Mixed Aachar

Respiratory Failure

2018-07-24T15:25:00.001-07:00

Respiratory Failure

Respiratory failure occurs when the respiratory system fails in either one or both of its gas exchange functions: oxygenation and the elimination of carbon dioxide. A reduction in the oxygen carried in the bloodstream is referred to as hypoxaemia, and a rise in the carbon dioxide levels within the bloodstream is referred to as hypercapnia.

Respiratory failure is classified into two groups

Type I respiratory failure
Type II respiratory failure

Type I respiratory failure

Type I respiratory failure occurs when there is a problem with oxygenation resulting in hypoxaemia. This is most commonly caused by ventilation/perfusion mismatch resulting in reduced diffusion of oxygen from the alveoli into the pulmonary circulation. Type I respiratory failure is characterized by

Type II respiratory failure

Type II respiratory failure occurs when there occurs when there is inadequate alveolar ventilation resulting in hypoxaemia and hypercapnia. Type II respiratory failure is characterized by

Type II respiratory failure can be further sub-classified depending on the pre-existing condition of the patient and the speed of onset

Acute type II respiratory failure

The patient will have no, or minor, evidence of pre-existing respiratory disease and patients typically have a high PaCO2, low pH, and normal bicarbonate.

Chronic type II respiratory failure

Evidence of chronic respiratory disease, high PaCO2, normal pH, and high bicarbonate (>26 mmol/l).

Acute-on-chronic type II respiratory failure

An acute deterioration in an individual with significant pre-existing type II respiratory failure, high PaCO2, low pH, and high bicarbonate (>26 mmol/l).

Myasthenia gravis (MG)

2018-07-24T10:58:00.001-07:00

Mysthenia Gravis

Myasthenia gravis (MG) is either an autoimmune or congenital neuromuscular disease that leads to fluctuating muscle weakness and fatigue. The name myasthenia gravis, which is Latin and Greek in origin, literally means "grave muscle weakness." Myasthenia Gravis affects persons from all ethnic groups and both genders, although it commonly affects young adult women under the age of forty years, and men over the age of sixty. Myasthenia Gravis can affect persons of any age as well. On occasion, the disease can occur in members of the same family, although the disease is not contagious or directly inherited

Definition

Chronic auto-immune disorder of the post-synaptic membrane at the neuromuscular junction (NMJ) in skeletal muscle
Circulating antibodies against the nicotinic acetylcholine receptor (AchR) and associated proteins impair neuromuscular transmission
Patients present with muscle weakness which typically worsens with continued activity (fatigue) and improves on rest
Severity varies from isolated eye muscle weakness to generalised muscle weakness and respiratory failure requiring mechanical ventilation

Risk Factors

Female gender
Ages 20 – 40
Familial myasthenia gravis
D-penicillamine ingestion (drug-induced myasthenia)
Having other autoimmune diseases

Differential diagnosis

Lambert-Eaton myasthenic syndrome (LEMS)

Prominent proximal leg and arm weakness accompanied by diminished muscle stretch reflexes that improve with brief exercise.
Autonomic symptoms such as dry mouth, constipation and impotence are present in some patients.
Eye muscles are occasionally involved at presentation.
Respiratory failure is uncommon.
Associated with small-cell lung cancer in up to 70% of patients.

Botulism

Symptoms similar to myasthenia gravis (MG) but there may be hypotension, bradycardia, diarrhoea followed by constipation, and urinary retention.

Penicillamine-induced myasthenia gravis

Symptoms similar to MG can occur after weeks or months of treatment
They may remit on withdrawal of the drug; recovery may be slow or incomplete

Primary myopathies

Gradually progressive muscle weakness which is not fatigable.
These include auto-immune inflammatory myopathies or heritable myopathies as in mitochondrial diseases, such as progressive external ophthalmoplegia, or oculopharyngeal muscular dystrophy (OPMD).
Positive family history

Clinical features

Muscle fatigability

The weakness worsens with activity (fatigue) and improves on rest and the fluctuations show diurnal variation (better in morning than in the evening)

Ptosis

Drooping eyelids and double vision occur early in the majority of patients.
The pupils are spared.
Cooling of eyelid for at least 2 minutes with an ice pack (ice test) improves ptosis in more than 95% of patients with myasthenia gravis (MG).

It does not improve severe ptosis

Diplopia

Double vision occurs early in the majority of patients.

Dysphagia

Difficulties in chewing or swallowing occur when the facial and oropharyngeal muscles are affected

Dysarthria

Changes in speech occur when the oropharyngeal muscles are affected and there may be a characteristic nasal speech

Facial paresis

Changes in expression occur when the facial muscles are affected and there may be a characteristic flattened smile

Proximal limb weakness

Difficulty in getting out of chairs or climbing stairs.
There is no evident muscle wasting.
Reflexes are normal.
Sensations are intact

Shortness of breath

If shortness of breath becomes severe enough to require mechanical ventilation, the patient is said to be in MG crisis

Pathophysiology

In myasthenia gravis (MG), an auto-immune attack against acetylcholine receptors (AchRs) results in destruction of the post-synaptic membrane.
The reduced number of available binding sites for acetylcholine leads to inconsistent generation of muscle fibre action potentials which manifest as skeletal muscle weakness.
Muscle tyrosine kinase (MuSK) is an agrin dependent protein on muscle membrane with an essential role in anchoring AchR at the tips of the postsynaptic folds

Investigations

Serum anti-acetylcholine receptor (anti-AchR) antibody analysis

Antibodies are detectable in 80% to 90% of patients with generalised myasthenia gravis (MG) and up to 50% of patients with ocular MG.

Sensitivity: greater than 90% in generalised MG; 40% to 60% in ocular MG.
Specificity: 99%.

If the result is negative or equivocal proceed to antimuscle tyrosine kinase (MuSK) antibody assay

Antimuscle tyrosine kinase (MuSK) antibodies

Positive test in up to 70% of AchR seronegative generalised MG.

Serial pulmonary function tests

Indicated if shortness of breath and suspected MG crisis.
Serial measurements of FVC and negative inspiratory force (NIF) are taken.
Indication for mechanical ventilation includes FVC 15 mL/kg or less (normal ≥60 mL/kg) and NIF 20 cm H2O or less (normal ≥70 cm H2O).
Physicians should not wait for abnormal ABG as it occurs late in the course after clinical decompensation

Antistriational antibodies

This test is not done routinely in all patients
These antibodies are rare in patients without thymoma.
Detected in 75% to 95% of patients with thymoma and MG

Repetitive nerve stimulation

Sensitivity, 79% in generalised MG, 50% in ocular MG.
Specificity, 97%.
Brief exercise of a muscle prior to the test may enhance decrement response.
If the result is negative and clinical suspicion is high, proceed to single fibre EMG.
Positive decrement also seen in Lambert-Eaton myasthenic syndrome (LEMS) and amyotrophic lateral sclerosis (ALS).
In MuSK MG, generally the yield of abnormal result is high in proximal muscles, for example the trapezius, deltoid and facial muscles.
For patients with neck and respiratory weakness, it is important to evaluate clinically affected muscles as the test may be normal in limb and face muscles.
Greater than 10% decline in compound muscle action potential (CMAP) amplitude between the first and fourth potential in a train of 10 stimulations of the motor nerve at 2 to 3 Hz is considered a positive response

Single-fibre EMG

Sensitivity, 86% to 92% and specificity, 70% to 96% in facial muscles in ocular MG;
Sensitivity and specificity, 98% in generalised MG.
Abnormal test may be seen in LEMS and ALS, inflammatory myopathies, or patients injected with botulinum toxin.
Increase variability in motor latencies (jitter) or complete failure of neuromuscular transmission (block) in some muscle fibres

CT of chest

Should be performed in all newly diagnosed patients to detect thymoma (which occurs in about 15% of patients with MG) or thymic hyperplasia (which occurs in 75% of MG patients)

Management

a) conservative

Supportive care

Includes DVT prophylaxis; ulcer prophylaxis; adequate nutrition and hydration; and avoidance of infections and drugs that may worsen myasthenia symptoms.

b) medical

Plasma exchange or intravenous immunoglobulin

Acute therapy for the recovery of transmission across neuromuscular junction
Plasma exchange has rapid response with onset usually after 2 to 3 sessions.

Effects are temporary, lasting weeks.
Therapy is expensive and requires hospitalisation.

Intravenous immunoglobulin (IVIG) is easy to administer but expensive

When patients respond, the onset is rapid within 4 to 5 days with maximal response apparent within 1 to 2 weeks

In patients with muscle tyrosine kinase (MuSK) MG, plasma exchange and immunoglobulin are used during acute exacerbations and crises.
Observational studies indicate plasma exchange to be more effective than immunoglobulin.

Pyridostigmine

Patients with frequent symptoms should be treated with a cholinesterase inhibitor.
In patients with muscle tyrosine kinase (MuSK) MG, clinical response to cholinesterase inhibitor therapy is generally less favourable

Frequent muscarinic and nicotinic side effects, and sometimes even worsening of symptoms.
Despite this poor response, most patients receive pyridostigmine due to its low side effect profile and low cost

Corticosteroids

Corticosteroids are used in older men with ocular myasthenia gravis (MG) and those with mild disease who fail pyridostigmine monotherapy

Immunosuppressant

Several options are available and include low-dose corticosteroids, azathioprine, mycophenolate mofetil, ciclosporin and tacrolimus
Patients with generalised myasthenia gravis (MG) with moderate symptoms usually require chronic corticosteroid maintenance therapy.
It is prudent to begin therapy with low dose and gradually titrate up towards maximum dose

High doses can induce worsening of MG symptoms, including precipitating a myasthenic crisis.

Immunotherapy is tailored for each patient, including time to onset of response, adverse effect profile, availability and cost
Tacrolimus is generally better tolerated than ciclosporin.

c) surgical

Intubation and mechanical ventilation

Indication for mechanical ventilation includes FVC 15 mL/kg or less (normal ≥60 mL/kg) and negative inspiratory force (NIF) 20 cm H2O or less (normal ≥70 cm H2O)

Some patients may require a tracheostomy and percutaneous endoscopic gastrostomy (PEG) tube.

Thymectomy

Performed in patients with thymoma (any age) or without thymoma (15 to 55 years old).
Approaches available include robotic thoracotomy, transcervical or full sternotomy.
It is generally accepted that more complete the removal of thymus, higher is the rate of remission in MG symptoms.
Onset of benefit is delayed, rarely seen within 6 months and requires follow-up of up to 2 to 5 years for demonstrated efficacy.
The role of thymectomy for patients with muscle tyrosine kinase (MuSK) MG remains uncertain in the absence of a controlled trial.

Prognosis

Symptomatic improvement and clinical remission are the goals of therapy.

However, the onset of improvement varies greatly from days to months.

Typically, older men with ocular complaints respond promptly to corticosteroid monotherapy whereas generalised symptoms are slower to respond and require more aggressive therapy.
Chronic maintenance drug therapy is often required.
Disease exacerbations can occur due to infections, surgery, medicine exposures, malignancy, pregnancy or other stressors.

Myasthenic crisis can sometimes be averted with aggressive early intervention during an exacerbation.

Most patients enjoy good quality of life and normal lifespan due to advances in diagnosis and immunosuppressive treatment.

Apgar Score

2018-07-23T11:40:00.002-07:00

Apgar score

The Apgar score is a simple assessment of how a baby is doing at birth, which helps determine whether your newborn is ready to meet the world without additional medical assistance. Your practitioner will do this quick evaluation one minute and five minutes after your baby is born.

The 1-minute score determines how well the baby tolerated the birthing process. The 5-minute score tells the health care provider how well the baby is doing outside the mother's womb.

In rare cases, the test will be done 10 minutes after birth.

This score – developed in 1952 by anesthesiologist Virginia Apgar and now used in modern hospitals worldwide.

What Does the Apgar Score Mean?

Apgar is an acronym, standing for the following criteria:

Appearance
Pulse (heart rate)
Grimace (reflexes)
Activity (muscle tone)
Respiration (breathing effort)

A pediatrician, ob-gyn, midwife or nurse will assign your newborn an Apgar score from 0 to 2 on each of the five criteria, with a total of 10 possible points. The higher the Apgar score, the better your baby is doing.

Appearance / (Skin color)

If the skin color is pale blue, the infant scores 0 for color.
If the body is pink and the extremities are blue, the infant scores 1 for color.
If the entire body is pink, the infant scores 2 for color.

Pulse / (Heart Rate)

Heart rate is evaluated by stethoscope. This is the most important assessment:

If there is no heartbeat, the infant scores 0 for heart rate.
If heart rate is less than 100 beats per minute, the infant scores 1 for heart rate.
If heart rate is greater than 100 beats per minute, the infant scores 2 for heart rate.

Grimace (reflexes)

Grimace response or reflex irritability is a term describing response to stimulation, such as a mild pinch:

If there is no reaction, the infant scores 0 for reflex irritability.
If there is grimacing, the infant scores 1 for reflex irritability.
If there is grimacing and a cough, sneeze, or vigorous cry, the infant scores 2 for reflex irritability.

Activity (muscle tone)

If muscles are loose and floppy, the infant scores 0 for muscle tone.
If there is some muscle tone, the infant scores 1.
If there is active motion, the infant scores 2 for muscle tone.

Respiration (breathing effort)

If the infant is not breathing, the respiratory score is 0.
If the respirations are slow or irregular, the infant scores 1 for respiratory effort.
If the infant cries well, the respiratory score is 2.

Well Newborn Care

2018-07-23T05:08:00.001-07:00

Well Newborn Care

Delivery Room Care

* Place the infant skin to skin with the mother, once he is stable.
* Assess the Apgar score, at 1 and 5 min after birth.
* Perform a brief physical examination to check that the infant is
healthy (has no major anomalies or birth injuries, his/her tongue &
body appear pink, and has normal breathing).
* Examine the hips to rule out dislocation.
* Umbilical cord care.
► Fix the cord clamp 3-5 cm away from the umbilicus, and cut the
cord using a scalpel.
► Examine for any abnormality (single umbilical artery).
► Wipe the umbilical stump with ethyl alcohol 70%.
* Identification: take footprints and record in the medical record,
and place 2 bracelets with identical hospital numbers (one on the
wrist and the other on the ankle).

Transitional Care (first 4-6 hrs after birth)

* Common signs of disordered transitioning
► Respiratory distress
► Poor perfusion with cyanosis or pallor
► Need for supplemental oxygen
► Hypothermia
* Evaluate every 30-60 min
► Assess HR, RR, axillary temperature, color & tone.
* With suspicion of disordered transitioning
► If stable → observe closely for a period of time.
► If persistent signs → transfer to a higher level of care.

Routine Care

* Keep newborn with mother all the time (rooming-in).
* Perform proper hand washing before handling the newborn.
* Maintain newborn’s temperature
► Encourage skin to skin contact with the mother
► Use hats and proper clothes
* Assess GA using the expanded Ballard Score. Measure and
record the newborn's weight, head circumference, and length,
and then plot against the estimated GA.
* Bathing
► Do not bathe immediately after birth; vernix caseosa does not
need to be removed.
► The first bath can be given with non-medicated soap and
warm tap water once infant's temperature has stabilized (4-6
hrs after delivery).
► Do not bathe the infant in a basin until after the umbilical
stump has fallen off.
* Examine skin for trauma or signs of infection.
* Umbilical cord care
► Keep the cord dry and loosely covered with clean sterile gauze.
► Fold the diaper below the umbilicus.
► If soiled, wash with soap and clean water and dry it well.
► Apply alcohol after each diaper change.
* Place the newborn infant supine (on the back) to sleep and not
prone (on the stomach).
* Routine medications
► Give vitamin K1 (0.5-1 mg IM) within 2 hrs of life.
* Feedings
► Support immediate and exclusive breastfeeding during the
first hr postpartum preferably in the Delivery Room.
► Offer standard term formula to infants for whom breastfeeding
is contraindicated at least every 3-4 hrs.

Instructions to the Mothers or Other Care-Givers

* Observe baby’s temperature, respiration & effort at feeding.
* Observe for passage of urine and stools.

Vaccination

* Educate parents about vaccination schedule.
* Administer HBIG (0.5 ml/kg IM) to all newborns of HBsAg positive
mothers as soon as possible after birth (within 12 hrs),
followed by HBV vaccine (0.5 ml IM).

Caring for life...

2018-07-23T02:23:00.000-07:00

Can you wake up a Section officer at mid night to sign a document?

Can you wake up a clerk at mid night to prepare a bill?

Can you wake up a lecturer at mid night to teach you?

Can you wake up a shopkeeper to buy a match box from his shop?

Everybody will answer No

But you can wake up a NURSE from a deep sleep at mid night for a patient who suffering in pain,

We the Nurse stand at the bedside of patients to save them because we feel the pain inside us.

PROUD 2 B A NURSE

Nurses are the Real Life Heroes

2018-07-22T08:19:00.002-07:00

Critical-care nursing, or intensive-care-unit (ICU) nursing, is a specialty that requires focus and stamina. ICU nurses need a solid foundation of experience to actively monitor and treat acutely ill patients with life-threatening conditions. Critical-care Nurses are the real life heroes, always ready to fight against Pathogenic organisms and of course also against Angel of Death even lots of stressful environment.

Glaucoma

2018-07-22T07:22:00.001-07:00

GLAUCOMA

Glaucoma is a leading cause of blindness and visual impairment. Glaucoma, known as the “sneak thief of sight,” can affect patients of all ages. Many people affected with glaucoma do not experience any symptoms and may not be aware that they have the disease until they have lost a significant amount of vision.

With early detection and treatment, eyes can be protected against the serious loss of vision or blindness. Glaucoma can affect anyone from newborn infants to the elderly.

TYPES OF GLAUCOMA

There are several types of glaucoma with two main types:

open-angle and angle-closure.

OPEN-ANGLE GLAUCOMA

Open-angle glaucoma is the most common type of glaucoma where the fluid in the eye drains too slowly through the network of tiny drainage channels, known as the trabecula. The pressure in the eye increases as the fluid in the eye continues to build. Loss of vision occurs gradually and the vision loss is not always noticed until it becomes irreversible. About 95 percent of glaucoma cases are due to open-angle glaucoma.

ANGLE-CLOSURE GLAUCOMA

Angle-closure glaucoma occurs when the tiny drainage channels, known as the trabecula, become blocked which then causes a sudden rise in pressure in the eye. This condition is not common but when it occurs it requires immediate medical attention.

RISK FACTORS FOR GLAUCOMA

Everyone is at risk for developing glaucoma. Those at greater risk meet the following criteria:

Are at least 45 years old without regular eye exams
Have a family history of glaucoma
Have abnormally high eye pressure
Are of African descent
Are Hispanic and older than 60
Are nearsighted
Have thin corneas
Have diabetes
Have a previous eye injury
Regularly use cortisone/steroid products

DIAGNOSIS OF GLAUCOMA

To detect glaucoma, the physician will perform the following tests:

Visual acuity
Visual field
Tonometry
Dilated-eye examination
Retinal evaluation
Pachymetry
Gonioscopy

TREATMENT OF GLAUCOMA

Once glaucoma has been diagnosed, treatment should begin as soon as possible to help minimize the risk of permanent vision loss. There is no cure for glaucoma, so treatment focuses on relieving symptoms and preventing further damage. Treatment for each individual case depends on the type and severity of the glaucoma. Some of the treatment methods for glaucoma are:

MEDICATION

Eye drops or oral medication may be used to either reduce fluid production in the front of the eye or to help drain excess fluid. Side effects of the medication may result in redness, stinging, irritation or blurry vision.

LASER SURGERY

Trabeculoplasty, iridotomy or cyclophotocoagulation are laser procedures that aim to increase the outflow of fluid from the eye or eliminate fluid blockages.

SURGERY

A trabeculectomy may be performed to create a new channel to drain fluid from the eye and reduce the pressure that causes glaucoma.

love pics

2018-07-22T05:03:00.005-07:00

A Nurse's Prayer....

2018-07-21T09:48:00.001-07:00

A Nurse's Prayer....

Suzanne

Let me dedicate my life today

to the care of those

who come my way.

Let me touch each one

with healing hand

and the gentle art

for which i stand.

and then tonight

When day is done,

O let me rest in peace

If I helped just one....

Neighbors are fighting..........

2018-07-19T02:39:00.003-07:00

Neighbors are fighting..

Islam puts a deep emphasis on our individual duty to our neighbors. In fact, the Prophet Mohammad said: “Angel Jibril advised me continuously to take care of the neighbor till I thought that Allah is to make him an inheritor.”

Our duty to our neighbors are : -
You must help him if he asks for your help
Give him relief if he seeks your relief
Lend him if he needs a loan
Do not block his air by raising your building high without his permission
Do not harass him
Give him a share when you buy fruits; if you do not, bring what you buy quietly and let not your children take them out to excite the jealousy of his children.
You must visit (and take care of) him when he is ill
You must attend his funeral when he dies (and take part in burial arrangements)
If he commits a sin, prevent it from being known
Congratulate him if he is met with good fortune
Grieve in sympathy if a calamity befalls him
When a member of your community is in need, danger or illness or calamity has fallen on him, it is your duty as a Muslim to reach out and offer them help (regardless of the neighbor’s faith or background). To fail to do this is to fail in our duty to our neighbors, and is to leave a gaping hole in the Ummah.

I love you

2018-07-17T14:22:00.003-07:00

I love you.....

My love for you is like the raging sea,
So powerful and deep it will forever be.
Through storm, wind, and heavy rain,
It will withstand every pain.
Our hearts are so pure and love so sweet.
I love you more with every heartbeat!

He and I.

2018-07-16T12:56:00.003-07:00

He and I

When words run dry,
He does not try,
nor do I.

We are on par...

He just is,
I just am
&
We just are........

by ........ Lang Leav

I still love you....

2018-07-16T01:43:00.004-07:00

I still Love you.....

Of all the things I've ever said,

Of all the tears I've ever shed,

Of all the things I did to you,

I want you to know that I still love you.

Of all the days we fought and cried,

Of all the days I wished I'd died,

Of all the things you did to pull me through,

I don't believe it, but I still love you.

2018-07-15T13:44:00.002-07:00

Privacy Policy for 07love

At 07love, accessible from https://07love.blogspot.com/, one of our main priorities is the privacy of our visitors. This Privacy Policy document contains types of information that is collected and recorded by 07love and how we use it.

If you have additional questions or require more information about our Privacy Policy, do not hesitate to contact us through email at 07star.ak@gmail.com

Log Files

07love follows a standard procedure of using log files. These files log visitors when they visit websites. All hosting companies do this and a part of hosting services' analytics. The information collected by log files include internet protocol (IP) addresses, browser type, Internet Service Provider (ISP), date and time stamp, referring/exit pages, and possibly the number of clicks. These are not linked to any information that is personally identifiable. The purpose of the information is for analyzing trends, administering the site, tracking users' movement on the website, and gathering demographic information.

Cookies and Web Beacons

Like any other website, 07love uses 'cookies'. These cookies are used to store information including visitors' preferences, and the pages on the website that the visitor accessed or visited. The information is used to optimize the users' experience by customizing our web page content based on visitors' browser type and/or other information.

Google DoubleClick DART Cookie

Google is one of a third-party vendor on our site. It also uses cookies, known as DART cookies, to serve ads to our site visitors based upon their visit to www.website.com and other sites on the internet. However, visitors may choose to decline the use of DART cookies by visiting the Google ad and content network Privacy Policy at the following URL – https://policies.google.com/technologies/ads

Our Advertising Partners

Some of advertisers on our site may use cookies and web beacons. Our advertising partners are listed below. Each of our advertising partners has their own Privacy Policy for their policies on user data. For easier access, we hyperlinked to their Privacy Policies below.

Google

https://policies.google.com/technologies/ads

Privacy Policies

You may consult this list to find the Privacy Policy for each of the advertising partners of 07love.

Third-party ad servers or ad networks uses technologies like cookies, JavaScript, or Web Beacons that are used in their respective advertisements and links that appear on 07love, which are sent directly to users' browser. They automatically receive your IP address when this occurs. These technologies are used to measure the effectiveness of their advertising campaigns and/or to personalize the advertising content that you see on websites that you visit.

Note that 07love has no access to or control over these cookies that are used by third-party advertisers.

Third Pary Privacy Policies

07love's Privacy Policy does not apply to other advertisers or websites. Thus, we are advising you to consult the respective Privacy Policies of these third-party ad servers for more detailed information. It may include their practices and instructions about how to opt-out of certain options. You may find a complete list of these Privacy Policies and their links here: Privacy Policy Links.

You can choose to disable cookies through your individual browser options. To know more detailed information about cookie management with specific web browsers, it can be found at the browsers' respective websites. What Are Cookies?

Children's Information

Another part of our priority is adding protection for children while using the internet. We encourage parents and guardians to observe, participate in, and/or monitor and guide their online activity.

07love does not knowingly collect any Personal Identifiable Information from children under the age of 13. If you think that your child provided this kind of information on our website, we strongly encourage you to contact us immediately and we will do our best efforts to promptly remove such information from our records.

Online Privacy Policy Only

This privacy policy (created with the GDPR Generator) applies only to our online activities and is valid for visitors to our website with regards to the information that they shared and/or collect in 07love. This policy is not applicable to any information collected offline or via channels other than this website.

Consent

By using our website, you hereby consent to our Privacy Policy and agree to its Terms and Conditions.

Miles don't mean anything

2018-07-15T13:26:00.001-07:00

Miles don't mean anything

A little bit of you.....

2018-07-15T13:22:00.001-07:00

A little bit of you.....

I Miss You

A little bit of you

And a little bit of me

Have switched respective places

in a mystifying "we".

When miles come between us

And our lives are drawn apart,

Our thoughts remain together

Tugging softly at the heart.

This loneliness without you

Tells of special moments shared

And says across the miles

Just how much we've always cared.

The emptiness that comes

with just the memory of your touch

Stirs a feeling from within that says,

"I miss you very much."

When in life you wake up.....

2018-07-15T09:38:00.000-07:00

When in life you wake up....

When in life you wake up,

you don't see anyone..................,

then

come to me,..............................I will be

there,

to hold your hand

take you to an ,

Eye Specialist......................

Love is not a color nor a game...

2018-07-15T08:53:00.003-07:00

Love

Love is not a color,
love is not a game,
love is just a feeling
love is really lame,

Love will make you smile,
love will make you cry,
love will confuse you
love will make you ask why...?

Love can be a good thing,
love can really suck,
love depends on your girl
love depends on luck.

Love is really stupid,
love makes me want to die,
love might come to an end,
love will then make you cry....

Love has no point,
love is just him pretending,
love is what i hate,
love has no freaking ending.....

YOur beauty is like a sunset

2018-07-14T09:39:00.004-07:00

Your beauty is like a sunset on an ocean shore

you're everything i want and much more,

Your eyes twinkle like the stars in the midnight sky

your presence makes me feel like I'm flying high,

Your scent is like the sweetest Rose

your beauty runs from your head to your toes,

Your beauty takes my breath away

your voice is so sweet no matter what you say,

Your beautiful face glistens ans shines

your beauty makes me wish that you were mine.

Zara si dil ma da jaga.mpg

2018-07-14T02:50:00.001-07:00

Na he ibteda pe udas hon, na he inteha pe malal hay

2012-11-09T05:28:00.000-08:00

wo aa ka khawab ma taskeen e iztarab to da

2012-11-07T02:52:00.000-08:00

Though miles come between us................

2012-11-07T02:46:00.002-08:00

Though miles come between us

And distance keeps us apart

Nothing can ever change

The love inside my heart

I may not be there with you

Every minute of the day,

But you're always here with me

In at least a thousand ways

Whether it be a thought,

Or a moment that we've shared'

It only takes a second

To get from here to there

Thought i cannot really feel

You here at my side,

It,s always nice to know

I've got these memories in my mind

I Miss You

ab kis say kahain aur kon sunay

2012-11-06T19:05:00.000-08:00

Take me badk into the arm ........(to Love you more)

2012-11-06T18:56:00.000-08:00

Take me back into the arms I love
Need me like you did before,
Touch me once again,
And remember when.....
There was no one that you wanted more,

Don't go you know you will break my heart
She won't love you like I will,
I'm the one who'll stay
When she walks away
And you know I'll be standing here still.

I'll be waiting for you,
Here inside my heart,
I'm the one who wants to love you more,
You will see i can give you,
Everything you need
Let me be the one to love you more,

See me as if you never knew
Hold me so you can't let go
Just believe in me
I will make you see
All the things that your heart needs to know,

I'll be waiting for you,
Here inside my heart,
I'm the one who wants to love you more,
You will see i can give you,
Everything you need
Let me be the one to love you more,

And some way all the love

that we had can be saved

whatever it takes we'll find a way

Believe me

I will make you see

All the things Natural Heart needs to know,

I'll be waiting for you,
Here inside my heart,
I'm the one who wants to love you more,
You will see i can give you,
Everything you need
Let me be the one to love you more,