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Appearances can be deceptive, but 50 years ago this peaceful countryside echoed to the sounds of run-down steam locomotives battling with the fierce 1:40 gradient known as Sewell Bank! The location is on the L&NWR Leighton Buzzard to Dunstable branch which opened on 1 June 1848 and carried passenger and goods traffic, particularly chalk trains from the Totternhoe Quarries. Because of the proximity of the Chiltern escarpment, there was no alternative but to build a long embankment and deep cutting near Sewell, but even then the ruling gradient was a severe 1:40! One can well imagine a 'Super D' with a full load of chalk wagons struggling up the bank from Totternhoe, as shown here. The line's fortunes declined somewhat in the 1950s but the final nail in the coffin was when the chalk traffic was taken away and put on the roads. Closure followed inevitably on 1 January 1966, and today the line at Sewell Bank is a SUSTRANS cycle route which must be a far better usage than total abandonment.
Today, July 26, my first patient passed away. 26 days ago when I had my first day of being a doctor and I was on call, I admitted this sweet elderly man because he was feeling faint and lightheaded. It was my first admit as a real doctor. He only stayed a couple of days, we just gave him some fluids and decreased his BP meds. I met his two daughters, who were very caring. 7-8 days after we discharged him, he came back. He had suddenly developed an altered mental status and was very confused. Some tests were done and it turned out he had to have a small surgery. The two days after surgery he was still confused and altered and I was worried that he wouldn't improve. The following day he seemed to be more himself, but then he developed pneumonia. He worsened. Then his belly got big. He worsened further. This entire time, he had his loving daughters with him in the hospital 12 hours a day. They were so devoted. I had a chance to speak to them almost daily, to discuss his prognosis and his end of life decisions. Yesterday morning they asked me if I thought he would be awake enough to talk to his wife in person. I said that even if they didn't talk, they should bring her from her nursing home to him. As I walked through the halls later in the day, I ran into the daughter wheeling his wife and they had a chance to tell me how glad he said "I love you" to her. I was so glad for them. But... I was called last night about a very low blood pressure and I ran over there right away. I gave him fluids. I called lots of people to get him transferred to the ICU. I then spoke a little to the daughters about what our options were. I think they could tell how scared I was, how nervous I was. I had no idea how to run the logistics of the transfer and how to keep him from crashing while I made these phone calls. But finally the nurse said there was a bed so I helped them wheel him up. And then I disappeared for the night. I had a lot of calls in the ER and some things to do with the other patients upstairs, and I knew this man was being taken care of well by the ICU doctors so I didn't check on him. In the morning I visited his room and saw that he was not responsive and having trouble breathing and his blood pressure was low. I did my exam, I left, and I wrote my note. Then we rounded. After rounds, I decided to head over to see if I could talk to the family one last time before I went home to sleep. As I reached the room, I got a call from my senior to tell me that he had passed away.
I just froze. I didn't know what to say.
I found out that the daughters were in the family conference room with a hospice social worker and so I knocked and went in. They were actually happy to see me. I had a chance to hug them and cry with them and pray with them. We talked a little about his life and how it really did end well. We discussed the medical decisions made. We discussed how everything that could be done was done. It was just luck that I was the one on call this weekend and I could be there for them.
Most importantly, I reminded them how amazingly wonderful it was that they could bring their mother in the day before so they had the chance to tell each other how much they love each other.
This world is really amazing.
i'm not sure if this is in italy or austria, so i just put it on the border on the brennerpass. maybe somebody knows this?
//the airolina is solved. it's not at the brennarpass but at the gotthardpass near airolo.
A cool squared geek chic retro shape with gradient contrasting coloured front, similar to the vintage styles worn by celebrities like Johnny Depp and Woody Allen. Its chunky profile comes with perfectly cut lenses and polished frames that brings you a nerdy yet elegant retro charm.
Gradient Legacy Collection in Caramel:
#trichrome #eyewear #johnnydepp #woodyallen
Subject: purple gradient manicure Message: my first shot at purple gradient. Colors used are mentioned in my tags -
Base: Orly Top2Bottom
2 coats Sally Hansen Diamond Strength Princess Pink
Gradient: Manic Panic Purple Pain
Glitter coat: Sinful Colors I Miss You
A Southern Railway concrete gradient post still in situ at Box Hill & Westhumble railway station, Surrey. 23rd March 2011.
Little Falls, NJ
One of two GP40s that was rebuilt and repainted into the "speed stripe" scheme several years back leads a train westward
Basic beanie hat for my nilbing, knit with two strands of yarn held together for the ombre from brown to orange to red. (They really wanted me to use the neon orange yarn, and I found enough scraps to make a blend that I thought worked).
Gradient FAILS que eu fiz ontem. A de arco-íris eu fiquei toda empolgada pra fazer. Fiz, deu certo, mas não gostei. Pastel definitivamente não fica bom com a minha pele. =/ [usei dois da BU, o Lemonade da Orly, um da Risqué e o Deck da Mohda. Não lembro o nome de todos.] Fiz só a mão esquerda, tirei tudo e fiz o outro, com preto, cinza e branco. [todos da Hits, o Night, o Neve e o Dree]. E também não gostei, ficou meio grosseiro, sei lá. ¬¬ Então hoje tirei tudo de novo e fiz outra gradiente que ficou linda e eu posto amanhã. :D
Acho que tô com TOC, hein. Hahahahaha!
A while ago, I added the capability to create arbitrary color gradients to my cell phone camera app I'm writing. (I did this for the color map filter I wrote.) One of the features I added to the gradient manager was the ability to save gradients as files. And so, here is a hue gradient (which ranges from 0° on the left to 360° on the right, in the HSB colorspace).
(Another way I use the gradient manager is to create backgrounds for my custom slider control.)
Gradient Stitch Flowers was created using Tatami, run stitch and manual colour blending using Wilcom Software.
Cording, satin and run stitch,(gradient thread)
My first attempt at a gradient nail.
Layer 1 - Sinful Colors "Purple Diamond"(sheer light purple shimmer)
Layer 2 - Essie "Lilacism" (creme lilac)
Layer 3 - China Glaze "Mummy May I" (dark purple with hot pink glitter)
Layer 4 - Sinful Colors "I Miss You" (purple iridescent glitter)
Layer 5 - Sally Hansen "Disco Ball" (clear base with iridescent glitter)
Layer 6 (not pictured) - Seche Vite Dry Fast Top Coat