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Entropy is the universal trend toward equilibration. It is the process that allows everything from ice melting to gas expansion. Sleep and t u l r o s b p A e G g a uCHAPTER 15 Chemistry and Physics of Anesthesia 227 the induction of general anesthesia have been proposed to be entropic processes.31–34 All of these processes involve the equilibration of energy. Even matter is a form of energy. Entropy is unidirectional; it is the movement of energy from a higher concentration to a lower concentration, and thus energy moves because of a gradient. e di erence in the gradient inuences the speed of the ow. e greater the gradient di erence, the greater the ow, and it is always from the higher concentration to the lower concentration. All energy and matter tend to follow this rule. An example of this unidirectional action is adding ice to lemonade. Ice does not make lemonade colder; instead, lemonade makes ice warmer. Entropy ends when all energy is equally distributed. Diffusion (see previous section in this chapter) is another process driven by entropy. Entropy is the underlying process promoting spontaneous and elicited movement in day- to- day activities and the universe in general. Essentially, entropy drives the universe. is process should be kept in mind when learning or reviewing any dynamic concepts of anesthesia.
some parts of you only emerge for certain people C.S. Lewis on friendship
Oh boy could Vincent van Gogh write
In the interviews, Garrison confirmed that he had received a hundred and ninety-two thousand dollars’ worth of checks from Alfortish. Federal authorities realized that, with Garrison’s critical evidence, they could construct a major case. On one level, the slammer conspiracy was an amusing example of New Orleans chicanery at its most baroque, a tale of literal highway robbery so antic and absurd that it seemed like the plot of an Elmore Leonard novel. But, on a deeper level, it was an awful parable of economic desperation in twenty-first-century America. Scores of poor Black Louisianans had volunteered for what was effectively Russian roulette, risking their own lives and the lives of their loved ones in the hope of a onetime payout. The attorneys, by contrast, were well educated and mostly white, and would almost certainly have been loath to climb into a car with Garrison and go looking for a truck to hit. Of course, the lawyers had reaped the bulk of the financial rewards. Motta routinely demanded six- or seven-figure settlements, and contingency fees often ran as high as forty per cent. Actual payments to clients, however, could take years to come through, when they came through at all.
NYT
Max Ernst (German, 1891-1976), Seestück (Seascape), 1921. Oil on canvas, 25 5⁄8 x 31 ¾ in.