presentation for school part 2 TOF - Tetralogy of Fallot Malformations The pulmonary stenosis is a narrow of the pulmonary artery, often in combination with an abnormity of the pulmonary valve. The ventricular septal defect (VSD) is a hole between the two ventricles of the heart. An overriding aorta means, that the aorta has its source due to the VSD still from both ventricles, so that it gets arterial and venous blood. The right ventricular hypertrophy is a growth of muscle mass in the right ventricle due to the chronic overload. Consequences for the body The venous blood reaches the lungs only in parts (due to the pulmonary stenosis). The bigger part evades over the VSD right into the aorta in the body (without getting oxygen). The mixture of arterial and venous blood results in a cyanosis, a blue coloration of skin and mucosa. Due to the anoxia (oxygen deficiency) the body produces more erythrocytes to compensate it, but it also makes the blood more thick, so there's the hazard of clots. Additional the small blood vessels in the fingers and toes grow, which results in clubbed fingers and cyanotic nail beds (hippocratic nails).

a tree for my daughter's room My daughter went to the zoo with her daddy and her grandma yesterday, so I had some time for painting her room. I know, she's wishing some violett walls into her rose-colored room, but I hadn't enough violett for a whole wall! But I had another idea... A few days ago I've seen a wonderful picture of a tree with an owl... I researched it, printed it out and went into my daughter's room. With the picture in the one hand and my paintbrush in the other hand I started to draw. About 5 hours later, my daughter came back home in between, I've finished my little piece of art :) Have a look:

What's right? In school we read a text about diabetes... The first sentence was: Ernest Hemingway and Elvis Presley has both diabetes. Shouldn't it be "H. and P. had both diabetes" oder "H. and P. have had both diabetes"? Because they both died years ago... So I think I should say it in a past tense, didn't I?

must / have to Could you explain the difference between "you must" and "you have to" for me, please?! So, I know it's both "müssen" in German, but in which situation do I use what?

presentation for school part 1 TOF - Tetralogy of Fallot The TOF is a congenital heart defect, which accounts for about 10% of all heart defects. It involves four malformations: a pulmonary stenosis, a ventricular septal defect (VSD), an overriding aorta and a right ventricular hypertrophy. This disease was described first in 1888 by the french pathologist Étienne-Louis Arthur Fallot, after whom it's named. Formation During the 5th gestation week the arterie of the heart has its source from both side of the heart. Due to the formation of endocardiac bulges, the septum is formed, which devides this one big arterie in two, aorta and pulmonary arterie. If the septum shifts ventrally, the pulmonary arterie will be narrowed and the VSD is still open, so that the aorta has its source still in both ventricles.

my favorite saying... Hope is not the creed, that something turns out all right! It's just the security that everything has a sense, no matter how it's ending!

lovely saying... I've just read this and want to share it with you! I hope my translation is correct and you understand! Love is... if you're able to make a molehill out of a mountain as well ;)

a lot of / lots of What's the main difference between "a lot of" and "lots of"? For example "to have a lot of fun" or "to have lots of fun"? Am I right, that it's the same, but "lots of" is used in everyday language?!

Need some inspiration for dinner today... Today me and my daughter are much better than yesterday, so my sister is going to have dinner with us. Now I need some inspiration what to cook! I'd like to make goujoned turkey breast, gently roasted, with some veggies. My sister don't like broccoli what I preferred to cook first. So I need another idea and I'd like to try something new! Do you know some wonderful recipes with low carb and high protein? I'm looking forward to you answers :) (If you'll find some mistakes, don't be shy to correct ;))