Personal Narrative: Miranda's Weight Loss

In recent years, God has become a very important part of my life. I am determined to learn more about God and look forward to seeing what he has in store for me and my family. At one time God was not a big part of my life, I did not attend church regularly or feel close to him. I have always believed in God and Jesus Christ as our savior, but did not actively seek a closer relationship with him. I feel that much of that changed when I accepted my current job in a church based preschool program. After taking the position in the preschool, I was then offered a position in the church’s nursery on Sunday mornings. I accepted this position also and my son and I started attending Church every Sunday. In the time since, my husband, myself, and our children have all joined the Church, been baptized, and become very active in our Church. I feel that this was God’s plan for us all along. I feel that God guides our decisions each and everyday, and I now use prayer to seek his guidance for our lives.

Mary the Nursing Student Mary is 39 -year-old LPN and single mother who is attending a local community college to prepare for an A.S. degree in nursing so she can then become an RN. Mary has not been feeling well for several months. She has had bouts of nausea, a low fever, and has found that she no longer enjoys eating and smoking as much as she used to. She has also noticed that her urine is darker than usual and she has yellowing of her eyes. She has noted that she has a puffy appearance. Results of blood tests at her doctor’s office reveal that her ALT, AST , alkaline phosphatase, and bilirubin levels are elevated and that she also has an elevated count of lymphocytes. Further tests reveal that she is positive for the presence

All I could think of, is how am I going to tell Jamie. Day 8. Jamie’s awake and becoming more alert, the doctors are wanting me to tell her about lose prior to her leaving the hospital, as much as I would love to, I don’t want to hurt her. Later that day Jamie asked for her cell, I handed her the phone but I told her I needed tell her something first. To my surprise, Jamie wasn’t as nearly as upset as I expected, in some ways I think she was relieved. I think she felt like, “Its finally over”. Jamie continued to recover and once she was released from the hospital, she checked into a recovery center and continues to do well today. Jamie has returned to her cookie cutter life and remains sober.

Introduction: Jessie Buchanan, an 80-year old female, was admitted to Bethany Care Society in room 3088-1 at the center unit. She is an extensive assist, requires 1 staff assistance and uses the transfer belt to transfer from bed to her wheelchair. She was admitted here because none of her family members can look after her because they are all busy with their own personal life. Jessie prefers to stay at Bethany because she receives full-time care from the health care providers. Jessie had a history of edema on her right ankle because she was experiencing hyponatremia. Currently, she is on fluid restriction and every morning I would put her compression stockings to prevent the occurrence of edema. Her condition worsens when she was diagnosed with osteoarthritis(OA), delirium, depression, type 2 diabetes mellitus, schizophrenia, hypertension, and urinary tract infections. Her recent urine culture shows that she is positive for urine nitrite and urine leukocyte which caused the UTI. Jessie is incontinent and she wears an indwelling catheter. Jessie said that sometimes her knees are painful. She takes an analgesic to relieve the pain that she feels. Jessie 's blood sugar level is within the range. She is not taking insulin or any oral medications like metformin because she knows how to control it, by following the proper diet. Jessie always have a good sleep and never complains about her sleeping pattern. She is taking medications for GERD, iron supplement, bone health,

I had a never ending list of patients to see, all of which also had a never ending list of questions to ask. Going through my routine, I worked my way down the list of patients. Then I found a familiar looking name, Sarah T. LiCari. Walking into the room I did my usual greeting. I noticed that she looked a bit different, but I could not quite put my finger on it. Had she lost weight? Did she do something to her hair? Was it just the new winter jacket? Regaining my focusI began to look over the lab results that were sent back from a hospital in Pittsburgh. They did not look good. There was no reason to try and sugar coat the situation, so I told Sarah outright what the results concluded. I could see the slight drop in her features. Knowing there was not a cure for the disease I told her about a new drug trial that was going on that she could be a subject in. This appeared to catch her interest a little, but I could see that her eyes drifted to focus on the model that sat on the windowsill behind me depicting a liver with cirrhosis. I felt some pity for the girl. She was quite young to have developed liver cirrhosis. I could tell she had zoned out by now, so I wrote down everything I was telling her to look at when sh got home. Sarah and her mother then left. It was just another day at the

The book “Maggie Goes on a Diet” is an extremely controversial book. In saying this, I do believe that the subject of a healthy diet and daily exercise is a fantastic topic to begin discussing at a young age. However, the target of this book is to

I have been an Administrative Assistant for over 30 years, since I graduated with an Associates in Secretarial Science – this was a blessings to be hired in my field of study. However, when I relocated to Florida it took me an entire year to be hired as an Administrative Assistant and though it took such a long time, it was worth the wait. I went straight to being the assistant to the second in charge of the company. However, after two satisfying years of service there, I was let go, and though I did not understand the reason, I did not question God. You see, I knew that if God allowed this to happen, then I though He must have something better in mind for me. Fortunately for me, during the year I was waiting to be employed, I took a course and was successful in receiving a license to be a Certified Nurse Assistant. That

Before going to Mishawaka Marian, my local Catholic high school, church and God seemed more like a chore than anything. But through those four years, I know that by going through Marian I’ve gained a much deeper knowledge of Christ and how to see him working in my life daily. I’ve had several deep and personal encounters with God and it is through those encounters that I was brought closer to Him and the Christian faith. The most important event that solidified my faith happened first semester of my junior year, when my family got a call from our local hospital saying my grandma was struck by a car and on her way to the emergency room. My whole family’s life was turned upside down by one phone call and things are forever different because of it. Several broken ribs, a broken hip, a major concussion, endless doctors’ appointments and hospital visits later, my grandma was finally back home. We slowly and thankfully began to put the event behind us, but the effect it left on my family will never be able to be put away. Throughout this seemingly endless incident, I learned how important family truly is. I learned great responsibility, how to give and receive help, and not to take a single thing for granted because it could all be gone in just one second. I also felt myself grow nearer to God through this stressful and tragic experience. When you feel like you are alone and have no one to turn to, turn to God. Through Him I am courageously finding my path because I know and trust that God will never leave my side. Through all of these life experiences and memories along the way, I’ve learned so much about myself, how the world works, how God works in my life and where I can begin to see myself fitting into it. It is important to realize that it is through the bad times that we learn the most and

They brought me into an office at work and began to convey that Jesus was calling me to Salvation. I had known this all along because His voice kept tugging on me, it was a loud thundering voice, but a still small voice of calmness and love that completely overcame me and changed me. These two men where the conduit that help me accept it in my Heart as soon as they spoke it to me. I begin to see the fullness of God in my Heart and remember feeling a peace over my life. The lack of confidence was no longer resonating in me, the anger I carried for my Father was gone. It was an excitement not of myself but what God had done for me. My salvation happen right on time, as I was a young soldier married with three small children, and I was not feeling worthy of being a father or husband. No longer hearing that I can’t but I can, I leaped with joy and my life was forever

For the past three years I had been studying the word of God diligently putting time and effort into everything I did to learn more about my God. It all started in the sixth grade when I began my first class of confirmation , we were referred to as “ first years”. In our first year we had hilarious instructors who made the experience a blast. That year we mainly learned the word of God in a fun way through games, songs ,and extremely thorough discussions. However, On the downside of all the fun activities we had a midterm and a final exam . The event we were all looking forward to though was the retreat (a camp in the woods where we grow closer to God and our brothers and sisters of Christ).

Andrea Robertson was about to begin a new chapter in her life. After attending her long-awaited high school graduation, she looked forward to enjoying her summer vacation before entering college. She knew that once college classes started, she would have fewer opportunities to spend time with her family and friends.

Marisna is a 39yo, G3 P2002, who is currently 21 weeks 0 days as dated by LMP using a due date of 04/25/17. This was consistent with her 1st ultrasound in your office that measured just slightly ahead with a due date of 04/18/17. She is AMA. She had a quad screen in your office that returned screen positive with an increased risk of Down syndrome of 1:100. This is close to what her age based risk would be. Open neural tube defect was screen negative. In reviewing her analytes, AFP was slightly elevated at 2.15 MoM and inhibin was borderline at 1.87 MoM. She was diagnosed with chronic HTN fairly early in her last pregnancy. She did not have preeclampsia with that pregnancy to her knowledge. The baby was quite small, as it weighed just over 4 lb at term. She was not on BP medication chronically, but coming into this pregnancy at 19 weeks her BP was elevated at 162/90 and she was started on labetalol. I cannot tell in the records if she had protein in her urine but she did have 2+ on her dip in our office today. She reports that she has collected a 24-hr urine last week, although we do not have those results. Because she entered care late, she is not on baby aspirin for the prevention of preeclampsia.

INTRODUCTION It was 20 April 2014, I had just finished preaching my first sermon on Easter Sunday as the newly appointed pastor of New Creation AME Church, and as I looked around at an empty church with 20 people in a facility that could hold 250 people, instantly my heart sunk

“So what did the doctor say?” I remember asking this question so simply thinking my father had just gone to a simple check up. It was late in the afternoon on what seemed like any other normal day. My parents had just gotten home from my father’s doctor appointment when they picked me and my sister up to take her to softball practice. “We’ll talk about when we get home” my mother said very softly. My sister always being the one to just go along with what my parents had said just muttered a simple “okay.” I however have not been a very cooperative child “Well why can’t you just tell us now?” I stated simply annoyed with the fact that my parents were not answering my question. “We don’t want your sister to be distracted at practice” my dad said. Instantly a flood of worry rushed through me. “If it’s so important that it would distracted Cheyenne at practice it has to be something serious.” I thought to myself. Anxiously I waited until we arrived at the high school and my sister had exited the car. “So can you tell me now she’s gone?” I asked