October can’t come soon enough
IT IS AUGUST
This has been in my likes since last year. It is time.
This is the 21st night of September skeleton. He only appears once a year.
This website is full of free sewing patterns that will automatically alter to ur measurements
https://freesewing.org
WHAT.
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I’ve gotten a lot of variations of this ask.
Does the bullet stay in? Does it get taken out? What are the consequences? What are the after effects?
“Lead poisoning” is a common ER and EMS term for someone getting shot. “What happened?” “Lead poisoning.” is a conversation between a medic and a nurse that would make 100% sense, even though the character is bleeding out on the stretcher.
But does leaving a bullet in lead to lead poisoning? As in, actual elevated levels of lead in the blood?
It depends!
First, the myth that the bullet must come out! is a Hollywood trope, based off of Civil War medicine. So let’s look at where that comes from.
The idea that the bullet has to come out typically comes from a mindset that the bullet is, by itself, inherently dangerous. And back in the Civil War, that was true, not because of the bullet but because of the wadding that stuffed the bullet into the musket.
See, it was infection, not lead poisoning, that made those gunshot wounds more dangerous, because the wadding was typically covered in bacteria – and injected directly into a wound. Removing the bullet would also allow the physic to remove the piece of cotton, and remove the source of the infection. (In the modern day we would call this source control.)
But these days, our typical GSW patient doesn’t have a wadded-up piece of cotton in the wound, and if they do, it’s something pulled in behind the bullet. It’s superficial, and easily picked out with tweezers forceps. So the infective risk of leaving bullets in place is actually pretty low.
In fact, in the modern era, doctors actually tend to leave a lot of bullets in place.
The typical process looks like this:
- The character gets shot (owies!) and goes to the hospital.
- The doctors (read: trauma team) will examine the wound and get x-rays or, more likely, a CT scan (NOT an MRI!)
- Actually, further research indicates that MRIs are safe with most bullet types, but docs tend to be conservative about this.
- The wound itself will be explored surgically, especially if it’s in the chest or the abdomen. If the docs happen to find the bullet along the way, they’ll remove it, but removal isn’t the goal, it’s repairing significant bleeds and organ damage, finding other things that might have been in the wound and evaluating the underlying tissue.
- If the bullet is in a location that’s risky to perform surgery to get to, such as the chest or the abdomen, the bullet will likely actually get left in place. The theory is that the risk of surgery outweighs the risk of leaving the bullet in place.
Similarly, if the bullet is in an extremity where surgery would be easy, but the bullet is close to a nerve or significant piece of vasculature, the bullet is likely going to be left in.
Really, removing the bullet is a matter of convenience, not of necessity.
But what about lead poisoning?
Ahhh, yes, lead poisoning. Where we started. Where we’ll finish.
Lead poisoning is surprisingly rare with gunshot wounds, even if the bullet is left in place.
The reason is this: the tissue will actually grow a capsule around the bullet and prevent the lead from leeching out into the bloodstream.
The only significant risk is if the bullet is lodged in the bone, and even then, it can take years for symptoms of lead poisoning to develop.
And if that DOES happen? Here’s the symptom list:
●Abdominal pain (“lead colic”)
●Constipation.
●Joint pains.
●Muscle aches.
●Headache.
●Anorexia. (Decreased appetite)
●Decreased libido.
●Difficulty concentrating and deficits in short-term memory.
●Irritability.
●Excessive fatigue.
●Sleep disturbance.
●Anemia.
●A “lead line,” a bluish pigmentation seen at the gum-tooth line, is the result of a reaction of lead with dental plaque.
●Confusion, seizures, and encephalopathy (brain swelling) can be seen with extremely high levels of lead.
And that’s all she wrote!
Thanks UpToDate! And THANK YOU Dr. N for your generous support!
xoxo, Aunt Scripty
Becoming a Patron lets you see the freaking future. Have you considered becoming a clairvoyant?
you don’t get good at doing something by not doing it
you get good at doing something by doing it badly and learning how to do it better
You don’t learn from success, you learn from failure how to achieve success.
you see, the thing is, i hate failure.
in order to find success, you must first submit yourself to the mortifying ordeal of being kinda crap at something
i'm making a brand new, unbearable wizard quiz
trying to find out the maximum number of questions uquiz will let you have in a single quiz and so far it has not stopped me at 76 and i do not think it will stop me at 77
Ok but what is everyone’s comfort media? Because I feel like it says so much about people, some of them are absolutely bizarre and not something that would ever bring me comfort, but I find it so cool when there that one movie that you’ve watched so many time or have such a niche and special connection too.
i like my art style. no i dont. yes i do. im lineless. im great at lineart. im bad at lineart. my hands are shaky. i cant do anatomy. i can do anatomy. i draw cartoons. i draw realism. im a painter. im an illustrator. i blend out colors. i use cell shading. i use the stabilizer. i dont use the stabilizer. i know my art style. i havent found my art style. how to find your art style. my hands are stable. im deficient in vitamins. ive been drawing for years. im a beginner. im intermediate. im a professional. i use layer blending. no i dont. i use 8 sketch layers. everything is on one layer. i like my art st
I feel like practicing any skill would be way more fun if I could have a lil level increase thing that pops up in front of me every time I do good like in Skyrim
“Push ups increased to level 5”
“Writing dialogue increased to level 37”
“Coping mechanisms (healthy) increased to level 18”
"we don't have girl talk, we have creature talk," my roommate Julia just said while rolling on the floor, "put that on your fucking tumblr, they'll love that shit"
she just asked how many notes this post has and I told her eighteen and with restrained glee she said "this is going to do horrible things to my ego"
I'm out of town rn but I told her this broke 500 notes and sent her some of yall's tags
Hey op why is the contact icon a T if their name is Julia? *condescending tone* do you have your roommate saved as “trash” in your phone?
nope!
Here’s my RPG Maker buyer’s manual for the Steam Summer Sale. Remember, DLC is on sale too, and the sale ends on the 8th!
Hi there, do you exist in the world and have a lot of time on your hands, but also can’t stand the sound of your own thoughts? May I recommend Drawfee, a youtube comedy drawing show which has been the background sound of my life for about two years now. I realize my pitch that hey, it’s better than literal silence, may not sound super compelling so I’ll elaborate: it is a funny and extremely chill show with people who like each other talking while they do art. Fantastic. Exquisite. Feel like a silent fifth party eavesdropping on some people having fun.
Anyway if like me you are constantly looking for online content that gently releases sweet good vibe chemicals in your brain, here’s a shitload of episodes I like. They’re all about 20-40 mins long. Stars next to the ones I particularly like, but I feel like that’s gonna tell you more about me than about drawfee.
*Artists Draw Themselves Into Their Favorite Anime (Speed draw where everyone’s art is very good but frankly we all get distracted because we have to talk about Julia’s wild flex)
Scooby-Doo Drawing Challenge (ft. Simone from Polygon) (you know, scooby doo! like from that episode of supernatural. Simone is great and Nathan could not be more delighted by the art.)
Professional Artists Redraw Their Old Art (Speed draw ft the phrase “Mid-2000s hetero nonsense”)
Impossible Coloring Challenge (art but make it bullying)
Artists Draw Urban Fantasy D&D Characters (ft. Brennan Lee Mulligan) (an Unsleeping City themed episode. A powerful bard is made this day.)
*Artists Draw Their Fursonas (speed draw. This episode made me want a fursona so goddamn bad)
Turning Animals Into Original Characters Challenge (just an extremely chill hangout episode)
*Drawing Dungeons & Dragons Cats (an entire episode that’s about the tv show Columbo)
Drawing Backgrounds For Video Calls (another chill hangout video that features my husband Kaiba)
Professional Artists Redraw Their Childhood Art (Speed draw. Full Moonpaw comic reboot and relaunch when)
Drawing Thomas the Tank Engine Original Characters (body horror. car body horror.)
The Hottest New Board Game (ft. McElroy Brothers) (the first episode I saw! Monster factory energy except the character creator is just two other people drawing)
*Artists Draw Gigantamax Pokémon From Memory (look, the way Julia says “laser eyyyyyyyes” in the beginning is all I’m thinking about 24/7.)
Artists Draw Kaiba in Different Styles (when I was younger I used to walk around and listen to “Boulevard of Broken Dreams” and “In The End” on repeat because those were my Kaiba songs. I also had an elaborate plot line where he was begging crushed under a boulder and no one could get him out so he was just endlessly suffering. I was 11 and I knew what I wanted my favorite characters to experience. Anyway, speed draw episode.)
Artists Draw MORE Disney Characters As Dark Souls Bosses (boy I wish I could say I’m recommending this for a reason that isn’t “in depth exploration of Gaston/lefou oviposition” but I’m not here to lie to you)
Knock-Off Pokémon Based On Food (look anytime they talk like Joey Wheeler, it’s a good episode.)
Dungeons & Dragons & DRAWING | Drawga Episode 1 (ayyyyyyy plot! Come get ya plot over here! If you want drawings with story. Or if you like Naddpod and you’re like “I want that but only with Caldwell and also Tonathan Tinkle, and also I want to see faces as they talk.” Ten episodes in total. Elyse Willems and Rekha Shenkar are the funniest guests alive.)
Drawtectives: Episode 1 (ayyyyyyyy plot! Come get ya plot part 2 murder mystery edition!! But also friendship? And half orc feet pics? Eleven episodes.)
If you are just looking for a little taster of Drawfee, they did some little animated shorts which are wonderful and cute and hilarious.
Alternatively, there are some wonderful fan-made supercuts which make fun intros to their stuff: Jacob’s Hard Stances, There’s nothing Karina can’t be savage about, and Drawfee Jacob getting razzed for like 17 minutes all give the impression that they are far more antagonistic towards one another than they actually are, but are very very funny.
If you want to know what their faces look like, the Drawfee Variety Hour is weird and wonderful, as is Julia’s very brief foray into public access TV, The Fear of Painting.
They also stream on twitch and upload all their streams to Drawfee Extra on youtube - I personally love the One Big Canvas episodes because of the sheer unadulterated chaos of them.