Saturday, February 21, 2026

Mass Readings and Reflection for Saturday February 21st 2026

 


The First Reading :
 (Isaiah 58:9–14).

The Responsorial Psalm: (Psalm 86).

Response: Teach me, O Lord, your way, so that I may walk in your truth.


The Gospel: (Luke 5:27–32).

At that time, Jesus saw a tax collector named Levi sitting at the tax office, and he said to him, “Follow me.” And he left everything, rose, and followed him.

And Levi made him a great feast in his house. And there was a large company of tax collectors and others sitting at table with them.

The Pharisees and the scribes murmured against his disciples, saying, “Why do you eat and drink with tax collectors and sinners?”

And Jesus answered them, “Those who are well have no need of a physician, but those who are sick. I have not come to call the righteous, but sinners to repentance.”

Homily:

On this fourth day of Lent, the Church reminds us that God is always ready to give us opportunities to repent of our sins and return to him.

The great message of Lent is repentance:

Repent and believe in the Gospel.
Turn away from sinful ways.
Return to God, who is always ready to welcome us back.

God does not desire the death of a sinner, but rather that they turn from their evil ways and live.

This message was central to the preaching of John the Baptist:

“Repent, for the Kingdom of God is close at hand.”

It was also at the heart of Jesus’ proclamation:

“I have not come to call the righteous, but sinners.” (Luke 5:32)
“It is the sick who need the doctor, not the well.” (Matthew 9:12)

If you, O Lord, were to mark our guilt, Lord, who would survive? But with you is forgiveness.

Jesus constantly gave sinners opportunities to repent. He ate with them. He forgave them.

Remember Zacchaeus the tax collector.
Remember the woman caught in adultery.
Remember the parables of the lost sheep, the lost coin, and the prodigal son.

Jesus was never focused on the sinner’s past, but on their future- the saint they could become.

In today’s Gospel, he calls Levi (Matthew), a tax collector- a public sinner. Tax collectors were despised because many abused their position, taking more than required. Yet Jesus called him.

When Jesus said, “Follow me,” he was saying:

“Matthew, I know your past, but I see your potential. I am not concerned about your yesterday. I am concerned about your tomorrow.”

Matthew accepted the invitation.
The sinner became a saint.
The tax collector became a Gospel writer.

My friends,

During this Lent, God is extending the same invitation to us:

“Follow me.”

What must we do?

Like Matthew, we must leave behind our past.
Matthew left everything- meaning he left behind his old life.

One powerful way to respond is through the Sacrament of Confession.

Make use of Confession this Lent.
Seek forgiveness.
Make the effort not to return to sin.

Sometimes, sadly, we make others feel unworthy of coming to church.

I once spoke with a Christian who told me:

“Father, I feel terrible coming to church because I am a great sinner. If I come to church, the church will catch fire.”

But God is not worried about our past. He is concerned about our conversion.

Jesus came for sinners.

Where else should sinners go if not to God’s house?

The Church is not a museum for saints.
The Church is a hospital for sinners.

Let us therefore be careful with our words, so that we do not discourage others from seeking God’s mercy.

And when we come to church as sinners, let us come sincerely -not to hide our sins, but to seek transformation.

Do not let your sins scare you.
Do not let your past define you.

God is not finished with you.

He is concerned about the saint you can become.

Like the father of the prodigal son, God’s arms remain open.

So let us find the courage of Matthew and say:

“Yes, Lord. I will follow you. I will leave behind my yesterday and embrace the new tomorrow you offer.”

Amen.

Friday, February 20, 2026

Chevrolet Silverado 2025

 


The Brown Bear and Salmon

A Brief Piece on Bears and Salmon


Bears have a natural tendency to load up on salmon and gain fat by design. This built-in storage prepares them for winter, when food becomes scarce. The accumulated fat helps preserve energy and maintain body warmth during the colder months.

When a brown bear catches a salmon, it typically begins by eating the skin, then the brain, and sometimes the eggs. After consuming these high-energy parts, the bear often leaves the remainder of the fish and returns to the river to catch another. On average, brown bears abandon roughly half of the salmon they capture each year.

Although this behavior may appear wasteful, it is actually efficient. Obtaining food is not limited to catching it; it also involves processing, consuming, and digesting it. During the salmon spawning season, fish are abundant. In this context, eating an entire salmon is not always worth the time and metabolic effort required for digestion.

Brown bears therefore prioritize the most nutrient-dense components, skin, brain, and eggs, which provide the highest fat and energy return for the least effort. The remaining portions, which contain comparatively less fat, offer diminishing returns.

Importantly, what is left behind supports the ecosystem. The carcasses provide nutrients for birds, fish, insects, and plants, contributing to a broader cycle of energy transfer within the environment.

Next time you eat salmon, like I did today, you might think about this. Who knows -you may have more in common with the brown bear than you realize.


Stay curious.

-Pal Ronnie

Mass Readings and Reflection for Friday February 20th 2026

First Reading: (Isaiah 58:1–9)

Responsorial Psalm: (Psalm 51)

"Be merciful, O Lord, for we have sinned".

Alleluia:

Praise to you, Lord Jesus Christ, King of endless glory.

Seek good and not evil, so that you may live,
and the Lord will be with you.

Praise to you, Lord Jesus Christ, King of endless glory.

Gospel: (Matthew 9:14–15)

Reflection: 

The mass readings reflects on the true meaning of Lenten fasting. The lesson drawn is that Lenten sacrifices should not become burdens placed on others, but should transform the heart. We shouldn't just fast because everyone is doing it or the Church asked us to. 

The prophet Isaiah reminds us that fasting is not about outward displays of suffering but about conversion expressed through love: freeing the oppressed, feeding the hungry, clothing the naked, and caring for those in need. Lenten practices are meant to move us away from self-focus and toward deeper union with God.

Fasting is not meant to be spiritual performance or quiet self-pity, but a path to freedom, freedom from disordered attachments, from ego, and from the illusion that worldly comforts bring lasting happiness. Prayer, almsgiving, and sacrifice help us recognize Christ present in the Eucharist, in prayer, and in the poor.

When practiced with sincerity, Lent reshapes our relationship with both God and the world. It prepares us to rejoice authentically at Easter, having learned to desire not merely earthly satisfactions but the enduring joy found in communion with the Bridegroom.

Amen

Have a blessed weekend. 


@Ava: She is at the Collison Shop

 












Thursday, February 19, 2026

Blood Transfusions: A Clinical Education


What Is a Blood Transfusion?

A blood transfusion is the administration of blood or blood components (most commonly packed red blood cells – PRBCs) through venous access to a patient who has low red blood cell levels.

Purpose:
To restore oxygen-carrying capacity and improve tissue perfusion.

Why Do Patients Need Blood Transfusions?

1. Blood Loss

  • Surgery

  • Trauma

  • Gastrointestinal bleeding

  • Internal hemorrhage

2. Decreased RBC Production

  • Severe anemia

  • Renal failure (↓ erythropoietin)

  • Bone marrow disorders

  • Cancer / chemotherapy

Why Are Red Blood Cells Important?

Red blood cells (RBCs), via hemoglobin, perform two critical functions:

✔ Carry oxygen (O₂) from lungs → tissues
✔ Remove carbon dioxide (CO₂) from tissues → lungs

Signs & Symptoms of Low Hemoglobin

  • Pallor

  • Fatigue / weakness

  • Shortness of breath

  • Tachycardia

  • Dizziness

Hemoglobin Values

PatientNormal Range
Male14–18 g/dL
Female12–16 g/dL

Transfusion Threshold (general guideline):
7–8 g/dL (depends on patient condition & protocols)

Nurse’s Role in Blood Transfusion

Blood transfusion is a high-risk procedure requiring strict adherence to policy.

1. Preparation Phase

Type & Crossmatch

  • Correct patient identification is critical

  • Prevents hemolytic reactions

  • Clerical errors = most common cause of reactions

Verify Blood Compatibility

Universal Donor: O negative
Universal Recipient: AB positive

Obtain Informed Consent

Nurse responsibilities:

✔ Explain procedure
✔ Assess understanding
✔ Ask about:

  • Previous transfusions

  • History of reactions

  • Allergies

Premedication (if ordered)

May include:

  • Acetaminophen (Tylenol)

  • Diphenhydramine (Benadryl)

Used for patients with prior febrile/allergic reactions.

Assess Fluid Status

High-risk patients:

  • Congestive heart failure (CHF)

  • Renal failure

  • Fluid overload

Possible order:

  • Loop diuretic (e.g., furosemide/Lasix)

Ensure IV Access

Preferred:

18-gauge or larger

Why?

  • Prevent RBC damage (hemolysis)

  • Allows proper flow

Consider:

✔ Second IV site for medications

Gather Supplies

  • Y-tubing with inline filter

  • 0.9% Normal Saline (NS)

  • Infusion pump

  • Biohazard disposal bag

Important Rule

🚨 ONLY 0.9% Normal Saline with Blood

❌ No dextrose (causes RBC clumping)
❌ No medications

2. Blood Administration Phase

Timing Rules

✔ Start within 20–30 minutes of receiving blood
✔ Complete within 2–4 hours
✔ NEVER exceed 4 hours

Reason:

Risk of bacterial growth → sepsis

Blood Warmers

Used when:

  • Rapid / massive transfusion

  • Hypothermia risk

Two-Nurse Verification

Check together:

✔ Physician order
✔ Patient ID
✔ Blood unit number
✔ ABO & Rh compatibility
✔ Expiration date
✔ Blood appearance (no clots/leaks)

Baseline Vital Signs

  • Temperature

  • Blood pressure

  • Heart rate

  • Respirations

🚨 Report fever before starting

Educate Patient

Report immediately:

  • Chills

  • Itching / rash

  • Chest or back pain

  • Shortness of breath

  • Nausea

Starting the Transfusion

✔ Begin slowly (~2 mL/min)
✔ Stay with patient first 15 minutes

Why?

Most reactions occur early.

Vital Sign Monitoring (varies by policy)

Common practice:

  • Baseline

  • 5 minutes

  • 15 minutes

  • 30 minutes

  • Hourly

  • Post-transfusion

Transfusion Reactions

Mnemonic: “REACTION”

LetterSymptom
RRash
EElevated temperature
AAche (back/chest/head)
CChills
TTachycardia
IIncreased respirations
OOliguria
NNausea

Types of Reactions

1. Hemolytic (Most Dangerous)

Cause:

ABO incompatibility

Signs:

  • Fever

  • Chills

  • Back pain

  • Chest pain

  • Hypotension

  • Hemoglobinuria

Complications:

🚨 DIC
🚨 Renal failure
🚨 Death

2. Allergic

Cause:

Reaction to donor plasma proteins

Signs:

  • Hives

  • Rash

  • Itching

  • Wheezing

  • Possible anaphylaxis

3. Febrile Non-Hemolytic (Most Common)

Cause:

Recipient antibodies vs donor WBCs

Signs:

  • Fever

  • Chills

  • Headache

Prevention:

Premedication (if indicated)

4. GVHD (Rare but Fatal)

Onset:

Days to weeks later

Signs:

  • Fever

  • Widespread rash

  • Diarrhea

  • Liver dysfunction

5. Circulatory Overload (TACO)

High-risk:

  • CHF

  • Renal failure

Signs:

  • Dyspnea

  • Crackles

  • Hypertension

  • JVD

6. Septic Reaction

Cause:

Contaminated blood

Signs:

  • High fever

  • Chills

  • Hypotension

If a Transfusion Reaction Occurs

Immediate Actions

STOP transfusion
✔ Keep vein open with new tubing + NS
✔ Stay with patient
✔ Monitor vitals frequently
✔ Notify provider & blood bank

Do NOT Discard

✔ Blood bag
✔ Tubing

Send to blood bank for investigation.

Possible Treatments (Provider Orders)

  • Antihistamines

  • Antipyretics

  • Corticosteroids

  • IV fluids

  • Vasopressors

  • Diuretics

Labs May Include

  • CBC

  • Renal function

  • Electrolytes

  • Coagulation studies

  • Urinalysis (hemoglobinuria)

Documentation

Record:

✔ Time of reaction
✔ Symptoms
✔ Interventions
✔ Provider notifications
✔ Patient response

Post-Transfusion Care:

✔ Flush line with NS
✔ Dispose per biohazard policy
✔ Obtain post-transfusion vitals
✔ Reassess patient


A Quote from Mr. D. Washington

 


“Mr. Peace President ” and the Prospect of War with Iran

War Is Always the Enemy of the Poor

Recent remarks delivered at the United States Institute of Peace painted a striking contrast: the language of peace set alongside vivid references to military power, including United States Air Force B-2 bombers and operations involving Iran. The speech celebrated diplomacy, invoked “peace in the Middle East,” and highlighted multi-billion-dollar relief commitments-yet it also suggested that further escalation “may” be necessary.

That tension reflects a deeper and enduring truth:

War, whatever its justification, falls heaviest on the poor.

The Rhetoric of Peace vs. the Logic of War

Political leaders often speak of peace as both a moral aim and a strategic achievement. In this case, “border peace,” regional stabilization, and the pursuit of a “meaningful deal” with Iran were presented as parallel tracks to deterrence and force.

But peace and war are not simply interchangeable tools.
They operate on profoundly different logics:

  • Peace seeks stability through trust, compromise, and long-term cooperation

  • War imposes outcomes through destruction, coercion, and human cost

Invoking both in the same breath exposes the fragile boundary between diplomacy and conflict.

Who Pays the Price of War?

Wars are financed by nations but paid for by people- especially those with the fewest resources.

1️⃣ Economic Burden

Military escalation brings:

  • Surging public expenditure

  • Inflationary pressures

  • Disrupted trade and markets

For low-income households, this translates into:

  • Higher food and energy prices

  • Reduced social spending

  • Greater financial insecurity

2️⃣ Humanitarian Consequences

Modern warfare disproportionately harms civilians:

  • Displacement

  • Infrastructure collapse

  • Medical shortages

  • Food insecurity

The poorest communities lack buffers, mobility, and protection.

3️⃣ Global Ripple Effects

Conflict involving Iran could affect:

  • Energy markets

  • Supply chains

  • Regional stability

Economic shocks reverberate worldwide, often intensifying poverty far beyond the battlefield.

The Illusion of “Limited” War

History repeatedly shows that wars framed as “targeted” or “necessary steps” tend to expand unpredictably.

Escalation dynamics include:

  • Retaliation cycles

  • Proxy conflicts

  • Regional destabilization

  • Long-term geopolitical fallout

What begins as a calculated move can become an enduring crisis.

Peace as Action, Not Branding

The speech emphasized that this initiative is “very little talk, all action.” That aspiration resonates. Yet genuine peace is not measured by declarations alone.

It requires:

  • Persistent diplomacy

  • Economic justice

  • Humanitarian investment

  • De-escalation mechanisms

  • Respect for civilian life

Peace cannot be built solely on deterrence or displays of force.

The Moral Dimension

Beyond strategy lies an ethical question:

Can peace be secured through instruments of war without reproducing the very suffering it claims to end?

Military action may sometimes be argued as necessary. But its consequences are never abstract:

  • Children orphaned

  • Families displaced

  • Economies shattered

  • Generations burdened

And always, the poor suffer most.

A Sobering Reminder

Ten billion dollars was described as “a very small number compared to the cost of war.” That comparison is revealing.

Because the true cost of war is not merely financial.

It is measured in:

  • Lives lost

  • Bodies broken

  • Futures erased

  • Societies destabilized

Conclusion

Peace is not proven by the absence of fighting alone, nor by the prestige of a boardroom gathering. It is proven by the preservation of life, dignity, and stability-especially for the most vulnerable.

As tensions rise and rhetoric sharpens, one principle remains constant:

War is always the enemy of the poor.

And peace, if it is to mean anything at all, must first protect those who have the least power to survive conflict.

A Lenten Exhortation: Remember You Are Dust

Dear friends, 

Today is the first Thursday of lent, we officially began this beautiful journey of Lent. This sacred pilgrimage of forty days is not merely a season on the calendar; it is a grace-filled invitation to draw nearer to Christ, to walk with Him into the desert, and to allow our hearts to be transformed.

And as we began this journey, the Church asks us to contemplate something we often avoid. Ashes will be placed upon our heads, and we will hear the solemn words:

“Remember you are dust, and unto dust you shall return.”

So simple. So ancient. So unsettling.

Yet within those words lies not despair, but truth, and within truth, mercy.

Dust and Glory

To remember that we are dust is to remember our creatureliness. We are not self-made. We are not eternal by nature. We are formed by God, sustained by God, and destined for God.

“Dust” speaks of humility.
“Return” speaks of accountability.

But neither word is meant to crush the human spirit. Rather, they awaken us. For the same God who formed Adam from the dust also breathed into him the breath of life. We are dust, yes, but dust beloved by God.

Lent, therefore, is not a season of gloom. It is a season of clarity.

“Rend Your Hearts”

In the first reading, the prophet Joel cries out:

“Return to me with your whole heart… Rend your hearts, not your garments.”

The call is not to external performance, but to interior conversion.

To rend the heart is to tear open whatever has hardened within us:

  • Our complacency

  • Our hidden sins

  • Our quiet compromises

  • Our comfortable distance from God

The first grace of Lent is honesty.

To stand before God and say:

“I am a sinner. I fall. I wander. I fail. And yet… I am loved.”

Here lies the paradox of the Gospel:
We are unworthy, and still relentlessly loved.

And because we are loved, we are summoned into battle. Lent is not passive reflection. It is spiritual warfare. Like Christ in the desert, we confront temptation, illusion, and the subtle voice of the enemy.

Repentance is not weakness.
Repentance is courage.

Ambassadors of Christ

In the second reading from yesterday, Saint Paul speaks with urgency:

“We are ambassadors for Christ.”

An ambassador does not represent himself. He represents the one who sends him.

And we are sent by Christ.

This means our Lenten conversion is never private. Christianity is not “me and Jesus” in isolation. To belong to Christ is to become a visible sign of His presence in the world.

We are called to bring Jesus everywhere:

  • To the supermarket

  • To the workplace

  • To our families

  • To our conversations

  • To the hidden corners of ordinary life

People should be able to look at us, ashes or no ashes, and glimpse something different.

Not perfection.
But light.
Patience.
Charity.
Hope.

Lent asks:
How will I become more like Christ in these forty days?

Prayer: The Breath of the Soul

In the Gospel, Jesus gives us the timeless triad:

Pray. Fast. Give alms.

Prayer comes first because prayer is relationship.

Without prayer:

  • Hearts are not changed

  • Deserts are not crossed

  • Battles are not won

Even five minutes a day can become holy ground.

Five minutes of silence.
Five minutes of honesty.
Five minutes of listening.

Prayer is not informing God.
Prayer is allowing God to form us.

Fasting: Freedom Through Detachment

Jesus calls us to fast, not as punishment, but as liberation.

To fast is to say:

“I refuse to be ruled by my appetites.”

Yes, bodily fasting matters.
Yes, sacrifice matters.

Because a disciple is, by definition, a disciplined one.

And perhaps one of the greatest fasts in our age is this:

One hour a day, stay away from social media. Turn off the TV.
Place the phone in a drawer.
Do not touch it.

In that hour:

  • Read the Bible.

  • Reflect on the Word.

  • Pray

  • Be present to the people around you. 

This fast exposes a deeper hunger, our addiction to noise, distraction, and self-importance.

“Who needs me?”
“What am I missing?”

But Lent asks a sharper question:

God… or the screen?

Almsgiving: Love Made Visible

Finally, Jesus calls us to give.

Almsgiving is love enacted.

It may be:

  • A donation

  • A meal shared

  • Time offered

  • Kindness extended

  • Compassion given

It need not be grand. It must be real.

For there is no such thing as “me and Jesus” alone.

It is always:

Jesus, others, and then me.

Love of God that does not become love of neighbor is incomplete.

The Danger of a Wasted Lent

We now begin these forty days.

We receive ashes.
We make resolutions.
We carry intentions.

But let us speak plainly.

If Easter arrives and nothing has changed ,
If our hearts remain closed ,
If our habits remain untouched ,
If our love remains unmoved ,

Then these forty days will have been a tragic waste.

Lent is too precious.
Grace is too costly.
Life is too brief.

The Church whispers today:

Stop.
Reflect.
Return.

Remember you are dust,
and unto dust you shall return.

But remember also:

Dust, redeemed by Christ, is destined not merely for the grave, but for resurrection.

God bless you.

BTYB Pal Ronnie 

Mass Readings for February 19, 2026-First Thursday after Ash Wednesday

First Reading: (Dteronomy 30:15–20)

Responsorial Psalm: (Psalm 1:1–2, 3, 4 & 6)

R. Blessed are they who hope in the Lord.

  • Blessed is the one who does not follow the counsel of the wicked

  • But delights in the law of the Lord

  • Like a tree planted near running water

  • The Lord watches over the way of the just

Alleluia: (Matthew 4:17)

“Repent, says the Lord; the Kingdom of heaven is at hand.”

Gospel: (Luke 9:22–25)

Jesus said:
“The Son of Man must suffer greatly… be killed… and on the third day be raised.”
“If anyone wishes to come after Me, he must deny himself,
take up his cross daily, and follow Me.”
“What profit is there to gain the whole world yet lose oneself?”

Reflection

Today’s readings strike at the heart of Lent’s purpose: decision.

1. “Choose life.”

Moses presents a stark choice: life or death, blessing or curse.
Not as a threat-but as a revelation.
Every day, every action, every desire bends us toward one of these paths.
Lent exposes what we’ve been choosing without noticing.

2. The Cross is daily, not seasonal.

Jesus doesn’t say, “Take up your cross once.”
He says dailymeaning discipleship is not a moment but a rhythm.
It’s the small sacrifices, the quiet obedience, the hidden fidelity.

3. The world offers gain; Christ offers life.

The Gospel asks the most piercing question:
What am I chasing that cannot save me?
Lent is the season when we stop pretending that worldly gain can fill a spiritual hunger.

4. The invitation is personal.

Christ doesn’t say, “Follow My teachings.”
He says, “Follow Me.”
A relationship, not a rulebook.
A Person, not a program.

Prayer

Lord, help me choose life today-
not the life the world promises,
but the life You offer:
faithfulness, courage, sacrifice, and love.
Give me the grace to take up my cross daily
and follow You with a willing heart.
Amen.

Lessons from Tamar

Thursday, 19th February, 2026

Lessons from Tamar

“Judah was the father of Perez and Zerah (whose mother was Tamar). Perez was the father of Hezron. Hezron was the father of Ram.” – Matthew 1:3 (NLT)

Among the few women named in the genealogy of Jesus, Tamar stands out. Her story, recorded in Genesis 38, is layered, uncomfortable, and profoundly powerful.

Tamar was married into Judah’s family. When her husband died, she was promised provision through the cultural practice meant to protect widows. But the promise was never fulfilled. She was left widowed, waiting, and effectively erased — denied justice, security, and dignity.

In a world where women had little voice or agency, Tamar did something extraordinary:

She refused invisibility.

She took bold, unconventional action to secure the justice she had been denied. Yes, her method was scandalous by social standards. But beneath the controversy was something deeper — strategy, courage, and fierce determination.

Tamar did not act out of rebellion.
She acted out of resilience.

And God did not erase her story.

Instead, He wove her into redemption history, honoring her by placing her name in the lineage of the Messiah.

What Tamar Teaches Us

1️⃣ Refuse Silent Erasure

Tamar could have accepted abandonment as her fate. Many do when systems fail them. Instead, she chose visibility.

Not loudness.
Not drama.
But decisive courage.

2️⃣ Boldness Isn’t Always Pretty

Faith stories are often polished, but Scripture preserves the raw truth: God works through messy, complicated human situations.

Tamar’s story reminds us that purpose is not reserved for those with flawless narratives.

3️⃣ Resilience Protects Destiny

Tamar understood something critical — her future, legacy, and dignity mattered.

She did not wait passively for rescue.

She moved.

4️⃣ God Redeems What Others Judge

Where society saw scandal, God saw a woman refusing injustice.

Where culture saw impropriety, God saw persistence.

And history remembers Tamar not with shame, but with honor.

A Word for You Today

You do not need a perfect past to walk boldly into purpose.

You do not need universal approval to pursue what is right.

You do not need permission to rise from disappointment, delay, or dismissal.

Like Tamar:

  • Shake off shame

  • Refuse invisibility

  • Move with courage

  • Trust God’s ability to redeem your story

Because sometimes, the lineage-changers are born from stories that looked like setbacks.

Your story is not over.

Prayer for Today

In Jesus’ name, I rise and take my space in destiny.
I walk in courage, resilience, and boldness.
I will not settle for invisibility.
Amen.

This is huge: Prince Andrew and the Headlines: Reports of an Arrest on His 66th Birthday

 

We woke up this morning to striking headlines. The first report I encountered appeared on CNBC, a platform typically associated with markets and finance rather than royal affairs. Yet the story drawing global attention centered on Prince Andrew.

According to circulating media reports, Prince Andrew was said to have been arrested on the day of his 66th birthday. The claim immediately triggered shock, debate, and intense discussion across news outlets and social platforms. Given the magnitude of such an allegation, it also underscored the importance of careful verification and reliance on confirmed facts.

For generations, senior members of the British royal family were often perceived as distant from ordinary legal consequences — symbols of continuity, tradition, and state ceremony. Prince Andrew, once second in line to the throne, is the younger brother of King Charles III, the reigning monarch.

Public perception of Prince Andrew has shifted dramatically in recent years. Controversy surrounding his association with Jeffrey Epstein led to significant consequences, including the removal of honorary military roles and the relinquishment of the use of his royal titles in official capacities. Many observers believed those developments marked the closing chapter of the saga.

That is precisely why fresh reports — particularly those suggesting an arrest — would provoke surprise and renewed scrutiny. However, moments like this highlight a critical reality of the modern information age: headlines spread instantly, while confirmation requires time, evidence, and due process.

It is essential to distinguish between verified legal actions, credible reporting, and speculation amplified by the speed of digital media. Claims of this scale demand clarity from official sources, not merely repetition.

Regardless of how the story evolves, one truth remains evident: public expectations around transparency, accountability, and institutional responsibility continue to grow. The global conversation reflects a world increasingly unwilling to accept assumptions of untouchability.

In times of sensational news, patience and accuracy matter more than ever.


Wednesday, February 18, 2026

Avoid Lovenox for Patient with AKI: Use Heparin Instead

Why AKI matters

Enoxaparin = Low-molecular-weight heparin (LMWH)

  • Primarily renally eliminated

  • Reduced kidney function → drug accumulation

  • Accumulation → excess anticoagulation → bleeding

In acute kidney injury (AKI), renal function can decline rapidly and unpredictably, making dosing less reliable.


Ash Wednesday Mass Readings and Reflection February 18th 2026

First Reading: (Joel 2:12–18)

Responsorial Psalm: (Psalm 51)

“Be merciful, O Lord, for we have sinned.”

“A clean heart create for me, O God, and a steadfast spirit renew within me.”

Second Reading: (2 Corinthians 5:20–6:2)

Gospel: (Matthew 6:1–6, 16–18)


Homily

Today is Ash Wednesday. Made it to mass and beautiful homily at St. Anthony in Nanuet. The homily emphasizes the repeated biblical call to return to the Lord, especially highlighted in Joel:

“Yet even now, says the Lord, return to me with your whole heart. Rend your hearts, not your garments…”

The priest explains that this return must be genuine, not merely external. Tearing garments is symbolic, but God desires that the heart be moved.

Danger of a Hardened Heart

The homily warns that, like Israel in the desert, we risk allowing our hearts to grow hard when facing suffering or disappointment. A hardened heart:

  • Fails to feel grief over sin

  • Fails to recognize separation from God

  • Fails to desire reconciliation

The psalm becomes our prayer:

“A clean heart create in me, O God. Renew in me a steadfast spirit.”

The Challenge of Reconciliation

The priest also compares returning to God with restoring a strained human relationship. Pride often blocks reconciliation:

“I’m not going to be the first one to make the first move.”

But with God, the dynamic is different-He always invites first. His desire is relationship, mercy, and love.

“Now Is the Acceptable Time”

Echoing St. Paul, the homily stresses urgency:

“God doesn’t want us to wait… Now is the acceptable time.”

Lent becomes a season for:

  • Self-examination

  • Honesty about intentions

  • Reordering life according to Gospel values

Symbolism of Ashes

Ashes represent:

  • Repentance

  • What once was but is no more

  • A visible reminder of our call to return to God

Through repentance and God’s forgiveness, we are re-created.

Isaiah’s Promise

The homily concludes with Isaiah’s words:

“In returning and rest you shall be saved. In quietness and trust shall be your strength.”

Lent is presented as a season of spiritual renewal, where God- slow to anger and rich in compassion-calls us back to Himself.

The Ashes displayed on the forehead is a public declaration of our sins and asking God for forgiveness just like the people of Nineveh. 

God bless you. 

Pal Ronnie 

Tuesday, February 17, 2026

Healthcare, Reality, and the Hard Truth About Getting Healthy: A Front-Line Perspective

I have been working in healthcare since 2007-that’s 19 years of witnessing the inner workings of an industry that many people only see from the outside. Needless to say, this is a combine experience from two continents. But I fully entered the front lines in 2014, which means I now have more than a decade of direct patient-care experience. And after all these years, I can confidently say this: healthcare is not what it used to be.

As a profession once held in deep respect, we undeniably lost much of that respect after the COVID‑19 pandemic. But what I’m about to say goes even deeper than that. Some people will agree with me immediately, and some may be offended. That’s fine. The truth doesn’t need approval-it just needs honesty.

And here’s the truth:

Doctors can’t make you healthy.

I don’t say that lightly. I say it as someone who has spent years at the bedside, in the trenches, and witnessing what really brings patients into the hospital. Modern medicine is astonishing when you are dying. Trauma, infections, heart attacks, strokes-these are moments when medical care can work miracles. If you’re in crisis, we have drugs, machines, protocols, and expertise that can absolutely save your life.

But health, real health, doesn’t come from a hospital, a surgery, or a prescription bottle. And here’s why:

Medicine Lives Downstream. Think oil and gas (up/downstream)

By the time you walk into a hospital, the damage has already accumulated.

We don’t treat the cause.
We treat the consequence.

High blood pressure, diabetes, obesity, chronic fatigue, joint pain, insomnia, anxiety-these conditions don’t show up out of nowhere. They are built slowly through years of habits, environment, stress, poor sleep, lack of movement, overeating, and constant overstimulation.

And here’s the uncomfortable truth:
Most people don’t actually want to be healthy-they want relief.

They want the pill because the pill is easier than the process.
Changing your life is hard:

  • Fixing sleep is hard.
  • Eating real food is hard.
  • Moving daily when you’re exhausted is hard.
  • Being hungry sometimes is uncomfortable.
  • Facing stress instead of numbing it is uncomfortable.

Swallowing a pill is easy.

So we medicate the numbers instead of addressing the habits:

  • We medicate stress instead of fixing the life causing the stress.
  • We medicate blood sugar instead of fixing diet and movement.
  • We medicate low testosterone instead of fixing sleep, excess fat, and lack of purpose.
  • We medicate anxiety instead of strengthening a nervous system weakened by constant artificial stimulation.

Medication has a place-but it was meant to be a bridge, not a lifestyle.

The Hardest Truth: You Cannot Outsource Health

Healthcare has slowly turned into a lifestyle substitute. People want medicine to make up for choices they aren’t willing to change. But no doctor, no nurse, no specialist can build health for you.

Health is created upstream-long before symptoms appear.
Most people come to the hospital only when their body finally says, “I can’t compensate anymore.”

And by then, they want a fix that doesn’t exist.

There is no pill that replaces:

  • Movement
  • Natural light
  • Sleep
  • Real food
  • Physical effort
  • Purpose
  • Discomfort

These aren’t prescriptions-they’re inputs.
Without them, the body adapts in the only way it can: by breaking down.

If Medication Alone Worked, We'd Be the Healthiest Society Ever

We prescribe more medication than any society in history.
Yet we are also:

  • The most medicated
  • The most comfortable
  • The least resilient

Not because doctors fail, but because we ask medicine to solve problems it was never designed to solve.

Fat gain, hormone disruption, chronic inflammation, poor aging-these are not mysterious diseases. They are predictable biological responses to a modern lifestyle that eliminates struggle, movement, discipline, and natural rhythms.

Your body adapts to the life you live.

If your daily life is sedentary, climate‑controlled, overstimulated, comfort‑driven, overfed, and under slept, your body will downshift your metabolism, tank your hormones, weaken your resilience, and dull your vitality-not because it’s broken, but because it’s efficient.

If You Want Health, You Must Do the Work Medicine Can’t

If you’re looking for shortcuts, hacks, or magic pills, this message isn’t for you. But if you’re ready to hear the truth:

Doctors don’t make people healthy. Habits do.
Medicine is the safety net. Health is the daily work.

So what do you actually do?

You don’t overhaul your entire life overnight-you’ll fail.
You start with your environment, not motivation.

Five Non‑Negotiables to Start With

These aren’t forever rules. These are the foundation.

1. Prioritize sleep like your life depends on it.

Because it does.
Go to bed earlier.
Cut the screens.
Make your room dark and cool.
You cannot out‑exercise or out‑supplement bad sleep.

2. Move every day.

Not “workouts”-movement.
Walk, carry things, stretch, sweat.
Your biology expects motion. When it doesn’t get it, everything declines.

3. Eat like food still has consequences.

Because it does.
Stop grazing, think the cow. They have 4 stomachs; we only have one. 
Eat real meals.
Eat enough protein.
Let yourself feel hunger occasionally-it’s not an emergency. Eat when you are hungry and not when you are bored. 

4. Choose discomfort on purpose.

Cold.
Heat.
Hard workouts.
Difficult conversations.
Doing things when you don’t feel like it.
This is how you rebuild a resilient nervous system.

5. Stop looking for shortcuts.

If it’s hard, that doesn’t mean you’re failing-
it means you’re doing the work that actually creates change.

You Don’t Need Perfection-You Need Ownership

If you change the inputs, the biology will follow. Every time.

And if this perspective resonates with you-if you’re tired of confusion, tired of quick fixes, tired of the revolving door of prescriptions and symptoms-then you’re exactly the kind of person this message is meant for.

Health isn’t found in a pill bottle.
It’s built, one choice at a time, upstream from the crisis.

Until next time-keep moving, keep choosing effort, and keep choosing responsibility.

Brought to you by your best Pal on the Web

Pal Ronnie


Mass Reading and Reflection for Tuesday February 17th 2026

First Reading:(James 1:12–18)

Responsorial Psalm: (Psalm 94:12–13a, 14–15, 18–19)

“Blessed the one whom you instruct, O Lord.”

Alleluia(John 14:23)

“Alleluia, alleluia.
Whoever loves me will keep my word, says the Lord,
and my Father will love him, and we will come to him.
Alleluia, alleluia.”


Mass Readings

Responsorial Psalm:

Happy are those whom you discipline, O Lord, and whom you teach out of your law, giving them respite from days of trouble.

Gospel Acclamation

Hallelujah, hallelujah.

All who love me will keep my words, and my Father will love them, and we will come to them.

Hallelujah, hallelujah.

Gospel: (Mark 8:14–21)


Reflection:

In today’s Mass Reading a homily is from Daily TV Mass Canada. The first reading, Saint James reminds us to persevere in temptation, as a crown of life awaits us in the Kingdom of Heaven.

Temptation means being enticed to sin, being lured to violate God’s commandments. Obviously, God does not tempt us. So where does temptation come from?

Saint Anthony of Egypt taught that there are three sources of temptation: the world, the flesh, and the devil. It is easy to blame the world or the devil, to see ourselves as innocent victims. But even apart from external factors, we all experience an inner weakness. We inherit woundedness-what Father Benedict Groeschel called the “original wound.”

Saint Paul expressed this struggle clearly:
“I do not understand my own actions. For I do not do what I want, but I do the very thing I hate.”

Often, the problem is not knowledge but willpower. We know what is right, yet we struggle to say no-whether to small indulgences or deeper habits.

So what is the best way to calm temptation?

Many saints warn that temptation is like an avalanche. It begins small but quickly builds momentum. The best time to say no is at the very beginning.

Psychology even confirms this wisdom. Walter Mischel’s “Marshmallow Test” showed that delayed gratification is linked to later success in life. Discipline matters.

Consider Michael Phelps, who trained for six straight years without missing a day. Greatness is not accidental. It requires discipline, sacrifice, and perseverance.

Matthew Kelly said:
“Our lives change when our habits change.”

Overcoming temptation is not just about resisting; it is about replacing vice with virtue: pride with humility, anger with patience, greed with generosity.

Prayer alone does not remove all temptations. God does not simply make life easier-he makes us stronger. Each time we choose to resist temptation, we choose God.

Sometimes, however, our struggles run deeper. Sister Miriam James Heidland reminds us that our repeated sins often reveal our wounds. Like a reflex test, life situations can trigger emotional reactions rooted in past hurt.

When we notice strong, negative reactions, it can be an invitation to healing.

Adam and Eve’s mistake was not only sin but hiding from God. Instead of running toward mercy, they hid in shame.

God is not only Judge -he is Healer.

Let us turn to God, rely on his grace, and allow him to heal our wounds and strengthen us in our struggles.

🙏 

God bless you and have a wonderful Day.

Pal Ronnie


Monday, February 16, 2026

CHF


Heart Failure

Introduction and Overview: 

Heart failure is one of the most common medical conditions I see and deal with at work and so, I wanted to research and write on it.

Heart failure, also known as congestive heart failure (CHF), framed within the context of clinical medicine. The presenter emphasizes that understanding heart failure begins with mastering its pathophysiology, terminology, and major classifications.

Heart failure is presented not as a single disease, but as a clinical syndrome resulting from impaired cardiac function.

Types of Heart Failure

Heart failure is broadly categorized into:

  • Left heart failure

  • Right heart failure

  • High-output heart failure (less common)

Left Heart Failure

Left heart failure, the most common form, is divided into:

1. Systolic Heart Failure (HFrEF)

Systolic failure results from reduced contractility of the left ventricle.

Common causes include:

  • Myocardial infarction (fibrosis replacing functional myocardium)

  • Dilated cardiomyopathy (thin, weakened ventricular walls)

  • Myocarditis (less common)

Key mechanism:

  • Decreased contractility
    → Reduced left ventricular ejection fraction (LVEF)

When LVEF < 40%, this is termed:

Heart Failure with Reduced Ejection Fraction (HFrEF)

Consequences:

  • Decreased cardiac output

  • Impaired forward blood flow

2. Diastolic Heart Failure (HFpEF)

Diastolic failure involves impaired ventricular filling, not pumping.

Common causes include:

  • Chronic hypertension

  • Aortic stenosis

These conditions increase afterload, leading to:

  • Left ventricular hypertrophy (LVH)

  • Thickened ventricular walls

  • Reduced filling space

Key mechanism:

  • Decreased preload
    → Preserved ejection fraction

When LVEF ≥ 40–50%, this is termed:

Heart Failure with Preserved Ejection Fraction (HFpEF)

Important note:
Both systolic and diastolic failure reduce cardiac output, but through different mechanisms.

Compensatory Mechanisms

A fall in cardiac output leads to reduced blood pressure:

BP = CO × SVR

To compensate, the body increases:

  • Systemic vascular resistance (SVR)

  • Sympathetic nervous system activity

  • Renin–angiotensin–aldosterone system (RAAS) activation

Sympathetic Activation

Triggered by baroreceptors sensing low blood pressure:

  • Norepinephrine & epinephrine release

  • β₁ stimulation → Increased heart rate

  • α₁ stimulation → Vasoconstriction

Short-term benefit: Maintains perfusion
Long-term harm:

  • Increased afterload → Worsened hypertrophy

  • Increased preload → Ventricular dilation

RAAS Activation

Reduced renal perfusion stimulates renin release:

Renin → Angiotensin I → Angiotensin II (via ACE)

Effects of Angiotensin II:

  • Vasoconstriction

  • Aldosterone release → Sodium & water retention

  • ADH secretion → Water retention

Result:

  • Increased preload

  • Fluid overload

  • Edema

Counter-Regulation: ANP

Atrial Natriuretic Peptide (ANP) is released from stretched atria:

  • Promotes natriuresis

  • Causes vasodilation

  • Inhibits RAAS

This mechanism attempts to limit heart failure progression.

Right Heart Failure

Right heart failure shares similar principles.

Systolic Dysfunction

Caused by:

  • Right ventricular myocardial infarction

Leads to:

  • Reduced contractility

  • Dilated right ventricle

  • Reduced RVEF

Diastolic Dysfunction

Most commonly due to pulmonary hypertension, which increases afterload.

Causes of pulmonary hypertension include:

  • Idiopathic

  • Left heart disease

  • Lung disease

  • Chronic thromboembolism

  • Systemic diseases

Leads to:

  • Right ventricular hypertrophy

  • Impaired filling

  • Reduced cardiac output

High-Output Heart Failure

A rare condition where:

Cardiac output is elevated but still insufficient

Primary mechanism:

  • Massive peripheral vasodilation
    → Markedly reduced SVR

Causes include:

  • Sepsis (most common)

  • Thiamine deficiency (beriberi)

  • Thyrotoxicosis

  • AV fistulas

  • Severe anemia

Despite increased heart rate and stroke volume, tissue demands remain unmet.

Complications of Heart Failure

Left Heart Failure

Pulmonary congestion & edema:

  • Elevated left atrial pressure

  • Increased pulmonary venous pressure

  • Elevated pulmonary capillary wedge pressure (PCWP)

Symptoms:

  • Dyspnea

  • Orthopnea

  • Paroxysmal nocturnal dyspnea

Severe cases → Acute decompensated heart failure

Cardiogenic Shock

Markedly reduced cardiac output → Systemic hypoperfusion

Clinical signs:

  • Cold, pale extremities

  • Mottling

  • Organ dysfunction

Possible consequences:

  • Encephalopathy

  • Myocardial ischemia

  • Acute kidney injury (cardiorenal syndrome)

  • Mesenteric ischemia

  • Lactic acidosis

Right Heart Failure

Due to elevated central venous pressure:

  • Jugular venous distension

  • Peripheral edema

  • Hepatic congestion

  • Ascites

Rarely → Cardiogenic shock via septal shift

Diagnosis

1. Chest X-ray

May show:

  • Cardiomegaly

  • Pulmonary edema

  • Pleural effusions

  • B-lines

2. BNP / NT-proBNP

  • Low levels → HF unlikely

  • High levels → Supports diagnosis

3. Echocardiogram

Essential for:

  • LVEF assessment

  • Differentiating HFrEF vs HFpEF

  • Detecting valvular disease

4. Physical Exam

Helps distinguish:

  • Right vs left heart failure

5. Right Heart Catheterization

Gold standard for PCWP

  • PCWP > 18 mmHg → Strongly suggests left heart failure

Treatment

Management focuses on neurohormonal modulation.

Core Therapies

β-blockers (metoprolol, carvedilol):

  • Reduce sympathetic activation

  • Improve remodeling

ACE inhibitors / ARBs / ARNIs:

  • Suppress RAAS

  • Reduce remodeling & mortality

Aldosterone antagonists:

  • Reduce fluid retention

  • Improve outcomes

SGLT2 inhibitors:

  • Promote diuresis

  • Provide cardiovascular benefits

Alternative Vasodilator Therapy

For selected patients:

  • Hydralazine + Isosorbide dinitrate

Symptom Control

Diuretics:

  • Relieve congestion

  • Reduce preload

Device Therapy

CRT → For LVEF < 35% with LBBB
AICD → Prevent sudden cardiac death

Advanced Support

  • LVAD → Bridge to transplant

  • Inotropes (dobutamine, milrinone) → Short-term support

  • IABP

  • VA ECMO

Acute Decompensation

  • BiPAP → Reduces preload & afterload

  • Oxygenation support

Systematic Treatment Algorithm

  1. Modify risk factors

  2. Start ACEi/ARB + β-blocker

  3. Add diuretics if congested

  4. Add aldosterone antagonist + SGLT2 inhibitor

  5. Switch to ARNI if appropriate

  6. Consider hydralazine/nitrates when indicated

  7. Add CRT for electrical dyssynchrony

  8. Use inotropes if unstable

  9. Mechanical support if refractory

  10. LVAD / Transplant for end-stage disease

Key Insights

  • Heart failure is a syndrome, not a single disease

  • Systolic and diastolic dysfunction differ mechanistically

  • Compensatory systems initially help but ultimately worsen HF

  • Diagnosis integrates imaging, biomarkers, and hemodynamics

  • Treatment targets neurohormonal pathways, volume status, and cardiac mechanics

Understanding pathophysiology is essential for:

  • Clinical reasoning

  • Treatment selection

  • Exam preparation