This may have been covered, but I was told I should check out general-ebooks. com and when I did I found two my books pirated there. Browse Visual Arts > Painting > General eBooks to read online or download in EPUB or PDF format on your mobile device and PC. Great selection of modern and classic books waiting to be discovered. All free and available in most ereader formats.
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Trade eBooks in Libraries examines the legal frameworks which gave rise to The principal authors provide a general historical overview and an analysis of. The latest Tweets from General EBooks (@General_EBooks). books for everyone . network. This introduction for practitioners offers a balanced view of project financing, integrating legal, contractual, scheduling, and other areas that participate in large .
Dave Hnida wrote a memoir of his experiences as an Army reservist in Iraq. With a witty narrative that reads as easily as any book I've ever read, Dr. Dave had me wiping away tears one moment and laughing out loud the next. Paradise General is wonderful, enjoyable, and vitally important story of the men and women who care for our injured soldiers overseas. A must-read among Iraq war narratives.
First off, I don't write book reviews. But this book. If I could shout things from the roof tops I would. This is a fantastically written book. It will pull you in and make you feel like you know every person. Hnida comes across not like superman, but like anyone else. He was able to do what many authors fail to do, show that everyone is human. Even in a war zone people are still people.
His ability to show many sides of everyone is beyond what I have read in a long time. Showing that many of the injured soldiers are still kids, many of the people just want to laugh to deal with the stress, and even someone you are fighting against has the same fears.
The book will make you laugh. It will make you cry. It will pull you into a different world. I work with retired Air Force and Navy guys on a daily basis and Dr.
Hnida was able to pull me into the Army world without missing a beat. I am excited to support a local Colorado author. Even happier to hear the real voice of people my work as a defense contractor supports. If I could shake your hand, Dr.
Hnida, I would. Thank you. The guys like you across an ocean are why I do what I do. Now, to a real challenge, finding another book that can top this one.
This may take a few years.
Even a book to read after this that may come close will take a while. This book is likely to be re-read for a very long time. I have already told one of the AF guys I work with that he has to read this book.
He will be reading it shortly if I tape it to his computer screen page by page. See all 88 reviews. There's a problem loading this menu right now. Learn more about site Prime. Get fast, free shipping with site Prime. Back to top. Get to Know Us.
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Alexa Actionable Analytics for the Web. Sell on site Start a Selling Account. siteGlobal Ship Orders Internationally. So, I'm going to talk about things that I think you need to know, or frankly things that I've screwed up and found out that you should have known. And so, the topics will be stuff that I think is high yield for emergency physicians.
I will ask that you hold questions until the end and I answer them privately at the end. So, Frank Football who's a running back and tackled.
He's got pain in the foot. He's limping off the field. He's tender in the midfoot. He's a little swollen and eventually his x-rays of the foot are normal. So, what do you do with Frank? And you can imagine since I'm going to talk about it that there's something important And the spoiler alert is that there are some people with foot problems, foot sprains in fact, that need surgery. Who are those people?
Those are the people who have unstable joints. So, when the fort is unstable surgery's going to ensue.
So, this is a discussion of Lisfranc. And we're going to talk about the ligament today rather than the whole joint. Now Lisfranc ligament, in red there, is the linchpin of the foot. It holds M2 to C1 and prevents this side to side action which is very important in a foot.
So, the way you do this, injure this is you have the foot axially loaded like falling off a step, as you lean forward and roll over it. So, you have the axial load, the foot starts to collapse, and the Lisfranc joint starts to pull apart, spreads out and you have sort of a collapse on that part of the foot.
Well, this happens in football fairly frequently. You can imagine the runner al La Frank is getting his foot pinned ground with his toes pointed, and the midfoot is what gives way. And here's a nice example of it happening in professional football. The other way, and the classic way that we won't talk about Jacques and his description, but is to catch your forefoot, have it pinned inside, say stirrups as your body gets thrown around.
And so, the forefoot stays stable, and the back of the foot gets pushed around, and you tear the Lisfranc joint and or ligament. Another one where you get your foot pinned in and you go down. But the most common way to do this is to have two great, big powerful men pushing on each other and the rotating about their forefoot. And Mr. Suh is quite a bit more powerful than just his forefoot is. This is not an uncommon injury in football.
In fact, it's the number 1 foot injury in NCAA sports, over a five-year period, not ankle. Foot injury. So, this is more common than turf toe, etcetera, in about 1 in 10, athletic exposures.
So, the way it happens in football is one of two things. Either, there's an injury, they say, oh my gosh, that's it. They get helped off the field, it's obvious what's going on. But the other thing, very unusual, or at least I think it's unusual. They have an unknown time.
So, you have a typically a lineman. And a lineman comes off after the game and his foot's hurting. And you ask him, well when did it start to hurt, and they don't know. Just during the game. And it got a little worse. And now they're having a little trouble walking. They can't stand on their toes. They don't remember when it was. It turns out to be a Lisfranc injury and you wonder, you know in the emergency room we would think, well the guy was drunk or high or something like that.
But that's not happening during an NCAA game. That's not quite allowed. So, how do you know who these people are?
They'll be tender over the Lisfranc ligament, which is medially. They'll swell in that area. So, we're looking for, we have mechanism and we're going to find this spot. And eventually, you know all the literature says that there'll be ecchymosis on the bottom of the foot and that's true. But it's not going to be true for us.
That's true when you go into the orthopedist's office, or when they see them later. It has nothing to do with what we see. And anytime you read orthopedic literature, you should be aware that they're talking about patients a week or two after the injury, or even longer. And that's not a description of who we're seeing. Well, you get standard x-rays, three views usually show it. Here's a classic fleck fracture. Right there, a little piece where the ligament pulls off a little fleck of bone from M2, and that's by definition going to be a Lisfranc ligament injury.
Here's where the ligament is, it sets in this area, connects C1 to M2. And here's our fleck fracture, which is fairly common. But notice the step-off there. M2 and C2 do not align. And that is a better marker of this, when they don't align.
There's a reason for that. And that's because the powerful Lisfranc ligament is gone. Well, when you want to find fractures in the foot and they're elusive, you know you get a CAT scan and it shows you, you know, when you do get a CAT scan you'll find, there's all kinds of little fractures in there, it's just amazing.
And you don't see any of them. Most don't matter in general. But if you find the need to look because you think it's going to be, CAT scan's the way to go. But, when the CT is normal, and this is the reason to talk about this injury. The immense emotional and physical wounds Kahlo suffered in her difficult life, due in part to a tragic streetcar accident and marriage to fellow Mexican artist Diego Rivera, inspired her paintings.
The immense emotional and physical wounds Kahlo suffered in her difficult life, due in part to a La obra de Frida es un testimonio de su vida. Frida Kahlo es Wishing to revive the pure and noble forms of the Italian Renaissance, the major painters of the circle such as John Everett Millais, Dante Gabriel Rossetti and However, as the graffiti movement progressed and tags became more elaborate and ubiquitous, genuine artists emerged whose unique creativity and Toggle navigation.
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