I am not an earth nor an adjunct of an earth,
I am the mate and companion of people, all just as immortal and
fathomless as myself,
(They do not know how immortal, but I know.)
Every kind for itself and its own, for me mine male and female,
For me those that have been boys and that love women,
For me the man that is proud and feels how it stings to be slighted,
For me the sweet-heart and the old maid, for me mothers and the
mothers of mothers,
For me lips that have smiled, eyes that have shed tears,
For me children and the begetters of children.
Through the journy of self discovery, Marshall’s Praisesong for the Widow and Danticat’s Breath, Eyes, Memory suggest one must relive past and present memories to find their true identity in the future.
Review of Systems:
General: the patient denies fatigue, fever, weakness, chills, problem in sleeping, weight loss and weight gain.
Skin: the patient denies rashes, lumps, sores, itching, dryness, changes, etc.
HEENT: Head- The patient denies headache, head injury and pain. Eyes- the patient report very seldom blurring of vision. The patient denies redness, loss of vision, pain, dryness, flashing lights, and denies use of eyeglasses. Ears- the patient denies ear discharge, loss of hearing and ringing in the ears. Nose- the patient denies nosebleeds, dry sinuses, loss of smell, sinusitis and nasal drip. Mouth- the patient denies sore tongue, sore mouth, bleeding gums, loss sense of taste, dentures, dry mouth, hoarseness of voice, painful swallowing and acid and bitter taste in mouth.
Neck: The patient denies neck injury, stiffness and neck pain.
Breasts: The patient denies lumps, pain and other discharges.
Respiratory: The patient denies chronic dry cough, cough with blood, repeated pneumonias, night sweat and wheezing.
Cardiovascular: The patient reported hypertension. The patient denies chest pain, irregular heartbeats, palpitation, SOB and heart murmur.
Gastrointestinal: The patient denies loss of appetite, nausea, vomiting, blood vomiting, heart burn, regurgitation, stomach pain, belching, jaundice, constipation, diarrhea, blood in stools, hemorrhoids.
Peripheral vascular: The patient denies swollen legs and feet and varicose veins
Urinary: The patient reports of leakage of urine in ADL and other activities. The patient denies difficulty in urination, pain in urination, blood in urine, frequent urination, kidney stones and ulcers.
Genital: the patient denies sexual difficulties and STDs
Musculoskeletal: The patient denies cramping in arm, buttocks and thigh. The patient denies pain, weakness and tenderness, joint swelling and major orthopedic surgeries.
Psychiatric: The patient denies depression, suicidal ideation, counseling and special treatments.
Neurological: The patient denies dizziness, headache, fainting, loss of consciousness, memory loss and sensitivity to hands and feet.
Hematologic: The patient denies anemia and problems in clotting tendencies and bleeding tendencies.
Endocrine: The patient denies flushing, fingernails changes, increase thirst, increase salt intake and intolerance to hot and cold.
Behavior lawless as snow-flakes, words simple as grass, uncomb'd
head, laughter, and naivete,
Slow-stepping feet, common features, common modes and emanations,
They descend in new forms from the tips of his fingers,
They are wafted with the odor of his body or breath, they fly out of
the glance of his eyes.
A gigantic beauty of a stallion, fresh and responsive to my caresses,
Head high in the forehead, wide between the ears,
Limbs glossy and supple, tail dusting the ground,
Eyes full of sparkling wickedness, ears finely cut, flexibly moving.
The runaway slave came to my house and stopt outside,
I heard his motions crackling the twigs of the woodpile,
Through the swung half-door of the kitchen I saw him limpsy and weak,
And went where he sat on a log and led him in and assured him,
And brought water and fill'd a tub for his sweated body and bruis'd feet,
And gave him a room that enter'd from my own, and gave him some
coarse clean clothes,
And remember perfectly well his revolving eyes and his awkwardness,
And remember putting piasters on the galls of his neck and ankles;
He staid with me a week before he was recuperated and pass'd north,
I had him sit next me at table, my fire-lock lean'd in the corner.
For time previous, his mind hadbeen confused, wavering doubtfully between the past and thepresent, and hovering forward, as it were, at intervals,into the indistinctness of the world to come. There hadbeen feverish turns, which tossed him from side to side, andwore away what little strength he had. But in his mostconvulsive struggles, and in the wildest vagaries of hisintellect, when no other thought retained its soberinfluence, he still showed an awful solicitude lest theblack veil should slip aside. Even if his bewildered soulcould have forgotten, there was a faithful woman at hispillow, who, with averted eyes, would have covered that agedface, which she had last beheld in the comeliness ofmanhood. At length the death-stricken old man lay quietlyin the torpor of mental and bodily exhaustion, with animperceptible pulse, and breath that grew fainter andfainter, except when a long, deep, and irregular inspirationseemed to prelude the flight of his spirit.
Vital Signs: Axillary temperature of 36.9 ° C, Respiratory rate of 20, Heart rate of 87 with regular rhythm and Blood Pressure of 130/90.
BMI: 35 kg/ m2
General: a 44-year-old obese female who is awake, alert and appears healthy with good posture, grooming, and looks at her age.
SKIN: the patient’s skin appears uniform in color and no presence of foul odor. Good skin turgor and temperature are in normal limit.
HEENT: Head- normocephalic and symmetrical head. Eyes- white sclera, pink conjunctiva, transparent cornea, PEERLA, parallel movement of eye balls, no edema. Ears- firm and non-tender auricles, no lesions, no palpable masses. Nose-symmetric nose, with uniform color, no presence of discharges, no nasal flaring, no tenderness and no lesions. Tongue and mouth- uniform , moist, symmetric lips. Pinkish color in gums, tongue centrally positioned and uvula in the midline.
Neck: Head movements are coordinated and without discomfort, lymph nodes not present.
Chest/Lungs: Chest wall appears intact and without tenderness, full symmetric expansion, percussion without rales, rhonchi, wheezing and diminished breath sounds, quiet, rhythmic and effortless respirations.
Heart/Peripheral Vascular: regular rhythm, no visible pulsation, no jugular vein distention, no presence of lifts or heaves. Normal s1 and s2 sounds, no s3, s4 and murmurs, no peripheral edema, no cyanosis, no pallor, capillary refill less than 2 seconds.
Abdomen: positive bowel sounds, soft, non-tender, non-distended abdomen, no rebound, no guarding and no masses.