#exter dimensional beings

[rjalker]

I think I'll use "exter" for the 4D term for "higher dimension" since it sounds nice and isn't actually a word outside of like. a random car model that no one cares about.

the 4D equivalent of "up" or "height".

and for the 4D equivalent of "down" or "lower"

I'll use "ineter"

since exter sounds like dexter so may as well make the opposite sound sort of like sinister.

feel free to use, and feel free to suggest variations, since we have multiple words referring to up and down.

[risalei-nur]

The Words - The Twenty-seventh  Word - Part 16

Second aspect: No saint can reach the rank of the Companions in nearness to God Almighty, Who is nearer to us than everything while we are infinitely far from Him. One can acquire nearness to Him in two ways. The first way is through God’s favor to make one near to Him and to make one realize His nearness. Through companionship with and succession to the Prophet, the Companions were endowed with this sort of nearness. The second way is through continuous promotion to higher ranks until honored with nearness to God. Most saints follow this way and make a long spiritual journey in their inner world and through the outer world.

The first way is a gift of God and thus does not depend upon one’s efforts. Such nearness is realized through the Merciful One’s attraction and being beloved by Him. This way is short but extremely elevated and sound, perfectly pure and free of obscurity. The other is long, depends on one’s endeavors, and has obscurities. Even if the one following it is endowed with miracle-like wonders, this way is inferior to the former in acquiring nearness to God Almighty. Consider this example: One can experience yesterday once more in two ways. Without following the course of time, one rises by a sacred spiritual power to a position from which all time is seen as a single point. Or, following the course of time, one lives a whole year and reaches the same day next year. Despite this, one cannot preserve yesterday or pre- vent it from passing.

Similarly, one can pass from the external observation of religious com- mandments to the realization of their truth in two ways. Without entering the intermediate world of religious orders, one submits to the truth’s attraction and finds it directly in its external aspect. [In other words, one sees the exter- nal and the internal combined into a single unity.] Or, one is initiated into a spiritual way and continually promoted to higher ranks. But however success- ful they are in self-annihilation and killing their carnal, evil-commanding souls, saints cannot reach the Companions, who were purified, had refined souls, and were honored with all varieties of worship and sorts of praise and thanksgiving with the selfhood’s multiple inborn faculties. The worship of the saints who completely annihilate their selfhood becomes simple and one dimensional.

[medicinethought-blog]

PE

PE

PE is a blockage of an artery in the lungs by a substance that has traveled through the bloodstream (embolism). PE usually results from a blood clot in the leg that travels to the lung.The risk of blood clots is increased by cancer, prolonged bed rest, smoking, stroke, certain genetic conditions, pregnancy, obesity, and after some types of surgery. And can sometimes be due to the embolization of air, fat, or amniotic fluid.

Symptoms

Syspnea (shortness of breath)

Tachypnea (rapid breathing),

Chest pain

Cough

Hemoptysis (coughing up blood).

Cyanosis (blue discoloration, usually of the lips and fingers),

Collapse,

Circulatory instability because of decreased blood flow through the lungs and into the heart

Sudden death

A pleural friction rub

A pleural effusion

Strain on the right ventricle

A fever

Risk factors

Alterations in blood flow due to injury, pregnancy,obesity cancer

Factors in the vessel wall due to surgery, endothelial injury

Factors affecting the properties of the blood due to estrogen-containing hormonal contraception

Cancer

Diagnosis

CT pulmonary angiography (CTPA) is a pulmonary angiogram obtained using CT with radiocontrast. its non-invasive, its larger accessibility, and you can identify other lung disorders from the differential diagnosis in case there is no pulmonary embolism. Assessing the accuracy of CT pulmonary angiography is lowered by the rapid changes in the number of rows of detectors available in multidetector CT (MDCT). CTPA is not inferior to VQ scanning, and identifies more.

A VQ shows that some areas of the lung are being ventilated but not supplied with blood, this type of examination is as accurate as CT, but is less used. It is particularly useful in people who have an allergy to iodinated contrast, impaired renal function, or are pregnant. The test can be performed with two-dimensional imaging, or single photon emission tomography (SPECT) which enables three-dimensional imaging. Hybrid devices combining SPECT and CT (SPECT/CT) further enables identification of abnormalities.

Low chance of PE, a normal D-dimer level (blood test) is enough to portray presence of PE, D-dimer is highly sensitive (positive implies patient doesn’t have PE and visa versa). Full blood count is done, clotting status (PT, aPTT, TT), and some screening tests (erythrocyte sedimentation rate, renal function, liver enzymes, electrolytes).

Treatment

Anticoagulant Therapy

Anticoagulant therapy is the mainstay of treatment. Heparin or fondaparinux are given, while warfarin, acenocoumarol, or phenprocoumon therapy also starts within hospital. Low molecular weight heparin may reduce bleeding among people with pulmonary embolism. Warfarin therapy often requires an often adjustment and monitoring to dosage for up to 6 months. In cancer patients LMWH (low molecular weight heparin) is favored over warfarin and it is continued for six months and pregnant women are often placed on LMWH until at least six weeks after birth to avoid the teratogenic effects of warfarin. (Distort fetus)

Thrombolysis

PE causing hemodynamic instability (low blood pressure) is an indication for thrombolysis (the destruction of the clot with medication). Catheter-directed thrombolysis (CDT) is a new technique found to be relatively safe and effective for massive PEs. This involves accessing the venous system by placing a catheter into a vein in the groin and guiding it through the veins by using fluoroscopic imaging until it is located next to the PE in the plunomary circulation. Medication that breaks up blood clots is released through the catheter.

Inferior vena cava filter

An inferior vena cava filter is constructed if the person has undergone surgery (therefore, anticogulant therapy is contradicted), or a person has a pulmonary embolus after being anticoagulated. It may be implanted to prevent new or existing Deep vein thrombosis from entering the pulmonary artery and combining with an existing blockage. Inferior vena cava filters should be removed when starting anticoagulation.

(An ECG with someone with pulmonary embolism)

References

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“What Are the Signs and Symptoms of Pulmonary Embolism?”. NHLBI. July 1, 2011.

Tintinalli, Judith E. (2010). Emergency Medicine: A Comprehensive Study Guide (Emergency Medicine (Tintinalli)) (7 ed.). New York: McGraw-Hill Companies. p. 432.

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Pregerson DB, Quick Essentials: Emergency Medicine, 4th edition. EMresource.org

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Ferri, F (2012). Ferri’s Clinical Advisor. St. Louis: Mosby’s.

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Schouten HJ, Geersing GJ, Koek HL, Zuithoff NP, Janssen KJ, Douma RA, van Delden JJ, Moons KG, Reitsma JB (May 3, 2013). “Diagnostic accuracy of conventional or age adjusted D-dimer cut-off values in older patients with suspected venous thromboembolism: systematic review and meta-analysis.”. BMJ (Clinical research ed.).

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Konstantinides, S; Torbicki, A; Agnelli, G; Danchin, N; Fitzmaurice, D; Galiè, N; Gibbs, JSR; Huisman, M; Humbert, M; Kucher, N (14 November 2014). “2014 ESC Guidelines on the diagnosis and management of acute pulmonary embolism”. European Heart Journal. 35 (43): 3033–3069.

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[rjalker]

~the lovecraftian horrors view us the same way we see ants! Aaaah!!!! scream!!! it's so scary!!!!!!!!~

you've never spoken to a naturalist before

so here's a concept for people who aren't boring:

~lovecraftian horror~ (exter-dimensional being) who views us the way we view ants. And stops a catastrophic flood by putting a stick down to divert it from the "nest". Who offers food from above when there's none to be found. Who sits quietly out of the way observing but not bothering.

Maybe go fucking watch some ants. Go talk to ant nerds. maybe stop viewing ants as disposable things you can kill and torture for fun. that's a personal fucking problem you have that you should fix if that's how you view ants.