Mitral valve disease (stenosis or regurgitation) can cause hypertrophy of the right side of the heart since it causes systolic pulmonary arterial pressure to sometimes more than double!
6:20PM It’s been hard concentrating on studying and I think I’m going to start using this as a way to track my study habits and hold myself accountable for my actions. We’ll see… all I know is that while I struggle to keep on the right side of 70 = DO for PBL, I aced (98%)the Health Care Management final with about a day of studying.
So far today I’ve only gotten in about 2 hours of actual studying… what’s wrong with me? Why do I allow myself to continually be distracted by just about ANYTHING and everything?
9:18PM well in the last 3 hours I have gotten in about another 2 good hours so I’m feeling a bit better about myself 
Maybe this does work… if I can just finish this next chapter I’ll be more than halfway done and I’ve got about a week to do the other half… so we’ll see… tomorrow’s goal is get in a good solid 10 hrs with 2 hrs of them devoted to review…
Ponderings from my reading: so if septic shock can be caused by infection spreading into the blood from the kidney or urinary tract, often by colon bacilli… that means UTI from fecal matter hitting the UT that ends up spreading… right? that’s disgusting!
