Saturday, November 6, 2010

Lesson One


I have found myself thinking about the next Skulduggery book a LOT lately, thinking about which of the story strands are going to intertwine and pay off, and which of the strands are going to continue into the next three books. Last week I wrote a five page scene where Valkyrie, consumed by rage, breaks into a police station and beats the hell out of a prisoner. Obviously, I’m not going to tell you what DRIVES her to do something this extreme, but the fact is I wrote it, and that can only mean one thing:

I am now writing Skulduggery Pleasant Book Six.

I don’t really have much choice in these matters. I just seem to start without realising it, and eventually I stop and look around and go “Oooooh, I’m writing a book, so THAT’S what I’ve been doing for the past few days...”

It’s not like the timing is convenient for me, either. I have a couple of short stories to write for various things, I have to rewrite a horror-comedy script I wrote last year, and it looks like I’ll be working on at least one brand new script over the next few months (none of this Skulduggery related). And now, aside from all that, I’m apparently writing the next book, too.

I’m going to do my best to document the stages of writing as I reach them, in order to explain how I write. I know there is a bizarrely large proportion of you, my Minions, who are also writers, and I keep getting asked to give out tips, so hopefully, in the writing of this book, I’ll be able to respond to those requests.

This doesn’t mean, by the way, that this accursed Blog is going to turn into a writing class. The fact is, most of my time will be spent sitting at this desk, tapping at this keyboard, writing words just like these, and that’s not exactly going to be exciting reading. So the Blog will continue as normal, but a certain section will be taken up trying to explain what I do, and how I do it. And along the way, I might even leak some little tidbits about what what you can expect to happen to poor old Skulduggery and Val...

So, what is the first thing I do when I start a book?

A lot of this work has been done years ago, when I planned out the series. I knew that certain things have to happen in certain books, and I wrote it all down and I keep going back to it, taking bits out or adding bits in. It changes as I go, of course it does, but fundamentally it remains the same.

So, for Book Six, I have certain things that have to happen. Let us take, as an example, the first segment of my plan for Playing With Fire, which I think all of you have read. Very simply, I would have opened up a Word document and written:


Val more powerful.

Guild new Grand Mage. Doesn’t like Skul or Val.

Vengeous escapes. Meets Dusk.

Plans for Val’s family reunion.

China tells Skul/Val about the Grotesquery.

Val meets Echo-Gordon- tells her about the Torment.

Vengeous searching for Vile’s armour.


And that’s how I go on, literally keeping it that simple. Very short sentences that I just need to glance over. I don’t show this to anyone, by the way. I don’t show it to my agent or my editor- not even to Laura- because this is the roughest of rough outlines. Each one of those lines can be changed around. Maybe we know about the Grotesquery from the very start of the book. How will that affect everything else? There’ll certainly be more momentum, because once our heroes know what the threat is, it’ll be full steam ahead. But maybe I don’t want that. Maybe I want a few fun, bizarre chapters to start off with, and then BOOM- they’re told what’s at stake once all the subplots (the family reunion, China’s revelation that she used to worship the Faceless Ones) are established, and THEN they take off.

Occasionally I’ll already have some chapters written- like the Valkyrie breaking into the police station scene- so I don’t mind flitting from the start of the book to the middle to the end, and back again. I’ll link it all up later. Right now, I just want to start the book having fun.

The outline will grow as I go. The deeper I get into it, the more notes I’ll be making, and so eventually my nice and simple approach won’t work anymore. For every point, there’ll be a few lines, explaining why and what and how. But for now, at this early stage, I can get away with broad outlines, because not everything has been decided yet.

This is really useful for building enthusiasm for the book you’re about to write. You’ve put down enough notes to form a bare story, and you can suddenly see how these elements can be chopped and changed to make something better. 

My advice is, don’t spend a lot of time on this. Keep it short. Keep it simple. Don’t waste all your enthusiasm and all your excitement on this part- keep all that for the actual writing. Which is what I’m going to do right... 

now.

1,279 comments:

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Nicole Fudge (Nicolette Croga) said...

trust me ben you don't want to dream of the future ....

sure knowing some things before they happen are good but your always getting headaches de ju ve and I wake up just as tired as I was before ...

trufully would you like to dream of someones death before it happens?

Dragona Pine said...

Hello Sarthacus...

bencotter said...

i like the sound of assasin mode....

Nicole Fudge (Nicolette Croga) said...

*rolls eyes takes out plastic gun and knocks self unconcious with it*

Dragona Pine said...

Yeh... the chances of getting these things on one blog:

Me and Nicolette are phycic...
Me and Flo have photographic memories.

The chances of getting two people with both them things on this blog are just too small...

Nicole Fudge (Nicolette Croga) said...

Bonjour Sarthacus .....
Hallo Sarthacus
Jumbo Sarthacus
Hola Sarthacus

urrrrm I got nothing

bencotter said...

by the way nicolette . . . sorta.... have you ever known someone is going to die in a vision... but by the way people...i see things in real life that im SURE i've seen before...

Nicole Fudge (Nicolette Croga) said...

Chances of getting 3 people with same birthaday are axtremly slim but hey theres still:

.Me
.Sarthacus
.Hellboy

Dragona Pine said...

Ben... you wouldn't... assassin mode was something to do with poison and she was trying to kill everyone... she didn't kill be because I'm awsome but I used my yorkshire pudding to make all the poison go and then she nearly died and then did die when I was carrying her to hospital and something happened wiht my yorkshire pudding and then she came alive again and my yorkshire pudding got a power boost... that's what happened... in a few woreds...

bencotter said...

like this idiana jones game...

Star Lord said...

7 days to the wolves!!

Nicole Fudge (Nicolette Croga) said...

Yes I saw my uncle die in my dreams before he died thats when I realizeed I could actually dream of the future

Dragona Pine said...

I only have visions in my dreams up to a year ahead... and I have never seen someone die...

bencotter said...

assasin ode is FUN

Dragona Pine said...

No it isn't ben...

bencotter said...

*takes out kifes and throws them...bounces of wall and stabs me...dies*

Nicole Fudge (Nicolette Croga) said...

I remember assasin mode ... hmmm I think I died .... oh wait yeah I did and god put me in the loony bin of hell and Dragona came and teleported me back just as me and the devil were becoming freinds

bencotter said...

REVIVE ME PLZ!!!!!

Dragona Pine said...

The way I found out I was phycic was when I was at school... it was snowy and we were having a snowball fight... in my mind I saw a yr 11 throwing a snowball at me, it would hit me square in the face and I would get a bust lip and a black eye... I spun around and the snowball hit the window where my head had been a second before :D

bencotter said...

*walks towards weird light while dead*

Dragona Pine said...

*revives ben*


I didn't die... Flo came to kill me but got a call and switched targets to Nicolette...

bencotter said...

*walks through light and see's two gates. one labled heaven,the other hell. walks into helland get's taken by demons*

Nicole Fudge (Nicolette Croga) said...

*fills sea with laptops and wires and extension cords then kicks ben off cliff into water*

*hes revived and I turn of the electric*

bencotter said...

*does not come alive*

Nicole Fudge (Nicolette Croga) said...

*watches sparks come off off water as ben swims out*

Dragona Pine said...

*teleports to my own dream world and takes the power I have in my dreams which aren't about the future and takes them to hell*


*demons start attacking but implode*


*rescues ben*


You have so much to live for ben...

*laughs*

bencotter said...

*looks at demons eating my legs. kicks demon and curses at itthen walks of.*

Nicole Fudge (Nicolette Croga) said...

fine then ben we do this the hard way ...

*fishhooks him out of the sea and stabs him over and over and over*


>:] if you wont come back I'll just keep stabbing you

Dragona Pine said...

*uses magic yorkshire pudding to make bens legs come back*

bencotter said...

*dragona appears and teleports me to sea. fall in and nicolette kills me again*

Star Lord said...

7 days to the poison!


And a place in Heaven!!

Dragona Pine said...

I am Kallista... why?

Nicole Fudge (Nicolette Croga) said...

*grabs a machette* >;]

bencotter said...

*climb out and nicolette stabs me over and over.*

Dragona Pine said...

Nicolette... don't kill ben... you don't know him...

Nicole Fudge (Nicolette Croga) said...

My mum forgot she grounded me so when I accidently reminded me she let me off with the 3 days :] ...

bencotter said...

*see's hell again then the devil comes and kills me/aggain*

Dragona Pine said...

Am I?


*looks at watch*

Oh yeh... I think I have a bit longer on tonight...

Nicole Fudge (Nicolette Croga) said...

*looks at machette then bloddy ben* pleeeease just one blow ....


to the head

Dragona Pine said...

Nicolette is stabbing Ben...

Dragona Pine said...

*grabs the machete before Nicolette can strike ben*

Nicole Fudge (Nicolette Croga) said...

>;] heheheheh stabbings fun *stabs bens eyes and bellybutton*

bencotter said...

*see's life and takes it*

Dragona Pine said...

*pulls the machete from Nicolette and melts it*

bencotter said...

*comes alive and fights nicolette then die's for no reason*

Dragona Pine said...

No violence Nicolette... I know you want to stab him and all but you have got to stop it...

Nicole Fudge (Nicolette Croga) said...

*dances round bens body to barbra streisand throwing two kinves at ben at every barbra streisand part*

bencotter said...

The devil is right by me then he puches me and i die then comealive*

Dragona Pine said...

Why fight with Nicolette ben? You don't hardly know each other...

Nicole Fudge (Nicolette Croga) said...

Kallista! :D

Dragona Pine said...

STOP FIGHTING!


*Nicolette and ben float in air bubbles that they can't break*


I SAID NO VIOLENCE!

bencotter said...

*comes alive and takes knife from nicolette and stabs nicolette*

Star Lord said...

Nicolette,


http://www.youtube.com/watch?v=YVYEVYnuuME&feature=related

Dragona Pine said...

*he stabs the air bubble that can't be broken*

bencotter said...

OK ok dragona...

Nicole Fudge (Nicolette Croga) said...

*ben comes alive* Nope to late to want to be revived now *stabs ben threw head*

Dragona Pine said...

*Nicolette stabs the air bubble which can't be broken*

Dragona Pine said...

I swear Nicolette... one more thing and your going to implode...

bencotter said...

Bubble breaks! *bubble breaks and ben tries to make peace with nicolette*

Nicole Fudge (Nicolette Croga) said...

Sarthacus that songs only been on for 20 seconds but I love it already ...

*stabs air bubble continuously*

bencotter said...

...

Nicole Fudge (Nicolette Croga) said...

hmmm *ben make pecae sign and I cut off the two fingers he used to do it*

wooops :]

Dragona Pine said...

Nicolette NO VIOLENCE!


Please... no violence... you know what happened last time when me and Flo had that huge war before we were friends...

Dragona Pine said...

*cuts two of Nicolette's fingers off in return*


NO VIOLENCE!

bencotter said...

*kisses nicolette on cheek to make peace then realise wrong and turn back time and puch her in face*

Nicole Fudge (Nicolette Croga) said...

ok I am loving this song!

bencotter said...

dragonnna... PLEASE HELP ME!!!!!

Dragona Pine said...

*looks to ben when he kisses Nicolette*



Ben... if you want to have a boxing match I'll happily do one with you... but NO VIOLENCE!

Nicole Fudge (Nicolette Croga) said...

*fingers get cut off and she gets kiss on the cheek*

What th- *punched in face* ow

bencotter said...

decides to die and dies

Dragona Pine said...

*brings back ben*


JUST please... no violence...

Nicole Fudge (Nicolette Croga) said...

*looks where fingers should be* thats it ...

*throws dagger into dragonas arm and uses the air to slice down his arm*

Dragona Pine said...

I know it's weird Kallista... I just want them to stop fighting!

bencotter said...

*comes alive and stops violence*

Star Lord said...

7 DAYS TO THE WOLVES!!!!

Dragona Pine said...

*uses magic yorkshire pudding to stop the dagger and melt it*

Dragona Pine said...

Because you tease Kallista... Flo stops you... and I couldn't do it, I would knock someone out...

bencotter said...

soz dragona for your arm... *punches nicolette in face then kisses on cheek again then kicks in groain*

Nicole Fudge (Nicolette Croga) said...

*puts yorkshire pudding in oven and it burns to ash*

NOOOOO THE SONG ENDED *hits replay* ....

Dragona Pine said...

BEN!

Kissing is alright... violence is not!


*makes bens arms and legs implode*

bencotter said...

WORSE PUNISHMENT!!!! *laughes and dies*

Star Lord said...

Hey, Kallista.

bencotter said...

EW not dragona nicolette as a punioshment

Dragona Pine said...

*a yellow light comes from the oven and lands in my hand, materialising into a yorkshire pudding*

Star Lord said...

brb...

bencotter said...

*comes alive and dies*

Nicole Fudge (Nicolette Croga) said...

*gets punched and spins* *then gets kissed again the kicked and falls over*

what is going on!?!?

Dragona Pine said...

*arches eyebrow at ben as he says 'punishment'*

bencotter said...

*alive die,alive die*

Star Lord said...

7 days to the poison and a place in Heaven!

Dragona Pine said...

Please people... no violence...

bencotter said...

well me and nicolette are on a blood fuge it's a punishment at the moment,...

Nicole Fudge (Nicolette Croga) said...

*pours acid on face to get rid of kiss mark*

OUCH!!!!!!!!!!!!!!!!!!

Star Lord said...

Why's everybody kissing Nicolette?


Should I be kissing Nicolette? If so, let me know.


*Sits down, legs crossed*

Dragona Pine said...

*picks up ben and Nicolette like fighting children, one one each hand*

Stop it now!

bencotter said...

*kills self*

Anonymous said...

Hey Derek
I will forgive you for not repling to my comment. For now. But if you don't... I will start crying and then i will hunt you down and... Well, lets just say the Faceless Ones will look like fluffy little bunnys by the time i'm through with you!

Yours truely,
Mae33

Star Lord said...

Dances ot this music:

http://www.youtube.com/watch?v=LrIz0KCq1YA&feature=related

Star Lord said...

I fear I may have ot go soon.

Nicole Fudge (Nicolette Croga) said...

*kicks dragona* Hey I'm not doing anything to anyone else just pouring acid on me ...

I agree Kallista why me *points at Kallista* kiss her

bencotter said...

*dragona lets me down and and i slip on banana peel and kicks nicolette*

Dragona Pine said...

Are you really that bad to kill yourself ben?


No matter how bad it gets, just think of the good things...

Dragona Pine said...

*Dragona picks up ben again*

Nicole Fudge (Nicolette Croga) said...

*gets kicked* ow ... probably deserved that

bencotter said...

*kills someone and does not know who... realises. OH SORRY KALLISTA!!!!!*

Dragona Pine said...

PEOPLE JUST STOP FIGHTING!



*throws ben and he goes head first into a brick wall and is KO*

Dragona Pine said...

You little people irritate me...

Nicole Fudge (Nicolette Croga) said...

did her just kill Kallista *struggles to get from Dragonas grip* LET ME KILL HIM!

bencotter said...

bolt... you can kiss nicolette now... im through with it....

Dragona Pine said...

*arches eyebrow again at ben when he said 'through'*

bencotter said...

*stabs dragona*

Dragona Pine said...

*uses magic yorkshire pudding to melt the dagger and makes ben go head first into a wall again*

bencotter said...

NO OFFENCE DRAGONA... LET ME JUST GET IT OUT OF MY SYSTOM...

Nicole Fudge (Nicolette Croga) said...

*Dragona gets stabbed and shes realised* ooooooh that looks bad *bens behind him* >:| *throws dagger threw his head*

Dragona Pine said...

*uses magic yorkshire pudding to revive Kallista*

Nicole Fudge (Nicolette Croga) said...

*revives Kallista*

bencotter said...

GTG havr to go bye guys. stabs again*

Dragona Pine said...

NO!


Bloomin hell!


JUST STOP FIGHTING YOU ANNOYING LITTLE IMMIGRANTS!


*holds everyone in seperate unbreakable air bubbles*


JUST STOP FIGHTING I'M BLOODY WELL FED UP OF IT!

Dragona Pine said...

Thank god bens gone...

Dragona Pine said...

You're welcome Kallista...

Nicole Fudge (Nicolette Croga) said...

Bye ben ! *looks at ground to realize se was stabbbed somewhen* huh? *looks back threw comments* ohhh


*drops to floor trying to get knife out but can't because shes to much of a wimp*

Dragona Pine said...

*uses magic yorkshire pudding to heal Nicolette*

Star Lord said...

*Get's knife out of Nicolette*

Nicole Fudge (Nicolette Croga) said...

*pulls out knife* HAZZA!!!! *fireworks gooff outside shock causes her to stab self again* :|

Star Lord said...

Hell, I'm not kissing Nicolette. I don't even KNOW her!



That would make me a somwehat pedo.

Dragona Pine said...

Lol Sarthacus...

Star Lord said...

sda

Nicole Fudge (Nicolette Croga) said...

*sees knife is now out thanks to joined efforts of Dragona and Sarthacus* Thank you *goes to bow then realizes shes on floor*

Star Lord said...

Oh! I got the new page.

Dragona Pine said...

Oh I got 1000th comment... that's made my day!


Yes that's how sad I am... got nothing better to do or care...

Nicole Fudge (Nicolette Croga) said...

I .... did nothing ....

well more then usual I guess

Star Lord said...

I got it, Dragona. and the 999th comment, and the new page.

Star Lord said...

Wait, no, Dragona DID get 1000.

Star Lord said...

Check out my audio clip on my profile!

Dragona Pine said...

Yes that has made my day!

Star Lord said...

... Hello???

Nicole Fudge (Nicolette Croga) said...

*lies down watching fireworks shouting Hazza when she sees one*

BOOOOOOM! AHHHHHHHHHHHHHHH

Star Lord said...

Damn, I have to go to bed. Night, all.


Check the audio clip, and watch till the end! It's awsome!


Night, all.

Claire said...
This comment has been removed by the author.
Dragona Pine said...

Well... since everybody was too busy killing eachother... I'm going to bed... why can't some non-violent blog people be on?



Anyway...



Night all...

I'll be on tomorrow so...



Night...


*waves and fades*

Claire said...

Thanks for the advice Derek! :D

Dragona Pine said...

Night all...

Nicole Fudge (Nicolette Croga) said...

Night Sarthacus Night Dragona

*listens to audio clip* ahh this seems nice and peacefull

Star Lord said...

Night, all.

Nicole Fudge (Nicolette Croga) said...

Night :] ooooh oooooh oooooooh

Nicole Fudge (Nicolette Croga) said...

I'm here Kallista :]

Nicole Fudge (Nicolette Croga) said...

what happened?!? :O

Nicole Fudge (Nicolette Croga) said...

it's ok Byee Kallista :]

Nicole Fudge (Nicolette Croga) said...

.... hmmm it's 10pm now ... I'll think I shall get some sleep to since there was only 3 hours worth of it yesterday :] ahhh glad emm still came over :]....

well Night All

Nicole Fudge (Nicolette Croga) said...
This comment has been removed by the author.
Nicole Fudge (Nicolette Croga) said...

well when I said 10pm now I meant 9:58 pm ...

it's 10pm now though :] ...

Night

Derek Landy said...

Hi Mae33...!

Saoirse Equus said...

Ok. first off. I'm pumped. Who isn't? And second, DEREK, I need a teeny itty bit hint. Will there finally be NORMAL horses in this book? I'm excited. Dont know how supportive you are of the whole horse idea but it would make us Horse crazy fans (I know there are a few) even MORE excited about theses books... if thats even possible. I'm shaking in anticipation for book 6 now. You have set some SERIOUSly high standards for your self mister...

Saoirse Equus said...

I've told you about Roisin right? (my horse OC :3)

Anonymous said...

Derek!

Anonymous said...

Hey, just have to clear this up: but please don't post spoilers about glee. I hear Ireland got it before England (so how the hell are you better than us?) and i just don't want to spoil the new season! We get the first ep of season 2 in Jan 2011 :'(

Rebella Tears said...

wow, it has only been open 1 nite and a thousand comments. we r insane, but the insane people r the best. look at Billy-Ray and Skulman

Anonymous said...

Woo! Kal! I'll be at Hellboys i think for the majority of the time xD

Izzy said...

I know this is something that you've heard hundreds of times but how come in mortal coil Valkyrie is 16 when it's christmas and 5 months previously she was only 15, and her birthday is in feb?
It's just always bugged me because she has been basically 2 weeks and 1 day (okay exactly)older than me the entire series.
But now she's not.
What a shame.

Alexandre Requiem (Lynda) said...

http://www.facebook.com/photo.php?fbid=176690325678758&set=a.164786866869104.45333.115463341801457#!/photo.php?fbid=164789530202171&set=a.164786866869104.45333.115463341801457&pid=585397&id=115463341801457

Don't ask. Just go to it. ALL OF YOU

Anonymous said...

:O The Skul-Man comics! I adore those!

ThatGirlTheyKnow said...

I can't wait for book six....

DarkWyvern said...

Hearing that Book 6 is underway has made my week; the SP series keeps getting better and better :D

On a side note, are any of the other writerly folk here doing NaNoWriMo? I'm aiming to have a finished draft of my dark fantasy novella by the end of November :) (just under 7,000 words so far)

Mary Hiashi said...

See I WAS seriously thinking about NaNoWriMo. I really was. But there are other things that have to be done first...maybe next year. Derek, I love how you said hi to that one person. Let's just hope they see it. I would also like to say that I refuse to go to Hellboy's blog or whoever's...

Mary Hiashi said...

You want to know what is a great mash up? Michael Jackson's Bad vs. the Ghostbuster's theme song. It's pretty awesome.

Skulgirl13 A.K.A Deryn Mellifluous said...

*runs over sees derek has came on and left gets sad again* i missed him AGAIN!

Skulgirl13 A.K.A Deryn Mellifluous said...

oh it was like five hours ago......AHG RIIGHT WHEN I LEFT FOR THE BAR MITZVAH PARTY! you know! thats just swell!

Skulgirl13 A.K.A Deryn Mellifluous said...

grrrrrrr i was in a very happy mood when i left the party because i was BEAST at pinball *they own like 11 machienes so fun!* and then i come on to find that Derek has YET AGAIN commented and i was not here to say hi to him or ANYTHING! then i sstarted to realize that my heels were KILLING me

Skulgirl13 A.K.A Deryn Mellifluous said...

and now it seems that every one is ignoring me.......wow today was not my day

Skulgirl13 A.K.A Deryn Mellifluous said...

1060!

Skulgirl13 A.K.A Deryn Mellifluous said...

wait Skulduggery is a comic too???? i need to find where Derek has been hiding them so i may buy them!

Skulgirl13 A.K.A Deryn Mellifluous said...

KALLISTA! yes not a total loner!

Skulgirl13 A.K.A Deryn Mellifluous said...

lol yeah just got home from Bar Mitzvah party fingers and heels worn out from ultimate pinball matches...i was BEAST!

Skulgirl13 A.K.A Deryn Mellifluous said...

it was but now sadly imust leave computer is being very stupid and has run out of juice too lazy to get out of bed to get the plug and cant get mom and dad to get it because they dont know im on right now.........so i guess this means good night for today!

Skulgirl13 A.K.A Deryn Mellifluous said...

Good Night Kallista



oh and i almost forgot i love how you spaced my poem it makes it sound more dramatic!




ok good night for real this time!

Mary Hiashi said...

Assimilate
Abomination
Abolish
Abandon
Abhor
Berate
Bequeath
Blatant
Brittle
Blasphemy
Cordial
Collective
Calamnity
Calais
Callous
Derogatory
Demeaning
Dementia
Drone
Destitute
Eleviate
Exponential
Excruciating
Erode
Egregious
Fundamental
Frequent
Facade
Fracture
Fear
Grotesque
Gluttonous
Gallivant
Govern
Grasp
Halcyon
Hairsbreadth
Hallow
Heathen
Haggle
Inconspicuous
Iridescent
Intolerant
Implication
Idiom
Joshing
Jest
Jovial
Juvenial
Jolly
Kidding
Kanji
Kami
Keel
Kneel
Lustrous
Luminous
Lackadaisical
Leer
Liberating
Miser
Martyr
Meagre
Melodramtic
Masochistc
Nuance
Nuisance
Naissance
Near
Nettoyant
Ostentatious
Oxymoron
Ode
Oblige
Opening
Prerequisite
Pilfer
Purgatory
Provocative
Prerogative
Query
Quoth
Quell
Quarry
Question
Revolution
Retaliate
Rotary
Replete
Request
Sequester
Sadate
Severance
Stationary
Settle
Tribunal
Tease
Thylakoid
Taxedermy
Technological
Uber
Under
Unique
User
Unity
Volatile
Voracious
Vanity
Voluptuous *laughs nervously*
Vantage
Wonder
Weigh
Widow
Waste
Wallow
Xenon
Xylophone
Xylem
Xyloid
Xanthic
Yearn
Yule
Yellow
Yell
Your
Zinc
Zany
Zen
Zircon
Zepplin

Skulgirl13 A.K.A Deryn Mellifluous said...

ok last comment before computer dies MARY WHAT IS THAT?

Mary Hiashi said...

I got bored and put five words of each letter that I know. If that makes sense...

Mary Hiashi said...

Oh dear...I think everyone left...

Mary Hiashi said...

Kallista??

Mary Hiashi said...

Thank goodness...
I'm not alone...

Mary Hiashi said...

Thank you...I just got bored though...I also looked up my whole popping/shifty rib...thing.

Skulgirl13 A.K.A Deryn Mellifluous said...

lol check it out posting from my dsi!

Mary Hiashi said...

Mmm...I think that it is called Slipping rib syndrom...or something.

Mary Hiashi said...

I was avoiding names...although I did put some names of elements...I used to LOVE that show.

Skulgirl13 A.K.A Deryn Mellifluous said...

yeah well not at first but dsi is also dying so will have to leave soon

Mary Hiashi said...

I think...that it...isn't that serious...and I think in the worst case you can get surgery done...but...oh let me just find the page again...

Mary Hiashi said...

I didn't like where it was all 'FUTURE XENA'.

Skulgirl13 A.K.A Deryn Mellifluous said...

uggg my dsi is too slow and dead and i must get up for hebrew school tomorrow helping out third and fourth graders so......GOOD NIGHT FOR REAL REAL THIS TIME!

Mary Hiashi said...

Ooh...I second that hate.

And rarely is it painful...it's just...REALLY uncomfortable.

Mary Hiashi said...

Okay this is what the person asked about this stupid rib thing:
For awhile now I have been experiencing a "popping" or grinding feeling in my lower left ribs. It happens when I sit up from lying down or bend to the side or adjust posture while sitting, etc. It doesn't hurt, but is very uncomfortable. What could this be, and is it serious?

Rebella Tears said...

hello
wat is evry1 up 2?

Mary Hiashi said...

And this was the answer:

Dear Kevin,

This sounds like slipping rib syndrome.

Slipping rib syndrome is a condition that is often misdiagnosed or undiagnosed and can subsequently lead to months or years of unresolved abdominal and/or thoracic pain. Surgical findings suggest the condition arises from hypermobility of the anterior ends of the false rib costal cartilages, which often leads to slipping of the affected rib under the superior adjacent rib. This slippage or movement can lead to an irritation of the intercostal nerve, strain of the intercostal muscles, sprain of the lower costal cartilage, or general inflammation in the affected area.

The medical literature primarily refers to this condition as slipping rib syndrome. However, it has also been referred to as clicking rib, displaced ribs, interchondral subluxation, nerve nipping, painful rib syndrome, rib tip syndrome, slipping rib cartilage syndrome, traumatic intercostal neuritis,11 and 12th rib syndrome. Many cases have been described in the medical literature, but this condition is rarely mentioned in present-day medical textbooks and often is not clinically known by doctors.

The syndrome may be the result of trauma, but many cases have been reported in which no thoracic or abdominal trauma had occurred. Clinically, patients often note intermittent sharp stabbing pain followed by a dull achy sensation for hours or days. “Slipping” and “popping” sensations are common, and activities such as bending, coughing, deep breathing, lifting, reaching, rising from a chair, stretching, and turning in bed often exacerbate the symptoms.

The differential diagnosis of slipping rib syndrome includes a variety of medical conditions, such as cholecystitis (gall bladder inflammation), esophagitis, gastric ulcer, hepatosplenic abnormalities, stress fracture, inflammation of the chondral cartilage, and pleuritic chest pain. A quick way to rule out these conditions is to look for an association between certain movements or postures and pain intensity, determining if the patient has experienced recent trauma (although not always present), and reproduce the symptoms (eg, pain, clicking) with the hooking maneuver. The hooking maneuver is a relatively simple clinical test. The clinician places his or her fingers under the lower costal margin and pulls the hand in an anterior direction. Pain or clicking indicates a positive test. It is recommended that the hooking maneuver be followed with a rib block (injection) to see if the pain can be relieved. Radiologic imaging is generally not useful in the diagnosis of slipping rib syndrome but may be of value in ruling out other conditions in the differential diagnosis.

Once the diagnosis of slipping rib syndrome has been made, you have to realize that nothing is seriously wrong. Avoidance of movements or postures that exacerbate symptoms may be sufficient in eliciting a successful outcome. However, in patients with more severe pain and dysfunction, nerve blocks, prolotherapy and surgical intervention may be necessary. Conservative and surgical outcomes reported in the literature have generally been good. Yet these results should be viewed with some caution, as clinicians may not be as forthcoming in reporting failed case reports and case series.

Bottom line: rest and restrict activity that makes the pain worse. If you cannot do this, prolotherapy or nerve block injections may offer immediate help and resolve the issue. Surgical resolution is the last option by may be indicated if no appreciable improvement is noted. Hope this helps.

Respectfully,
Dr. J. Shawn Leatherman
www.suncoasthealthcare.net

Mary Hiashi said...

I think it's Joxer...Good times...good times.

My favourite episode was the one where Xena kept repeating the day...I don't know why it was my favourite...

Rebella Tears said...

Xena? as in Warrior princess?

Mary Hiashi said...

Hi Rebella...

Rebella Tears said...

hellooooo

Mary Hiashi said...

Heck yes as in Warrior Princess.

Mary Hiashi said...

Eh...I think mom's going to bring it up when I next go to the doctors. Now I just have to figure out the headaches and diziness...

Mary Hiashi said...

That show is part of my childhood. Just as much as Resident Evil 3 (the game) is.

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