Essay on Brenda Seggerman HP - 612 Words

EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Brenda C. Seegerman Patient ID:903321 Date of Admission 3/27/2012 Emergency Room Physician: Alex McClure, MD Admitting Diagnosis: Eptopic Pregnancy CHIEF COMPLAINT: The patient presents to the emergency room this morning complaining of lower abdominal pain. HISTORY OF PRESENT ILLNESS: The patient states that she has been having vaginal bleeding, more like spotting, over the past month. She denies the chance of pregnancy, although she stated that she is sexually active and using no birth control. GYNECOLOGIC HISTORY: Patient is gravid 2, para 1, abortus 1. Her only child is a 15-year-old daughter who lives in Texas with her grandmother. PAST MEDICAL HISTORY:†¦show more content†¦Heart: Regular rate and rhythm. Abdomen: Soft with positive tenderness of her lowed abdominal area.Fundus was not palpable above the pubic area. Left adnexa are more tender than the right. Viginal exam: The cervix is closed. A moderate amount of mucopuruent vaginal discharge is noted. The patient would not allow me to perform a bimanual examination due to her pain, so the speculum was withdrawn. Extremities: No clot, no edema. Neurologic exam: Intact, oriented x3. No neurologic deficits. DIAGNOSTIC DATA: Admissions hemoglobin 12.8g, hematocrit 36.6%. Urinalysis is essentially negative. Beta-hCG is positive with a WBC count of 23,278. RADIOLOGY: Pelvic ultrasound shows a 7week 4-day-old viable ectopic pregnancy pre Radiology. The patient was given Demerol 25mg and Phenergan 25 mg IV for the pain after her report was obtained. She was also given Claforan 1 g IV. I paged Dr. Gerard, patient’s GYN physicial, as soon as I recived the ultrasound report at approximately 10 a.m. His office personnel advised me that he is not on call. Dr. Bumbak is on call. I spoke with Dr. Bumbak at approximately 10:25 a.m., and she will be here to take the patient to the operating room. ADMITING DIAGNOSIS: Left ectopic first-trimester pregency. DISPOSITION: The patient received an IV of lactated Ringer’s upon arrival at the emergency room. This was switched to normal saline while we were awaiting Dr. Bumbak’s arrival. The surgical procedure was explained to the patient and her

The Crucible The Potential Of Change - 916 Words

Joie Lim Johnston English 11H, Period 7 8 October 2015 The Crucible: The Potential of Change Introduction: In The Crucible, Arthur Miller recreates the anxiety and hysteria of the Salem witch-trials from 1692. Although the title, not once is the word â€Å"crucible† spoken in the play. However, the people and events of the Salem witch trials correspond with the definition of a â€Å"crucible†. The Merriam-Webster Dictionary defines â€Å"crucible† three ways: â€Å"A pot in which metals or other substances are heated to a very high temperature or melted†, â€Å"a difficult test or challenge†, and â€Å"a place or situation that forces people to change or make difficult decisions† (â€Å"Crucible†). The definitions metaphorically and literally align with different aspects of the play: Abigail Williams and Thomas Putnam’s acrimonity, the testing of John Proctor and Thomas Danforth’s virtues, and the change in religious outlook after Salem. Because of the crucible’s broad meaning, the title perfectly encapsulates the effe cts of paranoia on a rigid and volatile environment. The Witch trials can metaphorically represents a pot heating up metals to a high temperature. The pot can be seen as Salem filled to the brim with naive Puritans who were being heated to hysteria by paranoia, jealousy, and greed. Emotional instability shook Salem when news of girls falling lifeless and inanimate after being caught dancing in the forest--a taboo amongst Puritans during the colonial era. Amongst the dancers was AbigailShow MoreRelatedThe Characteristics Of A Tragedy In The Crucible By Arthur Miller990 Words   |  4 PagesWhat makes a tragedy a tragedy? According to Aristotle, specific criteria exist to define a well-written tragedy, and The Crucible by Arthur Miller is a quality example. 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Leonardo Da Vinci Science and Paintings Free Essays

Leonardo Da Vinci: Science and Paintings Leonardo was a polymath which means he was very knowledgeable and had a large number of expertise’s in many different subjects, a polymath is also known as a renaissance man which Leonardo was titled by many people. He was the first to combine math and science together. Da Vinci started the science revolution which revolutionized the way that scientists researched their information ever since. We will write a custom essay sample on Leonardo Da Vinci: Science and Paintings or any similar topic only for you Order Now Leonardo Da Vinci is widely known as one of the greatest painters of all time and has created many iconic and famous paintings. He used his knowledge of science and his artistic talent together to enhance his artwork. He used objects and pieces of objects that would affect the way light appeared on some of his work and used his study of land to enhance and create nature backgrounds and paintings. Leonardo never finished his work in a short period time he always took a few years or more to complete them in means for his most famous pieces. The Mona Lisa is one of the most famous pieces of his collection. Mona Lisa is the best known, most visited, most written about, the most sung about and the most replicated art painting in the world. Mona was a painting of another man’s wife that had been asked to be painted. Leonardo never returned the painting back to the couple even though he was paid to do the painting. This painting was started in 1503/1504 and was worked away at slowly until 1519. The Last Supper is another very famous painting of his. This painting is the most reproduced religious painting of all time. The painting showed Jesus and his twelve disciples eating supper when he announced that one of the disciples would betray him. This painting was started in 1495 and was completed in 1498. How to cite Leonardo Da Vinci: Science and Paintings, Essay examples

Goldsmith Bankers Essay Example For Students

Goldsmith Bankers Essay Goldsmith Bankers Contents Introduction3 Essential Functions of Goldsmith Bankers3 Advantages and Disadvantages of a Formal Banking System5 Conclusion6 Work Cited6 Introduction Goldsmith Bankers and moneylenders were essential functions in all places where formal banking had not yet taken root. (Black, Reading 4-3, p. 2) Edward Backwell was a prominent goldsmith banker during the seventeenth century who performed many functions that a bank would normally perform. He along with other goldsmith bankers assisted in laying the ground work for today’s formal banking system. In his dealings as a goldsmith banker he facilitated trade, funded the government, and provided money for the military. The evolution of the banking system brought with the change attributes that are good and attributes that are bad, as such there are advantages and disadvantages to the creation of a more formal banking system. Essential Functions of Goldsmith Bankers As the mercantile revolution began and merchants flocked to the shores of England with silks and spices from the orient goldsmith bankers were used by these entrepreneurs to store the vast amount of gold they collected, and the goldsmith bankers issued loans to traders in need of capital. â€Å"The history of money†, Wikipedia) Goldsmith bankers facilitated trade by changing foreign money, trading valuable items, accepting deposits of gold on which they paid interest and giving loans on which they charged interest. For the above transactions written paper receipts were issued and used for trade in the market place as this was safer and easier than carrying amounts of gold around in their person. These written receipts were used in the same manner that we would use currency today and their value depended on the reputation and well being of the goldsmith banker, â€Å"The goldsmith, transformed into a banker, made another discovery: he realized that putting plenty of receipts (credits) into circulation would accelerate business, industry, construction; whereas restriction of credits, which he practised at first in circumstances in which he worried about a run on the bank for gold, paralyzed business development. (The Goldsmith Who Became a Banker, a True Story) As these written receipts became the replacement for the physical trading of gold the goldsmith bankers realized that the gold in their safe houses/vaults were not being â€Å"moved† as much and since human greed can take roots notes could be written in excess of the value of gold on hand. With not enough gold backing the notes the written receipts could be discounted, that is would be worth less than its face v alue if the goldsmith banker wrote too many notes and did not have enough gold to satisfy claims against the gold, â€Å"To lend gold which does not belong to me, at interest, needless to say! Better still, my dear master (was he talking to Satan? ), instead of the gold, I will lend a receipt, and demand payment of interest in gold; that gold will be mine, and my clients gold will remain in my vault to back up new loans. † (The Goldsmith Who Became a Banker, a True Story) Goldsmith bankers like Edward Backwell were highly important to the government as Mr. Backwell not only loaned money to the kings and government of his time but he also carried on international dealings on their behalf. Black, Reading 4-3, p. 5) This representation that was bestowed upon Blackwell probably stemmed from his business dealings and connections in France, Flanders (Belgium), and some of the German states, â€Å"Probably a result of his trade – arbitrage – in foreign coinage,† (Black, Reading 4-3, p. 5) The government settled claims on his behalf when he was abroad taking care of state business this emphasized the importance of Mr. Backwell (Black, Reading 4-3, p. ) a nd the power of â€Å"money† which he held over the state. He would turn down requests for loans that were made by the king and government and he showed no regard for their repayment rotation, since he would hardly wait his turn. (Black, Reading 4-3, p. 5) â€Å"He aimed his government loans at the protection of sea-routes and consequently of trade. † (Black, Reading 4-3, p. 7) This appeared to be in the effort of self interest as Mr. .u5fb5d57ce9cd545f8c4d5be0d46d761c , .u5fb5d57ce9cd545f8c4d5be0d46d761c .postImageUrl , .u5fb5d57ce9cd545f8c4d5be0d46d761c .centered-text-area { min-height: 80px; position: relative; } .u5fb5d57ce9cd545f8c4d5be0d46d761c , .u5fb5d57ce9cd545f8c4d5be0d46d761c:hover , .u5fb5d57ce9cd545f8c4d5be0d46d761c:visited , .u5fb5d57ce9cd545f8c4d5be0d46d761c:active { border:0!important; } .u5fb5d57ce9cd545f8c4d5be0d46d761c .clearfix:after { content: ""; display: table; clear: both; } .u5fb5d57ce9cd545f8c4d5be0d46d761c { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u5fb5d57ce9cd545f8c4d5be0d46d761c:active , .u5fb5d57ce9cd545f8c4d5be0d46d761c:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u5fb5d57ce9cd545f8c4d5be0d46d761c .centered-text-area { width: 100%; position: relative ; } .u5fb5d57ce9cd545f8c4d5be0d46d761c .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u5fb5d57ce9cd545f8c4d5be0d46d761c .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u5fb5d57ce9cd545f8c4d5be0d46d761c .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u5fb5d57ce9cd545f8c4d5be0d46d761c:hover .ctaButton { background-color: #34495E!important; } .u5fb5d57ce9cd545f8c4d5be0d46d761c .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u5fb5d57ce9cd545f8c4d5be0d46d761c .u5fb5d57ce9cd545f8c4d5be0d46d761c-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u5fb5d57ce9cd545f8c4d5be0d46d761c:after { content: ""; display: block; clear: both; } READ: Terminus Hotels EssayBackwell’s business and status depended on his wealth which in turn depended on trade, both foreign and local. He was interested in becoming the treasurer of the Tangier Commission which would have put him in a position to influence England’s foreign policy. (Black, Reading 4-3, p. 7) Advantages and Disadvantages of a Formal Banking System The concept of banking has not changed over time, the means by which we conduct banking have changed the rules surrounding banking have changed, but not banking itself. The bankers still use our money to make their money. Greed still has a leading role in the industry of banking as revealed in the economic crisis, dare I say banking crisis that the United States of America recently experienced. Thankfully, the chartered banks are governed by rules that are a little more stringent, yet there is enough room for the banks to make large amounts of profit all within the handshake between the banks and the government. Some of the advantages of a formalized banking system are; it facilitates trade on a global scale, as money can be transferred from one institution to another anywhere in the world. The credit card system allows for some sense of security as visa and other such cards are accepted worldwide and can be used in emergencies, however when a person falls into the trap of credit card debt they usually need a rather large shovel to dig themselves out, this shovel is sometimes called bankruptcy. The informal banking systems such as the barter system of the goldsmith banker systems lent itself to the community, that is they knew the situation of the individuals and may have been willing to help, large institutions may be reluctant to operate in remote and/or poorer areas due to high operation cost. Conclusion Through out history and possibly into the future the desire for wealth in any form has dictated man’s actions, as such there are several powers that govern a society, the government, the law and religious bodies all keep man’s greed from creating chaos (Black, Reading 3-8, p. ) however the power that governs all the above powers is still money. Work Cited Black, James. Humanist Issues in Commercial Practice. HC1 Readings Book. 1st ed. Burnaby: Certified General Accountants Association of Canada, 2009. â€Å"The History of Money. † Wikipedia (n d) Date of retrieval: July 3, 2010 â€Å"The Goldsmith Who Became a Banker, a True Story. † Michael J ournal (n d) Date of retrieval: July 6, 2010