Freedom Isn’t Free

This is from Facebook.

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There are many many people that take freedom for granted. They were born into a free nation and just figure that it has always been that way, and  will always be that way in the future.

I am constantly surprised by the number of people that do not respect or appreciate our veterans. Apparently they have never paid attention to any articles, conversations, news broadcasts or anything else that has to do with our veterans.

As for myself, I have always said and posted about our veterans. I try to always let it be known that I appreciate our service people always being willing at a moments notice to defend our rights and our freedom while protecting our safety. The way I put it is this: “Even though I do not know your name, thank you for your willingness to give your life to keep America free, and for those that did give their life, Thank you for giving the ultimate sacrifice for our freedom and safety. You are appreciated and loved, and will never be forgotten.”

It is unconscionable how our veterans are treated when they return from service. I cannot imagine how a veteran feels when he/she gets home from their service to our nation, only to find out that their house has been foreclosed on and they are now homeless. It is hard to accept that a serviceman/servicewoman, living on base with their family, has to receive food stamps in order to be able to feed their family. These men/women were willing to give their life for our freedom and safety, and cannot even afford to feed their family on the money that they receive while serving our country.

I know I have repeated myself several times, but what I am saying needs to sink in to the forces that be. Not that they will be aware of what I have said here. I don’t think that it will ever even happen, but I feel that I have to keep saying it every chance I get. Sort of a like the squeaky wheel gets the oil, I’m being the squeaky wheel.

You Don’t Have To React To It

This is from Facebook.

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Image may contain: text that says 'Not that which goeth into the mouth defileth a man; but that which cometh out ofthe mouth, this defileth a man. Matthew 15:11'

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When some people begin to blame their behavior on what they hear, they need to remember this Bible quote. What it boils down to is that just because you heard something mean or dirty, or anything bad doesn’t mean you have to act on it or repeat it.

Stay Home – It May Save Lives- Not Just Your Own

This is from Facebook. It reemphasizes what I have said, as well as many others, since day one.

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Let’s say you woke up with a terrible cough, a fever, and severe body aches. Immediately, you rush to the doctor and unfortunately, you’re diagnosed with COVID-19. For the last two weeks, you’ve been unaware that you were infected and you’ve ignored “the rules.” You’ve gotten together with some close friends for pizza, had a few people over, even visited a park and a beach. You figured, “I don’t feel sick. I have the right to keep living my normal life. No one can tell me what to do.”

With your diagnosis, you spend the next few days at home on the couch, feeling pretty crappy; but then you’re well again because you’re young, healthy and strong. Lucky you. But your best friend caught it from you during a visit to your house, and because she didn’t know she was contagious, she visited her 82-year-old grandfather, who uses oxygen tanks daily to help him breathe because he has COPD and heart failure. Now, he’s dead.

Your co-worker, who has asthma, caught it too, during your little pizza get-together. Now, he’s in the ICU, and he’s spread it to a few others in his family, too–but they won’t know that for another couple of weeks yet.

The cashier at the restaurant where you picked up the pizza carried the infection home to his wife, who has MS, which makes her immunosuppressed. She’s not as lucky as you, so she’s admitted to the hospital because she’s having trouble breathing. She may need to be placed in a medically-induced coma and intubated; she may not get to say goodbye to her loved ones. She may die surrounded by machines, with no family at her bedside.

All because you couldn’t stand the inconvenience of a mask; of staying home; of changing your familiar routines for just a little while. Because you have the right, above all others rights, to continue living your normal life and no one, I mean no one, has the right to tell you what to do.

#SocialDistancing = It’s not about YOU!
#WearAMask = It’s not about YOU!
#StayHome = It’s not about YOU!
#GetTested = It’s not about YOU!

Written by Anonymous. Copied from a friend and shared.

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I don’t need to add anything else to this.

COVID-19 Has Changed Things – Maybe For Good

This is from Facebook. It has quite a bit of useful information in it, as far as I can tell. But it’s here for you to read and make your own opinion on how useful or not it is for you.

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New Etiquette Rules in a COVID-19 World

Here’s how the pandemic has changed our manners — maybe for good

Man and woman, two people with protective masks  greeting each other with elbows instead of handshake, alternative non-contact greeting during coronavirus epidemic, standing on the street in safe distance

Getty Images

A firm handshake, a kiss on the cheek, the clink of glasses at a dinnertime toast — these are among the polite gestures now on hold indefinitely because of social distancing guidelines intended to keep people safe during the coronavirus outbreak.

But etiquette experts say that doesn’t mean good manners have gone by the wayside. Instead, they point to safer ways of showing respect for one another, like swapping out handshakes for head nods, that have emerged in the past few months — and that will likely remain with us for some time to come.

“Etiquette is always evolving, it’s never set in stone,” says Massachusetts-based etiquette consultant Jodi Smith. “What’s set in stone is the idea of respect for myself and respect for others.”

As long as showing respect means keeping our distance and avoiding large gatherings, here’s what Smith and others say to expect when it comes to minding your manners in the COVID-19 era:



Handshakes and greetings

Myka Meier, author of Business Etiquette Made Easy, notes that few people are likely to be shaking hands at a time when staying 6 feet apart is the norm.

Even something like an elbow bump means making contact with another person and might not be appropriate in more formal settings like business meetings.

Instead, Meier recommends two totally contactless greetings: what she calls “the grasp and greet” — clasping your hands together and putting them over your heart as you approach someone — and the “stop, drop and nod” — standing still, dropping your hands and putting them behind your back (so you’re not tempted to reach out for a handshake), then nodding to say hello.

Invitations, events and RSVPs

Many large-scale gatherings and events have already been cancelled, but if you’ve RSVP’d “yes” to something that’s still scheduled to happen, international etiquette expert Sharon Schweitzer says the rules around declining have become a bit more flexible.

“Long-standing etiquette and social graces have always dictated that if you accepted the RSVP and said you would attend, you must,” she says. “However, in light of the coronavirus, you can change your RSVP to decline if you cannot attend.”

In the case of events like weddings, she says, be sure to send a gift anyway — and change your response promptly out of respect for the host (you might also want to write a personal note expressing how much you regret having to decline).

When it comes to saying no to casual invitations, like neighbors asking you to join them 6 feet apart in their backyard, the experts recommend having a go-to script to politely decline. Smith recommends something like: “I’m so thrilled that you invited me, but I’m just not ready yet.”

Having a few stock phrases in mind can also serve you well when out and about. Schweitzer’s script for keeping your distance from a friendly passerby while walking the dog is something like: “Fluffy and I are both social distancing. Please greet us from at least 6 feet away. We look forward to seeing you after this resolves. You’ll be more than welcome to pet her then!”

An assortment of face masks

EyeWolf / getty images

Masks (and more) in public

With health officials now advising that everyone wear a mask or face covering while out in public, Smith says that fashionable face coverings may become the norm as people start looking to wear masks that coordinate with their clothing.

And, she says, it wouldn’t be the first time fashion norms were shaped by public health concerns. Women of her grandmother’s generation, she notes, always wore gloves in public in part as a way of avoiding germs at a time when diseases like typhoid fever were of concern.

Of course, interacting with others with half of your face covered means losing some of the nonverbal ways we rely on to express ourselves, like smiling.

That’s where gestures come in, Smith says, since something as simple as a thumbs up or a mock salute can help you express yourself in public in the way a smile once would have.

Safety at home

We might also start to see some changes in our homes, Schweitzer says, like asking guests to remove their shoes upon entering, something that she notes is already the norm in many other cultures.

And, she says, there’s really no reason to go back to touching our glasses during a toast or blowing out birthday candles on a cake that is then served to many guests (instead, she foresees alternatives like blowing out an individual candle on your very own cupcake).

Looking to the future

Eventually, however, experts predict that most of our long-standing rituals and habits will reemerge as restrictions on our daily lives are eased.

Smith is certain, for example, that shaking hands — a gesture of goodwill that dates back as far as 5th century Greece — will become the norm in the United States once more.

“We will return to shaking hands,” she says. “It may not be until 2025, but eventually we will.”

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A Jesus Fan With A Jesus Face Mask

This is from Facebook. This really is a great face mask.

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-Get the perfect gift for loved ones Order Now : https://rebrand.ly/rty5pvc

Image may contain: one or more people and closeup
Jesus Fan
Fashion Model
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Just Because You’re Struggling

This is from Facebook. I imagine that there are quite a few people that feel like they are failing when they are struggling. It’s very hard to understand how anybody can even think that they are not failing when the struggling gets worse and worse, and it seems like things are never going to change. I have gone through it many many times. But I have some secrets that I try to fall back on, and here lately they have worked just fine.

I love music, especially Christian music and Southern Gospel. Whenever things start going wrong, I try to sing as many songs as I can remember. This is especially true when I am alone. It’s sort of praying and singing at the same time, if you can imagine it. Music has always cheered me up. Especially the songs we sing in Church. After all the Bible says:

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I looked it up on Google and this is what the results are.

Psalm 100 is the 100th psalm in the Hebrew Bible of the Book of Psalms. In English, it is translated as Make a joyful noise unto the Lord, all ye lands.” in the King James Version (KJV), and as “O be joyful in the Lord, all ye lands” in the Book of Common Prayer (BCP).

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I make a noise that is joyful to me. I don’t know how joyful it is to other people, but as long as it’s joyful to me at the time, that’s all that matters.

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Sometimes I try to think of really special and upbeat things to try. One of the things that I try is reading the poem, “God Has Not Promised” You will find it below. I looked this up on Google as well.

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BY ANNIE JOHNSON FLINT
God hath not promised skies always blue, 
Flower strewn pathways all our lives through;
God hath not promised sun with out rain,
Joy without sorrow, peace without pain.

Chorus:

But God hath promised strength for the day, 
Rest for the labor, light for the way;
Grace for the trials, help from above,
Unfailing sympathy, undying love.

Chorus

God hath not promised we shall not know 
Toil and temptation, trouble and woe; 
He hath not told us we shall not bear 
Many a burden, Many a care.

Chorus

God hath not promised smooth roads and wide, 
Swift, easy travel, needing no guide;
Never a mountain rocky and steep,
Never a river turbid and deep.

Chorus

* Public Domain in US Only.

Words © This text is in the Public Domain

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Image may contain: 1 person, possible text that says 'Just because you're struggling does not mean you're failing.'

Not everybody has everything handed to them on a silver platter. And even the ones that do seemingly have everything, could still be struggling. Struggling just shows that you are trying to accomplish whatever thing it is that you are working on.

I Would Survive

This is from Facebook. I have seen other signs pointing out the same thing, but there are still people that will not be encumbered with having to put on a face mask and gloves to protect them selves and to protect others. There are many people that are following the quarantine guidelines by wearing the mandated face mask and gloves, yet they and or a member of their family still ends up being stricken by the COVID-19 virus. And when one of the family members or friends has to go it alone, all the way to the very end when they go towards the light, they probably wonder what they did wrong to be inflected by the COVID-19 virus.

Then you see it on TV, or in the news paper, and sometimes even in real life, people that either think they are invincible or just don’t give a hoot about anybody period. Not only do they run the risk of becoming stricken by the COVID-19 virus, but also death. They may not be quite as strong as they thought they were to be able fight off the virus and it ends up not only killing them, but also their family members and friends.

When this happens, there is no telling how many people will end up with the virus and dying, when it could have all been avoided if they would have only followed the mandated guidelines of the quarantine, and put on a face mask and gloves. So simple of a procedure when compared to all that has to be done when anybody dies. what with the autopsy, the clothes they have to be buried in, the casket they have to be laid to their final rest in, the vault to put the casket in, and finally the burial plot the vault with the casket inside of it has to be placed in. You’re talking about thousands if not hundreds of thousands of dollars that has to be spent on each one of the avoidable victims you caused to catch the virus,

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https://i0.wp.com/d3926qxcw0e1bh.cloudfront.net/post_photos/63/09/6309bf792e80a896d04a6bfeb7b8dd0e.jpeg?resize=584%2C584&ssl=1

Do You Pray?

This is from Facebook. It’s talking about the different things to pray about, and how those are done. There are things that we do as a matter of habit and don’t even give them a second thought. For me, that was until today when I first read this prayer. I am doing some of these things myself, and never even consider that they could be and/or were a form of prayer.

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Image may contain: possible text that says 'you Pray? loved this interpretation of Prayer. is prayer? Prayer doesn't just happen when kneel or our hands together and focus and expect things God. Thinking positive wishing for others is prayer. hug friend. prayer. something nourish family friends. That's prayer. When send near and dear ones say, safely' or 'be That's a prayer. When you are helping someone in by giving your time and energy. You are praying. forgive someone by *That is prayer. Prayer is vibration. feeling. thought. Prayer friendship, genuine relationships. Prayer is expression of your silent being. *Keep praying always*'

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Other than prayer being how we are supposed to talk to God, I never really thought about it this way.The biggest thing about praying was being taught that I was supposed to thank God for everything. And the EVERYTHING included the good and the bad. It was the thanking God for the bad stuff that I couldn’t understand.

I was in my mid to upper twenty’s before it was explained to me the way that actually made sense. In the process of explaining it to me, a poem was used about what God had and had not promised us.Here is a copy of the poem that I looked up on Google:

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God Hath Not Promised

1 God hath not promised skies always blue,
Flower-strewn pathways all our lives through;
God hath not promised sun without rain,
Joy without sorrow, peace without pain.
But God hath promised strength for the day,
Rest for the labor, light for the way,
Grace for the trials, help from above,
Unfailing sympathy, undying love.
2 God hath not promised we shall not know
Toil and temptation, trouble and woe;
He hath not told us we shall not bear
Many a burden, many a care.
3 God hath not promised smooth roads and wide,
Swift, easy travel, needing no guide;
Never a mountain, rocky and steep,
Never a river, turbid and deep.******************************************************************************************************************************

In that being explained to me, as the saying goes, “I saw the light.” I realized what thanking God even for the bad stuff meant, and it finally made sense. We have to have some things bad in our life or we would never know just how good the good was. Even after it being explained to me in a way that I could understand, it was hard to thank God for it. So in my prayers, I even told God about not wanting to thank Him for the bad stuff, and how weird I felt doing it. But eventually, I came to a place where I could thank God for everything while saying my prayers.

It no longer seemed illogical to do it, like it first did. I even started lifting prayers up to God during the day, and not just at bedtime. It really does make a difference in my whole being and how I feel throughout the day. Now instead of never thanking God for the bad, I literally thank Him for EVERYTHING that happens in my life, and everything that is given to me, as well as things that I had at one time, but no longer have for various reasons. When I catch myself getting upset about certain things that I have lost, I talk to God about that too.

If you are a person that does not pray, you may want to start doing it. You will feel strange at first, but after doing it for a while, it will become very pleasant to you. There have even been times that I wished the day would hurry up and end so I could say a long prayer instead of just praying little prayers throughout the day.

Watch Out For Copperheads

This was on Facebook. It’s that time of year to watch out for different things. There are snakes, spiders, wasps, hornets, and any number of different crawling and flying living things, and this year I have even heard about the Killer Bees. They are really powerful and pretty big as far as the film where one attacked a wild mouse. When the Killer Bees get other flying bugs, they catch them and bite off their heads. Their sting is so poisonous that it can kill a grown up, let alone what they can do to a small child. Just beware of your surroundings.

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Image may contain: outdoor, possible text that says 'If you're gonna lean on a tree, always look for the baby copperheads. The babies pack more punch than the adults! Yowza! Do you see it?'

About Doctors And Preexisting Conditions

This was on Facebook.The comment by a reader is first, then the picture of the doctor that the article is about. They are separated by the lines so you know which is which. The very last comment is mine.

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“Within the medical world itself, there is a powerful culture of ableism. Social norms emphasize “superhuman” efforts of those who toil around the clock, endure without food or breaks, and above all, don’t complain. Nowhere is this culture more prevalent than in medical schools and residency programs, where students and residents are even less empowered to self-disclose an illness or disability and ask for accommodations. One can imagine how these discussions sometimes play out on the backdrop of a professional culture that debated for years the wisdom of limiting residents to 80 hours per week.”

It is always ridiculous that we expect students, residents, and physicians to engage in unhealthy practices like denying basic needs to eat, sleep, or use the bathroom at reasonable times. It is even more dangerous and innapropriate now.

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Jurisprudence

Hospitals Need to Keep Doctors With Preexisting Conditions off the Front Lines

 

A doctor walking down the street in a face shield and lab coat, looking like a character out of Star Wars.
A physician is seen outside at Elmhurst Hospital Center in the Queens borough of New York City on March 26.
Angela Weiss/Getty Images

After 37 years practicing medicine in San Francisco, Dr. Donald Abrams is hanging up the stethoscope on June 29, 2020. A pioneer in the fight against AIDS, his extraordinary career is now, as he put it to me, “bookended by epidemics.” Because of the fear around AIDS in the early years, with an unknown mode of transmission and a 100 percent mortality rate at the time, some providers understandably did not want to care for that population. But Donald bravely and tirelessly treated these mostly gay young men who were withering with the disease. Now, still energetic at 70, Donald was eagerly anticipating his last-ever two weeks leading a hospital’s inpatient medical team starting on April 4. With the onset of COVID 19, however, he began to have second thoughts. He sheepishly asked a colleague about the risk, given his age and asthma. The colleague replied, “Grow up and wash your hands…You know how to handle an infectious disease.”

Over the next two weeks, his family and friends increasingly expressed concern. “I did not want to make [their] life difficult,“ he wrote of his employer, “but I was getting cold feet.” An inpatient medical team, led by a faculty internal medicine doctor, is composed of interns, residents, and medical students. Large hospitals usually have multiple teams caring for hospitalized patients. Also known as the medicine teaching service, they admit patients from the emergency department, take care of them on the wards, and, depending on the hospital, may follow them into the intensive care unit, if necessary. Finally, he mustered the courage to say, “I cannot bring myself to, and no one who cares for me would let me attend on the medicine service.”

“I felt guilty, forcing them to scramble and look for a replacement with such short notice,” Donald, a friend of two decades, told me. “And the irony of me being on the front lines in the HIV [start] of my career but declining to participate during the COVID portion was not lost.”

In the end, his colleagues reassured him “that I had paid my dues and now was the time to keep me safe,” he said. Bowing out is not how he wanted to end his career, but he had to accept that it was the sensible and ethical thing to do.

As a physician with a disability, I faced a fairly similar dilemma. I have a spinal cord injury, and although I am an associate professor of radiology at a top teaching hospital, I too became anxious about working after reading about the mounting cases of coronavirus infections and COVID-19 illness in the United States. Was I at higher risk for a severe infection or a bad outcome? In early March, the website of the U.S. Centers for Disease Control and Prevention listed only a few chronic conditions as risk factors. Yet I knew the list was incomplete, leaving out obvious conditions such as immune suppression and neurological conditions.

I consider myself strong and resilient, having lived through the experience of rehabilitating and rebuilding my life after my accident. I am also generally “healthy”—I do not have a chronic illness. But my injury weakened my diaphragm and respiratory muscles in addition to my arms and legs, so I have diminished lung function and a persistent, feeble cough. That means I would have difficulty fighting coronavirus, and more difficulty weaning off a ventilator—should I need one.

Before social distancing and “shelter in place” orders, I felt acutely self-conscious about my concerns of working amid the virus. Was I blowing the risk out of proportion? After some intense reflection, I emailed my division chief and department leadership requesting permission to work from home. My department has always been supportive, and this was no exception. As a purely diagnostic radiologist, who doesn’t do invasive procedures or have a clinic, most of my patient “interaction” is through their radiologic images. For this reason, the accommodation request was not unreasonable. Indeed, I could do the same volume of work from my home workstation as I could in the hospital.

Unfortunately, not everyone’s employer is so supportive. Around the same time, an immune-suppressed radiology resident at another institution emailed me for advice. The resident’s request to read CT scans and the like “remotely” was met with skepticism and delays. Despite an email from a director asking about pre-existing conditions, there was no reassurance that steps would be taken to protect them. A faculty member to whom the resident reached out for advice confided that not coming into the hospital might make other faculty less confident in the resident’s abilities. Ultimately the faculty member told him to “be careful,” emphasizing that all healthcare providers are taking a risk and that the physicians who have lost their lives to coronavirus are heroic, which added to the resident’s guilt

The volunteerism of healthcare providers during this COVID crisis is commendable, and very different from the fearful response to AIDS. Many are risking their lives in the service of others, especially where there is a shortage of personal protective equipment. But is it ethical to put health care providers with high-risk medical conditions on the front lines? Some of our colleagues are on immunosuppressive drugs for organ transplants, have autoimmune diseases, or are on chemotherapy. Data are limited for SARS-CoV-2, as this coronavirus is named, but similar viruses can more easily infect them, taking advantage of their inability to mount an immune response, even leading to pneumonia and multi-organ failure. Not only would this take them out of the workforce, but they are more likely to utilize valuable resources, such as ICU beds and ventilators, should they fall ill.

So how could the physician workforce engage its “docs with disabilities” while not endangering them?

I believe that supervisors should work with providers who have disabilities and chronic illness to move them away from the front lines and into other roles where they can still participate, but at a safer distance. They could do virtual rounds with inpatient hospital teams, or perform telemedicine visits to help keep vulnerable outpatients away from the hospital. They could help their colleagues with unmet research obligations. Although some work up front would be required to rethink workflows, not much imagination is required to generate these and other options.

There are, in short, many cost-effective and humane accommodations that would be worthwhile. These measures make so much sense that hospital leadership should be inspired to act, and public health officials focused on the pandemic at the local, state, and federal level should consider ways to encourage such measures. In fact, now that we have seen that telemedicine works well, we should not abandon it after this pandemic. It not only is more convenient for patients, but it also could make medicine as a career more accessible, and to help marginalized physicians stay in the workforce.

Within the medical world itself, there is a powerful culture of ableism. Social norms emphasize “superhuman” efforts of those who toil around the clock, endure without food or breaks, and above all, don’t complain. Nowhere is this culture more prevalent than in medical schools and residency programs, where students and residents are even less empowered to self-disclose an illness or disability and ask for accommodations. One can imagine how these discussions sometimes play out on the backdrop of a professional culture that debated for years the wisdom of limiting residents to 80 hours per week.

Our more junior colleagues with disabilities are both more impacted by the ableism, and more likely to internalize it. They may be reluctant to admit limitations, and eager to prove their strength. Consequently, it falls to leadership to initiate the conversation broadly, to normalize sensible self-protective behavior for all, but especially for those at higher risk.

As cases and deaths mount, we should not be lulled into complacency by the possible successful flattening of the curve in some locations. We need to be aggressively proactive about protecting our high-risk staff. We may not even know the medical history of providers in our departments and may be surprised at who is vulnerable during this pandemic.

So, official policies must communicate support for high-risk providers, encourage requests for accommodation, and help reduce the guilt and shame that may serve as a disincentive to disclosure. Under these conditions, providers can request accommodations that minimize exposure, save lives, and still serve patients.

The author wishes to thank Drs. Lisa Meeks and Arghavan Salles for their suggestions and edits.

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It all depends on what the preexisting condition is. Is it physical, and can be handled by something like a cane or a wheelchair, or is it medically contagious to others, like HIV, or could cause bigger problems like having seizures would? I’m sure that the ADA laws include medical personnel.