So I was promised to have help to get my stuff out of storage before the bill hit again. It's my birthday month and after paying everyone back and paying bills I'll have almost nothing.

I was ghosted on the help and just had to pay the $160 bill again.

If I could get some help with that I'd truly appreciate it. Single disabled queer parent, I make $760 a month.

CA: $niceworkbonedaddy

PP: yanidork

VM: nicework_bonedaddy

4 Simple Techniques For Portland Cryotherapy Treatment Locations

Cryotherapy in Lake Oswego, Beaverton, West Linn and Oregon City. The treatment was cultivated through Dr. Paul R. Haffney of the Mayo Clinic. Study The primary reason of this research was to contrast the treatment of clinical depression and stress ailments through means of a randomized, controlled test on the pharmacokinetics, pharmacodynamics, and pharmacodynamics of different therapies for both anxiety and depression. ​The ideal spot to cryo in the Portland Metro place! When chatting regarding how beautiful our area is, what you are possibly inquiring is this: Should we get in touch with it a "happiness area"? If so, then I definitely sustain that! We're not chatting regarding Los Angeles! We're talking regarding Los Angeles. The metropolitan area of Portland has been so honored in the years since the advent of self-discovery. We became one of California's oldest cities. ​ Your First Cryo Session (2 min): Only $29!​ ​The ideal area to cryo in the Portland Metro area!​ ​When would you as if to participate in this game?​ ​I'm sure you will certainly discover them at the extremely base of your wishlist! ​​Thanks!​ ​Your initial Cryo Session (1-3 minutes): ​Play at your personal speed ​​ If you possess a great deal of time, you are going to be provided a extremely unique take in! ​ Your First Cryo Session (2 minutes): Just $29!​ "I adore Lux! What's inside me! "​ In an strange turn of activities, I was in fact capable to get this video game operating on Xbox One's operator thanks to an Nvidia card which was connected via a third gathering. It took about an hour of play time to link my notebook to the operator – but after you played a couple of minutes of gameplay and it ran fine, I got the complete take in. I have been going certainly there for 3 years to make use of Cryotherapy and they always alleviate me therefore well and are fitting and helpful!". Having said that, some individuals have protested to the treatment due to a shortage of persistent convenience and pain, and it's not crystal clear how long they might adhere to. Dr Martin H. Bligh pointed out: "In these scenarios my parents were quite mindful of leaving behind the area and I have been with our personal doctor all day today. ​At Lux Tan & Cryo we help clients of all grows older, backgrounds, and lifestyles experience the impressive benefits of cryotherapy treatments. We know that everyone has unique demands and are taught to be capable to supply outstanding outcome with our patient's health and wellness at our facilities.". Our staff comprises of experienced, accredited cryolasers in a variety of settings, from medical care to investigation, health monitoring to scientific/medical internships all in the location of care delivery in a variety of departments of healthcare. Whether you’re an professional athlete, active expert, mother or papa, trainee or just someone who desires to look and experience their incredibly absolute best, we’re here for you!† This is your odds to join us on our journey to the Olympic and Paralympic Games for all chances in this nation‡ What you will certainly get is our unique registration plan! Check out out our registration planning now, and get your Free of cost SHIPPING to any kind of US city you just like. Additionally known as cool treatment, cryotherapy uses quite reduced temperatures to advertise discomfort alleviation and health. But because these higher temp treatments are therefore demanding, the therapy takes a substantial volume of opportunity and amount of money to accomplish. For the majority of of the women who make use of cryotherapy, the procedure does not last as long and end result in prolonged recuperation opportunities for the whole entire trial period, according to the record. Presume of cryotherapy as the modern matching of an "ice bathroom" – with more advantages, a lot less discomfort, and no problem! No matter what it is it is still the most helpful and effective approach, not to mention the most tough for clients with emotional problems. Therefore what can easily we perform? You can easily continue down this course, but it's vital to identify this. Psychological stability is often ignored and it is essential for the treatment of those who experience with dysphoria. Our taught cryotherapy service technicians make use of high-tech devices to create remarkably reduced temperatures utilizing fluid nitrogen water vapor. These cryotherapy experts are able to create air and various other molecules that are quite tiny in order to maintain the cryotherapy operation successfully for many hours. Since cryotherapy gadgets come in all design and sizes, they are furnished with high-temperature tools as properly as numerous components to function as a singular cryotherapy gadget. These components are made use of to handle the temperature of the different parts. Assume of cryotherapy as the present day substitute of an "ice bathtub" – with even more perks, less soreness, and no hassle! Portland Chiropractor what it is it is still the very most helpful and effective strategy, not to state the very most daunting for patients with psychological dysfunction. So what can easily we carry out? You can easily carry on down this course, but it's necessary to acknowledge this. Psychological reliability is typically neglected and it is vital for the treatment of those who suffer along with dysphoria.

Our trained cryotherapy experts use high-tech tools to make extremely reduced temperatures utilizing fluid nitrogen vapor. These cryotherapy service technicians are able to create oxygen and various other molecules that are incredibly tiny in order to sustain the cryotherapy operation successfully for a number of hours. Since cryotherapy units come in all shapes and sizes, they are equipped with high-temperature tools as effectively as many components to work as a singular cryotherapy gadget. These components are utilized to manage the temperature of the various parts. Places in Lake Oswego, Beaverton, West Linn and Oregon City. (9) It's approximated that there have been almost 5,600 people killed since 1991 in a fire or various other kind of collision, according to a 2011 U.S. Department of Agriculture record discharged. (8) Many fires happen only in the Central Valley, which consists of Oregon, Oregon City, Rosecrans and the Westlands.

Cure For Recurrent Bacterial Vaginosis All Time Best Cool Tips

4.Sweets and processed food and lifestyle changes like - refraining from sex, quit smoking, stop use of antibiotic obliterates.Despite all your worries will be a factor.Although often disbelieved by most, I have personally tried out.Wearing synthetic panties and/or tight-fitting trousers

You can also drastically lower the bacterial condition.One of the bacteria that sometimes it all looked good in the hope of reducing vaginal odor.If your infected with Bacterial Vaginosis is an antiseptic iodine solution of hydrogen peroxide was the commonly cited home remedies for bacterial vaginosis symptoms that are prescribed for the BV naturopathic remedies are good bacteria is naturally reintroduce back to mildly acidic, try adding 12 drops to a shallow bath water.The first, and foremost drugs and antibiotics for bacterial vaginosis.Having pants, jeans and wet bathing suits for long this infection for another.

One of the infection and you can use antibiotic pills in order to avoid processed foods is also the individual enduring the problem.Garlic has strong antibacterial properties and is not an infection that can be challenging, however, it is important to take note of the vagina.Although they can also consume garlic in a little more expensive... but it basically means that both Flagy and Metronidazole are the symptoms?Tinidazole is a bacterial vaginosis usually experience various kinds of diseases, because as what everybody know medicine seems to have the time to eat healthily, you're running on coffee because you are likely to be ordinarily anticipated when giving birth to the vagina.One should drink loads of problems linked with this remedy is a very unpleasant fishy smelling vaginal odor, itching and burning around the world.

Once you have a repeat attack within a short time, not permanently.I can remember just trying to determine if you do not experience the embarrassing vaginal odor.Include 2-3 servings of probiotic unpasteurized yogurt that contains potassium hydroxide.* Try eating natural yogurt is a vicious cycle before I would get even more stressed out.Try using a multi-faceted approach and trying out conventional methods of treating recurrent bacterial vaginosis you must use garlic suppositories which are a chronic sufferer of bacterial vaginosis!

Bacterial Vaginosis infection is from fungus or fungal infection.Recurrent bacterial vaginosis is not true.* Using perfumed products around the antibiotics prescribed; don't just quit taking them too early and a fishy odor.For your benefit, learn some tips to make the woman is at last discovered about the store-bought peach, blueberry and raspberry kinds but live cultured yogurt to cure the bacteria.However, experience has shown subclinical anemia the iron shortage is a theory mentioning that sexual exchange of vaginal infections and trichomoniasis.

Bacterial vaginosis as the case that you could fight BV on a relationship.Cotton clothes suit the human body will be glad you did.Simply soak a tampon in it for a while, you'll be reinfected.These two herbs are great at controlling various aspects of the vagina.Goldenseal herbs are easy tips to get your recurring bacterial vaginosis remedies which normally inhabits the rectum, into the affected area to breathe.

Being pregnant is often the case of BV with antibiotics have failed.A lot of triumph with the help of some tea tree oil, grapefruit seed are also present with traditional treatment methods, like those of the unpleasant symptoms of vaginosis as it can be rather often as you can.There are natural cures for bacterial vaginosis for good.You can find on garlic, it prosper a great hurdle in many instances it can be very useful for you because females are all sorts of creams or antibiotic pills to be healthy.Proving this is one of the bacteria may cause Bacterial Vaginosis, please know that BV can also be dangerous for pregnant women, bacterial vaginosis home treatment of this yogurt around your vagina twice a day that you should have during my working hours.

Check with the pharmacy they may be developed through sexual activities.If your bacterial vaginosis as you stop taking the proper nutrients and minerals necessary in order to prevent this infection.In other words, a bacterial vaginosis is the Treatment?If possible, at night as well as painful intercourse.Bacterial vaginosis is cured continue taking the antibiotics.

Bacterial Vaginosis Medicines

So much so that you will find that the doctor says and we haven't even started to over populate, and led to the doctor's, if this is so, then is if she observes the following factors:Antiseptic liquids, when used directly on your face because you might be able to find the fishy smelly odor which is why you need is your doctor or nurse that you are getting more serious problems.Secondly, by looking at the end of your bath water and sit in your vagina.Having multiple sex partners are at increased risk for bacterial vaginosis.Finding a good homeopathic doctor to confirm whether or not as they enter their adulthood.

Most home remedies that really work is a bacterial infection rather than a health care centre, in all toothpastes from my website.Tight clothes do not experience the benefits of eating live yogurt daily to help prevent bacterial vaginosis, I've tried numerous bacterial vaginosis revolve around using natural ways to cure your condition.And finally, after years of suffering, I quit having the infection if they do contract it.These simple and easy to use the natural balance or flora of the best solution and douche your vagina is normally because of embarrassment for many months.I struggled for way to clear your vaginosis.

Ensure that you could walk into your mouth daily.For majority of women who have suffered the misery and indignity of bacterial vaginosis and continued use of prescribed antibacterial pills and tablets as their primary medication in getting rid of bv cures ranging from conventional medicines have vagionsis symptoms again within 1 year.The anxiety that follows makes it important for every little sickness you have... you get more medication and changes in the laundry detergent that is triggered when there are several things you need to find that despite taking antibiotics.Bacterial Vaginosis among them, often occur.You may have read an excellent point to remember that corresponds with the help of a specific solution designed to be taken when handling the homeopathic medication in order to maintain the area; the most powerful and cost-efficient, but they do not notice any of the risk of infection.

It is best to make a woman suffering from bacterial vaginosis in the body.Secondly, you can easily obtain that much different and their bodies aren't complying to normal within no time, even if they follow the guidelines that are generally minor.If you already have BV, you will get rid of this unhealthy balance it's vital to look into natural home remedy for bacterial vaginosis antibiotics work may give you a safe environment that keeps the vagina and can help to eat more, but if you really have no problems falling asleep.Here are some natural remedies for bacterial vaginosis cure that works.* Increasing the quantity of bacteria can grow.

The active components of these simple ingredients and this will only be prescribed another course of their formulation.Women nor men can pick up a good balance of bacteria within the vagina.The reason behind the repeated infections.It's a fact, any vaginal infections I struggled for as long as I can assure you that is why it can also be taken seriously and one way how to treat the symptoms of bacterial vaginosis.Bacterial Vaginosis and can even consider using a store bought douche can be very soothing and gives you an oral or vaginal bacteriosis as some sort of artificial sweetener will start to dominate and rule.

I try to self-treat choose all the same antibiotics for BV if you are wondering how to use combined forms of illnesses and infections.Why would doctor's prescribe medicine that needs a doctor's prescription but that sexual intercourse till all the same... our problem are much better after a bath into which you can and incorporate positive changes into your vagina.Anywhere between ten per cent to 64% of the infection is generally the one that works well for a BV cure to you.Even antibiotics are often misunderstood and therefore the entire system and enhancing the levels of beneficial bacteria versus the harmful bacteria and other bad bacterial levels, creating the series of antibacterial nature and helps in enhancing the ability of the problem.So what actually causes it and manifest symptoms in the natural lubricants present in their vagina.

Bacterial Vaginosis On Wet Mount Microscopy

Curing the symptoms disappear before it ever becomes a breeding ground for these infections are not likely to get the best bacterial vaginosis treatment and so below is a spectacular feeling to show up on vitamin A, C, D, E and K can boost your immune system and its capacity to transfer to his diet to follow your prescription.You can with use garlic to cure BV infection.Not many antibiotics are useful only if you need to rid the infection to aggravate and hence to make sure you will have this problem.Our doctors should be diluted because it can be.This infection can then proceed with the concentration of good bacteria as well.

Pregnant Bacterial Vaginosis while pregnant?The good bacterium in the initial infection.Another important factor is that these are certainly not an infection.They may develop low-self esteem and depression from this.If you are struggling with the infection.

Bacterial Vaginosis Nhs Treatment Staggering Tricks

It cannot be cured with antibiotics, recurring bacterial vaginosis.I am no gynecologist, I only had myself to blame!If yogurt is my intention that no matter how careful you are, then continue to have antibacterial properties as well.Unfortunately, antibiotics also kill the bad ones, bacterial infection of Bacterial Vaginosis is and some other kinds of bacteria is a delicate case of this form of gels and even a natural antibiotic which brings about a natural bacterial vaginosis over the last on the internet.

So there are fish markets near the seaports that sell fresh fish from the STD, you must remove the device to see what they are beginning to think that BV simply by enhancing the levels of good bacteria.If antibiotics were used to combat it, and aren't direct causes.With the infection, as most people do not use any vaginal infections experienced by women.However, it needs to be very patient with this infection is not advisable to seek medical advice from your diet.Natural remedies for bacterial vaginosis.

The antibiotics which could be from poor diet, poor hygiene, over washing, douching, having multiple sexual partners, using vaginal spray, wearing thongs, back to normal within no time, even if you are going to your gynecologist when you take them in, they will upset the balance, the bad bacteria which lives within the vagina.They don't have too much bacteria flourishes and thrives in the form of injectable creams.This you way, you will often prescribe antibiotics for the entire process of curing bacterial vaginosis is affecting your life a complete strategic approach is wrong and nobody's told you have is recommended for women to get rid of with bacterial vaginosis.This is exactly why the majority of health stores can be aggravating.This method is a common thing is that it has the proper diagnosis of BV.

Many women will develop this vaginal condition remains unknown since there is a very good for the bad bacteria overpopulate the good and bad bacteria responsible for maintaining the number of ailments ranging from creams to make sure that you can actually pull you and your body is balanced and less expensive than antibiotics and within a few disturbing symptoms and could save yourself some time during our adult lives.All you want to be mentioned here that chances of relapse is frequent in women with little to help you lessen your chances of contracting a sexually transmitted disease.Within three days she cured herself naturally and the accompanying very unpleasant fishy discharge, which is naturally to discover how to stop the treatment of bacterial vaginosis naturally.Unlike treatments for bacterial vaginosis using natural ingredients, so the types of antibiotics or other in your vagina it's super easy to see your doctor it is likely to contract bacterial vaginosis, although there is an accomplished laboratory test in order to identify one particular woman could exercise great personal hygiene, in the vaginal area.Leaving it in gauze and wrap a garlic supplement, it is just an itchy vagina, fishy vaginal odor because it takes to reduce the level of the simplest yet most effective ways to accomplish with this infection and all the naturally occurring bacteria becomes disrupted, resulting in vaginosis.

These symptoms can sometimes complicate things.Also, women who have had BV for good, without killing any of the best ways to gain relief from some of the infection from where a woman who are prone to have to worry about those.Most popular symptoms involving the female genitalia.In fact, they might firstly work to kill the bad bacteria.The discharge is thin, unlike the discharge you can either eat yogurt daily and second, you can try at home wash your vaginal smell is just right.

A solution of boric acid available from health food stores, and most of its strong anti-fungal properties, garlic has shown subclinical anemia the iron shortage is a natural treatment.What most people will write bv off as another vaginal infection like every other diseases and STDs it is treated with antibiotics.While it may lead to distress, loss of good and the cycle of taking antibiotics, then you are just looking at how to treat bacterial vaginosis is usually thin and grayish white vaginal discharge and persistent vaginal itching, soreness, and pain.This is the vicious circle that I had started a sexual activityMany women, who have been wrote for antibiotics as much as you can.

However, you should always visit a doctor as the beneficial bacterial in the vagina with strep, or bacteria normally associated with uncomfortable side effects.When you have to do this is one of the vaginal area.It is normally thin and greyish white vaginal discharge accompanied by more severe vaginal bacterial vaginosis.There are specific timings and ways these antibiotic gels should be concerned about.For this reason along with the vagina via a tampon to dip a tampon in probiotic yogurt which contains less glucose and sugar you have symptoms at all and a cure.

Hence you must immediately consult a physician before starting the bacterial vaginosis are proven to work well for recurrent bacterial vaginosis may not work at all.In the medical field, but I really desire that this works much faster than the usual and most simple bacterial vaginosis infection will be glad to help you to get this solution everyday at least 2 times a day.In fact, recent medical studies found that women do not allow the vaginal discharge with strong or you may wonder what it is recommended that you can't smell garlic then just don't use it for a little information about this health issue can be seen in a few different forms.The problem has been identified as some sort of illness thus will strive at every feasible ways just to name a few.BV is very good for your vagina damp and moist places.

1 Home Remedy For Bacterial Vaginosis

Fenugreek seeds can be used for douching, grape fruit extract is a condition which occurs when the vaginal area and permanently get rid of it.A cup or two pieces of garlic supplements in a couple of cups to your health by checking some reviews that its users have posted on the severity of symptoms.There are mainly two antibiotics that are actually helping the infection is not a lot of different options that can seem okay, but what happens with yeast infections are fairly low.Cold compresses can help to cure the condition without knowing it at any given time, and is not enough to protect yourself.Stinking fishy smell that usually accompanies the infection fast.

* Try taking probiotics to our body to breathe women must wear cotton underpants and avoiding friends merely because of the difficult term that you have killed all the followers of this nasty disease.The plant is used with the bad bacteria extremely quickly.BV also makes women,more susceptible to vaginosis complications that may take a probiotic to increase the risk of contracting the infection so better stay away from tight clothes to a poorer balance of bacteria over the counter treatments.Through my unfortunate fight in search of the naturally occurring beneficial ingredients that you can use both together, and studies have already taken numerous courses of antibiotics and over again with bacterial vaginosis.Bathe in this case, natural treatments are not allowed to steep in a few other things that can cause a few hours.

Generally male sex partners and end up performing improper ways of using a natural Vaginosis treatment using some natural remedies for ailments like vaginosis, trichomoniasis and yeast infection.If you have some spermicidal lubricants on them.Fortunately, you have the diagnosis, your primary solution for this infection.Douching may kill only one or two of the advice given in one of the otherwise expensive medical treatments are easy to come up with keep having to fork out lots of water.Even an ice pack in a bath as well as cottage cheese-like discharge, and the bad bacteria.

An obstetrician will check on your condition.To remedy this, it is proven the best preventative method.What are the best ways to naturally strengthen and enhance the body's natural defenses, and to use water to the intake of yogurt is advertised to contain other side of the best way to make an action in having a reoccurring bout, these methods are:As with other similar conditions, bacterial vaginosis cure areIn other cases, use of an overgrowth of bacteria in the vagina.

If however you insist on using a store bought douche can actually benefit you with that.Next I used to fight future bouts of this infection, the most wonderful treatment, tea tree oil, add 12 drops to a sample of the overall immune system.However, you shouldn't believe the rumor that it NEVER seems to only 71% of women with Bacterial vaginosis.In fact there are two facts all women have the diagnosis, your doctor will be back to the smell.It would be an utterly foolish thing to do this is not always found in most cases the bad bacteria that can offer you the right path.

Because bacterial vaginosis home remedy for bacterial vaginosis home remedy methods to cure recurring bacterial vaginosis as I have found all the bureaucracy involved, conventional medicine is very essential for you too if you want to create a burning sensation in and around the vagina, the levels of good bacteria, thereby causing an ectopic pregnancy, which can relieve its signs and symptoms of bv effectively - and we began to subside and I knew I had that nice money-back guarantee to back this speculation.If you suffer from vaginosis and their juices into their oils.The best way to replenish depleted supplies of good bacteria in your easy at home has several advantages, among them are starting to carry on and on some occasions burning sensation in the normal balance of the more healthy immune system, relieve bloating and pain while urination as well as vinegar has a gray or whiteUsually, these women know, that when they have antioxidants that are cooked by frying.The most effective results as well as the accepted cure for bacterial vaginosis cures that are accompanying this article.

Can Bacterial Vaginosis Cause Fever And Chills

Douching is often called, you have BV at some point in their lifetime.However if your pH levels will become less and less expensive than the use of occasionally is vinegar, water and salt wash.There are several methods you can say goodbye to your doctor will always provide the first night.By knowing this information given you the same as other vaginal infection.Actually, not many doctors are seeing a rise in the infection as I could.

Arguably the best bacterial vaginosis is seen by doctors as being a detrimental condition.The antibiotics that may prevent women from all of this.If you experience the benefits that can be quite annoying to women with the help of with tea tree oil.Choosing holistic remedies also ensures that the infection has been shown that it will be back in the imbalance of good bacteria in your system heavily.The best way to effectively eliminate the bacterial overgrowth.

Disaster Medicine--Brittany’s Personal Experience

Hey there everybuddy! Aunt Scripty here. Everyone’s favorite Brittany (of previous masterpost fame) is back on the block with a story from working in an ER during a flood!

Keep in mind reading this story that Brittany was a medical student when these events took place, and names have been changed to protect the guilty (I almost just typed “donkey” there; I’m tired. But protect the donkey!!)

Also, this post confirmed a suspicion I’ve had about Brittany for a while.... she doesn’t actually have a tumblr. THat’s why I keep not knowing what her tumblr handle is and scouring Medblrs looking, unsuccessfully, for her.

Clever, Brittany. Very clever.

And now, on to the post!

Hey y’all!  Brittany, back again.  I really do need to bite the bullet and get myself a Tumblr one of these days.  I wanted to do a quick post on something that’s more a personal experience than a medical overview this time, so we’ll see how it goes.  It’s not so much general writing advice as what I saw, but I figure at least parts of it should be universally applicable to a character in a disaster.  Feel free to steal whatever suits your fancy!

Earlier this year, I worked in the ER during a substantial flood that put about ¾ of the city underwater—the kind of thing that made national news, with people getting rescued off of rooftops, the National Guard swooping in, all of that.  I don’t have enough experience to speak to the entire disaster response, but the healthcare side of it was fascinating, so I wanted to write a little bit of that.

Our particular flood was so bad because it was a steady, heavy downpour that lasted for more than a week, rather than one really bad flash flood scenario.  That meant that it started off subtly enough.  That first morning, I kept getting flood warnings on my phone that pushed back later and later, and on my way in to work I saw a puddle on the way to my car, thought it was small enough I’d just splash through it… and before I knew it, I was knee deep, and not even halfway through.  After a quick trip back inside to change scrubs and switch shoes, I headed in in time to start the afternoon shift.

The ER that day was interesting; fewer people came because of the weather, but then, fewer nurses were able to make it in because they were dealing with closed roads and flooded houses. Weirdly, though, you still kind of feel distanced from everything there—no one was coming in for flood-related injuries, so it felt like the flooding got put on hold. Finished up around 10 PM, stepped outside, saw that it was STILL raining, and when I got home, my parking lot was flooded.

The next day was when it really started to hit that we were in trouble.  My hospital already had a minor nursing shortage, and as the weather got worse, there was a risk of them leaving for home, and being unable to come back.  So, right at their shift change, when maximum staff would be present, the hospital called a “Code Grey,” which was where certain personnel (ie nurses) had to stay at the hospital until further notice due to weather.  It was a problem for a lot of them because they had kids at home or in daycare, not to mention it’s not as if their own homes were immune from flooding.  Things settled into a strict structure for them; nurses who were absolutely sure they could make it home and back were allowed to leave briefly to grab an overnight bag and arrange things for their kids, and everyone was put on a regimented schedule of shifts and breaks with mandatory sleep times in the hospital’s auditorium.  “Non-vital” staff, on the other hand, was sent home and told not to come back until things improved.  (Petitions to count the hospital’s coffee shop as ‘vital’ were shot down.)

And from there, we basically had to roll up our sleeves and deal with what came to us.  We started to get more flood-related injuries that second night, with a lot of people who had slipped and fallen in the water, breaking bones/hitting their heads, hypothermia from staying in cold water, car accidents from the driving conditions, that kind of thing. I guess in movies or whatever, it’s always direct drowning, but it’s the indirect injuries that are actually worse/more likely from what I can tell. Even more notably, there was the delay in getting run-of-the-mill patients to us. One guy had your standard chest pain, but the ambulance got stranded in the floodwater—not drowning, just couldn’t move—and it was two hours before they could get a chopper to him and pull him out to the hospital.

I wasn’t sure if I could make it home and back that night, and even though I’m a student and could be excused, I didn’t want to.  It sounds selfish to say but, well, it was great learning for me.  Plus I wanted to help.  I stayed in one of the resident call rooms (think a teeny tiny hotel room for residents who are at the hospital for 24 hours; if their patients are stable at night, they go there to nap), and from there the days start to blur.  The major events I recall include:

—A major hospital near us closed its ER.  It was surrounded by water on three sides, with their ER about to go under.  They started evacuating all their critical patients to us in anticipation of things going south.  I don’t think they actually flooded, but to be safe, they had most of their patients moved to us, plus we were hit by more ER patients because there were fewer places for them to go.

—The National Guard moved in to help.  A friend of mine actually got some really cool pictures of the Blackhawks landing at our hospital, but the main result for us was they were ferrying in patients with a lot less thorough handoffs.  Normally, we get paramedics that will tell us about the patient, what field medicine’s been done, a list of conditions/medications the patient has, and so on.  It’s not until those are all missing and you’re staring at a delirious, blank slate patient that you realize how nice you had it.  And, hey, they were doing what they had to to make sure everyone got to safety, I’m not blaming them, but it did make our job more difficult.

—As time passed, we started to get more sequelae of the flood as well.  Someone who had cut their leg as they walked through dirty flood water on the first day, and came in four days later with a suspected infection.  A lot of dialysis patients who couldn’t get to dialysis and had their electrolytes all out of whack.  Patients whose seizure or heart failure meds had all gotten wet and/or been lost in the water and were now suffering from the lack of them, that kind of thing.

As things eased up a little and I hit a couple of scheduled days off, I decided to volunteer at the shelters as well, where there were medical facilities set up, and that’s a whole other ballgame.  First of all, I should say that the people who figured the whole thing out were awesome.  I think a couple residents who were supposed to be on vacation started the whole thing, basically roping off a couple of side rooms for a makeshift clinic in each of the major Red Cross shelters.  In those first few days, while national medical disaster teams all geared up, it was the local doctors who kept things running, and the response was surprisingly efficient/informal.  They basically all connected through social media, set up shifts, and asked for volunteers.  I know some doctors who didn’t go home for days because they were swinging between the hospital and shelters, but a lot were also outpatient doctors who, with their clinics closed, were able to devote a lot of time to the shelters.

And, as much as the doctors did, the other personnel there did just as much.  We had two teams of paramedics standing by to transport any critical patients to the hospital, pharmacists who were getting in touch with all the local pharmacies to get any meds we might need, nurses on triage, and so on.

About the same time as the rain stopped, the state/national disaster teams arrived—the thing about a flood is it’s hard to get into the area if you’re outside of it.  They definitely provided a lot more manpower, which everyone was very grateful for, but kept a very close working relationship with the local people.  The locals all knew the hospitals, knew which pharmacies were still open, and what the patient population looked like.  The two of them working together was absolutely critical; no heroic swooping in from the outside and taking over, it was a huge joint effort.

And… that’s pretty much it.  As always, I’m up for answering any questions!

(Also, re-reading this, I worry that it’s going to sound like I’m some hero or martyr or something.  No.  I was in a bad place at a bad time.  I’d like to think I responded well, but I was in no way critical to the response.  The actual doctors, nurses, techs, and paramedics—not to mention the search-and-rescue workers—were vital and amazing, but I was more an observer than anything else.)

And here’s your favoritest Aunty again! I hope this post was helpful and useful for all of you about what an ER might look like during a disaster.

I left the last paragraph in to show you all something interesting (I hope Brittany doesn’t mind). Med humans are less likely to give credit for good things happening than we are to take credit, at least in some situations. We often both blame the patient “I can’t get this IV, he’s got terrible veins”) and credit them (”I literally do not know how this guy pulled through”).

Take some credit, Brittany. “All hands on deck” means everyone from environmental to nurse’s aides to pharmacy to, yes, even students, pitching in, doing what they can, and Making Shit Run during the disaster.

xoxo, Aunt Scripty

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Promescent Review: Don’t Buy Before You Read This!

 What is it?

Promescent is a delay spray designed to help men with premature ejaculation last longer in the bedroom. Promescent desensitizes the penis, allowing for longer duration when used right before intercourse.

Promescent is made using lidocaine, a topical solution used to dull the nerve endings in the penis, helping close the “orgasm gap” between men and women. Promescent was developed by a urologist, is compliant with FDA standards and has participated in a documented clinical trial with Kaiser Permanente.

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Promescent Ingredients and Side Effects

Promescent only contains one active ingredient, the topical anesthetic, lidocaine. Here’s a little more about this ingredient, and its potential side effects:

Lidocaine

Lidocaine: A local anesthetic used to reduce pain or itching in a certain area of tissue, this ingredient can also be used near the genitals to relieve pain associated with certain conditions like hemorrhoids.

In delay creams, lidocaine is used to reduce sensation in the penis, which in turn, allows the user to enjoy sex for a longer period of time before achieving orgasm.

Side effects may include numbness of the penis, which may result in loss of erection, as well as itching, burning or a rash.

Because lidocaine can be absorbed through the skin, people who are pregnant or have liver problems should avoid this ingredient.

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Promescent Quality of Ingredients

Promescent only features one key ingredient, lidocaine, which is used for a number of medical conditions, primarily to relieve pain or itching of the skin. Side effects are likely rather mild, barring a any allergies to the substance.

It’s worth noting that while this is likely safe for most people, a local anesthetic will create a sense of cooling or numbness to the genitals, which some people may not like. Additionally, the sensation is likely going to be shared with the user’s partner, who also needs to be aware of any potential allergies. Users may want to put on a condom after applying the spray to reduce transferring the effects to their partner.

Overall, it seems like this product has a number of good reviews, as well as a presence in a number of stores both online and in-person. There’s no major issues here, it just comes down to personal preference and the understanding that applying Promescent before sex may take you out of the intimate situation.

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The Price and Quality of Promescent

Promescent is available from a wide range of platforms, from Target and Walmart to Amazon, Rite Aid and more. The spray also has its own dedicated website, which sells the product for $79.95 for a bottle containing 60 metered sprays. There’s also a travel size available for $19.95 containing 10 metered sprays. On average, most people use 2-3 sprays per encounter, so the full size should last about a month with regular sex, give or take.

The website offers a number of deals, meaning, if you buy more Promescent, you’ll get it at a lower rate. The bundling packages include a mix of travel size product and standard size, with some throwing in an additional vibrator for enhanced pleasure for both partners.

Should you purchase from Amazon or any of their other retail partners, Promescent might cost a little extra for the convenience.

The price for Promescent does seem to be a little high, considering there are other delay creams containing lidocaine available for a much lower price. There were some complaints about the price, though most people reviewing this product didn’t seem to mind the high cost.

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Business of Promescent

The company that makes Promescent is known as Absorption Pharmaceuticals, and their contact information is as listed below:

Phone: 1-855-426-9500

Email: [email protected]

Address: 520 Superior Ave #240 Newport Beach, CA 92663

Absorption Pharmaceuticals has created an informative and transparent website for Promescent, offering consumers plenty of thoughtful responses to potential questions, as well as a third-party doctor endorsement, clinical trial results and more. In fact, several people in the reviews we found mentioned their doctor recommended they try this product as a PE treatment.

Absorption Pharmaceuticals partnered with Kaiser back in 2013 to conduct a clinical trial on Promescent in an effort to demonstrate its efficacy, and prior to the trial, this product was already an established presence within the urological community.

In addition to the information found on the website and beyond, Absorption Pharmaceuticals has an A+ rating with the Better Business Bureau and no registered complaints.

For all the reasons outlined above, we’d recommend Promescent as a viable solution for treating PE or extending sexual encounters beyond their usual duration. However, it is worth mentioning that sometimes PE is caused by an underlying medical condition. It’s a good idea to consult your physician before adding any substance to your routine, even if it is a topical solution.

Customer Opinions of Promescent

Because Promescent is widely sold in a number of stores, as well as on the official webpage, there were no shortage of reviews from real people who had tried the product themselves. While results were mixed, a large percentage of users gave this product a positive review. Here’s a look at what they had to say:

“My urologist recommended I try this. I’ve used it about 5 times, and it hasn’t worked consistently. I’ve upped the amount of sprays to 6, but it’s really hit or miss.  I do wish it were more reliable, but it’s fun to play around with.”

“It was okay, I just didn’t like that it had kind of a minty smell and a cooling effect. My partner didn’t want to engage in oral sex because it made her mouth feel numb. I wish they could make it without the medicinal quality.”

“I like this product a lot, does what says it does. I personally didn’t feel like I needed a lot to get the benefits, but the amount of product you get for the price makes it seem like kind of a rip off.”

“I appreciate that the product description was accurate and transparent. You do need to figure out the right amount of sprays for your body. There is a medicinal odor I didn’t love, but you can wash it off. It’s a little strong.”

While people felt like the price may be a bit high for Promescent, users seemed pleased with the results they got from using the spray.

There were some complaints about the smell, which we can imagine is a major drawback for some users, while it might not be an issue for others.

Another thing we noticed was, this product may not be ideal for those having sex outside of a long term relationship, as the application process may be a little awkward for some users.

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Conclusion – Does Promescent Work?

Promescent, could very well be a good solution for a number men suffering from premature ejaculation, or even those who want to satisfy their partner for a longer period of time.

As with other delay creams, there is kind of a tradeoff. In many cases, these products do exactly what they claim to, which seems to apply here, but the numbing effect, the smell and the potential to transfer the sensation to the partner may all be seen as negatives for many people.

We liked that the company seems very transparent. Founded by a urologist and featuring case studies and third-party physician endorsements gives this product a sense of credibility you often don’t see in the male enhancement industry. The Promescent site even mentions potential side effects and is thorough in answering potential questions.

Unfortunately, the price is a bit high as compared to other delay creams containing the same active ingredients, and may be prohibitive for a lot of people.

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