Buster growled softly, baring his teeth at me as he stood in defiance. His stance rigid and unyielding, his tail stiff, and ears pinned back - he watched my every move with alert eyes.
My 3-year-old German shepherd had intuitively figured out the prospect of an upcoming bath when he saw me reach for the towel, and decided to give me a hard time over it.
“I know buddy. I am not happy about it either. But I will make it quick. I promise,” I tried to reason, holding up both hands to reassure him.
‘But it’s not even been a week…’ I could almost imagine him saying those exact words to me when he growled back in protest.
“You’re right...But listen, man. You’re dirty. I can feel your presence from here,” I said, standing ten feet away and pretending to cover my nostrils with my finger.
Buster, of course, didn’t care and continued to defy without hesitation.
I put my hands on my hip and sighed. My glance immediately shifted to a hose attached to a tap outside my quarters.
“Tell you what. I’ll make it worth your while. You don’t mind the jet spray, right? In fact, you even tolerate it sometimes,” I said, pointing to the hose located only a few feet away.
“How about a little cooperation now, and I’ll make you your favorite meal a little later?” I asked him, while reaching out to pick a can of chicken liver from the kitchen.
As I dangled the can in my hand, I could see it slowly chipping away at his resolve, his mind grappling with the pros and cons of my new proposal.
A moment later, Buster barked at me twice and slowly made his way out of the house. He sat by the garden tap, ready to receive his bath.
I took a handful of lotion and began to rub it against his torso to remove all the muck and grime that was sticking to his body. We had been quite busy lately, guarding the base and conducting multiple patrols along the perimeter every day. The rain a few hours ago certainly didn't help matters, with Buster leaping over puddles of water and actively rolling in the mud to escape the desert heat. I had to use a brush to remove the layers of dirt that had caked all over his body.
It’s been a strange week, to say the least. The days were busy but peaceful, while the nights brought scattered, random sounds. Their origins were a mystery, as they appeared not to originate from the base. But I wasn’t too worried about it, not yet anyway.
There is an air base located a couple of hours away from the facility, and it wasn’t unusual for them to conduct sorties at odd hours in the night. I assumed they were probably testing out some new technology.
My colleague Joe thought the same thing as well. But we couldn’t take any chances, and we both had a job to do. So we conducted regular patrols around the base just as a precautionary measure.
But deep down, I felt something nagging at me, like I was being watched by someone or something. I couldn’t exactly put it into words.
For a second, I wondered if Buster too felt the same way when I saw him suddenly lift his head up, listening intently with his ears up in attention.
I quickly turned back to check if there was anybody standing behind me, but I found no one. When I turned around to face him again, I saw him looking up at the night sky, his gaze focused and unwavering.
“What’s it buddy? You see something?” I asked him as I cleared away the foam from his face. Moments went by slowly. And then, just like that, as if nothing had happened, he put his head down and began pawing my leg, urging me to finish his bath. I sighed again and turned on the hose, to wash off all the soap.
He finally looked presentable and I have to admit, his coat glistened beautifully under the moonlight.
Before I could reach for his towel, Buster swiftly moved in to close the gap between us and looked me in the eye dead serious. He then shook his body vigorously, much like a wet dog trying to rid itself of wetness, and trotted off without bothering to look back.
I laughed out loud as I sat there, drenched in water. I knew I should have seen that coming. However, my smile quickly faded, as it also reminded me of Jessica, my ailing wife.
Before another thought could take shape in my mind, I heard a familiar voice blare across the radio.
“Mike, I need you down here. Get to the post quick.”
It was my colleague Joe and I replied back in the affirmative. I quickly grabbed my gear and signaled Buster to follow after me.
When I reached the post, I saw Joe standing there armed with his rifle. As a seasoned war veteran with two tours under his belt, Joe was a dangerous man and not to be trifled with. But he was also compassionate and wise beyond his years.
“What’s up Joe?” I inquired, as I approached him near the entrance of the base.
“I am not sure yet. I thought I heard something at a distance. It could well be nothing.” he replied, after a brief pause.
‘Well, we’ve had a lot of that going around all week’, I thought to myself.
He then turned around to look at me. “I want you to run a perimeter sweep first. Then go on patrol again. Take Buster with you” he said, before heading back to his post.
I started the jeep and drove out towards the perimeter. The engine hummed softly as I navigated the rough terrain, with Buster sitting alertly beside me. After finding nothing suspicious during my initial sweep, I decided to broaden my search radius.
A mile into the drive, Buster suddenly started barking, prompting me to stop the jeep immediately. He leaped onto the ground and dashed towards a boulder located a short distance away. I picked up my rifle and cautiously followed after him.
When I reached the spot, I keyed the mic attached to my shirt and said, "Boss, you need to come see this."
I knew he wasn’t going to be happy about leaving the guard post unmanned, but I thought he would prefer to come and inspect this himself.
Joe arrived ten minutes later, parking his vehicle next to mine. He walked towards the boulder overlooking a small pond, and switched on his torch to get a better look at the skeletal remains of an animal dumped nearby. Three other animal remains lay next to it, all appearing to be in a similar condition.
“These look like coyotes, probably stopping by to drink water from the pond before they were killed,” he observed, his voice expressing concern. “Did you find them like this?”
“Yes”, I replied. “And they weren’t here when I drove through the same place this morning. I thought it was quite odd to be honest, to find four of them out here all at once in the middle of the desert, that too at this hour.”
Joe simply nodded in agreement.
“What sort of creature do you think did this Joe?”
“I mean it must have a ravenous appetite to chew every sinew of flesh from the bone, and lick it this clean.” I said, leaning in take another look.
“Do you think it could be the Chupacabra or something similar?” I continued, knowing fully well my question was a bit far-fetched, but I had to still get it off my chest.
Joe finally stood up, switched off his torch, and looked around the vast open desert in quiet contemplation.
“This is in fact the fifth sighting in less than a week, Mike, and all have occurred in close proximity to secure government installations. The one before this was even stranger, and happened near a military base, where an old buddy of mine continues to serve.”
“He told me in that instance, the remains belonged to a dog. There were no signs of flesh or connecting tissue from the nasal region to the abdominal section, while the region spanning from the abdominal cavity to the tail bone was left fully intact. The whole thing was carried out with surgical precision, and drew morbid praise from even the medic back at the base.”
"But how is that even possible? What are you suggesting, Joe?" I asked, surprised by the tone of my own voice and my inability to hide my disappointment upon hearing about it for the first time.
“This is not a hunt for prey, Mike. This is a hunt for attention. Somebody is trying to make a point. And I’d say they are accomplishing their objective.” Joe said.

Hi, I’m almost a week into my second dose of methotrexate for my ectopic, and I’ve been having some muscle cramping/burning and have felt pretty overall sore in the arms. I’ve tried to get a model of where exactly is shoulder tip pain (I know the name is self explanatory), but I just want to know if the pain I’m having is actually in the shoulder tip. I out a diagram, to my knowledge shoulder tip pain should be where I marked “B”, and I know that others have said it’s like a super weird and distinct area to have pain. I’m currently having pain in the “A” and “C” regions, but the “A” region is concerning me because I haven’t really ever had pain there except for after an intense arm workout. I had the pain this week and had an ultrasound with the doctor who said everything looked good, but for those who experienced the shoulder top pain if you can tell me where exactly you felt it that would be really helpful.

Prologue
First
Previous / Next
Spanish Version (OG Version)
Credits to u/SpacePaladin15 for creating this universe.
And thanks to u/Signal-Chicken559 for proof-reading and the feedback, seriously, thank you.
Also available on Archive of Our Own
Note: There's a post on the Discord of this subreddit, so if you wanna discuss something about my story, that should be the place to go
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Memory Transcription Subject: Syra, Universal History Student at Brightspire and Member of the Human-Venlil Exchange Program
Date [standardized human date]: September 17, 2136
Maybe this "therapy" wouldn't be so bad after all. Perhaps they just wanted to make sure Daniel felt comfortable and supported during his stay here. I hoped that was the case, because otherwise, I wouldn't hesitate to bare my claws if necessary to protect him.
For now, I would let things flow naturally. But I would keep a close eye out, just in case. Daniel wasn't alone in this, I was here to look out for him.
[Time advancement: 10 minutes]
"...and that's more or less how I ended up here, details more, details less," Daniel finished recounting how he had arrived.
He seems satisfied with what Daniel has told so far. Good sign, I suppose. Although I still wonder what exactly this "therapy" is about.
At that, the "psychologist" gets up and walks to the back of the room. He takes some kind of portable whiteboard and places it in front of us. He then takes out a couple of markers and begins to draw a simple diagram.
"Well, Daniel, I think I have a general idea of who you are," he says as he scribbles on the whiteboard. "Now I'd like to explain my approach a bit in this session."
I frown slightly, intrigued. The Doctor draws a large circle in the center of the whiteboard and writes the word "Communication" inside it.
"You see, for me communication is the key to everything," he continues. "It's the medium through which we can express our needs and obtain what we need or desire."
I nod slowly, contemplating the diagram. It makes sense so far. The Doctor continues tracing more elements, listing some steps:

1. Describe observable facts
2. Emotions + Thoughts → Feelings
3. NEEDS
4. Expressed in the form of a request

Thank the stars I downloaded the new translation packages a while ago, otherwise I wouldn't be able to read this.
"The first thing is to describe the observable facts objectively," he explains while pointing to step 1. "Then, express the emotions and thoughts that arise in relation to those facts. But most importantly, identify the underlying need that those emotions and thoughts reflect."
He takes another color and draws an arrow that goes from the "Needs" circle to another where he writes "Finds the common ground with the other person."
"Once the needs are identified, we can express them in the form of a request to the other person," he says. "In this way, both parties can work together to satisfy those needs in a collaborative and empathetic way."
I nod again, beginning to understand his approach. It's... interesting, to be honest. Very different from the more authoritarian and repressive approach I experienced with my sister's case. The Doctor takes a moment to study our reactions.
"I know this may seem a bit foreign to your customs, Syra," he admits in an understanding tone. "But on Earth we have learned (or we're supposed to) that repressing or denying emotions only leads to more conflicts and suffering. It's better to express them in a healthy way and seek solutions that benefit everyone."
He turns back to the whiteboard and draws another more elaborate diagram. This time, there is a kind of circle, with elongated triangles inside, Daniel explained to me in my previous chats with him, that this was called a "compass" and was used for guidance at sea (By the stars, what's wrong with these humans? Don't they see that the sea is extremely dangerous?!). This compass seemed to be surrounded by several sectors, each with the name of an emotion: joy, sadness, fear, anger, boredom, disgust, surprise.
I look at the diagram with curiosity, it's an interesting concept, although very different from what I've learned on Venlil Prime.
The Doctor points to the central circle with the word "Communication."
"As you can see, for me everything revolves around effective communication," he continues calmly. "First, we must describe the facts objectively, without judging."
I nod slowly, following his explanation. So far it makes sense.
"Then, it is crucial to identify the emotions and thoughts that those facts generate in us. We should not repress or deny them," he continues, tracing more elements on the diagram. "Those emotions and thoughts lead us to identify an underlying need."
I frown a little when I hear that. Needs... my mind goes back to the situation with my sister. Could it be that she just needed to express herself better? No, I can't think about that now.
"Once the need is identified, we can express it as a request to the other person," the Doctor draws an arrow pointing to the words "Finds the common ground." "Thus, both parties can work together to satisfy those needs in an empathetic and collaborative way."
I open my eyes in surprise. Is he suggesting that we can simply... ask for what we need? Without fear, without reprisals. It's such a foreign idea from what I experienced... But at the same time, it makes a certain sense.
The Doctor turns towards us, studying our reactions.
"I know this approach may seem strange to you Venlil," he admits with understanding. "But on Earth we learned that repressing or denying emotions only brings more conflicts. It's better to express them in a healthy way."
I swallow hard with discomfort. It's true that on Venlil Prime we are taught to keep certain emotions under control. Especially those that could be seen as... "predatory."
"Um... Excuse me, Doctor," I interject cautiously. "I understand your point, but... What about those emotions or behaviors that are considered harmful or problematic?"
The Doctor looks at me intently before responding.
"It's a very valid question, Syra. But you see, no emotion is inherently 'good' or 'bad'," he explains patiently. "Even emotions like anger or fear have a purpose and meaning. The important thing is to learn to identify them, understand them and express them appropriately."
I frown thoughtfully. Is he suggesting that even the darkest emotions have a place? It's certainly... different from what I've been taught.
"But... What if those emotions endanger others?" I insist, unable to avoid thinking of my sister. "In my culture, certain behaviors, though emotional, are seen as a 'disease'."
A heavy silence settles in the room. I can sense Daniel's discomfort by my side, though he doesn't say a word. The Doctor remains silent for a moment, did I say something wrong?
"I understand your concern, and I'm sorry for that, Syra," he finally responds. "I understand that each culture may have its own norms and values. But at least on Earth, we have learned that pathologizing or repressing certain emotions only increases suffering."
He takes a breath before continuing.
"The important thing is to find healthy ways to express and channel those intense emotions. With support, understanding and appropriate tools, no one has to resort to harm or violence."
I ponder his words carefully. It's such a different perspective... But I can't help the doubts that assail me. If my sister had had that "support" and "understanding"... would she still be alive?
At that moment, I remember what Thomas mentioned about Daniel's "diagnosis." I glance sideways at my human companion sitting beside me, who remains silent.
"Um... Doctor, if you don't mind me asking," I begin cautiously. "What exactly does that 'diagnosis' you mentioned before mean? The 'Autism Spectrum Disorder'?"
Daniel tenses visibly by my side, as if he wants to avoid that conversation. But the Doctor simply nods calmly.
"Well it's not a bad question, Syra," he responds. "Autism Spectrum Disorder is a neurodivergent condition that primarily affects the development of social skills and communication. People on the spectrum can have difficulties interpreting social cues, maintaining eye contact or understanding figurative language."
I look at Daniel with renewed interest, trying to better understand his situation. Maybe that's why it's so hard for him to socialize...
"But that doesn't mean they are 'sick' or 'deficient' people," the Doctor is quick to clarify. "They simply have a neurodivergent processing of social information. With the right supports, they can develop fully."
My gaze softens as I observe Daniel. I feel a wave of understanding toward him. All this time he has been dealing with these challenges and yet he still strives to establish bonds and learn about my culture.
"There's no need to be alarmed. As I said, the intention is not to judge or label anyone. We simply want to understand and provide the appropriate support."
I nod slowly, feeling the tension dissipate a little. Then, the Doctor takes out a deck of cards from a small briefcase he had at his side.
"In fact, would you like to play a little game? It could help us get to know each other in a more relaxed way."
I glance sideways at Daniel, not quite sure what to expect. He shrugs indifferently, as if letting me decide. Well, why not? A game could be a more pleasant way to get through this "therapy."
"Sure, let's play," I respond, giving a slight smile and gesturing with my tail.
The Doctor nods and proceeds to explain the rules of the game called "Sussed?". It doesn't seem too complicated: basically, we have to read some cards with 3 questions and 3 answer options each, choose the one that best represents us and try to guess which answer to that question the player who asked it chose.
"Sounds good," I comment as the Doctor deals the cards to each of us. "Do you want to start?"
This was the kind of board games I liked the most.
"Sure, why not?" the Doctor replied as he takes the first card. "Let's see..."
After a few moments, he chooses the card, looks at it for another moment, and the psychologist says:
"This question says: 'If you could swap bodies with anyone for a day, who would you choose?'"
I frown thoughtfully. It's an interesting question, to be honest. Who would a human want to swap bodies with?
If I were human, who would I swap bodies with?
I glance sideways at Daniel and a mischievous idea crosses my mind. What if...? No, no, that would be too daring.
But I return to the objective, to guess who the therapist would become, and then he says the options:
"And the options are:

• A). Your ideal partner;
• B). Your idol or favorite celebrity; and
• C). Your game companion (if this option, who?)"

He paused.
"What do you say? Who do you think I would choose?"
I narrowed my eyes suspiciously and made a new gesture with my ears. My ideal partner? That option seemed too suggestive for a human like him. Or would it be too obvious? And what if he chose his idol to get to know them better? I didn't completely rule out the last option either.
"Hmm..." I murmured, scratching my chin. "I'd say... C? He'd swap with one of us for a day?"
Daniel shifted beside me, seeming just as intrigued by the question as I was. Doctor Calderón simply shook his head.
"Good theory, but no. My answer was B," he revealed calmly.
Well! It made sense, I suppose. Humans really do seem obsessed with their celebrities and public figures, Daniel told me they had many, many celebrations of the historical figures of each of their countries, so each "paw" or "whatever" of their year celebrated something or someone.
"I see," I nodded. "Interesting choice."
"Alright, I guess it's my turn now," Daniel cleared his throat through his mask. "Let's see... 'If you could travel through time, what era would you choose to visit?'"
That was a fairly typical question for a game like this, but it still made me think. What era would Daniel like to visit? So many possibilities...
The options Daniel mentioned were:

• A). The remote past;
• B). The future; and
• C). A golden age or key historical period.

What era would Daniel like to visit?
Honestly, I'm not too sure which one he might choose. Knowing his fascination with space exploration, he might choose the future to see how civilizations evolve. But he could also be interested in some golden age from his species' remote past.
Determined to guess his answer, I risk my hunch:
"Hmm, I think you'd say... option C? A golden age or key historical period?" I suggest, moving my tail inquisitively. "That's the impression I get considering your interest in history."
Daniel takes a few moments before responding with a slight nod.
"Good intuition, Syra. I chose option C, a golden age. More specifically, the European Renaissance I told you about before, don't you remember?" he reveals in a calm tone. "It was a period of great scientific and cultural advancement for my species."
I nod, pleased to have guessed right. It's interesting how Daniel seems to value the periods of intellectual and artistic progress of his civilization, despite its apparently violent background.
"Ah, yes, you told me it was a transcendental moment for humans in areas like philosophy, the arts and knowledge in general."
"Exactly. Figures like Leonardo da Vinci, Galileo, Michelangelo and so many others laid the foundations of modern science and thought. Although there were shadows too, of course."
Doctor Calderón nods and takes notes in a small notebook he has by his side. I feel curious to learn more about this "golden age" that Daniel mentions, so I decide to ask:
"If it's okay with you, could you tell me a little more about that 'Renaissance'?" I inquire, my ears slightly raised. "I'm interested in knowing what made it so important for your species."
Daniel settles into his seat, as if preparing for a more extensive explanation. I notice how his hands, make some gestures as he speaks, something I've noticed humans often do.
"Well, the Renaissance was a cultural movement that emerged in the European region during the 15th and 16th centuries, mainly in cities like Florence, Rome and Venice," he begins to explain. "After a period known as the Middle Ages, where a somewhat more rigid and dogmatic thought predominated, the Renaissance brought a resurgence of interest in the classical ideals of ancient Greece and Rome."
I nod, trying to follow his line of thought. Humans seem to have a special fascination with those ancient cultures from their past.
"Renaissance artists and thinkers promoted a more humanistic and rational approach," Daniel continues. "Figures like Leonardo da Vinci embodied the idea of the 'Renaissance man', one who sought knowledge in various areas: art, science, engineering, philosophy, and blah, blah, blah."
"Wow, that sounds really interesting," I comment sincerely. "Could you give me some more concrete examples of the achievements of that period?"
Daniel nods and proceeds to mention some Renaissance milestones: Da Vinci's advances in anatomy and his studies on the human body, the astronomical discoveries of Galileo Galilei, artworks like the Sistine Chapel and Michelangelo's David, and the rediscovery of his species' literary classics.
"In summary, it was an era of great creative and intellectual effervescence," Daniel concludes. "Though of course there was still a long way to go."
I nod, fascinated by Daniel's description. It's admirable how his species managed to propel itself forward in those key periods, despite the difficulties and limitations they faced back then. I can't help but wonder if the Venlil will ever experience a similar awakening, at least, of thought...
At that moment, I remember we're playing "Sussed?", grab one of the cards and choose one of its questions, taking advantage of Daniel's enthusiasm for history and culture.
"Alright, my turn," I announce, taking a new card. "If you could choose one supernatural ability, what would it be?' And the options are:

• A). Flying,
• B). Mind reading or
• C). Time travel."

I pause, observing Daniel and Doctor Calderón's reactions. This question certainly lets the imagination fly.
"What do you say? What do you think I would choose?"
Now that I think about it, what would I choose?
I would definitely choose to be able to fly.
The idea of soaring through the skies with total freedom seems incredibly appealing to me. I imagine how exciting it would be to explore Venlil Prime's landscapes from the heights, without restrictions.
Daniel remains silent for a few moments, as if carefully analyzing the options. I can imagine the gears turning inside that peculiar human head of his. Finally, he responds:
"Time travel."
Time travel? I didn't expect that. I suppose it makes sense coming from a being so fascinated by the vast universe and its unsolved mysteries.
"Ohhh, interesting choice," I comment with curiosity. "May I ask why you think I would choose that ability?"
Daniel shrugs and responds in a casual tone:
"Well, I think time travel would open up infinite possibilities for knowledge and adventure," he explains. "Imagine being able to witness historical events firsthand or catch a glimpse of the future to guide us better. It would be amazing."
I nod slowly, surprised by his reasoning. Humans certainly have an overflowing imagination.
"Woah, I hadn't seen it that way," I admit. "Although it could also be risky, don't you think? Messing with the past or knowing too much about the future."
Daniel laughs through his mask, a metallic and distorted sound.
"Good point. I guess we'd have to be really careful with that," he concedes.
"Although it would just be a small glimpse, nothing major like changing history. What do you think, Dr. Calderón? What ability do you think Syra would choose?"
Dr. Calderón takes a moment to think about it.
"Hmm, I think you would choose to read minds," he finally responds. "It would be very useful for better understanding people in general."
My ears twitch strangely at his response.
"Wouldn't that be an invasion of privacy?"
"It depends on how the power works, I would set certain limits so it only activates in specific situations or places, for example."
I guess that makes sense, but I'm still not sure I'd want to read minds in general, knowing what people really think of you all the time doesn't seem like the best idea.
Anyway, it's time to reveal the answer I chose.
"Well, you're wrong, because I would choose to fly."
"But why?" Daniel asks me.
"Well, the idea of flying seems interesting to me, being able to move at full speed without ground traffic or gravity's obstacles seems appealing."
"That's an interesting answer," Calderón responds.
I guess I should take it well that he says it's an interesting answer.
"Alright, my turn again," I announced, taking a new card. "If you could have a supernatural ability, which would it be: flying, teleporting or mind control?"
And so we continued playing successively, for a good while.
[Time advancement: 50 minutes]
Dr. Calderón collects the game cards and carefully puts them away in his briefcase. Then, he turns towards us with a friendly smile.
"Well, I think that's it for today," he announces in a calm voice. "How was it? I hope it was a constructive experience and helped you get to know each other a little better."
I nod slowly, feeling a mix of emotions. On one hand, this "therapy" has been extremely revealing about how humans think. But on the other, I can't help but still feel some apprehension.
"It was... interesting, no doubt," I respond frankly. "I admit that some of your ideas seem quite foreign to what I'm used to. But I also recognize that it makes sense, at least from your perspective."
The Doctor nods in understanding.
"It's normal for them to seem strange at first, Syra," he says patiently. "Cultural differences run deep. But that doesn't mean they're incompatible, right? It simply requires effort from both sides to find common ground."
I ponder his words, turning to look at Daniel. He remains silent, but I notice how he watches me through the mask, as if evaluating my reaction. I can almost imagine the gears turning inside his head... peculiar, but endearing in a way.
"You're right," I finally admit. "It's just a matter of continuing to learn and understand. And for that, both sides have to keep an open mind."
I smile slightly and, in an impulsive gesture, bring my tail towards Daniel, gently coiling it around his arm. He tenses briefly but doesn't pull away.
"Don't worry," I tell him softly. "We'll get to understanding each other, you'll see."
Daniel nods stiffly, saying nothing. I can imagine his discomfort, but I hope that in time he'll understand that he doesn't have to be ashamed of his "peculiarity." At least, not with me.
At that moment, Dr. Calderón stands up from his seat.
"Well, I think that concludes today's session," he announces in an affable tone. "You can return to your rest area. And please, don't hesitate to request me if you need anything."
We nod and stand up to leave the therapy room. Once in the hallway, I give Daniel a friendly tail gesture.
We walk back to our little "suite", already familiar to us after the therapy session with Dr. Calderón. An awkward silence hangs between Daniel and me as we make our way through the station's hallways.
I feel relieved that therapy didn't turn out as terrifying as I initially feared. But at the same time, I can't help but dwell on some of the things the Doctor said. That about "letting emotions flow" and not repressing them... It's so alien to what I've experienced.
I glance sideways at Daniel, with his mask and that characteristically rigid body language. I wonder what he's thinking about it all. Does he feel comfortable with that idea of emotional and social "openness"? From what I could tell, he seems somewhat reluctant, although I suppose it's natural given his... peculiarity.
I shake my head, brushing those thoughts aside. I shouldn't judge so harshly. I'm just seeing things from my limited perspective. Maybe for humans that "openness" works better. Or maybe not. I still have a lot to learn, at least about them.
We finally reach our little "suite" and go inside. It's a cozy space, with a common living room and our two individual bedrooms on either side as always. Nothing luxurious, but at least it's private and comfortable.
I plop down heavily on the couch, letting out a slight sigh. Daniel sits at the other end, keeping his distance as usual.
"So... what do you think about all this?" I ask cautiously, moving my ears in his direction.
He shrugs, his body language denoting some discomfort.
"I don't know what to think, really," he responds frankly. "It's all so... different from what I'm used to."
I nod, fully understanding that feeling. It's like we're both exploring completely uncharted territory.
"Yeah, I get it. It's very foreign to me too," I admit. "But... do you think it could have some value? You know, that whole 'expressing emotions' thing and all that."
Daniel remains silent for a moment, as if meditating on his answer. I can almost picture the gears turning inside his human head.
"Maybe..." he finally mutters. "Although I don't know if I'm ready for something like that. It's... complicated for me, I've had therapies before, but they never really worked out, it makes me uncomfortable because it's more of a routine than anything else, a routine I thought I'd at least get a break from here, but it wasn't the case, although it makes sense, they have a neurodivergent among the program members, so I guess they wanted to make sure I'd behave."
My ears droop slightly as I sense his discomfort. I don't want to push him too much, especially on topics that seem sensitive to him.
"Hey, it's okay," I say in a softer tone. "You don't have to do anything you don't want to. We'll go at your own pace, alright?"
He nods stiffly, though I notice his shoulders relaxing a little. I'm glad I can convey some reassurance.
If someone had told me I'd be reassuring a predator about his own discomfort by being so close a few months ago, I would have laughed in their faces and told them they were crazy, but here I am, telling him everything will be okay.
After a few moments of awkward silence, I decide to break the ice again.
"Hey, Daniel..." I begin slowly. "Can I ask you a question about what the Doctor said?"
He nods stiffly, barely a slight movement of his masked head.
"Sure, what do you want to know?"
I hesitate for a moment, not quite sure how to approach this without seeming intrusive.
"Well, he mentioned something about that 'diagnosis' of yours...a disorder, I think he said. Could you explain a bit more about that?" I ask cautiously. "O-only if you're comfortable with it, of course."
Daniel tenses up even more, I can almost feel his discomfort radiating from his body language. For a moment I fear I've crossed a line, but then he responds in a muted voice:
"It's... complicated to explain. Basically, my brain processes certain information differently than most people's. That makes social interactions, non-verbal language, that kind of thing difficult for me."
I nod slowly, trying to better understand his condition.
"And is that... bad?" I ask with genuine curiosity. "I mean, does it cause you problems or anything?"
He siffly shrugs.
"Sometimes yes, sometimes no. It depends on the situation. In academics and work it's usually an advantage, because I can focus really well on logical, repetitive tasks. But socially... well, let's just say it's not my strong suit."
I observe him closely, noticing how he averts his masked gaze. I can imagine the discomfort and vulnerability he must be feeling opening up like this.
"Hey, you don't have to be ashamed, okay?" I say softly. "I think it's admirable that you can be so honest about it. Most pred- I mean, humans, would probably do everything possible to hide it, right?"
Daniel lets out a slight huff through the mask, a metallic and distorted sound that could almost be mistaken for a bitter laugh.
"Now, I guess not, but it's ironic, don't you think?" he comments with a tinge of bitterness. "In prehistoric times, someone like me might have been abandoned or devoured for not fitting in with the tribe or group.
"But now... well, it seems I might not fit in anywhere at this rate, or maybe I'm exaggerating, but sometimes I don't know what to think. Because I don't want people to see me with pity or as someone who can't fend for themselves. It's messed up, because sometimes they see you in a condescending way, like you need help with everything all the time, when that's not always the case. I want to show the world, or the universe, that I can be myself without needing anyone's help to be me, that I can make it on my own without depending on anyone..."
After an awkward silence, I decide to break the ice again.
"Hey Daniel, I understand you don't like talking much about your... peculiarity," I say carefully. "But I want you to know you don't have to be ashamed of it with me, okay? I don't think any less of you for being... well, different."
Daniel shifts in his seat, his body language still slightly rigid and tense. I can imagine the discomfort he must be feeling, and I don't like it.
"It's not that I'm ashamed, exactly," he responds with apparent caution. "It's just that... sometimes I feel like people look at me with pity, you know? Like I need help with everything, when really most of the time I can fend for myself."
I nod slowly, trying to understand his perspective. I suppose for someone like him, who's probably used to dealing with prejudices and misunderstandings about his peculiarity, it must be frustrating to be treated in a condescending way.
But this time, he breaks the silence.
"Hey... there's something that's been on my mind," he admits hesitantly. "When you said you wouldn't let anyone hurt me, it sounded like you'd gone through a similar experience."
I swallow hard, feeling a lump in my throat. So he noticed. Well, I suppose it was inevitable he'd figure it out sooner or later, considering how perceptive he seems to be.
I guess it's time for me to tell my truth.
\---------------------0
Prologue
First
Previous / Next
Spanish Version (OG Version)

Female, 27, PCOS.
Need opinions here because I’m being told two different things.
Was awoken at 4 am 2 days ago by the worst lower right abdominal pain I’ve ever felt. Throwing up nearly passing out. I was so immobile I just laid on the floor until it let up some and then put myself together, took ibuprofen and went to work. I realized I needed to call my doctor when I couldn’t stand up straight anymore. Because the pain was so low in pelvic region I called my OBGYN. They got me in right away for an ultrasound and found I have two 4cm (each) cysts on my right ovary. Told me I was at risk for torsion and we talked about surgery options. They said if pain gets worse go immediately to the ER.
Well pain got worse. Started running a mild fever. Couldn’t pee. Threw up like crazy so I went to the ER (women’s OBGYN er). They did an ultrasound said my cysts were too small to cause pain and sent me on my way. They told me I probably had some other abdominal issue going on and to go to the regular ER if I was concerned (I didn’t because who in the world has money for 2 ER visits in one day).
So I have one OBGYN telling me it’s most definitely the cysts causing pain and another saying it’s definitely not. Regardless I’m in pain, like breath taking, vision blackening sharp pain. Neither one ran any labs, but my labs from 2 weeks ago from a separate visit showed high inflammatory markers, elevated WBC, and high liver enzymes (AST, ALP, and high Alpha-2 Globulin).
I’m in a waiting game now for appointments, but I’m starting to get worried because I’ve never experienced this type of pain before.

As I’ve gotten to higher level questions, I’ve started to feel frustrated that so many of them are about noticing something or thinking about something in a certain way that then helps you solve the question.
I feel like I’ve been trained to learn a process to solve a type of question and then refer to that when I am presented with something.
Because of this, I feel frustrated when I am watching the explanation to a question and the tutor says “if you notice so and so”.
I understand their calculations, I understand the process and logic, but that noticing part is something I struggle to be able to do. And so when there is a topic that needs creativity to solve, or a different type of process for each question like this circle area question for example, I struggle

Art by u/United_Patriots, Go check his work out, he himself has a pretty good AU series called Nature Of Orion.
A Music track I wrote, Inspired by the contents of this chapter.
Back to the present, (future?) Ahh whatever, that special october 2154! Do you ever wonder why I chose that date? Well, October 13th is my birthday, and it’s the start date of dark cuts! Also yes, in fifteen whole chapters, we’ve only reached midnight on the second day.
As always, thanks to u/Ben_Elohim_2020, u/VeryUnluckyDice, and u/JulianSkies for proofreading. Those three have been a wonderful help as always.
Last but not least, thanks to u/EdibleGojid, my wonderful co-writer, without him, none of this would’ve been possible.
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[First]-[Previous]-[Next]
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Memory transcription subject: Taran, Investigator
Date [standardised human time]: October 14, 2154
—
At that moment, more than anything, I wanted to peel my eyes away from the display. The vile scene… I knew how it would play out, how it would end. I did everything I could to rip myself away from the screen, but I just… couldn’t.
The footage coming in from the classroom had me enraptured in the worst way possible; equal parts fascinating and horrible. Morbid curiosity kept me watching as the drunken arxur hunted the clone, which Selik’s mind presently occupied.
“Youhhh… hehhh… put up a better fight than that kolshhhh did… I’ll give you that much!” Vriss gloated, already assured of his victory as the skalgan tried futilely to claw herself free from his vice-like grip.
So long as Vriss was boasting, he was spilling the information we needed. We couldn't afford for Selik to tap out just yet, we needed more time, more answers.
Glancing at the machine monitor, toward the vital diagram, it reminded me just what kind of pressure Selik was under. Red flashed out along the tail and chest regions and the heart rate monitor threw up several warning lights. It was strange to realise that it represented real pain she was experiencing right now.
Hastily, I tapped out a message on the software pager, ‘Keep him talking.’
The pager was our only line of communication with Selik even though, in reality, she was no more than a meter away, hooked up to this amalgam of wires that posed itself as medical engineering. She couldn't hear us or respond to any form of contact; Prauva had explained that the device blocked all incoming and outgoing information.
I gave a short glance to Selik. Her body looked still and restful; all except for her chest, which rose and fell rapidly, mirroring the clone’s laboured breathing.
“Whhh… What did you do to him?” Selik wheezed, the arxur’s grip on her was so tight that it took great effort to squeeze out the words. I feared her ribcage might just collapse under the arxur’s raw strength.
It had been a while since I had been reminded of the terrifying strength the aruxr were holding back. Muscles designed for the hunt evolved to overpower weaker prey… a description that applied to almost everyone.
“Ehhh… nufin… sadly… he’s not mine to kill… but youuu are.” Vriss’ tongue slipped over the words. We were lucky that he stopped drinking when he did, much more in his system and he might have ended up impossible to interrogate at all.
The arxur opened their maw, dragging their long tongue over the back of the skalgan’s head, they took their time, savouring the moment, not the flavour. They wanted to draw even more fear from their prey. A terrified whine emitted from the clone, to the arxur's apparent delight.
In the back of my mind, I had expected him to… go feral or something. That without his inhibitions he might start randomly killing anything in his path. I knew that wasn’t how predator instincts worked, but prejudice was hard to shake.
It was worse somehow, knowing that as he did it he actually had the control to stop himself, but didn’t want to.
I had seen similar things before.
I’ve watched security footage of the worst of the worst; rape, brutal murders and even sadistic torture. I’ve had them rewatched over and over for me to analyse each and every detail. The times when such scenes would replay themselves in my nightmares had long since passed. There were few things I wasn't utterly desensitised to.
I was plenty familiar with the aftermath of arxur raids too.
My mother's hand in mine, cold, waiting for rescue- I killed the thought before it could overtake me.
But this…
The room was a near-perfect recreation of an old skalgan classroom, with a holo-projector at the front showing the benign math equations a child of the federation might be taught. It was uncannily familiar to me, though the details were muddled; chairs built to the gojid format, not venlil, propaganda posters out of place, not quite belonging to the setting. ‘The Krakotl Exterminator Forces Need YOU!’
Not that Vriss cared about such historical inaccuracies as he tossed the venlil across the classroom, effortlessly breaking her over the teacher's desk. Blood quickly spread out from where a rib had punctured her skin, the orange seeping through her wool.
…This was something else.
The skalgan’s legs fell limp, no longer flailing. She was utterly helpless now. Without any chase left to be had, the arxur would soon claim his kill.
Glancing over to the clone monitor, the lower half of the diagram had turned from red to grey, indicating that the system could no longer connect to that area.
“Shame her spinal cord got severed, broken legs hurt like hell.” Prauva mused from over my shoulder. She looked somewhat entertained by the sight. I frowned, she had a callous attitude towards Selik all night and it rubbed me the wrong way. I wasn’t going to get on anyone's case for harbouring distrust for the killers, but something about her seemed off.
Somehow, Selik maintained her questioning, some hidden source of determination keeping her going. One by one she spat out the pained words, “Where is he going?”
Watching it all in real-time, knowing it was real, happening only a few meters away with nothing you could do to stop it. It was deeply, viscerally, terrifying. My scales were displaying their sickly green, broadcasting my current state of mind to Prauva, and at this point, I couldn't care to suppress it.
“Sssame place I am, the Kaal estate, for his hatchlings uuh…. coming of age.” Vriss finally answered.
The Kaal estate
Three words told us so much more than just where Klien was going, it told us who the boss was, Kaal. The CEO and founder of a small arms company based here in the city of District Three. Ironically my revolver was one of their products. With that information, all I had to do was look up Kaal’s information in a database, use that to find his daughter’s info, and I’d know exactly when this ‘coming of age’ would be. With a little help from Selik's knowledge about arxur culture, we would be set to, not only save Klien but to decapitate the entirety of Shattered Claw.
Mentally, I had written Klein off as dead without even realising it, but now there was a chance. There was hope.
Selik pushed herself off the desk, flopping on the ground behind it with a heavy thud. Her eyes darted around before widening in realisation at what she had done. She was cornered, nowhere left to run.
The arxur crouched over her, smug satisfaction evident in the very way he moved, “It'sss time you stopped asking questions you aren't supposed to knowhh… you’re gonna be a gooood girl and die quietly.”
I winced as he wrapped his claws around her neck. Her eyes looked like they were trying to escape her skull as he squeezed. A sickening, popping, crunch reverberated through the room as her vocal chords crumpled, fragile tissue and cartilage breaking under the pressure. She gurgled in pain, no longer able to scream as blood bubbled out of her mouth.
“Brutal, Isn’t it?” Prauva asked casually, unbothered by the sight.
I turned an eye to the skalgan, the way she… didn't care, It was one thing to be desensitised, which was common in former cattle or those who were unlucky enough to survive multiple arxur raids… this was different. Her eyes met mine, I could swear I spotted a glimmer of some sort of sick satisfaction in them before she looked away.
“This is my life. Every single day, I get to die. Over, and over and over.” She spoke with flat intonation, her sassy facade falling away.
Vriss released Selik from his grasp, looking proud of his work before reaching for her arm, pulling it towards him and clamping his jaw around it. With a twist, he wrenched it free from her body. He waved the severed limb in front of her, giggling with depraved joy.
“Just… food; a plaything to these monsters.”
She continued to talk, taking my lack of a response as permission to carry on.
“Some like to fuck after feasting you know? Have you ever seen that? Someone taking your dismembered corpse and shoving their rancid cock into it?”
I didn't even want to think about it. There wasn't any way I would be able to live with myself if I let this place continue to exist and exploit these people.
“No one should go through that. I promise, we’ll shut this place down and get you out of here.”
Prauva laughed, devoid of actual humour, “It’s… not so simple. I can't just leave. Even if somehow you get rid of Shattered Claw? It wouldn't change a thing as long as they’re still around.”
As Prauva spat those words out, she pointed at Selik. Her idle body remained on the bench, vulnerable and still, like a patient under anaesthesia during an operation, waiting for someone to pull her out.
Vriss tossed aside the severed limb and began to lap up the blood as it gushed out of her wound. “Hmmm, tastessss just like Iron Fffive… fuuuuck… how much did you drinmk-?”
Selik gurgled.
“Mhm don't answer that.”
My mind was finally made up. This was fucked up. I had fucked up, no matter what the arxur had done, nothing could justify putting her through this. “She shouldn’t be going through that. How do we disconnect her?”
“You can’t, no way out while the clone’s alive…” She explained, though I knew it was a lie. She had woken herself up just earlier.
“...Besides, isn't this nice, to turn the tables for once?”
Something churned in me, her rhetoric felt familiar. Things I've felt. Hatred I had kept deep inside. I never trusted the arxur, never liked them, but somehow… Those thoughts and feelings, when repeated to me from her mouth… They felt radical, deranged even.
I glanced toward arxur on the screen, now covered in orange, and saying his last farewell to the venlil below him. “It's beeen fffuhn… I’ll definitely recommend you to the othhherrsss.”
After everything I lost to the arxur, everything they did, and everything they continued to do I had every reason to hate them; To utterly despise them for what they had done, and I did.
I looked back at the arxur in the seat. She had barged in on my case, somehow managing to convince Ketsim to allow her to take it despite my objections. Her very presence infuriated me. What right did a killer like her have to be a cop anyway? What bumbling idiot thought arxur could be capable of anything other than violence and murder?
I could read people well. I knew she had to be concealing some sort of darker motive. There had to be something. Feasting on the crime scenes? Some grand deception; a trap she was luring people into?
Or at least so I thought; no matter what happened, that facade simply refused to crack.
She seemed to hate eating flesh going so far as to shovel plant matter down her throat when she thought I wasn't looking. She was ashamed of her scars, hiding them under human garments, using the weather as an excuse for wearing them. This whole place disgusted her just as much as it disgusted me.
Here Selik was taking the punishment for her species’ crimes just to save one kolshian she called a friend. She didn't have to do that. There was no benefit, nothing to gain. Not unless she genuinely cared.
I couldn’t find a crack in the facade, because there was none.
The arxur on the screen began to tear into the clone with his claws, ripping flesh, bones and organs. Splattering himself with orange, bellowing with glee as he murdered her.
That monster and Selik couldn't be the same. It was irreconcilable, that a creature capable of such cruelty could also be capable of such selflessness.
Whatever terrible rule the arxur followed, she was an exception. She had to be. Maybe she was just one of those so-called ‘defectives’, a concept I would have otherwise laughed at, but it was the only explanation.
I faced Prauva and my scales flickered red in anger for a brief moment before I took back control.
“Turn the tables? Is this what it's about?” I demanded answers, what justification she possibly had for what she’d convinced Selik to do.
Prauva wasn't intimidated. “They raided my world, killed my family, but I hid, I survived, and it didn't make any difference. I still ended up as their cattle. Only now, every time I get to relive that moment, wishing I could die. But every time, I wake back up on that chair. Every time, regretting the one time I survived. This time, I finally got the chance to do something back. It’s one, tiny, fraction of what they did to me. One death for hundreds of mine. So yeah, it's nice to see one of them suffer for once.”
The arxur, alcohol finally catching up to him, slumped over what little remained of the clone.
“How do I wake her up?” I repeated the question.
“Why should I tell you?” She replied, without a hint of empathy for Selik.
“I need her help, We’re trying to save an innocent father's life you know?”
“Really? One good deed is all it takes for you to side with them? She gets what she deserves”
I couldn't take it, I didn't care what they had done to her, she was just blindly exacting punishment on whoever she could. It didn't matter what justification she had, it was cruelty all the same; sick and twisted.
I reached for the cable that connected Selik and the computer, my fingers wrapping around it tightly. I wasn’t sure what would happen if I pulled her out suddenly, but it was getting clear that I needed to make a choice. I just hoped it wouldn’t cause any irreversible damage to her mind.
“Wait! If you do that… it’ll kill her!” She yelled, a feeble lie made up on the spot to try and stop me. With her attitude, I doubted she would have cared for Selik’s life. The vindictive skalgan would’ve probably done it herself.
“I don't believe you.”
I yanked on the cable, disconnecting all the wires from the computer in one go. I was rewarded by a sudden gasp as Selik shot up out of her seat. Her eyes darted around the environment, taking in the dimly illuminated facility, glazing over when she looked at me or Prauva. She didn’t seem to register our presence at all.
Shakily, she wrapped her claws around her neck, laughing weakly as she verified it was still there. As her surprise at being alive faded, she went limp, rolling sideways off the seat and curling herself into a ball on the floor, shivering.
She had cheated death, Unscarred, but not unscathed.
Looking at her lying there like that. It sparked some genuine empathy for the arxur, that memory again. I wanted to rid myself of it, bury it, kill it.
I had stashed myself in a cupboard, hiding myself away from… them. Clutching to all I had left of her… all that was left of her.
I turned my back on her. Wiping it from my mind, Selik was an arxur, she didn’t need my empathy.
My eyes returned to the footage from the classroom. Vriss looked like he wasn’t in particularly good shape, he was still slumped over the clone, but his eyes were open darting all over the place and he was shivering, twitching. He hadn’t just passed out, he was overdosing.
“Shit…” I muttered, and Prauva noticed too. We couldn't call help, that would give us away. I couldn’t exactly sneak a body out of here without being caught and I needed Vriss alive if I was gonna ask more questions. I had to go in there and figure out how to keep him alive without revealing myself to him either.
“Fuck, fuck, FUCK! If he dies before he gets out of here, my employer is gonna dock my pay.” the skalgan exclaimed under her breath so as to not be overheard by anyone nearby as we rushed down the hallway.
“Is that seriously what you’re worried about?” I hissed.
“If I don't pay off their so-called ‘debt’ they'll have me here forever.”
It didn’t surprise me, working for a business like this must be worse than death, so it would have been an empty threat. Instead, dangling the hope of freedom at just a paw's length away. That’s how they kept people trapped. People would do so much more for the promise of life, than under the threat of death.
I burst into the classroom, nearly slipping on the bloodied floors but I managed to adjust my stance and keep myself from falling
Vriss twitched and seized, rolling off the clone onto his back. I stood over him as his eyes briefly flicked to me, unable to comprehend what was happening to him. He reached a hand towards me in a bid for assistance.
“Shit, what do I do!” Prauva mumbled under her breath before looking at me accusatorialy “You did this! You have to help me!”
Selik stumbled in, her eyes set on the remains of the clone. She fell to her knees, staring at her clawed hands as if she'd killed it herself. Pain evident in her eyes as she mourned the non-person.
Something snapped inside of me.
My scales darkened all the way to black, matching those of the arxur.
We didn't need Vriss anymore; in fact, if he disappeared now, there wouldn't be any more risk of our involvement getting out. Alcohol poisoning in a club? Just a simple accident. That's if there even would be anybody to find it. Clones were too expensive to waste, no doubt they simply dumped the leftovers into a meat grinder, made burgers out of them and fed them back to their clients or something else equally fucked up.
Monsters like Vriss deserved no empathy.
What a miserable creature one must be, to derive pleasure from another's suffering…
“Why should I help you?” I echoed her words back to her.
“What!?” She stared at me, wide-eyed in shock.
“He deserves this, doesn't he?” I quoted her again.
The arxur’s belly twitched, orange puke leaking from the corners of his mouth before falling back into his airways, blocking them. I watched as he began to drown in the blood he’d spilled, choking down his last meal.
“But what about me? You have to help me!” She begged, her words falling on deaf ears.
“Word of advice, clean up his body before anyone notices.”
“You think you can just get away with this? I’ll tell the-”
“Who would you tell? Your boss? The gang? I’d keep your mouth shut and your head down if you want to live long enough to watch me burn this place to the ground.”
As Selik sobbed, and Vriss suffocated, I remained silent, watching.
A thought bubbled up, strange next to all the angry, hateful, confused and conflicted emotions I felt. A question, sober, but no less cold in its delivery.
“You ever wonder what it would be like if you were born an arxur? Who you'd be? Would you still be the same person, or… would you be like every other arxur?”
Prauva had the audacity to scoff, my meaning failing to penetrate her thick skull. “Are you gonna tell me that I’d be just like her?”
“No,” I said flatly.
I stepped toward Selik, who had gotten a fair bit of blood on her. I’d have to take her through the showers before we left, I put a hand on her good shoulder. Selik, claws shaking, let go of the body, wordlessly understanding my order. It was time for us to leave.
The monster at my feet finally became still. I felt nothing as it died, eyes silently begging me for mercy as the life faded from them.
I turned away from Prauva.
“You'd be just like him.”
—
[First]-[Previous]-[Next]

Title: Understanding Fentanyl: Uses, Risks, and Controversies
Introduction: Fentanyl, a potent synthetic opioid, has gained significant attention in recent years due to its role in the opioid epidemic. This article aims to provide a comprehensive overview of fentanyl, including its medical uses, associated risks, and the controversies surrounding its widespread misuse.
Medical Uses: Originally developed for managing severe pain, especially in cancer patients, fentanyl is an analgesic that is 50 to 100 times more potent than morphine. It is commonly used in medical settings for pain management during surgeries, chronic pain conditions, and palliative care.
Risk Factors: While fentanyl is effective in controlling pain when administered under medical supervision, its misuse poses serious health risks. The drug's high potency increases the likelihood of overdose, leading to respiratory depression and, in extreme cases, death. Illicitly manufactured fentanyl, often mixed with other substances, has been a major contributor to the rising number of opioid-related deaths.
Controversies and Illicit Use: The illicit use of fentanyl has sparked controversy and public health concerns. The drug is often clandestinely produced and added to other drugs, such as heroin or cocaine, without the user's knowledge. This has resulted in a surge in overdoses, as individuals may unintentionally consume lethal doses of the opioid.
Law Enforcement and Regulation: Governments and law enforcement agencies worldwide are grappling with the challenges posed by the illicit production and distribution of fentanyl. Efforts to regulate its manufacturing and distribution are ongoing, with stricter controls in place to prevent diversion into illegal channels.
Treatment and Harm Reduction: Addressing the fentanyl crisis requires a multi-faceted approach, including expanded access to addiction treatment, harm reduction strategies, and public awareness campaigns. Naloxone, an opioid receptor antagonist, has proven effective in reversing opioid overdoses and is increasingly available to first responders and the general public.
Conclusion: Fentanyl, with its remarkable pain-relieving properties, has become a double-edged sword in the realm of healthcare. While it serves a crucial role in medical settings, its misuse poses severe risks to public health. Efforts to combat the opioid epidemic must focus on education, regulation, and treatment to strike a balance between managing pain effectively and preventing the tragic consequences of its illicit use.
Narcan, also known by its generic name naloxone, is a medication used to rapidly reverse opioid overdose. It works by binding to the same receptors in the brain that opioids target, effectively reversing the life-threatening effects of opioid toxicity. Narcan is commonly administered in emergency situations where an individual is experiencing respiratory depression or unconsciousness due to opioid overdose.
Emergency responders, healthcare professionals, and even some non-professionals, such as family members of individuals at risk of opioid overdose, may carry naloxone. The medication is available in various forms, including nasal sprays and injectable formulations, making it accessible for different situations.
The prompt administration of Narcan can restore normal breathing and consciousness, providing crucial time for the affected person to receive further medical attention. It is an essential tool in harm reduction strategies aimed at preventing opioid-related deaths and is a key component of public health initiatives addressing the opioid epidemic.
Suboxone is a prescription medication used in the treatment of opioid dependence and addiction. It is a combination of two active ingredients: buprenorphine and naloxone.

1. Buprenorphine: This is a partial opioid agonist, meaning it binds to the same receptors in the brain that opioids bind to but with less intensity. It helps to reduce cravings and withdrawal symptoms, allowing individuals in recovery to better manage their addiction.
   
2. Naloxone: Naloxone is an opioid receptor antagonist, which means it blocks the effects of opioids. When taken as directed, naloxone remains largely inactive. However, if someone were to misuse Suboxone by injecting it, the naloxone component can counteract the opioid effects, reducing the risk of misuse.
   

Suboxone is often prescribed as part of medication-assisted treatment (MAT), a comprehensive approach to opioid addiction that includes counseling, therapy, and support services. It can be used in the detoxification phase as well as for long-term maintenance therapy. The goal of Suboxone treatment is to help individuals gradually reduce their dependence on opioids, manage cravings, and improve their overall quality of life during recovery.
It's important to note that Suboxone should only be used under the supervision of a qualified healthcare professional, as improper use or abrupt discontinuation can lead to withdrawal symptoms or other complications.
Precipitated withdrawal refers to the accelerated onset of withdrawal symptoms, often more severe than typical, when an opioid antagonist is introduced to the body. This occurs because the antagonist displaces the opioid from receptors, leading to a sudden and intense withdrawal reaction.
For example, if someone is currently dependent on opioids and receives a medication like naloxone or naltrexone, which are opioid antagonists, it can rapidly trigger withdrawal symptoms. This is a safety mechanism, as these medications are often used to reverse opioid overdose or as part of addiction treatment.
The term is commonly associated with medication-assisted treatment for opioid use disorder, where medications like buprenorphine (a partial opioid agonist) are used. If buprenorphine is administered before other full opioids have cleared from the system, it can displace those opioids from receptors, leading to precipitated withdrawal. This is why healthcare providers carefully time the initiation of medications like buprenorphine to avoid this intensified withdrawal reaction.
Understanding the potential for precipitated withdrawal is crucial in the context of addiction treatment to ensure safe and effective transitions between medications and to minimize discomfort for individuals in recovery.
Using Suboxone involves adherence to a specific treatment plan under the guidance of a qualified healthcare professional. Here are some key aspects related to the use of Suboxone:

1. Prescription and Medical Supervision: Suboxone is a prescription medication, and its use should be initiated and supervised by a qualified healthcare provider, typically in the context of medication-assisted treatment (MAT) for opioid use disorder.
   
2. Dosage: The healthcare provider will determine the appropriate dosage based on the individual's specific needs and response to the medication. It's essential to follow the prescribed dosage and not adjust it without consulting the healthcare provider.
   
3. Administration: Suboxone is often administered sublingually, meaning it is placed under the tongue and allowed to dissolve. This method allows for the absorption of the medication into the bloodstream.
   
4. Timing: The timing of Suboxone administration is crucial. It is often started when the individual is in a mild to moderate state of withdrawal to reduce the risk of precipitated withdrawal. The healthcare provider will provide guidance on the appropriate timing.
   
5. Regular Monitoring: During Suboxone treatment, individuals are regularly monitored by healthcare professionals to assess progress, manage side effects, and adjust the treatment plan as needed.
   
6. Counseling and Support: Suboxone is typically part of a comprehensive treatment plan that includes counseling, therapy, and support services. This holistic approach addresses both the physical and psychological aspects of opioid addiction.
   
7. Gradual Tapering: Depending on the treatment plan, there may be a gradual tapering of Suboxone dosage as the individual progresses in their recovery. Tapering is done under medical supervision to minimize withdrawal symptoms.
   
8. Avoiding Other Opioids: It's crucial to avoid the use of other opioids while taking Suboxone. Combining opioids can lead to dangerous interactions and diminish the effectiveness of the treatment.
   
9. Side Effects and Reporting: Like any medication, Suboxone may have side effects. Common side effects include headache, nausea, and constipation. Any unusual or severe side effects should be promptly reported to the healthcare provider.
   
10. Pregnancy Considerations: If an individual is pregnant or planning to become pregnant, it's important to discuss this with the healthcare provider, as the use of Suboxone during pregnancy requires careful consideration.
    

Always follow the guidance of your healthcare provider and inform them of any concerns or changes in your condition during Suboxone treatment. Successful recovery often involves a combination of medication, counseling, and support tailored to individual needs.
Suboxone, when used as prescribed under the supervision of a healthcare professional as part of medication-assisted treatment (MAT) for opioid use disorder, has a lower potential for abuse and addiction compared to full opioid agonists. This is because Suboxone contains buprenorphine, a partial opioid agonist, which has a ceiling effect on its opioid effects.
Buprenorphine's partial agonist properties mean that it activates opioid receptors in the brain to a lesser extent than full agonists like heroin or oxycodone. As a result, the euphoria and respiratory depression associated with opioid abuse are less pronounced with buprenorphine.
However, it's essential to emphasize that any medication, including Suboxone, should be taken exactly as prescribed by a healthcare professional. Misuse, such as taking larger doses or combining Suboxone with other substances, can increase the risk of dependence or addiction.
Abruptly stopping Suboxone can lead to withdrawal symptoms, emphasizing the importance of a gradual tapering plan under medical supervision when discontinuing the medication. It's crucial for individuals using Suboxone to work closely with their healthcare provider to ensure proper management of their opioid use disorder and to address any concerns or side effects during the course of treatment.
Withdrawal symptoms from Suboxone, or buprenorphine (the active ingredient in Suboxone), can occur when someone who has been using the medication for an extended period stops taking it abruptly. It's important to note that withdrawal symptoms can vary in intensity and duration based on factors such as the individual's overall health, the duration of Suboxone use, and the dosage.
Common withdrawal symptoms from Suboxone may include:

1. Nausea and vomiting
2. Diarrhea
3. Muscle aches and pains
4. Sweating
5. Insomnia or sleep disturbances
6. Anxiety
7. Irritability
8. Runny nose and teary eyes
9. Goosebumps (piloerection)
10. Dilated pupils

It's important to distinguish between withdrawal symptoms and precipitated withdrawal. Precipitated withdrawal can occur if someone takes Suboxone too soon after using a full opioid agonist, leading to a more rapid and intense onset of withdrawal symptoms.
Withdrawal from Suboxone is generally considered less severe than withdrawal from full opioid agonists, and the symptoms tend to peak within the first 72 hours after discontinuation. However, the duration and severity can vary from person to person.
If an individual is considering stopping Suboxone or adjusting their dosage, it's crucial to do so under the guidance of a healthcare professional. Tapering the medication gradually, rather than stopping abruptly, can help minimize withdrawal symptoms and increase the chances of a successful transition to recovery. Seeking support from healthcare providers, counselors, and support groups is essential during this process.
Kratom is a tropical tree native to Southeast Asia, specifically in countries like Thailand, Malaysia, Indonesia, Papua New Guinea, and Myanmar. The leaves of the Kratom tree have been traditionally used for various purposes, including as a stimulant, a pain reliever, and to manage opioid withdrawal symptoms.
The active compounds in Kratom, called alkaloids, interact with opioid receptors in the brain, producing effects that can vary depending on the strain and dosage. These effects can include:

1. Stimulation: At lower doses, Kratom may act as a stimulant, promoting increased energy, alertness, and sociability.
   
2. Sedation: At higher doses, Kratom may have sedative effects, leading to relaxation and pain relief.
   
3. Pain Relief: Kratom has been used traditionally for its analgesic properties, and some people use it as a natural remedy for pain.
   
4. Mood Enhancement: Some users report improved mood and reduced anxiety after consuming Kratom.
   

However, it's important to note that Kratom is not regulated by the U.S. Food and Drug Administration (FDA), and its safety and effectiveness for various uses have not been clinically proven. There are potential risks associated with Kratom use, including dependence, addiction, and adverse effects such as nausea, constipation, and increased heart rate.
Due to these concerns, Kratom has been a subject of regulatory scrutiny in various countries, with some regions imposing restrictions or outright bans on its sale and use. It is essential for individuals to exercise caution, seek reliable information, and consult with healthcare professionals before considering the use of Kratom, especially for medicinal purposes or to manage opioid withdrawal.
Methadone is a synthetic opioid medication used primarily in the treatment of opioid dependence, particularly in the context of medication-assisted treatment (MAT). It is a long-acting opioid agonist, meaning it activates the same opioid receptors in the brain that other opioids, like heroin or morphine, do.
Key points about Methadone include:

1. Opioid Dependence Treatment: Methadone is often used as a maintenance medication to help individuals reduce or quit the use of illicit opioids. It helps by reducing cravings and withdrawal symptoms.
   
2. Long-Lasting Effect: One significant advantage of methadone is its long duration of action. A single daily dose can help stabilize individuals, preventing the highs and lows associated with short-acting opioids.
   
3. Supervised Administration: In some cases, methadone is provided through supervised administration in specialized clinics to ensure proper use and minimize the risk of diversion.
   
4. Tolerance and Dependence: Like other opioids, individuals using methadone can develop tolerance and dependence. Therefore, the dosage needs to be carefully managed, and discontinuation should be done gradually under medical supervision.
   
5. Reduction of Illicit Drug Use: When used as part of a comprehensive treatment plan, methadone has been shown to reduce illicit opioid use, lower the risk of overdose, and improve overall health outcomes.
   
6. Potential Side Effects: Methadone can have side effects, including constipation, sweating, drowsiness, and changes in libido. It's important for individuals to report any adverse effects to their healthcare provider.
   
7. Regulated Use: The use of methadone is tightly regulated, and it is typically dispensed through specialized clinics or healthcare providers who are authorized to prescribe it for opioid use disorder treatment.
   

Methadone treatment is part of a broader approach that often includes counseling, therapy, and support services. It has been a valuable tool in harm reduction strategies aimed at addressing the opioid epidemic and helping individuals achieve and maintain recovery.
Narcotics Anonymous (NA) is a 12-step program that provides support for individuals recovering from addiction, particularly those struggling with substance abuse issues. It is important to note that NA, like other 12-step programs, does not have an official stance or opinion on specific medical treatments, including medication-assisted treatment (MAT) for withdrawal.
The approach to medication assistance in withdrawal can vary among individuals within the NA community. Some may find success and support in MAT, while others may choose alternative methods or prefer an abstinence-based approach. NA encourages individuals to share their experiences, strength, and hope, but it does not dictate specific treatment choices.
The primary focus of NA is on mutual support, fellowship, and following the 12-step principles, which include admitting powerlessness over addiction, seeking spiritual awakening, and helping others in recovery. Members of NA are encouraged to respect each other's choices and paths to recovery.
It's essential for individuals seeking support for addiction to find a treatment plan that aligns with their needs and values. Consulting with healthcare professionals, attending support groups, and considering various treatment options can be part of a comprehensive approach to recovery.
SMART Recovery (Self-Management and Recovery Training) is a science-based, secular alternative to traditional 12-step programs like Narcotics Anonymous. SMART Recovery emphasizes self-empowerment and utilizes evidence-based techniques to support individuals in overcoming addiction.
Regarding Medication-Assisted Treatment (MAT), SMART Recovery takes a neutral stance. The program acknowledges that MAT, when prescribed and monitored by healthcare professionals, can be a valid and effective part of a comprehensive approach to addiction treatment. SMART Recovery recognizes that different individuals may have unique needs, and treatment plans should be tailored to the individual's circumstances.
SMART Recovery's focus is on teaching self-reliance, coping skills, and strategies for managing urges and behaviors associated with addiction. The program encourages participants to make informed decisions about their recovery, including the consideration of medications that may be prescribed by healthcare providers.
Ultimately, SMART Recovery emphasizes a holistic and individualized approach to recovery, allowing participants to choose the methods and tools that best suit their needs and align with their values. This includes being open to the potential benefits of MAT for some individuals as part of their overall recovery plan.
Several treatment modalities are available for individuals struggling with opioid use disorder. The most effective approach often involves a combination of different strategies. Here are some key treatment modalities for opioid addiction:

1. Medication-Assisted Treatment (MAT): MAT involves the use of medications, such as methadone, buprenorphine (Suboxone), and naltrexone, to help manage cravings, reduce withdrawal symptoms, and support recovery. These medications are often used in combination with counseling and therapy.
   
2. Counseling and Behavioral Therapies: Various forms of counseling and behavioral therapies are crucial components of opioid addiction treatment. Cognitive-behavioral therapy (CBT), contingency management, motivational enhancement therapy, and dialectical behavior therapy (DBT) are among the approaches used to address the psychological aspects of addiction and help individuals develop coping skills.
   
3. Support Groups and 12-Step Programs: Participating in support groups like Narcotics Anonymous (NA) or 12-step programs can provide valuable peer support, encouragement, and a sense of community for individuals in recovery.
   
4. Detoxification Programs: Medically supervised detoxification programs help individuals safely manage the acute withdrawal symptoms associated with stopping opioid use. These programs often serve as the initial phase of treatment.
   
5. Residential or Inpatient Treatment: Inpatient treatment programs provide a structured and supportive environment for individuals to focus on recovery. These programs may include a combination of medical supervision, counseling, and therapeutic activities.
   
6. Outpatient Treatment: Outpatient programs allow individuals to receive treatment while living at home. This flexibility can be beneficial for those with work or family commitments. Outpatient treatment often includes counseling, therapy, and medication management.
   
7. Holistic and Alternative Therapies: Some individuals find benefit from holistic approaches, such as acupuncture, yoga, meditation, or mindfulness practices. These can complement traditional treatment modalities and contribute to overall well-being.
   
8. Peer Recovery Support Services: Peer recovery support services involve individuals with lived experience in recovery providing support, guidance, and encouragement to others going through similar challenges.
   

The most effective treatment plans are often individualized, taking into account the specific needs, preferences, and circumstances of each person. Collaborating with healthcare professionals to develop a comprehensive and tailored approach can significantly enhance the chances of successful recovery from opioid addiction.
The withdrawal timeline for fentanyl, a potent synthetic opioid, can vary among individuals based on factors such as the duration and intensity of use, individual metabolism, and overall health. Fentanyl withdrawal symptoms typically start shortly after the last dose and follow a general timeline:

1. Early Symptoms (Within a few hours): Early withdrawal symptoms may include anxiety, restlessness, sweating, and increased heart rate. Individuals may also experience muscle aches and insomnia.
   
2. Peak Intensity (24-72 hours): Withdrawal symptoms usually peak within the first 24 to 72 hours after discontinuing fentanyl. During this time, individuals may experience more intense symptoms such as nausea, vomiting, diarrhea, abdominal cramps, dilated pupils, and flu-like symptoms.
   
3. Subsiding Symptoms (5-7 days): The most acute withdrawal symptoms generally begin to subside within about five to seven days. However, some symptoms, such as insomnia, anxiety, and mood swings, may persist for a more extended period.
   
4. Post-Acute Withdrawal Syndrome (PAWS): Some individuals may experience a more prolonged period of withdrawal symptoms known as post-acute withdrawal syndrome (PAWS). This can include lingering psychological symptoms such as anxiety, depression, irritability, and difficulty concentrating. PAWS can persist for weeks or even months.
   

It's crucial to note that fentanyl withdrawal can be challenging, and seeking professional help is recommended to manage symptoms safely and effectively. Medical supervision can provide support through the detoxification process, and healthcare professionals may use medications to alleviate specific withdrawal symptoms and improve the overall comfort of the individual.
The withdrawal process is highly individual, and some individuals may find additional support through counseling, therapy, and participation in support groups to address the psychological aspects of recovery. Always consult with healthcare professionals for guidance on the safest and most effective approach to fentanyl withdrawal.
Xylazine is a veterinary sedative and analgesic medication. It belongs to the class of drugs known as alpha-2 adrenergic agonists. While it is primarily intended for veterinary use, xylazine has been misused in some cases for recreational purposes, particularly in combination with other substances.
In veterinary medicine, xylazine is commonly used as a sedative and muscle relaxant for various procedures, including surgery and diagnostic imaging. It is often administered to calm and immobilize animals.
However, the use of xylazine outside of veterinary settings, especially when combined with other drugs, can pose serious health risks. Misuse of xylazine has been associated with adverse effects, including respiratory depression, cardiovascular issues, and central nervous system depression.
It's important to emphasize that the use of xylazine for recreational purposes is highly dangerous and illegal. The drug is not intended for human consumption, and its effects can be unpredictable and potentially life-threatening.
If you have concerns about substance use or encounter situations involving illicit drugs, it is crucial to seek help from healthcare professionals, addiction specialists, or local support services. Misuse of veterinary drugs or any substances not prescribed for human use can have severe consequences and should be avoided.
PAWS stands for Post-Acute Withdrawal Syndrome. It refers to a set of prolonged withdrawal symptoms that some individuals may experience after the acute phase of withdrawal from substances like opioids, benzodiazepines, or alcohol. PAWS is not limited to a specific substance and can occur with various drugs.
These symptoms are generally more subtle than the acute withdrawal symptoms but can persist for weeks, months, or, in some cases, years after discontinuing substance use. PAWS can vary widely among individuals and may include symptoms such as:

1. Mood swings
2. Anxiety
3. Irritability
4. Insomnia
5. Fatigue
6. Difficulty concentrating
7. Memory problems
8. Reduced impulse control
9. Cravings for the substance

PAWS can be challenging for individuals in recovery, as these lingering symptoms may contribute to relapse if not effectively managed. Supportive interventions, such as counseling, therapy, and participation in support groups, can be beneficial for individuals experiencing PAWS. Healthy lifestyle choices, including regular exercise, proper nutrition, and adequate sleep, may also contribute to the overall well-being of those in recovery.
It's important to note that PAWS is not experienced by everyone in recovery, and its severity and duration can vary. Seeking guidance from healthcare professionals or addiction specialists can assist individuals in managing PAWS and maintaining long-term recovery.
Quitting substance use "cold turkey" involves stopping the use of a substance abruptly without tapering or gradually reducing the dosage. It's important to note that quitting cold turkey can be challenging, and the level of difficulty varies depending on the substance, the duration and intensity of use, and individual factors.
If you're considering quitting a substance cold turkey, here are some general recommendations:

1. Seek Professional Guidance: Before making the decision to quit cold turkey, it's advisable to consult with a healthcare professional or addiction specialist. They can provide guidance based on your specific situation, assess potential risks, and offer support.
   
2. Create a Support System: Inform friends, family, or a support network about your decision to quit. Having a support system in place can provide encouragement, understanding, and assistance during challenging times.
   
3. Understand Withdrawal Symptoms: Be aware of potential withdrawal symptoms associated with quitting the substance cold turkey. Withdrawal symptoms can vary depending on the substance but may include anxiety, irritability, insomnia, and other physical or psychological effects.
   
4. Stay Hydrated and Nourished: Maintaining proper hydration and nutrition is crucial during the quitting process. Stay hydrated by drinking water and consuming a balanced diet to support your overall well-being.
   
5. Exercise: Engage in regular physical activity. Exercise can help alleviate stress, improve mood, and contribute to your overall physical and mental health.
   
6. Consider Professional Treatment: Depending on the substance and the severity of dependence, professional treatment options, such as inpatient or outpatient programs, may be beneficial. Medical supervision can assist in managing withdrawal symptoms and ensuring safety.
   
7. Therapy and Counseling: Consider participating in therapy or counseling to address the underlying factors contributing to substance use and to develop coping strategies for a successful recovery.
   
8. Plan for Triggers: Identify situations, environments, or emotions that may trigger the urge to use the substance. Develop a plan to cope with these triggers without resorting to substance use.
   

It's essential to approach quitting any substance with a comprehensive strategy, and individual circumstances vary. Seeking professional advice ensures that you make informed decisions about the best approach for your specific situation. If you are experiencing severe withdrawal symptoms or have concerns about quitting cold turkey, it is crucial to consult with a healthcare professional for guidance and support.
Tapering refers to the gradual reduction of the dosage of a substance, typically a medication or a drug, over a specific period. Tapering is commonly used in the context of addiction treatment, where it involves slowly decreasing the amount of a substance to manage withdrawal symptoms and minimize the risks associated with abrupt discontinuation.
Key points about tapering include:

1. Medication-Assisted Treatment (MAT): Tapering is often part of medication-assisted treatment for substance use disorders. For example, individuals dependent on opioids might undergo a gradual tapering of medications like methadone or buprenorphine.
   
2. Reducing Dependence: Tapering is employed to reduce physical dependence on a substance by allowing the body to adjust to lower levels gradually. This helps minimize the severity of withdrawal symptoms.
   
3. Individualized Approach: Tapering plans are typically individualized based on factors such as the substance used, the duration and intensity of use, and the individual's overall health. Healthcare professionals design tapering schedules to meet the specific needs of each person.
   
4. Supervised Tapering: Tapering is ideally done under the supervision of a healthcare professional to ensure safety and effectiveness. This is particularly important in cases where abrupt discontinuation could lead to severe withdrawal symptoms or complications.
   
5. Psychological Support: Tapering is not only about physical adjustments but also addresses psychological aspects of dependence. It provides individuals with an opportunity to develop coping skills and strategies for managing life without reliance on the substance.
   
6. Preventing Relapse: Gradual tapering can help reduce the risk of relapse by easing the transition to complete abstinence. It gives individuals the time and support needed to adjust to life without the substance.
   

Tapering is a careful and structured process that should be guided by healthcare professionals. Abruptly stopping certain substances can lead to severe withdrawal symptoms and potential health risks. Seeking professional advice and support is crucial for a safe and successful tapering process, whether it's part of addiction treatment or the discontinuation of a prescribed medication.
Engaging in activities during withdrawal can help distract from symptoms, provide a sense of accomplishment, and contribute to overall well-being. Here are some ideas for keeping busy during withdrawal:

1. Reading: Escape into a good book or explore topics of interest to keep your mind occupied.
   
2. Movies or TV Shows: Watch movies or binge-watch a TV series to pass the time. Choose lighthearted or inspirational content.
   
3. Exercise: Engage in gentle exercises like walking, yoga, or stretching. Exercise can help improve mood and alleviate some withdrawal symptoms.
   
4. Creative Hobbies: Explore creative outlets such as drawing, painting, writing, or playing a musical instrument.
   
5. Mindfulness and Meditation: Practice mindfulness or meditation techniques to calm the mind and reduce stress.
   
6. Gardening: Spend time outdoors, tending to a garden or plants. Nature can have a positive impact on mood.
   
7. Puzzle Games: Solve puzzles, play Sudoku, or engage in other mentally stimulating games.
   
8. Listening to Music or Podcasts: Create playlists of your favorite music or listen to podcasts on topics of interest.
   
9. Cooking or Baking: Experiment with new recipes and treat yourself to nourishing meals.
   
10. Journaling: Write down your thoughts and feelings. Keeping a journal can be therapeutic during withdrawal.
    
11. Educational Courses: Take online courses or watch educational videos on platforms like Coursera or Khan Academy.
    
12. Board Games or Card Games: Play board games or cards with friends or family for some social interaction.
    
13. Self-Care Activities: Take relaxing baths, practice skincare routines, or indulge in other self-care activities to nurture your well-being.
    
14. Volunteering: If possible, consider volunteering for a cause you're passionate about. Helping others can be rewarding.
    
15. Stay Connected: Reach out to friends and family for support. Having a support system is crucial during withdrawal.
    

It's important to choose activities that align with your interests and energy levels. Remember that withdrawal is a challenging time, and it's okay to prioritize self-care. If symptoms become severe or unmanageable, seeking professional help is recommended.

I wrote a Python program that shows you which US state you're closest to anywhere in the world (I won't link it to avoid spamming), but I'm sure someone has already done a much better job of this long before me. Where can I find either code or even a website that lets me draw Voronoi diagrams.
The only thing I'm doing that is "different" is that I'm using spherical distance (great circle distance) and my "points" are actually polygons/regions.
I'm also looking to answer questions like "where is the US closest to the UK?" (where the US and UK Virgin Islands are within a couple of miles of each other), "what's the longest straight line path through the lower 48 states?", "what's the shortest path that touches each of the lower 48 states?", and so on. I know someone's written the software to do all this, I just can't find it.

Hello - I've recently received a PET scan for FUO. Since last July, I've been experiencing right sided abdominal pain which received no diagnosis. Last fall, I became severely ill with GI symptoms (primarily nausea) followed by chest/rib pain and neuro symptoms (shooting pain down right leg, headaches, etc.). My period had completely stopped during this time, which was likely due to the stress my body was under. They've since resumed, albeit painful ovulation and period cycles with frequent bloating all month long. Colonoscopy did not show any reasoning for my extreme bloating or abdominal pain. In January I began experiencing frequent fevers. I ended up with infectious disease and neurology referrals, and after extensive workups that did not provide any insight, we moved forward with a full-body PET Scan. Everything came back normal except the following:
ABDOMEN/PELVIS: In the posterior left adnexal region there is a 43 x 23 mm ovoid low density structure with moderately increased uptake in the peripheral posterior portion maximum SUV 7.7.
IMPRESSION: 1. Moderately increased uptake within the peripheral posterior portion of a 43 x 23 mm ovoid lesion posterior left adnexa. Findings may simply represent a physiologic ovarian cyst within an otherwise somewhat prominent ovary. In this particular patient chronic tubo-ovarian abscess or other fallopian tube or ovarian pathology could be considered. Recommend pelvic ultrasound with transabdominal and transvaginal imaging for further evaluation. 2. No other potential source of fever demonstrated.
________
The thing this I've had two ultrasounds (results below) in the past year, and my current OBGYN was quite dismissive of the results and is insistent that my symptoms are not GYN related. I'm currently waiting to see a new GYN next month, but wondering if this is urgent and should not wait that long. I'm really struggling to go back to my current OBGYN because of my experience there, and I'm not sure she'd do anything with these results. She largely double downed last time that my past US results were not a cause for worry or concern, and to manage with OTC pain relievers. No further action or testing needed.
Could the ultrasound and a CT (in relation to abdominal pain) I've had missed this?
Would love to know based on your experiences, how hard I should advocate for myself and if there's any specific testing I should explicitly ask for.
I have alot of medical fatigue and feel dismissed despite feeling so awful all the time. If you've read this far, thank you and sorry for the novel.
________
February 2024 Ultrasound:

• Myometrium: Single fibroid seen
• Right ovary: appears normal with a 21mm hemorrhagic corpus luteum containing retracting clot
• Endometrial thickness, total 4.9mm
• Endometrium: within normal limits
• Fibroids:
  • Uterine fibroid D1 11 mm
  • Uterine fibroid D2 8 mm
  • Uterine fibroid D3 9 mm
  • Uterine fibroid mean 9.3 mm
  • Uterine fibroids findings: Intramural. Anterior. Right lateral wall

November 2023 Ultrasound:

• Uterus
  • Endometrium: 4 mm cyst , no solid masses
  • Endometrial thickness, total 9.8 mm
  • Fibroids: Fibroids identified
    • Uterine fibroid D1 30 mm
    • Uterine fibroid D2 25 mm
    • Uterine fibroid D3 25 mm
    • Uterine fibroid mean 26.7 mm
    • Uterine fibroids findings: transmural FIGO 2-5 with 10 mm cyst
  • Right Ovary:Appears normal
    • Rt ovary D1 27 mm
    • Rt ovary D2 30 mm
    • Rt ovary D3 12 mm
    • Rt ovary Vol 5.1 cm³
  • Left Ovary: Appears normal
    • Lt ovary other findings: seen transabdominally only
  • Left Tube: Size 38.0 mm x 18.0 mm x 24.0 mm
  • Impression: 1. Heterogeneous mildly thickened endometrium with a 4 mm cyst. Clinical correlation recommended for potential hyperplasia or polyp. If clinically appropriate, repeat ultrasound could be performed in 4-6 months to evaluate for persistence. 2. Findings cost consistent with a degenerated fibroid. 3. Normal ovaries.

Hi all,
I'm currently in the process of making a small Minecraft map of a typical Lower Egyptian village, from the Middle Kingdom period. The problem I am currently facing, is that of irrigation and canals. However, I am unable to find any descriptions or diagrams of how Irrigation was utilized in the Nile Delta region, as most online sources seem to focus on the form of basin irrigation used in Upper Egypt.
On a side note, how were Ancient Egyptian agricultural communities/villages located in relation to the Nile? Were they built along the banks of the Nile, or more in-land?? Where were Cemeteries built in the Nile delta; In Upper Egypt from what I can find, cemeteries were generally built in the desert outskirts.
Any help regarding any of these questions would be much appreciated. Thank you all.

20F, diagnosed in January, but flaring since fall 2023:
I need input from y'all about whether to keep on with Entyvio or to switch to Remicade. I had my first Entyvio infusion just over a week ago, so I need to make the decision relatively quickly. Other treatments (steroid/ mesalamine) have been unsuccessful, so biologics are the necessary medication at this point. After hospitalization from dehydration/anemia in the end of April, I worked with my GI in Indiana and we decided to start Entyvio.
I had my first infusion as I was finishing up final exams for college. The following weekend, still in Indiana but a different region, I began having excruciating abdominal cramps, and being away from my normal location, I decided to go to the ER and was admitted again for 2 nights. I left to keep an appointment with a specialist at the digestive disease and surgery institute at Cleveland Clinic in Ohio (my GI docs in Indiana are not disease specialists). I was treated with IV methylprednisolone during both hospitalizations and an oral prednisone taper after. After release from the hospital this last time, I have swelling in my knees that was quite noticeable, I couldn't comfortably bend my knees more than a few degrees. I have had knee pain for many years, but not stiffness/ swelling. After reporting this symptom, the GI suggested I switch to Remicade and azathioprine as a different treatment course.
I don't know if that's what I want to do, though. Based on what I know, Entyvio is much more gut targeted, so it has fewer side effects and is a somewhat safer medication in that way, but because of that, it wouldn't help with extra-intestinal manifestations like joint pain. I don't really feel that the joint pain is a symptom of the UC, though, so I am hesitant to change my course of treatment to a medicine with more side effects, especially since I've already started the Entyvio.
I could keep on Entyvio and switch to Remicade if I don't improve, but I am a student (chemistry major) and my education would be at risk if I am not improving by the fall.
TLDR: Do I switch to Remicade and take the risk of side effects or stay with Entyvio and risk further delay in remission.
This has all been a lot for me mentally and physically, and things have really escalated lately, so I'm just at a loss of what to do.

3 Reasons Why 10 Minute Ab Workouts Are A Scam, and a starter tool to get your fitness journey rolling along!***
https://amzn.to/49rTR6q Adjustable Dumbbell Set For At Home!!

1. Duration- Are you shocked? Let's be serious- whenever has 10 minutes been enough to induce actual, significant, muscle development or fat loss. The abdominals are all about tone, and you can't burn nearly enough calories in 10 minutes to actually lose fat
2. Stimulus- The general rule for all muscle building is to ensure that you train close to failure for a reasonable amount of volume. If you do a 10 minute circuit, nothing is being trained to failure, and there is no structure in the program to measure progress
3. Context- People think that Ab Workouts are what make the abs visible. In fact, caloric deficits make the abs visible. The abdominals are hidden under a layer of fat in the stomach region, so doing ab workouts may improve their tone, but not necessarily their visibility

My 3 year old daughter had an elevated calprotectin level of160 in November..it wasn't too concerning, but doctor repeated it a few weeks later and it had jumped to almost 700! We then did an EGD/colonoscopy. Results were normal, so still no answers. She just had an MRI and these are the results. I know everything is normal, but the lymph node part is concerning. Im hoping it's nothing, but it still doesn't explain the elevated calprotectin and chronic diarrhea.
PROCEDURE: MRI abdomen and pelvis with and without contrast.

 HISTORY: Abdominal pain and diarrhea. COMPARISON : None. FINDINGS : Exam was performed with MR enterography protocol. Initial precontrast axial and coronal sequences were obtained after patient ingested one-2 L of water. This was followed by postcontrast coronal and axial weighted lava sequences . Patient was also injected with 0.4 mg of glucagon intravenously prior to scanning. Exam was monitored by pediatric radiologist during the entire study. The initial images show no hydronephrosis. The liver, gallbladder, pancreas and spleen are normal. Bladder is normal in contour. No renal masses. Large amount of stool fills the colon. Appendix is visualized and is normal. Mildly prominent mesenteric lymph nodes near the ileocecal valve region No necrotic changes within these nodes. Nodes Measure between 1-2 cm. No dilated loops of large or small bowel. No small bowel bowel wall thickening or edema in the mesentery. No wall thickening seen within the colon. The terminal ileum is unremarkable. In the perianal region, there is no edema or fluid signal to indicate active inflammation. No abnormal enhancement. Minimal bibasilar atelectasis. IMPRESSION: MR enterography showing large amount of stool throughout the colon with prominent 1-2 cm lymph nodes predominantly in the right lower quadrant. No bowel wall thickening or inflammatory change identified. No ascites. No suspicious changes in the terminal ileum. 

A laparoscopic surgeon is a medical professional who specializes in performing surgical procedures using minimally invasive techniques known as laparoscopy. Laparoscopy involves making small incisions in the abdomen through which specialized surgical instruments and a tiny camera (laparoscope) are inserted to visualize and operate on internal organs.

Here's what a laparoscopic surgeon typically does:

1. Preoperative Assessment: Before the surgery, the surgeon will evaluate the patient's medical history, perform a physical examination, and may order diagnostic tests such as imaging studies to assess the condition of the organs requiring surgery.
2. Surgical Planning: Based on the patient's condition, the surgeon will develop a surgical plan outlining the specific procedure and steps involved. They will also discuss the risks, benefits, and possible alternatives with the patient.
3. Anesthesia: During the surgery, the patient will receive anesthesia to ensure they are comfortable and pain-free. Laparoscopic surgeries are usually performed under general anesthesia, although sometimes regional or local anesthesia may be used.
4. Port Placement: The surgeon will make several small incisions (usually less than an inch in length) in the abdominal wall, through which trocars (hollow tubes) are inserted. These serve as entry points for the laparoscope and surgical instruments.
5. Visualization: The laparoscope, equipped with a light source and camera, is inserted through one of the ports to provide a magnified view of the internal organs on a monitor in the operating room. This allows the surgeon to see the surgical site clearly and perform the procedure with precision.
6. Surgical Manipulation: Using specialized instruments inserted through the other ports, the surgeon performs the necessary surgical manipulations, such as cutting, suturing, or removing tissue or organs. Laparoscopic instruments are designed to mimic the movements of the surgeon's hands with enhanced dexterity and control.
7. Closure: Once the procedure is completed, the instruments are removed, and the small incisions are closed with sutures or surgical glue. In some cases, absorbable sutures or adhesive strips may be used.
8. Postoperative Care: After the surgery, the patient is monitored closely in the recovery area to ensure they are stable. The surgeon will provide instructions for postoperative care, including wound care, pain management, and activity restrictions.

Laparoscopic surgery offers several advantages over traditional open surgery, including smaller incisions, reduced postoperative pain, shorter hospital stays, and faster recovery times. It is commonly used for a variety of procedures, including gallbladder removal, appendectomy, hernia repair, and gynecological surgeries like hysterectomy and ovarian cystectomy.

What is Sumatra Slim Belly Tonic?

Sumatra Slim Belly Tonic is a natural formula that supports healthy weight loss using 100% plant-based ingredients. It works by addressing the root cause of stubborn weight gain which is found to be blue light exposure and lack of N-REM sleep.
Sumatra Slim Belly Tonic is made with eight natural ingredients that are 100% non-GMO. The supplement can be consumed in easy-to-mix powder form and each bottle is sufficient for a month’s consumption.
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Some people still swear up and down that ivermectin is actually effective against COVID-19. This is false. They also insist ivermectin has far fewer side-effecs than the Coronavirus vaccine. This is also false. I'm going to prove it to you, but whether you are capable of accepting evidence such as listed below is something I obviously have no control over. I can try, and you can keep an open mind.
First of all, ivermectin has many side-effects, ranging from innocuous to severe.^[1]
To wit:

General

Ivermectin is well tolerated compared to other microfilaricidal agents (i.e., thiabendazole, diethylcarbamazine). Adverse reactions (i.e., pruritus, fever, rash, myalgia, headache) occur commonly during the first 3 days after treatment and appear to be related to the extent of parasitic infection and systemic mobilization and killing of microfilariae. The majority of reactions can usually be treated with aspirin, acetaminophen and/or antihistamines. Adverse effects tend to occur with lesser frequency during periods of retreatment.

Ocular

Ocular side effects have included eyelid edema, anterior uveitis, blurred vision, conjunctivitis, limbitis, punctate opacity, keratitis, abnormal sensation in the eyes, and chorioretinitis/choroiditis; however, these effects are also associated with the disease onchocerciasis. Loss of vision has occurred rarely but usually resolved without corticosteroid treatment. Conjunctival hemorrhage has been reported during postmarketing experience in patients treated for onchocerciasis.

Other

Worsening of Mazzotti reactions, including arthralgia, synovitis, lymph node enlargement and tenderness, pruritus, skin involvement (including edema, papular and pustular or frank urticarial rash), and fever, has been reported during the first 4 days following treatment for onchocerciasis.

Nervous system

Nervous system side effects have included dizziness, headache, somnolence, vertigo, and tremor. Serious or fatal encephalopathy has been reported rarely in patients with onchocerciases, and heavily infected with Loa loa, either spontaneously or after treatment with ivermectin. Seizures have been reported during postmarketing experience.

Gastrointestinal

Gastrointestinal side effects have included anorexia, constipation, diarrhea, nausea, vomiting, and abdominal distention.

Other

Other side effects have included asthenia, fatigue, abdominal pain, chest discomfort, facial edema, and peripheral edema.

Hematologic

Hematologic side effects have included decreased leukocyte count (3%), eosinophilia (3%), and increased hemoglobin (1%). Hematomatous swellings associated with prolonged prothrombin times have been reported, but the clinical significance is unknown. Leukopenia and anemia have been reported in at least one patient.

Hepatic

Hepatic side effects have included elevated ALT and/or AST. Elevated liver enzymes, elevated bilirubin, and hepatitis have been reported during postmarketing experience.

Cardiovascular

Cardiovascular side effects have included tachycardia and orthostatic hypotension. EKG changes, including prolonged PR interval, flattened T waves and peaked T waves, have been reported in single cases. Hypotension (primarily orthostatic hypotension) has been reported during postmarketing experience.

Dermatologic

Dermatologic side effects have included pruritus, rash, and urticaria. Toxic epidermal necrolysis and Stevens-Johnson syndrome have been reported during postmarketing experience.

Respiratory

Respiratory side effects have included worsening bronchial asthma, laryngeal edema, and dyspnea.

Musculoskeletal

Musculoskeletal side effects have included myalgia.

Renal

Renal side effects have included rare transient proteinuria.
I tried to get incidence rates for these side-effects, but in some if not most instances, the answer given for these side-effects is either simply "unknown" or they're just not shown. Imagine telling this to anti-vaxers: if they have at least a consistent set of beliefs, this should deeply alarm them, shouldn't it?
Some people actually did take the horse dewormer version out of sheer desperation and got really sick, were hospitalized or worse: they died.

1. In New Mexico, two people died after taking a deworming drug for horses and other livestock to treat COVID-19.^[2]
2. The FDA received multiple reports of patients who required medical support and hospitalization after self-medicating with Ivermectin intended for horses.^[3]
3. There was a significant increase in calls to poison control centers due to misuse of Ivermectin. Texas saw a 550% spike in poison control calls due to people ingesting horse and cow dewormer.^[4]
4. People poisoned themselves with the horse-deworming version to thwart COVID-19, resulting in an uptick in calls to poison control centers.^[5]

Ivermectin was consistently found to be ineffective in treating COVID-19:

1. A systematic review and meta-analysis published in the Virology Journal evaluated the efficacy of Ivermectin for COVID-19 patients based on current peer-reviewed RCTs. The study concluded that Ivermectin did not have any significant effect on outcomes of COVID-19 patients.^[6]
2. A Cochrane meta-analysis of 11 eligible trials examining the efficacy of Ivermectin for the treatment of COVID-19 published through April 2022 concluded that Ivermectin has no beneficial effect for people with COVID-19.^[7]
3. An article published in the Journal of the American Medical Association (JAMA) concluded that taking 400 mcg/kg Ivermectin for three days, when compared with a placebo, did not significantly improve the chances for a patient with mild to moderate symptoms of COVID-19 to avoid hospitalization.^[8]
4. A study published on News Medical concluded that in COVID-19 outpatients with mild or moderate illness, Ivermectin use for three days at a dose of 400 μg/kg showed no significant improvement in the time to sustained recovery compared to those who received placebos.^[9]

The unwarranted hype surrounding ivermectin can be traced back to its promotion on the Joe Rogan Experience.^[10]

Public interest in ivermectin ballooned following Joe Rogan’s podcasts. “On a national level Rogan’s podcast was a tipping point,” said Keenan Chen, an investigative researcher with First Draft News, an organization that tracks misinformation. (Rogan, who has previously expressed hesitancy to vaccines, announced in September he had contracted Covid-19. He claimed to be taking ivermectin among several other treatments.)

Joe Rogan took a cocktail of Big Pharma^tm meds which, with the exception of monoclonal antibodies, were not indicated for his situation. In fact, some of the medication he took could have made things worse.^[11] Rogan probably didn't get seriously ill because he's fit and without significant comorbidities. The one thing that would have actually been the most effective was the vaccine, which he refused to take.
Many others weren't as lucky as Joe was. I suggest you follow the footnotes and see for yourself. Especially the first one.^[12][13]
Other than ivermectin, coronavirus vaccines are also a subject both Joe Rogan and his guests have shamelessly lied about numerous times, which could have caused medical harm to people who bought into it, and probably did. The most prominent guest which comes to mind is RFK Jr.
RFK Jr.'s influence is so odious, I am comfortable saying he probably contributed to thousands of unnecessary deaths in total. One incident in which 83 people (mostly children) died is particularly disgusting:^[14]

In June 2019, Kennedy and his wife, the actress Cheryl Hines, visited Samoa, a trip Kennedy later wrote was arranged by Edwin Tamasese, a Samoan local anti-vaccine influencer.
Vaccine rates had plummeted after two children died in 2018 from a measles vaccine that a nurse had incorrectly mixed with a muscle relaxant. The government suspended the vaccine program for months. By the time Kennedy arrived, health authorities were trying to get back on track.
He was treated as a distinguished guest, traveling in a government vehicle, meeting with the prime minister and, according to Kennedy, many health officials and the health minister.
He also met with anti-vaccine activists, including Tamasese and another well-known influencer, Taylor Winterstein, who posted a photograph of herself and Kennedy on her Instagram.
“The past few days have been profoundly monumental for me, my family and for this movement to date,” she wrote, adding hashtags including #investigatebeforeyouvaccinate.
A few months later, a measles epidemic broke out in Samoa, killing 83 people, mostly infants and children in a population of about 200,000.
Public health officials said at the time that anti-vaccine misinformation had made the nation vulnerable.
The crisis of low vaccination rates and skepticism created an environment that was “ripe for the picking for someone like RFK to come in and in assist with the promotion of those views,” said Helen Petousis-Harris, a vaccinologist from New Zealand who worked on the effort to build back trust in the measles vaccine in Samoa.
Petousis-Harris recalled that local and regional anti-vaccine activists took their cues from Kennedy, whom she said “sits at the top of the food chain as a disinformation source.”
“They amplified the fear and mistrust, which resulted in the amplification of the epidemic and an increased number of children dying. Children were being brought for care too late,” she said.

The pandemic is over. Ivermectin wasn't effective. On the one hand we should move on, on the other hand, there should be some accountability for people who pushed this lie, especially those who benefited from it financially.^[10][15]
[1] Drugs.com - Ivermectin Side Effects
[2] USA Today - 'A serious issue': New Mexico health officials suspect two people dead from ivermectin poisoning
[3] Global News - FDA warns Americans to stop taking horse dewormer for COVID-19: ‘You are not a horse’ (Some anti-vaxers counter that the FDA lost a court battle about ivermectin, proving that it works - this is false)
[4] USA Today - Fact check: 590% jump in poison control calls about ivermectin seen in Texas
[5] Ars Technica - More people are poisoning themselves with horse-deworming drug to thwart COVID
[6] Virology Journal - Ivermectin under scrutiny: a systematic review and meta-analysis of efficacy and possible sources of controversies in COVID-19 patients
[7] JAMA Network - At a Higher Dose and Longer Duration, Ivermectin Still Not Effective Against COVID-19
[8] KU Medical Center - Ivermectin shown ineffective in treating COVID-19, according to multi-site study including KU Medical Center
[9] News Medical - Ivermectin is ineffective in non-severe COVID-19 patients according to new study
[10] The Guardian - Ivermectin frenzy: the advocates, anti-vaxxers and telehealth companies driving demand
[11] Doctor Mike - Here's Why Joe Rogan's COVID Treatment Is Problematic
[12] /JamiePullDatUp - "I made a terrible mistake" vs. "I'm still not a 100% sold on the inoculation" - videos of unvaccinated COVID-19 patients in the hospital
[13] /HermanCainAward
[14] AP - RFK Jr. spent years stoking fear and mistrust of vaccines. These people were hurt by his work
[15] Time - ‘What Price Was My Father’s Life Worth?’ Right-Wing Doctors Are Still Peddling Dubious COVID Drugs

I had this dream recently, it was very detailed. Like the plot of a movie. I can't stop thinking about it. I wish I had kept dreaming to learn more... Came here because I had to document it.
My dream;
I was an observer, not a participant. I was transported back to ancient Egypt. There was a confrence of sorts. A large body of people, maybe a governmental body? had gathered to hear a person make the case to the Queen that he knew how to find and access an ancient treasure. From my perspective, I got to see over his shoulder as he showed a map to the Queen. The place in question was a weathered and worn pyramid like structure that was more akin to a massive mound or a small mountain. It was somewhere within the borders of Egypt, in the wilds. But this man knew where it was, he was an engineer or something. Excitedly he explained how they could access the chamber inside the top of this mountain. He showed diagrams of the tunneling they would undertake, to dig up from the base of the mountain and into the chamber from below. He explained that there were already small cave systems with entries at the base of the mountain, which indicated to him that this was indeed the site of ancient activity, and from which he would gain a great advantage in his endeavor.
From my 3rd person perspective, I could see what he was talking about clearly. And indeed, an ancient chamber existed in what appeared to be a mountain that was roughly the shape of a steep pyramid. I was unable to discern what lay inside. As the Queen blessed off on his plans, and the congress of people within the large gathering area began to approach in order to better acquaint themselves with the plan, I was suddenly transported to an even more ancient time.
Now, keep in mind I started this journey in ancient Egypt. So, from this point I transported thousands of years further into the past. I was under the impression that it had been 25,000 years prior to the scene I had just witnessed.
Now I was suddenly observing the ancient civilization that had created the chamber. I sensed I was in the same region that would someday be Egypt. The land was verdant and deep green with long grasses and dotted with trees, not unlike a very lush savannah. The temperature was balmy. Greens with a brilliant blue sky dominated the scene. In the distance dark brown rocky spires rose out of the landscape, dotted on the tops and upon their outcroppings hung trees and grasses.
My focus settled on a cluster of large, pyramid-like structures. I saw these from above as the new scene came into my focus and observation. The structures were, as I said, Pyramid like. But imagine the wire structure of a pyramid. They weren't solid. Vertically, the pyramid was segmented into 2 or 3 tiers of broad walkways. The walkways formed a square. In the middle were the stairways that led up to the various tiers of walkways. All elements of the structures were broad. The beams that made up the four edges were made a very thick, dark gray material. Like a carbon fiber. The walkway floors were like a dark tinted transparent material, with side walls/rails that were made of the same material as the walkways. There were four stairways from the ground that led up to an intermediate platform, where the stairways reversed direction up to the walkways, therefore each ground stairway entry onto the intermediate platform was flanked on either side by a set of stairs leading the opposite way up to the main platforms.
On the broad walkways/platforms, which were open in the middle to look down at the intermediate platform/stairways below, were people. Humans. Working and living on the platforms. It appeared that there were vendors and shops/kiosks. There also appeared to be living accommodations either out in the open or sheltered in smaller sub structures. The pyramid was massive, with ample room for several 100's of people. I never got close enough to see in detail the people themselves, but they wore what appeared to be modern clothing, and in many cases what appeared to be dark gray uniforms. I didn't see the details, but I sensed vehicles at the base of the pyramid, with worn paths through the grasses off to points in the distance and other similar pyramids in the vicninity.
From my perspective, it seemed there were 3 to 4 of these structures in the area. In the back of my head, I was aware that this region contained the only human activity on the surface on the planet.
I was also aware of the presence of a large body of water. An ocean somewhere in the distance.
Without transition I was suddenly looking at the ancient mound that had been in question at the beginning of my dream. Except it wasn't ancient. It was manufactured and sculpted by human hands. It was made as much out of rock as it was the same material I saw at the modern pyramids, I had this awareness that the material was transitioning to rock, as if it adopted the properties of the materials it was attached to. It seemed as if they had somehow shaved down a larger mountain to affect the shape that they had sought. The chamber had large slits around the circumference (the chamber within was round) which let light in and in some cases allowed one to look out at the surrounding landscape.
I was made aware of a family as I took in this scene. The family apparently were the caretakers of this facility. Two adults and two children. They seemed happy. The parents both wore the uniform I had seen earlier. It was sharp, and colored dark grey with light grey accents. They had a living quarter that was affixed to the side of the facility in a way I couldn't quite understand. The structure also seemed metalic but not the same material as I had seen thus far. In this part of the dream I became well acquainted to them, not personally, but in understanding their day to day activities, giving way to my understanding of them as caretakers.
As my perspective moved through the facility I realized there was not yet a treasure, but what appeared to be supplies for a colony. Lots of cans of fuel and food stuffs and other random equipment that I couldn't understand the use of. From my 3rd person perspective I understood that this would be the site that the future Egyptians would eventually access, and indeed there would be some valuable treasure, the contents of which eluded my understanding, held within this very chamber after it had long been sealed.
I got to see the detailed life of this family, and interestingly their living accomodation which as I said was somehow affixed to the side of the chamber in a way that I couldn't discern or undesrtand, which itself was atop the mountain/structure. Beyond, visible through the large windows of their living quarters was the ocean that I had sensed earlier. Their living chamber was large and spacious. The side opposite the chamber was facing a dark greenish/gray roiling ocean, with yet still more spires in the distance sticking out of its waves - except these were dark grey, craggy and devoid of any vegetation. The waves that crashed at their bases seemed angry. I understood immediately that this was an ancient ocean that would not exist during the time of the Egyptians
I was surprised to see a platform outside the large windows which docked vehicles. They appeared to be classic ATVs (like your average four-wheel ATV with handlebars) except these vehicles, despite their four wheels had some apparatus affixed to it, around its entire circumference that I immediately understood allowed this vehicle to fly using some method I could not understand. There was a name brand affixed to what I understood to be the gas tank, a name which I can't recall. But it indicated mass production and greater civilization.
I was suddenly aware of the presence of multiple chamber mountains on either side of the one I was observing, and each had a care-taker family with one or multiple of these vehicles. And still, it felt like there could be more facilities that I was not aware of. For some reason, having observed these vehicles I suddenly came to an understanding that the presence of these people, and the infrastructure they had built, was in support of some sort of mining or extraction. That everything was one collective enterprise. I was not privy to what it was, or how involved it was, how long it would take or had taken to that point. But I did have the sudden understanding that, though these were humans, they were not from earth. That this was a mining colony that had a certain amount of time to accomplish whatever it was they were sent here to extract.
Simultaneously, I was able to understand vaguely a connection between this people, and future humans. Without understanding the details, I discerned that this group would eventually leave, and the landscape would be altered forever. They would leave a presence on earth, whether by accident, or on purpose, it was unclear to me.
That presence would be the progenitors of modern humans and human civilization as we currently know it. It seemed apparent to me that whatever contingent was left behind after this enterprise would have very little in the way of the technology that I was observing.
This gave me the distinct suspicion that the people who were left were done so by some tragic mistake. But their stories, passed down from generation to generation would at the very least influence the ancient Egyptians. So much so that they themselves would try to emulate the pyramids they had come to understand had existed through the tribal knowledge passed down through generations. And that future peoples would understand that untold wealth and knowledge existed deep within the ancient mountains that had been carved out by the progenitors, thus the initial scenes of my dream where one man and his team of engineers had narrowed down their search and had pinpointed such a mountain, and devised a way that would allow them to access said treasure.
What that treasure would be remained unclear to me throughout the entire dream.
My dream slowly decayed into other less interesting and focused things until I woke up. The progenitors stuck with me and I felt compelled to write it out as it was so fascinating. I had to share.
Thanks for reading if you made it this far.

I was diagnosed with Mycoplasma Genitalium & Ureaplasma. I was prescribed 7 days Doxy twice a day & 7 days of Moxifloxacin. My treatment ended April 3rd.
I’ve been having extreme constipation and abdominal bloating and pain. I feel like the constipation is putting extra pressure on my pelvic region and bladder. I started MiraLax tonight.
How do I help my body recover from these antibiotics? Has this happened to anyone else?