SolSeed Texts and
=== Poems ===
* When Kingfishers Catch Fire ... Gerard Manley Hopkins
* No worst, there is none ... Gerard Manley Hopkins
* Love is not love ... William Shakespeare
* Gertrude's Prayer ... Rudyard Kipling
* The Kitten ... Mary Oliver
* Ribblesdale ... Gerard Manley Hopkins
* A Poetry Reading at West Point ... William Matthews
* Old Men Playing Basketball ... B.H. Fairchild
* God Says Yes to Me ... Kaylin Haught
* Spring and Fall ... Gerard Manley Hopkins
* Binsey Poplars ... Gerard Manley Hopkins
* Inversnaid ... Gerard Manley Hopkins
* Love is Love ... Sir Edward Dyer
* I Loved You ... Aleksandr Pushkin
* Not Love Perhaps ... A.S.J. Tessimond
* Every thought we think is creating our future ... Louise Hary
* The Way We Live ... Kathleen Jamie
* Sunlight (from Mossbawn: Two Poems in Dedication) ... Seamus Haney
* Against ... Adam Thorpe
* Did I Miss Anything ... Tom Wayman
* A Conversation with a Mouse ... Robert Bly
* A Considerable Speck ... Robert Frost
* The Waking ... Theodore Roetke
* Accidents of Birth ... William Meredith
* A Linestorm Song .. Robert Frost
* Birches ... Robert Frost
* Mending Wall ... Robert Frost
* The Windhover ... Gerard Manley Hopkins
* God's Granduer ... Gerard Manly Hopkins
* Number 9 (21st night, Monday) ... Anna Akhmatova "Some good for nothing..."
* At the Smithville Methodist Church ... Stephen Dunn
* Sweet Spring ... ee cummings
* To Be of Use ... Marge Piercy
* Fire and Ice ... Robert Frost
* The Eagle ... Alread Loyd Tennyson
* The Road Not Taken ... Robert Frost
* I'm Nobody ... Emily Dickinson
* In the Pine Woods ... Mary Oliver
* For My Lover on Returning to His Spouse ...
* from Jubilate Agno ... Christopher Smart
* A Drunkard ... Ko Un
* I Wake and Feel the Fell of Dark Not Day ... Gerard Manley Hopkins
* Wild Geese ... Mary Oliver
* Meeting at Night ... Robert Browning
* Ars Poetica ... Archibold MacLeish
* Thistles ... Ted Hughes
* Nude Descending A Staircase ... X.J. Kennedy
* Tiger, Tiger, Burning Bright ... William Blake
* From Endymion by John Keats
* Under the Waterfall ... Thomas Hardy
* Oniomania ... Peter???
* Bhudda's dogs ... Susan Browne
* Blueberries ... Robert Frost
* I am Not I ... Jose Juan Jimenez (translated by Robert Bly)
=== Music ===
* Gather the Spirit ... Singing the Living Tradition #347
* We'll Build a Land ... Singing the Living Tradition #121
* Wake, Now, My Senses ... Singing the Living Tradition #298
* Come, Come, Whoever You Are ... Singing the Living Tradition #188
* All Creatures of the Earth and Sky ... Singing the Living Tradition #203
* For All That Is Our Life ... Singing the Living Tradition #128
* Love Will Guide Us ... Singing the Living Tradition #131
* Blue Boat Home ... UUHS
* Spirit of Life ... Singing the Living Tradition #123
* Bring Many Names ... Singing the Living Tradition #23
* Come Sing a Song with Me ... Singing the Living Tradition #346
* I've Got Peace Like a River ... Singing the Living Tradition #100
* This Is My Song (Finlandia) ... Singing the Living Tradition #159
* Lift Every Voice and Sing ... Singing the Living Tradition #149
* For the Beauty of the Earth ... Singing the Living Tradition #21
* Morning has Broken ... Singing the Living Tradition #38
* Lo, the Earth Awakes Again ... Singing the Living Tradition #61
* Be Thou My Vision ... Singing the Living Tradition #20
* Lady of the Seasons' Laughter ... Singing the Living Tradition #51
* Once to Every Soul and Nation ... Singing the Living Tradition #119
* In the Bleak Midwinter ... Singing the Living Tradition #241
* Ye Earthborn Children of a Star ... Singing the Living Tradition #319
* Nocturne in E minor ... Op. 72, No. 1 ... Chopin
==Morning Report 2/20/09 (temporary content)==
#Preeclampsia
*New onset htn, proteinuria (0.3g/day) at >20 wks gestation in previously normotensive woman
*Mild or severe. Severe = 1 or more of these: CNS, liver capsule stretch sx, AST/ALT 2x nl, SBP>/=160 or DBP >/- 110 on 2 occ 6 hrs apart, <100K PLT, >/=5g proteinuria in 24 hrs, oliguria, severe fetal GR, pulm edema/cyanosis, CVA.
*Can persist up to 12 wks postpartum (average 16 +/- 9.5 days)
*Pulm edema: high PCWP c/w oncotic pressure esp s/p delivery, LV failure, iatrogenic volume overload, capillary leak
*Heart: no "direct" effects -- but early incr CO, late decr CO and incr SVR
*Systematic review: s/p preeclampia, RR HTN 3.70, CAD 2.16, CVA 1.81 mean f/u around 10-11 yrs; VTE 1.79 at 4.7 yrs. Abs risk for any of these at age 50-59 17.8% vs 8.3%, so NNH = around 10
*patho phys - no one knows. endothelial dysfxn?
#Chronic Htn: >140/90 before preg, before 20 wks, or after 12 wks postpartum
#Preeclampsia superimposed on chronic Htn:
#Gestational Htn: >140/90 but no proteinuria. By definition occurs after 20 wks and resolves after 12 wks postpartum
#Eclampsa = preeclampsia or gestation htn plus sz
==Treatment==
*Bedrest -- few data to support. One small randomized trial found RR 0.58 or so for going from mild to severe HTN among those who rested at home. LLD posiiton . . .
*Delivery
*Debate re: when to start Rx -- let SBP get too high and you have CVA hemorrhage. But 2 randomized trials of rx for mild to mod htn showed no effect on perinatal mortality, prematurity, abruptio placentae, small for gest age. ? decr resp distress syndrome. MAP drop by 10 = wt drop by 176 g in post-hoc meta-analysis. So . . . UpToDate says to rx if >150/100 or sx. Goal is 130 to 150 over 80-100.
**Acutely, labetolol IV. Onset 5-10 min, lasts 3-6 hrs. Options: hydralazine, diazoxide
** Chronic: methyldopa or labetolol. CCB ok. All drugs cross placenta; no RCTs. BB small for gest age 1.3. HCTZ probably ok as long as no severe volume depletion. Goal for gest htn or chronic htn is 140-150 over 90-100
**Contraindiated: Nitroprusside (cyanide posioning last trimester); ACE-I
**Postpartum breastfeeding: propranolol, labetolol (not as concentrated in breast milk); then long acting nifedipine or verapamil