Do you ever just lay in bed staring at your ceiling and just wonder why am I here ? why is it that when I'm upset I just want to end it all ? why is it when they say it gets better it never does ? why do they say they care when they're just going to leave and destroy you ? my answer to these questions, why am I here?, I'm here because for some reason the devil decided to let me live . why is it that when I'm upset I just want to end it all?, when I was about nine years old I lost my older brother to suicide, every time I get upset that's all I can think about I just want to see him again , and why do they say they care when they're just going to leave and destroy you? , my best friend I had for 12 years told me how much she cared about me , and then one day she changed and told me to go ki...ll myself it said that no one would ever want me .

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There is only one copy machine at your office. you have to make 1000 copies of an expense report. after you begin copying, two other employees show up in the copy room. each has to make only 10 copies each. what is the proper etiquette in this situation?

A5-year-old boy suddenly begins coughing while eating peanuts. he is choking and gagging. when he is brought to the ed, but he is awake and is able to give his name. on physical examination, his vital signs are stable. on examination of the chest, inspiratory stridor and intercostal and suprasternal retractions are apparent. which of the following is the most appropriate initial step in management? - allow patient to clear foreign object by spontaneous coughing- clear oropharynx with multiple blind sweeps with finger- position patient and perform back blows- stand behind patient and perform abdominal thrusts- perform emergency tracheostomy and take to surgery

A46-year-old man with a history of hypertension and hypercholesterolemia visits the physician for a routine followup. the patient's job involves a lot of travelling, and he admits to occasionally forgetting to take his medications with him when he travels. he complains of several episodes of chest pain in the past few months. the pain is sharp in nature, mainly over his lower chest and epigastrium, and tends to come on when walking. he believes these episodes are due to indigestion and has been taking antacids. there is a family history of heart disease, and his father died of a heart attack at age 48. on physical examination, his blood pressure is 150/80 mmhg and heart rate is 86/min. his lungs are clear to auscultation. cardiac auscultation reveals normal rate and rhythm, without rubs, gallops, or murmurs. there is no pedal oedema. he is sent for an exercise stress test. five minutes into the test, he develops st depression of 3mm in leads v1-v5. the st segment depression is greater than 0.12 seconds in duration and the stress test is stopped. which of the following is the most appropriate next step in management? - coronary angiography- holter monitor- no further tests are required- repeat stress test with thallium- upper gastrointestinal endoscopy