Not a case study, just bad heart/blood pressure issues. She's already had one stroke and two stents. She has A-fib and damage to one of her ventricles from an "undiagnosed" heart attack. (It wasn't diagnosed as a heart attack and she didn't have any symptoms of a heart attack, but she has damage that's evidence of a heart attack.) So they're trying to keep her heart from over working itself, trying to keep her arteries from clogging any worse, while trying to keep the stents from throwing any more clots while also not overwhelming her kidneys and liver.

So she's on a low dose of three blood thinners for the time being to try and protect her heart and lungs and eyes from further damage without destroying her kidneys.

My apologies, I used the wrong word. I have that problem. I meant heparin.

Will edit to correct.

Warfarin is a different type of blood thinner from aspirin and works in different ways.

This study was researching what, if any, difference there was for patients with a specific ailment. "Is one better than the other and, if so, why?"

They found out that for this particular ailment, no, warfarin wasn't better. That was something they didn't know before.

But for some ailments warfarin is better. And studies like this one are why we know that.

Edit: I said warfarin when I mean to say heparin. My bad. I have a problem with mixing up words when I speak or write. I usually proofread better. Apologies.

It's pretty universal. I'm sure some adjustments meed to be made for people who weigh like 600lbs, but for pretty much everyone else 81mgs is sufficient.

My mom is on Aspirin, Elliquis, and Warfarin for her heart problems because simply adding more aspirin or increasing either of the other drugs doesn't do enough. Most drugs reach a maximum effective level and after that more of the drug doesn't have any more effect. That's why people with serious problems will be on so many different medications instead of just taking a huge dose of one drug.

And in most cases, body weight is irrelevant. Certain drugs, yes, body weight matters. That's true of anesthetics and a few other types of drugs. But for most of them weight doesn't matter.

Because "more aspirin" doesn't thin the blood any more than a low dose.

After 81 mgs, you don't see any increase in the amount it thins the blood and higher doses over extended periods can be hard on the stomach and kidneys.

If you sign up with your email address you can download the full book for offline use and "keep" it for two weeks!

OpenLibrary.org It's a free online lending library. They have millions upon millions of free digital books available to anyone, anywhere, anytime.

Then, if you decide you like the book, you can buy yourself a copy.

The books are available in many formats to work with computers, smart phones, and e-readers.

Muslim and Jewish faiths aren't far apart when you get into them. It's not uncommon for folks to transfer between the two. So a Jewish man dies and his Rabbi and his converted Muslim brother hitch a ride to the funeral with his estate lawyer.

Realistically, if they were headed for a funeral this combo isn't unlikely.

There's a lesson in this. Something about being careful with fireworks as water doesn't always extinguish them...

This seems like the opposite of a problem.

This was in 1984 in a very rural area. Hospital is a 30 minute drive, minimum. I was Mom's third kid and she ignored signs of impending birth for too long. So she was home, asleep, at 2 in the morning when her water broke. She woke up in a wet bed and thirty minutes later there was a baby. Happens more often than you'd think.

*all

All birds (that have a gizzard) have stones in it. The swallow them to break up their food before it passes into the stomach. It serves the purpose of teeth in other animals.

*birds without that organ, naturally, do not have stones in it.

Well, my dad was panicking, that's for sure. My sisters though Mom and Dad were torturing the cat in their bedroom.

I'll have you know that I was not born screaming.

I was born with the umbilical wrapped around my neck and I wasn't breathing. Mom had to talk my dad through untangling me and breathing for me to get me started.

So, you know, suck on that or whatever.

Focus on showing the effect the noise and hassle is having on your characters. How do they feel, what are they doing? In what way is the traffic impeding their task. Maybe they peeled their fingers from the wheel one by one only to find their hands still ache from clenching it so hard. maybe they rest their head against the cool glass of the window for a moment to try and relieve the noise-induced headache only to flinch as the car right next to them honked.

This is in addition to the suggestions others have made. Although I'd advise against too much onomatopeia as it doesn't usually induce annoyance in the reader so much as make the story unreadable.

And don't forget plenty of paragraph breaks. Every time someone has to stop talking and start again, start a new paragraph. Too often writers try to keep all the speaking to a single paragraph until the speaker changes, but feel free to interrupt. It makes the dialogue flow better and shows the feeling of tedium the characters are feeling with being constantly interrupted.

If you can, find someplace noisy to hang out for a bit. Doesn't have to be traffic, just someplace loud and busy. Then imagine your characters there while you're hearing and feeling all the noise and bustle. make some notes about how that situation feels. You might also try to look up some traffic sounds on youtube or wherever and play them at a high volume while you write that scene to help set the mood.

>can damage from poor sleep be undone?

In time, yes, absolutely. Brain damage from something like poor sleep can be cumulative. But getting into a healthy sleep pattern allows the body to heal and stops further damage. In time, even if the damaged brain stays that way, your brain learns to work around the damaged bits, like with stroke victims. And since the damage is (relatively) minor, people can "recover" from that kind of damage much more readily than, say, stroke or accident damage.

With proper diet and rehabilitation, other damage from poor sleep is also reversed in time in most people. Weakened bones, weakened immune system, skin damage... all of that can heal with proper care.