• what she says:im a'ight
  • what she means:honestly everyone in RFA is always worried about mc but no one worries about jaehee like she is so stressed and overworked why are they worrying about the wrong person i wish i could help my girl i wish i could take some burden and stress off of her i wish i could always call her to comfort her and support her but i don't have enough hourglasses and im currently broke she is so amazing and needs to stand up for herself but she also needs to be protected because wowie she is an angel i am in love with her i am so gay

You know what I really want? I want Stiles to tell Lydia what happened with Donavan and for her to stand by his side and convince him that he’s a good person and he doesn’t have to feel like crap cause he was just defending himself, he was just trying to survive.
And I’m not saying this because I ship them romantically, I want this to happen because before anything they are best friends, Stiles has always been there for Lydia like that scene when he told to her: don’t doubt of yourself now. I just want to see Lydia being there for him as his friend.

Emergency room treatment of migraines

Narcotic (opioid) drugs are still widely prescribed by doctors in offices and emergency rooms. They are not only potentially addictive, but also are not effective for the treatment of migraine headaches. The guidelines of the American Academy of Neurology call for avoidance of opioids for migraine and headache.

Doctors at the Cleveland Clinic developed a detailed, step-by-step algorithm that has dramatically reduced the use of narcotics for migraine management in the emergency room and prescribing of them upon discharge.

In the three months before the algorithm was implemented 66% of migraine patients had received narcotics in the ER and 44% had discharge prescriptions for these medications. After algorithm implementation, the rates were 19% and 5%, respectively.

The results of this study were presented at the 2015 annual meeting of the American Headache Society.

The first step of the algorithm involves using a three-question screener for diagnosing migraine. The questions elicited the presence of nausea, sensitivity to light and inability to function normally. If two of these three symptoms were present, migraine diagnosis was made, provided no other serious condition was causing the headache. Doctors then evaluated for potential drug-seeking behavior and repeated ER visits without appropriate follow-up with the patient’s primary care provider.

The first step was intravenous or intramuscular injection of a nonsteroidal anti-inflammatory pain medicine ketorolac (Toradol) plus a nausea drug, metoclopramide (Reglan) plus an anti-histamine, diphenhydramine (Benadryl). If the patient did not experience at least 50% pain relief, step 2 was a steroid medication, dexamethasone (Decadron) plus valproate sodium (Depacon) plus magnesium sulfate. Step 3 used in patients who didn’t experience at least 50% pain relief was a subcutaneous injection of sumatriptan, which was repeated in one hour if the headache did not resolve. If the patient failed sumatriptan in the past, dihydroergotamine (DHE-45) was given with a nausea drug prochlorperazine (Compazine), metoclopramide (Reglan) or ondansetron (Zofran).

If patients do not respond to the third step, they are considered for hospital admission and admission did increase from 8% to 25%.

It is a very good algorithm and if you suffer from severe migraines that at times land you in an ER, I would keep this list of injectable drugs, so that you can ask for them. However, I would ask for intravenous magnesium to be given first since it has a 50% chance of helping without side effects, which can occur with every other drug. I would also use sumatriptan after magnesium since it is very effective and is the only migraine-specific drug available in an injection. Studies suggest that diphenhydramine (Benadryl) and valproex sodium (Depacon) are not very effective, so I would avoid those if you have a choice.



Anon asked: Yachi or Suzuya?

Can we just talk about this woman ?
People say she’s cold and that dhe doesn’t love Adrien and so on.
But remember that time in Stoneheart, when she talked to Bad Dad Agreste so that Adrien could actually go to the college just like any other child of his age ?
This woman is a hero. She could have simply obeyed to the orders she was given, but she worried enough about his well-being to go tell her boss that she would manage to organize his schedule !
Not many would.
So yeah, Nathalie Sancoeur was very bad named. She does have a heart. And she deserves all my respect.


Koha esht e cmuar ket qe kena esht speciale
Nese ki besim n'zot besom se kto jan fjal rreale
Ndoshta thojn qe skam ndjenja dhe jam bo njeri I ftoht
Me t'thon drejten jam zhgenjy pak qe besova do

Por kjo s'do t'thot skam ndenja biles kam ma shum se tjeret
Kto fjale qe shkruhen letra kto fjal si pruni era
Jan ndjenjat e mia t'perzira me emocione,
Kur m'kujtohen do momente mkujtohen pozicione. ~ Noizy

Ooo well I started doodling Aemond, a triple beige Wildclaw I got many months ago.

He’s of the Earth element, so I designed him to have a more rigid/earthy look. But he’s like really sweet actually. Don’t let that toothy under-bite throw you off :D

He’s probably all the hatchling’s favourite uncle. The one who is good at telling jokes and babysitting. I am literally imagining him with a wheezy and hearty laugh.

He’s one of the clan’s strongest, so most call upon him to do the heavy-lifting.