Life and love are more brutal than the crackled ice of a Rocky Mountain fourteener… That’s what thrill-seeker Kaye Trilby believed, until a deadly avalanche almost swept her from the face of the earth. Now, tackling life and love with her ex-husband isn’t as traumatic as scaling the mountains she once longed for. Or is it? Kaye has loved the brilliant and guarded Samuel Cabral since childhood and, at last, he’s allowed her behind his carefully-cultivated veneer. But so much has changed in the years they lived apart, Kaye worries she may never fully know him. Why is Samuel firmly against becoming a father? Who is this mysterious woman in Mexico, and why is she a secret? While Samuel chases ghosts through the lush hills of Tamaulipas, Kaye chases the woman she once was, up the peaks of Colorado’s gleaming fourteeners. In the end, is it possible Kaye and Samuel are chasing separate futures? With this life-affirming and personal novel, Sarah Latchaw returns with a stunning, multifaceted conclusion to her Hydraulic series. Fourteeners is a grown-up story of first love and second chances.
Kaye Trilby and her ex-husband, world-famous author Samuel Cabral, vowed to fight for their rekindled love in rain or shine. They didn’t realize they’d be caught in a deluge so quickly. A near-fatal skydiving accident shows Kaye how her reckless behavior affects the ones she loves. But while she knows Samuel is afraid to lose her again, she isn’t ready to give up the thrill of the wild backcountry. Something darker is slipping into Samuel’s mind, though. The specters of his past are re-emerging. His polish is deteriorating, just as all of Hollywood is bracing for his blockbuster book-to-movie adaptation. When he appears on Kaye’s doorstep late one night in a rumpled tuxedo, erratic and agitated, it seems that romance with her ex might be her biggest leap yet. A string of failed relationships has pushed Samuel to the brink, the fall-out leaving him in a dark place—a place where Kaye is powerless to help him. She is reluctantly drawn back into Samuel’s glittering and backbiting world of celebrity, all the while clinging to the steadfast peaks of home.
Life and love are more brutal than the crackled ice of a Rocky Mountain fourteener… That’s what thrill-seeker Kaye Trilby believed, until a deadly avalanche almost swept her from the face of the earth. Now, tackling life and love with her ex-husband isn’t as traumatic as scaling the mountains she once longed for. Or is it? Kaye has loved the brilliant and guarded Samuel Cabral since childhood and, at last, he’s allowed her behind his carefully-cultivated veneer. But so much has changed in the years they lived apart, Kaye worries she may never fully know him. Why is Samuel firmly against becoming a father? Who is this mysterious woman in Mexico, and why is she a secret? While Samuel chases ghosts through the lush hills of Tamaulipas, Kaye chases the woman she once was, up the peaks of Colorado’s gleaming fourteeners. In the end, is it possible Kaye and Samuel are chasing separate futures? With this life-affirming and personal novel, Sarah Latchaw returns with a stunning, multifaceted conclusion to her Hydraulic series. Fourteeners is a grown-up story of first love and second chances.
Hydraulic Level Five (n.): A whitewater rapid classification indicating large waves, continuous rapids, large rocks and hazards, potential large drops, where precise maneuvering is required. Often characterized by "must make" moves, i.e. failure to execute a specific maneuver at a specific point may result in serious injury or death. Kaye is an extreme sports addict with a kind heart and an axe to grind with her childhood sweetheart and ex-husband, renowned writer Samuel Caulfield Cabral. While Samuel enjoys a celebrity life in New York, Kaye remains in their hometown of Lyons, Colorado, running her PR agency and chatting daily with Samuel's family, the beloved Cabrals-first-generation Mexican-Americans who have embraced Kaye as their own. But when Samuel returns home for his sister's wedding with a new love interest, stunning editor Caroline Ortega, the gloves are stripped off. Kaye is determined to unearth the reasons behind the death of their marriage and why two people who lived to love each other were driven apart, all leading to startling revelations about Samuel, about life, and about herself. She soon realizes that maneuvering the tumultuous waters of her relationship with Samuel will prove as dangerous as any outdoor adventure she might attempt...at least where her heart is concerned
Kaye Trilby and her ex-husband, world-famous author Samuel Cabral, vowed to fight for their rekindled love in rain or shine. They didn’t realize they’d be caught in a deluge so quickly. A near-fatal skydiving accident shows Kaye how her reckless behavior affects the ones she loves. But while she knows Samuel is afraid to lose her again, she isn’t ready to give up the thrill of the wild backcountry. Something darker is slipping into Samuel’s mind, though. The specters of his past are re-emerging. His polish is deteriorating, just as all of Hollywood is bracing for his blockbuster book-to-movie adaptation. When he appears on Kaye’s doorstep late one night in a rumpled tuxedo, erratic and agitated, it seems that romance with her ex might be her biggest leap yet. A string of failed relationships has pushed Samuel to the brink, the fall-out leaving him in a dark place—a place where Kaye is powerless to help him. She is reluctantly drawn back into Samuel’s glittering and backbiting world of celebrity, all the while clinging to the steadfast peaks of home.
The Continuum of Stroke Care: An Interprofessional Approach to Evidence-Based Care will address the clinical care of stroke patients across the continuum of care from primary prevention of stroke, the acute and subacute treatment of stroke syndromes through rehabilitation, and reintegration into the community. Each chapter will review current evidence-based practice guiding clinical stroke care. The book will address the American Stroke Association’s Stroke Chain of Survival addressing prehospital care of the stroke patient and the development of stroke systems of care to provide all people in the United States access to acute stroke care. Additionally, the book will cover the current role of state legislation in stroke care and the evolution of hospital stroke certification. The book will serve as a clinical resource providing detailed comprehensive medical and nursing care of all stroke subtypes while also addressing the system of stroke care in which medical, nursing and interprofessional care provided. As such, the book will serve as a clinical resource to medical and nursing caregivers providing direct patient care as well as stroke coordinators, program directors and other hospital administrators developing stroke programs. The book will also be a clinical resource for stroke interprofessional team members such as physical therapists, occupational therapists, Stroke care is most successful at improving patient outcomes when delivered by an interdisciplinary team. Each chapter will address the critical role of the interprofessional team and highlight comprehensive care of the stroke patient rather than focusing only on nursing care. Books published to date focus solely on the medical or nursing care of the stroke patient without attention to the stroke system of care and the role of the multidisciplinary team in improving stroke outcomes. Additionally, each chapter will highlight ongoing research trials and opportunities, with the recognition that the scientific foundation for acute stroke care is rapidly evolving.
Signs and Symptoms in Family Medicine, by Paul M. Paulman, MD et al, provides a unique evidence-based approach to diagnosis based on presenting signs. Focusing on the most common diagnoses observed in a medical practice, the book helps you "think horses, not zebras." A rating system for the sensitivity and specificity of the signs, symptoms, and diagnostic tests aids in the development of a focused and accurate differential diagnosis. This handy, take-along guide is ideal for quick reference at the bedside or a refresher while prepping for the boards. Confidently diagnose and treat common illnesses and conditions using an evidence-based, systematic approach. A unique ratings system indicates how frequently various symptoms and signs are associated with a particular diagnosis. Easily find what you need with consistently organized chapters and an at-a-glance bulleted format. "Think horses, not zebras" with a focus on the most frequently encountered diagnoses. Rule out the most serious possibilities quickly with differential diagnoses listed in descending order of severity. Review symptoms, signs, suggested work-up, and patient disposition for each diagnosis.
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