Friday, October 31, 2008

Good night.

Well, I am fixing to go to bed, but I want to leave you all by saying, that tonight is my day of worship starting from sunset tonight, and ending at sunset tomorrow.

WELL MY DAY OF WORSHIP, N.E.V.E.R ends.

I always worship God, and will NEVER forget to worship him.

Its nice to worship with God.

He loves us, created us, and wants us to honor and serve HIM.

Well, Good night, and God bless.

Good night, sleep tight don't let the antiblog bugs bite. If they do, get your shoe, and beat them black & blue.

Tell them that You are gonna keep blogging.

WHAAAAAAAAAAAAAAAAAAAACK!!!!!!!

Much love & respect Peter Johann.

Hello.

Hi everyone.

I am now sitting here, stairing out at the sky.

Its a nice day, and its 69 degrees now, so its warm.

I am having LOTS of fun.

I haven't gotten any viewers yet, that I know of, but I HOPE I GET SOME.

Well, talk to you later.

Much love and respect to ALL!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!11

Back.

hi.

How are you?

I am now in my room, and I am not so stopped up.

I am kinda agravated because one of my YouTube friends named piano6861 who is VERY KIND by the way, hasn't been responding to what I have sent her, AND I KNOW SHE HAS LOGGED IN, because her channel has inside, "last log in, 15 hours ago."

Its getting rather annoying, because for the last week, SHE HAS NOT BEEN VERY RESPONDANT.

She keeps saying that she's going to do the Tutorial of a Minuet in C Minor by J.S. Bach, but then when I asked her last week, she ignored me, and really hurt me.

Well, I'm getting to think that she's getting tired of me.

She's been very nice and sent me C.D.s but I feel that she's getting so agravated that she feels like she needs to block me.

I DO NOT WANT HER TO BLOCK ME.

I try to be my best, and very kind to people, but LOTS AND LOTS AND LOTS of people block me.

So I DO NOT KNOW.

I'm kinda mad right now.

I am just sitting here, and thinking about piano6861.

How she use to be so nice and answer all my responses calmly, and now all of the sudden, she's ignoring me.

I AM VERY WORRIED, and don't want her to block me.

Well, talk to you later.

Much love and respect to ALL, including piano6861 even though she's ignoring me.

Probably for a reason.

At school.

Hi everyone.

I am here with my teacher, at her place, and I am taking a practice ACT. Its hard, but I finished the english part of it. Next will be the reading. I had a good dream about a cough assist machine. It was that I had one, and that I tried it out. I was able to cough stuff up better, and I got some snot out of my nose. Man. I tell you. From what i have heard, the cough assist machine is awwwwwwsome!!!!!!!!!!!!!!!!!!!! I'm gonna save my money up for an IPV machine. lol. Those machines are cool. I love the noise. lol. the thud thud of the machine as it puffs liquid into the patient's lungs. You know, IPV stands for Intra pulmonary Percussive Ventilation. Its a machine, that is used for people who need a little extra or a LOT of extra help getting secretions out of their lungs. For SMA Patients its used, to help get secretions out to where, they are able to be coughed up with the cough assist machine. Or, if the patient can, they can manually cough them up. The cough assist machine simulates a cough by putting positive pressure on the airways, and then shifting to negative pressure on the airways which is the same thing a cough does. ONLY the cough assist is used when a cough is not suffecient enough to do that. The cough asist might be used for someone who had a disorder called SMA, inwhich the muscles atrophy. SMA stands for 9Spinal Muscular Atrophy), and there are I think Three types. Type one is usually Always fatal. The cough assist is a painless machine, but it does kinda feel weird from what i have heard. A mask is put on the face, or a mouth piece is used. For children who have a trach, or an ET tube, an endotracheal/tracheostomy tube adapter is hooked up to the tube. The machine should already be turned and the pressures should be made sure that they are in the correct ammount. The machine then goes onto the right interface, and the machine puts posotive air into the lungs. Kinda like a BIPAP, or a CPAP machine. then the machine puts NEGATIVE pressure and sucks all the air out thus simulating a cough. Now, I've heard that when the cough assist is used, it kinda feels like the machine is sucking the air out when it swiches to the negative pressure phaise. Each cycle is equaled to one cough. A series of 4 to 6 cycles is used to help bring out all the junk, and if necessary, the patient is suctioned. IPV is used first if an IPV machine is uused. Then the cough assist machine. What the IPV machine brings up out of the lungs, the Cough assist or the in/exhuflater brings out along with the suction machine.

I have been studying this for several years, so this is how i know this. hahaha. It just takes A LOT of practice, and listening, writing, playing around with, and other things that I have donee sence I was about four. Its tons of fun for me. I love it when I see a new machine. Well, anyhow, i'll be writing more to you when I get back, and we'll talk about ECMO.

Have a good day.

much love and respect Peter Johann

p.S. ECMO will be a big long one, but we'll get through it.