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#Alexian's ideas
vivummortuus · 2 months
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[ X. Cont from Here ] @wewantwar
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Flames licked across flesh, setting skin to smoke. Before extinguishing. Perfectly manicured fingers never wavered from the sides of the mirror. Peering through the eyes of the Mage, Alexian, watched THE DRAGON KING mockingly tease her. Those Maulding eyes of his nearly bearing into her. Almost as if he knew she wasn't really there. A breath hitched in her throat, as she watched him step up in front of her mage. One finger gently raising her chin, until they were eye level. Her voice wavered in the mages head, how she wanted to tell her to leave. He was onto them, but she reframed from the command.
He seemed, interested in her, and that question that poured from his lips was carried by such a voice, that it made her squirm. She'd heard the rumors of how gorgeous he was, now she could say she agreed with the others. This whole idea of having Armanya go there, dressed up by magic to appear as if she was, HER. Was not an idea she had came up with, it had been the Tieflings who had suggested it.
Rumor had it, that he held a Dragon's Egg that held excessive amounts of power. And if they could gain enough of that power, then Alexian's kingdom could be restored to the way it was meant to be. And she could gain some answers on who had killed her entire kind. But he wasn't going to comply, once he learned that they were fooling them. She could only watch as Armanya tried to keep up the power to speak, and hold HER voice still. Even under his wavering stare.
" I come, to ask you a favor, My King. "
The mage spoke, able to hold Alexian's voice even against the power that spilled from The Dragon. His scent even carried through the looking glass, along with his spine chilling power. Alexian, kept her stress and worry down. She couldn't be the reason that the facade would crack and reveal the real identity of the one who stood before him. They didn't want to anger the Male.
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kaori-kozume · 4 years
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My creepypasta oc’s
Hey … My name is Alexiane. I imagine you are there to know my story …
(Y / N agrees with a yes from the head).
Ah ~ … well, listen well.
In a small village in France, lived Alexiane Ruireau, a young woman aged 17 surrounded by her family and her little brother with whom she was 7 years apart.
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Despite the peace and tranquility in her home, outside her home, everything is not so rosy. Some people regard it as a potential painkiller that can be easily influenced. They harassed her, humiliated her and made her all “filthy” to display it even more than enough.
Studies, community life and all kinds of extravagant interaction, all seem to complicate things for her, who is an introvert and suffering from dysphasia.
Every day, she predicted the worst as it was her daily life. She planned at least more than 3 spare cases following her last humiliation.
Victimize outside, Adored by her little brother and banal relationship with her parents.
And of course, she kept everything in silence and behaved like everyone was normal. Maybe this is all normal now? Maybe his life will always be like that after all …
One day, she took the road as usual to go to high school, lost in thought while walking straight ahead … that she did not realize that she was no longer on the sidewalks but in the middle of the road until hearing the sound of a car horn that makes it sound to the ears.
And it was at that moment, Alexiane froze in front of the vehicle which arrived at full speed and closed her eyes so as to no longer feel the suffering.
“It’s the end, huh … So goodbye”
And it was at that moment, Alexiane froze in front of the vehicle which arrived at full speed and closed her eyes so as to no longer feel the suffering.
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And suddenly … she felt jostled to the side and dropped to the ground.
Suddenly … no more noise and she was still lying on the ground.
“You should take care of yourself, my dear. You might injure everyone you love.” says a voice that could be an inner voice
She opened her eyes gently and saw that nothing had happened on her way and that there was nobody. She got up and left in the direction of the school in the innocence of this event.
Arriving at school, everything was calm. Not a single person took Alexiane’s attention so she set off for the locker room to prepare for the sports class. But as soon as she was finished preparing, she turned around to face a group of people so some had something in hand.
“Why? … why are you doing this to me?” she said frightened.
“Why ?! HAHAHAHA! Why? You are such a miserable being, a junk on your feet. You deserve to suffer like a beast that you are!” he said one of the stalkers.
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One of the people lifted a kind of fairly solid object and struck her on the back while another threw her a product spell which burned her on one of her eyes.
Alexiane cried out in pain from the blows and fell with a loss of balance which knocked her behind the head and succumbed in shock.
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A few days later, Alexiane opened her eyes gently but everything was blurred, she felt excruciating pain in the back, a headache and one of her eyes was blindfolded. She was on a hospital bed, with a blood drip and a machine that controlled her heartbeat.
As soon as she regained consciousness, she saw her little brother lying down beside her, sleeping. Seeing him so reassured her made him forget his pain until his parents and the doctor entered the room.
Her parents had died of uneasiness and so relieved that she was waking up. But as soon as one of them squeezed her tight at the level of the back, she screamed in pain, which makes her little brother wake up with a start of fear.
“Ouch! But what happened !? Why am I having back pain ?! Why am I so ?! And why am I here ?!”
The doctor spoke:
“Miss, you were the victim of a head trauma during your fall and many bruises on your body and mainly, at the level of the back, where the pain comes from. And someone has bleached you on a part where is your right eye. ”
“… can I see …” she said in a monotonous tone
“Better not, it would risk you …”
“I WANT TO SEE IT NOW!”
Her little brother was frightened by the tone of her sweet sister’s voice. The doctor sighed and demanded that she asked.
Alex got up from her bed to face the mirror and she removed the bandage where her faulty eye was. After a few rounds of bandaging remove, she faced her reflection.
His eye was clearer, almost transparent and the iris which was more defective off-white
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Alexiane couldn’t believe what she saw. She who adored her magnificent pure blue eyes has become a massacre.
But it was hearing his brother’s sobbing that made him realize what was behind it.
Everything was silent … One of her parents tried to reassure her by her new appearance but it was that the knife returned to the wound.
“GO AWAY! LEAVE ME ALONE! and she burst into tears on the floor facing the mirror.
They leave the room, leaving her alone in this room. And she got up and stared at the mirror and turned to examine the condition of her back.
His back was destroyed. Covered with large cuts hide by the seams. Alexiane remained silent at this vision of horror but instead of still crying or even remaining sad, she was … empty like this all her sense of her life was suddenly gone and her humanity erased.
"Ooooh ~ My dear Alex ~ It hurts me so much to see you like this. So damaged, destroyed. But rest assured, my cute ~, you will take revenge, you will pay them all the suffering it caused you.”
“I recognize that voice! It is the same one that saved me from the car accident! Who are you ?! Why are you following me ?!”
“What do I want? My dear, I am only your guardian angel. The one who watches over you and who doubtless saves you in delicate situations”
“If that’s the case, why not have saved me when I faced death under his blows!”
“I saved you, my sweet. If I hadn’t intervened, you will be more of this world where even there again.”
Alexiane had a hard time believing what she heard. She was starting to lose her mind.
“So may I know the name of the one who saved me?” she ask.
“I told you. I am your angel …”
“NO! A real name and even see this person”
“… do you want to meet me?”
“Yes I want”
“All right, but it will have to stay between us, is that clear, darling?”
“Okay, but stop calling me that! I have a name, you know!”
“Close your eyes”
She obeys his request as he obeys hers.
“You can open your eyes, Alexiane”
“You see that you …” she said this, opening her eyes and stopped short at what she saw.
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She saw a man in his twenties, brown hair and tie, eyes a lighter blue than hers with a scar on one of his eyes which must not be dated today. And clothes a little damage especially the jeans with holes (Maybe a fashion)
“Hey! I’m here!” he said, spanking her regain consciousness. “You wanted to see me … There you go! So … Satisfied?”
“I … I never thought of it as an apparition”
“Oh? You expected a big misty cloud that blinds you and a mystical appearance like … The devil coming out of the ground like this” and he sneered at his words.
“No! I mean … No! Drop it. But how did you find out there? I don’t remember seeing you enter this school?”
“I heard the noise and I found you so so I dismiss the savages and call an ambulance (and a teacher too). And it’s true, I’m not in this school, let’s say I have escaped the control of the school. ”
“Hmm. Good whatever. Now I’m awful. My back with huge disgusting marks and my eye … I can’t face myself anymore. Leave as much as you can and leave me in my solitude , I’m used to being let loose like common waste. ”
… but he did not move.
“Alexiane ~ Precious Alexiane ~. Do you think I came here and to have saved you twice in the same day to abandon you?
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He raised his long strand of hair that covered his defective eye. Alexiane blushed at his tender gesture.
Oh no no! I’m here, sure to be your guardian angel but I’m here because I also expect something from you ”
“About what”
“I see that you are destroyed for what is happening in your miserable human life and I have a request to make and that will give you good profit”
“What?”
“Destroy your stalkers”
“What?!”
“Kill them, disintegrate them, make them disappear, Ka-boom!”
“I … I can’t do this” “I can’t …”
“You want to hurt them, don’t you? Hmm?”
* Alex visualizes all his life which made him enter a deep black hatred *
“Yes … yes, I want it”
“Oh? Do you want to, my pretty one? Pleased to put her down ~.” “Oh but don’t worry, I can do the dirty work for you if it’s really necessary. You just have to give it the first shot and I’ll take care of the rest. Don’t worry.”
“So…”
“Hmm?”
“You didn’t tell me your name. If you want me to contact you.”
He approached her and took her hand.
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“Edwin … Edwin Hydekyll, Partner”
And it is from this day that I made linked to this person.
She was subjected to some tests at the hospital to finally leave this place.
2 days later, I went back to school, even against the will of my parents and myself, but I have a vengence to start with my new partner who is … not there.
”(How am I going to do this if he’s not there!)“
And suddenly someone entered the school and approached her when the other people didn’t notice her.
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She moved straight ahead to go to a secluded place and stopped to turn around.
"Hey, I ended up finding you, dear”
He had a different outfit than the first time they met. A burgundy sweater, black jeans and the hair still tied.
“So? What are you going to do?” he said
“I don’t know, I don’t know how to do it”
“Um … well, I have an idea how you could make your plan into execution. You choose a victim, where are you going to get rid of it and what do you want to end it with?”
“I…”
“Think well, my dear! Not everyone escapes death”
“I know!” she took out a class photo which she kept in her bag.
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“He is Simon. He is a boxing fighter. He is the one who hit me repeatedly when I was on the ground. And I have an idea to get rid of him”
A few minutes later, it’s time for a sports lesson (Alexiane had to change in the bathroom so as not to reproduce what happened). Until hearing a screeching howl that attracted everyone and saw the lifeless body of Simon, completely disfigured. It is a huge shock from this event,
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A few days later, it was that of Petunia, Broken in two following numerous violent trampling until the column was broken. Then that of Elliot, who was found hanging with his arms tied in the air and beaten up again and again with a containing object leaving marks entirely visible.
And finally, on the last day of revenge, it is now time for Delphine’s. But this was very noticeable and difficult to reach so great help from Edwin was required to lure him into the trap. Alex gave her the sensitive points of it.
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“I didn’t know you could do this!”she said
“There are things you don’t know, my dear ~.But stay impressed. ;) ”
Alexiane let out a small sneer of joy at her words.
“Hey, beautiful kid ~ I need help with something, could you come and help me ~? Said Delphine
"Yes, of course”
He leaves with her, out of Alexiane to prepare for the final plan.
“A piece of advice my pretty one, don’t come near her! She’s just useless waste.”
“Oh ~? And why so?”
“She is weak and vulnerable, so much less than nothing. She should die for her unnecessary existence.”
Edwin refrained from annihilating him right away for Alex’s plan and he came up with an idea to get him trapped.
“Come with me, baby ~ I have something for you that will make you happy ~”
“Oh ~ I would like to see that”
They leave the interior of the school to put it in a dead end wall and no way out. And they kissed for a long time until Alexiane found herself behind her and struck her on the neck.
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She fell into the apples and took her to the equipment room while waiting for the night.
The night is there, Delphine woke up under the light close to her face and noticed that she was tied to a chair with rope.
“What is that? Untie me right away!”
“No no no, my pretty ~”
She turned around and saw him sitting next to her (He still has his transformation).
“You sick fellow! You did that! Untie me right away!”
“No … it’s me” and Alexiane appeared with a sharp, heavy object in her hand. “Did you sleep well, princess ~”
“YOU … I suspected that it is you who is behind all of this! You are disgusting and horrible! Psychopathic waste!”
“No. Delphine. You are the psychopath in history and the creator of your masterpiece. Look at me! You changed me …! You are the one who is at the origin of all this! Hahahaha!”
“You’re crazy, CRAZY! You and your bastard next door who …”
“HAHAHAHAHAH!” Edwin laughed at his words. “Hah! A bastard, let me show something my little one”
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“So…? Scared?”
“Now that you’ve seen this, look at this!” She showed her back full of scars.
“I am going to throw up
"It’s not over, and that’s it!” She showed her defective eye. “It’s all your fault, you rotten my life, you destroyed everything I was and you destroyed me physically. And you’re going to suffer for that.” and she glared at him in front of her.
“… ha … HA … HAHAHAHAHHA! You! You are going to do nothing to me! You are so useless! Unable to act alone! You are weak, rotten and helpless. HAHAHAHHA!”
“Alex, give me the tool …”
“Yeah Alex, give him the tool ~. Him, he will be what to do. Compare to you who is nothing at all! HAHAHAHHAHA!
Alexiane trembled, clutching the sharp object firmly.
"So loser! You’re losing your temper! You don’t know how to use this object!”
“SHUT UP!” And she lifted it over her head and hit it over and over again, repeating the same words until it looked like nothing.
Alexiane stopped dead and saw what she did, she turned to Ed who was very surprised by his act. The truth, he didn’t know how to react. If he were to be praised or frightened. She trembled strongly until she fell to her knees and wept hot tears. Ed aggenouya towards her to calm her down but her tears were not tears of fear or sadness, but tears of joy. She finally felt free from her chain which made her consume slowly.
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“Yes, my dear. Well done to you. Now we have to leave before someone sees us”
They fled with the object in their hands and quickly left school. They hid the tool away in the forest and he took it home (through the window of her room)
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“Woah … What a delight, darling ~”
She sneered at his words and suddenly thought of something crazy.
“Do you have something in mind, dear?”
“What if … and if I go. With you.”
“Hmm?”
“I want to leave this world that destroyed me and live a life … exciting with you. And I believe that …” Killing “is so stimulating …” “Yes Ed! I want us to go far away from here ”
“Is this your dearest wish, My little angel?”
“Let me prepare something and we will leave”
After a few minutes of preparation, they left the house in silence.
“Where are we going now?” She says
“I know a place that will welcome destroyed souls. Don’t worry, you’re going to enjoy it there with me.”
And they disappeared in the dark smoke of the forest fog.
Small end bonus:
The little brother went to Alexiane’s room and saw that she was not there. The window was open and a letter was placed on the bed. He took it and read what was written:
“To the person who will read this letter”
I left the house without warning you, I’m sorry but I decided to leave for good this hell that I lived for a long time. I blame myself for never having told you, even behind my smile, I could not exorcise my pain. I suffered from harassment for a long time and decided to change my life differently. I left everything behind to start a new life elsewhere. I don’t want you to suffer from my pain for making such a change. But be sure, I’m fine, I’m going to get by on my own and I will never forget you.
Just for my last request, do not look for me, do not try to look for me or contact the police, they will not be of any help and utility. All I have is stay here.
Living your life every moment is very precious and I wish it to you too.
“For my adored little brother”. I’m sorry. I failed in my role as a big sister. But now, I give you my role to be in charge of taking care of the parents and I believe in you for this. Know that I had the pleasure of being your big sister and stayed in your heart “
I strongly embrace you
Alexiane, The Avenging Angel.
 dang that’s long
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How I invented a language when I was 7
I was 7 years old and with my nanny and in a Poppins-esque manner she decided we should have our own language, one between the two of us and for only us. It was simple at first but by the time I was 17 we were speaking fluently with complex sentences and abstract ideas using a language only we knew.
I came out to my parents without them ever knowing, by writing in Alexian (the name we gave to our language, Aleosan in Alexian) I complained about people to their face in private, I even got out of a speeding ticket by pretending to only speak this made up language.
A little taste of the conlang (let’s see if anyone can figure it out, it’s not as complex as it sounds) with some literary quotes (or just quotes)
“Heta arin, heta isio, heta colosa” - Joso Casan
“Osa fen, dosa fen, rona fen, beso fen” Dr. Soa
“Nota enesa al esempenasona al nota wasila noteras enesa” - Jol Geras, Logosa Elos Alase
“Fios esi nal fios, enesa nal tios” -Yon
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3 Medical Conditions You May Manage with IV Hydration Therapy
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Staying moisturized is necessary for all elements of your mind and body. It maintains your skin looking vibrant, aids your health system eliminate damaging toxic substances, may helps in the regulation of rest, as well as advertises proper mind function-- to name a few benefits.
But did you know appropriate hydration and also an intravenous infusion of vital vitamins as well as antioxidants may really aid eliminate signs of certain medical conditions?
Maintain reviewing to discover 3 clinical problems you may manage with IV hydration treatment.
1. Fibromyalgia
Fibromyalgia is a chronic disorder that creates musculoskeletal pain throughout the body. A problem in the method the mind and spinal cord analyzes pain signals implies fibromyalgia sufferers might really feel increased levels of discomfort from minor bumps as well as contusions. They additionally have a tendency to experience constant discomfort regularly-- even when they're not sick or injured.
Signs and symptoms of Fibromyalgia
People struggling with this frustrating as well as uncomfortable condition might likewise experience signs such as:
Stress and anxiety and depression
Rest issues and exhaustion
Memory issues
Mood disruptions
Irritable bowel disorder
Tension headaches
Temporomandibular joint (TMJ) disorders
While medical professionals do not yet recognize what causes fibromyalgia, they do recognize that its symptoms may be caused by psychological anxiety or physical injury such as surgical procedure or infection. Unfortunately, these signs and symptoms may additionally aggravate gradually with time, without one solitary stress factor.
Taking with Fibromyalgia
We have yet to discover a help for fibromyalgia, but there are currently numerous practical therapy choices. Some drugs have been identified ability for handling symptoms, while exercise and relaxation methods may also help reduce discomfort.
Another encouraging therapy option is IV hydration therapy.
Treating Fibromyalgia with IV Hydration Treatment
Scientists at the Alexian Brothers Hospital Network in Elk Grove Village, Illinois, performed a scientific trial to figure out the success of IV hydration treatment in managing signs of fibromyalgia. 7 therapy-resistant fibromyalgia sufferers were offered a modified variation of the Hydration therapy of intravenous nutrient treatment when a week for 8 weeks.
The outcomes? While no participants reported full resolution of discomfort and also tiredness, all individuals reported the following:
Lowered level of pain
Decreased level of fatigue
Raised level of activity
Increased degree of power within 24-48 hours of the first IV drip therapy
Generally, individuals experienced a 60% decrease hurting and also an 80% reduction in exhaustion.
Mobile IV Treatment Via Sanctuary Hydration
At Sanctuary Hydration, we provide our own variation of the Hydration IV -- an updated as well as boosted nutritional cocktail referred to as the Revive & Energize therapy. Comparable to the Hydration IV, this therapy incorporates B-complex with vitamin C to properly offer with health and wellness problems consisting of migraine headaches, anxiety, and also fibromyalgia.
However, we blend these vitamins with L-lysine, folic acid, and also selenium (vitamin E) to include fringe benefits such as boosted bone as well as muscle mass function and boosted health health.
Learn more concerning our Revive & Energize therapy or contact us to schedule your first visit.
Oxygen Aromatherapy Via Sanctuary Hydration
We also offer oxygen aromatherapy to supplement our IV hydration therapies and enhance their benefits. One such application is eliminating signs related to fibromyalgia.
Exactly how does this oxygen aromatherapy job? Ambient air is 20.9% oxygen and 78% nitrogen. We use an oxygen generator to eliminate a lot of the nitrogen and also rather outcome 94.7% oxygen. We then infuse the oxygen with the water vapor fragrance of your selection at optimal moisture for your comfort. So all you have to do is unwind, breathe deep, and also profit.
Fascinated in trying our aromatherapy? Our fragrance choices change seasonally, but here are the fragrances we might have available:
Eucalyptus-- Relieves mental exhaustion as well as aids clear nasal passages
Lavender-- Promotes calmness and reduces anxiety as well as anxiousness
Peppermint-- Improves energy degrees
Wintergreen-- Assists to decrease pain and swelling
Lemongrass-- Relieves tension as well as boosts energy degrees
Unscented-- A great alternative for people who are sensitive to stronger scents
Connect and also book your appointment today!
2. Depression
Clinical depression is more than sporadic sadness and is various from sorrow. According to the American Psychiatric Association, clinical depression is a significant clinical disease that may considerably harm your capability to operate every day.
Symptoms of Depression
Some usual symptoms of anxiety include:
Depressed state of mind and sensations of despair
Loss of interest in preferred hobbies and tasks
Slowed movements or speech
Appetite adjustments resulting in fat burning or gain
Sleeping problems
Decreased energy or raised exhaustion
Feelings of shame or unimportance
Prevalent ideas about suicide or death
Trouble thinking as well as focusing
These signs should be pervasive for at the very least two weeks for a medical diagnosis of anxiety.
Commerce with Clinical depression
The American Psychiatric Association recommends obtaining a detailed analysis from a confirmed wellness doctor in order to receive a valid diagnosis and also identify the very most course of therapy. The most usual therapies for clinical depression include nutraceutical (antidepressants) and psychotherapy (" talk treatment").
Nonetheless, lots of individuals have located added remedy for depressive signs in the form of intravenous fluids and also hydration.
Yet First-- The Link Between Dehydration as well as Anxiety
Equally as your organs need appropriate hydration for appropriate feature, so does the rest of your body and mind.
Our brains rely on correct hydration to work ably, writes Joshua Gowan, Ph.D., in a short article for PsychologyToday.com. Mind cells call for a fragile equilibrium in between water and also various elements to run, and also when you lose way too much water, that balance is interrupted. Your mind cells shed ably.
Actually, a study of 25 healthy and balanced girls by the Human Orderly Laboratory at the College of Connecticut discovered that also moderate degrees of dehydration (1.36%) result in bodily disruptions such as:
Degraded state of mind
Reduced capability to concentrate
Enhanced understanding of basic jobs as tough
Migraine signs
Dehydration Is Connected to Insufficient Serotonin Levels
Science has actually proven that dehydration may reduce the manufacturing of serotonin in your brain. In some cases referred to as "the satisfied chemical," serotonin is the natural chemical that contributes to feelings of happiness and wellness. If your mind doesn't generate typical degrees of serotonin, you might go to risk of experiencing state of mind disturbances and also depression.
Dehydration Is Linked to Boosted Stress And Anxiety Levels
Studies have actually revealed that dehydration may increase the stress hormone called cortisol. Denying crucial organs of the fluids as well as hydration they call for in order to operate appropriately places stress on the body. And also regrettably, a body under anxiety becomes a lot more dried because of the loss of fluid that arises from quick breathing and also a boosted heart price.
Everybody experiences tension every now and then, however chronic anxiety may increase your danger of creating depression.
Managing Clinical Depression with IV Hydration Therapy
If your depression is created or aggravated by dehydration or nutritional shortages, then IV hydration treatment might be a suitable alternative to provide your body with the essential vitamins, minerals, fluids, and hydration it requires to aid manage your depressive signs and symptoms, boost your power, and also improve your mood.
Mobile IV Therapy Via Oasis Hydration
Our Revive & Energize treatment-- a boosted version of the popular Hydration IV -- consists of the nourishing hydration and also managing active ingredients you require to start feeling your good.
To evaluate: our Revive & Energize therapy includes the following vitamins as well as nutrients:
Vitamin C (Ascorbic Acid)-- Shields against body health system shortages as well as damaging chronic problems
B-Complex-- Enhances power and proper brain feature
Folic Acid-- Assists the body produce and also maintain brand-new cells
L-Lysine-- Rises power as well as reduces anxiety and anxiousness
Vitamin E (Selenium)-- Lowers oxidative stress in your body
Discover more regarding this IV hydration therapy or explore our full active ingredient listing.
3. Allergies
Allergies are your health system's unusual reaction to a foreign substance such as plant pollen, family pet dander, and even particular foods.
According to the Mayo Center, your body health system produces materials called antibodies. When you have allergic reactions, your body health system makes antibodies that identify a particular allergen as damaging, although it isn't.
Your body health system might react to your body entering contact with an allergen by triggering inflammation within your skin, sinuses, airways, or digestion system.
Signs and symptoms of Allergies.
The seriousness of allergy signs and symptoms may vary from minor aggravations to full-blown, dangerous emergencies.
Typical symptoms include:.
Sneezing.
Itchy, dripping, or obstructed nose.
Red or watery eyes.
Wheezing, cough, or lack of breath.
Puffy tongue, lips, or face.
Hives.
Tummy discomfort, vomiting, or looseness of the bowels.
Cracked or completely dry skin.
Bargaining with Allergic reactions.
Most allergic reactions may not be managed, however there are numerous therapies you may try to help alleviate your allergic reaction signs and symptoms. Avoiding direct exposure to irritants is constantly a good idea (yet sadly not always possible). Allergy nutraceuticals such as decongestants and antihistamines are practical short-term therapies, and also steroids may help in reducing inflammation.
An additional option you may not have actually previously taken into consideration is IV hydration therapy. IV hydration treatments combine moistening fluids with nourishing vitamins and also powerful anti-oxidants to purge irritants out of your system and also boost your overall health and wellness as well as health.
Managing Allergic Reactions with IV Hydration Therapy.
In 2018, researchers from a number of different universities in Germany did a medical trial to establish the productiveness of intravenous vitamin C in managing allergies. 71 individuals with allergy-related respiratory issues took part in the research, which concluded that treatment with intravenous high-dose vitamin C minimizes allergy-related signs and symptoms.
In Addition, Dr. Alan Gaby's post for the Natural medicine Review consists of a study about a 38-year-old man with a lengthy background of experiencing seasonal hay fever, an action to irritants that causes a variety of unpleasant signs and symptoms. This male, in particular, experienced itchy eyes, nasal blockage, as well as exhaustion for about a month each spring.
During a symptomatic duration, he got an IV infusion which included 12 ml of vitamin C (ascorbic acid) as well as B complex and also various other B vitamins. Not only did this vitamin-and-fluid combination provide instant easement, but it additionally maintained his signs under control when he repeated the therapies as needed during hay fever season.
The post “ 3 Medical Conditions You May Manage with IV Hydration Therapy “ was first appeared on OASIS
Feeling exhausted? Get energized with the help of an IV vitamin drip only at Dr. Amauri Wellness Centre. Visit https://dramaurinaturopath.com/ for more information.
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wallpaperpainting · 4 years
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BUTTONWILLOW CIVIL WAR DINNER THEATER — 1060 Main St., Whitwell, Tenn. 423-658-7478, https://ift.tt/300IsKH. “Granddaddy’s Watch,” circadian cafeteria and banquet shows (11 a.m. and 5 p.m CT Monday-Thursday, 11 a.m. Friday, 2 p.m. Sunday), by catch only. $35 adults, $18 ages 6-12, $5 adolescent accouchement (free if administration adult’s plate).
CHATTANOOGA STATE COMMUNITY COLLEGE — Humanities Theater, 4501 Amnicola Highway. 423-697-3246. “Dead Innocent: The Ed Johnson Story,” about a celebrated annihilation on the Walnut Street Bridge, 7:30 p.m. May 18-19, 2:30 p.m. May 20. $10-$15.
CHATTANOOGA THEATRE CENTRE — 400 River St. 423-267-8534, www.theatrecentre.com.
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‘ “A Room With a View,” 7 p.m. May 10, 8 p.m. May 11-12, 2:30 p.m. May 13. $11-$30.
‘ “The Amish Project,” touring assembly featuring Katherine Michelle Tanner as all seven characters, 2:30 p.m. May 20. Pay-what-you-can donation.
CUMBERLAND COUNTY PLAYHOUSE — 221 Tennessee Ave., Crossville, Tenn. 931-484-5000, www.ccplayhouse.com.
‘ “The Marvelous Wonderettes,” through May 26.$16-$30.
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‘ “Stand by Your Man: The Tammy Wynette Story,” through June 8. $16-$32.
‘ “Animation Nation,” by acceptance in Triple Threat Education Program, May 11-12.
ENSEMBLE THEATRE OF CHATTANOOGA — Barking Legs Theater, 1307 Dodds Ave. 423-987-5141, https://ift.tt/3gNQz3h. “The Curious Incident of the Dog in the Night-Time,” 7:30 p.m. May 18, 2:30 and 7:30 p.m. May 19, 7:30 p.m. May 20, 7:30 p.m. May 24-25, 2:30 and 7:30 p.m. May 26. $17-$20.
MCKENZIE ARENA — 720 E. Fourth St. Cirque du Soleil’s Corteo show, 7:30 p.m. May 10-11, 3:30 and 7:30 p.m. May 12, 1 and 5 p.m. May 13. $35-$125. www.cirquedusoleil.com.
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ST. TIMOTHY’S EPISCOPAL CHURCH — 630 Mississippi Ave., Signal Mountain. Alexian Players present “An Evening With Jo,” based on Appalachia-inspired writings of Jo Carson from “Stories I Ain’t Told Nobody Yet,” 7 p.m. May 18. $10 in advance. Proceeds go to Mountain Arts Community Center, 423-886-1959.
TENNESSEE MEDIEVAL FAIRE — Harriman, Tenn. Middle Ages-style fair, May 19-20, 26-28 and June 2-3. www.TMFaire.com. 865-376-0319.
TENNESSEE VALLEY THEATRE — 184 W. Jackson Ave., Spring City, Tenn. 423-365-7529, https://ift.tt/1oRahYW. “Night at the Wax Museum: The Musical,” 7:30 p.m. May 12, 2 p.m. May 13. $10.
FILM EVENTS
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1.) Alexian Brothers Inpatient, 12 days. Product of telling a therapist during an Outpatient Program that one is alone and suicidal. My roommate, Erica, was a kind, albeit highly inapproriate and entitled schizophrenic, meth and cocaine addict whose life lines were her young son and mother. There was a young woman named Bridge, ex-olympic figure skater who was sexually abused by her skating partner- he took his life over the matter and she had trouble processing it, enduring homelesssness and running away to various states in an attempt to run away from her past. Bridgette had been in the system for a while, and on every drug possible, prescription and beyond. Enduring a seizure disorder and some sort of disorder related to her digestion made her overal appearance pale, her frame frail, as though made out of toothpicks . Regardless, Bridgette had a light in her that she fought tooth and nail for to keep. She had a fixation on cookies and would hoard them in her pockets to snack on after meals. Bridgette, like many of the patients, were there for last resort treatment-ECT treatment, short for Electroconvulsive Shock Therapy. Patients would lose parts of their memory, having to tape up sticky notes in their room with their name, the date, where they were, what happened, etc, just in case. The most heavy hitting person I met was Star. Starlette was an older woman at the unit, who was there to get EMT treatment- she was sexually abused growing up, and one of her grandaughters was abused by the husband she was still with. Still she was able to laugh. The microclimate got me, and that's where I made my conclusion. There was no place that made me want to remove myself from living more. I felt like there was a war going on outside, that something was being schemed, and now the wars that were inside of others were becoming a part of the ones inside myself. I concluded I was going to take my life after discharge. It was an awful conclusion, but I felt nothing else. I wanted to scream. I didn't want to be strapped down. The consequences of speaking my mind, of unveiling emotions of my own have always felt extreme. I resorted to silence and self harm instead. There's enough suffering in the world- I don't need to add to it. I have had severe depression and anxiety for as long as I can remember. I have also been an A class actor. The last few months and the people I have met along the way, the emotions that are in hyperdrive and covered with a flat effect, an inability to look into the mirror anymore, the unsurmoubtable loneliness, the hopeless romanticism, the reality of my selfishness, the feeling of eternity- This has led me to the idea that I must take my life. It was supposed to work, and a picture of myself on the internet downing prozac with alcohol was an awful idea. Am I really sitting in this diner right before my shift, writing this? I look down at a plate of pancakes and I feel nothing but guilt and the migrane I've been having for months, thinking about suicide, feeling eternity. I need help I need to comply my fucking god help
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kathleenseiber · 5 years
Text
Goals boost recovery for older adults in physical therapy
Goal-oriented, motivational physical and occupational therapy helps older patients recover more fully from broken hips, strokes, and other ailments that land them in skilled nursing facilities for rehabilitation, according to a new study.
Enhanced Medical Rehabilitation—an approach in which physical and occupational therapists work to engage patients more fully during therapy sessions—helped them recover function better than standard physical and occupational therapy that others received in the same skilled nursing facilities,  researchers say.
“…if a patient had taken care of grandchildren on Wednesdays before the problems began, then the therapists might focus on the grandchildren to motivate the patient…”
“We found that when you engage and motivate people, they do better,” says first author Eric J. Lenze, a professor of psychiatry at Washington University in St. Louis.
Patients receiving enhanced rehab did not get more or longer therapy sessions. Instead, therapists focused on specific goals important to individual patients, and they delivered, on average, 24 motivational messages about those goals during every therapy session. That approach resulted in a 25% improvement in functional recovery.
Motivation and physical therapy
The research team studied 229 patients—114 of whom randomly were chosen to receive enhanced intervention and 115 of whom received standard therapy. Each was in a skilled nursing facility while recovering from an injury or illness, such as hip fracture, stroke, or major surgery. Study patients received treatment at the Barnes-Jewish Extended Care and Alexian Brothers Sherbrooke Village skilled nursing facilities in the St. Louis area.
The enhanced rehab in this study involved the use of motivation during therapy sessions, and the key was centering therapy on goals that were meaningful to the patient.
“It’s more than just getting people home; everyone wants to go home,” says coauthor and study coordinator Emily Lenard. “In enhanced rehab, therapists focus on concrete goals. For example, if a patient had taken care of grandchildren on Wednesdays before the problems began, then the therapists might focus on the grandchildren to motivate the patient, a goal that patient can visualize in his or her head while doing exercises that might otherwise seem mundane.”
Better care helps everyone
“Now the question is whether those gains will last over the long term. We believe extending enhanced rehab from skilled nursing facilities into the home setting will be the next critical step,” Lenze says.
He says one challenge is that therapy can be expensive, and some insurers balk at the expense. But with an aging population, Lenze argues that enhanced therapy could save money for older patients recovering from injury, particularly if the therapy makes them more likely to get back into their homes and stay there.
“Avoiding rehospitalizations and long-term care in a nursing home has a huge economic benefit,” he says. “We already pay a great deal for what’s called post-acute rehabilitation, and it’s unclear whether the health-care system has the appetite to continue paying for more and more care. I think, however, that we need to get past the idea of providing more care and focus more on providing better, more bang-for-the-buck care. I think Enhanced Medical Rehabilitation does that.”
The findings appear in the journal JAMA Network Open.
Funding for the study came from the National Institute of Mental Health of the National Institutes of Health, the Taylor Family Institute for Innovative Psychiatric Research, and the Center for Brain Research in Mood Disorders at Washington University
Source: Washington University in St. Louis
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lb-art-and-photo · 6 years
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Spring Break 2018: Restarting the Insane Abandoned Place Checklist.
When you can't go to the beach, you go to Savanna, IL.  It is on the banks of the Mississippi River. Or you go to Harvey. There was standing water in a basement of an old power plant.  Or is that just me?
I'm pretty sure it isn't just me. I might just be the only person you know who does it though.
After a great week with the kids, I had a little bit of time to go exploring. A long time ago, I wrote about eventually making my way to Thrillist's Most 28 Insane Abandoned Places in the Midwest. Here's the link if you need a refresher. 
https://www.thrillist.com/lifestyle/chicago/the-28-most-insane-abandoned-places-in-the-midwest
I've been slowly checking these puppies off of my list. I have more to visit, but I am happy with my  recent efforts. Ha.
These places can be checked off: 1. City Methodist Church in Gary, IN; 2. Damen Silos in Chicago, IL; 7. Joliet Correctional Center in Joliet, IL; 17. Searsboro Consolidated School in Searsboro, IA; 27. Alexian Brothers Novitiate in Gresham, WI; and 28. Solvay Coke & Gas Company in Milwaukee, WI (now demolished). 
And after this last week, you can also add two other great spots: 5. Wyman-Gordon Power Plant in Dixmoor, IL and 13. Savanna Army Depot outside of Savanna, IL.
Exciting, I KNOW! 
Both spots were definitely worth the research, planning, and in the Depot's case, a somewhat extreme effort, but both also came with a little risk-taking, so I guess what I am saying is that if you decide to go to either of these locations, make sure you research and think ahead. 
So actually, I want to show a little of what I found at the Savanna Army Depot location, which I found to be surreal. Let me say that I have actually been a little … scared … to go to this site, mostly because of what it was used for and because of what I read about it from beginning my research of it over two years ago. I decided to go actually go for it and to try to experience it for a couple of reasons.
First:
It was Easter. I don't have the kids every year. I hate sitting around all day, so instead moping, I have decided these are perfect days to go to places I usually don't have time to hit up.  I go early and take a long-ish trip to a place where I hope (and was correct this time) that I will be the only person around. This method of operation has it's advantages and disadvantages. The obvious advantage is that on holidays, most people are eating big meals with their families and friends, so it's a good time to explore a place that might usually be monitored carefully. The overriding negative is that if anything goes wrong and you're alone, you could be toast, especially without wireless service, WHICH I DID NOT HAVE FOR HOURS, and I have had service just about everywhere the last year or so. My provider is AT&T. Maybe it's different for other carriers. But this is doubtful. I was literally in the middle of nowhere. The good news is that I lived. So count that as a win for me.
Second:
I have a reason to go to some of these places now. I recently signed with a publishing company known for its photograph/history heavy titles. They are publishing a new series of books, "Abandoned America." I picked up Illinois and one other state. So, I have to get my a$$ going. The first draft is due July 31st for Illinois, and I know nobody thinks I have enough to do, so I added this little project onto my "to do" list. It's actually been a goal of mine to write a book - like my entire life - so this unsolicited opportunity came out of nowhere and actually fits with my love for exploring, history, writing, and photography. It also motivates me to get out and do something I love, and it's something I haven't made enough time for recently. It's also a valid reason to be exploring when explaining WHY I am at a location if questioned. It's exciting for me. And I want to thank my friends Dave, Chehalis, and Michael for helping me make some decisions regarding it. I'm so grateful. No idea how it will turn out, but I knew I needed to get to at least four more significant sites in Illinois in order for me to feel good about content, and this is one of them. 
A Tiny Bit of History and Context:
This place is so interesting to me. I often don't understand how there are some places out there that still exist, especially massive places with hundreds of buildings that are left to disintegrate. This is one of them.  I guess I do understand that cleaning this site up isn't necessarily a priority for the DNR, seeing as I read there is currently ONE full time employee overseeing the entire area. It makes sense because it is obvious that this is a place where not much money is flowing in effortlessly, and The Savanna Business Park is a little different than any other business park I have ever seen - no offense to anyone there. It's just the way it is. That's kind of unfortunate because the actual land sits overlooking the Mississippi River, and the land contains the largest natural dune system in the state of Illinois. It is 7.5 miles long and sits 70 feet above the river. The land is also known as the Lost Mound Unit of the Upper Mississippi River National Wildlife and Fish Refuge. So far only around 3000 acres has been transferred, as the remaining acreage needs to be freed from environmental contamination and will be turned over when deemed safe. This could take forever though, because it is a long-term clean up plan, and the plan will supposedly be updated every 5-10 years through information gained by monitoring habitat, wildlife, and recreational use (www.fws.gov).
The Lost Mound is pretty intriguing too. It is this geographic oddity and is part of local folklore concerning a post-glacial hill set as the backdrop for the sand prairie found around it. Funny enough, "the mound did not appear on early maps of the region, however the lost 'mound' has since been found as is {now} featured on recent topographical maps" (www.fws.gov). This mound is super easy to find. It sticks up high above the rest of the land, although the area in general is hilly, and it is kind of oddly shaped and placed, but the land is aptly named, for sure.
Really quickly, the Savanna Army Depot had about 3 different titles from the time it opened in 1918 until the time it completely closed in 2000. It also had many different uses. This depot is often called the "Area 51" of the Army because of it's secret operations and missions, and because of it not being well known. It was also easy to confuse with other bases having "Savanna" or "Savannah" in their names. Savanna, OK; Savannah, SC; Savannah, GA … Savanna, IL? You get the picture. In basic terms, this place was used mainly as an ordnance, or a branch of the Armed Forces that deals with the supply and storage of weapons, ammunition, and other items related to that. This specific place was used to test and store different types of highly explosive and powerful ammunition such as 75 and 155mm howitzers, or short cannons that shoot on high trajectories in order to reach targets behind cover or within trenches. It was also used to produce, test, and ship out explosives during and after WWII. Later, it was also used as a U.S. Army Defense Ammunition Center and School that provided technical, logistical, consulting, engineering, training, and other types of specialized services to the U.S. Department of Defense. HAD NO IDEA, right? There are lots of interesting little facts about this little known of place, but one that sticks out to me is that this Depot contained a plant that loaded bombs and explosives during WWII, including the that were used in General James Doolittle's raid on Tokyo in 1942. Also, this area contains over 400 steel-enforced, earth-covered igloos with up to 2000 square feet of storage underneath  that were used to store such things as highly explosive ammunition, "mustard" gas, Ammonium Nitrate (actually over 260,000 tons of it for war reserves), and actually later and still today, data and computers. Crazy right? These are highly visible, all over the place, and are covered in grass so that they were undetectable by air. 
Needless to say, this land is highly contaminated. Scary too, is that there are said to be unexploded devices in some areas. That's what scared me most. I wore a respirator because I knew of the contamination, yes. I have heard many of the unexploded devices are taken care of, but you know, after being there, I'm not so sure. There are still signs explaining what to do when you happen to come upon one. Backwater areas are also still closed to the public due to "unexploded ordnance" being present, so I stayed far away from that space. I know 1948 was a long time ago, but there was actually and explosion that left a 150 foot wide by 50 foot deep hole you can still find. The 4 ton door from that steel-enforced igloo was never found. That says a lot.
It really is a beautiful location on the edge of the River, and it only took me 2 hours and 10 minutes to get there. Easy drive.
I've seen many shots of this Depot from the outside, and maybe a few shots from the inside of a barrack or a mess hall, but I have never seen what I got into Sunday. I'm not saying to do it yourself. I was actually relieved to get home, as I felt like I was constantly pumping adrenaline. It started as a pretty boring expedition actually, since I couldn't figure out where to go to find what I was looking for, and then it got frustrating because I wasn't seeing what I wanted to photograph. But, after I kept searching just "one more time" or for "one more thing," I finally figured some things out, and without getting into the details of how I accessed these things, I can only say wow. I am glad I went, but I am just as happy to have finished exploring it. I wanted to do more, and I could have done more because I basically had access to all that I wanted in the end, but I felt like I needed to get out of there. One thing I have learned through all of this abandoned hunting is to not push my luck. A lot of it is based on instinct, and my instincts were telling me to get out and to go home. So although there is a lot more to see, and I have a feeling it is a lot more of the same of what I will show, there is still a little curiosity there. It is such a huge area; it's hard not to be curious about what else there is out there. But I am done. I saw enough, and it was worth it.
If you look at the link to this map below, I was all over the place, but many of the most interesting shots came from within the CL and CF Loop Roads. The entire area  is over 14 miles long and over 2.5 miles wide, so I'm sure you can imagine how overwhelming the size is. The question for me was where to start.
https://www.bing.com/maps?osid=da2d1d2d-8124-46c5-9155-351f6031ba0c&cp=42.19038~-90.280748&lvl=16&style=h&v=2&sV=2&form=S00027
There is so much more history I have learned about this place, and it is really fascinating, but I'll save that for another time. 
Here's the easier-to-get-to stuff:
A little more challenging and interesting ...
So far, it was ok. Interesting, but if I didn't know why it was interesting, a pretty far drive for some crumbling buildings. Until I searched the grounds for about an hour. 
And then it got much better - on the outside and inside of the buildings.
This was an amazing place, but like I said, everything in me was telling me to leave. So I left the way I came. It was enough for me. I actually hope that someday this place is cleaned up properly. It is a beautiful area of Illinois, largely undisturbed, full of wildlife, and on a gorgeous riverbank. Maybe in the not-so-far future clean up will become more of a priority for the remaining 5000+ acres of land that can be transferred over once safe for public use.
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level99games · 7 years
Text
Character of the Week: Eligor
Welcome to the Character of the Week! Every Monday, we'll be giving you insights on a specific character. Think of this as a primer for everything about a character from one of our games. From lore to game-play, you'll find most of what you need to know here! For this week, our Character of the Week is Eligor Larington!
Lore
The Templars are a wandering order of monk-knights who keep peace and dispatch monsters within the borders of Jeffreys. Eligor has been serving his duty to the common folk of the realm for three years now, but as the times of peace draw to an end, he is searching desperately for some great task to make a name for himself. The inheritor of the legendary sword of Saint Kelbran, Eligor's soul is one of pride and unrest. While his duty is to the people of Jeffreys, his real interest is in making a name for himself by striking down some great monster or performing some epic quest. When Runika Zenanen asked for volunteers to aid her against the Dragon Queen, Eligor alone stepped forward and accepted the errand, despite its impossible odds.
Plot beyond Devastation
With his great adventures finished, the reality of the world has tempered Eligor's proud soul with a real sense of duty. After defeating the Dragon Queen and protecting the world from the plots of the daemons during the events of Devastation, Eligor is promoted to high templar by King Alexian. Despite the fame and prestige of the position, Eligor is restless for more adventure. He joins up with the Champions of Indines on and off, while fighting alongside princess Merjoram Alexian as one of her royal guard. Already a legendary hero in his own time, he searches out new challenges in the defense of his homeland and the pursuit of justice.
10 Facts about Eligor
Eligor was born out of wedlock, and his mother, Magdelina’s aunt, was still very young at the time. She left him in the care of the Kerhault Monastery as a baby.
He grew up under the tutelage of the monks, and decided to join the order of the templars when he came of age, desiring to become a hero in the style of the old heroes of the Grand Chronicle.
He received his Red Lion Crest from King Alexian XXXVII for killing Daill “Black Dog” Tredge, a notorious rogue mage who terrorized cities in the eastern portion of Jeffreys with shadow and lightning magic.
The prayer beads he carries are made from Shorec Wood, and monks often pray with them when seeking temperance and endurance through hardship. These are a relic of his upbringing in a monastery, not a standard tool for templars.
His hair is naturally platinum blonde, like his cousin Magdelina’s.
He has no idea who his father was. He knows his mother, Brynne, but she and Eligor are not particularly close, and she hasn’t said anything to Eligor about his father.
The three dots on his forehead are consecration marks tattooed there in a ceremony when he was ten. They are a common sign for monks of Ka-Shin.
His patron deity is Ka-Shin, the goddess of Light, Justice, and Judgment.
He is extremely distrustful of mercenaries and other sorts of career soldiers. He joined the Jeffrian irregulars out of desperation for the opportunity to make a name for himself in battle, but would normally not consider such a path.
He is allergic to Trussas.
Game-Play
Eligor is a reactive fighter with powerful trading abilities. Using precise decision-making, he is able to elegantly counter his opponent's strikes and deal significant damage in return! However, he lacks the intense defensive prowess of many other heavyweights, making him harder to use than your typical bruiser.
Slow and Steady
As a Templar, Eligor often has to wait for his opponents to make the first strike. What kind of man of the law would assault someone who has done no harm? This translates directly into Eligor's game-play as a large majority of his effects only resolve if he is the slower fighter. Styles such as Retribution and Martial offer Eligor effects that seem completely unfair. However, these styles only offer their powerful bonuses if Eligor is hit before performing his attack.
It is, therefore, important to keep your priority in-mind when playing Eligor, especially because he is not particularly slow. Be mindful of which bases you use as going second is not a guarantee and one slip-up could result in Eligor failing to make use of any of his powerful effects.
Precision is Key
This focus on careful priority management gives us a glimpse into Eligor's play-style as a whole: precision. While a heavily-armored man wielding a long sword hardly screams "precise," a large number of Eligor's game-plan revolves around careful thinking and resource management. This is clearly seen in his Counter style, which allows him to stun an opponent that plays the same base as him. Combine that with movement-negating effects from the likes of Vengeful and one can clearly see that there's much more to Eligor than just hitting things with his sword.
Vital to this precision-based game-plan is Eligor's reliance on his Unique Ability, which is his primary source of defense. For a reactive fighter, Eligor is sorely lacking in defensive stats. This is because his Vengeance Tokens give him all the defense he'll ever need. This, however, comes at the cost of having to carefully manage his Tokens lest he find himself severely lacking in resources should the need arise. As with any Token-based character, careful Token management becomes key to his success.
But Still; Hit Things
All of this isn't to say that Eligor doesn't like to fight. In fact, it's the complete opposite. This Templar is one of the game's most efficient fighters; largely due to his enviable power spread. With nearly every card at a Power +1, Eligor often dishes out more damage than he takes, resulting in what BattleCON players call "positive trades." This phrase is one that Eligor players will have to remember, as he is a character built to create and capitalize on it.
Nowhere is this more evident than his Unique Base: Aegis. Not only does this base ensure that Eligor's Power value will be higher than the opponent's, it also gives Eligor massive trading capabilities with its ability to grant him Soak. Using Aegis, Eligor can eat the mightiest attacks and retaliate with interest!
Summary and Discards
Strengths
One of the game's best traders.
Precision-based game-play rewards careful planning and good reads.
Access to a full-board hit confirm attack in Retribution.
Weaknesses
Relies on being reactive player to be effective.
Over-reliance on Stun Guard means that Ignore Stun Guard decimates him.
Severely lacks range on his styles and relies solely on movement effects to get hits in.
Discards
Special Grasp
Counter Strike
Video Guide
Credits
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Goals boost recovery for older adults in physical therapy
Goal-oriented, motivational physical and occupational therapy helps older patients recover more fully from broken hips, strokes, and other ailments that land them in skilled nursing facilities for rehabilitation, according to a new study.
Enhanced Medical Rehabilitation—an approach in which physical and occupational therapists work to engage patients more fully during therapy sessions—helped them recover function better than standard physical and occupational therapy that others received in the same skilled nursing facilities,  researchers say.
“…if a patient had taken care of grandchildren on Wednesdays before the problems began, then the therapists might focus on the grandchildren to motivate the patient…”
“We found that when you engage and motivate people, they do better,” says first author Eric J. Lenze, a professor of psychiatry at Washington University in St. Louis.
Patients receiving enhanced rehab did not get more or longer therapy sessions. Instead, therapists focused on specific goals important to individual patients, and they delivered, on average, 24 motivational messages about those goals during every therapy session. That approach resulted in a 25% improvement in functional recovery.
Motivation and physical therapy
The research team studied 229 patients—114 of whom randomly were chosen to receive enhanced intervention and 115 of whom received standard therapy. Each was in a skilled nursing facility while recovering from an injury or illness, such as hip fracture, stroke, or major surgery. Study patients received treatment at the Barnes-Jewish Extended Care and Alexian Brothers Sherbrooke Village skilled nursing facilities in the St. Louis area.
The enhanced rehab in this study involved the use of motivation during therapy sessions, and the key was centering therapy on goals that were meaningful to the patient.
“It’s more than just getting people home; everyone wants to go home,” says coauthor and study coordinator Emily Lenard. “In enhanced rehab, therapists focus on concrete goals. For example, if a patient had taken care of grandchildren on Wednesdays before the problems began, then the therapists might focus on the grandchildren to motivate the patient, a goal that patient can visualize in his or her head while doing exercises that might otherwise seem mundane.”
Better care helps everyone
“Now the question is whether those gains will last over the long term. We believe extending enhanced rehab from skilled nursing facilities into the home setting will be the next critical step,” Lenze says.
He says one challenge is that therapy can be expensive, and some insurers balk at the expense. But with an aging population, Lenze argues that enhanced therapy could save money for older patients recovering from injury, particularly if the therapy makes them more likely to get back into their homes and stay there.
“Avoiding rehospitalizations and long-term care in a nursing home has a huge economic benefit,” he says. “We already pay a great deal for what’s called post-acute rehabilitation, and it’s unclear whether the health-care system has the appetite to continue paying for more and more care. I think, however, that we need to get past the idea of providing more care and focus more on providing better, more bang-for-the-buck care. I think Enhanced Medical Rehabilitation does that.”
The findings appear in the journal JAMA Network Open.
Funding for the study came from the National Institute of Mental Health of the National Institutes of Health, the Taylor Family Institute for Innovative Psychiatric Research, and the Center for Brain Research in Mood Disorders at Washington University
Source: Washington University in St. Louis
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