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HIV Patient s Journey
- Molly York
- 2 years ago
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1 HIV Patient s Journey Patient s journey methodology Con il supporto di:
2 ISTUD Foundation ISTUD Foundation is an independent business school that operates in Europe in the field of executive education, advanced lifelong learning and in the field of management research. As independent advanced centre of management research and training. Health and Healthcare conceives, designs and implements activities of organizational research and training for the development of individual professionals, whole teams or even their entire organizations. All this is aimed at advancing a healthcare system fully capable of responding to the patients real needs and to their frame of reference, and affordable from an economic point of view. This practice offers the healthcare sector its multidisciplinary competencies of training, organizational research and consulting.
3 Publications and research Medicina Narrativa Per una sanità sostenibile (2012) Le organizzazioni evolute in sanità Il sole 24 Ore sanità (2010) La composizione dell offerta socio-sanitaria per la persona con lesione midollare ISTUD INAIL Progetto A.L.M.A. Assistenza alle persone con Lesione Midollare: armonizzazione delle cure Per una qualità estesa delle cure: buone pratiche per i servizi domiciliari di ematologia ISTUD - AIL Le organizzazioni Aperte in sanità Il sole 24 Ore sanità (2006) Progetto SLANCIO: SLA Network delle Cure In Organizzazioni evolute ISTUD - AISLA
4 Patient s Journey approach The term 'patient journey' refers to the experiences and processes the patient goes through during the course of a disease and its treatment (BMJ 2011) Process mapping enables the reconfiguring of the patient journey from the patient s perspective in order to improve quality of care and release resources. (BMJ 2010)
5 Patient s journey in health care today On PubMed the search of "Patient's Journey" shows 185 references Most of the Patient's Journey developed in chronic diseases and conditions All publications highlight the benefits of the Patient's Journey construction to define the quality parameters and rationalization of the process of care Development of models of care and assistance geared to the centrality of the patient and the empowerment of citizens are gradually replacing the top down old business process reengineering AIFA supports dialogue and interaction with the patients Monitoring program on 105 new drug marked with black triangle : all patients can report adverse events becoming protagonists of pharmaco vigilance
6 Benefits of process mapping Picture of a patient pathway which is a complex process, undertaking the journey from a patient s perspective Overview of activities and collaboration among professionals during the course of treatment Identification and selection of the most critical activities to achieve the goals of care Definition of quality standards and optimization of the process of care Comparison of physician and patients perceptions about quality and management of care Less wastes for management of care (order versus chaos).
7 HIV Patient s Journey project: objectives build and validate the HIV patient's journey promote the use of Italian HIV Ministerial Guidelines during the patient s journey include the patient's experience in all phases of the journey identify most critical areas and their emotional impact to management define the skills and tools needed to optimize the management of HIV patient promote a new approach "illness centered" and not only «disease centered» in the management of HIV infection
8 HIV patient s journey: method Assessment Advisory meeting Sharing with patients Community Sharing with scientific Community Validation Advisory meeting Issue of Patient s Journey
9 Phase 1: assessment Scouting of relevant documentation (Guidelines, desk research, audio-visual materials) Define the Scientific Committee: Prof. Adriano Lazzarin, Prof. Massimo Andreoni. Define a board of medical specialists in infectious and tropical diseases (representative of main structures in the management of HIV over Italy) and representatives of the Associations (ANLAIDS, Nadir Onlus, Plus, NPS Italy Onlus) Sharing the project with a KOLs group Visit a Department of Infectious and Tropical Diseases to learn the basic knowledge of the therapeutic reference and context. Define an instrument for assessment (questionnaire)
10 Scientific commettee Prof. A. Lazzarin ; Prof. M.Andreoni HIV physicians: A Ammassari, Roma A Castagna, Milano S Rusconi, Milano AM Cattelan, Rovigo M Celesia, Catania G D Ettorre, Roma G Orofino, Torino Patients ans people associations: GM Corbelli, Anlaids M Errico, NPS S Marcotullio, NADIR S Pieralli, Plus Coordination commettee: MG Marini, (F.ISTUD) Milano L Reale, (F.ISTUD) Milano Advisory board
11 Phase 2: advisory meeting Advisory Meeting (14-15 Marzo) a Baveno, ISTUD Foundation Sharing the results of the Assessment Sharing the methodology of consensus building Mapping the journey of HIV patient (based on what actually happens) through flow chart. Analysis of the activities Identification of crtitical issues and additional proposals Reflection about the "ideal type" of journey but linked with the feasibility concept Preparation of a first draft of patient journey
12 Phase 3: sharing with patient s Community In NADIR annual seminar the draft of HIV Patient's Journey was presented. Goal was to collect comments and feedback from patient's experience on the various phases of the journey. ISTUD Foundation thereafter prepared a new proposal updated of HIV Patient's Journey including deeper the focus on «the living with» the condition
13 Phase 4: sharing with scientific community Italian Conference on AIDS and Retrovirus - ICAR, pre-course HIV patient s journey Presenting an updated proposal of prototype of HIV Patient's Journey in order to submit the instrument to the scientific community. Goal is to collect comments and feedback from the physician experience on the various phases of the journey, ISTUD Foundation will prepare a new proposal updated Patient's Journey including a deepening coming from the «physician s eye».
14 Phase 5: final advisory meeting Final Advisory meeting 29 May in Milan, ISTUD Foundation Objective: performing the final version of the HIV Patient's journey, bringing the final corrections and validate the document in preparation for the implementation on the national territory Patient s journey is not a rigid document but will require continuous revisitation to make it consistent with innovation of pathways of care
15 Flowchart - Symbology HIV patient s journey has been realized through the development of FLOW - CHART. Start / end of the flow Actions/activities Emotions decision-making that generates two possible paths Production / storage of a document Directions of the flow
16 HIV patient s journey: summary The inclusion in the structure of care Flow chart 1 The hospitalization Flow chart 4 The first visit Flow chart 2 The second visit Flow chart 3 Follow Up without treatment Flow chart 5 Follow Up with treatment Flow chart 6
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|Message view
|« Date » · « Thread »
|« Date » · « Thread »
|Kevan Miller <kevan.mil...@gmail.com>
|Re: removal of spring dependencies from cxf module
|Mon, 27 Aug 2007 20:01:55 GMT
On Aug 27, 2007, at 2:16 PM, David Jencks wrote: > > On Aug 27, 2007, at 9:06 AM, Jeff Genender wrote: > >> >> >> Kevan Miller wrote: >>> <snip> > > Cool down a minute and think about this. What happens in tomcat if > you want to use cxf + an incompatible version of spring in your > app? You bundle cxf + springA + springB into your web-app and then > what happens? > > IMO we are talking about trying to get geronimo to generically > solve a problem that tomcat forces its users to deal with on an per- > app basis. > > It's by no means obvious to me that treating this as a problem with > the coding of our classloaders is appropriate. Here are some > possibilities I can think of off the top of my head: > > 1. cxf generates some code for each web service client/service > that directly use spring classes. In this case there is AFAIK no > way for an app to use a different spring version since these > generated classes are going to be loaded in the application > classloader and they need access to cxf's copy of spring classes. > If this is what is going on I hope it's possible for cxf to stop > doing this. > > 2. If putting spring in the apps hidden-classes works and allows > the app to use a different spring version, then evidently (1) isn't > a problem. In this case if we automatically add spring to hidden- > classes of every app we would be preventing all apps from using our > copy of spring which seems undesirable to me. hidden-classes > currently means "don't import these classes from parents". We > could look into also having a "don't export these classes to > children" filter in our classloader. Mostly correct, I think. IIRC, this worked except for one measly WS- Policy test case in testsuite. This test failed with Spring hidden- classes. I then attempted to get a unique instance of Spring running in the application classloader and the test still failed. It would only work if Spring was loaded from the parent ClassLoader. Given what I've learned from Dan, I'm starting to think that this was likely a configuration problem. If we were not able to read a server- wide CXF configuration (because it was hidden), then the client application might not have had the expected configuration -- thus the test failure. This is pure speculation, at the moment... > > 3. With just the "don't export" filter proposed in (2), people > adding the spring jars to their dependency list would be getting > spring loaded in a different classloader for their app and for > cxf. This might not be desirable. We could make a spring > configuration to provide a single classloader to load spring in > that cxf and apps could depend on. Hmm. Maybe. Definitely worth investigating. --kevan
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THEMIS IIRT PRE-SHIP TELECON PFR232 AXB Contamination Jeremy McCauley University of California - Berkeley. PFR232: AXB Contamination. PFR232: AXB Contamination Droplets visibly seen on the AXBs when removed Swabs analyzed AXBs: F1,F3-F5 - Glycol Ether; F2 - Clean (HST513)
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Classification Made Simple : An Introduction to Knowledge Organisation and Information Retrieval Paperback
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Welcome to the Acupuncture and Healing Arts Center, located in historic, downtown Leesburg, Virginia. It is our goal to provide the best alternative and complementary holistic medicine in Northern Virginia.
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Author has written 4 stories for Pride and Prejudice, and Hunger Games.
Hey guys! I'm updating my page cause my last one was COMPLETELY inaccurate because so much has changed over the years:)
So here's a bit about myself:
Pets: A fish named Little Blue (he was named after my cat Little Black who died) and a cat named Roxy
Favorite Movies: This Means War, (it was actually REALLY good), Inception--I love the DUMMMMMMMMS, Nemo, Toy Story, Titanic, The Notebook, Iron Man, and Thor.
Movies I'm Psyched About: Avengers, Hunger Games (going to see the Midnight premiere!!!)
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Things I HATE in reviews: mean comments, or rude, and cussing makes me sad, so don't cuss.
Favorite color: PINK
Favorite Shows: Dance Moms (I know it's sad), Pretty Little Liars, Glee, Biggest Loser, X Factor, and Simpsons.
One thing I couldn't live without: my family
Favorite Animals: If I listed them it would be too long.
Okay so guys, here is some pointless info about me, but yeah here you go.
Now that you have seen my boring profile, come and look at my stories, which should be listed somewhere on this page.
I have 3: Love's Inadequacies (but idk if I'm gonna continue that, sorry.) Moment in time, and Never Lose You.
Thanks so much for checking out my page, and I hope it was somewhat interesting. Until next update! :)


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The Liar's Handbook(2017)
A novel by Keren David
River's life is blown apart when his mum invites her new boyfriend into their home and their lives. River is instantly suspicious of Jason - he seems fake, too good to be true. At school, River's routine fibs are escalating into something more serious, and his teacher gives him a notebook in the hope he can channel his fantasies into creative writing instead. And so, River begins The Liar's Handbook, and an investigation into Jason. But what he uncovers is a terrible deception involving his biological father, the police force and his mum's environmental campaign group...but will anyone take his findings seriously? Particularly suitable for struggling, reluctant and dyslexic readers aged 12+
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Philip Reeve
The Hate U Give
Angie Thomas
The Goldfish Boy
Lisa Thompson
How Not to Disappear
Clare Furniss
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Paperback Editions
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|Title: The Liar's Handbook
Author(s): Keren David
ISBN: 1-78112-680-1 / 978-1-78112-680-6 (UK edition)
Publisher: Barrington Stoke
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Discussion in 'Fan Zone' started by WoodysGirl, Jun 29, 2014.
Deion was my favorite player growing up. But now, I can't stand listening to him talk on NFLN.
1.) Sanders wasnt the fastest guy who played football. Bo Jackson was. He ran a 4.12 at the combine.
2.) Those times were not elecrtonicaly timed. So forget about them...
source: http://www.statisticbrain.com/fastest-40-yard-dash-times-in-nfl-history/
3.) ... as you can forget about most of those 40 yds times. You cant compare them to world class sprinters. Those times are not legit 40 times when it comes to time measurement standards. Its just a good PR thing for the NFL marketing campain so the NFL makes sure everybody thinks those times are the real stuff.
I feel the same most of the time.
I guess I'm in the minority but I still love Deion.
I don't care about his opinions any more than I do any other media member, and when I hear his name I still think of him as a football player (a Cowboy, specifically) and not a TV analyst. He was incredible to watch and helped us win a Super Bowl. That's good enough for me.
I tend to agree, I still like Deion, for the fact he helped contribute to a SB win as a Cowboy.
Don't care for his opinions at times, but then again there are many others I don't like their crap either at times. But Deion can come up with some good stuff too. I bash him now and then, but still like him to a point. I think we as fans take it personal when an ex player is critical of our team, even though sometimes they may be right. A lot they are not trying to be a homer.
As for being the fastest, well, another fast DB was Darrell Green.
Yet Michael Irvin who was not considered fast, beat both of them on a regular basis, so their being fast didn't matter with Irvin.
Sanders is an opportunist. He has seen Dez get his life together and sees Dez becoming one of the best, if not the best, receivers in the NFL, he wants to get on that train before its too late.
Yes, he knows he screwed up by distancing himself with Dez. Maybe he's now trying to get back in. But Dez signed some agreement and is affiliated with Michael Jordan. Can't remember exactly what it was for.
But Dez said he will show Jordan made the right choice, and he won't let him down.
Also maybe Dez & Deion just decided it's better to let the past go, as this is better for the kids.
No, the problem was UA shoes wouldn't stay on and were uncomfortable even after break in. Plank also treated him like a $ sign.
When you mature, hopefully you get better and learn to deal with multiple types of people/personalities... as well as learn from your own mistakes.
Dez is maturing..
I'll give you perhaps the fastest football player ever. But fastest human being?
Deion ran a 10.21 100m while at Florida State...
Usain Bolt ran a 9.58...and was running sub-10 seconds during the same age that Deion was in college.
No comparison whatsoever if you know Track and Field.
Alexander Wright was faster than Deion.... the debate is, was he a football player.
Wright was football player, it is the old adage, you can't teach speed. The bad thing is he had horrible hands, think Heyward-Bey times ten. A 4.09 40 is impressive.
He had horrible everything....
I have never had issues with Deion. Granted something's he has said I don't agree with but then who agrees with everything anyone says? As a player he was boa****l but then so was Irvin. In the end they went out put in the word and took the abilities that had to become HOF players.
That's not a different puzzle. That's different pieces to the same puzzle. Just sayin...
He didn't seriously train to run 100m. The start is also a big part of running the 100m.
Also, I don't know if 100m is the perfect measurement. I'm certain that speed in mph tops out before 100m.
The true test would be mph. That takes out the starting blocks and lets the runner peak at whatever distance is best for them.
Football is about burst in small areas, I think there are many athletes that would stay with Usain in a short distance only to be out classed towards the end.
Darrell Green was a pretty fast football player, every bit as fast as any other football player in his era. Th thing with Deion was that the legend has it he ran a 4.2 at the combine and went home. He refused to ever be timed again.
I've always liked Deion. Thats probably aided by the fact that I ignore analysts and commentators.


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Spanish City Offers Lifetime Public Transit Passes in Exchange for Cars
The city of Murcia, Spain may really be on to something here. Officials want to cut down on smog and traffic congestion and they want get there by promoting public transportation. You may ask yourself "But what's so darn-tooting special about that?" The twist on this initiative is that citizens who give up their cars will get a lifetime pass to the city's new tram system.
The city is going above and beyond to reach their goal of cutting emissions and traffic. Here's how it works: Once citizens of Murcia turn in their car (old or new) that's been fully paid for, they can register for a lifelong tram ticket.
But Murcia isn't stopping there. Once a car is exchanged for a pass, that car will be put on display around the city. Showcasing some pretty interesting creativity, the car will be placed in a certain spot, and then slowly disassembled to make them "disappear" (think of it as a car strip tease). The public can get in on the fun – all they have to do is post a comment on the project's Facebook or Twitter accounts, and a piece of each car is removed and broadcast on webcam.
Another way the city is using these exchanged cars in a creative way is by using them as art installations. As homage to the lack of parking spaces in Murcia, these cars are placed around town in difficult parking areas, occasionally parked on top of each other.
What do you think of Murcia's idea to cut down on traffic and pollution? Would you trade in your car for a lifetime public transportation pass?
[Source: Inhabitat]


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Cynthia Moniz was recently elected secretary of the National Association of Social Workers (NASW). She will serve as a member of the national board of directors and executive committee. She was also appointed by the organization's president to serve as chair of the national committee on women's issues.
Moniz is the Social Work department chair at PSU and a former president of the New Hampshire chapter of NASW. In 2002 she was voted social worker of the year.
Moniz's current research focuses on inequality and health. Her textbook, Health and Health Care Policy: a Social Work Perspective (2003), written with Stephen Gorin, was published by Allyn & Bacon.


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Let us know when your receive great advice so we can thank our lawyers and point others with similar questions in the right direction.Got it!
welfare application asked about bank information, but didn't ask specifically about foreign bank account.
First, I will try to tag this State law for a more state specific response.
Second, yes, failing to list all bank accounts is fraud.
Third, if this really happened, do not post anything else here. This website is not privileged and is open to the public, and SSA, the State, the police - all have people who spend time looking at sites like this to find evidence to use against people.
The exact answers to questions like this require more information than presented. The answer(s) provided should be considered general information. The information provided by this is general advice, and is not legal advice. Viewing this information is not intended to create, and does not constitute, an attorney-client relationship. It is intended to educate the reader and a more definite answer should be based on a consultation with a lawyer. You should not take any action that might affect your claim without first seeking the professional opinion of an attorney. You should consult an attorney who can can ask all the appropriate questions and give legal advice based on the exact facts of your situation. The general information provided here does not create an attorney-client relationship.Ask a similar question
If you believe that some action is soon to happen, you should discuss this matter with a criminal defense attorney as soon as possible. If you are contacted by an investigator for the Department of Public Welfare, you should not give a statement without the benefit of discussing your case with an attorney.
I also agree with the answers provided. When completing an application for welfare benefits, I believe that a reasonable person would understand that the Department is taking into consideration all of your assets.
Andrew W. Norfleet, Esquire Helping disabled individuals throughout Pennsylvania. firstname.lastname@example.com www.norlaflaw.com DISCLAIMER: This post is intended as general information applicable only to the state of Pennsylvania and is personal in nature, not professional in nature. The information given is based strictly upon the facts provided. This post is not intended to create an attorney client relationship, or to provide any specific guarantee of confidentialityAsk a similar question
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Enlisted star Angelique Cabral stopped by our LA studio to give us the lowdown on her perpetually nude and troublemaking costars. So are Geoff Stults, Chris Lowell, and Parker Young anything like their characters? All your questions are answered in this juicy video — watch it now!
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Robotics is always an inspiring field for sure. But how these giant machines can work even in shape of robots you can imagine from this video. An existing video that will make you bhoooo.
Menor canteiro de obras do mundo! :D
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The robots like rollers, dozers, dumpers all in one place.
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ISPCA helps five puppies discovered dumped in a box in a ditch
The ISPCA in Mallow is taking care of five puppies that were discovered dumped in a box in a ditch.
The ISPCA's Equine Rescue Centre is treating the pups, thought to be 7-weeks-old, as they are infested with parasites and very dull and lethargic.
The ISPCA has described the actions of those that would abandon young defenceless puppies when they are so ill as disgraceful.
It is disgraceful that someone would abandon such young little defenceless puppies when they are so ill," ISPCA Inspector Lisa O'Donovan said.
"Once again here we see what happens when the breeding of dogs is allowed by irresponsible, careless owners.
"To imagine someone cast them aside to die in a ditch is inhumane. We are hopeful that they will make a full recovery and will be available for adoption in the New Year."


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This build has been archived as of 22:23, 7 August 2008 (EDT), for the following reason:
This build had been designed for the following use:
This build was in the category Good before being archived.
Extremely offensive build, uses Warrior's Endurance to fuel fast activation attack skill spamming to simulate a very high IAS.
Attributes and SkillsEdit
<pvxbig> [build prof=warri/dervi hammer=12+1+1 streng=12+1 scythe=3][warriors endurance][hammer bash][crushing blow][eremite's attack@3][mystic sweep@3][protector's strike][rending touch][resurrection signet][/build] </pvxbig>
Equipment Edit
- Sundering, Ebon, and Zealous Hammers of Fortitude.
- Furious Spear of Fortitude and Shield of Fortitude for adren gaining and armor/health boost.
- Survivor's armor.
- 1 stonefist insignia.
Usage Edit
- Hammer bash->Crushing blow for deep wound, and spam hammer bash a lot.
- Use fast activation attacks a lot.
- Keep up warrior's endurance to maintain energy.
- Co-ordinate with your snarers, since you dont have a speed boost.
Counters Edit
- Standard melee.
- Wild blow.
Variants Edit
Switch out Rending Touch for:
- Bulls Strike.
- Wild Blow.
- Pious Restoration.
- Power Attack.
Notes Edit
- Use snares such as Icy Shackles or Crippling Anthem on an ally or this builds DPS gets ruined.
- Strength of Honor significantly increases DPS.


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|By Henryjh98
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Patient Silence
Devion's eyes widened as the man's torso collapsed back onto the sand, his eyelids sliding shut. He shot a confused, terrified glance up at Kialuk, who was standing over the man, his jaw hanging open.
"We-we need to get some help," he spat out, shaking his head once.
Nodding rapidly, Devion racked his minds for the nearest house or farm that could help this man, or else he would soon die. And from what the stranger just said, they couldn't afford to have him die.
Suddenly, a location popped into his head. "The Air Nomads!" he exclaimed.
"Yes," muttered Kialuk. "They have their camp just a little bit into the forest above here. Let's hurry!"
Devion slid over to the man's feet and grabbed them while Kialuk picked him up by the arms. They started up the path, moving slowly and cautiously to prevent them from slipping and harming themselves and this injured stranger. Devion felt a little uneasy about approaching the Air Nomads. The local attitude towards them was not positive. Most of the islanders looked upon them with annoyance seeing as how the Air Nomads treated them like they were primeval tribesmen incapable of coping with the rest of the world.
They were partly right, but mostly wrong. The Island Tribe, as well as the other two tribes, had turned down the modern cultures that were practiced in the other nations, including the steam punk ways of the Fire Nation. But the Water Tribes were intent on keeping the planet beautiful and clean, much unlike the burning, polluted Fire Nation. However, the Air Nomad "missionaries" wanted to make the Island Tribe more modern and contemporary, something the citizens strongly rebuked.
His doubts about receiving help from the Air Nomads faded away when he thought more about the ways of the monks and however much they disapproved of the tribal ways of the Island Tribes, they wouldn't turn down an injured man in need of help. The Air Nomads were healers, helpers, and religious folk, not protestors and militant-like people.
It took them nearly five minutes to carry the man up the cliff and when they reached the top, they gently set him down and hunched over, huffing and puffing as they rubbed out their sore muscles. The man was fairly tall, but certainly a heavy man. His apparently strong muscles added much weight to him, making it much more difficult to carry him up a cliff.
"Let's go," said Kialuk urgently. "We have to get him to help."
Grabbing the man's limbs, Devion and Kialuk heaved him back up and began to navigate through the forest as quickly as they could with a man swinging like a hammock in between them.
The jungle was dark and crowded, another obstacle that prevented them from getting to the Air Nomads quickly. They had to move slowly in order to weave through the trees without hitting them or tripping over roots.
Devion turned his head around and could see the faint glow of candlelight coming through the trees. "Come on," he said to Kialuk. "We're almost there."
After well over five minutes of walking through the thick jungle, Devion and Kialuk stumbled into the clearing occupied by a small wooden hut and five or six canvas tents. Almost a dozen men and women dressed in the orange and yellow robes of the Air Nomads were sitting around a ring of candles, their legs folded and their arms resting on their legs.
"Help!" cried Devion, setting down the man. "We need your help!"
The eldest man, who looked to be about fifty, opened his eyes and glared at Devion and Kialuk. "Can't you see we are meditating here?" he spat impatiently.
"This man needs your help!" Kialuk said loudly. "Look, we're sorry for disturbing your quite time, but we have an injured, half-drowned man that we just carried up from the beach! Please help us!"
One of the women looked at the old man. "Come on, Yuchan. This man needs our help." The woman stood up, quickly followed by two men and another woman. They all flocked towards where Devion and Kialuk stood, their hearts racing and sweat dripping down their bodies. One of the men looked at the tw of them while everyone else crouched down and started to look at the man.
"Who is this?" he asked calmly.
Kialuk shrugged. "He was floating in the waves on the little beach just below the cliff that way," he told them, pointing in the direction they just came from. The Air Nomad nodded and joined his companions in inspecting the man's body. Devion hopped from one foot to the other, anxious and silently pleading for the nomads to hurry up and start healing him.
Yuchan stood up from his spot around the candles and strode over to where the man was lying on the ground, his chest barely moving up and down as he breathed quietly.
Whipping his head around, he pointed at two younger-looking Nomads. "You, go get the medical supplies," he ordered. Then he turned his gaze towards a boy who looked to be about fifteen. "Kayun, go and make the bed beside the kitchen in the hut. Hurry now!"
The boy nodded and then darted into the wooden building, slamming the door shut behind him while all the other nomads stood and looked at each other, talking quietly. Yuchan faced Devion and Kialuk and pointed at the two of them. "You, stay here," he told Kialuk. "You, go and get Moi!" He stared at Devion, his light gray eyes alert and slightly unnerved.
"W-who?" stuttered Devion, barely processing the man's words.
"Chief Moi!" exclaimed Yuchan angrily. "Hurry!"
"Right!" replied Devion loudly, turning around and shooting out of the clearing.
Branches and leaves whipped at his face as he sprinted through the jungle, hopping over rocks and tree roots until he found the path leading back to Kiolu. He skidded and turned his momentum, darting down the dirt road as dust clouds flew up behind his feet. Running as fast as he could, Devion felt as if he were racing at the speed of an airbender. The wind buffeted his face and swirled around him as he made his way toward Kiolu.
Less than three minutes later, Devion stormed onto the beach only to find the party still in full swing. Even the little children were up and about and it was well after midnight. Apprehensively, Devion slid through the crowd, pushing and shoving past people without even saying anything to them. His mother was talking with a few other women from the town and she smiled and waved at him.
"Hey, Devion. What are you doing back so early?"
"I can't talk now, Mom," he responded tersely, pushing past a few twelve year olds and moving towards where he spotted Chief Moi drinking out of a wooden cup, talking animatedly with the captain of the Kiolu warriors and a rich merchant from one of the outer islands.
Devion strode into the middle of their conversation without even announcing his presence. The captain threw him an angry glance and the merchant looked rather repulsed, but he paid no attention to them. Instead, he just made direct eye contact with Chief Moi.
"Excuse me, Chief," he said quickly. "We need you up at the Air Nomad camp." The chief's handsome, broad face had a confused expression on it. "Why?" he asked, bewildered.
"Someone washed up on the small southern beach," Devion explained. "He said something about the Fire Nation, and Kialuk and I took him to the Air Nomads, since they were closest."
"Who is this man?" asked Chief Moi, looking at the captain and the merchant.
Devion shrugged. "We don't know, sir," he told the chief. "But he's seriously injured and Yuchan requested you."
Nervousness flashing in his eyes, Chief Moi nodded. "Show me the way," he ordered his voice authoritative and strong.
Nodding, Devion turned around and pushed his way back through the crowd, Chief Moi right on his heels. Once they got through the party-goers, Devion turned his head back and said, "From here we'll run."
He took off up the narrow dirt path without waiting for Chief Moi to even answer. The chieftain said nothing; he just ran a little bit behind Devion as they raced up the path towards the Air Nomad camp.
They ran at a slower pace than Devion's sprint down the cliff, instead running at a fast jog, but not quite a full out dash. Five minutes after leaving the beach, they ran out of the shadows and into the warmly lit clearing. Devion stopped right at the edge of the trees and placed his hands on his hips, breathing heavily, but Chief Moi just changed his run to a walk and strode up to wear Yuchan stood.
"May I see him?" he asked.
Devion looked around the clearing and noticed that the man and most of the Air Nomads were either in the hut or their tents. A woman was standing beside Yuchan, and Kayun, the young nomad, was lurking in the shadows of the hut. Kialuk moved over beside Devion, but said nothing.
Yuchan shook his head. "We do not want you to interfere with his healing. We shall inform you when he is awake." The eldest monk turned towards Devion and Kialuk and dipped his head. "You two may leave. Anything here now is between Chief Moi and my nomads."
Kialuk nodded once and started to turn back towards the forest, but Devion grabbed his arm and stopped him. "No," he said defiantly. "I want to hear what this man has to say when he wakes up."
The nomad looked annoyed and shook his head. "This is none of your business."
"It's only fair that we get to listen to him," continued Devion, ignoring Yuchan.
"After all, we were the ones who found him on the beach." He cast a glance at Kialuk for some help, but the scrawny teen just rolled his eyes.
Again, Yuchan started to shake his head, but then Chief Moi sighed loudly and nodded. "He's right, Yuchan," he muttered. "They were the ones who found this man. Devion came and informed me of him being healed here. The two of them have been through a lot and deserve to hear what he tells us."
Devion nodded his head in thanks towards the chief and then looked back at Yuchan. The monk crossed his arms. "Fine. But you will stay out here by the candles until we tell you he is awake."
All three of them nodded and then sat down in a triangle by the warm candles. Devion extended his legs and stared at the entrance to the hut, while Kialuk sat with his knees against his chest. Chief Moi sat down cross-legged and placed his hands on his knees.
Devion wanted to talk, and he could tell Chief Moi and Kialuk also wanted to speak a little, but none of them could figure out where to start. They were all lost in their thoughts, wondering who the man was and waiting for Yuchan to emerge from the hut.
Although he was trying to distract himself from the fact that Kialuk would be moving to the Northern Water Tribe, Devion's thoughts about the man kept feeding into a stream of thoughts directed towards Kialuk's departure. But whenever his thoughts got off track from the stranger, Devion would force himself to keep thinking of possibilities for why the man washed up on the shore.
The biggest and most probably solution was that the man was on a boat and was attacking by someone or something and the boat was destroyed, causing him to have to drift in the ocean to survive. But who or what attacked his boat, and why? Devion dwelled on these questions, staring into the dancing flames on the candles, trying to keep his eyelids from drooping.
Then, after what seemed like hours, Yuchan stepped out of the wooden structure and stood on the covered porch, quiet noises coming from inside the building. "Your stranger is awake," he said quietly, beckoning for the three of them to come inside.
Word Count
2,036 in Patient Silence
|v - e - dFlames on the Horizon Chapters
|Book 1 - Embers
|Prologue ~ The Summer Solstice ~ The Stranger ~ Patient Silence ~ A Fleet of Fire ~ Departure ~ Boiling Threats ~ Kanakae
|Book 2 - Flames
|Book 3 - Inferno
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