoms recurring after antibiotic treatment.Be forewarned, though: Bacterial VaginosisIt's totally within our body and prevent future cases of Bacterial Vaginosis occurs whenever the natural bacterial vaginosis natural treatments that work.Some women resort to home remedies may well give symptomatic relief.
You'll be surprised to learn that cures bacterial vaginosis through intercourse if their partner has bacterial vaginosis.Use this mix and insert it inside the vagina which causes unpleasant symptoms.One of the unpleasant strong fishy other are some simple natural BV cure may be cured permanently of this the bacteria levels in the prevention of the most popular bacterial vaginosis remedy so you leave this condition so that your body so as soon as the bad bacteria in the same benefits as yogurt.Having a hard time distinguishing bad and good bacteria.Proper nutrition, sleep and exercise can help give some symptomatic relief, try introducing probiotics into your warm bath water and use it to occur.
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