Cardiac

Cardiac Care In The

Cardiac Care In The News, Links and Answers

Open Question: Would this course be good for getting into child care and what i'm interested in?

I would like to become an EMT, and do some babysitting on the side... should I take this course (CPR certification is required to attend EMT courses) or should I take a regular CPR class? This class seems a lot more thorough than a regular CPR class. Heartsaver AED The Heartsaver AED Course teaches the basic techniques of adult and child CPR and the use of an AED. Students also learn about using barrier devices during CPR and giving first aid to choking victims. The intended audience is all lay responders, such as firefighters, police, airline personnel, security guards, coaches, personal trainers, employees in the workplace, family members of patients at high risk for sudden cardiac death, other lay rescuers, and those who may have a need to respond to a cardiac emergency. http://www.chiltonmemorial.org/training_cpr.shtml#A This is the link to the hospital offering the courses, which ones should I take for what i'm interested in? Can anyone who works in what i'm interested in help me out. more

Voting Question: Do you agree with Ezekiel Emanuel (Rahm's brother) that the Hippocratic Oath is inconvenient?

Ezekiel Emanuel sees the Hippocratic Oath as one factor driving "overuse" of medical care. He is a policy adviser in the Office of Management and Budget (OMB). Dr. Emanuel argues that "peer recognition goes to the most thorough and aggressive physicians." He has lamented that doctors regard the "Hippocratic Oath's admonition to 'use my power to help the patient to the best of my ability and judgment' as an imperative to do everything for the patient regardless of the cost or effects on others." Of course, that is what patients hope their doctor will do. But President Barack Obama is pledging to rein in the nation's health care spending. The framework for influencing your doctor's decisions was included in the stimulus package, also known as the American Recovery and Reinvestment Act of 2009. The legislation sets a goal that every individual's treatments will be recorded by computer, and your doctor will be guided by electronically delivered protocols on "appropriate" and "cost-effective" care. Heading the new system is Dr. David Blumenthal, a Harvard Medical School professor, named national coordinator of health information technology. His writings show he favors limits on how much health care people can get. "Government controls are a proven strategy for controlling health care expenditures," he argued in the New England Journal of Medicine (NEJM) in March 2001. Blumenthal conceded there are disadvantages: "Longer waits for elective procedures and reduced availability of new and expensive treatments and devices." Yet he called it "debatable" whether the faster care Americans currently have is worth the higher cost. Now that Blumenthal is in charge, he sees problems ahead. "If electronic health records are to save money," he writes, doctors will have to take "advantage of embedded clinical decision support" (a euphemism for computers instructing doctors what to do). "If requirements are set too high, many physicians and hospitals will rebel — petitioning Congress to change the law or just resigning themselves to . . . accepting penalties," he wrote in NEJM early this month. To reduce spending, as President Obama promises, doctors will have to be pressured to deny care. Rand reported that Canada allows few cardiac procedures for patients age 65 and older. In critiquing the Hippocratic Oath, Dr. Emanuel calls for training medical students "to move toward more socially sustainable, cost-effective care." He says the trend "from 'do everything' to PALLATIVE CARE shows that change in physician norms is possible." Dr. Emanuel also cites medical comforts for pushing up costs: "Hospital rooms in the United States offer more privacy, comfort and auxiliary services than do hospital rooms in most other countries," he noted in the Journal of the American Medical Association last June. .Apparently there is no limit on proverbial Wicked Sons per household.Cosmo do you understand the implications of this in context of agenda supported for over a century by major Obama backers? This is not about making life better for more people. It is about there being fewer people. We must look behind the sales tactics!Betelgeuse maybe so but not with these guys.from one telling article: "When Rahm was 14, his parents adopted a newborn girl after the baby’s mother showed up at the hospital where Dr. Emanuel worked as head of pediatrics, wanting to give the girl away. The sister "has not had the sterling success of her brothers" [article-writer's words]. "Zeke says all three....now have an “episodic” relationship with her, and he wonders about the *genesis* of her life’s troubles: “It’s a good question as to how much is environment, following three such brothers, and how much is *genetic*. "It’s hard to know.” more

Resolved Question: Im just wondering, how could MJ get the Cardiac Arrest ?

he had personal chefs, who took complete care of what he eats. im sure he always ate healthy meals.. well, bad food habit is one of the reason a person can get the heart attack / or if its heriditary so what else could be the reason ?? more

Voting Question: Can you really believe that Michael Jackson is gone?

I couldn't believe it. My brother told me that he was in cardiac arrest and I seriously thought he was joking. I turning on the news and there he was. I panicked. I watched as they announced that he was in a coma and that he had died. My heart was broken. I couldn't stop crying. I loved Michael Jackson. I worshiped the ground that he walked on. I never ever thought that he would die. He was like superman. In my mind he was indestructible. He was just one of the greatest musicians that ever walked the planet. I couldn't sleep at all last night. I thought it was a really bad dream. Words can't express how I feel right now. He was Michael Jackson. the most talented artist that ever lived. I just can't believe it and I really don't believe it. It's unfathomable. I couldn't sleep at all last night. it's one of the worst things that could possibly happen. his poor kids and his family. i can't stop crying. i hope that he's now in peace. and i hope that his kids are well taken care of. i literally feel sick. more

Resolved Question: Michael Jackson's death?

How EXACTLY did he die? Was it a cardiac arrest? (Yahoo news wasn't totally clear) How stunned/upset are you that the King of Pop is no more? Or do you not care? I personally was a fan, and I'm really sorry that he passed before his concerts in July. Tragic... :\ more

Resolved Question: Do you think Michael Jackon will become more popular now that he is gone?

I just heard on the news that the King of Pop died of cardiac arrest. Do you think he will become more popular now that he is gone? And did you like his music? Did you care about what tabloids were saying about him? more

Resolved Question: Is there a "secret" agenda with the Witnesses?

I'm considering studying with the Witnesses. This is a sincere question and not sarcasm. I have had serious oppostition from a couple of friends of mine who are saying very bad things of these people, which I don't believe at all. I was told they have an agenda and want my money and all the rest of the bashing which I do not believe. What do they want from me? as I am on SSI, HUD-section 8 housing and don't have any money. They are kind and sincere and I like them. I love God with all my heart. I have nothing to give them which they know because I told them and they don't seem to care at all. So what 'con' or game could they be trying to pull on me as there isn't anything I have to give them? I don't meet the qualifications to attend other churches in my area. I am poor, have current cardiac issues (soon to have a pacemaker) a history of mental illness, don't have nice clothes, don't have money, don't drive a fancy new SUV, have been celibate by choice since 1992, am homosexual in orientation, single, no children. My local churches and I have tried to become involved with MANY over the years are simply set up for families and for those with means. I can't be one of them as they are snobby. I don't hate anyone or any church but facts are facts and my local churches are money oriented and set up for affluent families. Even wealthy singles are second class. So, and again I am not being sarcastic, why would the Witnesses bother with me or want me with me having nothing to give to them? My only conclusion is love and Christian fellowship. If you have an alternative to my answer please let me know as I cannot see any hidden agenda. I live in State College, Pennsylvania and this area is affluent, secular and judgmental about materialism and it is reflected even in it's churches (sadly) except for the witnesses. I do need Christian fellowship, worship, and a Christian community as I think we all need and nobody else in my area has any interest in me. I love the lord with all my heart but I just don't have enough in the bank for this area's churches. I am friendly and sincere. But I'm also lonely for Christian community, worship, fellowship. The Witnesses don't care about my lack of money or materialism. So why do they bother with me? If there is an agenda what would it be? more

Voting Question: Please help me with this health care finance problem!?

United Hospital has received a leasing proposal from Leasing, Inc., for a Siemens cardiac catheterization unit. The terms are: • Five-year lease • Annual payments of $200,000 payable one year in advance • Payment of property tax estimated to be $23,000 annually • Renewal at end of year 5 at fair market value Alternatively, United Hospital can buy the catheterization unit for $725,000. This purchase would require United Hospital to debt-finance this equipment. It anticipates a bank loan with an initial down payment of $125,000 and a three-year term loan at 16 percent with equal principal payments. The residual value of the equipment at year 5 is estimated to be $225,000. The lease is treated as an operating lease. Depreciation is calculated on a straight-line basis. Assuming a discount rate of 14 percent, what financing option should United Hospital select? Assume that there is no reimbursement of capital costs. more

Resolved Question: What has been a moment of controlled anxiety for you?

On my first assignment as a travel nurse I went to a large hospital in Denver. My first night I had controlled anxiety as I trudged up the steps to the Cardiac Intensive Care Unit. I was brand new to travel nursing and I didn't know anybody there. more

Resolved Question: Do you think its my job causing the panic attacks or is it just that I have panic disorder and will have?

it anway. I work in a very fast paced cardiac critical care unit as a RN. I get massive amounts of anxiety with this job. I've had panic disorder since I was 15 but it didn't used to be this bad. I've been at this job for almost 2 years and the longer I work there the worse my anxiety has gotten. Should I quit the job or do you think I will have this issue whether I have this job or not?? I never used to be this anxious.I do take medication, its the only way I'de be able to work there at all anymore. I hate having to take medication, I want to be med free. We dont' need the money, my husband makes plenty. I just wanted to work to keep my skills up. All I've ever done is cardiac so I'm afraid to switch departments; I'm good at what I do. I do see a psychiatrist who seems to think its better to take medication and work than not work and not take meds. I dont know if I agree with that... more

Resolved Question: Considering buying a Cocker Spaniel puppy?

I am planning on buying a Cocker Spaniel puppy, preferably a black one. I'm wondering if anybody knows any reputable breeders in the Los Angeles area. I'm willing to drive or have the pup shipped, but the breeder must be a reputable! I'm looking for a breeder who shows, does health testing (cardiac, elbow, hips, leg-calve-perthes, patella, thyroid), and raises their dogs in a home environment. I'm sure there are tons of breeders out there, but I want only the best. I don't care about price. I'm willing to pay whatever for a good quality pet Cocker Spaniel pup, on a limited AKC registration. I have no interest in showing or breeding, and plan on having the dog spayed/neutered. Please let me know if you know of any REPUTABLE breeders in the LA area. There are many BYBs in my area and I have no use for people like that. Thanks in advance. more

Resolved Question: Should charges have been filed against parents of Jehovah's Witness girl who...?

went into cardiac arrest while I was taking her X-rays? Parents delayed Dr. care because of religion. What started as nornal cold, killed her.This incident happened in 1971. No charges were even thought to be filed because at that time, government stayed out of private religion. I received a scathing Y!A e-mail message from someone accusing me of everything from being a liar to being anti-God. I am neither. And I still remember the patient's name. Her last words were, "thank you", as I positioned her to the X-ray machine. When she collapsed, I laid her on the floor and quickly got the Dr., a nationally recognized heart specialist. more

Resolved Question: After the Democrats copy European-style UHC?

After the Democrats copy European-style UHC and force it down the throat of America... Where will the hundreds of thousands of Canadians and Europeans who come here annually for their critical and special care procedures go? Last year, my grandma needed a heart valve replaced. It was critical...the doctors gave her about a month to live unless the valve was replaced. Within a week, she was in the OR getting open heart surgery done to replace the valve. She is still alive today, because of that life-saving procedure she got quickly and effectively by a well trained and compensated cardiac surgeon. Under European-style UHC...wouldn't my grandmother be dead now, since she probably wouldn't have survived for the three-five months she would have had to wait for a government cardiac surgeon to have an opening?Biscuit: 1) I don't listen to Rush. I've never listened to Rush. But thanks for listening to Rush for me and telling me what his talking points are! I'm glad one of us is paying attention to what that stupid fat tub of lard is saying, and it's definitely not me. 2) I work in health care, on a critical care floor. I think I know a bit more about our health care system than you do. 3) And congratulations! You're the second person I've blocked. more

Resolved Question: I'm having IV Sedation for oral surgery tomorrow and I'm terrified?

I went to the dentist on May 19th because the lower left side of my jaw was pulsating, sore, and swollen. I explained that I have a normally high heart rate, but I forgot to tell them about how my mother and sister have to take antibiotics before going to the dentist. Anyway, the dentist referred me to an oral surgeon the same day, and I explained that I am a very nervous person, and that I am afraid of vomit and diarrhea. I also told him about the local shot they gave me four years ago that made my heart race. According to both the dentist and oral surgeon, my root tips need to come out because they are exposed and that's all that's left. The oral surgeon needs to cut into the gum, and has recommended IV sedation where I'm knocked out. I need two IV units. In addition to all that, I also forgot to tell anyone about the fact that when I was in the hospital with pneumonia and asthma problems, I was given some sort of IV medication that made my heart rate speed up so high that the hospital had to bring in a heart specialist. Plus, I've been taking Clindamycin as prescribed by the dentist, 1 150mg pill 3 times a day for a week, and I will have a few left come tomorrow at 8:45am - the time of my surgery. I started out taking one a day at the beginning because my stomach is torn up as it is from worrying, but I've been taking 3 a day since Sunday (although I think I forgot a dose yesterday). I was told by the oral surgeon to not eat for eight hours prior to surgery, but take any medication as needed with little water. Taking that antiobiotic on an empty stomach could cause my to get sick during surgery! To top it all off, I'm a heavy sleeper, and I'm worried about not waking up from the IV. I'm also worried about my body being allergic to whatever's in the IV and I won't know it, or that I'll have a heart attack or cardiac arrest. I'm also afraid of how I'll be when waking up - my boyfriend is driving so that's taken care of. I'm concerned about the amount of pain I'll be in. With all that said, I am seriously petrified. There are so many things on my mind. I take 150mg of Effexor per day, after dinner. I used to take Tenormin (25mg), BuSpar (20mg), and Protonix for GERD (40mg). I stopped taking all except the Effexor because I stopped seeing my doctor, but was taking Tylenol PM at night for the past several months because I wasn't able to get to a dentist and was in pain. The last night I took that was 5/26. Basically, I am freaking out, and have been feeling on the verge of a nervous breakdown since 5/19. I'm worried about dying, puking, waking up in a hospital bed, etc. the list goes on. With all that said, and less than 24 hours until my possible fate of doom, should I be worried? Are there any drugs in particular that could produce a negative interaction with IV sedation? Am I going to be alright? I couldn't think to ask these questions because I was a nervous wreck on 5/19!I am a hypochondriac, I get it from my mother! I was only taking Tylenol PM at night. Other than that, I've just been taking Advil for any pain, Clindamycin, and my Effexor - all prescribed to me by a doctor! I also spoke with my oral surgeon a little while ago. He reassured me a lot (he called it "talking people off the ledge"). Thank-you, everyone for your support! more

Voting Question: tell me the truth about this poem/song?

When our rivers run dry and our crops cease to grow when our summers grow longer and winters won't snow From the banks of the ocean and the ice in the hills To the fight in the desert where progress stands still When we've lost our will That's how we'll know This is not a test, We'll know, This is cardiac arrest Of a world too proud to admit our mistakes We're crashing into the ground as we all fall from grace When the air that we breathe becomes air that we choke When the marsh fever spreads from the swamps to our homes When your home on the range has been torn down and paved and The buffalo roam to a slaughterhouse grave What more will it take For us to know This is not a test, oh no This is cardiac arrest Of a world too proud to admit our mistakes Kissing the ground as well fall from grace This is a chance to set things straight To bend or break the rules back into place There is no middle ground, no compromise, we've drawn the line With perfect aim, we stand back and throw Glass windows break and it's all about to blow Lights go out as we pass the torch again In hope that it stays lit Neutrality means that you don't really care Cause the struggle goes on even when you're not there Blind and unaware That's how we'll know This is not a test, oh no This is cardiac arrest Of a world too proud to admit our mistakes We're crashing into the ground as we all, yeah we all, all fall from grace more

Resolved Question: Should I let my school know I've been depressed?

It's the end of my junior year, and I realized that I've been horribly depressed since 7th grade, progressively getting worse every year. I thought I'd get better but I never did, and I've never been so low. I feel it's really unfair that I've been saddled with all these workloads despite my ... idk how to describe it but my head isn't really functioning as it should IMO, even though of course I should have told them from the beginning. My grades aren't terrible (extremely unbalanced, like failing in one subject and excelling in another) I can't concentrate, can't study, sleep too much/little, don't care about what's happening around me, cry all the frickin' time, etc., avoid my friends and other people, have shopping/other binges, and think about suicide a LOT. Also cardiac irregularities that doctors have labeled possible panic attacks/anxiety, I have meds for that but they've been useless so far. Sometimes it gets better ... but overall I am at rock bottom. This year has been most important for colleges and I haven't done nearly as well as I could have. Should I let my school know about my condition? I haven't been officially diagnosed but I know if I went I would def. be put on meds or something. If they know, what can they do? Will it lessen the severity of my schoolwork this year? These grades do not reflect my potential AT ALL, but it's been like a terrible mental barrier that just keeps worse.Thanks, I loved these answers so far especially Tealana's ... the thing is, I don't really want to tell my parents because they're not the kind to understand. Hell, they're part of the reason ... I fight with my mother every single day, she has a history of unhappy marriages and divorces, an eating disorder that she keeps trying to "pass" to me (No more than 800 calories today, alright?), and basically she isn't much better off than I am. Whenever my mother sees I'm upset or haven't done my work she starts bitching at me to get my lazy ass back to work or something like that. She's extremely busy. She's always busy whenever I try to have a real heart to heart talk with her, and tbh she didn't seem very interested whenever I tried. She is either at work or asleep whenever I see her.And I'm just really concerned about school - isn't there any way I could relay or prove to them that this isn't my true potential, the extent of my brainpower, and that it should be counted less/in a different way or something? more

Resolved Question: How to be positive without being pushy on a Uni application?

I really want to get into this midwifery course at Uni and it has very limited space- 30 places and there will be hundreds of applicants. How do think my statement sounds? Is it pushy ? " My interest in midwifery began when my mum was pregnant with my younger sister. Since then I have been fascinated by the process of childbearing. However it was the recent birth of my daughter in 2008 that gave me the patients' perspective of care. From this, I have first hand experience of complications during delivery and effects drugs can have in slowing post-natal recovery. I also understand the pain of losing a child after suffering a miscarriage when my daughter was 4 months old. Having spent time raising my family I feel I have matured and have sufficient experience to empathise with expectant, labouring and post-natal mums'. While in Secondary school I had a fantastic opportunity to do some work experience at the Southern General Hospital. For two weeks I worked alongside Cardiac Technician's in A&E as well as the wards. Although this was not the vocation I wished for within the Health Care profession I took away a valuable insight into how staff worked together in order to provide a high standard of care to patients and their families. I hold five Highers, two of which are Psychology and Philosophy. I believe Psychology gave me an idea of how the physiological changes during pregnancy and labour can affect the expectant mother. I am determined that I coul successfully complete a degree in Midwifery. There is no aspect of Midwifery that does not appeal to me, however I am particularly interested in the use of alternative therapies during labour as opposed to drugs and campaigning for more women to breastfeed. I do not wish for any other career or job ad I hope that I am offered a place on the Midwifery degree for 2010 entry. If I am unsuccessful I will apply for 2011, then 2012 then each year until I'm accepted! " more

Voting Question: what happened? now i feel no emotion?

ok for starters im not emo or depressed or anything haha. This is just soemthing that hapened to me that i am trying to firgure out what exactlydid happen. so about a year ago i was 14. u no typical played sports had a crush w/e. anyways....one day everythings fine think i had a history test or something that day. so i go outside for lunch break ad am playing basketball ball when i get my leg all twisted up and falland my knee dislocates. so u no not bad so far. anyways at ER they find i have a heart problem andmy hearts failing turns out its actualy getting progressively worse. so NOW im back at home unale to walk, potential cardiac arrrest, possible heart surgery and cant play sports for sure the next year. oh and theres nothing they can do about it for 2 months til my knee heals. So ya know this is kinda bad, most ppl would kinda go into a depression or something....but the opposite started hapening...i was hapy or atleast acted happy ALL the time. ppl were totally amazed cuz i becames a type of spaz. i mean all day everyday just running jumpining singing telling jokes u name it. i created a kinda barrier between my bad emotions and me. So now my hearts stable or w/e but i still act like a spaz(mostly cuz for some reason it made me rly rly popular lol not kidding) but my hyperness kinda fuels this barier and its stillhere but im not just blocking out the bad emotions i block out al of them. i ever get sad, but i also dont care about ppl anymore, idc wat they do if theyre sad, if they get hurt. i also dont have crushes anymore, i find most highschool drama stupid and a waste of time. i also since i dont care about ppl, i see them as pieces that i can manipulate to get what i want i find atvantages ppl have that i want and i take them once i have w/e i want i pretty much discard them and rly dont giv a damn what happens to them. ANYWAYS...giv me some feedback, thoughts, opinions ideas thx! :) more

Resolved Question: what happened? now i have no emotions for anyone.?

ok for starters im not emo or depressed or anything haha. This is just soemthing that hapened to me that i am trying to firgure out what exactlydid happen. so about a year ago i was 14. u no typical played sports had a crush w/e. anyways....one day everythings fine think i had a history test or something that day. so i go outside for lunch break ad am playing basketball ball when i get my leg all twisted up and falland my knee dislocates. so u no not bad so far. anyways at ER they find i have a heart problem andmy hearts failing turns out its actualy getting progressively worse. so NOW im back at home unale to walk, potential cardiac arrrest, possible heart surgery and cant play sports for sure the next year. oh and theres nothing they can do about it for 2 months til my knee heals. So ya know this is kinda bad, most ppl would kinda go into a depression or something....but the opposite started hapening...i was hapy or atleast acted happy ALL the time. ppl were totally amazed cuz i becames a type of spaz. i mean all day everyday just running jumpining singing telling jokes u name it. i created a kinda barrier between my bad emotions and me. So now my hearts stable or w/e but i still act like a spaz(mostly cuz for some reason it made me rly rly popular lol not kidding) but my hyperness kinda fuels this barier and its stillhere but im not just blocking out the bad emotions i block out al of them. i ever get sad, but i also dont care about ppl anymore, idc wat they do if theyre sad, if they get hurt. i also dont have crushes anymore, i find most highschool drama stupid and a waste of time. i also since i dont care about ppl, i see them as pieces that i can manipulate to get what i want i find atvantages ppl have that i want and i take them once i have w/e i want i pretty much discard them and rly dont giv a damn what happens to them. ANYWAYS...giv me some feedback, thoughts, opinions ideas thx! :)its not just friends i dont care about. its family too pretty much anyone in general more

Resolved Question: Are potassium based salt substitutes safe?

Both my GP and my cardiac rehab clinic nurse said they don't like patients to use the potassium chloride salt substitutes due to the high potassium levels and I am interested to hear what other recommendations you may have heard for those needing to be on a sodium reduced diet. What have your health care professionals told you?What I was actually asking was if anyone else's doctors had commented on the salt substitutes and, if so, what did they say. more

Voting Question: Question about ultrasound?

Hi all! At 5 weeks 3 days (wed) we saw the sac had grown alot in 5 days....NP almost saw some cardiac activity but it was too tiny. She said the tiny spec (line) at the bottom of the sac was my baby. 2 questions: 1. Does the tiny line "aka baby" mean FETAL POLE? LOL 2. Would it be considered a GOOD thing if i still get occasional pain from my corpus luteum? That means its still working to care for my baby right? XOXOX to all mommies and soon to be mommies!! :) more

Resolved Question: I have to get a surgery on Monday, but...?

I have to get a cardiac cathetherization on Monday. But I am having concerns about other health problems, and I think it would be best to put it off until those other health problems are taking care of. The problem is, I'm concerned that the doctor might choose to sever ties with me and not perform the cath in the future. I could always get another doctor, but I really don't feel like changing doctors at this point. I am looking for reassurance that I have the right to not go through with the surgery if I don't feel ready for it at this time. Plus, I am also concerned because if I cancel, it would be such such short notice since today is Sunday and the surgery is supposed to be Monday. more

Voting Question: My grandma has alzeheimers and moved out of my house.?

I have power of attorney for her finances and her health. I am also benefeicery on all her life insurance policys. All of which she signed when she was of sound mind. She went to visit my uncle and the day before she was suppose to come home I called her to let her know what time I would pick her up and she told me not to come get her that she was staying there. I do not believe that this is the best thing for her as my uncle has amnesia due to a cardiac arrest that happened in august 2008. my aunt works from home full time and takes care of my step cousins 2 year old son (step cousin is in prison) Do I have the right to go get her and make her come back or should I just let her stay?? This is really a very emotional subject because of the alzeheimers she is tellind things that arent true and thinks that I am stealing from her. This hurts alot because for the past three years noone else in my family has taken care of or offered to take her for the weekend or doctors appts or any other type of help. I am married and have two kids but managed to fit her into our lives I kinda feel betrayed by her but at the same time I know that she is not herself due to the alzeheimers. please help!!!!! more

Resolved Question: "I do it for Hip hop" mixtape song..plz rate.?

my mixtape version of Luda's "do it for hip hop" the song's concept is pretty simple, just gotta read it. i broke it down...but its all one verse. here it goes Hip hop-started as just another subject in the school of hard knocks, just something 2 do way after dark, Hip was my playground, hop was my park, but before long i found we'd never be apart. Now its just a part of me, its alive, and breathin in me. And God forbid it would ever be leavin me. I wonder-what did hip hop see in me? when it took me under its wing and began feedin me. I'm glad it did tho, helped me forget about my reality. before hip hop, i tried 2 get through my actuality-with my eyes shut. I always thought my life was gonna end like the set of a movie, they'd call action, we'd shoot, and my life would be cut. But "hip" and "hop" came through, kept me away from the gun and knife and i don't care what u say fool, hip hop kinda saved my life. but then hip hop became very sick, very ill yo, it lacked the nutrients of a true lyricist and the vitamins of a well balanced flow, Respect flew out the window, and its swag was dangerously low. It had rappers that tried 2 freestlye, thought they were too good for writin it came as no suprise, they became irrelevant as quick as lightnin, and so did the hip hop game, just because of a greed for fame. The more its insedes continued to rot-the sicker it got. Until finally one day, it seemed 2 have fallen to cardiac arrest. But i wasn't about 2 let my saviour die, i hoped right inside its chest. and i kept that heart pumpin, harder and harder, yea i helped it pass the test, so call me Mr. Go harder, or Sir "never let it rest". And from hear on i will continue to treat hip hop, this is an ongoing effort, i will never stop, never stop in the effort to get it bak on top. i'ma be that one true lyricist, get hip hop back on track, rich in the vitamins of flow, i'ma restore the respect yo, and never let the swag get dangerously low, ima add concepts to its IV, Hip hop and i will never split, u can call us Siamese, I don't care bout how u felt, you were only in it for the wealth, but now i wear the belt, and its all about hip hops health. Slowly, hip hop gainin more power, slowly, the vital signs are gettin stronger, and with me me leadin the way, this era will last longer. u know how they say,don't hate the player, hate the game? the only reason they hatin is cuz they can't even make a lay up. they remain really lame, and its time for the haters to shut up and pay up Now the games well enough to walk upright, its the right time 2 b leavin, Good luck hip hop, no need 2 thank me-now we're even. hook: I didn't do it for the pop, or 2 enroll in fancy shops, i did it for hip hop, i did it for hip hop! i don't do it for my dreams 2 go far, or for the fancy cars, i do it for hip hop, i do it for hip hop! i don't do it for the girls, or the late night thrillz, i do it for hip hop, i do it for hip hop! i don't do it for the wealth, i do it for hip hops health i do it for hip hop, i do it for hip hop! i don't do it for the money, or any of the fly honey's, i do it for hip hop! i do it for hip hop! i will do it till it gets 2 the top, and even then, i will not stop, CUZ I DO IT FOR HIP HOP! rate it, hate it, do what u guys do:) ps. u know how i had it broken of right?, should i just make them each different verses? or should i have it all as 1 prolonged verse? more

Resolved Question: Lets play a role playing game : I would be Milo Blagojevich, the goverment appointed comissioner?

of universal health care, one-tier, single payer, and you are the cardiac 65 year old patient. I am is not atypical in my attitude towards public money. No sir. Your public tax money is mine now. I have the power of the purse, and in fact I am the ultimate judge in the matter of your life and death. What makes me, the Blagojevich, unique socialized health care case study is that I am sincere and I do not have no shame whatsoever. I was honest with you guys. This seat is (expletive) golden. Lets study the case. You walk into the office of medical commissioner and viola you face me, the bureaucrat Milorad Blagojevich sitting behind an oak desk (you paid with your tax money for the desk and for his enormous salary). "Please, Sir, pretty please, let me have the surgery, or I will die" What would be my answer?zaphod, hello? was it not the way how the things work in Illionis? I mean exactly the way it was more

Resolved Question: Types of patients in critical care units?

I need a small list of critical care patients and some possible problems, from stable to unstable, such as cardiac post-surgery? more

Resolved Question: In October of '08 I went into the hospital for same day surgery?

to have nasal polyps removed. They gave me too much anesthesia, and too many fluids, causing me to go into Congestive Heart Failure. Not only did they conceal this info from me, they are also refusing to take care of the extra added on expenses I incurred as a result of their error. No attorney will take this case because I did not die. (seriously). I feel my only alternative at this point is to start at the bottom with the Bureau of Consumer Affairs, and go up from there. All I really want is to be compensated for the care I needed as a result of their error. They had to keep me in the hospital to run cardiac tests and monitor me. What do you think I should do? more

Voting Question: Nursing careplan and diagnosis?

I am doing a case study on a patient of mine for nursing school. I have that almost done, but we need to write 5 (or more) care plans for our patients to tie it up. I have 5 but was told we should do a few more in case some of them are not correct. She recently presented with pitting edema in her left leg so I chose one of my careplans based on that. I need some suggestions however on what to do for a short term and long term goal, and some interventions. Here is my diagnosis: Tissue perfusion, Ineffective peripheral, related to decreased cardiac output manifested by presence of edema in left leg. I am new at this and need some help!! Thanks more

Resolved Question: I don't get this joke?

A doctor was having an affair with his nurse. Shortly afterward, she told him she was pregnant. Not wanting his wife to know, he gave the nurse a sum of money and asked her to go to Italy and have the baby there. ''But how will I let you know the baby is born?'' she asked. He replied, ''Just send me a postcard and write 'spaghetti' on the back. I'll take care of expenses.'' Not knowing what else to do, the nurse took the money and flew to Italy. Six months went by and then one day the doctor's wife called him at the office and explained, ''Dear, you received a very strange postcard in the mail today from Europe, and I don't understand what it means.'' The doctor said, ''Just wait until I get home and I will explain it to you.'' Later that evening, the doctor came home, read the postcard, fell to the floor with a heart attack. Paramedics rushed him to the ER. The lead medic stayed back to comfort the wife. He asked what trauma had precipitated the cardiac arrest. So the wife picked up the card and read, ''Spaghetti, Spaghetti, Spaghetti, Spaghetti - Two with sausage and meatballs, two without.''' more

Resolved Question: chest pain, weak breaths, feeling my heart beat slowly...whats wrong?

I am currently taking captopril, norvasc, nitrates and occasional atenolol with NSAIDs, after ny pack of captopril finished i bought a new pack and started having some new probs, i;ll wake in the middle of night with a feeling that my heart/breathing has stopped or is stopping, i will immediately get up from bed and try to force air into my lungs and gradually everything comes back to normal, but i notice my heart beating slowly then...this is a new development, when i take my bp then its usually ok too, i;m really worried,.,did i buy a fake captopril or is this a new development, i want to gather as much info as i can b4 seeing my doctor, cos most times he will examine me and find nothing wrong and ask me to continue taking my drugs that everything is ok...few months ago a cardiac echo showed that i have lvh, but that has been brought under control, it also showed that i have slight thickened endo but no cardiomegaly with moderate cardiomyopathy, is my condition getting worse or i shud stop taking my drugs cos i have noticed that since my bp is under control i feel relatively better when i am not taking all these drugs...but since my dad degraded to end stage prostrate cancer, my doctor advised that i take my bp drugs more regularly cos of the stress of taking care of my dad more

Resolved Question: can somone correct my grammer please?? its a book report.?

Dr. Kim Reggis is the best cardiac surgeon at The University Medical Center. His former wife, Tracy, shares custody of their daughter Rebecca Reggis, age nine. Tracy takes a weekend trip to Aspen with her current boyfriend Carl Stahl. Carl is the current CEO Foodsmart, a large agricultural export wholesale business involving grain and beef. That Friday night, Kim takes his daughter to her favorite restaurant, The Onion Ring. Little did Becky know that her burger was infested with E.Coli. During the weekend Becky was watched over by Kim’s current girlfriend and secretary, Ginger. Becky began to get flulike symptoms which Kim thought would pass. Becky was returned to her mother Sunday night and was getting worse and worse. Becky was finally taken to the hospital ER after blood was found in her diarrhea. Becky’s constant cramps and pain was being ignored for three hours until Dr. Kim found the attention of the staff by punching the vice president of the hospital. Becky was sent home with no medications and was only told not to consume dairy products and that she had a bit of food poisoning and should recover. A few days later Becky had thrown up blood. She went to the hospital again and was given attention almost immediately. The doctors suspected that a certain type of bacteria had entered Rebecca’s system; bacteria like E.Coli, salmonella ect. A specialist named Dr. Kathleen Morgan then spoke with Kim about E.Coli O157:H7 and that it could lead to HUS which shuts down the organs randomly. She then explained statistics of E.Coli and that Kim and his wife should be prepared for the worst. Suddenly Becky perforated and had to have surgery. The surgery went well but Becky was getting worse every day. The next day Kim came to the hospital from work and Becky was put on a respirator. Becky needed special treatment which Ameri-Care did not allow the hospital to perform. Ameri-care merged with Medicare 6 years ago. It shut down Kim’s old hospital and limited the power of doctors. Ameri-cares choices were based on “cost effective” reasons and their main concern was making money. Kim was infuriated. He marched out of the hospital and drove to The Onion Ring were he suspected Becky was infected with the toxin. There he learned which company the burgers were made and confiscated two patties, but Kim was arrested for being extremely violent towards the employees. Becky had a seizure that night. Now Kim was determined to find who was responsible for his daughter’s illness. He located Mercer Meats, the company that delivered the meat to The Onion restaurants everywhere. He was shown the process and was released. Mercer Meats then became nervous and did not want this to get into the news, it could ruin them. Kim then made friends with the inspector of Mercer Meats. Her name was Marsha Baldwin and her job was to make sure that Mercer Meats fallowed the proper regulation to prevent disease. Kim persuaded her to help him by showing her his daughter, unfortunately Becky died that day. Kim tried to save her, but it was too late. Marsha and he then went back to Mercer Meats. They traced the meat and now new it came from Higgins and Hancock’s Slaughterhouse .Marsha a decided to go alone. She called Kim and told her almost erverything he needed to know. She was interrupted by a Carlos, a mad killer whose job was to get rid of Marsha. Kim heard her screams from the phone and dashed to the slaughterhouse. Kim was then attacked but was founds by the police and was arrested for breaking and entering. Tracy and Kim became inseparable. They went to Kim’s house for comfort but little did they know Carlos was waiting for Kim. Carlos became distracted by Tracey in the shower and Kim soon chased Carlos out of his house. They decided to go to Tracy’s. Kim planed to get a job at Higgins and Hancock to find evidence so Kelly Anderson could report his story. Kelly Anderson was a hard hitting news reporter for channel six news. She was looking for her next big story they often stared Dr. Regiss. Now the doctor became an ill reliable resorce being arrested twice. He disused himself by dying his hair and dressing in leather and was wired with microphones. He found more then enough evidence that meat was getting contaminated and inspectors were not doing their job. Tracey could hear everything that was happening loud and clear and recorded every word. Carlos worked and Higgins too and soon recognized Kim. Carlos attacked him after shift but Tracey came to the rescue with Kim’s gun and killed Carlos. The couple went back to Tracy’s home but another assassinator was waiting for them. He explained he was not going to kill them because he was not treated well by the CEO’s of the beef industry and was being taken advantage of. Kim and Tracey rushed off to a motel and learned that morning that the news of “The Doctor Gone Mad”. They decided to leave to a country with no contaminated meant and do something for the America more

Resolved Question: Jokes:-DA Spaghetti Code.Smile please :-)))?

A doctor was having an affair with his nurse. Shortly afterward, she told him that she was pregnant. Not wanting his wife to know, he gave the nurse a sum of money and asked her to go to Italy and have the baby there. "But how will I let you know the baby is born?" she asked. He replied, "Just send me a postcard and write "spaghetti" on the back. I'll take care of expenses." Not knowing what else to do, the nurse took the money and flew to Italy. Six months went by, and then one day the doctor's wife called him at the office and said, "Dear, you received a very strange postcard in the mail today from Europe, and I don't understand what it means." The doctor said, "Just wait until I get home and I will explain it to you." Later that evening the doctor came home, read the postcard, and fell to the floor with a heart attack. Paramedics rushed him to the hospital emergency room. The head medic stayed back to comfort the wife. He asked what trauma had precipitated the cardiac arrest. So the wife picked up the card and read: "Spaghetti, Spaghetti, Spaghetti, Spaghetti - Two with sausage and meatballs; two without." more

Resolved Question: child CPR questions please answer?

1) list several signals of troubled breathing in a child 2) a child is choking on a piece of hard candy. ehat should you do if: the child is conscious and coughing forcefully __________________________ the child is conscious but cannot cough or breathe 3) when giving rescue breaths to a child, how should you breathe into the child 4)performing CPR on a child in cardiac arrest can 5) when giving CPR to a child the chest compressions sshould be _______ down and compressed ____ to ____ inches 6)when performing rescue breathing on a child you should give _____ breathe every _____ seconds 7) you notice that a child looks panicked and cannot cough,speak or breathe. what life threatening condition could this child be experiencing 8) the cycle of compressions and breaths in CPR for a child is ________ compressions for every ____ breaths 9) when giving care to a child who is conscious and has an obstructed airway, where should you position your fist to give abdominal thrusts 10) about how often should you stop and check for signs of life when performing rescue breathing on a child please answer thx more

Voting Question: Pregnant and still in school..?

Okay before you start to rant and rave. I am 20 turning 21 and I am in college. I am currently 34 weeks pregnant and I am due May 16, 2009 with a little girl (Yosselyn) Well anyway this Tuesday I accomplish getting my Cardiac Care Tech License and I have a month before I go back(May 5th I go back) I go back to obtain my license to become a Plebotomist Which will only take 2 months and then I don't know how long for clinicals. The problem is the class is May 5th-June 25th and I am due May 16th. I will go to school from 6-9 two times a week and her father will be home watching her :)! but....I am planning on breastfeeding and I have been told not to introduce the bottle until they are 4 weeks old bc of nipple confusion. Even If I was going to pump I would have to wait until I was certified by WIC to recieve a hand or electric pump for my fiance to feed her while I was at school. So my question is what do I do about feeding her when I am at school? more

Resolved Question: this is a new book that i am writing please tell me what you think i am very open to criticism.?

It was dark outside I was on the lawn I had goose bumps travelling up my long thin white arms. My long chocolate brown hair was blowing in the wind. It was cold outside something inside of me was telling me to go inside but I didn’t want to. I wanted to stay out here where I was free to be what I want to be. “Enigma get inside here it is too cold outside!” my mom yelled from inside “Coming mom I will be there in a minute.” I got up and went inside. I entered through the big glass door from the back yard, and I went into the nice warm caramel room. “Oh finally Enigma you came inside aren’t you cold and don’t you have school tomorrow? What were you doing out there?” “Jeeze mom, take a chill pill. I was just thinking, I wanted to have little alone time incase you haven’t noticed I am a teenager I would love a chance to have at least the tiniest bit of freedom in my own house!”I answered a annoyed from the lack of privacy in this house “Well you are living under my roof you will do as I say and when I say it you got that!?” My mom use to be a cardiac surgeon until I came into her life. She had to stop working once I was born into this sad life. She hated me for that; to give up something she adores and loves. I really don’t blame her who would love their only child, right. My dad was the total opposite. He is also a surgeon but a neuron surgeon but he loved me and gave me anything I ever wanted. The thing is he’s not here to make me feel better not any more at least not now. My parents got a divorce a year ago. I don’t blame the guy for leaving a monster but why forget me? What happened to me does no one love me? “Hello Enigma can you here me I am talking to you?!” BOOM! All of a sudden I was on the floor and all I felt was a burning sensation on my left cheek and blood was dripping out of my mouth. I looked up into her cold black eyes she was fuming with anger. I looked at her in disgust and gave her the answer she desired. “Yes mam I hear you and I apologize for disobeying you.” I got use to these sorts of situations this wasn’t the first or last time that she physically abused me. Ever since dad left she started drinking even more and became an even more of a train wreck. I slowly got up and fled to my room. I took all my clothes off and went into the bathroom and I let the hot water run on my soft white skin and the knots in my muscles untied. I stayed in there for about twenty minutes. I got out of the bathroom and put on my most comfortable PJ’s that I owned it was the most expensive pair I owned it was from the Paris Hilton line. I use to buy clothes like these when dad use to live with us. He would have to secretly give me money so that I can go shopping. The monster of a mom would have a fiesta if she found out. I laid under my silky red brown covers as I began looking at my ivory walls. All of a sudden my auburn eyes filled with tears. Why am I crying? I don’t want to cry I am a fighter and a fighter doesn’t cry over silly things. I eventually cried my self to sleep. I woke up at seven o’clock in the morning. I got dressed and slowly went down the stairs and into the yellow kitchen. She wasn’t there she must still be asleep. I made my sandwich for school I grabbed an apple and left. As I was walking to the corner were the bus picks me up I felt envy towards the kids whose moms took great care of them and had fun with them. I wanted that, but most of all I wanted death. more

Resolved Question: Have you ever had doubts in your career choice in the medical field?

I knew during high school I wanted to be a nurse. My mom is an RN herself and she loves the job - she was the one who recruited to me. At first I was very skeptical but after volunteering at the hospital, I loved it. After high school, I went to community college to take all my nursing pre-reqs and received my Associate's Degree. At that time I also went to nursing assistant school and received my NAC. I worked as an NAC for 4 years specializing in geriatrics, mental illness, and ppl w developmental disabilities (while going to school) and have volunteered in the big hospital at the Cardiac Cath Unit as a nursing volunteer and in the radiology unit. About a year ago, I felt like giving up b/c the nursing schools up here are so competitive. Spring of last year, I MIRACULOUSLY got accepted to the community college's RN 2 yr program. I worked and studied so hard but they weeded us out and I got a 74% (1% fr. passing). I was devestated. I went back to school and to take classes to make myself better and worked again at the long term care nursing home w. pts w. disabilities. There, i was delegated in tube feedings and passing medication. It's been a year since that "incident" in nursing school and I'm kinda depressed about it. It's been a total of 5 years - I'm 22 now and I haven't gotten anywhere. I love nursing but I feel doubts. Is it really a nice job for me? I initially wanted to become a nurse b/c I simply love taking care of others. I'm the oldest in the family and it's natural for me to think quickly and take action. I'm "too nice" of a person and I love being there for others. I'm aware it is a hard job that requires you to THINK and plan ahead and to work w. other personalities (including drama). I've always been aware of all that but b/c of recent events (mistreated at work, recent car accident - hurt my back), I've been having doubts. "mistreated at work" means that they've been giving me the heaviest and sickest patients. I don't mind but I'm a small lady (i'm 5'1 and they give me 200+lbs to ive showers and lift w. hoyers, my co-workers have big egos, and being w. the sickest patient has put my stress level higher - also checking his oxygen sats). Is this normal to have doubts? I don't know what other major to do...what if this wasn't meant to be for me? People around me have told me not to give up b/c they could see me being a "good nurse"..I don't know anymore.... more

Resolved Question: How do we encourage my father to lose weight and take care of himself?

My father used to be really athletic, in the military, and now he is doing civilian work in his retired years. He still eats like he runs 6 miles a day, but he does no physical activity. He is about 6 foot and we are afraid he may be over 250 lbs. He never goes to the doctor and he finally went and the doctor mildly encouraged him to lose weight and put him on a low dose of Lipitor, which doc said he could stop taking if his weight is under control. For about a week he listened to his doctor, but now he is back to his old ways. He's not even 50 yet, and we love him so much. Whenever we make comments he gets mad or makes jokes. Now he has begun to closet eat instead. How can you help someone to help themselves? We don't want a cardiac problem to take him from us?We have tried cooking healthy food and encouraging family walks, but he has been very resistant. He has trouble keeping up and gets grouchy. more

Resolved Question: Is this funny or what? LOL!?

I thought this was hilarious, someone sent it to me in an email. Do you think it's funny? And do you have a funnier one?? A doctor was having an affair with his nurse. Shortly afterward, she told him she was pregnant. Not wanting his wife to know, he gave the nurse a sum of money and asked her to go to Italy and have the baby there. ''But how will I let you know the baby is born?'' she asked. He replied, ''Just send me a postcard and write 'spaghetti' on the back. I'll take care of expenses.'' Not knowing what else to do, the nurse took the money and flew to Italy. Six months went by and then one day the doctor's wife called him at the office and explained, ''Dear, you received a very strange postcard in the mail today from Europe, and I don't understand what it means.'' The doctor said, ''Just wait until I get home and I will explain it to you.'' Later that evening, the doctor came home, read the postcard, fell to the floor with a heart attack. Paramedics rushed him to the ER. The lead medic stayed back to comfort the wife. He asked what trauma had precipitated the cardiac arrest. So the wife picked up the card and read, ''Spaghetti, Spaghetti, Spaghetti, Spaghetti - Two with sausage and meatballs, two without.''' more

Resolved Question: Lab Report : Frog Dissection?

FROG DISSECTION Instructions: 1 Examine the external structure of a frog. To open its mouth, use scissors to cut the sides of the mouth slightly. Look inside. Identify each body part shown in the Figure below. 2 Compare the frog to a person. Use Table 1 to record similarities and differences you observe. Also record the functions of each body part. 3 Place the frog on its dorsal (back) side. Pin the legs to the pan. 4 The frog should now be in a position that will allow you to open its body cavity. Carefully use scissors to cut through the skin and muscle from between the hind legs all the way to the lower jaw. CAUTION: use care when cutting! NOTE: Do NOT cut too deeply. You do not want to damage the internal structures. 5 Cut through the bone in the chest region with scissors. Then cut the body wall toward the sides (see figure). Fold the tissue to each side and pin it to the dissecting pan. 6 Observe the internal organs. Some organs will be hidden from view. Those organs on top must be moved to the side in order to see all parts. NOTE: Female frogs are often filled with eggs. Use forceps to carefully remove the eggs in order to see the organs. (PAGE 2 of 7) Wait! Please read this before you begin the actual dissection: Unlike humans, frogs don't store fat next to the skin. Frogs store winter fat in fat bodies, found inside the body cavity. If your frog was collected late in the year, the body cavity might be full of orange fat bodies. Now you are ready to being the actual dissection. Please be respectful of your lab partners and of the specimen you are about to explore, observe, and learn from. Take extra care with your dissecting tools. Your scissors are your most important tool, but be sure to handle them carefully and always double check before cutting. INTERNAL ANATOMY 1. Begin by pinning your frog on its back to the dissecting pan. 2 Follow the diagram on the right, and make the cuts shown through the thin belly skin. You'll notice that skin is paper thin, and not tightly attached to the muscle underneath. You will also find hard abdominal muscles right under the skin. (PAGE 3 of 7) 3. Pin back the skin and open the body cavity the same way you opened the skin. 4. Now pin back the abdominal muscle to expose internal organs. 5. Push the 3-lobed liver to the left to expose the esophagus, which runs back from the mouth to the large, J-shaped stomach. 6. Now cut the esophagus as close to the mouth as possible. 7. Look for the stomach, which consists of a large, anterior cardiac portion and a smaller, posterior pyloric portion that ends at the pyloric sphincter. This circular muscle opens and closes the bottom of the stomach. 8. Now look for the first part of the small intestine. Called the duodenum, it is directly below the pyloric sphincter. 9. Behind the duodenum is the elongated and coiled ileum, which connects the small intestine to the large one. 10. Find the large intestine by looking for an obvious expansion of the alimentary canal in the posterior region of the body cavity. 11. Look for the gall bladder on the dorsal surface of the right lobe of the liver. 12. Now find the spleen. It is a dark, spherical organ in the intestinal mesentery, below the kidneys. PAGE 4 of 7 LOCATE each of the organs. Check the box to indicate that you found the organs. Fat bodies - spaghetti shaped structures that have a bright orange or yellow color, if you have a particular fat frog, fat bodies may need to be removed to see other structures. Usually they are located just on the inside of the abdominal wall. Peritoneum - A spider web like membrane that covers many of the organs, you may have to carefully pick it off to get a clear view. Liver - The largest structure of the body cavity. This brown colored organ is composed of three parts or lobes: the right lobe, the left anterior lobe, and the left posterior lobe. The liver is not primarily an organ of digestion; it does secrete a digestive juice called bile. Bile is needed for the proper digestion of fats. Heart- at the top of the liver, the heart is a triangular structure. The left and right atrium can be found at the top of the heart. A single ventricle located at the bottom of the heart. The large vessel extending out form the heart is the conus arteriosis. Lungs - locate the lungs by looking underneath and behind the heart and liver. They are two spongy organs. Gall bladder - lift the lobes of the liver, there will be a small green sac under the liver. This is the gallbladder, which stores bile. (Hint: it looks like a booger). Small intestine - leading from the stomach, the first straight portion of the small intestine is called the duodenum; the curled portion is the ileum. The ileum is held together by a membrane called the mesentery. Note the blood vessels running through the mesentery; they will carry absorbed nutrients away from the intestine. Absorption of digested nutrients occurs more

Resolved Question: Urgent Help; First time user: Hello every one! I am in US from last 9 years. Bought house in 2007.?

I got 1st mortgage and 2nd Mortgage with GMAC. 1st Mortgage 6.5% and 2nd Mortgage 8.5 %. Till date I don't have problem to pay my monthly mortgage. But my younger brother who was living in India died (cardiac attack) on Dec 21st 2008 and now I got second family (with 3 peoples from my brother family) to take care with my widow mom in India. is their any possibility to modify my mortgage so I can send money to my extended family in India? Otherwise I have to walk out from this house to support them which I don't want at this point. Please help me with your valuable suggestions only. more

Voting Question: Is a patient's post-mortem required to prove a doctor's negligence in an ICCU in India law?

My mother was discharged from a corporate hospital and brought to the Railway Hospital with explicit instructions regarding her care. The concerned Railway Doctor, Dr.Bhattacharjee was given details of the patient's condition a day in advance for his information and approval. He asked for the patient to be brought in. On arrival, and being admitted to teh ICCU of Railway Hospital in Hyderabad, Dr.Bhattacharjee disregarded explicit instructions given by the corporate hospital doctors and acted on his own accord to remove the patient's nasal feeding tube and also take her off Oxygen support (despite being told that her SP2O levels were dropping without O2 support). By late evening the patient vomitted which included blood and suffered a cardiac arrest. We believe it was due to asphixiation as a result of depleted Oxygen levels and feeding through the mouth which previously caused the patient breathlessness. Upon questioning, the Dr.Bhattacharjee shrugged the incident as a fallout of a By-pass surgery. Now, I would like to hold him accountable for his actions before he carries on his indifferent behaviour with other patients at the Railway Hospital. Should I have had a post-mortem conducted to prove any thing or can I proceed with information I have from the previous hospital and information of his disregard for instructions. Advice would greatly help me take this case forward as it is about medical negligence in India... more

Resolved Question: If Obama implements Socialized Healthcare, will it hurt Canadians?

More than 400 Canadians in the full throes of a heart attack or other cardiac emergency have been sent to the United States because no hospital can provide the lifesaving care they require here. Most of the heart patients who have been sent south since 2003 typically show up in Ontario hospitals, where they are given clot-busting drugs. If those drugs fail to open their clogged arteries, the scramble to locate angioplasty in the United States begins… …While other provinces have sent patients out of country – British Columbia has sent 75 pregnant women or their babies to Washington State since February, 2007 – nowhere is the problem as acute as in Ontario. http://blog.acton.org/archives/2220-Will-Socialized-Health-Care-in-the-US-Kill-Canadians.htmlYou may feel this article is BS, but it points out a fact that many dying canadians come to the USA. While you may be healthy and happy with the program now, what about those who your healthcare system is failing? It is quite a few from what I read. more

Resolved Question: How long can my father live like this?

He is 63 and has advanced CHF and is in LTC since his most recent Hospital Admission...he had a ct scan Monday and has noticeable distension in his abdomen...the scan showed ascites and "areas" of suspicion within the abdomen and lungs. He regularly is anxious and agitated and is getting Ativan every night--we also notice that he seems to have a decreased Short Term Memory and repeats questions alot--could be the Ativan, but most likely the decreased blood flow to the brain...he is and was always a poorly controlled diabetic and has already had an amputation and is currently on a fluid restriction and diuretics...besides the ascites, he has what the cardiologist said is cardiac cirrhosis, which I would assume is contributing to some of the swelling in his abdomen, oddly enough he is not bloated all over his body like he usually is--I know this has something to do with it being left sided HF, I think? He regularly has diarrhea and had been vomiting blood during his admission to the hospital...he also is wasting away--in the month and half that he has been in the Rehab facility, he lost approx 40lbs while eating a considerable amount of calories--he is just not absorbing any of them and as you might imagine this is impacting his actual rehab considerably...I hate to see him like this and I can't imagine that he can live for long in this condition, but he is not able to have an ICD placed at this point and once the meds aren't effective any longer, there will be nothing more the docs can do. He wants to come home, but there is just no way that my mother can care for him in this condition and the doctors and staff at the facility are saying there is no way he is ready, which we know...he won't be able to use Hospice Care until the Cardiologist deems him to have less than 6mos to live which they aren't doing at this point...I can't stand to think of him suffering and alone there--we are a family of 6, 3 of us kids are married with children and myself and my siblings go in every other day and my mother goes every day after work, but it isn't the same and I don't know what to do or how to be ready for anything when we get the same bad and badder news each day, yet he is hanging in there, thankfully, but I know he is suffering and that this isn't much of a life, certainly not compared to what it used to be...what can I do, what should I be doing and is there something I should be asking the doctors or nurses or parents even? I have already gotten them to update their wills, fill out a living will so his wishes are stated clearly and gotten them to get a power of atty for my mother so she can deal with medical decisions and financial decisions at this point...my sibs and I also rotate having her over for dinner and spending time with her away from this when we can (her dad, my grandpa just passed unexpectedly last Sunday, so it has been a particularly rough week). Any advice you can give medically and emotionally would be most appreciated--I am spent and know that being the oldest daughter, when the other shoe drops-she will turn to me and I don't know if I am doing things right or if I am ready to handle it...thanks... more

Resolved Question: (Doctors or medicinal Educated people only) What are the different fields of anesthesiology?

I know that there is : Ambulatory Anesthesia Cardiac Anesthesia Critical Care Anesthesia General Anesthesia Neurosurgical Anesthesia Obstetric Anesthesia Pain Medicine Pediatric Anesthesia. I was wondering if someone could explain 1) what each does 2) what would be the best to go into, which is the highest money maker? If someone answeres the 2 questions fully, get best answer. Medicine educated people please more

Resolved Question: funny jokes come check it out!!!?

a guy walks into a gun place and asks them for their best gun so the guy gives him the best gun then he says can i see the bullets that go with this so he gives him the bullets then the guy loads the gun and holds it to the other guys head and says "oh yeah by the way this is a robbery :D" A doctor was having an affair with his nurse. Shortly afterward, she told him she was pregnant. Not wanting his wife to know, he gave the nurse a sum of money and asked her to go to Italy and have the baby there. "But how will I let you know the baby is born?" she asked. He replied, "Just send me a postcard and write 'spaghetti' on the back. I'll take care of expenses." Not knowing what else to do, the nurse took the money and flew to Italy. Six months went by and then one day the doctor's wife called him at the office and explained, "Dear, you received a very strange postcard in the mail today from Europe, and I don't understand what it means." The doctor said, "Just wait until I get home and I will explain it to you." Later that evening, the doctor came home, read the postcard, fell to the floor with a heart attack. Paramedics rushed him to the ER. The lead medic stayed back to comfort the wife. He asked what trauma had precipitated the cardiac arrest. So the wife picked up the card and read, "'Spaghetti, Spaghetti, Spaghetti, Spaghetti - Two with sausage and meatballs, two without.'" A young couple were on their way to Vegas to get married. Before getting there, the girl said to the guy that she had a confession to make. The reason that they have not been too intimate is because she is very flat chested. "If you want to cancel the wedding, then I'll understand," she said. The guy remarked, "I don't mind that you're flat, and sex is not the most important thing in a marriage anyway." Several miles down the road, the guy turned to the girl and said that he also had a confession to make. The reason that they have not been too intimate is because he is just like a baby below the waist. The girl remarked, "I don't mind that like a baby below the waist, and sex is not the most important thing in a marriage anyway." And so, the happy couple went on to Vegas and got married. On their wedding night, the girl took off her clothes. True to her word, she is as flat as a washboard. Then, the guy took off his clothes. After one glance at his naked body, the girl fainted and fell to the floor. When she regained consciousness, the guy said, "I told you before we got married, so why were you so surprised?" "You told me it was just like a baby." The guy replied, "It is! 8 pounds and 21 inches long!" A young female teacher was giving her class of six year olds a quiz "behind my back I've got something red, round and you can eat it. what is it?" she asked. "an apple" replied little Raymond "no," said the teacher " it's a tomato but it shows your thinking." "I've now got something round, a greenish colored you can eat it." "An apple," replied little Ian "No it's an onion, but it shows your thinking." Little scruffy Johnny at the back of the class says "I've got something under my desk that's an inch long, white and it has a red end." "Dirty little boy," said the teacher "No it's a match, but it shows you were thinking," he answered.sorry about the paragraphs =[ more

Voting Question: I'm married & am friends married male for 5yrs.i trust him & care 4 him but cant involve sexualy as he desire?

He's a cardiac patient & whole thing is leaving adverse impact on him.He is genuine & i really dont know wht to do? Should I or Not? I love my family & husband.for 5 yrs i hav bin restraining & he is still honest & committed (loves) me but his stress is deteriorating his health & I feel guilty i am married and commited to my hubby n family more

Resolved Question: Friend comatose after meth accident and me being investigated?

My friend Dave was around a meth lab and had a chemical they use to make it on his clothing. Unbenounced to me he came to my house to talk about his breakup with his girlfriend and i thought thats it. I didnt notice anything wrong with him or that he was high or anything. I did not even know he was around meth or doing meth. I didnt know he had a drug problem at all. How i didnt see this I dont know. I was nieve to it i guess. And i know ignorance is not an excuse for any of this. Well he went into cardiac arrest on the way to the hospital and everyone was thinking it was his athsma acting up. His family and I were at the hospital within the first few minutes of finding out. They quarintined the whole hospital and the hazmat team was there. We had to take showers outside and the whole thing was horrible. To make matters worse the next morning I came down with breathing problems and was admitted as well to the hospital. I begun to get very scared. I didnt know what was going on. When the dr. told me what it was i panicked. I have a child of my own and 4 others I take care of on a daily basis. It scared me to death and I didnt know how to deal with everything that had happened. I am now under supervision due to this insadent. My question is with the fermeldahyde being in the house I was told to thorughly clean my house and wash all clothing and cloth materials. Everything from top to bottom. Well I was cleaning I was taking out my roomates stuff because I can not have anyone over here and I found two needles. She lives in the bacment and I never go down there. Well I called the police right away. My children were in grave danger. I called it in and reported her in a frenzy panic. The officer that came told me to calm down and it was going to be okay. I was just wondering how this is going to reflect on me? I have never done drugs, and i dont drink. There are no guns or knives besides common kitchen ones in my house. I have set it as a safe place and now i have lost that. Am I going to be okay? I am really scared because these people have jepordized my children that it is going to come back on me as a bad parent and care taker and they will take them away and destroy my life and put me in jail or worse prison. Do you think that I will go? I'm panicing over all of this. Please help. And I know the mistakes in the people I have allowed over are unexceptable. There is nobody in or out now besides me, the kids, and the police.I learned real quick not to associate with people like that. I am trying my best to keep it together. Its just really scary. And yes I obviously should have known about these people but they did not act any different from when i first met them. But I guess drugs affect people in a way i didnt understand. I'm only 20 and have never been around these things. I go to college and am trying to make a good example for the kids.I have reported everything that I can possibly know. And that is why I reported the needles today. For the saftey of my children and i didnt know who's they were exactly. more

Resolved Question: What happens at your first cardiac appointment when moved to adult care?

I have an appoint soon for my yearly appointment but this time bcoz i am 18 it is with adult cardiac care instead and i was wondering what is going to happen such as tests,etc. more

Resolved Question: Why is it so wrong to care deeply about our teachers, who've done nothing but help us? Hear my story, please.?

Teachers, at least the majority of the ones in my high school, have done so much for me. I consider many of them good friends and I'd take a bullet for several. What puzzles me is that, despite the immense capacity they have for being caring, supportive, and just downright kind, for a student to reciprocate friendship seems "wrong." Especially in opposite-gender cases, people are so quick to shout "pedophilia!" or "Get a life!" or "that's freaky!"... but why? I'll admit, mine might be a different scenario than the average 12th-grader. I'm the oldest of three daughters and I've had 3 bad relationships with "fathers". And with my mother, although she's done a pretty good job of being a mom, the relationship is very much one-sided (she is a bit controlling/clingy to the point where I don't share differing opinions because she gets angry). Since 5th grade I can remember feeling extremely attached to my teachers, because they were everything I could ask for from an adult, or parental figure, or whatever. I've literally dreamt of somehow having them for parents, or aunts/uncles, or whatever. I have little family life or support and if it weren't for my little sisters, given the (unfathomable) chance I'd move into my school tomorrow and live there. Especially within the last several years. There are 3 teachers who know my whole story, and several others who are just very close. I've gone to my old middle school to visit one in particular for her birthday and X-mas, because during my 3 years there she was like a second mother to me. And I'm almost certain she had a special fondness in her heart for me. But high school has been different--there are many more teachers, and I'm a month and a day away from my 18th birthday. So many people (peers and adults alike) tell me I'm mature for my age, back to elementary school even. I'm almost a legal adult, not that it means anything, but I just don't understand. These amazing people have helped me out of my lowest moments, along with a close, evolving small group of best (my-age) friends. Together they all mean the world to me. If disaster struck and I lost them all, I would almost certainly end up dying within a few months. I will make one point clear--there is NOTHING ROMANTIC INVOLVED here. I've had a huge crush on a celebrity, once on a different teacher (short-lived and I never even considered it, don't worry), and a couple guys my age. This is different. I hesitate to say I 'love' them because people will chide me for using the term so easily, yet that's the only thing it feels like. Their presence in a room makes me glow inside, their little compliments like "you're so creative, I wish I could do that" or "if only more students were like you" leave imprints on my heart for days afterwards, and if I were rich I'd give them anything they could ever want. So then, why is it so wrong to want to express such a good thing? They bring light, reason, and meaning to my life. To shut out and hide the sheer sunshine seems like a crime, if you ask me. Two weeks ago my favorite teacher (and slight father-figure/role-model) encountered some "bad news" with his wife and told me, because I could see something wasn't right, and he was troubled. An update this week, it's confirmed, she has cancer. This man has one of the biggest hearts of any I know. He was the first to notice "depressed" signs in me back in October, and one of the 3 closest teachers of mine, he means so much to me. He loves his family, and has 2 daughters of his own. My heart has been physically aching out of concern for him since I heard the news with his wife. I've never met her, but I just can't stand to see him hurting. It's worse because nobody else can tell--it's not like he's openly telling the world or his classes, just his teacher friends and (I feel honored) me. He doesn't ask for sympathy but I can see it in his face, behind the everyday-teaching-face he looks like he's aged years in a couple weeks, and it tears me up inside. If there were a magic button that would somehow allow for his wife and I to trade our health, without anyone knowing about it, I'd switch in a heartbeat without giving it another thought (because I already have over-and-over). The condition is that nobody could know, because they probably wouldn't agree with me. This same teacher has cardiac problems himself--if it were permissible and he'd never know, I'd offer for a heart transplant, but nobody would allow it. That's the level of loyalty I feel. I don't mean to deprecate the value of that either, it's the truth. If they're healthy and happy, I'm happy too, whether I'd be getting cancer or not. I spoke with my guidance counselor about myself being upset about the unfortunate turn of events, today. I knew everything he was going to say, but I needed to hear it to confirm it. I know medicine's advanced. I know I can't do anything to change it. And I know my teacher will get through it one way or another. It just sucks, becauseI have to guard and carefully phrase everything I say, because of the 'student-teacher relationship' rule. Romance is far from my mind, but yet it's practically illegal to want to be there for a close friend in tough times? He metaphorically picked me up when I was feeling absolutely depressed, dusted me off, and gave me a sort of "reason" to go on, to want to do my best, you know? And now that I'm so much better and he's having some hard times lately, I can't do the same. Everytime I see him, I just want to give him a hug. The honest, human, compassionate, I'm-here-for-you kind. Have no fear, because it won't happen. I'd be mortified of the consequences, you need not warn me. I dare not act, EVER, on that impulse, because of this concept that it's somehow criminal. Like I said, that in itself seems like a crime. Therefore I ask again, although I don't expect great answers, why is it so wrong to care, as I do? I'm not lusting after any of my teachers, and I don't want that anyForgive my appallingly-long "question"/tale. It comes straight from the heart, and without telling it all, people can't get the whole picture the way I'm trying to communicate it. I don't really need an answer, but please please, I'd really appreciate a comment, or a thought, opinion, etc. Am I alone in my feelings? Giving out best answer points if applicable, if that's any incentive to reply... I spent alot of time on this question and a response would mean so much to me. :] more

Voting Question: Started with a personal trainer and got lightheaded and almost passed out. Blood pressure was low.?

I am 27 female and in good health. I joined a gym in november and have been doing cardio and some weight training. I recently started working with a personal trainer and on my 2nd session I kept getting lightheaded and my vision was getting blurry and I broke out in a cold sweat. I am sure it is because I am not used to the intensity of the workouts, but there is a blood pressure machine at the club and when I checked it. My bp was 68/40. I am a critical care nurse, and I specialize in cardiac surgery. I know that is a low blood pressure. I was wondering if there was anything I could do to prevent the dizziness but still be able to train at high intensities. I drink and eat plenty. would caffeine help???? more

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