#Drug safety specialist

[medipharmsolutionss]

The Crucial Job of Clinical Data Management and Drug Safety Specialists

In the mind boggling scene of drug innovative work, two basic support points stand tall. clinical data management and drug safety specialists. Together, they structure the foundation of guaranteeing the safety and adequacy of drugs brought to showcase. How about we dive into the meaning of these jobs and the important commitments they make to the medical services industry.

Clinical Data Management (CDM):

Clinical data management is the careful course of gathering, cleaning, and overseeing data got during clinical preliminaries. It includes a progression of methodical moves toward guarantee the uprightness, precision, and classification of the data accumulated from these preliminaries. These means incorporate data assortment, database plan, approval, and quality control measures.

Key Elements of Clinical Data Management:

Data Assortment: CDM specialists are answerable for planning case report structures (CRFs) and electronic data catch (EDC) frameworks to gather precise and applicable data from clinical preliminary members.

Data Cleaning: They fastidiously survey and clean the gathered data to distinguish and correct any disparities or mistakes, guaranteeing the data's quality and dependability.

Database Management: CDM specialists create and keep up with databases to safely store and sort out clinical preliminary data, complying to administrative rules and industry guidelines.

Quality Control: They execute thorough quality control measures to approve the exactness, culmination, and consistency of the data, relieving any likely dangers or inconsistencies.

Administrative Consistence: CDM specialists guarantee consistence with administrative necessities and rules set out by administrative specialists like the Food and Drug Organization (FDA) and the European Medications Office (EMA).

Drug Safety Specialists:

Drug safety specialist, otherwise called pharmacovigilance experts, assume a vital part in checking and evaluating the safety profile of drug items all through their lifecycle. Their essential goal is to recognize, evaluate, and forestall unfavorable drug responses (ADRs) to protect patient wellbeing.

Key Elements of Drug Safety Specialists:

Unfriendly Occasion Revealing: They are answerable for gathering, assessing, and reporting unfavorable occasions and other safety-related data related with the utilization of restorative items.

Risk Appraisal: Drug safety specialists lead careful assessments of antagonistic occasions to survey the possible dangers and advantages of drug items, directing dynamic cycles.

Signal Identification: They use data mining methods and factual investigations to recognize potential safety flags or arising chances related with explicit drugs or drug classes.

Risk Management: In view of their appraisals, they create and carry out risk minimization techniques and chance management intends to alleviate potential safety concerns and advance patient results.

Administrative Announcing: Drug safety specialists guarantee ideal and exact revealing of safety data to administrative specialists, medical services experts, and people in general according to administrative necessities.

End:

All in all, clinical data management and drug safety specialists are fundamental resources in the drug business' mission to foster protected and successful therapies for different ailments. Their careful scrupulousness, administrative ability, and devotion to patient safety are major to the outcome of clinical preliminaries and the post-advertising observation of drug items. By teaming up intimately with different partners, including scientists, medical services experts, and administrative organizations, these experts contribute essentially to propelling medical services and further developing patient results around the world.

#clinical data management #Drug safety specialist

[drdemonprince]

Hello! You have opened a fascinating door into kink communities I didn't even know existed. Thanks for that. I was describing some of your steamworks adventures to my partner, who works as a Disease Intervention Specialist (aka DIS, a government healthcare worker who administers free/low-cost STD testing and then attempts to track down and notify+test the recent sexual partners of any infected individuals). (He brings some INSANE stories home from work and gets to give sex ed talks at the local Christian college using a model penis that actually ejaculates--but I digress.) He was horrified by the hypothetical situation where an infected person could have blindfolded sex with an unknown number of nameless strangers. It's hard enough trying to track down partners when the patient only knew them by their Grindr username. How do you have safe sex in these situations? Some STDs can be transmitted via skin-to-skin contact even with a condom. Do venues like steamworks enforce any rules around testing/protection/etc.?

If your partner is 'horrified' by the actual sex lives of the populations he ostensibly serves I think he needs to read more from harm reductionist thinkers and queer activists from a variety of past eras and work on processing his feelings of judgement to ensure it doesn't impact his actions in that line of work.

The books and Melancholia and Moralism, Saving Our Own Lives, and Beyond Shame: Reclaiming the Abandoned History of Radical Gay Sexuality are good places to start.

If you're having anonymous or blindfolded sex in cruising spaces, one route of managing risks is to assume that every person there could be infected with STIs you do not have and to plan accordingly. Vaccines, condoms, PreP, testing, and education are just some of the tools at one's disposal, and one should always be cognizant of the risks that one is consenting to. Steamworks has sexual health educators and testers present within their space regularly, but they don't gatekeep based on serostatus, health status, drug regimen or use of protection -- doing so wouldn't be feasible and would be problematic on multiple grounds.

I don't believe the goal of a public health initiative or a life well lived is to eliminate all risk, or to regard the presence of any infection in any human body as unacceptable, but rather to empower people to make informed decisions about the level of risk they are comfortable confronting, or that is worth the numerous benefits to them.

Personally, I was in far greater danger when I didn't have access to such spaces. Cruising spaces make negotiating sexual consent far safer than privately dating and hooking up with someone, and Steamworks are vitally important queer community spaces, and for me are well worth the trade off. No one should have any illusions about this ever being an experience that they can eliminate all risk from, rather they should anticipate it and plan for it.

I think "safe sex" is an unhelpful framework to pursue because it is so binary and can't ever be guaranteed. What does safety mean? Which types of exposures do we consider to be "unsafe"? Am I unsafe if I encounter another person who, like me, has had a cold sore before, like 80% of the population? Or someone who has a strain of HPV I am vaccinated against? What about if I have an encounter with somebody with a cold? I'm "safer" being fucked by an HIV positive person who is undetectable and wearing a condom than I am having barrier free sex with a long term partner who cheats. I can't even know I'm taking a risk in the latter case; at Steamworks, I'm assuming my risk level to be on the high end and planning accordingly.

I understand that testing and tracing are important parts of public health for our populations. It was vitally important when monkeypox broke out. Maybe Steamworks should collect member emails and alert them if there was a reported transmission on a night that they visited. Though even then, there are some negative public health implications to dozens of people panicking. But there is no means of eliminating all risk entirely or tracing all human sexual behavior and I would be myself pretty horrified if there was.

[bumblee-stumblee]

NHS England to stop prescribing puberty blockers

10 hours ago

By Josh Parry,

LGBT & Identity Producer

Children will no longer routinely be prescribed puberty blockers at gender identity clinics, NHS England has confirmed.

The decision comes after a review found there was "not enough evidence" they are safe or effective.

Puberty blockers, which pause the physical changes of puberty, will now only be available as part of research.

It comes weeks before an independent review into gender identity services in England is due to be published.

An interim report from the review, published in 2022 by Dr Hilary Cass, had earlier found there were "gaps in evidence" around the drugs and called for a transformation in the model of care for children with gender-related distress.

Dr Cass's review follows a sharp rise in referrals to the Gender Identity Development Service (Gids), run by the Tavistock and Portman NHS Foundation Trust, which saw an increase from 250 per year to over 5,000 in 2022.

Puberty supressing hormones - more commonly known as puberty blockers - work by suppressing the release of hormones that cause puberty and are often prescribed to children questioning their gender as a way of stopping physical changes such as breast development or facial hair.

Fewer than 100 young people in England are currently prescribed puberty blockers by the NHS. They will all able to continue their treatment.

NHS England held a public consultation on their usage and last year introduced an interim policy which stated they should only be given as part of research trials or in "exceptional circumstances".

The BBC understands that the new policy, confirmed on Tuesday, will not allow them to be prescribed "routinely" outside of a research trial, but that individual clinicians can still apply to have the drugs funded for patients on a case-by-case basis.

Gids is due to close at the end of March. Two new NHS services due in London and Liverpool are set to open at the beginning of April, followed by a number of regional specialist centres over the next two years.

Health Minister Maria Caulfield said: "We have always been clear that children's safety and wellbeing is paramount, so we welcome this landmark decision by the NHS.

"Ending the routine prescription of puberty blockers will help ensure that care is based on evidence, expert clinical opinion and is in the best interests of the child."

The consultation on the future of gender services received more than 4,000 responses, including 10% from trans adults and 5% from clinicians.

John Stewart, national director of specialised commissioning at NHS England, said: "Given that the debate is often very polarised, so too were the responses to the consultation.

"Many people said the policy didn't go far enough in terms of still allowing potential access [to puberty blockers] through research, and others saying clearly they disagreed fundamentally and that these should be routinely available to everyone who believes they need it."

The BBC understands NHS England aims to begin its study into the use of puberty blockers by December 2024, and is yet to decide who can take part

---

Oh hey, will you look at that.

#radblr #radfem #radfems #feminist #feminism #radfems please interact #gender critical #radical feminist

[orangerosebush]

Article is here, full text attached below.

ARTICLE TEXT:

Puberty blockers, which pause the physical changes of puberty such as breast development or facial hair, will now only be available to children as part of clinical research trials.

It follows a public consultation on the issue and an interim policy, and comes after NHS England commissioned an independent review in 2020 of gender identity services for children under 18.

That review, led by Dr Hilary Cass, followed a sharp rise in referrals to the Gender Identity Development Service (Gids) run by the Tavistock and Portman NHS Foundation Trust, which is closing at the end of March.

The clinic has come under repeated scrutiny.

In February 2022, Dr Cass published an interim report saying there was a need to move away from one unit and recommended the creation of regional services to better support youngsters.

She also pointed to a lack of long-term evidence and data collection on what happens to children and young people who are prescribed medication.

She added that Gids had not collected routine and consistent data “which means it is not possible to accurately track the outcomes and pathways that children and young people take through the service.”

Following the Tavistock’s closure, two new NHS services will now open in early April, situated in London’s Great Ormond Street Hospital and Alder Hey Children’s Hospital in Liverpool.

The NHS has said children attending these clinics will be supported by clinical experts in neurodiversity, paediatrics and mental health, “resulting in a holistic approach to care”.

Former prime minister Liz Truss, who has mooted an amendment to the Health and Equalities act, that includes a ban on the prescription of body-altering hormones to children questioning their sex, both privately and on the NHS, said: “I welcome NHS England’s decision to end the routine prescription of puberty blockers to children for gender dysphoria.

"I urge the government to back my Bill on Friday which will reinforce this in law and also prevent these drugs being supplied privately.”

Health minister, Maria Caulfield, said: “We have always been clear that children’s safety and wellbeing is paramount, so we welcome this landmark decision by the NHS.

“Ending the routine prescription of puberty blockers will help ensure that care is based on evidence, expert clinical opinion and is in the best interests of the child.”

The consultation on the future of services received more than 4,000 responses, including around a quarter from members of the public, 22% from patients, 21% from parents, 10% from trans adults and 5% from clinicians.

John Stewart, national director of specialised commissioning at NHS England said: “Given that the debate is often very polarised, so too were the responses to the consultation.

“Many people said the policy didn’t go far enough in terms of still allowing potential access (to puberty blockers) through research, and others saying clearly they disagreed fundamentally and that these should be routinely available to everyone who believes they need it.”

Regarding the new clinics, he said: “This is just the first step in building a regional model, where our aim is to establish between seven and eight specialist centres including the north and the south hubs over the next year to two years.”

Around 250 patients are expected to be transferred to the new clinics from Gids when they open.

Some 5,000 more children and young people are currently on the waiting list for referral into the new clinics.

#long post #uk politics #cis children can still be prescribed puberty blockers; is is specifically prescription by gender identity clinics to trans youth being targe #targeted here.

[vasyandii]

Phayvanh "Nak" Sotsvahn 🐉

UPDATED INTRO!! (Old Ver.)

GENERAL INFORMATION

Status: ACTIVE

Year of Birth: 2000 (Aged 20)

Day of Birth: September 13

Place of Birth: Vientiane, Laos

Nationality: Laotian

Race: Lao

Languages Spoken: Lao, Thai, English, Russian

Occupation: Tactical Assault Operator, Close Quarters Combat Specialist (Chimera Member)

Affiliation(s):

-Golden Triangle Cartel (Formerly)

-Lao People's Armed Forces (Formerly; Dishonorably Discharged)

-Allegiance

-Chimera

Physical Appearance

Eye Colour: Brown

Hair Colour: Black

Height: 5’2”/159 cm

Build: Lean Muscular

Scars: None

Tattoos/ Markings: Large tattoos on left upper and Center of back

Biography

Born in Vientiane, Laos. Living the first 15 years of her life off her uncle's fortune, partaking in the trafficking of illicit narcotics at a young age. The two were close due to them being family, not having many friends due to her uncle's line of work. Enlisted in the LPAF by her Uncle's wishes to "Carve a better path for herself". Was not liked by her peers for her cocky attitude, overly aggressive tactics, and habit of prioritizing her personal safety over the team.

After 3 years of service in the LPAF, excelling in Close Quarters Combat, dishonorably discharged due to repeated physical altercations among teammates. Spent the next 6 months back to working for Kapano Vang despite his reluctance, eventually fleeing to Urzikstan after an argument with Vang about difference in beliefs, multiple people injured; their relationship has been strained ever since. During her time her path crossed with Nikolai, in search of work she signed a long term contract with Chimera, with one year of service.

Shown to exhibit signs of social anxiety and difficulty forming close relationships around people her age. Inherited Kapano Vang's short temper in combat, though more relaxed outside of it. Developed a bond with Syd, seeing her as an older sister. Often paired up with Sebastian Krueger in order to keep them both in line.

Skills and Abilities

Fighting Style: Muay Thai, Brazilian Jiu Jitsu

Weapon(s): Whatever is heavy

Distinct Weapon: FN SCAR , Dual Push Blades

Shortcomings: Overly aggressive tactics, focus on personal safety, short temper

FAMILY

Familial Status: Adoptive Niece

Siblings: None

Mother: Adoptive sister of Kapano Vang (whereabouts unknown, records not found/withheld)

Uncle: Kapano “Naga” Vang; (Former warlord drug trafficker, formerly in Warsaw Pact)

Relationship with Family: Nak still idolizes her uncle to an extent, but the more that she's out in the world,the more she realizes that he isn't a good person. Nak’s mother wasn’t present in life. Her uncle took her in after mother wasn’t able to care for her. Naga trained her at a very young age; he thought it was best if she was strong in their lifestyle.

Pet: Cat person, never was allowed to have pets but she would throw scraps of food to strays.

PERSONALITY

Myers Briggs Type: ESTJ-T Nak is an extroverted introvert, she likes and enjoys talking to people, however it drains her energy quickly since she's not used to talking to people in such a casual manner. Things like talking business she’s more used to.

Adaptable: A quick thinker, Nak is able to carry out missions by finding creative solutions to make sure her operations are successful. Outside of the battlefield her adaptability allows her to have better communication with people, even with her social anxiety.

Pragmatic: Nak strives to make the most effective solutions so it’s easier on her in the future. Her decision making skills ensure that she’ll survive in the field and outside of it.

Responsible: Living on her own, Nak is responsible, she can’t relax unless all her work is done beforehand. As she starts forming close relationships with people, she realizes that she likes taking care of people.

Negative Traits

Stubborn: Starting out Nak isn’t a very good teamplayer. She doesn’t like others telling her what to do or how to do things so she’s stubborn in a way that she’s adamant about what she wants but adaptable with what methods are needed.

Judgemental: Her formative years with Naga didn’t allow her to trust people, because of the Golden Triangle Cartel she has a habit of being overly critical of others.

Paranoid Perfectionist: Nak is self-demanding, she doesn’t take failure lightly. This leads to her paranoia of not being properly prepared. She becomes aggressive out of frustration if her ability isn’t to her liking.

Favourites

Colour: Golden Yellow

Food: Fried eggs

Drink: Lemon iced Tea

Flower: Plumeria

Animal: Giant Anteaters

TRIVIA

Nak is a shortened version of “phayanak” the mythical water serpent in Laos, it’s also the Lao pronunciation of “Naga” which is her Uncle’s name on the field.

Her face paint draws reference to how snake teeth are shown in Phayanak statues. There are multiple snake motifs in her design. Is the design practical? No, she just likes standing out in that way.

Nak cuts her own bangs (long blunt bangs) she doesn’t trust anyone with cutting them.

Has a lot of upper body and lower body strength; she can lift things heavier than her and calisthenics skills (handstands, full planches, etc.)

Nak is significantly more patient to small children than adults because she can understand why they would do the things they do.

#call of duty #call of duty modern warfare #art #cod mw oc #digital art #original character #phayvanh nak sotsvahn #cod oc #cod #oc intro #oc info #ocs #Cod oc: Nak #Vasyandii Art #cod art #call of duty art #COD fanart

[religion-is-a-mental-illness]

By: Josh Parry

Published: Mar 12, 2024

Children will no longer routinely be prescribed puberty blockers at gender identity clinics, NHS England has confirmed.

The decision comes after a review found there was "not enough evidence" they are safe or effective.

Puberty blockers, which pause the physical changes of puberty, will now only be available as part of research.

It comes weeks before an independent review into gender identity services in England is due to be published.

An interim report from the review, published in 2022 by Dr Hilary Cass, had earlier found there were "gaps in evidence" around the drugs and called for a transformation in the model of care for children with gender-related distress.

Dr Cass's review follows a sharp rise in referrals to the Gender Identity Development Service (Gids), run by the Tavistock and Portman NHS Foundation Trust, which saw an increase from 250 per year to over 5,000 in 2022.

Puberty supressing hormones - more commonly known as puberty blockers - work by suppressing the release of hormones that cause puberty and are often prescribed to children questioning their gender as a way of stopping physical changes such as breast development or facial hair.

Fewer than 100 young people in England are currently prescribed puberty blockers by the NHS. They will all able to continue their treatment.

NHS England held a public consultation on their usage and last year introduced an interim policy which stated they should only be given as part of research trials or in "exceptional circumstances".

The BBC understands that the new policy, confirmed on Tuesday, will not allow them to be prescribed "routinely" outside of a research trial, but that individual clinicians can still apply to have the drugs funded for patients on a case-by-case basis.

Gids is due to close at the end of March. Two new NHS services due in London and Liverpool are set to open at the beginning of April, followed by a number of regional specialist centres over the next two years.

Health Minister Maria Caulfield said: "We have always been clear that children's safety and wellbeing is paramount, so we welcome this landmark decision by the NHS.

"Ending the routine prescription of puberty blockers will help ensure that care is based on evidence, expert clinical opinion and is in the best interests of the child."

The consultation on the future of gender services received more than 4,000 responses, including 10% from trans adults and 5% from clinicians.

John Stewart, national director of specialised commissioning at NHS England, said: "Given that the debate is often very polarised, so too were the responses to the consultation.

"Many people said the policy didn't go far enough in terms of still allowing potential access [to puberty blockers] through research, and others saying clearly they disagreed fundamentally and that these should be routinely available to everyone who believes they need it."

The BBC understands NHS England aims to begin its study into the use of puberty blockers by December 2024, and is yet to decide who can take part.

--

https://www.england.nhs.uk/wp-content/uploads/2024/03/psh-clinical-panel-report.pdf

NICE previously completed an evidence review on this subject in 2020 which included nine observational studies. The quality of evidence for the identified critical outcomes for decision making – gender dysphoria, mental health – was assessed at the time as very low certainty. There was no statistically significant difference in measurements compared with baseline. No evidence was found for quality of life. The quality of evidence reported for important outcomes was also assessed as very low certainty. Surveillance of published literature, using the original PICO and bibliographic search strategies, has been undertaken to identify any relevant studies published since the NICE 2020 review. This assessment was presented to Panel members.

https://www.england.nhs.uk/wp-content/uploads/2024/03/evidence-review-gnrh-analogues-october-2020.pdf

The results of the studies that reported impact on the critical outcomes of gender dysphoria and mental health (depression, anger and anxiety), and the important outcomes of body image and psychosocial impact (global and psychosocial functioning), in children and adolescents with gender dysphoria are of very low certainty using modified GRADE. They suggest little change with GnRH analogues from baseline to follow-up.

Studies that found differences in outcomes could represent changes that are either of questionable clinical value, or the studies themselves are not reliable and changes could be due to confounding, bias or chance. It is plausible, however, that a lack of difference in scores from baseline to follow-up is the effect of GnRH analogues in children and adolescents with gender dysphoria, in whom the development of secondary sexual characteristics might be expected to be associated with an increased impact on gender dysphoria, depression, anxiety, anger and distress over time without treatment. The study by de Vries et al. 2011 reported statistically significant reductions in the Child Behaviour Checklist (CBCL) and Youth Self-Report (YSR) scores from baseline to follow up, which include measures of distress. As the aim of GnRH analogues is to reduce distress caused by the development of secondary sexual characteristics, this may be an important finding. However, as the studies all lack appropriate controls who were not receiving GnRH analogues, any positive changes could be a regression to mean.

The results of the studies that reported bone density outcomes suggest that GnRH analogues may reduce the expected increase in bone density (which is expected during puberty). However, as the studies themselves are not reliable, the results could be due to confounding, bias or chance. While controlled trials may not be possible, comparative studies are needed to understand this association and whether the effects of GnRH analogues on bone density are seen after they are stopped. All the studies that reported safety outcomes provided very low certainty evidence.

==

I just want to pull out a note from the evidence review. Towards the end of the document, they detail all the studies that were excluded and the reason why. For example, one study was excluded because it only included adults, and the review was looking for safety and efficacy when applied to minors during puberty.

A study from known fraud Jack Turban was itemized. The reason it was excluded? "Intervention - data for GnRH analogues not reported separately from other interventions"

That is, they claimed an improvement but didn't bother to figure out what caused the improvement, as study subjects received multiple interventions (treatments) including therapy. Gender cultists all over Twitter, especially Eric "Erin" Reed, cite this study in support of blockers despite the fact it can't conclude what it claims to conclude. Classic fraudulent Jack.

#NHS England #NHS #National Health Service #puberty blockers #medical corruption #medical scandal #medical malpractice #Jack Turban #gender dysphoria #gender lobotomy #gender affirming healthcare #gender affirming care #gender affirmation #queer theory #gender identity ideology #gender ideology #intersectional feminism #religion is a mental illness

[noellawrites]

His Future Wife (Part 5) - Yandere!Sonny Carisi x reader

Series Masterlist

summary: you make a plan and escape, but Sonny never gives up looking for you and his daughters.

warnings: pregnancy, rape mention, drugging, break-in, yelling, threats

After you and Sonny brought the twins home, you began to act more and more affectionate towards your new family. Sonny was worried you’d want nothing to do with the babies, but instead it was quite the opposite.

You adored your daughters more than anything. From the moment you met them, you would never be able to escape and leave them behind with Sonny.

You formulated a plan. It would take a while to execute, but you could be patient. You would have to be, if it meant you and your daughters could finally be free.

You had avoided your family throughout the pregnancy, dodging their calls and avoiding their visits. Sonny had made you delete all social media, so you hadn’t had to worry about that.

When the twins were about two weeks old, your dad had called you and you answered. He asked you to come to a family dinner since it was close to the holidays and to their surprise, you’d accepted.

You wanted to break the news to them yourself, but Sonny wouldn’t let you go over alone with the twins. So all four of you piled into Sonny’s car and headed to your parent’s house in Brooklyn.

When you arrived, you introduced your parents and siblings to your fiancée and twin daughters.

Your family didn’t seem surprised, which confused you. You let your parents hold Serafina and Valentina so they could meet their granddaughters.

“Why do you not seem more surprised?” you asked.

“We’ve known for months, Deputy Chief Dodds told us. We were waiting to hear it from you,” your mom explained, a sad tone to her voice.

You played affectionate fiancée and attentive mom for the entire evening, surprising everyone including Sonny. Your parents wondered what had gotten into you. So much has changed since you’d visited them in tears almost seven months prior.

—

Four Years Later

“No! No, no, no, this can’t be happening, not again!” you cried, dropping the plastic test onto the bathroom floor as you wiped tears off your face. It was positive.

You and Sonny had finally gotten married a year after the twins were born, at the Carisi’s church on Staten Island. You went along with it, acting excited and happy throughout the planning process. You did as much as you could to pretend like you loved him, to go with what he wanted.

You had built up Sonny’s trust through the years. You were now allowed to go places alone, see your parents, go to doctors appointments alone and return to work after your maternity leave had ended. Sonny no longer trapped you inside the apartment, either.

You loved your daughters, they were hilarious and smart and responsible. Serafina looked so much like Sonny, and Valentina looked just like you. Every time you asked yourself why you wanted to run, you reminded yourself that your daughters deserve a life where you didn’t fear for your safety, where their father hadn’t raped and kept you trapped against your will.

You had been taking out a small percentage of your paycheck every two weeks for the last four years and putting it in a locked compartment in your desk at work. When Sonny asked what was in the compartment, you said “dusty flash drives,” and he didn’t push the issue.

A month ago, you’d seen a specialist for having issues sleeping. You didn’t actually, but you needed it in order to dose Sonny the night you would leave.

An old friend from the academy you’d been hanging out with in secret, Aspen, had been helping you out as well. They had a friend renting out a cheap room in the Bronx, so you’d signed the lease and they’d been helping you acquire baby items and necessities for when you moved.

But the positive pregnancy test had lit a fire under your ass.

Part of you loved Sonny and always will. When you looked at him, you saw the father of your children, a man who wanted you so desperately that he did what he thought was right. A family man, affectionate, Godly and supportive. But you had three children now to worry about, and you’d seen enough domestic abuse cases. It was only a matter of time until Sonny would trap your children or scare them, too.

Later that night, after you’d drugged Sonny’s whiskey, you packed Sera and Val’s tiny duffle bags with the essentials. They were taking a nap, like you told them, before you would take them on an “adventure.”

You packed your bag quickly and quietly, listening acutely to make sure Sonny didn’t stir from where he snoozed on the couch. He was still in his fancy three-piece suit, grey-blond hair gelled back in his signature style.

Once you were done, you quietly woke up your daughters and helped them put on their shoes.

“Mommy, is daddy okay?” Serafina asked. You sighed. She was a daddy’s girl through and through.

“He’s just taking a nap, baby. Don’t worry,” you promised.

“Daddy's funny, he’s not wearing jammies!” Val giggled, causing Sera to join in.

“We have to be quiet, okay girls? Take your bags and let’s go this way.” You left your phone and ring on the kitchen table next to the fruit bowl.

You would take a cab with the girls to a spot you’d designated with Aspen that had no city cameras. Then, Aspen would pick you and the girls up in an unmarked, hotwired car and drop you off in the Bronx at the house where you were renting a room.

“Mommy, can we go to auntie Amanda’s?” Sera asked.

“Not right now, sweetie,” you said while attempting to hail a cab. Thankfully, they still hung around late in Manhattan.

“322 West Third Street please,” you told the driver as you helped your daughters get into the backseat.

—

Sonny woke up on the couch the next morning, still wearing yesterday’s suit. His head was pounding, so he got up to grab a glass of water.

“What the—?” he said to himself, noticing your phone and ring on the table. You never took off your ring, ever. And you usually had your phone near you or in the bedroom.

“Oh, no!” Sonny gasped, realizing the bedroom door was open. You weren’t in bed. He flung the girls’ bedroom open. Nothing.

Sonny yelled, kicking the bottom of your shared bedroom’s door.

“GODDAMNIT!” He panted, tears blurring his eyes. He couldn’t believe it.

Right away, he called Liv and explained what’d happened. Her and the squad worked tirelessly to search for the three of you, but there was never much luck. Mistaken tips on the tip line, and even those trails turned up dry after a year.

For the next three years, Sonny followed every lead as far as he could and kept going even after that. He asked private investigators, cops, lawyers, your family, his family, anyone he could for help.

—

Three Years Later

“Val, can you put Angelica’s toys back in her closet? And Sera, will you start putting the clean clothes away?” you yelled up to your daughters as you cleaned the kitchen. Today was your day off from work, and you had all three of your daughters home because of the weekend.

“Mom, I can’t find my basketball socks, I thought you washed them!” Sera asked, walking down the stairs of your quaint little house.

“I was saving those to wash with Val’s soccer stuff since it’s all smelly,” you explained, showing her the unwashed items.

“Ick, gross! Hey can we go to the library? I wanna see if they have the new Dork Diaries book,” Sera asked, giving you a pleading expression.

“As long as we don’t finish cleaning too late,” you promised. Sera nodded, wrapping her arms around your stomach.

“I love you, mom,” she said, which almost brought you to tears. You’d worked hard to raise your three daughters alone, without any knowledge of their father.

“I love you too, sweetie,” you said, and she let go and ran back up stairs, shouting something intelligible at Val.

Your toddler, Angelica, was two and a half years old. Surprisingly, she was a lot fussier than the twins, but she laughed and smiled a lot. And the twins adored her, which made you even happier. You missed your siblings and parents, but you had to use a fake identity to make sure Sonny couldn’t track you down. You had also registered Val and Sera for school under their nicknames and your new false surname in case Sonny managed to track them down, too.

You adored your little home, it was the perfect size for your family. It had three small bedrooms, so the twins each got their own and Angelica’s crib was in your bedroom. When you first moved in, you had rented out one of the bedrooms for you and the twins to share, though it was very cramped. The sweet old lady who owned the house, Agatha, had taken a liking to you and your daughters. When she passed away last year, she left the entire house to your family.

You also had been working as a transcriptionist for a small medical company for about three years. You missed being a cop, but for now it was impossible. You liked your new job, as it was straightforward and left you a lot of time to take care of your girls.

Being a single mom was hard. Every hour of your day was spent working or taking care of them, and you wouldn't have it any other way. Regardless of how they might've been conceived, they were your everything.

“Mom, why are the police outside?” Val asked as she ran down the stairs.

Your blood ran cold.

“C’mere, sweetie,” you said, attempting to even out your voice. You hugged Val and then knelt down to her level.

“Everything is going to be okay, don’t worry,” you assured her, slowly closing the window and blinds in the kitchen.

“Let’s go upstairs, okay?”

You went into each bedroom, shutting the windows and blinds.

“Both of you, stay in your rooms please,” you told the twins, and they both nodded. In your room, Angelina was still asleep in her crib.

You didn’t live in a bad neighborhood, but cops from the local precinct did occasionally drive through. You were, however, shocked to see Manhattan SVU across the street at the neighbor’s house.

“No,” you whispered to yourself, watching through a crack in the window shade as Amanda, Liv and Sonny walked from your neighbor’s house towards their cars. Amanda and Liv stopped, while Carisi kept walking.

“I mean, c’mon. Two seven year old twins? A young mom in her early 30’s? This could be her, I need to help her if she’s being held captive,” Sonny explained, walking up the driveway.

You watched as Amanda and Liv exchanged a look, then headed up behind Sonny.

“Hello?” He knocked.

You stood, unmoving as you tried to figure out if Sonny would recognize you. You’d changed your hair color, style and your body looked different after having another baby, but otherwise you looked very similar.

“NYPD, we have some questions,” Amanda shouted as Sonny attempted to look into your windows. Your worst nightmare was actually happening.

“This is the house, I know it. This toy car was mine and I gave it to the girls on their fourth birthday. Hey, somebody, open up!” Sonny yelled, striking fear into you.

You silently cursed yourself for being careless and forgetting to pick up the toys that’d been spread out in the yard.

“Sonny no-“ “Carisi don’t—!”

CRASH.

You stood still in the kitchen, hand over your mouth, tears streaming down your cheeks. No.

Sonny ran at you, picking you up, overwhelming your body with his. Over his shoulder, Amanda and Liv wore horrified expressions you’d only ever seen when responding to the most difficult cases.

“I missed you so much doll, ‘ya don’t understand, I-I can’t believe you’re here in front of me! Where are the girls? They’re seven now, right?” he smiled, pulling away from you.

“Hey, hey, don’t cry! I love ‘ya too. I can’t believe this! Amanda, Liv, I found her!” he smiled, turning back to you.

You watched as Liv and Amanda exchanged analytical expressions over Sonny’s shoulder.

“They gotta be upstairs, right?”

“Sonny, no—“ you began, causing him to whip around.

“Are you trying to keep my daughters away from me?” he asked, narrowing his eyes at you.

His hair was turning a light grey, and he looked so much more severe than the last time you’d seen him. His stance mirrored Barba’s, and his suit was one you hadn’t seen, an Armani.

“Sonny, I left because—“

“NO! You do NOT get to keep ma’ daughters away from me, you hear? I spent years lookin’ for ya, for my family! And this is what I get?” he screamed, storming up the stairs two at a time.

A speechless Amanda and Liv ran up behind you to stop whatever foolish action Sonny would take.

Sonny swung Val’s door open first, decorated with soccer posters and pictures of animals.

“Valentina, oh my god!” Sonny exclaimed, immediately recognizing the birthmark on her arm as she sat on the bed, arms over her legs, cowering from Sonny.

Val looked right at you, running up and clutching onto your shirt behind you.

“Baby, it’s okay, I’m your dad!” Sonny laughed, causing Val to only shake her head.

“Mommy said I don’t have a dad,” Val said simply. You looked back for a brief second to see Sera standing next to Amanda.

“Mommy, I know you said to stay but I heard someone yell,” she said, rubbing her eyes.

“Sera, my daughter, you look just like me, you look just like daddy!” Sonny grinned, leaning down to give Sera a hug.

“Carisi, why don’t you just—“ Liv began, holding a hand in front of Sera.

“Get away from her!” you exclaimed, and Sera’s lip quivered. She looked just like Sonny, no one could deny that. It was a shocking sight.

All of a sudden, Angelica’s high-pitched wail sounded out from across the hallway. You ran to your bedroom quickly, retrieving your screaming daughter.

“Shh, shhh, it’s okay. Mama’s here,” you sighed, picking her up from her crib and placing her on your hip.

Everyone had moved into the hallway, Sonny approaching you as Amanda stepped towards him.

“I-Is she mine?”

You nodded. “Her name is Angelica.”

"You kept my baby from me? All three of my daughters? How could 'ya do this?" He seethed, cowering over you.

"Carisi, let's just take a step back and--" Amanda began.

"NO! You listen to me, you're gonna come home and apologize for the absolute hell you put our families through!" Sonny yelled, getting closer to you.

Val was crying and holding onto Liv as Amanda attempted to pull Sonny away.

"Dad, stop! Please, don't hurt mommy or sissy!" Sera begged, tugging on Sonny's expensive blazer.

"Sonny, just stop this, please," Amanda insisted, getting between you two and taking Angelica out of your arms.

"I can't believe you'd do this to me!" Sonny yelled at you, pushing you into the wall and cornering you.

"Carisi, get off of her or I'll have to arrest you in front of your daughters," Liv threatened.

Sonny backed off quickly, still staring at you with a piercing gaze.

"This ain't ova’."

chapter 6 linked here

#sonny carisi x reader #dominick carisi x reader #carisi x reader #law and order svu x reader #law and order svu imagine #yandere sonny carisi #dark sonny carisi #yandere law and order svu #dark law and order svu

[vomitdodger]

[aronarchy]

DO THE BASTARDS EVER HELP?

Reading the above, you may be tempted to ask whether cops ever do anything good. And the answer is, sure, sometimes. In fact, most officers I worked with thought they were usually helping the helpless and protecting the safety of innocent people.

During my tenure in law enforcement, I protected women from domestic abusers, arrested cold-blooded murderers and child molesters, and comforted families who lost children to car accidents and other tragedies. I helped connect struggling people in my community with local resources for food, shelter, and counseling. I deescalated situations that could have turned violent and talked a lot of people down from making the biggest mistake of their lives. I worked with plenty of officers who were individually kind, bought food for homeless residents, or otherwise showed care for their community.

The question is this: did I need a gun and sweeping police powers to help the average person on the average night? The answer is no. When I was doing my best work as a cop, I was doing mediocre work as a therapist or a social worker. My good deeds were listening to people failed by the system and trying to unite them with any crumbs of resources the structure was currently denying them.

It’s also important to note that well over 90% of the calls for service I handled were reactive, showing up well after a crime had taken place. We would arrive, take a statement, collect evidence (if any), file the report, and onto the next caper. Most “active” crimes we stopped were someone harmless possessing or selling a small amount of drugs. Very, very rarely would we stop something dangerous in progress or stop something from happening entirely. The closest we could usually get was seeing someone running away from the scene of a crime, but the damage was still done.

And consider this: my job as a police officer required me to be a marriage counselor, a mental health crisis professional, a conflict negotiator, a social worker, a child advocate, a traffic safety expert, a sexual assault specialist, and, every once in awhile, a public safety officer authorized to use force, all after only a 1000 hours of training at a police academy. Does the person we send to catch a robber also need to be the person we send to interview a rape victim or document a fender bender? Should one profession be expected to do all that important community care (with very little training) all at the same time?

To put this another way: I made double the salary most social workers made to do a fraction of what they could do to mitigate the causes of crimes and desperation. I can count very few times my monopoly on state violence actually made our citizens safer, and even then, it’s hard to say better-funded social safety nets and dozens of other community care specialists wouldn’t have prevented a problem before it started.

.

#repost of someone else’s content #policing #police abolition #abolition

[messydiabolical]

Mickey and Pavan, Blaise Shepard's dads. I actually came up with them before I designed Blaise! I wanted a good solid backstory for my new Shepard. More info about these two cuties under the cut!

Blaises’ parents

In their first years, Blaise was raised by single dad Michael 'Mickey' Shepard, an English born space faring pansexual muscly man who left earth as soon as he could. They hopped across systems on various ships, Mickey working in security and logistics. Moving around all the time wasn't necessarily ideal with a littl’un but he made it work as best he could and made sure Blaise was never wanting for love and affection. Blaise certainly learnt to be a tough lil cookie very quickly, and was also exposed to a lot of different cultures/species etc. Mickey is a great big teddy bear of a man who likes coloured ringbinders, flowcharts and big fucking shotguns (OSHA approved). A fierce protector that loves to snuggle, protec, and tick checklists. Blaise's egg donor Genevieve was a troubled lady; she'd escaped extremely repressive religious parents and was having a reckless period in her life- lots of drink, drugs and partying, hopping from ship to ship doing odd jobs. She had a fling with Mickey, ran off one night without so much as a goodbye, then turns up 8 months later like 'yeah I was in denial but um babies coming. help!' (at some point during the pregnancy, she was also exposed to eezo, hence Blaises biotics). She was not prepared to be a mum but knew Mickey was kind hearted and couldn't bring herself to not at least let him know before she gave Blaise up for adoption. Mickey asked if he could raise Blaise, Genevieve agreed on condition she could sign away parental rights and he wouldn't contact her, which he honoured. Genevieve spiralled for years, BUT finally cleaned up and started training properly in transport/supply logistics. She settled down- on Mindoir. Blaise knew connecting with her was never going to be an option, but mourned for the loss of a person who had shown strength and growth, when they later learned of Genevieves fate.When Blaise was 6 Mickey landed a job working for a comm company, where they could stay on the one same ship that flew around the Terminus and outer systems fixing comm bouys and networks on various stations, sattelites and planets. Still dangerous given the amount of pirates and such in that region, but for the first time they could really settle in and make a home on board. This is where Blaise developed a taste for alien found family- the crewmates are all different species and were all their aunties and uncles.

A few months later the crew welcomes Pavan, software and tech specialist in comm networks, follower of Urvine, god of paths and journeys, and extremely gorgeous drell. Pavan is an adorable nerd who’s frill flutter and expand when he gets talking about systems analysis. He left Kahje as a teenager as soon as he got his qualifications, not content with the limits of the planet, and mourning the loss of his older sister who died during compact duties. In his spare time, Pavan offers tech support to a non profit that helps drell who decide to move off Kahje and form their own colonies. He isn’t strictly anti hanar, but feels the compact and the relationship has reached a point that is stifling drell independence and growth.

Mickey and Pavan, both being nerdy guys that are sticklers for details and a passion for exploration and adventure (as long as it complies with health and safety standards!) quickly fall head over heals for each other. Pavan finds himself besotted with the adorable little Shepard family, and when he and Mickey get married Pavan adopts Blaise according to the rights of Arashu. Blaise also takes on the old gods as their religion and immerses themselves in drell family traditions. Pavan feels Urvine guided him to a path to find this family and lead him to Mickey. He love Blaise completely as though they were their own child, no question. They are a sickeningly adorable family.

#blaise shepard #mickey and pavan #mickey shepard #pavan shepard #drell #drell oc

[burritosandpeppermint]

One of the reasons we left San Francisco - besides the fact that it really had gotten too expensive and became full of too many ghosts for us - was that it was clearly becoming more conservative. And now these voting results are proving it.

From the article:

San Francisco voters appeared to have approved a controversial measure that would require welfare recipients to be screened for illegal drug use as the city lurches to the right amid a worsening addiction crisis. Under the ballot measure, Proposition F, welfare recipients who use illegal drugs would be mandated to undergo treatment or be denied cash assistance. If they were found to be using drugs, an addiction specialist and the recipient would agree on treatment options that include residential care, a 12-step program, individual counseling and replacement medication. Voters also backed more conservative public safety policies in Tuesday’s election. The drug-testing measure was one of two measures put before voters by the San Francisco mayor, London Breed, as the city grapples with the impact of a homelessness and addiction emergency. Breed, who’s up for re-election in November, faces three serious opponents who say her administration has failed to deal with drug crime, vandalism and theft. Breed has moved away from a harm-reduction model and instead backed more punitive policies. She has argued that the drug-testing measure would ensure “more people the help they need and change what’s happening in our city”. “We can’t just keep giving people money to overdose and die on our streets – we have to do more,” she said on Tuesday evening.

Yeah, SF is still a pretty city, and I do miss it sometimes, but over the last 20-ish years the politicians have been bending over backwards to appeal to businesses and tech workers to stay, put up roots, and raise families. But how can they do that when the ridiculous housing prices that have pushed former residents out of their homes cause the rampant homelessness that continues to plague the city? Set up more shelters and treatment centers in every neighborhood? Well, no, the voters flatly reject that at every turn, so now the city will become more discriminatory regarding the people it's helped to un-house.

Oh, and the police now have more powers:

The second measure, which also appeared set to pass, would increase police powers, granting officers greater leeway to pursue suspects in vehicles, authorize police use of drones and surveillance cameras, reduce paperwork requirements, including in use-of-force cases, and reduce the powers of the citizen police oversight commission. A recent analysis by the San Francisco Standard found that the collision rate for police chases in the city is the highest among all major cities in the state.

If you ever had a warm place in your heart for foggy San Francisco, cherish that memory, because unless you're making at least six figures they likely have their surveillance cameras pointed at you, a poor, and if the cops are called on you they'll be happy to run you over without fear of reprisal.

#san francisco #politics #unhoused #homeles #acab #i'm now embarrassed to have come from the region #i miss its beauty #i don't really miss the politics

[transsextual]

absolutely no obligation to answer this at all but i saw your post abt yr hysterectomy and i was wondering if you are receiving that procedure as gender affirming care or something else ? i just have been trying to look into how to go about something like that and if it’s a gac thing i’d love to hear more about yr process ! regardless i hope the procedure goes well & am sending you good thoughts

hello!!! yes, it is considered gender affirming care. i'm getting my procedure done thru kaiser permanente, and i'm from CA. i'm also a little over a year on testosterone, and in order to start testosterone i had to get a diagnosis for gender dysphoria from a kaiser affiliated therapist (done in one 45 minute session (with a trans therapist!)). given that i already had that diagnosis, i can't say for sure that you'd need one within kaiser to be approved for a hysterectomy as GAC, but i'd imagine you probably would. my process was long & inconsistent because it consisted of mostly phone calls + appointments + reading&signing contracts, all things that almost physically pain me, but here's what it has looked like thus far:

- talked to my primary doctor about a referral to the center for reproductive health for fertility preservation + hysterectomy as gender affirming care

- she gave me a referral to the kaiser offices in the bay area, since that's where most of northern CA's gender affirming surgeries + procedures happen

- got a call from an RN to schedule an appointment with a fertility preservation specialist + a gynecologist

- gynecologist appt was first, she gave me the rundown on types of hysterectomies & told me i had the option for fertility preservation and that, because i live in CA and have non-MediCare insurance, i have partial coverage for fertility preservation services in a situation where i'm undergoing an operation that could lead to infertility.*

*we have a bill here, SB600, that basically illustrates that if you are undergoing a medical procedure that could result in infertility (like a hysterectomy or hormone replacement therapy) AND your insurance is something other than MediCal, fertility preservation care is at least partially covered by your insurance, and is treated as medically necessitated basic care.

- i said yes, I'm in the process of taking care of fertility preservation stuff & that is really valuable information to me, thank you!

- she referred me to a therapist to discuss different hysterectomy procedures + recovery time + resources for care, as well as a surgeon to have a consultation with

- few weeks after that was my appointment with the fertility preservation specialist, and we discussed how egg freezing works, what my options were in terms of continuing/stopping testosterone for a while*, and established a loose timeline we wanted to follow. she also ordered some labs (blood drawings) for me.

*the most research about egg freezing has been done on menstruating people, so while it's an option to stay on testosterone during the process, i opted to go off of it just because there are less unknown variables there, which comforts me

- met with surgeon for consultation, she read the notes my fertility preservation doc had taken, asked me some basic medical questions (re: drug use, sexual activity, etc), and we settled on a tentative date for my surgery

- had a mostly useless therapy(?) session to discuss hysterectomy recovery, settled on the operation i wanted, took notes about recovery time, etc, but most of my questions had already been answered by my surgeon + fertility preservation specialist.

- that brings us to about now. i haven't had any other appointments, but my current to do list consists of:

getting those labs done for fertility preservation

signing contracts about health+safety info, legal info, and other services related to fertility preservation

getting my birth control removed

right now, i'm aiming to have my birth control out by the middle of the month (June), egg retrieval complete by early July, and my hysterectomy is scheduled for the end of July. fertility preservation has been and will be by far the most annoying part of the process for a number of reasons, but if you're just looking into a hysterectomy it should be much more straightforward.

#hope this was helpful! #answers #speak

[anjaliverma123]

Navigating Healthcare Excellence: Finding the Best Treatment Across Specialized Fields

Introduction

Finding the right course of action in the complex world of healthcare demands careful investigation and well-informed decision-making. Whether you're looking for a top-notch kidney dialysis facility, a skillful shoulder surgeon, heart transplant surgery choices, or specialty facilities for autism treatment, our comprehensive guide will hopefully help you get the best possible care.

Locating Find Best Treatment: A Basis for Health

Seeking optimal health necessitates thoughtful deliberation and well-informed choices. Consulting with licensed healthcare providers is essential for determining each patient's unique medical needs and developing individualized treatment programs. Modern medicine offers a wide range of treatments, such as prescription drugs, surgical procedures, lifestyle changes, and complementary and alternative therapies. Navigating the wide range of treatment options requires open communication between patients and healthcare providers. The foundation of a customized and successful treatment plan is the collaboration of medical knowledge with well-informed decision-making.

Best Orthopedic Care: Seeking the Best Shoulder Surgeon

The knowledge and experience of a highly qualified shoulder surgeon in pune is invaluable when it comes to shoulder ailments and injuries. Examine the qualifications and experience of orthopedic specialists in your region to start your search. Seek out doctors that have experience with successful shoulder surgeries, are knowledgeable about the most recent developments in orthopedic care, and specialize in shoulder-related procedures. Referrals from other medical specialists and patient testimonials can offer important information about the surgeon's skill and patient happiness.

A Closer Look at Kidney Dialysis Hospitals: Ensuring Quality Care

This investigation explores the world of kidney dialysis hospitals and examines their procedures to guarantee the provision of top-notch care. By exploring the nuances of dialysis practices, hospital architecture, and medical procedures, this summary seeks to highlight the critical function these institutions perform in the treatment of kidney-related diseases. The discussion navigates the landscape of kidney dialysis to emphasize the significance of upholding strict standards in these specialized healthcare settings by focusing on the elements that contribute to quality care, such as qualified medical professionals, cutting-edge technology, and stringent safety measures.

Heart Transplant Surgery: Exploring the Pinnacle of Cardiovascular Care

For those with end-stage heart disease, heart transplant surgery offers a second shot at life and is the ultimate in cardiovascular therapy. The process of selecting the ideal facility entails a careful assessment of the hospital's transplant program. Take into account elements including the transplant team's success rates, the accessibility of donor organs, and the quality of the post-transplant care offered. Heart transplant surgery is ensured to be thorough when a multidisciplinary team of cardiologists, surgeons, and rehabilitation specialists collaborates. Examine the hospital's track record, achievements, and patient endorsements to help you make an educated choice when seeking the best possible cardiac care.

Autism Treatment Hospitals: Tailoring Care to Unique Needs

Care for people with autism spectrum disorder (ASD) must be customized to meet their individual needs. When searching for the finest hospital for autism treatment, give special consideration to establishments that use a multidisciplinary approach. Seek out medical facilities that employ licensed behavioral analysts, occupational therapists, speech therapists, and neurodevelopmental specialists. Consider whether evidence-based therapy, including Applied Behavior Analysis (ABA), are available, and find out about family support services. Interact with medical professionals that value the patient-centered approach, creating a cooperative and encouraging atmosphere for people with autism and their families.

Conclusion

In the field of medicine, finding the optimal course of action requires a combination of dedication, investigation, and teamwork. Making educated judgments is crucial, whether you're looking for a shoulder surgeon, researching kidney dialysis centers, thinking about heart transplant surgery, or figuring out your options for treating autism. You can take control of your healthcare experience and make it exceptional for you by using patient testimonies, learning about hospital reputations, and interacting with medical personnel. Recall that the road to perfect health is paved with decisions made with information and a dedication to all-encompassing, patient-centered care.

#treatment #shouldersurgeon #kidney dialysis #heart transplant #autism treatment #top surgery #pune #india

[viilpstick]

╰┈➤ 𝐦𝐨𝐧𝐢𝐪𝐮𝐞'𝐬 𝐬𝐨𝐧𝐠: I sense there's something in the wind, that feels like tragedy's at hand and though she'd like to stand by her father's side and be an obedient daughter, she couldn't help to believe the worst was coming. And when it did, it's all going to be twisted upside down.

𝒄𝒉𝒂𝒓𝒂𝒄𝒕𝒆𝒓𝒔: Monique D'automne, Twisted Wonderland oc

𝒘𝒂𝒓𝒏𝒊𝒏𝒈𝒔: Mentions of kidnapping, angst (background and personality), phobia of being alone (personality), a bit of oc x cannon

𝒈𝒆𝒏𝒓𝒆: Angst (on the background and personality), some fluff and crackfic in the (relationships)

𝒂/𝒏: Lore change hehe, I feel like it is for the best, I think she was being too much of a Mary Sue.

"I don't know but I feel there's something behind this whole story, feels like they are always trying to hide it from me. And it seems wrong to me. Very wrong."

𝑩𝒂𝒄𝒌𝒈𝒓𝒐𝒖𝒏𝒅: She knows being disobedient will get her to the wrong path… But, what if she needs to be disobedient to learn the truth? Try as she may, it curiosity doesn't last.

Monique had always grown up in a household that discouraged adventurousness and curiosity. She was constantly reminded by her father, Frainkey D'automne, an ex-doctor and pharmaceutical specialist who was now 56 years old, that patience was her most valuable virtue. He often questioned why she would consider being ungrateful enough to leave him, leaving an old man like him to face the prospect of dying alone. Monique never had the chance to meet her mother, and as a result, she believed that her life was destined to remain confined within the four walls of their home. There was no one to confide in about her father's controlling tendencies, and she wondered why, at the age of 17, she couldn't at least attempt to break free from her father's grasp.

Her desire for independence and a life beyond the restrictive boundaries set by her father led her to a fateful moment when a heated argument erupted between them. Most would dismiss it as just another teenage tantrum, but for Monique, it was a desperate cry for freedom. One day, in a bold and rebellious move, she clandestinely slipped a mysterious herb into her father's evening tea, hoping it would induce a deep slumber and buy her enough time to escape.

As she runaway from her home, not that this is the first time, and who knows if he will find her? She lays her head in a abandoned house metal railings, falling sleep hugging her scarf.

Awakening in the next morning, she was not prepared for what she found. The reality that greeted her was far more chilling than her worst nightmare. Instead of the safety of her own bed, she found herself in a dimly lit, confined space, her breathing labored and her heart pounding with terror. She wasn't in her room; she wasn't even in their house. Monique realized with a shudder that she had not expected to wake up in a coffin, her worst fears becoming an eerie, surreal truth.

𝑷𝒆𝒓𝒔𝒐𝒏𝒂𝒍𝒊𝒕𝒚: Now, she has a chance to live her life, she's adventurous more than ever! But… She doesn't want to be fully alone. Where will her actions lead herself then?

Monique is a young woman who, despite growing up in a restrictive environment, harbors a deep-seated desire for independence. Her decision to drug her father's tea and escape her home demonstrates her courage and determination to break free from the confines of her sheltered life.

Whatsoever, Monique becomes someone who needs to rely in others, specially for never learning how to life in her own and while she longs for independence. That generated a fear of being alone, that's one of the reasons why she mostly keeps Grim closer to her everytime.

Monique's actions also suggest a level of logical side, specially when she slips the herbs for her father to sleep more than once. She did felt conflicted about leaving him behind, knowing that he would face the prospect of loneliness. This shows that she possesses a caring and compassionate side, even deciding to do it anyway.

Monique, despite her upbringing that emphasized patience as a virtue, had always been the antithesis of that advice. Impatience coursed through her veins, manifesting in various aspects of her life. With so long waiting, Monique is someone very impatient.

As well determined, Once Monique realizes the gravity of her situation, her determination to survive this tought school, where everyone seems to have enough problems to simply overblot. She's not one to give up easily, even when confronted with the darkest of situations. In the face of the unknown, Monique's inquisitive nature pushes her to explore her surroundings and uncover the mystery of her predicament. Her desire to seek answers and understand her circumstances drives her actions.

The brown haired girl's vulnerability is exposed when she faces the terrifying reality of being alone in another world. This vulnerability humanizes her character and makes her journey all the more compelling.

The complex side of Monique's character is rich and multi-dimensional, with a blend of strengths, weaknesses, and conflicting emotions. Her journey from a sheltered, controlled life to a perilous and unexpected situation adds depth to her character, making her a compelling and relatable protagonist.

In summary, Monique is a someone who longs for independence and takes drastic measures to escape her restrictive environment. However, she also shows empathy and compassion for others, indicating a caring side. Despite her impatience, she is determined and curious, seeking answers and exploring her surroundings. Her vulnerability humanizes her character, and her journey adds depth to her complex personality.

𝑨𝒑𝒑𝒆𝒂𝒓𝒂𝒏𝒄𝒆: In their enthusiastic crowd, she never stood up in as someone else, but did her looks showed how unique she is, oh, they did.

Monique is a young woman with dark brown with some dark red streaks in her hair. Her skin is just as soft as cloth's material, and between pale skin to beige. Her eyes are in a beautiful shade of grey.

For her body is in a pear body, yet she still pretty much slim, with some scars along it's way (when Monique was a kid, she was far from careful).

𝐃𝐨𝐫𝐦 𝐨𝐮𝐭𝐟𝐢𝐭: Drop-waist flapper dress with fringe or lace details, her dress would lean towards dark, like deep burgundy, black but with a dark purple, cyan and yellow.

Accentuate her Gothic style, she might adorn herself with Victorian-inspired jewelry, such as ornate chokers, cameo brooches, and dark gemstones like amethyst or onyx. Gloves, typically short, could be made of white lace.

Mary Jane style shoes with a chunky heel. And a long pantyhose, with dark cyan shades of dark purple and a bright yellow.

The make up is pretty much Vil's style but a bit more dramatic and melancholic with smokey eyes and a dark red lipstick.

𝑹𝒆𝒍𝒂𝒕𝒊𝒐𝒏𝒔𝒉𝒊𝒑 (𝒎𝒂𝒊𝒏 𝒐𝒏𝒆𝒔): She always wanted a Prince Charming, but the idea of having an enchanted king, never crossed her mind, for he may be the one.

Cater Diamond: Identical crisis besties o(>ω<)o /hj Monique and Cater were the type of people who immediately clicked in. Cater tried to push Monique away, afraid that she would find out he never had a great actual friend. But, oh wow, SURPRISE! So, did Monique. They constantly go out as the biggest besties at the whole school, Cater for once don't publish too much of her, but when he did, a famous someone had his attention caught.

Epel Felmier: Well, this is now he son. Taking care of him pretty much like her kid, whatsoever, Epel see that Monique is just really being kind and not have bad intentions of treating him like an actual toddler. Specially, when they first met, Monique knew Epel was a boy, and never called him cute or pretty, so she have that free pass.

Silver: Silver taught how Monique could be more independent, thanks to Silver, Monique know how to do basic tasks she would find trouble since her father never taught her. In exchange, Monique makes herbs and teas to make Silver slightly more awake in class and not electric with caffeine.

Vil Schoenheit: Monique doesn't perceive herself as conventionally attractive; quite the opposite, in fact. Standing out in a crowd was never her forte, so she chose to distinguish herself through her unique designs. What truly caught Vil's attention was Monique's distinctive style, which stood out amidst the sea of ordinary individuals. It was as if she radiated an inexplicable charm that mesmerized him. Monique herself couldn't quite fathom why Vil wanted to be in her company, especially given their initial encounter, went with him thinking her sense of fashion was super poor.

Crewel Divus: He adopted her. That's it. Monique is someone who love to design, and during one class, she couldn't figure it out how to work, specially because she doesn't have magic, and so, Divus let her sit on his side awhile drawing, when his head turned to her; She simple had drawn the most amazing piece of clothing for him, he saw a future in her with that design.

𝑻𝒓𝒊𝒗𝒊𝒂: As a dearest friend, you may like to join her by her side, where we can gaze into the stars wonder the next step into the future, for it is plain, as anyone can see, she's simply meant to be in here.

Monique is inspired on Sally from "Nightmare before Christmas"

Monique meaning: from Monica; Young woman. Monique is a feminine name of French and Hebrew origin. Monique means "alone" and "unique"

D'automne means from autumn in French

Her style is inspired by the gothic and 20's style

18 years old, born in March 9th

Her height is 168cm/5'6.1ft

Monique's dominant hand is right

Fav. drink + food: Elderflower tea, salad.

Least fav. drink + food: Coffee, mushroom.

Hobbies: Sewing

Pet peeves: Starting fights in the middle of nowhere, math

Likes: Drawing

Talent: Intuition

Best subject: Herbology

Club: Science Club

DO NOT COPY, TRANSLATE OR REPOST IN OTHER MEDIA MY WORK viilpstick © copyright 2023

#💜 ! monique d'automne #💜 ! vil schoenheit #💜 ! rook hunt #💜 ! epel felmier #💜 ! cater diamond #💜 ! silver #💜 ! crewel divus #💜 ! ocs #💜 ! vilnique #💜 ! twisted wonderland #twst oc #twisted wonderland #disney twst #twst #oc #original character #oc x canon

[retinal-disease-in-london]

Importance of Early Detection in Retinal Diseases

We can see and understand the world around us thanks in large part to the retina, a sensitive tissue lining the back of the eye. Sadly, retinal conditions can progressively reduce eyesight and, if not addressed, result in lifelong blindness. Early identification and prompt action are essential for maintaining vision and avoiding permanent harm. This blog will discuss the critical value of early identification in retinal illnesses and how it may have a profound impact on a patient's quality of life.

Let's read it out:

Finding Hidden Threats

In their early stages, retinal disorders frequently manifest quietly and without obvious symptoms. A slow loss of vision can occur as a result of conditions including age-related macular degeneration, diabetic retinopathy, and retinitis pigmentosa. Regular eye exams by a trained eye care practitioner are crucial for early detection of these disorders and quick action.

Maximising Treatment Effectiveness

Early identification frequently opens the door to more potent treatment alternatives. Eye care professionals can advise on suitable treatments, drugs, or operations to prevent or reduce disease development, minimise vision loss, and preserve quality of life, with prompt diagnosis.

Preventing Vision Loss

Once retinal illnesses cause vision loss, they frequently cannot be reversed. Early identification gives you the chance to take action before serious damage takes place, greatly lowering the risk of long-term vision loss.

Protecting Peripheral Vision

Peripheral vision loss can develop gradually in some retinal conditions, such as retinitis pigmentosa. Early diagnosis enables patients to adapt and make better use of their remaining eyesight, preserving their independence and safety throughout everyday activities.

Increasing Life Quality

Having healthy eyesight is essential for overall well-being and life quality. Early diagnosis and treatment of retinal illnesses can support people in maintaining their independence, participating in their favourite hobbies, and maintaining social connections.

Increasing Proactive Eye Care Power

As we get older, it's even more important to get regular eye exams since the risk of retinal illnesses rises. Early identification enables people to take proactive measures to safeguard their vision through lifestyle changes and appropriate eye care.

Conclusion

It is impossible to exaggerate the value of early identification of retinal disorders in terms of saving sight. Eye care practitioners can apply effective treatment techniques, reducing or even stopping disease development and maintaining vision, by spotting retinal disorders in their early stages. Regular eye exams are essential for identifying these silent dangers, giving people the power to take charge of their eye health and live a life with unhindered vision. Make an appointment with an eye care specialist right away to protect the priceless gift of sight if you or a loved one haven't had an eye checkup in the last year. Rather, if you are facing any retinal disease, our team of Retinal Disease in London is here to assist you. We have years of experience in this field.

#eye surgeon #macular degeneration #cataract surgery #eye surgery #retinal disease in london #holistic eye care #diabetic eye disease #Macular degeneration #Retinal disease

[mobscene-london]

THE VENUE | NIGHTCLUB | RUTHERFORD AFFILIATED.

Location: Soho, Westminster. Price Range: ££££ Owned By: Alexander Devereux. Guest List: Open to all. Dress Code: Formal.

THE INTERIOR:

Situated within the trendy district of Soho, The Venue is a dual-level nightclub and cocktail bar, priding itself as being one of the best nightlife hotspots in the borough. The cocktail menu is extensive, the variety of craft beer rivalled only by specialist pubs, and the lower level’s nightclub area has some of the best DJ line-ups in London. With a solid party atmosphere, it’s the perfect location to head to if you’re ready to really let your hair down.

The upper level runs the perimeter of the nightclub, rather than the entire floor, meaning that those upstairs can look down on the dancefloor below. Two bars line either side, with plenty of seating space for those willing to pay the price for bottle service. The lower level is where the real party is, however, and despite not being enormous in size, can still fit in a large enough crowd for things to get fiery. The music selection trends toward house, but the rotation of both celebrity and up-and-coming DJs is varied enough that there’s something for everyone.

There is a basement section reserved for VIPs, but its existence isn’t common knowledge unless you’re a regular, and is usually reserved for Rutherford associates, celebrities, and politicians who are looking for a little privacy. They have access to a private bars, as well as more tables for premium bottle service. You don’t ask to be let in. You will be invited if you’re deemed worthy. If you do become a regular fixture in the VIP area, you’re expected to keep it to yourself. The less people who know about what goes on down there, the better.

PLAYABLE STAFF:

Alexander Devereux | owner.

Isla Hunt | bartender.

RECENT CONTROVERSY:

Whilst rumours of a surge in drug-related activity have surrounded the establishment for years, concerns about safety spiked in early 2022 when two patrons got caught up in an altercation regarding a monetary dispute. The alleged drug dealer was subsequently thrown over the upstairs railings, onto the dancefloor below, and later died in hospital. The Venue vowed to take extra measures to crack down on drugs being sold in the club after an intensive police investigation, but as soon as the heat died down, it became clear that security’s interest in becoming involved diminished greatly. It remains a good place for those who can afford it to get high without having to worry about too much attention...

#mobadvent2022 #venue #local business #because alexander should be coming soon #hehe