Benedykt Ossolinsky, age 39, began to grow childish. On the first day of his midlife crisis, he stood in front of the mirror examining his receding hairline and wrinkles on his face. In that very moment, while staring at his reflection he found in his eyes that mad look he had last seen thirty years ago in a photograph taken at a tethered flying model competition. The photo was taken by Henryk the servant, when his little charge decided he wanted a red biplane model Curtiss Consolidated Skyhawk Cruisader 3A "Bingo Star". This new look was also noticed by his co-workers, who for the most part, considered him to be an infantile spoiled brat. It fit with their idea of a boss. And Benedykt was indeed the boss, even though he himself couldn't quite believe it. He was the head of a foundation for the self-promotion of the Ossolinsky family, well-known descendants of Polish-American aristocrats, engaged in business ventures there, and charity work here. The position was highly honorable and very prestigious. Just as the employees didn't like Benedykt, in equal measure Benedykt didn't like his job. He considered it extremely stressful and felt it forced him to super-human sacrifices. Everything was arranged by the family as a penance for avoiding work. He had to go to the office at least three times a week for two full hours and entertain various smiling journalists, drink coffee with them and listen. He had to sign letters and open gifts from various companies hoping to win favors. And he had to play golf and attend social functions, movie premiers, shows and art exhibits. The family had only planned for three months of vacation time a year. Scandal! As a sign of protest he took to coming to the office wearing a t-shirt with the slogan "Attention, Baby!" on it. What is Benedykt's favorite activity? Pick the correct answer from the following options: A. Playing gold B. Attending social functions C. not enough information D. Drinking coffee with the journalists
C

(Question)
And once again, high blood pressure is making headlines in the news: the American Heart Association and the American College of Cardiology (AHA/ACC) have just released new guidelines about hypertension. Since this development is likely to cause confusion and concern for many, I'm writing this post to help you understand the debate and what this might mean for you and your family. By the way, if you've read any of my other blood pressure articles on this site, let me reassure you: I am not changing my clinical practice or what I recommend to others, based on the new AHA/ACC guidelines. The core principles of better blood pressure management for older adults remain the same: * Take care in how you and your doctors measure blood pressure (more on that here), * Start by aiming to get blood pressure less than 150/90 mm Hg, as recommended by these expert guidelines issued in 2017 and in 2014, * And then learn more about what are the likely benefits versus risks of aiming for more intensive BP control. Perhaps the most important thing to understand is this: treatment of high blood pressure in older adults offers "diminishing returns" as we treat BP to get lower and lower. Scientific evidence indicates that the greatest health benefit, when it comes to reducing the risk of strokes and heart attacks, is in getting systolic blood pressure from high (i.e. 160-180) down to moderate (140-150). From there, the famous SPRINT study, published in 2015, did show a further reduction in cardiovascular risk, when participants were treated to a lower systolic BP, such as a target of 120. However, this was in a carefully selected group of participants, it required taking three blood pressure medications on average, and the reduction in risk was small. As I note in my article explaining SPRINT Senior, in participants aged 75 or older, pushing to that lower goal was associated with an estimated 1-in-27 chance of avoiding a cardiovascular event. (The benefit was even smaller in adults aged 50-75.) What is most likely the author's occupation? Pick the correct answer from the following options: A. not enough information B. a researcher C. works for American Heart Association D. a doctor
(Answer)
D

Question: My fraternal twins were born 2 months early. The staff had already stopped premature labor at six months gestation but it proceeded too quickly this time. Total labor 2.5 hours. Needless to say, they were tiny - female 2 lbs. 3 oz, male 3 lbs. 10 oz. Female was born dark blue - luckily, I was at the finest maternity hospital in this half of the State (McGee Women's). They brought the female around to breathing, while I cried, thinking that she was dead. The twins were rushed to the NICU, too tiny to breast feed except with pumped milk through a feeding tube. Both were watched closely by doctors and nurses as they were not passing waste properly. The day it was decided that the male needed surgery, the female was discharged to home. The male was transferred to another very good hospital for surgery for a temporary colostomy. He was discharged to home after a week. What broke my heart was that I was allowed to visit him in the hospital but his older brother and twin sister were not allowed. Prior to his discharge, the staff instructed me in changing and maintaining his colostomy bag on a daily basis. He kept the colostomy bag until he was about 5 months old; back into the hospital for the colostomy reversal. The sign that I hung above their shared playpen said "Whatever doesn't kill me, makes me stronger". How did I cope with it? Mostly alone. The hospital offered group sessions for parents of severely premature infants. During the very first session, I had a zen realization that, once I realized that the circumstances were out of my control, I GAINED control of myself and my life. A bit like the Serenity Prayer. I shared that epiphany with the group and they looked at me like I had two heads. I had never heard of the Serenity Prayer and I'd been an atheist since age 13, so religion was not my go-to then, nor is it now. That realization helped. The twins are 37 now. How did the mother cope? Pick the correct answer from the following options: A. be being transferred B. mostly alone C. not enough information D. by having an epiphany
Answer:
B