Leg Fracture Quotes

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I knew well enough that one could fracture one’s legs and arms and recover afterward, but I did not know that you could fracture the brain in your head and recover from that too.
Vincent van Gogh (The Letters of Vincent van Gogh)
You’re so good at finding paradoxes, and once you’ve fished one out from your bag of easy notions you think you’ve got your answer. But a paradox is never an answer, it’s just a fractured truth, a wisp of meaning without legs.
André Aciman (Find Me (Call Me By Your Name, #2))
A fractured team is just like a broken arm or leg; fixing it is always painful, and sometimes you have to rebreak it to make it heal correctly. And the rebreak hurts a lot more than the initial break, because you have to do it on purpose P.37
Patrick Lencioni (The Five Dysfunctions of a Team)
in better company, they found among all those hideous carcasses two skeletons, one of which held the other in its embrace. One of these skeletons, which was that of a woman, still had a few strips of a garment which had once been white, and around her neck was to be seen a string of adrezarach beads with a little silk bag ornamented with green glass, which was open and empty. These objects were of so little value that the executioner had probably not cared for them. The other, which held this one in a close embrace, was the skeleton of a man. It was noticed that his spinal column was crooked, his head seated on his shoulder blades, and that one leg was shorter than the other. Moreover, there was no fracture of the vertebrae at the nape of the neck, and it was evident that he had not been hanged. Hence, the man to whom it had belonged had come thither and had died there. When they tried to detach the skeleton which he held in his embrace, he fell to dust.
Victor Hugo (The Hunchback of Notre-Dame)
It was dark in the alcove, so dark that Jace was only an outline of shadows and gold. His body pinned Clary's to the wall. His hands slid down along her body and reached the end of her dress, drawing it up along her legs. "What are you doing?" She whispered. "Jace?" He looked at her. The peculiar light in the club turned his eyes an array of fractured colors. His smile was wicked. "You can tell me to stop whenever you want," he said. "But you won't.
Cassandra Clare (City of Lost Souls (The Mortal Instruments, #5))
And then he heard Mad-Eye Moody’s voice, echoing in some distant chamber of his empty brain: Jump onto the desk . . . jump onto the desk. . . . Harry bent his knees obediently, preparing to spring. Jump onto the desk. . . . Why, though? Another voice had awoken in the back of his brain. Stupid thing to do, really, said the voice. Jump onto the desk. . . . No, I don’t think I will, thanks, said the other voice, a little more firmly . . . no, I don’t really want to . . . Jump! NOW! The next thing Harry felt was considerable pain. He had both jumped and tried to prevent himself from jumping — the result was that he’d smashed headlong into the desk, knocking it over, and, by the feeling in his legs, fractured both his kneecaps.
J.K. Rowling (Harry Potter and the Goblet of Fire (Harry Potter, #4))
A Baba Yaga never breaks a promise. Legs, yes. Hearts, occasionally. But never a promise.
Deborah Blake (Wickedly Magical (Baba Yaga, #0.5))
This is what true pleasure feels like. It’s not just the softness of a kiss. It’s not just the delicate touch of hands on breasts and tongues on skin. It’s the bite of pain, the threat of danger, the risk taken in dancing with the devil. I come hard against Zeth’s mouth. He leans into it, growling and sucking and licking as I scream out my release, hands locked on my hips, pulling me into his face.  “Fuck, Zeth! Stop! Please stop!” His back hitches as he laughs, still teasing me with his tongue. My legs scrabble against the bed, desperately trying to escape the intense post-orgasm rushes. He gets up after that, raising one eyebrow at me.
Callie Hart (Fracture (Blood & Roses, #2))
There is no place far enough that you can run. If a doe flees into the forest as far as her legs will carry her, does not the wolf simply follow?
Juliette Cross (The Red Lily (Vampire Blood, #2))
First, I spit out a mouthful of dirt. Then, I screamed at the sky. “That’s it! I’ve had it! Everything is trying to kill me! All I did was make one stupid wish. Aladdin made three. I’m the hero of this story, so where’s my happy ending, already? It’s not fair.” Rexi bent over, trying to catch her breath. “You know what’s not fair? Spending Muse Day as a toad just because the kitchen ran out of frog legs. Or being volunteered for this little journey. So build a bridge, then make like a billy goat and get over it already because no one is listening.
Betsy Schow (Spelled (The Storymakers, #1))
Ow! That…” A little ball of fur chewed on my slippers, not caring that my feet were still inside. I’d never seen another creature like it. It had the auburn- colored body of a lion cub, but it also had nubby horns, wings, and a dragon’s tail. Its little black talons scratched at my leg; then it stared at me with accusa-tory ice- water blue eyes. “No pixing way! Prince Kato?
Betsy Schow (Spelled (The Storymakers, #1))
an anthropologist who wrote about how the first artifact of civilization wasn’t a hammer or arrowhead, but a human femur—discovered in Madagascar—that showed signs of having healed from a bad fracture. In the animal world, a broken leg meant you starved, so a healed femur meant that some human had supported another’s long recovery, fed them, cleaned the wound. And thus, the author argued, began civilization. Augured not by an instrument of murder, but by a fracture bound, a bit of food brought back for another.
Kaveh Akbar (Martyr!)
There were two things about this particular book (The Golden Book of Fairy Tales) that made it vital to the child I was. First, it contained a remarkable number of stories about courageous, active girls; and second, it portrayed the various evils they faced in unflinching terms. Just below their diamond surface, these were stories of great brutality and anguish, many of which had never been originally intended for children at all. (Although Ponsot included tales from the Brothers Grimm and Andersen, the majority of her selections were drawn from the French contes de fées tradition — stories created as part of the vogue for fairy tales in seventeenth century Paris, recounted in literary salons and published for adult readers.) I hungered for a narrative with which to make some sense of my life, but in schoolbooks and on television all I could find was the sugar water of Dick and Jane, Leave it to Beaver and the happy, wholesome Brady Bunch. Mine was not a Brady Bunch family; it was troubled, fractured, persistently violent, and I needed the stronger meat of wolves and witches, poisons and peril. In fairy tales, I had found a mirror held up to the world I knew — where adults were dangerous creatures, and Good and Evil were not abstract concepts. (…) There were in those days no shelves full of “self–help” books for people with pasts like mine. In retrospect, I’m glad it was myth and folklore I turned to instead. Too many books portray child abuse as though it’s an illness from which one must heal, like cancer . . .or malaria . . .or perhaps a broken leg. Eventually, this kind of book promises, the leg will be strong enough to use, despite a limp betraying deeper wounds that might never mend. Through fairy tales, however, I understood my past in different terms: not as an illness or weakness, but as a hero narrative. It was a story, my story, beginning with birth and ending only with death. Difficult challenges and trials, even those that come at a tender young age, can make us wiser, stronger, and braver; they can serve to transform us, rather than sending us limping into the future.
Terri Windling (Mirror, Mirror on the Wall: Women Writers Explore Their Favorite Fairy Tales)
she scares the ever-living hell out of me. The shit she does, and then afterwards, instead of regretting her actions, she’s on some kind of a high…a humping-my-leg one.
Sydney Landon (Fractured (Lucian & Lia, #2))
Our behavior is as absurd and incomprehensible with respect to the first drink as that of an individual with a passion, say, for jay-walking. He gets a thrill out of skipping in front of fast-moving vehicles. He enjoys himself for a few years in spite of friendly warnings. Up to this point you would label him as a foolish chap having queer ideas of fun. Luck then deserts him and he is slightly injured several times in succession. You would expect him, if he were normal, to cut it out. Presently he is hit again and this time has a fractured skull. Within a week after leaving the hospital a fast-moving trolley car breaks his arm. He tells you he has decided to stop jay-walking for good, but in a few weeks he breaks both legs. On through the years this conduct continues, accompanied by his continual promises to be
Alcoholics Anonymous (Alcoholics Anonymous)
Something like elephantiasis, only worse, affecting both arms and both legs. Drastic amputations indicated. Eye-sockets. Burns. Multiple and compound fractures. Punctured and incised wounds. Traumatism, ecchymosis, extensive extravasations, oedema. Profound systemic shock. The prognosis, however, seems to be favorable,
E.E. "Doc" Smith (Gray Lensman)
I’ve never felt better. I’ve never been healthier…. I run four or five miles, four or five times a week, but I broke both my legs running too much last summer. I had stress fractures in both my tibias from running too much. You know, once you’re an addict, you’re always an addict, so just because I found something good to do doesn’t mean I’m not going to hurt myself doing it.
David J. Linden (The Compass of Pleasure: How Our Brains Make Fatty Foods, Orgasm, Exercise, Marijuana, Generosity, Vodka, Learning, and Gambling Feel So Good)
As long as this “brokenness” of existence continues, there is no way out of the inner contradictions that it imposes upon us. If a man has a broken leg and continues to try to walk on it, he cannot help suffering. If desire itself is a kind of fracture, every movement of desire inevitably results in pain. But even the desire to end the pain of desire is a movement, and therefore causes pain. The desire to remain immobile is a movement. The desire to escape is a movement. The desire for Nirvana is a movement. The desire for extinction is a movement. Yet there is no way for us to be still by “imposing stillness” on the desires. In a word, desire cannot stop itself from desiring, and it must continue to move and hence to cause pain even when it seeks liberation from itself and desires its own extinction.
Thomas Merton (Zen and the Birds of Appetite (New Directions))
As though he’s reading my mind, he grits out a pained, irritated “Fuck, it should be me.” I squeeze my thighs together to relieve the pressure between my legs. Sorry. Better luck next time. The pulse only grows stronger, and I know there is no stopping my unraveling. “Why the fuck isn’t it me, L?” His voice has this carnal edge to it. “Why am I not the one touching you right now? Fucking why?” I visualize it. Imagine it. See his tongue teasing my pierced nipple, and a soft moan shoots out of my mouth before I can stop it. This seems to trigger him because he groans a low, desperate “Christ, just tell me who you are. Fuck the pact. Fuck the secrets. Fuck it all. Just tell me who are you, L. Please. Let this be real.” The sentiment fractures my heart into a billion tiny pieces. I want it to be real, too.
Eliah Greenwood (Dear Love, I Hate You (Easton High, #1))
Only a few words to tell you that my health and my work are not progressing so badly. It astonishes me already when I compare my condition today with what it was a month ago. Before that I knew well enough that one could fracture one’s legs and arms and recover afterward, but I did not know that you could fracture the brain in your head and recover from that too. I still have a sort of “what is the good of getting better?” feeling about me, even in the astonishment aroused in me by my getting well, which I hadn’t dared hope for.
Vincent van Gogh (Delphi Complete Works of Vincent van Gogh (Illustrated) (Masters of Art Book 3))
reduction. Professor J. P. Paul, of the University of Strathclyde, tells me that his researches seem to indicate that a more important cause of fracture in old people is the progressive loss of nervous control over the tensions in the muscles. A sudden alarm may cause a muscular contraction which is enough to break off the neck of the femur, for instance, without the patient having experienced any external blow. When this happens the patient naturally falls to the ground -perhaps on top of some obstacle-so that the fracture is blamed, wrongly, on the fall rather than on the muscular spasm. It is said that similar fracture can occur in the hind leg of certain African deer when they are startled by a lion.
J.E. Gordon (Structures: Or Why Things Don't Fall Down)
The second project is in the field of metaphysics: with the aim of showing that, in the words of Professor H. M. Tooten, “evolution is a hoax”, Olivier Gratiolet has undertaken an exhaustive inventory of all the imperfections and inadequacies to which the human organism is heir: vertical posture, for example, gives man only a precarious balance: muscular tension alone keeps him upright, thus causing constant fatigue and discomfort in the spinal column, which, although sixteen times stronger than it would have been were it straight, does not allow man to carry a meaningful weight on his back; feet ought to be broader, more spread out, more specifically suited to locomotion, whereas what he has are only atrophied hands deprived of prehensile ability; legs are not sturdy enough to bear the body’s weight, which makes them bend, and moreover they are a strain on the heart, which has to pump blood about three feet up, whence come swollen feet, varicose veins, etc.; hip joints are fragile and constantly prone to arthrosis or serious fractures; arms are atrophied and too slender; hands are frail, especially the little finger, which has no use, the stomach has no protection whatsoever, no more than the genitals do; the neck is rigid and limits rotation of the head, the teeth do not allow food to be grasped from the sides, the sense of smell is virtually nil, night vision is less than mediocre, hearing is very inadequate; man’s hairless and unfurred body affords no protection against cold, and, in sum, of all the animals of creation, man, who is generally considered the ultimate fruit of evolution, is the most naked of all.
Georges Perec (Life A User's Manual)
One of these skeletons, which was that of a woman, still had a few strips of a garment which had once been white, and around her neck was to be seen a string of adrézarach beads with a little silk bag ornamented with green glass, which was open and empty. These objects were of so little value that the executioner had probably not cared for them. The other, which held this one in a close embrace, was the skeleton of a man. It was noticed that his spinal column was crooked, his head seated on his shoulder blades, and that one leg was shorter than the other. Moreover, there was no fracture of the vertebrae at the nape of the neck, and it was evident that he had not been hanged. Hence, the man to whom it had belonged had come thither and had died there. When they tried to detach the skeleton which he held in his embrace, he fell to dust.
Victor Hugo (Victor Hugo: The Complete Novels (The Greatest Writers of All Time Book 15))
Some twenty minutes later, I was back at the river, and my son and father were waiting on the far side.  Crossing the swift river with my dad was something I was really dreading.  I helped him check his bandages, and he was under the impression that his injury was a compound fracture—bone sticking through flesh.  While I didn’t get a good look at the foot itself, I noticed there were blood blisters everywhere on his lower leg.  It was a shockingly bad injury, and I worried he might lose his foot.  It was time to cross the stream.  My son took my father’s left side, where he could keep close watch on the placement of the improvised wooden cane.  I took my father’s right arm in mine and silently prayed as our feet hit the water together.  Our footing held firm on the stream’s rocky bottom, and the rushing water didn’t rise above our knees.  I was so tremendously grateful at that final step onto the rocky shore, but there was lots of work still requiring our attention before my son and I could make the final journey to the trailhead beyond Lake Pamelia.
Karl Erickson (Mt. Jefferson Wilderness (Oregon, My Oregon, A Photographic Journey))
The impact of second-class treatment on black people’s bodies is devastating. It is manifested not only in the black–white death gap but also in the drastic measures required when chronic disease is left unmanaged. Black patients are less likely than whites to be referred to kidney and liver transplant wait lists and are more likely to die while waiting for a transplant.68 If they are lucky enough to get a donated kidney or liver, blacks are sicker than whites at the time of transplantation and less likely to survive afterward. “Take a look at all the black amputees,” said a caller to a radio show I was speaking on, identifying the remarkable numbers of people with amputated legs you see in poor black communities as a sign of health inequities. According to a 2008 nationwide study of Medicare claims, whites in Louisiana and Mississippi have a higher rate of leg amputation than in other states, but the rate for blacks is five times higher than for whites.69 An earlier study of Medicare services found that physicians were less likely to treat their black patients with aggressive, curative therapies such as hospitalization for heart disease, coronary artery bypass surgery, coronary angioplasty, and hip-fracture repair.70 But there were two surgeries that blacks were far more likely to undergo than whites: amputation of a lower limb and removal of the testicles to treat prostate cancer. Blacks are less likely to get desirable medical interventions and more likely to get undesirable interventions that good medical care would avoid.
Dorothy Roberts (Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-First Century)
Dr. Knox Todd began documenting how patients’ race affects the treatment of pain when he was a doctor in the UCLA Emergency Center in the 1990s.46 He and colleagues examined the way doctors treated 139 white and Latino patients coming to the emergency room over a two-year period with a single injury—fractures of a long bone in either the arm or leg. Because this type of fracture is extremely painful, there is no medical reason to distinguish between the two groups of patients. Yet the researchers discovered that Latinos were twice as likely as whites to receive no pain medication while in the emergency room.47 Although it’s possible that the Latino patients complained less of pain, the doctors should have been aware of the high degree of pain they suffered, given the nature of their injuries. When Todd moved to Emory University School of Medicine, he led an Atlanta-based study that confirmed his finding in Los Angeles. This time his research team analyzed medical charts of 217 patients who were treated for long-bone fractures at an inner-city emergency room that served both black and white patients. In a 2000 article in Annals of Emergency Medicine, Todd reported that 43 percent of blacks, but only 26 percent of whites, received no pain medication. In this study, Todd took the additional step of documenting whether or not the patients expressed pain to their doctors. By carefully looking at notations in the medical files, he found that black patients were about as likely as whites to complain of pain. Black patients thus received pain medication half as often as whites because doctors did not order it for them, not because blacks do not feel pain or do not want pain relief.
Dorothy Roberts (Fatal Invention: How Science, Politics, and Big Business Re-create Race in the Twenty-First Century)
She squirmed with delight, making him groan. Her wriggling must test him. Some devil made her move again. "Jesus, Grace," he gritted out. "You try my limits." "I hope so," she purred. He felt so wonderful inside her. As if he supplied part of her that she only realized now she'd lacked. She bent her knees and tilted her hips so he went deeper. She ran her hands down the tense muscles of his back. He flexed under her touch. "That felt good," she said breathlessly. "Do it again." "If I start, I won't stop." his voice was rough. "Start." She shifted again and felt him shudder. "Grace," he grated out. He withdrew, then plunged into her. Her nails sank into his back and her womb clenched in welcome. With deliberate slowness, he set the familiar rhythm. Except none of this was familiar. Every time he settled in her body, he forged an emotional connection that nothing could sever. On and on he went. Possession. Release. Possession. Release. Every thrust another link in the chain that bound her to him. Eventually his inhuman control fractured and he drove into her faster, more wildly. With every thrust, her excitement built. It echoed how she'd felt when he kissed her between the legs. That had been wonderful, astounding.But this was more powerful. Because he was with her. He pounded into her as though he meant to crush her. She didn't care. She never wanted this spiraling feeling to end. The storm swirled her higher and higher. Ecstasy poised her on a knife edge. She cried out and rose to meet him. He changed the angle of his penetration and went even deeper. The pleasure edged close to pain. She tensed as he pressed hard inside her. Then her womb opened and she took all of him. Her inner muscles convulsed into spasms of delight and she screamed. Violent rapture flung her against the doors of heaven itself. She was lost in a hot, dark world where nothing existed except Matthew. All she could do was hold him and prayed she survived. Through the tempest that blasted her, he reached his climax. He groaned and convulsed in her arms. For this moment, he was unequivocally hers and she reveled in the possession.
Anna Campbell (Untouched)
He held her down in the cushioning billows of the bed, kissed her, fondled and provocatively caressed until she arched, with her body begged; breaking from the kiss, he trailed hot, wet, openmouthed kisses down the taut line of her throat, over the creamy upper swell of her breast, and gave her the first course of what she'd asked for. He feasted on her breasts without quarter, licked, suckled, and laved as she writhed and gasped beneath him, as her hands gripped and tightened on his skull as he drew every last gasp and moan he could from her, then moved on. Over her midriff, down over her waist, pausing to pay homage to the sensitive indentation of her navel, then he shifted still lower. Trapping one of her long legs beneath him, lifting and draping the other over his shoulder, he held it there, held her steady as he pressed an ardent kiss to the curls shielding her mons. He heard her breath hitch, felt her body tremble, then tense and coil. Glancing at her face, he caught a glimpse of intense cornflower blue burning beneath her heavy lids, saw her lips slick and swollen from his kisses, parted in shocked disbelief. Deliberately he slid lower, bent and set his lips to the slick, swollen flesh between her thighs. She jerked, moaned. He licked and she screamed. She reached for him, but could only touch his head. Her fingers twined in his hair, tightened; she tensed to tug, but he licked again, then slowly, expertly probed, and she didn't move. Panting, eyes shut, she waited. Inwardly smug, he settled to worship her in that way, too, to taste her, to fill his senses with her, and hers with him. She let him have his way, let him taste her as he wished, let him try her with his tongue and drive her mindless. He asked, and she surrendered; he took, and she gave. In return, he pleasured her with unwavering devotion until she sobbed and cried out his name. Rising, he rolled her firmly onto her back, trailed kisses like fire up her belly and breasts as he loomed over her, spreading her thighs wide, settling between. He held himself over her, arms braced as he kissed her, tasted her desperation on her lips. Then with one, single powerful thrust he joined them. She closed about him like a glove, and he gasped; like the goddess he'd named her she welcomed her servant into her temple and embraced him. He moved, and she moved with him, fluidly meeting him as they gave themselves up to the now familiar dance. His thoughts fractured, ripped from him as a whirlpool of sensation rose up, drenched, then drowned him.
Stephanie Laurens (The Taste of Innocence (Cynster, #14))
He ran long at the White House, and arrived late to his next meeting with Hillary Clinton, Jake Sullivan and Frank Ruggiero—their first major strategy session on Taliban talks after the secret meeting with A-Rod. She was waiting in her outer office, a spacious room paneled in white and gilt wood, with tasseled blue and pink curtains and an array of colorfully upholstered chairs and couches. In my time reporting to her later, I only ever saw Clinton take the couch, with guests of honor in the large chair kitty-corner to her. She’d left it open for him that day. “He came rushing in. . . . ” Clinton later said. “And, you know, he was saying ‘oh I’m so sorry, I’m so sorry.’ ” He sat down heavily and shrugged off his coat, rattling off a litany of his latest meetings, including his stop-in at the White House. “That was typical Richard. It was, like, ‘I’m doing a million things and I’m trying to keep all the balls in the air,’ ” she remembered. As he was talking, a “scarlet red” flush went up his face, according to Clinton. He pressed his hands over his eyes, his chest heaving. “Richard, what’s the matter?” Clinton asked. “Something horrible is happening,” he said. A few minutes later, Holbrooke was in an ambulance, strapped to a gurney, headed to nearby George Washington University Hospital, where Clinton had told her own internist to prepare the emergency room. In his typically brash style, he’d demanded that the ambulance take him to the more distant Sibley Memorial Hospital. Clinton overruled him. One of our deputies on the SRAP team, Dan Feldman, rode with him and held his hand. Feldman didn’t have his BlackBerry, so he scrawled notes on a State Department expense form for a dinner at Meiwah Restaurant as Holbrooke dictated messages and a doctor assessed him. The notes are a nonlinear stream of Holbrooke’s indomitable personality, slashed through with medical realities. “Call Eric in Axelrod’s office,” the first read. Nearby: “aortic dissection—type A . . . operation risk @ > 50 percent”—that would be chance of death. A series of messages for people in his life, again interrupted by his deteriorating condition: “S”—Secretary Clinton—“why always together for medical crises?” (The year before, he’d been with Clinton when she fell to the concrete floor of the State Department garage, fracturing her elbow.) “Kids—how much love them + stepkids” . . . “best staff ever” . . . “don’t let him die here” . . . “vascular surgery” . . . “no flow, no feeling legs” . . . “clot” . . . and then, again: “don’t let him die here want to die at home w/ his fam.” The seriousness of the situation fully dawning on him, Holbrooke turned to job succession: “Tell Frank”—Ruggiero—“he’s acting.” And finally: “I love so many people . . . I have a lot left to do . . . my career in public service is over.” Holbrooke cracked wise until they put him under for surgery. “Get me anything you need,” he demanded. “A pig’s heart. Dan’s heart.
Ronan Farrow (War on Peace: The End of Diplomacy and the Decline of American Influence)
S.P. is a 68-year-old retired painter who is experiencing right leg calf pain. The pain began approximately 2 years ago but has become significantly worse in the past 4 months. The pain is precipitated by exercise and is relieved with rest. Two years ago, S.P. could walk two city blocks before having to stop because of leg pain. Today, he can barely walk across the yard. S.P. has smoked two to three packs of cigarettes per day (PPD) for the past 45 years. He has a history of coronary artery disease (CAD), hypertension (HTN), peripheral vascular disease (PVD), and osteoarthritis. Surgical history includes quadruple coronary artery bypass graft (CABG × 4) 3 years ago. He has had no further symptoms of cardiopulmonary disease since that time, even though he has not been compliant with the exercise regimen his cardiologist prescribed, he continues to eat anything he wants, and continues to smoke two to three PPD. Other surgical history includes open reduction internal fixation of the right femoral fracture 20 years ago. S.P. is in the clinic today for a routine semiannual follow-up appointment with his primary care provider. As you take his vital signs, he tells you that, besides the calf pain, he is experiencing right hip pain that gets worse with exercise, the pain doesn't go away promptly with rest, some days are worse than others, and his condition is not affected by a resting position. � Chart View General Assessment Weight 261 lb Height 5 ft, 10 in. Blood pressure 163/91 mm Hg Pulse 82 beats/min Respiratory rate 16 breaths/min Temperature 98.4° F (36.9° C) Laboratory Testing (Fasting) Cholesterol 239 mg/dL Triglycerides 150 mg/dL HDL 28 mg/dL LDL 181 mg/dL Current Medications Lisinopril (Zestril) 20 mg/day Metoprolol (Lopressor) 25 mg twice a day Aspirin 325 mg/day Simvastatin (Zocor) 20 mg/day Case Study 4 Name Class/Group Date ____________________ Group Members INSTRUCTIONS All questions apply to this case study. Your responses should be brief and to the point. When asked to provide several
Mariann M. Harding (Winningham's Critical Thinking Cases in Nursing - E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric)
This is illustrated in the following case. A minister in an industrial section of our city, during the period of severe depression, telephoned me stating that he had just been called to baptize a dying child. The child was not dead although almost constantly in convulsions. He thought the condition was probably nutritional and asked if he could bring the boy to the office immediately. The boy was badly emaciated, had rampant tooth decay, one leg in a cast, a very bad bronchial cough and was in and out of convulsions in rapid succession. His convulsions had been getting worse progressively during the past eight months. His leg had been fractured two or three months previously while walking across the room when he fell in one of his convulsions. No healing had occurred. His diet consisted of white bread and skimmed milk. For mending the fracture the boy needed minerals, calcium, phosphorus and magnesium. His convulsions were due to a low calcium content of the blood. All of these were in the skimmed milk for the butter-fat removed in the cream contains no calcium nor phosphorus, except traces. The program provided was a change from the white flour bread to wheat gruel made from freshly ground wheat and the substitution of whole milk for skimmed milk, with the addition of about a teaspoonful of a very high vitamin butter with each feeding. He was given this meal that evening when he returned to his home. He slept all night without a convulsion. He was fed the same food five times the next day and did not have a convulsion. He proceeded rapidly to regain his health without recurrence of his convulsions.
Anonymous
There are some phases of modern physical degeneration in which most of us take part with remarkable complacency. We would consider it a great misfortune and disgrace to burn up the furniture in our homes to provide warmth, if fuel were available for the collection. This is precisely what we are doing with our skeletons by a process of borrowing, simply because we fail to provide new body repairing material each day in the food. You are all familiar with the tragic misfortune that overtakes so many elderly people through the accident of a broken hip or other fractured bone. Statistics show that approximately 50 per cent of fractured hips occurring in people beyond 65 years of age never unite. We look upon this as one of the inevitable consequences of advancing age. In Chapter 15 I have referred to the small boy whose leg was broken when he fell in a convulsion while walking across the kitchen floor. That bone did not break because the blow was hard but because the minerals had been borrowed from the inside by the blood stream in order to maintain an adequate amount of the minerals, chiefly calcium and phosphorus in the blood and body fluids. He had been borrowing from his skeleton for months because due to a lack of vitamins he could not absorb even the minerals that were present in the inadequate food that he was eating. The calcium and the phosphorus of the milk were in the skimmed milk that he was using but he needed the activators of the butter-fat in order to use the minerals. Simply replacing white bread with these activators and the normal minerals and vitamins of wheat immediately checked the convulsions
Anonymous
She turned sideways to maneuver the three steps. No matter how she turned, though, she couldn’t find a way to lower herself without bending or putting weight on her right leg. She finally let out a little frustrated huff. She was so blasted cute, he hated to deny her. But still… “It’s probably better you stay on the porch anyway.” He was about to turn back to Rosie, when Leah looked up at him with the saddest puppy eyes he’d ever seen. Drifter at his hungriest moment had nothing on her beseeching expression. Something fractured in his chest, breaking the ties that held him in place. His hands moved of their own volition as he wrapped them around Leah’s so-tiny waist, lifted her from the stairs, and gently lowered her to the ground. He had the insane urge to pull her close and wrap his arms around her. He caught himself just in time, jerked his hands away, and turned back to face the horses. His breathing was strong as he fought to bring himself under control. What was wrong with him?
Misty M. Beller (The Lady and the Mountain Man (Mountain Dreams, #1))
It was immediately evident that Tickets had suffered a compound fracture. A bone — his fibula, I believe — was protruding so far out of his leg that its outline was visible through his whites. He would probably never play cricket again. Lucky bastard.
Sam Perry (The Grade Cricketer)
...a fissure appeared. Splinters of plastic broke away around it, and the fissure widened, radiating further fractures. When the first leg broke out, Simon tried to shriek.
A. Ashley Straker (Infected Connection)
She stared at the water until the sun’s reflection became too much, and then reached for her single bag of belongings. Digging around, she found the clay turtle. It was made of earth. It was tiny. She could use it for practice. Small, she thought as she cradled it with both hands. Precise. Silent. Small. She curled her lips in concentration. It was like crooking the tip of her pinky while wiggling her opposite ear. She needed a whole-body effort to keep her focus sufficiently narrow. There was another reason why she didn’t want to seek instruction from a famous bending master with a sterling reputation and wisdom to spare. Such a teacher would never let her kill Jianzhu in cold blood. Her hunger to learn all four elements had nothing to do with becoming a fully realized Avatar. Fire, Air, and Water were simply more weapons she could bring to bear on a single target. And she had to bring her earthbending up to speed too. Small. Precise. The turtle floated upward, trembling in the air. It wasn’t steady the way bent earth should be, more of a wobbling top on its last few spins. But she was bending it. The smallest piece of earth she’d ever managed to control. A minor victory. This was only the beginning of her path. She would need much more practice to see Jianzhu broken in pieces before her feet, to steal his world away from him the way he had stolen hers, to make him suffer as much as possible before she ended his miserable worthless life— There was a sharp crack. The turtle fractured along innumerable fault lines. The smallest parts, the blunt little tail and squat legs, crumbled first. The head fell off and bounced over the edge of the saddle. She tried to close her grip around the rest of it and caught only dust. The powdered clay slipped between her fingers and was taken by the breeze. Her only keepsake of Kelsang flew away on the wind.
F.C. Yee (Avatar: The Rise of Kyoshi (The Kyoshi Novels, #1))
Or was she making a connection that wasn’t there, like an amputee who still feels a missing arm or leg long after it’s gone?
Karin Slaughter (Fractured (Will Trent, #2))
Doyle was puzzled by the instructions and by the fact that they carried no signature. He looked again at the label. It had been typed on the standard office machine of the radio department. This also puzzled him. He turned toward the door, intending to ask Rogers for a comment. Rogers had disappeared. Doyle shrugged and turned back to the heater. For a moment he toyed with the heater, then plugged it into the workbench’s double-outlet plug. He flicked the switch on the outlet plug. The resulting explosion broke windows in the workshop, and shook the main police headquarters building over two hundred feet away. It was a miracle that Doyle escaped death. His left hand, left leg, and right foot were smashed. His left eardrum was fractured. He was rushed to Bayonne Hospital, where he underwent an emergency operation. The next day Rogers visited Vincent Doyle in the hospital, and asked through his tears: “How can I get the guy who did this to you?” Two weeks later Rogers was charged with the attempted murder of Vincent Doyle.
Gordon Thomas (Shipwreck: The Strange Fate of the Morro Castle)
With tinny drumbeats, the rain pounds the roof My teary eyes compete They can't keep up Breathe Let it go Breathe The vice on my chest tightens its razoring grip I gasp No relief If only tears could soothe the pain Then, I would look upon the tidal waves against these walls without fear Crush and roll me, I'd plead, Mold my body anew But with these tears come no healing, Just death, slow and determined This old girl, this old woman, this old soul lives here inside A tortoise outgrowing this hare's body This youthful skin encasing a crumbling frame I smooth the matted web of curls off my sweaty neck And roll my eyes at the clock How slowly the time squeaks by here in this room, In this comfortless bed I abandon the warmth from under my blanket tower and shiver The draft rattles my spine One by one, striking my vertebrae Like a spoon chiming empty wine glasses, Hitting the same fragile note till my neck shakes the chill away I swipe along the naked floor with a toe for the slippers beneath the bed Plush fabric caresses my feet Stand! Get up With both hands, Gravity jerks me back down Ugh! This cursed bed! No more, I want no more of it I try again My legs quiver in search of my former strength Come on, old girl, Come on, old woman, Come on, old soul, Don't quit now The floor shakes beneath me, Hoping I trip and fall To the living room window, I trudge My joints grind like gravel under tires More pain no amount of tears can soothe away Pinching the embroidered curtain between my knuckles, I find solace in the gloom The wind humming against the window, Makes the house creak and groan Years ago, the cold numbed my pain But can it numb me again, This wretched body and fractured soul? Outside I venture with chants fluttering my lips, Desperate solemn pleas For comfort, For mercy For ease, For health I open the plush throw spiraled around my shoulders And tiptoe around the porch's rain-soaked boards The chilly air moves through me like Death on a mission, My body, an empty gorge with no barriers to stop him, No flesh or bone My highest and lowest extremities grow numb But my feeble knees and crippling bones turn half-stone, half-bone Half-alive, half-dead No better, just worse The merciless wind freezes my tears My chin tumbles in despair I cover myself and sniffle Earth’s scent funnels up my nose: Decay with traces of life in its perfume The treetops and their slender branches sway, Defying the bitter gusts As I turn to seek shelter, the last browned leaf breaks away It drifts, it floats At the weary tree’s feet, it makes its bed alongside the others Like a pile of corpses, they lie Furled and crinkled with age No one mourns their death Or hurries to honor the fallen with thoughtful burials No rage-filled cries echo their protests at the paws trampling their fragile bodies, Or at the desecration by the animals seeking morning relief And new boundaries to mark Soon, the stark canopy stretching over the pitiful sight Will replace them with vibrant buds and leaves Until the wasting season again returns For now, more misery will barricade my bones as winter creeps in Unless Death meets me first to end it
Jalynn Gray-Wells (Broken Hearts of Queens (Lost in Love Book 1))
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James pulled his mouth from hers, breathing raggedly. Her chest rose and fell, her breathing a bit fractured. James dragged her into his lungs, dipping and sensually running his nose over the curve of her neck and down… Jules squeaked, her shock visceral when he went down to her navel and lower still to her quim. He pressed his nose to the space between her legs and inhaled. A fiery blush covered her entire body. “James!” “You are wet, Wildflower. And your scent…fuck!
Stacy Reid (The Wolf and the Wildflower)
As boiling patients and surgeons was not practical, Lister had to find some other way to safely eliminate germs on all surfaces. He settled on carbolic acid, a product made from coal tar that had been used successfully to treat stinking city drains and that had already been tried as a dressing on surgical wounds, without very positive results. Lister persevered and met with success in the case of an eleven-year-old boy who came to the Royal Infirmary with a compound fracture of the leg.
Penny Le Couteur (Napoleon's Buttons)
Mortarion was still the greater of them. He was still the stronger, the more steeped in preternatural gifts, but now all that he felt was doubt, rocked by the remorseless fury of one who had never been anything more than flighty, self-regarding and unreliable. All Mortarion could see just then was one who wished to kill him - who would do anything, sacrifice anything, fight himself beyond physical limits, destroy his own body, his own heart, his own soul, just for the satisfaction of the oaths he had made in the void. 'If you know what I did,' Mortarion cried out, fighting on now through that cold fog of indecision, 'then you know the truth of it, brother - I can no longer die.' It was as if a signal had been given. The Khan's bloodied head lifted, the remnants of his long hair hanging in matted clumps. 'Oh, I know that,' he murmured, with the most perfect contempt he had ever mustered. 'But I can.' Then he leapt. His broken legs still propelled him, his fractured arms still bore his blade, his blood-filled lungs and perforated heart still gave him just enough power, and he swept in close. If he had been in the prime of condition, the move might have been hard to counter, but he was already little more than a corpse held together by force of will, and so Silence interposed itself, catching the Khan under his armour-stripped shoulder and impaling him deep. But that didn't stop him. The parry had been seen, planned for, and so he just kept coming, dragging himself up the length of the blade until the scythe jutted out of his ruptured back and the White Tiger was in tight against Mortarion's neck. For an instant, their two faces were right up against one another - both cadaverous now, drained of blood, drained of life, existing only as masks onto pure vengeance. All their majesty was stripped away, scraped out across the utilitarian rockcrete, leaving just the desire, the violence, the brute mechanics of despite. It only took a split second. Mortarion's eyes went wide, realising that he couldn't wrench his brother away in time. The Khan's narrowed. 'And that makes the difference,' Jaghatai spat. He snapped his dao across, severing Mortarion's neck cleanly in an explosion of black bile, before collapsing down into the warp explosion that turned the landing stage, briefly, into the brightest object on the planet after the Emperor's tormented soul itself.
Chris Wraight (Warhawk (The Siege of Terra #6))
There was a time in the beginning when I too questioned the plan—staring out over the deadlands, the wastelands, at the dry, desert landscape, the hellfires that burned over the horizon, the masses growing in number, filling in one valley after another. The way the earth cracked open, strange appendages and tentacles spooling out of the steaming cracks. The forests at the edge of the mountains spilling creatures on four legs, humping and galloping over the foliage, and into the high grasses as the growth turned into spoil. And up over the range lurked flying beasts with cracked, leathery wings—thick purple veins running through the expanding, unfurling flesh—elongated skulls holding back rows of sharp teeth, chittering in the settling gloam. Below the hills, pools of water, sometimes blue, but more likely a mossy green, a dark scum, filled with gelatinous blobs, covered with spiky hairs, a collection of yellowing eyes atop what might have been considered some kind of head. And snapping at my own heels, the furry creatures with mottled, diseased skin revealed in chunks, snouts exposed to show the fractured, bony skulls beneath it all, long, slavering tongues distending, lapping at the foul air around us. (In His House)
Richard Thomas (Spontaneous Human Combustion)
Tamerlane had planned to be buried with Jahangir in his home town of Kesh, but instead he rested in the Persian-style octahedral Gur Amir with its azure dome in Samarkand beside his grandson Muhammad Shah. Legend claimed that if Tamerlane’s grave was disturbed, a more terrible conqueror would arise. In 19 June 1941, on Stalin’s orders, the Soviet archaeologist Mikhail Gerasimov opened the grave – identifying the leg fracture of Tamerlane and using the skull to recreate his face, thus enabling us to see what he looked like. Three days later Hitler invaded Russia.
Simon Sebag Montefiore (The World: A Family History of Humanity)
The following lists some of the signs and symptoms of gluten sensitivity: diarrhea or loose stools, abdominal pain, bloating or abdominal distention, excessive gas, pale and foul-smelling stool, irritability, depression, weight loss, anemia, fatigue, general weakness, muscle cramps, achy legs, tingling in the face or extremities, dermatitis herpetiformis (painful skin rash or rough texture), mouth sores and mottled tooth discoloration. If you note that you have more than three of these signs or symptoms, it may indicate you have a sensitivity to gluten.
R. Keith Mccormick (The Whole-Body Approach to Osteoporosis: How to Improve Bone Strength and Reduce Your Fracture Risk (The New Harbinger Whole-Body Healing Series))
In result of the crash, Vince suffered swelling on the brain and stress fractures in his right leg.
Jessica N. Watkins (Love Drug (Love Sex Lies, #4))
Returning to his Manhattan town house on Christmas Eve, Grant, sixty-one, pivoted to hand the driver a holiday tip when he slipped on the icy pavement and crashed to the ground, tearing a thigh muscle and possibly fracturing his hip. Until then a robust man, he crumpled over in excruciating pain and was hoisted up the steps by servants. Through anxious winter weeks, he remained bedridden or hobbled about on crutches. Before long, his discomfort intensified with the agonizing onset of pleurisy, coupled with severe rheumatism that crept up his legs, making it difficult for him to negotiate the familiar rooms.
Ron Chernow (Grant)
The graziers responded by beating up Fateh so severely that they broke his arms and legs and fractured his skull. They would have killed him if his driver Sayed had not jumped on his fallen body to take some of the blows. Fateh was hospitalized for three months but returned undaunted to the battle he would
Valmik Thapar (Living with Tigers)
I tell my students not to be frightened; in the history of Buddhism-for 2,500 years-no one has broken or fractured a leg because of sitting in meditation.
Guo Jun (Essential Chan Buddhism: The Character and Spirit of Chinese Zen)
Journal Entry – April 17, 2013/May 10, 2013 Hollow. Numb. Empty. Nothingness. Are these feelings? Or are they just words in the English language? I ask these questions, because these words best describe how I feel right now as I sit here in my hospital room. The waiting game. My mind and thoughts swishing around my head, and my eyes burn feeling as if I am going to cry at any moment. Breakfast has come and gone. Vitals have been taken. And the five to ten minute check in with my assigned morning nurse has occurred. It has been three hours since I woke up, and I have twelve to thirteen hours to survive before I can go to sleep for the night. My day will be made up of one education group, lunch, dinner, and the remainder of the day and evening doing nothing but laying on the bed curled up in a ball depressed waiting for the time to pass looking at the clock hanging on the wall periodically wishing the time would move faster… on the flip side…a few days later…Writing in an attempt to keep my mind and head out of the skies. My heart feels as though it will beat outside of my chest, and my brain is on its own axis within my skull. I feel like I am on top of the world. I feel like I could do anything. I feel like I could write forever. I feel like my mind is on the spin cycle of a washing machine. Or, like I am hooked onto a pair of windshield wipers stuck on a speed mode. Although, my brain has spun faster than this and I feel that the meds are keeping the jerks at bay, I still feel that all too familiar whirling feeling. It is indescribable. It is hard to pinpoint. Some of it must be anxiety. Some of it must be that I am locked up like a caged animal ready to pounce. Then again, some of it must be nature. My brain misfiring and backfiring and causing itself to spin in every which direction at all sorts of speeds none of which are consistent or in the same direction. Inconsistency. Slow, fast, in between. A complete blur. I have trouble tracking. I have trouble focusing. I have trouble remembering…My mind is obsessing. I try to stop my mind from racing. I try to stop my eyes from darting across the page. I try to stop my legs from jittering. To no avail. It all starts again. My internal engine drives the show. It is as if I have a compulsion to move and dart and jerk. It is uncomfortable. My thoughts are scattered. My thoughts do not make sense. I find I have to edit my own thoughts or at least dig through the mess. I must navigate the thoughts to find the ones that fit together all in time before the memory loses focus and the tracking loses hold and “poof” the statement or thought is gone forever. Frustrating. I am intelligent. I feel stupid. My mind is in 5th gear and climbing at an unprecedented rate of speed. It is magical and amazing, but terrifying and exhausting. How to remain “normal” – is it possible? Is there a possibility of the insanity to stop? Is it possible for the cycle of speed to come to an end? I like the productivity, but the wreckage is too much to take. I just want a break. I want to be normal. I don’t want to be manic.
Justin Schleifer (Fractures)
John Battelle, a healthy San Francisco media entrepreneur with a wife and two teenagers, initially had his doubts about whether it made sense to pay thousands of dollars per month to Dr. Shlain to treat his generally healthy family. But then Battelle’s teenage son broke his leg during a suburban soccer game after school. Naturally the first call his parents made was to 911. The second was to Dr. Shlain. “They’re taking him to a local hospital,” Battelle’s wife, Michelle, told Dr. Shlain as the boy rode in an ambulance to a nearby emergency room in Marin County. “No, they’re not,” Dr. Shlain instructed them. “You don’t want that leg fracture set by an ER doc at a local medical center. You want it set by the head of orthopedics at a hospital in the city.” Within minutes, the ambulance was on the Golden Gate Bridge, bound for California Pacific Medical Center, one of San Francisco’s top hospitals. Dr. Shlain was there to meet the Battelles when they arrived, and their son was seen almost immediately by an orthopedist with decades of experience.
Nelson D. Schwartz (The Velvet Rope Economy: How Inequality Became Big Business)
Jesus was a hero, not a loser, “an Ultimate Fighter warrior king with a tattoo down his leg who rides into battle against Satan, sin, and death on a trusty horse,” just like in the Westerns.11
Kristin Kobes Du Mez (Jesus and John Wayne: How White Evangelicals Corrupted a Faith and Fractured a Nation)
But your—magical passages are too—and broken to—handle any more being—on you.” She hated magic, her original opinion was reaffirmed anew as her mind began to level from the potion. “Vhalla —ten, you had two broken ribs — — left side and the right side of your —cage was shattered. Your hands are a wreck. Your left shoulder was shattered, and your right was dislocated. Your spine was all out of alignment, and your hips were fractured along with one of your legs.
Elise Kova (Air Awakens (Air Awakens, #1))
The doctors had to place a rod in Black's leg. His fibula had been shattered. Ironically, it was the same one that had fractured before when Chris had riddled his car with bullets. He knew that his leg would never be the same, but he was grateful that he was still alive.
K. Elliott (Kingpin Wifeys Season 2 Volume 2: Parts 4-7)
Monte Carlo was blocking the driveway. The trashcan was still on the curb, so he dragged it up to the garage. The motion lights came on, blinding him. Will held up his hand to block the light as he unlocked the front door. ‘Hey,’ Angie said. She was lying on the couch in front of the television, wearing a pair of cotton boxer shorts and a tank top. She didn’t take her eyes off the set as Will let his gaze travel along her bare leg. He felt the urge to climb onto the couch and go to sleep beside her, or maybe something else. That wasn’t how their relationship worked, though. Angie had never been the nurturing type and Will was pathologically incapable of asking for anything he needed. The first time they had met
Karin Slaughter (Fractured (Will Trent, #2))
Be Careful of Potentially Unsafe Exercises While it is true that any bone in the body can fracture when exercising due to a fall or some other mishap, some exercises pose a higher risk for people with osteoporosis. As we learned in Chapter 1, fractures of the spine are the most common fractures that people experience, especially as they get older. Therefore, when we engage in controlled exercise poses or routines—for instance, in yoga or strength training—it is vital to protect the spine. Following are some of the exercises that are not recommended for people who have a moderate or high risk for fractures: • forward bending • shoulder stands • twists (rotational moves for the spine) • jackknife (legs bent over the head)
Lani Simpson (Dr. Lani's No-Nonsense Bone Health Guide: The Truth About Density Testing, Osteoporosis Drugs, and Building Bone Quality at Any Age)
Here on paper, they are mirror images of each other. Each figure has an X marked across the throat, and the following notation, in Lonnie’s handwriting: fractured hyoid bone (strangulation). Down the arms and legs, there are more notes: little to no bruising (no defensive wounds), followed by a question mark. And the worst of it, the words scribbled near the tight V between the legs: semen on the inner thighs (no sign of vaginal penetration). Jay feels a sour heat at the back of his throat, his dinner threatening to come back up.
Attica Locke (Pleasantville (Jay Porter, #2))
Too much pain, or in too potent a form, can increase the risk of becoming addicted to pain, something I’ve witnessed in clinical practice. A patient of mine ran so much she developed fractures in her leg bones and even then didn’t stop running.
Anna Lembke (Dopamine Nation: Finding Balance in the Age of Indulgence)
Now, let’s get him to the car. You can carry him since you were the one to break both of his legs.
Kia Carrington-Russell (Fractured Obsession (Insidious Obsession #2))