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Will correct those specifics. Specifics are something I can wrap my head around.

OK, the next chapter of Dictates is up. Mother of God, this stinker took me two weeks to write instead of just an evening. Where does the time go? Oh, yeah. Into work because it's the summer and we're at half strength.

Either way, it's done!  Now to take a moment to breathe and then recip for all you wonderful peeps!

Janet...the glue that pulls us together:-)

I'm only working on 5 at the same time. I bow to the master.

Oregon, OH (unless there are 2 facilities) is less than 15 miles away from me. Is it the refinery, I assume? Give me as much notice as possible so I can get the time off! There is NOTHING to do do in Toledo but eat. And don't bring a warm coat...I'll send you back with a new one!

It isn't criticism. It's a sign that I like you and want your book to kick ass and take names. I was trained to critique by JLiz. She had a harsh eye but made me better. I owe her. So I pay it forward. (Hopefully:-)

I'll do my best to get to it...need more news about Merran! Pom-pond out...go Girl Genius!

At work, yesterday's Soup Du Jour was kids too young to be on minibikes. Look up what I'm talking about. The very concept is horrifying. And they are available for purchase at Walmart. That should tell you how safe they are.

And my next chapter is up for Dictates. I'm moving to the climax and hopefully to the end of Jaylene's story. Goals: Destroy the Horror. Show everyone Base Camp. Trash Base Camp. Battle Royale. Happy For Now.

Moving on...

You need to post something, New Jersey. I'm finding the energy to start reviewing again, now that July is over and 2/3 of my shifts have help.

I've got the conference in Chicago coming up next month. I'm looking forward to thinking just about writing, and four days without kids. I'm making a new goal that I move toward finishing Dictates by then. And then I could write the ending for Mandates and be done with THREE first drafts.

Now that is progress. Unlikely, but it is always good to have a goal.  I need to rewrite Mandates anyway. It is the weakest of the three books IMO.

IO's are easy to place, eliminating the time wasted by trying to get an IV in a person who has no blood pressure (no flow equals flat veins and multiple attempts)

IO's have a wide bore needle.  The thicker the needle, the faster the flow. IV's have different gauges (widths).  Imagine the flow of a garden hose vs a small IV. Which one passes more water?  It's an extreme example, but applicable. The width of the catheter is what matters. Not the length of the catheter. That is immaterial.

IO's go into the bone, which is EXTERMELY vascular. There is only one drug that we can't put into an IO needle, because it's half-life is like 5 seconds. Every other drug for a cardiac arrest can go into the quickly-placed, wide-bore IO needle.

Ironically, we don't use them much where I work, but that is because of user familiarity and tradition. We are also freaking amazing at placing IV's. However, EMS and the Army uses them all the time.

Blood flow to make meds moved is provided by CPR. It only matches about 30% of normal cardiac output, but good CPR makes a pulse that can be felt in the groin or elbow.

Nasal steroids are topical and designed to just affect regional tissues. (Same thing with inhaled steroids) I"m talking about the oral steroids and Prednisone.  That is the big whammy.

Ex: I have a friend who doesn't think her asthma is 'that bad'.  She takes about 3 steroid bursts per year to knock down her attacks. She has probably taken about 6 regimens like this in her life.

I also have asthma. I treat myself with a decongestant, an expectorant (guiaffenison), and an inhaled steroid that I start when a cold starts and continue for 2-3 weeks after the symptoms have resolved.

IMO, she is much more likely to need a ventilator if she gets a bad attack and require long-term steroids because her asthma has become COPD. Steroids are a big gun that you point at a big problem. They mask a lot of infections. They keep people from mounting an infectious response. If you take them daily, it is a big/bad thing to stop them abruptly, so if the person needs surgery or stops eating, it can be a lot of trouble. Chronic steroid uses have very delicate skin, and don't heal worth crap after surgery (we leave staples in the patients for double the normal time and sometimes that isn't enough)

Trivia. Sorry if I bored you.

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