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The Ultimate Nursing Care Plan for Head Injury: Save Lives with These Expert Tips!
A nursing care plan for head injury is key to helping patients with traumatic brain injury. It ensures they get the best care possible. The plan aims to assess, diagnose, plan, intervene, and evaluate the patient’s condition. It uses the latest research and guidelines. Managing head injuries requires a detailed approach. Early recognition and intervention are vital. They help prevent more…
#Glasgow Coma Scale#Increased intracranial pressure#nursing care plan#Nursing interventions#patient education#Traumatic brain injury
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Breathing Easy: A Comprehensive Guide to Helping Patients with COPD
Living with chronic obstructive pulmonary disease (COPD) can be challenging and overwhelming for both patients and their loved ones. COPD is a progressive lung disease that affects millions of people worldwide and can significantly impact their quality of life. However, there are various strategies and treatments available to help patients manage their symptoms and breathe easier. In this…

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#breathing techniques#bronchodilators#chronic lung disease#COPD care#COPD exacerbation#COPD management#effective coughing#Emotional Support#health education#inhaler use#lifestyle changes#nebulizer treatment#Nursing Interventions#nutrition advice#oxygen therapy#patient education#patient support#pulmonary rehabilitation#respiratory distress#respiratory rate monitoring#smoking cessation#sputum production#symptom recognition#wheezing management
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Why is it... that... the same generation that thinks millennials are unprofessional... for having visible tattoos... and thinks gen z is degenerate... because they can't read cursive...
insist on abusing punctuation like this...
#I legit thought i was getting a spam message until i recognized the name#it was a nurse (!) asking if we could do a virtual visit before Little Miss' just recent early intervention appointment#mine
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I’ve cared for two separate patients on a telemetry/cardio step-down unit who were admitted for complications related to their gastric bypass.
In terms of difficulty holding on to vitamins/minerals? One had chronic issues holding onto potassium and was consistently low. For those unaware, potassium helps control heart/nerve function and low enough potassium levels can cause fatal arrhythmias if left untreated.
Another patient had, among other complications, no less than 20- that’s not a typo, twenty- incidents of gastrointestinal bleeding and a hemoglobin level as low as 3.2. For reference, a normal hemoglobin level for women is around 12.5 to 15. She was planning to have her bariatric surgery reversed- something I didn’t even know was possible.
The fact that bariatric surgery is pushed as an end-all be-all ‘solution’ for so many fat people- including those with no other health issues- without any serious consideration for the very real and very common adverse effects and complications that occur- risks that far outweigh (pun not intended) any potential and possibly only temporary benefits?
In my opinion, is a violation of the principles of veracity- to be fully honest with patients- and of nonmaleficence- to do no harm.
Hallo!! I really appreciate your blog and how open and invested you are in wellbeing outside of medical fatphobia and other ways medicine as an institution can suck. It's also great to see a humanized side of working in medicine, so thank you for your openness :) You mentioned recently not prescribing bariatric surgery to patients except in rare, specific cases. If you have time and energy, would you be able to share a little more about what you think about bariatric surgery when those particular conditions aren't present? Also please feel free to ignore this ask if you're not up for it. Hope you have a great day! 🌸🌼🌺
When someone is fat to the point where they can't do daily activities of living like dressing themselves, walking, etc., then bariatric surgery probably has a place.
However, bariatric surgery has risks. Lots of them. To start with, there's the on-the-table risks. These are a lot lower than they used to be--anesthesia in this day and age is incredibly safe. Getting to bariatric surgery is challenging for most patients, as insurance in the US will typically only work with a few centers that have wrap-around teams including the surgeons but also other specialists, especially nutritionists. So lots of patients go to Mexico. I haven't had a single one of my own patients, since I started having my own patients four years ago, get from the phase of thinking about bariatic surgery to actually having it done in the US. I've had three patients go to Mexico and have it done. I will withhold judgment, because I haven't been to those centers, I don't know what those doctors and teams are like, but I do know the overall out of pocket cost for patients is about 5 grand, which is so much cheaper than it is in the US that it doesn't bear comparison.
Just-after-surgery risks include blood clots that can go to the lungs or the heart. There is always a risk of wound infection, which can be devastating. If a prolonged hospital stay is required, pneumonia is a significant risk.
Any time you have intra-abdominal surgery, your body develops scar tissue. Places where scar tissue fuses different structures together are called adhesions. Having a re-operation after that is more risky because of those adhesions. You are also at higher risk for intestinal obstruction, because your intestines can hang up on adhesion and twist so that they cut off their own blood supply. This is a surgical emergency. When bowel dies, it becomes leaky and lets dangerous intestinal bacteria into the otherwise sterile environment of the abdomen. That higher risk of intestinal obstruction never goes away.
People who have had bariatric surgery are also at risk for dumping syndrome. This is a condition where the small intestine becomes overly stimulated immediately after a meal, because the food is not moving smoothly through the stomach into the small intestine on the natural time scale. That stimulation leads to excessive insulin release in comparison to the amount of glucose absorbed, which can means hypoglycemia, which is life-threatening.
Rapid fat loss leads to significant amounts of excess skin. Many people who've had bariatric surgery go on to have skin removal surgery. This is actually a riskier surgery than the bariatric surgery itself, because you are tampering with the barrier between the inside of your body and the world outside it. And if it's done too early, you can end up needing your skin to stretch again, and having stretch marks in addition to the scars.
After bariatric surgery, you are also worse at absorbing good nutrients. You need lifetime monitoring for vitamin levels, including vitamin B12. If you don't have enough vitamin B12, your nerves start to die. This results in pain that starts in the feet, since the neurons running from the spinal cord to the big toes are the longest and therefore most susceptible in the body.
But perhaps the most upsetting aspect of bariatic surgery to me is that it is presented as a definitive solution.
Is it?
Not for 20-25% of people who have bariatic surgery, who struggle with significant weight regain.
So if the most extreme intervention we have--literally surgically altering your gut--isn't enough to make weight loss permanent, how is anything else going to do it?
You can be skinny. For a little while. But attempts to lose large amounts of weight, including surgically, have high failure rates. The 75% success rate for bariatic surgery is significantly higher than for any other method currently widely available, but the risks are also significantly higher. I don't think it's worthwhile for most patients, especially given how many patients are lied to by their doctors about how much their weight is likely contributing to their health problems. Most of my patients focus on their weight rather than activity levels, they beat themselves up about how they're not doing intense enough exercise but don't incorporate lower-impact exercises like swimming or walking, they try to eat less rather than eating a diet more rich in vegetables and fruits and lower in highly processed foods. You can do so much for yourself without ever framing it as being about weight.
And if you've done that--if you're struggling with being so fat that you can't live your life--then sure. Talk to your doctor about a referral for bariatric surgery. But don't be shocked if the results are not what you were told to expect. Don't be surprised when you find that you actively resent the people who suddenly find you tolerable, even desirable, now that you're not so fat. Don't let them sell you bariatic surgery as a no-downside cure-all, because it most emphatically is not.
#a knight’s words of wisdom#putting on my nurse’s hat to step up on the soapbox here#disclaimer I am a bedside nurse on a more high acuity floor so naturally I’m going to see more of the worse end of the spectrum#this isn’t even touching on the autonomy of fat patients and being allowed to refuse any given intervention
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A Day in the Life of a Nursing Student 🏥💞
Beep! Beep! Beep! My alarm goes off at 5:00 AM, signaling the start of another day in my journey as a student nurse. Today is special—it's my last day of pediatric rotation at St. John Hospital, and although I know I’ll miss my patients and my group, I’m eager to make the most out of every moment before we leave at 11:30 AM for a school event.
Morning Hustle: The Student Nurse Routine 🌞
By 6:30 AM, I’m at the hospital, gathered with my group for circle time. We begin with a prayer, a moment of silence to remind us why we are here—to serve, to learn, and to grow. Our clinical instructor, Ma’am Luz, gives us final reminders before we start our shift. I double-check my paraphernalia, making sure my stethoscope, penlight, and alcohol are within reach. Preparation is key—nursing is not just about knowledge; it’s about being ready for anything.
Back to My Patient: Continuity of Care ❤️🩹
I was assigned the same 9-year-old boy diagnosed with PCAP-C (Pneumonia Community-Acquired, Moderate Risk), whose billing process was still ongoing. Over the past three days, I had monitored his vital signs, tracked his intake and output, and ensured his comfort. Today was no different—I continued providing bedside care, repositioning him for better breathing, and reminding his mother about the importance of hydration and proper medication adherence after discharge.
It’s amazing how three days with the same patient can make such a difference. There’s a bond, a sense of responsibility, and a commitment to ensuring that he and his mother feel supported even beyond the hospital stay. Nursing, I’ve realized, is not just about administering medication; it’s about building trust and delivering holistic care.

Beyond the Charts: The Human Side of Nursing 🥹
Mid-shift, I found myself listening to the life story of my patient’s mother. Between checking her son’s vital signs and jotting down my FDAR notes, I sat beside her as she opened up about the challenges of raising a child with frequent respiratory infections. It was a humbling moment—one that reminded me that behind every patient chart is a family filled with hope, fear, and love.
As a nursing student, it’s easy to get caught up in skills and procedures, but today reminded me that listening is also a powerful intervention. Sometimes, patients and their families don’t just need medicine; they need reassurance, someone to hear them out, and a comforting presence in an unfamiliar environment.
Final Insights and Goodbyes 🥰
Before we left, our clinical instructor gathered us for one last discussion. She shared insights about our performance, reminded us to always uphold compassionate care, and encouraged us to reflect on what we had learned. It hit me then—I was not just walking away with clinical experience, but with a newfound appreciation for the depth and humanity of nursing.
As we packed up and bid farewell to the ward, I couldn’t help but feel sentimental. I was going to miss my group—the teamwork, the shared stress, and the small victories we celebrated together. Nursing school is tough, but having people who understand your struggles makes the journey lighter.
Looking Ahead: The Never-Ending Learning Curve 🤩
Although this rotation has ended, the lessons I’ve learned will stay with me. Moving forward, I will carry with me the importance of continuity of care, patient advocacy, and the power of simply being present. The hospital may be a place of treatment, but for nurses, it is also a place of connection, growth, and purpose.
As I head back to school for our event, I take a deep breath, knowing that tomorrow is another day to learn, to care, and to become the nurse I aspire to be.
To all nursing students out there—keep going. The long shifts, the exhaustion, and the endless paperwork may feel overwhelming, but every moment spent caring for a patient is a step closer to becoming the nurse you dream of being. 💙👩⚕️
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i dont hate my job. but at the same time i hate my job.
#nurse made us put a lady to bed with 17 minutes left of the shift#said lady has severe dementia that has gotten significantly worse#couldnt even undress her without a physical fight#screaming shouting biting scratching#it was like she was possessed#and when we go to tell the nurse shes like ‘we know what shes like’#NO YOU DONT!!!!!!!#she needs a better home more suited to her specific needs#but the nurses just brush off everything we say#and im fucking sick of it#i do not get paid enough to be abused like this and then for the nurses to not give a shit#its not the lady’s fault at all of course i just wish the people who are supposed to be at the top in this fucking place woulf listen#so i ended my shift being really fucking pissed off#we had 1 minute left of the shift when we finished and she had the AUDACITY to ask us to fill out intervention charts and behaviour charts#fuck AAAAALLLLLLL the way off lmfao#No.
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In home health services in Burbank, California, the focus is increasingly on providing comprehensive support to individuals recovering from illnesses, injuries, or disabilities. Among these essential services, occupational therapy plays a pivotal role in helping patients regain independence and improve their quality of life. By assessing and addressing the specific needs of individuals, occupational therapists can create tailored strategies that enhance daily living skills, making it easier for patients to perform essential tasks at home and in their communities.
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👁️ Ultimate Nursing Care Plan for Eye Disorders: Save Vision, Save Lives! | NursingExpert.in
Imagine waking up one day and finding the world around you blurry, distorted, or even completely dark. For millions of people living with eye disorders, this is a daily reality. Eye health is often taken for granted, but when vision is compromised, it affects every aspect of life—from reading a book to recognizing a loved one’s face. As nurses, we have the power to make a difference. By creating…
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Prenatal control of pregnant women in the First Level of Care by Alejandro L. Villalobos Rodríguez in Journal of Clinical Case Reports Medical Images and Health Sciences
Abstract
Introduction: Normal pregnancy is the physiological state of the woman that begins with fertilization and ends with the labor process and birth with physiological changes present. However, there may be complications that seriously affect the binomial; Self-care refers to the human capacity of individuals to perform actions whose purpose is to care for themselves and others.
Results: During the study period of March 2023, 19 cases of pregnant women entitled to Issste were recruited. The average age was 32.5 years, and the standard deviation was 5.4; weeks of gestation had a mean of 27 SDG and a standard deviation of 10.6. Five patients (26.3%) attended prenatal care for the first time, followed by 14 pregnant women (73.6%). Regarding their protection vaccination, 19 pregnant women received the anti-influenza vaccine (100%) and the TDPa vaccine in only six cases (31.5%).
Discussion: Prenatal care providers are encouraged to assess maternal weight at each prenatal visit, monitor progress toward meeting weight gain goals, and provide individualized counseling if significant deviations from a woman's goals occur. Today, nearly 50% of women exceed their weight gain goals, and overweight and obese women have the highest prevalence of excessive weight gain. The risks of inadequate weight gain include low birth weight and failure to initiate breastfeeding. In contrast, the risks of excessive weight gain include cesarean section deliveries, postpartum weight retention for the mother, large-for-gestational-age babies' macrosomia, and childhood overweight or obesity for the offspring. Vitamins and minerals are essential for normal fetal development. The World Health Organization recommends supplementing iron, folic acid, vitamin A, calcium, and iodine during pregnancy.
Keywords: Nursing; Pregnancy; Educational intervention.
Introduction
Normal pregnancy is the physiological state of the woman that begins with fertilization and ends with the labor process and birth with present physiological changes. However, complications may seriously affect the binomial (1).
Nicotine use by mothers during pregnancy is associated with numerous deleterious effects in children, especially concerning obesity. Children exposed to nicotine prenatally tend to have a lower birth weight, with an elevated risk of becoming overweight throughout development and into adulthood (2).
Alcohol is perhaps the most widely used and socially accepted psychoactive substance. Alcohol consumption is highly addictive, and evidence indicates that it can cause severe systemic side effects, such as heart and lung disease, and increase the risk of cancer and susceptibility to some infectious diseases (3).
Cannabis is the most common illicit drug used by pregnant women; Prevalence rates during pregnancy range from 3-10% in the United States, with some variability depending on the legal status of cannabis in all states. Some women use cannabis on purpose during pregnancy to combat symptoms such as nausea and pain, although recent reports suggest that cannabis use may cause nausea and vomiting (4).
Anemia has been a significant public health problem worldwide, especially in developing countries. The WHO has defined anemia in pregnancy as hemoglobin < 11 g/dL. The most common cause of anemia in pregnancy is iron deficiency anemia, defined as serum ferritin < 15 μg/L (5).
HIV remains a significant global public health problem. Worldwide, approximately 37.7 million people are living with HIV, of whom 1.7 million were children aged 0-14 at the end of 2020. In addition, women are at increased risk of acquiring HIV during pregnancy or breastfeeding, and those women who acquire HIV during pregnancy or the postpartum period have more likely to transmit the infection to their offspring (6).
Preeclampsia (PE) is one of the leading causes of maternal and perinatal morbidity and mortality worldwide, affecting approximately 2-5% of pregnant women. These patients present with hemolysis, elevated liver enzymes, low platelet syndrome, and cardiovascular disease later in life. PD contributes to approximately 10% of stillbirths and 15% of preterm deliveries (7).
Materials and methods
40 pregnant patients were recruited who attended the first level care Health Unit of the ISSSTE in Playa del Carmen, Q. Roo, for pregnancy control during the study period. A descriptive analysis was carried out with measures of central tendency, measures of dispersion, and percentages.
Results
During the study period of March 2023, 19 cases of pregnant women entitled to ISSSTE were recruited. The mean (X) age was 32.5 years, and the standard deviation (S) was 5.4; weeks of gestation had a mean of 27 SDG (X) and standard deviation (S) of 10.6. Five patients (26.3%) attended their prenatal check-up for the first time, and 14 subsequent ones (73.6%). Regarding their protection vaccination, 19 pregnant women received the 100% anti-influenza vaccine and the TDPa vaccine in only six cases (31.5%). All pregnant women (100%) received folic acid from the first trimester of pregnancy.
Discussion
Vitamins and minerals are essential for normal fetal development. The World Health Organization (WHO) recommends supplementation with iron, folic acid, vitamin A, calcium, and iodine during pregnancy. The American College of Obstetricians and Gynecologists also recommends supplementation with choline and vitamins B6, B12, C, and D. Prenatal vitamins do not have a standard formulation. However, most contain calcium, iodine, omega-3 fatty acids, zinc, and vitamins A, and also eat more iron and B vitamins and about twice as much folic acid as multivitamins (8).
Regarding prenatal factors, studies have shown that poor maternal exercise, exposure to tobacco smoke and secondhand smoke, unhealthy dietary pattern, maternal BMI before pregnancy, maternal weight gain during pregnancy, as well as poor birth outcomes, such as low birth weight or small for gestational age and preterm birth, are associated with an increased likelihood of childhood obesity (9).
Preterm birth remains a global epidemic, with a global incidence of 15 million births annually. Globally, preterm birth is the leading cause of death in children under 5 years of age. According to data from several countries, premature births have increased. According to the WHO, around 1 million children are estimated to die each year due to complications of preterm birth (10).
Prenatal care providers are encouraged to assess maternal weight at each prenatal visit, monitor progress toward meeting weight gain goals, and provide individualized counseling if significant deviations from a woman's goals occur. Currently, nearly 50% of women exceed their weight gain goals, and overweight and obese women have the highest prevalence of excessive weight gain. The risks of inadequate weight gain include low birth weight and failure to initiate breastfeeding. In contrast, the risks of excessive weight gain include cesarean deliveries and postpartum weight retention for the mother and large-for-gestational-age babies, macrosomia, and childhood overweight or obesity for the offspring. Prenatal care providers have many resources and tools they can use to incorporate weight counseling and other health behaviors health in their routine prenatal practices. Because many women are motivated to improve their health behaviors, pregnancy is often considered the optimal time to intervene in eating habits and physical activity issues to prevent excessive weight gain. Weight gain during gestation is a potentially modifiable risk factor for some adverse maternal and neonatal outcomes, and meta-analyses of randomized controlled trials report that diet or exercise interventions during pregnancy may help reduce excessive weight gain. However, health behavior interventions for gestational weight gain have not significantly improved other maternal and neonatal outcomes and have limited effectiveness in overweight and obese women (11, 12).
Since 1990, exposure to air pollution has been one of the significant health risks influencing the global burden of disease and injury, and the trend has been increasing. Globally, only 7% of children live in environments with air pollution levels, according to WHO guidelines, indicating a lifetime impact of air pollution exposure on most children. In addition, the increasing prevalence of allergic diseases in recent decades represents a significant challenge for children's Health and imposes a global economic burden. Emerging evidence indicates that specific forms of ambient air pollution, such as particles 2.5 or 10 mm in diameter, sulfur dioxide, nitrogen oxides, nitrogen dioxide, and oxides of nitrogen, are associated with the development of asthma in the pediatric population. Besides direct inhalation exposure during childhood, prenatal ambient air pollution exposure during the fetal stage might increase the risk of childhood asthma (13).
There is increasing evidence that prenatal environmental exposure to chemicals affects pubertal development. Many chemicals are present in the environment because of their extensive use, resistance to biological and chemical degradation, and bioaccumulation in the food chain. Exposure to these persistent organic pollutants continues for long periods after their production and use have been prohibited by law. Humans are exposed to environmental chemicals through food, drinking water, and air. POPs include polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers, dichloroethane, pentachlorophenol, hexabromocyclorodecane, and others. PCBs are chemicals produced between 1929 and 1985 for application in various products, including refrigerants in heat transfer systems and lubricants in plastics. The prenatal period is vulnerable because many developmental processes are initiated, and disruption of these processes can influence outcomes in later life. Prenatal exposure to polychlorinated biphenyls has been shown to interfere with children's neurological, immunological, metabolic, and endocrine development. Development is a multifaceted process under the control of various hormonal mechanisms; PCB exposure could interfere with pubertal development. Evidence shows that hormone disruptors can advance or delay puberty (14).
Pregnancy is the psychologically most vulnerable period for women. During pregnancy, women are prone to varying degrees of stress due to changes in hormone levels and many other factors, such as brief bouts of fear, nervousness, and the possible long-term persistence of negative emotions. Negative emotions in women, such as stress, anxiety, and depression, are common during pregnancy. Negative emotions during the prenatal period can present potential risks to maternal Health and the Health of the newborn. Antenatal stress, anxiety, and depression are not only associated with fetal development and adverse pregnancy outcomes, such as low birth weight, preterm delivery, and fetal distress but also have more lasting effects, directly or indirectly, on growth and the development of children. Children of women who experience one or more negative emotions during pregnancy are more likely to have behavioral and emotional changes, attention deficit hyperactivity disorder, and autism in childhood. They are also more likely to have depression, impulsivity, and cognitive disorders in adolescence and suffer from schizophrenia in adulthood. In addition, women with prenatal symptoms of anxiety, depression, perceived stress, and post-traumatic stress disorder may experience more severe pain and be at higher risk of developing pregnancy complications, such as diabetes and preeclampsia, during childbirth and are more likely to of suffering from postpartum depression (15).
Prenatal maternal stress can arise from malnutrition, major life events, bereavement, catastrophic events, depression, or anxiety. Selye described stress as a physiological response pattern that occurs in response to an external or internal stressor and will last if the stimulus persists. The stress response is a homeostatic process and involved in this response is the neuroendocrine system called the hypothalamic-pituitary-adrenal (HPA) axis, which regulates various physiological processes, including energy expenditure and storage, digestion, the immune system, mood, and the emotional response to stress through the release of glucocorticoids. The acute stress response does not produce long-term changes in the stress response axis, whereas chronic stress can exert long-lasting effects. Dysregulation of the HPA axis caused by repeated or extreme exposure to stress is associated with elevated cortisol levels and may be related to the anxiety and pathology of depression. Maternal prenatal stress increases fetal plasma cortisol to levels that overwhelm the metabolic capacity of placental 11β-hydroxysteroid dehydrogenase. This enzyme usually protects the fetus from higher maternal glucocorticoid levels by converting cortisol to inactive cortisone. Elevated levels of circulating fetal cortisol bind to glucocorticoid and mineralocorticoid receptors that are expressed at high levels in multiple regions of the fetal brain, including the limbic system, hypothalamus, and cortex, where it impacts neurogenesis, gliogenesis, and synaptogenesis, suggesting its role in influencing cognitive, behavioral, and morphological development. These structures have been implicated in aggressive behavior, a phenomenon defined by Moyer (1971) as "overt behavior that is intended to inflict physical harm on another person" (16-19).
Exome sequencing (ES) is becoming increasingly available in prenatal diagnosis. However, data on its clinical utility and integration into clinical management remain limited. The BACs-on-Beads™ (BoBs) prenatal assay was introduced to rapidly detect abnormalities of chromosomes 13, 18, 21, X, and Y and nine specific significant microdeletion syndromes. According to the WHO, congenital disabilities affect 4 to 8% of births worldwide, and their incidence varies between countries. Non-invasive prenatal testing is widely used to detect common fetal chromosomal abnormalities. However, the ability of NIPT-Plus to detect copy number variation (CNV) is debatable (20). Skeletal dysplasia is a group of rare genetic disorders associated with cartilage and bone abnormalities. Skeletal disorders are clinically and genetically heterogeneous, with more than 350 genes that explain the diversity of phenotypes of these diseases. Non-invasive prenatal screening has the potential to detect the maternal X chromosome that causes X-linked ichthyosis and may guide prenatal diagnosis of ichthyosis and reflect the family history to improve the pregnancy as well as the management of the Health of children and family members. An optimal intrauterine environment is essential to maintain fetal development. Harmful regents have been identified to be associated with significant congenital malformations, primarily neurological and cardiovascular congenital disabilities. The current view suggests that various cardiovascular diseases in adulthood are related to prenatal exposure to toxins such as glucocorticoids, antibiotics, antidepressants, antiepileptics, etc. HBB-associated hemoglobinopathy, with its two general subtypes as thalassemia and abnormal hemoglobin (Hb) variants, is one of the most prevalent inherited Hb disorders worldwide. Fetal macrosomia is common in pregnancy and associated with several adverse maternal and neonatal prognoses. Although, the accuracy of the prediction of fetal macrosomia is still poor (21). Exposure to environmental stressors during pregnancy plays a vital role in influencing and later susceptibility to certain chronic diseases through the modulation of epigenetics, including DNA methylation. Diagnosis of a microdeletion of chromosome 22q11.2 and its associated deletion syndrome (22q11.2DS) is optimally made early. Definitive diagnosis by chorionic villus or amniocyte genetic testing using a chromosome microarray will detect clinically relevant microdeletions. Maternal genetic effects can be defined as the effect of a mother's genotype on her offspring's phenotype, regardless of the offspring's genotype (22, 23).
This research contributes to the emerging evidence of the impact of community health workers on coordinated systems of antenatal care. It may guide policymakers, practitioners, and administrators to target effectively. Resources and enrollment to potentially reduce the cost burden for health systems. In Arizona, this study provides strong evidence for the sustainability of investing in rural health worker home visits to ensure continuity of Maternal Child Health care and equity among geographically diverse women. Investment in Health should begin engaging with nulliparous young women (including adolescents) throughout the municipality. They could improve reproductive health planning and preconception Health and reduce unwanted pregnancies through adequate engagement with prenatal care (24).
Conclusion
The first-level health units must have support personnel such as psychologists, dentists, and nutritionists. Services already established must cover all shifts 24 hours a day, 365 days a year. The supplies of medicines, laboratory, dental, etc., must be sufficient. Nevertheless, health personnel must primarily understand the importance of treating patients who require their services.
#Nursing; Pregnancy#Journal of Clinical Case Reports Medical Images and Health Sciences#jcrmhs#Educational intervention
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Compassionate Care for Chronic Kidney Disease: A Nursing Perspective
Chronic Kidney Disease (CKD) is a progressive loss of kidney function over time. Managing CKD is not just about slowing the progression of the disease but also about enhancing the quality of life for those affected. Nurses play a crucial role in this process, providing care that is as compassionate as it is competent. This blog post will explore the nursing interventions and desired outcomes that…

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#AChronic Kidney Disease#Blood Pressure Control#CKD Complications#CKD Management#CKD Progression#Dialysis Support#End-Stage Renal Disease#Fluid Management#Kidney Disease Education#Kidney Function Monitoring#medication adherence#Nurse#nurses#Nursing#Nursing Care Plan#Nursing Interventions#Pain Management in CKD#palliative care#patient education#psychosocial support#Quality of Life with CKD
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I have three days of education starting tomorrow to learn about chemotherapy, a subject I have zero interest in, in preparation for my next six month placement in a cancer outpatient clinic where the only things I'm looking forward to is the regular hours and no ADLs, pray for me
#i just have no interest in oncology but i dont have a choice#and doing chemo looks so stressful and serious#like im still struggling with basic nursing interventions#and worrying im going to mess up#so chemo is not for me especially at this point#the only bonus is if i do it now i wont have to go out of my way to learn it in the future#personal
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saying that anya should've talked to swansea first instead of curly is extremely weird and borderline mysogynistic because if you think that she should've went to the buffest and the oldest guy on the tulpar for 'safety',it says more about you then it does for the game.
Anya did not need 'saving' she didn't need a man to come and save from her misery disney princess style,she wasn't a damsel in distress.
What she needed was simply, intervention. Anya was aboard the tulpar not for vacationing,she was there for her job,a formal duty where she expected everyone else to remain professional as well.
I hate how the fandom has turned her into her demise. how all of the art I've seen of her simply minimize her character into what had happened to her,she is not just a victim of rape. she is the victim of ignorance,capitalism,and failure as well. and she is not just a victim. She is the nurse aboard the tulpar who had been tirelessly working her butt off to get into medical school.
she went to the captain of the ship,to file a complaint against the co-captain. She didn't go to a friend to simply rant about another friend. she didn't go to swansea because,curly was the one with responsibility of the entire crew.
Anya is more than what happened to her.
#jambalaya speaks#mouthwashing#mouthwashing game#anya mouthwashing#jimmy mouthwashing#mouthwashing jimmy#mouthwashing anya#mouthwashing analysis#grant curly#curly mouthwashing#mouthwashing curly#swansea mouthwashing
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Declined
Simon ‘Ghost’ Riley x Reader
wc: 9.2k words (whoopsies)
warnings/tags: 18+ MDNI, stalker!Simon but he does it with the intention of loving you so therefore I also tag this as fluff, the usual swearing, smut, f!oral receiving, p in v sex, unprotected sex, finishing inside
Continuation of this idea
He almost hadn’t seen you, that very first time
He was begrudgingly on his sixth day of mandatory leave, something he had been pushing Price on for too long now, the Captain finally putting his foot down and saying the Lieutenant could no longer avoid it. Following a couple of particularly brutal operations recently, the higher ups were becoming increasingly concerned as to his mental stability, stating Ghost’s actions and his own written reports reflected an impulsivity and darkness they were steadily losing confidence in.
Ghost found the claims ridiculous. They had shaped him into exactly what they needed him to be on the battlefield, hadn’t they? They’d taken the scrawny runt of the litter and shaped him into a lean, mean, killing machine who never blinked twice as the blood of those lives he’d taken became as permanent of a stain on his skin as the ink from a tattoo gun. What did they fuckin’ care how his bloody mental health was?
Price insisted that the younger man not sulk inside of his flat for the entire duration of what he tried to convince him could be treated as a well deserved rest, encouraging him to get out at least once a day, if only to stretch his legs and prevent him from going truly stir crazy.
“Ye do understand they won’t let you back until they think you’re at least tryin’ to put the work in?” The Captain had told him the last time he saw him, doing his best to remind his second in command of the situation they’d been put into. “Take up fuckin’ yoga if ye think it’ll help ye. Just find something to distract yer mind and have them clear ye to come back sooner than later.”
A distraction huh?
Now, he’s sat at a table in the corner of an already too small and too cramped cafe, nursing a less than mediocre cup of tea on his daily outing, only just looking to help pass the time faster until he could be back on base where he belonged. For no particular reason other than perhaps divine intervention, he had only happened to glance up that time the bell above the door rang rather than the other hundred times it had gone off this morning, and that was when Ghost saw you
You, who appeared as though you’d only stumbled into the shop because a strong gust of wind had pushed you in his direction, your skittish, frazzled appearance making you stand out amongst the crowd of bored looking caffeine addicts stood waiting in queue, hardly sparing you a glance as they awaited their next 5£ fix
You were pushing your hair out of your face as you caught your breath, accompanied by the sound of the bell ringing as the door finally shut behind you, a noise nearly akin to angels strumming their harps up above when Ghost caught his first proper glimpse of your visage
There was something about you that piqued his interest then and there, his eyes never leaving you as you continuously struggled with the stack of books, journals and loose papers nearly slipping from your grasp, your other arm occupied with the so full it could burst tote bag that kept sliding off your shoulder
He had to stop himself from actually scoffing at your appearance, you came across as so opposite to how he carries himself, silent and stealthy, cool and collected, priding himself on being able to slip in and out of rooms unnoticed, even with his huge frame. And here you were, stumbling in like a bull in a china shop and appearing before him like the epitome of a hot mess on legs
He watched you the entire time you stood in queue, he watched you place your order and pay, noting the way his cold, dead to the world heart tried to skip a beat when you smiled at the barista, he watched you glance about the cafe as you waited for your beverage, your gaze somehow never landing on the one that had been focused on you since you walked in
Now, there are countless explanations as to why Ghost did what he did next, many of them could be explained away as being innocent enough, no real ill-intent or harm done, the Lieutenant was simply bored and looking for something to occupy his time with, to entertain his mind, like the higher ups had ordered
Unfortunately for you, he believed he had just found his distraction
It was really almost too easy, any simple civilian could have done it, his SAS skills not even needing to come into play you were making this so simple for him, you might as well have been asking for it
First, he saw your eyes light up when the barista called your name out along with your drink order, giving Ghost the first half of the information he needed. Next, he was watching you walk by his table to collect your beverage, paying him no mind at all as he glanced towards the stack in your arms, your last name practically popping out at him from the top corners of nearly all your loose papers, granting the large men exactly what he’d been hoping to see
You were none the wiser as you happily skipped out of the cafe, bidding the girl behind the counter a happy Sunday along the way, unaware as to the pair of eyes following your every movement, and the traumatized mind behind them who had already begun his plotting
One week
Seven days go by since that first Sunday he saw you in the cafe
And in that time, Simon’s kept himself busy, learning as much as he can about his newest distraction, his new little hobby, his pet project
Equipped with your first and last name tucked into the folds of his brain, it had been all too simple, nearly comical how easy it was for Ghost to look you up online and learn all he wanted to know about you
Thanks to the world wide web, in a weeks time Ghost had been able to discover all those essential details he supposes other men would have had to learn through taking you on date after date, finding out which school you’re attending for your masters degree, gaining access to your class schedule, giving him a glimpse into your routine Mondays through Fridays, discovering which local book store you’re working at part time on the weekends
You’re evidently a clever bird, having your few social media accounts set to private mode, but you’re sweet to think something like that could keep someone like him from getting what he wants
Soon enough, he’s got access to every photo and video you’ve ever uploaded to the web through the years, happy to note that you’ve never posted anything that would hint towards there being a man in your life right now
And really, it isn’t entirely your fault that you’re so open and honest in some of your posts, believing that no one apart from your family and close friends will be reading it, as you had excitedly posted photos of your new apartment last year, writing in the caption how you were eager to start this new chapter of your life, living on your own, all by yourself, not even a dog to keep you company when the floor boards creak at night and branches tap against the windows, just and old blind cat you’d rescued
While your friends had commented on how cute and cozy your decor had been, his own eyes skipped over the overpriced pillows and throws and instead locked on to the windows and doors, noting the standard, or altogether missing, security systems in place
Ghost is thinking about what the easiest way to gain access to your flat’s floor plan would be, he could pretend he’s an interested tenant and reach out to the landlord, hmm but then he’d have to actually talk to someone, something he’s been able to avoid doing so far, avoid leaving any trace- when the sound of the bell ringing above the door lets him know you’ve walked in
Much like last time, his eyes following your figure is the only perceptible movement he allowed himself, guarded by the shadows of his hood over his head, no one would ever be able to notice the steadfast attention he pays to your every single movement
You spend a total of 9 minutes 38 seconds in the cafe this time around, from the time you enter until you’re walking back out with your warm drink in hand, each second being ingrained into Ghost’s mind
A small part of him had almost tried to fool himself in the beginning, attempting to convince himself that this would be enough, learning about a curious little bird from behind a screen and silently watching her bounce around a coffee shop once a week should have been enough to keep his warring mind occupied, to keep the Lieutenant distracted until the higher ups decided enough time had passed to offer him a chance back
That was until, he’d heard you laugh
You were nearly out of the cafe, so close to being an itch he could almost consider satisfyingly scratched and over with, when a woman and her overzealous toddler came bounding round the corner, practically knocking into you with your full arms
But rather than becoming upset at your nearly spilled drink or almost ruined academic papers, you reassured the woman, got down to the tots level to make sure they were alright, and then you laughed with them
Your fucking giggle was to him what children heard when the ice cream truck came driving by, your smile stretching further than it previously had before his eyes, your voice sounding as melodic as the bell above the door did, and that was when Ghost knew, he was fucked
All of the world’s information online couldn’t put into words what he was seeing in front of him with his own two tired eyes; you were sweet
Too sweet, tooth-achingly sweet, sweet enough to trust this cold, dark world and offer it a bright smile in return
He’s seen people killed for far, far less
But not you
He wouldn’t allow such a cruel fate to befall such a darling bird, he wanted to keep you sweet, keep you smiling and giggling without worries of predators watching from the shadows, mouths salivating and jaws itching to clamp down on something soft
Not when you’d flown to close to him twice now, near enough that he can practically feel the wind beneath your wings as you float out of the cafe again, unaware that you’ve stepped into the large, gilded cage that is Ghost’s attention
Another week passes
Ghost takes his curiosity away onto the streets for the first time and counts to sixty before he follows you out of the coffee shop that Sunday, careful to stick close to the buildings and shadows, mingling in with the crowds and keeping a reasonable distance from you as he follows in your steps
He lurks near the crowded bust stop across the street from the moment you walk into your shift at the bookshop, and remains there until the second you step back out hours later, locking up the store behind you and beginning your stroll home
He waits outside your flat, noting which window on the second floor lights up with the soft glow of a lamp not long after you venture into the building, letting him know exactly which one is yours, and which one he’ll be keeping a close eye on from now on
Another week passes
Ghost has most of your routine memorized by now
He knows what time you leave in the morning depending on your classes that day, knows you often don’t make it home until after dark on those days
He knows your shifts at the bookstore every weekend never change, with your Sunday morning visits to the cafe before work being one of the few luxuries you apparently allow yourself
Ghost hangs around your flat often enough that he allows some of the neighbours to begin recognizing him in passing, letting them assume he must live in the building as well
All the better for him really, when the nice older couple doesn’t blink twice as he carefully grumbles about being locked out one night and they grant him their key code to unlock the front doors
Another week passes
Ghost knows you’ve been complaining to your landlord about how the building’s laundry machines are giving you a hard time, though you don’t tell the balding man about how it seems your undergarments are the only thing disappearing from your loads-
He knows where you do your shopping, and how you avoid a certain cashier who never gets the hint when you don’t return his attempts at flirting
He knows your Sunday morning coffee order by heart, knows exactly around what time you’ll be popping into the cafe, always around 8:25am before your 9am shift stocking books six blocks away
Another week passes
Ghost knows you haven’t noticed yet that the nuisance of a cashier at your local grocer hasn’t shown up to work in days now, the Lieutenant having ensured that he wouldn’t be bothering you anymore
He knows you’re running low on panties, considering he has nearly an entire weeks worth of your unwashed garments tucked safely in his nightstand
He knows you’ve started to notice the door leading out to your second storey balcony isn’t always locked when you return home, even though you could have sworn it was secured before you left that morning
He knows you’ve begun to question whether you left that lamp on when you rushed out for school, or if you’d closed your bedroom curtains before bed at night, or where those leftovers in the fridge went-
Ghost knows it’s nearly time to act - his clever bird is slowly catching on as he grows less and less careful, more daring - but it’s on one of those nights that he feels bold enough to slide your balcony door ajar enough for him to slide inside and watch your chest rise and fill with each breath as you sleep peacefully unaware, that his phone rings and nearly ruins everything
It was only in recent weeks that Ghost felt confident enough, or perhaps stupid enough his Captain say, to observe you more closely, taking a more ‘hands-on’ approach. At night, he more often than not occupied the nooks and crannies of your domicile as you tossed and turned in your sleep, mere steps away from the man who simply wished to watch you dream for now
He can’t explain his fascination with you even to himself - it’s as if he awoke one morning to discover he- someone had drilled a hole into his skull and poured your liquid form directly into his cranium
He sometimes wishes you were as easy to catch as a common insect, wishes that he could examine you under a microscope, to pin your extremities down and take a scalpel to your soft flesh to finally peer inside and see what makes you tick- but he knows he must tread lightly, keep you from bleeding out on the table too soon
Always careful and sure of his movements as he inched your bedroom door open that night, he had been preoccupied on watching you for any sudden indication of disturbing and waking you, he’d been entirely caught off guard by the sudden buzzing going off in his pocket
He hadn’t been expecting anything from his cell that night, considering that this was the first sign of life his the device had shown in the month he’d been forced on leave, but he thanked whatever God might still be listening to him that the ringer was off like it always was, saving him from the disaster that would have been his ringtone suddenly waking you just before two o’ clock in the morning to a masked stranger lurking in your doorway
Though the phone call hadn’t woken you, it had startled Ghost enough to throw him off, had him stepping back in surprise and making the near fatal mistake of stepping on one of your cats squeaky toys
The cheap pet store toy goes off in the otherwise deadly silent room, only the light of the moon creeping through your curtains casts a faint glow across your sleeping figure, which to Ghost’s horror, begins to stir softly
Ghost has backed out of your bedroom, slipped out the balcony door, silently shut it behind him and jumped back down onto the street with the agility of a trained professional in their element, all before the call has even been sent to voicemail
He’s ripping the device from his pocket and slamming thick fingers onto buttons as the sudden surge of adrenaline catches up to him- as he realizes just how fucking close that was - daring to glance up and spot a single light turning on in the window he knows is your bedroom
“What?” He asks harshly into the receiver, uncaring to check what the caller ID says- only one person has his cell number anyhow
“I’ll be honest,” The Captain’s accent comes through clear as day, sounding all too chipper for the current time on the clock. “I was expectin’ at least a slightly warmer greetin’ from you.”
“After a month of hearing jack shit from you?” Ghost knows he’s being slightly crueller than he needs to be. He is happy to hear Price’s voice, but the inconvenient timing of this call has him on edge, has him wishing this conversation would end already. His body may be out of your flat, but his mind is still up there with you, wondering if you’ve gone back to sleep yet, if you were convinced it was just the cat moving around at night. “Wha’ is it, Cap?”
There’s silence on the line for a moment, shuffling and the tell-tale sound of the older man letting out a deep sigh as he settles in says, “You’ve been… quiet Ghost. Was expectin’ to have heard from you by now.”
“Ain’t I supposed to be bloody takin’ it easy? As you’d put it? Why would I call when you’re the one that fuckin’ sent me away.” He surprises even himself with his harshness towards a man he holds so much respect for, one of the few people he holds to such a high standard. But the inconvenience of the timing of this call has Ghost on edge, has him uneasy, spitting out any words that will end this call and allow him to let out the breath he feels he’s still holding in.
“Fair ‘nough.” The Captain answers, having already suspected that this would likely not turn into the most joyous of phone calls. “Though for the record, you know it was never my call, Ghost. I pushed against it, vouched for you, they just-” the older man lets another deep sigh before he decides to end that train of thought and get to the point of why he called in the first place. “They’re saying they’re willing to have you come in now, with the time that’s passed. Retake your psych eval. You tell them whatever they want to hear to pass you, and you’re back in, you hear me?”
He can almost picture it, the longer Price goes on
He could pick up the duffel bag he’s had packed and sitting ready by the door since the moment he’d been put on this mandatory leave, drive to base, bullshit his way through whatever fuckin’ questions are meant to determine whether he’s fit for duty or not (even if he risks returning with a mind even darker than when they sent him away-), and be back on the battlefield by the end of the week, gunshots ringing in his ears once more and blood under his fingernails
The thing is however, there’s an itch under his skin he hasn’t been able to scratch yet, a melody stuck on repeat in his mind he hasn’t been able to perfect the tune to quiet yet, a sliver he put into his flesh himself and hasn’t found a way to pry out without making a mess
“Wish it were that simple.” The masked man grumbles under his breath, leaning his head back against the scratchy brick of the building, staring up at the starless sky, the only light he can see is one leading him back towards you
“What was that?” Price attempts to clarify, believing he’s misheard his Lieutenant. From his perspective, this is the news his second in command has been waiting to hear this entire time and he suffered through days of boredom and inactivity. He figured this would be a quick call that ended with his missing task force member returning as soon as possible
“‘Fraid I ain’t quite ready yet, sir. Got something I need to take care of first.”
“You- how do you mean, Ghost?” He asks again, in slight disbelief that the man on the other end of the line isn’t itching to return as he believed he would be.
“Took your advice, Cap. Found a distraction. Can’t go being upset now, to find out I’m distracted.”
It takes him longer than it should, to come up with what he considers as Plan A
Every scenario he dreamt up in his head, every possible meet-cute that could occur, none of it seemed good enough for inserting himself into your life and ensuring his spot became a permanent one
What if he caught you at a bad time and you hardly spared a glance at him?
What if he intimidated you, the way he tended to throw most people off?
What if you found him strange, creepy, scary?
What if you didn’t like him and he ruined any chance he ever had at doing this right?
He couldn’t risk such a thing, not when he intended on keeping you around for a long, long time
He had to ensure that your first meeting went well, was one where you would be just as infatuated with him as he’d been with you
In order for this to work, he had to have you approach him
Either way, he was going to have you, he would just rather if you went willingly and happily
The idea had struck him on a Saturday, as he watched you and your coworker locking up the bookstore one evening, overhearing a snippet of your conversation had a lightbulb appearing above his head
You stood by the shopfront as your coworker tugged on the door handle, making sure it was locked tight for the night, before she mentioned to you; “God, I wish payday wasn’t a week away.”
“Tell me ‘bout it.” You’d agreed, readjusting the strap of your constantly slipping tote bag on your shoulder. “I hope I’ve got enough money in my bank account to cover my coffee tomorrow morning.”
Bingo
He’d shown up to the cafe extra early the next morning, though he always arrived at least a half hour before you did, wanting to fade into the background of the bustling morning crowd before you popped in
He’d considered finding a way to hack your bank cards and have them malfunction, but then thought better of it, curious if he could go about this another way that was less likely to leave a digital footprint
He knew the barista working the counter this morning was a newer hire, hadn’t even been here for a full month yet
He tried to look as non-intimidating as he could as he walked up to her, though that was no easy feat considering his stature alone
He ordered his drink, his fee for being able to occupy the corner table as long as he liked, before he told her he had a strange request to make
He was confident that she wouldn’t tell him no, that she was still new enough to the job that she wouldn’t want to deny a paying customer
He explained that there’d be a woman coming in later, and that he wanted to pay for her order
Ghost could see how the naive girl was almost fooled into believing he was sweet for a moment, perhaps caring even, asking him if he was wanting to start one of those pay it forward trains where everyone pays for the person behind them- before he cut her off
“No.” He’d clarified firmly, seeing her eyes widen only slightly before hastily putting her customer service face back in place. “Only her.”
He said he wanted to her pretend as though your cards weren’t working when you would go to pay- to tell you they had declined or something, before he’d step in and pay for you
“She’s an old friend o’ mine. Haven’t seen her in a while. Was hoping you could help me with this sort o’ … ‘prank’ if you will.”
Any hesitation the woman might have still been harbouring quickly disappeared when a 20£ note was flashed to her
Nearly a half hour later, he watches his plan unfold without a hitch
You think nothing of it the first time the barista tells you your payment didn’t go through, becoming confused when it declines a second time, and increasingly flustered each time after that when every method of payment you have can’t cover your 5£ morning drink
Ghost watches this unfold with a satisfied smirk hidden under his plain medical mask - he thought the balaclava might be a bit too much for your first meeting - enjoying seeing you flounder momentarily, unaware of how everything you know is about to change as he steps closer, extending his gloved hand next to you, close enough to feel your heat radiating through your jacket, before he’s tapping his card against the machine and speaking to you for the first time
“I’ve got tha’ for ya.”
And suddenly, as simple as flicking a switch on, as easy as waking up from a peaceful sleep, Ghost now gets to watch all his hard work pay off right before him, as your eyes meet finally meet his for the first time
He has to actively fight to hear your incessant apologies and thank you’s aimed his way over the thundering of his heart beating in his damaged eardrums, has to refrain himself from grinning as wide as a Cheshire Cat beneath his mask and give himself away too soon
Though his poker experience is usually limited to late nights under foreign stars with the 141, Ghost knows how to play his cards right, especially with you
He turns you down at your first offer to pay him back, letting you stew in the awkward discomfort of a stranger saving your ass in front of other strangers for a moment longer, before you’re saying the exact words he wanted to hear coming from your lips, as though he’d handed you the script himself
“Do you come here often? I just mean that- I come here a lot- sometimes. And if you’re here next time I’m here, then maybe I can pay you back, buy you a drink.”
With a hurried promise to meet him here at this time next week, and a sheepish smile sent his way as you duck out of the busy cafe to head to work, Ghost slips the barista another 20£ in thanks before he’s out of the shop as well, following you from a distance, each step he takes feeling lighter than the next
You can’t keep pretending anymore
Even your friends are starting to take notice
Well, if you can count the people who are forced to spend time with you, your classmates and coworkers, as friends
“You all good over there?” Your colleague asks you as you’re restocking books on the shelves one afternoon, having noticed the way you jumped in surprise when a customer rounded the corner unexpectedly
“Yeah I-” You take a steadying breath, one hand still clutching your frantic heart as it races in your chest. “I’ve just been paranoid recently. Think school’s getting to me.”
You can tell she doesn’t quite believe you, based off the way she’s still looking at you, before she decides to drop the subject for now, going to greet the couple that just walked in
You’re not sure you’d believe yourself either, if you were the one on the outside looking in
While it was true that you were in a particularly busy portion of the semester at the moment, your assignments and grades were unfortunately the furthest thing from your mind
You’d been able to play it off at first, blaming your constantly preoccupied mind and overloaded schedule, how else could you keep forgetting such silly things like turning the lamp off though you could’ve sworn you had- and believing you’d left yourself two slices of pizza when the plate in the fridge obviously only had one on it but wait you only ordered a small and ate half last night how could- and the plants that you knew you kept neglecting suddenly began blooming back to life when you knew you hadn’t watered them in ages
Those strange occurrences, those little blips in your memory were easier to pass off, less difficult to wrestle around in with in your psyche and instead pass off as moments of forgetfulness, a busy student and part time employee with too much on her plate and not enough of a social life
But then things went from being strange, to downright concerning
You knew you had locked the balcony door last night, hell you checked it every damn night, a habit you’d had long before you lived on your own in the middle of a busy city, so why were you not only often finding it unlocked, but one night you found it slightly ajar, the morning breeze rustling the curtains as though they were taunting you step closer
Speaking to some of your other neighbours in passing, none of them had anything close to similar complaints about the laundry machine stealing their undergarments as a price to pay for clean laundry, your panties apparently being the only victims, something you were trying to convince yourself wasn’t as bizarre as it clearly was, especially when you were folding laundry one day and discovered you had quite literally not a single pair of knickers left
And then there were the dreams
If you could even call them that
Dreams where a large, dark stranger creeps into your home, into your bedroom, and simply watches you
Lurks in the corners of your flat and observes your every move, your every breath, never making a single sound, as silent as a ghost
And the stranger never does anything, never says anything, only ever just stands there, until you wake up and you can swear you see his shadow disappearing out of the corner of your eyes as you open them
It doesn’t take long for you to start noticing the shadow when you’re awake too
Disappearing around bends and corners, slipping through grocery aisles and alley ways, blending amongst crowds and backgrounds, vanishing when you turn your head to catch sight of him
You feel like you’re losing your mind
“Why don’t you come out with Jordan and I tonight?” She tries again, coming to drop another box full next to your feet. “Take your mind off of school. We’re going to try that new pub down near Walton Street.”
“I would, but-” You cut yourself off, spotting your manager coming to ring up a customer at the front. The two of you exchange knowing glances and small smiles, knowing your sweet old man of a boss doesn’t truly mind when his employees chit chat together, he says he likes seeing you all getting along, but you still try to keep up appearances
You put your thumb and pinky out to look like a phone before shaking it by your ear, letting your coworker know you’ve got plans for the night as she playfully rolls her eyes at you and mouths “I see, I see” with her hands up in mock surrender, before she’s retreating to gather more boxes from the back
It’s the same plans you’ve had almost every night for going on nearly two weeks now
While it was true that the sudden strange occurrences in your life were preoccupying most of your mind these days, you were still in fact a busy student, and so while you hadn’t entirely forgotten about the stranger you’d promised a coffee to the week prior, you couldn’t hide your genuine surprise at seeing him there that next Sunday
He was sat at a table in the corner, his hands free of any drink, allowing you to pay him back, just as he said he would
What he hadn’t prefaced the last time however, was how quickly he’d make you fall for him
While he might not have been the type of guy you would have originally gone for, unable to deny the intimidating aura that follows him around, you were all too pleased to discover that behind that hardened exterior was someone you got along with without even having to try, discovering he agreed with everything you said, had a lot in common with you, listened attentively to every word you spoke, not to mention he was certainly not hard on the eyes
You weren’t able to sit with him long that morning, explaining to him that the cafe was usually your much needed caffeine stop on your way to work, though you’d walked to the bookstore that morning with a pep in your step, and a new number in your contacts, under the name Simon
It wasn’t even a full 24 hours later when he’d first called you up
You were doing dishes in your flat, getting ready to turn in early that night when your phone rang
You couldn’t help the blush that overtook you at hearing his gravelly voice come through the line, tickling your ear as he apologized for already calling you so soon, he just couldn’t remember the name of that book you’d mentioned yesterday and it was bothering him because he wanted to read it before he saw you again
Next thing you knew, close to three hours had gone by, and you felt like a teenager when you both admitted neither wanted to hang up yet, satisfying one another with a promise to call again soon
Soon, it turns out, was the very next night
And the night after that
And the night after that
And soon, you can Simon were talking on the phone every night before bed, hours and hours racking up as you learned more about each other
It was a nice distraction from the source of your anxieties you refused to fully acknowledge yet, a welcome way to take your mind off the stress you’d been experiencing
If you weren’t already so distracted, you might have been paying just a little closer attention
You might have noticed how skilled he was at deflecting personal question aimed his way, or how he was able to answer without truly answering, always quickly turning the spotlight back to you, making you feel seen and listened to in a way no man had done before, taking the attention away from him time and time again
You might have noticed he agreed with you a little too often, never actually voicing any opinions until he knew what yours was first, never taking a stance unless he knew what yours was
What you really should have noticed was the way he seemed to know things about you that you couldn’t remember telling him, chalking it up to being so tired some nights you must have forgotten sharing that with him
In the end, Simon was saying all the right things at the right time, and you were all too happy to hear what you wanted to hear
It was barely ten minutes passed 9 when you were turning the key in the lock for the night, making sure the doors wouldn’t budge before you tightened your hold on your bag and began the trek home, the butterflies in your stomach begin to flutter at the thought of hearing Simon’s voice through the phone soon enough
Luckily, you were only about eight blocks away from home, and the summer sun had only just begun setting as the last of the customers were dwindling out of the shop, meaning you weren’t walking in total darkness quite yet
Yet somehow, something in the air tonight felt different, had the hairs on the back of your neck rising as though anticipating a predator lurking around the corner, ready to pounce on its unsuspecting prey
You tried you continue convincing yourself you were nothing short of delusional, paranoid, that watching too many true crime docs was getting to you
But then, just as you were waiting for the pedestrian crossing sign to change, out of the corner of your eye, you saw your shadow
You whipped your head around too quickly, straining your neck but desperate to catch a glimpse and prove you weren’t crazy, but as always, there was no one there
The small crowd around you began crossing the street, unaware of the adrenaline begin to course through your veins as you hobbled along with them, noticing with regret that no one else continued in the direction you would have to turn, leaving you to traverse the next few blocks alone
You hurried your pace, trying to shake the undeniable feeling of something being wrong, when for the first time, you heard your shadow
Light footsteps that grew heavier the more you paid attention to them, the kind that weren’t casually strolling by as you might have hoped, but rather were on a determined path, and to your utter fear, were gaining speed
You never once dared turn your head this time, fear convincing you that should you stop and look back, he would be right there over your shoulder, a shadow coming to life just in time to take yours away
With your building in sight, you said fuck it and broke out into a sprint, hurrying towards the main doors and frantically entering in your code before the worst fo your fears could come true, never glancing back as the doors unlocked and you made a mad dash inside and up the stairs
You were barely through your apartment door before your phone was in your hand, dialling the last number you’d called, the only number you called these days
He answered before the first ring had finished
“‘ello?”
“Simon.” You hated the way your voice sounded, trembling around his name and giving away the clear distress you were in, but you couldn’t help it. Your poor heart was racing a mile a minute, you had tears threatening to spill over your lash line at any moment, you were trembling like a leaf and wanted to seek out the only comfort you’d had recently
“Wha’s wrong?” He immediately asked, evidently hearing your panic through the phone
“Simon, I just-” you let out a gasp, no longer in control of the tears that were starting to run down your cheeks. You double, triple checked the lock on your door was secured before on trembling legs, you slowly made your way towards the balcony doors, blood running cold when you spotted the latch undone. “I know this sounds insane but I really need you, I- I swear someone’s been following me and I think he’s outside my flat and I- I’m so scared Simon I don’t-”
“You’re alrigh’ love.” He cut off your rambling, the confidence in his voice lending you a sliver of strength for a moment. “Jus’ breathe, yeah? I’ll be righ’ there.”
True to his word, Simon is knocking at your flat door in less than four minutes, another anomaly you would have noticed had you not been in such a frantic state of mind
“It’s me love. Jus’ me.” You hear his voice say through the door, standing up on tip toes to peer through the peephole and confirm for your own peace of mind that it really truly is your knight in shining armour, hardly paying any mind to the fact that this is the first time you see him without a mask on the lower half of his face
You’re practically banging the door against the wall as you swing it open in a hurry to get him inside, grabbing him by his jacket to pull his figure closer to yours, barely giving him a chance to shut it behind him before you’re clinging to him like a lost pet whose been returned to their owner
You can hear him shushing you, a large hand coming to soothe your hair as another grabs you by the waist and holds you tighter, trying to reassure you between your sobs that you’re alright, that he’s here now, that you’re always safe with him
There’s a fleeting moment where you can’t help but think about how this isn’t you, how you’ve always been fiercely independent, how you’ve never needed to rely on others for comfort before, let alone a man you met all of two weeks ago, but the thought is gone just as quickly as it appeared, when Simon pulls back to hold your face gently in both of his hands, thumbs carefully rubbing tears off your cheeks as he looks at you with such sincerity, you couldn’t care less if you’ve known him for two weeks or two years, right now you just need someone to tell you everything is okay, that you’re not insane
He leads you towards the couch, planting you sideways across his lap as he leans your head on his shoulder and rubs a soothing hand across your back
“Now, try again, love. Tell me wha’s happened.”
And when he’s asking you so sweetly, touching you so nicely in a way no one has in who knows how long, how could you every deny him?
You tell him everything, all of it, the bizarre coincidences you can no longer explain away, the strange happenings that you cannot chalk up to forgetfulness, the odd feeling of being constantly watched you cannot shake, you tell him all of it
And Simon, he listens to it all, every concern of yours, every worry you’d had, he nods along showing you he’s listening, never interrupting you, always rubbing some part of your skin to let you know he’s here, he’s here and he’s got you
By the end of it, you’re no longer crying, your heart has begun to slow to a more normal rhythm, the goosebumps dotting your skin only a result of the large man caressing you as you avoid dribbling snot onto his jumper
“You must think I’m crazy, right? I- I even think I sound crazy.” You admit, avoiding looking at him as you pick at a loose thread on his collar
“Not at all, love.” His words have your eyes lifting to meet his, finding nothing but honesty in his steady gaze.
“W-what?”
“Said I believe you.” He reiterates, giving your hip a slight squeeze before he’s dragging his fingers down across your thigh, rubbing soothing strokes against your flesh. “Everythin’ you jus’ told me, I don’ wanna scare you bird, but I think you migh’ be righ’. Sounds like someone’s been followin’ ya.”
He must see it in your face, the way your heart practically drops to the floor at his words, because he’s gripping the meat of your thigh a little tighter, opening his mouth to continue before you can spiral further
“But you’re so smart, love. You did exactly the righ’ thing, callin’ me. You knew I wouldn’ let anythin’ happen to ya. I’m here now, I’ve got ya.”
His words are akin to stepping into a steaming warm bath at the end of a gruelling day, the exact comfort you needed in that moment, easing you slowly back into a state of calm, though you don’t feel quite out of the woods yet
“Let me take care of ya, huh? Here, follow me.” He gives your thigh one last squeeze before he’s helping you back up onto more stable legs, never going without at least on hand touching you as he guides you towards your balcony door, making a show of peering outside for any lurking dangers before he snaps the lock in place and draws the curtains shut
“C’mon, let’s check all your windows, eh? Can’t be too sure.”
And so you follow him room to room, watching him with growing gratitude as he goes from window to window, ensuring it’s properly shut and locked before moving onto the next, scanning each room for any sign of a disturbance, letting you know everything is clear each time, until there’s only one door left to go through
Simon inches the door to your bedroom open with the toe of his boot, letting it hit the wall before he steps inside, doing a full scan before he nods towards you to follow him in
You take a seat at the end of your bed as you watch him move through your space, checking your window and closing your curtains, even going as far as to open your closet and peek under the bed, something that forces a fleeting smile on your face in spite of the circumstances
“Think that’s everythin’, birdie.” He admits, coming to sit down next to you on the bed, thighs touching, his muscled arm sneaking around your shoulders to pull you into him. “My brave girl. You’ve been goin’ through all this by yourself, huh?”
“Mhm.” You confirm, feeling too exhausted after the rush of emotions and adrenaline let down to say anything more, too tired to notice the way he’s taken to calling you his all of a sudden, especially when Simon’s embrace is so warm, so inviting
“Poor bird. Must’ve been so scary, not knowing who’s out there.” He coos into your ear, brushing your hair back from your neck, letting you feel his hot breath against your skin. “Aren’t you so glad you called? That I’m ‘ere now?”
“Mhm. Thank you, Simon.” You murmur, the events of the day really catching up to you now
“You never have to thank me, love. I’m here with ya. Not goin’ anywhere.” You feel your lashes flutter shut when his chapped lips come to press a chaste kiss to your temple, as gentle as a butterflies wings as this behemoth of a man comforts you. “You jus’ let me take care of ya now, love. Let me make it all better. Make ya feel good.”
There’s a fraction of a second where your mind catches back up to you, where logic floats up to the surface of your consciousness when you feel Simon’s hand sneak under your shirt, something on the tip of your tongue about how this is only the third time you meet face to face, how you haven’t gone on a proper date yet, how you’ve only known him two weeks-
Any common sense flies out the window however when his lips connect with yours
As his calloused fingers manage to rid you of your top before tangling in your hair, your own are grasping on tightly at his collar, allowing him to take control of the kiss, to take control of the situation, to do as he’s promised and make you feel good, make you forget about everything that’s had you so on edge and allow yourself to be taken care of
Simon hasn’t steered you wrong so far, has he? He’s been nothing but kind, nothing but attentive, nothing but sweet and caring and present and-
Fuck can he kiss
Your heart is racing for an entirely different reason as his fingers reach behind you to unclasp your bra, letting it fall haphazardly amongst your sheets before he’s pulling his lips off of yours, kissing and nipping along your jaw, your neck, down your collarbone and sternum until his hot breath is tickling one of your nipples and he sucks it gently into his mouth, teeth playfully skimming the raised bud
You can’t help the way you melt like putty in his hands, unknowingly as touch starved as he is, unable to hold back the sounds of your enjoyment when his other hand comes up to tweak your neglected breast, squeezing and pinching until it’s as taut as the one he’s still slobbering all over
Your fingers are pulling at the fabric of his jumper, arching into his touch and gasping when he lets your breast go with a ‘plop’, before his mouth is trailing wet kisses down your sternum, down your stomach, before his skilled fingers are tugging down your pants
“No panties, hm?” You never could have imagined his voice could be deeper than it already was, but the sound of his gravelly accent has chills running up your spine, blush deepening when you see the dark look in his eyes as he peers down at your bare, weeping slit
You have half a mind to explain that you haven’t had time to run to the shops and replace all your missing knickers, but quickly lose any sense of time and place when his broad shoulders are pushing themselves between your thighs, opening them up for his head to drop down and his lips to wrap around your throbbing clit
You can feel him smirk against your folds at the sound you let out, something between a moan and a gasp, before he’s pulling out more delicious noises from you with his tongue alone
“Mmm, you really do taste as good as you look.” He murmurs against your dripping folds, eyes dancing with mischief before his lips are on you again
You feel like your entire being has been pulled apart and put back together in the blink of an eye, your would be stalker having you fearing for your life, and now Simon having you holding on for dear life
You can both hear and feel him groaning against your pussy, licking up your arousal, probing his skilled tongue around your entrance before plunging it as deep as the muscle will go, reminiscent of a man starved as he devours you from the inside out, with no sign of being satiated any time soon
“Simon!” You plead, toes curling, legs shaking. You can hardly believe this is happening, that you’re on the precipice of cumming on this man’s tongue so soon, when suddenly his thumb sneaks down and slides across your clit engorged clit, rubbing steady circles until you’re seeing stars behind your eyelids, eyes rolling to the back of your head and his name the only word you know as you fall headfirst off that cliff known as ecstasy
You’re gasping for breath, still coming back to yourself when he finally pulls himself away, licking his lips as though this was a five star meal he’s just tasted, the look in his eyes telling you he’s likely to be a returning customer
With the way he’s brought you to orgasm faster than any vibrator ever has, you’re hardly in any place to protest when you hear the sound of his belt being undone, his zipper being pulled down, a ringing in your ears when your eyes land on his throbbing, erect member
You barely get a chance to gasp at its size before Simon is on you again, strong hands dragging you further up the mattress before he’s kissing you senseless yet again
You can feel him pumping his cock with one hand as he takes his time tasting you, having you taste yourself on his tongue
He pulls one of your legs up around his waist, opening your centre up to him before you can feel the head of his prick sliding through your folds, teasing your sensitive clit until you’re practically shaking, rolling your hips up against him
He’s swallowing your gasp when he notches himself at your entrance, wasting no time before he’s sinking himself inch by devastating inch, plunging further and further than you thought was possible, until he’s all the way in, hips flush with yours as he’s sheathed himself completely inside you, a perfect fit
While sweet might have been a word you used for the Simon who talks to you on the phone at all hours, who buys you coffee when your cards decline, you cannot bring yourself to believe that that same sweet Simon is the same man who begins thrusting in and out of you with such vigour, such force, it knocks the breath right out of your lungs as your headboard begins banging against the wall
“Fuck!” He’s grunting in your ear, the sounds of skin slapping and your wetness squelching echoing in the room. “Fuckin’ knew it. Knew you’d be this tight. So warm, so wet for me. Perfect fuckin’ pussy.”
“Simon! Oh, Simon!” His name is the only word your lips can make sense of, the only thing your mind can understand. You’re already headed towards another climax, your body feeling like an instrument he’s spent years mastering the art of playing
“Yeah, you gonna come again, pretty bird? Come on my cock? Just for me?” He’s picking up his pace, intent of meeting you there with his own release, grip tightening on your waist as he plunges in and out of you, feeling your tight walls increasingly gripping his cock. “Say it. Say it’s just for me. Say it.”
“It- it’s for you. Just for you, Simon! You!”
“Fuckin’ righ’ it is. My perfect girl.” He praises, sucking dark purple circles onto your neck, fingers unrelenting in their teasing against your clit. “You want it, pretty girl? Then fuckin’ take it.”
Your vision goes white, body practically going numb the pleasure is so all consuming as it shoots through every nerve ending and back, every star in the galaxy appearing before your eyes as you come on his cock. You’re so lost in your orgasm, you hardly notice when he groans out your own name, hips stilling as he shoots his load into you, rutting helplessly against your overused cunt to drag out every second of ecstasy, making sure you take very last drop he has to give you
If you were exhausted before, you’re practically dead to the world now, uncaring that Simon doesn’t even pull out his softening member as he maneuvers the two of you under the covers, smoothing your hair back as he kisses all over your forehead, your cheeks, your nose, your lips
He rubs soothing hands up and down your naked back, telling you how good you did, how good you are for him, how good he’ll be for you, before he’s reaching to turn your lamp off, casting the two of you into darkness as sleep fights to drag you under
You’re on the brink of slumber, too spent to really think about anything that’s transpired tonight, though just conscious enough to feel the smallest of alarms try and go off in the back of your foggy mind at Simon’s words, the last of your self preservation instincts trying to weave its way to the front of your mind, waving the red flag as high as it’ll go
“Good thing I came over soon as you called. Who knows what could’ve happened.”
Your eyes snap open
You’d never told Simon where you lived
~~~~~
If you’ve made it this far, I’d like to offer you a sticker of appreciation
Thank you, thank you, thank you!!! Thank you for your patience on this fic, I cannot even tell you how many times I felt like this story was ready to be posted, but I’d reread it and wouldn’t be satisfied with how it was. This is probably the draft I’ve spent the most time on, and so again I really appreciate the patience in waiting for the upload
But here she is!!! And I hope she was worth the wait
I know this is different from the usual fluff I post, both with a darker Ghost and smut still not being my forte, but I really do sincerely hope this part 2 was everything you guys hoped for! I had a lot of fun writing it, turned into one of my longest ones, and now I’m excited to get to my inbox and answer more requests from you lovely folks
- M 🫶🏻
#call of duty#call of duty fanfic#call of duty fic#simon ghost riley#simon riley#simon riley x reader#ghost x reader#simon ghost x reader#ghost x you#simon ghost riley x reader#simon ghost riley x you#cod simon ghost riley#cod simon riley#readwritealldayallnight
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"Pediatric surgery has such a variety of diagnoses and surgical interventions. To be able to care for children in the perioperative time frame can be complex and gratifying at the same time."
Morgan Mocniak, Pediatric Nurse Practitioner, General Surgery, Nationwide Children's Hospital - Toledo
#Toledo#NCHT#Nationwide Children's Hospital - Toledo#Surgery#Interventions#Perioperative#Morgan#Mocniak#Nurse#Nurse Practitioner#Advanced Practice Provider#Advanced Practice Provider Week
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like, ever | j.v



summary:
“Hey, I’m worried about you.”
You glanced up from your laptop screen to see Rhaena standing in your doorway, her arms crossed.
“Why?”
She gave you a look, before her eyes roamed your room: your textbooks stacked half-hazardly on your desk, two empty ice cream tubs, another half melted one on your nightstand, an empty tissue box on the floor and you on your bed, wrapped in your blanket like a burrito.
OR; You and Jace break up because of a stupid reason, but you’re both too proud to apologize.
pairing: jacaerys velaryon x reader
warnings: kinda toxic behavior from both of them, but like the usual issues in communication that’s so common in people our age idk what to tell you
word count: 4,1k
author’s note: modern au!jace is the president of the frat Alpha Draconis (it's co-ed, Rhaenyra was president during her time at uni), Jace/Aegon/Baela and their respective siblings are all cousins, but this is NOT in the same universe as can I go (where you go). thank you to my wonder sister wife beta @eldrith as usual <3
✦ . ⁺ . ✦ . ⁺ . ✦
“We broke up.”
“No you didn’t.”
“Yes, we did.”
Baela gave you a look, narrowing her eyes at you as she pushed her Econ 1 assignment away. You dropped down on the couch next to her, leaning your head back.
“Why?”
“I don’t wanna talk about it,” you huffed and Baela whacked you in the arm.
“You just came home and dropped a bomb like that, you can’t just not talk about it.”
“Not talk about what?”
You internally groaned when Helaena’s voice floated from the hallway, the front door shutting behind her. An intervention was inevitable at this point. At least Rhaena wasn’t home yet, you knew she was volunteering until six.
“She and Jace broke up,” Baela told her and Helaena paused in the doorway to the living room, a frown on her face as she undid her braid.
“You didn’t.”
“That’s what I said!”
“You know, normal friends would offer ice cream if their friend was going through a break up.”
“I’d offer you ice cream if you were sad,” Helaena pointed out. She sat down next to you, patting your shoulder. “You don’t look sad.”
“Well, I am sad,” you sniffed, but Baela fixed her brown eyes at you until you threw your hands up in frustration. “Fine! I’m mostly mad, okay? Pissed off, actually!”
Baela folded her legs under herself. “Tell us what happened.”
“I don’t know, she just rubs me the wrong way. It’s like she knows you have a girlfriend and she chooses to ignore that.”
You and Jace were laying in his bed, your head on his chest. He had been telling you about the new pledges of the term, and you weren’t exactly fond of one of them - Laura, a nursing major. You were aware of her being especially touchy with Jace, twirling her hair while she was talking to him and always searching him out at every event. Which was fair, he was the president of the frat after all and at first you had told yourself that you were just projecting but the you noticed that she was laughing at all of Jace’s jokes. She was definitely into him. He was not that funny.
“I don’t know, it’s just the way she is, I think,” he said, and you frowned at him.
“Jace, come on, she’s totally into you.”
“Well, good thing I’m into you,” Jace pointed out, turning his head to nose along your neck but you pushed him away, starting to get annoyed that he wasn’t taking this seriously.
“I mean it, Jace.”
“So do I,” he answered, irritated. “Why does this bother you so much?”
“Because I don’t like another girl’s hands being all over you?”
You sat up, leaning away from him with a frown and he only sighed, laying his head back on the pillow, shutting his eyes. He was starting to piss you off.
“She’s not into me! Everyone tries to butter me up because they want to join the frat. And even if she was, why does it matter?”
“It matters because it bothers me and you clearly don’t care!”
“Of course I care,” Jace sighed. He opened his eyes, reaching out for you, and you had to admit your resolve was starting to crumble. “You’re overreacting.”
And just like that, the wall was back up.
“Wow, thanks.”
Your voice was biting as you spoke, tugging your hand out of his grasp and standing up, grabbing your hoodie. Jace was quick to follow you, brows furrowed. Great, now both of you were mad.
“You’re making a big deal out of nothing!” Jace snapped and you only glared at him.
“Thanks for invalidating my feelings, Jacaerys,” you said sarcastically. “If I’m making a deal out of nothing, maybe we’re both nothing.”
Jace’s face fell and he stopped in his tracks, letting out a huff. “You don’t mean that.”
Maybe you didn’t. But you weren’t about to backtrack now. You were a woman of your words.
“Yes, I do.”
You pulled the door open and rushed out of his room, slamming the door shut behind you. Distantly, you could hear Jace call after you and you secretly hoped he would chase after you, but by the time you made it downstairs to the front door, he was still nowhere to be seen.
“That’s…”
Baela and Helaena exchanged a look and you frowned at them. While you hadn’t expected for them to immediately spring into assuring you that they were on your side - you were dating their cousin after all - you also didn’t quite imagined them being so… Shocked.
“What?” you asked, suddenly growing insecure. “I had a point.”
“Well, yeah,” Baela started, “But so did he.”
“Why did you immediately jump into breaking up?” Helaena asked with a soft voice, the voice you knew she used when she didn’t want to hurt your feelings. You lifted your shoulders, then dropped them again, unable to answer her question.
“Did you want to break up?”
“No!”
You tucked your chin against your chest, a pit forming in your stomach. Did you maybe overreact?
“I was just mad,” you said, frowning, picking at the hem of your shirt.
“.. And you wanted to hurt him?” Baela said, finishing your sentence. Your head shot up, a denial on your lips, but your mouth closed when her words sunk in.
“… Maybe.”
“You two really are hotheaded and stubborn,” Helaena pointed out, wrapping an arm around your shoulders. You only glowered, the anger from earlier dissipating and instead was replaced by misery and a little bit of guilt? Luckily, Helaena and Baela left you to your wallowing after they realized you needed some space and you fled to your bedroom, trying to bury yourself in your assignments.
There was only one slight problem. You couldn’t find school bag anywhere.
“Where did I leave it?” you muttered to yourself, checking under your desk for your bag, even opening the drawer for good measure. You were crawling on the floor looking under your bed when it finally dawned on you.
“Fuck.”
You had gone over to the frat’s house right after class, with your school bag. And after the fight, you must have forgotten to grab it.
“Ugh,” you groaned, dropping your forehead on the floor You’d rather crawl under your bed and sleep with the dust bunnies that have been collecting under there than go back to the frat house right now. But you had no choice. The assignment was was due the day after tomorrow and Professor Cole already was in a bad mood because his date went badly.
“Fuck me,” you muttered to yourself, turning to lay on your bad and cursed the Gods for making you miserable as you stared at the ceiling, collecting your wits.
“Oh.”
Luke Velaryon, Jace’s younger AND biological brother, stood in the doorway, apprehensive. He had always been the more sensitive one between the two brothers, but he was also unwaveringly loyal. You had no doubt that Jace had already told him everything about your fight.
“Hey Luke,” you said, giving him a wry smile.
“Hey,” he replied hesitantly. “Jace is not here.”
“I know.”
Luke pressed his lips together, his eyes darting around as if he was expecting his older brother to come out of the bushes any second. “Are you okay?”
You let out a small laugh, shaking your head. What a sweet boy.
“Yeah, alright enough I guess,” you replied, sighing. “Listen, I forgot my bag in Jace’s room and I really need it to do an assignment, could you let me in?”
“I don’t know….” Luke answered slowly. “Jace should be back soon though. Maybe you can just wait until he gets back? And then you guys could talk?”
Bless him.
You bit on your lip, running your hand through your hair, exasperated. “Listen Luke, I really appreciate you trying to look out for Jace, but I really can’t see him right now.”
Luke exhaled, shifting on his feet like he was undecided. The longer it took for him to decide, the higher chances were you’d run into Jace on your way out.
“Please, Luke, I just need to grab my bag really quickly. He won’t even notice I was there.”
With a loud sigh, Luke finally nodded, opening the door wider and taking a step back.
“He’s gonna be back soon, you need to hurry up.”
“Thanks Luke!”
You hushed past him into the house, walking the familiar way up the stairs to Jace’s bedroom, shutting the door behind you. With a small sigh, you looked around, trying to discern your stuff from his. It was harder than you had first anticipated, your belongings strewn all over the room. Picking your favorite scrunchie off of his nightstand next to a picture of the two of you during New Year’s Eve, you put your hair up as you narrowed your eyes, feeling relief settle in your chest when you saw your backpack lean against the desk.
“Thank God”, you muttered, grabbing it quickly. Just as you headed to the door, hand on the door knob, you could hear voices down the hallway through the closed door. You cursed, recognizing it as Jace and Cregan.
Fuck.
Immediately, you let go of the door knob, taking a few steps back, trying to come up with a way you wouldn’t be caught standing in the middle of Jace’s bedroom. Did you have enough time to make the climb out of the window and scale down the roof?
“- it’ll blow over. I’ll give her some time to calm down and-”
Before you could make a decision, the door swung open, and Jace entered. He was looking back at Cregan, who raised his brows when he saw you in the middle of the room.
“Wha-?” Jace turned his head, his mouth dropping open. “… Hey.”
“Hey.”
Cregan glanced between the two of you, narrowing his eyes. Meanwhile, Jace was rubbing the back of his neck.
“Did you forget something?”
“Yeah,” you answered - LAME! - lifting your backpack.
Jace nodded slowly. “Was there anything you wanted to say?”
You frowned at him, confused.
“Like what?”
“I don’t know,” Jace said, shrugging with his shoulders. “I thought you were here to apologize.”
Cregan groaned, leaning his forehead against the door frame as you felt all the anger from before welling up again.
“Me apologize?” You repeated, your voice shrill. “What about you? I bet Laura’s thrilled to hear we broke up.”
“You just ended things for no reason! Laura’s not even into me!” Jace snapped and Cregan pushed himself off of the door frame.
“Maybe we all should just calm down.”
“Shut up, Cregan!” You and Jace yelled at the same time, your anger very briefly directed at Jace’s best friend.
Cregan flinched, raising his hands defensively. “Jesus, sorry. I’ll never try to help again,” he muttered. “Let me give you two a minute.”
He stepped out of the room but you held your hands up, stopping him with a scoff.
“No, I’m done here,” you huffed, shaking your head in disbelief. With one last angry look at Jace, you pushed between them, running out of the house, smoke coming out of your ears.
You spent the rest of the week distracting yourself. Burying yourself in assignments and reading, eating ice cream - there was a deal at Whole Foods, five for three, your freezer was full - and you only cried once.
“Hey, I’m worried about you.”
You glanced up from your laptop screen to see Rhaena standing in your doorway, her arms crossed.
“Why?”
She gave you a look, before her eyes roamed your room: your textbooks stacked half-hazardly on your desk, two empty ice cream tubs, another half melted one on your nightstand, an empty tissue box on the floor and you on your bed, wrapped in your blanket like a burrito. You sighed, letting the blankets fall from your shoulders.
“I’m fine, Rhae.”
“Hey, did you convince her to come?” Baela skidded to a halt next to Rhaena, looking from her sister to you. Rhaena only sighed while you narrowed your eyes at Baela’s get up. She was wearing black leather pants and a brown corset; she looked like she was going out.
“Come where?”
“Alpha Draconis’ summer term opening party.”
Right that. The party you had helped Jace plan. Before you broke up.
“I don’t know guys,” you sighed, leaning back against your headboard. “I don’t think it’s a good idea for me to go.”
“You don’t have to go,” Rhaena assured you but Baela shushed her, shaking her head.
“No, you absolutely have to go,” she insisted. “We’ve let you wallow in your misery long enough. It’s time to put your big girl pants on and face Jace. You broke up with him for a shitty reason and yes, he was being a jerk, but you were being a bitch. Now suck it up and get your man back.”
You gaped at her, and Rhaena whacked Baela in the arm, but she only shrugged, ever the unapologetic brutally honest one.
“What? You know I’m right,” Baela only said, frowning at her twin before she turned to you. “So?”
With a groan, you closed your eyes. You knew Baela was right, in a way, and it was no use sitting around when your friends were going out. You had to see him eventually.
“Fine,” you gave in, pushing the blanket back as Baela cheered, immediately disappearing. Rhaena only shook her head, stepping into your bedroom, helping you clean up a little.
“I’m driving,” she told you. “Just tell me if you want to leave, okay?”
You nodded, giving Rhaena a grin when something soft just hit you in the face with no warning, courtesy of Baela having returned to your bedroom.
“Put that on.”
The projectile fell to floor, and as you picked it up, you recognized it as a dark red dress, tags still on.
“Hel’s headed to the party from work, so we’ll meet her there in an hour, go take a shower and I’ll do your hair,” Baela said, reaching for your hand to pull you up. “Come on, up up up!”
Begrudgingly, you let Baela usher you into the shower, shutting the door behind you very decidedly. You stared at yourself in the mirror, eyes rimmed red and hair a mess and you allowed yourself a minute of respite before you turned the shower on. If you had to go to that stupid party, you’d make sure to look the absolute best.
“Am I crazy or is it even more crowded than last term?”
You winced as you followed Baela and Rhaena through an especially crowded spot in the house, glancing around.
“No, it’s definitely more people,” Baela agreed, squeezing your hand to make sure not to lose you in the mass. “Has Helaena said where she is?”
“She said she was in backyards,” Rhaena replied and Baela steered you in the direction of the backyard. Meanwhile you tried not to let your eyes roam too much; you didn’t want to seem like you were looking for Jace, even though that was exactly what you were doing. Just as you reached the patio doors, Helaena appeared, stopping you in the doorway.
“Hey guys,” she said, breathless, her eyes flitting over to you as you greeted her. “Should we go get drinks?”
“I’m not dragging my ass back through that crowd,” you moaned, shaking your head. “Let’s just sit down by the pool for a second before we go back in.”
You nudged Helaena out of the way gently, but the blonde grabbed your arm, trying to pull you back.
“But I’m really thirsty.”
“Hel, come on,” you laughed. “You’ll survive ten more minutes without-”
The rest of your words died on your tongue when you caught sight of Jace sitting by the pool, surrounded by his frat brothers and of course, Laura. Now you knew why Helaena was so adamant to get you away from the backyard. It was too loud to hear what Jace was saying, but he must be telling an extremely funny story with the way Laura was laughing, touching his shoulder. They weren’t doing anything scandalous, but it still hurt you to see him still talking to her after you voiced your concerns. You tried not to let it get to you. It wasn’t your business anymore anyways, but you were still a little sick to the stomach.
With a scoff, you turned away, embarrassment burning your cheeks as your friends looked at you with pitiful eyes.
“Sorry,” Rhaena said and you only shrugged with your shoulders.
“Whatever,” you muttered, clearing your throat. “I told you, she was into him. Now he’s free to do as he pleases.”
Baela winced. “We can leave, if you want.”
“No, I’m not leaving because of that clown.”
The girls let out a laugh and Helaena wrapped her arm around you. You gave her a wry smile, leaning into her.
“Let’s go get you that drink.”
As Helaena dragged you away, you couldn’t help but glance back to Jace and for a split second, your eyes met. You quickly turned away, feeling a lump form in your throat. You couldn’t wait to get drinks. After getting to the kitchen, the four of you did two rounds of shots, knowing where the boys kept their expensive booze; Rhaena then mixed you some drinks before you settled on the couch in the living room. Taking a careful sip of your cup, you immediately pulled a face, looking at Rhaena.
“What the hell is in this?”
“I think Grey Goose and Coke.”
“You think?” you asked, wincing when you took another sip. “This is awful Rhae.”
“What is awful?”
Aegon, Helaena’s brother, one cousin of many in the Targaryen family, suddenly plopped down on the couch next to you.
“Oh great, Aegon is here,” Baela deadpanned and Aegon only mocked Baela as he reached for your drink.
“Sure, just go ahead and take my drink.”
Aegon took a big gulp of your drink, humming. “It’s not bad,” he said, offering the cup back to you but you politely declined. You didn’t know where Aegon’s mouth had been in the last 24 hours, there was no way you’d drink out of the same cup he had.
“So, what’s this I hear about you and our cousin breaking up?” Aegon asked, throwing his arm around the back of the couch and you scooted forward, trying to escape his touch.
“You heard right,” you said, throwing him a dirty look and Rhaena rolled her eyes.
“You’re a dick, Aeg.”
“What?” Aegon exclaimed. “’t was just a question, no harm done, right?”
You let out a deep sigh, pushing away from the couch.
“I need some air,” you told the girls and Rhaena furrowed her brows, worried.
“Do you want me to come with you?”
“We can make Aegon leave,” Baela offered and Aegon made a noise, frowning at his cousin but you shook your head,
“Nah, I’m good. Just, text me if you guys go somewhere, okay?”
“Are you sure, babe?” Helaena asked and you nodded, patting her shoulder gently.
“Yeah, ‘m fine. I promise.”
With a small wave, you disappeared into the crowd, hearing the cousins starting to argue, but it was background noise to you. Instead of heading to the front door, you inconspicuously headed upstairs, past a kissing couple, and to the bathroom on the second floor. The door was shut, but unlocked and unoccupied as you opened the door. You let it fall shut in its hinges after you, walking over to the window, like you had done so many times before, but never alone. Clicking the window open, you carefully climbed out to the roof, sliding the window closed behind you again. You traipsed over the roof, before settling down on the small nook that sat right above Benjicot’s bedroom, stretching out your legs.
Jace had shown you this place when you first started dating, and sometimes when the parties got too much, the two of you snuck out here to be alone. It was probably risky to go here; but it was the only place you felt like you could retreat without having to go home.
The noise of the party downstairs could still be heard, especially the conversations in the backyard, but to you, it seemed quieter as you closed your eyes. It had cooled down significantly since you had come to the party, but you enjoyed the bite of the cold on your bare arms. A deep breath escaped your lips, your chest heavy.
Looking back on it, you knew what you had said was wrong. It was words hurled in the heat of the moment, chosen to provoke a reaction out of Jace and if you could take them back, you would. But now it was too late, it had seemed like Laura had already sunken her talons into Jace as soon as he was available - not that she had cared much about whether he had a girlfriend or not - and he seemed to be lapping it up.
“Stupid,” you muttered to yourself, wiping the tear that escaped your eye from your cheek with the back of your hand. You froze, when you heard the bathroom window slide open; not daring to look back. His steps were careful as he walked towards you, as if not to spook you, but before he came into view, a soft jacket was draped over your shoulders, engulfing you in his scent. You let out a breath you hadn’t realized you were holding, tugging the jacket tighter around your body when Jace sat down next to you.
The silence between you stretched on, before Jace cleared his throat.
“You were right.”
You let out a small scoff at his words, glancing over to him.
“You’re shitting me, right?” you asked in disbelief. “She was all over you like that and you still thought she wasn’t into you?”
Jace winced, ducking his head.
“That’s fair. Maybe I was a little oblivious. It’s just…” he paused, sighing. “I didn’t see it, because I don’t really see other girls. Ever since we met, it’s just been you. I didn’t even realize that she was flirting with me until she straight up asked me if we could go upstairs.”
Jealousy flared up in your chest at his words, and you frowned, quickly giving him a once over.
“Well, did you?” you asked, your voice tight. Jace gave you a look, his hands dropping down on his lap.
“I’m sitting here with you, aren’t I?”
Relief flooded your veins and you ducked your head to hide your face. Jace glanced over at you, his face vulnerable and you bit your lip.
“I’m sorry too,” you then said. “I didn’t mean what I said. It was petty and stupid, and I’m sorry.”
“Well looks like we both got to work on some things,” Jace said, tentatively reaching out to take your hand; out of reflex you immediately laced your hand with his. He quirked a smile at you, scooting closer to you and you glanced up at him, almost shyly before you leaned in, as he met you halfway, your lips touching. Jace wrapped his hand around the back of your neck as you kissed, and if you hadn’t felt warm before, you definitely did now.
“What’s happening?”
“They’re kissing!”
“No way! Move over!”
“You move over!”
A crash sounded and you pulled away from Jace, just to see Luke and his cousins spying on you from the bathroom.
“Nothing to see here, carry on!” Luke yelled, quickly sliding the window back down, but their bickering could be heard through the closed window.
Jace snorted out a laugh, leaning his forehead against yours and you only grinned lazily at him.
“Come on, let’s go face the circus before they break the window and we have to scale down the roof,” Jace said, offering you his hand as he got up. You let him help you up, as the two of you walked back to the bathroom window.
“You know I thought about scaling down the roof when you caught me in your bedroom?”
“You’re joking.”
✦ . ⁺ . ✦ . ⁺ . ✦
author’s note: tell me what you think <3 also will add the taglist tomorrow bc i’m so tired but wanted to post🫶🏼
#jacaerys velaryon x reader#jacaerys x reader#jacaerys velaryon#jacaerys velaryon fanfiction#jacaerys velaryon fanfic#jacaerys velaryon fic#jacaerys velaryon imagine
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