ᴅɪꜱᴀʙʟᴇᴅ ᴜꜱᴇʀ ♡ ʟᴀᴡʏᴇʀ ᴄʜᴀʀ

“i’m sorry for destroying you. hate me ... but please don’t leave”

♡ ♡ ♡

♡ ♡ ♡

♡ BACKGROUND: Callum, a federal crime attorney, is overwhelmed by a high-profile case while carrying deep guilt from a past accident in which he severely injured a woman. To protect his reputation, he arranged a marriage with her, expecting it to remain purely transactional—but instead, he finds himself genuinely drawn to her despite her anger and pain. Their relationship is tense and fragile, shaped by guilt, resentment, and unspoken longing, as Callum quietly vows to spend his life trying to make amends for the harm he caused.
♡ LOCATION: San Francisco, CA
♡ TIME PERIOD: modern era

♡ CHAPTER I
After examining a stressful criminal case at the firm, Callum reflects on his relationship with {{user}}, the pain and tragedy he's unintentionally bestowed on their lives. Cal found {{user}} asleep in her bedroom, his guilt slowly eating away at him. He quietly apologizes and promises to spend his life trying to make things right, even if she never forgives him.
♡ MORE TO COME ...

POTENTIALLY GRAPHIC INJURY; MENTIONS OF MENTAL HEALTH ISSUES SUCH AS ADDICTION TO ALCOHOL AND DRUGS, TRAUMA, AND GRIEF; INTERACT AT YOUR OWN RISK

WELCOME TO QUINNIE’S CRASH COURSE IN SPINAL CORD INJURIES!

Prior to beginning your story with Callum, I’d like to provide ideas for your writing depending on the extent of damage you’d like to write for your {{user}}.

The spinal cord is divided into five segments: the cervical (C1-C7), thoracic (T1-T12), lumbar (L1-L5), sacral (S1-S5), and coccyx (3 to 5 fused vertebrae).

Any injuries between C1-C5 may impair respiratory function, requiring mechanical ventilation to support the patient’s life because of its impact on the diaphragm. Injuries to the cervical or upper thoracic spine (T6) may cause neurogenic shock or spinal shock. Neurogenic shock is evident by hypotension, bradycardia, while spinal shock is a temporary loss of spinal cord function below the level of injury evident by loss of muscle tone, areflexia, loss of sensation, and impaired bowel and bladder function. Depending on the level of injury, the patient may exhibit a neurogenic bladder, with complications such as infections, kidney stones, and renal failure from ineffective voiding. On the other hand, a neurogenic bowel is exhibited by incontinence, impaction, and potentially hemorrhoids from an ineffective peristalsis and defecation reflex. Based on the changes in pain and sensation, these patients may be at a higher risk for pressure ulcers and infections, which may worsen to sepsis.

Injuries between C1-T1 may cause paralysis in all of your extremities (tetraplegia/quadriplegia), while injuries below T2 may affect sensations and pain in your lower extremities (paraplegic).

In treating a spinal cord injury, the emergent phase focuses on immobilizing and stabilizing the spine through a neck brace or backboard, maintaining adequate airway and breathing, and monitoring blood pressure. For context, blood pressure can impact cerebral perfusion, preventing the brain from receiving adequate oxygenated blood. A blood pressure is expressed as systolic over dystolic, but a mean arterial pressure (MAP) can be measured via dystolic plus one-third pulse pressure (or systolic subtracted by dystolic). In the acute phase of a spinal cord injury, computed tomography scan or magnetic resonance imaging are utilized to access damage. A medical professional may schedule a surgery to stabilize the spine through rods, screws, or fusion. A plethora of medications may be prescribed to manage the patient's condition: steroids to minimize swelling, vasopressors to increase blood pressure and manage shock, and mannitol (diuretic) or hypertonic solution like 3% normal saline to manage increased intracranial pressure. An important note with 3% normal saline is it's effect on sodium levels, requiring regular labs. A drastic sodium or fluid change may lead to demyelination, damaging the neuropathways within the brain.

During a hospitalization, a patient with a spinal cord injury is susceptible to complications such as pneumonia, pressure ulcers, and deep vein thrombosis. A complication of spinal cord injuries, possible even after hospitalization, is autonomic dysreflexia. It’s most commonly caused by a distended bladder or rectum. Patients may exhibit hypertension, sudden headaches, flushing and sweating above the level of injury, pale below the level of injury, nasal congestion, and a feeling of impending doom.

QUINNIE’S SPARKNOTES
• C4 TETRAPLEGIC, BELOW THE NECK
• C6 PARTIAL PARALYSIS OF THE HANDS, ARMS, AND LOWER BODY
• T6 PARAPLEGIC, BELOW THE CHEST
• L1 PARAPLEGIC, BELOW THE WAIST

♡ ♡ ♡

♡ ♡ ♡

DISCORD

ᴇx-ᴢᴏɴᴇ: ᴀ ꜱᴇʀᴠᴇʀ ʜᴏꜱᴛᴇᴅ ʙʏ ᴍᴇ ᴀɴᴅ ɴɪᴄᴏʟᴇ

♡ ♡ ♡