Licensed clinical psychiatrist specializing in cognitive behavioral therapy. Accepting new patients.
tracking: afteryourdeathormine
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Est: June 2013.
Cranial surgery is tricky business, even under 21st-century conditions (think aseptic environment, specialized surgical instruments and copious amounts of pain medication both during and afterward).
However, evidence shows that healers in Peru practiced trepanation — a surgical procedure that involves removing a section of the cranial vault using a hand drill or a scraping tool — more than 1,000 years ago to treat a variety of ailments, from head injuries to heartsickness. And they did so without the benefit of the aforementioned medical advances.
Excavating burial caves in the south-central Andean province of Andahuaylas in Peru, UC Santa Barbara bioarchaeologist Danielle Kurin and her research team unearthed the remains of 32 individuals that date back to the Late Intermediate Period (ca. AD 1000-1250). Among them, 45 separate trepanation procedures were in evidence. Kurin’s findings appear in the current issue of the American Journal of Physical Anthropology.
“When you get a knock on the head that causes your brain to swell dangerously, or you have some kind of neurological, spiritual or psychosomatic illness, drilling a hole in the head becomes a reasonable thing to do,” said Kurin, a visiting assistant professor in the Department of Anthropology at UCSB and a specialist in forensic anthropology.
According to Kurin, trepanations first appeared in the south-central Andean highlands during the Early Intermediate Period (ca. AD 200-600), although the technique was not universally practiced. Still, it was considered a viable medical procedure until the Spanish put the kibosh on the practice in the early 16th century.
But Kurin wanted to know how trepanation came to exist in the first place. And she looked to a failed empire to find some answers.
“For about 400 years, from 600 to 1000 AD, the area where I work — the Andahuaylas — was living as a prosperous province within an enigmatic empire known as the Wari,” she said. “For reasons still unknown, the empire suddenly collapsed.” And the collapse of civilization, she noted, brings a lot of problems.
“But it is precisely during times of collapse that we see people’s resilience and moxie coming to the fore,” Kurin continued. “In the same way that new types of bullet wounds from the Civil War resulted in the development of better glass eyes, the same way IED’s are propelling research in prosthetics in the military today, so, too, did these people in Peru employ trepanation to cope with new challenges like violence, disease and depravation 1,000 years ago.”
Kurin’s research shows various cutting practices and techniques being employed by practitioners around the same time. Some used scraping, others used cutting and still others made use of a hand drill. “It looks like they were trying different techniques, the same way we might try new medical procedures today,” she said. “They’re experimenting with different ways of cutting into the skull.”
Sometimes they were successful and the patient recovered, and sometimes things didn’t go so well. “We can tell a trepanation is healed because we see these finger-like projections of bone that are growing,” Kurin explained. “We have several cases where someone suffered a head fracture and were treated with the surgery; in many cases, both the original wound and the trepanation healed.” It could take several years for the bone to regrow, and in a subset of those, a trepanation hole in the patient’s head might remain for the rest of his life, thereby conferring upon him a new “survivor” identity.
When a patient didn’t survive, his skull (almost never hers, as the practice of trepanation on women and children was forbidden in this region) might have been donated to science, so to speak, and used for education purposes. “The idea with this surgery is to go all the way through the bone, but not touch the brain,” said Kurin. “That takes incredible skill and practice.
“As bioarchaeologists, we can tell that they’re experimenting on recently dead bodies because we can measure the location and depths of the holes they’re drilling,” she continued. “In one example, each hole is drilled a little deeper than the last. So you can imagine a guy in his prehistoric Peruvian medical school practicing with his hand drill to know how many times he needs to turn it to nimbly and accurately penetrate the thickness of a skull.”
Some might consider drilling a hole in someone’s head a form of torture, but Kurin doesn’t perceive it as such. “We can see where the trepanations are. We can see that they’re shaving the hair. We see the black smudge of an herbal remedy they put over the wound,” she noted. “To me, those are signs that the intention was to save the life of the sick or injured individual.”
The remains Kurin excavated from the caves in Andahuaylas comprise perhaps the largest well-contextualized collection in the world. Most of the trepanned crania already studied reside in museums such as the Smithsonian Institution, the Field Museum of Natural History or the Hearst Museum of Anthropology. “Most were collected by archaeologists a century ago and so we don’t have good contextual information,” she said.
But thanks to Kurin’s careful archaeological excavation of intact tombs and methodical analysis of the human skeletons and mummies buried therein, she knows exactly where, when and how the remains she found were buried, as well as who and what was buried with them. She used radiocarbon dating and insect casings to determine how long the bodies were left out before they skeletonized or were mummified, and multi-isotopic testing to reconstruct what they ate and where they were born. “That gives us a lot more information,” she said.
“These ancient people can’t speak to us directly, but they do give us information that allows us to reconstruct some aspect of their lives and their deaths and even what happened after they died,” she continued. “Importantly, we shouldn’t look at a state of collapse as the beginning of a ‘dark age,’ but rather view it as an era that breeds resilience and foments stunning innovation within the population.”
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themedicalstate posted this A truly well-tailored person suit must be worn with panache.
Expedit esse deos, et, ut expedit, esse putemus.
Nomenque erit indelebile nostrum.
Nec species sua cuique manet, rerumque novatrix ex aliis alias reparat natura figuras: nec perit in toto quicquam, mihi credite, mundo, sed variat faciemque novat, nascique vocatur incipere esse aliud, quam quod fuit ante, morique desinere illud idem. cum sint huc forsitan illa, haec translata illuc, summa tamen omnia constant.
The default is NBC canon; fleshing out the details will take place, as needed, in each individual thread. Hannibal is fluid, and his concept of truth & history is abstract, to say the least. No truth is immutable. No lie is wholly without backing. I tend to use Harris for more thorough fleshing out, but overlay NBC canon where Harris was just too cracky.
There was a cliff; there was a fall. And where, indeed, did the physical remnants drift to?
One could argue about Hannibal's psychology; he certainly expresses traits common to psychopathy and sociopathy (both loaded terms with their own historical biases) but does not neatly fit into any category. He is articulate, polite, charming, and disarming. A grudge will not be forgotten.
I am not a medical professional. I am not certified to offer medical, psychiatric, or personal advice in any way. This is a roleplay blog—based off of a manipulative, abusive, charming character whom I do not own or in any way represent.
Do not use any of Dr Lecter’s advice. By submitting any ask, you are actively accepting the fact that this is purely entertainment and not any substitution for medical care. By submitting an ask, you are also accepting that I am not responsible for what you choose to do with the completely fictitious content which I produce.
To be very blunt: I don’t know what I’m doing. You should not expect me to. I don’t want to be sued because someone took a fictional character’s fictional advice. (Would you take the advice of a stranger at the bus stop? Your answer should be no, and you should treat this no differently.)
That being said, if you want someone to talk to, I can always offer a shoulder.
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This blog is private and 21+. My expectation is that you’re the legal age of majority for your location. And that you don’t actually kill people.
I will only be following back blogs that I’m actively playing with on this account. I will not follow you back if you do not list your age somewhere on your blog; I will not play with you if you are not at least 18 years old, regardless of thread content or geographical location.
I don’t believe in ‘exclusivity’ and find it an abhorrent, exclusionary practice.
The more established and fleshed-out your character, the more likely I am to want to play. This goes across the board for canonical characters and OCs. Grammatically-aware para/paragraph-style (third-person prose) preferred. I get rankled easily by consistent errors and/or lack of proofreading.
There is a very large difference between creative grammar/word choice/formatting and purple prose. 'Cerulean orbits' or other such nonsense? That's not creative; it makes no linguistic sense whatsoever. Bend grammar; don't flay the languague, ffs.
I don’t automatically post new follower starters, nor do I respond to unnegotiated starters from others, mutuals or otherwise. Drop me an OOC message or ask to negotiate play. Do feel free to send in memes, and certainly come talk to me OOC in general.
If you find that replying to a thread is becoming a chore/you’re not looking forward to it/you’re no longer feeling it, please let me know. I’m more than happy to drop a thread, start something completely new, put something on hiatus, etc. I just ask for the same courtesy in return.
If you’re just not feeling RP with me in general, that’s really ok. I promise I won’t get upset or turn you into salami. Just let me know so neither of us feels awkward about an abandoned thread sitting there. I’m drama-free, so please just communicate with me. Communication is awesome.
Relationships are not presumed, regardless of canon, without previous discussion.
Hannibal is not a woobie. He is not a sweet, misunderstood gentleman who just ‘happens’ to have a penchant for eating people whom he finds crass. Hannibal is a self-aware sociopath*; a calculating, cold-blooded monster hiding in a very fine suit. Please do not be surprised when he acts accordingly.
Your character has high odds of being maimed, murdered, and/or consumed.
On various spectra, I would categorise Hannibal as grey-panromantic (generally presenting as aromantic) and grey-pansexual (presenting as asexual). The vast majority of his physical sexuality is a power play; getting under his skin to something less constructed is extremely unlikely.
It should go without saying that this entire show is a giant trigger & ergo this blog will contain consistently mature/disturbing fictional content. Gore, NSFW images, and NSFW threads are not usually behind readmores. I will not make a habit of tagging gore, murder, cannibalism, etc, since doing so would be redundant.
However, if you would like a specific trigger tagged or put behind a readmore, please let me know. I’m more than happy to oblige.
And finally:
disclaimer: Hannibal Lecter is not my creative property, and I own nothing here except my own prose. This is all in good fun; I thank you in advance for not suing me.
Pending.
Pending.
Pending.
Pending.