Very pretty toad but it won't let me sleep with its sweet song 😅

Chronic thromboembolic pulmonary hypertension (CTEPH) is a complication of pulmonary embolism and a major cause of chronic PH leading to right heart failure and death. Lung ventilation/perfusion scintigraphy is the screening test of choice; a normal scan rules out CTEPH. In the case of an abnormal perfusion scan, a high-quality pulmonary angiogram is necessary to confirm and define the pulmonary vascular involvement and prior to making a treatment decision. PH is confirmed with right heart catheterisation, which is also necessary for treatment determination. In addition to chronic anticoagulation therapy, each patient with CTEPH should receive treatment assessment starting with evaluation for pulmonary endarterectomy, which is the guideline recommended treatment. For technically inoperable cases, PH-targeted medical therapy is recommended (currently riociguat based on the CHEST studies), and balloon pulmonary angioplasty should be considered at a centre experienced with this challenging but potentially effective and complementary intervention.

This delicate and fragile egg has been painted completely by hand in a beautiful Art Nouveau style, known as Arts and Crafts Movement or “Style Liberty” in the United Kingdom. The egg has a background of vibrant aqua blue which is decorated with a mixture of stylised blue flowers and foliage in a William Morris style and then overlaid with tiny silver white flecks. The egg is then covered in a varnish to protect the fragile hand painted surface.

The theme for “Smile on Saturday” for the 6th of May “Blue for You – ME 2023” which is in honour of ME/CFS and Fibromyalgia International Awareness Day which happens to fall on May 12th. May the 12th was chosen as it coincided with the birth date of Florence Nightingale, the celebrated English social reformer and statistician, and the founder of modern nursing. Nightingale became chronically ill in her mid-thirties after returning from the Crimean War; the M.E.-like illness often left her bedridden during the last 50 years of her life.

As the theme for “Smile on Saturday” this week was open to subject but required a lot of blue, I thought I would submit another of my ornamental eggs, all of which just happen to be blue! This egg, perched atop a small porcelain rest, has a small puncture at both the top and the bottom, indicating that it was “blown”, a tradition where one blows the white and yolk of the egg through the hole in the bottom by way of exhaling into the hole at the top. A time consuming method, egg blowing must be done gently so as not to break the fragile egg shell by applying too much pressure. It can take well over an hour to blow a single egg. The paper I have chosen for the background, which also just happens to be blue, is William Morris’ 1875 “Marigold” pattern which I thought suited this Style Liberty Easter egg as well as the blue theme. I hope you like my choice of the theme this week, and that it makes you smile.

Jordan Lake, North Carolina, USA

Muniick - "Llewellyn Bed" is part of this weekend's Happy Weekend 60L sale. Includes 150 animations, Multiple texture options for frame, headboard and sheets. In-world only April 3rd - 4th.

@https://maps.secondlife.com/secondlife/Port%20Lux/150/57/3402

Synnergy Poses - "Headache" bento single pose (See Abi in bed) is a new in-world store release. Yours today for only 75L.

@http://maps.secondlife.com/secondlife/Baidu/114/75/28

youtu.be/RlRxTfSvZ40

Smile on Saturday: "Blue for You - ME - 2024" - For Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) International Awareness Day. 💙

There are many people in this world who suffer in different ways; whether that be physical pain or mental illness. We never know what some people are going through because some illnesses are not always visible to others. So please be kind to everyone you meet.

“Love and kindness are never wasted. They always make a difference.” - Helen James

Thank you for your visit! I hope everyone is doing well.

youtu.be/InCgT5qFp1w

taken EVA XV

if only

...where the Akasha Chronicle is written.

an Impression.

Abstract Digital Art, photo composite of San Francisco, by Stacy Ann Young.

Due to chronic poor health I'm unable to take on new contacts but do my best to reply to comments. Thank you so much for your interest, comments and favours on my photostream. Also for your good wishes and I send mine to you. More of my shots can be seen on

www.ipernity.com/home/351433

Polaroid SX-70

www.kirtecarterfineartphotography.com

CHRONIC CELLARS------SPOOKY WINE😁😁

Here are the final 3 pieces. I figured I should just post them so I can start sharing them with folks. Take a gander at the whole set.

www.flickr.com/photos/_farmerbob_/sets/72157604289459759/

48" x 64"

acrylic, ink and collage on canvas

2008

"On May 12 it's ME/CFS and Fibromyalgia International Awareness Day.

May 12 was chosen as it coincided with the birth date of Florence Nightingale, the celebrated English social reformer and statistician, and the founder of modern nursing. Nightingale became chronically ill in her mid-thirties after returning from the Crimean War; the M.E.-like illness often left her bedridden during the last 50 years of her life."

May your pain and distress float away like bubbles that burst in the blue sky.

The debut of a new look.

🐉 Become unstoppable ~Tron Sanjak 🐉

Photo: TronX (Tarmon)

Pose: AAP Free To Fly

You, you love it how I move you

You love it how I touch you

My one, when all is said and done

You'll believe God is a woman

maps.secondlife.com/secondlife/Wairbrow/211/78/2750

This beautiful bear is amazing to see, everytime I go the EcoMuseum sanctuary.

Unfortunately do to it's chronic illness, it cannot live in the wild. Thankfully there are places like the EcoMuseum, that take in such beautiful animals and give them round the clock care that they need.

And with a wild like encloser, filled with trees and natural habitat. These beautiful creatures can live out there days in safety and grandeur!

Hamburg - 3 image HDR merge

My husband.

Credits soon- viozsovain.tumblr.com/

🎵 I was a ghost, I was alone. 어두워진, 앞길속에. Given the throne, I didn’t know how to believe I was the queen that I’m meant to be. I lived two lives, tried to play both sides, but I couldn’t find my own place. Called a problem child, cause I got too wild, but now that’s how I’m gettin’ paid, 끝없이 on stage. I’m done hiding, now I’m shining like I’m born to be. We dreamin’ hard, we came so far. Now I believe. 🎶

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Scarlette Shadow

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Find the full credits and product reviews on PERENNIAL PANIQ.

Living with chronic health issues is hard and that hit home Thursday evening. I went to go out to chase the aurora, but as I was driving, I became too sick and too weak to keep going. Looking back it was the Lord’s grace to get me back home as I would not have made it and the aurora came much much later than expected. However, there was a second chance of the aurora the following night. I decided to take a chance and this time my wife was able to join me. The conditions were far less favorable as it looked like we would be completely clouded over, so we prayed. We prayed that the clouds would clear and the aurora would hold up long enough. It was supposed to peak between 3-6pm, but instead it peaked between 7-8pm when we were there. The clouds cleared almost entirely and I shot this image just minutes before the moon rose and the aurora faded. The Lord literally made all of this possible! It truly was a redemptive night and one I am very thankful to have had!

🎵 Like the words of a song, I hear you call. Like a thief in my head, you criminal. You stole my thoughts before I dreamed them, and you killed my queen with just one pawn. This goodbye is no surprise. This goodbye won’t make me cry. Yeah, I’ll keep on dancin’ until I’m dead, dancin’ until I’m dead, I’m dancin’ until I’m dead. Cause when you killed me inside, that’s when I came alive. Yeah, the music’s gonna bring me back from death. I’m dancin’ until I’m dead, I’ll dance until I’m dead. 🎶

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Harli Shadows

@ GOTHCORE

Nails | Quills & Curiosities Skulls & Ghosties Nails

@ The Warehouse Sale

Candy | Quills & Curiosities Candy Kid

@ The Warehouse Sale

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Find the full credits on PERENNIAL PANIQ.

A portrait of some of the members of Southport Chronic Cavers Grotto of the NSS and other cavers during a 2009 grotto cave trip.

This was taken using an off camera flash, a remote and two slaves (the slave to the left of this shot did not fire). I do need to improve my lighting system.

🎵 Finding life along the way. Melodies we haven’t played. No, I don’t want no rest. Echoin around these walls, fighting to create a song. I don’t wanna miss a beat. And on and on we’ll go through the wastelands, through the highways, til my shadow turns to sun rays. And on and on we’ll go through the wastelands, through the highways. And on and on we’ll go. 🎶

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Alyx Shadows

Horns | Quills & Curiosities Forneus Horns

Couch | Violetility Bayou Couch

@ FaMESHed X

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Find the full credits and product reviews on PERENNIAL PANIQ.

🎵 I’m a missing link of this illusion. I am not really here, I’m an intrusion. I don’t swim or sink, I just float. I don’t need gravity, I just need growth. When I move, it’s’ an earthquake rumble. I will never, ever fall, never stumble. And I don’t need to be humble. Break down walls like Jericho, crumble. 🎶

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Vera Shadow

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Find the full credits and product reviews on PERENNIAL PANIQ.

🎵 손가락질 해, 나는 전혀 신경 쓰지 않네. 나를 욕하는 너의 그 이유가 뭐든 간에, I know what I am. I know what I want. I never gon’ change. I never gon’ trade. Trade off. 뭘 어쩌고 저쩌고 떠들어대셔. Talkin, talkin, talkin. I do what I do, 그니까 넌 너나 잘하셔. Dirty, dirty. You can’t stop me lovin’ myself. 🎶

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Demona Shadow

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Find the full credits and product reviews on PERENNIAL PANIQ.

🎵 Something in the way you’re looking through my eyes. Don’t know if I’m gonna make it out alive. Fight so dirty, but you love so sweet. Talk so pretty, but your heart got teeth. Late-night devil, put your hands on me. And never, never, never ever let go. 🎶

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Danika Shadows

@ GOTHCORE

Necklace | Quills & Curiosities Superstar Necklace

@ Androgyny

Sparkle | Quills & Curiosities Skin of a Killer

@ Androgyny

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Find the full credits on PERENNIAL PANIQ.

🎵 Baby, this love. I’ll never let it die. Can’t be touched by no one. I’d like to seem ’em try. I’m a mad man for your touch, girl, I’ve lost control. I’m gonna make this last forever, don’t tell me it’s impossible. Cause I love you for infinity. 🎶

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Vesper Shadows

Lantern | Quills & Curiosities Expeditioner’s Lantern

@ The Warehouse Sale

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Find the full credits and product reviews on PERENNIAL PANIQ.

🎵 I’ll never mistake the way you give me my faith. My body feels safe in your hands. Feel me fully fade. I’m light as a feather, don’t let me escape. The stars still remember they fall to our fate. I don’t wanna wait. Every single part of me in flames. Tell me how it tastes. Let me be the harmony you crave. 🎶

✺} F E A T U R I N G {✺

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Face Details | Chronic Cosmetics Countess Kit

@ GOTHCORE

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Find the full credits and product reviews on PERENNIAL PANIQ.

🎵 So let’s say it’s working out. You pretend to love his mother. Lying to your friends about how he’s such a goddamn good lover. Stuck in the suburbs, you’re folding his laundry. You got what you wanted, so stop feeling sorry. Crying at the nail salon. I’m so sick of online love, and I don’t understand. Why can’t any man hit it like? Get it hot? Make a bitch? It’s a fem. Hit it like, get it hot. Make a bitch, it’s a- dude, can you play a song with a fucking beat? Hit it like rom-pom-pom-pom. Get it hot like Papa John. Make a bitch go on and on. It’s a femininomenon. 🎶

✺} F E A T U R I N G {✺

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Facepaint | Chronic Cosmetics Umbria Facepaint

@ Spookzilla

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Find the full credits on PERENNIAL PANIQ.

✨ Every so often, the universe deems it so that a new star be born out of the chaos of the cosmos. A tiny light brought into being that slowly grows into something bigger, something better, something more. ✨

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Wynona Shadow

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Find the full credits and product reviews on PERENNIAL PANIQ.

🎵 I don’t need your flowers, they’ll just go to waste. I don’t want your candy cause I don’t like the taste. There never was a possibility I’d stick around. It never was my intention just to let you down. I never was the kind of girl that’s good at playin’ house. Ya want it, ya need it, I tell ya but you don’t believe it. What were you expecting? Another lullaby? Are you kidding? You must be high, you must be high. Cause it was just one kiss. 🎶

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Circe Shadows

@ GOTHCORE

Tattoo | Chronic Cosmetics Baby Horns Tattoo

@ GOTHCORE

Wings | Quills & Curiosities Gilded Gossamer Wings

@ The Warehouse Sale

Tail | Contraption x Quills & Curiosities Whip Tail

@ The Warehouse Sale

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Find the full credits and product reviews on PERENNIAL PANIQ.

🎵 You don’t wanna hurt me, but see how deep the bullet lies. Unaware, I’m tearing you asunder. Oh, there is thunder in our hearts. Is there so much hate for the ones we love? Oh, tell me, we both matter, don’t we? You. It’s you and me. It’s you and me, won’t be unhappy. 🎶

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Bitchin' Shadows

@ Shotgun

Back | Quills & Curiosities Gaping Maw

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🎵 I was told that I was nothing. I was told that I was so pure. I was told that I was dirty. I was told that I was the cure. And I ask myself, am I God or shit? Am I the high, the low? I’m fucking worth it. And I ask myself, am I love or hate? You are the reason I hide and why I can’t quit. I can feel a holy war. Yeah, I can feel a holy war within. No, I can’t take a holy war. No, I can’t take a holy war again. Is this what you wanted? I’m gonna bring a little hell. I’m gonna bring a little heaven. 🎶

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Morana Mask

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Find the full credits on PERENNIAL PANIQ.

Due to chronic poor health I'm unable to take on new contacts but do my best to reply to comments. Thank you so much for your interest, comments and favours on my photostream. Also for your good wishes. I send you joy and peace.

🎵 A pretty knight in shining diamonds, a beauty queen in camouflage. It’s giving thunder and lightning, when you give it all you got. If you wanna break outta the box, wanna call all of the shots. If you wanna be sweet or be soft, then go off. If you wanna go six inch or flat, wanna wear hot pink or black. Don’t let nobody tell you you can’t, cause you can. You can be a lover or a fighter, whatever you desire. Life is like a runway, and you’re the designer. Wings of a butterfly, eyes of a tiger. Whatever you want, baby, choose your fighter. 🎶

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Wren Shadow

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Find the full credits and product reviews on PERENNIAL PANIQ.

“You nicknamed my daughter after the what, you little pissant?”

🎵 I’ll seek you out, flay you alive. One more word and you won’t survive. And I’m not scared of your stolen power. I see right through you any hour. I won’t soothe your pain. I won’t ease your strain. You’ll be waiting in vain. I got nothing for you to gain. 🎶

✺} F E A T U R I N G {✺

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Facepaint | Chronic Cosmetics Vesper Facepaint

@ Spookzilla

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Find the full credits on PERENNIAL PANIQ.

to any person who is suffering from any kind of chronic/posibly chronic or an illness that effects you in the long run even if you don't have a diagnosis yet

🎵 You’re only everything I ever dreamed, ever dreamed of, ever dreamed of. You must be kidding me, did you really think I could say no? I want you for a lifetime. So if you’re gonna think twice, baby. I don’t wanna know, baby, I don’t wanna know. Everything is just right. But if you’re gonna think twice, baby. I don’t wanna know, baby I don’t wanna know. 🎶

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Edna Shadows

@ GOTHCORE

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Find the full credits on PERENNIAL PANIQ.

🎵 I don’t know what I said, but the next thing I knew is that I held you in my arms and you asked what we should do. What should we do, what should we do? I said, you can do what you want to with me. Yeah, I won’t mind. As long as you stay with me, I’m all right. I wanna hold you. I wanna hold you. 🎶

✺} F E A T U R I N G {✺

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Eyeshadow | Chronic Cosmetics Lyla Shadows

@ GOTHCORE

Pose | Mysteria Private Dancer Vol. 2 Solo Pose Set

Dance Pole | Violetility Icicle Dance Pole

@ FaMESHed X

__________________________________

Find the full credits on PERENNIAL PANIQ.

Bear Lake at Sovata, Romania

The first data about Sovata are from 1578. By 1583 it was already a village. Due to its salty lakes and warm water it became an increasingly popular health resort during the end of the 19th and the 20th century. It gained the status of town in 1952.

The 1875 geological events (collapse of a salt mine) gave birth to the Bear Lake (in the shape of a bear hide rug), which is unique in Europe. Its water is heliothermal and salty, and is used therapeutically for chronic gynecological symptoms, severe rheumatic pains, peripheral nervous system and post-accidental motor diseases. The Bear ​​Lake has an area of ​​40,000 square meters, a depth of 18 meters and an average salinity of 100-250 g/L.

The water can reach a temperature of 35C due to the heliothermic phenomenon: the fresh water of two small brooks that flow into Bear Lake form a 10–15 cm layer on top of the saltwater. This freshwater layer behaves like a magnifying glass, the sun’s rays penetrate it, warming the underlying saltwater to a depth of 1.5–2 m up to 35 degrees. The freshwater layer also acts as a heat insulator, preventing saltwater with a much higher density rising to the surface and losing its accumulated heat in contact with cooler air. (Wikipedia and transylvanianow.com/bear-lake-szovata-worlds-largest-heli...)

thewholetapa

© 2015 tapa | all rights reserved

🎵 Your gentle voice, I hear. Your words echo inside me. You said you long for me. That you love me. And I want to see you, too. Feels just like I’m falling. Is there nothing I can do? Wonder if you hear my calling. I’m here and waiting for you. Where are you? I can’t find you. I’m here and waiting for you. I’ll wait forever for you. 🎶

✺} F E A T U R I N G {✺

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Facepaint | Chronic Cosmetics Nayvth Facepaint

@ Spookzilla

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Find the full credits on PERENNIAL PANIQ.