Examination Fever Quotes

The wisest man is the silent one. Examine his actions. Judge him by them.

his examination revealed that he had no fever, no pain anywhere, and that his only concrete feeling was an urgent desire to die. All that was needed was shrewd questioning...to conclude once again that the symptoms of love were the same as those of cholera.

After the trial, I watched as another female pathologist collected maggots from a spinal column found in the desert. There was a decomposed head, too, and before leaving work she planned to simmer it and study the exposed cranium for contusions. I was asked to pass this information along to the chief medical examiner, and, looking back, I perhaps should have chosen my words more carefully. 'Fire up the kettle,' I told him. 'Ol'-fashioned skull boil at five p.m.

We are not perfect. What god is Examine yours. According to your mythos he was so disappointed with his initial efforts creating your race that he tried again. At least we imprisoned our mistakes. Your god permits his to roam free. At a mere few thousand years old your creation myths are far more absurd than ours.

He sighed and grabbed my left arm, examining the tattoo. “What were you thinking? Didn’t you know I’d come as soon as I could?” I yanked my arm from him. “I was dying! I had a fever—I was barely able to keep conscious! How was I supposed to know you’d come? That you even understood how quickly humans can die of that sort of thing? You told me you hesitated that time with the naga.” “I swore an oath to Tamlin—” “I had no other choice! You think I’m going to trust you after everything you said to me at the manor?” “I risked my neck for you during your task. Was that not enough?” His metal eye whirred softly. “You offered up your name for me—after all that I said to you, all I did, you still offered up your name. Didn’t you realize I would help you after that? Oath or no oath?” I hadn’t realized it would mean anything to him at all. “I had no other choice,” I said again, breathing hard. “Don’t you understand what Rhys is?” “I do!” I barked, then sighed. “I do,” I repeated, and glared at the eye in my palm. “It’s done with. So you needn’t hold to whatever oath you swore to Tamlin to protect me—or feel like you owe me anything for saving you from Amarantha. I would have done it just to wipe the smirk off your brothers’ faces.” Lucien clicked his tongue, but his remaining russet eye shone. “I’m glad to see you didn’t sell your lively human spirit or stubbornness to Rhys.

The women we become after children, she typed, then stopped to adjust the angle of the paper....We change shape, she continued, we buy low-heeled shoes, we cut off our long hair, We begin to carry in our bags half-eaten rusks, a small tractor, a shred of beloved fabric, a plastic doll. We lose muscle tone, sleep, reason, persoective. Our hearts begin to live outside our bodies. They breathe, they eat, they crawl and-look!-they walk, they begin to speak to us. We learn that we must sometimes walk an inch at a time, to stop and examine every stick, every stone, every squashed tin along the way. We get used to not getting where we were going. We learn to darn, perhaps to cook, to patch knees of dungarees. We get used to living with a love that suffuses us, suffocates us, blinds us, controls us. We live, We contemplate our bodies, our stretched skin, those threads of silver around our brows, our strangely enlarged feet. We learn to look less in the mirror. We put our dry-clean-only clothes to the back of the wardrobe. Eventually we throw them away. We school ourselves to stop saying 'shit' and 'damn' and learn to say 'my goodness' and 'heavens above.' We give up smoking, we color our hair, we search the vistas of parks, swimming-pools, libraries, cafes for others of our kind. We know each other by our pushchairs, our sleepless gazes, the beakers we carry. We learn how to cool a fever, ease a cough, the four indicators of meningitis, that one must sometimes push a swing for two hours. We buy biscuit cutters, washable paints, aprons, plastic bowls. We no longer tolerate delayed buses, fighting in the street, smoking in restaurants, sex after midnight, inconsistency, laziness, being cold. We contemplate younger women as they pass us in the street, with their cigarettes, their makeup, their tight-seamed dresses, their tiny handbags, their smooth washed hair, and we turn away, we put down our heads, we keep on pushing the pram up the hill.

Caesar does not love, nor does he inspire love. He diffuses an equable sense of ordered good will, a passionless energy that creates without fever, and which expends itself without self-examination or self-doubt.

Words can be twisted into any shape. Promises can be made to lull the heart and seduce the soul. In the final analysis words mean nothing. They are labels we give things in an effort to wrap our puny little brains around their underlying natures, when ninety-nine percent of the time the totality of the reality is an entirely different beast. The wisest man is the silent one. Examine his actions. Judge him by them. He thinks you have the heart of a warrior. He believes in you. Believe in him.

Others may not notice it, because an angry Toraf is truly a rare thing to behold, but Galen can practically feel the animosity emanating from his friend. Which is why he casually bumps into him, taking care to be overly apologetic. “Oh, sorry about that, minnow. I didn’t even see you there.” Galen mimics Toraf’s demeanor, crossing his arms and staring ahead of them. What they’re supposed to be staring at, he’s not sure. His effort is rewarded with a slight upward curve of his friend’s mouth. “Oh, don’t think twice about it, tadpole. I know it must be difficult to swim straight with a whale’s tail.” Galen scowls, taking care not to glance down at his fin. Ever since they went to retrieve Grom, he’s been sore all below the waist, but he’d just attributed it to tension from finding Nalia, and then the whole tribunal mess-not to mention, hovering in place for hours at a time. Still, he did examine his fin the evening before, hoping to massage out any knots he found, but was a bit shocked to see that his fin span seemed to have widened. He decided that he was letting his imagination get the better of him. Now he’s not so sure. “What do you mean?” he says lightly. Toraf nods down toward the sand. “You know what I mean. Looks like you have the red fever.” “The red fever bloats you all over, idiot. Right before it kills you. It doesn’t make your fin grow wider. Besides, the red tide hasn’t been bad for years now.” But Toraf already knows what the red fever looks like. Not long after he first became a Tracker, Toraf was commissioned to find an older Syrena who had gone off on his own to die after he’d been caught in what the humans call the red tide. Toraf was forced to tie seaweed around the old one’s fin and pull his body to the Cave of Memories. No, he doesn’t think I have the red fever. Toraf allows himself a long look at Galen’s fin. If it were anyone else, Galen would consider it rude. “Does it hurt?” “It’s sore.” “Have you asked anyone about it?” “I’ve had other things on my mind.” Which is the truth. Galen really hadn’t given it much thought until right now. Now that it has been noticed by someone else. Toraf pulls his own fin around and after a few seconds of twisting and bending, he’s able to measure it against his torso. It spans from his neck to where his waist turns into velvety tail. He nods to Galen to do the same. Galen is horrified to find that his fin now spans from the top of his head to well below his waist. It really does look like a whale tail. “I don’t know how I feel about that,” Toraf says, thoughtful. “I’ve gotten used to having the most impressive fin out of the two of us.” Galen grins, letting his tail fall. “For a minute there I thought you really cared.” Toraf shrugs. “Being self-conscious doesn’t suit you.” Galen follows his gaze back out into the sea ahead of them. “So what do you think about yesterday’s tribunal?” “I think I know where Nalia and Emma get their temper.” Galen laughs. “I thought Jagen was going to pass out when Antonis grabbed him.” “He’s not very good at interacting with others anymore, is he?” “I wonder if he ever was. I told you how crazy Nalia always acted. Could be a family trait.” It looks like Toraf might actually smile but instead his gaze jerks back out to sea, a new scowl on his face. “Oh, no,” Galen groans. “What is it?” Please don’t say Emma. Please don’t say Emma. “Rayna,” Toraf says through clenched teeth. “She’s heading straight for us.” That’s almost as bad.

During those periods in which our bitterness of spirit, though steadily diminishing, still persists, a distinction must be drawn between the bitterness which comes to us from our constantly thinking of the person herself and that which is revived by certain memories, some cutting speech, some word in a letter that we have had from her. The various forms which that bitterness can assume we shall examine when we come to deal with another and later love affair; for the present it must suffice to say that, of these two kinds, the former is infinitely the less cruel. That is because our conception of the person, since it dwells always within ourselves, is there adorned with the halo with which we are bound before long to invest her, and bears the marks if not of the frequent solace of hope, at any rate of the tranquillity of a permanent sorrow. (It must also be observed that the image of a person who makes us suffer counts for little if anything in those complications which aggravate the unhappiness of love, prolong it and prevent our recovery, just as in certain maladies the cause is insignificant beyond comparison with the fever which follows it and the time that must elapse before our convalescence.)

SO MUCH FOR our dispassionate examination of the germ’s interests. Now let’s get back to considering our own selfish interests: to stay alive and healthy, best done by killing the damned germs. One common response of ours to infection is to develop a fever. Again, we’re used to considering fever as a “symptom of disease,” as if it developed inevitably without serving any function. But regulation of body temperature is under our genetic control and doesn’t just happen by accident. A few microbes are more sensitive to heat than our own bodies are. By raising our body temperature, we in effect try to bake the germs to death before we get baked ourselves.

In the most devilishly wicked learning environments, experience will reinforce the exact wrong lessons. Hogarth noted a famous New York City physician renowned for his skill as a diagnostician. The man’s particular specialty was typhoid fever, and he examined patients for it by feeling around their tongues with his hands. Again and again, his testing yielded a positive diagnosis before the patient displayed a single symptom. And over and over, his diagnosis turned out to be correct. As another physician later pointed out, “He was a more productive carrier, using only his hands, than Typhoid Mary.” Repetitive success, it turned out, taught him the worst possible lesson.

Somewhere the help don’t quit as soon as the boss walks out the door. I’m gonna need a dozen clean pens.” The lambing barn had four rows of pens against the long walls and back-to-back in the middle. At any one time the pens could hold eighty ewes and their lambs. When things went well, a ewe came into the barn on Monday and left on Thursday, and after her apartment was renovated the shepherd could install a newcomer. When a ewe had trouble – mastitis, milk fever, pneumonia, blue bag – the pens filled with sick sheep and the sheep housing stock shrank. Penny spent a couple hours examining the ewes in the barn, medicating those that needed it, turning others with their lambs out into the sunshine. She slipped bands on lambs’ tails, checked new mothers for milk supply, milked out ewes for their colostrum, ear notched bad mothers so they could be culled.

Every morning the whole team watched as the resident listened to the heart and lungs of each of our patients. Usually he said nothing because there was nothing to say. One morning while examining Richard he stopped and had each of us listen to a spot he had located on the patient’s back. “Those are rales and rhonchi,” he stated flatly. “Richard is coming down with pneumonia.” He had one of us write orders for a chest X-ray and massive doses of IV ampicillin. Four hours later Richard was short of breath, running a 105-degree fever, sick as a dog. The chest X-ray hadn’t been done and the antibiotics hadn’t been given. The one time we had a physical finding that might have made a difference on the closest thing we had to a salvageable patient, the damn orders were written but never taken off. Our resident was closer to tears than mad. Richard did well. If he had been eighty-five, he probably would have died.

Under the spell of moonlight, music, flowers, or the cut and smell of good tweeds, I sometimes feel the divine urge for an hour, a day or maybe a week. Then it is gone and my interest returns to corn pone and mustard greens, or rubbing a paragraph with a soft cloth. Then my ex-sharer of a mood calls up in a fevered voice and reminds me of every silly thing I said, and eggs me on to say them all over again. It is the third presentation of turkey hash after Christmas. It is asking me to be a seven-sided liar. Accuses me of being faithless and inconsistent if I don’t. There is no inconsistency there. I was sincere for the moment in which I said the things. It is strictly a matter of time. It was true for the moment, but the next day or the next week, is not that moment. No two moments are any more alike than two snowflakes. Like snowflakes, they get that same look from being so plentiful and falling so close together. But examine them closely and see the multiple differences between them. Each moment has its own task and capacity; doesn’t melt down like snow and form again. It keeps its character forever. So the great difficulty lies in trying to transpose last night’s moment to a day which has no knowledge of it. That look, that tender touch, was issued by the mint of the richest of all kingdoms. That same expression of today is utter counterfeit, or at best the wildest of inflation. What could be more zestless than passing out canceled checks?

In 2009, Kahneman and Klein took the unusual step of coauthoring a paper in which they laid out their views and sought common ground. And they found it. Whether or not experience inevitably led to expertise, they agreed, depended entirely on the domain in question. Narrow experience made for better chess and poker players and firefighters, but not for better predictors of financial or political trends, or of how employees or patients would perform. The domains Klein studied, in which instinctive pattern recognition worked powerfully, are what psychologist Robin Hogarth termed “kind” learning environments. Patterns repeat over and over, and feedback is extremely accurate and usually very rapid. In golf or chess, a ball or piece is moved according to rules and within defined boundaries, a consequence is quickly apparent, and similar challenges occur repeatedly. Drive a golf ball, and it either goes too far or not far enough; it slices, hooks, or flies straight. The player observes what happened, attempts to correct the error, tries again, and repeats for years. That is the very definition of deliberate practice, the type identified with both the ten-thousand-hours rule and the rush to early specialization in technical training. The learning environment is kind because a learner improves simply by engaging in the activity and trying to do better. Kahneman was focused on the flip side of kind learning environments; Hogarth called them “wicked.” In wicked domains, the rules of the game are often unclear or incomplete, there may or may not be repetitive patterns and they may not be obvious, and feedback is often delayed, inaccurate, or both. In the most devilishly wicked learning environments, experience will reinforce the exact wrong lessons. Hogarth noted a famous New York City physician renowned for his skill as a diagnostician. The man’s particular specialty was typhoid fever, and he examined patients for it by feeling around their tongues with his hands. Again and again, his testing yielded a positive diagnosis before the patient displayed a single symptom. And over and over, his diagnosis turned out to be correct. As another physician later pointed out, “He was a more productive carrier, using only his hands, than Typhoid Mary.” Repetitive success, it turned out, taught him the worst possible lesson. Few learning environments are that wicked, but it doesn’t take much to throw experienced pros off course. Expert firefighters, when faced with a new situation, like a fire in a skyscraper, can find themselves suddenly deprived of the intuition formed in years of house fires, and prone to poor decisions. With a change of the status quo, chess masters too can find that the skill they took years to build is suddenly obsolete.

He sighed and grabbed my left arm, examining the tattoo. 'What were you thinking? Didn't you know I'd come as soon as I could?' I yanked my arm from him. 'I was dying! I had a fever- I was barely able to keep conscious! How was I supposed to know you'd come? That you even understood how quickly humans can die of that sort of thing? You told me you hesitated that time with the naga.' 'I swore an oath to Tamlin-' 'I had no other choice! You think I'm going to trust you after everything you said to me at the manor?' 'I risked my neck for you during your task. Was that not enough?' His metal eye whirred softly. 'You offered up your name for me- after all that I said to you, all I did, you still offered up your name. Didn't you realise I would help you after that? Oath or no oath?' I hadn't realised it would mean anything to him at all. 'I had no other choice,' I said again, breathing hard. 'Don't you understand what Rhys is?' 'I do!' I barked, then sighed. 'I do,' I repeated, and glared at the eye in my palm. 'It's done with. So you needn't hold to whatever oath you swore to Tamlin to protect me- or feel like you owe me anything for saving you from Amarantha. I would have done it just to wipe the smirk off your brothers' faces.' Lucien clicked his tongue, but his remaining russet eye shone. 'I'm glad to see you didn't sell your lively human spirit or stubbornness to Rhys.' 'Just a week of my life every month.' 'Yes, well- we'll see about that when the time comes,' he growled, that metal eye flicking to the door.

Because, you see, it wasn't just the scent of a dead body itself but death hanging heavy on the air and its indisputably enthralling presence. It carved a hole so deep inside your stomach that you could physically feel it for the rest of your life. It was nothing like I thought it would be. Maybe, under different circumstances, I would have been able to examine the beauty in it. Perhaps if we had killed someone else.

When treating AOM, which of these individuals should be considered a treatment failure and switched to another antibiotic? A) A patient with a fever that continues at 24 hours after starting an oral antibiotic B) A child who is still tugging at his ear 5 days into a course of antibiotics C) A symptomatic child who still has a bulging, red, immobile TM 3 days after starting antibiotics D) A child who continues to have rhinorrhea 1 week after starting antibiotics E) All of the above

Pryce’s chicken is an unhealthy-looking grey, the way my sister looked when she had glandular fever. He examines it gloomily. ‘We’ll get

Who’s that?” Barney asked. Pedro answered, having returned his attention to his daughter’s suitor. “Father Alonso,” he said. “He’s the new inquisitor.” Carlos, Ebrima, and Betsy appeared alongside Barney, moving forward to get a closer look at the preacher. Alonso began by speaking of the shivering fever that had killed hundreds of citizens during the winter. It was a punishment from God, he said. The people of Seville had to learn a lesson from it, and examine their consciences. What terrible sins had they committed, to make God so angry? The answer was that they had tolerated heathens among them. The young priest became heated as he enumerated the blasphemies of heretics. He spat out Jew, Muslim, Protestant as if the very words tasted foul in his mouth. But who was he talking about? Barney knew the history of Spain. In 1492 Ferdinand and Isabella—“the Catholic monarchs”—had given the Jews of Spain an ultimatum: convert to Christianity or leave the country. Later the Muslims had been offered the same brutal choice. All synagogues and mosques had since been turned into churches. And Barney had never met a Spanish Protestant, to his knowledge.

Open your eyes, Mac.” “What do you mean?” “Words can be twisted into any shape. Promises can be made to lull the heart and seduce the soul. In the final analysis words mean nothing. They are labels we give things in an effort to wrap our puny little brains around their underlying natures, when ninety-nine percent of the time the totality of the reality is an entirely different beast. The wisest man is the silent one. Examine his actions. Judge him by them. He thinks you have the heart of a warrior. He believes in you. Believe in him.

To the casual observer there was nothing unusual about these six hours. To the casual observer this Friday was a normal Friday. Six hours of routine. Six hours of the expected. Six hours. One Friday. Enough time for a shepherd to examine his flocks, a housewife to clean and organize her house, a physician to receive a baby from a mother’s womb and cool the fever of one near death. Six hours. From 9:00 am to 3:00 PM. Six hours. One Friday. Six hours filled with, as are all hours, the mystery of life.

What a twofold shape there is in love! If we examine it coarsely, — if we look but on its fleshy ties, its enjoyments of a moment, its turbulent fever and its dull reaction, — how strange it seems that this passion should be the supreme mover of the world; that it is this which has dictated the greatest sacrifices, and influenced all societies and all times; that to this the loftiest and loveliest genius has ever consecrated its devotion; that, but for love, there were no civilisation, no music, no poetry, no beauty, no life beyond the brute’s.

His mother knew before he told her because he lost his voice and his appetite, and spent the entire night tossing and turning in his bed. But when he began to wait to the answer to his first letter, his anguish was complicated by diarrhea and green vomit. He became disoriented and suffered from sudden fainting spells, and his mother was terrified because his condition did not resemble the turmoil of love so much as the devastation of cholera….because he had the weak pulse, the hoarse breathing, and the pale perspiration of a dying man. But his examination revealed that he had no fever, no pain anywhere, and that his only concrete feeling was an urgent desire to die. All that was needed was shrewd questioning, first of the patient and then of his mother, to conclude once again that the symptoms of love were the same as those of cholera.

This tense situation exploded early one January morning in 1917 when a group of Mexican women mounted an angry revolt against the immigration officials stationed along the El Paso, Texas–Ciudad Juárez, Mexico, border. They earned their living by day cooking and cleaning in the homes of well-to-do Texans, and each night returned to their homes in Ciudad Juárez. But this particular morning, instead of quietly waiting to cross the border so that they could begin their workdays, the women became enraged over a newly established quarantine against the possible entry of typhus fever. The ironclad measure was established by edict of the surgeon general of the United States. It applied to every Mexican— both immigrants and dayworkers each time they crossed the border into the United States—and included physical examinations, mandatory disinfection of all baggage and personal belongings, and delousing baths with a mixture of kerosene, gasoline, and vinegar. Most intolerable to the Mexicans was the inherent danger of bathing in flammable and noxious agents like gasoline and kerosene. Only nine months earlier, a group of twenty-six Mexicans incarcerated in the El Paso jail underwent a similar disinfection procedure and, soon after a newly arrived prisoner lit a cigarette, were burned to death. While this practice offended and frightened those who were to be subjected to the baths, its dangerous nature seemed to be all but lost on the Americans ordering them.