quinn.

sociopath, or what have you.

[grotesqiere]

borderlines stop saying you experience mania challenge. mania ≠ euphoria. idiots.

[grotesqiere]

i hate being manic because i start acting so out of character and stop caring about the way people perceive me in situations where i normally would & should care. i genuinely cant control my actions, its so bad.

[grotesqiere]

so how would i personally treat a patient like jeffrey woods? assuming i was a practicing surgeon. first, an emergency tracheostomy would have to be done for this burn victim. hypovolemic shock would be managed via iv fluids. charred / dead skin would then be removed as to prevent sepsis. the eyelid dilemma would be tricky but before a more permanent solution is introduced, i believe i would place membrane grafts over the eyes. to restore ocular protection, an ftsg would be taken from unburned areas (perhaps even from behind the ears, depending on whether the area is intact or not), and his buccal mucosa would be used to line the inner surface of his brand new eyelids. as for his mouth, i would probably have to first trim away necrotic edges of the cuts on the cheeks to expose healthy tissue. a myoplasty would be performed to restore the orbicularis oris and the buccinator muscles. they would be sutured with absorbable stitches. now, if tissue was destroyed, then a nerve graft would have to be taken from, lets say, his leg, to restore basic mouth tone. if the cut was clean (unlikely), then nerve coaptation is possible. to close deep gaps in the cheek, neck tissue would be used to correct the defect and restore a closed oral cavity. thats just the beginning, really, because once the initial wounds are "stable," the loss of facial skin must be dealt with via stsg. then, of course, commissuroplasty to reconstruct the corners of the mouth. more cartilage would be used to reconstruct his nasal cavity, once again, dependent on the damage. 

so what would this hypothetical patient look like afterwards? if i had to guess, his face would consist of thick, multi toned skin grafts. he would be unable to make normal facial expressions due to nerve damage and scar contraction. his face would be very asymmetrical due to the nature of the grafts, especially if they came from different areas of his body. he would have to undergo extensive cartilage reconstruction, otherwise his nose or even his ears would look flattened / reduced. his lips would be heavily scarred, and his mouth would succumb to microstomia. further surgical attention would be required for him to be able to brush his teeth or even eat solid foods. he could live, but he would require immediate surgical care in order to do so.

[grotesqiere]

i am incredibly interested in creepypastas when it comes to wound analysis. as a pre medical student who has taken health and science courses alongside my own research and experience at the hospital, i love thinking about fictional wounds in more realistic ways. a majority of the ones seen in creepypasta specifically are very possible.. but the complications that come with them are very interesting to think about. for instance, how a glasgow smile would cause excessive drooling in the patient, which only makes jeffrey woods' apparition even grosser to look at. he would also be unable to eat, drink, or speak due to the damage done to the orbicularis oris. or how the burn damage to his skin would result in necrosis that would eventually leave holes in his face. he would also become permanently blind due to bacterial infections his eyelids would have otherwise protected him from. he would pass away between three to seven days.

[grotesqiere]

i turn twenty two soon and i really couldnt care less. however, i am still expecting "happy birthdays" in my mentions. september fifth.

[grotesqiere]

its the same when men attempt to debate abortion, even if they are pro choice. this is not an issue that concerns you so unless you are a woman or hold a medical license, i dont care for your opinion. even if it is the morally correct one, i dont fucking care.

[grotesqiere]

least favourite genre of men : the overly woke ones who get angry with women that are comfortable with voicing opinions on women issues that go against the agreed societal viewpoints...

because why are /you/ (as a man), getting mad at /me/ (a woman) for disliking sex workers? its not slut shaming to express a dislike... especially when you haven't heard my reasoning...

[grotesqiere]

unpopular opinion but any tattoo i have seen on someone ever has always looked trashy to me. i actually do think its a bragging point to not have any and i am glad i never had the urge.

[grotesqiere]

i may not enjoy many things but i sure do enjoy doja cat's hot pink album. as well as agora hills.

[grotesqiere]

i also dont understand the concept of random gift giving. why did you go on vacation, saw something that reminded you of me, and spent your money on it...? it is not a holiday. it is not my birthday. i do not do this with you or anyone really, so why? also, in the best way possible, terrible gifts. please stop giving me things every time you see me.

[grotesqiere]

not to be ungrateful because a gift is gift but why did this girl buy me a pair of earrings when i dont even have my ears pierced 😅.

[grotesqiere]

im on a conference call for work right now and i want to kill myself.

[rigidite-cadaverique]

playing my favorite game: being suspicious of why my mother is being nice to me

[grotesqiere]

i saw this sick doctor easterman and clyde perry cosplay on tik tok to the song "human nature" by madonna and it is now my favourite song because it reminds me so much of that cosplay.

[grotesqiere]

me and my boyfriend dont argue, i threaten to hit him and he just shuts the fuck up.

[grotesqiere]

i just found the blog that is dedicated to hating on npd. im laughing so hard.

[grotesqiere]

i can lift more than my boyfriend can. (manifesting.)