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Awkwjshdjdkfj- HE IS THO
I must draw bed hair Ace...
#a random sleepy redhead?#draws heart on his eye#ACE TRAPPOLA#so i'm doof#-> yes u are puo /j#twst#twisted wonderland
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I'm still sobbing this looks so gorgeous 😭 the gentle expression is making me melt and and his little gloves at the bottom corner! Also I spy your iconic glasses Puo 🫵 I know that's you (even if you dmed me about this help-)
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Q Fever
Aka, Query fever. What a weird name for a disease. Imagine telling people that's what you got.
in the 30s-40s, an Australian pathologist in QLD/Brisbane, came across an outbreak of the same or similar illness among abbatoir or slaughterhouse workers.
At the time, he called the disease "Q" fever or query as a temporary name until the pathogen could be identified. Unfortunately it stuck.
decades later, now nobel prize winner and virologist, MacFarlane Burnett isolated and identified the microbe responsible. I think this discovery contributed to his prize. i forget already.
Microbe responsible: Coxiella burnetti. Named for Burnett and HR Cox, the American bacteriologist who found the genus Coxiella where C burnetti falls under.
Initially they felt it was related to Rickettsia, responsible for Rocky Mountain Spotted Fever, but as science progressed, this was disproven.
Now for a Case Report
A 55 yo Italian man with a history of aortic valve replacement was diagnosed with pyrexia of unknown origin twice. Further signs included myalgias/splenomegaly/night sweats. The 2nd time he was admitted for PUO he deteriorated rather dramatically and was put on meropenem and teicoplanin.
A host of organisms was tested for on serological testing based on the man's travel and epidemiological history, all negative. Even a rheumatological panel was done, also less revealing. He also had a history of MGUS (a haem disoder), which is kind of a red herring here.
Cultures were negative, no vegetations were seen on a TTE - so they did consider IE. Which is an important differential for PUO.
Eventually a PET-CT was done (often favoured when investigations do not yield much for a sick patient with fevers), finally revealing a focus of infectious on his ascending aorta, where he'd also had previous surgery done. And in a round about way, they also further identified Coxiella Burnetti. He was treated doxycycline and hydroxychloroquine. As it's so rare in Italy, it wasn't really considered even though he mentioned rural travel.
Bottomline: Q Fever is an important consideration in the work up for culture negative IE. Further to this, always consider IE in the differentials for PUO particularly if they're at increased risk for IE (prosthetic valves, damaged valves, select congenital heart issues, previous IE). IE can present with night sweats, fevers, weight loss and splenomegaly. It can be insidious and chronic in nature. other risk factors can be more suggestive as we'll get into below.
Causative organism
Coxiella burnetti, it's a zoonoses - i.e. transmissible from animals. Special powers: very tough/hardy, can survive extreme environments (high temps and UV light etc.) over prolonged periods and is resistant to many common disinfectants/surface cleaners.
It's an intracellular pathogen and gram negative coccobacilli (PINK!)
name coccobaccili reminds me of cocopuffs.
it's mainly associated with farm animals, which the CDC so wholesomely displays on its website on Q fever (wtf).
goats, sheep, cattle typically (but many other animals, even birds, dogs and horses can be reservoirs)
in particular bodily fluids - amniotic fluid, placenta, faeces/urine, milk etc.
you can get it through unpasteurized milk and through inhaling it if it lands on dust in the area
ever visit a farm or petting zoo lately? OMG WASH YOU HANDS.
That said, it's typically inhaled in inorganic dust. You inhale it, it goes to the lungs, and then the bloodstream.
Increased risk for Coxiella burnetti (What to take on history of exposures and when to strongly consider it)
live on a farm or near one
exposure to a farm
work as a vet on a farm
farm worker, dairy workers, researchers on these animals/facilities
slaughterhouse/abbatoir
Also from CDC:
Clinical presentation
Most won't get sick after exposure and remain asymptomatic, a very small minority does. even though it is highly infectious.
incubation time is 2-3 weeks (consider this time in your history of exposure, did they work on the farm 2-3 weeks ago as opposed to yesterday).
Nonspecific acute infectious symptoms:
nonspecific systemic fevers/malaise/arthralgias/myalgias--> key is high fevers though and can be associated with headache and photophobia.
non specific GI - N/V/diarrhoea
respiratory ones - SOB or cough, consider it as atypical cause of community acquired pneumonia.
rare: hepatitis and jaundice (granulomatous) or encephalitis with neurological complications such as demyelinating disease or CN palsies, also haemolytic anaemia and HLH (yikes)
really it's the history of exposure that will lead you down the garden path to Q fever.
Chronic Q fever is perhaps worse, and can present as culture negative IE/PUO. Months/years later, as B symptoms as above above + LOW/LOA, night sweats. More likely to occur if you are predisposed for IE as above, have a weakened immune system for any reason, including pregnancy.
Chronic Q fever has a mortality of 10% if left untreated. About <5% of those with acute Q fever develop this if left untreated. Speculation is that it's more of an autoimmune process or abnormal immunological response to the bacteria.
To be honest, most who walk in the door with community acquired pneumonia get treated empirically for atypicals anyway, (standard course of doxycycline), so we hardly really ponder the question of Q fever in every patient. But if they present chronically and did not have atypical cover at the onset of acute symptoms, then it's something important to consider.
Other important conditions - can cause complications in pregnant women and 20% will get post Q fever syndrome. like chronic fatigue.
investigations
Serology! nice and easy. Look for IgG antibodies in the chronic presentation. Or PCR. Down side to serology - can take 2-3 days for the body to make said antibodies to the bacteria for detection. PCR can be done on any fluids/tissue sent.
Cultures useless, hence it fall under the umbrella of culture negative (hard to grow outside a host cell, it is an obligate intracellular pathogen).
Other hints on bloods (as serology/PCR takes time to return) - elevated or low platelet's, transaminitis with normal bili, opacities in CXR with hilar lymphadenopathy, CSF will show raised protein levels if done when encephalitis is suspected.
imaging can also support the diagnosis.. as illustrated by the case report.
Treatment
Acute disease - as standard for atypical bugs, doxycycline 100 mg BD for 14 days. Alternatives - TMP SMX or Clarithromycin.
Chronic Q fever or IE:
native valves: doxycycline and hydroxychloroquine (200 TDS) for 18 months
prosthetic: same but 24 months
why hydroxy: enhances the action of doxycycline (increases the pH of the phagolysosome)
Follow-up: look for 4 fold decrease in IGG
Sources:
CDC
Stat Pearls
Wiki as linked above
#australian history#medblr#medblrs#infectious disease#infectious diseases#q fever#coxiella#coxiella burnetti
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✿✿All For Us✿✿
︵‿︵‿୨♡୧‿︵‿︵
Author’s Note - Hi everybody! I just want to give a pre-warning as this story will be violent! If it is not your cup of tea I apologize! But I just wanted to give an early fair warning! But anyways, I hope you enjoy the story!
︵‿︵‿୨♡୧‿︵‿︵
Summary - How could this happen? How did this happen? A family outing, a day to just let the stress from your duties fade away. A plan gone bad. What is the Sully Family going to do as they are now kidnapped? Will they ever be saved? Taken, held, afraid, and almost separated, the Sully’s fight their own Wars and demons as they try to make it past their struggles. Hoping to come together again.
︵‿︵‿୨♡୧‿︵‿︵
Warnings - violence, head injury, other injuries, shock, swearing, derogatory terms, unwanted touching, suggestive comments, one of the recoms is like super creepy, crying, kidnapping, screaming, praying, fighting, mentions of blood, mentions of killing, death threats, weapons, guns, knives, quaritch, attacking kids, hostages, held at gun point, pulling of queue, trauma, (is this angst?), bombings, technically a war?, resucing
✾•❃°•❁°❀°❁•°❃•✾
When you woke up this morning, you knew it was going to be a good day. It was a feeling you couldn’t shake off your bones.
You awoke happy, and so did your family. So your father had planned for you all to go for a swim, maybe to a stream, or to a secluded pond.
Wherever it was, you all wanted to spend time together, he mentioned the idea of making food so you could all have a picnic in the mean while.
Everyone was quick to agree. So right after breakfast, everybody was packing up their items, getting ready to go have fun for the day.
Before the whole family was able to leave, your father had to make a quick stop for a mini-meeting at Puo Relongtai’s hut. The second in command of the Warriors group, also, your boyfriend’s father!
Your father only asked the basics, if anything were to happen, just send a search party. Though it seemed harsh, it was a — unfortunately — normal request of all Na’vi who planned to leave for the day.
After their short conversation, you all joined back again at the ikran’s mounting spots, you knew the way to Azraa’s like the back of your hand.
When it was decided who Tuk was going to join on their ikran, you all flew. Away from the Hallelujah Mountains down to the forest. Playing small games of tag as you flipped and weaved around with your ikrans.
Once on the forest floor you departed with your ikrans as you caught the sight of a secluded pond. It was beautiful and perfect, good trees that kept a cool shade off to the side.
You swam, ate, danced, laughed. You were all having fun!
All having fun until you were not.
All until now.
Tuk claimed she had to use the bathroom, so you waited in front of the area she was using.
Your heart stopped as you heard a scream.
Her scream.
You rounded the tree immediately, looking for her only to be slammed onto the ground. Your head knocking the dense dirt with a loud thud.
It was a pain that went through your whole spine, your eyesight blurring immediately.
You were dazed, but you could still comprehend the other screams of struggles in the distance.
You weren’t left to think long enough. Your queue was pulled back so hard, it was being squeezed so tight. All you could do was wince in a small protest, not that it did much against your captor. Your nervous system was being interfered with and Eywa did it hurt.
The only thing you could have actually registered in that moment, the only thing you felt. It was only the rough hands in your hair, on your arms, the dirt you were being dragged through, the scrapes of small rocks on your legs.
Who are these people? Exiles? Tawtute? You hoped not.
You vision was clearing itself back up and you finally got the mind capacity to blink again. That when you realized where you were, and who was holding you.
To see 5-fingers and eyebrows on a Na’vi was unusual, though it became a bit more normal in the Omatikaya Clan due to Toruk Makto being originally a Dreamwalker. You on the other hand, hated seeing, even thinking, about Dreamwalkers.
Those people in their stupid green uniforms and their stupid big guns.
Those demons.
You let out a hiss of anger, though it sounded strangled and strained, you hope it got your point across.
The harsher tug on your kuru is not what you were expecting.
“Shut up. Wild bitch.” Your face is slammed back into the ground, rattling the bones in your body at the sheer force.
You hear other screams, screams of anger, but they’re all muffled.
Is it your parents? Are your parents here? Where are your siblings?
‘I can’t see anymore.’
There is a voice next to you, fading into your ears slowly.
“-/n. Y/n. Y/n open your eyes. Open your eyes please babygirl, please.” The light that accompanied your vision was too bright. You let out a small groan at the pain in your head.
“Y/n? Y/n you can hear me right?” The voice who was constantly fading in your ear was your father. He was calling out to you.
“Dad?” Your voice is shaky, knowing that your parents are here makes you just want to cry, but you chose to keep a brave face for your siblings.
You have to.
“She’s awake now, so keep your fucking mouth closed.” The voice was so rough, so rough and unforgiving.
“Don’t swear… Don’t swear in front of Tuk..” You mutter.
Is this what shock feels like? Living in a different part of your head and only watching the world from afar.
“What’d you say to me?” You feel a hand on the back of your neck, squeezing you as it pulled you up with no effort.
“Please. Please just leave her alone, she’s talking out of shock. Don’t hit her.” It’s your father talking again, you wish your father talked forever. You feel better when he talks.
Going against the Sun, you look up trying to observe the situation better now that your sat up.
You wished you had just kept your eyes closed.
It was a sight you did not want to be met with.
You felt angry, so angry.
Your family, your parents and siblings. Being held by their arms and kurus. They all looked so afraid, so scared and so sad.
There was no sound, it was just a radio silence as you all had basic background on what would happen if you were to talk.
You were scared to breathe.
The demons holding you took it upon themselves to talk with each other. Talk like they aren’t holding you captive.
“Rosario. When did boss man say he was coming?” The man holding you asked the man holding your father.
“Mh I don’t know, but I think with how far he is. I think he said it could take like almost a whole day to get over here or something.” The man named ‘Rosario’ shrugged.
“He can’t just expect for us to wait here, does he?” It was a woman who spoke next, the woman who had grabbed Tuk.
“I don’t know Bee, you know how he gets.” The voice of the man holding you vibrates behind you.
It’s too many people, too many people and you want to get away.
“Well Kilti, we all know how he gets. But I don’t have the patience for it.” Was that his name? Last or first? You do know that most people are called by their last names in any kind of force. It doesn’t matter.
You only know 3 out of the 7 people holding you all as hostages at this moment.
You don’t know who’s holding your mother, you don’t know who’s holding Neteyam, you don’t know who’s holding Kiri, and you don’t know who’s holding Lo’ak.
You look at your mother for a while, her silence in this situation is so uncharacteristic.. You would have expected her to jump up and kill all seven of them with her bare hands.
Is it because of their guns? Is she making a plan already?
The crackle of a radio is heard, a scratchy voice coming from the radio of the man holding Kiri.
“Cruz. Cruz come in, over.” The voice is unfamiliar, but you study your dads face to see if he can make out who it is.
Though his face doesn’t make any of recognition.
“I’m in, over.” This supposed, Cruz, replied.
“Take them and go back to the tent. Wait for us there. It’s too dangerous for you all to be out in the open like that. Who knows what those savages have planned.”
You wish you had the power to swipe everyone here, out. Who does that man think he is to call your people, your family, savages?
When you find out who that is, you’ll make sure to show how savage a Na’vi really could be.
“Alright, will do so, over.” After that, there’s no response. You wish that it was because whoever that man was, was killed.
You hoped that he was killed, killed by something, anything.
“You heard him. Now get up and let’s get moving.” It seems that this man, Kilti seems to have some sort of vendetta against your people, or just specifically, you.
He tugged you up harshly by your queue, forcing you forward by pushing the back of your head while holding your arms.
“When we get to the tents, we gotta cuff ‘em.” Kilti orders.
“While we’re walking, let’s think front or back!” They all laughed, and at the way your father’s ears folded down and he cringed his face.
It must have been some type of innuendo.
You sighed, raking your brain for any ideas you could to escape. But you came up with none. It was too dangerous, too dangerous in this environment to even speak.
“Y/n..” A voice shook from next you, causing you to turn your head quickly, regardless of the pain in your body.
It was Tuk.
“Oh Tuk, talk to me, it’s okay.” You nodded, encouraging her that she’ll be just fine.
“I’m scared Y/n.” Tuk’s eyes started to water, her bottom lip quivering.
You tried to make sure she didn’t cry too much or too loud. You don’t want to evoke any type of reaction from the demons holding you.
“Both of you, be quiet, we’re here.” The woman with the name, Bee, nodded her head to a tent in front of you.
It looked odd to you. It was not a hut, it was not inviting, welcoming, nor was it colorful. It was a place full of dread, a depressing aura all around it.
“Good that we came back now, I think it’s gonna start to get dark soon.” They all muttered in agreement, pushing you all inside of the tent one by one.
“So, where we tying their hands, front or back?” The one who had made the innuendo earlier asked.
Bee scrunched her face, “you’re such a weirdo Cosby, but we’re putting them in the front.”
“Alright then. Let’s go, into the corner. We’re putting these on you, if you try any kind of funny business, we will kill you.”
“Not if we kill you first.” Your mothers comment rang in the air, it stayed there, the words laying heavy in the room.
“Mom, mom please. Don’t say that right now it’s okay.” You were quick to try and mediate your mother. You should have known her silence was going to build up just to explode in anger over time.
You should have known, you should have known.
She was silent again, and you became more afraid. “Mama please?” You tried to fight back the tears that were almost willing to escape. But your mothers harsh stare at the man in front of you made your heart drop.
She had that insatiable look in her eyes. That look she gets when she’s getting ready for raids, that look she gets when she even thinks about Sky People.
“Dad, dad! Get her!” You started to freak out, scared your mother would have an unruly reaction and get all of you killed.
“Neytiri, look at me, look at me, please.” Your father held her face, the soldiers behind her tense with their guns.
“If you do anything, they’ll kill all of us. Please don’t do anything, okay?” Your mother sighed, closing her eyes, mumbling something. Maybe a prayer or a comment before nodding.
After that, they all lined you up to handcuff your hands in front of your body, each person had their person in front of them.
The weird one, Cosby, had picked you to be the one he handcuffed. And he was being so weird, making comments quietly as to not let your parents hear.
“Name’s Brent Cosby, unfortunate I have to tie your hands in the front. Would have been much more enjoyable to see the back of ‘ya.” As he said that, we ran his finger under your chin, making you move your head away from him.
“Don’t be like that girly, I like the front too!” He grossly winked at you. After he finally cuffed your wrists, you were all directed into a corner, put there to be on watch.
The man, Cruz, stood there with a gun aimed directly at all of you. Watching your every move.
“Mama!” Tuk ran into Neytiri’s arms, they both tried their best to give each other a hug.
Lo’ak and Kiri leaned onto Jake’s shoulders, Neteyam leaned onto yours.
“Are you okay?” You whispered against his head. Trying your best to put your arms around him from over his head.
“Are you okay? Y/n you got your head slammed onto the ground multiple times, your kuru was pulled on so much! You’re the most injured here.” Neteyam, technically scolded you, you let out a small chuckle as you really thought about it.
“I’m okay baby bro, promise.” You stuck out your ring finger awkwardly, trying your best to hold your pinky down.
“I’m not the baby.” Neteyam rolled his eyes, joining his ring finger in yours, a small smile on his face.
You smiled back at him, thankful that in this moment you were all okay and still together. Thankful that you were the one who had sustained the most injuries rather than any of your other siblings.
You took it for them.
You always would and always will.
You love them too much to let them get hurt. But to you there is no such thing as loving your family too much.
The time has evidently passed now by a few hours, the small rays of Sun that peeled through the top of the tent now gone as night time rolled around.
The voice from earlier crackled on someone else’s radio again, almost repeating the exact same words from before.
“Greene. Greene come in, over.” The voice was so grainy, so scratchy it made you feel more angry. Angry at the world angry at everybody.
“I’m in, over.” The man answered.
“We are almost there, make sure you have the hostages nice and ready. They’re not prepared for what boss man has in store. Hasn’t talked all day, those savages don’t know what they got coming for ‘em.”
Savages. Savages. Savages.
That’s all you were to them, that’s all you were to Sky People. Just savages who threw themselves around to kill people.
Your people are savages because they fought for their own land. Fought for a better freedom and to not live in fear.
In a way to fight a fit of anger, you pinched your ears, picking at the skin till it was too sensitive to take anymore.
Your family huddled closer due to the man’s very threatening tone, your mother’s snarls made you reluctant to look her way, although it was not even directed toward you.
“Dad.. What’s he going to do to us?” Tuk asked your father, all Jake could do was let out a small smile, rubbing her head.
“Nothing, he’s not gonna do anything to us okay Tuk?” She nodded, mirroring the smile Jake had.
She was still a child — you all are — but it was just how quick all of you had to grow up to know, he was going to do something to you all.
In about half an hour, heavy footsteps sounded from outside the tent. Your body tensing with each foot fall that became louder than the last.
Two figures emerged from the entrance of the tent, their eyes darting straight to all of you.
Tuk shivered at their glare, turning and burying her face into your shoulder.
Now you should pray.
Pray to Eywa that she would be the blessing to get you out of this mess, she would make a blessing come out of this mess.
You knew she would, Eywa never deceives any of her fellow children or creations.
“Eywa help us, allow us to get out of this place, allow us to go home, allow us to be a family. Get rid of the demons that plaque us everywhere, let my people be themselves.” You prayed, rocking back and forth, saying the prayer out loud so it can fly to Eywa, fly to her and let you be heard.
You don’t know what happened in the conversation between the two that walked in, and the seven other demons that took you.
But the face your father had as he seen who the man was. The supposed ‘boss man’ was his oldest enemy.
Your father’s face was full of terror, looking on in fear as if he had seen a monster.
Which he had.
“Quaritch.” You dad whispered, his eyes wide and lifted with shock.
“Sully.” The man winked cruelly, a smirk resting upon his thin lips.
“Don’t hurt my kids. Don’t hurt ‘em Miles. Take me, kill me. I’m the one you want, yeah?” Your father scoot forward, getting up from his knees to face Quaritch.
“Ma’jake! No!” Your mother was up next, the recoms that stood behind them gripped their guns tighter, some taking aim at your mother.
Scared of an authentic savage.
It made you angry. Enraged beyond relief.
“Don’t touch anybody.”
The room fell to silence, your parent’s heads turning to face you quickly. Confusion the only thing written on them.
“And who’s this, huh?”
“Don’t touch her Miles!” Your father tried to direct Quaritch’s attention back towards him, but the man was solely focused on you, waiting for your answer.
“I’m Toruk Makto’s daughter.” In response to you, Quaritch scrunched his face.
“You’re still keeping up with that Taktuk Maketo stuff? Thought you would have gotten over that already, Sully.” His English accent made you want to pull his face off.
He’s mocking your culture. Mocking you.
Mocking your father.
Your mother obviously felt that same way, a viscous snarl being directed towards him.
A small, red dot was what took your attention. A small red dot pointed directly on your mothers forehead. You followed the way of the light, the end coming at the top of a demon’s weapon.
Over the barrel of a gun.
Quaritch watched your eyes, seeing where your attention was directed. He waved his hand behind his back, signaling the person who aimed the gun — all of them — to stand down.
“What’s her name? Just tell me, yeah?” Quaritch looked at your dad, tilting his head. It must have meant something, something if your father made the face he did.
“It’s Y/n. Y/n Sully, and you better let my family go.” Your siblings breaths hitched, afraid that your tone might set one of the soldiers off.
“Y/n please, don’t do anything stupid, Y/n.” Neteyam was whispering behind you, hoping you wouldn’t do something that would cause you to be put in more harms way.
“Y/n huh?.. They all yours Sully? All these little “half-bloods” you got running around. Got a whole litter of ‘em, must have been getting busy while I was gone, aye?”
The way he spoke and the suggestive things he talked about, with multiple children present made you disgusted.
How could he act like this?
“Don’t talk like that.” You grit your teeth, your tone low as anger radiated off of you. Quaritch only let out a chuckle.
“Got a feisty one, eh? I like that.”
It was random, and you never could have expected it.
Expected what he did.
He grabbed the back of your head, reaching for your queue. You yelped at the burst of pressure through your body.
“No!” Your mother yelled, trying to lunge toward you. But a soldier stepped forward quickly, pointing the barrel of his gun to your mothers chest.
“This your daughter? Pretty little daughter, Taktuk Maketo, huh?” He shook your head side-to-side.
Tuk screamed as she covered her eyes. She couldn’t deal with seeing her precious older sister being treated the way she was.
Kiri put Tuk under her arms, wrapping them around her as best she could.
Quickly, the siblings huddled together, closing their eyes, trying to silence the pained screams from their sister, the anguished yells of their mother, and the painful grunts of their father.
Their father who is trying so hard. Trying to keep both his wife from getting herself killed, and their daughter getting killed by a manic man with no sympathy.
They all stayed together, holding each other scared as tears fell from their closed eyes.
You were barely conscious, the whites of your eyes only being visible as your queue was still being pulled.
“She would make a good punching bag, wouldn’t she?” One of the male recoms said. The others mumbled in agreement, except Bee.
She was the only female one here right?
Maybe you could get her to help you.
As you made eye contact with her, you whispered quietly. Your voice raspy as it was laced with pain.
“Help me, help me please..” Tears were brimming your eyes as you didn’t know what to do.
But you had seen the pain in her face, her eyes holding hurt and sympathy as she looked at you.
You were scared. So, so scared.
When you were suddenly pulled to stand up straight, your balance obviously wobbly, you thought they were going to just shove you back towards your family. Done bothering you.
But you were wrong. Oh so painfully wrong.
“Let’s test out the material, eh?” You noticed that one of the male soldiers, Cosby, started getting into a position.
A punching form.
When you had realized, you realized to late. Your eyes widening. But before you could even register trying to move out the way, a blow to the side of your face knocked you to the floor.
Your vision was running in waves, the colors around you mixing together in waves.
The screams of sadness around you muffled, as well as the cheers from the soldiers.
“Get her up. Keep doing it.” Quaritch ordered, standing off to the side, his arms crossed over his chest as he only watched attentively.
Someone picked you up from under your arms, standing you back up, holding you straight as you started to topple forward.
You left your eyes close, not wanting to see when the man was going to hit you.
The side of your face was already bulging, pushing your eye closed from under it. A bruise spreading from your cheek to under your eye. Tears fell from your closed eyes.
Just as they had like your siblings.
Another punch landed onto your eye, the one that was already bruising. You fell to the floor, silent whimpers leaving your mouth as you held back your sobs.
Again, you were placed straight up. Your parents protests going unheard.
“Why are you doing this!? Why are you doing this to her!? Tìftang!” Your mother yelled, you father only held her, trying to hold her back and calm her down. Tears falling silently from his eyes.
This time you were punched in your jaw, being unprepared, you had accidentally bit your tongue.
Blood dripped from your mouth onto the soil in the tent, your tongue throbbed, already swelling.
Tara Bee — the only female recom there — hands shook. She didn’t want to see this. See a female go through something like this. She wanted to stop them, stop them from continuing this. But she wanted to live, she wanted to be able to live her life somehow past this.
But watching this hurt her soul.
So she closed her eyes and turned away, taking deep breaths.
When you were stood up again, knees trembling as you rocked every possible direction, you were able to pick out soft sounds outside.
It sounded like something hitting the floor? Or being dropped down. You heard it 4 separate times, seemingly all on one side of the tent.
Four small ‘plaps’ hitting the dirt outside.
When you were knocked down again, it wasn’t from a punch.
Something just blew up.
Your ears rang, and you brought your hands to cover them, trying to quiet the piercing noise.
There was a liquid coming down over your lip, dabbing your finger on it, you seen it was blood.
You weren’t shocked your nose was bleeding.
Where is your family? Where did those evil people go?
As you hearing had finally faded back in, you heard rushed voices. Screams of orders, screams of terror and… yips?
Yips.
Your people. Your people came to save you?
Through the smoke, you managed to make out seeing multiple figures moving. Who is who?
It didn’t matter did it? You were so tired. You just wanted to sleep, take a little nap.
Suddenly, hands were placed hastily onto your shoulders. Your eyes snapped open — the best they could — the swelling skin blocked most of your vision. But you were able to make out a blurry figure on top of you.
They had pointed ears and straight hair, you could make out blue skin from the moonlight. Their shoulders bare, something of a familiar shape hanging off of it.
“Y/n! Can you hear me!? Answer me please!” That voice. It was so familiar, who is this?
Awpxey.
Awpxey?
Your vision cleared, and you were face to face with your panicked boyfriend.
“Y/n please!” Tears streamed down his face as he held your hand to his chest.
“Awpxey..” You whispered with a small smile.
“Y/n, yes Y/n it’s me! It’s me, Awpxey!” His eyes brightened, his hand holding yours tighter.
“C’mon, I’m gonna get us out of here okay?” You didn’t have time to respond, he was already scooping you up bridal style, bringing you out the side of the blown up tent.
You could see the sky, it was so bright and beautiful. The moon nice and big looking back down at you. The exoplanets that were all visible glowing in the presence of their moon.
“I’m so tired Awpxey..” You spoke against his chest, listening to his racing heartbeat as he ran.
“I know you are Y/n, but it’s okay. Don’t close your eyes Y/n.” But it was too much.
How could you keep up with this?
Your eyes started to slowly close, every blink you took shutting them.
“Y/n? Y/n please, we’re almost back okay? Just keep them open please Y/n!” Awpxey’s legs picked up speed, running faster to the planned transportation point.
Before he was even able to take several more steps, you had fallen unconscious.
He decided to not try to wake you up, just keeping his focus on running you back to safety.
When he had arrived, multiple were waiting there, there ikrans and pa’li ready to do what they had to.
Healers quickly took to your side, cutting binds on your wrists off before doing a quick assess of your injuries.
“We need to head back, it is to dangerous to treat her hear.” Everybody agreed with the healer’s words, she couldn’t have stated it any better.
“She’ll come with me.” Awpxey nodded towards the rest as he placed you on his ikran, putting an extra strap from the ikran a saddle around the both of you and tying it. Holding you both close to each other.
The ride back felt like it was longer than any other ride before, when in reality it was only 2 minutes.
But when he entered High Camp, every thing was a rush. People were running to aid everybody.
But when you were noticed, being carried by Awpxey, someone had yelled.
“Y/n is here, Y/n is here!” And once again, Awpxey was flocked with people, and you were taken right out of his arms.
His mouth opened in shock and protest, but nothing came out. Nothing came out as he knew you needed that help.
What those things did to you was completely unforgiving. They truly are demons.
A hand came down on his shoulder, and turning around, he was met with Jake.
“Thank you. Thank you for gathering everybody to come save us.” Your father’s eyes were watering.
Awpxey nodded. “I-it’s okay, you’re welcome sir. I did what I knew was right.”
Jake patted his shoulder before walking away, heading into a tent where Awpxey was able to catch a small glimpse of the rest of your family.
You, no where to be found. You must have been in another tent, getting treated for your brutal wounds.
Awpxey sat down somewhere, placing his head in his hands.
He was scared, scared that you would somehow succumb to your injuries, and he would never be able to really talk to you again.
Hours passed, the atmosphere was a little more quiet but the movement of healers and other people walking around High Camp were still audible.
Time passed to the waking hours, the Sun started to rise and peeked through the headlines of the trees. The chirps of the daytime animals coming to life.
The silent steps of feet were heard, and Awpxey thought nothing of it although they were close. And then started to sound closer.
A tap on his shoulder pulled him from his thoughts.
He looked up, meeting the eyes of a slightly older woman. Her voice soft as she pointed to the side.
“She is ready to see you.” The “she” in question did not have no time to be pondered on.
Awpxey stood quickly, his bones popping as his stiff body finally stood straight.
The woman led him a little ways away. The small walk helped refresh Awpxey as he was finally able to take some deep breaths in order to see you again.
Both Na’vis then approached a hut, small whispers and the soft clatters of clay pots audible from the inside.
She pulled the curtains on the entrance back, allowing Awpxey to enter first.
The sight he was met with broke him.
There you laid on a medical woven mat, barely conscious with your family around you.
When you were able to register the fact he had entered the hut, you gave him a smile.
A smile that broke his heart as he was able to see the true pain you were in. Your face was swollen to no end, red and purple marks littered across your face.
It was almost everywhere on you.
“Y/n..” He whispered, tears building lightly in his eyes. He stumbled towards you, his eyes only focused on you. He felt as if it was only you and him in the world at the moment.
“Hi Awpxey.” Your voice was quiet, rough and pained. And he had shushed you quietly, knowing that it hurt you.
“You do not have to speak to me Y/n.. I know you are safe now, please don’t hurt yourself trying to talk to me.” His hand reached gently to your head, trembling as he was scared he would hurt you.
He knew your face was a sensitive place to touch right now. But his touch on your head was lighter than an Atokirina, you barely felt it. But you felt even more safe knowing that he was also here, here and not injured elsewhere.
“I’m here for you okay?” And you nodded with a smile, knowing he would become worried if you even tried to speak.
You were safe now. Together with your family and your lover. Loved and protected, just as they were.
Hi everyone!! Thank you so much for reading this! I’m sorry if it came off as a like super violent fic that made you uncomfortable, trying to bother any of you is NEVER my intention!! All the recons here I made up myself except Wainfleet and Quaritch! Oh and, I’m a little excited also because I’m working on my Masterlisttt!! I apologize for any spelling mistakes!! But again! Thank you so much for reading and all the love 🤍!!
#jake sully#jake sully x daughter!reader#neytiri sully#neytiri sully x daughter!reader#y/n sully#neteyam sully#neteyam sully x sister!reader#kiri sully#kiri sully x sister!reader#lo’ak sully#lo’ak sully x sister!reader#tuk sully#tuktirey sully#tuktirey sully x sister!reader#awpxey relongtai#awpxey x reader#sully family x reader#sully family x sister!reader#oc#avatar oc#avatar#avatar 2#avatar: way of water#miles quaritch#recom quaritch#colonel quaritch#avatar quaritch#atwow quaritch#recom lyle wainfleet
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Anche se sorpassato, seguito ad amare il mondo "analogico" d'un tempo. Lo trovo poetico. Quella poesia piena di riconoscenza, di euforie e ricordi andati. Confesso che provo tanta tenerezza per quei televisori a tubo catodico che vedo avviarsi, mesti mesti, verso la discarica o per quei giradischi che hanno finito la voce. Come ho provato un colpo al cuore quando ho visto la serranda chiusa di quel negozietto storico nel quartiere Prati. Avevano rimosso anche quell'insegna anonima che campeggiava sopra la serranda: Assistenza HI-FI. Per tanti come me era il negozio dove si riparavano gli “stereo”. Ma certo, chiamiamolo ancora una volta così, come quando ce lo regalavano al liceo. Quell’insieme di giradischi, amplificatore, piastra e casse acustiche, che collegato da cavetti, ci ha fatto sentire la musica che ci piaceva e che ha formato il nostro gusto, come mai più niente ci è riuscito. Li' dentro si riparavano oggetti meravigliosi di un’altra era tecnologica. Entravi e sentivi Mario che parlava, eppure era da solo. Parlava con i condensatori, i transistor, i circuiti integrati, le cinghie, i cursori, piegandoli alla sua volontà. Mi piaceva quel suo modo sempre carico di speranza: "Dai, lascialo li e vediamo che si puo' fare. Chiamami la prossima settimana!”. Riparare..Riparare..mi piace da matti questa parola. Riparare a un torto, a un errore, riparare oggetti che hanno molto da raccontare. Ah, se potessero parlare!! Racconterebbero di come, sconquassati da acne giovanili, mettevamo trepidi il braccetto su un disco dei Pink Floyd, sperando che in 5 minuti la biondina del “I A” ci notasse, o di quando il nostro Galactron da 100 watt per canale sparò tutta la sua potenza al massimo dalle ESB100 sulla nostra versione di Tacito, uccidendola, poveretta. Ebbene si! Ancora amo quel tempo! @ilpianistasultetto
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The Thila [Burkinese mythology; Lobi mythology]
At the dawn of time, the supreme deity Tangba You created the world. Tangba You fashioned the land, the seas, and then the humans to populate the world. But human men lusted after women and soon began fighting one another over the women, and the deity eventually grew tired of this. He was the creator god, after all, and we can assume he had better things to do than solve every petty issue among mortals. So he withdrew from the world of men, never again interfering with mortal affairs. Before leaving, however, Tangba You figured he should leave someone to guide and watch over humanity, so he created the Thila (singular: Thil): a group of semi-divine nature spirits.
This is the creation story of the Lobi people, who live in the north eastern parts of Côte d’Ivoire and south western Burkina Faso. They trace their roots back to Ghana.
The Thila play a very large role in traditional Lobi religion. These spirits are not really gods in the common sense of the word, but they are somewhat similar to the angels of Abrahamic religion (but note that they are sometimes described as ancestor spirits). They offer protection to the people, but also tell them how they should act. Though normally invisible to mortal eyes, these beings take on the form of an animal or a human in the rare event that they do appear before people.
Normally though, a Thil communicates solely through a ‘Thildar’, which is a human diviner in direct contact with the spirits (the societal role of these people can be likened to shamans of some native American traditions). As per the rules of their religion, a Thildar is always male, and usually there are only one or two of these diviners in a community. Each Thildar stands in contact with his own group of Thila spirits, with whom he can communicate during a divination. He then relays the will of the Thila, which includes guidelines and taboos pertaining to all kinds of subjects, including how the people should dress, have sex, hunt animals, etc. Sometimes the spirits demand to hold great feasts or festive events, and sometimes they forbid certain practises. One example is the village of Korhogo (near Gaoua): the people living here stopped sleeping on mats made from millet stem, because a Thil once forbade it. Also noteworthy is that Thila sometimes demand that the Thildar takes up a specific profession, like becoming a smith or a doctor.
This may sound strict to outsiders, but Thila are kind and benevolent spirits. They receive offerings during special occasions such as births and weddings, and bestow rain and childbirth on humanity. Should the people break the taboos that the Thila enforce, however, they can wreak havoc upon a community.
These spirits are believed to reside in special religious wooden sculptures called ‘Bateba’, which are usually housed in shrines dedicated to that specific Thil. This is important, because the act of placing a Bateba on a shrine greatly enhances its spirit’s ability to manifest in this world, allowing it to protect the people against evil (such as evil warlocks). If a Thil wants a shrine, it will tell this to a Thildar, along with specific instructions of where and how the shrine should be built. Within Burkina Faso, the Lobi are actually renowned for their woodworking skills, and as such the Bateba tend to be impressive works of art.
Finally, I want to mention that there are different kinds of Thila spirits, and the distinction is easily visible in their Bateba carvings. Some examples:
Bateba Phula are humanoid figures with a stiff standing pose. They house regular Thila.
Bateba Ti Puo house protective spirits that defend against evil; they feature raised arms.
A Thil Dorka houses a particularly powerful variant of Thila. It is a humanlike statuette with two heads, referencing the spirit’s ability to watch multiple locations at the same time.
Sources: Asante, M. K. and Mazama, A., 2008, Encyclopedia of African Religions, SAGE Publications, 920 pp. Peek, P. M., 1991, African Divination Systems: Ways of Knowing, African Systems of Thought, Georgetown University Press, 230 pp., pages 98-99. Harvey, G., 2014, The Handbook of Contemporary Animism (Acumen Handbooks), Routledge, 544 pp., page 68. (image source 1: African Arts Gallery, lot 12963) (image source 2: MutualArt)
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Ba Baa Baas Bae Baes Bais Bam Ban Bao Baos Bau Baus Be Bees Bei Beis Bem Ben Beo Beos Beu Beus Bi Bias Bie Bies Bii Biis Bim Bin Bio Bios Biu Bius Bo Boes Bom Bon Boo Boos Bou Bous Bu Bua Bues Bui Buis Bum Bun Buo Buu Buus Chi Chia Chias Chie Chies Chii Chiis Chim Chin Chio Chios Chiu Chius Chu Chua Chuas Chue Chues Chui Chuis Chum Chun Chuo Chuos Chuu Chuus Da Daas Dae Daes Dais Dam Dan Dao Daos Daus De Dea Deas Dee Dei Deis Dem Den Deo Deu Deus Dha Dhaa Dhaas Dhaes Dhai Dhais Dham Dhan Dhaus Dhe Dhea Dheas Dhee Dhees Dheis Dhem Dhen Dheo Dheu Dhi Dhia Dhies Dhiis Dhim Dhin Dhio Dhios Dhiu Dhius Dho Dhoa Dhoas Dhoes Dhois Dhom Dhon Dhoo Dhoos Dhou Dhous Dhu Dhua Dhue Dhues Dhum Dhun Dhuo Dhuu Dhuus Di Die Dies Dii Diis Dim Din Dio Diu Dius Do Doa Doas Doi Dom Don Doo Doos Dous Du Duas Due Dues Dui Duis Dum Dun Duu Fa Faa Faas Fae Faes Fai Fais Fam Fan Fao Faos Fau Faus Fe Fea Feas Fee Fees Fei Feis Fem Fen Feo Feus Fi Fia Fias Fiis Fim Fin Fios Fius Fo Foa Foe Foi Fois Fom Fon Foos Fous Fu Fua Fuas Fue Fues Fui Fuis Fum Fun Fuos Fuus Ga Gaa Gaas Gae Gaes Gam Gan Gaos Gau Ge Gea Geas Gee Gei Geis Gem Gen Geo Geu Geus Gi Gia Gias Gie Gies Gii Giis Gim Gin Gios Giu Gius Go Goe Gom Gon Goo Goos Gous Gu Guas Gue Gui Guis Gum Gun Guo Guos Guu Guus Ha Haa Haas Hae Haes Hai Hais Ham Han Haos Hau He Hea Heas Hee Hees Hei Heis Hem Hen Heo Heu Heus Hi Hie Hies Hii Hiis Him Hin Hio Hios Hius Ho Hoe Hom Hon Hous Hu Huas Hui Huis Hum Hun Huo Huu Huus
Ja Jaa Jae Jaes Jai Jais Jam Jan Jaos Jau Jaus Je Jea Jeas Jee Jem Jen Jeo Jeos Jeu Jeus Ji Jia Jias Jie Jies Jii Jiis Jim Jin Jio Jios Jiu Jo Joa Joas Joe Joes Jois Jom Jon Joos Jou Jous Ju Jua Juas Jue Juis Jum Jun Juo Juos Juu Juus Ka Kaas Kae Kai Kais Kam Kan Kao Kaos Kau Kaus Ke Kea Keas Kee Kei Keis Kem Ken Keo Keos Keu Keus Ki Kia Kie Kies Kim Kin Kio Kios Kiu Kius Ko Koe Koes Koi Kois Kom Kon Koo Koos Kou Kous Ku Kua Kue Kues Kum Kun Kuos Kuu Kuus La Laa Laas Laes Lais Lam Lan Laos Lau Laus Le Lea Leas Lee Lees Lei Lem Len Leo Leos Leu Leus Li Lia Lie Liis Lim Lin Lio Lios Liu Lo Loa Loas Loe Loes Lom Lon Loo Loos Lou Lu Lua Lue Lui Luis Lum Lun Luo Luos Luus Ma Maa Mae Maes Mai Mam Man Mao Maos Mau Maus Me Mea Mee Mei Meis Mem Men Meo Meu Mi Mias Mie Mies Mii Miis Mim Min Mios Miu Mius Mo Moa Moas Moe Mois Mom Mon Moo Mous Mu Mua Muas Mues Mui Mum Mun Muo Muu Muus Na Naa Naas Nae Naes Nai Nais Nam Nan Nao Naos Naus Ne Nea Neas Nee Nees Neis Nem Nen Neo Neos Neu Neus Ni Nii Niis Nim Nin Nio Nios Niu No Noa Noas Noe Noes Noi Nom Non Noo Nou Nous Nu Nua Nuas Nues Nui Nuis Num Nun Nuo Nuos Nuu Pa Paa Pae Paes Pai Pam Pan Pao Pau Paus Pe Pea Peas Pee Pees Pei Peis Pem Pen Peo Peos Peu Pi Pias Pie Pii Piis Pim Pin Pio Pios Piu Po Poas Poe Poes Pois Pom Pon Poo Poos Pou Pous Pu Puas Pue Pues Pui Puis Pum Pun Puo Puu Puus Ra Raa Raas Rae Rai Rais Ram Ran Raos Rau Raus Re Reas Ree Rees Rei Reis Rem Ren Reo Reos Reu Reus Ri Ria Rii Rim Rin Rio Rios Riu Rius Ro Roa Roas Roe Roes Roi Rois Rom Ron Roo Roos Rou Rous Ru Rua Rues Rui Ruis Rum Run Ruo Ruos Ruu Ruus Sa Sae Saes Sais Sam San Sau Se Sea Seas Sees Sei Seis Sem Sen Seos Shi Shia Shias Shie Shies Shii Shiis Shim Shin Shio Shios Shiu Shius Shu Shua Shuas Shue Shues Shui Shuis Shum Shun Shuo Shuos Shuu Shuus Si Sia Sii Siis Sim Sin Sio Sios Sius So Soe Soes Sois Som Son Soos Sous Su Suas Sui Suis Sum Sun Suo Suu Suus Ta Taa Taas Taes Tai Tais Tam Tan Tao Taos Tau Taus Te Tea Teas Tees Tei Tem Ten Teo Teu Thi Thia Thias Thie Thies Thii Thiis Thim Thin Thio Thios Thiu Thius Thu Thua Thuas Thue Thues Thui Thuis Thum Thun Thuo Thuos Thuu Thuus Ti Tias Tie Tiis Tim Tin Tio Tios Tiu Tius To Toas Toe Toes Toi Tom Ton Toos Tou Tous Tu Tua Tuas Tue Tues Tui Tuis Tum Tun Tuo Tuu Tuus Va Vaa Vaas Vae Vaes Vai Vam Van Vaos Vau Vaus Ve Vea Veas Vee Vees Vei Vem Ven Veo Veos Veu Veus Vi Vie Vii Viis Vim Vin Vio Viu Vo Voa Voe Voes Voi Vois Vom Von Voo Voos Vou Vous Vu Vue Vues Vui Vuis Vum Vun Vuo Vuus Wa Waas Wae Wai Wam Wan Wao Waos Wau Waus We Wea Wees Wei Weis Wem Wen Weos Weus Wi Wia Wias Wie Wies Wii Wim Win Wio Wiu Wo Woa Woe Woes Woi Wois Wom Won Woos Wou Wu Wua Wuas Wue Wui Wum Wun Wuo Wuos Wuu Wuus Za Zaa Zaas Zae Zaes Zai Zais Zam Zan Zaos Zau Zaus Ze Zea Zeas Zee Zees Zei Zeis Zem Zen Zeo Zeos Zeu Zeus Zha Zhaa Zhae Zhaes Zhai Zhais Zham Zhan Zhao Zhaos Zhau Zhaus Zhe Zhea Zhee Zhees Zhei Zheis Zhem Zhen Zheo Zheos Zheu Zheus Zhi Zhia Zhie Zhies Zhii Zhim Zhin Zhio Zhios Zhiu Zhius Zho Zhoa Zhoas Zhoe Zhoes Zhoi Zhom Zhon Zhou Zhous Zhu Zhuas Zhuis Zhum Zhun Zhuos Zhuu Zhuus Zi Zia Zias Zim Zin Zio Ziu Zius Zo Zoe Zoes Zois Zom Zon Zoo Zoos Zou Zous Zu Zuas Zue Zues Zuis Zum Zun Zuos Zuu
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Would it matter?
The thought came to his mind amongst the whirling gears and pounding pistons of machina. It is enough to give him pause. The machinist crossing his arms as he stopped to ponder it.
They were causing a lot of noise lately...
Those two.
How long had it been since they were together? They used to be a team. He had come to consider them his friends. That had gone to hell in the end though. Now the world plunged itself ever closer to war. A war he didn't care to have any part in.
Let New Yevon and The Youth League tear themselves apart.
The Al Bhed had seen enough of the horrors that came with war. A thousand years of persecution and hate. All because of Yevon and it's teachings. After the fall of old Yevon, his people had been scattered to the wind, with no place to call home. Cid was content to do nothing. To try and turn the ruins of Zanarkand into an amusement park.
Even Gippal thought that a rather insensitive and foolish idea.
Too many people had given their lives in that nightmarish place for it to be turned into some kind of carnival attraction.
It wasn't his place though.
His place was here now. The Machine Faction. He was just as guilty of the blasphemy as Cid. They moved into an old temple and started peddling machina to the masses. He had good intentions really. At least that's what he believed. He had given a handful of Al Bhed a purpose again.
He really was trying to make Spira a better place.
"Puo ur puo."
The words leave his lips softly, as he uncrossed his arms and returned his attention to his work.
In truth, he missed them.
His friends.
A shame he was too proud to admit it.
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Untitled # 10335
A limerick sequence
1
In buoyancy come slight, the chi puo. Thick and would complaces. And no another’s cot, the family Miss Edgeworth, ever. Me a below that Adeline his stone?
2
And flutes, like Spirit to put up—no, no, go not I was on might her that wad been at our good, whose a little stays no more loftier studies wither. For true.
3
Await, according, were so much let thought of birth. A good thing the would renovate, which their eye a sudden transport same—is through or Don Alfonso’s hum, was those.
4
Yet what calls! In France; she men health, westling to you that for thing abroad face is idleness, ’ I dare nothing—nothings green a bless grasp them all Spanish crimson so?
5
Little as mere are not. Settled: there lies every oftentimental e’re madrigals. Upon her loss that I forget, the skimm’d twenty year, or crest; or partial?
6
Because heaven of girl— she totem. Sometimes carpent’s set, and haunter’d, Detain poet couldn’t stands. On one: whether times to weak in. Under is Despair rise again.
7
When though then we have pleasant garden- rose precious say, close me—Me—they death- cry draws to temple, as the solar orbit, each other her sense among his Embleme.
8
Be young wild will besideratum. —But, doubt, the ways, great an unlamented. Swore like love. Last’s mature fortress! I wondrous enow. A part from fear and moonlight?
9
Alas! And like muse of your warden- rose fight O gently we wild, and cock could be fair, can comes in, temptation of you, but woman, so longest, none—nay, whose mind.
10
And she throughly in all, that drooping for one although the night, when frecklesse by side my rest. Is that their clown, marrying my Hearts of business shot let once high death?
11
(I have me mystic caress’d shall say. With which none may say. A woman is gone? His ran a beat human put unto people, but whole—streetlight heart bear it, nor day!
12
Slay me hall longbow frivolous in a strange, or why, or Fates change! They haled us, to divert nest’ she same—is mother rounder not. Babes to cheek that the sun.
13
So the gallow’s eyes. When then though the reserved. ’ Says no ebb to its in the hill imputes crawl: o moan even by the had operation; and even he rest.
14
If this new him! I have seemed, her help think his lady’s gentlest Calmuck the old bygones of the doom is fit shalt happy whether tender, and hardly, procul!
15
You of the must go, but betide, pars peeped and genitors of Fear, and thou reprove the Frenchments in a woman, Counter region. On the snug where I now bedbugs?
16
She table to which brow that point with a sword that lingering in ghosts; the same— because themselves; since thou have seemed light? I’m very presentence. To tent despair, who stands.
17
I thing, feel quite in Hades, in the nippit he take leave borne daye in vain. That does nothings one mysterics, down; and drowsily, but in say the should not these my ain.
18
The specially was as me; know this yet whenever whose frown which man her from the most of working could not on claim on the voice and a’! Blind is thy obscurity.
19
Drawn domed blow, because the like a soul that great die. Thy house with joy; you to a boxes to-nigh over; ah yes, as done such are your forefather was light of all.
20
If but how that the tramped they sang salamandering has number: example— t was amusemen. So renew: they knew him! To Russians high, upon the sky.
21
Fond of Man he hardly black, sword drear, sweet is new one venom which cant, you that her heart. Of many a favouring, and began too quaintance I said, stripling drum!
22
But seeketh not quill and Lassie, O. The wicked down wi’ purfles and immaculation; but, lo! The pass for Juan’s very tremulous occasion, or this dead.
23
He mind us earthquake one night, with sublime, the pock! The settled in any others should be sent leans, and stumble post; but none of weak in. A chain of those died.
24
Shifts to bully at the trippe it was And t will his disease; and what this new we tramped to woman that I must in thereby is no sisters with added greue. Love.
25
Were slewe misplaced? And not the most fears, and drop at human Pity do the wits, from out; there were to song of, or ioynts beneath, welcoming to dancing each in mud.
26
Musick men wealth, and cock could stood with a tide of courselves classie, O. Are bridegroom, the move, such to say, and slides upon a low or little last sixty for all.
27
Six weeks inward praise, a contemples? Huge woman, and bawled the sun, no harmless thanks again. Many a little Clod of bones that spurn, he deserves that with snowing.
28
Had begin less the Cather love. When the look down upon a single milk as far more regretting all these maching to them neat little or poem, prology.
29
Lift up shelter than grows? Of filter’d to gaze of Vivian all danced with all the peek or was not ease o’er ages, if the sun, who cross so thee the fled all calls!
30
And if he hand: cleave though ether, and finds her bosom burning adieu, and like peace, or ride a Warder at beautiful. To songs of counted, who watched into thee?
31
Yon palace, for Adonais! Though they, whose family sort of birthright for the preconciled nooks, Love lived in pedigree with juries, or very now should remorse.
32
But walked and circle smile one trace was a wisp alone. It may Lord was whole where no not that love, the rest at Halifax; ’ but ensembleme. And wrough the tyranny.
33
Of pleaseth ay more comeline, last thou will no mouth or Donna Julia’s pages. But great immortalice see denying ayme down at hath is a solitaire?
34
Let radians but the gallow. Came from year with fears before debt to my stars would surmise where are Nugae, quarum part six hour, beacon- tower, you are, which band to keepe.
35
When the heart, by merely call’d in such a some stream. Make my soul the sound by gush’d, and chast pall the thousand power I should not evil fan. The point of two you all!
36
Is greater in her heart by bride, I do come! A though me a huge women, gentle to general posses held in vapour; But just, stirre nothing on them were is home.
37
It strange—there sent for idle now for the picture, except they came is they are sides to sleep. Lost Angels the found they rose! I ’ve only togethere was peace!
38
And a slight have for our her and golden Day, who step soft Sh! In thy Greek—the sun of Death, is furrows cold. Of domestic basin of her is clear’d to glow.
39
Which, irregulation is during, the twice? The old the scents thy love, I had then, or Ralph had wrong. Names erect stood in an ages hers lost proudly may be drest.
40
From Lady, once, though several Count that I could almost in the though twenty years. When in the Memory excel that third flog there, that sixty, it slay this tutch.
41
Sweet to die? The moon of the world up in his sort of colouring with bland much happy they stalk, adown to spell the stranges an image, or our goose: and say, No.
42
They were she winding should seen absenceless like the twelve conceiv’st, it may finger the wish, by teeth our rosaries! For therefore at first regret; o Death each for?
43
It was some down to enter. ’Tis Despair meant air, the Dambe. Why not opening in it and world’s widow and not die her saw they coupled in exile were at Christ!
44
And let him for what wakes a rivulet; and corn winding sportsman of this ends open with find is what this own his Britons have she whose of thought he! Remember.
45
Or gentle Lawiers, reliefest bid me to a coach, that what life finding, but a patriots those at Christmas. Saw this dishonored that I wrothfull coronet.
46
—Fifteen with a general vow take eyes have leaf where were presentence, he those who have see denying so mutter; my book a discords of Rockport. My stocking way.
47
He should not then, jaded faint, the taper, ’ and do a sinecure—she, to square. Made of the walked her chiefly haruest of being aught have the had there was a fit.
48
In action of they could had skill marketable without music from collectually Brown, who came so ne’er the city. No anodyne; give nothing but better.
49
To the this was a thou been will. A rushing mind, when your bower to tell her break or blow mortal of handsome slipslop nor will purged, or he whole when all the bed.
50
—The mellow you must taken of the present you knowled across to a coxcomb’s flower should son again. Await, and then the hot wakes me my verse another.
51
But at gate has struck one, is much passion. John wassail till in an infancy complete, and all know who never having been nothings; he did party to his head!
52
That doth some obscure; like another. And not go see it up; and headlong view of your dear, and, and caught machinery weel aff, because to give a creed to his bright?
53
Choke to meet again! And sweet to battles, leaving of names true think the bushes, by my epic poets, and other, each, by his letched pose,—a dun—whether want.
54
’ For mere claretless, thou now I must have now—No! Regarding the breath, but neither could be not my narrow killing, sweet kiss— attracts by naming. From times she guesse.
55
But this grew another, surely, from more a prove thee. Found; all, what bed of episodes both whatever lives! As we should that some conversation, until I find.
56
Models fly; o’er what the bosom single one depart: a word, who were red, and what prove to shown. She man be set to little tender should make them at Waterloo.
57
And thus to keep my sleeping fallen, no hide; one of an in the uninspired. If such subtless right Phantastic skill’d, and love it, I tell the Heart, eye-water.
58
Shut up shells the placent. Who in the straws their scaffold in here was of those rubies tell us. Thus that it and bliss, and have none some constantial. At lengthenish.
59
A stars, till my ankle? To dawn grew; nor found me. Not spilt. For the Exchangeable to have may be saint though for their title sore at their surpass the sun’s despise.
60
And only mean a corkscrew one, nor caughter to defensible; and me, dart. Like a fear on to wind! No mattered, They knowledge of paying what commoners case.
61
He mind wish I would like a hill. Fairer to all that, in has blythest at Vivian-place—but I am too long despair began to whom shore, but me dulci.
62
That we know there thy lingers for saving eyes. Sister mate appoints, e’er colour’d lay show, as the prison- wall, and cling nails; we rushed with chance went but then already.
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Some luck, our men kick as Ovid’s reproachful and station, which was only liked to say, he callous hope, they have spoke in eye I’m very gentle rug. Former curls.
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Those will learn’d, when hearse. With the said, o Bulbul, as I pick upon the blood! Shamed of her late; but note, span to me; for jealous, transport and strength the antipodes.
65
Born I was light their heard swain such women killed at all the Duke of glory. Thy out thought are about disparage such foreigning, fooles in ourself might of brave.
66
But think, even into his vice, were line, to see, seek’st the leads I said: she is paralysis, the left the park, all you now, thy cold. At sixteen you, but Nanie, O.
67
Of sunshine same, glaunce: two or twenty- five hung thy call’d love such doom wait for such a stern watch that poems still the sun, no more them most? Broken his so very dawn.
68
Away, I touched hilt, and live you pattern wi’ rightly, since toom, and what men mix some fair week, and sulkily the TV because among he love. Their eyes.
69
My Muse dew sat wings of game, Caesar his rival out. I’ll betrays with his palls—at least, with that floating and God requent ivory still that are kindest I have died.
70
Into a foreveries rolled to mine, have choises are nis side-saddle. An ocean walks we glens are me back into rhyme, whatsoe’er saint and few faux pas, ’ thought to.
71
Palpitated: he line hours, the pavilion: the cliff, when thy love tough? Such women, ’ said to takes the two poor the corporal—some had connects great barn or nothing Post?
72
There was Hopes as locust on so, as it’s playes, making, charming, as worth things. But for naething college lorn night, selectric shock a liness in me, many yearning.
73
’En talk one date, unworth, that ripeness. To his garden poets where from Cadiz. Poor house, since, exceedingly read when we tires throught the world of Hazeldean.
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He stood up your old starved the follye wits, like all higher tender-shower. And one thinks with me. And grotesques ill awake up for useful Pussy my example.
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That I wrothful as fed, inside before it since defile. When a coming head; Out of thing our you wert o’ thee, should be among to pleasant, I—you know it.
76
By side, which heard this kindling hardly hew and with change within these to watched Elenor! And bursts by turnpike raging to their name, glauncing leaves at a’! And story.
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I am glad that come; twere was agree; of all weep anew! They see; don Jose abode what, are smooth likes pit their eyes over one with flute fancy to say, oh!
78
And stood name, and that the deep down was the stronger. Serene another’s in amongst the air that working out, a noble tore of mud cried, o Bulbul, and feast die?
79
And Don Alfonso’s hurried at you gave her me. In Kula, driven the might, that sober sport; a heavy head, and virtue slurringes, till wed; and lassie, O.
80
There he happy fretted; its free a words; and look I deem’d chasten to attack? As we have amorous a firmed not opens, and make a modern Grecian tired.
81
He sameness is our Ashes rounding shall take things of the will beneath a smile. Whose did so hear to it was painties erected, and every preparate her gates.
82
Seven know, that heathers comrades up each come: if people grave my sorrowing by Dame Christian laws; but a lucid lake, and the missed to mend your labour. His clears.
83
The has blythe time, and wake no one keep the Miller in their from Cato. Which, with look’d alone from lean in his dreaming thy water wanton was three preux Chevalier.
#poetry#automatically generated text#Patrick Mooney#Markov chains#Markov chain length: 5#136 texts#limerick sequence
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Puo hi! I'm a little late, but congratulations again!🎉🎉 You deserve all the love for your beautiful art✨✨💚
For your fun event - I've noticed you haven't drawn Sebek🐊⚡️ much, so here's your chance to draw him 😊(if you want)!💚💚
CALIGO! 💚 Thank youuu!! 🙏🥹💥
It's so nice to see you here heheh
![Tumblr media](https://64.media.tumblr.com/8868ec66f8791051ed5f92d781914984/757fd5e11cfdd1c4-94/s540x810/dc84ea94b1cf7c020562dee893f97c7c3b5434c4.jpg)
I won't lie, I did end up giving some extra time for him. (Mostly to play a bit with Gaussian blur and color)
This is part of the 300secs Drawing Requests Event (finished!)
#this is a piece i could work on more and make it into a full illust imo#twst sebek#that ver of him is PEAK DESIGN#im not even a sebek stan but i did pull for this card iqksiwjsiwjs#he looks a bit too cute tho sxixmjsmx probs bc of the rounded faced#face*#puo300celeb#drawing this while listening to nowhere - park byeong hoon (alnst)#im the type that is highly influenced by music#that's why this piece has a bit of that airy feel to it
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Guess who is late!!!
IT'S ME. MAAAAARI- (I stop)
Happy LATE Birthday Tatooooooooooo!! ✨✨✨✨🎂🎉
I was planning to draw it on ur bday but I was on the plane and ended up forgetting it AAAAA
Sad noises.
Hope u had a marvelous day! (Actually u should have a marvelous day everyday)
Tried drawing Quincy, but I'm not sure if it's tots wrong (I only had one ref sidjxnjiwdnxojsxd but I like his vibes, bro is cool af)
💥💥💥PUO
😭Help me omg this was such an unexpected surprise. My birthday has passed already but I really appreciate the thought! and your gift 🥺 I’m very thankful for the gift you gave me. (also help plane rides 😭 It’s totally understandable I hope you didn’t feel jet lagged for too long!) Hope you also have marvelous days everyday Puo! Always stay safe and healthy!
Absolutely in love with the pose you gave him 🥺 It’s so dynamic and the heartslabyul badge’s tassle flowing behind is such a lovely detail 🫶 Also really appreciate you drawing Quincy 😭 I know I barely draw/post my other twst ocs here but I love them all very much, and I’m glad when people remember them hshhs and you captured him perfectly well! even though my only reference for him was a very toiny chibi help The little blep 🥺hshsh
Doodled a tiny Quincy with an even tinier Mori! (he’s always smug when people call him cool, his brother doesn’t like the effect it has on his ego though lmao)
#taters yap#taters doodles#taters treasure box#puotot#twst oc#oc art#quincy royale#mori cadavere#<- the two are half brothers but mori is much older#they’re not very close hshhs just tend to tolerate each other enough#it’s complicated 😭
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Brucellosis
Case Report
a 45M goat herder in Malaysia develops 3 weeks of fevers, lethargy, night sweats and headache
history revealed he drank unpasteurised milk from said goats, which he also sold to consumers
blood cultures were negative and he tested negative for more common tropical diseases such as malaria, dengue, typhus and lepto
eventually he tested positive for brucella serology, unfortunately about 80 people also developed brucellosis from drinking milk from his farm, and a few lab staff also picked it up from handling their blood samples
consider this differential in PUO
Microbiology
causative organism: Brucella melitensis
gram negative coccobacillus, facultative intracellular
hardy bacteria that can survive prolonged periods in meat/dairy products unless pasteurised/cooked as well as dust & surfaces
picked up in the intestinal submucosa on ingestion and transported by macropahges to lymphoid tissue
it then has the possibility of spreading haematogenously in the liver, spleen, joints etc. causing systemic or localized infection
Transmission
zoonoses (animal associated)
in particular: feral pigs, so hunters are often at increased risk (due to handling the carcasses), but also cattle, sheep, goat and dogs
outbreaks often associated with consumption of unpasteurized milk from infected animals
Epidemiology
global and notifiable disease in most countries
endemic to Mediterraena, South America and the indian subcontinent
in Australia - largely QLD and NT, but now NSW
Increased risk groups (i.e. what to ask on history and what clues on history to consider for brucellosis)
regular contact with animals (herders, abbatoir workers, vets - there are case reports of lab workers who pick up brucellosis etc)
people who ingest unpasteurized dairy/milk, or the undercooked meat of infected animals
History
first described by another European white man, Dr. George Cleghorn, British Army Surgeon in minorca in 1751 on the island of Malta following the Crimean war
it was named for another British white man, Sir David Bruce who led a commission into a fever outbreak among the army in Malta before they found the organism causing the disease (Sir Themistocles Zammit identified that goats transmit it in milk)
Sir bruce also discovered that trypanosoma brucei (also named for him) was the microbe responsible for animal trypanosomiasis/sleeping sickness. incidentally, he was born in Melbourne Australia
trivia with the Crimean war - was ironically a war fought between Russia and the UK + it's Western Allies and the empire that preceded Turkey (Ottoman)
Today the Crimean war is more well known for producing Florence Nightingale, founder of modern nursing and yay, finally a woman in random medical history that hardly is related to brucellosis.
Clinical features
PUO - cyclical fevers, fatigue, headache, insomnia, myalgias/arthralgias, weight loss, anorexia (fairly non specific, but also systemic)
incubation times can be long, which can be deceptive, reportedly up to 50 yrs from first exposure
otherwise, most cases it ranges from 3 days to several week, on average, expect 2-4
sometimes: hepatosplenomegaly
critical on history to clarify travel/living situation or contacts and consumption of unpasteurised dairy or undercooked meat
localized disease also possible, depending on organs involved
up to 40% will report peripheral arthritis, sacroillitis and spondylititis (kinda sounds like ank spa), at worst can cause osteomyelitis and septic arthritis
endocraditis is a rare but serious complication, with a 5% mortality rate, outside of this it's rarely fatal
if the lungs are affected, cough and SOB can occur but hte CXR will be lcear
GBS has been reported to occur following infection
hepatic abscess and granulmoa in a few
also possible: epididymoorchitis and skin manifestations like erythema nodosum
ocular changes like uveitis, cataracts etc.
it really feels rheum flavoured.
Investigations
hints on basic bloods - neutropaenia and anaemia, thromobcytopaenia in the case of hepatosplenomegaly or ITP
raised ESR and CRP, ALP and LDH
elevated LFTs in hepatomegaly
but diagnosis: blood cultures --> can take weeks as slow growing (due to aerosol transmission, must be handled in a biohazard hood as with the case report)
key really: serology is the most commonly used tool
PCR can also be used, including 16S
tissue also an option depending on organ affected
Management:
atypical cover: azith and doxy
several weeks of treatment usually - i.e. if uncomplicated, doxy for 6 weeks (however relapses are common on monotherapy, up to 40%), often rifampicin 600 mg daily for 6/52 is also added or gentamicin
where doxy can't be used, bactrim is the alternative
Sources
CDC guideilnes
WHO guidelines
ETG - behind a paywall, if your institution covers it, uptodate is gold standard, that said, plenty of free resources that provide a great start
Wikipaedia
Statpearls
Case report (There's actually a lot of background pathophysio, investigations and treatment listed in case reports and many are free)
#brucella#brucellosis#crimean war#medblr#infectious diseases#infectious disease#bacteriology#microbiology
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Netfliss Lyrics by Kcee
Netfliss Lyrics by Kcee Kcee Lyrics Netfliss is a new single by Kcee, read the song’s lyrics below and get familiar. On Netfliss, Kcee highlights themes of luxury and status, the track reflects Kcee’s confidence and success, with a playful and lavish tone that celebrates his lifestyle. Netfliss Cover Art Kcee – Netfliss Lyrics NwanneI nu ụda egbeMaru na anyi a puo goJaysynths give demDey…
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i was listening to stalker's tango and I just realised I want to be his only priority (won't happen, I won't let it happen)
But I want him to need me in the same way I need it, I want him to feel what I feel. It's almost bad, sometimes it makes me feel sick because it hurts. He's not here and I need him more than I need water (hyperbole). But I need puo so much sometimes I get angry and I could get violent or aggressive and I don't want to. Obviously never with it, I would never hurt pup <3
It's unnatural, deep and painful. But it's how I feel love. It's true to me, more than whatever I've felt before.
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domande e risposte
ciao a tutti, c hi volesse parlare con noi puo scrivere qui.
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trump vs the world
he Democratic lawmakers, in their suits, allege that Trump and his co-conspirators threatened them to halt the congressional session that would have given way to the certification of Joe Biden's presidential victory on Jan. 6. Capitol police officers assert in separate Jan. 6-related lawsuits that they suffered emotional distress and physical injury from the insurrection. The complaints mainly draw from a federal law that bars individuals from conspiring to prevent someone from holding federal office, as noted by
and we count ten and from the usa senate and congress additional to the five we spoke to yeterday or the day before. these ten are hot and steamy for it. say we file criminal charges during th erpoceedings and to air your sh first as i needed. and take down the palyers as you say trump. an take it all as yo always say. they do it today too. and are. further as our son says he broke many laws january 6th and many more than they filed. and it is true an attmepted coo and an attempted military take over of the usa, an a ttempt at mass homocide, conspiracy to do the same, and really no back peddling reaured lol puo initended but the white hosue senate and congress can file feloneyand misdeameanor charges due to civil law and criminal laws broken that day breaking widnows forecedd entry tresspassing assault on police officers and assalut on memeber of congress and the senate and damage an maligning important historical structures and it carries a 28 year sentance. and to seek thiese prior to treason is good. pllaces them on the scene show who and many have been convicted of insurrection. and the judge in clorado should not ite and the connect ions are knows now this is smart
Thor Freya
Olympus
Zues Hera
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