This is a picture of Falling Water.  Designed and built by Frank LLoyd Wright.    It is located in the Laurel Highlands in Western PA.   It is one of my favorite designed houses. 

Today the daughter went to the School of Nursing to see what was up.   She was acccepted and the woman helped her sign up for a Microbiology Class this summer.    This is where she will learn all about microbes and infectious diseases and treatments.   I am glad that haul is over.   They still say the letters will be out next week.  The good thing about this school is that it is 15 minutes from my house and with the cost of gas that is a good thing.   She will not have to travel in rush hour traffic and drive into the city, which is a royal PITA.  

I changed the color because I didn't like the above, to olive and sort of hard to read.    She only has to take 3 more college classes.   The other being Nutrition and Anatomy and Physiology.  With the Micro out of the way it will leave time to concentrate on A & P which will be the most intense in studying.

Today was a rather busy day.   I spent four hours doing a lumbar laminectomy with a fusion.     The biggest problem in surgery is to keep the patients warm.   When the temperature drops the chance of infections increase, and the patients ability to regulate their own temperature is lost under anesthesia.   So, what I have to do is use a blanket warmer, and warm their fluids.   This will, in most cases increase the body temperature to what is normal.    Mission accomplished.

Tomorrow I am working in the GI Lab.   About 6 months ago there was a push from Aetna to eliminate the payment to Anesthesia for Propofol in the GI Lab.   They were looking at the bottom line and not the patient safety and comfort.   I am happy to say, this has been rescended by Aetna.  Good Choice.    The are so damn busy looking for ways to save money and not as concerned about the patients care.   Or so, it seems to me.

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