Our minds and hearts often exploded with joy as we became immersed in the scenes. At times, we were one with the mystical silence and landscape. "Suddenly, we started climbing and climbing until I felt we couldn't go higher. GERONIMO! I cried yet still we climbed. The road became so narrow and steep that I began to think we might begin to go backward. We down-shifted again. When we crossed Ten Sleep Creek, I peered out my window looking for snow pack. It was summer. Still we climbed, higher and higher. The clouds became bigger-and closer. The blue, bright sky blue...and rich forest green encompassed us. Had we passed over? Were we on the other side? Dreamcatcher downshifted and climbed some more. Dear Lord, if my ears hadn't popped earlier, I would have listened for the choir of angel voices. We passed through Big Horn, Sitting Bull, and climbed higher. The air got thinner, the water became purer, the sun brighter. Still we climbed. There were no people. There was no pollution. There was no barrier between us and God. We climbed higher. The road narrowed. The blue faded into grey. We were in the clouds and heaven bound.
One of the oldest communities in the East Bay, Alamo is brimming with tales of hope, loss and triumph. Discover the story of the Romero brothers, who lost their rancho to a shrewd and litigious attorney, and the early pioneers who banded together to buy it back at an extraordinary sum. Learn about the deep agricultural roots that supported newcomers drawn to the temperate climate and beautiful valley. Revisit this rural community's transformation from grazing land for Mission San Jose to a beloved home for generations of ranchers, writers and activists. Join historian Beverly Lane and researcher Sharon Burke as they share fascinating tales of Alamo's past.
The San Ramon Valley stretches for 20 beautiful miles under the shadow of Mount Diablo and includes the bustling communities of San Ramon, Alamo, and Danville. Some 113,000 people make their homes here in a scenic area of open spaces, gracious homes, and tree-lined streets. Also here are major business hubs and the winding Interstate 680 freeway. Of course, this valley wasn't always so populous. In the 1850s, while nearby San Francisco boomed and Oakland grew up, this valley remained rural. Mount Diablo became an important early survey marker during California's gold rush, but only in recent decades have the early ranchos and small villages given way to the modern cities we know today.
Anesthesia Outside of the Operating Room is a comprehensive, up-to-date textbook that covers all aspects of anesthesia care in OOR settings, from financial considerations to anesthetic techniques to quality assurance. With increasing numbers of procedures such as cardiac catheterization and imaging taking place outside of the main OR, anesthesia providers as well as non-anesthesia members of the patient care team will find this book critical to their understanding of the principles of anesthesia care in unique settings which may have limited physical resources. Topics include patient monitoring techniques, pre-procedure evaluation and post-procedure care, and procedural sedation performed by non-anesthesia providers. The authors address problems of anesthesia that have unique answers in OOR settings, such as patient transport and cardiac arrest, and discuss technological progress and considerations for the future. The text also covers surgical procedures and anesthetic considerations by procedure location, such as radiology, infertility clinics, field and military environments, and pediatric settings, among many others Select guidelines from the American Society of Anesthesiologists (ASA) are provided as well. Edited by the senior faculty from Harvard Medical School and with contributions from other academic institutions, Anesthesia Outside of the Operating Room provides a unique and convenient compendium of expertise and experience.
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