Sam your the most beautiful person I've ever met you deserve so much more and your love is all that i would need. God, no one knows how much i love you I will hold on till life escapes from my hold loving you is the best thing in the world Sam you are the most important person in my life and i will never get tired of loving someone as perfect as you are, Your love is just my life, Your just a dream so beautiful and sweet the love of my life omg i couldn't describe how much i love you...
Loving can hurt
Loving can hurt sometimes
But it's the only thing
That I know

And when it gets hard
You know it can get hard sometimes
It is the only thing that makes us feel alive

We keep this love in a photograph
We make these memories for ourselves
Where our eyes are never closing
Hearts are never broken
And time's forever frozen still

So you can keep me
Inside the pocket of your ripped jeans
Holdin' me closer 'til our eyes meet
You won't ever be alone
Wait for me to come home

Loving can heal
Loving can mend your soul
And is the only thing
That I know, know
I swear it will get easier
Remember that with every piece of ya
And it's the only thing we take with us when we die

We keep this love in a photograph
We make these memories for ourselves
Where our eyes are never closing
Hearts were never broken
And time's forever frozen still

So you can keep me
Inside the pocket of your ripped jeans
Holdin' me closer 'til our eyes meet
You won't ever be alone

And if you hurt me
Well that's okay baby only words bleed
Inside these pages you just hold me
And I won't ever let you go
Wait for me to come home

Wait for me to come home
Wait for me to come home
Wait for me to come home

Oh, you can fit me
Inside the necklace you got when you were 16
Next to your heartbeat where I should be
Keep it deep within your soul

And if you hurt me
Well that's okay baby only words bleed
Inside these pages you just hold me
And I won't ever let you go

When I'm away
I will remember how you kissed me
Under the lamppost back on 6th street
Hearing you whisper through the phone
Wait for me to come home

Harold, a fifty-eight year old grocery store manager, had recently been waking up in the middle of the night with abdominal pain. this was happening several nights a week. he was also experiencing occasional discomfort in the middle of the afternoon. harold decided to schedule an appointment with his physician. the doctor listened as harold described his symptoms and then asked harold some questions. he noted that harold's appetite had suffered as a result of the pain he was experiencing and as a result of the fear that what he was eating may be responsible for the pain. otherwise, harold seemed fine. the doctor referred harold to a physician that specialized in internal medicine and had harold make an appointment for a procedure called an endoscopy. the endoscopy was performed at a hospital later that week. during the procedure, a long, thin tube was inserted into harold's mouth and directed into his digestive tract. the end of the tube was equipped with a light source and a small camera which allowed the doctor to observe the interior of harold's stomach. the endoscope was also equipped with a small claw-like structure that the doctor could use in order to obtain a small tissue sample from the lining of harold's stomach, if required. the endoscopy revealed that harold had a peptic ulcer. analysis of a tissue sample taken from the site showed that harold also had an infection that was caused by helicobacterpylori bacteria. the doctor who performed the endoscopy gave harold prescriptions for two different antibiotics and a medication that would decrease the secretion of stomach acid. the doctor also instructed harold to schedule an appointment for another endoscopy procedure in 6 months. 1. list the subjective findings in this case study. 2. what is an endoscopy? (2 points) what is a biopsy? 3. how was a biopsy performed on harold? 4. differentiate between gastric and duodenal ulcers by location. 5. what role does h. pylori play in the formation of peptic ulcers? 6. define occult and frank blood. (4 points) what is a guaiac test? 7. how can peptic ulcers cause bleeding? 8. why were antibiotics prescribed? 9. why would a medication that would decrease the secretion of stomach acid be beneficial?

Anurse is caring for a client who has acute heart failure and is receiving furosemide via iv bolus. the nurse should identify that which of the following findings indicates a desired therapeutic effect? a. increased sputum production b. decreased weight c. decreased blood glucose level d. increased blood pressure

During an open inguinal hernia repair, which of the following incisions will be made? a. mcburney b. oblique c. lower midline d. subcostal