Emotional NUTS

These stuff sounds Nice...However, have u ever woundered that why on earth do we have slow internet connection 2 download or open webpages...Well, its Bcoz of such emotional "Chain Msges..."The best thing is that we really do have such emotional NUTS amongst us who still believe in this,the Message part is Beautiful,but it should'nt hav a clause to send it to others just bcoz some1 else wants it to circulate on the web.

(i have never woundered!)

Like Tat

Kuan: This is not about 'sponsor' or not. For example your intention is good, but people might think in a different way, or has hard feeling about it, who knows? I cannot afford to hurt someone. Don't say like tat. i'm not rich.One common question here, how many people will join?

(i'm not rich either kuan)

E Wave

The transmitral Doppler shows an E wave exceeding the A wave in velocity. This finding, by itself, in a patient with heart disease, is not very helpful, as it can represent either normal or “pseudonormal” filling. The former is associated with normal filling pressures, the latter with elevated filling pressures. Therefore, more data are necessary to evaluate filling pressures. These data are usually furnished by inspecting the pulmonary vein spectral Doppler, tissue Doppler of the mitral annulus, or, ideally, both. The duration of the transmitral A wave is 130 msec (Figure 7); the duration of the pulmonary vein diastolic A reversal velocity is roughly 200 msec (Figure 8); the A reversal velocity is high (roughly 50 cm/sec). When the pulmonary venous A duration exceeds the mitral A duration by more than 50 msec, it is indicative of an elevation of the LV end-diastolic pressure exceeding 15 mm Hg (see Figure 234 in the Echocardiography Syllabus).To obtain an estimate of LA pressure, one should inspect the transmitral E velocity and the tissue Doppler E’. These values are approximately 120 and 9 cm/sec. The quotient E/E’ is therefore 13, which is an intermediate value (between 10 and 15), suggestive of mild elevations in LA pressure. While LA and LV diastolic pressures do track together, there are instances where the mean LA (or pulmonary capillary wedge pressure) can be lower than the post-A wave LV end-diastolic pressure. This may be seen in instances where the LV has very poor compliance (e.g., coronary heart or hypertensive heart disease) and there is a large increment in pressure following atrial contraction. Such a patient might be expected to fare poorly with the onset of atrial fibrillation, as this “booster function” may serve to preserve ventricular fiber stretch despite only modest elevation in LA pressure. Therefore, of the choices given, option C comes closest to describing the clinical findings.

(nothing short of fascinating)

Could it be worse?

When you try your best but you don't succeed
When you get what you want but not what you need
When you feel so tired but you can't sleep
Stuck in reverse.
And the tears come streaming down your face
When you lose something you can't replace
When you love someone but it goes to waste
Could it be worse?

Lights will guide you home
And ignite your bones
And I will try to fix you
And high up above or down below
When you're too in love to let it go
But if you never try you'll never know
Just what you're worth
Lights will guide you home
And ignite your bones
And I will try to fix you

Tears stream, down on your face
When you lose something you cannot replace
Tears stream down your face And I..
Tears stream, down on your face
I promise you I will learn from my mistakes
Tears stream down your face And I..
Lights will guide you home And ignite your bones
And I will try to fix you.

(yes chris, it can always be worse)

I Hate These Meds

I need to come back Sunday as I have a Drs. app with Osburn. If you would come and get me that will be great otherwise they will bring me home. I must admit I am sicker than I;ve ever been. Nights and mornings are horrible, I hate these meds. Let me know. These people are the best but I can't keep holding them up.

Peggy

(hang in there peggy, it's friday)

I Feel Like

TitanHun21: u know what i feel like
x0 Skittlez x3: a man?
x0 Skittlez x3: to fuck

(skittlez, you so funny)

Thong or bikini?

Cleaning sponges or cleaning rags?
Egg Beaters or eggs?
Margarine or butter?
Fertilizer or actual manure?
Brita or bottled water OR tap water?
Thong or bikini?
Underwire or wireless?
Deoderant or antipersperant?
Liquid or powdered creamer?
Yellow pages or online directory assitance?
Window units or central air?
Disposable or cloth diapers?
Body spritzes or perfumes (EDT, EDP or parfum)?

(dumb or stupid?)