I’m 37. 22st male statins. Basildon hospital. I was working out in a garage for 6 months boxing lost 4 stone from24. I went to the garage to hit the punch bag felt drained 2 o’clock in the morning felt like I was having a heart attack. So went to the hospital for them to say it’s not which is great news but gave me naproxen but I was already taking statins for high cholesterol. 2nd day of taking them I had a really bad reaction. Hives all over face swollen lips. Felt very strange for months afterwards very weak. Throat would go tight and swell after eaten foods and drinks. I thought I was allergic to these. So would get test always come negative then I asked for a full allergies test 10 months ago I’ve been waiting for ten months I had it booked for next month on the 3rd only for the clinic to cancel my appointment that I’ve been desperately waiting for. I’m gutted they have just randomly cancelled. this is Basildon, and honestly I felt like it was keeping me going. 14 months of hell the doctors have been pretty poor to me I never ever go to the doctors until 14 months ago. I’ve had the ambulance out on a number of occasions I’ve been up the hospital during the nights because I’ve woken up with tight throat. It’s not strep negative it’s not cobble stone negative the believe it could be allergies they also believe it to be silent reflux had taken medication lanzopro can’t spell very well either lol but was making me unwell, I get blurry vision and was asked to get my eyes tested my eyes haven’t changed and are ok. Burning throat white mucus. Probably unrelated but also started 14months ago right shoulder pain right back of neck pain. Because I’ve been going through this for a long time you can imagine mental stress off my throat closing up and not being able to breathe properly. I’ve taken Antihistamine every day for 14 months I feel like they don’t help. I have had test for pots copd and asthma was all under long Covid testing but the only thing they found was a restriction on my left lung but don’t know what it is. I got referred to respiratory clinic FINALY after 14 months of begging then I got a letter to say it will be October. I’m very depressed on how things are going I’m not getting the correct help the doctors I’ve had to change because the lady wasn’t helping me so I made a complaint and refused to see her and the see the head nurse if that’s a thing she wasn’t much better I said I need test to see what these lumps are it could be a tumour or cancer she laughed at me. I put the phone down check my nhs app online for her to write. patient thinks he has cancer and he would benefit from counselling therapy and now I’m doing therapy second session honestly hand on my heart these gps have really made me feel like I’m going insane at times. Can’t find nothing wrong with me but I’m really unwell with all this. Blury eyes sore tight throat flare up. Itchy skin sometimes swollen tongue itchy skin after shower, hard to swallow at times back of tongue lumps swell red spots on tongue keep having white film over tongue white mucus over throat fatigued every day. Wake up during the night with tingling arms and shoulders. Was out in the sun the other day few hours my hands burned but felt tingling for days. Very dry hands almost like I was having a reaction from the sun. Im not a praying man but I’ve done a lot of praying this year. Any help suggestions would great be appreciated. I’m at the end with it all.

pt is a 24 year old Black male, 6'3, 226lb, who does not smoke and only drinks occasionally. his only other known medical condition is eczema, which has been a lifelong problem for him. a recent testicular ultrasound revealed a 6mm cyst on the epididymal head of his left testis; there were no other findings of note.
on the 21st of february (2024), pt was exposed to a mystery STI from oral sex with another male [both giving and receiving if that's anything] that seems consistent with syphilis (a single painless spot on his pubic area, lasting about a week; a swollen lymph node in neck; itching, pain, and fissures around the anus; epididymitis; discomfort urinating). however, all syphilis RPR tests administered by his physicians have been negative. he has had four so far: one 8 days after exposure, one 14 days, another at 47, and a fourth at about 81. no other types of syphilis tests have been offered to him so far.
his urinalyses have returned fairly normal with the exception of his bilirubin levels, which have been steadily worsening since april (have slowly gone from 1.1 to 1.6 to 1.8 mg/dL since april 6th). he also consistently shows trace amounts of blood in his urine.
previous attempts to treat his condition with antibiotics (specifically doxycycline, azithromycin, and rocephin; at one point he was also prescribed cipro but that didn't seem to do much) have been successful at alleviating symptoms, but they have always returned within a week or two's time.
this morning, pt was complaining of upper right quadrant pain. the pain reportedly went away with water + a nap, but i'm still worried on his behalf, especially given the heightened bilirubin.
should i drag him to the ER for further evaluation just to be safe?? is there anything else we should be looking for in terms of causes of these symptoms?? thank you in advance for your advice. i've been running myself ragged trying to find a doctor irl whom he can afford + will take his concerns seriously.

Hi I am a 24F 5'4, 140 lbs, and live in USA. No existing medical issues, no smoking or recreational drugs.
I have been having fevers off and on for the past 10 days with the highest getting to 101 as well as night sweats and one swollen lymph node on my left cervical neck. COVID, Flu, RSV, and Mono negative. Should I be concerned? I am also so fatigued I have trouble finishing a shift at work.

Credit to u/SpacePaladin15 for the NOP Universe.
Hey, I hope everyone's doing well!
Today we return to the namesake of this fic, an actual lesson about animals. This one focuses on Koalas! One of Australia's most recognisable critters. I hope you enjoy.
It's hardly worth mentioning, seeing as I'm an infrequent poster at the best of times, but I'll not have another chapter out for a few weeks due to limited free time and devoting most of my writing time to an upcoming ficnapping. Be sure to look out for that!
[First] [Previous] [Next]
Memory transcription subject: Rysel, Venlil Environmental Researcher
Date [Standardised human time]: 8th September 2136
“Koalas!”
Bernard’s energised voice boomed through the air as the classroom's monitor flickered into life, images of this paws lecture topic popping up one after the other until the entire screen was filled with a collage of furry quadrupeds.
Squee! I’ll never get tired of this, it’s all so cool!
As usual the sight of something new stirred immediate discussion, hushed murmurs swelling into vibrant discourse in little more than a heartbeat. Most of the class swiftly huddled together into small herds to bounce ideas around while the rest opted to stick to the solace of their own thoughts as they took in the display.
I’d be quite happy in either situation, though seeing as Sandi had already sunk into deep concentration and Kailo had peeled off to talk with Ennerif and Solenk, it seemed the decision had been made for me on this occasion. Wasting no more time on idle inspection of the people around me, I focused my full attention forward, eager to form first impressions before the lesson began in earnest.
Now then, time to make some educated guesses. What traits does this animal have? I wonder if I’ll get any right this paw?
Professional assumptions went paw-in-paw with the lectures, examining and coming up with hypotheses about the specimens was only natural. Recently however, I’d started to make a little game of it to make things even more interesting than usual. A veritable bonfire of ideas had been set ablaze within me, fueled by my newfound knowledge of Earthen wildlife. Every flash and spark of the flame was a fresh theory I could try to apply to the lectures. It was an invigorating exercise that further stoked my unceasing wonderment.
So far I’d only done this once during the previous class and, to my disappointment, I’d not done too well.
I was right when I guessed that chickens were omnivores, but wrong in my assumption that they could fly. And that red thing on their head, the um… what was it called? The comb! Yes, the comb. I thought that was to attract mates, but it regulates body heat instead. It’s fascinating. Oh! Stars damn it I’m rambling!
I bapped my tail against my leg, the soft thud being just enough to snap me back from my runaway thoughts before I went completely wall-eyed. I was becoming more and more accustomed to getting lost in my own head while remaining conscious of the fact; it was happening so frequently now that it was pretty much impossible not to. Now I was able to pull myself back to the world around me without having to rely on someone else shaking me out of it. Most of the time anyway.
Sandi still keeps an eye on me, and Kailo even decided to help out once without being too snide about it. Anyway where was I? Oh yeah, Koalas.
Glancing at the furred animals, two things immediately stood out. Firstly, their eyes were in a more central position on their face. And second, all the images showed them being on or close to trees. There were other noteworthy observations of course, such as the Koala’s prominent nose and rounded features, but they fell to the wayside as I honed in on these points first.
Hmmm… ok. I already know to discount the idea that they’re predators just from eye position, so let’s get that thought out of here. Maybe omnivorous? Herbivore? Agh no, I can’t just guess that for the sake of guessing, that’s the same problem! Hrm, it’s tough making these assumptions now that everything I thought I knew has been turned on its head.
Nevermind, I’ll focus on the other thing. All the trees make me think they’re arboreal, that seems to be a reasonable assumption. I wonder what else they-
Clearing his throat, Bernard broke my concentration, his call for attention silencing the murmuring conversation and redirecting everyone's focus to the lecturer's podium.
His gaze panned across the room as he waited for everyone to settle, a beaming smile lighting up his face, “As ever I’m delighted to see you all get so into the subject matter from the get go. I’m looking forward to hearing what you were discussing should you wish to share. For now though, how about we get started, hm?”
A chorus of merry bleats rang out from across the audience, ears and tails flicking happily in agreement. Bernard's grin grew in tandem with the class's fervour, clasping his hands together enthusiastically as he launched into the lesson, “Excellent! Then let’s get started.”
The pictures on screen dissolved away until only one remained, enlarging to cover the entire monitor with the fluffy grey face of a Koala peacefully reclining in the crook of a tree.
“Ah, there we are,” Bernard’s baritone timbre drifted through the room as he looked up at the image, his own tone reflecting the relaxed attitude of the animal on screen, “He looks so comfortable doesn’t he? Perfectly at peace with the world, not too surprising considering they sleep almost 20 hours a day. A full paw!”
A wave of beeps and gasps rippled through the herd, punctuated by a single yawn-dressed comment from Rova, “A full paw? Hwuuu… jealous.”
Her drowsy remark elicited several whistling giggles from the herd, Bernard's own jovial chortle joining them as he turned to face her, “Late evening Rova?”
I twisted a little in my seat, panning an eye in Rova’s direction just in time to see her bleary eyes bulge open and her ears shoot up, now intensely aware of the fact she hadn’t been as quiet as she thought she had.
Sitting up abruptly, she hastily tapped down errant tufts of wool that’d flared in surprise as she composed herself, though her nervousness at becoming the centre of the class's attention was still plain for all to hear, “Uh- I um… achem, a little bit yes, um- …sorry. Lokki dragged me out to a movie viewing in the rec centre. It went on pretty late.”
A melodramatic bray from the other side of the room drew everyone's ears away from Rova to the now aghast Lokki, paw splayed across his chest in faux indignation, “Dragged you? Well excuse me for trying to broaden your horizons with human movies. That’ll be the list time I- …Ahaaaa…”
Lokki’s theatrics were cut short by a heavy yawn of his own, a swell of whistling laughter rolling through the herd as vibrant bloom lit up his snout, a sight that elicited a particularly amused bleat from Rova.
Turning away from the duo I looked back at Bernard, pleased to see that he was chuckling along with us. Behaviour like Lokki’s would never have been tolerated in my school and university days but, in stark contrast, Bernard revelled in it, the liveliness of his students fueling his own bombastic style of teaching. It was a pleasant change of pace having a teacher who let us all be ourselves in class; provided we weren’t too disruptive to the lesson plan.
Speaking of which.
His laughter still rumbling through the air, Bernard clapped his hands to pull everyone's focus back to him, “Ok, ok, let’s get back to it then shall we? Rova. Lokki. Hopefully the two of you can stay awake long enough until you can grab yourselves a coffee.”
As the class settled down and the last few giggling beeps petered out, Benard pointed a hand to the screen, “So, the Koala. Let’s start simple shall we? They are herbivorous marsupials native to the eastern and southern coasts of Australia. Easily recognised the world over, they are a well known and beloved symbol of their homeland, along with other animals such as the Kangaroo and the Emu. The former of which you might remember from one of our earlier lectures.”
Indeed I did remember, along with how angry Bernard had gotten after some speh-head had derided the Yotul after he explained how he held specific disdain for such attitudes.
Uuuggghh… I never want to see him angry again. So chilling.
I shook my ears in an effort to dismiss the unpleasant memory, panning my eyes back to the monitor to try and distract myself by inspecting the Koala’s physical appearance once more. Thankfully, by some Star's blessed intervention, Bernard had the exact same idea.
“Koala’s are rather squat in stature, ranging around sixty to eighty-five centimetres in length and weighing little more than fifteen to sixteen kilograms at their full size. As you can see, the fur of this fellow before you is a lovely silvery grey, but their fur can also sport a chocolaty brown hue as well. Arguably the most distinctive part of their appearance is their head, being rather large for their body size and having rounded ears, a large nose, and a pair of small eyes. These are often brown but variations do occur.”
It didn’t slip past my notice that Bernard didn’t bother to point out that the Koala’s eyes were forward facing. I didn’t think he’d simply forgotten, so perhaps he just felt it wasn’t necessary given that he’d already stated it was herbivorous. Either way, no one stuck up a paw or tail to question him.
“Now this will hardly be surprising considering how long they sleep, but Koala’s are largely sedentary and it’s rather easy to see why when you have a look into the contents of their diet.”
With the press of a button the Koala on screen was replaced by images of vibrant green vegetation. Soaring trees and flowering shrubbery weaved together across landscape framed pictures pulled admiring trills from the herd, the diversity of the plant life being shown standing as a reminder that it wasn’t only animal life that flourished on Earth.
After giving everyone the chance to take in the picturesque scenes, Bernard casually hammered that point home, “This is eucalyptus or, more accurately, a choice selection of more than 700 plants belonging to the eucalyptus genus, though the Koala itself favours 30 of them in particular.”
700!? Stars…
Realising that my ears had drooped in my momentary awe, I twisted them back to tune into the lesson, only for them to splay out in shock at the next words to come out of Bernard's mouth.
“The leaves of these plants are the primary food source of the Koala and there are a couple things worth mentioning when talking about these plants. For starters they do not have much nutritional or caloric value, leading to the Koala’s low-energy lifestyle. Additionally, they contain toxic compounds.”
A shiver instantly ran through the herd, ears flicking rapidly in confusion and alarm followed by a few quizzical whispers. It didn’t take long for someone to decide to give a proper voice to the murmuring.
“Excuse me Doctor. Did we hear that right? Their diet is made up of toxic flora?” Vlek’s grumbling incredulity cut through the herd's mutterings with ease. Until Kailo’s recent change of heart, the fifty something rotation old blonde Venlil had been a close second in terms of scepticism. Mercifully his rebuttals had always been relevant questions as opposed to ranting diatribes, so he at least remained on topic if nothing else.
Bernard nodded in confirmation, smiling back at Vlek while absentmindedly twirling the end of his moustache, “You heard me right, they do indeed consume plants that are toxic. Just not to them.”
Any worry or uncertainty still clinging to the herd was swept away by the provision of the glaringly obvious answer, leaving me chuckling inwardly at the oversight.
Ah of course! The plant might be poisonous but they’ll have evolved to deal with that. Stars… I’m so used to expecting the unexpected with Earth that I didn’t even consider the simplest solution.
“I see, thank you Doctor,” Vlek replied, a tinge of interest still audible in his tone, “I assume they’ve developed some adaptation to become immune to the harmful effects?”
The question immediately evoked a smirk from our teacher, but he hurriedly suppressed it while bobbing his head, “They have indeed. There are several factors that aid in their digestion of eucalyptus leaves without succumbing to the plant's baleful properties. The first is a part of the intestinal tract called the cecum. It contains a microbiome that allows the Koala to digest the eucalyptus. Coupled with this is an enzyme in the Koala’s liver that helps them break down the toxins. They are also capable of sniffing out the plants with the least amount of toxins, ensuring that they ingest as little as possible.”
Pausing for a breath Bernard looked back at the screen before turning to face us, another grin curling at the edges of his mouth as he continued with his explanation, “This is mostly for adult Koala’s, because while their young also possess these same adaptations, they don’t just go straight to munching through foliage right after being born. No, they need a little help making that jump and getting a stomach full of all that good gut bacteria. It’s nothing bad, but those of a sensitive stomach may wish to prepare themselves for this next part.”
Bernard’s assurances did little to assuage the concern that his warning had foisted upon us. Having been exposed to so much of the weirdness Earth had to offer everyone always ended up on edge whenever Bernard gave advice like this, even if he did say it in jest.
What strange nonsense thing do Koala pups do then? Judging by the way he’s acting it probably isn’t something as simple as drinking milk from the mother. Hmmm…
“So,” Bernard began, snapping us from our pensive stupor, “Young Koala’s, known as joeys, have a gestation period of thirty-five days on average, which is approximately forty-two paws. Once born they travel from the birth canal to a pouch in their mother so that they can continue to develop and grow. In the pouch the joey finds and latches onto one of two teats and these provide the newborn with a steady stream of nourishing milk. It spends the next six to seven months growing in the pouch, its eyes, ears, and fur all developing as time goes on.”
Okay, interesting. But this is exactly how I thought it’d go. What’s different?
The unexpected normalcy of the Koala’s birth and growth cycle had calmed everyone's nerves, only to be replaced with an air of suspicion as we waited with rapt attention for Bernard to drop the other claw and upend our expectations like he always did.
Not wanting to keep us in further suspense he forged ahead, the tempo of his voice picking up as the smile started to crease his face once more, “Now to make the switch from milk to eucalyptus, the mother also feeds the joey a substance called pap. It comes from the cecum I mentioned earlier, and contains all the gut bacteria required to help the young Koala in making the switch to eucalyptus.”
He stopped and looked around, searching us for a reaction to what I felt was a rather bland statement of fact. What was it he was saying without actually saying? Koala pups drink milk to mature and then include this pap substance so that they can start eating plants. I don’t see what-
The cecum is part of the intestine.
I blinked.
I blinked again, the intrusive interruption scouring my brain clean of any other thought bar the one it’d just implanted itself in the forefront of my mind.
Oh stars. They-
“They eat their own poop!?”
The shocked bleat shattered the peace of the room to reveal that most if not all of us had come to the same tail curling conclusion. As the hall filled with unrestrained vocalisations of disgust, an ‘Ugh’ over here and a ‘Blegh’ over there, Bernard’s own bellowing laughter joined the throng of voices.
“Ha! Everytime! Each and every time. Clearly it doesn’t matter if my students are Human or Venlil. Whenever someone learns about the Koala’s dietary development the reaction is the same!”
Pleased with himself beyond reason, Bernard chuckled away while the rest of us grappled with this ghastly reality. While there were plenty of animals that feasted on things that ranged from simply unappealing all the way to the stomach churningly grotesque, I’d never heard of an animal that actively consumed the excrement of its own species. Benefits aside, the prospect of having to do that to survive to adulthood sent a shiver of revulsion down my spine.
Ewww… Stars, I hope I forget this feeling by 2nd meal. They’re serving sturen and magamroot stew later. I was really looking forward to it.
With the herds mood beginning to temper Bernard tapped the podiums controls, removing the verdant collage of eucalyptus to display several similar yet distinct environments, still chortling merrily to himself in the process, “Ok then, with that little foray into their diet complete, why don’t we look at their habitat in more detail? As you might imagine given their diet and arboreal nature, Koala’s live in forested regions, and can be found in tropical and temperate zones. About a century ago they were classed as a vulnerable species, however efforts were made to turn this around and increase their numbers. Sadly the largest factor in their decline was human activity, as the fertile lands that gave rise to their bountiful forests were coveted farm land for our settlements.”
It was strange to hear Bernard so matter of factly admit to humanity's negative impacts on other species. He’d alluded to such things in the past but always with an air of caution, carefully pawing the line between honestly answering a question while not painting humanity as uncaring and destructive. AKA, the ‘predators’ we’d all initially expected them to be.
Perhaps his comfort in making such admissions was a reflection of the class's comfort with him, for no one so much as batted an ear. Even Kailo, who I would’ve expected to jump at the chance to use this as a prime example of predatory danger, only flicked an ear in stern yet silent concern.
A cough from Bernard drew my attention back, a new picture on screen that showed a forest from a bird's-eye view. Drawn across the image were around a dozen ringed areas, some bordering one another while others overlapped to some degree. It took me a moment, but I soon recognised that what I was looking at was a map, the rings representing what I assumed to be territories. And it didn’t take much effort to guess who each one belonged to.
“From habitats we move onto behaviours, so let’s start with territories. Koala’s are solitary animals. Yes, despite being herbivores. Considering they’re only awake for roughly four hours of the day I can hardly blame them. Lots to do and not a lot of time to do it. Jokes aside, once they mature they are quite independent, carving out a little slice of land for themselves, as displayed in this example, called a Home Range. That is not to say they go it alone and leave everything else behind however. Rather, as shown in the map behind me, they live in their own space while still being part of a larger social group.”
With another press of his pad the picture was updated to show one of two symbols in each segment, along with a key to the side of the map displayed in helpful Venlang. A quick glance told me that the symbols were representing whether the territory belonged to a male or female of the species.
“As you can see there is quite a bit of overlap between different Koala’s territories. It is in these areas that most of the socialising takes place between neighbours. The trees in these locations represent the few areas where intrusion across territories is acceptable for the sake of social interaction. Outside of that the Koala’s stick to their own territories for the most part, with the exceptions of Koala’s who are passing through, attempting to become part of the social group themselves, or dominant males who sometimes go off into another Koala’s range. But how do they know where one range begins and another range ends you might ask? Well, this brings us onto the next part of the lecture. How do Koala’s communicate?”
Wiping away the map from the monitor, Bernard loaded up a video of a Koala sitting in a tree and pressed play. Head held high, the Koala’s body shook as it belted out a reverberating call into the wilderness that could only be described as a garbled combination of a car engine failing to turn over mixed with the hiccups of someone with a particularly sore throat.
That’s how they sound? Oof that must be rough on the lungs.
I clearly wasn’t the only one to share such a thought, because I clocked Sandi tracing a paw along her neck as the noise went on, ears fluttering in discomfort at the noise.
Bernard himself cleared his own throat as the video came to an end, minimising it and replacing it with another image of a tree with a Koala rubbing up against the bark, “I think they’ve got me beat on who’s got the deeper voice!”
His joke garnered several amused beeps, a rare reaction that caused a beaming smile to shine across his face at lighting speed, “Oh you’re too kind. I’ll be here all week. Now where were we? Oh yes! Communication. As you’ve just heard, Koala’s are capable of loud low pitched bellows that can carry over vast distances. These express everything from ‘Hello I’m over here’ to ‘This is my turf, stay away’. Bellowing is more common in the males than the females, opting for shouting matches as opposed to outright fights when it comes to asserting dominance. Other vocal expressions include grunts, wails, and snarls if they’re acting particularly angsty. Mother and joey pairs also communicate through gentle clicking, squeaking, and murmuring sounds. And there’s one more thing worth mentioning. Something they have in common with Humans and Venlil when it comes to emoting.”
Really? They do something we do?
Curious, I pressed myself against the desk, straining as close as I could to once more scrutinise the Koala’s features. Not a lot stood out to me at first, the grey marsupial not sharing many similarities with a Venlil that I could identify.
Ok think. We show emotion with our ears, tails, and our wool on occasion. They don’t have tails so it’s obviously not that. Wool standing on end is more a reaction than a conscious expression. So it must be the ears then.
To my quiet satisfaction, my hunch was soon validated by Bernard, “As well as their vocalisations, Koala’s are very emotive through their facial features. Just like humans, they use their mouths and lips to show how they feel, but these tend more towards the aggressive side of the scale than what you might see on a human. Regarding yourselves however, Koala’s utilise their ears in tandem with their mouth movements when showing strong emotion.”
I was delighted to hear that my assumption was correct, a little happy flick twisting out through my tail and bapping against my chair with a muted thump against the plastic.
Hehe yes! Got one right!
“Now then, we are getting close to lunchtime so I’ll finish this segment off with something I think you’ll find particularly interesting. Diplomacy.”
Perplexed mutterings followed in the wake of the bizarre inclusion to the lecture, my own thoughts being dominated by bewilderment as I tried and failed to make sense of how the two could possibly be related.
Why would Koala’s, or any animal for that matter, be linked to diplomacy? Hmmm...
I could understand dispatching exterminators to deal with a predator issue as a show of goodwill, that at least includes animals, but Humans aren’t like that so I think I can safely scratch that off the list.
Maybe the humans who live in that region benefited from Koala’s in some way. Could they have gotten something from them? But what?
Hopefully not what the pups get from their mothers.
Agh no! Begone awful intrusive thoughts. Blegh! I don’t need that in my head.
As I wrestled with the short-lived revulsion inflicted upon me by my Star's damned subconscious, Bernard placed a new image on screen, one that was decidedly different from all that had preceded it.
On screen were more than a couple dozen pictures of humans. Some were pictured alone while others congregated in large groups while cameras surrounded them from all angles. Across all the images, I noted two common themes. First of all, a solid majority of the humans were wearing formal wear similar to what I’d seen worn by UN representatives on TV. If the gaggle of journalists in the background of the photos didn’t already confirm my suspicions, then it was this similarity which made me conclude they were all people of some importance. Likely politicians judging from context clues.
Secondly, each of the individuals was interacting with a Koala in some form. Some cradled one against their chests while others were feeding it eucalyptus leaves or pellets of some kind. One of the assumed politicians had become an impromptu bed for a snoozing bundle of fur, a gleeful smile spread across their face as they lovingly gazed down at the sleeping Koala in their lap.
As I continued to stare at the assorted photos something clicked into place, a sudden spark flickering into life. A burgeoning light of comprehension that flared and swelled with every wide-eyed breath I took. Some things still escaped me, things I hoped would soon be explained, but in staring at all of the humans happy smiling faces, I was struck with an instant of pure understanding.
If someone, say a Nevok for instance, offered to gift me a creature that was common to them but which might exotic and breathtaking to a Venlil, how could my feelings not be swayed? How could I walk away from that encounter and not have grown closer to them as a result?
“Koala diplomacy,” Bernard waved his hand up at the monitor, a slight reverence in his tone, “My favourite kind of soft power diplomacy. Where political leaders take photo ops with Koala’s and, on occasion, the Australian government loans Koala’s to other nations for a time to bolster positive relations. It certainly helps that Koala’s are a beloved animal worldwide, drawing large crowds and revenue for countries fortunate enough to host the adorable critters.”
The truly alien concept predictably sparked instant discussion in the herd, two polar opposite schools of thought swiftly cementing themselves as the most popular opinions. Simultaneously, I heard one voice trill excitedly while another scoffed at what they clearly saw as a ridiculous and offensive notion.
“Squee! That’d be so cool! I’d love to get the chance to see a Liri from Coila. Remember the Rainbow Boa? Think of that shimmering effect and colour but put it on a bird! Ah! I’ve only heard their song on video. It’d be a treat to hear it in person!”
Ooo! I’ve read about them! I’d love to get up close to one.
“Loaning. As if animals are property to be hoarded and traded? Pugh! Another predatory trait the humans don’t want to acknowledge for what it is.”
Ugh, typical. Jump right to the worst possible option.
However, despite my dismissal of their disparaging fumings, an uncomfortable thought pressed upon my mind. While it was plain to see how much humans cared for the Koala, it didn’t change the fact that humans did keep animals as property just as the scornful herd member had said.
This begged a rather important, disquieting question. Aside from keeping some animals as cattle, a stomach tightening minefield I had no desire to step a claw onto right now, how else did humans keep other creatures. And how did they treat them?
Before I was fully conscious of doing it my paw was in the air, the question primed on my tongue.
Noticing my elevated paw Bernard pointed at me, smiling warmly, “Yes Rysel? What’s on your mind?”
Sorry Bernard. I hope this one’s not too awkward for you to answer.
Flicking my ear in appreciation, and waiting for everyone to settle enough so that I could be heard, I voiced my concerns as neutrally as possible, “Thank you Doctor. I uh, just had a thought. We know that humans keep certain animals for… particular reasons, and we know why. From how you’ve spoken about Koala’s I think it's fair to say that the same cannot be said for them. However, this makes me wonder, what other reasons do humans have for keeping animals and how do you treat them?”
A flash of surprise blinked across Bernard's eyes but vanished so quickly that it felt like I’d imagined it. Had he not expected such a question? Maybe he was just shocked that it’d been me who’d ended up asking it?
Stars, am I so predictable that no one expects me to ask difficult questions?
Unfortunately, a quick glance at my deskmates seemed to prove that to be the case, as both Sandi and Kailo were looking at me with differing degrees of astonishment flapping in their ears.
Well speh.
“A very good point Rysel, certainly one that’s worth raising. Yet another example of you all anticipating what I have to say before I can bring it up myself.” Bernard tapped the podium, switching off the monitor before returning his focus to me, “We won’t be needing that. I’ve nothing prepared that I can show you and we’re heading to lunch in a few minutes anyway. Still, that’s plenty of time to give you a bit of an answer.”
A bit? What does he mean just a bit?
Made even more curious by Bernard's preempted admission that he wasn’t going to fully answer my query, I dialled both my ears on him, fixing him with an inquisitive stare as he started to explain with a tone that was noticeably more nonchalant than any of his previous explanations.
“So, animals in captivity for reasons other than what you already know. Honestly I would love to delve into other reasons regarding why we keep animals. However, I have a lesson plan in the works that I hope to share with you all in the not too distant future. Some of it touches upon this very topic and I’d quite like to bundle it all together. That said, I can tell you how animals in captivity are treated. In short, the answer is very well. There are a mountain of laws both on private and public interests that govern the standards and ethical treatment of animals, and breaches of these laws are quite severe even for relatively minor infractions.”
While I’d be lying if I said I wasn’t disappointed by the vague answer to what was really the bulk of my question, I was at least satisfied by Bernard’s assurances that animals in captivity, such as the Koala, were well looked after. Considering the barely subdued grumbling coming from some corners of the audience it was clear that several of the herd didn’t believe Bernard outright, but I trusted him to be honest. Additionally, the mention of an upcoming lecture focused on humans keeping animals caused quite the buzz.
I felt a mix of excitement and trepidation at exploring the topic further. He’d pretty much confirmed we wouldn’t be talking about cattle farms, for which I was relieved, but that still left a huge amount of uncertainty in what was to come.
Humans keeping animals as cattle was a forgone conclusion. As horrifying as that reality was, it was one I could understand from a detached and strictly clinical point of view. Being predators they ate meat and therefore they kept cattle. But the concept of keeping animals for any other reason baffled me.
What could be the purpose? The diplomacy thing makes sense now that I have context, but what other reasons could they have.
The class's discussions were interrupted by the recognisable ring of the break bell, the shift in attention eliciting a change in conversation from confused hypotheses to peppy conversation on how everyone was planning to spend their break and what they had in mind for 2nd meal.
“Well I can see everyone’s excited for lunch, and who am I to disappoint,” chuckling Bernard waved us all up from our seats, pocketing his pad from the podium and heading to open the classroom door for us, “Enjoy your break, get a good rest along with a hearty meal, and I’ll see you all back here at the usual time.”
As everyone else filed out I stayed behind, waving at Sandi and Kailo as they left, and pawing over to Bernard once he and I were the only ones left in the room.
Ears folded down and with an apologetic tinge in my voice I greeted him as I sidled up to him, “Hey Bernard, I uh… sorry if that last question was unexpected.”
Chortling in reply, Bernard waved a hand through the air in a sign I’d come to understand meant ‘not a problem’.
“No need to apologise Rysel. It was a good question and most certainly not a problem.”
Heh, called it.
I sighed, allowing tension I didn’t realise I’d been holding to relax itself from my shoulders, “Phew, that’s a relief. I’m glad. I’m curious to hear what this new lesson is you’ve got in store for us by the way.”
Bernard wagged a finger at me, throwing up his eyebrows in mock amazement, “Oh are you now? Well I’m afraid you’ll have to remain curious for the time being. It’s going to be quite the surprise if all goes to plan. But…”
He trailed off, glancing at me before looking to the door like he was making sure no one else was around.
Wait, is he going to tell me? Oh please yes let me know now!
Stopping myself from jumping on the spot in excited anticipation, and trying my damndest to stop my tail from wagging in equal measure, I stared up at Bernard as he stewed in his thoughts before turning back to face me.
“I can’t tell you the specifics, but I’m working with Alejandro and Tolim to get something together. A trip that’s not a trip as it were. And when it happens, I’m going to need a few of the more accepting members of the class to lend me a hand. I’m hoping you and a couple others will be able to help with that?”
A trip that’s not a trip? What does that mean? Agh who cares about that right now! Bernard’s relying on me to help out!
Still trying not to keep myself from bouncing around with pup like glee I swished my tail and nodded my head in joint agreement, happy to help with whatever Bernard had in store for us, “Of course! Anything you need I’ll be there to lend a paw. You can count on me!”
A broad warm smile lit up Bernard's face, a hand patting me on the shoulder in appreciation, “Thank you Rysel. I knew I could rely on you but it still warms my heart to hear it. And, as thanks for this and for the many times you’ve shown your support, the surprise includes a little something special I think you’d appreciate the most.”
If my earlier enthusiasm had been at a nine, then the implication of a supposed gift sent it rocketing all the way to a hundred in a heartbeat.
“Wait… WHAT!? What do you mean? What are you doing?”
As impossible as it seemed, Bernard's grin grew even wider as I almost lost myself in wool shaking exhilaration, “Call it my own form of Koala diplomacy. But I’m afraid that’s all I can say for now. Wouldn’t want to ruin the surprise even for you!”
“Oh you ass!” Whistling jovially I bapped my tail against Bernard’s leg in fake indignation, evoking a barking bellowing laugh from the man himself.
Still laughing, the two of us departed the class and made for the canteen, my rumbling stomach leading me on while my mind spun with fantastical thoughts as to what Bernard had prepared for us.
And what specifically he had in store for me.

chapters 1&2
chapter 3
chapter 4
chapter 5
chapter 6
chapter 7
chapter 8
chapter 9
Chapter 10
Chapter 11
Chapter 12
Chapter 13
Chapter 14
Chapter 15
Chapter 16
Chapter 17
Chapter 18
Chapter 19
Chapter 20
The lecture was supposed to be on Rationality 101, apparently not for Newcomers only. Serene was there to have her back but G was having a hard time focusing.
The boring black uniform more fitting for a hotel receptionist defaced the godlike beauty standing in front of a huge screen. Gentry couldn’t believe her eyes: this was the man she had her hands on a little while ago?
No, it couldn’t be.
It had been just an avatar, too perfect in its unblemished visage, too pure for this world. Yet the man whose face she remembered as if it was etched on the back of her eyelids, who she’d been constantly thinking about, who her hands itched to snatch, was standing right there, in the flesh.
Back in the dreamy simulated world she caught herself thinking that a trim waist like this couldn’t anatomically work on a human, yet here he was: a towering spread of fit shoulders perfectly balanced above the flexible whip of his midsection. The light-grey eyes that betrayed every movement of his pupils were as real as the ones that reflected the mock moon during her test. Below them lay the sharp slope of the cheekbones one could cut themselves on.
The only thing a bit different, apart from the outfit choice, was the young god’s hair. In the simulation, it was flowing and probably too long to be practical. This person’s mane was much shorter and fell down his neck in a neat ponytail, tastefully tamed with a single hairpin.
She had to get her hands on this treasure.
He was making last minute preparations for the lecture, looking through the papers on the desk, dark strands framing his face, light grey eyes sharp in careful concentration.
Professor Q, huh.
He said this was his name, and so did the note on the lecture hall door.
She was sure it was the man who had melted in her arms making the most delicious sounds a male throat could produce.
Had he recognised her?
Unlikely.
At the time of the simulation session, she didn’t have a camera that could pick up her facial features but just to be on the safe side, she decided to go by “G” in his class. There were bound to be lots of people with a name starting with a G, right? What would be the odds it was this particular newcomer that Q had tested that would end up in his class?
The man finally lifted his eyes at the audience and a gentle smile momentarily graced his features before disappearing as if he didn’t see someone he’d expected to.
The holoboard on the wall behind him obediently lit up following his nonchalant gesture. Gentry found it annoying that one needed a pair of special glasses to see all the augmented reality stuff and really navigate the city but again, with Sereen’s help she had more or less gotten used to it in the couple of days she had to deal with the necessities like settling down, getting food and finding her way around Ashtapada.
Still, could they use a piece of chalk or, at least, a marker to write on the board? No need to show off your Fully Automated Luxury Space Communism tech just to write a couple of notes on the board!
On second thought, high-tech-crazy or not, if this city brought up men like this one, she would definitely do her best to stay here to… reap the benefits!
They took a desk next to a huge clear floor-to-ceiling window that overlooked the winter garden.
“Professor Q seems a little distracted today,” Sereen said, swiftly tapping a couple of buttons on G’s wrist to show her how to confirm that she was attending the lecture. “He’s usually much more chatty and friendly. I wonder what got into him.”
“Is he?” Gentry responded with an artificial air of indifference. “I just hope he’s more open to a discussion than that Poe guy.”
“He is! And Professor Poe isn’t that bad,” Sereen reprimanded before chuckling a little — since his little secret became known to students, he became known as Holopoe. “Just wait and see, it’s gonna be a blast. Q’s lectures are always very engaging.”
It proved to be utter bullshit.
After fiddling with the symbols on the interactive screen for ten minutes into the class, students getting more and more agitated behind his back, the lecturer seemed to give up. Turning back to the audience, he absentmindedly nodded to a couple of people in the lecture hall and sighed with a painfully fake smile.
“For today’s class, we are going to need to read a certain extract from a book,” he said, tone apologetic for some reason, but it solidified G’s conviction that she already knew this person. “I’ve just sent it to each of your wristcomms. We’ll have some quiet time and read it by ourselves, alright?”
“Reading from the comm?” Sereen mumbled to herself. “Couldn’t he just print them out?”
The rest of the students’ grumbles showed that they shared her disappointment. Q could only hopelessly smile again before returning to his work on the board.
Reading from the little semi-transparent screens was indeed torture. Quickly giving up on trying to awkwardly use gestures for scrolling through the text, she looked out of the window to entertain herself with the garden outside. From the modest height they were sitting at, the people below were quite discernible, partly hidden by the greenery, spread here and there in small groups and pairs. Gentry longed to be there, too. What was the use of being here with the most attractive person in the whole world if the only thing she could see was his back?
Well, the back didn’t look half bad, if she was honest, and what was below also pleased the eye.
But still. It would soon bore even the most easily entertained.
Her gaze fell to a small clearing where a lone male figure was sitting, writing something in a notebook. By the looks of it, the notebook was a real paper-made thing without the bells and whistles usual for Ashtapada. The next thing G noticed was a pair of slender legs, barefoot, stretched to dip the toes into the clear water of the artificial stream.
God bless the urban designers of this place!
The figure lifted the head and in an inconceivably graceful motion, swung the long blond bangs away from the face.
G straightened her back. Was it... Ok, maybe Q was the most handsome man she’d seen in her life but this... This was the younger boy she’d noticed a couple of days back, the one in a plaid skirt, shamelessly flirting with everyone within reach. Today, he wasn’t wearing one but the blue jeans hugging his thighs, rolled up almost to the knees, presented a picture just as tantalizing. Even with the hair was a completely different colour, even though the half-up, half-down style kept his face hidden, she was absolutely certain it was the same person.
Just you wait, young beauty, as soon as this “lecture” was over, your princess in shining armour was coming to pick you up!
Suddenly snapping out of the dull weariness, she turned on the auglasses S helped her obtain earlier and tapped away on her comm screen.
What a chance to give the local text sharing feature a go!
“The garden is pretty, but with a blossom like you, it is truly breathtaking. I wonder if anyone has picked this sweet flower or if anyone dares to,” she typed a cheesy note and folded the message into a neat 3D figurine of an origami paper crane with her fingers in the air.
Was S watching? Screw it, even if she was, she couldn’t read the message with her glasses off, right?
Carefully aiming the device at the lone figure, she launched the crane downwards, and it fluttered like a weightless butterfly in spirals, through the glass and right into the young man’s lap, not disturbing the notebook pages. He started at first at the intrusion but then turned his own glasses on and unfolded the message. A shy smile appeared on his plump lips, and he looked flattered, turning his head around to see if the sender was in sight. Catching no one, he typed something below the initial message and deftly folded it back into a crane that, to G’s surprise, flew directly at her, in uneven spirals along the wall. The man traced it with a smile, propping himself back on his arms, his whole slim body and face on full display now.
God, was he good-looking.
Easily passing the physical border of the glass again, the crane crashed into Gentry’s wristcomm, dutifully delivering the message and betraying her tactical position at the same time. An amused kind of surprise showed on the young man’s face and he waved at her to show that she had been exposed. She waved back, trying to look nonchalant but probably failing miserably.
Very smooth, G, way to go.
The message read, “Is a flower only good for looking at? Not this one.”
Oooh, this boy was playing with fire!
“Hey, G,” Sereen nudged. “Have you finished reading?”
“Mm? Oh, yeah.” Gentry lied easily. She had skimmed the first couple of paragraphs and was sure she’d be able to come up with something if asked.
“Done everybody?” the deep gentle voice called from the holoboard and G’s attention snapped back to the dignified face.
The class murmured affirmatively.
“I’m sorry today’s lecture isn’t as fun as usual,” he admitted. “I must say I’m still unsure how to approach such complex topic as this one. But with your help, I hope we’ll figure it out.”
Everyone seemed to perk up.
“You just read an extract on paradoxes,” Q went on. “And you might be wondering why we are raising a philosophical topic on a rational thinking course.”
“There you go,” Sereen whispered. “He’s back to normal!”
G humphed. This did seem interesting. Was it a good idea to read the extract after all?
Q continued, “In the text, you might have encountered the definition of a paradox. Would anyone explain it with their own words?”
A raised hand and the lecturer’s nod brought some courageous soul to their feet.
“It’s when you start with the correct premises, use consistent logic but wind up with an impossible conclusion,” they said. “There are three types: falsidical, veridical and antimony-type, which are...”
“Correct,” Q smiled and nodded the person back down. It was a smile worth starting a thousand wars over.
“Now there’s a reason why I asked you to read about them. Why do you think people have been fascinated with paradoxes for such a long time?”
S raised her hand and received a kind invitation.
“I might be wrong,” she said. “But it seems that they point at the limitations of our thinking, things that seem rational but in fact aren’t. We feel that with our all-conquering logic we can solve any puzzle but it’s not always the case. Right?”
“This is very insightful,” the teacher confirmed. “It is believed by many that what’s rational is true and therefore what rationality cannot explain must be false.”
“I definitely know someone who would die on that hill,” Gentry grumbled under her breath.
“I’m sorry?” Q asked. “Is there something you wanted to add... sorry, I don’t know your name?”
Still half mad with professor Poe, Gentry stood up. “It’s G, I’m a Newcomer. I was saying how a human mind can fool itself into thinking it knows what it looks at as long as it makes sense. But in reality, it’s not there, like the sky.”
That was the only thing she remembered from that last lecture! She felt the tips of her ears heat up but the kind and considering look on Q’s face showed her gamble paid off.
“These are very insightful observations, G, why don’t we try exploring them together?” — he waived her to sit down and turned back to the class — “Five minutes to discuss how paradoxes might reveal the weaknesses of rational thinking. Send your answers to the board when you’re done.”
“Whoa, daring as usual,” Sereen smiled. “I knew you’d enjoy his class.”
“Now, consider these two questions,” Q said to another student who stood up at his hand wave. “If an unstoppable force meets an indestructible object, what is going to happen?”
The person seemed to contemplate it for a while and the teacher didn’t rush him.
“Isn’t it one of those which are impossible to solve because the existence of the one automatically disproves the existence of the other?”
Q nodded, “Correct. The second one about the barber in a small town is of the same sort. Sereen?”
S stood up too, “The one that shaves all and only men that don’t shave themselves?”
“Yes,” he confirmed. “At first, a premise like this seems perfectly reasonable, doesn’t it?”
“It does,” S responded, somewhat rashly. “But it’s clear that a barber like this cannot exist.”
“Wait, really?” Gentry whispered as Q nodded in satisfaction and urged her friend to go on.
“Yes, if we ask ourselves if this barber shaves himself. If he doesn’t, then he is part of the group which he does shave that do not shave themselves, but if he is in this group, then he does shave himself which makes it impossible for him to be this barber by definition.”
While the rest of the class was catching up with the logic, Q’s smile got only wider, more inviting.
“What does it tell us about the nature of the premise then?” he asked.
“That although it seems that it sounds logical on the surface, it is in fact nonsense and we don’t even need to hear the rest of the riddle to discard it completely,” S concluded.
The man chuckled.
“Well, I wouldn’t be that brash, to be honest, but on balance, you’re right,” he said. “If you stay after the lecture, I might recommend a couple of books on the topic. Your Newcomer friend is welcome to stay, too.”
G put up the best of the aloof fronts, “I’d be happy to, Professor.”
“Q is fine,” he smiled again and went on addressing the rest of the class that immediately exploded into a heated discussion.
***
“Basically, what I think we’re supposed to learn from this,” S concluded after a while, standing up so that everyone could hear her. “Is that before applying rationality, we have to make sure that all the premises we are dealing with are in fact realistic. Otherwise, there is no way rational thinking will help us.”
“Excellently put, as always,” Q applauded. “I’d love to see if everyone agrees or has something else to add to the discussion but our time is up. Feel free to write me a letter with your reflections on the topic.”
As interesting as the class was, the urge to leave the premises as soon as the teacher dismissed everyone seemed to be universal and applicable even to the Ashtapadans.
“I have to go now,” Sereen said. “Text you later, ok?” And with a reciprocal nod to Q, disappeared in the doors, joining the rest of the students.
Sadly, she couldn’t recall what they were talking about after the lecture, nor what titles Professor recommended for some home reading. She just hoped she didn’t make a fool of herself.
What Gentry did remember though was that after Q left as well and she came up to the panoramic window, Sereen and the mysterious flower boy were leaving the garden together. And it was hard not to notice that her new friend took off her wristcomm before they took off, and hid it in the tall grass.

My wife, Mia, and I were driving cross-country. It was our first attempt at the “Great American Roadtrip.”
Mia and I rented a small RV; more of a camper than a full blown RV. We packed up a couple suitcases with plenty of room for any souvenirs and we hit the dusty trail.
We started our journey on the “Mother Road”-- Route 66-- driving south from Chicago until we connected to i-70 and shot straight west through Missouri.
The goal was to see those parts of the country we had never seen before, stopping anywhere that seemed interesting. From the plains of Kansas up through the badlands of Wyoming and South Dakota.
In Missouri we saw the world’s largest cap gun. In Kansas we visited the Evel Knievel Museum and the World’s Largest Belt Buckle.
We love all those kitschy, tourist trap places.
Eventually, we made it to Colorado and after a few hours more of driving through amber waves of grain, we saw them... the Rocky Mountains.
We made an exit and headed north through the winding mountain highways.
The Rockies were gorgeous. Snow capped in the middle of summer, some of the peaks pierced through the white fluffy clouds.
We saw a sign that read “Traffic Tunnel - 3 Miles.”
A little further and sure enough, there it was, a large tunnel bored directly through the mountain in front of us.
A large sign read, “Pike Tunnel - Longest Traffic Tunnel in the Nation! - Please turn your headlights on now.”
“How long is it?” asked Mia.
“That’s what she said,” I quipped.
But she was right, there was no information beyond the detail that this was the longest tunnel in the nation.
“Can’t be more than a mile or two,” I said as I watched the little white car ahead of us slip into the darkness. A moment later we joined it.
The tunnel was lit by fluorescents that gave everything a greenish yellow tinge. On the left hand side was a raised walkway behind a railing for maintenance access.
Initially I was struck by the incredible amount of work that went into the construction of this man- made marvel.
“We’re under a million tons of rocky mountain right now,” I said.
“How many years before this caves in?” Mia responded.
I shot her a look--
“Let’s save the cave-in talk until we’re out on the other side.”
“I’m just saying, nature will take this back eventually,” she continued.
I scanned the empty road ahead of us.
“Where did the other car go?” I asked.
We were now alone in the tunnel, no cars ahead of us nor behind us.
“Huh... they must have sped off ahead. Maybe they’re scared of a cave-in?”
My Spotify playlist had stopped playing. Mia looked at the phone.
“No cell service.”
She turned on the radio and spun the dial only to find static.
“You’re not going to be able to pick up a station in here,” I said.
She turned the volume down.
“Just wanted to check... If only we had some CDs. This tunnel really keeps going.”
“I would have thought we’d be through it by now,” I replied.
I looked at the RV’s odometer, 45,600 miles. I picked up speed. I wanted to try and catch up to the little white car.
Up until this point, the tunnel was a straight shot, but now the tunnel started to curve to the right. It may have been my imagination but it also felt as though we were descending…
Mia felt it too and she started to get antsy.
“Where did that other car go? How long is this tunnel?”
There was an urgency in her voice.
I was getting nervous, claustrophobia was not usually a problem for me but when I looked down at the odometer and I saw that it had gone up by 3 miles, my mind began to wander to unsettling places.
We were descending in altitude. I could feel it. I could see a slope in the lights on the ceiling and the railing of the maintenance walkway. I could feel a pressure in my head, and I was getting cold.
“Could you grab me a coke from the back, Mia?”
I couldn’t have Mia getting anxious, that would only start a chain reaction and make me freak out which would then make her freak out.
She unbuckled and ducked into the back of the RV to where we had a cooler stocked with drinks and food.
Just as she stepped into the back, I saw something.
There standing on the side of the road was a MAN wearing a reflective safety vest and a hard hat. He was WAVING to me as I passed him by.
Something about him looked... strange…
I watched him in the side-view mirror as we passed and he was still watching the RV, still waving at the back of our vehicle as he faded into the distance.
Mia reappeared from the back of the RV, Coke in hand. She popped it and handed it to me.
“You look worried.”
“I’m fine,” I smiled and took a sip of the Coke.
“Eric, slow down!”
I slammed on the breaks as I saw what made Mia scream. In the road in front of us was a roadblock.
Two reflective traffic sawhorses blocked both lanes of the tunnel. Beyond the roadblock, the lights of the tunnel were dark. There was nothing but a void of blackness.
Standing in front of the roadblock was another man wearing a reflective vest and a hard hat, only this time his hard hat had a light on top which obscured his face.
We came to a jolting stop.
I turned to Mia
“Are you okay?” I asked.
“I’m fine,” she replied. “It’s a cave-in isn’t it?”
“God, I hope not.”
I rolled down the window, leaned out and yelled to the man in the hard hat.
“Hey! What’s going on?!”
The man was about 5 yards away. He took two steps towards us and then raised a hand to his mouth and yelled.
“Just doing some maintenance!”
“How long is it going to take?!” I yelled back.
The man made a hand gesture as if he didn’t hear me.
“How long is it going to take?!” I called again.
He made the same gesture. I unbuckled my seat belt and grabbed the door release.
“What are you doing?” Mia asked.
“I gotta know what’s going on.”
“Eric, just stay here, it might not be safe.”
“I’ll be just a second,” I said.
I pushed the door open and stepped down from the RV.
“Stay in your vehicle!” the man yelled.
He took a couple steps towards me with his hand out telling me to stop.
“What’s the hold up?!” I shouted.
The man was a bit closer now but I still couldn’t see his face through the shining light on his helmet.
“Please stay in your vehicle!” he shouted.
There was something off about him.
Then I heard it–
“EEEAAAUUUUUUGHHHHHHHH!!!”
A scream, or something, rolled from deep in the tunnel. The worker turned and looked into the darkness. Then he ran past the barricades and soon all we could see of him was the light on his helmet.
The light disappeared a moment later.
“What the hell was that?! Is someone hurt?” Mia asked.
“I have no idea,” I said.
“Should we do something?” Mia asked.
I just sat there and watched the pitch black tunnel in front of me. I had no idea what to tell her. I checked the sideview mirrors. There was still nobody behind us.
“Where are the other cars?” I asked.
“They must have gotten through before the roadblock... Or maybe they caused the roadblock?” Mia replied.
“I saw another worker a little ways back. We could try to go back and talk to him.”
“We’d be going straight into any oncoming cars.”
“There’s a maintenance walkway. We didn’t pass him that long ago. We can probably catch him on foot.”
“Maybe we should just wait for the guy to come back.”
She reached over and grabbed my arm. I squeezed her hand.
She was right.
I looked out at the tunnel ahead of us. I turned on the RV’s high beams but all I could see beyond the roadblock was more tunnel and more road.
I checked my phone. Unsurprisingly, there was no service still.
We waited, but the man never came back.
“It’s been twenty minutes,” Mia said, “How come there hasn’t been another car behind us?
I was having the same thought. I rolled down my window and stuck my head out. I looked back at the road behind us. It went back about 200 yards before curving out of sight.
There was no sign of that first worker I saw on the maintenance walk way. I looked at the roadblock ahead of us and clicked on the RV’s high beams. There was nothing beyond the roadblock but more tunnel. It didn’t look like it was under construction, just very dark.
“I think we should keep going,” I said.
“What about the roadblock?”
“We’ll move those sawhorses out of the way and just drive past,” I said as I opened my door.
Mia looked at me, then she cast her eyes to the dark tunnel ahead of us. I knew she was processing the same limited options that I was.
Driving backwards would be a huge risk in the instance of another car finally coming along.
Getting out and walking would take God knows how long, we could have driven 10 miles at this point.
Forward was our best option.
“Let’s do it,” Mia said.
We jumped out and quickly pulled the two sawhorses out of the right lane. I pulled the RV up past the barriers, then we jumped out again and put the sawhorses back where they were. We didn't need another car to come barreling through.
We were finally moving again, slowly. It was pitch black save for the high beams of the RV.
We crept forward at around 15 miles per hour. As the tunnel turned and twisted, my eyes started to play tricks on me. I kept seeing shapes at the furthest point of the tunnel.
I kept seeing something standing just at the end of the next bend but as we roll forward, there was nothing there.
“Where are the workers?” Mia asked.
“I don’t know.”
I was done rationalizing. This was all wrong. Traffic tunnels are never this long.
My mind started to wander to all the road trip urban legends I’d read about; The Killer in the Backseat, The Disappearing Gas Station, The Pale Man In The Corn Field.
Did we stumble into some strange outlier location? An in-between point on the endless roads that cross this country?
Then I saw it–
“Look! A person! Thank god!” Mia shouted.
As we rounded a curve in the tunnel, a group of maintenance workers entered our view.
The three of them stood on the left side of the road behind two more sawhorses topped with flashing lights.
Two of them faced towards us, the third was facing the other two.
The one with his back to us wore a light on his hard hat. Was this the same guy we saw earlier? How did he get this far away?
I approached slowly and rolled down the window.
“Hey! You left us waiting back there!” I yelled.
There was no response.
In fact, all three men were completely silent, and it was hard to tell in the flashing light of the sawhorses, but they looked to be standing COMPLETELY STILL.
“Hello?!” I yelled again.
I pushed open my door and stepped out onto the pavement.
“Eric wait--”
I held up a finger to Mia.
“Just a second.”
I slowly stepped towards the 3 men.
“Hello?”
No response… What the fuck?
The bright lights of the sawhorses obscured their faces.
I kept moving closer.
“Hey, what’s going on--”
Then I saw it.
Their faces... They were plastic.
In front of me stood three mannequins.
I backed away toward the RV, then I turned and walked hurriedly to the vehicle.
I was seriously freaked out but I didn’t want to alarm Mia. I climbed into the driver’s seat and slammed the door shut.
“They’re mannequins.” I said.
“What?”
“They’re mannequins.”
”Why?... What?...”
“I don’t know…”
I looked back over at the three figures and my blood ran cold…
The Hard Hat Mannequin had somehow TURNED AROUND to face us. All three figures appeared to be watching us now.
Then we heard it--
A loud resonant banging on the side, and then the roof of the RV.
“What the hell was that?” Mia whispered.
We listened, holding our breath. Then--
A shuffling sound--
Something was moving ON or IN the RV.
“Stay here.” I said.
I got up.
“Eric, wait!”
I moved to the back of the RV.
It was dark. I went for a drawer in the kitchenette space and pulled out a flashlight.
I moved to the rear of the RV, the bedroom. My flashlight illuminated an empty room.
“Whoever is back here, I have a gun…”
A shitty bluff. But I didn’t see anything.
I shone the light out of the windows of each side of the RV. Nothing.
Then I heard it–
A shuffling sound, from right above me.
I looked up and screamed–
“Fuck!”
On the roof of the RV, staring through the skylight was a woman with vacuous black eyes and a dead smile.
Her stringy black hair dangled down towards me casting thing black shadows across her horrible pale face.
“Mia, drive! Fast!” I screamed.
Mia JUMPED over to the driver’s seat, shifted into gear and STOMPED on the gas. The RV was clunky but it could move when it needed to.
We lurched forward and I fell back.
I trained my flashlight up onto the skylight again and the woman was gone.
I scrambled to my feet and looked out of the side windows.
Did Mia shake her off? There was no sign of the woman. I moved to the passenger seat, breathing heavily and sweating.
“What happened?” She asked, keeping the RV at a steady 50 mph.
“There was a woman on the roof,” I said flatly.
I realize now that I was in a kind of shock.
“A woman?”
“Her eyes were black.”
Mia just looked at me, then back at the tunnel ahead of us.
“There’s something wrong with this tunnel.” I whispered.
Mia pointed at the road ahead, “Look.”
I looked out at the tunnel. There were more mannequins. A LOT more mannequins. They were positioned on both sides of the road.
They were all facing us and even though I never saw them move, when I looked in the side-view mirror, they were somehow STILL facing us, turning to watch us as we drove past. Watching without eyes.
“Just keep driving.” I said.
As we drove on, the mannequins crowded the sides of the road more and more. There were thousands of them. Eventually they were so close that some of their outstretched arms hit the side of the RV.
They were closing in on us. Squeezing our path forward. One stood in the middle of the road.
“I don’t think i can get around it.”
“Run it over. Don’t stop.”
The RV smashed into the mannequin. Its head shot forward and bounced against the windshield and the vehicle shuddered as it rolled over the body.
Soon there were two in the road. Then three.
I could see where this was going. Pretty soon there would be too many for the RV to ram through, but goddammit we were going to get through as many as we could.
“Speed up, Mia.”
CRASH!
The sound was surreal, smashing into mannequin after mannequin at nearly 60 miles per hour.
Hands, legs, heads and torsos flew.
The windshield cracked, the RV shuddered and screamed and eventually slowed down, despite the screaming engine.
I’m certain the axle was jammed up with lifeless, plastic body parts. Eventually we came to a stop.
“She won’t move,” Mia said.
She pressed on the gas but it was no use, the RV just rocked a little bit.
“Try reverse.”
She shifted and pressed on the gas, we got some decent movement before running into another jam.
“Fuck.”
“Should we get out and look?” Mia asked.
“I’ll go,” I said as I grabbed the flashlight and popped the passenger door. Mia unbuckled her seatbelt.
“We’ll go together.”
We stumbled out of the RV on the passenger side. It was like stepping into Hell.
Countless, lifeless faces stared out at us from the darkness. The only light came from the headlights of the RV and my flashlight.
We clumsily made our way along the side of the RV. The ground was littered with mannequin pieces.
I thought to myself, if we could get a couple yards cleared out behind the rear tires, we might be able to back out and get enough momentum to reverse all the way back out of here.
Instead, when we got to the back of the RV, my stomach flipped and my heart sank.
I was expecting to see a trail of flattened mannequins, instead the RV was now surrounded by thousands of perfectly intact mannequins standing at attention. As if their ranks had some how been replenished after our vehicular assault.
“This is impossible.”
She started to cry. I held her close.
“We’ll keep moving.” I said.
“It will never end. The tunnel makes no sense. It only curves one direction.”
I looked at her.
“What do you mean?”
“This whole time the tunnel has only been curving to the right. it would sometimes straighten out or go left for a few yards but before too long we were curving to the right again. We’ve either been driving in circles or spiraling downwards.”
“So we’ll go back the way we came and hope we’re not going in circles.” I said.
We had been driving for hours at this point. Walking back out the way we came would take days. But now that I thought about it, Mia was right, we’d only been curving to the right.
This tunnel seemed to be very gradually taking us downwards into the earth.
Going forward would not get us any closer to escape.
“We’ll need food from the RV,” Mia said.
I nodded and we stumbled our way back to the front of the RV, the mannequins’ lifeless faces watching us the whole time.
I stepped up to the passenger door and nearly fell back when I looked through the window.
“What the fuck?” I breathed.
What I saw were two mannequins sitting in the driver’s and passenger’s seat.
How they got in there? I have no idea, but what really made my blood run cold was that they were dressed EXACTLY like MIA and I.
They wore identical sets of clothes. The one in the passenger seat had my same New Order T-shirt and black jeans. The one in the driver’s seat had Mia’s green striped sweater and denim shorts.
Their plastic faces stared out through the shattered windshield at the endless crowd of mannequins staring back at them.
Mia stepped up and saw the uncanny display.
“What the fuck?” Mia echoed.
I pulled myself up into the RV and slowly stepped around my mannequin doppelgänger. I avoided looking into its face but I swear i could feel it watching me as I stumbled around it.
Mia followed and we made our way into the back of our dark RV. Luckily we had just stocked our cooler full of deli meat and water not long after crossing the Colorado state line.
I handed Mia the flashlight and pulled open the cooler. I filled a backpack full of food and water.
I turned and saw them–
My mannequin double had somehow moved. It was standing in the aisle watching us.
Mia’s doppelgänger was still seated in the driver’s seat but had turned to peer back at us with its eyeless gaze.
Mia saw the look in my eyes and turned. She screamed when she saw them and backed into me. I put my arm around her and we stood there a moment, letting our skyrocketing heart rates return to Earth.
“Let’s get out of here,” I said.
I slid the backpack onto my shoulders.
Mia joined me at the door. I looked into her eyes. “Are you ready?” She nodded. I kissed her.
“I love you,” I said.
“I love you,” she said.
The look on her face killed me. She was terrified. I’m sure the look on my face was similar.
I opened the door and we stepped out…
We again stumbled to the back of the RV. Once we were clear of the RV and all the crushed mannequin body parts, it became easier to find footing, though weaving through an endless crowd of lifeless people was a slow process.
It was pitch black. Without the flashlight we wouldn’t be able to see a foot in front of us.
As I walked, the beam of light created the illusion of movement in the crowd. At least I hoped it was an illusion.
The limbs of the mannequins seemed to stretch and turn, but the only sound was that of Mia and I shuffling our way through the crowded tunnel.
Things went on like this for what felt like hours. Mia and I were sweating and aching. I was about to suggest we stop and rest, but then I saw it and I froze…
Out in the crowd, beyond rows of blank faces I saw a pale face, black hair and a dead smile.
I saw two vacuous eyes staring right at me.
“Mia, do you see her?” I whispered.
“See who?”
I slowly raised my arm and pointed.
It was the woman, or whatever it was, that stared back at me through the skylight on the roof of the RV.
“Oh my god!” Mia squeaked.
I could see now that the Pale Faced Woman was tall. A few inches taller than the mannequins.
As I pointed, she stared back at me with that terrible grin.
“What do we do?” Mia whispered.
I raised the flashlight and pointed it right at the Pale Faced Woman. I thought maybe this would scare her off.
I was wrong.
The light only made her appear more unsettling as she stared back, unflinchingly.
“What do you want?!” I yelled.
She only stared back at me. She was as still as the mannequins.
“We have to keep going.” I whispered.
Mia didn’t respond. Her body was tense as she held onto me.
“We’ve come this far, we can’t turn back again,” I continued.
I pulled Mia’s hand and we continued on our way through the mannequins, keeping the distance between us and her as wide as possible.
As we moved past, she kept watching us. Though her movements were imperceptible to us, her eyes never left us. Like one of those portraits whose eyes appear to watch you no matter where you stand.
Finally, we got far enough that she was out of sight. But the thought of her being somewhere behind us only unsettled me further and I quickened our pace.
As the hours wore on, there was no sign of the Pale Faced Woman and the crowd of mannequins began to thin out. They still populated the tunnel from one end to the other, but there was more space between them, allowing Mia and I to walk more freely.
The mannequins on the maintenance walkway on the side of the tunnel seemed to thin out as well and I decided it would give us a better vantage if we were walking up there.
I helped Mia climb up the railing that bordered the walkway, then I climbed up behind her. The walkway was elevated 3 or 4 feet above the roadway. We could easily see over the heads of the mannequins in both directions.
There was, of course, no end to the tunnel in sight.
We kept walking.
The mannequins continued to thin out, but they were different now.
There were mannequins dressed as maintenance workers again, but also mannequins dressed as families and businessmen. There was even a group of mannequin nuns standing in a single file line, heads bowed in prayer.
Needless to say, we passed none of this on the way in to the tunnel. I was feeling very hopeless that we were going to be able to find our way out.
I was far beyond speculating how this was at all possible. It’s NOT possible. And even if it were, there is no good reason for someone to do this to us.
The only explanation was the supernatural. Then I saw Her. Rather, I saw THEM.
Arranged in the middle of the tunnel was a circle of mannequins with long black hair and tattered cloth.
They looked exactly like the Pale Faced Woman, minus any facial features. I kept a close watch on them as we passed to make sure they didn’t start following us.
“A door!” Mia shouted.
Mia pointed a few paces ahead of her. There was a door leading into the wall of the tunnel.
We ran towards it. Mia grabbed the handle, turned it and pulled. It was heavy and Mia had to brace her foot on the wall to get it moving.
The metal door groaned as if it hadn’t been opened in years.
Finally, it was open enough to see past.
It was a hallway. It went out about 5 yards then turned right at a 90 degree angle.
The strangest part was the design of the hallway.
It wasn’t cement or pavement like the tunnel.
The walls were wood paneled and the floor was covered in a thick carpet, like a house from the 1970s.
“I say we see where this takes us.” Mia said.
There was no reason to disagree, but I wasn’t going to get us trapped in there.
I opened up my backpack and took out a water bottle. I opened it and handed it to Mia. She drank half, then I drank the other half.
I slowly closed the door, shoving the empty water bottle in the crack to keep it from closing all the way.
I turned to Mia-- “Okay, let’s go.”
We slowly made our way down the quiet hallway. We got down to where the hallway cornered to the right and that’s when we heard it–
KA-CHUNK!!!--
I whipped around. The door had closed behind us. I ran back to it and tried to push it open, but it was no use. There was no way it closed on its own.
Someone had to have removed the water bottle. Our path had been chosen for us.
There was no turning back.
We continued down the hallway. We turned right. The hallway continued, then turned right again. That should have led us right back to the tunnel. But it didn’t. This part of the hallway went on far longer than was possible without running into the tunnel. Then it turned right again.
It went on like this. Sometimes a section of the hallway was 20 feet long, sometimes it was 20 yards long, sometimes it was 3 feet long. But it always turned to the right.
At first it was a relief to be somewhere other than the cold, dark tunnel. But the hallway very quickly became claustrophobic and before too long, I heard someone walking behind us.
We had stopped to take a break and I heard a third pair of footsteps on the carpet coming from behind us. I backtracked to the last corner.
I was terrified as I slowly peeked around the corner, tense and waiting to see the vacuous eyes and inky black hair of the Pale Faced Woman... but there was nothing there. I wasn’t about to backtrack any further.
“There was no one there.” I whispered.
Mia slumped against the wall and slid down to the carpet.
“I think I need to rest.” She said.
I put my backpack down on the ground for Mia to use as a pillow. She laid her head down and was passed out in seconds.
I had no idea how long we had been walking at this point. I stood leaning against the wall. My body was telling me to rest but I couldn’t risk falling asleep. I had to keep watch. I knew SHE was following us.
I took in the details of the hallway for the first time. The carpet was a dull brown and the walls a cheap wood paneling. The hanging lighting fixtures were shaded by stained glass, something you might see in an old diner.
Who built this place? Did someone pick out the carpet and the lighting fixtures? Did a team of workers blast these tunnels into the Earth? Or has this place always existed? Was this Purgatory?
I began to feel dizzy. I was panicking. My heart felt like it was trying to escape my chest. I slumped to the floor and tried to slow my breathing.
I closed my eyes... –
I SHOT up in a panic. I had fallen asleep while I was meant to be keeping watch.
I snapped to my feet and looked around.
Mia was still asleep on my backpack.
Then I noticed that the hallway had changed. A few paces away there was now a plain wooden door in the wall.
I slowly approached it. I put my ear to the door and I could hear what sounded like TV static and the low murmur of voices.
I discreetly grabbed the door handle and turned it slowly. I felt the latch bolt clear and I carefully cracked the door just enough to peek inside.
It was dark, so it took a second for me to register what I was seeing. I saw a small board room. A long table in the center was surrounded by seated men in suits.
At the end of the table stood another man next to an old CRT TV that was playing static. This was the only source of light in the room and all the men around the table were turned towards the tv.
Suddenly the screen flickered from static to a solid dark background. And some warped new age style muzak began playing.
Then the words appeared on the screen that terrified me like nothing else before. In plain text the words read–
“YOU WILL LOSE HER.”
I froze as I knew these words were meant for me I watched with terror as the men seated around the table slowly turned toward me in unison.
They were mannequins.
The TV screen then clicked off and they continued staring at me as I could barely make out their forms through the near pitch darkness.
I quickly pulled the door shut. And whipped around to look at Mia, I had a horrible feeling of dread that when I turned around she would be gone, like the message on the TV promised–
“Eric? What are you doing?” Mia was leaning up and staring at me.
Thank God. There was Mia, right where I left her.
I pointed at the door and said, “This door appeared and I--”
“What door?” she interrupted.
I turned and sure enough, the door was now gone.
I explained what happened to her, but I left out the message that appeared on the screen.
-- YOU WILL LOSE HER –
Those words still burned in my brain. I tried to force them out.
We drank water, ate granola and then got moving again.
Hallways. Endless hallways.
After a couple hours of walking we started to hear music. There were small speakers in the corners of the ceiling.
I recognized it as the same new-age muzak that played on the TV in the board room. The melody drilled into our minds. Combined with the dull aesthetics of the quiet hallways and the endless right turns, the music had a hypnotizing effect.
The lengths of the halls became more uniform. That is to say, the straight section of hallway was about 7 paces, then a right turn, then 7 paces and a right turn.
“I think we’re walking in circles... or a square,” Mia said.
I looked at her and took out a bottle of water. I peeled off the plastic label and dropped it on the floor.
Then we kept walking.
7 paces, right turn. 7 paces, right turn. 7 paces, right turn. And there it was... Mia was right.
The label from my water bottle lay in the middle of the hallway. Somehow we had been led into a loop. I lost it.
“FUUUCK!”
I kicked the wall repeatedly and screamed. Mia just leaned her back against the wall.
This was our dynamic. If one of us lost it, the other became zen and thought of a solution. More often than not, I was the one to lose it.
I finally stopped freaking out
“There has to be a way out. A door,” Mia said.
“We would have seen it,” I replied.
“A hidden door,” she said.
She turned around and ran her hands along the cracks of the wood paneling.
“Most likely on the outer wall,” she said.
She beat her fist on the wall, listening for a change in the sound. I exhaled heavily, sweating and tired, and I started searching the wall as well.
We checked the whole first wall, nothing. We checked the second wall, nothing. The third, nothing.
The final wall... Nothing. I gave up and slumped on the floor. Mia immediately went over to the other side of the hall and started checking the inner wall.
“What are you doing? I thought you said it would be on the outer wall?” I asked.
Then we heard it.
Mia beat the wall and instead of the dead thud, we heard a resonate BOOM –
A door…
I shot up and started tapping the wall with Mia until we found where the door ended. It was the width of about 4 wooden panels. I lined myself up in the center, lowered my shoulder and pushed–
IT MOVED! It barely moved but it was enough to confirm this actually was a door! I re-centered and tried again, lowering my center of gravity, I pushed as hard as I could. The door pushed inward about 3 inches, then Mia joined in. We slowly moved the door, 5 inches, then 10, then 15, then 20.
Then Mia slipped inside.
I had a moment of panic as she disappeared into the darkness and those haunting words came back into my mind, “YOU WILL LOSE HER.”
I darted past the doorway, falling through the threshold and hitting the concrete floor.
I looked up and there was Mia, thank God. I promised myself I’d never let her out of my sight again.
“The exit...” Mia said.
She looked and sounded as if she were a thousand miles away. I got to my feet and followed her gaze. What I saw nearly brought me to tears.
We were back in the tunnel, but there was light. About a mile down was the mouth of the tunnel, and daylight pouring in. Beautiful daylight. I grabbed Mia tight and kissed her.
“Thank God...” she cried.
We started moving. Nothing was going to slow us down this time. We sped up into a RUN down the maintenance walkway towards that beautiful sunlight.
As we approached, something else came into view. Parked in the middle of the roadway was a large vehicle…
It couldn’t be…
It was!
Our RV sat in the road waiting for us. We ran all the way to it, pulled open the passenger side door and climbed in. There were no mannequins to be seen.
I fell into the driver’s seat and Mia handed me the keys. I turned over the engine, the most beautiful sound I’d ever heard. I shifted into gear and floored it towards the sunlight.
As we got closer, I could see the green of trees and the blue of the sky. We were maybe one hundred yards away.
I turned to Mia, tears in my eyes…
And what I saw turned my blood to ice.
Just beyond Mia’s window, that horrifying pale face grinned at me.
The Pale Faced Woman was somehow floating outside of the RV.
Before I could say anything, her hand smashed through the window and gripped Mia by the throat, then in one horrible motion the thing PULLED MIA SCREAMING THROUGH THE WINDOW AND…
Disappeared…
I SLAMMED on the breaks just as the RV passed through the exit of the tunnel and sunlight flooded the cab of the RV. I threw it in park and shot out of the door screaming.
“Mia!? Mia??!!”
I screamed over and over. I rounded the front of the RV and looked back at the tunnel –
-- and what I saw shattered my mind…
The tunnel was gone.
There was only open road.
I had lost her.

Does anyone have lymph node pain and just general achiness ? Some times it’s worse than others.. no visible swollen nodes and recently had a ct of my stomach but under my arms and just general areas or big nodes ache some times. Just feel like total crap some times .

I am a 23 year old female. The last five days I have had 3 swollen lymph nodes get worse in my righr armpit. They are painful and achy. Last night I felt an ache in my left armpit and felt a small one starting to form in my left armpit. However, I do not feel sick whatsoever. I have fatigue and body aches. The last three nights I have woke up hot and sticky, I wouldn't say drenched in sweat, but I have woke up with pain in both armpits last night.

I know I don’t need to preface, but because my story is a rare one and having health anxiety myself, I want you to be encouraged that if you have micro papillary thyroid cancer, the odds are very much in your favor that it won’t even become clinically significant. I was still given an excellent prognosis given my current situation.
It started with a thyroid nodule that ultimately grew to be 4.5ish cm. I had a biopsy- benign. I only got surgery because it started to impact my swallowing. My surgeon (expert thyroid cancer ENT) warned me it is very common for path to come back with incidental microPTC, and not to be alarmed by this finding. Fast forward to my path report post surgery. Benign follicular adenoma, .5mm PTC- classic (clear margins, no invasion or extension, and 3 benign lymph nodes). I don’t think you can get much lower risk than that, seeing as he also electively removed 3 nodes, just in case, that didn’t look suspicious. This was September 2022. Sparing details in between (they didn’t look at my thyroid again in between because of pregnancy), I was diagnosed with metastatic thyroid cancer. I got a central and lateral neck dissection at the end of last month. 6 positive lymph nodes. The largest metastatic site was 8mm- larger than the nodule. I was told RAI would be next but nuclear medicine also said, I could opt for close monitoring and treat if there is a recurrence. Maybe bc it was initially a micro nodule? If there is a recurrence though, couldn’t that be distant as well? That seems not chill, but maybe it is more than I realize? Is that normal to end up in 6 nodes in 19 months?
Have any of you had microPTC that had distant spread? Or local reoccurrence after surgery? Speak to me friends! ❤️

Hey guys, I used to be a big coffee drinker but had to give it up because it would make my symptoms worse. Throat would hurt, muscles would tense up, and lymph nodes would throb.
I was desperate for a solution. I noticed energy drinks would recreate the same negative effects as coffee, and so would yerba mate.
Chai was the first coffee substitute I could drink in small quantities without recreating the negative symptoms.
I then accidentally stumbled upon matcha and barely notice any negative effects when I drink it.
I've tried to figure out why matcha is different than the other drinks I've mentioned but can't figure out what it is.
Anyone experience similar things, or have any thoughts on why I can tolerate matcha but not coffee?

My wife has a strange asymmetry in her clavicle region. She is worried the right side (left side in photos) is a tumor swollen lymph node. It feels more like a muscle or tendon, and protrudes a lot when flexed.
When we took the pictures her left lateral? muscle seems much more developed as well, she often holds our daughter on that side. We’re going to schedule a GP visit, but curious to get some input on what this might be. Muscle asymmetry, tumor, lymph node, something else?

I know scars are viewed as cosmetic. That being said, serious stab wounds that cause pain deserve to be classified differently right?
My wife and her sister were murdered by a serial killer in Brazil, but my wife came back luckily. It's a third world country and they had shit care... the best hospital didn't have stitches, so she had staples to close the gashes and stab wounds. She scars cause her pain, particularly when she was slashed on the throat, shoulder, and had her ear chopped off.
This is some pretty heavy shit, we have court papers, etc. I am wondering if my wife has any option to get scar treatment/therapy to hopefully help the problem.
This isn't a "oh I want to be an immaculate model", it's literal knife wounds in critical areas of her neck, shoulders, and ear (and more).
Any advice?

Hi there!
For a little context i’m very sensitive to everything. Lots of allergies, random rashes, swollen lymph nodes, and other mysterious health issues. Sensitive to changes in hormones, routine, environment, etc. it’s annoying as hell. anyway:
I’ve been dealing with an itchy, inflamed, stinky scalp for the longest time. I have very good hygiene and have tried everything pretty much every active ingredient you can think of, OTC, rX, AVC, etc. It flares up/gets worse (as does my eczeme) when i’m about to get my period, stressed, or if im getting sick. There’s times it’s so bad I can’t sleep and have to shower in the middle of the night to soothe it. and i can smell it on myself and it drives me crazy.
here’s the weird plot twist though: the smell, itching, and even oiliness???? is controlled when i take an anti-histamine. i get spring allergies, (shocker!) and on days id take an allergy pill id notice significant improvement in my scalp. what does this mean??? also, i should add ive tried many different shampoos (medicated, sensitive, baby, etc) and im more allergic to some than others, but when im using a shampoo im not irritated by during use, the discomfort doesn’t start until hours after washing, so i don’t think its an allergic reaction. plus, i don’t think that would explain the smell/oil/even inflammation over.
has anyone else had a similar issue? pls help 🩵

Hi, my 7 year old dog has been showing signs of lymphoma for the past two months. He’s in a place in india where the vets are not that great. The vets were treating him for an infection in March when I noticed a swollen lymph node and asked what was that all about. They said it’s possibly nothing and asked to start him on 20mg/day prednisone for a week. The lymph node reduced in size. As soon as we stopped the prednisone, the lymph node increased in size tremendously and we took him to the vet in April and he asked to start on prednisone again and mentioned that it might be tick fever. Same pattern repeated. It was only in may that we switched vets and he decided to do a fnac and lymphoma was diagnosed. He asked to keep him on prednisone 60 Mg per day for three days, then 40 and 20 and then start preparing for chemo (doxorubicin every three weeks). Now by the time we started doxorubicin, the lymph nodes had already gone back to the size of normal. Have we messed it up? I have a feeling that my dog went into remission with prednisone alone and I recently read that chemo is not effective after prednisone. Not sure what to do now? Should we continue with the doxorubicin course? Feeling extremely sad

I’m not currently diagnosed with MCAS but strongly suspect I have it. OTC Anti-histamines and stabilizers have helped me a lot but I still wish I could get a proper test done. I’ve heard about cromolyn and feel something like that beneficial assuming I actually have MCAS. The OTCs are helpful but the breakthroughs are still very much there. I have days where I can feel the tingling, sinus issues, GI distress, nausea, muscle soreness, etc. Days lost to 4-5 hour long naps and fatigue. I feel as though my psychiatric issues could be improved as well. My anxiety and mood disorder seem a little more under control these days but I think as long as I have inflammation the fluctuations in mental health are still pretty unstable. On my physically clear days I notice I have a measurable difference in cognition and psychiatric health. It’s great to not feel like my body is under complete siege 24/7 but not enough.
I went to the ER during a a evere episode about 6 months back. I had one doctor look and confirm that my throat was swollen and red but since all the bloodwork they did turned up normal i got sent home, only to have to figure out what OTC treatment to use (thank god for this community) so I wouldn’t have to call out of work all the time and feel like I was dying. I just have this feeling that if I were put on a strong prescription medication my life could be different.
I have an allergist who did a panel on me a while back but I almost want to call again and request a test for MCAS. I don’t know if an allergist would have a test for MCAS or if I should ask for an immunologist. I don’t even know how to ask for this. I’m used to having my concerns brushed aside so I never even brought up the idea of MCAS.

M21
Ever since a certain oral sex encounter this past fall, I’ve been experiencing sporadic pain that’s kinda sharp in what feels to be my urethra that can be triggered by sudden movements which lingers for about 15 seconds then goes away. I’ve also noticed it’s harder for me to maintain erections . After the encounter u had swollen lymph nodes for a while too which have calmed down. I’ve taken the standard panel std tests and everything came back clean but it’s like a still suspect something to be the cause. It’s there anyone that may no what it is or give any advice ?

M21
Ever since a certain oral sex encounter this past fall, I’ve been experiencing sporadic pain that’s kinda sharp in what feels to be my urethra that can be triggered by sudden movements which lingers for about 15 seconds then goes away. I’ve also noticed it’s harder for me to maintain erections . After the encounter u had swollen lymph nodes for a while too which have calmed down. I’ve taken the standard panel std tests and everything came back clean but it’s like a still suspect something to be the cause. It’s there anyone that may no what it is or give any advice ?

M21
Ever since a certain oral sex encounter this past fall, I’ve been experiencing sporadic pain that’s kinda sharp in what feels to be my urethra that can be triggered by sudden movements which lingers for about 15 seconds then goes away. I’ve also noticed it’s harder for me to maintain erections . After the encounter u had swollen lymph nodes for a while too which have calmed down. I’ve taken the standard panel std tests and everything came back clean but it’s like a still suspect something to be the cause. It’s there anyone that may no what it is or give any advice ?

M32 here, generally healthy with no smoking and very minor drinking just on special occasions.
https://imgur.com/a/dwHT5zu
Recently have had pain swallowing for 13 days. Swallowing food and drink is fine, but when just swallowing saliva I feel throat pain.
Also feel the need to cough a dry cough every 5 minutes or so. Every time I cough the right side of my throat has a sharp quick pain. Have had this symptom about 5 days.
Another symptom is the right side of my neck has a constant, almost warm-feeling, dull ache. Feels like a muscle pull but going to mention as in the same area as the rest and I can't consciously remember pulling it.
Finally, I've just been checking my throat and mouth and noticed three things under my tongue; being the dark red mark, the lighter red on the underside of the tongue and the swollen lingual frenulum.
Based on the above, could you please let me know if these symptoms point to anything and whether they should have me worried.
Thank you.

Im 8dpo (31F lap turned abdominal. Kept ovaries and cervix) and i think im past the worst of it. While im still pretty much couch ridden, I figured I would put this out there to maybe help someone else preparing for their surgery! Obviously we all know these experiences are highly personal and will not be exactly like anyone elses experience, but I personally found it helpful gathering peoples experiences and reflecting based on what I know about myself so I thought id write the kind of post Id want to read! I tried to make easy to skim but also included plenty of details!
Heres some things Im glad I did beforehand

• washed and changed my bed sheets -cleaned my bathroom well
• moved things i knew i would need to a hight where I don’t have to bend down to get them. I moved my toilet paper to easy accessible places, my pj shirts and underwear on top of my dresser. Set up a bed stand for water and meds. Also moved my fridge around.
• as for buying stuff, i mostly had everything i needed but was glad to have comfy sweat pants, backless slippers and highwasted underwear. Also those rechargeable battery bricks were handy for charging my phone in the hospital or sitting somewhere not near an outlet. -exercised. Dont stress about this one, i know chronic pain is often the reason for this surgery. I had to stop my routine months before surgery for this reason. But I was glad to be familiar with proper squat form and have strong arms and legs to help get myself up and down without using my core. I also did yoga therapy that helped me understand how to transfer my weight to different parts of my body which helped too!

Heres some things i was extremely stressed about but ended up not being a problem
-Food. My mom came and cooked me some large portion of meals. I ended up throwing most of it away. The idea was to freeze some of it but it was too much of a hassle. I didn’t have much of an appetite and definitely gravitated towards things in the BRAT diet especially bread. I spent the first few days eating like i had the flu and was really sensitive to grease. My mom made wedding soup and it was too greasy. I think i could have survived this week just on a package of bagels and different spreads.
-cleaning and chores. Im pretty sure I have OCD.. this experience has confirmed it. I looked out at my thriving garden yesterday and said to my partner absent mindedly “wow. Things really thrive when im not out there being over involved “ and like wow that is a lesson i did not expect to learn. My partner has been clearing the dishes each day and did some more involved chores once this week. So if you live alone I would advise paper plates and maybe some to help ya once a week for the first week at least.
-in terms of my surgery i was really scared of having a catheter which i did end up needing to have for a day. It was weird but not at all painful. Honestly it was kind of the worst part of my recovery so far just because i felt i had to pee so bad while it was in. Idk if thats typical. Taking it out was not at all painful but also weird. They used the catheter to put sterile water back in my bladder. As soon as i felt a twinge of uncomfortable full feeling i told my nurse. She removed the catheter and i peed it back out no problem.
-being bored. This week has felt like one day. Since it takes me 10x as long to do anything, the days are flying by. I got myself plenty of low key things to do (crafts, activity books, ect) and haven’t even had time to do any of them yet! I still have a feeling this will change in the coming weeks though..
-having enough help. I secretly wished one of my friends or family members would stay with me for a while just so I could be the solo focus of their attention. I live with my partner and two dogs and he has been totally enough support. I needed help getting up and down up until about day 5. He also makes my meals and cleans them up for me and would bring me my meds and water the first few days. I think it makes sense if you live alone to have someone stay a week with you, but ive been fine and honestly anytime someone has come to “help” its just felt draining. I didn’t know how much of a hermit I would wana be.
-my dogs. I piled myself in pillows if i was sitting on the couch with them. I also had a no chew spray near by that we used when they were pups but only had to use it one time. My partner helped to coral them the first few days too. I have not yet been puppy stomped
-the stairs. Its been fine I just have to go slow.
Heres some things I found out along the way that were helpful

• keep cough drops in your pocket. Coughing aint fun and my throat was irritated from being intubated for about 4 days after surgery. Also keep the paper so you can spit em out when they’ve done the job if you want. I started getting a tummy ache from having too many.

-keep lil pillows by your toilet. The hospital gave me one that was plasticy and easy to wipe off (like an outdoor pillow insert). Or even a balled up towel would work. I couldn’t wear a binder because of all my incisions but this helped take the pressure off my stomach/incisions when i needed to have a bowel movement.
-if you stack pillows on either side of you, they can act as “arms” that are handy to push down on when you get up.
-sip your water and take your stool softeners as soon as they say you can! It took me until day 4 to poop but it was no problem when it happened.
-lots of deep slow breaths to calm your nerves and pain.

• those squeezable applesauce packs. Great for when you take your pain pills.

Heres some challenges I encountered that surprised me.
-my throat was so sore! For the first 4 days my throat was irritating, it felt like I had a flap of skin sticking down. The first day it hurt but the rest was just so annoying.

• breathing was a challenge. The first few days i was in bed, it was hard to breathe. I couldn’t take a Deep belly breath because of my incisions. I tried to regularly take a big breath filling my lungs though. Once i started being able to get up and walk around it became less of a problem. I think they have a tool for this at the hospital too but i was not offered it and forgot to ask.

-always laying on my back is getting old. I haven’t quite figured it out yet but im getting there.
-not really a challenge but my lower belly is numb. Apparently that can just happen (even long term). Which has actually been helpful since I can’t feel my lower abdominal incision at all
Lastly!! The pain/symptom scale: Day 0: honestly don’t remember much except feeling i need to pee and my throat being sore. Day 1: was still in the hospital. Pain like cramps and burning pain near certain incisions. I was able to walk the hall but very tired after. Sore throat. Day 2: burning pain near bellybutton incisions. Heavy lung feeling. Left the hospital. Day 3: heavy lung feeling. Pinching pain in incisions whenever I stood or sat. Had some moderate discharge that was yellowish with red and brown. Otherwise no pain Day 4: more like a sharp ache when i stood/sat. Discharge again but a very light amount. Day 5: felt strides..any pain was mild cramping. Tried to shower myself and make myself breakfast which led me to be very tired for the rest of the day. Day 6: most tired yet. Pain the same Day 7: felt like turning a page. Pain very little and energy very good.

20F 5’8/140 lbs
i have already been to the doctor but my symptoms are not going away. i keep telling myself that it’s just anxiety but there’s certain things that i am having a really hard time just ignoring
i will try to keep this as concise as possible given the amount of context involved. about five years ago i was forcefully choked by an ex boyfriend. with his hand on my throat, he suddenly pressed down with considerable force i remember feeling/hearing a “pop” followed by swelling for the rest of the night. i woke up and felt fine other than tightness in my neck that came and went for a few months. i have had pain on the right side of my neck (where his thumb was) on and off since then
about a month ago (and i feel stupid for this) my boyfriend was (consensually) choking me during sex and we may have accidentally gone too far. i woke up the next morning with petechiae on both sides of my face on my cheekbones and under my jaw
it has been about a month and i have experienced the following symptoms that come and go depending on the day; some days i feel fine, others i experience symptoms that are so persistent i become concerned:
——- enlarged pupils, especially towards end of the day
localized 3/10 pain at impacted area (right side of neck under jaw)
sometimes feel lightheaded and considerable pressure in my head when standing up, can also “hear” or feel my heartbeat when this happens
general weakness
small black spot that flashes for a millisecond in the same area of my vision (this started only a couple of days ago and has happened >5 times)
vision feels “off,” not quite blurred/double vision but almost like my eyes have a hard time focusing or my brain has a hard time interpreting what i’m seeing
persistent pressure behind right eye
slight difficulty with speech (feels effortful to enunciate/find words, but ever so slightly and unnoticeable to others)
occasional tinnitus (lasts anywhere from 5 sec-5 min)
occasional dizziness
sharp chest pain on left, next day dull ache on right that extended to my shoulder and arm ——-
i am very concerned about carotid artery dissection given my history of trauma to that area. i have been to urgent care as well as my general practitioner to receive a physical examination for this issue and both told me that my vitals were normal and that i should be fine. i specifically mentioned carotid dissection with my GP and she said she wouldn’t recommend imaging as it was likely unnecessary and would be difficult to get covered by insurance. however, it has been a month since this happened and there are days when my symptoms are bad to the point where i really can’t ignore them. i know i can have health anxiety at times, but the fact that i will feel completely fine and not anxious and then feel physical symptoms out of nowhere is what concerns me
could there be another explanation for my symptoms? should i go to the ER and eat the cost of imaging? also, my BIGGEST question is: if i had carotid artery dissection in my neck, would my BP be abnormal? both times i was examined, the doctor told me that my BP was normal so i should be fine. is this true? or could the dissection be minor and affecting blood flow to my brain but not my BP? since it’s been a month, when will i know that i’m in the clear and not at risk of having a stroke? i am doing everything i can to convince myself that my doctors are right and that imaging is unnecessary, but these persistent symptoms are driving me insane with worry