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Liz Hall (Painspeaks)
9,099 followers -
Founder Pain Sufferers Speak's Global Community
Founder Pain Sufferers Speak's Global Community

9,099 followers
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Your Legacy is Your Choice. Your choices add up to your life's work. I encourage you to plan long term. Keep yourself on track by setting realistic goals, celebrating even the smallest steps, and keep a willingness to adapt, and adjust as needed. Don't just sit back, and wait to see what life throws at you. Instead, plan ahead, and be an active participant in your life, and the lives of your children, and grandchildren. Every choice matters. Don't let disability, pain and illness stop you. Make lists of what you want to accomplish, break the goals up into small steps, and as you feel able, check off items as you complete them.
"A journey of a thousand miles begins with a single step" ~Lao Tzu
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Abraham Verghese makes some valid points. Surgeons, Physicians, residents (already physicians but not yet specialists) and medical students (modern medical students are quite savvy) clearly understand the importance of the physical exam. A very obvious example is that up to 10-15% of breast cancers may be felt on physical exam but not apparent on mammography; a negative mammography is insufficient. The best way to find a rectal cancer is with the gloved finger and catching it before it becomes symptomatic can be lifesaving. The physical exam is an important part of the bond patients form with doctors. Patients understand that if you omit it, you are short changing them. There are many factors that militate against routinely performing proper physical exams. Socioeconomic factors may force a 10-15 minute time limit even for patients with a very long problem list. The advent of truly spectacular imaging may make the humble physical exam seem superfluous. That is a pernicious misconception. We will see what happens when genomics, proteomics, and such come into full bloom but my guess is that even then, physical examination will play a role, at the very least as part of the healing ritual. Physician burnout is a major problem which is multi-factorial. It is partially due to moral distress caused by societal factors preventing doctors from providing the high quality care they wish to give their patients. It is in part due to being forced in some settings to function as data entry clerks. We as seniors have a responsibility to teach people to use EMR's effectively, to take full advantage of their patient safety and decision support functions and even automation features of CPOE and care maps while skillfully avoiding pitfalls of having our heads buried in the computer screen. Mentors must avoid the temptation of ingratiating themselves in front of medical writers by denigrating their peers. The writers can do that all by themselves and this contributes to burnout among students, residents, and seasoned physicians alike. We have a responsibility to respect our elders, our peers, and our students and to infuse our students with enthusiasm of the sacred bond between doctor and patient and the marvels of the healing arts. www.facht.org
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https://youtu.be/BQ9dixJBeBQ
Here are 15 Great Shots From The Hubble Telescope. These are public files that can be found in numerous places. There is a ton of them but here are 15 I really personally thought were cool. These images are some of my favorites. Just goes to show how far we've come. This video is 01:42 long.

Hubble Images come in by the hundreds of new great looks of unexplored and explored locations in space. If you like space pictures from the Hubble Telescope then please Subscribe if you liked the video.


Relax and check out these great shots! I like these personally and I encourage you to check out the NASA royalty free videos online. These are just some of the amazing photos you can find here on my channel. I hope you enjoyed this video. The view of the Universe through these images it quite amazing and these are some of the astounding NASA Hubble Telescope pictures with audio swap with calm ambient music.

If you enjoyed this video,Please Like,Share,And Comment. Please Subscribe for future videos of nature,space,and music.
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You can check out the song The Little Things by Danny Elfman at https://bnc.lt/Scoe/VxJ26m61pD
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You can check out the song In The Light by Led Zeppelin at https://bnc.lt/Scoe/Y0lloUAKQG
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You can check out the song Fly Like an Eagle by Steve Miller Band at https://bnc.lt/Scoe/dWwygZ2RWG
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