#rocli

[nekojaf]

@zarigi s birthday yesterday. Totally not late.

[zarigi]

Sponsored by the Lunar Pop Association:

[0-kbelle-0]

The things you think up at 3 am-

Diesel(Gas station Au!Eclipse) and beige belong to @nekojaf

Rocli(Rocker!Eclipse) belongs to @zarigi

Audio: Me, you, and Steve

Some shots pfft

[adamfuckherstanwife]

in my head they look really similar but only because of this one shot specifically

[attic-apparation]

guy watched fall guy i love ryan gosling in everything

[good-alxolotl]

today the day is going to be good

[sawyer-is-eepy]

an Actual pinned™️

I have been avoiding writing an actual pinned but I can no longer put it off. my time has come

flashing and blinking + possible eyestrain warning under the cut ^^

hi!! I'm sawyer, i'm E/INFP-T if that matters, I have a lot of opinions on a lot of things and I draw a lot

I'm genderfluid use whatever pronouns I guess. I am a minor pls don't be weird

I love outer wilds, it's my favoritest game ever at the moment! please talk to me about it! ::D currently hyperfixated on skyrim tho

other interests include-

the elder scrolls, vocaloid, the adventure zone balance, needy streamer overload, mouthwashing, myhouse.wad, yume nikki, guilty gear games, risk of rain 2, lethal company, the legend of zelda series(specifically breath of the wild, ocarina of time and windwaker), cowboy bebop, trigun(original), full metal alchemist brotherhood, FLCL, sailor moon, team fortress 2, ranma 1/2, portal, your turn to die, sonic the hedgehog, journey(tgc), 2018 rocly & bullwinkle, bee & puppycat, omori, doki doki literature club, and many other things.

things to watch out for-

i frequently reblog things with untagged outer wilds spoilers. this game is literally the greatest game ever so please please please just go play it please

no dni but I block FREELY

please don't spoil:

buffy the vampire slayer, samurai champloo, naruto shippuden, yume nikki, rain world, in stars and time, subnautica

tagging system - (feel free to block any of them that make you uncomfortable!)

#sawyer arts : drawings, paintings, art stuffs

#sawyer is upset : vent tag. probably won't be used often but just in case

if youre a mutual and you want to, you can ask for a "don't look" tag if there's anything in specific that I post or reblog that you don't wanna see!!

relevant blogs -

@agate-rambles sideblog for tulpa-related shenanigans! frequently reblogs outer wilds stuff as well! same tags

i might add more to this later ^^

( also I am not good at making long intro posts like these, so apologies if I'm missing anything! I used to @ / jellyfish-grave 's pinned as a reference )

the future is plural!

Some friendos of mine that you should totally follow

@remithenoaitall - cousin. nothing else is interesting about them at all ever they're only here out of obligation /j

@jellyfish-grave - wooo close close friend of mine

@feychildfangs - wowow cool person. !!!

@hexsie - coolio person!!! they do cool art and stuff

@pigments-plaza - irl friend!!! HIIIIIII HIII HIIIIIIIII

[corvusaurem]

Some concept art for my project Rocly Refuge awhile back ( ￣v￣)

[vidalnato]

Root 26

ROC - of or relating to answering

Rocli - to answer Surocli - to reply Rocna - an answer Surocna - a response

[thelunarsystemwrites]

DoneTale Sans?

Rocly finally went to bed lol, so heya everyone!

Should we make a DoneTale Sans? (We already got Charas design done, just waiting to reveal it! >:()

[nekojaf]

Attack on @mel-star @cinnamonnala @deadbloodzero @zarigi @galaxysugarr @socksandbuttons @yukiphobia24 @0-kbelle-0 @homunculuslover

Now I rest for this season. Enjoy some end of fight vines.

[zarigi]

Here are some older drawings I finally finished up!

Featuring LUNAR!

[f0xd13-blog]

We gavs it back to islamism not the other way around 🤣🤣🤣🤣🤣 i still stay with my opinion people should put bocing back to what it was wheen it was the good days like rocly marcinazi and shit also they shouod stay still and get punched. IT'S MY OPIONION

[meowizard]

the fight to get friends over to watch rocly horror picture show began three year ago. and through no fight of my own the opportunity has presented itself but now i must snatch it

[ihatetaxes99]

The only ship I'll ever support is Cole Phelps x the R&I operator in LA Noire.

Im all seriousness, it's kind of wholesome how, even after the scandal, she's one of the few characters who doesn't either judge, mock or harass Cole in some way. It's also pretty wholesome how Biggs forms a genuine friendship with him, in spite of the rocly start to their relationship.

[natb00]

B0952 - Leidy Marcela Quintero Tamayo (1581989)

Ronda Cx general.

Leigy Marcela, 33 años.

Dx:

Perforacion contenida en ciego. **Enfermedad de Crohn, con compromiso ileocecal, fenotipo estenosante.

Toxicodermia probable ondansetrón.

Procedimientos:

11/08/2023: Hemicolectomia derecha por laparoscopia + anastomosis de intestino delgado-grueso por laparoscopia + vaciamiento ganglionar. **Plastrón inflamatorio en fosa iliaca derecha, que involucra los ultimos 15 cm de ileon, el ciego y el ascendente, el transverso medio, el sigmoide y el epiplon. **Perforación del ciego hacia el retroperitoneo contenida. **Estenosis inflamatoria de la región ileocecal con distensión proximal del ileón.

Aislamientos:

21/07/2023: Hemocultivos: negativos.

05/07/2023: Colon: ZN negativo, PCR Mtb negativo, tinta china y KOH negativo, cultivo hongos con C. albicans, cultivo micobacterias en proceso.

Antecedentes personales:

Patologicos: enfemedad de Crohn (01/06/2023).

Farmacologicos: Prednisolona (30 mg cada 24 horas), omeprazol (20 mg cada 24 hora), calcio/vitamina D (1500 mg cada 24 horas).

Quirurgicos: laparotomía por incisión de Rocly Davies por sospecha de apendicitis en 2019, encuentran obstrucción intestinal por masa en íleon, realizan estudios anatomopatológicos que descartan malignidad ( ileitis inespecifica) y refiere que además realizan apendicectomía.

Alergicos: ondasetron (rash).

Familiares: abuela con Ca renal.

Subjetivo: paciente refiere pasar una buena noche, dolor controlado, diuresis por sonda, tolerando deambulación. No ha presentado deposiciones.

EF: PA 98/65, FC 97, Sao2 97%. Paciente alerta, orientada en las 3 esferas, colaborara al momento de la evaluación. Mucosas palidas, hidratadas. Ruidos cardiacos ritmicos sin soplos, Murmullo vesicular conservado, sin sobreagregados. Abdomen blando, depesible, leve dolor a la palpación abdominal, sin signos de irritación peritoneal, peristaltismo presente. Herida quirurgica cubierta con aposito. Extremidades sin edema.

Paraclinicos:

11/08/2023: Calcio 9.1, Cloro 106, Sodio 138, Potasio 5.22, Fosforo 3.4, Magnesio 2.

10/08/2023: ALT 16, AST 14, Btotal 0.321, Bdirecto 0.16, Calcio 9.3, Cloro 106, Sodio 136, Potasio 5.52, creatinina 0.55, Fosfatasa alcalina 106, Fosforo 3.4, GGT 157, Mg 2.16, BUN 16.3, Transferrina 234, Albúmina 4, Proteinas totales 7.2, Colesterol total 128, HDL 29, LDL 90.3, trigliceridos 129. Acido folico 9.2, Vitamina B12 751.

Imágenes:

02/08/2023: TAC abdominal: Cambios inflamatorios del íleon por enfermedad de Crohn ya conocida, con segmento estenótico en su porción terminal y perforación contenida. Adicionalmente, colección irregular y formación de plastrón en la fosa ilíaca derecha con efecto compresivo sobre el uréter derecho como hallazgo nuevo.

Endoscopicos:

04/07/2023 Colonoscopia: Ileitis ulcerada con deformidad de la valvula ileocecal en estudio. El ciego y resto de colon norma. No se logra ingreso a la valvula ilecocecal por estenosis y rigidez.

Patologias:

Biopsia valvula ilecocal: Colitis crónica activa ulcerada. Negativo para granulomas, displasia, parásitos y malignidad. Negativo para CMV. Negativo para estructuras micóticas. Negativo para bacilos acido alcohol resistentes. -Colonoscopia 27/05/2020:Se avanza equipo hasta la valvula ileocecal encontrando esta normal, ciego, colon ascendente, transverso, descendente y sigmoides normal. Boston 9/9. -Patología 2019: Ileon: Inflamación crónica - Apendice cecal; Normal.

Análisis: Paciente de 33 años, con antecedente de enfermedad de Crohn, con compromiso ileocecal, fenotipo estenosante, completó 8 días de recuperación nutricional, actualmente en POP Hemicolectomia derecha por laparoscopia + anastomosis de intestino delgado-grueso por laparoscopia + vaciamiento ganglionar realizado el día de ayer por perforación contenida en ciego. El plan de gastroenterología es en 6 meses después de procedimiento qx realizar nueva colonoscopia para definir necesidad de inmunosupresión a largo plazo. El día de hoy encontramos a paciente estable hemodinamicamente, afebril, en el momento con soporte nutricional mixto, , dolor controlado, continuamos vigilancia. Retiro de sonda vesical.



Análisis y Plan de manejo: Evolucion estable, sin evdiencia de complicaciones del procedimiento quirurgico Se avanzara dieta, retiro de sonda vesical. Se estimula deambular y sentarse en silla Explico la conducta la cual entienden y acpetan.