Firstly and would like to thank you all for the wonderful well wishes before I go on to the card. I'm still suffering with a desperate bad head but it is now at least a bit more manageable with the help of painkillers, so onward to a card.
I used the Scalloped Square punch and the Say it With Scallops stamp set from Stampin Up to create the card,patterned paper pearls and ribbon to finish.

Attention to detail...
I used the Stampin Up Square scallop punch on the stamped sentiment and punched 2 more from patterned paper to sit the sentiment on then punched a hole at each side to thread through the cream satin ribbon.

A scalloped Martha Stewart paper punch was used on the patterned paper to tie in with the square scalloped focal image the a little pearl coloured with copics to match the paper was added under each peak to make the card pop.