O . H e n r y p T h e L a s t L e a f IN A SMALL PART OF THE CITY WEST OF Washington Square, the streets have gone wild. They turn in different directions. They are broken into small pieces called “places.” One street goes across itself one or two times. A painter once discovered something possible and valuable about this street. Suppose a painter had some painting materials for which he had not paid. Suppose he had no money. Suppose a man came to get the money. The man might walk down that street and suddenly meet himself coming back, without having received a cent! This part of the city is called Greenwich Village. And to old Greenwich Village the painters soon came. Here they found rooms they like, with good light and at a low cost. 12 T h e L a s t L e a f Sue and …show more content…
On the east side of the city he hurried, touching many people; but in the narrow streets of Greenwich Village he did not move so quickly. Mr. Pneumonia was not a nice old gentleman. A nice old gentleman would not hurt a weak little woman from California. But Mr. Pneumonia touched Johnsy with his cold fingers. She lay on her bed almost without moving, and she looked through the window at the wall of the house next to hers. One morning the busy doctor spoke to Sue alone in the hall, where Johnsy could not hear. “She has a very small chance,” he said. “She has a chance, if she wants to live. If people don’t want to live, I can’t do much for them. Your little lady has decided that she is not going to get well. Is there something that is troubling her?” “She always wanted to go to Italy and paint a picture of the Bay of Naples,” said Sue. “Paint! Not paint. Is there anything worth being troubled about? A man?” “A man?” said Sue. “Is a man worth—No, doctor. There is not a man.” “It is weakness,” said the doctor. “I will do all I know how to do. But when a sick person begins to feel that he’s going to die, half my work is useless. Talk to her about new winter clothes. If she were interested
Pneumonia is an acute infection of the lungs, it can be caused by a variety of organisms entering the body – including bacteria, viruses or fungi. The infection causes an inflammation of the alveoli (air sacs) of the lungs and may result in the alveoli filling with fluid or other purulent material (Mayo Clinic, 2016). An accumulation of fluid within alveoli and portions of the lungs, can reduce the ability of the lungs to allow for oxygen diffusion across the alveoli walls. If oxygen saturation is low, it can cause the body’s cells to not work effectively. Therefore, the risk of the infection spreading through the body is increased – it is due to this reason, that pneumonia can be life-threatening (American Lung Foundation, 2016). Pneumonia
patients often think what will happen to them and how are they going to get through this horrible
This paper explores Pneumonia and the respiratory disease process associated with bacterial and viral pathogens most commonly located in the lung. The paper examines the process, symptoms and treatments most commonly viewed in patient cases of Pneumonia. My goal is to educate the reader and to warn of the
Letting Go by Atul Gawande provides an intriguing perspective on people’s stubborn expectations from the healthcare system. What should medicine do when it can’t save your life? Most everyone seems to believe they should fight to the bitter end, until they can’t possibly have anymore tubes coming out of them or medications going in. Gawande suggests that state of being is no longer living, so he raises the question of why people do it to themselves or their families. Gawande also provides the benefits of hospice care such as discontinuing medications. When patients stop fighting and start accepting the time they have, they gain more.
Amidst the swirling ripple of faceless people meandering around fire hydrants, pedestrian signs, and ragged newspaper stands, he stood; embedded within the relentless stream of continuous people trickling by him. The occasional nudge threatened to dislodge his balance as he gazed across the road where two buildings laden by carmine shaded bricks separated. The same two buildings he walked directly pass early in the dewy morning and late in the brisk evening weather everyday for the past two decades. Surely he knew every wondering power line and dimly lit alley of the surrounding neighborhood? Yet something glimmered from in between the impossibly small gap separating the buildings. His conscious turned from thought to action as he leapt from the scuffed curb and into the high voltage current of traffic without a second
Physicians usually prescribe one antibiotic that treats a wide range of organisms. If the first does not work they will prescribe another antibiotic that fights a different range of organisms. If severe symptoms they will sometimes start with two antibiotics and do a culture that would show what antibiotics the organism would be resistant to. (2011. Pneumonia)
In the ten months between September 1918 and June 1919, 675,000 Americans died of influenza and pneumonia. When compared to the number of Americans killed in combat in World War I, World War II, Korea, and Vietnam combined- 423,000- it becomes apparent that the influenza epidemic of 1918-1919 was far more deadly than the war which it accompanied. (Crosby, 206-207) The United States and the rest of the world had been exposed to such epidemics in the past, but never at such a severe cost in human life.
In the clinical setting it is found that when there is a bacterial infection that there is a sudden and rapid signs of illness in a patient. There will be dyspnea, hemoptysis, lethargic,
Silence. It was too quiet for a Manhattan neighborhood. My eyes slowly opened, welcoming sunlight in, as I looked around my room, I strained my ears to catch for any sounds. I decided to get up and figure out why our usually bustling neighborhood went from noisy to quiet. Walking down the stairs, I was welcomed to a totally destroyed living area, all my furniture against the door, all my windows boarded up with multiple nails pierced into the board. Creeping towards my kitchen, all my belonging looked as though it had not been touched. Opening the oak cabinets, I noticed all my food was in place, including my box of chocolate granola bars, with four left. Grabbing one, I leaned against the counter, my eyes glancing towards the daily newspaper crumpled on the floor. Bending down
Community acquired pneumonia (CAP) is and has been a major health problem here in the U.S. This disease mostly affects young children and the elderly 65. Streptococcus pneumoniae is the most common bacteria causing pneumonia, this bacterium has over 90 different stereotypes and is extremely hard to pin point the different mutating strains. Pneumonia is contracted from inhalation of droplets; any one coughing or sneezing around your area and carrying the virus can pass it along to you fairly easy. Pneumonia is an upper respiratory infection that causes the lungs to be inflamed and fill the alveoli (air sacs) with fluids causing lack of oxygen to the red blood cells. The most common test for S. pneumoniae is the optichin sensitivity with an optichin
Ventilator-associated pneumonia is the leading cause of death out of all hospital-acquired infections. Pneumonia that is acquired 48 hours or longer after at patient has been mechanically ventilated is considered hospital acquired. Endotracheal tubes provide pathogenic microorganisms’ with a direct access to the lungs where they can easily set up shop and cause deathly consequences for patients’ in the acute care setting. For example, the mortality rate of patients who have ventilator-associated pneumonia is 46% whereas unaffected intubated patients mortality rate is 32%. When ventilator-associated pneumonia (VAP) occurs in a patient(s), it often increases the amount of days a patient is on the ventilator and increases their overall hospital stay (Safe Care). The big problem with this is that VAP is costing hospitals
Hospital do a lot of harm to the sick. But, it is astonishing to know that it is essential that, the hospital intend to do no harm to their patient. Years ago, Florence Nightingale seen as the mother of nursing has identified this problem of hospital practice harming the sick. Despite the intension and the improved practice put in place by the hospital management, the hospital still harming the sick. Why do sick people still get hurt when they go to the hospital? The improved practice implemented by the hospital is not good enough. A good example of hospital doing harm to the sick is the hospital acquired pneumonia. HAP is an infection picked up in the hospital by patient.
Streptococcus pneumoniae is found worldwide. The common host is the human body, in which it often does not cause disease but at other times it can cause diseses in particular, pneumonia. It also causes otitis media, bacteremia, meningitis, peritonitis, and sinusitis. The route by which this organism is spread is from human to human in the form of aerosol droplets. When inside the host the organism’s primary site of pneumococcal colonization is the nasopharynx. From this site it can aspire to the lungs, eventually spread to the blood and traverse the blood-brain barrier to the meninges, once inside the blood it can cause infections throughout the body. Symptoms of the disease include sudden
is currently the second most common nosocomial infection in the United States and is associated with high mortality and morbidity (Seymann, 2008). This paper is a case study of a 52 year old female who was in the hospital for a scheduled gastric bypass surgery. During a post-op test she aspirated dye thus beginning the process of her developing nosocomial pneumonia. The patient was discharged only to return to the emergency department the following day presenting with signs and symptoms of pneumonia. This paper will discuss her diagnosis, treatment, risk factors, nursing care, socioeconomic influences, and diagnostic
This is a case of a 74 year old woman who was diagnosed with Community Acquired Pneumonia.