Crash Into Me

We chose medicine to save lives.
We chose medicine because we want to do good.
We chose medicine for the race, the emotions, the journey, .... but what we remember at the end of the day are the losses. What makes us stay awake, eh pain we cause when we fail, the lives they ruin or not to save.
The experience of practicing medicine rarely resembles the goal. The experience often goes backwards and upside down.
At the end of the day, the medical practice hardly resembles a dream.
Some days the world seems upside down ... and then somehow, improbably, and when you least expect .................................... around the world to go straight.

A Change is Gonna Come

In the practice of medicine-changing eh inevitable.
New surgical techniques arise, procedures are updated, the levels of knowledge increase.
INNOVATION EH EVERYTHING!
Nothing keeps a long time. We either adapt to change, or stay behind.
CHANGE.
Not like something, we fear it ...... but we can not stop them.
We either adapt to change, or stay behind.
Eh painful process of growing ... who says that is not it, is lying.
But the truth ... eh .... that sometimes the more things change the more they stay the same ...
And sometimes, the change eh boa.Algumas times change, eh ...... everything!

Under Pressure

The key to a successful internal eh what renounce: sleep, friends, a normal life. We sacrifice everything for this amazing moment, that moment when it becomes officially a doctor. There are days when the sacrifice seems worth it. And there are days when everything seems to be a sacrifice.
And also there are the sacrifices that you are not because the account is doing.
A wise man once said you can have whatever you want in life, to sacrifice everything else for it. What I wanted to say that eh: everything has its price.
So, before going into battle ... who decides how much better is willing to lose.
Many times, finding something that makes you feel good, it means doubting everything he thought was right. Allowing someone between means abandoning the walls that spent his life building.
Of course the greatest sacrifices are the ones that are imperceptible, arrive when we do not have time to put a strategy, to choose which side to be, or measure the possible consequences.
When this happens, when the battle chooses us instead of choosing someone else, eh there that the sacrifice can turn into something more than we can bear.

Admitted to The Language of Emotion in Body ...

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Admitted to The Language of Emotion in Body ... Integrate exercise capacity is activated and developed through the practices of being and being, feel and show if identified, active, fluent and participant. It is the result of the exercise of appropriateness, naturalness and communication. It is the purpose of living, to understand, adjust and develop relationships. The absence of a feeling of segregation. The experience of completeness ... The man, the human form, as Individualized Energy in search of evolution, lives and is able to recognize emotions and feelings of different qualities and reacts so well differentiated, with each experience. The experiencing is through the sequential movement of impulses, consisting of specific vibrations, issued by the Centers of Force (Chakras), reflected and vibrated by vibrating structures compatible to that quality, take shape and move the body segments correlated. The body segments are translation tools, materialization and manifestation of the impulses and promotion of physical and biological reactions that allow their awareness and satisfaction. ID capability and depends on the pulse of the stages of CENTERING, PERCEPTION, INTERPRETATION AND EXPRESSIVE FREEDOM already achieved by the individual. When properly used, the pulses are highly evolved and transmuted through the action, return to the Cosmos, allowing the feedback of SER by improving the individual in that role and contributing to the D EXPANDING UNIVERSE PERSONAL AND COLLECTIVE ... Health is the state that is won through the UNIQUE EXPRESSION AND SPONTANEOUS impulses and feelings emanating from the SER. It is the experience of feeling of INTEGRITY, FUN IN THE PRESENCE OF EVERY MOMENT ... the full exercise of the purposes and designs of its own essence. The health requires EXPRESSION OF INTERNAL FREE ... the use of unique gifts and talents, the continuous creation and recreation of new opportunities for growth and evolution. SENSITIVITY, innate ability to perceive is the LINK BETWEEN HUMAN AND SPIRITUAL ORIGIN ... is the vehicle that provides the contact with the human truth in all planes of existence. The existence of innate limitations of choice is part of the SER and involves qualities and potentials that need to be developed in this lifetime. The acceptance of limits to spontaneity, whether by historical influences, hereditary, environmental or education, that since the conception of the individual creates obstacles means that represses, discourages and freeze sensitivity. The FEELINGS, EMOTIONS AND FEELINGS WHATSOEVER AND IN ANY SITUATION, signals the EXPERIENCE OF LIFE ... ARE blaze that FEED THE INDIVIDUAL AND HUMANITY AND AWAKEN A SINGULARITY AND SIGNIFICANCE OF EACH EXPERIENCE ... When you validate, guide and promote PEACE, FITNESS, JOY, PLEASURE ... ie, HEALTH ... In an effort to health, most people search in the external "balance." The training program and impose the usual forgetting that the real balance is in INTERNAL and the lack of this knowledge leads the individual to confuse balance with the "stability" gained ... when it accepts the external drive for approval of their acts. The adoption of rules of coexistence and good manners also ensures that apparently, safety, acceptance and "love." The cultivation of behaviors that satisfy most of others than himself requires the inhibition of wants and needs, limits creativity and expression and stimulates the predominance of intellect and rationality. Depending on the external dependence of recovery and resistance to the process of Self-Acceptance, the individual keeps the emotional and mental bodies in constant conflict ... Physical Body and the direct reflection of the movement of energy, reacts to this imbalance. The disturbances generated manifest initially in the subtle planes. WILL, AND THE FEELING THINKING are functions that are to be translated and used differently by the Person (all that vibrates in my Essence) and personality (representing my Essence). This differentiation generates estrangement and alienation, disease. Fearing the development, goal of continuity of the SER, the fear that "prove" leads to mistaken identity, the personality you want to remain in a state of inertia, chose "not", it crystallizes in is a known form. This generates an imbalance of vital energy, the disconnection itself, reflects the conflict of disobedience to the spiritual impulse of Being, denial of evolution from the continuous "becoming". The basic function of the physical body is to be the manifestation of CANAL subtle vibrations, is to experiment, learning, development of skills and capabilities, and encouraging the creation and allow withdrawal of dissatisfaction when there is no expression or proper use of impulse already in motion. Dissatisfaction arises when a primary impulse although recognized, is neglected by personality. This condition causes turmoil on Subtle Bodies and induces sedimentation and materialization of momentum in the physical body in the form of tension. If by unconsciousness or submission to prescribed values, not the expression of impulses occurs repeatedly pumped, the area activator (resonance or representative impulse) comes into stress, and reduces their creative vitality and inhibits the local flow and correlated. The repeatability of this process causes the generating area between idle, setting a lock or a disease. How is the PURPOSE OF INTERNAL LIVING THE TRIAL ... are mobilized impulses that activate other body parts, functions or mental states that reflect the same needs in a more accepted by Personality. It follows the structure and the adoption of gaming behavior, attitudes that make people distanced themselves, but adapted to the environment. The illness will be superficial or deep, acute or chronic, disabling or not, mild or severe, this or that organ or structure, according to the type or degree of imbalance and the process experienced by the individual. The riots are always a form of purification of the imbalances, a sound attempt to find the way, the health of thoughts, feelings and actions. For more serious and that seems to be limiting, the disease objectively motion, continuity and growth, never to dullness, passivity and accommodation. The disease is early felt, lived on the subtle planes. When the disease settles in the Physical ... this is the last stage of the illness process and the beginning of the movement of purifying, reorganization conscious behavior for the reunion with their health. Every illness brings the synthesis of the biography of the individual. It is a condensation of the nuances of the flow of life, a sign that, in the development of personal background, there were distortions that separate the individual from their original purposes and that the behaviors and attitudes adopted need to be aware and reassessed, in order to regain the proper fluidity of expression. The individual understands and takes advantage of the illness when it finds within itself the information that promote awareness and understanding, while enhances the perception of himself by reviving the processes of birth, childhood, maturity and death that the illness brings. The SER is timeless. This allows the gift to be lived in both past and future, and summarizes the experience of past and future at all times. Each cell holds the memory of all cells and all time. The acceptance of timelessness, the understanding that the process of evolution involves past experience, present and future, fosters the perception that the pursuit of health should develop respect and understanding of capacity utilization and synthesis of the Mental Body. The predetermination of values and prejudices inhibits the movement of search and identification of mechanisms to expression and manifestation of the procedure. The process of evolution only happens when there is the creation and development of mechanisms that are accepted by Personality favor reworked and aware of everyday behavior. For evolution to occur, it is necessary to concrete the perception of each symptom and movements that inhibit the pursuit of identity and individuality. It is essential that the individual understands each of the factors that drive your current life as a reflection of life and past experiences and try to develop them according to the feel of the HERE AND NOW ... NEED EYES TO SEE ... NEED TO UNDERSTAND THE MIND ... that is basic to develop the feeling that every human being to evolve into the possibility of his personality and his soul ... FEELING AND UNDERSTANDING ... is a path of awareness and healing. Make clear and precise the FEELING THE HERE AND NOW ... is to encourage recognition of the concrete experiences, doubts and restrictions that, while impairing the evolutionary process and give rise to illness, to take the individual desire for healing. Perceive themselves in the course of construction of daily life, observe the effects of own performance, understand that every action reflects the translation of what is believed to be, identify and control the limits imposed on dreams, fantasies and idealizations ... demonstrates qualities, skills and errors, allows SELF, stimulating the presence state and favors the achievement of freedom to be in daily individual and collective. There is no healing without consciousness and consciousness is derived from knowledge of THIS MOMENT ... The relearning of knowledge and familiarity with the body, reading and understanding of its manifestations, is essential for the prevention and development of health on the physical and subtle. Return to HEALTH, the essence of healing and growth, and the rediscovery of INTERNAL, the full expression of the emanations of BE, the HARMONY between WHO I AM AND WHAT I REPRESENT THAT I AM THE ... 

Physical Attraction… Chemical Reaction

Before we were doctors, students are medicina.O which means we spend much time studying chemistry.
Organic Chemistry, Biochemistry, .... learn it right.
But when talking about human chemistry, just another thing matters: .... or you better be ready, or not eh.
CHEM.
Or do you have or not have.

Immunology and Allergic Rhinitis

1. In my article I tried to be clear and objective, describing the physiological, pathology and immunology aspects that involve a very common disease, called Allergic Rhinitis.
   INTRODUCTION — The treatment of allergic rhinitis involves the following modalities:
   
   Allergen avoidance
   Pharmacologic therapy
   Immunologic treatments, when appropriate
   
   The use of immunologic treatments in the management of allergic rhinitis will be reviewed here. Pharmacotherapy and allergen avoidance and the clinical manifestations, diagnosis, differential diagnosis, and pathogenesis of allergic rhinitis are discussed separately.
   

   WHEN TO REFER — Immunologic therapies for allergic rhinitis are usually administered by allergy specialists. Referral should be considered in the following patients:

   
   

   Children or adults whose symptoms are inadequately controlled with pharmacotherapy or have side effects from these agents

   Children or adults who wish to minimize or avoid long-term drug therapy

SUBCUTANEOUS INJECTION IMMUNOTHERAPY — Allergen injection immunotherapy, or subcutaneous allergen immunotherapy (SCIT), is mentioned briefly here and described in detail elsewhere

SCIT involves the administration of gradually increasing doses of therapeutic solutions of allergens to which a patient has demonstrated sensitivity, usually through skin testing. Over time, a dose is attained that effectively alters the patient's immune response to that allergen, resulting in fewer symptoms with natural exposure.
Allergen immunotherapy is unique among treatment modalities in its ability to alter the pathologic process that underlies allergic rhinitis in a semi-permanent manner. Thus, when administered to appropriately selected patients, this therapy represents a powerful intervention that can significantly impact patients' lives. In children with allergic rhinitis, immunotherapy can help prevent the development of allergic asthma. (
oral immunotherapy involves the application of allergen to the oral mucosa or sublingual tissues either in the form of solutions or dissolvable tablets. The solution/tablet is typically held in the mouth for a few minutes and then swallowed. Oral forms of immunotherapy for the treatment of allergic rhinitis are reviewed in detail separately.

ANTI-IGE THERAPY — Allergic inflammation appears similar in the upper and lower airway, and new antiinflammatory therapies explored in allergic asthma are potential therapies for allergic rhinitis and vice versa

WHEN TO REFER — Immunologic therapies for allergic rhinitis are usually administered by allergy specialists. Referral should be considered in the following patients:

Children or adults whose symptoms are inadequately controlled with pharmacotherapy or have side effects from these agents

Children or adults who wish to minimize or avoid long-term drug therapy

Wishin´ and Hopin´

As doctors, we live in a world with the worst scenarios, we see everything. Isolate ourselves hoping for the best, because a few times, not the best now and then something extraordinary happens.
As doctors, we're trained to pass on to our patients just the facts. But what our patients really want to know eh if the pain will disappear if he felt better, it would be healed. What our patients really want to know eh: 'Is there any hope? ".
But inevitably, there are moments where you witnesses the worst possible scenarios.
When the patient eh betrayed by own body, and all science that we have failed to offer them, when the worst case it becomes possible to actually have hope ... eh all that remains.

Desire

As interns, WE KNOW WHAT WE WANT,: to become doctors. We will do anything to get it. Undergo examinations with killers, bear weeks of 100 hours, standing for hours in operating rooms, ... you're just saying .... we will do!
The hard part eh reconciling this huge thing to be doctors, with everything else we want.
Very often, what you want ... eh do not you may have.
Want something sometimes leaves us heartbroken, the desire in use.
But however hard they want something that is people who suffer most are those who do not ....... know what they want.

The Becoming

Great doctors are not made, they are born.
It takes the gestation, incubation, sacrifice, sacrifice much. But after washing all the blood, guts and all the things that defile the coat, the doctor who makes you become all worthwhile.
It has a person in my head. Shes brilliant, capable, she can place chest drain, and do craniotomies, she can run for a code blue without despair. She is a very nice doctor, maybe even be an excellent medication. It's me .... but I still have much to learn and improve.
There was a moment I thought:''I can not do that.''''I can not do it alone''
But .... I closed my eyes and imagined myself doing it. AND DID!
I blocked the fear ... and did it.


The problem is internal, eh what you feel crazy all the time. As if not to sleep all day anos.Passa cercacada by people with lots of crises. You lose the ability to judge what its common or not, at some moments.
Yet people constantly ask you to tell how you are.


No wonder why people go crazy, wonder why they do not elouquecem.
In light of what we can lose in a day, in an instant, 

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