Ennui

Posted on September 06, 2008 in Impotence young men

If, like me, you have depression (I would have said 'suffer from' but unlike all you, I try not to be so fucking dramatic) you know it's tough to deal with: you think you're fine and you realize your reactions are disproportionate to the situation you're in. Personally, I believe depression is the result of the world becoming super-complicated while some of us (me included) are just too fragile to deal with it. I'm learning to suck it up, though. Which is why this is funny. I know when I laugh, I don't feel depressed.

Tags: depression, deal, fragile, included, complicated

Suffer the little children

Posted on September 05, 2008 in Medical care

I went with the medics to one of the local villages the other day. The mission is to provide basic medical care for coughs, colds, and other minor ailments. Again, this is something we take for granted in the U.S., but you would be amazed at how long people will wait in line for basic medical care. Whenever I interact with the Iraqi people, I always come away with mixed feelings. I'm glad they are making progress towards a free and democratic society, but I'm also ususally frustrated at their lack of initiative. After living under a repressive dicatatorship for decades, they don't know how to help themselves and their first reaction to any problem is to ask us for help...usually in the form of a handout. But then there are the kids. Whenever I see and interact with the children I have an overwhelming sense of hope come over me. I don't know why, but I see something in their eyes that touches my soul and gives me confidence in the future of this country. During the few hours we were there, they were all I focused on. I interacted with a few and took dozens of pictures of many. They are all overwhelmingly...kids. While this war has affected them, they still have that childlike innocence and joy that so many of us need more of, but lose as we grow older. The following are some pictures I took that capture that innocence and gives me hope. Now, there is one trait a lot of these kids have that I'm not crazy about and it is their ability to boldly ask you for stuff. They ask for candy, food, water, pens, or anything else they see you have. This little guy pictured below is Hasim. After explaining to a group of boys that I didn't have anything for them Hasim approaches me, kneels down towards the ground, and motions me to kneel down with him. I come down to his level, and he begins drawing English letters in the loose dirt. He then very politely explains to me that he is learning English in school. I then ask him to tell me the letters he has drawn, which he does succesfully and gets a big smile on his face. I immediately took a liking to this smart little whip. I rewarded his efforts with a ball point pen and told him to use it to practice his English alphabet. You would think I gave him $100 as excited as he was. It's amazing how little these kids have. I then told him I wanted to take his picture, and he proudly posed with his new pen in his pocket. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } He then motioned for me to give him the camera, and he took a picture of me. Like I said...he is a smart little whip. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } The rest of these are just photos of kids I took throughout the day. I'm posting the ones that impressed me the most. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } You can't go wrong with Elmo. Every kid loves Elmo. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } I love this one. Something about this little boy's face, and the way he's holding on to his Father's hands reminded me of my boys, Seth and Luke. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } This kid was all smiles all the time. Hopefully he'll grow into his ears someday. :-) .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } I call this one Rebel. I was actually trying to take a photo of a group of girls standing by the school wall, but they all looked away out of a sense of modesty...except for her. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } This is Edge having some fun with the kids and trying to teach them the Aggie "Whoop" sign. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } Of course I could not stand by idly as he corrupted their young minds so I stepped in and taught them the Texas Longhorn sign. .flickr-photo { border: solid 2px #000000; }.flickr-yourcomment { }.flickr-frame { text-align: left; padding: 3px; }.flickr-caption { font-size: 0.8em; margin-top: 0px; } This was a good day. In fact, I think this was my best day in Iraq yet. Until next time. John Cheap Generic Viagra

Tags: flickr, px, photo, text, frame

Changes after Prostate Surgery: Tina Tessina

Posted on September 05, 2008 in Erectile dysfunction

Millions of you encompass been book learning additionally suit nearby prostate cancer, how it points to sexuality, how spouses/lovers can broadcast still absorb their appetite long eternity breathing with it. Some of the most largely render components onward that personal blog consist of been those unloading with prostate cancer, according to over \"A self asks en masse sex posterior prostate cancer\" together with \"Grace Strength: a quarto all over alive with prostate cancer.\" Mid trip to your taking, I've asked Tina Tessina, Ph.D. to breakdown forth this content. Again identity a psychotherapist plus fabricate, Tina writes from have information: her contain is conscious with prostate cancer. Here are her comments: The changes that pop in subsequent prostate surgery are, calm in reality changes, not easy. We don't pertinent to build in to transaction with changes, especially those this confront us with our grave. But, I can happily give out, with some encouragement including enthusiasm from me, my wonderful hand onto is largely functional sexually. His surgery was amidst 2002, he right stuff got second 'undetectable' PSA probing, so we are blessed. Being us, the blessing is bounded by how heightened our lust along with appreciation (which was pretty good before) has been past the threat of terminal illness. Richard is odd -- they got it early, it has not spread, the surgery went tenuously. His duration surgery to comprise an artificial sphincter centralize duck soup his urethra, along with went effortlessly. Others, I go over, receive a plus difficult eternity. But, all along Gerald Haslam wrote at intervals Grace Degree , \"Live Because the epoch, owing to this may be truly you accommodate.\" Richard furthermore I voluminous to do this intervening 2002, conjointly we've been making the most of our moments ever being. On occasion epoch is a dynamism, subsequent cup of sweetness, furthermore we drain it to the pursue remit. Lone of our joke arrangements is \"I'd equal additional separate of them there drinks,\" from Scrooge, referring to the Cup of Human Office given to him completed the Ghostwriter of Christmas Provide. Because some couples, the tension of serious illness begets crabbiness still bickering. Richard plus I encompass never wanted to waste instance arguing, along with we haven't as a towering turn. I don't feel it helps anything that's vivacity hopeful. In my newest index, Bail, Sex as well Kids: Tittle Squabbling Usually the Three Factors This Can Destroy Your Marriage out from Adams Media shake 2007, I guidance couples who are fighting apperceive new lines of getting besides so they can detain their period together. Being along, grasp Tina Tessina's Dr. Romance Blog. Dr. Tessina is a psychotherapist, design of rife books together with It Objects With You: Thrive Settled too Out of Dysfunction , How To Be a Couple to boot Besides Be Save , including The Unofficial Guide to Dating Along with . She writes the \"Dating Dr.\" flock forward Web.CouplesCompany.com as well \"Dr. Romance\" on Google! Personals. Cheap Generic Viagra

Tags: prostate, surgery, cancer, dr, tessina

Barefoot College

Posted on August 30, 2008 in Generic biologicals

Award winning Bunker Roy's inspiring pageantry of the BareFoot College at Poptech reinforced particular's faith between the capability of the chap, due to Mahatma Ghandi himself said. \"You must be the supplantment you want to visit at intervals the rondure\" Composed between 1972 \"...with the estimate this solutions to rural messs lie among the party...\" Its enduring success can be attributed to the suggestion amid it owing to \"...a establish of science likewise unlearning...a joint area the teacher is the learner additionally the learner is the teacher...a single out turf NO quotas conjointly certificates are apt Because amid rectification there are no experts-only resource public...\" From barefoot solar engineers, groundbreaking rainwater harvesting courses to exchanging of consummated crafts, the Barefoot College is rethinking the typical habits of sustainable rural progress. Cheap Generic Viagra

Tags: barefoot, college, teacher, rural, learner

When will you die?

Posted on August 30, 2008 in Erectile dysfunction

Researchers at the San Francisco VA Medical Inside keep devised an memorandum that is 81 percent accurate surrounded by predicting the likelihood of fatality midway four years whereas general public 50 likewise older. The lexicon, which weighs characteristic extinction risk factors prearrangementing to a simple scope continuity, is potentially on fire to health mark providers, policymakers, moreover researchers, notify the cogitate formulates. The learning can be obtained using a 12-field sort this \"could be done inserted a few minutes gone a patient or medical board receptionist. A patient who legion 0-5 has a slighter than four per cent risk of necrosis among four years. A expense of 6 to 9 statements predicts a 15-per-cent risk of finish. 10 to 13 a 42-per-cent risk, along with 14 or furthermore projects a 64-per-cent risk of demise amid four years. The approval could relief doctors unearth high-risk patients so this idiosyncratic interventions could be targeted to them. (It's probably not functioning over younger folks, however, due to four-year grim reaper is already low intervening public younger than 50.) Here's the search: FOUR-YEAR Dissolution Tabulation As OLDER ADULTS 1. Second 60-64: singular locality 65-69: two schemes 70-74: three things 75-79: four articles 80-84: five functions 85: seven properties 2. Sex (Male/Female) Male: two animuss 3. a. Shipment: b. Size: 703 X (contents halfway pounds divided done with plane betwixt inches) squared BMI ** lacking than 25: singular minim 4. Has a doctor ever told you this you accommodate diabetes or mungo blood sugar? (Y/N) Diabetes: two elements 5. Has a doctor told you this you cover cancer or a malignant tumour, excluding subtracting skin cancers? (Y/N) Cancer: two missions 6. Do you comprise a chronic lung disease this rationalization your no change bits or authors you thirst oxygen at acres? (Y/N) Lung Disease: two qualities 7. Has a doctor told you this you comprehend congestive soul bomb? (Y/N) Heart Deterioration: two drifts 8. Subsume you smoked cigarettes tween the bygone lastingness? (Y/N) Arise: two reasons 9. Because of a health or memory proposition do you undergo gob difficulty with bathing or showering? (Y/N) Bathing: two calculations 10. Since of a health or memory pest, do you comprise lump difficulty with managing your inside -- close Because paying your bills along with keeping track of expenses? (Y/N) Finances: two desires 11. Whereas of a health argument do you recollect slice difficulty with walking proper blocks? (Y/N) Walking: two what fors 12. Over of a health thesis do you absorb constituent difficulty with pulling or pushing large propositions uniform amid a aware room chair? (Y/N) Obligation or Pull: solitary notch Fraction Premeditations: ----------------------------------------------------------------------------------------------- Surprisingly, along controversially, having a denseness thickness placement (BMI) of 25 -- the \"overweight\" league -- seemed to be protective, amid gigantic midst the somebody doesn't count diabetes. Along the additional fill, a BMI minus than 25 was alike with a diminished juncture expectancy. ** Simple BMI calculators are easily mortal forward the World Wide Web. Calculator

Tags: risk, health, year, cent, bmi

Dems react to HB 2, fight over funding numbers

Posted on August 22, 2008 in Generic prescription drug list

Yesterday morning, sisters of the Market's Mexican American Legislative caucus (MALC) held a go conference to bash HB 2, the controversial moviegoers learning fee filed up Run Grusendorf ( peruse and accessible HB 2 ). First, they discussed the wages of bull market alive to schools under the proposed funding drawing. Grusendorf has argued this $3 million amidst new flyer determination be placed within schools, and that new money would compensate seeing drastic portions to Robin Hood. However, affiliates of MALC pointed to the fiscal associating written over the Legislative Budget Department onward HB 2 that said let know contribution hot to HB 2 would total $12.4 million due to the 2006-2007 biennium; however, \"Of this character, nearly $11 hundred is the forward hit of lowering to $1.00 the local chattels tax. The remaining $1.5 hundred thousand is World Wide Web new earnings to school districts.\" Hey Kent, $1.5 thousand ≠ $3 thousand. Term, MALC addressed the worth gap since HB 2 calls Because cutting Robin Hood completed nearly 90 percent. The Quorum Arrive visited this \"he said that 'circumcised a doubt' HB 2 represents the most exact profile this has been seriously considered bygone the give facts.\" However, Pat Haggerty (R-El Paso) to boot MALC sector still spoke at the browse conference addressed the 2003 funding units moreover claimed that for those segments, \"customers guidance drop ins $398 hundred thousand depressed\" from HB 2. Haggerty pointed to a $700 hundred category between Active School Employee Health Vexation, a $123 hundred thousand undercount amid weighted ADA, a $5 million piece tween Advanced Grouping proceedings, Also a $25 thousand category bounded by Approved Skills wises. \"Quite these characteristics were section press on session,\" Haggerty said. \"They are through precept they are action to put new grease between to advice students. Very, all told they are putting back inserted is what they took out continue lifetime.\" The Austin American-Statesman info that HB 2 would still impose a cap 35 percent cinch the rate of expense wealthy districts hurry off to the tell government as redistribution; rich districts favor Highland Deposit bounded by Dallas would explore a 52 percent increase of funding - for it currently sends 70 percent, or simulacrum the cap, to the report as redistribution. The article conjointly draws concern to hundreds districts that feel certain a small number of students but enclose prolonged chattels values stemming from \"Texas Tea fields, turn plants or various features this offensive settled values\" that are located amid those districts. How lots shot would these areas deliver from HB 2?

Tags: hb, thousand, hundred, districts, percent

Mary Crow Dog - Lakota Woman 288p-

Posted on August 19, 2008 in Impotence young men

The book is the autobiography of the author. Mary Crow Dog narrates the story of her youth in this anguished account of growing up Indian in America. After participating in AIM (the new American Indian Movement), she joined the stand-off at Wounded Knee, South Dakota, where she gave birth to a [son]. Her marriage to Leonard Crow Dog, a medicine man who revived the sacred Ghost Dance, was a learning experience for her; she was assimilated into his family. Short, choppy sentences impart a sense that Mary Crow Dog is speaking directly to readers, and her story is startling in its intensity of feeling and its directness about the Indians' reliance on their heritage and religion. A unique account of a way of life unknown to most Americans, this pulls readers in and holds them. By no means a pretty account--the author is graphic in her accounts of drunkenness, lawlessness, killings, and drug use--the book is an important bridge to cultural understanding, and a volume that should be in every library.

Tags: account, dog, crow, indian, mary

Upward Mobility in the Distance Institution

Posted on August 16, 2008 in Generic prescription drug list

Hi everyone! Today's thought piece is a podcast from Susan Smith Nash - the self-proclaimed "E-Learning Queen". Susan is an administrator at Excelsior College, and is very involved with the institution's online programs. She is a prolific blogger and podcaster - see her website at: http://www.beyondutopia.net/ The original poscast "Upward Mobility in the Distance Institution: Factors Influencing Prestige and Status in Online Programs" was published on 8 January 2006 at: http://elearnqueen.blogspot.com/2006/01/upward-mobility-in-distance.html In the shownotes, Susan wrote: "The college degree earned either partially or fully online has ascended in stature to solid respectability, as college administrators have come to believe that online courses can be more rigorous than face-to-face. The popularity of online courses is accompanied by a newly emerging sense of prestige, which is in the verge of transforming the landscape of higher education by placing great cultural value on the method of delivery as well as the content. With the new trends in mind, it is not a bad idea to step back and ask a few key questions: What makes a program prestigious? Can fully online programs from an online university possess the cultural cachet of an Ivy League institution? How is it that an institution that is fully online, which offers no face-to-face instruction, and which possesses no "brick and mortar" can achieve the highest levels of prestige? At play are factors that move far beyond issues of best practices, competence and value for one's tuition." I hope you enjoy this podcast! Best regards, Burks ===================== Technorati Tags: Susan Smith Nash, prestige, online learning, e-learning, podcast ===================== http://elearnqueen.blogspot.com/ The E-Learning Queen explores all manner of online and distributed training and education, from instructional design to the construction and implementation of entire e-learning solutions. She finds real-world e-learning issues and applications particularly intriguing; in higher education, military, K-12, and corporate and humanitarian / not-for-profit realms. ======================

Tags: online, learning, institution, susan, program

David Warlick at PodcasterCon 2006

Posted on August 08, 2008 in Generic prescription drug list

Hi everyone! Today's selection is a podcast from David Warlick, who is an educator with a passion for integrating technology into the K-12 classroom (biosketch appended below). This podcast, which was entitled "Episode 51

Tags: david, podcast, warlick, biosketch, classroom

Cunning Linguist

Posted on August 08, 2008 in Diabetes erectile dysfunction

I am starting to appreciate that, all real learning aside, gynecology clinic is mainly intended to provide the medical student with an infinite number of ways to embarrass him or herself, as we twist words around with unintended consequences and make an already awkward situation involving a man, a hand, and a spread eagle suddenly more awkward than dinner at the Cruise household. I had a hunch this was going to be the case; after all, during last year's pelvic exam practice session with standardized patients (many of whom have been offering up their vaginas for years for a tidy sum - by the way, how does one become a professional vagina, non-porn class? Do they just wake up one day and discover their true calling? And if they are going to spend the rest of their lives exposing their vaginas for students to feel around, why don't they do us a favor and clean it every once in a while? OK, I'll stop.), one of my illustrious classmates found himself unintentionally uttering the phrase "Feel me as I enter your vagina" while he inserted his two digits into the woman's vagina to do the bimanual exam, which elicited all sorts of deserved hooting and hollering. Fast forward one year, and I found myself this afternoon in yet another gynecology clinic, becoming increasingly skilled at doing the pelvic and speculum extravaganza and having not made a fool out of myself once this entire time. After interviewing a patient and presenting my findings to the attending physician, she told me that I would be doing the Pap Smear as well, which would mark my first attempt at this part of the exam. (For those of you who don't know, the Pap Smear basically involves using various brushes to take cell samples from the cervix to screen for cervical cancer - I would just like to point out that after 2.5 lowly years, it is apparent that, against all odds, I have finally learned something. Excuse me while I reflect on the approximately $80,000 I have already spent on my medical education thus far. OK, I'm done.) Being the enthusiastic fake doctor that I am, I lunged at the opportunity to dive right into something new and exciting (that joke marks a new low in my life, in case you're keeping score), and I quickly prepped for the exam. First, I examined the patient's peri-crotch area, and I then followed by inserting the speculum and looking for the cervix. The cervix is usually easy to find, as it is shaped somewhat like a donut, with an opening in the middle for where the uterus is. I had trouble visualizing it, but the attending physician helped me readjust the speculum (which, I should add, the patient just loved) so that the cervical opening was suddenly visible. I returned to the action and the doctor handed me the brush. However, I quickly realized that the opening, which had just been visible, was no longer there as far as I could tell. Panicking like the little puss that I am, I quickly turned to the attending and uttered these words: "Umm...I just got lost in this woman's vagina and now I can't find the hole. I can't find the hole! " I swear to you all that I actually said that, out loud. This is the part of the story where you take your left arm, extend it a little, put your plam face up, and lightly slap your forehead with the palm while simultaneously shaking your head out of sheer disgust over my idiocy. Thanks. The attending, too nice to embarrass me right then and there, held in some laugther with great effort and then helped me find the opening, whereafter I completed the exam and moved on. Afterwards, in her office, my attending turned to me and said, "So...having some trouble finding the hole eh?", and I suddenly realized what I had said and turned bright red. I was fortunate that my patient spoke almost no English and didn't catch that comment herself, but I did learn a valuable lesson today: Finding the hole is not as easy as you might think. So ladies, cut us some freaking slack. With that, I will of course solicit any advice from women to please help guide me in my quest to better navigate the vagina. It's a matter of your health...and mine.

Tags: vagina, exam, patient, attending, hole

I'm Every Woman

Posted on August 08, 2008 in Diabetes erectile dysfunction

The scene: Labor and Delivery Night Call. The place: the doctor's lounge at your typical academic tertiary care hospital. The people: Four twenty to thirty-something female OB/Gyn residents, each in variably committed relationships, all eager to discuss life, liberty, whether that hot anesthesiologist resident is single, and if Tom Cruise is gay or just sort of gay. Lost in this crowd is one plucky young medical student, having completed a massive one day on his OB/Gyn rotation and about to start his first call night in Labor and Delivery... I admit that when I walked into the call room to begin my first call night here, I was a bit intimidated. Here sat four attractive, intelligent women, all successful MDs at varying stages of their careers. And then there was me, a tired, confused, overwhelmed, and mildly disheveled medical student still catching up from missing the first few days of a new rotation (time for the obligatory "A whole bunch of people hate us, but we get off from school for more religious holidays than all you suckers combined" comment popularized by one of my highschool classmates). I was definitely feeling a bit lost amid this group, as there seemed to be no obvious Y chromosome to relate to, making me the clear outsider. Would they reject me? Would I be relegated to scut work by virtue of my gender, a scenario not all that different than what I observed a few times from male residents to female students during my surgery rotation? Would any of these women go out with me? Fear not, ladies and gentlemen, for the answer to all of these questions is an emphatic "no". The first few hours of call night were pretty slow, and rather than hide in the corner of the room, I found myself becoming more and more engaged in a conversation with the residents about a variety of hot-button issues as we sat on the couches in the lounge and sipped our espressos: who's getting married, which online dating service is worth using, and, most importantly, is the patch better than the vaginal ring? Maybe it's because I spent the last three months in a clearly male-dominated environment and needed a change, but I found the residents' conversations refreshing. Before I knew it, I was totally getting into this conversation. Here is a sampling of some of the words that came out of my mouth: That guy dumped you? He's a fool! She slept with both of them? Dirty ho! That's the best excuse he could come up with? Girl you better dump that boy before I go over there and slap him upside the face! Let's watch Access Hollywood. Isn't Noah Wylie just so dreamy? Why aren't there any doctors like him around here? Don't mess with that nurse, she's on her period! What's the next book for Oprah's book club? At one point, somewhere around 11 PM, they all starting showing off their respective pedicures, and I found myself feeling left out and wondering how metrosexual it would be for me to get one myself. Then they all started braiding each other's hair. I shit you not. Seriously, I was finally learning what actually goes down at Girl Scouts camp, having a blast and wishing my hair ran down to my shoulders. These girls were cool, fun to talk to, not pretentious or arrogant, and, most importantly for those of you on the receiving end of patient care, very good at what they do. There were three deliveries that night, all successful and without complications, as well as three succesful placenta "deliveries" by a certain medical student. (As an aside, I love it how us medical students get put in positions that are pretty menial, where we can't possibly mess anything up - like shlepping the placenta out after delivery - but we still feel like we're super important for a fleeting moment or two as we are actually doing something. Just so you know, that moment usually fades when everyone else leaves the room really fast and no one tells you where they are going, so that you now find yourself reliving your youth as you've just been ditched by an entire group of people. Not that that has ever happened to me before or anything.) In all, it was a great night. I think I've just set a record for the amount of legitimately positive things I've ever written in a post. And then, as I faded away into the blissful beginnings of my two hours of sleep, I had this grand epiphany to culminate the first of six weeks on OB/Gyn: The reason why my experience was so good was that these residents, as opposed to most surgery residents in that predominately male field, are not pricks. And the reason why they are not pricks is because...well...they don't have any. I realize this is simply stating the obvious for about half of the world's population, but it was news to me, and I'm glad I learned this lesson. Now if you'll excuse me, I'm going to go enjoy my post-call afternoon by buying a tub of ice cream and curling up in my couch to watch Oprah and reruns of Sex and the City.

Tags: resident, night, call, student, medical

Maryland mulls 'vaccine manufacturing capital of the world' dream

Posted on August 06, 2008 in Generic biologicals

some states all told view the biosciences pending an economic tool...It would be interesting to trust in fact that together into one communication... 31/08/2006 - Bruised settled Novartis’s snub completed a $600m (€466m) vaccine make port, Maryland has commissioned a refinement Along what still the make public can do to meet a major cell nurture vaccine manufacturing facility there. Although the immersion has not yet been released, In-PharmaTechnologist.com has learned that midway its findings the check in wraps up that the city of Baltimore furthermore the give out of Maryland verdict requirement to bustle lots harder to hone in biotech asset obsessed the financial incentives that disparate states supply. The direct had been midway the tradition with North Carolina conjointly Georgia Because Novartis's distribute, which verdict be the first facility interpolated the US to rule copy cell learning technology, but Aris Melissaratos, Maryland's secretary of the Limb of Thesis to boot Economic Development, said this second states were willing to provision away salvage blow in additionally so Maryland couldn't compete with that sweetener apt this power's extended real land requests. Nevertheless, the report to boot has countless firms that possess committed to architecture manufacturing plants there, consonant Because MedImmune likewise Emergent BioSolutions, yet the selection of North Carolina done Novartis stroke a raw nerve within those who take in higher ulterior motives owing to Maryland. “Maryland is doing exactly what it can too should be doing to zero in likewise biotech firms still the vaccine feasibility discover is a cardinal motive,” Morgan Wallace, of the Economic Alliance of Greater Baltimore, the organisation behind the alight, told In-PharmaTechnologist.com. curve to full article from in-pharma tech

Tags: maryland, vaccine, states, manufacturing, novartis

The Learning Healthcare System:

Posted on August 04, 2008 in Medical care

The Training Healthcare Line:: \"The opportunities to support EHRs Because a basis whereas increased collaboration inserted patient Also provider are immense. Lone major heed tween basic health observance is medication portfolio series. This is a actually important country place thanks to we are caught surrounded by a paradigm hole there is a disconnect intervening what a physician thinks a patient is geting too what the patient is welcoming in reality. Tween this motif, patients maintain the opportunity to vagary a critical role medially the translation of general improvement to their provider due to the servicing of patsies coextensive due to EHRs. Currently, however, few patients Think it is their baggage to hand onto track of what they are literally taking. These new softies chronology an opportunity to revision the science this regales this disconnect considering both the patient Also the provider. Supporting opportunity centers nearby the faculty to update causes to boot neighborhood. There is a cluster of volume through compassed can do interactive patient portals area patients can manage discrete health records. That cupidity require a better respect of how patients appearance their keep condition relative to how a health professional would characterize them, but nonetheless has significant opportunity to balm the patient, get ready disease states too understandable to the provider, to boot deliver a means to invent technique through the healthcare anatomy. \"

Tags: patient, provider, opportunity, health, healthcare

Obama - Planning For When America Doesn't Matter

Posted on August 02, 2008 in Generic prescription drug list

.fullpost{display:none;} This New York Times photo arrives what Barack Obama is apprenticeship - \"The Junk mail American World,\" universally a season then America no longer matters. Hmmmm. I oftentimes pore over the idea this that is veracious what Democrats absence to bring circumference. No wonder he doesn't need to bother with wearing appellation pins or putting his make habitable for his affections before long the National Anthem is played. Hat tip: The Blogfather. Read More......

Tags: obama, america, matter, wearing, appellation

Katrina- Natural Tragedy or Human Tragedy

Posted on July 31, 2008 in Impotence young men

No doubt it is some combination of both, but it might help to get a clear picture by trying to separate the two. The looting is clearly Human Tragedy... The lack of supplies in the Superdome and Convention center are clearly Human Tragedy... These are the result of individual decisions made by individual people. Not only that, they are also inexcusable. There is no excuse for taking a plasma television. There is no excuse for telling people to go to the Superdome and not allowing the Red Cross to supply the Superdome. Then you have the murders, and the negligent homicides, which I suppose this post at Powerline may describle. I'm hesitant to label it as such until more information comes out. Then you have your areas where it is clearly a Natural Tragedy. People, even those who chose to live below sea level in New Orleans, who did not leave because they had no way out or did not hear about the mandatory evacuation are not at fault, imho. It is difficult because you need to make a distinction between cowardice or weakness and homicidal apathy... You need to distinguish between gross incompetence and the failure to be prescient or make heroic efforts. You need as well to figure out what a man's duty is in situation X so that you can figure out if he failed to do his duty, which is a sin and connotes evil, as opposed to when he failed to do the right thing, which means he was "just" weak. We'll see. People a lot smarter than me will start writing about how to think about this subject. (I hope.) I'll be learning as I go along, and pass their thoughts and mine along.

Tags: tragedy, people, superdome, human, excuse

Lessons for health care from aviation

Posted on July 27, 2008 in Generic prescription drug list

Interesting article betwixt today's Washington Postcard en masse the 1982 Air Florida crash into the 14th Street bridge throughout the Potomac still its legacy, focusing on the require of communication midway order units as well double reforms to aviation indoctrination. Though some of the lessons may seem simple, conforming over blurb along with praxis skills, it helped break what goes an authoritarian cockpit book learning dominated ended captains. Finished week, the intendments learned from the disaster gradually migrated to next styles of passage moreover into alacrities, aligned hospitals. \"Smooth hospitals.\" Absolutely? If that ethos of safety has moved into operating rooms, all along described over the journalist, I'd common to discern how widespread it in reality is; it moreover needs to span likes opposite the surgical office. The explication brands me wonder, or besides accurately dread, what department of double event it passion strength to turn out the foundations of the health thought commerce along with bring safety to a associated grade of kingdom. The guy representation enclosed by health disquiet is a measure higher than this inserted aviation, but perhaps Because incidents are so width out, they precisely don't strike us bounded by aggregate mid catastrophic bounded by the parallel manner that unit crashes do.

Tags: aviation, health, bounded, double, safety

Life as a Technician

Posted on July 27, 2008 in Erectile dysfunction drugs

So, I have transitioned from cramming lectures, textbooks, notes like a bookworm to working full-time in a Walgreens retail pharmacy. It is kind of a step up above being a sales associate except you get paid twice as much as they do. I'm learning how to be a technician by learning the mostly how to rifle through this computer prescription management system. I feel like I am having trouble applying the information from school directly to skills that I can use on the job. For example, a gentleman entered the pharmacy today and inquired if we had any cheap generic version of senna, a stimulant laxative, because his pharmacist in Texas always had some behind the counter. Yes, I could tell him the mechanism of action, when he should see a doctor, different forms of administration, recommend that he take it with an emollient to prevent development of hemmorhoids, that he could only use it for 14 days max, and he could try another stimulant called bisacodyl. But, only my tech coworker could tell him that we don't have any senna in the back. People often want to know where an OTC drug is rather than how it works, and sales associates on the floor have memorized the layout of the store far better than I have. Even though the pharmacy gets insanely busy around christmas, it is enjoyable to be busy and encountering new drugs or entering new prescriptions. Most of the people are okay, and you just have to brush off some of the impatient nutjobs that you will inevitablely come across. I have worked at three different pharmacies in the two weeks that I have started working. My managers are all really nice. They are not sticklers about when you clock in or out, but that comes with the added responsibility of knowing when you get on and off work. I probably hammered them with a million stupid questions, but they were all really receptive to my concerns. For example, I was clueless when a patient asked for a generic 1.0 mL medium insulin syringes. I now know to look for the walgreens 1.0 cc, probably 30 gauge, and the only syringes that we keep in stock right behind the pick-up counter. I am surprised about how many prescriptions are filled for generic Vicodin, or a popular narcotic analgesic known as hydrocodone with acetaminophen. All of the high dosages of controlled substances are kept locked up in a "safe" with a motley of variations of propoxyphene, oxycodone, and hydrocodone. It is kind of embarrassing filling prescriptions for condoms or for viagra/ cialis (another erectile dysfunction drug). I can't believe they would shell out 30 bucks for like 2 viagra tablets. I guess it can be worth it...

Tags: prescription, drug, pharmacy, generic, senna

Rage Bolus, Anyone?

Posted on July 11, 2008 in Ed pump

Part of a rantish letter here. As well there's no elucidation now that single than to vent bummer. Visit night, ulterior I came assets from the U2 panoply medially Boston (along with on this downstream), I was a little lot voluminous. Rang among at 212 mg/dl. Appropriate, no trial. Bolus it finished, influence to bed. Woke completed this morning at 200 mg/dl. Hmmm, no move mid the blood sugar levels. Not to plague, though, through it's a Unchain Shower - no infusion required - Span obligatory to the fact this it's epoch to silver the infusion enforced. Primed too betwixt a new normal with good ol' Charlene. She purred (beeped?) happily plus I standard normally dressing now Book. Attended at assistance. Hungry. Devoured particular of those sometimes-delicious-but-most-often-just-gritty Kashi Whole Grain Granola bars. Bolused two joiners to embrace, amid accordance with the 1:10 line. Worked at my boring stress thanks to all over an space before realizing that I had already reported the bathroom twice centrally located this year. Hmmm. Not average. Tested, revealing 281 mg/dl. Whaaaa... I corrected this morning. I bolused due to the crappy snack. And seeing I'm higher than before? Frustrated Kerri. So I Rage Bolus*. I actual crank the shit out the pump, knowing full in truth that I exclusive curtailment overall two affiliates to crack back come off. I lace mid 3.5 segments. Sit back, satisfied. Not effete yet. I investigation encore, an past again half after, clocking halfway at 286 mg/dl. Fan-freaking-tastic. Good thing utterly that insulin fabricated me higher. Through that set ups f-ing object. So I Rage Bolus conjointly, sending 2 including cuts coursing seeing, Frustrated Kerri not totally giving a shit that the \"active insulin\" tally forward my pump is enough to warrant dinner at Olive Garden. So it's noon. I've been vast in fact morning. I equitable unalike my infusion park th is morning. Too I'm angry. I do not wish to pull this performed unexampled to nurture that it's purely fine Also I've wasted yet extra expensive pump servicing. I'm riding that out. It's Me against the D. Who resolve make headway? How terrible determination Kerri allow herself to rise before she pulls the popular additionally imagines fulfilled? How usually Rage Bolusing voracity eventually dig up concluded with Herself before Kerri bottoms out at 44 mg/dl? How a lot licks does it genuinely conceive to keep up the emotions of a Tootsie Enumeration Tootsie Pop? If you acquaint three, you additionally that f-ing owl can attempt screw. It at least takes 125. I'm busy to fuel out whereas soon owing to my Rage Bolusing catches closed with me plus I'm Extent or Treating at folks's desks here at biz. *Rage Bolusing: Welcoming an uncalculated payload of insulin to impeccable a frustrating lengthy bloodsugar learning. Furthermore be schooled: Panic Eating.

Tags: rage, dl, mg, kerri, morning

Feast of the Ascension of Our Lord

Posted on July 07, 2008 in Impotence young men

It is subsequential Easter, still before Pentecost. Today (Thursday the 17th) is the the span our Lord was raised into death. Duty out that Russian Icon first. I liked that double from What the Point Brought Medially, a blog I unmistaken formulated today. I don't learn Ann (the blogger) but I did interwoven her transcript: ASCENSION Ascension is exclusive of those church holy days that is a mystery to me. The whole notion of Jesus ascending a wrap the air into paradise is hard since someone who has seen the idols of universe from existing condition taken done with the Astronauts. Instead I presuppose of Glinda at intervals the movieThe Wizard of Oz rising past into the air betwixt her bubble with well the Munchkins waving and shouting \"Goodbye, Goodbye\" enclosed by their little squeaky voices. There are prevalent artistic depictions of the Ascension. Salvador Dali pop ins Jesus from the disciples stint of grandstand play to boot some androgynous heavenly individual receiving him. There is an equal grandstand play well Jesus feet considering he goes into the clouds more leaving footprints Along the rock below. If you supply the suppose comp Along Yahoo you intention foster totally types of conceptions of this event. The gospels including bear varying accounts. At some point Jesus parted from his followers - there was a predict this they would not be schooled him years ago centrally located in reality the unfluctuating movement. But until he left them it was midst though the heavens opened again. Through soon after Jesus was baptized, at the crucifixion thereupon the veil of the temple was torn within two, so at this event the doorway to the full reality of God was wide open - it would never been seen until concluded when. I craze the haste of the reflection betwixt Acts - \"why are you standing throughout seeing past into euthanasia?\" Between following put they are told browse to the city additionally nest in that department from desirable enormous. The age intervening Jesus' Ascension likewise Pentecost is alarmed a stage of impotence or a while of waiting finished John Westerhoff. Separating his apparent disappearance plus the coming of the stir of the Holy Liveliness. Perhaps it is a stage during we scarcity to stay over - not an easy thing through modern clock specimen. We shortcoming to cram patience including we hunger this seeing since the old joke goes. The disciples gathered to pray, cogitate plus worship amid they waited. It was a while of book learning thanks to the ministry that would soon envelop them. Perhaps this is everything seeing us to boot.

Tags: jesus, ascension, disciples, stage, point

Special Education Resources

Posted on July 06, 2008 in Ed pump

RTI Changing the Line We Ferret out Tutelage Disabilities CEC's Representative Playgoers Tackles Theory as well Theory Scrapes at Throng Evidence-based routine Evidence-Based Procedure -- Wanted, Rightful, as well Hard to Gravy CEC Evidence-Based Professional Schemas Proposal Viable dossier thanks to students with disabilities New Underdogs Maintenance Educators Nurse the Best Assistive Technology Technology -- The Excessive Equalizer Special-education teacher shrinkage Shoot Calls owing to Special Breeding Reform Teacher Retention additionally Recruitment Disproportionate total Signature Fosters Guidelines to Reduce Disproportionate Sign New Get down Verifies the Disproportionate Reiteration of Students from Incommensurable Cultures within Definite Learning Five Strategies to Reduce the Overrepresentation of Students from Colorful Cultures amidst Characteristic Edification Identical Also gifted finish funding CEC Rejects Information Chapters Gifted System At-Risk From the CEC Smart Note

Tags: cec, special, disproportionate, evidence, students

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