the only things that are real 

are things which never change 

everything changes

 If you superimpose these two views, 

you get this result:

 Nothing is real

 In 1967, an orthopedic surgeon crashed his plane in the middle of nowhere with his family on board. He was shocked by how unprepared the local doctors were to treat his injured family. They prioritized what they could see: lacerations, open fractures; and didn't look for hidden injuries like brain trauma or internal bleeding. 

It inspired him to invent the Advanced Trauma Life Support program. 

The ATLS is only the beginning. What happens after that, is all on you. 

To be good at assessing traumas, you have to be good at dissociating. You're not looking at a person on the table. You're looking at a protocol. 

Sometimes the hardest part of working a trauma is finding yourself on the other side. Letting yourself feel. 

Mourn the lives you've lost and celebrate the lives you've saved. 

Even if it's only your own.

 the fact that some geniuses were laughed at does not imply that all who are laughed at are geniuses. 

They laughed at Columbus, 

they laughed at Fulton, 

they laughed at the Wright brothers.

 But they also laughed at Bozo the Clown

 In 1952, Dr. F. John Lewis performed the first successful open-heart surgery using hypothermia.

 By inducing a hypothermic state, the surgical team created a window of several minutes to close a hole in the heart of a five-year-old girl. That one surgery changed the entire course of human history. But as they watched her tiny heart, desperate for it to beat again, it could have gone either way. All they could do was hope. 

When you encounter a new beginning, there's no announcement on a loudspeaker. 

Blink and you could miss it. 

Or worse, ignore it. 

New beginnings can be scary.

 But they can also be deeply fulfilling. 

So let go, and dive in.

 

In the end, 

all you can do is hope for the best 

and trust you're making the right call

In the End - Song by Linkin Park

 It starts with one

One thing, I don't know why
It doesn't even matter how hard you try
Keep that in mind, I designed this rhyme to explain in due time
All I know time is a valuable thing
Watch it fly by as the pendulum swings
Watch it count down to the end of the day, the clock ticks life away

It's so unreal, didn't look out below
Watch the time go right out the window
Tryna hold on, didn't even know
I wasted it all just to watch you go

I kept everything inside
And even though I tried, it all fell apart
What it meant to me will eventually be a memory of a time when

I tried so hard and got so far
But in the end, it doesn't even matter
I had to fall to lose it all
But in the end, it doesn't even matter

One thing, I don't know why
It doesn't even matter how hard you try
Keep that in mind, I designed this rhyme to remind myself how I tried so hard
In spite of the way you were mockin' me
Actin' like I was part of your property
Rememberin' all the times you fought with me

I'm surprised it got so far
Things aren't the way they were before
You wouldn't even recognize me anymore
Not that you knew me back then, but it all comes back to me in the end

You kept everything inside
And even though I tried, it all fell apart
What it meant to me will eventually be a memory of a time when

I tried so hard and got so far
But in the end, it doesn't even matter
I had to fall to lose it all
But in the end, it doesn't even matter

I've put my trust in you
Pushed as far as I can go
For all this, there's only one thing you should know
I've put my trust in you
Pushed as far as I can go
For all this, there's only one thing you should know

 In the end, all you can do is hope for the best and trust you're making the right call.

The hardest thing about waiting is knowing when to stop.

Instinct may tell you one thing, and experience tells you another.

 All you can do is pay attention.

And hope that when the time finally comes, you'll be ready.

 

What transforms this world is — knowledge. 

Nothing else can change anything in this world.

 Knowledge alone is capable of transforming the world, while at the same time leaving it exactly as it is. 

When you look at the world with knowledge, you realize that things are unchangeable

 and at the same time are constantly being transformed.

 

For most of history, doctors had no way to stop pain. 

During surgery, patients felt every cut and stitch until they inevitably passed out. All a surgeon could do to minimize pain was work faster. 

That all changed when the first surgery was performed using ether as anaesthetic. 

Now surgeons faced a new dilemma. If a patient can't feel pain, when do you stop? 

Anything can be a race against the clock if you let it. 

Waiting for a promotion, having a child, eating the last yogurt in your refrigerator. 

Sometimes, you really are running out of time.

 Most of the time, it's all in your head. 

And when you let go of all that fear, the possibilities are infinite.

 There comes a point when the novelty wears off and monotony sets in. 

You go to work, you perform the same procedures over and over, you get home late, eat leftovers straight out of the fridge, go to sleep. 

Then you wake up and do it all over again. 

The second you get lulled into the routine, that's when it happens. 

That's when you 

 changed your life. 

helped you see the kind of person you wanna be.

 When a patient consents to surgery, they're not just trusting their lives to a surgeon. They're trusting an entire team. 

An anesthesiologist must continually monitor sedation, respiratory and heart rate, blood pressure. A first assist suctions and retracts, helping with every suture and staple. A scrub tech organizes and hands over surgical tools, saving valuable seconds and blood spilled. And circulating nurses document the case, keeping track of who touches the patient, what's used and when. 

Every member of the team shares responsibility in the patient's survival. If someone's not there, you're in trouble. 

When something's been in your life for a long time, you can often forget it's there. 

Whether it's a person or a place, sometimes you can take it for granted. You never consider you won't walk in that door again or hear that voice. 

But yet it happens every day. People experience unexpected loss. 

And as impossible as it may seem, don't give up. 

You have to believe you'll find hope again.

 

Always forgive, but never forget,

 else you will be a prisoner of your own hatred,

 and doomed to repeat your mistakes forever

 

A person may appear a fool and yet not be one. 

He may only be guarding his wisdom carefully.

 

No man can reveal to you aught but that which already lies half asleep in the dawning of your knowledge.

The teacher who walks in the shadow of the temple, among his followers, gives not of his wisdom but rather of his faith and his lovingness.

If he is indeed wise he does not bid you enter the house of his wisdom, but rather leads you to the threshold of your own mind.

  

The waiting can kill you. 

You make a decision and then the world has to turn. The consequences unfold, out of your hands. 

There's only one thing that seems clear in those quiet moments while you wait: whatever you choose, was wrong. 

We just wanna survive the storm. We pray, please God, just get me to the other side. 

We never imagine what it will be like when we get there. 

What if, when the storm passes, nothing's left? 

I always said I could handle anything. I was wrong. I was wrong about a lot of things.

But I was right about one thing

: I was right about this.

 

What are you afraid of losing 

When nothing in the World 

Actually belongs to you

November Beaver Moon

 

Wednesday November 5: Beaver Moon - Supermoon

 

Wednesday November 5: Beaver Moon - Supermoon