Saturday, March 21, 2020
Maggie Obituary Essays (227 words) - Maggie Greene, Maggie
Maggie Obituary Margaret Johnson, only daughter of Mary Murphy: found dead in the East River at age 23 Margaret Johnson, also called Maggie, was a successful seamstress and the only daughter of Mary Murphy died on November 19 in the East River where she was spotted floating atop the freezing cold water. The cause of death seems to be suicide due to a longing case of depression but there are still tests being done on the body. Because of the poverty Maggie was born into she did not have the chance to learn how to swim which leads to the thought of her getting hypothermia once she either jumped or got pushed in the river. Maggie was said to be a very intelligent young lady who was always very popular around the men. She was also said to be very dependent and that was clearly seen when she ran away from home and went straight to a guy friend of hers whose name will not be released. As soon as they realized their differences she quickly ran back home to her mother who then rejected her, claiming that she was the "devil." Earlier in her short, prosperous life Maggie had to deal with the death of both her baby brother and her father, the one close family member that protected her in tough times that she often encountered. Margaret Johnson is survived by a brother Jimmie Johnson and her mother Mary Murphy.
Thursday, March 5, 2020
Writing to Your Reader
Writing to Your Reader Would you consider giving a speech to a group without first knowing who they were and what they expected from you? The same logic applies to the written word, from resumes and cover letters to romance novels and sales brochures.While oral presentations have the added benefit of facial expressions, hand gestures, listener feedback and even visual aids, written communications must rely solely on their words for the desired response or effect. For that reason, the most important research you must obtain for everything you write is the information about your audience.Whether the subject of your document is of your own choosing or a scholastic assignment, before you put pen to paper, you must first ascertain the purpose of your communication and the identity of your reader(s) by finding answers to as many of the following questions as possible:Is your audience primarily male or female? This is important in your choice of words and phrases, imparting feelings or opinions, drawing conclusio ns, etc., as depending upon your topic and your purpose, you might elicit more positive responses if your document is tailored toward one sex or the other.What native nationality is your audience? As an example, if you are writing in English as your second language to a group that is primarily English-speaking, you should definitely have an English-speaking associate review your document.What is the age group? From childrens books to advertisements for denture adhesive, always determine the probable age of your major audience so that your words are read, not ignored or discounted as either too difficult to understand or too childish.What is the average annual income? Even a guess will help you determine word choices, tone, and possibly subject matter if you know whether you are writing to college students on a limited budget or to business executives who fly First Class and drive a Mercedes.Are you writing to please, persuade, or inform your reader(s)? Your purpose may change depend ing upon your audience, but you should always begin your writing with an idea of what you want to accomplish based on the identity of your reader(s).Under what conditions will your document be read (i.e., at home, in a classroom, in a magazine or newspaper)? The length and content of your writing may depend on where you expect your audience to be when they read your document. A casual setting like the kitchen table lends itself to more casual wording and more detail, while a teacher may have many papers to read and may be looking for immediate positive or negative reasons for a grade.Does your reader want to read your document? You must determine if your audience is looking forward to reading your document (i.e., someone buying your novel), and if it is a requirement or necessity (i.e., a teacher grading your essay or a consumer looking for a low price).What response do you expect (i.e., a good grade, the sale of a product, a phone call)? No matter what you are writing - advertisin g copy, a short story, a personal statement, an essay - always keep in mind the end result you expect, and when you read your final draft, ask yourself, If I were my audience, would I respond as intended?Knowing your reader(s) actually makes writing easier, forcing you to focus rather than just throw words on a page, and ensuring that your final document has a much better chance of succeeding for any purpose. Before you begin to write, take a few minutes to explore your readers mind and environment; youll discover that your written communications will be better organized, more interesting and well-received.
Tuesday, February 18, 2020
Aspectual evaluation of IS in use Essay Example | Topics and Well Written Essays - 2000 words
Aspectual evaluation of IS in use - Essay Example This flash will be linked to several internet website e.g. YouTube for the users to have a video watch on how basketball is played. This also will save the user some money since it does not need to be bought. Champion basketball flash evaluation There are several users in the family who are subject to use the champion basketball flash and whom must be considered in the family. Unlike me being a professional basket baller, my wife is not a basketball fan; my oldest daughter loves games but plays tennis. However if may appear erroneous since my last born is a basket baller but is not a fan, consequently my second born son does not play basketball but is a good basketball fan. Physical aspect This is the relation to feelings of the user on this champion basketball flash which can be manipulated from one screen to another. A good example is when the user will feel happy and delighted by the presence of star players like tiger woods who is the best Basketball international player. This wi ll also bring excitement to the user especially when the team of stars are playing the game. These moments will make the user happy and make the champion basketball flash to be exciting. ... The main presentation is linked to the major and attractive sites visited in the internet to give the user the best videos and pictorials for the related game. This videos and games raise the userââ¬â¢s level of enjoyment, this games and videos in the internet are always updated and the user will have an access of the current sports only. Eventually some of this graphics are funny picture of the players that they like most and this makes the users happy and excited to use the champion basketball flashy. Consequently, this makes the young users to gain more interest in this game and hence helps the user to understand more about the game. Quantative aspect The user will not be able to see all the presentation in the same day as this is more than what human can take. This is as a result of videos and images which keep on updating and changing on a daily basis. In this context, the users will have to keep on revisiting the presentation to find what is new in the game. The navigation b etween screens on Basketball playing and its relations to different players, fields and different countries is more complex and this will take time to cover. World records keep on being broken and this will make the presentation change on the playerââ¬â¢s information part leading to an update of a new record with a new player. This wills make the users to revisit a certain careen when a new record is set. Also my daughter like watching something twice for a deep understanding and this will make her revisit the screens and this will consume time, my sons well likes watching videos and thus videos watching will consume a lot of time in order for one to have a good understanding. Moral aspect In any application developed, on has to consider its ethical implications and values. In this
Monday, February 3, 2020
HSBC Bank Research Paper Example | Topics and Well Written Essays - 2250 words
HSBC Bank - Research Paper Example d.). The HSBC holdings are one of the largest banking and financial services organizations in the world. HSBC holdings were established in Honk Kong in 1990 as a parent company to the HSBC and were incorporated as a public limited company in England and Wales in the same year 1990. The bank has its new headquarters at London after 1993. Formerly, that is until 1992 Honk Kong served as its headquarters. The reason was the takeover conditions for the acquisition of Midland Bank that forced the HSBC to move its headquarters from Honk Kong to London in 1993 (Cavallo, 2001). The bank's international network consists of around 8500 offices in 86 countries and territories with assets worth around US$ 2,527; 210,000 shareholders, 331,458 employees and 128 million customers worldwide. In the UK the number of HSBC was more that is, 1600 branches than that of UAE HSBC Bank that had only 8 branches and around 110 ATM machines. The Forbes magazine in April 2, 2008 recognized HSBC, as the fourth large st bank in the world in terms of assets ($2,348.98 billion); the second largest in terms of sales ($146.50 billion), the largest in terms of market value ($180.81 billion). ... d.). The factor that helped the HSBC to reach this position is its high loan-deposit ratio of 90% that claim to have more deposits than loans. Such a high loan-deposit ratio facilitated the bank to build and retain the trust among its investors and customers and also keeping these users assured with the financial strengths of the banks. Thus the sound financial position of the bank helped the bank to maintain stock at relatively high price even during the times of credit crunch phase, which could not been seen in other banks. The present study focuses on the aspects of financial and banking performance of HSBC bank. The study is carried out to achieve mainly three objectives, which are: To measure how well the HSBC banks are performing in compared to other banks; What are the necessary steps that have been taken by the HSBC banks to improve their overall performance and; Finally to provide sufficient important information to its investors (Hunter, 1990) Literature Review The analysis of financial performance has always been a subject of interest to scholars and academicians. The banking performance in particular invites the attention of bankers as well to evaluate how successfully their operations are being conducted and the interest of various stakeholders are protected. There have been many measures and indexes to evaluate the performance of a bank. These include broadly economic and non-economic measures. For instance, Rovell (1980) remarks banking performance can be best evaluated by interest rate margin over different periods of time. Interest income here is defined as the difference between the interest income and dividend expenses and the
Sunday, January 26, 2020
Hypertension Case Study Nursing
Hypertension Case Study Nursing 1) CASE SUMMARY Mr. MS is a 58-year-old Malay male who was previously diagnosed with hypertension, gout and triple vessel ischemic heart disease. He first presented with chest pain in March 2010 where he was diagnosed with ischemic heart disease. He was unable to complete an exercise stress test and an angiogram done in Hospital Sultanah Aminah found him to have triple vessel disease. He was told angioplasty was not possible due to the severity of the blocks and was counseled for CABG but he was not keen. Meanwhile, he has had angina attacks 2 to 3 times per week every week since his initial diagnosis for the last 3 months, usually relieved by sublingual GTN and was currently admitted for the 4th time for chest pain not relieved by GTN. ECG done 2 hours after onset of chest pain showed ST depression of 2mm at leads I, aVL, V3 V6 and left axis deviation with no Q waves. Trop T was positive (2.75 ng/ml) at 4 hours after onset and other cardiac enzymes were also raised significantly. He was diagnosed with NSTEMI and treated with aspirin 300mg, IV morphine 2.5 mg, sublingual GTN 3 tablets and subcutaneous clexane 60mg BD for 3 days as well as continuing his current medication regime of simvastatin, metoprolol, cardiprin, ISDN, amlodipine and GTN. Following admission, he was well in the ward with no recurrence of chest pain and did not develop any new complaints. He was discharged after 3 days of inpatient treatment with instructions to attend his follow-up appointment at the cardio clinic in HSAJB on the 16th of June 2010 to make an appointment for surgery. Following this episode of chest pain, which he says is the worst so far, he is now quite keen for CABG. PATIENTS DETAILS I/C NUMBER: 510831015263 AGE: 58 SEX: Male DATE OF ADMISSION: 3/6/2010 R/N: 1348445 2) CLINICAL HISTORY Chief Complaint Chest pain for 1 day. History of Present Illness Mr. MS is a 58-year-old Malay male who was previously diagnosed with gout, hypertension and ischemic heart disease with triple vessel disease. He was awoken from sleep at about 10pm due to a central chest pain of sudden onset. He described the character of the pain as crushing in nature and radiated to his neck. This episode of chest pain was the most severe since he was first diagnosed with ischemic heart disease. The pain was associated with profuse sweating, body weakness and was not relieved by rest. However, it was relieved by sublingual GTN, of which he has a supply of. His discomfort was made worst by exertion so he lay in bed to recover. Despite this, he had another episode of chest pain 30 minutes later. He took the sublingual GTN again but this time, the pain did not resolve. He was then brought to the emergency department of Hospital Batu Pahat by his son. This is Mr. MSs fourth admission for chest pain since March 2010. Since his diagnosis of ischemic heart disease in March, he has experience angina attacks two to three times per week, especially on exertion such as when straining while passing motion. During these attacks, he uses sublingual GTN to relieve his symptoms and normally feels much better after that. He only comes to the hospital when GTN does not work to relieve his symptoms. Systemic Review Mr. MS does not experience symptoms such as palpitations, dizziness, headache, nausea, vomiting, orthopnoea, paroxysmal nocturnal dyspnoea, epigastric pain, shortness of breath, fever, and had no syncopal episodes. He also does not have loss of appetite or loss of weight. Bowel and urinary habits are normal. His sleep has not been affected until this current episode whereby he was awoken by the chest pain. Past Medical History Mr. MS was diagnosed with hypertension 6 years ago when he had an episode of headache. He has been on medication since and was on regular follow-up with KK Rengit. He was diagnosed with gout 5 years ago when he had a left big toe swelling which resolved after some medication. He is not on long term medication for gout. Mr. MS was admitted for the first time 5 years ago in 2005 when he had bilateral renal calculi. He was subsequently referred to Hospital Sultanah Aminah for further management of this problem and it has since resolved and does not have follow-up anymore. Mr. MS was diagnosed with ischemic heart disease in March 2010 when he presented with chest pain for the first time. Following his recovery, he underwent a stress test in Hospital Batu Pahat but according to him, was unable to complete the procedure due to chest discomfort. He was referred to the cardiology unit in Hospital Sultanah Aminah for further management where an angiogram was performed and he was told to have triple vessel disease. He was also told that angioplasty was not possible due to the severity of the blocks. He was recommended to have Coronary Artery Bypass Grafting (CABG) but as of yet, no appointment has been made as he was still unsure of going through with the procedure. Following this episode of chest pain, Mr. MS has decided that going for the CABG is the only thing that will keep him alive. His current medications include: Tab Simvastatin 20mg OD Tab Metoprolol 75mg BD Tab Cardiprin 100mg OD Tab Isosorbide Dinitrate (ISDN) 5mg TDS Tab Amlodipine 10mg OD Sublingual Glyceryl Trinitrate (GTN) PRN He is compliant to his medication regime. Mr. MS is not known to have diabetes or hyperlipidemia. He also does not have any known food or drug allergies. Family History Mr. MS is the 3rd of 9 siblings. His father had hypertension and passed away a long time ago due to unknown causes. His mother and other siblings are healthy. None of them have hypertension, diabetes, ischemic heart disease or malignancy. Social History He lives in a kampung in Rengit with his wife and 5 children. Mr. MS does not smoke nor consume alcohol. He works in a palm oil plantation. The distance from his house to Hospital Batu Pahat is about half an hour. On further enquiry, Mr. MS says that the cost of the CABG is about RM1000, which he can afford. 3) FINDINGS ON CLINICAL EXAMINATION (Mr. MS was examined by me 9 hours after onset of chest pain) Mr. MS was alert, conscious, and communicative. He was not in obvious pain or respiratory distress. He was lying down comfortably on his bed. There were no tendon xanthomata, xanthelasma, pallor, corneal arcus or pedal edema. His JVP was not raised. His clinical parameters are: Blood Pressure : 158/94 mmHg Heart Rate : 94 beats per minute. Regular rhythm Respiratory Rate : 20 breaths per minute Temperature : 37à °C SpO2 : 97% under room air On examination of the precordium, the apex beat was located at the 5th intercostal space on the midclavicular line and was normal in character. Parasternal heave was not felt and there were no thrills. First and second heart sounds were heard. There were no murmurs or added heart sounds. On examination of the chest, there was no deformity and chest expansion was equal on both sides. Percussion and tactile vocal fremitus was normal and equal on both sides. On auscultation, vesicular breath sounds were heard throughout all lung fields with good air entry. There was no wheezing or crepitations heard. On examination of the abdomen, it was soft and non-tender. There were no masses felt. Bowel sounds were heard and normal. 4) PROVISIONAL AND DIFFERENTIAL DIAGNOSES WITH REASONING Provisional Diagnosis Acute myocardial infarction with underlying triple vessel ischemic heart disease and hypertension With a history of diagnosed triple vessel ischemic heart disease with multiple episodes of angina attacks since the initial diagnosis, it is highly likely that Mr. MS is presenting with an acute coronary event and this should be a priority until proven otherwise. This is evidenced by the presentation of central, crushing chest pain of sudden onset that radiated to the neck and associated with profuse sweating and body weakness which is classical of a myocardial infarction. Mr. MS will require immediate investigations such as an electrocardiogram and cardiac enzymes to differentiate the acute coronary syndromes so that the appropriate management may be instituted for him e.g. if he has an ST-segment elevation myocardial infarction (STEMI), he will require myocardium-saving thrombolytic therapy to disrupt the ischemic event. As Mr. MS did not present with features such as acute shortness of breath, loss of consciousness and severe palpitations, it seems that he does not have complicati ons of acute myocardial infarction but these developments should be watched out for throughout his admission as complications may arise later. Differential Diagnosis Pulmonary embolism Pulmonary embolism is a possibility that can be considered when a patient presents with an acute chest pain that is accompanied by shortness of breath, hemoptysis, tachypnea, fever and even cyanosis and collapse in severe cases. Furthermore, the chest pain is of a pleuritic nature, of which it is worsened on breathing, and a pleural rub can be heard on auscultation of the chest. However, Mr. MS did not present in such a way. At the same time, Mr. MS did not have risk factors such as a deep vein thrombosis, prolonged immobilization or recent surgery. It is still highly likely that Mr. MS has suffered an acute myocardial infarction, and an ECG would help to differentiate between the two as pulmonary embolism might show the classic S1Q3T3 pattern of right axis deviation or right bundle branch block. Either way, the diagnosis should be made quickly so treatment may be instituted before his condition becomes worse or complications develop. Aortic dissection Aortic dissection presents as an acute onset chest pain that is tearing in nature, and often radiates to the back. It is often confused with myocardial infarction due to its presentation but differences include the lack of profuse sweating, signs of heart pump dysfunction and a normal ECG. Risk factors are usually uncontrolled hypertension, connective tissue disorders or chest trauma. Mr. MS has hypertension, but is under control, and does not have the other risk factors. A diagnosis of myocardial infarction should be the priority as thrombolytic therapy is vital, but if there is any reason to doubt that diagnosis, then further investigations should be performed. 5) IDENTIFY AND PRIORITISE THE PROBLEMS 1. Acute chest pain Mr. MS has acute chest pain with features very suggestive of a classical picture of myocardial infarction as he presents with crushing central chest pain that radiates to the neck and associated with profuse sweating and weakness. Given that he is known to have triple vessel ischemic heart disease and that he has suffered many angina attacks since his initial diagnosis, it is highly likely that he is having an acute myocardial infarction. Without further a due, he needs an electrocardiogram (ECG) and cardiac enzymes tested to distinguish between the different acute coronary syndromes so that the appropriate treatment protocols may be initiated for him as soon as possible to disrupt the ongoing ischemia. As Mr. MS is having severe chest pain that may overstimulate his sympathetic system and cause further ischemia, he will require immediate supportive therapy such as effective pain medication and oxygen therapy. 2. Triple vessel ischemic heart disease awaiting CABG Mr. MS was diagnosed with triple vessel ischemic heart disease when he first presented with chest pain in March 2010 and has since experienced many episodes of angina. Given his diagnosis and disease pattern, he is at a very high risk of developing a severe acute coronary event that may prove fatal if the infarction is too extensive or if complications develop. As percutaneous revascularization with a stent or balloon was not possible for him, he will require a CABG to both relieve his symptoms and reduce his mortality risks in the long term. He was unsure of going ahead with the operation previously, therefore no appointment date was given for surgery. However, now that he has changed his mind, every effort should be made by both the doctors in charge of him here in Hospital Batu Pahat and in the cardiology unit of Hospital Sultanah Aminah to arrange for his surgery as soon as possible, given the circumstances of his condition. 3. Compliance to medication Mr. MS is on several medications for his triple vessel ischemic heart disease and will require revascularization surgery soon in order to decrease his mortality risks. However, waiting for a CABG in the government setting may take some time, even under dire circumstances due to the nature of the system. Therefore, it is extremely crucial that Mr. MS is compliant to his medication regime while awaiting a CABG to prevent another episode of infarction. He should be counseled to fully understand this and the situation of his ischemic heart disease. It is also the responsibility of his doctors to ensure that he is taking the right combination of medications with the aim to prevent another acute cardiac event. Meanwhile, a sufficient supply of sublingual GTN should be provided for Mr. MS in cases of angina attacks at home. He should come to the hospital immediately if GTN fails to relieve his symptoms. 4. Regular screening for comorbid diseases Mr. MS has not been diagnosed with diabetes or hyperlipidemia previously but these diseases are strong risk factors for the long term implications of his ischemic heart disease. Therefore, Mr. MS should be screened regularly e.g. twice yearly during his follow-up appointments. Early detection of diabetes is necessary so that treatment can start as soon as detected in order to prevent his ischemic heart disease from becoming worst than it already is. As for his lipid control, if his lipid profile is found to be outside the normal limits, the dosage of his medication can be increased as necessary. Following his CABG, he will need to maintain a healthy lifestyle of a good, well-balanced, low-salt and low-fat diet and regular exercise within his limits. 6) PLAN OF INVESTIGATION, JUSTIFICATIONS FOR THE SELECTION OF TESTS OR PROCEDURES, AND INTERPRETATION OF RESULTS 1. Electrocardiogram (ECG) To look for any changes that may indicate an ongoing ischemic event, such as ST elevation or depression and T wave inversion in order to support the diagnosis of an acute myocardial infarction so appropriate treatment can be started. Differentiation of ST segment elevation or depression is also crucial in initiating treatment as thrombolytic therapy is only indicated for ST-elevation myocardial infarction. Results: ECG on admission (2 hours after onset) shows sinus rhythm with ST depression at leads I, aVL, V3 V6 with left axis deviation. T wave was present and normal. Interpretation: The ST depression in the leads above indicate an ischemic event at the anterolateral sections of the heart. The lack of ST elevation concludes a diagnosis of either unstable angina or NSTEMI, depending on the levels of cardiac enzymes. There is no sign of old infarction. 2. Cardiac Enzymes To look for elevated levels of cardiac enzymes such as troponin T, creatinine kinase (CK), lactate dehydrogenase (LDH) and aspartate transaminase (AST) that will indicate myocardium ischemia and necrosis. If elevated, a diagnosis of NSTEMI can be made in accordance with the ECG changes. However, cardiac enzymes when done too early after onset may not show any rise in levels 1. This does not mean that necrosis has not taken place and the test should be repeated once more at 6 hours after onset 1. Results: Troponin T (4 hours after onset) 2.75ng/ml ââ â (12 hours after onset) (60 hours after onset) Normal Range (U/L) CK 997 ââ â 263 ââ â
Saturday, January 18, 2020
The Fault in Our Stars
Our lives are a set of building blocks, and we always yearn to be perceived as skyscrapers. But not everyone has this capability. People have faults, and sadly, it can get to the point where those wrecking balls intervene. And the thing that was once a set of building blocks is no more. Some people have it harder than others. People live with cancer, deadly diseases that could ruin their lives. The Fault in Our Stars is a story mainly about the life of a girl named Hazel who falls in love with a person named Augustus.The problem is, that her and two other main characters in the story, Augustus and Isaac, have to live their lives battling cancer, which literally controls their ââ¬Å"ordinaryâ⬠lives. It is about the struggle (faults) that comes with dealing with cancer, and how they try to overcome these obstacles. Sometimes they succeed, and sometimes they do not. John Green titled his novel The Fault In Our Stars because the stars are the building blocks (a persons life), and the fault in those stars is what is keeping those building blocks from becoming skyscrapers, the wreaking ball (cancer).There are many significant themes throughout the novel that correlate to the title. The struggles in life with cancer, how love triumphs through hardship, and coping with the death of a loved one. These themes not only relate to the title but they also exemplify what this story is really about. Sets of building blocks that are slowly broken down, to the point where they are destroyed completely buy the wrecking ball, both literally and mentally. Cancer is something that it very hard to live with, and it generates numerous setbacks in life.The three main characters in this story, Hazel, Augustus, and Isaac live their lives battling cancer. They meet different obstacles every day, and the struggle is dealing with those obstacles. Hazel struggles with lung cancer, and every day she walks around with oxygen tank to help her lungs function. One time her cancer took a da ngerous toll when she woke up in the middle of the night at about four in the morning with an apocalyptic pain in the center of her brain. She woke her parents and was taken to the ICU. Hazel was knocked out, and they did save her.When she woke up in the morning her parents explained everything that had happened to her. ââ¬Å"Mom and Dad told me that I did not have a brain tumor, but that my headache was caused by poor oxygenation, which was caused by my lungs swimming in fluid, a liter and a half(!!!! ) of which had been successfully drained from my chest, which was why I might feel a slight discomfort in my side, where there was, hey look at that, a tube that went from my chest into a plastic bladder half full of liquid that for all the world resembled my Dadââ¬â¢s favorite amber ale.My mom told me that I was going home, that I really was, and that I would have to get this drained every now and again and get back on the BiPAP, this nighttime machine that forces air in and out of my lungs. â⬠(107) Hazelââ¬â¢s overexertion was very hard on her and the rest of her family. Now she has to get her lungs drained every once in a while and she is also on BiPAP. In my opinion this was more than just a struggle, this was a nightmare. A nightmare pioneered straight from her cancer, and it is just horrible. Augustus had lived a very rigid life with cancer.At the time that he met Hazel, he was cancer free with an amputated leg. When Augustus and Hazel went to the airport to go on their trip to Amsterdam, Augustus took very long to get to the plane when he said that he was going to go get food and come back. He told Hazel and her mom that the line at McDonaldââ¬â¢s was really long but the truth came out when he was sitting on the plane next to Hazel. ââ¬Å"Listen, sorry I avoided the gate area. The McDonaldââ¬â¢s line wasnââ¬â¢t really that long; I justâ⬠¦. I just didnââ¬â¢t want to sit there with all those people looking at us or whatever.â⠬ (145, 146)Here Augustusââ¬â¢s struggle with cancer is the looks that people would give him, looks that were just too hard to fathom. He didnââ¬â¢t want to get those looks. It bothered him. Augustus did not like people looking at him like there was something wrong with him. It was just mortifying. Isaac was Augustusââ¬â¢s friend that introduced him to Hazel. Isaac and Hazel went to support group together. Isaac suffered from eye cancer, and he was going to get a surgery that would eradicate himself of his cancer. The problem was that this surgery would steal his sight.This was a huge obstacle that cancer has set for him and he has to cope with the struggle of loosing his sight. But something even worse happened to Isaac when he told his girlfriend about the news (that he was going to be blind). His girlfriend stopped seeing him and it broke Isaacs heart. She was his true love and they said they would always be together, but she could not take it anymore. ââ¬Å"She said she canââ¬â¢t handle it. Iââ¬â¢m about to lose my eyesight and she canââ¬â¢t handle it. â⬠(60) The reason his sight was going to be disdained was to loose his cancer.Meaning that the cancer was the cause of him loosing his sight, initiating the lose of his true love. This was Isaacââ¬â¢s huge struggle in life with cancer. Loosing the love of his life. The theme of struggles in life with cancer relates to the title because these struggles from cancer are the faults (struggles) that are in the stars, what is keeping the building blocks from becoming skyscrapers, which is initiated by the wrecking ball (cancer). Cancer is a deadly disease that constructs many problems in life.According to the love that was shared between Hazel and Augustus, no problem or ââ¬Å"faultâ⬠would ever desist the love that these two had for each other. Augustus showed hazel that there is more to life than staying home and letting cancer consume you. It did not take long for them to fal l in love. Together they were unbeatable and they would never let anything bring them down. They both went through rigorous paths, but together, their loved steered themselves out of that hardship, and to safety. When Hazel was taken to the hospital because of her overexertion the nurse informed her about Augustus.ââ¬Å"Youââ¬â¢re not going to ask about your boyfriend? â⬠she asked. ââ¬Å"Donââ¬â¢t have one,â⬠I told her. ââ¬Å"Well thereââ¬â¢s a kid who has hardly left the waiting room since you got here,â⬠she said. ââ¬Å"He hasnââ¬â¢t seen me like this, has he? â⬠ââ¬Å"No Family only. â⬠(108) Even though it was very hard to see Hazel in that faze of discomfort, Augustus went because he loved her. He did not let hardship terminate his love for hazel. He would not let anything stop him from seeing her. When Augustus Osteosarcoma returned, he went to buy a pack of cigarettes in the middle of the night, and something went wrong with his G-tu be. He told Hazel to come and help him fix it.She took off her BiPAP, attached herself to an oxygen tank and went to help him before it was too late. When she saw him Augustus was in the drivers seat of his car covered in his own vomit. ââ¬Å"Oh, G-d, Augustus, we have to get you to a hospital. â⬠I gagged from the smell but bent forward to inspect the place above his belly button where theyââ¬â¢d surgically installed the tube. The skin of his abdomen was warm and bright red. ââ¬Å"Gus, I love you. â⬠(244-245). Hazel loved Augustus so much that she took off her BiPAP, and left by herself with her oxygen tank to help Augustus in his urgent time of need.She did not let this ââ¬Å"faultâ⬠bring down her spirits and she did what ever she could to keep him alive. She saved his life and if she did not go there to help him (and call 911) Augustus would not have made it. Their love triumphs through hardship, that is how powerful their love is. This theme relates to the title because the love is what keeps those stars or building blocks (peoples lives) up and running and they wont let the fault (hardship) get in the way of the love. Love isnââ¬â¢t something that can be wished upon, you have to have that click.The click between Hazel and Augustus was so strong that they would not let anything get into the way. At the end of the book Hazel is forced to cope with the death of her one and only soul mate, Augustus. Hazel was devastated. She loved him so much. At his funeral, she went up to Augustusââ¬â¢s coffin to say her last good bye. ââ¬Å"I love you present tense,â⬠I whispered, and then put my hand on the middle of his chest and said, ââ¬Å"Itââ¬â¢s okay, Gus. Itââ¬â¢s okay. It is. Itââ¬â¢s okay, you hear me? â⬠I had-and have-absolutely no confidence that he could here me. I leaned forward and kissed him on the cheek. ââ¬Å"Okay,â⬠I said. ââ¬Å"Okay.â⬠(270)Hazel has been trying very hard not to let it get to her (the pain), and she does not want Augustus to be mad that he died on her. That is why Hazel says its okay, to apprise Augustus and make herself know that she can live through this. The theme of coping with the death of a loved one relates to the title of this novel because coping with the death of a loved one is another fault (struggle) that was in the stars that was initiated from death by cancer. Osteosarcoma was the wreaking ball that destroyed Augustusââ¬â¢s building blocks and Augustusââ¬â¢s passing was the wreaking ball that injured Hazelââ¬â¢s building blocks.There are many obstacles in life, and we always try to overcome them. Some people have it harder than others. Some people are forced to live their lives battling cancer. That is what The Fault in Our Stars is all about, the burden of living life as a different person with new problems everyday. Some days will be better than others, and some days will be worse. Itââ¬â¢s a never-ending roller coaster. Su re there will be times where it slows down and rides along a straight path but there will always be those times where it goes fast and gets bumpy. People live today overcoming these endeavors.There are many themes in the novel that correspond with the title. The struggles in life with cancer, how love triumphs through hardship, and coping with the death of a loved one. These themes not only correlate to the title but they also portray the main idea of the story. Our lives are a set of building blocks and if we donââ¬â¢t learn how to eventually take and overcome the blows from the wrecking ball, we will never have that chance that all of us have always longed for (even for people who are not battling cancer), to not only become a skyscraper but to be commended as one. The Fault in Our Stars Our lives are a set of building blocks, and we always yearn to be perceived as skyscrapers. But not everyone has this capability. People have faults, and sadly, it can get to the point where those wrecking balls intervene. And the thing that was once a set of building blocks is no more. Some people have it harder than others. People live with cancer, deadly diseases that could ruin their lives. The Fault in Our Stars is a story mainly about the life of a girl named Hazel who falls in love with a person named Augustus.The problem is, that her and two other main characters in the story, Augustus and Isaac, have to live their lives battling cancer, which literally controls their ââ¬Å"ordinaryâ⬠lives. It is about the struggle (faults) that comes with dealing with cancer, and how they try to overcome these obstacles. Sometimes they succeed, and sometimes they do not. John Green titled his novel The Fault In Our Stars because the stars are the building blocks (a persons life), and the fault in those stars is what is keeping those building blocks from becoming skyscrapers, the wreaking ball (cancer).There are many significant themes throughout the novel that correlate to the title. The struggles in life with cancer, how love triumphs through hardship, and coping with the death of a loved one. These themes not only relate to the title but they also exemplify what this story is really about. Sets of building blocks that are slowly broken down, to the point where they are destroyed completely buy the wrecking ball, both literally and mentally. Cancer is something that it very hard to live with, and it generates numerous setbacks in life.The three main characters in this story, Hazel, Augustus, and Isaac live their lives battling cancer. They meet different obstacles every day, and the struggle is dealing with those obstacles. Hazel struggles with lung cancer, and every day she walks around with oxygen tank to help her lungs function. One time her cancer took a da ngerous toll when she woke up in the middle of the night at about four in the morning with an apocalyptic pain in the center of her brain. She woke her parents and was taken to the ICU. Hazel was knocked out, and they did save her.When she woke up in the morning her parents explained everything that had happened to her. ââ¬Å"Mom and Dad told me that I did not have a brain tumor, but that my headache was caused by poor oxygenation, which was caused by my lungs swimming in fluid, a liter and a half(!!!! ) of which had been successfully drained from my chest, which was why I might feel a slight discomfort in my side, where there was, hey look at that, a tube that went from my chest into a plastic bladder half full of liquid that for all the world resembled my Dadââ¬â¢s favorite amber ale.My mom told me that I was going home, that I really was, and that I would have to get this drained every now and again and get back on the BiPAP, this nighttime machine that forces air in and out of my lungs. â⬠(107) Hazelââ¬â¢s overexertion was very hard on her and the rest of her family. Now she has to get her lungs drained every once in a while and she is also on BiPAP. In my opinion this was more than just a struggle, this was a nightmare. A nightmare pioneered straight from her cancer, and it is just horrible. Augustus had lived a very rigid life with cancer.At the time that he met Hazel, he was cancer free with an amputated leg. When Augustus and Hazel went to the airport to go on their trip to Amsterdam, Augustus took very long to get to the plane when he said that he was going to go get food and come back. He told Hazel and her mom that the line at McDonaldââ¬â¢s was really long but the truth came out when he was sitting on the plane next to Hazel. ââ¬Å"Listen, sorry I avoided the gate area. The McDonaldââ¬â¢s line wasnââ¬â¢t really that long; I justâ⬠¦. I just didnââ¬â¢t want to sit there with all those people looking at us or whatever.â⠬ (145, 146)Here Augustusââ¬â¢s struggle with cancer is the looks that people would give him, looks that were just too hard to fathom. He didnââ¬â¢t want to get those looks. It bothered him. Augustus did not like people looking at him like there was something wrong with him. It was just mortifying. Isaac was Augustusââ¬â¢s friend that introduced him to Hazel. Isaac and Hazel went to support group together. Isaac suffered from eye cancer, and he was going to get a surgery that would eradicate himself of his cancer. The problem was that this surgery would steal his sight.This was a huge obstacle that cancer has set for him and he has to cope with the struggle of loosing his sight. But something even worse happened to Isaac when he told his girlfriend about the news (that he was going to be blind). His girlfriend stopped seeing him and it broke Isaacs heart. She was his true love and they said they would always be together, but she could not take it anymore. ââ¬Å"She said she canââ¬â¢t handle it. Iââ¬â¢m about to lose my eyesight and she canââ¬â¢t handle it. â⬠(60) The reason his sight was going to be disdained was to loose his cancer.Meaning that the cancer was the cause of him loosing his sight, initiating the lose of his true love. This was Isaacââ¬â¢s huge struggle in life with cancer. Loosing the love of his life. The theme of struggles in life with cancer relates to the title because these struggles from cancer are the faults (struggles) that are in the stars, what is keeping the building blocks from becoming skyscrapers, which is initiated by the wrecking ball (cancer). Cancer is a deadly disease that constructs many problems in life.According to the love that was shared between Hazel and Augustus, no problem or ââ¬Å"faultâ⬠would ever desist the love that these two had for each other. Augustus showed hazel that there is more to life than staying home and letting cancer consume you. It did not take long for them to fal l in love. Together they were unbeatable and they would never let anything bring them down. They both went through rigorous paths, but together, their loved steered themselves out of that hardship, and to safety. When Hazel was taken to the hospital because of her overexertion the nurse informed her about Augustus.ââ¬Å"Youââ¬â¢re not going to ask about your boyfriend? â⬠she asked. ââ¬Å"Donââ¬â¢t have one,â⬠I told her. ââ¬Å"Well thereââ¬â¢s a kid who has hardly left the waiting room since you got here,â⬠she said. ââ¬Å"He hasnââ¬â¢t seen me like this, has he? â⬠ââ¬Å"No Family only. â⬠(108) Even though it was very hard to see Hazel in that faze of discomfort, Augustus went because he loved her. He did not let hardship terminate his love for hazel. He would not let anything stop him from seeing her. When Augustus Osteosarcoma returned, he went to buy a pack of cigarettes in the middle of the night, and something went wrong with his G-tu be. He told Hazel to come and help him fix it.She took off her BiPAP, attached herself to an oxygen tank and went to help him before it was too late. When she saw him Augustus was in the drivers seat of his car covered in his own vomit. ââ¬Å"Oh, G-d, Augustus, we have to get you to a hospital. â⬠I gagged from the smell but bent forward to inspect the place above his belly button where theyââ¬â¢d surgically installed the tube. The skin of his abdomen was warm and bright red. ââ¬Å"Gus, I love you. â⬠(244-245). Hazel loved Augustus so much that she took off her BiPAP, and left by herself with her oxygen tank to help Augustus in his urgent time of need.She did not let this ââ¬Å"faultâ⬠bring down her spirits and she did what ever she could to keep him alive. She saved his life and if she did not go there to help him (and call 911) Augustus would not have made it. Their love triumphs through hardship, that is how powerful their love is. This theme relates to the title because the love is what keeps those stars or building blocks (peoples lives) up and running and they wont let the fault (hardship) get in the way of the love. Love isnââ¬â¢t something that can be wished upon, you have to have that click.The click between Hazel and Augustus was so strong that they would not let anything get into the way. At the end of the book Hazel is forced to cope with the death of her one and only soul mate, Augustus. Hazel was devastated. She loved him so much. At his funeral, she went up to Augustusââ¬â¢s coffin to say her last good bye. ââ¬Å"I love you present tense,â⬠I whispered, and then put my hand on the middle of his chest and said, ââ¬Å"Itââ¬â¢s okay, Gus. Itââ¬â¢s okay. It is. Itââ¬â¢s okay, you hear me? â⬠I had-and have-absolutely no confidence that he could here me. I leaned forward and kissed him on the cheek. ââ¬Å"Okay,â⬠I said. ââ¬Å"Okay.â⬠(270)Hazel has been trying very hard not to let it get to her (the pain), and she does not want Augustus to be mad that he died on her. That is why Hazel says its okay, to apprise Augustus and make herself know that she can live through this. The theme of coping with the death of a loved one relates to the title of this novel because coping with the death of a loved one is another fault (struggle) that was in the stars that was initiated from death by cancer. Osteosarcoma was the wreaking ball that destroyed Augustusââ¬â¢s building blocks and Augustusââ¬â¢s passing was the wreaking ball that injured Hazelââ¬â¢s building blocks.There are many obstacles in life, and we always try to overcome them. Some people have it harder than others. Some people are forced to live their lives battling cancer. That is what The Fault in Our Stars is all about, the burden of living life as a different person with new problems everyday. Some days will be better than others, and some days will be worse. Itââ¬â¢s a never-ending roller coaster. Su re there will be times where it slows down and rides along a straight path but there will always be those times where it goes fast and gets bumpy. People live today overcoming these endeavors.There are many themes in the novel that correspond with the title. The struggles in life with cancer, how love triumphs through hardship, and coping with the death of a loved one. These themes not only correlate to the title but they also portray the main idea of the story. Our lives are a set of building blocks and if we donââ¬â¢t learn how to eventually take and overcome the blows from the wrecking ball, we will never have that chance that all of us have always longed for (even for people who are not battling cancer), to not only become a skyscraper but to be commended as one.
Friday, January 10, 2020
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