VYGON LONG LINE , USE 20 G OR 18 G PINK OR GREEN CANNULA ON GT SAPHENOUS VEIN

TAUTOLOGY

allergy- fuller the house, including phenotype and family hx more the risk

Before enlightenment – chop wood, carry water. After enlightenment – chop wood, carry water.’ – Zen Buddhist Proverb

Before enlightenment – chop wood, carry water.

After enlightenment – chop wood, carry water.’

– Zen Buddhist Proverb

Life is not about waiting for the storms to pass…It’s about learning how to dance in the rain.’ – Vivian Greene

Life is not about waiting for the storms to pass…It’s about learning how to dance in the rain.’

– Vivian Greene

Heaven and earth and I are of the same root. The ten-thousand things and I are of one substance.’ – Seng-chao

Heaven and earth and I are of the same root. The ten-thousand things and I are of one substance.’

– Seng-chao

You will not be punished for your anger, you will be punished by your anger’. – Buddha

You will not be punished for your anger, you will be punished by your anger’.

– Buddha

Drink your tea slowly and reverently, as if it is the axis on which the world earth revolves – slowly, evenly, without rushing toward the future.’ – Thich Nhat Hanh

Drink your tea slowly and reverently, as if it is the axis on which the world earth revolves – slowly, evenly, without rushing toward the future.’

– Thich Nhat Hanh

All that we are is the result of what we have thought. The mind is everything. What we think we become.’ – Buddha

All that we are is the result of what we have thought. The mind is everything. What we think we become.’

– Buddha

Health for both mind and body comes from not mourning over the past, not worrying about the future, but to live the present moment wisely.’ ― Bukkyo Dendo Kyokai

Health for both mind and body comes from not mourning over the past, not worrying about the future, but to live the present moment wisely.’

― Bukkyo Dendo Kyokai

NAS is “strongly associated with poor and deteriorating school performance.”

 NAS is “strongly associated with poor and deteriorating school performance.”

somebody

How often do we tell our own life story? How often do we adjust, embellish, make sly cuts? And the longer life goes on, the fewer are those around us to challenge our account, to remind us that our life is not our life, merely the story we have told about our life. Told to others, but —mainly— to ourselves. ~ Julian Barnes

How often do we tell our own life story?  How often do we adjust, embellish, make sly cuts?  And the longer life goes on,  the fewer are those around us to challenge our account,  to remind us that our life is not our life,  merely the story we have told about our life.  Told to others, but —mainly— to ourselves. ~ Julian Barnes 

You build on failure. You use it as a stepping stone. Close the door on the past. You don't try to forget the mistakes, but you don't dwell on it. You don't let it have any of your energy, or any of your time, or any of your space." -- Johnny Cash

You build on failure. You use it as a stepping stone. Close the door on the past. You don't try to forget the mistakes, but you don't dwell on it. You don't let it have any of your energy, or any of your time, or any of your space."

-- Johnny Cash

CRINGEWORTHY DISASTER ,,,,,, BREAKTHROUGH MOMENT..... ELECTION DEBATES

Even death is not to be feared by one who has lived wisely. - Lord Buddh

Even death is not to be feared by one who has lived wisely. - Lord Buddh

A LF AND DTH - VERY ZEN ABT EVERYTHING

DTR 16 H B DAY DTR THUVECHHA

LF JRNEY

BERTRAND RUSSELL "There is much pleasure to be gained from useless knowledge."

"There is much pleasure to be gained from useless knowledge."

ZHUANZI "Life comes from the earth and life returns to the earth."

"Life comes from the earth and life returns to the earth."

How many major achievements have you successfully made which were the combination of a series of small actions?

How many major achievements have you successfully made which were the combination of a series of small actions?

fill our infinitely precious time with vibrant and intriguing experiences to make every second count, at every point in your life, even to the last one. No one said it better than the Welsh poet Dylan Thomas, ‘Do not go gently into that good night. Rage, rage against the dying of the light

fill our infinitely precious time with vibrant and intriguing experiences to make every second count, at every point in your life, even to the last one. No one said it better than the Welsh poet Dylan Thomas, ‘Do not go gently into that good night. Rage, rage against the dying of the light

OUR HUMAN DNA STRETCHED CAN GO 1/10TH OF THE SOLAR SYSTEM

BRAIN SPEED

brain’s engine speed. You may have encountered gifted and savant children who can perform an amazing number of mathematical calculations in a split second and with relative ease. This is only possible because of their enhanced processing speed that slows the subjective speed of time. Some people can read over 1,000 words per minute, and experience a stretching of time as information flashes through their mind in seconds.

KARMA- AS U SOW, SO U REAP/RIP

Ever get the feeling that someone is watching you, but you’re not sure? Try yawning and then glancing at your suspected stalker. If they yawn, then you know they’ve been watching you, since yawning is contagious.

1. Ever get the feeling that someone is watching you, but you’re not sure? Try yawning and then glancing at your suspected stalker. If they yawn, then you know they’ve been watching you, since yawning is contagious.

RELIGN EVOLN

MAHAKAAL

Philosopher Emmanuel Kant spoke of time as a “necessary representation, lying at the foundation of all our intuitions.” From the moment of birth, we are immersed in time. All of our actions and experiences evolve in time. We exist in time and our ‘sense of time’ is critical to everything we do from the mundane act of crossing a road, waiting for a reply, catching a falling object, and managing our working day, to the complex performances by musicians, dancers, and athletes using their sharpened timing skills. Without a proper sense of time, we would not be able to understand and produce comprehensible speech, read and write, focus on a task, switch attention from one thing to another, multitask, sequence the steps to perform everyday tasks, or learn new information. Time is critical to our thoughts, emotions, gestures, and essential to the way we communicate with others. Without the ability to sense time, nothing would make sense.

FUTURE X PRESENT

People in Southern European and Middle Eastern countries tend to be more focused on the present, not the future, which likely is the reason why such countries are behind in planning and are relatively less developed than their northern counterparts. It also explains why people living in Spain, France, and Greece, save less money on average, with Italians being the worst savers, when compared to people living in countries like Britain, Netherlands, and Germany who tend to be more focused on the future and are among the highest savers in Europe.

chr pain

The Denial of Death, Ernest Becker declares that the fear of death is at the heart of the human condition. We all try to deny it. ‘We live our life as if we are never going to die and die as if we never lived’, says the Dalai Lama. But it is not wise to deny that our time will one day come to an end, for that will lead us to undervalue our present time. In case of such denial, we might not care how much time has already elapsed and go ahead and waste time as if we have an unlimited supply, not knowing that tomorrow may be our last. If, on the other hand, we view time as limited and scarce, everything will take on a different dimension and we will place a greater value on the things we do here and now. Every minute that we spend with a loved one, for instance, becomes infinitely more precious; and every hour that is wasted becomes a great unrecoverable

The Denial of Death, Ernest Becker declares that the fear of death is at the heart of the human condition. We all try to deny it. ‘We live our life as if we are never going to die and die as if we never lived’, says the Dalai Lama. But it is not wise to deny that our time will one day come to an end, for that will lead us to undervalue our present time. In case of such denial, we might not care how much time has already elapsed and go ahead and waste time as if we have an unlimited supply, not knowing that tomorrow may be our last. If, on the other hand, we view time as limited and scarce, everything will take on a different dimension and we will place a greater value on the things we do here and now. Every minute that we spend with a loved one, for instance, becomes infinitely more precious; and every hour that is wasted becomes a great unrecoverable 

PLANETS ARE LEFT OVER DEBRIS FROM STARS

1543, COPERNICUS, HELIOCENTRISM, EARTH IS 3RD ROCK FROM SUN

JINE EQUAKE MAP

STRESS VS HR

LOA

T2DM

Fatty liver can be deadly. The liver starts trying to offload the fat by dumping it back into the bloodstream in the form of something called VLDL, and that starts building up in the cells in the pancreas that produce the insulin in the first place. Now, we know how diabetes develops: fatty muscles lead to a fatty liver, which leads to a fatty pancreas. It is now clear that type 2 diabetes is a condition of excess fat inside our organs, whether we’re obese or not.

Strive for growth and stay in control of your time and feelings.

The 10X rule means investing ten times more and reaching ten times further.THAN ORIGINALLY THOUGHT

SADHGURU Being in truth means simply being yourself. Don’t try to be someone else.

Being in truth means simply being yourself. Don’t try to be someone else.

HAUNTED BY A SPIRIT NAMED LUCK

Why aren't iPhone chargers called apple juice?" -- Author Unknown

Why aren't iPhone chargers called apple juice?"

-- Author Unknown

VIOLIN - MAKE THE WOOD CRY

See temptation as an attack, not as a defeat

See temptation as an attack, not as a defeat

ON THE SHORTNESS OF LF, SENECA

SURVIVAL OF THE FITTEST OR SURVIVAL OF THE LUCKIEST, HISTORY, EVOLUTION, BIOLOGY

BDDHA "The foot feels the foot when it feels the ground."

"The foot feels the foot when it feels the ground."

1633 first banana brought to vk

morality -relign- empathy reciprocity peacemaking

It is almost impossible to eat ethically without being vegetarian.

There is no rational justification for treating dogs differently from pigs, chickens and fish.

MEJOMAMA ESO CA

Those eating the most antioxidant-rich foods have half the odds of esophageal cancer, while there is practically no reduction in risk among those who used antioxidant vitamin supplements, such as vitamin C or E pills. The most protective produce may be red-orange vegetables, dark green leafies, berries, apples, and citrus. The benefit may come from more than just eating plants. Eating healthy foods crowds out less healthy foods; so, it may be a combination of both.

IACOCA "Trouble shared is trouble halved."

"Trouble shared is trouble halved."

MISPLACED SHAME - IMMGRNT URROR

I LOVE MANCHESTER

Everything in aviation we know because someone somewhere died… We have purchased, at great cost, lessons literally bought with blood… We cannot have the moral failure of forgetting these lessons and have to relearn them.” Sully Sullenberger Pilot of Flight 1549, ‘The Miracle on the Hudson’

Everything in aviation we know because someone somewhere died… We have purchased, at great cost, lessons literally bought with blood… We cannot have the moral failure of forgetting these lessons and have to relearn them.”

Sully Sullenberger
Pilot of Flight 1549, ‘The Miracle on the Hudson’

PAUSE BREATH SHIFT

LOST FOR REST OF LF- BRVD

HAVE NOT TO HAVE LOT

repetition, simplicity- Hemingway novel

pathetic fallacy- jane eyre

pulses (the umbrella term for beans, lentils, and peas

pulses (the umbrella term for beans, lentils, and peas

TIME SHIFT, NOVEL, CAUSALITY AND IRONY- NOT LIKE LF-ONE DAMNED THING AFTR THR OTHER

Adopt the pace of nature. Her secret is patience. ~ Ralph Waldo Emerson

Adopt the pace of nature. Her secret is patience. ~ Ralph Waldo Emerson

ACCEPTING DTH, CONTEMPLATING DTH, BETWEEN BOUTS OF CANCER, THE SHOOTIST 1977

Life is like photography. You need the negatives to develop." -- Ziad K. Abdelnour

Life is like photography. You need the negatives to develop."

-- Ziad K. Abdelnour

STORY

BSOP VP DINNER - BREAD SOUP ONION POTATO VEG PROTEIN DINNER

There is a moment, a cusp, when the sum of gathered experience is worn down by the details of living. We are never so wise as when we live in this moment. ~ Paul Kalanithi

There is a moment, a cusp, when the  sum of gathered experience is worn down by the details of living. We are never  so wise as when we live in this moment. ~ Paul Kalanithi

Drinking water before meals can also make you feel fuller, so you’ll ultimately eat fewer calories

Drinking water before meals can also make you feel fuller, so you’ll ultimately eat fewer calories

Unsweetened coffee and green tea are among the healthiest beverages in the world. Drinking coffee has been shown to increase the number of calories you burn by about 3–11% (66, 67, 68). Similarly, drinking tea or taking green tea extract supplements has been shown to increase fat burning up to 17% and calorie expenditure by 4%

Unsweetened coffee and green tea are among the healthiest beverages in the world. Drinking coffee has been shown to increase the number of calories you burn by about 3–11% (66, 67, 68). Similarly, drinking tea or taking green tea extract supplements has been shown to increase fat burning up to 17% and calorie expenditure by 4%

GRNDPRNTS HAVE A TENDENCY TO DTH

Tact is the art of making a point without making an enemy." -- Isaac Newton

Tact is the art of making a point without making an enemy."

-- Isaac Newton

The happiness of your life depends upon the quality of your thoughts." -- Marcus Aurelius

The happiness of your life depends upon the quality of your thoughts."

-- Marcus Aurelius

Among infants with the neonatal abstinence syndrome, treatment with sublingual buprenorphine resulted in a shorter duration of treatment and shorter length of hospital stay than treatment with oral morphine, with similar rates of adverse events.

Among infants with the neonatal abstinence syndrome, treatment with sublingual buprenorphine resulted in a shorter duration of treatment and shorter length of hospital stay than treatment with oral morphine, with similar rates of adverse events.nejm

ADAMS Verbalize What is Bringing You Down When you hold thoughts in your mind, it is like you are locking them in your head. Over time, this can elevate the feeling of being depressed. Instead, you will want to find someone you trust and discuss the reasons why you are depressed with them. As you talk them out, the weight on your shoulders will melt off and you will feel better than you ever have before

Verbalize What is Bringing You Down When you hold thoughts in your mind, it is like you are locking them in your head. Over time, this can elevate the feeling of being depressed. Instead, you will want to find someone you trust and discuss the reasons why you are depressed with them. As you talk them out, the weight on your shoulders will melt off and you will feel better than you ever have before

ADAMS Writing can be a wonderful source of therapy for you. Just begin to scrawl all your thoughts and feelings onto a piece of paper. Let every secret, painful thought and item that is haunting you flow onto the paper. When they are written down, you can choose to destroy the paper and"

Writing can be a wonderful source of therapy for you. Just begin to scrawl all your thoughts and feelings onto a piece of paper. Let every secret, painful thought and item that is haunting you flow onto the paper. When they are written down, you can choose to destroy the paper and"

ZERO CAL FOODS

Do not search. That which is, is. Stop and see. ~ Osho

Do not search. That which is, is. Stop and see. ~ Osho 

This is the end, beautiful friend This is the end, my only friend, the end Of our elaborate plans, the end Of everything that stands, the end.” – The Doors

This is the end, beautiful friend
This is the end, my only friend, the end
Of our elaborate plans, the end
Of everything that stands, the end.”
– The Doors

"You simply have to put one foot in front of the other and keep going. Put blinders on and plow right ahead." -- George Lucas

"You simply have to put one foot in front of the other and keep going. Put blinders on and plow right ahead."

-- George Lucas

They found that individuals with a non-O blood group had a 9 percent greater risk of cardiovascular events, especially heart attacks, than those with an O blood type.

The researchers suggest one reason could be that people with non-O blood types have higher concentrations of von Willebrand factor, a blood-clotting protein that could lead to heart attack or stroke. Non-O blood groups are also known to have high cholesterol, especially those with blood type A

OIR adolescents demonstrate an inflamed atherogenic milieu compared to the ONIR adolescents,” the researchers concluded. “Microvascular function, but not conduit vessel structure or function, was impaired in association with [insulin resistance].”

OIR adolescents demonstrate an inflamed atherogenic milieu compared to the ONIR adolescents,” the researchers concluded. “Microvascular function, but not conduit vessel structure or function, was impaired in association with [insulin resistance].”

obese insulin resistant 

There is nothing noble in being superior to your fellow man; true nobility is being superior to your former self.” ― Ernest Hemingway

There is nothing noble in being superior to your fellow man; true nobility is being superior to your former self.”
― Ernest Hemingway

Being born at below-normal weight is associated with a lower intelligence quotient (IQ) not only in childhood and young adulthood, but even at age 50, according to a Danish study.

Being born at below-normal weight is associated with a lower intelligence quotient (IQ) not only in childhood and young adulthood, but even at age 50, according to a Danish study.

‘If you want to change the world, pick up your pen and write.’ MARTIN LUTHER

‘If you want to change the world, pick up your pen and write.’ MARTIN LUTHER

We write to discover and share what we think, what we feel, and what we know. Feehan

We write to discover and share what we think, what we feel, and what we know.

Feehan, 

CAKUT

The supernatural is the natural not yet understood."hubbard

The supernatural is the natural not yet understood."

Vesicoureteral reflux is a phenotype, not a disease

phenotype can complicate a disease, but is not the disease itself.

hardy Fear is the mother of foresight."

Fear is the mother of foresight."

POTS X ORS

 Both larger MCV and lower MCHC values were independent risk factors of developing POTS (for MCV, P < .05, OR 1.222; for MCHC, P < .05, OR 0.936). In children with POTS, responders to ORS had baseline lower MCV and higher MCHC than nonresponders (P < .05). The receiver-operating characteristic curve for the predictive value of MCHC showed that area under the curve was 0.73.

CONCLUSIONS: MCHC values could be used to predict the effectiveness of ORS for treating POTS in childre

BLO 28 WKR Extremely low gestational age newborns who had definite late bacteremia during postnatal weeks 2-4 are at heightened risk of neurocognitive limitations at age 10 years.

BLO 28 WKR
Extremely low gestational age newborns who had definite late bacteremia during postnatal weeks 2-4 are at heightened risk of neurocognitive limitations at age 10 years.

LONG LIVE HOOKEY STREET

APPROXIMATELY 1,000 OF ICELAND’S 20,000 IMMIGRANTS ARE THAI.

APPROXIMATELY 1,000 OF ICELAND’S 20,000 IMMIGRANTS ARE THAI.

COLUMBUS - EXPLORE BY ANY MEANS, JUST EXPLORE

Kol. City of joy. Porajoy

Persist “First they ignore you, then they laugh at you, then they fight you, then you win.”

Persist

“First they ignore you, then they laugh at you, then they fight you, then you win.”

GANDHI

Nobody can hurt me without my permission.”

Nobody can hurt me without my permission.”

Practice Gratitude

NAME IT TAME IT

EMO Q

LABEL YOUR EMOTIONS

RUMINATION VS PROBLEM SOLVING

world hunger

 world hunger is actually ending? It can sometimes feel like an insurmountable problem, but in fact, the world is making progress, and it’s agreed that hunger could end by as early as 2030. In 1977, over 30,000 people – most of them children – died each and every day. Today, that figure has dropped to 8,500 people – still unacceptably high, but a huge improvement, considering the world’s population has increased by 2 billion people over that time. So world hunger isn’t yet another hopeless global scenario.

Non-IV BDZ, compared to IV BDZ, terminate seizures faster and have a superior efficacy and side effect profile.

Non-IV BDZ, compared to IV BDZ, terminate seizures faster and have a superior efficacy and side effect profile.


benzodiazepines




5 min convulsive or 20 mins of cluster seizures

gaugain "Art is either plagiarism or revolution."

"Art is either plagiarism or revolution."

ACG AFFECTED BY ACE

MINDFULNESS CAN HEAL 

The affairs of the world will go on forever. Do not delay the practice of meditation. ~ Milarepa

The affairs of the world will go on forever. Do not delay the practice of meditation. ~ Milarepa 

MARLOWE Money can't buy love, but it improves your bargaining position."

Money can't buy love, but it improves your bargaining position."

Reality x clinging

REALITY IS NEUTRAL

CLINGING TO IT IS PERSONAL

ACE SCORE X DEPRESSN

ACE SCORE X ALCOHOLISM

ACE SCORE

Prior to your 18th birthday:

1. Did a parent or other adult in the household often or very often… Swear at you, insult you, put you down, or humiliate you? or Act in a way that made you afraid that you might be physically hurt?
   No___If Yes, enter 1 __
2. Did a parent or other adult in the household often or very often… Push, grab, slap, or throw something at you? or Ever hit you so hard that you had marks or were injured?
   No___If Yes, enter 1 __
3. Did an adult or person at least 5 years older than you ever… Touch or fondle you or have you touch their body in a sexual way? or Attempt or actually have oral, anal, or vaginal intercourse with you?
   No___If Yes, enter 1 __
4. Did you often or very often feel that … No one in your family loved you or thought you were important or special? or Your family didn’t look out for each other, feel close to each other, or support each other?
   No___If Yes, enter 1 __
5. Did you often or very often feel that … You didn’t have enough to eat, had to wear dirty clothes, and had no one to protect you? or Your parents were too drunk or high to take care of you or take you to the doctor if you needed it?
   No___If Yes, enter 1 __
6. Were your parents ever separated or divorced?
   No___If Yes, enter 1 __
7. Was your mother or stepmother:
   Often or very often pushed, grabbed, slapped, or had something thrown at her? or Sometimes, often, or very often kicked, bitten, hit with a fist, or hit with something hard? or Ever repeatedly hit over at least a few minutes or threatened with a gun or knife?
   No___If Yes, enter 1 __
8. Did you live with anyone who was a problem drinker or alcoholic, or who used street drugs?
   No___If Yes, enter 1 __
9. Was a household member depressed or mentally ill, or did a household member attempt suicide?                        No___If Yes, enter 1 __
10. Did a household member go to prison?
    No___If Yes, enter 1 __

Now add up your “Yes” answers: _ This is your ACE Score

Be patient with suffering. BPWS

Be patient with suffering. BPWS

Taxation is buying into a system

Taxation is buying into a system

Life is not about how you survive the storm, it's about how you dance in the rain.

Life is not about how you survive the storm, it's about how you dance in the rain.

Mindful. Putting your bags down

Ordinary experience is fleeting. Mindfulness is clinging to present moment

Bdha. Understanding your habit

To find where we got mixed up

Reducing sugar habit. Just be mindful of the taste. To taste. Not to full

We suffer is because we are ignorant. Don't understand. Abijna

Frugality x Deprivation

Learning to say no.  Mostly to uineela and taira

Preschool children absorb aggression more than altruism from superhero culture

Preschool children absorb aggression more than altruism from superhero culture

blood pressure is higher in winter than summer months? It's true. According to the University of Alabama at Birmingham, high blood pressure is associated with low levels of Vitamin D.

blood pressure is higher in winter than summer months? It's true. According to the University of Alabama at Birmingham, high blood pressure is associated with low levels of Vitamin D.

mind wndring brn

In one study, a group of people who ate 1,100 calories per day slowed their metabolic rate more than twice as 5 much as those who consumed about 1,500 calories per day for four consecutive days (20). Therefore, it is important that you don’t restrict your calorie intake too much or for too long.

In one study, a group of people who ate 1,100 calories per day slowed their metabolic rate more than twice as 5 much as those who consumed about 1,500 calories per day for four consecutive days (20). Therefore, it is important that you don’t restrict your calorie intake too much or for too long. 

OPEN TOPPED SANDWICH WITH LETTUCE TOP

There are many simple ways to still enjoy a sandwich with less or no bread: “Eat open-faced sandwiches to cut back by one slice; Go ‘animal-style’ and replace the whole hamburger bun with lettuce; scoop out the insides of a bagel; or opt for ‘thin-sliced,’” suggests Lewis. Instead of straight open-faced, “...you can also top with a piece of crunchy romaine or other lettuces to keep your hands clean while eating,” recommends Appel.

BREAD WITH OLIVE OIL

“Pair your favorite bread with healthy fats like olive oil, coconut oil, ghee and butter,” says Dr.Taz. Not only will the dipping slow you down as you eat, but it will also add some nice flavor. “The Italian tradition of bread with olive oil is a healthy option since the combination prevents over-consumption of bread.”

TMT

TMT

TMT

HOMO NOT SO SAPIENS RATHER HOMO PROSPECTUS

Your brain engages in the same sort of prospection to provide its own instant answers, which come in the form of emotions. The main purpose of emotions is to guide future behavior and moral judgments, according to researchers in a new field called prospective psychology. Emotions enable you to empathize with others by predicting their reactions. Once you imagine how both you and your colleague will feel if you turn down his invitation, you intuitively know you’d better reply, “Sure, thanks.”

If Homo prospectus takes the really long view, does he become morbid? 

OCD

ANTENATAL STEROIDS Infants born already 3 hours after corticosteroid administration to the mother had significantly lower mortality than those not exposed to the treatment, and corticosteroid administration 6 to 12 hours before birth was associated with halved risks of infant death.

Infants born already 3 hours after corticosteroid administration to the mother had significantly lower mortality than those not exposed to the treatment, and corticosteroid administration 6 to 12 hours before birth was associated with halved risks of infant death.

DIAMONDS ARE A WOMANS BEST FRIEND BUT ZIRCON CAN KEEP GOOD COMPANY

QF MNEMONIC

Going through some of my notes I rediscovered this mnemonic for the quadratic formula:

From square of b, take 4ac;
Square root extract, and b subtract;
Divide by 2a; you’ve x, hooray!

As you get older three things happen. The first is your memory goes, and I can't remember the other two." -- Norman Wisdom

As you get older three things happen. The first is your memory goes, and I can't remember the other two."

-- Norman Wisdom

I beg you to have patience with everything unresolved in your heart and try to love the questions themselves... Don't search for the answers, which could not be given to you now... the point is to live everything. Live the questions now. ~ Rainer Maria Rilke

I beg you to have patience with everything  unresolved in your heart and try to love the questions themselves... Don't search for the answers,  which could not be given to you now... the point is to live everything.  Live the questions now.  ~ Rainer Maria Rilke

One moon shows in every pool; in every pool, the one moon. - Zen Forest Saying

One moon shows in every pool; in every pool, the one moon. - Zen Forest Saying

"There are no speed limits on the road to success." -- David W. Johnson

"There are no speed limits on the road to success."

-- David W. Johnson

KENRY "He who angers you conquers you."

"He who angers you conquers you."

SHKSPR O, had I but followed the arts!"

O, had I but followed the arts!"

WOOLCOTT Everything I like is either illegal, immoral or fattening."

Everything I like is either illegal, immoral or fattening."

The primary cause of unhappiness is never the situation but your thoughts about it. Be aware of the thoughts you are thinking.” ~Eckhart Tolle

The primary cause of unhappiness is never the situation but your thoughts about it. Be aware of the thoughts you are thinking.” ~Eckhart Tolle

Like a sandcastle, all is temporary. Build it, tend it, enjoy it. And when the time comes, let it go.” ~Jack Kornfield

Like a sandcastle, all is temporary. Build it, tend it, enjoy it. And when the time comes, let it go.” ~Jack Kornfield

FAMO FORGV AND MV ON-Forgiving someone doesn’t mean that their behavior was ‘OK.’ What it does mean is that we’re ready to move on. To release the heavy weight. To shape our own life, on our terms, without any unnecessary burdens. Forgiveness is pure freedom—and forgiveness is a choice.” ~Dr.

Forgiving someone doesn’t mean that their behavior was ‘OK.’ What it does mean is that we’re ready to move on. To release the heavy weight. To shape our own life, on our terms, without any unnecessary burdens. Forgiveness is pure freedom—and forgiveness is a choice.” ~Dr.

BRYANT "The groves were God's first temples."

"The groves were God's first temples."

DE VRIES Life is a zoo in a jungle."

Life is a zoo in a jungle."

LITTLE SOMETHING EXTRA-PURPLE GOLDFISH

Lagniappe is creole for ‘a little something extra’. Marketing Lagniappe leverages the concept via differentiation through added value.


Marketing Lagniappe Takeaway: Purple represents the ‘little extra’ given to all customers, Green represents the ‘little extras’ given to all of your employees and Gold (inspired by Vilfredo Pareto) represents the benefits given to the top 20% of your customers and employees.

BLO32 RESP MX INTUBT AT 10 MINS IF

On-going Respiratory Management
 Babies who are still breathing irregularly following 2 minutes of mask CPAP should receive
5x3s inflation breaths using PIP 20-25cmH2O ensuring adequate chest wall rise and should
then be reassessed to determine whether on-going manual ventilation is required.
 Use HR and Oxygen saturation nomograms to continually assess and adjust FiO2 and ventilator
support accordingly (NB maintain & check airway patency regularly).
 In babies who establish regular respiration, but have increased work of breathing or who require
FiO2 >0.6 consider increasing CPAP pressure up to 8cmH2O.
 Intubate and ventilate if by 10 minutes of age:
o HR still 60-100
o Respiration not established
o FiO2 >0.60

BLO 32 Initial Assessment on Resuscitaire  If the infant is floppy or pale with no respiratory effort: Move to standard NLS algorithm (appendix 2).  Otherwise, place head in neutral position and apply mask CPAP of 5cmH2O via T-piece (Neopuff) using FiO2 0.3 (no inflation breaths yet!) and, without taking away the mask, assess breathing and check chest rise.  Attach SpO2 cable to the monitor to obtain heart rate and peripheral oxygen saturation (SpO2).  Titrate oxygen according to Oxygen saturation and HR nomogram

Initial Assessment on Resuscitaire
 If the infant is floppy or pale with no respiratory effort: Move to standard NLS algorithm
(appendix 2).
 Otherwise, place head in neutral position and apply mask CPAP of 5cmH2O via T-piece
(Neopuff) using FiO2 0.3 (no inflation breaths yet!) and, without taking away the mask, assess
breathing and check chest rise.
 Attach SpO2 cable to the monitor to obtain heart rate and peripheral oxygen saturation (SpO2).
 Titrate oxygen according to Oxygen saturation and HR nomogram

BLO32 If the infant is pale and floppy and/or there is no cord pulsation (the cord or placenta may be detached), you should clamp the cord without delay and commence resuscitation.

If the infant is pale
and floppy and/or there is no cord pulsation (the cord or placenta may be detached), you should
clamp the cord without delay and commence resuscitation.

under 32 wkr resus

Initial Resuscitation & Stabilisation of the Preterm Infant (<32 p="" weeks="">Background
Infants born prematurely more frequently need support to achieve stabilisation rather than
resuscitation during fetal to neonatal transition. This guidance reflects the latest evidence and
updates to resuscitation guidance, both nationally and internationally.
Key points:
 Delay cord clamping for 60s in stable preterm infants.
 Careful attention to thermal care to aim to maintain temperature 36.5 - 37.5oC.
 Support spontaneously ventilating infants with CPAP whilst monitoring HR and saturation
(SpO2). There is no gestation at which you should routinely intubate.
 Start with an inspiratory fraction of oxygen (FiO2) of 0.30 and titrate according to oxygen and
HR nomograms.
 Surfactant should be used selectively.

9.5 richter max reported equake

of 09

MAY 22, 1960 - CHILE

Bettmann Archive / Getty Images

 Magnitude: 9.5 

At 19:11:14 UTC, the largest earthquake in recorded history occurred. The earthquake triggered a tsunami that affected most of the Pacific, causing fatalities in Hawaii, Japan and the Philippines. In Chile alone, it killed 1,655 people and left more than 2,000,000 homeless. 

SELFIE/HR NARCISSISM

self lv vs narcissism

Mind creates the abyss, the heart crosses it. ~ Nisargadatta Maharaj

Mind creates the abyss, the heart crosses it. ~ Nisargadatta Maharaj 

OVERCOMING CREATIVE BLOCK

slacktivism

Zen opens a man's eyes to the greatest mystery as it is daily and hourly performed; it enlarges the heart to embrace eternit y of time and infinity of space in its every palpitation; it makes us live in the world as if walking in the garden of Eden - D. T. Suzuki

Zen opens a man's eyes to the greatest mystery as it is daily and hourly performed; it enlarges the heart to embrace eternit y of time and infinity of space in its every palpitation; it makes us live in the world as if walking in the garden of Eden - D. T. Suzuki 

coming to pdu

We identified 6 distinct reasons explaining why patients choose to access emergency and urgent care services: 
Limited access to or confidence in primary care, 
patient perceived urgency, 
convenience, 
views of family, friends or other health professionals and 
a belief that their condition required the resources and facilities offered by a particular healthcare provider.

"It's not the having, it's the getting."TAYLOR

"It's not the having, it's the getting."

16/8 IF fasting every day for 16 hours and eating all your food in an 8 hour period, basically by skipping breakfast.

 fasting every day for 16 hours and eating all your food in an 8 hour period, basically by skipping breakfast.

PLEASANT ANTICIPN

A practical tip to take here is that if you want to slow down time, you should always try to create pleasant anticipation in your life. When you imagine something wonderful is going to happen in the future, you create hope and excitement, both of which can make the present slow down and make it even more pleasant. We will later see that you can sometimes derive more pleasure from anticipating a pleasant event then the actual event itself. Similarly, experiencing negative feelings when dreading an unpleasant future event can sometimes be worse than when the event actually occurs."

EXPECTATION X IRRITATION

One thing to take from this is that when you have to wait, lowering your expectations about when things will get done will make your waiting time shorter and more pleasant. You will face fewer disappointments and you will be pleasantly surprised if it ends up taking less time. Change the way you look at waiting time. We are all more than happy to take a 10-minute break at work but feel we are wasting time when we have to wait 10 minutes in a queue."

SEGMENTATION X PREDICTION

Whether you are getting ready for a date, finishing your holiday shopping, completing an essay, or preparing food, you will better meet your deadline by breaking it down into small steps you have to take. The greater the segmentation, the more accurate your prediction of how long the task will take."

MONOTONY OF MEMORY

"A time interval will appear to be longer if it is rich with interesting memories. In his famous 1890 book, The Principles of Psychology, William James argues that ‘the shortening of the years as we grow older is due to the monotony of the memory’s content and the consequent simplification of the backward-glancing view’. He suggested that ‘emptiness, monotony, and familiarity are what make time shrivel up’."