Lungs Related Quotes

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I lunged, low and quick, and drove about a foot of cold steel into his danglies. Hey, I don't care what kind of fearie or mortal or hideous creature you are. If you've got danglies, and can loose them, that's the kind of sight that makes you reconsider the possible genitalia-related ramifications of your actions real damned quick.
Jim Butcher (Proven Guilty (The Dresden Files, #8))
I relate to this story almost as I would a friend or a lover - at times I want to breathe its entire alphabet into my lungs, and at others I should prefer to throw it across the room.
Lyndsay Faye (Jane Steele)
Poem from Rev. Jim Cotter, as listed on the opening pages of “Anatomy of the Spirit” by Caroline Myss: ~ God be in my head and in my understanding. God be in my eyes and in my looking. God be in my mouth and in my speaking. God be in my tongue and in my tasting. God be in my lips and in my greeting. ~ God be in my nose and in my smelling/inhaling. God be in my ears and in my hearing. God be in my neck and in my humbling. God be in my shoulders and in my bearing. God be in my back and in my standing. ~ God be in my arms and in my reaching/receiving. God be in my hands and in my working. God be in my legs and in my walking. God be in my feet and in my grounding. God be in my knees and in my relating. ~ God be in my gut and in my feeling. God be in my bowels and in my forgiving. God be in my loins and in my swiving. God be in my lungs and in my breathing. God be in my heart and in my loving. ~ God be in my skin and in my touching. God be in my flesh and in my paining/pining. God be in my blood and in my living. God be in my bones and in my dying. God be at my end and at my reviving.
Caroline Myss (Anatomy of the Spirit: The Seven Stages of Power and Healing)
Hate Poem I hate you truly. Truly I do. Everything about me hates everything about you. The flick of my wrist hates you. The way I hold my pencil hates you. The sound made by my tiniest bones were they trapped in the jaws of a moray eel hates you. Each corpuscle singing in its capillary hates you. Look out! Fore! I hate you. The blue-green jewel of sock lint I’m digging from under by third toenail, left foot, hates you. The history of this keychain hates you. My sigh in the background as you explain relational databases hates you. The goldfish of my genius hates you. My aorta hates you. Also my ancestors. A closed window is both a closed window and an obvious symbol of how I hate you. My voice curt as a hairshirt: hate. My hesitation when you invite me for a drive: hate. My pleasant “good morning”: hate. You know how when I’m sleepy I nuzzle my head under your arm? Hate. The whites of my target-eyes articulate hate. My wit practices it. My breasts relaxing in their holster from morning to night hate you. Layers of hate, a parfait. Hours after our latest row, brandishing the sharp glee of hate, I dissect you cell by cell, so that I might hate each one individually and at leisure. My lungs, duplicitous twins, expand with the utter validity of my hate, which can never have enough of you, Breathlessly, like two idealists in a broken submarine.
Julie Sheehan
Humans are built to move. We evolved under conditions that required daily intense physical activity, and even among individuals with lower physical potential, that hard-earned genotype is still ours today. The modern sedentary lifestyle leads to the inactivation of the genes related to physical performance, attributes that were once critical for survival and which are still critical for the correct, healthy expression of the genotype. The genes are still there, they just aren't doing anything because the body is not stressed enough to cause a physiological adaptation requiring their activation. The sedentary person's heart, lungs, muscles, bones, nerves and brain all operate far below the level at which they evolved to function, and at which they still function best.
Mark Rippetoe (Practical Programming for Strength Training)
My father was a doctor,' she says, 'a very kind man. He died in the early '70s, relatively young.' She taps the cigarette packet on the table. 'Of lung cancer.' 'Oh.' 'But the thing about that is,' she says as she exhales, 'it doesn't take very long at all.
Anna Funder (Stasiland: Stories from Behind the Berlin Wall)
I don’t wake up in the morning and think, ‘Wow, I’m on a planet in the Milky Way, in infinite space, bestowed with the gift of consciousness, which I did not give myself, with the gift of language, with lungs that breathe and a heart that beats, none of which I gave myself, with no concrete understanding of the Great Mysteries, knowing only that I was born and will die and nothing of what’s on either side of this brief material and individualized glitch in the limitless expanse of eternity and, I feel, I feel love and pain and I have senses, what a glorious gift! I can relate, and create and serve others or I can lose myself in sensuality and pleasure. What a phenomenal mystery!’ Most days I just wake up feeling a bit anxious and plod a solemn, narrow path of survival, coping. ‘I’ll have a coffee’, ‘I’ll try not to reach for my phone as soon as I stir, simpering and begging like a bad dog at a table for some digital tidbit, some morsel of approval, a text, that’ll do
Russell Brand (Recovery: Freedom from Our Addictions)
If you’re reading this, if there’s air in your lungs on this November day, then there is still hope for you. Your story is still going. And maybe some things are true for all of us. Perhaps we all relate to pain. Perhaps we all relate to fear and loss and questions. And perhaps we all deserve to be honest, all deserve whatever help we need. Our stories are all so many things: Heavy and light. Beautiful and difficult. Hopeful and uncertain. But our stories aren’t finished yet. There is still time, for things to heal and change and grow. There is still time to be surprised. We are still going, you and I. We are stories still going.
Jamie Tworkowski
I always think about the tie between emotions and the body. Fierce joy attacks yang; fierce anger damages yin. If I were to write a book, I’d want to include Liver-related conditions that are affected by the different types of anger we women must hide from our husbands, mothers-in-law, and concubines. And then there are the ailments connected to Lung emotions—sadness and worry.
Lisa See (Lady Tan's Circle of Women)
With a deliberate shrug, he stepped free of the hold on his shoulder. “Tell me something, boys,” he drawled. “Do you wear that leather to turn each other on? I mean, is it a dick thing with you all?” Butch got slammed so hard against the door that his back teeth rattled. The model shoved his perfect face into Butch’s. “I’d watch your mouth, if I were you.” “Why bother, when you’re keeping an eye on it for me? You gonna kiss me now?” A growl like none Butch had ever heard came out of the guy. “Okay, okay.” The one who seemed the most normal came forward. “Back off, Rhage. Hey, come on. Let’s relax.” It took a minute before the model let go. “That’s right. We’re cool,” Mr. Normal muttered, clapping his buddy on the back before looking at Butch. “Do yourself a favor and shut the hell up.” Butch shrugged. “Blondie’s dying to get his hands on me. I can’t help it.” The guy launched back at Butch, and Mr. Normal rolled his eyes, letting his friend go this time. The fist that came sailing at jaw level snapped Butch’s head to one side. As the pain hit, Butch let his own rage fly. The fear for Beth, the pent-up hatred of these lowlifes, the frustration about his job, all of it came out of him. He tackled the bigger man, taking him down onto the floor. The guy was momentarily surprised, as if he hadn’t expected Butch’s speed or strength, and Butch took advantage of the hesitation. He clocked Blondie in the mouth as payback and then grabbed the guy’s throat. One second later, Butch was flat on his back with the man sitting on his chest like a parked car. The guy took Butch’s face into his hand and squeezed, crunching the features together. It was nearly impossible to breathe, and Butch panted shallowly. “Maybe I’ll find your wife,” the guy said, “and do her a couple of times. How’s that sound?" “Don’t have one.” “Then I’m coming after your girlfriend.” Butch dragged in some air. “Got no woman.” “So if the chicks won’t do you, what makes you think I’d want to?” “Was hoping to piss you off.” “Now why’d you want to do that?” Blondie asked. “If I attacked first”—Butch hauled more breath into his lungs—“your boys wouldn’t have let us fight. Would’ve killed me first. Before I had a chance at you.” Blondie loosened his grip a little and laughed as he stripped Butch of his wallet, keys, and cell phone. “You know, I kind of like this big dummy,” the guy drawled. Someone cleared a throat. Rather officiously. Blondie leaped to his feet, and Butch rolled over, gasping. When he looked up, he was convinced he was hallucinating. Standing in the hall was a little old man dressed in livery. Holding a silver tray. “Pardon me, gentlemen. Dinner will be served in about fifteen minutes.” “Hey, are those the spinach crepes I like so much?” Blondie said, going for the tray. “Yes, Sire.” “Hot damn.” The other men clustered around the butler, taking what he offered. Along with cocktail napkins. Like they didn’t want to drop anything on the floor. What the hell was this? “Might I ask a favor?” the butler said. Mr. Normal nodded with vigor. “Bring out another tray of these and we’ll kill anything you want for you.” Yeah, guess the guy wasn’t really normal. Just relatively so. The butler smiled as if touched. “If you’re going to bloody the human, would you be good enough to do it in the backyard?” “No problem.” Mr. Normal popped another crepe in his mouth. “Damn, Rhage, you’re right. These are awesome.
J.R. Ward (Dark Lover (Black Dagger Brotherhood, #1))
Your key hobbies need to be long country walks (get some fresh air in those lungs!), masturbation, and the revolution. Between those three, you should, in the long term, stay relatively sane.
Caitlin Moran (Moranifesto)
I related my impressions of La Paz, its purple mountains, its hermetic Indians, and its air, so thin that your lungs are always on the verge of filling with foam and your mind with hallucinations.
Isabel Allende (My Invented Country: A Nostalgic Journey Through Chile)
I mumble my vows, Shad mutters his, and I wonder what would happen if I lunged for the door like a wild animal seeking its freedom. I could probably outrun his one-legged friend, but Shad has something of the greyhound about him.
Janet Mullany (Improper Relations (Lord Shad, #1))
The 2003 flu season started early in North America, with the first cases showing up in the fall. By Thanksgiving doctors were seeing the usual flu-related pneumonias. As always, the most severe cases resulted from secondary bacterial infections in flu-congested lungs.
Jessica Snyder Sachs (Good Germs, Bad Germs: Health and Survival in a Bacterial World)
The world is broken. Our bodies break eventually. Our minds and hearts can break as well. We lose things in this life. We lose relationships. We lose people. And so a lot of folks live with a lot of pain. Much is mystery but God asks us to love, not just when it’s easy and not just when a certain Scripture fits. What does it look like to love someone who lives in a place you’ve never been? When there are no words? Or what about allowing someone to love you when you feel completely alone, like no one can relate? Beyond that, maybe it’s better not to fake it, not to offer something cheap. For the rest of us still here, with air in our lungs and tears in our eyes, perhaps we are meant to simply meet one another in the questions. Though the price will be the heartache of loss – for we can’t control when or how an ending comes – what a privilege that God allows us to connect with other people in this life, to be known and to be loved so we do not walk alone. Perhaps friendship – the deep kind, the best kind – perhaps it is a miracle.
Jamie Tworkowski (If You Feel Too Much: Thoughts on Things Found and Lost and Hoped For)
Who calls the Prince of the Mud?' … The snapping turtle snapped. Its head shot out to maximum extension—Eliot wouldn’t have believed anything that big could move that fast. It was like a Mack truck coming straight at them. As it bit it turned its head on one side, to take them both in one movement. Eliot reacted fast. His reaction was to crouch down and cover his face with his arms. From the relative safety of this position he felt the day grow colder around them, and he heard a crackle, which at first he took for the pier splintering in the turtle’s jaws. But the end didn’t come. 'You DARE?' Janet said. Her voice was loud now—it made the boards vibrate sympathetically under his feet. He looked up at her. She’d gone airborne, floating two feet above the pier, and her clothes were rimmed with frost. She radiated cold; mist sheeted off her skin as it would off dry ice. Her arms were spread wide, and she had an axe in each hand. They were those twin staves she wore on her back, each one now topped with an axe-head of clear ice. The turtle was trapped in mid-lunge. She’d stopped it cold; the swamp was frozen solid around it. Janet had called down winter, and the water of the Northern Marsh was solid ice as far as he could see, cracked and buckled up in waves. The turtle was stuck fast in it. It struggled, its head banging back and forth impotently. 'Jesus,' Eliot said. He stood up out of his defensive crouch. 'Nice one.' 'You DARE?' Janet said again, all imperious power. 'Marvel that you live, Prince of Shit!
Lev Grossman (The Magician's Land (The Magicians, #3))
Grant that men possess perpetual being and the preciousness of every earthly treasure is gone instantly. God is to our eternal being what our heart is to our body. The lungs, the liver, the kidneys have value as they relate to the heart. Let the heart stop and the rest of the organs promptly collapse. Apart from God, what is money, fame, education, civilization? Exactly nothing at all, for men must leave all these things behind them and one by one go to eternity. Let God hide His face and nothing thereafter is worth the effort.
A.W. Tozer (Man: The Dwelling Place of God)
Lady Cosgrove gasped louder but recovered quickly. “Mr. Turner,” she said, reaching out for Ash’s cuff. “Do listen to me. I know that you may believe that Lady Margaret has your best interests at heart, as she is some kind of a relation, if only a distant one. But if you intend to be a duke, you must not let yourself be guided so easily, not by one such as her. Take my warning to heart: she’s using you to punish me, because I kept my distance from her these past months. You know that any woman of good sense and decency would have done the same.” No, Margaret had never been like Lady Cosgrove. For one thing, she had never been so stupid. Ash’s smile grew darker, and he looked at the woman. “I knew the instant Margaret spoke that she intended to use me as a weapon. What you fail to understand is this: I am her weapon to use.” Margaret’s lungs burned. So much for not occasioning gossip. But she couldn’t fault him. She couldn’t reprimand him. She couldn’t even stop her own smile from spilling out, stupidly, over her face, the truth writ large for anyone to see.
Courtney Milan
Ionizing radiation takes three principal forms: alpha particles, beta particles, and gamma rays. Alpha particles are relatively large, heavy, and slow moving and cannot penetrate the skin; even a sheet of paper could block their path. But if they do manage to find their way inside the body by other means—if swallowed or inhaled—alpha particles can cause massive chromosomal damage and death. Radon 222, which gathers as a gas in unventilated basements, releases alpha particles into the lungs, where it causes cancer. Polonium 210, a powerful alpha emitter, is one of the carcinogens in cigarette smoke. It was also the poison slipped into the cup of tea that killed former FSB agent Alexander Litvinenko in London in 2006. Beta particles are smaller and faster moving than alpha particles and can penetrate more deeply into living tissue, causing visible burns on the skin and lasting genetic damage. A piece of paper won’t provide protection from beta particles, but aluminum foil—or separation by sufficient distance—will. Beyond a range of ten feet, beta particles can cause little damage, but they prove dangerous if ingested in any way. Mistaken by the body for essential elements, beta-emitting radioisotopes can become fatally concentrated in specific organs: strontium 90, a member of the same chemical family as calcium, is retained in the bones; ruthenium is absorbed by the intestine; iodine 131 lodges particularly in the thyroid of children, where it can cause cancer. Gamma rays—high-frequency electromagnetic waves traveling at the speed of light—are the most energetic of all. They can traverse large distances, penetrate anything short of thick pieces of concrete or lead, and destroy electronics. Gamma rays pass straight through a human being without slowing down, smashing through cells like a fusillade of microscopic bullets. Severe exposure to all ionizing radiation results in acute radiation syndrome (ARS), in which the fabric of the human body is unpicked, rearranged, and destroyed at the most minute levels. Symptoms include nausea, vomiting, hemorrhaging, and hair loss, followed by a collapse of the immune system, exhaustion of bone marrow, disintegration of internal organs, and, finally, death.
Adam Higginbotham (Midnight in Chernobyl: The Untold Story of the World's Greatest Nuclear Disaster)
You wouldn’t recognize this land back then. Over thousands of years, the plants and animals worked with wind and fire until the land was covered in a sea of grass that was home to many relatives. The bison gave us everything, from thadó, our meat, to our clothing and thípi hides. His dung fertilized the soil. The prairie dogs opened up tunnels that brought air and water deep into the earth. Grasses that were as tall as a man set long roots that could withstand drought. When my grandfather was a boy, he woke each morning to the song of the meadowlark. The prairie showed us for many generations how to live and work together as one family. “And then the settlers came with their plows and destroyed the prairie in a single lifetime,” my father said. What I remember most, now, is his voice shaking with rage, his tobacco-stained fingers trembling as they held a hand-rolled cigarette, the way he drew smoke deep into his lungs.
Diane Wilson (The Seed Keeper)
Who will I be when I have fewer patients? When I have no patients at all? It's often noted that "practice" as it relates to medicine has two meanings: the act of caring for patients and the doctor's never-ending process of perfecting his or her craft. But there's a third meaning, too, one I'm only now appreciating as I contemplate the end of my career. Medicine is a practice in the way that yoga or meditation is for many people, an activity repeated so often that it becomes a kind of incantation. I have, for so long, stood to my patients' right sides as physicians have done for centuries, palpated the lymph nodes in their necks, armpits, and groins; auscultated their hearts and lungs; asked the same questions I first learned to ask nearly forty years ago—What makes the pain better? What makes it worse? These rituals are for me an anchor without which I fear I might simply drift away. Of course I suspected all along that what I feared wasn't abandoning my patients, but myself.
Suzanne Koven (Letter to a Young Female Physician: Notes from a Medical Life)
Army studies indicate that if a wounded soldier arrives alive at a combat support hospital where surgeons and nurses can treat him, the chances of his surviving are extremely high—greater than 90 percent. “Surviving,” of course, doesn’t necessarily entail keeping arms or legs or retaining the ability to function independently back home. The leading cause of preventable death on the battlefield is bleeding. Having a leg blown off by an IED, for instance, can be fatal if quick steps are not taken to control the blood loss. Even deadlier is internal bleeding, a problem for which medics generally don’t have a good answer. A soldier who is bleeding internally needs to be evacuated and delivered to a surgeon immediately if he is to have any hope of survival. The second-leading cause of preventable death is something called tension pneumothorax. If a bullet punctures a soldier’s lung, air can leak from that hole into the “pleural space,” or cavity outside the lungs. That air can build up and eventually interfere with the functioning of the heart. This can be a relatively simple problem to correct: a medic can simply stick a big needle in the soldier’s chest to relieve the pressure in the pleural space.
Jake Tapper (The Outpost: An Untold Story of American Valor)
Nobody ever talked about what a struggle this all was. I could see why women used to die in childbirth. They didn't catch some kind of microbe, or even hemorrhage. They just gave up. They knew that if they didn't die, they'd be going through it again the next year, and the next. I couldn't understand how a woman might just stop trying, like a tired swimmer, let her head go under, the water fill her lungs. I slowly massaged Yvonne's neck, her shoulders, I wouldn't let her go under. She sucked ice through threadbare white terry. If my mother were here, she'd have made Melinda meek cough up the drugs, sure enough. "Mamacita, ay," Yvonne wailed. I didn't know why she would call her mother. She hated her mother. She hadn't seen her in six years, since the day she locked Yvonne and her brother and sisters in their apartment in Burbank to go out and party, and never came back. Yvonne said she let her boyfriends run a train on her when she was eleven. I didn't even know what that meant. Gang bang, she said. And still she called out, Mama. It wasn't just Yvonne. All down the ward, they called for their mothers. ... I held onto Yvonne's hands, and I imagined my mother, seventeen years ago, giving birth to me. Did she call for her mother?...I thought of her mother, the one picture I had, the little I knew. Karin Thorvald, who may or may not have been a distant relation of King Olaf of Norway, classical actress and drunk, who could recite Shakespeare by heart while feeding the chickens and who drowned in the cow pond when my mother was thirteen. I couldn't imagine her calling out for anyone. But then I realized, they didn't mean their own mothers. Not those weak women, those victims. Drug addicts, shopaholics, cookie bakers. They didn't mean the women who let them down, who failed to help them into womanhood, women who let their boyfriends run a train on them. Bingers and purgers, women smiling into mirrors, women in girdles, women in barstools. Not those women with their complaints and their magazines, controlling women, women who asked, what's in it for me? Not the women who watched TV while they made dinner, women who dyed their hair blond behind closed doors trying to look twenty-three. They didn't mean the mothers washing dishes wishing they'd never married, the ones in the ER, saying they fell down the stairs, not the ones in prison saying loneliness is the human condition, get used to it. They wanted the real mother, the blood mother, the great womb, mother of a fierce compassion, a woman large enough to hold all the pain, to carry it away. What we needed was someone who bled, someone deep and rich as a field, a wide-hipped mother, awesome, immense, women like huge soft couches, mothers coursing with blood, mothers big enough, wide enough, for us to hide in, to sink down to the bottom of, mothers who would breathe for is when we could not breathe anymore, who would fight for us, who would kill for us, die for us. Yvonne was sitting up, holding her breath, eyes bulging out. It was the thing she should not do. "Breathe," I said in her ear. "Please, Yvonne, try." She tried to breathe, a couple of shallow inhalations, but it hurt too much. She flopped back on the narrow bed, too tired to go on. All she could do was grip my hand and cry. And I thought of the way the baby was linked to her, as she was linked to her mother, and her mother, all the way back, insider and inside, knit into a chain of disaster that brought her to this bed, this day. And not only her. I wondered what my own inheritance was going to be. "I wish I was dead," Yvonne said into the pillowcase with the flowers I'd brought from home. The baby came four hours later. A girl, born 5:32 PM.
Janet Fitch (White Oleander)
A few minutes later Elizabeth watched Lucinda emerge from the cottage with Ian, but there was no way to guess from their closed expressions what they’d discussed. In fact, the only person betraying any emotion at all was Jake Wiley as he led two horses into the yard. And his face, Elizabeth noted with confusion-which had been stormy when he went off to saddle the horses-was now wreathed in a smile of unrestrained glee. With a sweep of his arm and a bow he gestured toward a swaybacked black horse with an old sidesaddle upon its back. “Here’s your mount, ma’am,” he told Lucinda, grinning. “His name’s Attila.” Lucinda cast a disdainful eye over the beast as she transferred her umbrella to her right hand and pulled on her black gloves. “Have you nothing better?” “No, ma’am. Ian’s horse has a hurt foot.” “Oh, very well,” said Lucinda, walking briskly forward, but as she came within reach the black suddenly bared his teeth and lunged. Lucinda struck him between the ears with her umbrella without so much as a pause in her step. “Cease!” she commanded, and, ignoring the animal’s startled grunt of pain, she continued around to his other side to mount. “You brought it on yourself,” she told the horse as Jake held Attila’s head, and Ian Thornton helped her into the sidesaddle. The whites of Attila’s eyes showed as he warily watched her land in his saddle and settle herself. The moment Jake handed Lucinda the reins Attila began to leap sideways and twist around in restless annoyance. “I do not countenance ill-tempered animals,” she warned the horse in her severest tone, and when he refused to heed her and continued his threatening antics she hauled up sharply on his reins and simultaneously gave him a sharp jab in the flank with her umbrella. Attila let out a yelping complaint, broke into a quick, animated trot, and headed obediently down the drive. “If that don’t beat all!” Jake said furiously, glowering after the pair, and then at Ian. “That animal doesn’t know the meaning of the word loyalty!” Without waiting for a reply Jake swung into his saddle and cantered down the lane after them. Absolutely baffled over everyone’s behavior this morning, Elizabeth cast a puzzled, sideways glance at the silent man beside her, then gaped at him in amazement. The unpredictable man was staring after Lucinda, his hands shoved into his pockets, a cigar clamped between his white teeth, his face transformed by a sweeping grin. Drawing the obvious conclusion that these odd reactions from the men were somehow related to Lucinda’s skillful handling of an obstinate horse, Elizabeth commented, “Lucinda’s uncle raised horses, I believe.” Almost reluctantly, Ian transferred his admiring gaze from Lucinda’s rigid back to Elizabeth. His brows rose. “An amazing woman,” he stated. “Is there any situation of which she can’t take charge?” “None that I’ve ever seen,” Elizabeth said with a chuckle; then she felt self-conscious because his smile faded abruptly, and his manner became detached and cool.
Judith McNaught (Almost Heaven (Sequels, #3))
History favors the bold. Compensation favors the meek. As a Fortune 500 company CEO, you’re better off taking the path often traveled and staying the course. Big companies may have more assets to innovate with, but they rarely take big risks or innovate at the cost of cannibalizing a current business. Neither would they chance alienating suppliers or investors. They play not to lose, and shareholders reward them for it—until those shareholders walk and buy Amazon stock. Most boards ask management: “How can we build the greatest advantage for the least amount of capital/investment?” Amazon reverses the question: “What can we do that gives us an advantage that’s hugely expensive, and that no one else can afford?” Why? Because Amazon has access to capital with lower return expectations than peers. Reducing shipping times from two days to one day? That will require billions. Amazon will have to build smart warehouses near cities, where real estate and labor are expensive. By any conventional measure, it would be a huge investment for a marginal return. But for Amazon, it’s all kinds of perfect. Why? Because Macy’s, Sears, and Walmart can’t afford to spend billions getting the delivery times of their relatively small online businesses down from two days to one. Consumers love it, and competitors stand flaccid on the sidelines. In 2015, Amazon spent $7 billion on shipping fees, a net shipping loss of $5 billion, and overall profits of $2.4 billion. Crazy, no? No. Amazon is going underwater with the world’s largest oxygen tank, forcing other retailers to follow it, match its prices, and deal with changed customer delivery expectations. The difference is other retailers have just the air in their lungs and are drowning. Amazon will surface and have the ocean of retail largely to itself.
Scott Galloway (The Four: The Hidden DNA of Amazon, Apple, Facebook, and Google)
But how did proteins make physiological reactions possible? Hemoglobin, the oxygen carrier in blood, for instance, performs one of the simplest and yet most vital reactions in physiology. When exposed to high levels of oxygen, hemoglobin binds oxygen. Relocated to a site with low oxygen levels, it willingly releases the bound oxygen. This property allows hemoglobin to shuttle oxygen from the lung to the heart and the brain. But what feature of hemoglobin allows it to act as such an effective molecular shuttle? The answer lies in the structure of the molecule. Hemoglobin A, the most intensively studied version of the molecule, is shaped like a four-leaf clover. Two of its “leaves” are formed by a protein called alpha-globin; the other two are created by a related protein, beta-globin.II Each of these leaves clasps, at its center, an iron-containing chemical named heme that can bind oxygen—a reaction distantly akin to a controlled form of rusting. Once all the oxygen molecules have been loaded onto heme, the four leaves of hemoglobin tighten around the oxygen like a saddle clasp. When unloading oxygen, the same saddle-clasp mechanism loosens. The unbinding of one molecule of oxygen coordinately relaxes all the other clasps, like the crucial pin-piece pulled out from a child’s puzzle. The four leaves of the clover now twist open, and hemoglobin yields its cargo of oxygen. The controlled binding and unbinding of iron and oxygen—the cyclical rusting and unrusting of blood—allows effective oxygen delivery into tissues. Hemoglobin allows blood to carry seventyfold more oxygen than what could be dissolved in liquid blood alone. The body plans of vertebrates depend on this property: if hemoglobin’s capacity to deliver oxygen to distant sites was disrupted, our bodies would be forced to be small and cold. We might wake up and find ourselves transformed into insects.
Siddhartha Mukherjee (The Gene: An Intimate History)
Now I am alone. O, what a rogue and peasant slave am I! (520) Is it not monstrous that this player here, But in a fiction, in a dream of passion, Could force his soul so to his own conceit That from her working all his visage wann'd, Tears in his eyes, distraction in's aspect, A broken voice, and his whole function suiting With forms to his conceit? and all for nothing! For Hecuba! What's Hecuba to him, or he to Hecuba, (530) That he should weep for her? What would he do, Had he the motive and the cue for passion That I have? He would drown the stage with tears And cleave the general ear with horrid speech, Make mad the guilty and appal the free, Confound the ignorant, and amaze indeed The very faculties of eyes and ears. Yet I, A dull and muddy-mettled rascal, peak, Like John-a-dreams, unpregnant of my cause, (540) And can say nothing; no, not for a king, Upon whose property and most dear life A damn'd defeat was made. Am I a coward? Who calls me villain? breaks my pate across? Plucks off my beard, and blows it in my face? Tweaks me by the nose? gives me the lie i' the throat, As deep as to the lungs? who does me this? Ha! 'Swounds, I should take it: for it cannot be But I am pigeon-liver'd and lack gall (550) To make oppression bitter, or ere this I should have fatted all the region kites With this slave's offal: bloody, bawdy villain! Remorseless, treacherous, lecherous, kindless villain! O, vengeance! Why, what an ass am I! This is most brave, That I, the son of a dear father murder'd, Prompted to my revenge by heaven and hell, Must, like a whore, unpack my heart with words, And fall a-cursing, like a very drab, (560) A scullion! Fie upon't! foh! About, my brain! I have heard That guilty creatures sitting at a play Have by the very cunning of the scene Been struck so to the soul that presently They have proclaim'd their malefactions; For murder, though it have no tongue, will speak With most miraculous organ. I'll have these players Play something like the murder of my father Before mine uncle: I'll observe his looks; (570) I'll tent him to the quick: if he but blench, I know my course. The spirit that I have seen May be the devil: and the devil hath power To assume a pleasing shape; yea, and perhaps Out of my weakness and my melancholy, As he is very potent with such spirits, Abuses me to damn me: I'll have grounds More relative than this: the play's the thing Wherein I'll catch the conscience of the king.
William Shakespeare (Hamlet)
what keeps you alive, Love, money,relation, Nah !! It's Oxygen , yes, so when you get up fill the lungs and say thank you.
Jyoti Kerkar
These are the risk factors: chronic depression; eating disorders (anorexia nervosa, bulimia); family history of a first-degree relative with osteoporosis; in men, delayed puberty, diminished libido, erectile dysfunction, low testosterone; in women, late menarche, loss of or irregular menstrual periods, or early menopause (estrogen deficiency); low body weight (less than 127 pounds); maternal history of hip fracture; personal history of fracture related to mild-to-moderate trauma as an adult; poor health; chronic disease of the kidneys, gastrointestinal system, or lungs; sedentary lifestyle; and unhealthy lifestyle (tobacco smoke, excessive alcohol, or poor eating habits).
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))
However, the most interesting property of your spacetime tube isn't its bulk shape, but its internal structure, which is remarkably complex. Whereas the particles that constitute the Moon are stuck together in a rather static arrangement, many of your particles are in constant motion relative to one another. Consider, for example, the particles that make up your red blood cells. As your blood circulates through your body to deliver the oxygen you need, each red blood cell traces out its own unique tube shape through spacetime, corresponding to a complex itinerary through your arteries, capillaries and veins with regular returns to your heart and lungs. These spacetime tubes of different red blood cells are intertwined to form a braid pattern (Figure 11.4, middle panel) which is more elaborate than anything you'll ever see in a hair salon: whereas a classic braid consists of three strands with perhaps thirty thousand hairs each, intertwined in a simple repeating pattern, this spacetime braid consists of trillions of strands (one for each red blood cell), each composed of trillions of hairlike elementary-particle trajectories, intertwined in a complex pattern that never repeats. In other words, if you imagine spending a year giving a friend a truly crazy hairdo, braiding his hair by separately intertwining not strands but all the individual hairs, the pattern you'd get would still be very simple in comparison. Yet the complexity of all this pales in comparison to the patterns of information processing in your brain. As we discussed in Chapter 8 and illustrated in Figure 8.7, your roughly hundred billion neurons are constantly generating electric signals ("firing"), which involves shuffling around billions of trillions of atoms, notably sodium, potassium and calcium ions. The trajectories of these atoms form an extremely elaborate braid through spacetime, whose complex intertwining corresponds to storing and processing information in a way that somehow gives rise to our familiar sensation of self-awareness. There's broad consensus in the scientific community that we still don't understand how this works, so it's fair to say that we humans don't yet fully understand what we are. However, in broad brushstrokes, we might say this: You're a pattern in spacetime. A mathematical pattern. Specifically, you're a braid in spacetime-indeed one of the most elaborate braids known.
Max Tegmark (Our Mathematical Universe: My Quest for the Ultimate Nature of Reality)
Realizing his ill manners, Thomas bowed at the waist, his eyes never leaving hers. “My name is Thomas Watson.” She made a shy curtsy, but said nothing. Would she not offer her name? His pulse quickened. Etiquette prohibited strangers from being introduced without a third party. But he was desperate, and in a desperate moment such manners were obsolete. “And will you be so kind as to tell me your name?” Her face flushed with color, adding to the pink that already decorated her skin. “My name is Eliza Campbell.” Thomas stepped back and straightened. “You wouldn’t happen to be related to the late Dr. Robert Campbell, would you?” A shadow of grief darkened her gentle features. “Aye. He was my Father.” The air in his lungs evaporated and all words escaped him. This magnificent woman was one of Robert’s daughters. Somehow he’d figured the Campbell girls would be young and gangly. Eliza was anything but that. Her
Amber Lynn Perry (So Fair a Lady (Daughters of His Kingdom, #1))
What does it do to someone, to be repeatedly told that what you know to be true is a lie? How does it change the way you relate to the world, to other people? How you process your grief, how you carry your anger. All that pain, all that rage – she could literally feel it, like a weight pressing down on her heart, her lungs.
Ellery Lloyd (The Club)
If a man continues to call a good thing bad, he will inevitably lose his sense of moral distinctions. Is this always the result? Is it not possible to quarantine a certain kind of deception so that it will not affect the rest of one’s life? May not the underprivileged do with deception as it relates to his soul what the human body does with tubercle bacilli? The body seems unable to destroy the bacilli, so nature builds a prison for them, walls them in with a tick fibrosis so that their toxin cannot escape from the lungs into the blood stream. As long as the victims exercises care in the matter of the rest, work, and diet, normal activities may be pursued without harm. Is deception a comparable technique of survival, the fibrosis that protects the life from poison in its total outlook or in its other relations? Or, to change the figure, may not deception be regarded under some circumstances as a kind of blind spot that functional in a limited area of experience? No! Such questions are merely attempts to rationalize ones way out of a critical difficulty. The penalty of deception is to become a deception, with all sense of moral discrimination vitiated. A man who lies habitually becomes a lie, and it is increasingly impossible for him to know when he is lying and when he is not.
Howard Thurman (Jesus and the Disinherited)
A relative named Isaac comes for Thanksgiving and I am fighting off memories of that night each time someone calls his name. My partner says she is taking a nap; there he is again, hands cuffed behind his back, an angry scowl on his face, pulling me into that deep, traumatic memory. It lives at the core of who I am, bubbling in my guts, squishing my lungs, choking me. The association can come so fast at times—rap, cap, nap, Knapper, father, murder, death. I run fast and furiously away; it will not get me, cannot get me, but it is always nipping at my heels ready to swallow me whole if only I stop. I do not stop.
Amy Banks (Fighting Time)
The opponent’s skull is sent backward, shaking the brain and nerves to a concussion. The key to devastating hand strikes is to maintain maximum speed and weight shift at the contact point. Before we learn defenses, we learn hand strikes since we need to know how to counterattack with our defenses. In addition, we want our training partners to challenge us with the most devastating attacks. At the end of the lesson, a student should be able to execute devastating knockout punches. Straight Hand Strikes Front (hand closer to the opponent) and Rear Straight hand strikes can be executed when your body is positioned facing directly at or up to a forty-five degree angle relative to your opponent. Although the effective range is the distance covered with one leap forward while pivoting your shoulders, you should allow enough room to accelerate your hand and pass the target you are trying to reach. 1. Standing position has your hands down to avoid projecting intentions. 2.     Lift your hands up. As your left hand moves forward, your torso is kept at about forty-five degrees toward the opponent. Roll your left knuckles into a tight fist. Keep your thumb bent forty-five degrees over your index finger. Tighten your forearm muscles to support its connection to the fist. Begin and end the punch with the back of the hand pointed to the sides of your body. Upon contact with the target, twist your fist to forty-five degrees where your two big knuckles stab your target. The knuckles should be positioned as a straight extension of your hand. Do not move your wrist once you have it ready for a punch. Keep your elbow pointed to the ground at all times to better deliver your body weight into the punch. The fist is moving toward the opponent’s face to hit his chin, and the body follows, pivoting right behind the hand. The key is to lunge forward and only twist your shoulders when your fist is close to the opponent's chin. This will propel the weight shift supporting the punch. If you do it too soon, you will not have your weight supporting the punch! 3.     Your left hand is passing the target at maximum speed as your right shoulder aligns your left shoulder. 4.     Left hand is retracted to about ninety degrees away from the body. At this point, the punch has ended. Your right shoulder is behind the left. Stay in this position until you notice your opponent’s next move. 5.     Throw your right hand forward and pivot your body directly behind it in the direction of your opponent’s chin. Note that when you execute a front hand strike your torso leans forward. Now you need to erect your torso, keeping your rear leg extended and your rear shoulder knee locked, pivoting the rear heel and shoulder forward. 6.     Your right hand fully extends in a strike with the seam of the pants facing the opponent.
Boaz Aviram (Krav Maga: Use Your Body as a Weapon)
The opponent’s skull is sent backward, shaking the brain and nerves to a concussion. The key to devastating hand strikes is to maintain maximum speed and weight shift at the contact point. Before we learn defenses, we learn hand strikes since we need to know how to counterattack with our defenses. In addition, we want our training partners to challenge us with the most devastating attacks. At the end of the lesson, a student should be able to execute devastating knockout punches. Straight Hand Strikes Front (hand closer to the opponent) and Rear Straight hand strikes can be executed when your body is positioned facing directly at or up to a forty-five degree angle relative to your opponent. Although the effective range is the distance covered with one leap forward while pivoting your shoulders, you should allow enough room to accelerate your hand and pass the target you are trying to reach. 1. Standing position has your hands down to avoid projecting intentions. 2.     Lift your hands up. As your left hand moves forward, your torso is kept at about forty-five degrees toward the opponent. Roll your left knuckles into a tight fist. Keep your thumb bent forty-five degrees over your index finger. Tighten your forearm muscles to support its connection to the fist. Begin and end the punch with the back of the hand pointed to the sides of your body. Upon contact with the target, twist your fist to forty-five degrees where your two big knuckles stab your target. The knuckles should be positioned as a straight extension of your hand. Do not move your wrist once you have it ready for a punch. Keep your elbow pointed to the ground at all times to better deliver your body weight into the punch. The fist is moving toward the opponent’s face to hit his chin, and the body follows, pivoting right behind the hand. The key is to lunge forward and only twist your shoulders when your fist is close to the opponent's chin. This will propel the weight shift supporting the punch. If you do it too soon, you will not have your weight supporting the punch! 3.     Your left hand is passing the target at maximum speed as your right shoulder aligns your left shoulder. 4.     Left hand is retracted to about ninety degrees away from the body. At this point, the punch has ended. Your right shoulder is behind the left. Stay in this position until you notice your opponent’s next move. 5.     Throw your right hand forward and pivot your body directly behind it in the direction of your opponent’s chin. Note that when you execute a front hand strike your torso leans forward. Now you need to erect your torso, keeping your rear leg extended and your rear shoulder knee locked, pivoting the rear heel and shoulder forward. 6.     Your right hand fully extends in a strike with the seam of the pants facing the opponent. 7.     Your right hand retracts, while your body is still in a forward motion.
Boaz Aviram (Krav Maga: Use Your Body as a Weapon)
Mr. Burnside will be in the auto-doc for the rest of the day.” “The rest of the day? Isn’t that rather extreme?” “He took a blow to the chest, sar, that seems to have broken three ribs and cracked two others. You may be aware, sar, that lungs and heart are located behind the ribs?” “I had heard something to that effect, yes, Ms. D’Heng, from relatively reliable sources.
Nathan Lowell (Double Share (Golden Age of the Solar Clipper, #4))
And indeed, many trauma-related health problems are dismissed, missed, and misunderstood. But once you understand more about neuroscience, and how our senses and brain translate experience into “biological” activity, the artificial distinctions disappear. If you understand the neurobiology of trauma, you know that a physical “abnormality” is causing the abdominal pain seen with sensitized dissociation. You begin to see that a person’s “worldview” can change their immune system, and that a positive conversation with a friend can influence how a patient’s heart or lungs function that day. The interconnectedness becomes clear.
Bruce D. Perry (What Happened to You?: Conversations on Trauma, Resilience, and Healing)
After years of visiting plant scientists and reading about botany, my most luscious thoughts have all turned green. Plants have thoroughly gotten to me-but of course the reality is, they've had me all along. Plants made me, after all. Every bundle of muscle in my body was woven from the sugars plants spun from moisture and air. My blood cells that course through my veins like water through rootlets are each kept ruby red with the oxygen plants made. The branching structure of my lungs are suffused with that too. Every inward breath of mine was first breathed out by plants. In this material sense, in terms of what they've contributed to my physical being, they are as much my relatives as any family member I know.
Zoë Schlanger
But civilized human beings are alarmingly ignorant of the fact that they are continuous with their natural surroundings. It is as necessary to have air, water, plants, insects, birds, fish, and mammals as it is to have brains, hearts, lungs, and stomachs. The former are our external organs in the same way that the latter are our internal organs. If then, we can no more live without the things outside than without those inside, the plain inference is that the words “I” and “myself ” must include both sides. The sun, the earth, and the forests are just as much features of your own body as your brain. Erosion of the soil is as much a personal disease as leprosy, and many “growing communities” are as disastrous as cancer.
Alan W. Watts (Does It Matter? Essays on Man's Relation to Materiality)
We should not imagine that this means our fate is fixed by our planets, however. Even though each vital organ corresponds to a planet—the liver to Jupiter, the brain to the moon, the heart to the sun, the spleen to Saturn, the lungs to Mercury, the gallbladder to Mars, and the kidneys to Venus—yet the one is not governed by the other: "Saturn has nothing to do with the spleen, nor the spleen anything to do with Saturn." Rather, these correspondences are simply a manifestation of the cosmic mirror that makes man a microcosm of the universal macrocosm. The two are analogs but are not causally related. From a scale model of a building you can read the proportions and relationships of the building itself, but crushing the former does not raze the latter.
Philip Ball (The Devil's Doctor: Paracelsus and the World of Renaissance Magic and Science)
According to Chinese medicine, each of our organs relates to a specific emotion—the liver relates to anger, the kidneys to fear, the lungs to sadness, and the spleen to worry—and there are specific types of cleanses for the different organs. Some experts recommend doing regular cleanses at the change of each season.
Marci Shimoff (Happy for No Reason: 7 Steps to Being Happy from the Inside Out)
So training smart, training effectively, involves cycling through the three zones in any given week or training block: 75 percent easy running, 5 to 10 percent running at target race paces, and 15 to 20 percent fast running or hill training in the third zone to spike the heart and breathing rates. In my 5-days-a-week running schedule, that cycle looks like this: On Monday, I cross-train. Tuesday, I do an easy run in zone one, then speed up to a target race pace for a mile or two of zone-two work. On Wednesday, it’s an easy zone-one run. Thursday is an intense third-zone workout with hills, speed intervals, or a combination of the two. Friday is a recovery day to give my body time to adapt. On Saturday, I do a relaxed run with perhaps another mile or two of zone-two race pace or zone-three speed. Sunday is a long, slow run. That constant cycling through the three zones—a hard day followed by an easy or rest day—gradually improves my performance in each zone and my overall fitness. But today is not about training. It’s about cranking up that treadmill yet again, pushing me to run ever faster in the third zone, so Vescovi can measure my max HR and my max VO2, the greatest amount of oxygen my heart and lungs can pump to muscles working at their peak. When I pass into this third zone, Vescovi and his team start cheering: “Great job!” “Awesome!” “Nice work.” They sound impressed. And when I am in the moment of running rather than watching myself later on film, I really think I am impressing them, that I am lighting up the computer screen with numbers they have rarely seen from a middle-aged marathoner, maybe even from an Olympian in her prime. It’s not impossible: A test of male endurance athletes in Sweden, all over the age of 80 and having 50 years of consistent training for cross-country skiing, found they had relative max VO2 values (“relative” because the person’s weight was included in the calculation) comparable to those of men half their age and 80 percent higher than their sedentary cohorts. And I am going for a high max VO2. I am hauling in air. I am running well over what should be my max HR of 170 (according to that oft-used mathematical formula, 220 − age) and way over the 162 calculated using the Gulati formula, which is considered to be more accurate for women (0.88 × age, the result of which is then subtracted from 206). Those mathematical formulas simply can’t account for individual variables and fitness levels. A more accurate way to measure max HR, other than the test I’m in the middle of, is to strap on a heart rate monitor and run four laps at a 400-meter track, starting out at a moderate pace and running faster on each lap, then running the last one full out. That should spike your heart into its maximum range. My high max HR is not surprising, since endurance runners usually develop both a higher maximum rate at peak effort and a lower rate at rest than unconditioned people. What is surprising is that as the treadmill
Margaret Webb (Older, Faster, Stronger: What Women Runners Can Teach Us All About Living Younger, Longer)
-§ But just because we grew up in that kind of a culture does not mean we need to keep creating it in our present relationship. I recommend we ask different questions, like, “How could I make your life more wonderful?” and “Would you like to know how you could make my life more wonderful?” and “What are your needs right now?” and “Would you like to know what I need right now?” Now if none of this appeals to you because you prefer a relation-dinghy to a relationship, here are some suggestion to help you prevent your relation-dinghy from growing into a relationship: 1. Keep your attention focused at all times on who is right or wrong in a discussion, fair or unfair in a negotiation, selfish or unselfish in giving (it helps to keep a list of who has done what for whom), kind or cruel in their tone of voice, rude or polite in their mannerisms, sloppy or neat in their dress, and so on. Be careful not to realize that your attempt to be right is really an attempt to protect yourself from thinking you are wrong and then feeling shame. 2. If you need some support for this I recommend certain selfhelp groups who can give you the latest scoops on the most powerful, politically correct labels with which to overpower and confuse your partner. Members of these groups will collude with you in validating that your partner really is a man or woman who is commitment-phobic, emotionally unavailable, counterdependant, needy, spiritually unevolved, dysfunctional, immature, judgmental, sinful, bi-polar, OCD, clinically depressed, or adult-onset ADD. It is important to keep your consciousness filled with such terminology to prevent any fondness from developing. This also helps in keeping you caught in the “paralysis of analysis” and clueless about what you or your partner are needing from each other. 3. Adopt this test for love: If your partner really loves you, he or she will always know what you want even before you know—and then give it to you without your having to go through the humiliation of actually asking for it. And your partner will do this regardless of the sacrifice it requires. If your partner does not give you what you want, choose to believe it means he or she does not love you. 4. Ask for what you do not want instead of what you do want. I heard of a man who asked his wife to stop spending so much money shopping. She took up gambling on the internet. 5. In case your relationdinghy starts to grow, here are a few torpedoes guaranteed to sink it again: “It hurts me when you say that.” “I feel sad because you…fill in the blank (won’t say ‘I love you,’ or ‘I’m sorry,’ or won’t have sex, or won’t marry me, etc.)” If you really want to choke the life out of any relationship meditate on “I need you.” Then you will know how I felt for about thirtyfive years of my life. I felt like a drowning swimmer and I would grab hold of anyone who came near me and try to use them as a life raft. Now I want relationships to be flowers for my table instead of air for my lungs. When I Come Gently To You by Ruth Bebermeyer When I come gently to you I want you to see It’s not to get myself from you, it’s just to give you me. I know that you can’t give me me, no matter what you do. All I ever want from you is you. I know your fear of fences, your pain from prisons past. I’m not the first to sense it and I’m plainly not the last. The hawk within your heart’s not bound to earth by fence of mine, Unless you aren’t aware that you can fly. When I come gently to you I’d like you to know I come not to trespass your space, I want to touch and grow. When your space and my space meet, each is not less but more. We make our space that wasn’t space before. Chapter HEALING THE BLAME THAT BLINDS
Kelly Bryson (Don't Be Nice, Be Real)
Perhaps the public would be better served by reframing the issue of media violence in terms of public health, where we seldom speak of causality (even with smoking and lung cancer) because of the variability among individuals and the nature of their exposures, but rather of alterations in “relative risk.
Douglas A. Gentile (Media Violence and Children: A Complete Guide for Parents and Professionals, 2nd Edition (ADVANCES IN APPLIED DEVELOPMENTAL PSYCHOLOGY))
When a nursing mother encounters infectious agents in her gut and lung—the main routes of human infection—the antibodies that she forms will travel to her breasts and will be transferred to the baby via breast milk, giving specific protection against infections that the baby is, or will soon be, exposed to. A breastfed infant receives a relatively high dose of maternal antibodies: up to 1 gram per day via breast milk, compared to a total of 2.5 grams produced daily in the body of an average adult.
Sarah Buckley (Gentle Birth, Gentle Mothering: A Doctor's Guide to Natural Childbirth and Gentle Early Parenting Choices)
4 Meet the astrocyte If you look at a tulip, you wouldn’t think it was an armadillo. Similarly, looking at a neuron, you wouldn’t think it was glia. But you might look at a whale and think it’s a fish, until you look at it closely and realize it has no gills and breathes through lungs. Then, you have a problem. Through genetic testing and excavations by paleontologists, we now know it likely originated as a land animal that took back to the sea and is related to hoofed animals like the horse. But before genetic testing and evolutionary biology, classification was based on appearance. This remains true for cellular classification.
Andrew Koob (The Root of Thought: Unlocking Glia--the Brain Cell That Will Help Us Sharpen Our Wits, Heal Injury, and Treat Brain Disease: Unlocking Glia -- the Brain ... Wits, Heal Injury, and Treat Brain Disease)
Malachi has suffered from a reaction called Transfusion Related Acute Lung Injury, TRAI for short. This causes the body temperature to skyrocket and causes chills and breathing issue. We’re supplying him with oxygen and lots of fluids and he should start feeling better within forty-eight to seventy-two hours,” the doctor said. “Why
Myiesha (A New Jersey Love Story 3: Bulletproof Love)
Darcy picked her up again, this time not as gently as he had when she’d tripped on the root. He carried her under one arm like a sack of grain, though to his credit, he avoided putting pressure on her lower abdomen. “I said no, ye contrary thing, and I’m big enough to make you obey whether ye want to or no’.” He crashed through the line of trees, stomped past the wounded men, and set her firmly in the wagon. “A skirmish is no place for a woman. I willna be responsible for you getting raped or killed.” That vulnerable look softened his hard features for a second. “I could tie you down, but then ye’d be no help to Archie. So what’ll it be, lass? Will you obey me or no?” He tried to intimidate her with his posture and size, bracketing her with his bare arms. It didn’t work. Rather, the sight of the succulent, hard mound of his exposed shoulder so close to her face made her wet her lips. His strong collarbones and sinewy neck glistened with sweat, and he smelled of pine and male exertion. Her libido jumped like a feisty poodle. Jeez Louise, Mel, get a grip. This is not a romance novel. He’s not your hero. The box got it wrong. The box was way out of line. “I need it,” she said, pleased her steady voice didn’t betray her attraction. “I have to go with you.” “I told you I’d look for whatever ye lust.” Lust. The antiquated word spoken in his deep voice did strange things to her tummy. It took a solid effort not to lick her lips in invitation as the word called to mind activities that most definitely related to wanting. Home, she reminded herself. She had to get home. “I don’t trust you to look as hard as I would. I’m coming with you.” “Where are your ropes, Archie?” he asked. “The woman refuses to stay put. I have no choice but to tie her to the wagon.” Several of the wounded men snickered. Archie said, “In the foot case there. And bring me some of yon dried moss before ye tie down your woman.” Your woman. The casual declaration made her stomach leap, and the sensation wasn’t entirely unpleasant. “She’s not mine,” Darcy growled as he opened the lid of a wooden chest in the wagon. To her horror, he removed a coil of rope. After tossing a yellowish clump in Archie’s direction, he came at her. Her libido disappeared with a poof. She hopped off the wagon, dodging hands that had no business being so quick, considering how large they were. “Don’t you dare tie me down! I’ve got to get that box. It’s my only hope to return home.” He lunged for her, catching her easily around the waist with his long arm, and plunking her back in the wagon. Libido was back. Her body thrilled at Darcy’s manhandling, though her muscles struggled against it. The thought of him tying her up in private might have some merit, but not in the middle of the forest with several strange men as witnesses. “Okay, okay,” she blurted as he looped the rope around one wrist. “I won’t follow you. Please don’t tie me. I’ll stay. I’ll help.” He paused to eye her suspiciously. “I promise,” she said. “I’ll stay here and make myself useful. As long as you promise to look for a rosewood box inlaid with white gold and about yea big.” She gestured with her hands, rope trailing from one wrist. “As long as you swear to look as though your life depends on it.” She held his gaze, hoping he was getting how important this was to her, hoping she could trust him. The circle of wounded men went quiet, waiting for his answer. He bounced on the balls of his feet, clearly impatient to return to the skirmish, but he gave her his full attention and said, “I vow that if your cherished box is on that field, I will find it.
Jessi Gage (Wishing for a Highlander (Highland Wishes Book 1))
At the beginning of this study on the conditions of suggestion, we have admitted that suggestion could not develop in sickly minds—that it demanded, in order to attain to its full power, minds relatively sane. We have just now demonstrated that it depended on a lack of synthesis, on a weakening of consciousness. Are not these two affirmations contradictory ? Not at all. A symptom may disappear in certain maladies and still remain a pathological symptom. The crepitant rale does not exist in all stages of pneumonia; it disappears in many serious lung affections; it is none the less a very characteristic sign of the disease.
Anonymous
In 1933, the regional elections held in many parts of Germany, overwhelmingly favored the NAZI Partei. The full name of this vile group was the Nationalsozialistische Deutsche Arbeiterpartei and actually was originally abbreviated NSDAP, not NAZI. With what seemed to be decisive popular approval, the Reichstag endorsed Hitler. On the morning of January 30, 1933, at the Presidential Palace, Hindenburg swore in Adolf Hitler as the Reich Chancellor of Germany, a title equivalent to that of the Prime Minister of England. However, as the Reich Chancellor, Hitler was in a relatively stronger position of authority than the Prime Minister of England. Everything being equal, it would be much more difficult to remove him from power since the Chancellor of Germany remains in office until the majority of the Bundestag can agree on a successor, whereas the Prime Minister serves at the whim of his party. Hindenburg publicly denounced any responsibility for appointing this “Austrian Corporal” to the Reich Chancellery, while he prudently caved in to Adolf Hitler’s popular demands. On the other hand, Hitler frequently referred to Hindenburg as “that old fool.” Although the men maintained an appearance of cordiality to each other in public, Hitler did not respect the “Old War Horse” and there was definitely no love lost between them. During the following summer, Hindenburg grew increasingly concerned about the radical Nazi rallies in Nuremburg, and the political demonstrations that were being carried out throughout Germany. During the summer of 1934, the elderly German President became extremely ill and was close to death at his mansion in East Prussia. Having contracted lung cancer, he had been incapacitated and bedridden for several months, thereby giving Hitler enough time to plan and impose his next move. On August 2, 1934, at 9:00 a.m., the long awaited demise of 86-year-old Hindenburg finally occurred in the town of Neudeck, near Rosenberg, East Prussia. Within hours after the announcement of Hindenburg’s death, Hitler seized total control of Germany by establishing himself in the contrived, dictatorial and ultimate position of “der Führer.” It was in this way that he became the supreme leader of Germany, ruling until 1945.
Hank Bracker
larynx (pp. 352–354), and (2) smaller intrinsic muscles that control tension in the glottal vocal folds or that open and close the glottis. These smaller muscles insert on the thyroid, arytenoid, and corniculate cartilages. The opening or closing of the glottis involves rotational movements of the arytenoid cartilages. When you swallow, both sets of muscles work together to prevent food or drink from entering the glottis. Food is crushed and chewed into a pasty mass, known as a bolus, before being swallowed. Muscles of the neck and pharynx then elevate the larynx, bending the epiglottis over the glottis, so that the bolus can glide across the epiglottis rather than falling into the larynx. While this movement is under way, the glottis is closed. Foods or liquids that touch the vestibular folds or glottis trigger the coughing reflex. In a cough, the glottis is kept closed while the chest and abdominal muscles contract, compressing the lungs. When the glottis is opened suddenly, a blast of air from the trachea ejects material that blocks the entrance to the glottis. Sound Production How do you produce sounds? Air passing through your open glottis vibrates its vocal folds and produces sound waves. The pitch of the sound depends on the diameter, length, and tension in your vocal folds. The diameter and length are directly related to the size of your larynx. You control the tension by contracting voluntary muscles that reposition the arytenoid cartilages relative to the thyroid cartilage. When the distance increases, your vocal folds tense and the pitch rises. When the distance decreases, your vocal folds relax and the pitch falls. Children have slender, short vocal folds, so their voices tend to be high pitched. At puberty, the larynx of males enlarges much more than that of females. The vocal cords of an adult male are thicker and longer, so they produce lower tones than those of an adult female. Sound production at the larynx is called phonation (fo.-NA .-shun; phone, voice). Phonation is one part of speech production. Clear speech also requires articulation, the modification of those sounds by voluntary movements of other structures, such as the tongue, teeth, and lips to form words. In a stringed instrument, such as a guitar, the quality of the sound produced does not depend solely on the nature of the vibrating string. Rather, the entire instrument becomes involved as the walls vibrate and the composite sound echoes within the hollow body. Similar amplification and resonance take place within your pharynx, oral cavity, nasal cavity, and paranasal sinuses. The combination gives you the particular and distinctive sound of your voice. That sound changes when you have a sinus infection and your nasal cavity and paranasal sinuses are filled with mucus rather than air.
Frederic H. Martini (Fundamentals of Anatomy & Physiology)
Singling out petty burglary, drug offenses, and street violence, the push largely ignored white-collar wrongdoing. "But corporate crime and violence inflict far more damage on society than all street crime combined," wrote white-collar-crime expert Russell Mokhiber in 1996. He compared the estimated $4 billion that burglary and robbery cost the country to some $200 billion for fraud. Or the 24,000 homicides per year, as against 56,000 people who died from job-related causes such as black lung disease or accidents due to safety violations. How to count the tens of thousands of consumers who were hurt or killed in car accidents or by lung cancer, while auto giants lobbied against airbags and big tobacco fought warning labels? (Page 265)
Sarah Chayes (On Corruption in America: And What Is at Stake)
Long COVID is believed to be related to Mitochondrial Disease.
Steven Magee (Toxic Altitude)
A person’s “worldview” can change their immune system, and…a positive conversation with a friend can influence how a patient’s heart or lungs function that day. The interconnectedness becomes clear…everything matters…belonging is biology, and disconnection destroys our health. Trauma is disconnecting, and that impacts every system in our body...To this day, the role that trauma and developmental adversity play in mental and physical health remains underappreciated. children and adults with developmental trauma frequently experience chronic abdominal pain, headaches, chest pain, fainting, and seizure-like episodes-all very common symptoms related to a sensitized stress response.
Bruce D. Perry (What Happened To You?: Conversations on Trauma, Resilience, and Healing)
Vitamin D3 boasts a strong safety profile, along with broad and deep evidence that links it to brain, metabolic, cardiovascular, muscle, bone, lung, and immune health. New and emerging research suggests that vitamin D supplements may also slow down our epigenetic/biological aging.29, 30 2. Omega-3 fish oil: Over the last thirty years or so, the typical Western diet has added more and more pro-inflammatory omega-6 polyunsaturated fatty acids versus anti-inflammatory omega-3 PUFAs. Over the same period, we’ve seen an associated rise in chronic inflammatory diseases, including obesity, cardiovascular disease, rheumatoid arthritis, and Alzheimer’s disease. 31 Rich in omega-3s, fish oil is another incredibly versatile nutraceutical tool with multi-pronged benefits from head to toe. By restoring a healthier PUFA ratio, it especially helps your brain and heart. Regular consumption of fatty fish like salmon has been linked to a lower risk of congestive heart failure, coronary heart disease, sudden cardiac death, and stroke.32 In an observational study, omega-3 fish oil supplementation was also associated with a slower biological clock.33 3. Magnesium deficiency affects more than 45 percent of the U.S. population. Supplements can help us maintain brain and cardiovascular health, normal blood pressure, and healthy blood sugar metabolism. They may also reduce inflammation and help activate our vitamin D. 4. Vitamin K1/K2 supports blood clotting, heart/ blood vessel health, and bone health.34 5. Choline supplements with brain bioavailability, such as CDP-Choline, citicoline, or alpha-GPC, can boost your body’s storehouse of the neurotransmitter acetylcholine and possibly support liver and brain function, while protecting it from age-related insults.35 6. Creatine: This one may surprise you, since it’s often associated with serious athletes and fitness buffs. But according to Dr. Lopez, it’s “a bona fide arrow in my longevity nutraceutical quiver for most individuals, and especially older adults.” As a coauthor of a 2017 paper by the International Society for Sports Nutrition, Dr. Lopez, along with contributors, stated that creatine not only enhances recovery, muscle mass, and strength in connection with exercise, but also protects against age-related muscle loss and various forms of brain injury.36 There’s even some evidence that creatine may boost our immune function and fat and carbohydrate metabolism. Generally well tolerated, creatine has a strong safety profile at a daily dose of three to five grams.37 7.
Tony Robbins (Life Force: How New Breakthroughs in Precision Medicine Can Transform the Quality of Your Life & Those You Love)
Key Points As you age, your body naturally becomes less efficient. Changes you will go through include losing muscle mass, slowing of your metabolism, and producing less testosterone You have the power, through exercise, to slow down the aging process Exercise will improve your self - image and your self-confidence Regular exercise will make you physically and mentally stronger, improve your bone strength, body composition, coordination and balance Exercise will boost the efficiency of your heart and lungs and make you far less likely to succumb to age-related disease
Nick Swettenham (Total Fitness After 40: The 7 Life Changing Foundations You Need for Strength, Health and Motivation in your 40s, 50s, 60s and Beyond)
Throat Let your fingers touch each other as you cup your hands on the bottom of the throat. Be gentle, and hold on to your hands, but do not touch your throat. Helping the thyroid and parathyroid gland, vocal cords, larynx, and lymph nodes, this hand position handles the throat (fifth) chakra that regulates neck and chest. This is the seat of communication and expression. Using therapy to help the patient speak, speak their minds, talk for themselves, and tell their reality. It's also perfect for writer’s block! Collarbone Place your hands with your fingers pointing to the middle of your chest on the sides of your arms. This position gives Reiki to the area of the thymus between the chakras of the throat and the neck. For immune function, the thymus gland is essential. Place yourself behind or on the recipient's side for this next position (it all depends on your height logistics, their height, and how far you can stretch!). Back of the neck and front of the heart Put your left hand under the neck area and your right hand over the top of the heart area of the middle. This role incorporates heart and back care of the heart. They address two regions simultaneously: the chakra of the throat and the chakra of the heart, which helps to express one's heart or to say one's reality. This is a good position to handle high blood pressure; any position on the neck actually helps reduce high blood pressure. Heart Place the hands in a T, a hand positioned horizontally above the breasts, and a hand placed vertically between the breasts. Treating the heart (fourth) chakra governs everything related to the circulatory system, including the pulse, veins, and arteries; the lungs (related to the chakras of the heart and throat); the breasts; and the thymus. Opening Reiki's heart chakra increases the supply of affection, air, and nourishment that can be received and offered. The recipient feels acceptance and a sense of love and compassion when the heart chakra is free and moving.
Adrian Satyam (Energy Healing: 6 in 1: Medicine for Body, Mind and Spirit. An extraordinary guide to Chakra and Quantum Healing, Kundalini and Third Eye Awakening, Reiki and Meditation and Mindfulness.)
We are designed to literally breathe God in......This is how God gets into our being. Our spirit, which interacts with the Spirit of God, then combines with our blood, the life of the flesh. It seems to be related to the process of gas exchange in our lungs. The Spirit meets our spirit, our spirit meets our blood and heart. Spirit gives life to the soul, and the soul gives life to the body. Isn't it fascinating that we all have an organ, the lungs, that enables heaven to meet our blood?
Peter L. Katavic, PhD
Habitat. The environmental niche occupied by a plant reflects stresses and conditions which it has had to adapt to, and these often correspond to conditions in the organism. Plants which grow in wet situations often relate to organ systems which handle dampness in the body, such as the lymphatics and kidneys. They correspond to diseases produced by an excess of dampness—respiratory problems, mucus, lymphatic stagnation, swollen glands, kidney and bladder problems, intermittent fever and rheumatic complaints (rheuma = dampness in Greek). Here we think of Horsetail (low, wet sands/kidneys), Eryngo (salty, sandy seashores/kidneys), Gravel Root (swamps/kidneys), Swamp Milkweed (swamps/kidneys), Hydrangea (sides of streams/kidneys), Boneset (wet soils/joints and fever), Willow (low ground/joints and fever), Meadowsweet (low ground/rheumatic pains, intermittent fever), Northern White Cedar (cedar swamps and margins of lakes/lymphatics), Labrador Tea (cedar swamps and margins of lakes/lymphatics), various Knotweeds (low ground/kidneys), Sweet Flag (swamps/mucus, lungs and joints), Angelica (damp, shady, cool valleys/damp, cold rheumatic and respiratory conditions).
Matthew Wood (The Book of Herbal Wisdom: Using Plants as Medicines)
Habitat. The environmental niche occupied by a plant reflects stresses and conditions which it has had to adapt to, and these often correspond to conditions in the organism. Plants which grow in wet situations often relate to organ systems which handle dampness in the body, such as the lymphatics and kidneys. They correspond to diseases produced by an excess of dampness—respiratory problems, mucus, lymphatic stagnation, swollen glands, kidney and bladder problems, intermittent fever and rheumatic complaints (rheuma = dampness in Greek). Here we think of Horsetail (low, wet sands/kidneys), Eryngo (salty, sandy seashores/kidneys), Gravel Root (swamps/kidneys), Swamp Milkweed (swamps/kidneys), Hydrangea (sides of streams/kidneys), Boneset (wet soils/joints and fever), Willow (low ground/joints and fever), Meadowsweet (low ground/rheumatic pains, intermittent fever), Northern White Cedar (cedar swamps and margins of lakes/lymphatics), Labrador Tea (cedar swamps and margins of lakes/lymphatics), various Knotweeds (low ground/kidneys), Sweet Flag (swamps/mucus, lungs and joints), Angelica (damp, shady, cool valleys/damp, cold rheumatic and respiratory conditions). It is interesting to note that sandy, gravely soils are also a signature for kidney remedies (Horsetail, Eryngo, Gravel Root, Gromwell, False Gromwell, Uva ursi, etc.)
Matthew Wood (The Book of Herbal Wisdom: Using Plants as Medicines)
We are a part of the whole, connected to the whole, like old Edgar saw from the moon. We are all one, on a speck of dust in a shaft of light. When I live in the illusion of a separate self, the part of me that knows I am at one with all phenomena feels starved and bereft. These dopey little acts of kindness move me back towards the truth. It actually gives me a little rush if I do a kind thing, like just phone someone up, someone who I want nothing from, and check if they’re okay. After I’ve done it, I get this little tingle and I think that is a small synaptic reward for reconnecting with truth. I saw once a depiction of the ol’ brain in action; I saw the synapses, the nerves or tunnels or roads through which energy or information travels. It wasn’t a photo, this stuff is too microscopic to be observed in that way; it was probably some sort of scan or graphic. Energy travels from synapse to synapse across a tiny space. A thought, or an impulse, crosses space to get to a related synapse. Consciousness, thoughts, are traveling through space in your head; we are traveling through space on this beautiful biosphere, Earth. If consciousness can traverse inner space, then perhaps it can traverse outer space. Perhaps we are as connected by consciousness as we are by the air that we all breathe. The air we inhale through the holes in our faces which tumbles into our lungs and blood, which travels through our hearts, which forms the words we speak, the air which we exhale, which is connected to all air, an unbroken entity, like all the water in all the rivers in the world, leading to the sea, touching one another.
Russell Brand (Revolution)
Whatever their function in dinosaurs, the origin of feathers is most definitely not related to flight. Like lungs and limbs in the water-to-land transition, the inventions used for flight preceded the origin of flight.
Neil Shubin (Some Assembly Required: Decoding Four Billion Years of Life, from Ancient Fossils to DNA)
Tell me more about it, your sadness." he presses "Why?" "I want to understand. I like understanding you. It's been a long time since I related to someone else, but I think I get you." My black hole of a heart stalls, sucking all of the air out of my lungs
Jasmine Warga (My Heart and Other Black Holes)
down all the current stressors in your life and one step you could take to alleviate each one. Accepting that a difficult situation is real and clearly identifying the root problem is an important step. Proper diagnosis is half the cure. • Simplify your life. Eliminate and concentrate. Focus on the vital few things that contribute the most to your overall life satisfaction. Taking on too much or spreading yourself too thin inevitably leads to a sense of overload. 4. Combine aerobic, strength, and flexibility exercises. If you want maximum levels of energy, take responsibility for becoming a mini-expert on exercise and fitness. Subscribe to the most credible health and exercise magazines, add informative fitness sites to your Web favorites, and build your own library with the latest books, DVDs, and other resources related to energy and wellness. Aerobic exercise The most important component of effective exercise is aerobic exercise. Aerobics, or cardiovascular endurance, refers to the sustained ability of the heart, lungs, and blood to perform optimally. Through consistent aerobic conditioning, your body improves the way it takes in, transports, and uses oxygen. This means your heart and lungs will be stronger and more efficient at performing their functions. Proper aerobic exercise causes your body to burn fat, while anaerobic exercise causes the body to burn glycogen and store fat. Many people unknowingly exercise anaerobically when they intend to exercise aerobically. This results in, among other things, a frustrating retention of fat. The intensity of your exercise is what makes it anaerobic or aerobic. Consistent and proper aerobic exercise has the following benefits: • improves quality of sleep • relieves stress and anxiety • burns excess fat • suppresses appetite • enhances attitude and mood • stabilizes chemical balance • heightens self-esteem Each of the above benefits either directly or indirectly leads to high levels of both mental and physical energy. Here are some tips for maximizing the
Tommy Newberry (Success Is Not an Accident: Change Your Choices; Change Your Life)
For instance, “For men, prolonged exposure to work-related stress has been linked to an increased likelihood of lung, colon, rectal, and stomach cancer and non-Hodgkin lymphoma.”36 Moreover, we are increasingly understanding the mechanisms linking stress to disease.
Jeffrey Pfeffer (Dying for a Paycheck: How Modern Management Harms Employee Health and Company Performance—and What We Can Do About It)
Consider the power of love. I remember a mother I met once as I made a professional house call. This woman was confined in an iron lung. The ravages of polio had effectively destroyed all the breathing muscles so that her life was completely dependent upon the large metal tank and the electrical motor that powered its noisy bellows. While there, I watched her three children as they related to their mother. The oldest interrupted our work to ask permission to go to a friend's house for an hour. Later the second child asked her mother for help with arithmetic. Finally the youngest child, so small that she couldn't see her mother's face directly, looked up at the mother's image in a mirror that had been placed over her head and asked, "Mommy, may I have a cookie?" I've never forgotten that lesson on the power of love. This woman, virtually disabled and certainly incapable of any degree of physical enforcement of parental authority, sweetly influenced that home solely with the power to love.
Russell M. Nelson (The Power Within Us)
In 1929 the American physiologist Walter Cannon (1871–1945) coined the term homeostasis to describe the maintenance of nearly constant conditions in the internal environment. Essentially all organs and tissues of the body perform functions that help maintain these relatively constant conditions. For instance, the lungs provide oxygen to the extracellular fluid to replenish the oxygen used by the cells, the kidneys maintain constant ion concentrations, and the gastrointestinal system provides nutrients.
John E. Hall (Guyton and Hall Textbook of Medical Physiology)
T-R-A-L-I, a transfusion-related acute lung injury!
Judy Melinek (Working Stiff: Two Years, 262 Bodies, and the Making of a Medical Examiner)
Sergeant Dix told me that at Fort Bragg they found that two to three days of constant tension was what it took to figure out if a soldier was going to break. Most who made it to the Special Forces Qualification Course could take anything the Army cared to throw at them for forty-eight hours. But by day three, with reserves depleted and nothing but misery on the horizon, a soldier’s core became exposed. His baseline ability. His essence. Superficially, this was evidenced by the decision to quit or continue, a temptation the drill sergeants dangled every time they spoke.  The real game, of course, was mental. Beating the Q boiled down to a soldier’s ability to disassociate his body from his mind, his being from his circumstance. This was relatively easy during the mindless procedures — the hikes, runs, and repetitive drills that form the backbone of military training. Disassociation became much tougher, however, when the physical activity was paired with judgment calls and problem solving. If a soldier could engage his higher-order thinking while simultaneously ignoring the pain and willing his body to continue beyond fatigue, then he had a chance at making it to the end. If he couldn’t, then the strength of his back, heart, and lungs didn’t matter.  Dix had concluded that the Q-Course was as much about self-discovery as a prestigious shoulder patch.  Katya was in that discovery phase now.  The big question was what we’d do if she decided to quit. She broke the silence after a few miles. “Do you ever get used to it?” “The killing?” “Yes.” “We’re all used to killing — just not people. We kill when we spray for bugs, or squash a spider, or buy a leather bag, or order a hamburger. I don’t think of the individuals I’ve killed as people any more than you thought of the last steak you ate as Bessie.
Tim Tigner (Pushing Brilliance (Kyle Achilles, #1))
At the second hospital he was intubated to save him from suffocation. That is, a flexible tube was inserted deep into his mouth, past his glottis, and down his windpipe into his lungs, to help with breathing. This event represents another important clue toward explaining how SARS spread so effectively through hospitals around the world. Intubation is a simple procedure, at least in theory, but it can be difficult to execute amid the gag reflexes, sputters, and expectorations of the patient. The task was especially hard with Zhou, a portly man, sedated and feverish, and though his disease hadn’t yet been identified, the attending doctors and nurses seem to have had some sense of the danger to which they were being exposed. They knew by then that this atypical pneumonia, this whatever, was more transmissible and more lethal than pneumonias of the common sort. “Each time they began to insert the tube,” according to an account by Thomas Abraham, a veteran foreign correspondent based in Hong Kong, there was “an eruption” of bloody mucus. Abraham continues: It splashed on to the floor, the equipment and the faces and gowns of the medical staff. They knew the mucous [sic] was highly infectious, and in the normal course of things, they would have cleaned themselves up as quickly as possible. But with a critically ill patient kicking and heaving around, a tube half-inserted into his windpipe and mucous and blood spurting out, there was no way any of them could leave. At that hospital, twenty-three doctors and nurses became infected from Zhou, plus eighteen other patients and their relatives. Nineteen members of his own family also got sick. Zhou himself would eventually become known among medical staff in Guangzhou as the Poison King. He survived the illness, though many people who caught it from him—directly, or indirectly down a long chain of contacts—did not.
David Quammen (Spillover: Animal Infections and the Next Human Pandemic)
About the same number of people die each year from medical errors as from automobile accidents. Heart disease and cancer kill the most people in the United States, more than 500,000 each year. But stroke and lung diseases are each responsible for about 100,000 deaths each year — and scandalously, so are medical errors. Medical errors are notoriously difficult to track, given our litigious society, so we really do not know how many deaths that statisticians attribute to cancer or heart disease were also related to medical errors. But given the high likelihood that errors are implicated in some of these deaths, it is possible that medical errors could be the third leading cause of death in the United States.
Fred Trotter (Hacking Healthcare: A Guide to Standards, Workflows, and Meaningful Use)
The body’s initial response to a noxious local insult is to produce a local inflammatory response with sequestration and activation of white blood cells and the release of a variety of mediators to deal with the primary ‘insult’ and prevent further damage either locally or in distant organs. Normally, a delicate balance is achieved between pro- and anti-inflammatory mediators. However, if the inflammatory response is excessive, local control is lost and a large array of mediators, including prostaglandins, leukotrienes, free oxygen radicals and particularly pro-inflammatory cytokines (p. 72), are released into the circulation. The inflammatory and coagulation cascades are intimately related. The process of blood clotting not only involves platelet activation and fibrin deposition but also causes activation of leucocytes and endothelial cells. Conversely, leucocyte activation induces tissue factor expression and initiates coagulation. Control of the coagulation cascade is achieved through the natural anticoagulants, antithrombin (AT III), activated protein C (APC) and tissue factor pathway inhibitor (TFPI), which not only regulate the initiation and amplification of the coagulation cascade but also inhibit the pro-inflammatory cytokines. Deficiency of AT III and APC (features of disseminated intravascular coagulation (DIC)) facilitates thrombin generation and promotes further endothelial cell dysfunction. Systemic inflammation During a severe inflammatory response, systemic release of cytokines and other mediators triggers widespread interaction between the coagulation pathways, platelets, endothelial cells and white blood cells, particularly the polymorphonuclear cells (PMNs). These ‘activated’ PMNs express adhesion factors (selectins), causing them initially to adhere to and roll along the endothelium, then to adhere firmly and migrate through the damaged and disrupted endothelium into the extravascular, interstitial space together with fluid and proteins, resulting in tissue oedema and inflammation. A vicious circle of endothelial injury, intravascular coagulation, microvascular occlusion, tissue damage and further release of inflammatory mediators ensues. All organs may become involved. This manifests in the lungs as the acute respiratory distress syndrome (ARDS) and in the kidneys as acute tubular necrosis (ATN), while widespread disruption of the coagulation system results in the clinical picture of DIC. The endothelium itself produces mediators that control blood vessel tone locally: endothelin 1, a potent vasoconstrictor, and prostacyclin and nitric oxide (NO, p. 82), which are systemic vasodilators. NO (which is also generated outside the endothelium) is implicated in both the myocardial depression and the profound vasodilatation of both arterioles and venules that causes the relative hypovolaemia and systemic hypotension found in septic/systemic inflammatory response syndrome (SIRS) shock. A major component of the tissue damage in septic/SIRS shock is the inability to take up and use oxygen at mitochondrial level, even if global oxygen delivery is supranormal. This effective bypassing of the tissues results in a reduced arteriovenous oxygen difference, a low oxygen extraction ratio, a raised plasma lactate and a paradoxically high mixed venous oxygen saturation (SvO2). Role of splanchnic ischaemia In shock, splanchnic hypoperfusion plays a major role in initiating and amplifying the inflammatory response, ultimately resulting in multiple organ failure (MOF). The processes involved include: • increased gut mucosal permeability • translocation of organisms from the gastrointestinal tract lumen into portal venous and lymphatic circulation • Kupffer cell activation with production and release of inflammatory mediators.
Nicki R. Colledge (Davidson's Principles and Practice of Medicine (MRCP Study Guides))
I could tie you down, but then ye’d be no help to Archie. So what’ll it be, lass? Will you obey me or no?” He tried to intimidate her with his posture and size, bracketing her with his bare arms. It didn’t work. Rather, the sight of the succulent, hard mound of his exposed shoulder so close to her face made her wet her lips. His strong collarbones and sinewy neck glistened with sweat, and he smelled of pine and male exertion. Her libido jumped like a feisty poodle. Jeez Louise, Mel, get a grip. This is not a romance novel. He’s not your hero. The box got it wrong. The box was way out of line. “I need it,” she said, pleased her steady voice didn’t betray her attraction. “I have to go with you.” “I told you I’d look for whatever ye lust.” Lust. The antiquated word spoken in his deep voice did strange things to her tummy. It took a solid effort not to lick her lips in invitation as the word called to mind activities that most definitely related to wanting. Home, she reminded herself. She had to get home. “I don’t trust you to look as hard as I would. I’m coming with you.” “Where are your ropes, Archie?” he asked. “The woman refuses to stay put. I have no choice but to tie her to the wagon.” Several of the wounded men snickered. Archie said, “In the foot case there. And bring me some of yon dried moss before ye tie down your woman.” Your woman. The casual declaration made her stomach leap, and the sensation wasn’t entirely unpleasant. “She’s not mine,” Darcy growled as he opened the lid of a wooden chest in the wagon. To her horror, he removed a coil of rope. After tossing a yellowish clump in Archie’s direction, he came at her. Her libido disappeared with a poof. She hopped off the wagon, dodging hands that had no business being so quick, considering how large they were. “Don’t you dare tie me down! I’ve got to get that box. It’s my only hope to return home.” He lunged for her, catching her easily around the waist with his long arm, and plunking her back in the wagon. Libido was back. Her body thrilled at Darcy’s manhandling, though her muscles struggled against it. The thought of him tying her up in private might have some merit, but not in the middle of the forest with several strange men as witnesses. “Okay, okay,” she blurted as he looped the rope around one wrist. “I won’t follow you. Please don’t tie me. I’ll stay. I’ll help.” He paused to eye her suspiciously. “I promise,” she said. “I’ll stay here and make myself useful. As long as you promise to look for a rosewood box inlaid with white gold and about yea big.” She gestured with her hands, rope trailing from one wrist. “As long as you swear to look as though your life depends on it.” She held his gaze, hoping he was getting how important this was to her, hoping she could trust him. The circle of wounded men went quiet, waiting for his answer. He bounced on the balls of his feet, clearly impatient to return to the skirmish, but he gave her his full attention and said, “I vow that if your cherished box is on that field, I will find it.
Jessi Gage (Wishing for a Highlander (Highland Wishes Book 1))