Arabesque position in ballet

Arabesque no.1 & no.2

مياخذ من وقتكم دقايق وللي يترسه له الاجر والثواب وجائزة يستلمها في وقت نحدده بعدين🌚😂

The experience of being ill can be like waking up in a foreign country. Life, as you formerly knew it, is put on hold while you travel through this other world as unknown as it is unexpected. When I see patients in the hospital or in my office who are suddenly, surprisingly ill, what they really want to know is “What is wrong with me?” They want a road map that will help them manage their new surroundings. The ability to give this unnerving and unfamiliar place a name, to know it—on some level—restores a measure of control, independent of whether that diagnosis comes attached to a cure. Because, even today, a diagnosis is frequently all a good doctor has to offer.

- Every patient tells a story

I have so much to comment about this

Delilah and Samson,
By Max Liebermann

In revenge and in love, a woman is more barbaric than man is.

- Friedrich Nietzsche

When you see absent P-waves, you must check whether the rhythm is regular or irregular based on the QRS complex:-

- Irregular and normal QRS: most likely to be atrial fibrillation.

- Regular: if the QRS < 120 ms (narrow), then it's likely to be paroxysmal SVT.
If the QRS > 120 ms (wide) then it's probably VT.

JUST TO BE CLEAR: This is an oversimplification with a lot of buts and ifs.
For example, some paroxysmal SVTs can present with wide QRS if they're associated with pre-existing LBBB.

In AF, the P-wave is either absent or it's replaced by rapid, variable, irregular and low-amplitude oscillating fibrillatory waves.

Also, the diagnosis of VT is defined as: tachycardia (>100-120 bpm), and the rhythm originates below the bundle of His (in the ventricles, therefore it is a ventricular rhythm).

Usually, you can tell if the rhythm is sinus or ventricular by observing the P-wave & the QRS complex. If QRS is wide and P-waves are absent or dissociated from the QRS (not every P-wave is followed by QRS) then it's most likely to be ventricular rhythm.

A wide QRS happens in VT because the rhythm originates in the ventricles and this makes the depolarization of the ventricles slower and takes a longer time (indicated by wide QRS > 120 ms)

“I do not fear death. I had been dead for billions and billions of years before I was born, and had not suffered the slightest inconvenience from it.”

- Mark Twain

Death cannot touch us because while we exist death is not present, and when death is present we no longer exist.

- Epicurus

أيا سافِرًا ورداءُ الخجل
مُقيمٌ بوَجنَتِهِ لم يَزَل

بِعَيشِكَ، رُدَّ عليكَ اللثامَ
أخافُ عليك جِراحَ المُقَل

فما حَقُّ حُسنِكَ أنْ يُجتَلى
ولا حَقُّ وجهِكَ أنْ يُبتَذَل

أمِنتُ عليكَ صروفَ الزمان
كما قد أمِنتَ عليَّ المَلَل

- أبو فراس الحمداني