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Aqua Utopia|海の底で記憶を紡ぐ
hello vonnie
dirt enthusiast
h
NASA
trying on a metaphor
Jules of Nature
cherry valley forever

Kaledo Art
will byers stan first human second
almost home
I'd rather be in outer space 🛸

pixel skylines

oozey mess
Lint Roller? I Barely Know Her
noise dept.
he wasn't even looking at me and he found me
Alisa U Zemlji Chuda
occasionally subtle

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@brandomason

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Nikolai Astrup, Befring Farm (n.d.)
Sunset, Mont Blanc Wenzel Hablik - 1906

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Vashti Bunyan - I’d Like To Walk Around In Your Mind
“Fire, fire! The branches crackle and the night wind of late autumn blows the flame of the bonfire back and forth. The compound is dark; I am alone at the bonfire, and I can bring it still some more carpenters' shavings. The compound here is a privileged one, so privileged that it is almost as if I were out in freedom -- this is an island of paradise; this is the Marfino "sharashka" -- a scientific institute staffed with prisoners -- in its most privileged period. No one is overseeing me, calling me to a cell, chasing me away from the bonfire, and even then it is chilly in the penetrating wind. But she -- who has already been standing in the wind for hours, her arms straight down, her head drooping, weeping, then growing numb and still. And then again she begs piteously "Citizen Chief! Please forgive me! I won't do it again." The wind carries her moan to me, just as if she were moaning next to my ear. The citizen chief at the gatehouse fires up his stove and does not answer. This was the gatehouse of the camp next door to us, from which workers came into our compound to lay water pipes and to repair the old ramshackle seminary building. Across from me, beyond the artfully intertwined, many-stranded barbed-wire barricade and two steps away from the gatehouse, beneath a bright lantern, stood the punished girl, head hanging, the wind tugging at her grey work skirt, her feet growing numb from the cold, a thin scarf over her head. It had been warm during the day, when they had been digging a ditch on our territory. And another girl, slipping down into a ravine, had crawled her way to the Vladykino Highway and escaped. The guard had bungled. And Moscow city buses ran right along the highway. When they caught on, it was too late to catch her. They raised the alarm. A mean, dark major arrived and shouted that if they failed to catch the girl, the entire camp would be deprived of visits and parcels for whole month, because of her escape. And the women brigadiers went into a rage, and they were all shouting, one of them in particular, who kept viciously rolling her eyes: "Oh, I hope they catch her, the bitch! I hope they take scissors and -- clip, clip, clip -- take off all her hair in front of the line-up!" But the girl who was now standing outside the gatehouse in the cold had sighed and said instead: "At least she can have a good time out in freedom for all of us!" The jailer had overheard what she said, and now she was being punished; everyone else had been taken off to the camp, but she had been set outside there to stand "at attention" in front of the gatehouse. This had been at 6 PM, and it was now 11 PM. She tried to shift from one foot to another, but the guard stuck out his head and shouted: "Stand at attention, whore, or else it will be worse for you!" And now she was not moving, only weeping: "Forgive me, Citizen Chief! Let me into the camp, I won't do it any more!" But even in the camp no one was about to say to her: "All right, idiot! Come on it!" The reason they were keeping her out there so long was that the next day was Sunday, and she would not be needed for work. Such a straw-blond, naive, uneducated slip of a girl! She had been imprisoned for some spool of thread. What a dangerous thought you expressed there, little sister! They want to teach you a lesson for the rest of your life! Fire, fire! We fought the war -- and we looked into the bonfires to see what kind of victory it would be. The wind wafted a glowing husk from the bonfire. To that flame and to you, girl, I promise: the whole wide world will read about you.” ― Aleksandr Solzhenitsyn, The Gulag Archipelago 1918–1956
||| Rainy day in the mountains. |||

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life update
I’ve been in a relationship for about a year I’m doing well as an orthopedic nurse I just got animal crossing I cook a couple things well I’m timely paying my bills, I save 100 dollars each month My family is healthy I feel free and true to myself
Exercise in two parts: 1.) Try to love someone with only your successes. Try to love someone with only your offbeat sense of humor. Try to love someone with only you great listening skills. Try to love someone with only your mindful awareness of the now. Try to love someone with only your enviable shoulder-to-hips-width ratio. Try to love someone with only your ability to talk extensively on a wide berth of interesting topics. Try to love someone with only your progressive worldview. Try to love someone with only you deep and abiding spirituality. Try to love someone with only your insatiable virility and sexual open-mindedness. Try to love someone omitting entirely your suspicions that you are some kind of talentless fraud and one day the world is going to find out and then where will you be? Try to love someone omitting entirely that you think you might only ever cry out compassion for yourself and how pathetic is that. Jesus. Try to love someone omitting entirely that sometimes when you walk past a homeless person sitting next to a dumpster drinking beer you, like, want to be him for some reason. Try to love someone omitting entirely that you sort of want to sexually dominate them. Try to love someone omitting entirely that it’s really important to your conversely planetary and extremely fragile ego that no one in your proximity’s creative pursuits ever take precedence over yours. Try to love someone omitting entirely that you have dreams where that very someone is brazenly fucking someone else right there in front of you and you’re screaming at them to stop and they’re crying that they’re sorry and you wake up kind of turned on and confused at the same time. Try to love someone omitting entirely that you feel like you, in the early phase of your relationship, consciously or not, wildly misrepresented a.) your competence of traditionally ‘manly’ skills b.) the cool effortlessness with which you can just kind of let things roll off your back and c.) the total absence of paranoiac jealously in your emotional DNA. Try to love someone omitting entirely your fear that the more intimately you are known the less likely to be loved you are. 2.) See how long that lasts.
Father John Misty, I Love You Honeybear Liner Notes Exercises for Listening: When You’re Smiling and Astride Me (via ossacordis)
https://instagram.com/p/BHilQdYAdVx/
Splatoon (2015)
Kill the algorithm in your head.

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Basics for the Wards: How to Read EKGs
I’m on cardiology right now, and yesterday the fellow taught us some basics for interpreting EKGs. The trick is the have a thorough algorithm and do it every time so you don’t miss anything.
Disclaimer: Obviously this is just a cursory intro so folks won’t look like complete fools like me- who, when asked to interpret an EKG, went into a cold sweat and said, “Well, it looks like the heart is beating.” Attendings do NOT like that.
INTRO
This is what a normal lead II EKG one beat reading should look like. TAKE NOTE LITERALLY EVERYONE STOP CALLING YOUR SQUIGGLY LINES HEARTBEATS IT IS WRONG GAAAHHHH.
Normal EKG.
What the various leads are monitoring.
1. Rhythm: Sinus or not- aka, is the SA node talking to the AV node correctly? Check in leads V1 and II- if there is a P wave before every QRS you have sinus rhythm. If this is not the case, you do not have sinus rhythm! A whole discussion on things messing up sinus rhythm will come when I have a better grip on it myself.
2. Rate: How fast is the heart beating- aka, how fast are the ventricles depolarizing? So EKGs are little tiny boxes in bigger boxes, right? There are several methods for calculating rate using the boxes, but the one that works for my brain is to count the big boxes between R’s and divide that by 300. So, 1 big box between R = 300/1 = 300 bpm. 2 big boxes between R= 300/2= 150 bpm. And so on.
In general, any heart rate above 100 is tachycardia, and any heart rate below 60 is bradycardia. These values may vary (ex: SIRS criteria counts heart rate above 90 as tachy). Normal heart rate is around 75 (exceptions include athletes- look up athletic heart syndrome)
3. QRS Complex: Wide or narrow- aka, is the Bundle of His bossing the ventricles around? Basically, a nice narrow QRS complex generally indicates the bundle of His is intact and operating how it is supposed to. A wide QRS complex indicates something is awry with the Bundle of His- could be an organic pathology, could be a medication side effect (ex: antiarrythmics, TCAs, quinidine, to name a few), could be an electrolyte imbalance (ex: hyperkalemia), could be other things.
4. Axis: Is the heart depolarizing the way it should- aka right shoulder to left nipple. I, personally, am still sorting out the axis system, and it’s hard to do in this format. The first, most basic place to start is checking if lead I and aVF are POSITIVE, meaning their QRS complexes go ABOVE the isoelectric line. If that is the case, you are probably ok axis-wise.
Essentially, lead I’s vector goes from left to right, and aVF’s vector goes from head to toe. So the average of those vectors is the general path of depolarization of the heart. You want the axis to be between -30 and +90. So, if aVF is positive, but lead I is negative (the QRS is below the isoelectric line) that means it is going from left to right instead and would be classified as a right shift. Likewise, if lead I is positive, but aVF is negative, that means it is going down to up and would be classified as a left shift. There is soooo much more to axis interpretation, this is just a starting point.
5. Intervals: Again with the conduction system, it’s, like, totally important that it obeys all the rules every time. PR= <.2 seconds, or one big box QRS= <.12 seconds, or 3 small boxes QT= < ½ the RR interval
6. ST segment changes: checking for CAD- aka, is the myocardium getting enough blood/oxygen? Since the folks in the South seem to consider butter a food group and know that if it can’t be fried it’s not worth eating, CAD is a huuuuuuuuge issue here. When blood supply to the myocardium is compromised, there will usually be characteristic EKG changes. Note- not every episode of angina/MI will have EKG changes though! - Inferior leads –> right coronary artery. - lateral leads –> circumflex artery - anteroseptal leads –> left anterior descending. Disclaimer: does not apply to everyone all the time, some folks have variant coronary anatomy.
So the EKG changes to look for must be seen in two contiguous leads, aka, two inferior leads or two lateral leads. - Ischemia (low oxygen) = ST depression or T wave inversion (EXCEPT T wave inversions are ok in leads V1 and aVR)
- Injury = ST elevation
- Old infarct/dead myocardium = pathologic Q waves. Basically that first negative vector (aka, the Q of the QRS complex) should never be bigger than one tiny box.
And, that, friends, is a basic algorithm for reading EKGs! There is a lot more, but if you follow these steps every time, you will look like a rock star on wards. Good luck!
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first nations of pnw