Dr. Felicia Chang shares her experience caring for dying children as a palliative care doctor. She describes her emotional response to her first patient death, a 5-year old girl named Ling Ling. Though devastated by Ling Ling's death, Dr. Chang chooses to continue caring for dying children, finding strength and calling in her faith in God despite the emotional toll. She learns important lessons about compassion from caring for Ling Ling that help her better serve her young patients.
Dr. Felicia Chang provides an exclusive insight into caring for dying children as a palliative care doctor. She recounts her experience caring for a five-year-old girl named Ling Ling who had terminal liver cancer. Despite initial reluctance, Ling Ling grew close to Dr. Chang but ultimately passed away. The death deeply impacted Dr. Chang but she chose to continue caring for dying children, finding strength and purpose through her calling from God to serve these children in their final days.
This document summarizes the deconstruction of a narrative told by a woman named Colleen about her experience with an unwanted pregnancy and choosing to have an abortion. The analyst questions many details of Colleen's story, finding inconsistencies and finding it unlikely that some events she described, such as interactions with teachers and a nun, occurred as presented. The analyst believes Colleen may be exaggerating or fabricating parts of her story to blame others and present herself as a victim who had no other choice but to abort.
MODULE 2 NOVINS Deconstructing Colleen Spring 2014novins
This document provides a summary and analysis of Colleen's story about her experience with an unwanted pregnancy and abortion when she was 18 years old. The analysis deconstructs various parts of Colleen's narrative, questioning aspects of her story and reasoning. Some key points raised in the deconstruction include questioning whether some events she described could have actually occurred as stated, such as interactions with certain medical professionals and teachers. The analysis also questions some of Colleen's reasoning and blame placed on others for influencing her decision, as well as her life outcomes after the abortion. Overall, the deconstruction casts doubt on parts of Colleen's story and suggests she may be exaggerating or omitting details at times.
While spending the summer with her mother's ailing father, Vieira, a troubled teen, fights to save his life, after finding out that his caretaker is an abusive and extremely dangerous psychopath, out to steal his fortune.
This document provides a summary and analysis of Colleen's story about her experience with an unwanted pregnancy and abortion when she was 18 years old. The summarizer deconstructs each paragraph by questioning details, inconsistencies, and implications. Overall, the summarizer is skeptical of Colleen's account, noting ways she portrays herself as a victim and others in a negative light. The summarizer suggests Colleen may be exaggerating aspects and overlooking her own role in the events and choices that transpired.
The author recounts the most traumatic event of their life that occurred while hospitalized. They had an extreme reaction after taking Benadryl that was prescribed to help them sleep. The author experienced paralysis, hallucinations of dying, and a loss of control over their body and mind. In the following days, they developed severe anxiety, paranoia that the Benadryl was still affecting them, and insomnia from the fear of dying if they fell asleep. Their mental state deteriorated rapidly and it took months to fully recover their sanity after the traumatic reaction to the medication.
This document provides a deconstruction and analysis of a woman named Colleen's story about getting an abortion when she was 18 years old. The analyst questions many of the details Colleen provides, arguing that she portrays people and events in an unfairly negative light and fails to take responsibility for her own choices. While Colleen claims the abortion destroyed her life, leading to relationship and emotional problems, the analyst believes her life outcomes were more complex, influenced by her own immaturity and decision-making. Overall, the analyst casts doubt on Colleen's narrative and suggests she is trying to blame others rather than acknowledge her role in what occurred.
Dr. Felicia Chang provides an exclusive insight into caring for dying children as a palliative care doctor. She recounts her experience caring for a five-year-old girl named Ling Ling who had terminal liver cancer. Despite initial reluctance, Ling Ling grew close to Dr. Chang but ultimately passed away. The death deeply impacted Dr. Chang but she chose to continue caring for dying children, finding strength and purpose through her calling from God to serve these children in their final days.
This document summarizes the deconstruction of a narrative told by a woman named Colleen about her experience with an unwanted pregnancy and choosing to have an abortion. The analyst questions many details of Colleen's story, finding inconsistencies and finding it unlikely that some events she described, such as interactions with teachers and a nun, occurred as presented. The analyst believes Colleen may be exaggerating or fabricating parts of her story to blame others and present herself as a victim who had no other choice but to abort.
MODULE 2 NOVINS Deconstructing Colleen Spring 2014novins
This document provides a summary and analysis of Colleen's story about her experience with an unwanted pregnancy and abortion when she was 18 years old. The analysis deconstructs various parts of Colleen's narrative, questioning aspects of her story and reasoning. Some key points raised in the deconstruction include questioning whether some events she described could have actually occurred as stated, such as interactions with certain medical professionals and teachers. The analysis also questions some of Colleen's reasoning and blame placed on others for influencing her decision, as well as her life outcomes after the abortion. Overall, the deconstruction casts doubt on parts of Colleen's story and suggests she may be exaggerating or omitting details at times.
While spending the summer with her mother's ailing father, Vieira, a troubled teen, fights to save his life, after finding out that his caretaker is an abusive and extremely dangerous psychopath, out to steal his fortune.
This document provides a summary and analysis of Colleen's story about her experience with an unwanted pregnancy and abortion when she was 18 years old. The summarizer deconstructs each paragraph by questioning details, inconsistencies, and implications. Overall, the summarizer is skeptical of Colleen's account, noting ways she portrays herself as a victim and others in a negative light. The summarizer suggests Colleen may be exaggerating aspects and overlooking her own role in the events and choices that transpired.
The author recounts the most traumatic event of their life that occurred while hospitalized. They had an extreme reaction after taking Benadryl that was prescribed to help them sleep. The author experienced paralysis, hallucinations of dying, and a loss of control over their body and mind. In the following days, they developed severe anxiety, paranoia that the Benadryl was still affecting them, and insomnia from the fear of dying if they fell asleep. Their mental state deteriorated rapidly and it took months to fully recover their sanity after the traumatic reaction to the medication.
This document provides a deconstruction and analysis of a woman named Colleen's story about getting an abortion when she was 18 years old. The analyst questions many of the details Colleen provides, arguing that she portrays people and events in an unfairly negative light and fails to take responsibility for her own choices. While Colleen claims the abortion destroyed her life, leading to relationship and emotional problems, the analyst believes her life outcomes were more complex, influenced by her own immaturity and decision-making. Overall, the analyst casts doubt on Colleen's narrative and suggests she is trying to blame others rather than acknowledge her role in what occurred.
- The document describes a woman's highs and lows in 2011, including an amazing Christmas vacation in Austin, Texas followed by a miscarriage.
- She initially tried to recover at home but had to return to the emergency room on Christmas Day where she learned she needed immediate surgery or risk losing her ability to have children or even her life.
- She describes the excellent care she received at St. David's South Austin Medical Center, praising the doctors, nurses, cleanliness and service.
- She realizes her ego about natural medicine led her to initially ignore the doctor's advice and she could have died had she not gotten the medical intervention she received.
The speaker shares about their daughter Jessica who struggled with depression and mental health issues from a young age due to trauma at birth. Despite her struggles, Jessica was caring, accepting of others, and had a strong spiritual side. She worked hard to turn her life around but faced setbacks that led her to lose hope. One day, the speaker's usual promptings to save Jessica did not come and she was unable to prevent Jessica from taking her own life. The family finds peace knowing Jessica is no longer suffering and is with her Savior.
The document describes the narrator's experience getting multiple rescheduled mammogram appointments before finally getting tested. When she gets her results, she is told further testing is needed. She worries it may be cancer. She prays and continues performing. When she gets home, she feels a mass in her breast, confirming her fears. She schedules an appointment for an ultrasound and compression films to get confirmation. Throughout, she reflects on family members lost to cancer and her determination to fight if she receives a cancer diagnosis.
This document provides an overview and summary of 3 chapters from the novel "Divine Providence" by S. Ndunguru.
The chapters summarize the stories of several characters - Hosanna, who gives birth to a stillborn baby and struggles with her life circumstances, Richard, who leaves Hosanna and takes a job in Lilungu, and Professor Huxley, a naturalist who travels to Africa to study baboons but is then kidnapped.
Key events include Hosanna finding comfort from Father Wolfgang after losing her baby, Richard helping to solve a murder case at his workplace, and Professor Huxley being taken hostage by Spanish terrorists to leverage the release of their imprisoned associates. The chapters provide background on these
The document details a young girl's journey from birth to her teenage years, during which she rebels against her strict mother and disobeys her warnings, culminating in a car accident that makes her realize her mother's love and protection. Through the accident, the daughter comes to understand that her mother has always cared for her wellbeing despite her rebellious behavior.
Patricia Msimang from Zimbabwe lost her eyesight after reading an SMS in 2013. Doctors were unable to diagnose the cause of her blindness. Although in darkness, Patricia did not lose hope and attended services at the Revelation Church of God. One morning in November 2014, Patricia awoke and discovered that she could see again, to her disbelief. She realized that through her faith in God, her eyesight had been restored.
This document summarizes a story about a woman who was told she would never walk again after suffering a spinal cord injury. She began trying various rehabilitation methods on her own and eventually started walking short distances. With continued effort and the support of friends and family, she gradually increased her mobility. She found cycling helped her enjoy the outdoors again. Her perseverance and refusal to accept limitations taught her the power of belief and opened her mind to different perspectives.
This is the story of my struggle after I got my kids taken away. I uploaded this because I want people that are going through the same struggle to be inspired and to keep moving forward.
A man named Dave hated his daughter Grace from the time she was born. He resented her crying and wanted a son instead. When Grace was diagnosed with a brain tumor as an infant, Dave divorced his wife and tried to abandon Grace. Twenty-five years later, Dave was dying alone in a nursing home. To his surprise, Grace came to visit him, having survived her illness. Though he did not deserve Grace's forgiveness, she embraced him and said she would take him home.
1. The narrator visits their best friend in the hospital after he was admitted with a brain tumor 5 months ago. The friend has been giving the nurses a hard time.
2. Over numerous visits, the narrator grows closer to their friend. They confess their love for each other after the friend expresses feeling hopeless about his life and cancer prognosis.
3. The friend undergoes surgery that lengthens his life but causes him to lose his memory. Six months later, the narrator's friend does not remember them and is engaged to the narrator's sister. The narrator is heartbroken but does not regret falling in love, even though they knew it could not last.
Bryan Holt shares how he drifted away from God after high school and made many mistakes, ruining relationships and his job. He hit rock bottom but God did not give up on him. Holt began to feel miserable in his relationship and befriended a Christian girl who guided him. He had an intense prayer experience that lifted his fears and worries, and realized he needed to let God take control. Holt still struggles with mistakes he made by not listening to signs from God, like a story about a man who refused help during a flood and drowned, despite God sending multiple rescuers. He is learning from his mistakes and to listen to God's guidance.
This document shares testimonies from a Miracle Life Outreach event in Benin, West Africa led by Dr. Kevin McNulty. It provides over a dozen short first-person accounts of healings that occurred, such as relief from stomach pains of 9 years, coughing for 27 years, insanity for 6 months, blindness and paralysis healed, ability to speak gained, ability to walk restored, and strength renewed. The document expresses appreciation for partnerships that made the event possible and invites prayer requests to be submitted.
The document discusses a "secret" reason why people struggle to lose weight through dieting and exercise alone. It claims that unless one's subconscious mind is convinced to lose weight through hypnosis, it will be impossible to lose weight no matter what efforts are made. The document outlines three rules of hypnotic weight loss: 1) the subconscious mind, not dieting or exercise, determines weight; 2) brainwaves must be synchronized to allow the subconscious to be receptive to hypnosis; and 3) hypnosis must convince the subconscious that weight loss is safe and deserved to enable effortless weight loss through metabolic changes.
The document summarizes key events from the author's daughter Isabelle's life from birth to age 2, including her birth story, firsts, letters written to her, and a favorite mac and cheese recipe. It concludes with details about the author and her goals to become a teacher while raising her daughter.
Cody Cambridge created a presentation to convey to people with chronically ill spouses that they can still have happy, fulfilling relationships. When Cody started dating his wife, she became chronically ill with interstitial cystitis. This caused many health problems and made it difficult for her to do activities. Cody discusses things he has learned like being patient when his wife cannot attend events, supporting her by following difficult diets together, and keeping a positive attitude. He hopes his experiences can help others in similar situations have strong relationships.
The document describes a person's experience with attempting suicide by overdosing on pills. They had been having suicidal thoughts for some time and finally acted on them by cleaning their room and taking a large number of pills while chatting with a friend online. They began experiencing fear and physical symptoms as the pills took effect. They called 911 for help and were rushed to the hospital in critical condition. After several days in intensive care and 10 days in the psychiatric ward, they recovered and was discharged, gaining a new perspective on life and appreciation for the support of family and friends who helped save their life.
1) Ah Siang suffered from schizophrenia which began after a fall at age 19. He experienced hallucinations, delusions, and disruptions in thought. He was able to function well with medication but had episodes when he did not take his medication.
2) The document describes an episode when Ah Siang asked to stay at the Buddhist association due to delusions but was convinced to go to the hospital instead.
3) It also recounts an incident during a trip to Myanmar where the power went out while Ah Siang was bathing, causing him to panic until power was restored. The document reflects on the challenges of mental illness.
Brenna gives birth to twin boys named Auric and Allieon. She intends to marry their father, Arlen, to form a powerful couple and family. Meanwhile, Bree continues to spend time with Cental, much to Brenna's dismay. Bree also gives birth to a son named Bane.
O documento descreve a jornada espiritual da alma humana em direção a Deus através da oração e do amor, dividida em várias "moradas" como descrito por Santa Teresa de Ávila em seu livro "O Castelo Interior". A alma deve perseverar através da superação de obstáculos para se entregar totalmente a Deus, sendo transformada por Seu amor até alcançar a união perfeita.
A empresa de tecnologia anunciou um novo smartphone com câmera aprimorada, maior tela e melhor processador. O novo aparelho também possui maior capacidade de armazenamento e bateria de longa duração. O lançamento do novo modelo está programado para o último trimestre do ano com preço sugerido a partir de US$799.
The document describes an artifact analyzing quadratic function transformations using Ti-Nspire software, noting how varying the coefficients a, b, and c affects the graph by changing the slope, translating the parabola, or moving it up and down. Students observed the behavior of the graphs under different transformations and noticed that the roots remained at 3 and 5 regardless of the transformations.
- The document describes a woman's highs and lows in 2011, including an amazing Christmas vacation in Austin, Texas followed by a miscarriage.
- She initially tried to recover at home but had to return to the emergency room on Christmas Day where she learned she needed immediate surgery or risk losing her ability to have children or even her life.
- She describes the excellent care she received at St. David's South Austin Medical Center, praising the doctors, nurses, cleanliness and service.
- She realizes her ego about natural medicine led her to initially ignore the doctor's advice and she could have died had she not gotten the medical intervention she received.
The speaker shares about their daughter Jessica who struggled with depression and mental health issues from a young age due to trauma at birth. Despite her struggles, Jessica was caring, accepting of others, and had a strong spiritual side. She worked hard to turn her life around but faced setbacks that led her to lose hope. One day, the speaker's usual promptings to save Jessica did not come and she was unable to prevent Jessica from taking her own life. The family finds peace knowing Jessica is no longer suffering and is with her Savior.
The document describes the narrator's experience getting multiple rescheduled mammogram appointments before finally getting tested. When she gets her results, she is told further testing is needed. She worries it may be cancer. She prays and continues performing. When she gets home, she feels a mass in her breast, confirming her fears. She schedules an appointment for an ultrasound and compression films to get confirmation. Throughout, she reflects on family members lost to cancer and her determination to fight if she receives a cancer diagnosis.
This document provides an overview and summary of 3 chapters from the novel "Divine Providence" by S. Ndunguru.
The chapters summarize the stories of several characters - Hosanna, who gives birth to a stillborn baby and struggles with her life circumstances, Richard, who leaves Hosanna and takes a job in Lilungu, and Professor Huxley, a naturalist who travels to Africa to study baboons but is then kidnapped.
Key events include Hosanna finding comfort from Father Wolfgang after losing her baby, Richard helping to solve a murder case at his workplace, and Professor Huxley being taken hostage by Spanish terrorists to leverage the release of their imprisoned associates. The chapters provide background on these
The document details a young girl's journey from birth to her teenage years, during which she rebels against her strict mother and disobeys her warnings, culminating in a car accident that makes her realize her mother's love and protection. Through the accident, the daughter comes to understand that her mother has always cared for her wellbeing despite her rebellious behavior.
Patricia Msimang from Zimbabwe lost her eyesight after reading an SMS in 2013. Doctors were unable to diagnose the cause of her blindness. Although in darkness, Patricia did not lose hope and attended services at the Revelation Church of God. One morning in November 2014, Patricia awoke and discovered that she could see again, to her disbelief. She realized that through her faith in God, her eyesight had been restored.
This document summarizes a story about a woman who was told she would never walk again after suffering a spinal cord injury. She began trying various rehabilitation methods on her own and eventually started walking short distances. With continued effort and the support of friends and family, she gradually increased her mobility. She found cycling helped her enjoy the outdoors again. Her perseverance and refusal to accept limitations taught her the power of belief and opened her mind to different perspectives.
This is the story of my struggle after I got my kids taken away. I uploaded this because I want people that are going through the same struggle to be inspired and to keep moving forward.
A man named Dave hated his daughter Grace from the time she was born. He resented her crying and wanted a son instead. When Grace was diagnosed with a brain tumor as an infant, Dave divorced his wife and tried to abandon Grace. Twenty-five years later, Dave was dying alone in a nursing home. To his surprise, Grace came to visit him, having survived her illness. Though he did not deserve Grace's forgiveness, she embraced him and said she would take him home.
1. The narrator visits their best friend in the hospital after he was admitted with a brain tumor 5 months ago. The friend has been giving the nurses a hard time.
2. Over numerous visits, the narrator grows closer to their friend. They confess their love for each other after the friend expresses feeling hopeless about his life and cancer prognosis.
3. The friend undergoes surgery that lengthens his life but causes him to lose his memory. Six months later, the narrator's friend does not remember them and is engaged to the narrator's sister. The narrator is heartbroken but does not regret falling in love, even though they knew it could not last.
Bryan Holt shares how he drifted away from God after high school and made many mistakes, ruining relationships and his job. He hit rock bottom but God did not give up on him. Holt began to feel miserable in his relationship and befriended a Christian girl who guided him. He had an intense prayer experience that lifted his fears and worries, and realized he needed to let God take control. Holt still struggles with mistakes he made by not listening to signs from God, like a story about a man who refused help during a flood and drowned, despite God sending multiple rescuers. He is learning from his mistakes and to listen to God's guidance.
This document shares testimonies from a Miracle Life Outreach event in Benin, West Africa led by Dr. Kevin McNulty. It provides over a dozen short first-person accounts of healings that occurred, such as relief from stomach pains of 9 years, coughing for 27 years, insanity for 6 months, blindness and paralysis healed, ability to speak gained, ability to walk restored, and strength renewed. The document expresses appreciation for partnerships that made the event possible and invites prayer requests to be submitted.
The document discusses a "secret" reason why people struggle to lose weight through dieting and exercise alone. It claims that unless one's subconscious mind is convinced to lose weight through hypnosis, it will be impossible to lose weight no matter what efforts are made. The document outlines three rules of hypnotic weight loss: 1) the subconscious mind, not dieting or exercise, determines weight; 2) brainwaves must be synchronized to allow the subconscious to be receptive to hypnosis; and 3) hypnosis must convince the subconscious that weight loss is safe and deserved to enable effortless weight loss through metabolic changes.
The document summarizes key events from the author's daughter Isabelle's life from birth to age 2, including her birth story, firsts, letters written to her, and a favorite mac and cheese recipe. It concludes with details about the author and her goals to become a teacher while raising her daughter.
Cody Cambridge created a presentation to convey to people with chronically ill spouses that they can still have happy, fulfilling relationships. When Cody started dating his wife, she became chronically ill with interstitial cystitis. This caused many health problems and made it difficult for her to do activities. Cody discusses things he has learned like being patient when his wife cannot attend events, supporting her by following difficult diets together, and keeping a positive attitude. He hopes his experiences can help others in similar situations have strong relationships.
The document describes a person's experience with attempting suicide by overdosing on pills. They had been having suicidal thoughts for some time and finally acted on them by cleaning their room and taking a large number of pills while chatting with a friend online. They began experiencing fear and physical symptoms as the pills took effect. They called 911 for help and were rushed to the hospital in critical condition. After several days in intensive care and 10 days in the psychiatric ward, they recovered and was discharged, gaining a new perspective on life and appreciation for the support of family and friends who helped save their life.
1) Ah Siang suffered from schizophrenia which began after a fall at age 19. He experienced hallucinations, delusions, and disruptions in thought. He was able to function well with medication but had episodes when he did not take his medication.
2) The document describes an episode when Ah Siang asked to stay at the Buddhist association due to delusions but was convinced to go to the hospital instead.
3) It also recounts an incident during a trip to Myanmar where the power went out while Ah Siang was bathing, causing him to panic until power was restored. The document reflects on the challenges of mental illness.
Brenna gives birth to twin boys named Auric and Allieon. She intends to marry their father, Arlen, to form a powerful couple and family. Meanwhile, Bree continues to spend time with Cental, much to Brenna's dismay. Bree also gives birth to a son named Bane.
O documento descreve a jornada espiritual da alma humana em direção a Deus através da oração e do amor, dividida em várias "moradas" como descrito por Santa Teresa de Ávila em seu livro "O Castelo Interior". A alma deve perseverar através da superação de obstáculos para se entregar totalmente a Deus, sendo transformada por Seu amor até alcançar a união perfeita.
A empresa de tecnologia anunciou um novo smartphone com câmera aprimorada, maior tela e melhor processador. O novo aparelho também possui maior capacidade de armazenamento e bateria de longa duração. O lançamento do novo modelo está programado para o último trimestre do ano com preço sugerido a partir de US$799.
The document describes an artifact analyzing quadratic function transformations using Ti-Nspire software, noting how varying the coefficients a, b, and c affects the graph by changing the slope, translating the parabola, or moving it up and down. Students observed the behavior of the graphs under different transformations and noticed that the roots remained at 3 and 5 regardless of the transformations.
1) Dom Bosco encontra um local para seu oratório, um velho galpão abandonado chamado Casa Pinardi.
2) Ele começa a reformar o local com a ajuda entusiasmada de seus meninos.
3) No dia de Páscoa de 1846, Dom Bosco celebra a primeira missa no novo oratório, marcando o início de sua obra.
My father passed away peacefully in my mother's arms, with his last words being "Kopi", his favorite drink. Though his death was expected due to numerous illnesses he had fought for years, it was still difficult to say goodbye. At his funeral, our family honored him by dressing and preparing his body, sharing stories of how he was a loving husband and father who taught us integrity and charity. We take comfort knowing he is now in heaven without pain, looking over us and enjoying kopi with Jesus. I miss him deeply and find comfort knowing he fought so hard to stay with us and will continue watching over our family.
The sculpture "The Mustangs of Los Colinas" depicts nine life-sized mustang horses galloping across a granite stream. It was created by artist Robert Glen between 1976-1984, making it the largest equestrian sculpture in the world. The sculpture aims to capture the pioneering spirit and freedom associated with mustangs and the American West. It is made of bronze and towers up to 8-9 feet tall.
São Francisco conversa com os pássaros na floresta, ensinando-os a louvar a Deus. Ele pede que não se esqueçam da bondade de Deus ao criá-los e cuidar deles. Os pássaros demonstram atenção às palavras de São Francisco e voam para os quatro cantos do mundo após receberem sua bênção, representando a missão de levar a palavra de Cristo para todo o mundo.
São Martinho estava cavalgando quando viu nuvens escuras e raios. Ele encontrou um homem pobre e frio e deu metade do seu manto para aquecê-lo. Logo depois começou a chover forte, mas o tempo melhorou como recompensa pela generosidade de São Martinho.
Dokumen tersebut membahas tentang instalasi pipa PVC, mulai dari jenis dan kegunaan pipa PVC, teknik penyambungan pipa PVC, sistem perpipaan air bersih dan pembuangan air kotor, serta peralatan pelengkapnya seperti keran dan pancuran.
This document describes a mathematical exploration activity where students will analyze statistics from soccer's World Cup using scatterplots and box plots created in the Fathom software. Students will work in groups to study scatterplots showing relationships between various statistical metrics. They will then answer questions to draw conclusions from the visualizations and defend their reasoning. The goals are for students to improve at using inferential statistics and collaborating to make logical inferences from data visualizations.
This document describes a mathematical exploration activity where students will analyze statistics from soccer's World Cup using scatterplots and box plots created in the Fathom software. Students will work in groups to study scatterplots representing relationships between various statistical metrics. They will then answer questions to draw conclusions from the visual representations and defend their reasoning. The goals are for students to improve at using inferential statistics and collaborating to make logical inferences from data visualizations.
HCEA 2013 the language game connecting patients and providers to health inf...dabbey
Dana Abbey presented on resources for providing health information to patients in multiple languages and at appropriate literacy levels. She identified that over 66% of US adults over 60 have low health literacy, and that literacy is a stronger predictor of health outcomes than other demographic factors. She outlined several online resources available in many languages that provide translated health information, materials at appropriate reading levels, and tools for identifying patients' languages. Abbey emphasized the importance of understanding patients' cultures and beliefs to effectively communicate health information and impacts of low English proficiency on healthcare access and outcomes.
A oração católica Ave Maria é recitada, elogiando Maria como cheia de graça e abençoada entre as mulheres, e pedindo que ela rogue por nós pecadores agora e na hora da morte.
The document discusses options for locating a new stadium in the Research Triangle region of North Carolina, which includes the cities of Raleigh, Durham, and Chapel Hill. Two initial options are presented:
Option 1 would place the stadium the same distance from each city, requiring new highways to be built from each city.
Option 2 would place the stadium equidistant from the existing highways connecting the cities, requiring resurfacing of the existing highways and building new connections from them to the stadium.
The document asks which option would be chosen and to justify the choice, and also presents extending the analysis by suggesting additional location and construction options.
Well, starting with how I met depression. At the age of 12, I lo.docxjane3dyson92312
The document describes the author's experience with depression after losing her grandfather at age 12. When she learned of his death, she went into denial and spent days crying and isolating herself. Her mother tried different ways to cheer her up but nothing worked. A family friend who was a psychologist counseled the author by sharing her own story of loss. This helped the author realize she was not alone and had support from loved ones. It took a year for her to start feeling normal again, though she still deeply misses her grandfather.
This document contains several personal essays and reflections by Jessica Antonio about coping with the suicide of her father. In the first essay, she recounts receiving calls from her sisters saying her father was missing and later learning he had taken his own life. She describes struggling with denial, anger, depression and wishing she could call him to share her accomplishments. In subsequent pieces, she offers advice on overcoming grief through crying, talking about feelings, getting outside, taking time and celebrating life. The final essay is addressed directly to her late father.
The document provides guidance for friends of bereaved parents on how to support them after the loss of their child. It advises to listen without trying to sympathize or fix the grief, allow alone time but don't abandon the bereaved, and remember the child even years later by acknowledging anniversaries of the child's death. Friends should offer practical help like bringing meals or doing chores, and accept potential mood swings or cancellations without taking it personally, as the bereaved parent will not be the same for some time.
This is a short story I wrote about 2 years ago and I still love reading it and sharing it with others. This story is about a troubled teen who faces real life problems everyday and struggles to fight them, to find out if she does, give it a read. It is very dramatic and suspenseful. I'm sure you'll enjoy it very much so.
The narrator recounts witnessing her mother stab and kill her father when she was 8 years old. She hated her mother and studied criminology hoping to imprison her mother for the murder. However, she later discovers her mother's diary explaining that robbers had broken in and her father was killed shielding her mother. The narrator's mother dies from a brain tumor without the narrator making amends. The narrator comes to regret hating and distancing herself from her mother, realizing the truth too late. The narrator reflects on the importance of showing love to parents while they are still alive.
The document describes God's creation of a woman to be a partner for man. It says God had to meet many specifications to shape her so she could embrace kids, heal injuries with hugs, and endure a man's nonsense with only two hands. The angel was impressed by her abilities but noted she was too soft. God explained he made her soft but also strong to endure her husband's overbearing nature. She was given the ability to think, reason, and negotiate. When she cried, God said it was her way to express her emotions over her love, doubts, suffering and pride from her husband trying her emotions. In the end, the document praises the woman's strengths, unconditional love, and ability to find strength
This document is presented as a letter from an aborted fetus to its mother. The fetus describes being in the womb, hearing its mother cry, and feeling a bond with her. It then recounts being violently aborted by a "monster" that ripped its limbs off while it screamed in pain, dying before getting to meet its mother. The fetus expresses its wish to have lived and been the mother's daughter. It is now in heaven but still loves its mother and hopes she does not experience the same fate. The purpose seems to be discouraging abortion by graphically portraying the experience from the perspective of the aborted fetus.
This document is presented as a letter from an aborted fetus to its mother. The fetus describes being in the womb, hearing its mother cry, and feeling a bond with her. It then recounts being violently aborted by a "monster" that ripped its limbs off while it screamed in pain, dying before getting to meet its mother. The fetus expresses its wish to have lived and been the mother's daughter. It is now in heaven but still loves its mother and hopes she does not experience the same fate. The purpose seems to be discouraging abortion by portraying the experience from the perspective of the aborted fetus.
This document is presented as a letter from an aborted fetus to its mother. The fetus describes being in the womb, hearing its mother cry, and feeling a bond with her. It then recounts the "abortion monster" violently ripping its body apart, experiencing unimaginable pain before dying. The fetus expresses its love for its mother and desire to have lived. In heaven, God tells the fetus that abortion killed it. The purpose is to graphically portray the experience of abortion from the perspective of the fetus to discourage abortion.
1) The narrator falls in love with a man but is unable to express her feelings before he leaves.
2) On his last morning, they share an intimate moment together and he confesses his love for her.
3) However, after taking a nap, the man does not wake up, leaving the narrator heartbroken over her inability to say goodbye.
The document discusses the author's experience with depression and anxiety. It describes how fears and sadness can come on suddenly, paralyzing the ability to leave the house or enjoy activities. The author has trouble identifying the source of fear and finds it difficult to overcome. Depression symptoms like lack of appetite are mentioned. While exercise and diet are known to help depression, the author notes they do not always work in practice. The closing paragraphs express cautious optimism that stopping medication may mark the end of a three-year period of depression, though the lost time cannot be regained.
The document discusses two teen suicide cases. The first is about a teenager who suffered severe depression after a breakup and considered suicide but ultimately decided to get help. The second case discusses a teenage girl who endured an abusive relationship, a miscarriage, and the suicide of her best friend. She struggled with her mental health but was able to remove herself from toxic influences and rebuild her support system. The document ends by discussing the suicide of another close friend, Emily, and the struggles the author had accepting and processing her death.
This document is a personal essay describing the author's experience growing up with an alcoholic mother. Key details include:
- The author would wake up to police lights at their home frequently as a teenager due to their mother's drinking.
- Meetings with child services weekly were stressful as the author's mother would often lie about her drinking.
- An intervention was attempted but failed to get through to the mother initially.
- A story from a social worker about her son who died from drug addiction finally caused the mother to understand the impact of her actions.
- The mother sought treatment and the author was able to have a more peaceful life, believing everything happens for a reason
The document contains several short poems and passages about different life stages and experiences:
- The first poem is from the perspective of an infant describing being born and their early experiences with their parents.
- The second passage discusses the teenage years, encouraging teenagers to think wisely about their choices and be responsible while also facing various temptations.
- The third story describes a married couple discussing having a child, but the wife tragically does not survive childbirth, leaving the husband and daughter to grieve and start over in a new country.
- The last poem is a song about remembering and supporting a loved one through difficult times, with the message that family will always be there.
This document contains a collection of short passages on various topics including personal experiences, quotes, and reflections. Some key themes that emerge are struggling with school assignments, emotional challenges, learning life lessons, striving for improvement, and dealing with interpersonal conflicts and relationships.
This document contains a collection of short passages on various topics including personal experiences, quotes, and reflections. Some key themes that emerge are struggling with school assignments, emotional challenges, learning life lessons, striving for improvement, and facing difficulties but finding ways to cope.
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There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
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1. CARING FOR DYING CHILDREN
A doctor shares her pain and joy caring for dying
children.
Dr. Felicia Chang
(Writing Team)
2. “OK,
give me 20
minutes and I will be there!”, I put down my phone. “ I’m so sorry
Mrs. Lee, I have to cut short this conversation because some urgent
matters came up. “ I explained to my patient about the reason I had to leave.
As I was rushing to Ling Ling’s house, I was in tears. I was trying so hard not to
cry. “ Felicia! You need to pull yourself together and act professionally. Do not let
your emotion take over now. Please you cannot afford it!” That was the mantra I
kept repeating while driving like a maniac.
As I entered the house, it felt so strange. I was here just an hour ago. But the
feeling was so different this time. It was so cold and so distant. “Hi Kong Kong
and Po Po,”I addressed Ling Ling’s grandparents . My voice was barely audible
but it did not matter because they did not respond. They just let their head hung
down like beaten dolls. As I walked up the stairs, it felt like a 100-ton rock tied to
my legs. Every step was heavier than the previous one as I walk towards the
room. Just before I entered the room, I took a deep breath and then pushed the
door open.
The little one was lying on her favourite bed. Her
mom was holding her close to her heart, rocking
gently. I heard a quiet whisper. “ Mommy love you
darling. You are my precious diamond. I love you.”
Her daddy was hugging both of them and joined
the rocking motion. It was so beautiful and yet so
sad at the same time. They sensed someone
looking at them and both look up. Their eyes were
red from crying. “May I?” They nodded.
Her little arms felt so cold. It was just an hour ago when she was still breathing.
Her body was still soft. Eyes were shut close. Perhaps it was my imagination but
she seems to smile. As I was carrying her little battered body, I asked her
permission to check on her. “Ling darling, this is Dr. Felicia. I am just going to
check you like I usually do ok,” I whispered into her ears. No pulse, I felt my eyes
getting warm. No breathing, I felt drops of my tears start to form in my lower
eyelids. No heartbeat and I saw my tears fell on her cheek. “I am sorry Mr. and
Mrs. Lim, Ling Ling has left us and gone to heaven.”
3. Suddenly the once quiet room was filled with crying.
There was sudden realization it was all over. A
beautiful angel had joined the heavenly host at the age
of 5. “ We love you Ling. We will miss you. We will
never forget you. Please don’t forget us. You are the
best daughter we had ever had.” Her parents gave her
a kiss on her forehead. “ Bye Ling darling, it is my privilege
to care for you. I love you too. Go in peace.” I said my
goodbyes and gently kissed her cheek.
As I walked down the stair, Ling Ling’s grandparents turned their heads towards
me. I shook my head gently. Grandma cried and grandpa turned his face away.
With a heavy heart I got into my car and drove away.
As I was driving away, I suddenly felt I needed to shout. I screamed in my car and
my tears would not stop flowing. I cried so much that I could not see what was in
front of me. I had to pull over at the curb and allow my grief to pour out! Took me
15 minutes before I could drive home. And the rest of the day was a blur.
Taking care of very ill children is the toughest part of being a
palliative care doctor. By the time the children were sent to us,
most have very short life expectancy. Some stay for short
months but many very short days. Taking care of dying
children needs special skills. The skill to communicate
with the child who may not want you. The skill to assess
their condition when they were afraid of you. The skill to
make friends with them and their family.
Ling Ling was referred to me at the age of 4. She had a very rare liver cancer and
by the time I saw her, she was severely jaundice and had a big and swollen
tummy. She refused to look at me at first, always sat with her back facing me.
Eventually I won her over with bribery! I bought sticker books and every visit a
new batch of stickers. Though she did not feel threatened by my presence, she
never talked to me. When I though my effort was lost, I decided to space out my
visit. Instead of twice-weekly visit, I cut down to one. The first time I did not visit
she asked for me. How strange! A child who did not talk to me for 4 months
asked for me. That was when I knew she accepted me.
As she continues to deteriorate, I prepared her parents about her deterioration.
Looking back now, I did not prepare my own soul. As medical personnel
especially dealing with end stage cancer, we can guess when will be the last week
of life. But nothing prepare for the emotional emptiness and despair we felt
when one of ‘our’ children dies. The first death is always the hardest. Ling Ling
was my first child who died at home.
How do we make sense of what had happened? How can an innocent life like her
4. be allowed to suffer so much of discomfort and pain? Did she even get the
chance to know Jesus? Where will she be after she left her earthly body? No
answer.
After Ling Ling’s dead, I was not able to do my work. My nurse knew something
was wrong because I could not give advice. I was grieving so bad that I could not
continue working. In my heart I knew I did the best but why did I still feel so
miserable. I took a break and went to away, just to leave KL and my work.
I went back to work and my boss asked me if I wanted to continue seeing
children. He gave me a choice - I could see both adult and children or adult
patients only. But he warned me that the feeling that I had gone through would
never leave me because with every child’s death, I would go through the whole
grieving process again. It was a tough decision. The pain was almost unbearable.
The same day, I got down on my knee. “Dear
Lord, do you want me to continue? Loosing Ling
Ling was terrible. I felt like a failure! I do not
understand why would you allow such a gentle
soul suffer so much. I was angry. What wrong
has she committed? Are you not all merciful?
Can’t you spare the children? Why do you want
to take care of them? Why would you want me
to suffer too? I cried. It is not fair! Bad people
live and young innocent kid die. And how could you ask me to be part of this?”
The next day I told my boss. I wanted the children. No matter how painful it
would be, the least I could do was to walk with them to the door of death. That
was 8 years ago when I started to see dying and ill children. I gave them my all. I
controlled the symptom and took away the pain as best that I could. I took them
out for dinner, shopping, even to amusement park to fulfill their final wish. I ate
with them, laugh with them, cried with them. I gave them my professional care as
well as to demonstrate God’s love to them through kindness and love.
Why did I choose this path? God did not answer me that
evening. There was no booming sound that said, “
Felicia, I want you to care for children because….” Or a
bible verses that stood out that said it was God’s will. I
continue to take care of children because I can. As
simple as that. If I do not do it (care for dying
children), who will? I know I have a million and one
question that I am going to throw to Jesus when we meet, but right know, all I
want is to take care of these little angels so that they have one more friend before
5. they meet their maker.
Sometimes we make difficult choices and we do not know if that is the right
choice. It becomes harder when there seems to be no answer. Although God did
not answer me that evening, I knew it was my calling to serve Him in this area. I
will not lie, it was not easy and it is not easy even now. I have lost count the
nights I cried myself to sleep when I lost a patient. I have lost count the days
when I felt like a zombie when more than 2 patients died the same day. My work
reminded me that we are all mortal and no one escapes death. But my strength
comes from God. I am able to continue what I do because of God’s promises that
He is my strength. I would have thrown in the towel if not because God is with
me all the way.
For Ling Ling, it was my first lost. Taking care of her helped me to be a better
person. I learned about patience around kids. I learned to take care of kids, you
need to speak their language and their common language is play. So I learn about
playing. I learn that relationship sometimes does not need words, just your
presence. I have learned that children are pretty resilient. Despite the suffering
they go through, they still want to play, wanted to be hug and wanted to be love.
Once a year, I still receive Chinese New Year blessing from her parents. It is a
reminder to myself that I have helped a soul to find her home in heaven.
At the end of the day, I thank God for the opportunity to serve His children. I
thank God for His calling for me. I thank God for the strength,
patience and wisdom He gave me when I have to deal with
children who are facing death. Thank you dear Jesus for loving
the children and me! So not afraid to chose the road less travel
because the end result is so much sweeter. God Bless!
6. they meet their maker.
Sometimes we make difficult choices and we do not know if that is the right
choice. It becomes harder when there seems to be no answer. Although God did
not answer me that evening, I knew it was my calling to serve Him in this area. I
will not lie, it was not easy and it is not easy even now. I have lost count the
nights I cried myself to sleep when I lost a patient. I have lost count the days
when I felt like a zombie when more than 2 patients died the same day. My work
reminded me that we are all mortal and no one escapes death. But my strength
comes from God. I am able to continue what I do because of God’s promises that
He is my strength. I would have thrown in the towel if not because God is with
me all the way.
For Ling Ling, it was my first lost. Taking care of her helped me to be a better
person. I learned about patience around kids. I learned to take care of kids, you
need to speak their language and their common language is play. So I learn about
playing. I learn that relationship sometimes does not need words, just your
presence. I have learned that children are pretty resilient. Despite the suffering
they go through, they still want to play, wanted to be hug and wanted to be love.
Once a year, I still receive Chinese New Year blessing from her parents. It is a
reminder to myself that I have helped a soul to find her home in heaven.
At the end of the day, I thank God for the opportunity to serve His children. I
thank God for His calling for me. I thank God for the strength,
patience and wisdom He gave me when I have to deal with
children who are facing death. Thank you dear Jesus for loving
the children and me! So not afraid to chose the road less travel
because the end result is so much sweeter. God Bless!