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Sepsis

 

ID: 050404146

Science Topic

Sepsis

Life-threatening Infection

Education Center | Course ID: 050404146

Publication Details

Author: Finn Vortex

Published: 24 April 2024

Updated: 24 April 2024

Duration: 10 Minutes

Executive Summary

Detailed examination of sepsis, including the disease process, risk factors, and treatment. Interventions in fisting and lifestyle that decrease disease manifestation. Mental health considerations and communication strategies for play partners and interactions with healthcare providers.

Seek medical advice from licensed professionals only.

Do not base your healthcare decisions solely on the information contained in this topic. Only your healthcare provider has a full understanding of your condition, its severity, and other comorbidities that may affect healthcare outcomes.

All ailment related topics at Fist Theory™ are designed to help improve communication with your healthcare provider. See Conversations with Healthcare Providers for further information.

If you have firsthand experience with sepsis and would like to provide insight or correct any misinformation in this topic, please use the Help Wanted link at the bottom of this course.

Disease Overview

Pathology

In the context of fisting, sepsis is a life-threatening condition that arises when the body over-responds to an infection within the fist chute. A cascade of events leads to widespread inflammation and organ dysfunction. The development of sepsis involves several key stages:

  1. Infection | Sepsis usually begins with an infection due to perforation of the bowel or microbial infection. Conditions such as ruptured diverticula, tears (fissures), and proctitis facilitate rapid colonization. Colonized lube can precipitate rapid infection.
  2. Immune Response | In response to the infection, the immune system releases chemicals into the bloodstream to help fight off the invading microorganisms.
  3. Inflammatory Response | Sometimes, these immune system goes haywire and causes inflammation throughout the body.
  4. Leaky Vessels | The inflammatory response causes blood vessels to dilate and leak fluid into surrounding tissue. The loss of blood volume triggers extremely high blood pressure.
  5. Clogged Vessels | Abnormal blood clotting begins, causing micro clots to form that impede blood flow.
  6. Organ Failure | The combination of inflammation, vasodilation, and clotting abnormalities can result in impaired blood flow to vital organs. This can lead to organ dysfunction or failure, affecting organs such as the kidneys, liver, lungs, and heart.
  7. Septic Shock | In severe cases, sepsis can progress to septic shock, characterized by a significant drop in blood pressure that can lead to multiple organ failure. Septic shock is a medical emergency and requires immediate intervention.
Pathology of Sepsis
Figure 1.1: Pathology of Sepsis

A body-wide response to an infection resulting from poor fisting hygiene, excessively aggressive play without time for the fist chute to rest and recover, and perforation are all causes of sepsis.

 

Image courtesy of Medpage Today.

Early recognition and prompt treatment are crucial to improving outcomes for individuals with sepsis.

Injury Indices

Damage to Fist Chute

Low 

Sepsis typically does not cause long term damage to the fist chute; however, septic shock (advanced sepsis) results in organ damage, including the intestinal tract. The severity of this damage may affect your ability to bottom.

Life-threatening Injury

Extremely High  

Untreated sepsis will likely result in death within 24 to 48 hours of its development.

Probability of Condition

Very Low  

The likelihood of developing sepsis is extremely low with traditional fisting. Untreated perforations will almost always lead to sepsis.

Symptoms

The symptoms of sepsis may include high fever, shivering, feeling cold, sweaty and clammy skin, difficulty breathing, confusion and disorientation, high pulse, low blood pressure, and extreme pain.

Risk Factors

There are several modifiable risk factors that may prevent sepsis:

  • Perforation Activities | Firm toys, doubled-up toys, hands inserted alongside toys, depth play, extreme punching, extreme depth punching, and rapid extraction of the arm/hand all increase the likelihood of perforation.
  • Perforation Denialism | A wait-and-see approach to discomfort, pain, or blood after engaging in high-risk activities allows harmful bacteria to flood the peritoneum (sack that encloses abdominal organs).
  • Chem Usage | Taking booty bumps can weaken intestinal lining. Other party drugs may decrease the ability to sense a perforation. These drugs may also reduce your ability to consent to dangerous play.
  • Pharmaceutical Drug Usage | Excessive laxatives can weaken intestinal lining. Numbing additives block normal sensations from the body that indicate you should take a break from fisting.
  • Aggressive, Continuous Play | Non-stop play over several days prevents the mucosal membrane from regenerating. Without regeneration, its ability to repel microbial invasion is compromised.
  • Excessive Douching | Repeated flushing and disruption of healthy gut flora allow unhealthy bacteria to thrive.
  • Unhygienic Fisting Practices | Any invasion of microorganisms can be the genesis of sepsis. Sharing lube, using old lube, and failing to wash hands, toys, and genitals prior to play are all common methods of infection.

Treatment

Immediate administration of heavy IV antibiotics increases your ability to survive sepsis.

Removing the source or cause of sepsis is critical:

  • Perforation Repair | Repairing a perforation should be done within hours of an accident instead of days.
  • Restorative Breaks | Refraining from non-stop, continuous, aggressive play allows your mucosal membrane time to repair itself. Versatility and listening to your body are critical tools to employ, especially at fistcons and fisting retreats.

Physical and Physiological Considerations

After recovering from a diagnosis of sepsis, your fisting practices, preparation, and routines may require some minor modifications. The scope of change is based on your risk tolerance and associated conditions that triggered the diagnosis.

Risk Mitigation

Tactics that help decrease your chance of developing sepsis include:

  • Embracing Versatility | Truly versatile players flip enough to provide necessary downtime for healing. Exclusively bottoming for hours and days on end may result in a weary and weaker fist chute that is subject to colitis, proctitis, and other types of inflammation that decrease the effectiveness of the immune system.
  • Eliminating Extreme Fisting Practices | Eliminate deep punching and pistoning will decrease your chances of perforation. Avoid extremely firm toys are longer than 20 cm (8 inches). Eliminate toys with ridges that can catch and tear the second hole.
  • Following Lubrication Etiquette | Colonization can occur due to bad lubrication practices. Use fresh lube. Avoid sharing. Wash hands when switching partners.
  • Listening to Your Body | Halt any fisting with the appearance of blood, especially darker blood that indicates more than just capillary damage. If fisting is painful due to extended play, stop bottoming until swelling stops.
  • Allowing Time for Healing | Fisting causes inflammation of the colon. Increase the number of days between sessions to allow the fist chute to rebound.
  • Avoiding Analgesic Lube Additives | Use of numbing agents can block your ability to recognize a perforation or large tear. Eliminating their use increases your awareness and may also decrease "corrosive" agents that might weaken or inflame the fist chute.
  • Playing Sober | Chems, including ethyl chloride (Maximum Impact) may affect your ability to recognize a perforation. They affect judgement—for example, you may adopt a 'wait-and-see' approach and not go to the hospital in a timely manner. Long delays after perforations and tears increase bacterial infections and risk of sepsis.

Psychological and Social Considerations

Mental Health

Any health condition that affects the fist chute can cause anxiety and significant mental distress. Losing a core element of one's sexual identity (the ability to take fists) may be is traumatic and often requires the help of mental health professionals. They can help you develop coping mechanisms and explore options that allow you to live your best life, including how to successfully abstain from fisting while healing.

A counselor is often needed to process anxiety and help develop new identities (as a top, for example).

Session Communication

If you decide not to seek immediate care at an emergency room when something feels out-of-place during or after a session, you should coordinate regular checkups with a partner or a trusted friend for 24 to 36 hours. Checkups should be conducted every 2 to 4 hours. Checkups should monitor fever, chills, and mild disorientation.

Conversations with Healthcare Providers

Fisters with sepsis are almost always seen in the emergency room. Be frank with your care team. Do not withhold information because time is of the essence in preventing permanent damage to your body.

Topics that should be discussed regarding fisting—specifically related to sepsis include:

Include Medical Rationale Down Arrow
  • General proclivities including type of and intensity of play, such as:
    • Depth Play | Including details about how deep, pistoning stroke, and pace of depth movement
    • Width/Girth Play | Including circumference, depth, and punch practices (doubles are considered the same as jack-in-the-box)
    • Toy Play | Including firmness, width, depth, and pace
  • Lubrication details including type and characteristics, such as:
    • Category | Specifically lipid, PEO, other emulsifiers, petroleum, or silicone (tip: physicians may recognize PEO lubrication as obstetrical lube or veterinary lube)
    • Quantity | How much lube was injected and the method of injection
  • Frequency of play
  • Discomfort during or after play (any)
  • Value and importance of fisting in your life
Doctor Office Communication Doctor Office Communication
Figure 3.1: [A - C] Doctor-Patient Privilege

Open communication with your healthcare providers allows them to customize care for your specific needs.[1,2]

QUICK REFERENCE

Your fisting revelations to your healthcare providers are important. Without covering the information above, they may not diagnose you correctly, they may prescribe unnecessary medications and testing, and they may not offer sound medical advice for you. Their focus may be on abstinence only—especially with providers who aren't familiar with fisting culture.

You can help improve your providers' knowledge by supplying them with the following data sheet:

PDF Icon   050404146-01 Sepsis and Fisting - Data Sheet

Content Development

The following material is under consideration in the development of this topic:

Objectives

Upon completing this course, the student will be able to:

  • Articulate verbally the severity of sepsis and its potentially fatal outcomes.
  • Identify at least three modifiable risk factors that can reduce the development of sepsis.
  • Conduct an educated conversation about fisting about sepsis with your healthcare provider.
  • Identify changes to cleanout routines that can decrease risk of perforation, inflammation, and resulting sepsis.

Note: Objectives should follow instructional design standards and be easily measurable with little ambiguity.

Supplemental Content

Blog Articles

  • Opinionated Fister: Sepsis FAQ
  • Opinionated Fister: Sepsis - How Bad Lube Can Kill You

F2 Promotional Materials

  • Thursday Erotica/Neurotica: None
  • Skills:
  • Protocols: None
  • FWOTD:
    • Sepsis

Outline (Proposed)

  • Disease Overview
  • Pathology
  • Symptoms
  • Risk Factors
  • Treatment
  • Physical and Physiological Considerations
  • Risk Mitigation
  • Cleanout
  • Lubrication
  • Psychosocial Considerations
  • Mental Health
  • Session Communication
  • Conversations with Healthcare Provider

F2 Resources

These individuals have indicated they continue fisting with this condition:

  • None

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