patient teaching

One of my patients is learning English and I’m of course slowly learning Spanish. He speaks to me in English and he patiently helps me speak to him in Spanish. Ironically the hardest thing for me to pronounce right now is cirugia (surgery in Spanish). We have lectures, attendings, senior residents and countless books, but in the end, it’s our patients who teach us the most.


simon lewis and the not-so-patient downworlder bros: 1.10 vs 2.02

Gnome Buddies

Scanlan was always really good at lying.  Very clever and able to think out of the box.

Grog is very straightforward and takes things and people at face value.

I can only remember one time Scanlan used his ability to get one over on people on Grog, and that was with Craven Edge, which Grog had specifically come to Scanlan for help with.  He never treated Grog like an idiot or made a fool of him.

Same with Pike, who as we have seen is pretty sneaky in her own right (even the DM forgot to make her roll for Deception).  She was so patient in teaching Grog to read, even though he only got a few letters, and even gave him an easy out if he didn’t like it or it was too much for him.

VM generally doesn’t give Grog grief over being unintelligent, though Vex can get frustrated, and Vax and Percy sometimes play jokes on him.  But Pike and Scanlan never seem to even struggle to meet Grog on his own terms.  He’s probably the only person in the group THEY take at face value. It’s just really nice.

Bachelors reacting to a baby chick popping out of the farmer's clothes?? :D

Alex- Full on trips over his own feet and startles himself onto his backside, a line of profanities a mile long spewed for all the world to hear in his shock. Once over the surprise he wonders just how far he could toss the critter. He keeps that thought to himself.

Elliot- “Oh, well! My, my, what an adorable, delightfully fluffy little creature. Life is so beautiful, wouldn’t you agree?” He comments, but keeps a bit of distance.

Harvey- “Oh gosh, well that’s…cute…but it’s just so fragile”, Harvey’s afraid of hurting the cute lil’ guy. But with a lot of patient coaching you teach Harvey the best way to give careful and loving head scritches.

Sam- “Holy crap! It’s so tiny! And fricken’ cute! Holy crap, dude!” He’s hovering around you, expression bright as the little chick peeps and follows him with it’s big round eyes. The smile never leaves Sam’s face.

Sebastian- Sebastian’s eyes widen, the tiniest hint of color coming to his cheeks, before he skillfully deadpans. “You just horde small animals under your shirt? What kind of freaky stuff you into, farmer?”He does give a little smile when the baby chick peeps for his attention.

Shane-  He stares, long and hard, seemingly unsurprised. He then proceeds to steal the chick and leaves you in the dust. That little chick gets all the scritches and lovin’ a cute little bird could want.

A guide to being a vocal citizen

For people wondering how to take action post-election of a racist demagogue (pulled from Twitter and cleaned up):

Make a spreadsheet or a file for your representatives with names, addresses to their offices, phone numbers, and contact forms. Put everyone there. Make a note in your calendar app to check in on issues once a month.

Pay attention to news. If you get angry, upset, or worried, seek support from friends but ALSO shoot these reps an email, too. Be courteous but firm and blunt. It’s a numbers game. Often we remain invisible because we don’t go to events and rallies and can’t be physically present. But we can attach our names to emails, we can write letters, we can be vocal. We don’t have to be invisible.

You can do this with your national reps, state reps, and local reps. If someone reps you anywhere, note them. Open a line and revisit it. It’s hard work and slow. One email at a time. One letter at a time. One call at a time. Emails are easy these days, so splurge every few months on a stamp and send a letter if you can. Put your humanity in front of these people. Flout it. Some won’t care, but others will. Change ONE mind and results can cascade.

Rural areas are bubbles full of bigotry and now it’s newly revealed. But we white people who live here have the clout and power! We can speak up when our reps say terrible things, and do terrible things, and vote terrible ways. We can go “I am disappointed in you.” It’s work, but as we’ve seen the last six months, it’s time for us to do that work. If someone goes “who are your reps” you gotta know. If you don’t know and you’re mad about this election, it’s time to create that file and keep it with you and use it.

The time for social media rants only is over. Or, do those, but maybe pull those threads out into a paragraph and send them to your reps. And don’t ONLY email or contact when things go badly. Also reach out when things go right. Even if they voted AGAINST something. Treat them like you would want to be treated if you were wrong or mistaken. But we’ve gotta reach out and let them know we’re here.

Anyway, I know this is hard work. If you need help collecting your reps, give me a ping via DM and I’ll help you get started.

Son of the Park’s (Part 1) - Jinyoung

(Part 2)

Hwang Jinhae.

Seoul District #7202 - Hae Condo 707

You looked over the paraplegic patient’s name and address. You examined her history file, which consisted of a vehicle accident in Busan a year ago. It explained the reason of her condition. Being only 45, you felt sympathetic for her. Apparently, she was living with her son, which you were grateful she was around a loved one. You’ve come in contact with too many depressed paraplegics that sometimes it made you depressed too. Thankfully, this next patient whom you’ll be paying visits to for the next 6 months was going to be different, or so you hoped.

Keep reading

Imagine young Sherlock on bonfire night, and it’s his first time holding a sparkler. But, he stiffens in fear and holds the sparkler out to Mycroft who takes it from him without being prompted.

“I don’t like it,” Sherlock complains. 

Mycroft raises an eyebrow. “You mean you’re scared of it,” he corrects.

Sherlock pouts, but doesn’t argue. He eyes the sparkler with suspicion. “What if I get burnt?”

Mycroft smiles, and does his best to adopt the warm, reassuring tone of their father. “Well, with me around that’s very unlikely.”

And, for the rest of the night, Mycroft uses up a whole packet of sparklers as he patiently teaches Sherlock how to spell out his own name with them. Eventually, Sherlock grows confident enough to hold one without Mycroft’s hand guiding him. His eyes widen in surprise and joy as his name glows in the darkness.

Years later, and whenever they see a child with a sparkler, both brothers secretly smile to themselves.

don’t imagine Steve giving Peggy his coordinates before the plane crashed, and then him being found a few months later. 

don’t imagine Steve coming back home, surprising Peggy. 

 don’t imagine Peggy standing in front of him, with tears in her eyes, as he holds a rose bouquet and says “sorry I’m late” 

don’t imagine them both going dancing at the Stork Club 

don’t imagine Steve staring at her lovingly, as she patiently teaches him how to dance 

don’t imagine them being the only ones in the Club because of how late they kept dancing 

don’t imagine their walk back home, holding hands 

don’t imagine Steve kissing Peggy goodnight 

don’t imagine Steve asking Peggy to marry him just a few weeks later because he couldn’t wait any longer 

don’t imagine Peggy saying no, just to scare the crap out of Steve

don’t imagine her laughing, and saying yes just two seconds later, because look at his poor scared face 

don’t imagine their wedding 

don’t imagine Howard walking Peggy down the aisle 

don’t imagine Steve tearing up when he sees Peggy in her wedding dress 

don’t imagine their vows 

and definitely don’t imagine Steve saying he’s grateful that he found the right partner, in his vows 

don’t imagine them both being happy 

 don’T imAGINE IT

things i noticed while reading the manga:

- axel gives no fucks !!! ( he legit was close to killing nams ?? )
- lexeaus is total dad material, let him teach the kids how to fight
- roxas is such a fuckin’ cutie ?? i must save him from pain

things i want now:

- a convo between ax & nams cause,
‘ thank you for letting me escape back at 
C.O ‘ & ax just going, ‘ whaaaa ? i did no 
such thing, the door was open - ‘

- lexeaus teaching nams about life & how
to wield a keyblade cause he so patient or
just teaching the kids tbh a;oig;aeog

It was MeMy time at the grand theater
And Mirio was teaching me and My friend how to do all the tricks in the show. And she was being the most kind and lovely and patient teaching us. And like specifically the apple trick where I was having a difficult time but there was lots of laughter and happiness and I’m just ❤️

And it was the best of dreams I’ve had in a long time

ACE Inhibitors

Examples:  lisinopril, enalapril, and captopril 

Action:  decreases peripheral vascular resistance to decrease blood pressure; indicated for heart failure and hypertension 

Side effects:  postural hypotension, dizziness, nonproductive cough, angioedema, kidney injury, and hyperkalemia

Nursing considerations:  (1) assess patient for history of renal impairment, as ACE inhibitors may exacerbate kidney injury; (2) teach patient to seek immediate medical attention if he/she experiences swelling of the lips (angioedema; as pictured), as severe angioedema may cause respiratory distress; (3) teach patient to notify HCP if a nagging cough develops

Also of note:  ACE inhibitors are contraindicated during second- and third-trimester pregnancies

My clinical experience:  

(1) Angioedema with ACE inhibitor use is quite common, especially with African Americans and may not manifest itself for months/years after starting an ACE inhibitor. 

(2) In light of acute kidney injury, doctors do often suspect fault with ACE Inhibitors and will hold/discontinue medications as appropriate. 

(3) A patient with a nonproductive cough, another common complication, although certainly not an immediate concern, will likely be switched to another class of medication. 

(4) Remember, when heart failure arises, the goal is to DECREASE the WORK LOAD of the heart in any way. ACE inhibitors accomplish this by decreasing RESISTANCE of blood against arterial walls, thus increasing CARDIAC OUTPUT. 

BTS REACTION: A cute foreigner trying to pronounce their name and failing

Jungkook: He gives up teaching you and laughs a little because it’s funny.

Originally posted by hohbi

Namjoon: Patiently, tries to teach you, spelling slowly and smiling everytime you fail. “One more time”, he says.

Originally posted by yoonmons

Jin: “I can’t do nothing to help you, you’re too cute failing to pronounce my name. Keep with that.”

Originally posted by wintaeangel

Suga: “What are you trying to say? That’s not my name. I’m Min Yoongi”, he smiles at you.

Originally posted by eatjin

J-Hope: wouldn’t stop smiling at you because he thinks you are too cute for this world.

Originally posted by junghoshikie

V: “You can call me V if you want to, it’s easier. But I like it when you try to say my name.”

Originally posted by jitonic

Jimin: “Repeat, please”, he asks, because thinks it’s cute when you fail.

Originally posted by ohparkjimin

SEVENTEEN REACTION  When they have an american girlfriend that's learning korean (Joshua, Vernon, Seungkwan, Wonwoo, Dino, Jun)

Hello~~ One more reaction!



“It´s ok baby, let’s try it again” He would patiently teach you everything, correcting your mistakes and helping you to improve your korean.


He know how difficult korean can be, so he would study with you so you two can help each other.


Wonwoo would certainly help if you need but, while you study, he wouldn’t bother you.


Seungkwan and you would make a deal: he teaches you korean, and you teachhim english (so he can show Hansol that his english is the best quality english)


Maybe trying to teach you with rap wasn’t a very clever idea, since those awfully fast words only made you even more confused.


“Oh jagi! You’re so cute” He would fanboy over you, cherishing you all the time.



Gif Credits to their original owners!

~ADM Pandacchi

anonymous asked:

skk Chuuya had been patient. He tried to teach him, with a van, a car, a motorbike, nothing to do. So he put him on a bicycle, and said that if really he needed to go for short distances he will use it otherwise that would be public transport. No, really, Dazai couldn't drive.

im sobbing omfg this is so fucking funny