We are the sum of our actions. I believe that the actions you take determine who you are. But, you say, I had an abusive father/mother, I was poor growing up, I just wasn"t born smart, I have a disease.. . All of these things do not make you who you are, they only broaden your knowledge or experience, they are things that happen to you, circumstances. You are not the sum of your circumstances, but of your re"actions" to them. This is why rich kids become drug addicts or wife beaters, kids from the ghetto become doctors or loving fathers, and everything in between. All walks of life produce all walks of life, which proves that the environmental variables are not the determining factors. It is all about your choices/reactions/ actions/behavior. Every human being has within them a mechanism that guides their actions. The more you rebel against your inner guide, the more you tune your selective hearing to the "me" channel, the farther down the "bad" side of the scale you will slide. On the other hand, if you not only listen to but act upon, the "universal" channel, the farther up the "good" side of the scale you will fly. Even Psychiatrists have in recent years discovered that in order to change thinking, a person must first change behavior. At first thought, it would seem the opposite is true, it is not. We all have the same range of human emotions. When we feel slighted, it sounds in our heads like "I want to slap them, curse them, get even, and cause them the same pain they caused me". Acting upon these thoughts perpetuates cycles of abuse, addiction, and pain. It"s when you choose not to act upon these thoughts, and instead, forgive and heal, that your thoughts and perceptions will start to change also. You change because right actions produce right results. You are choosing to heal properly by forgiving, and accepting life and mankind as it is, and in turn yourself as you are, which is the only way to have peace, joy, and true happiness. I will admit that if you have a parent who accepts you as a whole person, inclusive of "good and bad", you may have an edge or jumpstart on understanding life, yourself, and others. If you don"t, it may just take you longer to understand, accept, and act on it. Either way, who you are is determined by you, and you are determined by your actions. So, tune in everybody, to that universal channel, and act right!
A.we should accept life and mankind as it isB.it is better to have an empathizing parentC.everyone is determined by what he doesD.understanding life promotes right action
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李某,69岁,反复心绞痛2年。今晨,突然胸骨后持续疼痛,休息、含服硝酸甘油均无缓解,持续3h,伴有烦躁、出汗,由家属搀扶着步入急诊科。查体:面色苍白,血压(96/64mmHg),心率90次/分,心电图V1~V5导联ST段弓背向上抬0.3~0.5mV。 提问: 1、应用PQRST公式描述该患者的问诊结果。 2、应用SOAP公式对患者进行分诊评估。
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