Margaret Heffernan tells the story of a Montana town that had an 80 percent higher rate of disease than anywhere else in the country. If the people of this town had not been so willfully blind and had listened to Gayla Benefield, how might the health and lives of the people in this town have been different?

To develop good alternatives, one should brainstorm ideas and consider different perspectives.

A24-year-old g4p2 woman at 34 weeks gestation complains of a cough and whitish sputum for the last three days. she reports that everyone in the family has been sick. she reports a high fever last night up to 102°f (38.9°c). she denies chest pain. she has a history of asthma with no previous intubations. she uses an albuterol inhaler, although she has not used it this week. vital signs are: temperature 98.6°f (37°c); respiratory rate 16/minute; pulse 94 beats/minute; blood pressure 114/78; peak expiratory flow rate 430 l/min (baseline documented in the outpatient chart = 425 l/min). on physical examination, pharyngeal mucosa is erythematous and injected. lungs are clear to auscultation. white blood cell count 8,700 mcl; arterial blood gases on room air (normal ranges in parentheses): ph 7.44 (7.36–7.44); po2 103 mm hg (> 100); pco2 26 mm hg (28–32); hco3 19 mm hg (22–26). chest x-ray is normal. what is the correct interpretation of this arterial blood gas?

The post-exposure exam follow-up must include counseling about the possible implications of the exposure and your infection status, including the results and interpretation of all tests and how to protect personal contacts. the follow-up must also include evaluation of reported illnesses that may be related to the exposure. what else should you be provided with?