wonderland 2

8

One Wedding, One Destiny
A Kingdom Hearts Themed Wedding
July 15, 2017

Part 2: The Wedding Party

After two years of planning it finally happened! There’s so much to share so be sure to be follow along. Here are the rest of the parts:

Part 1: The Couple
Part 3: The Decor
Part 4: The Ceremony
Part 5: The Reception
Part 6: The Cake
Part 7: Everything Else

Keep reading for more details and things the photographer missed.

Keep reading

DA2 companions in cartoons

Merrill

but

*******

Isabela

but

*******

Varric

but


*******

Aveline

but

*******

Fenris

but

*******

Anders

but

*******

Sebastian

but

Привет, пончики! :зз

i`m back again with charming Hawke`s companions this time! truth be told, it was a bit difficult for me to find proper gifs (in my opinion) for DA2 dudes. maybe because i love Origins` dorks too much

this, however, does not take away from the fact that Varric`s chest hair still makes me crazy (¬‿¬)


Dragon Age Origins companions 
Dragon Age Inquisition companions

What it means to be Queen //Harry Hook x OC// Part One

Originally posted by imultifandomstuff

Originally posted by sitting-in-wonderland

Harry Hook finds himself at Auradon Prep. As soon as he lays eyes on Clara, daughter of the White Queen and princess of Wonderland, he decides he’s going to break her perfect image


As Clara sat before him, a perfect image of what you’d expect of the White Queen’s daughter, he found her demeanor unnerving.  Even after nearly eight years of friendship Ben never quite got use to Clara’s poised behavior.  

He remembers that until her met Clara, he had never met or even seen someone from Wonderland, or ‘Underland’. Back then tensions had been high between Wonderland and the rest of Auradon, even more between his father and Clara’s mother. 

Her mother had been one of the only royal against the Isle of the Lost when the idea if it was first proposed. She felt is was cruel and inhumane to just leave them on the Isle by themselves, things only got worse when she heard of how they planned to feed the inhabitants of the Isle; with garbage.  Tensions only grew when the White Queen heard her sister had, had a son. She wanted for the child to be brought to Wonderland to be raised as he was innocent of his mother’s crimes. She felt the same way when it came to the other children on the Isle but his father, King Adam hadn’t allowed it. 

He remembers the day Clara came to Auradon with other Wonderlandian children. 


Keep reading

Anti-epileptics/Anti-convulsants Made Incredibly Easy

TREATMENT STRATEGIES:

  • Start therapy after the second seizure; first ONLY if recurrence is high = MRI abnormal, EEG abnormal, or status epilepticus.
  • Monotherapy until seizures are controlled.
  • If failed: titrate up to maximum tolerated dose –> shift to alternative drug –> use drug combination –> VNS, DBS.
  • Full drug therapy for 2 – 3 years after the last fit.
  • Gradual withdrawal over at least 6 months.

Rx Profile:

(Drawings are courtesy of @mynotes4usmle​)

Carbamazepine

  • Mainly for generalized tonic-clonic seizures
  • Trigeminal neuralgia
  • Bipolar disorders (with depressive predomince) - mood stabelizier
  • NEVER in abscence seizures
  • SE:

Lamotrigine

  • Safer profile, with minimal interactions.
  • Bipolar disorders (with depressive predominance) - mood stabilizer  
  • SE: maculopapular rash; SJS

Topiramate

  • Broad spectrum anti-seizure; used in migraine.
  • SE of TopIRamate: enzyme Inhibitor + Renal stones.

TREATMENT PROTOCOL:

Green: first line; Yellow: second line; Orange: third line; Red: contraindications. (Graph reproduced from Oxford Handbook of Clinical Medicine)

Epilepsy & Pregnancy:

  • Non-enzyme-inducing AEDS have no effect on the pill. Enzyme inhibitors prolong the half life of OCP (=Valproate) so better for birth control , and vice versa.
  • Most of AEDs are teratogenic; Category D
  • Therapy not stopped; uncontrolled seizure is risky to fetus & mother. Give lowest effective dose.
  • Avoid phenytoin, valproate and barbiturates (use Lamotrigine)
  • Most AEDs cause folate deficiency …. Folic acid (prior to or early in conception)
  • Most AEDs are competitive inhibitors of vit. K-dependent clotting factor: Vit. K to mother 10 days before labor & to newborn.
  • Most except carbamazepine and valproate are present in breast milk. Lamotrigine is safe on infants.

Status Epilepticus:

  • WHAT? Seizures lasting for >30min, OR repeated seizures without intervening consciousness.
  • Things to be done:
  1. Bedside glucose, the following tests can be done once Rx has started: lab glucose, ABG, U&E, Ca2+, FBC, ECG.
  2. Consider anticonvulsant levels, toxicology screen, LP, cultures, EEG, CT, CO level.
  3. Pulse oximetry, cardiac monitor.
  • How to treat?

THE END

Originally posted by disneypixar