#id stuff

cistrans intersex lesbian flag by me, interspadias!

(If a flag exists for this, consider this an alternative!)

Please do not use this flag if you are not intersex and do not consider yourself cistrans and sapphic/a lesbian. No “transID”, “intersex identified alters”, etc. This is not for you.

20 something years old man of Asian descent presented with a history of 1 week of temperatures, retrosternal chest pains and just not doing that hot. COVID test was negative.

During his physical, I could tell he was sick, pale, sweaty, tachypneic and tachycardic. His pressure was normal. Meningeal signs are negative. Neuro negative. Abdomen negative. No peripheral signs of emboli or rashes. There was a bit of a weird chest sound (listed I have been doing ID for some years but for the life of me sometimes I can't tell which one it is...I just know it's not supposed to be there)) and I think I heard a heart mummer.

His labs: high white cell count, elevated CRP and procalcitonin. In the differential, neutrophils took the prize. Lactate thru the roof. Liver enzymes were elevated (transaminases).

He got a chest x-ray which was clear. Ultrasonography of the abdomen was negative.

His history was insignificant, he doesn't have any preexisting medical conditions, and he is updated on all his vaccinations. He is straight, married for a few years. He likes to play football with his friends who are all of Asian descent. They don't have kids but they have a dog. He is a teacher, he teaches English. He hasn't been to his country of origin since he was a child and nobody around him has travelled anywhere lately. He doesn't travel, he hates flying.

I admitted him and started him on co-amoxicillin with metronidazole bc all I had was tachypnoea and fevers. Tho his chest x-ray was negative, we decided to order a chest and abdomen CT scan, his ddimeres were elevated so I wanted to make sure he doesn't have a PE, which he did not. However, what the CT scan described - was 2 small abscesses peripherally liver approximately 3cm each.

Meanwhile, his blood cultures came back positive for...

GIF by thegalaxyrailways



Klebsiella pneumoniae, the hypervirulent kind

lol

ok. I wanted to prescribe cefta+avibactam. My boss laughed and laughed and laughed and asked from which pocket that will go so...

In the end, we did a CT navigated drainage and gave him colistin.

He did well.

But I think it's something he got from the community. At least it's what the lit says.

Do u have any experience with hypervirulent Klebsiella pneumonia infection? Drop a msg in my inbox I wanna hear all your tips and tricks!

objectbian/lesbijectum

objectophilia/objectum/attraction to objects that manifests in a lesbian way - attraction to objects that the person associates with femininity, womanhood and/or lesbianism.

[image ID: two images of a flag. Stripes from top to bottom are salmon-ish pink, mint green, grayish white, soft yellow, and reddish purple, with the second flag featuring an imperfect red circle. End ID]

The pink represents femininity and approximate/associated womanhood or lesbianism being attached to objects. The green represents the lack of direct “person” in the attraction, removing entirely from gender or sex assumptions of sexuality. The off-white represents the tendency to be viewed as wrong, perverted or otherwise “tainted” of purity that one might experience. The yellow and purple both are inspired by the objectophilia flag and represent the inherent lack of binary in attraction that does not exclusively center humans, sharing colors with the standard nonbinary flag. The imperfect red circle represents its association with objectum and objectophilia, yet not feeling like one "fits in" with others who fall under that label.

not for radqueer/transID/“pro contact” defenders, kick rocks