Emergency Medicine Day Quotes

Emergencies are crucibles that contain and reveal the daily, slower-burning problems of medicine and beyond—our vulnerabilities; our trouble grappling with uncertainty, how we die, how we prioritize and divide what is most precious and vital and limited; even our biases and blindnesses.

Until fairly recently, every family had a cornucopia of favorite home remedies--plants and household items that could be prepared to treat minor medical emergencies, or to prevent a common ailment becoming something much more serious. Most households had someone with a little understanding of home cures, and when knowledge fell short, or more serious illness took hold, the family physician or village healer would be called in for a consultation, and a treatment would be agreed upon. In those days we took personal responsibility for our health--we took steps to prevent illness and were more aware of our bodies and of changes in them. And when illness struck, we frequently had the personal means to remedy it. More often than not, the treatment could be found in the garden or the larder. In the middle of the twentieth century we began to change our outlook. The advent of modern medicine, together with its many miracles, also led to a much greater dependency on our physicians and to an increasingly stretched healthcare system. The growth of the pharmaceutical industry has meant that there are indeed "cures" for most symptoms, and we have become accustomed to putting our health in the hands of someone else, and to purchasing products that make us feel good. Somewhere along the line we began to believe that technology was in some way superior to what was natural, and so we willingly gave up control of even minor health problems.

It is undignified to inject yourself with hormones designed to slow or enhance ovarian production. It is undignified to have your ovaries monitored by transvaginal ultrasound; to be sedated so that your eggs can be aspirated into a needle; to have your husband emerge sheepishly from a locked room with the “sample” that will be combined with your eggs under supervision of an embryologist. The grainy photo they hand you on transfer day, of your eight-celled embryo (which does not look remotely like a baby), is undignified, and so is all the waiting and despairing that follows.

Every day," I said, "every day I go to work and I see my granddad. I see the drunks and the addicts, the people who have fallen right off the edge of the earth. I see people who have made every bad move anyone could make, made every major mistake there was to be made, and by the time I see them, they are paying for it, sometimes with their lives. That's why they came to the ER. "When you work in emergency medicine, you are seeing patients who are the least common denominator as far as human beings go; people who are heartbreakingly stupid and ditty and drunk and high and obnoxious--unbelievably obnoxious. These people have all flowed out of the darkest side of life. And when you are finished with them, that's mostly where they'll return. So each of you who is thinking you want to go into emergency medicine will have to ask yourself, 'Do I really want to do this?'" I tapped my chest. "I know the answer for myself--every day I work I'm taking care of someone who is just like my grandfather, someone just like my mother. But everyone in this room needs to ask himself or herself, 'Do I want to spend the rest of my life with addicts and idiots and drunks and psychotics? Is this what will make me happy?'" I peered at all of them over the top of the microphone. "Very few sane people answer yes.

Wake up every day, expecting not to know what's going to happen, and look for the events to unfold with curiosity. Instead of stressing and managing, just be present at anything that pops up with the intention of approaching it with your best efforts. Whatever happens in the process of spiritual awakening is going to be unpredictable and moving forward, if you're just the one who notices it, not fighting or making a big project out there. •       You may have emotional swings, energetic swings, psychic openings, and other unwanted shifts that, as you knew, feel unfamiliar to your personality. Be the beholder. Don't feel like you have something to fix or alter. They're going to pass. •       If you have severe trauma in your history and have never had therapy, it might be very useful to release the pains of memories that arise around the events. Therapy teaches you how to express, bear witness, release, and move forward. Your therapist needn't know much about kundalini as long as he or she doesn't discount that part of your process. What you want to focus on is the release of trauma-related issues, and you want an experienced and compassionate therapist who sees your spiritual orientation as a motivation and support for the healing process. •       This process represents your chance to wake up to your true nature. Some people wake up first, and then experience the emergence of a kundalini; others have the kundalini process going through as a preparation for the emergence. The appearance happens to do the job of wiping out, so is part of either pattern. Waking up means realizing that whoever looks through your eyes, lives through your senses, listens to your thoughts, and is present at every moment of your experience, whether good or bad, is recognized or remembered. This is a bright, conscious, detached and unconditionally loving presence that is universal and eternal and is totally free from all the conditions and memories you associate with as a personal identity. But as long as you believe in all of your personal conditions and stories, emotions, and thoughts, you have to experience life filtered by them. This programmed mind is what makes the game of life to be varied and suspense-filled but it also causes suffering and fear of death. When we are in Samadhi and Satori encounters, we glimpse the Truth about the vast, limitless space that is the foundation for our being. It is called gnosis (knowledge) or the One by the early Gnostics. Some spiritual teachings like Advaita Vedanta and Zen go straight for realization, while others see it as a gradual path through years of spiritual practices. Anyway, the ending is the same. As Shakespeare said, when you know who you are, the world becomes a stage and you the player, and life is more light and thoughts less intrusive, and the kundalini process settles down into a mellow pleasantness. •       Give up places to go and to be with people that cause you discomfort.

10. What realities are captured in the story of Lou Sanders and his daughter, Shelley, regarding home care for an aging and increasingly frail parent? What conflicts did Shelley face between her intentions and the practical needs of the family and herself? What does the book illustrate about the universal nature of this struggle in families around the globe? 11. A key concept that emerges from the author’s interviews is “home.” Much more than just the place where you go to bed at night, home evokes a set of values and freedoms for many as they face old age. As you consider the life you want lead in old age, what does home mean to you? 12. Reading about Bill Thomas’s Eden Alternative in Chapter 5, what came to mind when he outlined the Three Plagues of nursing home existence: boredom, loneliness, and helplessness? What do you think matters most when you envision eldercare? 13. What can be learned from the medical treatment choices that were made in the final days of Sara Monopoli’s life? 14. What are your feelings about hospice care? When is the appropriate time to introduce hospice in the treatment of those with life-threatening illness?

Far from the cinematic drama of hospital emergency rooms, Slow Medicine embraces the unsung work of daily attention that is the greatest need and firmest foundation for longevity and quality of life at the farthest reach of age. Excellent chronic care attends to the day-to-day needs and conditions of the patient—by offering emotional support and social stimulation, supplying better nutrition, easing chronic skin and nail conditions, and making sleeping, moving, bathing, dressing, and voiding easier. Slow Medicine is the careful practice that most reliably sustains fragile patterns of well-being. This foundation for better elder care strengthens, rather than replaces, the selective use of high-tech care. During the time of the writing of this book, I have lived the

Of course, the Kremlin policy is utterly mad. Even with the help of useful fools like Gen. Butler, Moscow’s strategists are bound to fail (in the long run) – especially in Europe; for the natural instincts of sensible people are bound to awaken. However grim the situation may look, however horrific the military disasters to come, the circus clowns will be forced from the stage. Fear of death has a way of focusing the mind, and the threat of enslavement rallies many whose timidity would otherwise be assumed. It does not matter that these people are “late to the party.” As war grows closer, more observers will see the situation for what it is. Shortly before her death last year, a Russian historian wrote to me as follows: “Moscow is performing substantial war preparations. Training both military and civil defense [personnel] including the Moscow Metro, every day; medicine is in full readiness for [the coming] emergency….” J.R.Nyquist

In the year 2000, a young scientist named Paul Kenny moved from Dublin to San Diego to continue his neuroscientific research. He noticed something pretty quickly. In the main, Americans don’t eat like Irish people. They eat more, and they consume more sugars and fats in particular. Paul was thrown at first, but he soon assimilated—and within two years, he had gained thirty pounds. “I was like—oh my Lord, what is going on?” he told me. He rose to become the chair of the Department of Neuroscience at the Icahn School of Medicine at Mount Sinai in New York, and on the way, he grew curious about something. Did this different American diet change your brain? Once you start to eat in this way—lots of processed, fatty, sugary foods—might it be harder to stop? With his colleagues, he designed an experiment to test this. They raised a group of lab rats, and fed them nothing but pre-prepared rat chow. “It’s healthy. It’s balanced,” Paul said—the lab rat equivalent of what my father grew up eating. When this was all they had, the rats would eat until they were full, and then their natural instincts would kick in, and they would stop. They never became obese. Then he introduced the rats to the hyper-American diet. He bought some cheesecake and Snickers bars, and fried up some bacon. He split the rats into two groups. The first group was given access to the junkiest American food for one hour a day. The second group was given access to it almost all day. Both groups also, at the same time, had access to as much of the healthy rat chow as they wanted. You might call these cages Cheesecake Park—a place where the rats got to eat just like us. Paul watched as the rats sniffed the cheesecake and the Snickers and the bacon, and they began to eat. And eat. And eat. The rats who only had an hour with the cheesecake would “dip their head into it” the moment it arrived “and munch all the way through” until it was totally gone, Paul said. “The head would be slick with cheesecake. They’d gorge themselves,” and emerge “smothered in cheesecake.” The rats who had access to it all the time would eat even more, and they consumed it differently. They would eat some, leave it for a little while, then come back and eat some more. They were frequently topping up with sugar and fat. For both groups, as soon as they had the American diet, they lost interest in the healthy old rat chow. They shunned it. It bored them. The rats who got cheesecake for an hour a day would get just a third of their calories from the rat chow. The rats who had cheesecake all the time got just 5 percent of their calories from ordinary rat chow. They lost their ability to control their eating. Their old instincts, which kept them healthy, stopped working. They simply gorged.

Are Medical Facilities Available on Disney Cruise Line Ships? When planning a Disney Cruise Line vacation, guests often think about entertainment, dining, and destinations. Call help +1-844-807-7245 But an equally important consideration—especially for families with children, seniors, or those with health conditions—is medical care at sea. Many first-time cruisers wonder: Are medical facilities available on Disney Cruise Line ships? The reassuring answer is yes. Every Disney Cruise ship is equipped with a fully staffed and certified medical center designed to handle a range of health needs, from minor illnesses to emergency situations. The Disney Cruise medical teams operate under strict international maritime health standards, ensuring guest safety and care during every voyage. Overview of Disney Cruise Medical Facilities Disney Cruise Line prioritizes passenger safety and wellness. Each ship in the fleet — including the Disney Dream, Disney Fantasy, Disney Magic, Disney Wonder, and Disney Wish — has a modern onboard medical facility designed to provide essential and urgent care. These facilities function like small hospitals at sea, equipped with: Examination and treatment rooms Emergency response equipment Diagnostic tools like X-ray machines Basic laboratory testing Medication dispensary Isolation areas (for infectious cases) While not full-scale hospitals, these ship hospitals are capable of handling most medical needs that may arise during a cruise. Are Doctors Available on Disney Cruise Ships? Yes. Qualified, licensed doctors and registered nurses are available on every Disney Cruise Line ship. Each vessel’s medical staff is trained in emergency medicine and maritime health regulations. Here’s how the system typically works: A ship’s doctor oversees medical services and handles more complex cases. Nurses assist with consultations, first aid, and patient monitoring. Medical personnel are available 24 hours a day for emergencies. If you’re wondering, “Are doctors available on Disney Cruise ships?”—rest assured that medical assistance is always accessible, both during sailing and while docked at ports.