Not fair to trash Luzerne County

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canada goose outlet cheap Failure what an awful word. Never good power failure, failure to thrive, failure to launch, but particularly worrisome to your medical team is heart failure. canada goose outlet cheap

Heart failure is not a disease but a syndrome.

OK prepare yourself for a demonstration canada goose of canada goose black friday sale my obsession with precise language. Strictly speaking Canada Goose Jackets a canada goose outlet syndrome is a collection of coexisting complaints (symptoms), observable physical characteristics (signs) and specific results on a variety of lab and imaging studies (findings.) Symptoms, signs and findings together define a syndrome that can be associated with a variety of different diseases, each the result from a specific causative factor but usually all acting through common abnormal physiological processes. Got it? OK, I don blame you. Let use heart failure to explain.

Shortness of breath is one symptom of heart failure. A sign related to it is a wet, gurgling sound with breathing or cough. https://www.rkliedtke.de A finding associated uk canada goose outlet to it could be an abnormally dense lung image on a chest x ray because of fluid filling the normally spongy lung tissue.

Another symptom is painful feet and legs from swelling (the sign) of the ankles, lower legs and area around the lower back. In olden days canada goose factory sale this was called dropsy, today we call it edema.

canada goose outlet canada Both shortness of canada goose coats breath and edema are the result of excess fluid accumulation in places it should be scarce. Lungs normally have blood inside blood vessels and a canada goose clearance bit of fluid outside of blood vessels in the surrounding supporting tissues just like your legs have plenty of blood inside vessels and a little in the muscles, fat, skin and other soft tissues. Why does the extra fluid pool in the lungs and legs? canada goose outlet canada

canada goose uk harrods With heart failure, it because the heart has become inefficient in pumping blood forward through the circulation in the only right direction; that is from the body, through the veins, to the right side of the heart for the first push, then out of the heart to the lungs, then back from the lungs with newly collected oxygen, getting a second push from the left side of the heart and out to the body through the arteries to deliver food and oxygen to cheap Canada Goose the organs and finally back into veins with waste from the organs to start the cycle again, and again, and again about 80 times every minute of your life. Pretty amazing, no? canada goose uk harrods

But if the heart fails to pump effectively because its own blood supply is compromised by narrowed heart muscle feeding arteries, or from muscle damage from a heart attack or from narrowed or leaky heart valves or from a virus infecting heart muscle cells or from abnormal heart rhythms and so many other causes blood backs up into the lungs and tissues and heart failure occurs.

Each of the diseases I listed in the last paragraph can be caused by a variety of specific agents. Take valve narrowing as an example. Scarlet fever caused by a strep germ infection can damage the aortic heart valve that then tries to repair the damage by letting calcium grow into the tissues with the unfortunate effect of thickening and stiffening the valve ultimately causing it to narrow. Other times the valve damage is the consequence of age related thickening.

canada goose outlet price Let recap. Symptoms, signs and findings define syndromes. Syndromes are caused by abnormal physiology. The abnormal physiology results from a specific disease, which is usually the consequence of a particular causative factor. Pulling these all apart and sorting things out is the challenge of medical diagnosis; it why medical school and post graduate training is long, arduous and rigorous. canada goose outlet price

WILKES BARRE On canada goose uk black friday Feb. 8, Visit Luzerne County, the Greater Wilkes Barre Chamber and the City of Wilkes Barre brought in a consultant to assist them in developing a for the county.

The consultant name is Roger Brooks. And he did a pretty good job in explaining how good branding can turn the economic fortunes of a town, city, or state around for the better.

But with all due respect to Mr. Brooks, his opening that Luzerne County has a lot of trash all over the place was, well, garbage. He said it gave off an unsafe feeling. More garbage.

Now I am certain Brooks did see some litter here and there, canada goose coats on sale but by no means is there an epidemic of trash all over the place. That just isn true.

canada goose birmingham uk As far as that brief portion of Brooks presentation goes, my advice would be to throw it away. canada goose birmingham uk

canada goose victoria uk You see, Mr. Brooks lives in Peoria, Arizona. I never been there, but I have been to Phoenix, Scottsdale, Tempe, and I visited the Grand Canyon. I have seen Sedona and Kingman, where they have an amazing railroad display. And I have been to Bullhead City and I have stood on a corner in Winslow. canada goose victoria uk

Weather doesn affect Arizona all that much. They don have to salt the roads or fill potholes. So maybe they have more funding to keep the place spotless.

All that said, Northeastern Pennsylvania did not deserve to be dumped uk canada goose on by Mr. Brooks.

And to be fair, Brooks really didn dwell all that much on his that we had a lot of trash around or that we had way too many leaves from the fall still lingering on the sides of streets.